
March 2015 · 148 pages
Dentistry Today — April 2015
Clinical articles, techniques, product news and continuing education for dentists. Read the full issue free in the digital edition.
Inside this issue
Excerpts from the issue. Open the digital edition to read any page in full.
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Oral Cancer: You Be the Judge Since 1976, when Ebola hemorrhagic fever was first identified, 1,511 human deaths have been reported. At the end of January, 8,839 reported deaths have been attributed to the latest Ebola outbreak. When we think about it, it is a tragedy beyond imagination, with so many people having to suffer. It is Oral Cancer Awareness month and, once again, we have an obligation to point out some of the grim statistics associated with this disease. In a day, at the end of more than 43,000 cases of oral or pharyngeal cancer diagnosed in the United…
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Taking a Deeper Look The Promise of Regeneration in Periodontal Treatment Imagine this! Instead of repairing damaged tissue after periodontal disease has ravaged a patient's tooth-supporting bone, cementum, and periodontal ligament, periodontists can regrow a patient's once-eroded tissue into natural, healthy, and functional structures. We now have a wealth of evidence-based advancements coming to the forefront that are demonstrating regeneration and tissue engineering. These include the stimulation of regrowth of new blood vessels and formation of new bone resulting from osteoinduction and osteopromotion, which is accessible, predictable, and offers a change to have an impact on preserving the dentition and…
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Treatment cost doesn't have to keep him from smiling The Wells Fargo Health Advantage credit card program offers patients a way to get important recommended dental treatments by giving them the chance to buy now and pay over time. • No interest, no interest if paid in full, and reduced rate financing • Everyday variable APR lower than the average APR of today's low interest credit cards* Sign up today! Call 1-855-636-3398 Monday – Friday, 8:00 a.m. – 6:00 p.m. Central Time Visit wellsfargohealthadvantage.com "The discount that Wells Fargo charges the provider is less than other financing companies we offer.…
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VIEWPOINT continued from page 12 3. John V Lucidi, I Haggered, U, et al. Periodontal soft tissue non-root coverage procedures: practical applications from the AAP regeneration workshop. Clinical Advances in Periodontics. 2015;8(1):1-20. jopoline.org/toc/cap/8/1. Accessed on February 20, 2015. 4. Reynolds MA, Kao RT, Nares S, et al. Periodontal regeneration—intrabony surgical preparations from the AAP regeneration workshop. Clinical Advances in Periodontics. 2015;5(1):23-29. jopoline.org/toc/cap/5/1. Accessed on February 20, 2015. 5. Giannobile WV, Braun TM, Wartovol R, et al. Regeneration, which he co-chaired in June 2014. He can be reached via email at dgiannobile@umich.edu. Disclosure: Dr. Giannobile reports no disclosures. Periodontal regeneration—function deficits:…
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This month on Technique of the Week Bleaching & Internal Bleaching For Supragingival Dentistry Jose-Luis Ruiz, DDS Placing margins below the gum can be unhealthy and makes adhesive dentistry unpredictable. Efficient marginal bleeding is possible with translucent porcelain and good management of tooth color. With dark or discolored teeth, a common approach is to cover them with opacious porcelain and place margins subgingivally with many disadvantages. Dr. Jose-Luis Ruiz, of Butterah, Calif, discusses the use of bleaching and internal bleaching for these types of procedures, outlining all the steps involved. Watch now on our homepage, . Live Blog Coverage CHICAGO…
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FOCUS ON: Office Technology Kenneth Magid, DDS, explains that adding the latest dental technologies into your dental practice will yield long-term benefits for the patient, the practice, and you. Q: I understand that you have implemented an array of new technologies into your practice. What you have incorporated, and how did you choose whether or not to add a particular device or technology? A: Throughout the years, I have added into my practice digital radiography, intraoral cameras, multiple lasers of varying wavelengths, air abrasion, CAD/CAM, computerized bite analysis, CBCT scanning, and other technologies. Dentists are constantly being pushed to purchase…
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Osseo Scientific OssoTip is a simple-to-use, effective tool that can be used to harvest bone without the need to employ a bone mill or morselize, or to safely and rapidly morselize it collects into a removable cup all bone chips that would otherwise have been wasted during drilling procedure. After drilling, you simply empty the cup, and autogenous bone is ready for immediate use. Compact in size, OssoTip is designed to fit your standard handpiece and is fully autoclavable. For more information, call (866) 619-1720 or visit the website located at dentaltip.com. FREEinfo, WATERLINE MAINTENANCE TABLETS ProEdge Dental Products BluTab…
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From the January 2015 Issue REUSABLE CARBIDE BURS Brasseler USA Not only do Brasseler carbide burs cut fast and maintain sharpness during substantial periods of time, but they can also be reused because of their unique construction of medical-grade stainless steel, which resists rust, corrosion, and discoloration. Brasseler provides an extensive offering of operative, surgical, finishing, and lab carbide burs and is a well-established leader in carbide bur instrumentation. For more information, call (800) 841-4522 or visit braselerusa.com. FREEinfo, CURING LIGHT Kerr The Demi Ultra LED Ultracapacitor Curing Light represents a new generation of cordless curing light technology, providing dentists…
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Caulk's Prime&Bond Elect: One Adhesive for All Clinical Situations Since being described by Buonocore in 1955, acid-etching techniques have made bonding to enamel successful. However, achieving consistent dentin bonding has been more challenging based on factors such as microleakage, resin hydration versus desiccation, and postoperative sensitivity. To mitigate these factors, the evolution of dentin bonding has included a shift from total-etch techniques involving placement of 30% to 40% phosphoric acid on both enamel and dentin surfaces (in which the etching acid-rinse sequence where phosphoric acid esters are contained within the bonding agent, and no etchant gel is placed on the…
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CLINICAL REVIEWS THE DENTAL ADVISOR Super-Snap X-Treme +++++++ Shofu Dental | (800) 827-4638 | shofu.com Consultants' Comments • "Much more durable than original disks." • "Ideal for anterior restorations." • "Increased flexibility adapts to tooth contours." Description Super-Snap X-Treme features an enhanced version of the green (fine) and red (superfine) polishing disks included in the original Super Snap polishing system. They are thicker and stiffer in order to increase durability and tactile feel, and the disk has a new 3-D semispherical grit coating designed to create space for ground debris and to discharge debris during polishing, resulting in a smoother,…
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Paul Feuerstein, DMD, offers readers insight into dentistry's latest technologies, based on his clinical experience. IDS, 2015: You Ain't Seen Nothin' Yet This is a teaser. I have spent the first quarter of the year running all over the globe accumulating information for my writings and lectures. Meetings in the United States such as the Yankee Dental and the Chicago Midwinter surely had a lot of new information about current and future products. The pinnacle of meetings, however–the International Dental Show (IDS)–was held last month in Cologne, Germany. The IDS is held every 2 years and serves as the international…
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Spotlight New All-Tissue Laser Offered With Innovative Practice Growth Guarantee IRVINE, Calif.–BIOLASE introduces the Practice Growth Guarantee with the launch of its new WaterLase iPlus 2.0 All-Tissue Laser. The guarantee, the first of its kind in dentistry, is an assurance that investing in the laser will enhance the patient experience and generate practice growth through routine use. WaterLase iPlus 2.0 provides greater uptime for routine use thanks to the new SureFire YSGG Delivery System, the gold standard in precision and reliability for all-tissue laser delivery systems. It also creates new revenue opportunities with the powerful REPaiR laser perio app integrated…
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Spotlight New, Two-Instrument Endodontic System Introduced HACKENSACK, NJ–With Tango-Endo, Essential Dental Systems' new endodontic system, it only takes 2 instruments! Tough and resilient, the instruments boast a unique, patented flat along their entire length that allows for (1) faster engagement with less resistance, (2) increased flexibility without sacrificing strength, and (3) the virtual elimination of instrument separation. The Tango-Endo system also includes its own reciprocating handpiece, a latch-type handpiece designed to aid in the prevention of binding and to assist in the preservation of the canal's unique anatomy. And for a perfect fit every time, the system includes precision-matched gutta-percha…
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Dental Chair Package's Features and On-Board Technologies Cited CHARLOTTE, NC—Cefla Dental, Europe's largest dental chair manufacturer, now offers the Anthos R7, a complete dental chair package available in several different configurations. With technologies and features not currently found in other dental chair packages, it's set to raise the bar for others to follow. With left/right doctor's delivery available in both continental and international versions or modular cart delivery, the R7 can accommodate any advanced practice, and its unique ergonomic features like a pneumatic articulating headrest, slender backrest design, and 30° rotation ensure a supportive working environment. Additionally, with such on-board…
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Polarizing Filter Attachment Now Offered for Shade-Matching Device DANBURY, Conn.–A new addition to the line of attachments now offered for AdDent's RiteLite 2 Shade-Matching Device, the Polarizing Filter Attachment reflects reflection and provides enhanced visualization for depth and transparencies. It also enhances the visualization of internal details and individual characterization. All RiteLite 2 devices purchased after July 2014 will accept the filter. The RiteLite 2 features 3 color temperatures—5500k, 3200k, and 3900k—assuring that a shade will match under incandescent and ambient lighting conditions. For more information, call AdDent at (855) 211-3413 or visit website addent.com. FREEinfo, Spotlight Company Offers Complete…
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Company Offers Affordable, Once-a-Year Recycling Services PARSIPPANY, NJ—Medentex, a leader in amalgam separation and recycling, is the only company with individual solutions for dry and wet vacuum systems that work specifically with each setup to prevent clogging. Medentex utilizes sedimentation technology for trapping amalgam that prevents clogging, and since the system is designed to only catch amalgam, at 99% efficiency, Medentex's once-a-year recycling is guaranteed. A nationwide mandate is projected to go into effect September 2015. Are you prepared for compliance? For more information, call Medentex at (888) 640-2527. (Shown: Medentex's Amalgal Amalgam Separator.) FREEinfo, Blocks Optimize Bur Security and…
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New Laser Tip Facilitates and Improves Peri-Implantitis Treatment IRVINE, Calif.–To further advance the management of patients with peri-implantitis, Morita USA introduces the R6ooT laser tip, designed specifically to improve access to the infected tissue. At a necessary first for the company's AdVErL Evo Er:YAG laser, it emits the laser from the side of the tip as opposed to the end, and this is especially useful for abridgement of peri-implantitis. This feature is completely unique in the market and further expands the AdVErL Evo's clinical versatility and ability to treat this condition. The AdVErL Evo, now offered with 20 tip options,…
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Apex Locator's Unsurpassed Accuracy Cited SOUTH JORDAN, Utah—Ultraradent Products' Pulp-Ease FIND Apex Locator offers unsurpassed accuracy and features (1) a convenient, easy-to-read, full-color graphic display, (2) audio feedback, and (3) fully automatic multifrequency measurements. And thanks to its compact design and small footprint, it easily fits on any counter or treatment tray. For more information call Ultraradent Products toll-free at (800) 552-5512 or visit ultraradent.com. FREEinfo, Device Clinically Proven to Minimize Jaw Pain During Dental Treatment ST. PAUL, Minn.–Invented by Eric Schiffman, DDS, MS, an international expert in TMD diagnosis and treatment, the Restful Jaw is a FDA-registered external chin…
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QUICK TECHNIQUE FIXonSIX From Shatkin F.I.R.S.T. Provides a Simple, Cost-Effective, Well-Received Alternative to Conventional Implants Figure 1. Fabricating the FIXonSIX poured model with housings in place. Figure 2. Ten upper and 10 lower Shatkin F.I.R.S.T. Mini Dental Implants. Figure 3. Housings in place prior to pickup in fixed restoration. Figure 4. Final zirconia roundhouse bridge with layered porcelain and housings in place. Figure 5. Final retracted view. Figure 6. Final restoration: "You have changed my life, Dr. Shatkin!" Todd E. Shatkin, DDS When I learn from new patients how unhappy they are with their loose dentures, I offer a very…
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Spotlight Minimal-Prep Veneer Offers Clinicians Uncompromised Level of Aesthetics WEST HILLS, Calif.-Committed to minimally invasive dentistry? Concerned about the aesthetic quality of the leading brands of thin veneers? Not ready to compromise? Well, neither is daVinci Dental Studios. The daVinci Minimal Prep Aesthetic Veneer brings an uncompromised level of aesthetics to your minimal-prep cases. Now you can deliver the life-changing smile makeovers that typically could only be achieved with full-prep veneers while adhering to a minimal-prep technique. Your case requirements drive material selection, from all-feldspathic to e.max and zirconia, and daVinci's commitment to providing the highest-quality fit, function, and aesthetic…
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Spotlight Improved Version of Time-Tested Resin Cement Introduced ORANGE, Calif.-Kerr Corp introduces new and improved Maxcem Elite Self-Etch/Self-Adhesive Resin Cement. For more than 10 years, Maxcem has been a leader in self-adhesive technology, and this extraordinary new cement gives dental professionals the foundation for building dentulous success by offering compatibility with all indirect restorations and unmatched adhesion. It will continue to be a paramount part of building your practice's success. Using Maxcem Elite for indirect restorations is simplicity refined, offering (1) up to 90% higher bond strength to dentin than the previous formula, (2) predictable handling, and (3) exceptional ease…
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Baseliner Helps Eliminate Microgaps ENGLEWOOD, NJ—Offered by DMG America, new Ionosit Baseliner, a single-component flowable composite, virtually eliminates microleakage, sensitivity, and recurrent decay by eliminating microgaps. Through controlled micro-expansion, it reduces the internal strain caused by polymerization shrinkage. Used in conjunction with your preferred light-cure bonding agent, Ionosit Baseliner provides safe, limited expansion that compensates for composite shrinkage. This eliminates the internal stresses that would be present with the use of (1) a traditional baseliner or (2) certain stiff flowables. For more information, call DMG America at (800) 662-6383 or visit dmg-america.com. FREEinfo, [Image shows adult and two children looking…
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Dentin Replacement Material, Hailed as "Dentin in a Capsule," Offers Optimal Biocompatibility and Proven Bioactivity LANCASTER, Pa–Backed by 10 years of research and development, Septodont's Biodentine, hailed as "dentin in a capsule," offers clinicians a material with optimal biocompatibility and proven bioactivity that preserves pulp vitality (direct and indirect) and promotes pulpal healing and remineralization. Biodentine is ideal for use by general practitioners, pediatric dentists, and endodontics to save a tooth from root canal treatment, preserve pulp vitality, and treat a pediatric pulpotomy. It cuts like dentin and has the same mechanical properties and similar flexural modulus as dentin; it…
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New Chairside Veneer System Introduced HUNTINGTON BEACH, Calif.–Kettenbach LP's new Visalys Veneer Chairside System features prefabricated, polymerized, radiopaque veneers made of a highly filled hybrid composite that makes it possible to achieve high-quality aesthetic results in only one session. The Visalys veneer is based on a hybrid composite. After curing, its surface is finished in a special plasma-hardening process that makes it extremely fractureand abrasion-resistant. It is also minimally invasive and thus suitable for numerous indications, such as tooth discoloration, anatomical defects, incisal edge extensions, tooth malignment, diastemas, and tooth fractures. In just one session (one to three hours, depending…
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Soft Chews' Nutrients Help Dry-Mouth Patients ROSLYN HEIGHTS, NY—To combat reduced salivary flow, which can cause numerous oral care conditions, BasicBites soft chews contain a patented blend of vital, saliva-based nutrients that nourish enamel and produce healthy, alkali-generating bacteria on tooth surfaces. Featuring breakthrough technology developed at Stony Brook University School of Dentistry, BasicBites' saliva-mimicking AlkaGen technology consists of arginine bicarbonate and calcium carbonate. Base generating bacteria in dental plaque favor arginine, and the breakdown of arginine facilitates sustained alkali production on tooth surfaces. In a healthy pH environment, calcium and bicarbonate/carbonate can be available to coat and support healthy…
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Spotlight Saliva Absorbents Provide Ultimate Parotid Saliva Control for up to 15 Minutes ALPHARETTA, Ga.-NeoDry saliva absorbents provide the ultimate parotid saliva control, utilizing an advanced inner core to trap moisture quickly to provide a superior dry field. And there will be no messy leaks, even with the core fully saturated. NeoDrys' moisture-proof backing protects the cheek from abrasion and bounces light into the working area, and Microcopy's patented Comfort Edge eliminates the stiff abrasive material that causes patient discomfort. Absorption, protection, and comfort; these are the characteristics that enable NeoDrys to excel. They are available in 2 sizes, large…
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Surgical Laser Upgraded With Enhanced Graphical User Interface CERRITOS, Calif.-Millennium Dental Technologies' PerioLase MVP7 surgical laser has an Enhanced Graphical User Interface (eGUI) offering important features synthesized from the most impactful portions of the Institute for Advanced Laser Dentistry (IALD) training continuum. The eGUI integrates with clinicians' training achievements and professional certifications issued by the IALD. PerioLase MVP7 owners operating their devices without the eGUI may upgrade their PerioLase MVP7 systems. Leveraging backward compatibility, an eGUI upgrade is available at a nominal cost to ensure that each of Millennium's clinicians will be able to perform the treatment protocols aided by…
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The VibraJect Injection Comfort Solution Just Click and Stick—Practical and Effective Injection Comfort Patients Will Appreciate Timothy Kosinski, MS, DDS During my years as a dentist, I have been looking for a better or easier approach to providing local anesthetic to my patients that is convenient, cost-effective, and clinically effective. Nobody likes injections, this we know. You've seen the range of emotions in your patients, from mild uneasiness to absolute fear. They will generally not tell you the fear or discomfort they experience relating to an injection since it is considered an acceptable aspect of dentistry. However, it is a…
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NEWS/TRENDS Industry News Braseler USA Launches New Branding Initiative Braseler USA announced recently the launch of a new branding initiative that will be implemented throughout 2015 and beyond. Included in the initiative will be a refreshed logo, a newly designed tradeslook booth, updated marketing materials, and a refined tagline, "By Your Side." "Our tagline has been refined to broaden its meaning," said Don Waters, Braseler USA's president and CEO. "By Your Side' reflects our passion to support dentists in delivering predictable and consistent clinical results." For more information, visit braselerusa.com. David Hornbrook, DDS, Joins Keating Dental Arts Keating Dental Arts…
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Welcome to the more possibilities Club. Introducing a new concept in patient financing: More. • True No-Interest Plans¹—no retroactive interest at the end of the promotional period avoids unwelcome surprises for your patients • Extended Plans²—fixed APR as low as 3.99% based on term length and applicant's credit, with financing up to $50K • Expanded Credit Policy—for more patient approvals than ever before All so you can treat more patients. Springstone Patient Financing™, known for offering patient-friendly products and excellent customer service, has joined Lending Club, the world's largest online credit marketplace, and is now Lending Club Patient Solutions. To…
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How Sweet It Isn't... continued from page 56 National Caries Program's first request for research proposals from scientists. "The dental community has always known that preventing tooth decay required restricting sugar intake," said first author Cristin Kearns, DDS, MBA, a UCSF postdoctoral scholar who discovered the archives. "It was disappointing to learn that the policies we are debating today could have been adopted more than 40 years ago." Dr. Kearns discovered the papers in a collection that was left to the University of Illinois library by the late Roger Adams, a professor emeritus of organic chemistry who served on (1)…
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In First Impressions, Georac Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. SplashMax DenMat Vinyl polysiloxane (VPS) impression materials have been with the dental profession for the past 35 years. While much easier to use than the earlier generation polysulfides (rubber base), they were hydrophobic and thus performed poorly in the generally wet environment of the mouth. This was particularly true in the critical region of the sulcus, continuously bathed in crevicular fluid. More accurate than alginates, VPS materials were also more difficult to mix. The sages…
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UVENEER: Designed by a Dentist for Dentists Sigal Jacobson, DMD Uveneer is a new anterior facial matrix template system. The Australian ingenuity comes from Melbourne-based Sigal Jacobson, DMD, who has a passion for conservative cosmetic dentistry and newer-generation composites. Dr. Jacobson found traditional "freehand" direct composite veneers artistically challenging, time-consuming, unpredictable, and usually not cost-effective. After searching the marketplace for a tool to assist her, she found it to be nonexistent, so she designed and manufactured the Uveneer instrument herself. Spending 2 years with engineers designing, developing, and testing Uveneer, she produced the current patented design. Uveneer uses a special…
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Unique System of Oral Vaccine Delivery Scientists at The Forsyth Institute and Tufts University have succeeded in describing and validating a unique system of oral vaccine delivery using one common bacteria found in the mouth. The findings were published in Microbes and Infection and have identified Streptococcus mutis as a successful vector for oral mucosal immunization. Further research will determine its potential clinical use in tuberculosis vaccine development. According to the World Health Organization, 9 million people were diagnosed with tuberculosis in 2013, the latest year in which data is available, and 1.5 million people died from the disease. It…
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Ni-Ti Goes Gold "Ten Clinical Distinctions" The purpose of this article is to specifically evaluate the new ProTaper Gold®: "A One-Year Clinical Performance Retrospective." Ni-Ti file systems have come and gone. Mostly gone. Since the introduction of the first files around 1993,¹ industry, scientists, dental companies, and clinicians have all been looking for the magic file. While there is no magic Ni-Ti shaping file per se, the new ProTaper Gold® (PTG) Shapers and Finishers (DENTSPLY Tulsa Dental Specialties [DTS]) are making endodontic shaping magic particularly in canals that are calcified and varying degrees (Figure 1).²⁻⁴ Why? Is it true that…
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Product Introduction Sponsored by DENTSPLY Tulsa Dental Specialties 67 FIGURE 1. (a) The essence of ProTaper Gold (PTG) series: SX, S1, S2 Shapers and F1, F2, F3 Finishers. (b) The 3 precisely progressively designed Shapers are used in a push/follow motion in order to first remove access triangle and coronal restrictive dentin. (c) The 3 specifically and progressively designed tapered Finishers are used in a follow/brush motion in order to prepare predictable and consistent shapes for easy 3-D cleaning/disinfection and predictable 3-D obturation. No. 3: Efficiency PTG is less efficient, making it more efficient. How can that be? The Merriam-Webster…
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Product Introduction Sponsored by DENTSPLY Tulsa Dental Specialties [IMAGES: Nine radiographic images labeled a through i showing endodontic treatment progression] Figure 2. (a) Pretreatment image of severely curved and calcified MB canal in maxillary right first molar. (b) PTG F2 safely shaping canal to the physiologic terminus. (c) ConeFit. (d) Backpacked root canal system demonstrating Schilder's fourth mechanical objective: Flow meaning the position of the apical portal of exit position is maintained without internal or external transportation. (e) Placement of intermediary sealer with gutta-percha filling shaping the canal curvature. (f) Original anatomy maintained using PTG. Courtesy of Dr. Jordan West…
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Product Introduction Sponsored by DENTSPLY Tulsa Dental Specialties Figure 3. (a) Note: ToothAtlas.com reveals natural width of central is about a third the width of the root while the DB canal of the maxillary molar is about one fifth the width of the root. The shaping width goal of endodontics is simply to give nature back her original dimensions. Lost this "Maximally Appropriate Endodontics." The ferrule location that matters is not root mesial-distal but the pulp space itself. The shaping and finishing files are being used to shape. The goal in obturation is to place master cone and then obturation…
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Product Introduction Sponsored by DENTSPLY Tulsa Dental Specialties Figure 5. (a) The more challenging the root canal system anatomy, the safer, more predictable, and more precise PTG performs. Courtesy of Dr. Jason West (Tacoma, Wash). (b) PTG shapes allow authorities obturation hypodermic to fill proximal root outgrowths of side. (c) Replacement of maxillary left central endodontic given. PTG F3 was singular instrument needed to remove gutta-percha and shape the root canal for F3 PTG compil and 3-D obturation using vertical compaction of warm gutta-percha technique. (d) Post-treatment and 4 month post-treatment image validating early healing of radiographic endodontic lesion. Although…
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Predictable Cosmetic and Restorative Dentistry In this interview conducted by Dr. Damon Adams, editor-in-chief of Dentistry Today, Mike Malone, DDS, an accredited member and past president of the American Academy of Cosmetic Dentistry, candidly discusses matters of interest and relevance to all practicing dentists who are interested in improving their own restorative and aesthetic dentistry skills. Many dentists seem to have recurring problems with adhesive ceramic dentistry and/or resin dentistry. Mike, you have been placing adhesive restorations for many years and also teach continuing education (CE) courses on the subject. How do you achieve predictable results in your own practice?…
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