Dentistry Today — 2013 Equipment Buyer's Guide

Inside this issue

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1. Page 8

   Moving Forward Too Quickly or Too Slowly? Many in our profession, along with a number of other small businesses in North America, have felt the effects of the recent deep recession and the slower-than-usual recovery. Businesses have been extra cautious in hiring new personnel, acquiring new equipment, and/or making any sudden or major investments. Saving more cash has become the norm for a good number of consumers and businesses alike. This has had a measurable effect on the outlook of sales in light of the new realities found in the aftermath of the biggest financial collapse since the Great Depression.…

2. Page 10

   The Future of the Solo Private Practice In today's rapidly changing world, the solo private dental practice does not appear to offer the future of prosperity and success that it once did. Now what? INTRODUCTION Jim Collins, author of the bestselling business books Built to Last, Good to Great, and Great by Choice, recently said, "The very, very best leaders are the ones who begin first with an incredibly rigorous assessment of what are the brutal facts." The evident truth is that the world is changing, and changing fast. The number of dentists who are employees versus owners is increasing…

3. Page 13

   Make it e.max! Everyday Dentistry, Everyday IPS e.max! BY DR. FRANKLIN SHULL continued from page 10 homier than in the recent future things will go back to the way they were. My assertion, backed by the evidence, is that solo practice will never return to the way it was. The "system" of dental delivery has changed. The axis of power has permanently shifted from patient-provider, where the patient is the driver and the dentist is the decision maker, to purchaser-payer, where the employer is the driver and the third party is the decision maker. When you have a power change…

4. Page 14

   VIEWPOINT brilliantly in Jim Collins' book, How The Mighty Fall. This book examines those companies that were "great" and what caused their demise over the last decade. What I find is a fairly large number of dentists fall into the first 3 stages of the 5 stages described by Collins: stage 1, Hubris Born of Success; stage 2, Undisciplined Pursuit of More; stage 3, Denial of Risk and Peril; stage 4, Grasping for Salvation; and stage 5, Irrelevance or Death. I am now meeting more and more dentists sliding into stage 4, particularly specialists. I am actively working with clients…

5. Page 16

   FOCUS ON: Aesthetics Robert Lowe, DDS, discusses recent trends in aesthetics. Q: What is aesthetics in dentistry? A: Aesthetics can be defined as a branch of philosophy dealing with the nature of art, beauty, and taste, with the creation and appreciation of beauty. For many years, aesthetics in dentistry dealt solely with the shape and form of restorative materials, recreating nature's blueprint of the posterior occlusal surface in dental restorations. The evolution of porcelain bonded to metal substructures gave the dentist a full coverage restoration that could further add aesthetic value by mimicking the color of natural teeth. Partial coverage…

6. Page 18

   Dentistry Today.com Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! Stay tuned for... LIVE ONLINE BLOG Chicago Dental Society 148th MIDWINTER MEETING February 21-23, 2013 Interactive Coverage •Live video product demonstrations •Product releases •Announcements •Insight from clinicians on products •Interviews with manufacturers DENTISTRY TODAY For more information and to view the blog, visit live-blog Technique of the Week Direct Composite for Rehabilitation Jose Luis Ruiz, DDS, from Burbank, Calif, demonstrates a technique that allows you to expand the use of direct composite to stabilize and even rehabilitate cases with severe wear…

7. Page 20

   From the October 2012 Issue LED OPERATORY LIGHT A-dec The award-winning A-dec LED dental light gives you outstanding illuminance, maneuverability, and low cost of ownership. You can reduce shadowing and improve contrast and eye strain. You can also see colors accurately for optimal tissue diagnosis. With it, you can illuminate without curing at a cure safe mode of 15,000 lux. For more information, call (800) 547-1883 or visit a-dec.com/led. FREEinfo, GINGIVAL RETRACTION PASTE Centrix Access Edge, a clay based gingival retraction paste packaged in convenient unit-dose syringe tips, eliminates the need for cord packing. The procedure is simple: just inject…

8. Page 21

   The Foramatron Apex Locator New! New easier-to-read design, same reliable results and still less expensive than the competition! ONLY $599.00 Side view • Ergonomic, Aseptic Design • LED illuminated display for easy viewing • Reliable results even in the presence of all types of fluids • Visual and audible file position indicators • Uses a replaceable, inexpensive 9-Volt battery In true Parkell fashion, once again we've found a way to update our Foramatron® Apex Locator and still keep it priced well below our competition! The NEW Foramatron not only features a new sleek design, but a design that is conducive…

9. Page 22

   Ivoclar Vivadent Indicated for all restorative materials, Ivoclear cleaning paste effectively cleans the bonding surfaces of prosthetic restorations after intraoral tryin and thus creates the optimal prerequisite sites for the adhesive luting procedure. For more information, call (800) 533-6825. FREEinfo, FLEXIBLE PARTIALS Keller Labs DuraFlex Flexible Partials are made with a state-of-the-art material that is easier to adjust than most flexible material. DuraFlex won't absorb stains and odor, and it is clinically unbreakable for easy insertion. It is offered in 2 neutral acrylic shades, and is translucent enough that it will virtually disappear in the patient's mouth. For more information,…

10. Page 24

    To assist practitioners in their selection of essential dental products, Dentistry Today presents items reviewed by THE DENTAL ADVISOR, based in Ann Arbor, Mich, has provided dental professionals worldwide with objective, accurate performing of materials and equipment based on clinical and laboratory research. For more information, visit dentaladvisor.com NeoBurr ++++½ CoForm ++++ Microcopy | (800) 235-1863 | neodiamond.com Directa Dental | (800) 284-3368 | directadental.com Consultants' Comments Consultants' Comments • "Presterilized burs make a lot of sense." • "Cuts well after repeated uses and sterilization cycles." • "Cold color is easy to identify." • "The needle shape is great for…

11. Page 25

    ADVISOR's staff of editors and consultants. Established in information using in vivo and in vitro results on the or call (800) 347-1330. MiniBlaster ++++ Johnson-Promident | (845) 589-0210 johnsonpromident.com Consultants' Comments • "Ergonomic and lightweight." • "Works well, and the abrasive powder does the job adequately." • "Small instrument; easy to hold and manipulate for intraoral use." • "Be aware that it will create overspray in the operatory." • "I would like a connector that lets me move this from my dental unit to the lab." • "Does not have enough force to remove all cement from crowns." Description MiniBlaster,…

12. Page 26

    Spotlight Single-Tooth Anesthesia System Facilitates Administration of Injections, Reduces Patient Anxiety WOODINVILLE, Wash.–Ideal for pediatric, endo, implant, oral surgery, and general dentistry, the Wand STA (Single-Tooth Anesthesia) All-Injection System allows clinicians to gently, precisely, and quickly administer dental injections (PDL, block, palatal, etc) without the anxiety of traditional syringes. Single-tooth injections eliminate numbness of the cheek, lips, or tongue for a more pleasant experience during and after procedures, and the immediate onset of profound anesthesia means no waiting time. Doctors can perform bilateral dentistry during a single visit. Featuring a dosimeter and depth guide, the Wand STA provides real-time audio/visual…

13. Page 28

    Spotlight New Curing Light Defines Performance Without Compromise CUYAHOGA FALLS, Ohio–Defining performance without compromise, the new Coltène S.P.E.C. 3 curing light effectively reduces chair time due to its rapid and deep polymerization of various light-cured materials. Its sealed aluminum body ensures quick and easy disinfection between patients, and its powerful lithium-polymer battery offers enough storage capacity to perform more than 300 ten-second cures between charges. Additionally, the S.P.E.C. 3 features multicuring modes for maximum functionality in any clinical situation. For more information, visit spec3.com or contact your authorized Coltène dental supply distributor. FREEinfo, Dental Software Upgrade Emphasizes Efficiencies in Insurance…

14. Page 29

    New Endodontic File Line Introduced RAPID CITY, SD - MounceEndo is now marketing American-made NiTi endodontic files in both a controlled memory (CM) and standard NiTi (SNT) variety, branded as the MounceFile CM and the MounceFile SNT, respectively. The MounceFile line offers an extensive array of tapers, tip sizes, and pack assortments, and by reducing overhead and selling in bulk, MounceEndo offers significant cost savings over existing clinical supply sources. MounceEndo is also an authorized dealer for Mani Dental Products of Japan, which offers premium-quality stainless steel hand files and burs, and W&H of Austria, which offers reciprocating handpiece attachments.…

15. Page 30

    ADVERTISING SUPPLEMENT QUICK TECHNIQUE BISCO's Duo-Link Universal Resin Luting Cement Adhesive Cementation of Zirconia-Based Ceramics Patient demand for better aesthetics has increased recently. As a result, there has been a surge in the use of all ceramic materials due to their nonmetallic high biocompatibility and improved aesthetic qualities. Unlike metal, ceramic materials do not exhibit significant deformation before failure. Therefore, they are brittle and have limited tensile strength. They are exceptionally strong under compression. For simplicity, ceramics can be placed into 2 groups based upon composition: (1) silica-based ceramics (eg, lithium disilicate, leucite, and feldspathic) or (2) oxide-based ceramics (eg,…

16. Page 31

    plane and upright the maxillary central incisors. Once the relationship of the anterior teeth was satisfactory, the maxillary anterior teeth were prepared for zirconia-supported all-ceramic crowns. A self-etch resin cement system (Duo-Link Universal) was selected because the preparations were retentive, and a majority of the dental substrate was comprised of dentin (Figure 2). Zirconia use for dental restorations is at an all-time high because of its high-strength capabilities and decreased cost compared to conventional metal-based restorations. Preparing the Ceramic Substrate After the patient approved the final restorations, the intaglio surfaces of the ceramic units were sandblasted with 50 µm aluminum…

17. Page 32

    Spotlight Affordable New Apex Locator Performs at the Highest Level of Precision and Accuracy EDGEWOOD, NY-Parkell's new Foramtron Apex Locator, priced at a fraction of the cost of other apex locators, not only features a sleek, new design but also performs at the highest level of precision and accuracy that clinicians expect from an apex locator. Its brightly illuminated display is angled for easy chairside viewing, and in addition to visual indicators, it also has audible file position indicators. Its sturdy, molded case allows easy wipe down with most antibacterial wipes for keeping asepsis, and its small footprint does not…

18. Page 34

    Give us 10 minutes, and we'll save you up to 50% (800) 474-7665 www.exactadental.com/10min FREEinfo, on card Digital Platform Changes Concept of Removable Dentistry SCOTTSDALE, Ariz.—Avadent ogy brings the precision, speed, and profitability of CAD/CAM process automation to removable dentistry. Developed by a team of digital dentistry leaders, it makes it possible for dentists to offer their patients a precise-fitting, aesthetic denture in as little as 1 appointments. AvaDent, whose name is derived from Avadent, meaning rebirth, and Dent, meaning dentition, allows dentists to offer digital denture based on accepted clinical protocols using standard clinical procedures, with no computer skills…

19. Page 36

    XL-Sized Veneers Added to Direct Composite Veneer System CUYAHOGA FALLS, Ohio—Coltène has added XL-sized veneers to its COMPONEER system, the dental profession's first direct composite veneering system. The XL sizes add a fourth maxillary size to the previously introduced small, medium, and large sizes. They are supplied in refill packs of 2 veneers in tooth sizes 6, 7, 8, 9, 10, and 11 or in a complete set of all 6 maxillary sizes. A new COLTÈNE PIONEERR COLOR GUIDE is also available to make size selection easy. Despite the larger size, COMPONEER XL veneers priced the same as existing refills…

20. Page 37

    Intraoral Protective Barrier Offered FAIR LAWN, NJ–MIS Implants' PerioPatch intraoral barrier adheres to alveolar or mucosal tissue to protect localized areas as it absorbs wound and inflammatory exudates. By removing exudates, you are able to restore the proper environment, which promotes natural healing. PerioPatch can be used to protect the area from possible irritants and relieve the symptoms associated with ulcerations, trauma, removable appliance irritation, and inflammation. Each PerioPatch packet contains 6 patches for protection during the crucial early healing phase, allowing patients to function with greater comfort. For more information, call MIS Implants at (866) 797-1333 or visit the…

21. Page 39

    Cutters Feature Innovative Toothing for Optimal Operation ROCK HILL, SC–Komet USA's NEX tungsten carbide cutters provide maximum substance removal and virtually vibration free, smooth operation due to their innovative geometric toothing. Engineered for use on nonprecious metals and model cast alloys, the cutters are particularly suited for techniques requiring efficient substance removal, such as shape corrections and occlusal surface trimming. Additionally, they facilitate operation in interdenial and hard to access areas where working space is limited. Easily identified by their golden shanks, laser marks, and distinctive green rings, the cutters are gentle to the user's wrist, facilitating tactile, intuitive operation,…

22. Page 40

    Overdenture Implant System Features Narrow-Diameter Implants ESCONDIDO, Calif.-Introduced recently by Zest Anchors, the LOCATOR Overdenture Implant System (LODI) features narrow-diameter implants designed to work perfectly with the LOCATOR. LODI features a 2-piece coronal design not found with ball implants as the LOCATOR abutment is seated after implant placement, allowing for replacement if wear should occur throughout treatment. The LOCATOR attachment also incorporates a dramatically reduced vertical height compared to ball mini implants. For more information, call Zest Anchors at (800) 262-2310 or visit the Web site zestanchors.com. FREEinfo, All-Ceramic Crowns' Outstanding Marginal Fit, Strength, and Aesthetics Cited CLEARWATER, Fla.-Sun Dental…

23. Page 41

    Spotlight Complimentary iPad App Enhances Capabilities of Digital Pan/Ceph Imager CHARLOTTE, NC-MyRay, manufacturer of digital radiography equipment, now offers the Remote Panel iPad app for Hyperion, its digital pan/ceph unit that offers supreme image quality and proven ease of use. With the app, available as a free download from Apple's iTunes store via ipadapp.myrayamerica.com, dental practices can now connect Hyperion to their iPads via Wi-Fi. The app offers a pleasant graphic interface and lets Hyperion owners pilot their machine and enhance the acquired radiograph on their iPad. It allows users to browse and select one model and iPads with iOS…

24. Page 42

    NEWS/TRENDS Industry News Resin Infiltration CDT Code Gives Practices Additional Treatment/Billing Options DMG America issued a statement recently noting an ADA announcement that resin infiltration of incipient smooth surface lesions is now covered by a 2013 CDT code classification. DMG America, a resin infiltration technology that fills, reinforces, and stabilizes demineralized enamel for the purpose of arresting the progression of incipient carious lesions and removing cariogenic white spots. The official classification and resin modification as the application of a resin material engineered to penetrate and fill subsurface pore system of an incipient caries lesion to strengthen, stabilize, and limit the…

25. Page 44

    California Dental Association Names Pediatric Dentist New President The California Dental Association (CDA) announced recently that it has named Lindsey A. Robinson, a pediatric dentist based in Grass Valley, as its new president. A volunteer with the CDA since 2003, Dr. Robinson acknowledged during her speech to CDA delegates that there are many changes happening in dentistry, such as the implementation of the Affordable Care Act, diminishing government oral health programs, and changing national market trends that are influencing the way healthcare may be practiced in the future. She said the CDA has been and will continue to be at…

26. Page 48

    In First Impressions, George Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. Integrity Multi-Cure DENTSPLY Caulk Provisional restorations are invariably annoying; they are typically fabricated toward the end of a crown and bridge procedure when the practitioner is running late and eager to be done. Provisionals are, however, very important for the maintenance of maximal and occlusal dimensions, tissue protection and with vital teeth, the decrease of postoperative sensitivity. It is essential that the provisional restorations be easy to fabricate, to polish, and to cement. They must…

27. Page 49

    TMJ Quick Splint Migratherapy Many dental patients present with myofascial stress during mastication, clenching, and sleep. The practitioner often suspects that a splint appliance may be helpful for the condition, but the patient, for reasons financial or otherwise, is reluctant to purchase an expensive, custom-fabricated device. Other patients may be in severe discomfort and would prefer immediate, temporary relief. awaiting their lab-fabricated occlusal guard. Migratherapy's TMJ QuickSplint is an anterior bite plate appliance that covers the upper or lower teeth from bicuspid to bicuspid. The device has 3 components: a rigid plastic shell and a plant liner that customizes each…

28. Page 50

    Efficient, Accurate, and Affordable Digital Scanning By now, we have all heard about digital impression systems. In addition, we have been told about the benefits of greater accuracy, reduced retakes and remakes, and greater patient comfort. Some dentists have adopted these systems and are already realizing these benefits, but many are still waiting on the sidelines. What are dentists' reasons for waiting? For some, it's a hesitancy to be an early adopter and the risks in having to work through technology refinements. For others, it's the perception that their current impression-taking method is adequate enough to justify complacency. However, for…

29. Page 51

    passed, the technical aspects of digital scanners have improved and the costs have decreased. The latest digital impression systems are equipped with smaller wands and better displays, as well as more open connections to mills, dental laboratories, and milling materials. Most importantly, the cost has been lowered dramatically. This is best exemplified by the new scanner presented herein (True Definition Scanner), which is being marketed with a suggested retail price of $11,995 and monthly data plans starting at $99. This price reduction removes the significant financial barrier that has prevented many practices from adopting digital scanning technology. With that barrier…

30. Page 52

    Post Preparations: Clinical Solutions for Long-Term Success The long-term prognosis for the clinical survival of endodontically treated teeth is directly proportional to the preservation of dentin, with the potential for failure or fracture affected by the amount of dentin remaining.¹ The endodontic pendulum has swung to more conservation of dentin rather than over-flaring the access opening and over-instrumentation, which inevitably lead to structurally weakening the integrity of the tooth.² The removal of dentin at the radicular level³⁴ and/or removal of dentin at the coronal portion of the remaining tooth structure⁵⁶ changes the tooth's biomechanics, with the result that a highly…

31. Page 53

    erized tomographic analysis of premolars, Grande et al.15 found that "an ovoid anatomy was frequently present even in the most apical sections of the root canals." Another imaging technique to produce 3-D imaging to help interpret unusual canal morphology is the use of spiral computed tomography, which has also confirmed the significant irregularity that can be present in root canals.16 Using traditional rotary preparation techniques for prefabricated posts, such as the Gates Glidden type drills which were introduced in 1885,17 or ParaPost type drills, does not easily allow for a tooth conserving post hole preparation design in a prepared root…

32. Page 54

    Figure 7. Radiograph of failing root canal therapy and fiber post in a maxillary second premolar. Figure 8. Occlusal view upon removal of the fiber post, showing the amount of lateral gutta-percha that is routinely left with rotary instrumentation. Figure 9. Retreatment of the canal with gutta-percha. Figure 10. The ovoid canal prepared with the Ellipson Diamond Point. Figure 11. An ovoid Ellipson Fiber Post (RTD, CLINICIAN'S CHOICE) in place. The width of the canal requires additional fiber post placement. Figure 12. One accessory fiber post of try-in of 2 to be placed in order to minimize the C-factor and…

33. Page 55

    ENDODONTICS ence of an excessive amount of cement, especially at the coronal level, and a thin and uniform cement layer between the post and canal walls can only be achieved with good filling of the post with knowledge of the anatomy which is a decisive factor during fiber post luting procedures.11 It has also been shown that polymerization shrinkage stress is higher with resins containing a higher percentage of filler than those with a low percentage of filler than those with a low percentage of filler.15 How do we address this conundrum clinically? How do we ensure minimal removal of…

34. Page 58

    Test 157 Expiration date of this CE article is January 1, 2016. To submit Continuing Education (CE) answers, use the answer sheet on page 59. Circle the letter corresponding to the answer you believe is correct, detach the answer sheet from the magazine, and mail to Dentistry Today Department of Continuing Education. Or, use our easy online option at dentalcetoday.com. This article is available for 2 hours of CE credit. The following 16 questions were derived from the article Post Preparations: Clinical Solutions for Long-Term Success by Leendert Boksman, DDS, BSc, et al on pages 52 to 57. Learning Objectives…

35. Page 61

    Company Focus 2013 With Benco Dental's CenterPoint Experience, the Choice Is Yours Attend trade shows. Visit a manufacturer's showroom. Read reviews. Get recommendations from colleagues. This is how dentists have traditionally chosen equipment for their practices. But you aren't practicing dentistry the same way you would have 20 years ago, so why are you buying equipment the old way? Benco Dental has revolutionized the way dentists purchase equipment by creating The CenterPoint Experience. The concept is simple: bring together the most trusted equipment lines, side by side, under one roof, creating an unparalleled purchasing experience. The CenterPoint Experience is based…

36. Page 67

    . 1 or 89 2013 EQUIPMENT BUYERS' GUIDE 67 ABRASION (HYDRO) Danville Materials The PopStart is the world's leader in air abrasion. The new H2O Propstart sprays a coat of water surrounding the abrasive stream, capture away from the dust. The water tank is removable for easy filling. It's available as a complete or as an easy retrofit accessory for all existing Popstarts. For more information, call (800) 827-7940 or visit danvillematerials.com. FREEinfo, Velopex International An ideal tool for minimally invasive cosmetic dentistry, Velopex International's Aquacut Quattro is less and drill-free. With no direct contact to the tooth, it produces…

37. Page 68

    68 2013 EQUIPMENT BUYERS' GUIDE . 1 or 89 Midmark The PowerAir Oil-Less Dental Air Compressors bring together the best features and most proven odorless compressor head technologies into one powerful offering. The compressors satisfy the high standards demanded by today's dental professionals, providing superior features such as profession-leading performance and operation. For more information, call (800) MIDMARK or visit the Web site midmark.com. FREEinfo, HealthFirst Keep your dental practice free from the charging mercury into the water supply with a Rebec quick-fill amalgam separator. This turnkey solution is easy to install and maintain, and includes an optional collection units…

38. Page 70

    70 2013 EQUIPMENT BUYERS' GUIDE . 1 or 89 continued from page 68 Kerr A fully computerized and programmable analgamator, OptiMix is designed to ensure perfect mix-to-mix consistency and performance. You can use the OptiMix with capsules from Kerr, Vivadent, Trin Trin EC, Contour, and Sybralooy—for a perfect match. For more information, call (877) 878-123 or visit kerrdental.com. FREEinfo, SDI (North America) Offered with a 5-year warranty, the Ultramat 2 amalgamator is robust and reliable. It features a zero to 16-second micro-program and a finger-touch-controlled oscillator timer, which provides consistent and accurate trituration, ensuring the optimal handling and clinical characteristics…

39. Page 72

    72 2013 EQUIPMENT BUYERS' GUIDE . 1 or 89 continued from page 70 Medidenta The Apex NRG XFR, one of the world's smallest apex locators, features DSP Accurate to 0.1 mm. It automatically adjusts for all canal fluids or metal contact. It has a 50-month warranty. For more information call (800) 221-0750 or visit medidenta.com. FREEinfo, Meta Biomed Performing the best accuracy in any root canal condition (dry, bleeding, wet, saline, EDTA, sodium hypochlorite), this unit is an apex locator by dual-frequency type. It can measure the apical constriction exactly without measurement and is developed and upgraded based on the…

40. Page 74

    74 2013 EQUIPMENT BUYERS' GUIDE . 1 or 89 continued from page 72 Woodway Manufacturing New for 2013 is Woodway's In-Wall System Cabinetry. When operatory space is an issue, In-Wall Systems are the perfect solution, using one third less space than traditional cabinetry. In-Wall Systems give you more room to work and plenty of storage. They are the perfect solution for 8-foot-wide operatories. For more information, call (888) 368-4770 or visit woodwaysdental.com. FREEinfo, CAD/CAM (CHAIRSIDE) 3M ESPE The 3M True Definition Scanner provides predictable clinical outcomes with powerful tools that create a better patient experience and improved productivity. The scanner…

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