EXHIBIT 4.1(d)

                                              EXECUTION COPY



                AMENDMENT  No. 1,  dated as of  January  20,
           2000   (this   "Amendment"),    to   the   5-Year
           Competitive   Advance,   Revolving   Credit   and
           Guaranty  Agreement  dated as of October 23, 1997
           (the   "Credit   Agreement"),    among   DENTSPLY
           INTERNATIONAL  INC., a Delaware  corporation (the
           "Borrower"),  the Guarantors  named therein,  the
           Banks  from  time  to  time  party  thereto  (the
           "Banks"),  THE CHASE  MANHATTAN  BANK, a New York
           banking corporation ("Chase"),  as Administrative
           Agent for the Banks,  and ABN AMRO BANK N.V.,  as
           Documentation Agent for the Banks.

           The  Borrower  has  requested  that the  Required
Banks  agree to amend  the  Credit  Agreement  as set  forth
herein and the  Required  Banks are willing to agree to such
amendment  on the terms and  subject to the  conditions  set
forth   herein.   Each   capitalized   term   used  and  not
otherwise  defined  herein  shall have the meaning  assigned
to such term in the Credit Agreement.

           Accordingly, the parties hereto agree as follows:

           SECTION 1.   Amendment   to   Credit   Agreement.
Section  2.01(a) of the Credit  Agreement is hereby  amended
by replacing  the amount  "$50,000,000"  in the final clause
thereof with the amount "$100,000,000".

           SECTION 2.    Representations   and   Warranties.
The  Borrower  represents  and  warrants to each other party
hereto  that,   after  giving  effect  to  this   Amendment,
(a) the   representations   and   warranties  set  forth  in
Article III of the Credit  Agreement are true and correct in
all  material  respects  on  and  as of  the  date  of  this
Amendment,  except to the extent  such  representations  and
warranties  expressly  relate to an earlier date, and (b) no
Default or Event of Default has occurred and is continuing.

           SECTION   3.   Effectiveness.    This   Amendment
shall  become  effective as of the date set forth above when
the   Administrative   Agent  or  its  counsel   shall  have
received  counterparts of this Amendment  which,  when taken
together,   bear  the   signatures  of  the  Borrower,   the
Guarantors and the Required Banks.



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           SECTION 4.   Effect  of   Amendment.   Except  as
expressly  set forth  herein,  this  Amendment  shall not by
implication  or  otherwise  limit,   impair,   constitute  a
waiver of, or  otherwise  affect the rights and  remedies of
the  Banks or the  Administrative  Agent  under  the  Credit
Agreement,  and shall  not  alter,  modify,  amend or in any
way  affect  any  of  the  terms,  conditions,  obligations,
covenants or agreements  contained in the Credit  Agreement,
all of which are  ratified  and affirmed in all respects and
shall  continue  in full force and  effect.  Nothing  herein
shall be deemed to entitle  the  Borrower  to a consent  to,
or a waiver,  amendment,  modification  or other  change of,
any of the  terms,  conditions,  obligations,  covenants  or
agreements  contained in the Credit  Agreement in similar or
different  circumstances.  This  Amendment  shall  apply and
be  effective  only with  respect to the  provisions  of the
Credit Agreement specifically referred to herein.

           SECTION 5.   Counterparts.   This  Amendment  may
be executed in any number of  counterparts  and by different
parties  hereto  in  separate  counterparts,  each of  which
when  so  executed   and   delivered   shall  be  deemed  an
original,   but  all  such   counterparts   together   shall
constitute  but one and the  same  instrument.  Delivery  of
any  executed  counterpart  of  a  signature  page  of  this
Amendment  by facsimile  transmission  shall be as effective
as delivery of a manually executed counterpart hereof.

           SECTION 6.   Applicable   Law.   THIS   AMENDMENT
SHALL BE  CONSTRUED IN  ACCORDANCE  WITH AND GOVERNED BY THE
LAWS OF THE STATE OF NEW YORK.

           IN  WITNESS  WHEREOF,  the  parties  hereto  have
caused  this   Amendment  to  be  duly   executed  by  their
respective  authorized  officers  as of  the  day  and  year
first above written.


                               DENTSPLY INTERNATIONAL INC.,

                               by


                                     Name:
                                     Title:

                               THE CHASE MANHATTAN BANK,
                               individually      and      as
                               Administrative Agent,

                               by



                                   Name:
                                   Title:


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Each of the Guarantors  hereby  acknowledges  receipt of and
consents to this Amendment:

CERAMCO INC.
CERAMCO MANUFACTURING CO.
DENTSPLY FINANCE CO.
DENTSPLY INTERNATIONAL PREVENTIVE CARE DIVISION, L.P.
DENTSPLY RESEARCH & DEVELOPMENT CORP.
GAC INTERNATIONAL, INC.
MIDWEST DENTAL PRODUCTS CORPORATION
RANSOM & RANDOLPH COMPANY
TULSA DENTAL PRODUCTS INC.



by ________________________
   Name:
   Title: Authorized Signatory



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                                             SIGNATURE PAGE to
                                   AMENDMENT No. 1 to DENTSPLY
                            INTERNATIONAL INC. 5-YEAR CREDIT
                     AGREEMENT, dated as of JANUARY 20, 2000






                    To approve Amendment:


                    Name of Institution:


                                         by



                                         Name:
                                         Title:





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