Dentistry Today — April 2011

Inside this issue

Excerpts from the issue. Open the digital edition to read any page in full.

1. Page 14

   It's Spring! Time to Smell the Roses! It is with great pleasure and honor that we are given the opportunity to review and consider so many articles for our publication. All submitted by caring and dedicated professionals who are willing to share a small slice of their experience and knowledge. As I edited our cover featured article this past month on Gligaresh implementation by Dr. John West, a few thoughts came to mind that I would like to share with you. In my opinion, Dr. West brings the same passion and dedication for teaching to his writing that many have…

2. Page 16

   Training GPs to Perform Pediatric Sedation Dentistry GROWING NUMBER OF PEDIATRIC PATIENTS IN NEED Alarming statistics make it apparent that there is a significant workforce issue in our profession for treating children who need dental care. This is especially true for children with unmanageable behavior issues. The population of children younger than age 18 years is rapidly catching up with the fastest growing segment of our population—the "baby boomer" segment. Just a few decades ago, this segment propelled the dental care profession to significantly increase treatments such as cosmetic dentistry, implants, adult orthodontics, and nonsurgical periodontal therapy (to name just…

3. Page 18

   continued from page 16 practicing in more rural and certain suburban areas where competition is less severe and, consequently, practicing where there are more children in their patient mix. However, since the existing pediatric specialists have traditionally been concentrated in larger metropolitan areas, these general dentists in the rural or suburban areas often do not have the benefit of being able to refer their patients to a specialist within close geographic proximity. Conversely, in younger general dentists stay within the larger metropolitan areas, competition and sheer financial survival often compel these new practitioners to accept not only children, but even…

4. Page 20

   Dentistry Today.com Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! 2011 iPad SWEEPSTAKES CONGRATULATIONS TO THE WINNER Technique of the Week: Restorative Ross W. Nash, DDS Charlotte, NC based Ross W. Nash, DDS, delivers an informative video of this posterior resin restorations case study from his operatory. The course, shot and rendered by HDpa.com, allows the dentist to observe the technique of removing infected amalgam restorations and restoring the areas in a minimally invasive environment. Patient comfort and post case overview are covered as well. In this 4 part series, Dr.…

5. Page 21

   One. & Done. One shade. One solution. Before [Image shows tooth before restoration] After Photo unreetouched [Image shows tooth after restoration] Nuance Universal Composite Nuance is the composite material you can rely on everyday for beautiful, strong restorations you can do quickly and get great, natural-looking results. In the past, natural looking meant multi-hour restorative work, with multiple layers, multiple colors, and a lot of patience. Nuance gives you the ability with a single shade, to do restorations that live up to your standards, and meet your patients' needs. "I have been using Nuance for several months now and been…

6. Page 22

   From the January 2011 Issue TAKE-HOME HYGIENE LINE Ultradent Products The ultimate defense against cavities, the Xyshield product line is the perfect addition to patients' take-home hygiene regimen. The line consists of sugar-free mints, mouthrinse, and toothpaste, each containing high levels of xylitol, an all-natural sweetener that helps to shield teeth from cavity-causing bacteria. Studies demonstrate that chewing 6 to 10 g of xylitol per day may reduce the risk of tooth decay. For more information, call (800) 552-5212. FREEinfo, 3-IN-1 POLISHING STRIPS KOMET USA By performing the work of 3 traditional polishing strips, the Composite Polishing Strips, which feature…

7. Page 24

   Aurelia Transform nitrile exam gloves will transform the way you feel about nitrile. Aurelia has transformed the gloves into two or even a lightweight nitrile that is durable, sleek, and offers a superior grip. Packaged with 200 gloves per box, making it eco-friendly packaging, this transformation offers users the next generation of nitrile gloves that feels as great as latex gloves. For more information, call (877) 287-3542. FREEinfo, PRODUCT CATALOG Medidenta Medidenta's 2011 product catalog is now available. This year marks the 67th anniversary of Medidenta's establishment. Since 1944, it has focused its business operations on making dentistry innovative, efficient,…

8. Page 26

   CLINICAL REVIEWS THE DENTAL ADVISOR To assist practitioners in their selection of essential dental products, Dentistry Today presents items reviewed by THE DENTAL ADVISOR's staff of authors and consultants. Established in 1984, THE DENTAL ADVISOR, based in Ann Arbor, Mich, has provided dental professionals worldwide with objective, accurate information using in vivo and in vitro results on the performance of materials and equipment based on clinical and laboratory research. For more information, visit dentaladvisor.com or call (800) 347-1330. Amaris Gingiva ++++ 2pro Total Access Disposable Prophy Angles ++++1/2 VOCO America | (888) 658-2584 | vocoeamerica.com Premier Dental Products | (888)…

9. Page 28

   Spotlight New Desktop Soft-Tissue Diode Laser Combines High-End Features, Quality, and Affordability CULVER CITY, Calif - Discus Dental's new SL3 is the only desktop diode laser on the market that offers multiple high end features at an entry level price. Engineered by the same innovators of the award-winning NV Microlaser, it delivers a robust feature set, advanced portability and convenience, and an 8 CE credit laser certification course at no additional cost, making it an unparalleled value. Among the SL3's features are the following: (1) disposable fiber tips that eliminate the need to strip and score fiber before each use,…

10. Page 30

    The results are in: Vista offers innovative products, trusted value and GREAT prices! Why pay more? For your Endo supplies... NEW! Precision Irrigator™ A "must" for microendodontic / restorative procedures Our unbreakable / autoclavable Precision Irrigator™ fits most syringes and allows for precise "air-only" cannula placement. Available in all luer lock style needle tips. Available in Standard (2") and XL (3.5") lengths. Low price: $75 ea. 49% savings over list! VPro™ CanalClean™ Irrigation Kit multiple patents pending The BEST approach to cleaning canals – No Mess, Less Time! Perfect for busy practitioners doing endodontic procedures! Optimize the time spent on…

11. Page 31

    Free-Motion Elbow Support System Designed to Reduce Muscular Tension and Fatigue MALVERN, Pa. Designed to reduce muscular tension and fatigue, DentalEZ Group's new Free-Motion Elbow Support System features a free-moving, height-adjustable elbow supports that follow the dental professional's every movement without interfering with dental procedures while providing complete support and stability of the neck, back, arm, and shoulder muscles. It is compatible with all Dental EZ dental stools or any stool available on the market and is easily fastened to the stool cylinder. The system features a high strength design with bow rests to glide horizontal solid steel components, and…

12. Page 32

    Upgradable 2-D/3-D Imaging System Meets Modern Dental Practices' Demanding Digital Radiography Needs SECAUCUS, NJ - Vatech America's PaX Flex 2-D/3-D Imaging System, which recently received FDA approval and is now being sold through authorized dealers, is a highly versatile, field-upgradable x-ray system that meets the demanding digital radiography needs of the modern dental practice. It is a single-platform system capable of possessing multiple modalities, and it can be customized and upgraded before and after initial purchase. Compact and light weight, the PaX Flex features auto-focus technology to produce optimal digital diagnostic images using Vatech's proprietary Adaptive Layer Mode Panoramic Tomography.…

13. Page 33

    Light Represents the Next Generation in Premium Curing Light Technology ORANGE, Calif.—Kerr's Demi Plus LED Light Curing System represents the next generation in premium curing light technology and features a number of design enhancements. Powered by Denmatology, it holds the industry's first self-cleaning "cap and swipe" battery design. which simplifies charging, and its exterior is composed of Volux resin, a high-performance plastic that is lightweight yet highly durable. Additional enhancements include an extended turbo light guide that improves access for posterior procedures and a 3-year warranty. In addition to these enhancements, the Demi Plus maintains the same features as previous…

14. Page 34

    Spotlight New Universal Nanohybrid Composite Hailed as Being the Most Tooth-Like Composite Ever Developed BRIARCLIFF MANOR, NY - After 7 years of development, VOCO introduces GrandioSO, a substrate-optimized universal nanohybrid composite that offers a unique combination of superior handling, aesthetics, and physical properties that make it the most tooth like composite ever developed. GrandioSO achieves a remarkably low shrink age rate of 1.6% through its innovative nanosilicon technology. In composite materials, polymerization shrinkage occurs only in the resin matrix. Therefore, the greater the percentage of filler in the composite, the more shrinkage is reduced. The best that most universal restoratives…

15. Page 36

    Full-Contour Zirconia Offered for Posterior Crowns and Three-Unit Bridges ATLANTA When a full cast restoration or metal occlusion is ideal but not desired if the patient has fractured prior PFM crowns, prescribe a zirconia crown or a unit bridge, milled to full contour using CAD-CAM technology. Global Dental Solutions' solid zirconia has a 1,300 Vickers hardness. Requiring a minimum occlusal clearance of 0.5 mm and indicated for any margin preparation, it is the ideal solution when the patient does not want metal to show. New Global Dental Solutions uses a translucent material to guarantee the most optimal aesthetics from a…

16. Page 37

    Energy-Efficient Operatory Light Offered MALVERN, Pa DentalEZ Group offers an alternative to halogen based operatory lights, the everlight LED operatory light, which provides color corrected light ing, precise light pattern, and energy efficient features that are simply not possible using traditiongl halogen lighting. The everlight encompasses a life of 30,000 plus hours, 10 times longer than halogen, reducing the need for the regular replacement of light bulbs. Users will realize substantial savings on monthly energy expenses since it uses less than 35W of energy, 70% less than halogen based light ing systems. No reflector or fan is required for the…

17. Page 38

    Bone Graft Material Offered SPRINGFIELD, NJ Offered by Orthogen, DentoGen bone graft material is approved for use as a bone graft by itself, in combination with other bone graft materials, and as a barrier membrane. It is completely synthetic, biocompatible, biode gradable, osteoconductive, safe, and nontoxic. Upon implantation in the body, it forms an osseoconductive lattice of biologic apatite that stimulates bone growth into the defect. It is also the only bone graft material that possesses hemostatic, angiogenic, and barrier membrane properties. Made of medical grade calcium sulfate hemihydrate, DentoGen is packaged in one g cups and comes with regular…

18. Page 40

    Micro-Apical Placement System Offered TULSA, Okla.–Offered by DENTSPLY Tulsa Dental Specialties, the MAP (Micro-Apical Placement) system is a placement device for repair and retreatment materials, including amalgam, MTA, and calcium hydroxide. It is available in system options with varying tips to meet clinicians' needs. The Intro kit is designed for ortograde and retrograde obturation of anterior and posterior teeth and includes 2 hooked and 2 curved tips. The Introkit, for orthograde and retrograde obturation of anterior and posterior teeth, includes 4 triple-angled and 2 curved tips. The Surgical kit is designed for retrograde obturation of anterior and posterior teeth and…

19. Page 42

    New Generator Delivers More Power, Smoother Operation OCEANSIDE, NY - With more power and smoother operation than previous Radiolase machines, Ellman International's new Radiolase 3 generator enables dentists and oral surgeons to cut and coagulate soft tissues with extreme precision and provide their patients with excellent cosmetic results, minimal scarring, and reduced postoperative discomfort. Operating at 4 MHz, the Radiolase 3 minimizes heat dissipation and cellular alteration and lets users operate in either monopolar or bipolar mode for more information, contact Scott Berger at sberg@ellman.com, call Ellman International at (800) 835 5355, or visit ellman.com. FREEinfo, Get your FREE dental…

20. Page 43

    Implant's Initial Stability Facilitates Early Loading FAIRLESS HILLS, Pa — Offered by Hiossen, the HGIII fixture is regarded as the present and future of dental implants. Its enhanced initial stability yields optimal conditions for immediate and early loading, and its dual thread design dis tributes stress on the bone evenly, delivers smooth inser tion, and allows for easy path correction. Integrated plat form switching of the HGIII creates an environment of minimal bone loss and a wide range of aesthetic options. For more information, call Hiossen at (888) 678-0007 or visit hiossen.com. FREEinfo, New Optimized Shade Offerings Allow for More…

21. Page 44

    Cordless Heat Source's Precision and Safety Cited SAVANNAH, Ga - Offered by Brasseler USA, the EndoPro270 is the most advanced powered heat source on the market. Utilizing ergonomic design and the newest in cordless heating technology, it delivers unprecedented precision and safety. A sophisticated yet simple device, it can improve the quality and efficiency of your obturation and post placement. For more information or to order, call Brasseler USA at (800) 841-4522 or visit brasselerusa.com. In Canada, call (800) 665-1838. FREEinfo, Introducing Alpen Polishers, Completing Our Rotary Family Provides a smoother polishing experience • An ideal offering of Silicone and…

22. Page 45

    Multilingual Version of Cosmetic Simulator Now Available LARGO, Fla— Boost cosmetic revenue with the SNAP Cosmetic Simulator, now available in an all-new universal language version. Most English words in the program have been replaced with pictures, icons, and short videos. Both English and non-English speaking users will now be able to easily create realistic before-and-after cosmetic simulation photos in less than a minute. Patients can then take the photos home to show their spouse, family, and friends. For more information, call SNAP Instant Dental Imaging at (866) 887-7627 or visit snapdental.com. FREEinfo, Lotion Nourishes and Moisturizes Hands LANCASTER, Pa— Septodont's…

23. Page 46

    New Peroxide Technology Yields Deep Bleaching Results in Half the Time With Lower Costs RANCHO SANTA MARGARITA, Calif. Evolve Dental Technologies' new Dual Accelerated, Tri Barrel Hydride Peroxide technology results in a reduction of in-office whitening time by 50% and significantly lower costs to dental practices, yet it provides the same intense whitening results. Evolve's KoR Whitening Deep Bleaching System is the first teeth whitening system to utilize this tri barrel design, which keeps the whitening gel chemistry separated into 3 barrels. Some of the benefits resulting from this new technology and constant refrigeration (Evolve refrigerates its full line of…

24. Page 47

    DentalVibe and the Comfortable Delivery of Anesthetics Occasionally something innovative catches my eye, something that really spikes my interest, something I feel will be a simple meat and potatoes addition to my practice. What I mean is, some thing that I can add to my every-day practice routine that is reasonably priced and will be a benefit to me and ultimately to my patients. In 2009, at the Greater New York Dental Meeting, I passed a booth introducing a new product, a vibrating dental wand to augment the dentist's injection technique. It wasn't ready for purchase then, but after hearing…

25. Page 48

    NEWS/TRENDS Industry News DentalEZ Group Acquires Trimira's Identafi 3000 Ultra DentalEZ Group and Trimira, a subsidiary of Remicalm, developer of biomedical and bio-optics technologies, announced recently the purchase by DentalEZ Group of Trimira's Identafi 3000 ultra, a diagnostic device used for the detection of oral pathologies, including oral cancer. Now to be marketed under the StarDental brand as Identafi, the device detects biochemical and morphological changes in the cells of the mouth, throat, tongue, and tonsils that may lead to oral cancer. It uses a 3-wavelength optical illumination and visualization system that allows dental professionals to identify oral mucosal abnormalities…

26. Page 49

    It's Not Your Everyday Handpiece...So You Should Use It Every Day. Introducing Disposable Power to Spare. Sometimes a product comes along that truly challenges how we as dentists think. Without question the Azenic DHP, disposable fiber optic handpiece, is one such product. This super lightweight, recyclable high-speed packs a mean punch with power and torque rivaling most traditional high-speed handpieces. You might not expect a device so weightless to perform as well as it does, but the DHP was put-to-the-test by our evaluators. Once they got past the initial "you've got to be kidding me" feeling, the group was pleasantly…

27. Page 50

    NEWS/TRENDS Industry News ADA Begins Offering Books on Mobile Reading Devices continued from page 48 Popular Titles Now Readable on Amazon's Kindle and Barnes and Noble's Nook Air Techniques Receives AGD PACE Accreditation Melville, NY-based Air Techniques, manufacturer of air compressors, vacuum systems, and imaging technology for dental practices, announced recently that it has received accreditation from the AGD as a PACE Provider. Which authorizes Air Techniques to organize, conduct, and award credits for continuing education courses for dental professionals. Commenting on the accreditation, Laura Walsh, Air Techniques' marketing manager, said, "We take great pride in the ability of our…

28. Page 51

    NEWS/TRENDS New Device Set to Combat Fear of the Dentist's Drill An innovative device that cancels out the noise of the dental drill could spell the end of people's anxiety about trips to the dentist, according to experts at King's College London, Brunel University, and London South Bank University, who pioneered the invention. The prototype device works in a similar way to noise cancelling headphones but is designed to deal with the very high pitch of the dental drill. Patients would plug the device into their MP3 player or mobile phone, then plug their headphones into the device, allowing them…

29. Page 52

    Acetaminophen Can Increase Blood Pressure Acetaminophen (Tylenol, generic) has long been promoted as a safer alternative to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs). Its ibuprofen (Advil, generic) for people with cardiovascular disease (CVD) who need pain relief. A small but important Swiss trial warns that this may not be correct, reports the February issue of the Harvard Heart Letter. These new results do not mean a person should ditch acetaminophen if it helps them, but they do suggest caution should be exercised, as with every medication. In the trial, the Swiss researchers asked that the participating men and women with…

30. Page 53

    Pharmaceutical Solutions Dental pain can make anyone edgy With Articadent® DENTAL, everyone can sit back and relax NEW EVERYDAY $36.99 MSRP low price! 4% Articadent® DENTAL (articaine HCl 4% with epinephrine 1:100,000 injection) The confident choice for comfort Articadent® is indicated for local, infiltrative, or conductive anesthesia in both simple and complex dental procedures. Articadent® with epinephrine 1:100,000 is preferred during operative or surgical procedures when improved visualization of the surgical field is desirable. Reactions to Articadent® (pain and headache, for example, or convulsions or respiratory arrest following accidental intravascular injection) are characteristic of those associated with other amide-type local…

31. Page 54

    Smoking Early in Pregnancy Raises Risk of Heart Defects in Infants Cigarette smoking by expecting mothers during their first trimester was associated with a 20% to 70% greater likelihood that a baby would be born with certain types of congenital heart defects, according to a study by the Centers for Disease Control and Prevention (CDC). Congenital heart defects are the most common type of birth defects, contributing to approximately 30% of infant deaths from birth defects annually. The study found an association between tobacco exposure and certain types of defects such as those that obstruct the flow of blood from…

32. Page 55

    Pertussis: Updated Immunization Recommendations The best way for adolescents and adults to protect themselves and others against pertussis is to get the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine. The updated recommendations for use of the Tdap vaccine have been issued from the Advisory Committee on Immunization Practices (ACIP) of the US Centers for Disease Control and Prevention (CDC). To boost their immunity to pertussis, all adolescents and adults are now recommended to receive a one-time dose of Tdap vaccine. In October 2010, ACIP recommended the following: a repeat dose of the Tdap vaccine: (1) Tdap may…

33. Page 56

    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. Biodentine Septodont Dentin can be damaged in the crown (caries, exposure) or in the root (perforation, internal or external resorption, pulpotomy, and apical surgery). A wide variety of materials are used to treat these conditions; the practitioner must in turn, have all these materials readily available in the practice. Septodont's Biodentine is the first bioactive material that can fully replace dentin, both coronally and radiculary. This dentin substitute, totally biocompatible with pulp tissues, is indicated…

34. Page 58

    GC Fuji TEMP LT GC America Provisional cement must be strong enough to last until the definitive restoration returns from the laboratory; it must be weak enough to allow the provisional restoration to be removed without any risk of damaging the abutment. It must attach securely to the remaining tooth structures or restorative materials yet are readily and completely removable for final cementation. It must set quickly yet clean up easily. GC Fuji TEMP LT from GC America is a new provisional cement indicated for all ceramic, resin, and metal based crowns and bridges as well as implant restorations. It…

35. Page 61

    Cervical Dentin Hypersensitivity: Etiology, Diagnosis, and Management Douglas A. Terry, DDS Cervical dentin hypersensitivity (CDHD) is a common clinical condition that has been reported to annoy and affect 15% to 20% of the adult population, and most clinical practitioners.1 Approximately 40 million adults in North America may have some degree of dentin hypersensitivity at some time in their life, whereas in other areas of the world the prevalence may approach 50% of the population.2,3 Further, this incidence should continue to rise with the increase in life expectancy and patients retaining their natural dentitions longer. Thus, this clinical manifestation presents a…

36. Page 62

    ORAL MEDICINE position, most teeth have only the enamel exposed to the oral environment, and dentin that is protected by enamel or cementum is not sensitive. Cervical tooth sensitivity occurs when the enamel or cementum is removed and the underlying dentinal tubules are open and exposed to the oral environment.8 There are 2 phases in the development of CDH.9,23 First, "lesion localization" occurs by exposure of dentinal tubules from either gingival recession and loss of cementum or through loss of enamel from wear. Since all exposed dentin is not sensitive, this localized lesion requires the second phase. The second phase,…

37. Page 64

    Cervical Dentin Hypersensitivity... continued from page 62 these horizontal loading forces cause a microscopic flexing of the anatomical crown of the tooth. Subsequently, this physiologic bending generates a maximal strain in the cervical region of the tooth with resulting tensile stress concentrations in the cervical region on the side of the tooth from which the force is directed. At the same time, the opposite region of the tooth is under compressive stresses. When the direction of the force changes (ie, brushing), the tooth flexes in the opposite direction and the stresses correspondingly reverse at the cervical region.66,67 These cyclic tensile…

38. Page 69

    Love it, love it, can't live without it. Sam Hamam, DDS These are the best rings yet. They just kind of snuggle in and push the matrix tight with great contact. Easier to apply and will stay on for an MO on an upper premolar without sliding off the canine. Love them!! Twokidsnosleep on Dentaltown They'd have to cut my hands off to take my V3 Rings off me. Jon Swarbrigg, BDS I love it with no complaints. It is now my first and only choice. Gregory Strobel, DDS I have been practicing for 26 years and have tried all…

39. Page 70

    Test 136 Expiration date of this CE article is April 1, 2023. To submit Continuing Education answers, use the answer sheet on page 60. 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 Web site dentaltoday.com. This article is available for 2 hours of CE credit. The following 16 questions were derived from the article Cervical Dentin Hypersensitivity: Etiology, Diagnosis, and Management by Douglas A. Terry, DDS, on pages 61 through 68. Learning Objectives After…

40. Page 72

    Top 25 Endodontic Products . 1 Dentistry Today's First Annual Readers' Choice Top 25 Endodontic Products, selected on the basis of lead generation, represent some of the profession's most innovative endodontic products. The products appear in no particular order. DenMat The physical properties of Core-Post are matched with tooth structure and designed to flex with teeth under normal conditions. Ideal for single-tooth post restorations, it eliminates tooth stress and fractures that can occur with standard metal posts. Its modulus of elasticity is similar to dentin with physiochemical compatibility between post, cement, dentin, and core. In addition to exhibiting exceptional physical…

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