Dentistry Today — April 2014

Inside this issue

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

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   Sunflex PARTIALS Have You Made the Switch?™ Sunflex® Partials are one of the finest solutions in partial denture treatment available today. Thousands of dentists and patients around the world have made the switch. Denser than other flexible partials, Sunflex® has the perfect degree of flexibility, is stain-resistant and does not discolor, warp or become brittle, providing maximum retention, stability and aesthetic appeal. Sunflex is an excellent implant temporary partial and can be used as a bilateral or unilateral denture. For cases with a free end saddle or where the anterior teeth are missing, it can be used in combination with…

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   Immediately prior to inserting it in the patient's mouth, immerse the Sunflex® partial in very hot tap water for approximately two minutes. Once the partial has cooled to a tolerable temperature, gently insert it into the patient's mouth. This first step is very important as it allows for a very smooth insertion and a good adaptation with the natural tissues in the mouth. In case of clasp tightness, it may be loosened slightly by being immersed in hot water for 30 seconds and bent outwards while underneath cold tap water. If a clasp requires tightening, follow the same procedure, bending…

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   Oral Cancer: Early Diagnosis Being one of the 3 most common cancers in the world today, oral squamous cell carcinoma (SSC) should be at center stage for oral health professionals. Published survival rates for patients with this disease remain at approximately 50%, with no improvement in recent decades. The importance of observing and screening patients on a routine basis, with the goal of managing oral premalignant lesions and early asymptomatic oral SSC, is a must-call diagnosis of oral SSC should be the number one objective on the minds of all practitioners. To this end, full utilization of early screening and…

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   Who Wants to Be a Millionaire? "Money won't create success; the freedom to make it will." —Nelson Mandela Who Wants to Be a Millionaire is an internationally successful television game show. All you have to do is answer 15 questions in a row, and...ta.da, you are a millionaire! The catch is that you have to answer weird questions like, "How many gallons of water are in Lake Superior?" Give the right answers to questions you've never heard before, and you become an instant millionaire. Who wants to be a millionaire in dentistry? I'd bet you do. And how are you…

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   VIEWPOINT continued from page 10 Keep answers to technical questions brief. This is not the time for an informed conversation. The big question Kevin will get to is this: "I can tell you how it fits in my life if you would tell me how much this costs." This is the question you knew was coming. The "right" answer will always be from the context of Kevin's fit issues and chief benefit. Here's one version of a "right" answer: "Kevin, fees for patients of mine who have had similar dentistry are in the range of $10,000 to $15,000. We can…

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   FOCUS ON: Minimally Invasive Endodontics Clifford J. Ruddle, DDS, discusses predictably successful endodontics in the context of preserving healthy tooth structures. Q: What are the goals of endodontic treatment? How does this relate to the concept of minimally invasive endodontics? A: Said simply, the quintessential goals of predictably successful endodontics are to eliminate all organic substrate, within the enthronement of a complex anatomical space, and fill root canal systems. To achieve these goals, it has long been recognized that some manner of access and root canal preparation are required. In fact, in the context of the current state of endodontic…

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   From the January 2014 Issue COMPOSITE POLISHER Microcopy Gazelle is a new, sterilized nanocomposite polisher. Its shape retains its profile and polishes multiple cuts with breaking down, even on nanocomposite. It is a workhorse for everyday restorations, removing surface striations and defects while polishing to a flawless satin shine. The Hi-Gloss polisher can be used for the most demanding aesthetic restorations, quickly polishing the surface to a wet luster gloss. For more information, call (800) 235-1863 or visit the Web site gazellepolisher.com. FREEinfo, IMPRESSION MATERIAL DenMat SplashMax provides maximum tear strength, superior detail reproduction, 2x times, and high color contrast.…

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   Ivoclar Vivadent Adhese Universal is a new, single-component, light-cured universal adhesive for direct and indirect bonding procedures. It features compatibility with all etching techniques (self-etch, selective enamel-etch, and total-etch). The VivaPen delivery form ensures fast and convenient direct intra-oral application of Adhese Universal. The VivaPen delivers up to 190 single-tooth applications, which is significantly more than a traditional adhesive bottle. For more information, call (800) 263-8182. In Canada, call (800) 263-8182. FREEinfo, EVACUATION TIPS Vista Dental Products Micro-Evac tips feature a flexible, narrow tip designed to easily navigate curved canals during endodontic aspiration, and they include HVE luer adaptors for…

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   CLINICAL REVIEWS THE DENTAL ADVISOR CS 8100 Digital Panoramic System +++++ Carestream Dental | carestreamdental.com Consultants' Comments • "One of the easiest machines to use." • "Clear, crisp images." • "Small, compact unit." • "Software is intuitive." • "The 2D+ feature is useful in determining the buccal-lingual relationship of objects in the images." Description The CS 8100 digital panoramic system is a compact x-ray unit with imaging software. The x-ray unit is designed with transparent patient supports and face-to-face positioning for ease of alignment. It comprises a high-frequency generator, the ActivePixel CMOS sensor, and a vibration-free motion system with a…

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    Two in One: Pilot Drill and Surgical Guide MD Guide Provides Alternative to Fabricating Conventional Surgical Guide Timothy Kosinski, MS, DDS Placement of dental implants is a surgical procedure that carries some risks in surgery. These risks include proper positioning and angulation of dental implants. Implant dentistry today is prosthetcially driven, so proper placement is critical to ideal emergence pro file and contour. One very important consideration that is often forgotten by the practitioner placing implants is proper spacing between implants and teeth, as well as parallelism. A new product that I recently discovered is quite clever and can be…

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    If we have it, it's because you need it!™ physics Standard Series Quite simply, the easiest to use and most clinically effective Tooth Extraction instrument on the market. The patented design and Beak & Bumper™ technique makes difficult extractions simple and predictable without utilizing brute strength. Do your patients, your hands – and your practice – a favor, and implement the Physics Forceps into your practice today. Extractions physics Molar Series Same reliability and performance you have come to expect, with a design that makes difficult molar extractions a simple and routine procedure. Extractions md guide 2 in 1: Pilot…

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    26 . 1 TECHNOLOGY Spotlight Scanner Software Upgrade Continues to Advance the Overall Scanning Experience ST. PAUL, Minn.-3M ESPE continues to advance the overall scanning experience of the 3M True Definition Scanner with its 4.2 software upgrade, which improves the ease of rotation when scanning over in­cisal edges and streamlines the installation process for chairside connections. The upgrade will be available to all 3M True Definition Scanners and is another example of 3M's commitment to continuously improve the user experience and offer the greatest value possible with its affordable monthly data plans. The 3M True Definition Scanner offers dentists the…

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    Spotlight New Digital Camera Designed Exclusively for Dentistry SAN MARCOS, Calif.—Offered by Shofu Dental, the new EyeSpecial C-II Digital Dental Camera, designed exclusively for dentistry, is ideal for intraoral photography, dental/orthodontic case presentations, and at the bench in a laboratory. Featuring 8 shooting modes, 12 megapixels, and a high-performance 49-mm close-up lens, it offers (1) intuitive one-touch operation, (2) a sleek, ultralight-weight body design, and (3) a large LCD touchscreen. Adding consistency and efficiency to all your dental photography needs, the EyeSpecial C-II is also compatible with an Eye-Fi Pro X2 wireless flash memory card, allowing images to be automatically…

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    Cordless Obturation System Combines Down-Pack Heat Source With Back-Fill Extruder Spotlight Full-Zirconia Crowns' Strength, Biocompatability, and Translucency Cited GARDEN GROVE, Calif.– Digident's high-translucency full-zirconia crowns, made of zirconia obtained from one of the largest dental zirconia producers in the world, offer great strength, with a biaxial flexure strength of ~1200 Mpa; absolute biocompatibility; and outstanding translucency, more than thirty-four rCR% (+ mm). Digident carefully follows every prescription when manufacturing to ensure the satisfaction of its clients and their patients, and along with its quality and competitive prices comes its fast delivery. For additional information, call Digident at (888) 444-0088 or…

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    Spotlight New Line of Precision Handpieces Introduced CANONSBURG, PA–SciCan's new line of SANAO precision handpieces offers innovation in every detail: the handpieces are perfectly balanced to reduce wrist strain, optimally miniaturized for maneuverability, and optionally equipped with glass-fiber optics to illuminate the oral cavity. Additionally, SciCan's Hygiene Protection System, incorporated into each SANAO handpiece, uses a unique resin filling to close the gap between the handpiece' outer and inner sleeves, closing the door on any material that might otherwise find its way inside and helping to prevent debris buildup. Combine SANAO handpieces' ergonomic design, which features optimized mass distribution, with…

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    North America Introduces the Endocenter Device Hailed As a Major Breakthrough in Rotary Endodontic Technology MOUNT LAUREL, NJ—ACTEON North America's new Endocenter represents a major breakthrough in rotary endodontic technology, offering both reciprocating and rotary modes of operation along with the versatility of Newton piezo-ultrasonic technology. The different modes provide endodontic motor compatibility with any manufacturer's rotary file system, offering unmatched versatility. The endodontic motor has the ability to customize up to 16 preset programs and has settings for 6 different e-type contra-angle ratios, providing a wide array of options for any practice. In the reciprocating mode, the user can…

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    Spotlight Material Ensures Stable Bonding for Long-Term Success BREA, Calif.–Ceramic veneering of non-precious metal alloys based on cobalt-chrome is now a routine procedure in dental laboratories, but faults such as cracks can occur in the case of certain alloys following ceramic firing. VITA's new VITA NP BOND material offers a solution: through reliable bonding between the metal framework and the veneering ceramic, it helps prevent errors occurring as a result of CTE tension between the alloy and the ceramic. It provides users with greater reliability, enabling improved aesthetics when it comes to veneering non-precious metal alloys, and it provides dental…

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    Breakthrough in Oral Care - A delicious new way to help maintain healthy teeth Recommend BasicBites™ Sugar free chocolate soft chews Great for patients with dry mouth and those consuming acidic foods and beverages. Provides sustained buffering on tooth surfaces - helps support oral pH levels already in the normal range. Learn more at basicbites.com/discover 1 800 863-9943 FREEinfo, on card Capsules Re-Engineered to Facilitate Materials Delivery MADISON, Conn.—Transcondent's capsules have been completely re-engineered from the inside out; materials can now be delivered easily and with less applied force since Transcondent's engineers have perfected internal construction to maximize material flow.…

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    Short-Term Orthodontics System Designed for General Practitioners ROCHESTER, NY–Six Month Smiles is a cosmetic, minimally invasive system designed to straighten your adult patients' teeth in about 6 months, and has been Smiles 2 day, hands-on course provides you with the knowledge and confidence needed to start using this award winning system. Improve your patients' lives with clear braces while simultaneously growing your practice and your BEFORE DURING AFTER services. No previous ortho experience is needed. Become a Six Month Smiles Provider by registering for an upcoming course. For more For more information, call Six Month Smiles at (866) 957-7645 or…

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    Entry-Level Model of Automatic Mixing Unit Offered ST. PAUL, Minn.–Building upon the trusted Pentamix family name, 3M ESPE's Pentamix Lite Automatic Mixing Unit offers dentists an entry-level model into the world of automatic mixing. An affordable, portable mixer, it works with all 3M ESPE impression materials and is built with convenience in mind. From high-viscosity putty to medium-bodied materials, the Pentamix Lite consistently delivers a homogenous, reproducible mixing quality for void-free impressions. It works with all 3M ESPE impression materials, including Imprint 4 VPS Impression Material. The professional's cast-setting impression material, and Imprint Soft Polyether Impression Material, the gold standard…

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    Germicidal Cleaner/Surface Deodorant Features Improved Formula ALSIP, ILL—The improved formula of GC America's COE FOAM II, a rinseless, dripless foaming germicidal and deodorant, (1) kills more viruses, including MRSA, on treated surfaces; (2) has a fresh, new scent; and (3) now offers an enhanced wetting feature for complete disinfecting. Penetrates grease, grime, and dirt, and it cleans and sanitizes hard, washable surfaces without rinsing. It demonstrates effective disinfection against Legionella pneumophila and is virucidal against HIV-1, Herpes Simplex Virus Type 1 and 2, Canine parvovirus, and influenza A H1N1. For more information, visit gcamerica.com. Suitable for cleaning wood, stainless steel,…

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    System Facilitates Biological Spore Testing SEATTLE–HealthFirst's OnTraQ BIOlogical Monitoring is a turnkey system that allows dental practices to establish a spore testing process and provide them with reminders when an autoclave must be tested. The system is designed to help protect practices from unintentional noncompliance. Automated e-mail and text reminder notifications apprise practice members of scheduled testing regimes, and autoclave test results are stored within each practice's OnTraQ Compliance Manager account for around-the-clock secure access from any computer. The Compliance Manager also allows practices to monitor all processes relating to biological spore testing, creating a self auditing and evidence based…

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    Prevent Traumatic Extractions With New Mechanical Periotome STOCKHOLM-Offered by Directa Dental, the Luxator LX mechanical periotome offers improved safety, precision, and success. Its vertically reciprocating cutting action precisely cuts periodontal fibers, preventing traumatic extractions in a patient-friendly way, and the tip is self-directing allowing the tip itself directing the blade to follow the root surface, reducing the risk of bone damage. Achieve optimal access for difficult to reach areas (molar, lingual/palatal, distal) as the sharpening-free, titanium-coated tip glides easily into the socket. For additional information, contact JS Dental, Directa Dental's US distributor, at (800) 284-3368. FREEinfo, VPS Impression Material Represents…

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    Spotlight Apex Locator Features Compact Design, Full-Color Screen, and Progressive Sound Control TULSA, Okla.–DENTSPLY Maillefer's Detect Apex Locator features a full-color screen, progressive sound control, and the latest multi-frequency technology for improved visualization of the file progression. Supported by extensive research and testing, it allows practitioners to sharpen root canal visibility and accurately measure root canal length during endodontic therapy. The full-color screen shows an image of the tooth as well as a numerical value to indicate the file progression in the tooth. And in addition to this visual information, Detect emits audible information using progressive sound control; it beeps…

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    NEWS/TRENDS Industry News Garrison Dental Solutions Appoints New President Spring Lake, Mich-based Garrison Dental Solutions announced recently the appointment of David Crouch as president. Formerly Garrison's director of finance and administration, Mr. Crouch's responsibilities as president will include the continued expansion of the Garrison brand to new product categories and the execution of the company's strategic global growth plan. He will report to managing partners Thomas Garrison and Robert Anderson, who will continue to create global growth strategies and initiate new product development activities for the company. DenMat Acquires Substantially All of Zila's Dental Assets DenMat, a leading manufacturer and…

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    NEWS/TRENDS INDUSTRY NEWS Music in the Dental Practice: Three Experts Sound Off "Silence can be extremely off-putting for patients, especially those who are already anxious about a trip to the dentist. Nevertheless, many waiting rooms remain steadfastly and stiffly quiet; some dentists worry that contemporary music will strike patients as unprofessional or too casual for a medical office. The opposite is actually the case! Studies have shown that 86% of patients report that waiting-room music makes them feel more relaxed, while 75% go on to say that they feel both happier and less nervous with music playing. And a whopping…

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    NEWS/TRENDS Supreme Court to Review North Carolina's Teeth-Whitening Rules The Supreme Court announced this past March 3 that it will review the North Carolina Board of Dental Examiners' claim that only dentists should be allowed to whiten teeth, a claim dismissed by a lower court ruling and an order issued by the federal Trade Commission (FTC). Four years ago, the FTC issued an administrative complaint against the board, charging it with violating Section 5 of the Federal Trade Commission Act. It then decided a year later that the board's actions were illegal and banned consumers because they resulted in higher…

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    Fracture Resistance of Two Types of All-Ceramic Crowns A study compared the fracture resistance of bilayered zirconia/fluorapatite and monolithic lithium disilicate heat-pressed crowns and characterized the mode of fracture failure. Altamimi et al published this study in the Spring issue of The European Journal of Esthetic Dentistry. The study involved 30 crown samples that were sequentially fitted on a mandibular right first molar metal replica of an ivory prepared molar tooth. The crowns were divided in 3 groups of 10 specimens each, as follows: Group A contained bilayered zirconia/fluorapatite pressed-over crowns with standard design crown copings (0.7 mm uniform thickness);…

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    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. Opalescence GO Ultradent Products One of the most common problems with at-home bleaching treatment is patient compliance. Patients are deficient on board with the process of whitening their teeth, and they are generally comfortable with the procedure; it is the required step-by-step method that causes complications. Most patients do not effectively hear (or remember) the in-office instructions that are provided with a home treatment or maintenance product, and they are unlikely to read the accompanying…

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    Viscous Solution for an Endodontic Emergency Procedure With all of the techniques and materials available today, having a plan B procedure is a good idea for when you need to deviate from your preferred technique. One example of when a plan B procedure would prove to be valuable is when an unscheduled patient arrives at your office in a lot of pain caused by a tooth that needs emergency root canal therapy. A procedure that has a history of success in these cases is to first access the pulp chamber and canal in order to rapidly remove as much of…

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    58 . 1 READERS' CHOICE Top 25 Endodontic Products Obtura Spartan The Spartan Wave Piezo Electric Ultrasonic Unit gives clinicians a complete system to efficiently and accurately perform essential endodontic procedures. It is ideal for root canal preparation, retrograde preparation, gutta-percha condensation, obturation and root planing, and periodontal treatments. This system is powerful, compact, versatile, and easy to use. Its AutoSweep Technology looks in optimal tip frequency regardless of geometry, eliminating the need to fine tune power settings. A front-mounted handpiece cable and option irrigation connection help keep work areas from becoming too crowded. An LED-lit intensity control knob features…

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    Top 25 Endodontic Products . 1 DENTSPLY Tulsa Dental Specialties Like ProTaper Universal, ProTaper NEXT rotary files feature variable taper performance, but add an off-centered, rectangular cross section for increased file strength and a patented, off-center, rectangular core that adds greater strength as the file tracks down the canal. The axis of rotation differs from the center of mass. As a result, only 2 points of the rectangular cross section touch the canal wall at a time. ProTaper NEXT's AR Motion allows you to achieve a fully tapered canal with fewer files. The result is the predictable ProTaper shape you…

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    62 . 1 READERS' CHOICE Top 25 Endodontic Products 3M ESPE RelyX Fiber Posts offer a unique resin composition and equally dispersed parallel fibers, providing superior mechanical strength and dentinal flex. The improved radiopacity allows better visibility in x-rays. RelyX Fiber Post is used with RelyX Unicem for a safe and reliable bond between the root post and the root canal dentin without etching, priming, and bonding. Plus, the dedicated RelyX Unicem elongation tip allows the application of RelyX Unicem cement into the root canal in one single step for an easy and virtually void-free cementation of the post. For…

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    Top 25 Endodontic Products JS Dental Manufacturing Xtreme endodontic instruments are extremely flexible 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, as well as…

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    66 . 1 READERS' CHOICE Top 25 Endodontic Products Essential Dental Systems The Endo Express Reciprocating Handpiece and SafeSiders instruments are leading the way in innovative reciprocating technology. Eliminate the fear of fracture associated with crown-down systems and the typical shortcomings of the step-back process. The Endo-Express boasts truly reciprocal motion that prevents binding. You will replace instruments because they dull and not because you fear they will break. You can shape canals in 2 to 5 minutes with no hand fatigue. Because the risk of instrument separation is virtually eliminated, you gain confidence and perform increasingly challenging endo cases…

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    Top 25 Endodontic Products Jordco The e-Dx is the next generation in endodontic diagnostic instruments. This unique 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 contra-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 cusp or other suspected areas to help detect fractures. For more information, call (800) 752-2812 or visit jordco.com. FREEinfo, INTRODUCING ENDOULTRA SUPERIOR ACTIVATION*…

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    . 1 Endodontic Products READERS' CHOICE Top 25 Coltene The BioSonic SUVI piezoelectric ultrasonic scaler and air polisher features SUVI Premier and Elite models. The BioSonic SUVI is the ultimate power tool for upgrading any work environment to new levels of quality. Distinguished ergonomics, combined with uniquely designed LED lighting, advanced electronics, and long-lasting tips, make BioSonic SUVI Piezo devices outstanding for all procedures. The handpiece is removable, autoclavable, and equipped with comfortable silicone sleeves for maximum user efficiency. Water regulation is conveniently embedded in the handpiece, providing effortless water flow control. Its dynamic foot pedal allows easy adjustment to…

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    72 . 1 READERS' CHOICE Top 25 Endodontic Products CLINICIAN'S CHOICE Constructed with revolutionary Controlled Memory NiTi Technology, TYPHOON Infinite Flex NiTi files exhibit virtually no memory. Unlike traditional NiTi files that try to straighten within the canal, TYPHOON files adapt perfectly to the canal path for precise and conservative removal of tooth structure. Because the lateral forces are balanced throughout the length of the file, the clinical problems of ledging or removing excess tooth structure are eliminated. Aggressive yet safe, a recent university-based study found TYPHOON files to be at least 600% more resistant to fatigue stress when compared…

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    . 1 73 READERS' CHOICE Endodontic Products Top 25 DiaDent Dia-Kondonsor is a versatile endo condenser hand instrument that is durable, lightweight, and ergonomic to reduce hand fatigue. It has double-ended tips with Ni-Ti and stainless steel. It is color-coded for fast and easy identification. Its gradual .02 tapered tip enhances tactile feedback to prevent root fracture and the markings on the tip help to indicate pulp length. Dia-Kondonsor comes in 4 different ISO sizes: Nos. 35/70, 40/80, 50/100, and 60/120—compatible with ISO standard files and obturation material. For more information, call (877) 342-3368 or visit diadent.com. FREEinfo, Video Dental…

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    Endodontics: A Key Opinion Leader Colloquy An interview with Dr. Damon Adams, editor-in-chief of Dentistry Today, and 3 key opinion leaders in endodontics: L. Stephen Buchanan, DDS; Lisa Germain, DDS, MSsD; and Diwakar Kinra, DDS, MS; on the present and future state of the specialty. What is the greatest challenge facing endodontics today? Dr. Buchanan: The biggest challenge is doing root canal therapy (RCT) in an implant-based dental world. We now live in a world where economic pressures are weighing on dentists to buy screws and parts instead of saving teeth, and I have to mention the elephant in the…

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