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Operator
At this time I would like to welcome everyone to the DENTSPLY International third-quarter earnings release conference call. All lines have been placed on mute to prevent any background noise. After the speakers' remarks there will be a question-and-answer period. (OPERATOR INSTRUCTIONS) I would now like to turn the call over to Mr. John Miles, Chairman and CEO. Sir, you may begin your conference.
John Miles - Chairman & CEO
Good morning, everyone, and thank you for joining the DENTSPLY third-quarter 2003 conference call. My name is John Miles and I'm DENTSPLY's Chairman and Chief Executive Officer. And with me this morning is Gary Kunkle, President and Chief Operating Officer, and Bret Wise, Senior Vice President and Chief Financial Officer. As is our usual format, I'll start by giving some overview comments concerning our third-quarter results, as well as our overall business. Brett will then go through a more detailed review of the P&L and balance sheet. And finally, we'd collectively be pleased to answer any questions you may have.
Before starting I need to read our Safe Harbor statement. In accordance with the rules of the Securities and Exchange Commission, information discussed during this conference call, including the question-and-answer session, will be part of an 8-K filing that will be made by the company after the call. To the extent that during this conference call any non-GAAP financial items are disguised, the additional information required by the SEC about such non-GAAP financial matters will be available through our web site by going to DENTSPLY.com then going to the Investor Relations section and clicking on the SEC filing link which will then provide access to the 8-K filed for this conference call and further information about any non-GAAP items.
The conference call may include forward-looking statements and, as such, are made in accordance with the Safe Harbor provisions of the securities litigation reform act. Forward-looking statements involve risks and uncertainties, which could materially affect the Company's business and should be considered in conjunction with the risk factors and uncertainties described in the company's most recent annual report on form 10-K.
I'm sure each of you have received a copy of our third-quarter earnings announcement we have released yesterday after the market closed. I'm very pleased to report that DENTSPLY achieved both record sales and profits for the third-quarter. Our reported sales for the third-quarter were $400.4 million, a 9.4 percent increase over the year earlier period. On an ex precious metals basis sales increased 9.1 percent. Diluted earnings per share were 51 cents, an increase of 13.3 percent over the year earlier quarter. The 9.1 percent sales gain ex precious metals for the quarter broke out as follows -- the dental based business grew 4.1 percent, non-dental based business was unfavorable 2/10 of 1 percent, currency exchange was a favorable 5.1 percent, and acquisitions divestitures net were favorable 1/10 of 1 percent.
As first reported in our second-quarter 2003 conference call, sales of Cercon machines continued at a low-level during the current quarter, and were behind machine sales from the year earlier period. Of course, these machine sales represent a very low profit contribution. The reduction in Cercon machine sales masked some very solid achievements by our company in the quarter. Heavy equipment sales without Cercon units increased by strong double-digit levels while dental consumable sales in the United States and Europe combined increased by 6 percent, significantly faster than the overall market growth.
Further good news is dentist prescriptions for Cercon crowns and bridges continue to increase rapidly and are partly responsible for the excellent dental consumables growth achieved during the quarter. Recent market research shows a continued shift by dentists from porcelain fused to metal to ceramic crowns and bridges as the number of dentist who have prescribed a ceramic restoration have increased from 16 percent to 31 percent during the past year in the United States. Cercon prescriptions have increased fivefold during this period, yet sufficient capacity from installed Cercon machines is capable of supporting vastly larger future growth.
Dental based business growth on an ex precious metals basis broke out as follows on a geographical basis -- in the United States 4.4 percent growth. Strong sales growth was again achieved by our GAC orthodontics division, led by increases in their innovation or self-ligating bracket and in the Steep (ph) cleared bracket as well as by Tulsa Endodontics and their nickel titanium endodontic files. Cercon prescriptions continue to increase sharply while sales of Cercon machines decreased as previously mentioned. The overall U.S. dental laboratory market remained moderately down.
Europe's CIS grew by 6.2 percent. European sales were led by extremely strong growth in dental implants and general dental consumables across all European countries. Asia had negative growth of 6.8 percent. Frankly, this result was somewhat of a surprise as the SARS crisis is over and dental business has returned to close to their historical levels. In analyzing what happened, it appears this reflects an inventory adjustment by our Asian dealers. You may recall that in the first quarter of 2003 we reported growth of 17 percent in Asia despite the SARS crisis. In hindsight our dealers didn't adjust their ordering patterns rapidly enough to the SARS crisis and used the third-quarter to reduce their inventories to normal levels.
Latin America achieved positive growth of 2.8 percent, and our Latin American businesses continue to show modest growth led by Brazil, Chile and Argentina. And the rest of the world grew 1.7 percent. Solid sales growth in Canada was offset by decreases in other parts of the world.
Moving on to some business topics, on September 24th the DENTSPLY's Board of Directors announced a long planned management succession. I will be retiring effective year end 2003, but will remain as Chairman of the Board. Gary Kunkle, DENTSPLY's President and Chief Operating Officer, will assume the responsibilities of Vice Chairman of the Board and Chief Executive Officer. Tom Whiting, currently Executive Vice President, will become DENTSPLY's President and Chief Operating Officer. Gary, Tom and I have worked together for years, and Gary and Tom are exceptional executives who are fully capable of leading our company forward in the future. My personal observation is that DENTSPLY has never had a stronger, more capable senior management team.
An update on the long-running Department of Justice case concerning U.S. artificial teeth. On August 11th the District Court judge hearing the case issued a ruling in favor of DENTSPLY. Her 160 page opinion was meticulous and well reasoned. The U.S. Department of Justice has filed an appeal with the third Circuit Court of Appeals on October 15th. We remain confident that the appeals court will uphold the verdict of the District Court.
Work continued at a rapid pace at our new store out building (ph) plant just outside of Chicago. Phase I, which is the sterile portion of the plant construction, has been completed. Currently final validation of all systems and processes are underway. Media challenge tests commenced later this month, and stability trials are scheduled to start the third week in November. Final approvals from various world regulatory bodies are targeted to be received from June, 2004 through year end of that year.
(indiscernible) regulatory approval targets remain the same as reported last quarter. Approval has been received from Sweden, our EC reference country, with other European country approvals expected throughout the first half of 2004. U.S. FDA approval is anticipated by year end 2003 with a midyear 2004 launch as molds and automated assembly equipment for the FDA required packaging modification will have to be installed and validated before commencing sales.
New product launches are creating excitement at DENTSPLY as several key new product launches which will include an electric hand piece, a new dental implant surface treatment, LED curing lights, and a significant broadening of the preventive product line will occur between now and year end.
Let me conclude by reviewing our guidance for 2003. Last quarter we gave guidance in the 2.07 to 2.10 per share range without consideration of the onetime gain on practice work stops and warrants which will be realized in the fourth quarter. Today we are comfortable at the top end of this guidance range. Of course, it is possible that if our business continues to perform strongly that this guidance could, in fact, be exceeded. Before I turn the conference call over to Bret Wise, Gary Kunkle will update you concerning our new European logistics center initiative.
Gary Kunkle - President, COO, & Director
Thanks, John, and good morning. Earlier this month we informed our third party contracting -- contractor that manages our European distribution center in Niamagan (ph) that we will be terminating our relationship with them. And during the fourth quarter, the current quarter, we'll be moving our distribution from their facility to our own DENTSPLY managed facility in Gratisfeld (ph), Germany which is really near Constance (ph) where we have one of our largest manufacturing facilities in Europe.
Just some rationale for the move -- while we have seen reduced costs and reduced inventories and improved service levels at this Niamagan facility since we consolidated our European distribution operations there in 1999, we really feel that the probability of continued improvements towards our future improvement goals, at least at the pace that we expect, is questionable. So our conclusion is that these goals can be more effectively met and achieved under DENTSPLY's management. With that in mind, the move will commence during the fourth quarter, and it should be completed during the first quarter of 2004. A onetime cost of approximately $1 million will be incurred in the fourth quarter. An additional $300,000 will be incurred in the first quarter of 2004, and that will be offset by an amount of savings -- a similar amount of savings in the balance of 2004, so the impact in 2004 is neutral.
Beginning in 2004 we expect to realize a minimum of a $750,000 improvement in cost savings annually as we move forward. A onetime inventory build of approximately $850 million or four days will be necessary during the fourth quarter to ensure that we maintain adequate service levels during the transition. We finished the third-quarter at 100 days, which was a two-day improvement down from 102 days in the previous quarter. Even with the four day build for the transition, we still expect to finish the year at 102 days. This move is well planned, and we are confident that it will be executed with no disruptions of service. So that gives you kind of a summary of the plan, some expectations of its costs and its benefits. So with that I'll turn the call over to Bret for a financial update.
Bret Wise - CFO & SVP
Thank you, Gary, and good morning everyone. Thank you for joining us on our third-quarter conference call. I have a few comments on earnings and cash flow for the quarter, and then just a couple comments on changes in the balance sheet. So, starting first with the P&L, as John mentioned, sales increased in the quarter by 9.4 percent and 9.1 percent without precious metals. Internal sales growth for dental was 4.1 percent and currency added 5.1 percent to sales without precious metals. Gross margins ex precious metals were 54.1 percent compared to 55.2 percent in the 2002 quarter. The slightly lower margins this period were driven by a shift in mix, both geographical mix and product mix. We expect margins to increase somewhat going forward with the many new product launches planned for the fourth quarter, as John described earlier.
SG&A as a percent of sales improved 1 full percentage point from 36.6 percent of sales excluding precious metals, down to 35.6 percent of sales, again excluding precious metals. Operating margins ex pm were at 18.5 percent in the current quarter versus 18.9 percent in the prior year quarter. The 2002 quarter included a gain on an insurance settlement of approximately $780,000 which we show separately in the income statement on the restructuring line. Absent the margin -- absent that gain the margin in 2003 would've been roughly the same as the margin in 2002. The third-quarter is usually our lowest margins of the year due to the vacation shutdowns that occur throughout Europe in August, and we would expect operating margins to improve somewhat here in the fourth quarter.
Net interest and other expenses were 4.2 million compared to 9.3 million in the 2002 quarter. The current year includes 5.7 million of net interest expense, exchange gains of just under $1 million, and net other income of approximately $0.5 million. In the prior year we had net interest expense of 6.6 million, exchange losses of close to $1 million, and that other losses of 1.5 million, the largest portion of which was a $1.2 million loss on the valuation of the Practice Works warrants in the 2002 quarter.
Regarding Practice Works, the sale to Kodak closed in October. And accordingly we expect to receive our proceeds from the common stock and the warrants in the fourth quarter, and anticipate recording a gain upon receipt of those proceeds of approximately $5.8 million pretax. Proceeds on the transaction should be approximately $23.5 million.
The tax rate for the third-quarter was 32.5 percent which is the same rate as we had in the first half of 2003, but higher than 31.1 percent reported in the third-quarter of 2002. And as announced, net income of 41.3 million represents a 15.5 percent improvement over the prior year, and earnings per share 51 cents represent a 13.3 percent improvement over the 45 cents reported for the third-quarter of 2002. And again, the third-quarter of 2002 included a 1 cent per share gain from the insurance settlement that was previously mentioned. So obviously absent that gain the prior year the growth in earnings per share would've been higher than the 13.3 percent that you see in the earnings release.
Turning to cash flows, we had a very strong quarter for cash flow generation, and this is continuing a trend that has been present for all of 2003. Cash flow from operations was approximately 71 million in the quarter, bringing the total cash flow from operations for the nine months to 167 million. This is a 65 percent increase over the 101 million in cash flows from operations that we reported for the nine months ended September, 2002.
CAPEX for the nine months in 2003 is 55 million. That's bringing free cash flow, which we define as operating cash flow less CAPEX, to 112 million through the first nine months of 2003. Depreciation and amortization for the quarter was 11.9 million, and that brings the total for the year to 36.9 million.
During the third-quarter we used free cash flow to repay approximately $47 million of a principal amount of debt, and in addition to that we grew our cash balances by 10 million. At the end of September we had $91 million in cash and reported debt of 806 million of which 23 million is reported in current liabilities. Our net debt to total capitalization ratio now stands at 37.8 percent, reflecting the reported debt of 806, less the cash of 91 million, and less the value of our currency and interest rate swaps of 86 million, which is reported in other current assets on the balance sheet.
As we've said before, our target range for this ratio is 35 to 40 percent and we're very pleased to be back within that range having started out in the high 50s following a series of acquisitions in 2001. So in less than two years that ratio has improved by just about 20 percentage points. For the rest of the year we continued strong cash flow during the fourth quarter.
Looking at uses of cash, as we've discussed before, we're working towards completion of the Pharma plant in Chicago by midyear 2004. We're trying to accelerate work on that plant to the extent possible. Accordingly we expect capital expenditures for all of 2003 to range between $75 and $80 million. And for 2004, at this point on a preliminary basis, we expect approximately $65 million of capital expenditures. Following the completion of the Pharma plant we would expect our annual CAPEX to return closer to historical levels of $55 to $60 million annually.
Other potential uses of cash in the fourth quarter include $20 million of borrowings that we have in Japanese yen, which mature in December. Earlier in the year we said we might roll that over, but with our cash position that we have today we expect now to retire that upon maturity in -- late in the fourth quarter. We're also anticipating, later this year, the approval of Oraqix which will trigger the final $16 million payment to Astra-Zeneca. This is the last piece of that acquisition and I guess at this point we would expect that payment will most likely come in the first quarter of 2004.
We're also currently in arbitration with DEGUSA to resolve a potential purchase price adjustment of up to $10 million. This is also the last potential item on the DEGUSA transaction, and that could potentially be resolved in the fourth quarter, and if not probably sometime early in 2004. Offsetting the potential uses of cash, we do expect to receive $23.5 million in proceeds from our common equity holdings and the warrants we have in Practice Works. So given these circumstances and our strong cash flow and the much improved capital structure that we have today, we're generally expecting to allocate approximately half of our cash flow to acquisitions and half to further strengthening the balance sheet in the near-term.
Looking at changes in the balance sheet, year-to-date currency, which is primarily the strength of the euro, the yen and the Swiss franc, have increased the dollar amount of our reported debt by $84 million year-to-date. Offsetting that we've actually repaid approximately $52 million of debt from free cash flow bringing the net increase in reported debt, including the piece that's in the current liabilities, to $32 million for the year. And again, that increase is due entirely to the weakening of the U.S. dollar versus the currencies which our debt is nominated in.
Currencies also affected various other accounts on the balance sheet this year. Year to date goodwill has increased by $55 million, that's due almost entirely to currency translation. And likewise, our equity has increased $199 million this year of which 67 million is due to currency translation. As a final point, we've been focusing on continuing efforts to reduce our inventories this year, which have declined by to days this quarter versus the second quarter and now stand at 100 days. As Gary mentioned, we see a modest increase in this measure at year and due to the transfer of the European logistics center after which we plan to get back on track and reduce the inventories. That concludes our prepared remarks. I'd like to thank you for your interest in DENTSPLY and listening in this morning. And I'd like now to turn the call back over to the operator for questions. Thank you.
Operator
(OPERATOR INSTRUCTIONS) Frank Pinkerton from Banc of America Securities.
Frank Pinkerton - Analyst
Thank you for taking the question. I guess my question is in European you mentioned some things that drove the sales there. You didn't mention the timing of the equipment launch or kind of equipment sales in Europe. Could you go through the timing of the -- I guess the launch that you mentioned in the second quarter and what that did for your sales in Europe?
John Miles - Chairman & CEO
Yes. The 6.2 percent was the growth in Europe. It actually was driven by consumables, not equipment -- equipment including Cercon units, Frank. The item that you're talking about is the Orthoralix 9200 DDE which we showed at the IDS, took orders and didn't ship until the third-quarter. And although that was a positive impact in the third-quarter, we ended the quarter with a significant backlog because that unit is only manufactured at our plant in Italy and, of course, they don't work in the month of August. So we frankly didn't have enough manufacturing capacity to clear all the orders and we will be clearing them all during the fourth quarter.
Frank Pinkerton - Analyst
Thank you. And then also further updating on Asia, do you expect for any other inventory adjustments in the channel there, or is that a market that should be a little more consistent from a revenue standpoint going forward? Thank you.
John Miles - Chairman & CEO
I expect positive growth in the fourth quarter in Asia.
Operator
Jeff Gates from Gates Capital Management.
Dax Valasis - Analyst
This is actually Dax Valasis (ph), I've got a question for Bret. Bret, can you review the 806 million of debt, focusing on the revolver balance as well as the amount shown on the euro bonds?
Bret Wise - CFO & SVP
Sure, I'd be glad to do that. The Eurobonds -- EUR350 million at face value and at today's exchange rate let's call it 116, that's about 400 --$406 million face amount of debt. In addition to that we have about 200 million drawn on the revolver, it's it either Japanese yen or Swiss francs, and the rest of the borrowings are private placements in either Japanese yen or Swiss francs.
Dax Valasis - Analyst
Did some of the private placements come due this year, and do you have -- I guess the rest of the maturities would be -- the 23 million in current would be the private placements?
Bret Wise - CFO & SVP
The 23 million in current is a private placement coming due this year. Next year we have the same amount coming due again in the fourth quarter. And in early 2005 we have -- I think it's about 65 million of other private placements coming due.
Dax Valasis - Analyst
Right. And you talked about use of free cash flow for both acquisition and paying down debt. Can you talk about the current pipeline for acquisition? Thanks.
John Miles - Chairman & CEO
Maybe I'll try and answer that one for you. You know that our industry remains highly fragmented, and we have signaled our intent to aggressively pursue acquisitions. And I guess all I can add to that is we continue to engage in numerous discussions, and I believe that ultimately that will lead to further acquisitions. Hopefully sooner rather than later.
Operator
Derek Leckow from Barrington Research.
Derek Leckow - Analyst
Good morning and congratulations on a nice quarter. I had a question here on the internal growth rate, John. You gave us some statistics there on consumables versus equipment, I believe you said 6 percent overall. Could you give us that on a geographic basis as well?
John Miles - Chairman & CEO
No, we don't break that out. What I said was in total the dental based business grew 4.1, Derek.
Derek Leckow - Analyst
Okay.
John Miles - Chairman & CEO
Non-dental was -2/10, exchange was favorable 5.1, and acquisitions/divestitures was basically nothing. What happened is our heavy equipment grew at very strong double-digit levels. It was very strong in the quarter. But it doesn't come across as very strong because that growth was really offset by a decrease in the Cercon unit sales this quarter versus the year previous. And what I indicated on consumables is that in the United States and Europe combined they grew 6 percent, and I would submit that's clearly in excess of market growth for those two regions combined.
Derek Leckow - Analyst
Okay. And just what was the equipment figure then, if you exclude the Cercon machines?
John Miles - Chairman & CEO
I'm not really willing to do that because I don't want to help my competitors any more than I have to. You can believe that the heavy equipment was very strong double-digit.
Derek Leckow - Analyst
Good enough. Thanks.
John Miles - Chairman & CEO
Maybe that will help you with the math.
Derek Leckow - Analyst
The second question I have is regarding your cost of goods sold. It seems to have risen here at a faster rate than sales growth. What were some of the drivers in that figure?
Bret Wise - CFO & SVP
The change from quarter to quarter 2002 due 2003, we saw about a 1 point drop in gross margins, and that's driven more by the mix of business both geographically, the regions they are coming in, and the product mix within those regions rather than an increase in costs in any one particular product. It's really a product mix, both geographic and the actual product that's caused that 1 percent drop in gross margins.
John Miles - Chairman & CEO
Maybe the other thing I'd add is, you know that we're today launching numerous new products and that new product launches are how you improve gross margin as a percent of sales. And it just turns out this year that the new products are coming in the fourth quarter as compared to evenly throughout the year.
Derek Leckow - Analyst
So on the whole then we should be expecting a nice increase for '03 versus '02 on that?
John Miles - Chairman & CEO
We would expect that gross margin as a percent of sales will increase in the fourth quarter, yes.
Derek Leckow - Analyst
A question on your interest rate -- your interest expense assumption for the fourth quarter. Thanks for all the color you've given on the debt. Would that figure look similar to what you had in the third-quarter?
Bret Wise - CFO & SVP
It'll probably look slightly lower because the repayment of the -- the $47 million in debt that we repaid was at the beginning of September, so we only had the benefit of that for one month out of the quarter. It's not -- that different is not as big as you might think because the amount of money we earn on cash is not terribly different from the amount of interest we pay on the debt at this point. But there will be a modest drop in net interest expense I would think in the fourth quarter.
Derek Leckow - Analyst
Great. And then just a question on the Department of Justice case. Maybe you could give us some more color there as to what the Department of Justice -- what is their key argument here as to why the District Court got it wrong?
John Miles - Chairman & CEO
I need to be careful what I say I guess about the Department of Justice. I think that they're still thinking about that. And frankly, they had to file an appeal in order to hold the appeal date open. In other words, had they not filed -- they filed on the very last day, Derek. And what that does is it preserves their right of appeal. And they don't really have to say anything ultimately until the third District Court comes to everybody and says, now we want to really get going on this case. So, we're not really sure what the basis of their appeal is, and I guess we'll learn that when time goes forward.
Derek Leckow - Analyst
Is it as this point your legal costs associated with that case have declined as a result of completing the trial and so forth?
John Miles - Chairman & CEO
Yes, yes, and even the appeal. In an appeals court there will be no more testimony -- legal theory arguments. So there won't be lots of witnesses and lots of lawyers examining and cross-examining them. So, the cost of an appeal is significantly less than the cost of the case which, of course over the eight years that this has been going on, was very high. But we're basically at the end of the road. We were really happy. The District Court's opinion was a 160 page document. So this was not some sort of flip answer. This was a really meticulous, well reasoned answer, and I think that's going to cause the Department of Justice lots of heartache at the appeals level.
Derek Leckow - Analyst
It looks like you've allocated some funds here for acquisitions in the near-term. In the event that those don't materialize, do you have plans to acquire your own shares?
John Miles - Chairman & CEO
I guess we'd have to make a decision. We today don't have an authorization from the Board to repurchase shares, but frankly that probably could be obtained pretty easily. It would be a choice between paying down the debt or rebuying shares. You know that in September we increased the dividend, and I wouldn't look for that to change for at least another year. So the choice will be buyback shares or pay down debt in the event that there were no acquisitions. But I have to tell you, strategic profitable acquisitions absolutely will be our first choice as to how to use this cash flow.
Derek Leckow - Analyst
Okay, thank you very much.
Operator
Allen Matroni from Copper Beach Capital.
Allen Matroni - Analyst
Good job. Can you talk a bit about how much your sales went through distribution versus how much did not through distribution, how much went direct?
John Miles - Chairman & CEO
I have to be honest with you, we don't even calculate that, at least not a quarterly basis. On a rough basis we've indicated that about what 40 percent of our sales worldwide are direct to the dentists, and about 60 percent goes through distribution. And what really determines that is the technical complexity of the product, the more technically complex the product the more likely it is to be sold direct. Dental implants, as an example, where you have a lot of clinical discussions with the oral surgeon as a product that's sold direct. My guess without having any statistics is that that ratio is -- doesn't change much quarter to quarter.
Allen Matroni - Analyst
The reason why I'm -- thank you, that's helpful -- and probably why I'm asking is I'm also just wondering, some of the dental distributors seem to be making the push towards the end of the year to get dentists to -- who seem to be doing okay, at least in the U.S. and Europe -- to spend money and the highlight new products. I'm just wondering if the dental distributor channel saw greater sales volume or greater taking of share as opposed to the direct -- the direct channel for you this quarter? Or the second half?
John Miles - Chairman & CEO
I really wouldn't know that. I mean, we'll see when Patterson and Shine report their most recent quarter how they performed. But I really don't know the answer to that question. My guess is I don't think so.
Allen Matroni - Analyst
Thank you, I appreciate that.
Operator
(OPERATOR INSTRUCTIONS) Suey Wong from Robert Baird.
Suey Wong - Analyst
You guys have a lot of new products coming out in the fourth quarter. Which ones do you believe have the highest potential?
John Miles - Chairman & CEO
I tried to kind of outline them in the announcement, Suey. Certainly the new electric hand piece is an important new product for us. We'll be launching at least two LED lights, that clearly is a significant market segment that today we're not competing in, and I would say Siagon (ph) with their Dematron (ph) light is controlling. I guess I would say that -- although each individual product isn't that large, there's a whole slew of new products to increase our output in the preventive area in terms of fluoride foams, fluoride varnishes, fluorihexidine (ph) rinse, different flavors of Nupro paste, you know about our Disposable Prophy Angle launch, revolv, and also several new ultrasonic inserts. So there's a whole slew of them.
And I'd say the other kind of key new product is the new surface treatment for our dental implant systems, which is really where the marketing wars are being waged in terms of dental implants these days. And all of these will be rolling out over the fourth quarter, the majority of them will at least be previewed at the ADA, which is the big dental meeting coming up this weekend. And we'll see sales as we go through the quarter. Certainly all of them will provide a platform for growth in 2004.
Suey Wong - Analyst
One last question here. What is the EPS impact from Practice Works for the fourth quarter?
John Miles - Chairman & CEO
We said it was 5.8 million pretax. I see Bret is working --.
Bret Wise - CFO & SVP
About 5 cents a share, between 4.5 and 5 cents a share probably.
Suey Wong - Analyst
Great. Okay, thank you.
Operator
Chris Arnt (ph) from Select Equity Group.
Chris Arnt - Analyst
My question was answered. Thank you.
Operator
Walter Landauer (ph) from Landauer Capital Management.
Walter Landauer - Analyst
Thanks for the good report. I'd like to get some color on how the China and India geographic entity has faired in this quarter and the (indiscernible). I recall that the growth in Asia was very material in the prior year.
John Miles - Chairman & CEO
Obviously our growth in the third quarter in the Asian region was a disappointment to us because it was -6.8 percent. Historically the Asian markets have been growing for us about 15 percent positive. In the first and second quarter of this year the dental demand was sharply reduced because of the SARS crisis. But as I indicated in my comments, in the first quarter of this year we reported sales growth in Asia of 17 percent. So clearly our dealers, who in that region of the world place orders well in advance, didn't anticipate the impact of SARS and we enjoyed good growth. But in fact, during that first-quarter dental visits were decreasing rapidly, and they clearly ended up with stronger inventory positions than they wished to carry. And in the third quarter in essence burned those inventory positions down.
So the SARS crisis at this point is over, and as long as there's no new outbreaks I guess it's under control. And we would expect positive growth to commence in Asia in this fourth quarter. I mean, a lot of India and China is really about the future, and while the markets are important, the markets are still small in terms of world dental demand.
Walter Landauer - Analyst
Is the outlook that it would likely be increased in, if there would be a material increase expected for next year in China and India, or is this not foreseeable with that kind of precision?
John Miles - Chairman & CEO
I don't know if I'd say an explosive increase. What I would expect in 2004 is that the Asian region will go back to the types of growth levels that it was enjoying pre SARS. So I would say strong double-digit growth should be expected, which clearly is an improvement over what we will have achieved in 2003. But I don't expect that it will double or triple or any of those things just because of the numbers of people that live in those countries. It's further away from that.
Walter Landauer - Analyst
I'd like to have a follow-on question on the China situation. Is there -- there's no likelihood that the competition from -- that there will be significant competition from Chinese companies that the Chinese government probably regards this as not worth making a great fuss about. The Chinese are very mercantilist in their policies in the past, but now with joining the International Trade Association --.
John Miles - Chairman & CEO
There are today, Walter, very limited local Chinese dental manufacturing competitors. And frankly, the products that they make, while they sell at very low pricing, are really quite inferior from a quality standpoint. You know that we have our own manufacturing facilities in China and, in essence, use Western technology in our plants and make significantly higher quality products. But, of course, we use all Chinese management and labor. So we're able to compete price wise in the country, not at the absolute bottom end, but at the end where at a reasonable price people are willing to pay for strong quality output.
Walter Landauer - Analyst
Also a comment was made I think on the last quarterly conference call that the new panoramic x-ray system was anticipated and that was supposed to make it understandable that we didn't get quite the sales we might have expected otherwise. My question is whether this now -- this period is over and we would -- we can expect increased --?
John Miles - Chairman & CEO
What I indicated is that we ended -- that unit, by the way, is only manufactured in our plant in Italy, and that we ended the third quarter with a -- still with a significant backlog, back order, on that new unit because, of course, in the month of August the plant is shut down for Italian holiday. So we didn't have enough manufacturing capacity in the third quarter to clear the orders. But we will have enough manufacturing capacity in the fourth quarter to not only clear the backlog, but to service some new incoming orders that we will receive. We made headway but it will be fully resolved in the fourth quarter.
Walter Landauer - Analyst
Do you keep any figure on the total backlog in the quarter that is all product? (multiple speakers)
John Miles - Chairman & CEO
No, (multiple speakers) we don't do that because generally backorders are really very low. We ship basically without backorders, and we ship as soon as the order comes in. So this particular unit is kind of a unique thing.
Walter Landauer - Analyst
Thank you very much.
Operator
Greg Halter from LJR Great Lakes Review.
Greg Halter - Analyst
Very good quarter. John, I wondered if you could repeat the growth in the rest of the world? I missed that figure.
John Miles - Chairman & CEO
Yes, sir, I sure can. 1.7, and my comment was that we had solid growth in Canada that was offset by decreases in other parts of the world.
Greg Halter - Analyst
Okay. And my question is regarding the inventory build in Europe, (indiscernible) the dollar amount there and I think you said four days if I'm not mistaken.
Gary Kunkle - President, COO, & Director
It was 8.5 million which is equivalent to four days across the company.
Greg Halter - Analyst
And you would expect that to revert back to more normal number figures after the quarter?
Gary Kunkle - President, COO, & Director
After the first quarter. We will be burning that off primarily during the first quarter. So you probably aren't going to see any inventory improvement in the first quarter, and then following that when the transition is completed we will renew our efforts to try to reduce inventories around the world.
Greg Halter - Analyst
Great. Thank you.
Operator
There are no further questions at this time.
John Miles - Chairman & CEO
Then to conclude our comments, thank you very much for your support and interest in our company and thank you for tuning in today. We'll talk to you soon.
Operator
This concludes today's DENTSPLY International third quarter earnings release conference call. You may now disconnect.