Dentistry Today — April 2013

Inside this issue

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

1. Page 8

   More Heart Needed? Once again, this April, we are reminded that it is Oral Cancer Awareness Month. The Oral Cancer Foundation (OCF) reports that public awareness of this devastating disease remains low despite all the efforts to get out the following facts: "Close to 43,000 Americans will be diagnosed with oral or pharyngeal cancer each year. It will account for some 8,000 deaths. Simply multiply 1 person per hour, 24 hours per day." At major dental meetings, it is interesting to observe the relative lack of activity at the booths promoting early cancer detection/screening, when compared to the excitement and…

2. Page 10

   Oropharyngeal Cancer: A Killer Among Us As I took my seat amidst my family, the chapel began to fill up very quickly. There was a faint playing of favorite songs accompanied by a slide show of treasured family times playing across a large screen. The balcony began to fill and even though there were more chairs being brought into this setting that had witnessed much happier times, there was standing room only. This was the day of the funeral for my cousin, Bonnie, who lost her life to human papillomavirus (HPV) oropharyngeal cancer. This was not supposed to happen. A…

3. Page 12

   VIEWPOINT continued from page 10 active, may be passed on with kissing. The virus may then lay hidden and dormant for many years. The HPV has accounted for a 225% increase in oropharyngeal cancer in 2008 to 2004.1 The same viral strain, HPV-16, that is responsible for 70% to 80% of all cervical cancers, is solely responsible for 85% to 95% of HPV-related oropharyngeal cancers.2 Data projections cite that the number of oropharyngeal cancers that are HPV-positive will surpass the annual number of cervical cancers by the year 2020.3 HPV-oropharyngeal cancer is currently rated the second most common HPV-associated cancer…

4. Page 14

   Below are Letters to the Editor that Dentistry Today received in response to the articles, "Fracture Resistant Endodontic and Restorative Preparations" by David Clark, DDS; John Khademi, DDS, MS; and Eric Herbranson, DDS, MS, which ran in February 2013, and "Getting the Right Shots! Tips and Tricks for Consistent Photographic Excellence" by Jason H. Goodchild, DMD, and Mark Donaldson, BSH, PharmD, which ran in March 2013. The articles are available on our Web site, . Dear Editor: I have read the article by Dr. Goodchild, et al in the March issue of Dentistry Today 3 times; really enjoyed how the…

5. Page 16

   LETTERS TO THE EDITOR continued from page 14 ment from the canal prehend it and then manually negotiate around any impediment that might be present. These are also safely used in a 30° reciprocating handpiece that oscillates between 1,000 and 4,000 cycles per minute providing rapid shaping, the elimination of hand fatigue while virtually doing away with instrument separation. The fact that the instruments are virtually invulnerable to breakage allows the thinnest instruments (an .06 mm tipped/.oz mm/mm tapered stainless steel reamer) to be used aggressively against all the walls of the canal rather than being limited to a centered…

6. Page 18

   LETTERS TO THE EDITOR continued from page 16 er at Dr. Heit that the newer SS White V-Taper instrument for essentially the same tip configuration. This is a significant and clinically important difference, especially in long roots. Eric Herbranson, DDS, MS San Leandro, Calif Dr. Clark responds: Dr. Marrone contends that round burs are a problem. Many entrenched endodontists cling to round burs for access with the "guns don't kill people, people kill people" argument. Fifteen plus years ago, along with Dr. Gary Carr and several others, I urged a lot of endodontists I told them they needed to use…

7. Page 22

   From the January 2013 Issue TEMPORARY C&B MATERIAL DENTSPLY Caulk Integrity Multi-Cure Temporary Crown and Bridge Material is a dual-cure 10:1 bis-acrylic material with improved flexural strength. It can be used as a self-cure material but additionally provides the option to eliminate wait time by light-curing each unit for 20 seconds. It offers the fastest cure-time range among leading competitors products. For more information, call (800) 532-2855 or visit integritymulticure.com. FREEinfo, BITE PLATE Migratherapy TMJ QuickSplint is an anterior bite plate appliance that covers the upper or lower teeth from bicuspid to the pid. The device has 2 components: a…

8. Page 24

   Ivoclar Vivadent With the introduction of the next generation of the Multilink Automix System for adhesive cementation techniques, the product range now includes a white shade, from pastes, and the new Bionic Liquid Strip. Additionally, the formula of the adhesive has been further enhanced to allow excess material to be even more easily removed. For more information, call (800) 533-6825. FREEinfo, FINISHING/POLISHING SYSTEM Komet USA The Duet FP One-plus-One Kit greatly simplifies finishing and polishing of composite restorations by pairing innovative instrument systems in a single kit. Komet's renowned Q-Finisher carbides and the new one-step light yellow polishers. Together, the…

9. Page 26

   FOCUS ON: Minimally Invasive Dentistry Robert C. Margeas, DDS, discusses the latest trends in minimally invasive dentistry. Q: What are your thoughts on no-prep veneers? A: Minimal to no-prep veneers have been around for almost 30 years. Historically speaking, these veneers were somewhat bulky without much characterization. Fractures were not an issue because adequate strength was obtained by bonding these restorations completely to enamel. However, the downside used to be aesthetics. Today, there are many clinicians offering minimal to no-prep veneers with much better aesthetics. For no-prep veneers to be aesthetic, case selection is very important. Another key factor for…

10. Page 28

    Spotlight Next-Generation Digital Pan/Ceph/3-D CBCT Imager Introduced CHARLOTTE, NC-Building on the success of its Hyperion X7 panoramic imager, My-Ray introduces its next generation digital pan/ceph/3-D CBCT scanner, Hyperion X9. True to MyRay's motto of "New Comfort in Digital Imaging," it is a modular system that meets practices' varying needs and comes with a wealth of smart features to benefit patients and users alike. Forty 2-D programs make the X9 the best answer to all diagnostic demands. From bite-wings, wide-focus panoramic, and volumetric tomography to multiple ceph, TMJ, and sinus projections, it continuously delivers supreme imaging. The X9's 3-D CBCT module…

11. Page 30

    Spotlight Modeling Instrument Designed for the Nonstick Placement of Composite Materials AMHERST, NY- Ivoclar Vivadent's OptraSculpt Pad modeling instrument features foam pad attachments designed for the nonstick placement of composite materials, allowing them to be placed and shaped with ease and efficiency. It is particularly well suited for the placement of Class III, IV, and V restorations and direct veneers. Utilizing OptraSculpt Pad, composite filling materials can be shaped and contoured without pull back or unwanted marks. Natural-looking results can be easily established in anterior and cervical restorations due to special pad attachments. Wraps are made of highly flexible synthetic…

12. Page 32

    Spotlight Single-Tooth Anesthesia System Facilitates Administration of Injections 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 anesthesia means no waiting time. Doctors can perform bilateral dentistry during a single visit. Featuring a dosimeter and depth guide, the Wand STA and replacement handpieces are made…

13. Page 33

    Versatile Imaging System Yields Crisp, Clean Images ORANGE, Calif.—Offered by Gendray America, the VOLUXz1 series comes with stunning panoramic x-ray plus high-definition CBCT, and you can add cephalometric x-ray. Using a CMOS high-definition sensor, you can take crisp, clean panoramic images as well as obtain all the information you need for any surgery in 3-D. Right at your fingertips. What makes VOLUXz1 a complete package is its warranty and coverage. It is backed by a 2-year full warranty with unlimited client licenses, a full-length software warranty, and lifetime software updates. It also features a small footprint designed to fit in…

14. Page 34

    THE DENTAL ADVISOR CLINICAL REVIEWS WAMkey ++++½ Golden Dental Solutions | (877) 987-2284 | goldendentalsolutions.com Consultants' Comments • "This product exceeded my expectations." • "Works well in most situations." • "A real time saver." • "Access window was very small and easy to repair if reusing the crown." • "Most crowns with ceramic veneers were damaged during removal." • "The long, straight shank makes access to some teeth difficult." • "One size smaller would be helpful." Description The WAMkey crown-and-bridge-removal instrument is designed to be faster than cutting and splitting the crown and safe for patients. After cutting only a…

15. Page 35

    It's Not Magic It Just Works Like It Integrity Multi•Cure ++++ DENTSPLY Caulk | (800) 532-2855 | caulk.com Consultants' Comments • "Strong material for bridges." • "I like the quick setting with the light cured option." • "Nice temporary material." • "Polishes to a smooth finish." • "Material is quite translucent." • "Sticks to core material." Description Integrity Multi-Cure temporary crown and bridge material is a dual cured bis-acryl material with increased strength intended for shortor long-term provisional restorations. It has a working time of 45 seconds and an initial setting time of 90 seconds after start of mix. After…

16. Page 36

    Spotlight New Cement Designed Specifically for Temporary Veneers SOUTH JORDAN, Utah–Ultradent Products' new ClearTemp LC is the only temporary cement on the market designed specifically for temporary veneers. Because of minimal surface area on a veneer prep, most temporary cements are unable to keep provisional veneers in place. ClearTemp LC is engineered with precisely the right strength to ensure that temporary veneers will not fall off between appointments. ClearTemp LC's light-cured resin formula is both strong and aesthetic, and its translucent shade won't show through temporary veneers, helping clinicians create a short-term smile their patients will be proud to reveal.…

17. Page 38

    Give us 10 minutes, and we'll save you up to 50% (800) 474-7665 www.exactadental.com/10min FREEinfo, on card Spotlight High-Speed Handpiece Incorporates Built-In Generator to Power Its LED TORONTO—Creating a new standard in handpiece illumination, the truly innovative design of the AirLight High Speed Handpiece incorporates a high-efficiency built-in micro generator to power its LED, eliminating the need of a fiber-optic system from your dental delivery unit. You simply attach the AirLight to any of your existing 4-, 5-, or 6-hole handpiece tubing, and you will get the brightest LED illumination, allowing you to have a clearer and wider illuminated operative…

18. Page 39

    Pin's Reliability and Ease of Insertion Cited MIAMI, Fla.- Offered by Fairfax Dental, the Stabilok Pin is designed to achieve 2 criteria: (1) self-shearing with maximum reliability and (2) insertion with maximum ease. A wide-pitch thread provides excellent retention for the pins, which are available in either the purest and most commercially available titanium or stainless steel. The pins and drills are dispensed from the box through apertures, which can be set to either open or closed. For more information, call Fairfax Dental at (800) 233-2305. FREEinfo, Drill Ideal for Canal Preps BURNABY, BC - Made from superior stainless steel…

19. Page 40

    Spotlight Implant Cement's Strong Retention And Easy Removability Cited AMHERST, NY—Ivoclar Vivadent's new resin cement, Telio CS Cem Implant, is indicated for the semi-permanent cementation of the following restorative materials on implant abutments made of titanium, gold, or zirconium oxide: (1) long-term provisionals that are metal-supported, such as Telio Lab, (2) long-term provisionals that are metal-free, such as Telio CAD, and (3) permanent crowns and bridges that are metal-supported or zirconium oxide-supported. Telio CS Cem Implant strikes a careful balance between retention and removability. The restoration will remain secure until removal is desired, and removal will be trouble-free. Designed for…

20. Page 42

    Spotlight Applicator Offers New Approach for the Application of Dental Liquids and Gels MADISON, Conn.–Precision-molded from medical-grade materials, Transcodent's APLIQUATOR, available in 2 sizes and 2 degrees of stiffness, offers a completely new approach for the application of dental liquids and gels. Since it's not made from fibers and glue, there is nothing to contaminate the restoration or bonding material. Its soft, pliable head contains capillary canals that pick up, hold, and release precise amounts of materials every time, and conforms to irregular and tight spots. For additional information, call Transcodent at (855) 210-2556 or visit the Web site applicuator.com.…

21. Page 43

    Microhybrid Composite Now Highly Radiopaque, Allowing for Easy Identification on Radiographs SCHAUMBURG, Ill.—BISCO Dental Products' legendary ÉLITEFLÔ LV light-cured, low-viscosity microhybrid composite has been reformulated and is now highly radiopaque, allowing for easy identification on radiographs. ÉLITEFLÔ LV's flow characteristics make it ideal for use as a dentin liner, for blocking undercuts, pit and fissure sealants, and preventative resin restorations, and its easy handling and low-viscosity flow allow for effortless adaptation to dentition. Additionally, it exhibits self-leveling properties, facilitating excellent adaptation to the preparation walls, avoiding air entrapment, and its microhybrid formula provides outstanding strength and high polish and gloss…

22. Page 44

    Matrix Systems Directa Dental The FenderMate flexible wing separates the teeth, pressing the matrix toward the cervical margin, avoiding overhang. Its optimal curvature and preshaped contact accommodate the most conservative Class II preparation; no ring is needed. With the facility to insert it lingually and/or buccally, the dentist can maintain a smaller, more conservative preparation, thus preserving healthy tooth structure and easily restoring a proper contact. For more information, call JS Dental Manufacturing at (800) 284-3508 or visit the Web sites jsdental.com or directadental.com. FREEinfo, Ultradent Products The key to the V3 sectional matrix system is the Ni-Ti V3 Ring,…

23. Page 45

    Caulk Palodent Plus offers wide applications for sectional matrix system use and consistently delivers predictable, accurate contacts. This new system includes a molar and premolar ring, 4 different-sized matrices, and new wedges and WedgeGuards. The rings offer consistent separation force and are made of NTI, which ensures they will last longer than traditional stainless steel rings. The tines on the rings help to provide excellent retention on the teeth, and the system seals the restoration to minimize the amount of finishing required. For more information, call (800) 532-2855 or visit palodentplus.com. FREEinfo, Danville Materials The Mega Ring system offers many…

24. Page 46

    PinkBand Dental Solutions PinkBand is an innovative, rubberized silicone coated dental matrix band with a European patent and a US patent pending. It was evaluated by 27 independent dental consultants who placed 497 composite restorations in patients and concluded there was significantly improved moisture control over standard and sectional matrix bands. The improved moisture control saves time, reduces recurrent decay, and improves bond strength of composite restorations. The bands are available in regular and ultrathin. For more information, call (800) 522-0800 or visit pinkband.org. FREEinfo, IMPROVED MOISTURE CONTROL. • RUBBERIZED SILICONE COATING TECHNOLOGY • DOES NOT CRUMPLE DURING PLACEMENT •…

25. Page 47

    NEWS/TRENDS Industry News Ivoclar Vivadent Launches Smile to the Max Patient Web Site Ivoclar Vivadent announced recently the launch of its new Web site, smiletothemax.com, which provides consumers with the information they need to understand information about IPS e.max, a leading dental free aesthetic dental cement. The site features 9 real-world men and women who transformed their smiles and lives with IPS e.max, and it also serves as a comprehensive resource for dentists, laboratories, and especially patients who are interested in improving their smiles. It shows today's dental consumers that it's never been easier to have the attractive and healthy…

26. Page 48

    NEWS/TRENDS FDA Issues Z-Pack Warning Popular Antibiotic Linked to Potentially Fatal Irregular Heartbeat The US FDA has issued a warning that the popular antibiotics called Z-Packs can cause a potentially fatal irregular heart rhythm in some patients. Formally known as azithromycin and sold as Zithromax, the antibiotics could potentially be causing an increase in cardiovascular death. A study in the New England Journal of Medicine last May compared the risk of cardiovascular death from different antibacterial drugs and found that the drug, which is made by Pfizer and is also sold by generic drugmakers, had a higher rate of death.…

27. Page 49

    NEWS/TRENDS In Praise of the Associate's Degree Two-Year College Program Grads Start Careers With Better Salaries Than Their Bachelor's Degree Counterparts CNN Money has cited research saying that 50% of people with associate's degrees are earning more money than those with bachelor's degrees, and their average starting pay is higher in many states. In Tennessee, for example, associate's degree grads edge out at a community college costs around $5,200, while a year at private school, according to CNN, costs about $15,900. According to CareerBuilder.com, with a 2-year community college degree, air traffic controllers can make $113,547, radiation therapists $76,627, According…

28. Page 52

    Accuracy of Technology for Placing Implants Tested Preoperative planning and positioning are essential steps to avoid complications when placing dental implants. A new study compares the results of technologies for locating and measuring the anterior loop of the mental nerve with actual anatomic measurements on human cadavers. A study reported in the Journal of Oral Implantology used 3 methods to measure the anterior loop of the mental nerve on 23 human cadavers—cone beam computed tomography (CBCT), a dimensional stereolithographic (STL) model, and anatomy. Failure to identify the anterior loop of the mental nerve can cause sensory disturbance, most notably numbness…

29. Page 55

    Prophylactic Antibiotics and Implant Surgery A prospective double-blind randomized controlled trial tested the effect of prophylactic antibiotics on postoperative morbidity and assimilation of dental implants. This study was conducted by Drs. Nolan et al of the Dublin Dental University Hospital and was first published on line in Clinical Oral Implant Research on February 13, 2013. The study concludes that the use of prophylactic antibiotics for dental implant surgery may be justified, as it appears to improve.... The trial involved 55 subjects scheduled for implant surgery. Patients were randomly assigned to the antibiotic (test group) and placebo (control group). The test…

30. 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. STATIM G4 SciCan The keys to effective dental sterilization include confidence, speed, instrument protection, and dependability. SciCan's STATIM G4 offers unprecedented ease of use and total operator control. It sterilizes instruments and handpieces for immediate reuse within 8 minutes, this effectively reducing the number of instrument kits that the dentist must stock for each operatory, significantly improving the bottom line. This rapid turnaround is possible because the STATIM G4 requires only a small quantity of…

31. Page 59

    Shield Force Plus Tokuyama Dental America Tooth sensitivity continues to be one of the major patient complaints presented in the practice. While there are many products that are offered to combat this common problem, not all are created equal. The dental team requires a desensitizer that is easy to apply, comfortable for the patient, and can be delivered quickly by the dentist or delegated to an auxiliary. Tokuyama's Shield Force Plus is a single-component, light-cured desensitizer, designed to infiltrate dentinal tubules and inhibit the flow of moisture through them. That can be used for both the active treatment of existing…

32. Page 60

    Top 25 Endodontic Products Dentistry Today's Third Annual Readers' Choice Top 25 Endodontics 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. Aseptico The AEU-7000E.70V provides the ultimate return on investment. A unique handpiece calibration system automatically detects the internal properties of individual reduction hand-pieces at the time of treatment, ensuring highly accurate speed and torque results. Existing handpieces can be used, resulting in improved piece ratios include 4:1 through 16:1 for endo, 1:5 and 1:2 increasers for restorative or surgical applications, 1:1 for polishing…

33. Page 62

    Top 25 Endodontic Products . 1 ACTEON North America The P5 XS LED provides the benefits of the powerful Newtron technology, which enables the electronics to adjust the amplitude of the single-plane oscillations of the tips just in five thanks to Cruise Control. This results in a smooth, constant, and powerful vibration and guaranteed efficiency and precision no matter the environment and/or treatment performed. It is equipped with an auto clavable LED light handpiece that produces a very strong light intensity (100,000 lux) and provides excellent visibility of the treatment area, even in posterior zones. The cold light generated by…

34. Page 64

    Top 25 Endodontic Products Vista Dental Products The piezo Pilot is a new generation of piezo scalers designed to meet the growing needs of the modern dental practice. Innovative features and state-of-the-art circuitry give the user a broad range of amplitude settings for high-end performance. It has worked well and costs a fraction of high-end piezo surgery units. The Pilot offers uncompromised power in a quiet, compact, and lightweight design. For convenience, a magnetic removable handpiece holder attaches securely to either side of the unit or to any magnetic surface. Available in 6 colors with matching autoclayable handpiece sleeves, the…

35. Page 66

    Top 25 Endodontic Products . 1 JS Dental Manufacturing Xtreme endodontic instruments are extremely flexible while and follow the canal with virtually no transportation, ledging, or perforation. The development of a controlled memory material has enabled JS Dental Manufacturing to make files that follow the canal like nothing else on the market and are also 300% less likely to separate. These files follow the path of least resistance, resulting in a perfectly enlarged canal, preserved tooth structure, and easier obturation. They also return to their original shape during autoclaving. The Xtreme instruments are available in K-File and turbo file configurations…

36. Page 67

    Bien-Air Dental Thanks to its high-precision piezo technology, the Powercare ultrasonic scaler emerges as the instrument of choice for the removal of deposits and supraginival and subgingival dental prophylaxis. It controls and automatically adjusts the power necessary for each operation, guaranteeing you optimal efficiency and your patients' enhanced comfort. For more information, call (800) 433-2436. FREEinfo, Dent Corp RomiApex A-15 is a portable, microcomputer controlled apex locator that is a modern device engineered for precise apex localization during all conditions of root canal treatment. It has proven precision measurements to 0.25 mm in all conditions. The portable unit provides graphic…

37. Page 68

    68 . 1 READERS' CHOICE Top 25 Endodontic Products DiaDent Dia Gun is a cordless obturation device that offers fast and precise backfill obturation delivery. It features a compact and lightweight design and a 360° thin swivel needle, allowing improved access, great maneuverability, and excellent tactile feedback. It comes with 2 types of disposable tips (Z3G or Z5G). The tips can be bent to the desired shape and angle using the multipurpose wrench provided. Dia Gun has 3 variable temperature settings (160°C, 180°C, and 200°C) to ensure precise control of obturation flow. The temperature reaches 200°C within 25 seconds to…

38. Page 69

    Jordco The e-Dx is the next generation in endodontic diagnostic instruments. This unique hand instrument can easily cold-test and fracture-test teeth. Using a special open cell foam insert, the e-Dx stores dental coolants longer, enabling a doctor to easily cold-test multiple teeth. The detachable foam-angled pliers are designed to securely hold the foam insert and reach posterior teeth to provide improved visibility during cold testing. The built-in fractester can be placed onto a tooth cup or other suspected areas to help detect fractures. For more information, call (800) 752-2812 or visit jordco.com. FREEinfo, DentalVibe As an endodontist, making a positive…

39. Page 70

    Top 25 Endodontic Products Obtura Spartan The Obtura III Max is a gutta-percha delivery system for obturation during root canal treatment. This system was designed with both the clinician's and patient's needs and safety in mind. It provides efficient and effective results by rapidly filling difficult root canal systems and ensuring a complete 3 D seal. The enhanced thermal protector reduces heat around contact surfaces and protects the patient by driving warm air away from the tip of the unit while bringing in cool air. The cartridge-free operation eliminates mid-procedure hassles for the clinician, reducing the time required for each…

40. Page 71

    Endodontic Products Top 25 Filhol Dental The FILPIN PIN BENDER is the ideal accessory to the FILPIN restoration retention system, engineered to enhance the retention of all types of restoration to dentin. After inserting FILPIN, it may be necessary to bend the protruding pin(s) to suit the restoration. It is engineered for precision and accuracy to protect against damage to the pin and tooth structure. It creates uniform bends every time while minimizing uneven pressures upon the pin and dentin. The FILPIN PIN BENDER is the latest in a long line of innovative developments from Filhol Dental, a specialist company…

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