Technorama

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PROGRAM 2012 THE TRADITION CONTINUES... TECHNORAMA

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Transcript of Technorama

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PROGRAM 2012

THE TRADITION CONTINUES...

TECHNORAMA

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2012

THE TRADITION CONTINUES...

TECHNORAMA

8 Ceramic Veneers: Standard and Repeatable Prosthetic Treatment

Attilio Sommella and Guerino Paolantoni

features22 Fiber Force Solutions

Carlo Zanon, DD, LD, FCAD

Technorama Program I 2012

departments

4 EditorialRob Mior, Executive Director - Technorama

6 Technorama Schedule

20 Technorama at a Glance

21 Technorama Exhibitor List

28 Technorama Speakers & Seminars

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Technorama opens its doors to the technical dentalworld we cannot help but realize the importance ofworking together as a team. Teamwork really makessense. Working together in a collegial manner willresult in new ways of tackling old problems and helpget the job done on scope, on time and on budgetto the satisfaction of the dentist-client, the patientand of course you the dental professional.

Teamwork also allows you us foster opportunitiesthat help us grow. In today’s competitiveenvironment, the economy makes it even moreimperative to learn how to adapt to newtechnologies to streamline our efficiencies. You mustnot just work harder, you must work smarter.

Knowledge and education are tools that you need tocontinue to add to your success armamentarium.Expanding your professional skills and improvingyour time management skills can prove to be thekeys to your continued success. The majority of thedental professionals truly enjoy their profession: theyenjoy the creativity, and the success it brings. Their

responsibility is to be the best they can be. They needto strive to implement the materials, services andtechnologies that the dental market place puts attheir disposal to accomplish this. This of course mustbe done in a financial responsible manner.

Yes, if you want to continue to grow and prosperwithin the new business climate you need a strategy.You must take a close look at your current operativesystems and purge tasks that are unnecessary andthat do not impact your business in a positivemanner and see how you can implement the use ofnew technologies to streamline the quality andefficiency of your business systems.

As you visit Technorama, walk with your thinkingcap on to see how you can embrace newtechnologies that can help make your lab/clinic andyour teamwork approach more productive andflexible. Be aware that by working harder, youmight run the risk of being less effective but byworking smarter you can still obtain the success youwant and deserve.

Welcome to Technorama 2012teamwork, efficiency and new technologies

Editorial

Rob Mior, Executive Director -

Technorama

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O�en imitated. Never duplicated.

Trubyte® Portrait® IPN®.We’ve been unique in this business since day one. Trubyte was the �rst to harmonize dentureteeth with facial forms. The �rst to introduce highly wear-resistant teeth. And now we’ve evenadded a lifetime warranty.

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Hilton Suites Toronto/Markham Conference Centre & Spa8500 Warden Avenue, Markham, ON, L6G 1A5

Technorama is presented annually by the Dental Industry Association of Canada (DIAC) Members for Laboratory Technologists, Denturists, Laboratory Owners, Students and Instructors.

Donations for the Children’s Wish Foundation of Canada will gladly be accepted.

FRIDAY, APRIL 20, 2012

TECHNORAMA2012

Time Company Title Speaker Room5:00pm - 6:00pm Nobel Biocare Advanced Solutions for Implant Complications Dr. Herman Kupeyan,

Dr. Gordon McDowellButternut/Holly

5:00pm - 6:00pm 3M ESPE The Denturist/Dentist Relationship: Creating the Win-Win with Mini Dental Implants Dr. Ian Erwood Violet/Orchid

5:00pm - 6:00pm Denplus Enigma Cosmetic - The Teeth Tell the Truth Louis Pelletier, DD Evergreen

6:15pm - 7:15pm Vident Intro to Titanium Ceramics/Review of VMK Master Porcelain Ken Chizick, RDT, CDT Butternut/Holly

6:15pm - 7:15pm Henry Schein Advanced Business Management for Denturists - DOMx Dean Fenwick Violet/Orchid

6:15pm - 7:15pm Dentsply Canada Preventing Traumatic Sports Injuries with Pressure Thermoformed Sports Mouthguards Dr. Amin Babul Evergreen

7:30pm - 8:30pm Dentaurum Triceram Natures Creation (ti and zr ceramic) Bassam Haddad Butternut/Holly

7:30pm - 8:30pm Dent-line Attachments, Fixed & Removable Prosthetics; Take the Mystery out of the Treatment Planning Peter Pontsa, RDT Violet/Orchid

7:30pm - 8:30pm Ivoclar Vivadent Occlusion and Attachments - The Underlying Scheme for Successful Overdentures Dennis Urban, CDT Evergreen

Time Company Title Speaker Room9:30am - 10:30am Argen CAD/CAM Designed Laser Sintered Metal Copings with Argen Canada Lou Azzara,

Richard NixonButternut/Holly

9:30am - 10:30am Diadem Diazir Full Contour and Digital Design Featuring 3Shape Mitch Jula, RDT Violet/Orchid

9:30am - 10:30am Bego Canada Identifying Opportunities and Exploiting Potential for Your Dental Laboratory Using Bego CAD/CAM Andreas Klie, RDT Evergreen

10:45am - 11:45am Nordenta Economical Alternatives to Milled Implant Bars Andrew Long, RDT Butternut/Holly

10:45am - 11:45am Laserdenta/Central Dental

5 Axis, Open Architecture System with Scanner and Milling Machine Valerie Poon Violet/Orchid

10:45am - 11:45am Henry Schein The Complete System for Your Everyday Implant Practice Dennis Sarrasin Evergreen

11:30am - 12:30pm Vident Implant Retained Dentures Dennis Purinton, CDT Butternut/Holly

11:30am - 12:30pm AuShaw Pressing Matters from Start to Finish David Goldshaw Violet/Orchid

11:30am - 12:30pm 3M ESPE New Materials for Implant Restorative Prosthetics Roger Johansen Evergreen

SATURDAY, APRIL 21, 2012

SCHEDULE

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There are numerous prosthetic solutions related to the broad range of technology and commodities of these days that canbe offered routinely to patients, steeply increasing the range of successful small and large prosthetic reconstructions.However, we feel that a fundamental element is embodied by standardized and repeatable “planning” of an operativeprosthetic protocol that has as scope predictability and success of both aesthetic and functional aspects.

Ceramic Veneers Standard and Repeatable Prosthetic TreatmentStep–by–stepAttilio Sommella and Guerino Paolantoni

Fig. 1 Fig. 2

Fig. 3

Fig. 1: Clinical case under our observation “Time 0”

Fig. 2: The first model is always “the sector model” that reproduces thedental area to treat.

Fig. 3: Silicone check template realized on the sector model. The use oflaboratory silicone. Zetalabor 85 Shore – A (Zhermack) is recommendedfor enhanced detail definition.

T his article will highlight the technical stages ofthe task at hand assisted by a correct schematicwork protocol that is universally applied in the

integral aesthetic reconstruction in relation to naturaldental elements. It is obvious that the ceramics/ techniquecombination applied (which implies the knowledge of theceramic material used along with the standard and

repeatable stratification technique herein shown) is essentialto the dentist. Detailed knowledge of both the internal andexternal features of the natural tooth is an irreplaceableelement in achieving overall harmony. Only unbiasedknowledge and observation of the natural element allowsthe creation of precise elements that are both functionaland “natural”.

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Fig. 4 Fig. 5

Fig. 6 Fig. 7

Fig. 8

Fig. 9

Fig. 4: Silicone check template accurately repositioned on the work modelfor the verification of proper refractory stump positioning.

Fig. 5: Work model ready for ceramization

Fig. 6: Chromatic visualization through the use of the color palette of theceramic system InLine (Ivoclar Vivadent)

Fig. 7: Due to the transversal fracture of the dental element, beforeproceeding with dentine buildup, a part of the stump is reconstructed withdeep dentin DD A1 IPS InLine (Ivoclar) previously identified, so that lightabsorption is better modulated.

Fig. 8: In situ verification after baking

Fig. 9: First baking phase with IPS InLine (Ivoclar). In this phase,morphological and chromatic structuring of the dentine structure, incisalplate and a little hint of effects in the incisal suspension will be undertaken.

Fig. 10: Occlusal view. This angle allows a better view of the residual spacefor a second baking process.

Fig. 10

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Fig. 11

Fig. 12

Fig. 13 Fig. 14

Fig. 15

Fig. 11: The same goes for the side view

Fig. 12: In site verification of the first baking process by stump extractionfrom the model. This is essential for a successful reconstruction. Bothmorphological and chromatic modifications may be performed in this phase.

Fig. 13: A check is also carried out on the width and transparency of theincisal plate.

Fig. 14: Perfection of the incisal margin shall be performed with anintermediate baking process at 820º C in vacuum condition of coloringsubstances, mixed, when necessary, with ceramic material for thereproduction of suspended elements, completion of mamelons, theapplication of small diffused white spots, and other. This baking step isperformed between the first and second bakes.

Fig. 15: Result after intermediate bake at 820 °C

Fig. 16: Third bake. During this step, small morphological corrections aremade and the incisal edge is completed.

Fig. 16

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In-Labappliancefabrication

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Bruxism

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TMJ

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Fig. 17 Fig. 18

Fig. 19 Fig. 20

Fig. 21 Fig. 22

Fig. 17: Feldspathic ceramic veneers at completion

Figs.18 to 24: Complete view of the reconstruction from different angles.Notice the minute surface details.

Figs. 25 to 28: Careful examination of the four surfaces of the element.Each part of this reconstruction has undergone attentive treatment. Theveneer is separated from the coating.

Fig. 23 Fig. 24

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Core3d Centres USA1-888-750-9204

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Fig. 27 Fig. 28Fig. 25 Fig. 26

Fig. 29 Fig. 30

Fig. 31 Fig. 32

Fig. 33 Fig. 34

Figs. 29 and 30: Ceramic veneer free of the refractory material andaccurately set on the whole model (sector model) to control the contactsurfaces with contiguous teeth. This lab procedure anticipates the nextphase of in-site verification that the clinician shall shortly execute.

Figs. 31 to 33: Intraoral view of the treated tooth. Stump cleaning isdetailed step-by-step.

Fig. 34: The choice of cement color is highly important. There are currentlycement systems available that contain gel tray-in that faithfully reproducethe cement colors contained in the kit. This allows colors to be testedbeforehand to chose the best solution. Cement Vitique (DMG) isrecommended. The cement is composed of the test mixtures and by thephoto and dual cements. The cement comes with photo-polymerizingcements and two catalysts with different consistencies (flow-heavy), in orderto transform the cement from photo to dual.

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Fig. 35

Fig. 37 Fig. 38

Fig. 36

Figs. 35 and 36: In site positioning of the veneer.Notice the gel tray-in puff that jots out from thereconstruction.

Fig. 37: Excessive gel is removed with sprayed water.

Figs. 38 and 39: Reconstruction post-cementing onthe dental veneer 1.1.

Fig. 39

About the author

Attilio Sommella was born in Pozzuoli (NA) in 1966. He earned a diploma in dentistry in 1985 from the Institute I.P.S.I.A. “Casanova” di Napoli.After an initial training period in complete prosthetics, during which he gained detailed insight of the method put forth by Prof. Passamonti, heessentially dedicates himself to fixed restorations with focus on aesthetics. He underwent skill development from 1987 to 2996 through coursesand conferences with master dentists acclaimed world over. He has held many conferences since 1995, with focus on prosthetic aesthetics andfunctionality. He has taught at many Italian Universities. In addition, he has authored many articles on both national and international magazines;

and has created a simplified ceramics working system “The incisal sheets”, of which a regular patent was taken out in 1999. He is author of the book “Il margineincisale, punto di forza nell’espressione di un incisivo”, edited by teamwork media srl. He is owner of the dentist studio “Dental Creation s.n.c.” since 1988,along with Mr. Raffaele Nicotera. He is founding member and national vice president of “dental excellence - International Laboratory Group”. Winner of theAIOP - ANTLO “Roberto Polcan” award for 2006.

Dr. Guerino Paolantoni was born in Rome in 1966. He earns a diploma in dentistry in 1985. He earns a degree with hons. in Dentistry andProsthetics from Federico II of Naples in 1989. In 2005 he becomes effective stakeholder of the Italian Peridontology Association, and in 2007 iselected member of its Editor Committee. He teaches the Course on Professional Skill Development in Clinical Oral Surgery in the Department ofStomatology and Maxillo-Facial Sciences at the University of Naples “Federico II” 2004-05. Since 2006, he has taught the Refresher course in OralSurgery at the University “G. D’Annunzio” of Chieti. He is teacher of the Graduate Course in Oral Hygiene, University of Rome Polo Pontino,

2007-08. He teaches the course “Surgical techniques for oral aesthetics and implantology”, at the Specialist school of Stomatology, University of Naples“Federico II” 2007-08. He has been Opinion Leader Thommen Medical since 2007. He is a self-employed dentist in Naples.

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Storage

Germiphene

Proto 3000 3D

Synca Nordenta Myerson Bego

Fortress Real

CapitalStraumann

PattersonDental

Dent-line

Henry Schein

Henry Schein

AdamCenter

HoricoNorth

America

Pow Laboratories

Au-Shaw

3M ESPE

Dentaurum

Swiss NF Ivoclar

Accu-Plus

Quatro Air Technologies

Emerald

Biomet 3i LHM

ASADental

5 Axis

MidContinental

Handler

Argen

Core 3D

Domtrak

BridgeNetwork

WMAD

NobelBiocare

Dentsply

Aurum

DenPlus

Diadem

Renfert

GCAmerica

Vident

DAO

DIAC

ADTO

George Brown College

Registration

PalmeriPublishing

Storage

Lincoln

Dent TechSolutions

UniqueDental

AmericanExpress

CentralDental F

OYER

Westan

Medi-One Financial

Keystone

HeraeusKulzer

TECHNORAMA2012

AT A GLANCE

Hilton Suites Toronto/Markham Conference Centre & Spa8500 Warden Avenue, Markham, ON, L6G 1A5

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THE TRADITION CONTINUES...

EXHIBITORLIST2012

3M ESPE www.3MESPE.com/labproducts 1.800.265.18405 Axis www.5axisdental.com 1.855.MY5.AXISAccu-Plus www.accuplusdentallab.com 1.866.846.8944Adam Center www.adamcentre.com 1.905.304.1226ADTO www.adto.ca 1.877.788.ADTOAmerican Express www.amexforbusiness.ca/dentistsArgen Corporation www.argen.com 1.800.255.5524ASA Dental www.asadental.it +39 0584 938305Au-Shaw Dental Productions Inc. www.aushaw.com 1.905.669.4533 Bego www.begocanada.com 1.800.463.2680Biomet 3i www.biomet3icanada.com 1.800.363.1980Bridge Network www.bridge-network.com 1.800.922.7434Central Dental Supplies www.centraldentalltd.com 1.800.268.4442 Core 3D www.core3dcenters.com 1.877.308.7717DenPlus www.denplus.com 1.888.344.4424Dentaurum www.dentaurum.de 1.514.592.6255Dent-line of Canada Inc. www.dent-line.com 1.800.250.5111Dentsply Canada www.dentsply.ca 1.800.263.1437Dent Tech Solutions www.denttechsolutions.com 1.855.550.2769Denturist Association of Ontario (DAO) www.denturistassociation.com 1.800.284.7311Diadem www.diademprecision.com 1.877.934.2336Dental Industry Association of Ontario (DIAC) www.diac.ca 1.905.417.7462Domtrak www.domtrak.ca 1.519.621.3344Emerald Dental Works www.emeralddental.com 1.888.251.7171Fortress Real Capital www.fortressrealcapital.com 1.877.299.3678GC America, Inc. www.gcamerica.com 1.800.323.7063 George Brown College www.georgebrown.ca 1.800.265.2002Germiphene www.germiphene.com 1.800.265.9931Handler www.handlermfg.com 1.800.274.2635Henry Schein www.henryschein.ca 1.800.668.5558 Heraeus Kulzer www.heraeusdentalusa.com 1.800.431.1785Horico North America www.horico-na.com +49 (0)30 8300030 Ivoclar Vivadent www.ivoclarvivadent.ca 1.800.533.6825Keystone Industries www.keystoneind.com 1.856.663.4700 LHM www.lhmdentallab.com 1.800.387.0092Lincoln Dental Supply www.lincolndental.com 1.800.289.6678Medi-One Financial www.medi-one.ca 1.905.337.2174Mid-Continental www.mid-continental.com 1.877.318.5764Myerson www.myersontooth.com 1.800.423.2683Nobel Biocare Canada www.nobelbiocare.com 1.800.939.9394 Nordenta www.nordenta.net 1.800.393.7222Palmeri Publishing Inc. www.palmeripublishing.com 1.866.581.8949Patterson Dental www.pattersondental.ca 1.800.570.6356Pow Laboratories www.powlab.com 1.800.265.4052Proto 3000 3D www.proto3000.com 1.888.88.PROTOQuatro Air Technologies www.quatro-air.com 1.514.630.4444Renfert USA www.renfert.com 1.630.762.1803 Straumann www.straumann.ca 1.866.531.7365Swiss NF Metals, Inc. www.swissnf.com 1.800.387.5031Synca www.fiberforcedental.com 1.800.667.9622Unique Dental Supply Inc. www.uniquedentalsupply.com 1.888.532.0554Vident www.vident.com 1.800.263.4778Westan www.westan.ca 1.800.661.7429Warrick Manzo and Dunn (WMAD) www.wmad.ca 1.905.278.3866

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Fiber Force is a high tech solution for reinforcing and strengthening dentures thathas finally made its debut in North America. I have been aware of the system forsome time and have seen it demonstrated in my travels to Europe where it hasbeen available for a few years. Fiber force is one of those interesting products thatif the reports are accurate is said to increase the strength of PMMA resins by morethan 300%. With these numbers it would be an excellent and less costly alternativeto cast mesh reinforcements and can be done in house in less than 30 minutes.Fiber Force is made up of a series of light weight e-glass fibers impregnated andcoated with a light cured methylacrylate resin. It is paper thin and adds noadditional weight to the finished dentures. Once placed into a denture thetranslucent fibers are virtually invisible.

Carlo Zanon, DD, LD, FCAD

Fiber ForceSolutions

Fiber Force Braided Rope

I t was somewhat difficult to visualize how a productconstructed of thin, light weight fibers could actuallystrengthen a denture especially considering the stresses

exerted on a complete denture opposing a natural dentition.One must consider a similar product. The thin light weightbulletproof vests police officers wear in their every daypatrols. These vests are able to stop a bullet at close rangeand have saved countless lives. Fiber Force uses a similarinter connected webbed design that once it is incorporated

into a denture, bonds chemically with the acrylic, addsstrength but still allows for flexibility.

I have used Fiber Force in the reinforcement of newcomplete and acrylic partial dentures, denture repairs,Implant supported dentures, and additions to existingdentures. Just like any new technique we incorporate intoour practices there is a short learning curve and a few stepsto memorise. I found it compatible and achieved excellentbonding with all methacrylates such as self cure, heat cureand microwaveable resins. Injection moulded dentures such

Fiber Force UD Fiber

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Removable denture, press pack technique1. Apply a wax separator to the model and allow to dry.

2. Adapt a thin wax sheet of approximately 0.2 -0.6 mm inthickness over the area to which the fiber mesh is to beapplied. This will ensure the mesh will be “sandwiched”into the acrylic when packing.

3. Cut 6 to 8 small 2 by 2 mm holes into the wax spaceralong the crest and slope of the ridge. These holes willbe used to maintain the proper spacing for the fibermesh during the packing of the acrylic.

4. Gently fill the holes with the fiber force light curedpink resin.

5. Remove the Fiber force mesh from its packaging andcut the desired length of material while leaving theprotective covering film in place.

6. Once cut, remove the protective covering film andcenter the Fiber Force mesh over the area to be covered.Sharp scissors may be used at this point to removeexcess material.

7. For proper adaptation of the mesh to the model a “SplintVac” unit is recommended by the manufacturer.The SplintVac vacuum cylinder ensures properadherance of the mesh to the model during curing.

Add 0.2 -0.6 mm spacer to the model.

Cut 6 holes in the wax

Fill holes with pink light cured resin

Adapt to model

as Ivocap required a slightly longer learning curve and wastechnique sensitive.

Fiber Force is available in various configurationsdepending on the application. It comes in a sealed lightresistant package. Once opened, the remaining unusedportion must be resealed in the packaging to prevent it fromexposure to light. I found the package that houses a fibermesh used to reinforce a complete maxillary or mandibular

denture contains enough material to do two completemaxillary palates or three mandibular ridges.

The braided rope or UD fiber ropes are designed to beused as a substitute to a metal bar lingual reinforcementwhen reinforcing complete or partial dentures. I found therope useful when strengthening complete mandibulardentures with soft liners. A package of the braided rope orUD fiber rope was sufficient to reinforce 5 to 6 dentures.

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8. Ensure that the model is 5 – 10 mm below the top of thealuminum cylinder then add or remove spacing beads asnecessary so that the beads are level with the peripheralsulcus of the model but not in contact with the fiber mesh.

9. Place the membrane and metal cover ring over top of thecylinder holding the model. Using the Vacuum pumpstretch the membrane over the model so as to adapt themembrane tightly adapts the fiber mesh to the model.

10. Detach the pump from the cylinder and place thecylinder into a light curing unit for 1 minute (theactual curing time will vary by type of curing unit.Please consult product instructions for recommendedcuring times). Alternatively a hand held light curinglight may be used.

11. Once cured, remove the fiber force mesh from themodel and using boiling water or steam to eliminateany remaining wax on the mesh or model.

12. Using sharp scissors cut the mesh to the desired size.Drill open any holes in the mesh that may have closedduring curing. Use a small fisher or pointed bur.

13. The mesh is ready to be used. Mix acrylic and pack asusual incorporating the fiber mesh into the palateduring trial packing.

14. Process and finish as usual.

Attach vacuum pump and remove air from chamber

Trim to desired length using sharp scissors

Mix acrylic and pack in usual manner

Add Aluminum chamber cover

Light cure for 1 minute

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The Right Material for Stronger DenturesThe Right Material for Stronger Dentures

1-800-667-9622

Fiber Forcedentures

Traditionaldentures

Fracture Resistance

271.6 MPa

75.2 MPa• Increase both fracture and fatigue resistance with a non-rigid reinforcement

• PREPREG (pre-impregnated) fibers provide a strong bond to denture acrylic

• Lightweight, thin and esthetic (invisible)

Ideal for: full dentures, implant-supported dentures, denture repairs, soft liners, and more.

For Step by Step Instructions & Tutorials visit: www.fiberforcedental.com

Starter kits available!

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Alternatively to using light cured pink resinconventional self curing repair acrylic may beutilised with the following minor changes tothe previously discussed technique: 1a. Place the Fiber Force rope into the groove ensuring that

the fiber rope fits well into the groove.

1b. Place the denture into a light curing unit for 1 minute.Alternatively a hand held light curing light may be used.

1c. Gently pry the hardened Fiber Force rope out of thegroove and fill the groove with conventional self curerepair acrylic.

1d. Seat the hardened Fiber Force rope into the groove nowfilled with self cure repair acrylic and place the dentureinto a pressure pot. Cure as usual.

1e. Trim and polish as usual

In using Fiber Force for some time I wouldlike to offer the following tips:1. The use of a tapered eraser works well in aiding in the

adaptation of the mesh to the model.2. When using Fiber Force mesh on a maxillary palate, at

final wax up, wax the palate slightly thicker than usual. It iseasier to remove acrylic after processing than adding.

3. If using the SplintVac cylinder loosely adapt themembrane before placing the metal cover ring. Themembrane seems to stretch and adapt better

4. When packing the acrylic into the flask with a fiber meshit is better to use the acrylic at a slightly softer stage toensure the acrylic penetrates the mesh properly.

5. Relieve fraenum’s when trimming the fiber mesh

I believe that if the published research into Fiber Force e-glass resin impregnated material holds true over time thisproduct will become a welcomed addition to most dentalprofessionals who are looking to provide good quality highstrength denture at a cost that most patients can afford.

Repairing or reinforcement of removable dentures1. If broken, repair the

denture in the usualmanor and trim offthe excess.

2. Create a groove justbelow the lingual ofthe anterior andposterior teeth. Thegroove should be atleast 2mm wide and2mm in depth.

3. Remove the Fiber Force braided rope or UD fiberropes, depending on preference, from its packaging andcut the desired length of material while leaving theprotective covering film in place.

4. Remove the protectivecovering film and placethe rope into thegroove ensuring thatthe fiber rope fits wellinto the groove.

5. Gently fill the groove with the fiber force light curedpink resin.

6. Place the denture into alight curing unit for 1minutes. Alternatively ahand held light curinglight may be used.

7. Trim and polish as usual.

Seal pieces together and pour model and repair as usual

Cut groove 2mm in depth

Adapt the Braided Rope or UD Fiber into groove

Light cure for 1 minute. Then repair usingconventional repair acrylic

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Friday, April 20, 2012 Advanced Solutions for Implant ComplicationsDr. Herman Kupeyan; Dr. Gordon McDowell

5:00pm – 6:00pm Nobel Biocare

Conventional implant restorative modalities continue to address patientdemands; however, anatomical challenges and patient expectationsrequire the integration of advanced treatment planning tools,surgical expertise and technical excellence to over come. Expandingthe clinician’s and technician’s awareness of treatment options forpartial and fully edentulous arches, this advanced course will look atboth fixed and removable options. Consider surgical and restorativeprocedures for immediate loading. Examine treatment options forthe edentulous arch in compromised bone situations. Assessindications, contraindications and treatment options for the differentpatient groups.

Dr. Herman Kupeyan graduated from the University ofToronto in 1977, and was in general practice untilreceiving his Fixed Prosthodontics degree from theUniversity of Michigan in 1983. Dr. Kupeyan has been atthe forefront of dental implant care for over 25 years.He has lectured, researched and worked with the

Procera® Software since 1995. In association with Nobel Biocare, hehas been involved with the numerous pre-launch products and since2004 with Computer Guided surgery (Teeth in an Hour).

Dr. Gordon McDowell graduated from George BrownCollege’s Dental Technology program in 1978. He hasworked in all areas of the Dental Lab business for thelast 32 years. For the last 13 years he has been involvedin the CADCAM and Implant areas of the industry, 10 ofwhich were with NobelBiocare teaching and

troubleshooting the areas of implants abutments, copings, bridges,implant bars and scanning. Gord has worked with Dr. Kupeyan forthe last two years as the implant and lab coordinator, designingprovisional and final restorations.

The Denturist-Dentist Relationship: Creating theWin-win with Mini Dental Implants

Dr. Ian Erwood

5:00pm – 6:00pm 3M ESPEYour patients are looking for affordable solutions to stabilize theirdentures. By bringing a dentist who places mini dental implants on yourteam you will have satisfied patients and more referrals.

This presentation will look at key components of incorporating minidental implants into your practice.

Dr. Ian Erwood is a fellow of the Academy of GeneralDentistry and the International Congress of OralImplantologists. He is a founding member of the TIASCand has been practicing Implantology for over twentyyears. He has utilized the mini dental implant system in hispractice for over six years.

Enigma Cosmetic - The Teeth Tell the TruthM. Louis Pelletier, DD

5:00pm – 6:00pm DenPlus

Louis Pelletier, DD a Denturologist from Quebec with over 30 yearsexperience in the field, including implant over-dentures, will offer adynamic presentation focusing on the American and European set upmethods using Enigma Cosmetic teeth. Enhance your denture cosmeticbusiness-Start Now!

M. Louis Pelletier, DD, graduated as a dental technician in1979, and obtained his denturist diploma in 1981. His variedinterests led him to a business administration certificatefrom HEC Montreal, and an urbanism certificate fromUQÀM. He began his career as a representative forSterngold Dental in 1979. A few years later, he worked as a

regional sales manager for Buffalo Dental Canada. He also has been anactive member with Ordre des Denturologistes du Québec and is presentlya member of the continuing education committee. In his community, aspresident of the Chamber of Commerce, M. Pelletier founded the firstYouth Chamber of Commerce in Canada, dedicated to the introduction tofinancial world of young people from 12 to 18 years old.

THE TRADITION CONTINUES...

TECHNORAMA2012

SPEAKERS & SEMINARS

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Intro to Titanium Ceramics /Review of VMK Master Porcelain

Ken Chizick, RDT, CDT

6:15pm – 7:15pm Vident

Discover how Titanum Ceramics and VMK Master Porcelains can be usedto enhance your cosmetic results while impacting your bottom line in aprofitable manner.

Ken will be donating a portion of his honorarium to the Hospital ofSick Kids, Manitoba.

Ken Chizick, RDT, CDT is an instructor in both theundergraduate and postgraduate programs in theDepartment of Restorative Dentistry at the University ofManitoba, School of Dental Medicine. Ken is a leadingresource in Dental Materials and actively participates ina variety of clinical research trials of today’s “new”

dental materials. Ken is internationally recognized as one of today’smost exciting lecturers and innovative artisans in the field of dentalceramics. Ken has been featured in a number of clinical publicationsin the area of fixed prosthodontics. His style and practical approach inteaching has brought him international recognition. Ken is agraduate of George Brown College in Toronto, Canada and iscertified by the National Board of Certification and the GoverningBoard of Dental Technicians Manitoba. He is an accredited member ofthe International Society of Dental Ceramics. He has been featured inLMT, and is currently a contributing editor to the Canadian Journal ofDental Technology. Ken is also technical reviewer for the AmericanJournal of Prosthodontics.

Advanced Business Managementfor Denturists – DOMx

Dean Fenwick, B.Ed, MCP

6:15pm – 7:15pm Henry Schein

Denturists will walk away from this course inspired to improve theirbusiness and their work flow. Specific techniques will be presented toincrease office efficiency from the waiting room through the frontdesk; laboratory; back office; and remote locations. This lively coursewill include specific strategic planning and implementations that workfor denturists. Topics will include how the denturist can:

1. Improve Work Flow• Specific techniques will be presented to help the denturistachieve optimal efficiency in the work flow of the denturistpractice - from patient management to office and laboratoryprocedure management.

• Remote clinics? Working off site? Why network access to clinicinformation need no longer be a problem

2. Rock Solid Patient ChartingWhy paperless is now practical EVEN for the “paper chart only kindof person”Unique Intra Oral Imaging and Charting optionsa. Demonstration of an easy to use wireless intra-oral camera thatthe denturist can walk around with in their lab coat pocket.Images will be wirelessly and directly inserted into their DOMxpractice management software.

b. Denturists can then make charting notes directly on the imageusing a pen like input device on screen.

3. Increase Patient Treatment Acceptance• Specific presentation techniques that work to increase patienttreatment acceptance.

• Professional Treatment Planning to elevate your business andprotect your professional responsibilities.

4. Utilize Value Forward Marketing Techniques• Proven big business strategies that work for denturist clinics. • Denturists will leave with specific examples and strategies thatcan be implemented immediately into their practice.

Dean Fenwick, B.Ed, MCP is a sought after speaker andeducator on practice management for denturiststhroughout Canada and the USA. He has taught a 4thyear required course for use of computers in the denturistpractice for the Northern Alberta Institute of Technology(NAIT) 2004-2009. He has been instrumental in getting

insurance companies on board to electronically submit claims fordenturists and continues to lobby and help insurance companiesunderstand denturism. Before his work with denturists, Dean taughtcomputer science for high school and business management andentrepreneurship at the college level. He managed several smallbusinesses before founding Specialized Office Systems Inc. in 1999.Since then Dean has been focused on exclusively providing specializedpractice management solutions for denturists culminating in the recentrelease of the DOMx revolutionary software for denturists.

Preventing Traumatic Sports Injuries withPressure Thermoformed Sports Mouthguards

Dr. Amin Babul

6:15pm – 7:15pm Dentsply Canada

Participation in sporting activities is major part of our lives today, be itfor enjoyment, fitness or professionally; and often sports injuries are anintegral part of this culture. Sport Professionals and even today’ssporting youth are experiencing a greater amount of trauma to the oralcavity. Together we will uncover the importance that a proper fittingmouth guard can provide to our players in the prevention of oraltrauma for all sport activities. We will review what oral mouthguardsare currently available, and the protection they offer, as well as uncoverthe stability offered by a properly fitted mouthguard. We will examinewhy the fabrication of a pressure thermoformed laminatedmouthguard, offers greater stability and that added protection desiredby today’s top star athletes as well as our top star athletes of tomorrow.

Dr. Amin Babul graduated from the Faculty of Dentistryat University of Toronto in 1994. He proceeded tofurther his training when he was selected for a DentalInternship at Sunnybrook Hospital. He receivedadditional training in Oral Medicine, Oral Surgery andAnaesthesia. Dr. Babul has a solo practice in the city of

Toronto in a working class neighbourhood. Over the last 15 years ofpractice, his focus has been to provide care for his patients in all areasof Dentistry especially in Orthodontics, Endodontics and Implants.Due to the demographics of his practice, Dr. Babul has had to becomeproficient in Adhesive dentistry and Direct Resin restorations as asupplement to Indirect restorations. Dr. Babul also has a strong

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interest in Sports Dentistry and has been involved as a dentist innumerous sporting events including being one of the Dentists for anOHL hockey team for the last 12 years. Professional Affiliations:International Association of Orthodontics, Toronto Acedemy ofCosmetic Dentistry, Implant Study Club, George Hare EndodonticStudy Club, Ontario Dental Association.

Triceram Natures Creation (ti and zr ceramic) Bassam Haddad

7:30pm – 8:30pm Dentaurum Canada

Sharing tricks and hints on how to create beautiful and natural resultsvery easily on ti and zr with Triceram ceramic.

Bassam Haddad, a graduate from Lebanon, has beentrained in Switzerland, Germany, Canada and the UnitedStates with some of the Masters of dental technology. He isa member of the AACD (American Academy of CosmeticDentistry), the CAED (Canadian Academy of EstheticDentstry), the ESCD (European Society of Cosmestic

Dentistry) and an honorary member of the SSER (Society of EstheticDentistry in Romania). He is the author of numerous articles on aestheticdentistry. He has performed live demonstrations on real cases at bothnational and international congresses and also has given several lectures.He is the owner of VIVACLAIR CANADA dental laboratory in Montreal.

Attachments, Fixed & Removable Prosthetics;Take the Mystery out of the Treatment PlanningPeter Pontsa, RDT

7:30pm – 8:30pm Dent-Line of Canada

• Treatment planning and case presentations on attachments in dentistry • Rationale for using various attachments on abutment teeth • Take the mystery out of treatment planning• Removables & fixed partial dentures & overdentures as well as roots

& implants

Peter Pontsa, RDT is the president of dent-line of canada,a specialty dental distributor. He shares his experience andknowledge through articles and seminars. He is pastpresident of the College of Dental Technologists ofOntario and received the 2010 fellowship award from theAssociation of Dental Technologists of Ontario. He

currently publishes his newsletter the Dent-Liner and is the Associatepublisher of Spectrum Denturism.

Occlusion and Attachments - The UnderlyingScheme for Successful Overdentures

Dennis Urban, CDT

7:30pm – 8:30pm Ivoclar Vivadent

In the ever-changing world of dental technology, the one segment thatseems to be a mainstay in growth consistency is removables. Whether itis full dentures, partials, implant overdentures, or attachmentoverdentures, the potential for continued laboratory business growth in

these areas is substantial. While growth opportunity is a major factor,the success factor for removable cases includes many variables. We arefaced today with the demand of creating a denture that by far surpassesthe esthetics and function of dentures that were made twenty yearsago. Denture wearers want to look as if aesthetic natural dentition istaking up the oral cavity as opposed to the old mediocre look of dentureteeth and acrylic. Successful high-end cosmetic dentures all start withgood communication with the dentist and the patient and then it iscombined with knowledge, technical expertise, and quality. To ensure asuccessful case, the following points will be reviewed during the lecture:

• Case planning• Accurate impressions • Correctly contoured bite rims and accurate bite registrations• A semi-adjustable or fully-adjustable articulator to mimic jaw function• Appropriate occlusal schemes• Attachment selection• Precise denture processing

Dennis Urban, CDT has worked in the dental technologyfield for over 30 years. He owned and operated a full servicelab on Long Island, New York for many years. He haslectured worldwide since 1985 on many areas of dentaltechnology, including denture set ups, lingualized occlusion,denture processing, implant overdentures, occlusion, soft

liners, infection control, and porcelain staining. His technical articles havebeen published numerous times in many dental publications in the UnitedStates, Europe, and Canada. Dennis Urban has been Vice President of boththe Long Island Dental Laboratory Association and the Dental LaboratoryAssociation of the State of New York. He was a Cal Lab board memberand a delegate for the NADL. He was the recipient of the 2007 NADLExcellence in Education award and a Nominee for the 2011 CDT of TheYear Award. Dennis has been a Technical and Sales Director for variousdental manufacturers and is now the Technical Specialist and RemovableManager for Drake Precision Dental Laboratory in Charlotte, NC.

9:00pm— Cocktail

Saturday, April 21, 2012 CAD/CAM Designed Laser Sintered Metal

Copings with Argen CanadaLou Azzara; Richard Nixon

9:30am – 10:30am Argen

This course delves into the exciting new technology of CAD/CAMdesigned laser sintered metal copings. Discussed in this course will besystem requirements, design parameters, as well as an explanation ofthe cost benefits of incorporating this exciting technology into yourlab. This course will definitely enhance your knowledge of CAD/CAMTechnology and Laser Sintered Copings. Also to be discussed in thiscourse is Argen Canada’s refining process. Hopefully, we will leaveyou with a clear and greater understanding of how new technologyhas impacted the Assay and Refining industry. We will also chat aboutthe top 10 frequently asked technical questions, as well as commodityprices/trends/changes and its impact on your alloy choices today.

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Lou Azzara began his career on Wall Street withShearson/Lehman Brothers. Since then he has specialized inthe dental industry. Currently he is the Vice President ofGlobal Business Development for The Argen Corporationlocated in San Diego California. Lou is the former CEO ofCaptek – Precious Chemicals USA Inc. He was instrumental in

overseeing the development of the Captek Company in North Americaand the continuing expansion of the company. He has also served onnumerous industry advisory boards and strategic planning committees. Louearned his MBA Summa Cum Laude from Florida Metropolitan Universityand received the Alpha Beta Kappa Honour Society’s highest award.

Richard Nixon was appointed Chief Executive Officer ofArgen Canada back in January of 2010 after successfullymanaging the business with his wife Monica for over 11years. As CEO, Richard Nixon offers an educational andentertaining perspective on the dental industry and alongwith his team at Argen Canada he has helped propel The

Argen Corporation to be the largest dental alloy manufacturer in the world.

Diazir Full Contour and Digital DesignFeaturing 3Shape

Mitch Jula, RDT

9:30am – 10:30am Diadem Precision Technology

• Re-defining CAD/CAM• Precision design/precision milling• 3Shape - advanced features• Diazir Zirconia - advantages of pre-shaded powders

Mitch Jula, RDT, is the Director of Training and Educationat Diadem Precision Technology, and is certified to trainon both 3Shape and Dental Wings systems. With almost20 years experience in the dental industry, he has degreesin both dental technology and computer science andworked as a ceramist for Quantum Dental Technologies

before joining Diadem. Mitch has been part of the dental CAD/CAMrevolution for the past 5 years and has experience with most of thedental CAD designing software in the market including 3Shape, DentalWings, Delcam, Sirona and Lava.

Identifying Opportunities and ExploitingPotential for Your Dental Laboratory Using

BEGO CAD/CAMAndreas Klie, RDT

9:30am – 10:30am Bego

Yesterday hours were spent waxing, investing, casting, divesting andfinishing. Tomorrow these same hours can be spent designing andplacing aesthetic touches on a higher number of daily units.

• SLM- (selective Laser Melting) produced Wirobondo C+ CoCr non -precious copings and bridges, taking the hassles out of workingwith NP in your laboratory.

• BEGO CAD/Cast-Consider outsourcing noble and high noble metalframeworks for production by simply sending an open STL file.Your BEGO CAD/Cast restoration arrives in your laboratory readyfor degassing or final polishing.

• BeCe@ Wax-Up- Let BEGO transform your split STL file into aWirobond@ C+ non-precious coping or bridge and a digitallymastered articulated BeCe@ Wax-Up overlay. This Press-n-Goconcept of two steps in one makes press-to-metal quicker andeasier than ever!

• BeCe@ Cast- Wax-Up for casting in metal (coping, bridge, oranatomical crown). Streamline your waxing department withBeCe@ Cast digitally mastered rapid prototyping wax/resincopings, bridges and anatomical crowns.

Andreas Klie, RDT, graduated as a Dental Technologistfrom the Witwatersrand Technit on School of DentalTechnology in South Africa in 1986. Andreas has been anRDT in Ontario since 2005. He owned and operated afull service Dental Laboratory, specializing in Crown andBridge, Attachments, Cast Partials and Combination

Cases using the BEGO system. He joined BEGO Canada in 2004 as aTechnical Consultant and travels extensively to lecture and givetraining courses. Since the beginning of 2010 he has also been involvedwith BEGO CAD/CAM.

Economical Alternatives toMilled Implant Bars

Mr. Andrew Long, R.D.T., MICOI, A.B.I.S.T.

10:45am – 11:45am Nordenta/Wieland

The Seeger is an innovative, affordable bar design from Rhein83which utilizes the Equator attachment as its retentive element. Iteliminates the need for milling while still achieving accuracy of fitand strength. Perfect for the small lab or denturist who is looking fora cost-saving, patient-friendly alternative to milled bars. Larger labswill appreciate having an economical alternative to offer patientswho require a lower price point. The Seeger puts design control backin the hands of the technician.

Mr. Andrew Long, R.D.T., MICOI, A.B.I.S.T. has worked inthe Dental Industry since 1976, and has spent timeworking in England, Germany and Canada. His firstinfluence in ceramics came from Klaus Muterthies inEngland in the early 80’s. Since then he has added to histraining with the likes of Ernst Hegenbarth, Claude

Sieber, Lee Culp, Gerald Ubassy, Michael Magne, Gilbert Young, OliverBrix and Shigeo Kataoka. He has completed the Dawson Centre’sOcclusion and Function Program and has trained with the MilleniumAesthetics Program. Recently he received both his fellowship and hismasters with the ICOI . He is also a member of the AACD, workingtowards his accreditation, while running his own boutique dental labin the heart of Niagara’s wine region.

5 Axis, Open Architecture System with Scannerand Milling Machine

Valerie Poon, Director of Special Sales and Technical Training

10:45am – 11:45am Laserdenta/Central Dental

Everyone’s talking about CAD/CAM and many people have and areplanning on purchasing a CAD/CAM system now. The reality is youhave many questions about this new technology and with thisscanning course, you will be able to learn more about the newestCAD/CAM technology. You will have questions like “Why do you need

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an open architecture system?, Why do you need a true 5-axistechnology? Why do you need an accurate scanner and millingmachine? Are you ready for CAD/CAM and are you ready for thefuture?” and more answered.

Valerie Poon, Director of Special Sales and Technical Trainingjoined Laserdenta, Inc. on November of 2008. She worksclosely with the technical and management teams. She hasover 8 years of extensive experience working in the digitaltechnology manufacturing and dental field. She is thespecial accounts manager for sales and marketing and also

assists with customer service and company development. Valerie is themain contact for customer service and marketing for Laserdenta, Inc.

The Complete System for Your EverydayImplant Practice

Mr. Denis Sarrasin

11:30am – 12:30pm Henry Schein

Attendees of this course will be introduced to a complete Implantsystem that has the Science and Documentation dated back to itsmarket launch in 1999. The Camlog Brand has stood for precision,reliability and flexibility. Topics to be covered:

• History and clinical development of the Camlog Implant System• Overview of the surgical and restorative principles• Science of “Tube in Tube” connection• Abutment selection and insertion protocols• Simple impression techniques• What Henry Schein can do for you

Mr. Denis Sarrasin graduated from the George BrownDental Technology program in 1984. He has worked inthe Dental Implantology field as a technical consultantand advisor for over 20 years. Denis has conductedpractical hands–on training courses and presentationson a variety of Implant related topics for clinicians,

technicians and auxiliary teams. Denis is currently the RegionalImplant Specialist for Camlog a division of Henry Schein. Denis’s vastknowledge and ability to provide both prosthetic and surgicalsupport to clinicians and technicians makes him the perfect candidateto introduce the Camlog system.

Implant Retained DentureDennis Purinton, CDT

11:30am – 12:30pm Vident

The “standard of care” for the fully edentulous patient has beendefined as an implant involved denture. Combining a completedenture with dental implants is a complicated process and requires ahigh skill level between the crown & bridge and denture technician.This program addresses both specialties and the fusion between theimplants and denture. We will discuss, in detail, the fabrication ofoverdenture bars including milling and selection of precisionattachments. This lecture will give instruction on the fabrication of acomplete denture. Each student will learn to finish a complete set-up, using Vita Physioden teeth and KAVO articulator and relatedaccessories. The importance of festooning and gingival trimming willbe demonstrated in detail.

Dennis Purinton, CDT has been a dental technician formore than 36 years. He owns his own lab in easternKansas, and has concentrated on Implantology anddentures for the past 10 years. As a consultant for theVident Corporation, he is actively involved in research anddevelopment for implant and denture related products

and has trained at VITA in Germany. Dennis teaches courses across thecountry, lectures both nationally and internationally. He holds aMastership with the American Academy of Implant Prosthodontics.

Pressing Matters from Start to FinishDavid Goldshaw

11:30am – 12:30pm Au-Shaw/Whipmax

Lean principles will guarantee the dental lab successful, predicable, andconsistent pressing. The importance of having the right material andthe right equipment available, at the right time, in the right condition,is essential to successful pressing. This program will explore theimportance of the preparatory through post-pressing processes andnecessary equipment to assure the highest value pressing possible.

David Goldshaw is both a denturist and dental technician.He worked in research and development with Dentsplytraveling all over the world. David currently runs a "Hands-on" training centre in Concord where he facilitates C.E.courses on a wide range of topics. He is also the Presidentof Au-Shaw Dental Productions Inc. This is the Canadian

sales and marketing arm for notable manufactures such as Whip-Mix,Florida Probe, Cariescan, Razertip and Heine.

New Materials for Implant Restorative ProstheticsRoger R. Johansen

11:30am – 12:30pm 3M ESPE

Implant restorative dentistry is on the rise as patients are increasinglychoosing implants to replace missing teeth. This presentation willintroduce a revolutionary new class of material that is specially designedfor implant restorations, but easily applies to daily restorative restorationsas well. Not only is this amazing new material easily customized for youresthetic needs, but it will allow you to offer your dentists the confidenceof an industry-leading 10 year warranty. A real breakthrough in materialtechnology that offers unique functionality.

Roger R. Johansen is the Professional Relations Manager for3M ESPE Digital Oral Care Products and Implants. He hasworked with 3M since 2005 coordinating beta testingprograms for new product launches and customer newproduct training and education programs. He is a CertifiedDental Technician with over 20 years of experience. He was

trained in the U.S. Navy as a dental technician and graduated at the top ofhis class. Upon finishing his enlistment he continued his University educationearning a BA in science and technology. Roger opened his own laboratoryin Colorado in 1997, specializing in crown and bridge utilizing CAD/CAMtechnology. In 2003-2005, he served as President of the Colorado DentalLaboratory Association and on the Colorado Dental Association’s Board ofTrustees. During this time he worked with the state legislature and localgovernment agencies to write the Colorado Dental Practice Legislation anddevelop tax strategy to benefit dental prosthetic manufacturing businesses.His work with these agencies earned him the honor of recognition in theJournal of Dental Technology as The Optimist Club in January 2006.

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