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ANOTHERDENTAL MAGAZINE
Zolid Zirconia
Dental dreams are made of this
(R&D Insights)Page 34
Cheese culture
Cheese is the flagship product of Vorarlberg’s
agriculturePage 192
Dentustry one
AG production at a glancePage 222
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99
EN
PREVIEW
Zolid FX Multilayer Monlithical, glazed Amann Girrbach
SHOWCASE ZOLID FX MULTILAYER
3ANOTHERDENTAL MAGAZINE
BYT – ANOTHER DENTAL MAGAZINE CONTENT
ContentVorarlberg/Lifestyle
8 Vorarlberg – The “Silicon valley of the alps” and home of the AG headquarters
70 Outdoor action – Spoilt for choice
78 Bikepark Brandnertal – In motion for the love of nature
12 Eye-catching architecture
276 Culture and art in Vorarlberg
126 Löwen Gin – Where tradition meets pleasure and culture
120 Just doing things – Dietmar Amann’s self-designed Lake Constance cruiser
188 Der Jogi – He simply loves meat
192 Cheese culture
236 Fabio Studer – Koblach’s star lights up the freeride sky
170 Hans Kammerlander – A life at the top of the mountains
212 nat-2™ – Fungus sneakers
176 The fastest way through a turn – From carving on the slopes to the patented processing mode for AG’s CNC milling units.
Amann Girrbach KOLs – key opinion leaders worldwide
18 SPACE – The new international plat-form for selected Amann Girrbach key opinion leaders (KOLs) worldwide
LIFESTYLE AG KEY OPINION LEADERS (KOLs)
112 Benni’s Alb buffalo braised beef with “Bubenspitzle” – MDT Benjamin Votteler, Pfullingen, Germany
by Amann Girrbach & AG key opinion leaders
(KOLs) worldwide, spread across the magazine.
22 Showcases
70Time to enjoy! Outdoor action all year round in Vorarlberg.
94 We all make teeth somewhere in the world – CDT Atsushi Hasegawa, Chigasaki-City, Japan
36 Surf/Sun CAD/CAM and Snow Work-Life-Balance – CDT Alexander Wünsche, Miami, USA
144 Badische Dinnele – Simple but tasty (tarte flambée) – MDT Joachim Maier, Überlingen, Germany
258 My life outside of work – CT Łukasz Sopałowicz, Silesian Beskids, Poland
24 Ouroboros – The Origin Story of a Private Practice Dental Office – Cornelia Cone, Portland, USA
204 Manfred “Jack of all trades” – CDT Manfred Stroppe, Lindau, Germany
244 Odonto guitar player who loves his dogs – MDT Mauro Cuccagna, Viterbo, Italy
266 Bretten – Telescopes from “Germany‘s Tuscany” – CDT Jörg Schönthal, Bretten, Germany
SPECIALIST ARTICLES AG KEY OPINION LEADERS (KOLs)
86 Stay close to nature – DT Alfonso Blanco Pose
89 One step closer to nature – CDT Atsushi Hasegawa
200 Esthetic temporary restorations realized with Ceramill A-Temp – MDT David May
208 Zolid FX Multilayer – Predict able, simple and fast – CDT Mauro Ahmic and CDT Sandi Trkulja
140 Light management with Zolid HT+ – MDT Joachim Maier
156 Full restoration with Zolid FX – MDT Joachim Maier
134 Attractive and with character – DT Luís Manuel Rocha Saraiva
262 Dental tech nician work is a kind of art – CT Łukasz Sopałowicz
240 PEEK meets zirconia – MDT Mauro Cuccagna
140
208 Production of monolithic crowns made from Zolid FX Multilayer.
20 A Case Report – M. Reed Cone DMD, MS, CDT, FACP
246 Magical all on four – Dr. Stanko Miletic, Ivan Miletic d.m.d., DiS Pavel Metelka
270 Mastering demanding telescopic tasks with ease – CDT Jörg Schönthal
116 A powerful team – Dr. med. dent. Michael Fischer and MDT Benjamin Votteler
42 Emotional Dentistry – CDT Alexander Wünsche
112Benni’s Alb buffalo braised beef with “Bubenspitzle”.
Smart choice of framework material for full color control.
5ANOTHERDENTAL MAGAZINE
ContentReserach & Development – Insights
186 Influence of polishing on the surface quality of 3D-printed composite restorations
187 Copying the anatomy of healthy teeth from the remaining tooth population for restorations
198 Adjusting the optimal shade gradient for multilayer zirconia (Zolid FX Multilayer)
199 Effects of color perception and correct color determination of tooth shades
254 Combining and connecting additional impressions
255 Material-dependent clasp design of partial dentures – differences between Ultaire® AKP and partial denture alloys
274 Different occlusion concepts for individual solutions in full dentures
275 The influence of the zirconia sintering temperature on its color shade
34 Zolid Zirconia – Dental dreams are made of this
Best of Ceramill Blog
30 Ceramill Blog – know-how bites
31 Focus on crown margins with all-ceramic restorations
102 5 aspects to be noted when fabricat-ing restorations for adolescents
103 Full digital concept for monolithic restorations
132 Where the complete digital workflow can meet the demand for speed esthetics
133 5 tips for processing zirconia
184 Zolid FX Multilayer zirconium blocks – 9 in one swoop
185 Ceramill REAX – 4 tips on processing long-span, implant-supported zirconia bridges
32 Ceramill Sintron & Zolid FX Multilayer – a perfect symbiosis!
33 The principle of float sintering
220 Strength ≠ Strength
221 Treat your connectors carefully
256 5 tips for the creation of true-to-nature restorations – Zolid Green State finishing kit
Cooperation partners
84 Interview with Tillmann Steinbrecher, CEO at Exocad
130 Interview with George Papadopoulos, CEO at MPF Brush
180 282The AG family for the Deutsche Cleft Kinderhilfe e.V.
Singapore – a young metropole in the heart of Asia.
2565 tips for the creation of true-to-nature restorations.
BYT – ANOTHER DENTAL MAGAZINE CONTENT
216 Interview with John Devine and Mariangela Di Nato, Invibio
58 People behind the scenes at 3D Systems - Interview with Rik Jacobs
The Company
68 Milling history
64 Experience brings the future – Interview with the two founders Karl Girrbach & Dietmar Amann
48 The new Ceramill A-Line
82 Masterpieces of zirconia with ease.
180 Singapore – home of the AG Asia affilitate
222 Dentustry one – AG production at a glance
282 ... give a smile – the AG family for the Deutsche Cleft Kinderhilfe e.V.
32 Ceramill Sintron & Zolid FX Multilayer – a perfect symbiosis!
130Interview with George Papadopoulos, CEO at MPF Brush
I n case you are wondering what the title “BYT – Another Dental Magazine”
is all about, there is a simple answer. First off, we are not planning to enter the Dental Media Landscape and make this a permanent publication. This is a one-shot project, even though it may look and feel like it’s not.
So, why is it needed then? Because we want to offer a deeper insight beyond all things Dental. Yes, it features top-notch case reports from AG users all over the world and tons of valuable information about our world leading product portfolio which you can’t find anywhere else. But that’s not it.
There is a second content feature which makes all the difference. It’s about the AG community, the people & their pas-sion, presented both in and outside the labs. In order to understand why people do things the way they do them, we need to understand what inspires them in the first place. Inspiration often appears in situations where we feel comfortable and free, unleashed from our daily routines.
At best, reading this magazine can distract you a little bit from all the madness, even if just for a minute. Like a short “mind-walk” in the park. That’s why we have also featured a lot of what our homeland has to offer, country- and culture-wise.
You will also get some curious insights into the life of some of our key users and cooperation partners from all over the world. It should help sharpen the picture of the AG community a bit. Because it is truly an outstanding community – some-thing we’re very proud of, something worth telling stories about.
Thanks for stopping by and enjoy the read.
Yours, Patrick Amann Head of Marketing
Editorial
7ANOTHERDENTAL MAGAZINE
VORARLBERG HOME OF AG
© Helmut Düringer – Vorarlberg Tourismus
VORARLBERG – THE “SILICON VALLEY OF THE ALPS” AND HOME OF THE AG HEADQUARTERS Supremely located in Austria’s very west, between Lake Constance and the high alps at up to 3,000 metres, the region of Vorarlberg shares borders with Germany, Switzerland and the principality of Liechtenstein.
9ANOTHERDENTAL MAGAZINE
Feldkirch Marktgasse © Petra Rainer | Vorarlberg Tourismus
”Ever so beauti-ful”. That is how Vorarlberg has been described.
VORARLBERG HOME OF AG
Nordwesthaus Hafen Fußach © Joachim Negwer – Vorarlberg Tourismus
If you have ever taken a ride on a ski lift or cable car, anywhere in the world, you will probably have come across a product made in Vorarlberg. Firstly, Vorarlberg is a pioneer of alpine skiing,
and secondly, Doppelmayr, the world mar-ket leader in ropeway construction, is head-quartered here. Though small in size, Vorarl-berg is an economic powerhouse and home to companies such as Wolford (bodywear), Rauch fruit-juice manufacturer, Blum GmbH (fittings), Alpla (plastic packagings), Zumtobel
(light design) and last but not least Amann Girrbach. Vorarlberg is famous also for inno-vative architecture and crafts, original fes-tivals, first-rate skiing resorts and excellent hospitality.
“Ever so beautiful“. That is how Vorarlberg has been described by its 383,000 inhabi-tants and visitors alike. The quality of living and the recreational amenities are superb: Vorarlberg boasts great scenic diversity with-in a relatively small area. From the beautifully
I landscaped shores of Lake Constance it is just an hour’s drive to the towering moun-tain peaks. Along the way, verdant meadows, forests and lovely mountain vistas catch the eye. Many sites around the international Lake Constance in Germany and in Switzerland are simply waiting to be discovered. From the Vorarlberg capital of Bregenz, vessels and cruise boats head for the major destinations.
11ANOTHERDENTAL MAGAZINE
Ceramill Blog
KNOW-HOW BITESFOR IN-BETWEEN
CERAMILL BLOG KNOW-HOW BITES
The Ceramill Blog was launched in August 2015, since then more than 40 blog
entries have been published. The authors vary from Amann Girrbach employ-
ees, such as the Head of Research & Development or Trainers, to cooperation
partners and worldwide Ceramill users.
From tips & tricks regarding material treatment or software application, to
insights into the development process and materials science or latest technical
expertise in dentistry, readers can benefit from a wide field of know-how.
Therefore, the Ceramill Blog not only aims to give a deeper understanding
of the Ceramill System and Material and its wide range of possibilities and
options, it strives to give new ideas and creative ways, different ways, on how
to design and solve cases and a holistic understanding of dentistry in general.
blog.ceramill.com
F alko Noack, Head of the Research & Development Department at Amann
Girrbach, shares scientifically proven insights about the connection between fractures in all-ceramic restorations and the crown marginal area.
Previously in dental technology the crown margin was regarded as the area on dental technical restorations subjected to least load-ing. Different scientific studies into the frac-ture behavior of dental restorations, however, arrive at the opposite result.
The main conclusion of these studies is that the origin of fractures in all-ceramic restora-tions can be found in the marginal area in the majority of cases. The reason for this is that the occlusal and incisal masticatory forces
Ceramill Blog
FOCUS ON CROWN MARGINS WITH
ALL-CERAMIC RESTORATIONSblog.ceramill.com // November 2015 by Falko Noack, Dipl.-Ing. (FH)
Fig. 1: Example posterior tooth: How forces act on the tooth and its impact on the marginal area.
Fig. 2: Example anterior tooth: How forces act on the tooth and its impact on the marginal area.
FALKO NOACK, DIPL.-ING. (FH)
After about eight years working in the dental technology sector (Dental Laboratory Glaser; Boblitz/Brandenburg, Germany), during which he mainly specialized in the fixed/removable and implant prosthetics, Falko Noack decided to study at the University of Applied Sciences Osnabrück. After four years at the university he gained the title Dipl.-Ing in Dental Technology. During his study time he worked at the uni-versity on various projects in the field of metallography and material testing of dental materials. The topic of his diploma thesis was the development of a process chain for a zirconia pre-sintered blank manufacture. He then applied his practical and technological knowledge in re search and development at Amann Girrbach, especially in the field of zirconia production and application technology. Falko Noack is now head of the Research and Development Department at Amann Girrbach.
[see green arrows in pictures 1 & 2] are trans-mitted from the surface of the restoration to the marginal area and result in splitting of the crown exposed to loading [see orange arrows in pictures 1 & 2], particularly with thin-walled geometries. Tensile stresses criti-cal for ceramic materials are thus created in the marginal area of the restoration [see red arrows in pictures 1 & 2], which could be the cause of fractures. The risk of fracture is also increased by rough margins, inhomogeneous surfaces and larger gaps for the luting material.
Particular attention should therefore be given to the following points when designing the crown margin to ensure permanently reliable all-ceramic restorations:
1. Adequate material thickness, including in the marginal area (tangential preparations are therefore contraindicated for all-ceram-ic restorations)
2. Smooth and even margins
3. Perfect surfaces (polish)
4. Adequate, uniformly thin cement gap thickness
17ANOTHERDENTAL MAGAZINE
SPACE – The new international platform for selected Amann Girrbach key opinion leaders (KOLs) worldwide.Why Space? Quite simple. Because new ideas need space to develop. Because it is of benefit for everyone involved to share their knowledge instead of keeping it to them-selves. And last but not least because all members have similarly high expecta-tions of themselves as well as their environment – coupled with empathy and natural joy in dealing with colleagues and employees. The willingness to learn and the courage to venture into “new galaxies” are prerequisites for questioning learned routines – the consequence of the constant, joint exchange of knowledge to which we have committed ourselves. All in the spirit of the same mission – to lead dental technology into a new age, ultimately for the benefit of everyone involved – the patient, technology, treatment and industry.
KOLs – KEY OPINION LEADER SPACE
A SPACETO SHARE
IDEAS & TO NETWORKWITH THE
BEST.
AG CLUB OF DIGITAL DENTAL EXCELLENCE
19ANOTHERDENTAL MAGAZINE
A CASE REPORT.Anterior Esthetic Restorative Treatment of Idiopathic Dental Pathology.
by M. Reed Cone DMD, MS, CDT, FACP
keywords ee Shade communicationee Fixed dental prosthesisee Zolid HT+ White
KOL SPECIALIST ARTICLE M. REED CONE DMD, MS, CDT, FACP
Taking teeth out is the only thing that we do in dentistry that is permanent.
For this reason, every effort is made during the care of our patients to provide minimally invasive treatment options and to preserve the dentition. For some of these patients, however, extraction of one or more teeth is an unfortunate necessity. Specific situations that involve the restoration of the patient’s anterior dentition and/or soft-tissue defects require a carefully coordinated effort between the clinician and the ceramist.
In March of 2017, a 32 year old male patient presented for a consultation with chief cos-metic concerns regarding the ongoing and unexplained deterioration of hard and soft tissue structures around the maxillary right lateral and central incisors (Fig. 1). The patient reported little to no discomfort at the affect-ed site. A full medical and dental history was reviewed for the patient and found to be unremarkable. At the time of the initial visit, the intraoral evaluation revealed pink com-posite resin had been applied by another provider to temporarily aid as a splint and to mask the loss of interdental papilla that were evident when the patient smiled. Radio-graphic evaluation utilizing cone beam volu-metric tomography (Fig. 2) revealed signifi-cant horizontal and vertical loss of osseous scaffolding around the maxillary right lateral and central incisors. Prior consultations with multiple specialists, including oral surgeons
and periodontists, were unsuccessful at determining a cause for the current pathological findings.
Diagnostic alginate impressions and shade photos of the dentition and gingiva (Fig. 3) were sent to the ceramist prior to beginning treatment. Treatment planning for this case involved the extraction of the maxillary right central and lateral incisor, simultaneous bone graft/membrane placement and restoration of the edentulous space with a layered Zolid HT+ white zirconia 4-unit fixed dental pros-thesis.
Following the removal of the failing dentition, provisionalization with a temporary prosthe-sis and an appropriate healing phase of approximately 4 months, the tooth prepara-tions (stumps) were analyzed for shade (Fig. 4). Even though a zirconia framework was being utilized for the definitive restora-tion, it was critical to assess the foundational color of each stump- due to the conservative hard tissue reduction of each tooth and the highly translucent nature of the zirconia ceramic being used for this particular case. Upon completion of the final VPS impres-sions, the zirconia framework was milled, stained, and sintered at the dental laboratory (Fig. 5). To verify accuracy of fit and seamless margins of the restoration, the framework was evaluated both in-situ and radiographi-cally during a try-in visit (Fig. 6) ...
Fig. 1: Initial situation: pathological and unesthetic anterior dentition
Fig. 2: Cone beam volumetric scan of premaxillary defect
Fig. 3: Shade communication: white + pink tissue
Fig. 4: Tooth preparations + stump shade analysis
Fig. 5: Amann Girrbach Zolid HT+ zirconia framework
21ANOTHERDENTAL MAGAZINE
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