AVANT Dental Leaders challenges the “business-as-usual” mindset of dentists left behind the technology curve
 
By Danny Chan
 
What’s in a company name? It’s often the first point of differentiation between your business entity and those of your competitors. It also reflects your corporate identity, which means that it should succinctly capture the outlook, ethos or function of your business.
 
That is true of Avant, the lab formerly known as Australian Dental Lab. Most commonly used as a subset of the term “avant-garde” – defined as “new and experimental ideas and methods” – the new moniker suggests a breaking away from old ways of doing things and taking them to another level. This name change reflects the bold direction the established lab of 40-plus years has embarked on.
 
Besides an embodiment of their future-oriented business plan and outlook, Richard Salter, Avant’s Managing Director, says there’s another practical reason for the name change:  
 
“Most brands in our space have the words “dental lab” in their names and many get abbreviated like ADL. We wanted to define our own position in the market.”
 
Richard believes that in step with building brand awareness, Avant must also ensure a smooth transition for existing customers.
 
“We have very strong relationships with our current customers, some of which have been sending cases to our team for over 40 years. We leverage 40-plus years of experience and relationships to always treat our customers as the first priority.”
 
As well as helping dentists adapt to an evolving marketplace, the rebranding exercise heralds Avant’s enthusiastic adoption of cutting edge digital equipment, business processes and delivery platforms. 
 
Ian Feigen, Avant’s General Manager, says the growing impact of digital dentistry precludes dentists and labs from having a “business-as-usual” mindset:
 
“High quality dental materials like Zirconia are increasingly being made with CAD milling and 3D printing in mind. Digital technology is revolutionising the way dentists prepare and transmit their cases while enhancing the speed and accuracy with which cases are being processed and delivered.”
 
“Dentists and dental labs that remain on the old paradigm will find it harder to compete. Whichever industry you’re looking at, the trend tends to favour the more tech savvy – and the dental industry is no exception.”
 
One of Avant’s responses to the tech revolution is to partner with a Chinese lab, which Ian claims is one of, if not the most, digitally focused manufacturing labs in the world. Based in Shenzhen, the Mainland’s high-tech hub, the lab’s level of technological sophistication is difficult to match or replicate in Australia.
 
“Due to the sheer size of their international volume, output and manpower, our Chinese manufacturer can afford to invest in the very latest and most advanced equipment available.”
 
“That’s the kind of leverage that Avant will use to support Australian dentists who are looking for high quality products with speedy turnarounds.” 
 
Richard proffers that not only labs are bracing themselves for the digital impact, dentists too are required to reinvent and adapt:
 
“From the way they market themselves to how they on board a patient to how they capture an impression, dentists must embrace technology, or they will be left behind. Patients assume the best dentists will embrace this technology.”
 
Outsourcing dental work to emerging economies like China remains a sticking point, especially with regards to the question of quality control and technical oversight. Both Richard and Ian contend that times have changed.
 
“30 years ago, the offshore labs were not as good and used inferior products. That is not the case today. Modern digital lab processes have levelled the playing field to the point where you would find increasingly negligible quality differences between digitally-equipped manufacturers,” Ian explains.
 
Richard adds: “This digitisation has meant that offshore providers through greater scalability and access to technology and materials have surpassed the quality of what can often be produced onshore. Avant gives access to this. Dentists must embrace this change and pass on these advantages to their patients.”
 
Still, in terms of quality control, Avant leaves nothing to chance. Local lab technicians check every case before it reaches the customer. This serves as a final checkpoint to provide customers an additional layer of assurance, as with production-side QC stipulations.
 
“Although the quality of work at the offshore lab is very high, we stipulate to all the manufacturers that they must use the exact same products and materials as we use in our own labs. All these products must have accreditation certificates that conform to international standards,” Ian emphasises.
 
To fully embrace the opportunities and cost benefits that outsourcing provides, Richard believes, demands a shift in mindset:
 
“The question of outsourcing must be viewed in the context of a dental lab and their relationship with dentists. Dentists must be open-minded to modern technology and materials and think more-so on a global scale.”
 
“Globalisation and technology have opened up the ability for a dentist to send a dental restoration case digitally to China, America or Europe in minutes – what in the past would have taken a couple of days.”
 
To help dentists navigate a dynamic business environment, he believes that Avant customers have a distinct competitive edge. Banking on the lab’s scalability, quality products and assurance as well as close client communication – led by Ian, formerly a Ceramist with 43 years of experience – Richard supports his claim with dollars-and-sense reasoning:
 
“Quality restorations means patients will be happy. Serviced by, and access to experienced technicians saves critical clinical time which, in turn, saves money. Competitive pricing allows dentists the flexibility to be more competitive or increase margins.”
 
 
 
 
 
 
 

From smoothening dentist-patient communication to offering flexible bundled options, Southern Cross Dental circumvents potential lab-side hiccups for implant dentists
                                                                                                 
By Danny Chan
 
Other than the obvious advantages that emails have over scribbly handwritten lab notes and digital x-ray images superseding duplicates of film-based radiographs, little else seems to have evolved when it comes to improving the communication between dentists and dental technicians. This breakdown in transmission is perhaps more pronounced in the area of implant dentistry, where according to Peter Newman, there isn’t a “clear pathway to achieving quality results.”
 
The Head of Technical at Southern Cross Dental says part of the challenge lies in different implant systems and brands varying greatly in pricing and types of componentry, while fraught with compatibility issues between them. Complications also arise when dentists are not updated on the most current prosthetic knowledge and dental technicians lack the clinical exposure.  Given the knowledge discrepancies between the two groups, it is not hard to imagine the difficulties of managing what has been termed a “love-hate relationship”.
 
One of Australia’s biggest labs, SCD has been working hard behind the scenes to bridge the communication gap while streamlining the processes through which dentists receive technical support for their implant prostheses. A clear indication of the former objective is the lab’s deployment of dentists to oversee the communication process and review each implant case before they even reach the tech bench.
 
To warrant having experienced clinicians on your team, it helps to be a state-of-art lab with high volume turnover and strong market presence. In SCD’s case, turnover works out to be an average of 15,000 implant units per annum over the last three years.
 
Says Jonathan Evans, General Manager of Southern Cross Dental: “Having Dr Albert Sharp and Dr Brenda Baker on our team affords SCD an important clinical perspective which gives us a distinct edge over other Australian dental labs.”
 
“In the case of implants, where things can go off on a tangent, it becomes harder to systemise the process than say for clear aligners. The peer-to-peer exchange between dentists and technicians therefore becomes vital in keeping communications clear, open and consultative.”
 
Providing adequate technical support in a diverse implant marketplace teeming with brands and systems also has its share of challenges. One area where even seasoned implant practitioners may not be clued-up is regarding the various types – and system compatibility – of scan flags. To help simplify the transfer and use of digital implant impressions, Southern Cross Dental has been building an impressive library of scan bodies.
 
Instead of impression transfers used in conventional implant impressions, scan bodies are the digital equivalent used for determining the position and orientation of dental implants. Scan bodies are screwed onto an implant fixture and scanned directly from the patient’s mouth using an intraoral scanner (IOS). Based on these digital scans, the laboratory is able to accurately manufacture implant-based restorations using CAD/CAM technology.
 
“By creating a log history for every customer, we can track the rare scan body type,” Peter qualifies.
 
The stored information makes it easy for SCD technicians to immediately recall scan flag data based on the case reference number, promising time savings and minimal hassles. To make things even easier, the lab also manufactures its own range of scan bodies that replicate the majority of brands on the market. Using SCD’s own scan bodies, dentists need not fear miscommunication as the technicians are all too familiar with their in-house designs. 
 
Australian dentists are also given the choice between generic and branded implant components with Southern Cross making the buying process a breeze though their supply of bundled options.
 
These include the competitively priced, genuine implant bundles like MIS and Straumann on the one hand and the company’s own SCD Implant Bundle (a.k.a. the more affordable generic option) on the other. The week this interview took place coincided with the release of the latest Implant Direct Bundle.
 
“These bundles represent the holistic view that Southern Cross Dental takes in offering dentists a seamless and efficient pathway to high quality products, efficient turnaround at affordable prices,” Jonathan attests.
 
Those choosing the SCD Bundle, he adds, can rest assure that they are getting comparable components and options for crowns as those from the genuine bundle – along with a whole host of materials that they can choose from for the crown restoration, which is included in the price.
 
There’s another layer to the price transparency. “The biggest advantage of these bundles is that dentists get a fixed price from the outset so that they have a clear idea of how to charge patients,” Jonathan explains, noting as well how some individual components can get “really, really expensive.” 
 
“People forget that we’re not just a dental lab. We are also designers so we know these products in and out. We also own some of the most sophisticated milling machines in the world that allows us to manufacture implant products on behalf of market brands,” Peter interjects.  
 
“The ability to design, create, manufacture, test and refine ideas with an able team of dentists, dental technicians and designers is just gold,” Jonathan summarises.
 
“We invest heavily in our internal systems which are genuinely world-class systems that enhance production workflow, improves communication and solidifies technical support.”
 
Southern Cross Dental also invests in continuing education courses for dentists, including evening sessions on the technical implications of implants.
 
Asked for what’s in the implant pipeline for SCD, incidentally marking 25 years in dental implant support, the General Manager says to expect more of the same value, convenience and flexibility that take the burden off the shoulders of Australian dentists – particularly those of general practitioners wading into the lucrative market.
 
“We hope to further explore – through our vast technical knowledge and wide network of dental implant companies – more opportunities to offer competitively priced bundled options so that dentists can find all the implant products and support they need in one place.”
 

The passion to drive CAD/CAM technologies towards achieving high precision results hasn’t abated for this long-time industry stalwart. 
 
By Danny Chan
 
Since the age of 16, beginning with a basic engineering apprenticeship, CAD/CAM technology has been Kevin Bird’s bread and butter. In 2013, after 27 years working for a UK firm providing tech support and consultancy services for a versatile CAD/CAM software across multiple industries, he brought his wide-ranging expertise to Melbourne, carving a niche career in dental prosthetics. 
 
In his former UK-based role, where he toggled effortlessly between diverse industries – from automobile to medical, aerospace to dental – it wasn’t unusual to find the consummate engineer poring over an aircraft part one week and 5axis milling a dental restoration the next. Yet wearing the dental badge exclusively hasn’t changed the name of his game.
 
“Although certain things like the specific programming, manufacturing process or materials may differ, the motivation behind each of the projects is exactly the same,” he qualifies.
 
“Whatever the object that is being manufactured, the focus is always on utilizing the most suitable equipment, material and technique to get the most accurate results possible in the most efficient way. That’s our top priority here at Dentmill as well.”
 
Founded in 2009, Dentmill is a full-service Milling Centre located in Abbotsford. Led by Kevin, the company comprises a team of 5 engineers and technicians providing a comprehensive range of high-end dental milling solutions, including: Full monolithic translucent zirconia, zirconia substructures, Cobalt chrome, Titanium, PMMA materials, milled Lithium-disilicate and implant restorations. Utilizing a sophisticated digital workflow, Dentmill further provides digital scanning and design services and 3D resin printing.
 
The words “sophisticated digital workflow” are by no means a copywriter’s affectation. Besides boasting a fully digitized workflow that accepts customer’s cases via all digital scanners – the centre’s proprietary system can process both conventional and intra-oral scanned impressions and works with all leading scanner systems which produce open format STL files – it is the only dental facility in Australia to own and utilize Roeder’s High Speed Dental Milling Machines.
 
With its unique linear motor technology, the revolutionary German milling machine offers high precision, energy and time saving benefits while enabling the manufacture of a variety of top end quality dental products. As part of the seamless digital CAD/CAM workflow, the automated machine can detect and switch between different types of materials and set parameters for continuous, unattended 24/7 output.
 
Costing almost a million bucks a piece, the Roeders machines were not only expensive. Engineers had to be flown in from Germany to set up the two units Dentmill purchased – installation alone took 3 weeks.
 
One of the Melbourne team members involved in the initial face meeting with the Roeders side in Germany is Matt Smith, General Manager of Dentmill.
 
“As an indication of the level of difficulty involved, the Roeders team made sure we knew exactly how to use and maintain the units – we had to attend training sessions taught by German experts – before they were even willing to sell them to us. To them, Roeder’s reputation was more important than making a sale.”
 
No matter the huge financial outlay and all the challenges, Matt insists, they are clearly outweighed by the benefits.
 
“The RXD5 milling machines allow us to cover all dental restorations and materials from simple copings all the way to multi implant cases. To date, we have yet to come across any material that we cannot work with.”
 
That is a bold claim considering the widening range of materials on the market, not to mention varying case complexities and client demands. The flexibility Dentmill offers extends to clients who use genuine industry standard systems as well as those that do not.
 
Australian labs can be assured of speedier turnarounds from a local milling centre, without having to rely on offshore facilities – as Kevin points out, it isn’t necessary for labs to send cases to overseas milling centres just because they are “authorized” by big brand product manufacturers.
 
All the advantages that come with having a locally based, cutting edge facility means nothing to Aussie labs if the Dentmill team does not back it up with the right expertise. Thanks to Kevin’s extensive CAD/CAM background and skillsets, and those of his teammates, customers can always look forward to professional help at Dentmill – where Kevin claims, even problematic cases eluding other milling centres, can be resolved.
 
He relates a recent case in which a customer who owned a bench-top milling unit repeatedly failed to mill a certain prosthetic. After breaking tools and materials from multiple attempts and seeking advice from other milling centres and labs didn’t help, the milling quandary was posed to Kevin.
 
“I took one look and was able to determine that only a tailored program would work and quickly developed one for it. It took us only one attempt to mill the obscure shape,” Kevin says.
 
Debunking the myth that milling involves nothing more than “pressing a button and getting the desired results every time,” he continues:
 
“Some CAD/CAM operators with only cursory knowledge of the complex processes, do not realize that the “plug-and-play” methods prescribed by equipment manufacturers only cover the more typical cases.”
 
“Not only does our software allow us to customize out-of-the-ordinary cases, our operators have years of training and experience to know what works and what doesn’t.”
 
With a deserving air of authority, the CAD/CAM stalwart with 32 years under his belt reiterates:
 
“You can have all the tools in the box, but it is important to know when and how to use them, bearing in mind, the end objective is to achieve high quality results, and nothing less!”
 
For more information, please call 03 9416 2039 or visit https://www.dentmill.com.au/.
 
 
 

Not sure what type of Scan Flag to buy that is compatible with your implant system and supported by your dental lab? Andent can help.
 
By Danny Chan
 
The success of an implant restoration depends greatly on the replication of the precise position of the implant body. The importance of determining the latter’s positional depth, rotation and angulation in relation to other oral structures cannot be overstated.
 
Increasingly, dentists are adopting digital impressions using the scan flag technique to faithfully capture the relationship of the implant connection to adjacent structures, at the same time, accurately depict the hard and soft tissue relationship. Thanks to the Scan Flag Technique, these tasks may be routinely performed with greater accuracy, ease and convenience.
 
The Scan Flag Technique involves the use of Intraoral Scan Bodies, which are precision components used for determining the position and orientation of dental implants. Scan bodies are screwed onto an implant fixture and scanned directly from the patient’s mouth using an intraoral scanner (IOS). Based on these digital scans, the laboratory is able to accurately manufacture implant-based restorations using CAD/CAM technology. The scan body design and the material properties guarantee a maximum scan area for an accurate fit of implant components.
 
This technique dispenses with the need for a conventional fixture-level implant impression. It affords dentists and lab technicians the ability to see the preparation/s immediately and make modifications on the fly. By allowing for accurate fabrication of implant restoration, digital scans eliminate potential inaccuracies arising from use of conventional impression materials. Goop-free digital impressions enhance both operator and patient comfort.
 
Notwithstanding the long list of benefits, some dentists may be apprehensive about joining the digital bandwagon simply because the technology either sounds too nascent or too advanced. It doesn’t help that there is a bit of confusion surrounding this new-esque technique that even early adopters sometimes find confusing.  
 
Indeed, there is a need to address some of the common queries that dental laboratories are frequently being asked on the subject of Digital Implant Impressions: What are the available Scan Body options and which one should I use? Will my dental lab support the Scan Body that I’m using? Can I use a generic brand or must I stick to a branded implant company?
 
Precisely to clear the smog and help dentists navigate the minefield of options, Andent has come up with the Andent Scan Body Starter Kit (A$390). The kit is conceptualised to work with the majority of major commercial implant systems – or in the words of Matt Smith, General Manager, Andent, “covers a fair chunk of the Australian market”.
 
According to Andent, there are currently several Scan Body options* available for Intraoral Scanner (IOS) users to send cases to laboratories:

• Genuine branded implant companies provide their own scan flags i.e.- Straumann, MIS, Southern Implants, implant direct. 
• Non-genuine implant companies provide generic scan flags i.e.- Dess, Medentika, Elos, Core3D
• IOS brands provide their own scan flags i.e.- DentsplySirona (Cerec scan flags), 3Shape

 
* A comprehensive table showing available implants systems and their corresponding Scan Body types is available on Andent’s “Find Your Perfect Fit” brochure.
 
“The confusion starts when dentists are unsure about what brands or types of Scan Flags to buy and whether they will be compatible with the implant system that they’re using. When the case is sent to the lab, the type of scan flags that they’re using may not be supported by the lab, not least due to lack of associated componentry,” Matt explains.
 
Andent’s Scan Body Starter Kit is designed take the guesswork out of a potentially cumbersome process. Having researched the Australian market for all the available brands, permuting each product into respective type and code, the company is now able to match the exact Scan Body type to the client’s implant system at the touch of button.
 
Streamlining this process also makes the Scan Body buying experience totally fuss-free. It is as easy as quoting the implant system that you are using – you can do this online or over the phone – then sit back while the Andent personnel runs a check on the system to find matching Scan Flags for you. It’s that simple.
 
In addition to the CAD design of the model, Andent is also making available implant models with analogues and soft tissue – with scan flags in position. This way, you are never in doubt how the final restoration would look like. “Another big benefit of IOS is that we can design the crown at the same time of the model. This greatly reduces time due to eliminating the need for stone models and scanning,” he adds.
 
Besides offering predictable results and faster turnaround in a one-stop shop, here are more reasons to consider Andent Scan Flags:

• Made from medical grade Polyether Ether Ketone (PEEK) part ensuring optimal scan result;

 

• Reusable up to 15 times;

 

• Autoclavable and radio opaque;

 

• Does not require powdering of the scan body prior to scanning;

 

• Compatible with the prosthetic screwdriver relevant to the implant system being used;

 

• Can be hand-tightened (does not require the use of a torque wrench);

 

• Suitable for Non-Genuine and Genuine restorative options;

 

• Available individually or as part of a starter kit.

 

• Cases contribute to a Digital rebate*

 
* Must be signed up to the Digital Rebate, visit andent.com/rebate  for more information.
 
Andent scan bodies are available separately ($60) or in a kit ($390 including 6x Scan Flags + Container). There is also a handy, autoclavable container ($90) available for storage.
 
For more information contact Andent on 03 9650 6766 or visit https://www.andent.com/products/intraoral-scan-body
 
 
 

Melbourne-based Intelligent Dental Solutions delivers 3D-printed Removable Partial Chromes to Australia’s doorstep.
 
By Danny Chan
 
If anyone understands the uniqueness of teeth, it is the dentist. That being the case, it shouldn’t be hard for a dentist to appreciate the high level of customization that 3D printing, with its additive mode of manufacturing, brings to the construction of prosthetic teeth and oral appliances. 3D printing has, for sound reasons, been widely tipped the next big technology to watch for in the dental space – and dentists have been paying close attention.
 
Those of you who have been scouting for next-generation dental applications would probably have heard of 3DRPD. As one of the world’s leading 3D printing dental solution providers, the tech firm specialises in 3D printing of Removable Partial Dentures (in cobalt chrome). With more than 50,000 restorations in the mouth, theirs is a proven solution that uses laser-sintering technology to manufacture digitally-modelled denture designs directly in 3D printers. This hassle-free process does away with casting and plastic patterns while allowing cost-efficient and speedy results.
 
Australian dentists who can’t wait to reap the rewards of 3D printing can google up Intelligent Dental Solutions (iDS), the exclusive partner for 3DRPD in Australasia.
 
Intelligent Dental Solutions is a forward-thinking dental laboratory headed by Joe Nguyen and Fred Carlstrom. Founded by Joe in 2001 as a full-service lab, the company officially entered the CAD/CAM arena when Fred joined two years later. 3DRPD is the latest hi-tech venture for the enterprising duo – whose unconventional slate includes an open-source cloud system that connects lab owners and dentists. True to the partners’ pedigree, Intelligent Dental Solutions is the only lab in Australia that provides full service 3D printing of RPDs direct to metal. In addition, they also 3D-print dental models, splints and copings.
 
The 3DRPD distributorship was forged during the last IDS exhibition in Cologne, Germany. The partners were “immediately impressed” by the technology and products on display – which Fred believes, reinforces 3DRPD’s position as a committed technological supplier:
 
“It is not as simple as it may sound. It took 3DRPD best part of two years to develop their own patented powder material and perfect the manufacturing process. Each metal printer represents a large investment at around $700K and 3DRPD has got 15 of them – it’s not for the small investor.”
                                                   
Dental 3D-printing technology and workflow
 
In regards to the 3DRPD workflow, Fred says the all-digital process is “less labour intensive and far cleaner”. Compared with the traditional casting process, it doesn’t have as many health and environmental issues.
 
To manufacture the partial chrome, what the prosthetist needs is a dental model with a prescription on what is required. The dental model can be produced using an Intra-Oral 3D scanner or a 3D scan of an impression/model obtained by a desktop dental scanner. The model scan is transferred to a partial design software, inside which the chrome geometry is built. All undercuts are removed and the partial geometry is constructed in full 3D. Once finished, the chrome part is exported to the 3D printer as a STL file
The “build file” of the 3D CAD model is sliced into layers by the machine software, which then creates a path for the focussed laser beam to melt and sinter fine metal powder to the perimieter of the part. The part is constructed additively layer by layer until the build is complete. Once finished, the partial chrome is polished, fitted to the model and ready for fitting the teeth.

Stronger and faster – with superior patient benefits
​
Fred explains that the laser sintering process results in 3D-printed RPDs’ structural integrity being superior to conventional cast chromes. “The powder material is manufactured under strictest quality control resulting in a very homogenous material with no porosity. The powder material is far more consistent in its composition than materials used for conventional casting.”
“The 3D-printed frames are much stronger and retain their shape much longer. Fatigue resistance tests of clasps over 6000 cycles has shown that 91% of 3DRPD clasps return to their original shape where only 25% of traditional cast clasps retain their memory on a distance of 0.2mm.”
 
Price-wise, he reckons the cost of frames produced by 3DRPD – made with FDA-compliant materials – is comparable to quality cast frames despite having many advantages over them. While periodic adjustments of 3DRPD frames by a dentist will still be required, they can often last for 6 months without adjustment. As for turnaround speeds, it takes 1-5 hours for a resin build, and 8-10 hours for its metal counterpart.
 
“Most 3D printers can build a whole platform full of parts as quickly as a single part. If you fill up the platform, the time for each part will be greatly reduced.”
 
Apart from partial frames 3DRPD can also 3D print other restorative parts like dental bars and metal copings. Dental bars have become very popular due to price and functionality. A major feature with 3D printed dental bars is that they can have complex features and undercuts without adding extra cost.
 
Fred says 3DRPD users gave high marks on their experience with the 3D-printed frame. Quoting survey results, he says that 3DRPD fared better than cast chromes when it came to patient benefits – ranging from comfort and aesthetics to retention and stability to restoring speaking and chewing functions. It is also a healthier subsitute, Fred explains:
 
“There is no Nickel (Ni), Chromium (Cr) or contamination in the 3DRPD frames. There are no allergy issues for patients sensitive to contaminations.”
A former Mechanical Engineer with over 30 years’ experience implementing CAD/CAM in a wide variety of industries, Fred sees a dentally-paved future for 3D printing:
 
“The price for smaller printers is coming down and will make 3D printing available to many smaller labs. Many new materials will be available in the future in particular bio-compatible materials that can be 3D printed and used in the mouth for long periods of time.
 
Although the technology has yet to be fully exploited, Fred believes it has already reached a point of maturity and that it is as good a time as any to jump on the bandwagon.
 
For more information contact Intelligent Dental Solutions
Phone: 1300 445 115   info@ids-dental.com.au   www.ids-dental.com.au
​

By Danny Chan
 
Dentculture may be a young lab, given it only opened business in 2012. Yet Camberwell’s latest dental lab brings decades of experience to one of Melbourne’s most culturally diverse and developed suburbs. Set up July 2012 by Hu and Emma Wei, the boutique operation boasts two dental technicians with over 38 years of combined technical and chairside experience.
 
“We may not be the biggest or most established lab around,” Hu comments, “but our highly skilled and trained technicians can certainly rival the best of any dental lab in Australia.”
 
Besides a wealth of experience, Hu says, Dentculture prides itself on quality control. To ensure that each case conforms to exacting requirements,  they are individually checked by Amma, a qualified dentist with over 15 years of clinical experience, plus 10 years mentoring dental technicians in the fabrication of porcelian and ceramic crowns, crown and bridge design and fixed prosthesis. 
 
“Having a qualified dentist on board greatly reduces guesswork and we can better evaluate the clinical implications of each case,” Hu emphasizes.
 
Employing technicians with impressive resumes and having an experienced dentist to tighten the QC processes may be draw cards as a relatively new business, Emma believes that a sound reputation is built with every satisfied customer.
 
“Word travels fast,” she says, “your business is doomed to fail if you don’t give every case the full attention it deserves.”
 
In giving 100 per cent, skilled hands and great products go hand in hand.  “The lab utilises only the best materials and systems, with brands like Dentsply, Ivoclar-Vivadent, Agibond, Henry Schein Halas , NSK and Renfert etc.” For zirconia restorations, the lab uses 3M ESPE’s Lava coping system, and products from Nobel Biocare, Straumann and Biohorizons for implant work.
 
Pricing, too, is a major factor. Dentculture banks not only on quality works but providing them at affordable rates with quick turnarounds.  Promising a 4-day turnaround for basic works, the lab charges $120 for PFMs, against the market rate of $130-$150.
 
“It’s a competitive market, Amma says, beaming with confidence, “but Dentculture is definitely up to the challenge.”

Melbourne lab hedges on CAD/CAM to enhance competitiveness and solve future labour woes
 
By Danny Chan
 
The dearth and high costs of maintaining skilled technicians in Australia has seen more local labs lean towards two outcomes: Outsourcing and higher technological investments. Others like A&B Dental Laboratory, however, are realising that a combination of the two alternatives makes for a better option.
 
In 2008, A&B founders Angelo Liakos and Bradley Donald were able to expand their services and output volume by partnering a Hong Kong-based laboratory. With a sizeable team of 120 in-house dental technicians, the foreign contractor was more than capable of keeping pace with A&B Dental’s expansion needs. The partners quickly realised that whatever initial perception they held of oversea work being sub-standard, largely fuelled by industry heresay, were unfounded.
 
Instead, what they witnessed from their Asian counterpart was a highly trained workforce, backed by a robust tracking system, that delivered a consistent stream of quality products. In a previous interview with Australasian Dentist, Bradley affirmed: “The lab that we use is of international standards, whether in terms of their processes, technology, training or materials.”
 
Angelo added: “Their consistent standard is what gets us. They are consistently improving and meeting our individual demands. We can tell them “this is what we need” and specify the requirements and it gets done. It’s difficult to do it here.
 
“They also have an amazing tracking system that is sometimes humbling to watch – considering the number of cases they handle on behalf of their international clientele.”
 
Three years on, and thanks to the fruits of globalisation – a.k.a speedy air courier services – the two seemingly disparate dental entities have forged an enviable relationship based on mutual trust and respect. Along the way, the lab owners discovered that they also shared similar ideologies for their respective businesses – holding in high regard Fordism virtues of “getting the job done in the most efficient and productive means possible”.
 
Technicians Shortage A Global Phenomenon
 
Indeed, the partnership’s recent acquisition of 3Shape and Sirona Cerec CAM/CAM systems speak volumes of their commitment towards raising the productivity and quality of their work. Investing HK$2.7 million (AUD $340,000), the labs bought a Rapid Prototyping system; two units of 3Shape scanners; the open source Wieland zirconia milling machine; and Sirona Cerec MC XL CAD/CAM systems.
 
According to Angelo, one of the main reasons for the purchase is to reduce dependency on skilled labour.
 
“The shortage in skilled workforce has been a perennial source of headache for the Australian dental lab community. Although the we feel it more acutely here, the problem is not isolated to Australian labs. Even our partners in Hong Kong are feeling it.
 
“Therefore in the long run, we need to increase and maintain our quality standards and efficiency without relying too heavily on manpower. High quality technicians are quite rare and are becoming expensive, even in China.”
 
The widespread shortage in technicians has also spawned an unhealthy employee -poaching situation between competing labs in China, increasing management woes in dealing with staff retention and costly re-training exercises.
 
Bradley confides: “The last thing we want is a situation whereby the quality of the product is being compromised by manpower issues.
 
“In view of our future competitiveness, we are confident that an open source CAD/CAM system can address our technological needs while easing the labour-intensive nature of this business. Moreover, it also gives us a technological edge over our competitors.
 
“Of course, our clients are ultimately the ones who will benefit the most.”
 
Shape of CAD Systems to Come
 
With 3D scanners and CAD software installed in more than 50 countries, Denmark’s 3Shape has grown in global prominence not least for its efforts in promoting innovative 3D technologies as a means of reinventing industrial processes.
 
On choosing 3Shape over other dental CAD systems, Angelo attributes its future-proofing technology as a primary motivation.
 
“The 3shape scanner system is open source, meaning we can implement new hardware and expand productivity and volume very easily. Among other things, the system allows future upgrades in abutment trimming, metal frame trimming, orthodontic, chrome design.”
 
In addition to the obvious benefits of purchasing Sirona’s premier line of Cerec milling units, Bradley enthuses:
 
“Cerec units give access to the only system that mills every chairside material from Vita, Ivoclar Vivadent and 3M ESPE. We are especially excited about the advent of VITABLOCS RealLife that will make its official debut at the upcoming IDS Cologne.
 
“VITABLOCS RealLife is the first and only all-ceramic block that simulates the optical characteristics of natural teeth with regards to translucency, chroma and lightness. With our latest acquisition of the Cerec machine, we are well positioned to take advantage of this exciting new development that promises anterior restorations of unsurpassed aesthetic quality.”   
Since its launch in 2005, 3Shape’s dental CAD system has been one of the fastest growing products in the sector. Incorporating the freedom of digital design with future-proof lab systems, the Copenhagen-based company delivers turnkey solutions that covers the entire pre-milling process from order creation to scanning; CAD modeling to order sending; and order receiving to manufacturing preparation.
 
3Shape’s computer-aided approach to providing a seamless workflow falls in line with the partners’ vision. Bradley explains:
 
“We are changing to a computerized production line. Over the next few years, we hope to establish a fully automated lab that not only takes advantage of the precision of computer-aided software but also reduce our dependency on expensive manpower. Since the technology we are offering is cutting edge, it means our clients are among the first in the region, or even the world, to benefit from it.”
 
Among the cutting edge tools is a comprehensive automated system that provides an overview of and control over the lab’s administrative and clinical functions. According to the manufacturer, the software system was designed for “easy overview and effective handling of dentists, orders, clinical situation and restorative work”. Nevertheless, A&B Dental, known for its personalized service, is careful not to exploit software technology at the expense of the customer experience.
 
Angelo clarifies: “At A&B Dental, we believe in being personable and approachable to all our clients.  We need to understand that a computer software can only go as far as speeding up the back-end work. End of day, we need to speak to a living, breathing customer-relations person.
 
“Having said that, we live in the digital age. It is also imperative that we provide a full digital platform for our computer-savvy customers. It also improves effectiveness in communication and minimizes mistakes that can be costly. For example, we can visually illustrate things like ‘undercuts’ and ‘margins’ with the help of digital charts and images.”
 
Another area in which software technology is able to replicate the human input with greater efficiency is design. All the technicians in both the Hong Kong and Melbourne labs have been duly trained in using the advanced computer-aided tools designed for anatomical crown and bridge modeling. Bradley explains:
 
“The 3D modeling software are exceedingly precise and free of human error, thus producing consistent results that will no doubt bear on the final quality of the restorations.
 
“Training is essential because the computerized procedure differs greatly from a traditional approach. Extensive practice is therefore part and parcel of the learning process.”
 
One distinct advantage of working in the digital realm lies in integrated devices like the 3D scanner. The scanner uses a 3-axis motion system to provide full object coverage, producing highly accurate digital impressions. The software application and 3D scanner  collaborate seamlessly to generate full anatomical designs at faster rates and higher accuracy. The resulting restorations record better strengths and aesthetics. 
 
“Based on initial customer feedback,” Bradley attests, “the fitting and margins are more accurate.”
 
Angelo adds: “As with any new technology, you can’t expect perfect results right out of the box. That is why we have been paying close attention to the initial feedback so that we are able to fine-tune the system until we get the best results.
 
“The baseline of acceptable quality in Australia dentistry is quite high compared with other developed countries. For example, microscopes trimming margin is required in Australia unlike in Holland where it isn’t obligatory.
 
With high-end technology, Angelo believes A&B Dental is better equipped to meet those standards at a level of craftsmanship worthy of being called Australian.
 
“To a customer, we are a solutions provider. It helps that we not only provide great products but also adequate support – available just a phone-call away.”
 

One of Melbourne’s biggest labs now calls Collins Street home
 
By Danny Chan
 
The Dental Solution Australia recently moved to its new address on 233 Collins Street. With a prime location in the heart of CBD, the Melbourne-based lab now claims one of Australia’s most prestigious addresses on the dental laboratory map. The 600-sqm laboratory located on the third level of Darling Towers is also one of the country’s biggest.
 
To celebrate the new premises’ opening, owners John Scollo and Greg Karabasis threw a swanky launch party for business associates and loyal customers.
 
“This is our way of thanking all our clients who have supported us all these years, without which none of this would be possible,” says John.
 
Greg adds: “We invited entire dental teams, including auxiliary staff and practice managers, as we believe that all of them contributed, in no small way, to our success.”
 
It was also a proud occasion for Daniel Cho. The US-trained technician founded The Dental Solution Korea, a high-end laboratory based in Seoul that became the technological base for a global partnership that currently spans 7 countries including USA, Japan, Canada, UAE, New Zealand and Australia. The lab employs 165 technicians, backed by an arsenal of technology that rivals that of any large-scale laboratory in the world.
 
“It has been a pleasure working with both John and Greg. They are very driven individuals who share my vision of providing the world’s highest quality and best aesthetic results in dental restorations,” says Daniel.
 
Through online research, John and Greg found out about TDS Korea about four years ago. Their initial piecemeal collaboration has since blossomed into a full-fledged partnership.
 
Greg explains: “We work together like a well-oiled machinery. Like any major company, we focus on key areas of specialisation; TDS Australia looks after the marketing and customer service aspects while TDS Korea specialises in back-end technology and manufacturing.”
 
Evidenced by rapid expansions, the formula has worked tremendously for both entities.
 
Daniel beams: “This new (Collins Street) address represents the culmination of a successful partnership between TDS Australia and TDS Korea. It is most timely as TDS Korea is currently also expanding its premises and scope of operations in Seoul. It is wonderful that both labs are growing together.”
 
“It’s about predictability” 
According to John, the reason TDS Australia is able to offer high-end products at competitive rates is due to its high-volume, low margins business model.
 
“In Korea, they have the capacity – in terms of technology and skilled workforce – to deliver the kind of volume that is impossible with labs in Australia.
 
“Although it is true that many Australian labs can do amazing work, but due to a serious lack in skilled technicians, it is inevitable that whenever they start biting off more than they can chew, the quality drops. That is a situation that TDS Australia avoids at all costs.”
 
Backed by a highly skilled and trained team of technicians in Seoul, John and Greg are able to promise a 10-day turnaround period to their clients.
 
Greg adds: “End of day, it’s about predictability. Clients can feel comfortable about giving us a case, knowing that they are going to get the best results and quality materials in a fast, efficient manner.”
 
From pickup and dispatch to invoicing and collection, TDS Australia employs an airtight system that guarantees every single case is properly tracked. Human errors are minimized through repeated QC checks both in Korea and Australia. Greg admits that the Australian QC terminal exists as a value-add service, but rarely picks up on any discrepancy that hasn’t already been eradicated at the Korean end. In the unlikely event that any final adjustments need to be made, TDS Australia employs 15 qualified technicians who take care of any last minute tweaks.  
 
Despite extensive requirements in air travel and counter checks, John and Greg hold fast to their commitment of speedy delivery times.  
 
Says John: “We take our 10-day turnaround period seriously. I know of some labs that are so overwhelmed with work that they have to ring up clients to say that they cannot finish on time. The most embarrassing thing that can happen to a dentist is to have a late delivery and a patient waiting in the chair. That’s the easiest way to lose a client, and we absolutely do not do that.”
 
In the area of marketing, TDS Australia leans heavily on media advertising and the efforts of two sales teams, each led by experienced sales managers. As for building clientele relationships, they also organise corporate functions to reward and entertain clients.
 
John elaborates: “We offer this as a special service to our clients, for example, we may organise a box event for a group of say 20 dentists. It’s about giving back, but in a way that it’s not always about business.
 
“We enjoy attending functions like that ourselves and we thought it a good idea to offer it to our clients, for a chance to let down their hair and relax with their peers.”
 
Where giving back is concerned, the partners understand that there is no substitute for offering quality products at affordable rates.
 
John explains: “The way we operate, producing up to 150 units a day, we can afford to operate at smaller margins due to the sheer volume of our output. In this way, we get to pass the savings over to the client.”
 
“When determining the pricing of our services, we hope to achieve a win-win situation for us and the client. In order to capture the entire market, we want to offer a quality crown at a price that the client will feel comfortable with.”
 
For this reason, the lab offers three levels of pricing: Standard, premium and premium plus. The packages differ based on the qualification of the technician working on the particular case. Standard package refers to work undertaken by a graduate technician fresh out of college; a premium crown is produced by technicians with 4-5 years experience, which accounts for 90 per cent of technicians hired by the Seoul lab; and Premium Plus products fall under the exclusive domain of Master Technicians with more than 20 years experience.
 
Daniel quips: “A client told me that the biggest problem with our pricing is that the standard product we offer is already much better than the so-called premium products offered by other labs. So this client told me that he does not need to upgrade from the standard package that he is currently already enjoying from us.”
 
With help from TDS Korea, John and Greg have gone from their previous daily output of 18 crowns to a current output of 150 crowns per day. With the expanded premises, they are now looking at producing some 300 units daily.
 
John explains: “Our projection is based on the size of the market, growth opportunity and our strengths in specialisation. 
 
“Crown and bridges are our primary business, although we also provide chrome and acrylic work through a separate partnership through our Hong Kong based laboratory. Our lab in Korea does nothing else but implants, crowns & bridge, as well as veneers to ensure the best results and highest benefits from specialization.”
 
Ambitious target aside, the duo have yet to get over the initial excitement of moving into the Collins Street premises. For them, the new address means more than just a bigger office space or state-of-the-art working environment.
 
John admits: “For the past 20 years, both Greg and I have been dreaming about owning one of the biggest labs in Melbourne. Collins Street definitely holds a special meaning for me.
 
“In Australia, this location represents the pinnacle of dental technology. I believe that we have both achieved our dream.”