Dentistry Today — April 2016

Inside this issue

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

1. Page 8

   Oral Cancer Marches On Once again, we recognize April as Oral, Head, and Neck Cancer Awareness Month. In previous years, I have taken the opportunity to outline some of the grim oral cancer statistics that seem to match ad nauseum from the past right into the present, remaining virtually unchanged. This year, my brief comments will be a bit different. First off, I would like all of our readers to take a moment of silence to remember those who continue to live with cancer, or have died from this dreaded disease. When we hear that there are still many physicians…

2. Page 10

   Plea From an Oral Cancer Survivor Does it bother your patients to look like this? Poor cementing due to insufficient Light Transmission through conventional fiber post during curing. iLumi patented Light transmission enabled complete polymerization of the entire cemented post area. Photos: Courtesy of Dr. John O. Burgess, DDS, MS MAXIMUM & TOTAL LIGHT TRANSMISSION Latest Fiber Post with Fiber Optic Technology Color Coded Stopper Indicates diameter & demarcation Mechanical Properties Low Modulus of Elasticity: 21 GPa Fracture Strength: 1000 MPa Tensile Strength: >650 MPa all which virtually eliminate root fracture Composition 70% Reinforced Optical Fiber 30% Epoxy Resin Matrix…

3. Page 12

   VIEWPOINT continued from page 10 to raise awareness with regard to oral cancer. Soon after I was diagnosed, and a few months into treatment, I founded the Oral Cancer Awareness Foundation (OrCA) in the hopes that my illness would "have a purpose," especially considering the perfect storm. I was a stage IV oral cancer patient/dentist/speaker, and perhaps only one of only a few in the country with that distinction. Many kind individuals devoted time and money along the way to help with the process. OrCA is a 501(c)(3) nonprofit organization whose purpose is to raise public and professional awareness of…

4. Page 18

   FOCUS ON: Treatment Planning for Success Ara Nazarian, DDS, discusses necessary steps and technologies in treating fully edentulous patients with implants. Q: An increasing number of patients are presenting to national dental offices requiring multiple extractions leading to full edentulation. With the progressing development of dental treatment and materials, why is this number still rising? A: As people live longer, the wear on their dentition increases and function decreases. Also, teeth can become more brittle due to prior endodontic or prosthetic treatment from years past. Certain medications taken can cause the degradation of the dentition due to increased caries rate…

5. Page 20

   Directa Dental Group With this high-quality, double-side-vented luer-lock irrigation needle, users will realize effective and safe irrigation when performing endodontic treatment. Optimized to clean canals with its double side openings, it creates a "swirl effect," and it is safe, with a rounded and closed tip, protecting the apex. For more information, call (203) 438-9828 or visit directadental.com. FREEinfo, ORAL CANCER DETECTION DEVICE Forward Science Hailed as the latest innovation in oral cancer detection, OraID uses the same proven fluores-cence technology as the oral examination cabinet that costs up to 50% less than its closest competitor. However, unlike other devices on…

6. Page 22

   From the January 2016 Issue ORAL SURGERY MACHINE Brasseler USA The BSPMicro Small Bone High-Speed Drill is designed for the drilling, cutting, and sculpting of small bone and enamel. It is ideal for third-molar extractions. Used with 2.35-mm shank burs, it accepts a wide range of twist drills and burs in medium and long lengths, and it is fully compatible with the ConMed-Hall Pneumatic System. For more information, call (800) 841-4522. FREEinfo, X-RAY MACHINE Air Techniques The ProVecta S-Pan Ceph scans in 4.1 seconds, and it provides excellent image quality while keeping radiation doses low for children. There is no…

7. Page 24

   CLINICAL REVIEWS THE DENTAL ADVISOR DentiMax Dream Sensor +++++ DentiMax, LLC | (800) 704-8494 | dentimax.com Consultants' Comments • "Patients noted comfort. It's a little slimmer, but it makes a big difference." • "Very clear images; diagnostic quality was excellent." • "Its thin 5.5 mm profile offers a high level of patient comfort." • "Customer support is very responsive; great value." • "Images are much crisper than those from many other sensors." • "No. 1 sensor is smaller than No. 1 film; it's ideal for pediatric patients." Description The DentiMax Dream Sensor has rounded corners and beveled edges and is…

8. Page 26

   Here, There, and Everywhere Paul Feuerstein, DMD Since the beginning of the year, I have been to several meetings. I am still reviewing many products and services, but I will present a few of the interesting ones here in no particular order and with no bias. As I run up and down the aisles of dental meetings, I am constantly stopped by people at booths who say, "You have to see this!" Being the accommodating person that I am, I give a cursory look, make notes, then return later to fill in the blanks with additional information, which you will…

9. Page 28

   Spotlight System Provides Exceptional Cleaning of Even the Most Complex Root Canal Anatomies LAGUNA HILLS, Calif.—The product of years of research and development, Sonendo's GentleWave System consists of a console and a presterilized treatment instrument designed to deliver Sonendo's Multisonic Ultracleaning Technology for the exceptional cleaning of even the most complex root canal anatomies. The Multisonic Ultracleaning differentiates results in more thorough, more effective cleaning, as documented in numerous case studies and publications that can be viewed online at sonendo.com/technology. Sonendo's mission statement, "Saving Teeth Through Sound Science," advocates improvements in clinical efficacy, treatment efficiency, and practice economy. For more…

10. Page 30

    Spotlight Articulating Foil Yields Precise Markings OAKDALE, Minn.–TrollFoil provides a unique diagnostic method for bite registration, yielding extremely precise markings on wet, dry, gold, and highly polished surfaces, and it's mounted on its own frame; no forces are needed. TrollFoil is manufactured from the thinnest foil on the market—8 µm and carbonated on both sides—and its markings are so accurate that users will find it accelerates the articulating process and eliminates guesswork. Available in blue and red as well as TrollFoil Mini, it is offered in cartons of 100 and 500 pieces. For more information, call TrollDental at (800) 357-8765…

11. Page 31

    Attachment Hailed As a New Way to Perform Air Polishing MOUNT LAUREL, NJ- Hailed as a new way to perform air polishing, ACTEON's AIR-N-GO easily attaches to a high-speed handpiece connection in any dental chair and has been designed to be simple to clean, maintain, and sterilize. Depending on oral clinical needs, switch from the SUPRA to PERIO mode with one of 4 interchangeable AIR-N-GO nozzles, including the new Perio Easy nozzle. This comprehensive range of nozzles allows for complete supraand subgingival treatments, offering targeted action against biofilm in any area of the mouth. AIR-N-GO powders, customized to fit any…

12. Page 34

    Spotlight New Composite Restorative Material Doesn't Require Light Curing, Giving It Unlimited Depth of Cure SAN RAMON, Calif.–The physical properties of Bulk EZ, Danville Materials' innovative, new dual-cure bulk-fill composite restorative material, provide clinicians with a reliable posterior restorative material that does not require light curing, giving it an unlimited depth of cure. It is placed similar to a flowable composite and does not require other costly placement equipment. And because it is self curing, no voids or gaps are formed at the bottom of the restoration, which could lead to postoperative sensitivity or recurrent decay often seen at the…

13. Page 38

    Easy-to-Use Bone Grafter Offered TOMS RIVER, NJ—Osseo-Tip is an easy-to-use, effective tool that can be used to harvest bone without the need to employ a bone mill or morselizer. In a safe and viable manner, it collects into a removable cup all bone chips that would otherwise have been wasted during a drilling procedure. After drilling, you simply empty the cup, and autogenous bone is ready for immediate use. Compact in size, Osseo-Tip is designed to fit your standard handpiece and is fully autoclavable. For more information, call Osseo Scientific at (866) 618-1720 or visit dentalhp.com. FREEinfo, Low-Profile Headrest Offered…

14. Page 40

    Spotlight Crowns Deliver the Natural Translucency Required for Anterior Placement ST. LOUIS–Offered exclusively by Keller Laboratories, Znexit Anterior Zirconia Crowns deliver the natural translucency required for anterior placement while providing the strength and durability of monolithic zirconia. The crowns combine CAD/CAM technology for superior fit and margins with an average flexural strength of 650 MPa for durability, and they are guaranteed for 8 years. The crowns are fabricated from models, impressions, and digital files, with only 4 lab working days required, and model-less production is available, lowering fees and reducing in-lab time to one day. For more information, call Keller…

15. Page 41

    Self-Adhesive Cement Facilitates Cleanup, Ensuring Creation of Beautiful Restorations MILFORD, Del.–Dentsply Sirona's Calibra Universal self-adhesive resin cement offers a wide tack cure window of up to 10 seconds and an extended 45 second gel phase, providing dentists with the ability to perform a thorough and effective cleanup and ensuring the creation of a beautiful restoration that will last. Conventional resin cements only allow light curing for one or 2 seconds before they harden to the point where a bur may be required to remove the excess. But Calibra Universal, with its tack curing window of up to 10 seconds and…

16. Page 43

    Online Tool Helps Practices Evaluate HIPAA Risk Assessment CENTRAL VALLEY, NY–To help dental practices meet the newly mandated annual HIPAA security assessment requirement, Health Compliance Team and PCHIPAA have partnered to offer a complimentary online tool designed to assist practices, in a matter of minutes, with the information they need to evaluate their compliance risk and avoid a data breach. The tool provides the practices with compliance guidance, a 22-page custom report noting key vulnerabilities, an overall assessment of their level of risk, and risk score. To access the evaluation tool and receive your customized assessment, visit ru.pchipaa.com. HIPAA Section…

17. Page 44

    Unit Offers the Latest 2-D and 3-D Panoramic Technologies ORMOND BEACH, Fla.- Oscandy Dental introduces the latest in 2-D and 3-D panoramic technology. Its combination of intuitive and tactile technologies allows dentists to save precious time in their practices. Available in several upgradeable models, from a 2-D pan unit to a 3-in one pan/ceph/3-D unit, Oscandy offers a unit that fulfills the needs of most modern dental practices. With 14 programs, the panoramic unit facilitates any clinical exam. The cephalometric option adds 5 programs for acquiring rays of the skull and corpus. The 3-D option allows acquisition of 3-D images…

18. Page 47

    Share. Engage. Evolve. Sir Richard Branson–keynote speaker. Jeffrey Stovin–CEO, Dentsply Sirona. Dr. Tarun Agarwal–speaker. Dr. Neal Patel–speaker. Dr. Michael Siramastad–speaker. Dentsply Sirona, the Dental Solutions Company, will host the most anticipated and cutting-edge dental event of the year when SIROWORLD: The Ultimate Dental Meetup kicks off for the first time on August 11 at the Rosen Shingle Creek Resort in Orlando, Fla. At SIROWORLD, thousands of doctors are expected to congregate and learn from industry-leading clinicians and influential business icons during the 3-day educational festival, closing on August 13. SIROWORLD combines groundbreaking general sessions, track specific and innovative breakout sessions,…

19. Page 48

    NEWS/TRENDS Industry News Misch International Implant Institute and Glidewell Laboratories Announce Partnership The Misch International Implant Institute and Glidewell Laboratories announced recently a partnership in continuing education that will introduce the Hahn Tapered Implant as the exclusive dental implant system used in the institute's courses. As part of this collaboration, the Misch Institute will relocate its West Coast programs to the Glidewell International Technology Center in Newport Beach, Calif. Glidewell launched the Hahn Tapered Implant in 2015 in cooperation with Jack Hahn, DDS, who oversaw its development. It has been hailed by Dr. Misch as "a great fit for the…

20. Page 50

    NEWS/TRENDS Zimmer Biomet Celebrates Grand Reopening of NJ Training Center Zimmer Biomet Holdings, a global leader in musculoskeletal healthcare, announced recently the grand reopening of the Zimmer Biomet Institute in Parsippany, NJ. A newly enhanced 20,000-square-foot dental training center featuring a simulation lab, a cadaver lab, and lecture room, it's dedicated to providing scientific educational courses to dental clinicians globally who are interested in restorative, surgical, and regenerative procedures. Courses offered include cadaveric-based training, case study reviews, and simulation workshops on Hialeah mannequins. "We are thrilled to reopen our doors as the Zimmer Biomet Institute and excited to build on…

21. Page 51

    Your Practice's "Vital Signs" How healthy is your practice? Is it growing and thriving, or is it on life support? There are practice vital signs that will help you determine the financial health of your business, just like there are vital signs to determine the health of your body. Mike Kesner, DDS The closer your practice is to the ideal vital signs, the stronger it will be, the faster it will grow, the more revenue it will generate, and the more it will sell for one day. Here are some vital statistics that will determine how well you are practicing…

22. Page 54

    Cancer Cells and Antibiotic-Resistant Bacteria Killed by Nisin Nisin, a naturally occurring food preservative that grows on dairy products, has been shown to kill cancer cells and antibiotic-resistant bacteria. A new University of Michigan study found that feeding rats a "nisin milkshake" killed 70% to 80% of head and neck tumor cells after 6 weeks and extended survival, said Dr. Yvonne Kapila, a professor at the University of Michigan School of Dentistry. After 8 weeks of nisin treatment, tumors were comparable to tumors at 1 week. Kapila's group has published positive results with less potent nisin, but the highly purified…

23. Page 55

    Future Tooth Fillings May Incorporate Bioactive Glass Engineers at Oregon State University (OSU) have made some promising findings about the ability of "bioactive" glass to help reduce the ability of bacteria to attack composite tooth fillings, and perhaps even provide some of the minerals needed to replace those lost to tooth decay. The new research was published in the journal Dental Materials, in work supported by the National Institutes of Health. "Bioactive glass, which is a type of crushed glass that is able to interact with the body, has been used in some types of bone healing for decades," said…

24. 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. CERARESIN BOND Porcelain & Resin Repair System Shofu Dental Porcelain repair has been an extremely unproductive procedure in the dental practice. No matter how carefully the fractured ceramic (or composite, for that matter) surface is cleaned, dried, primed, and bonded, the repair invariably fails within a short time. Dentists are reluctant to perform porcelain (and even composite resin) repairs because they then assume forward responsibility for the condition of the tooth, patients return with alarming…

25. Page 58

    Top 25 Endodontic Products Aseptico The AEU-7000E-70V provides the ultimate return on investment. A unique handpiece calibration system automatically detects the internal properties of individual reduction handpieces at the time of treatment, ensuring highly accurate speed and torque results. Existing handpieces can be used, resulting in additional cost savings. Compatible handpiece ratios include 4:1 to 16:1 for endo, 1:5 and 1:2 increasers for restorative or surgical applications, 1:1 for polishing or adjustments, and 16:1 to 32:1 reduction for implants. Custom display names and settings can also be added to the programmable preset buttons for enhanced customization. Upgradeable software means longevity…

26. Page 60

    Top 25 Endodontic Products Essential Dental Systems With Tango-Endo, it only takes 2 instruments. Tough and reusable Tango-Endo instruments boast a unique, patented flat along the entire length. This flat allows for faster engagement with less resistance, increased flexibility without sacrificing strength, and virtually eliminates instrument separation. For more information, call (201) 487-9090 or visit edsdentalcom/tangoendo. FREEinfo, Ultradent Products The Endo-Eze Genius files are designed for use in endodontic treatment for shaping and cleaning the root canal system. The working part of each Genius file comprises NTi alloy heat-treated to increase flexibility while retaining strength to provide superior instrumentation. The…

27. Page 62

    Top 25 Endodontic Products Video Dental Concepts The QuickRay digital x-ray sensor gives you the highest digital x-ray resolution and pristine image clarity while connecting directly to your Mac or PC USB port. There is no special interface box needed. It offers rounded corners and smooth edges to optimize patient comfort while receiving a dental x-ray. QuickRay is also one of the fastest intraoral dental sensors on the market. QuickRay Mac works with MacPractice, EndoTrack, RadioVision, and all major Windows imaging software, including Apteryx XrayVision, Carestream, DEXIS, Eaglesoft, QuickImage, and many more. The sensors are available in sizes one and…

28. Page 64

    Top 25 Endodontic Products MedicNRG The new Rider S3 apex locator makes root canal treatment easier, safer, and faster. It is the world's only apex locator that can be mounted on the dentist's existing rotary handpiece to continuously give the position of the file in real time while pinpointing the precise location of the apical constriction. This unique feature eliminates the need to frequently stop and check the file's position. This device can also stand alone like a conventional apex locator. The Rider's patented Digital Signal Processing (DSP) provides consistent, reliable measurements with 0.1-mm precision, which reduces the risk of…

29. Page 65

    Endodontic Products Top 25 iLumi Sciences The new-generation iLumi fiber-optic posts produce a powerful omnidirectional light transmission, ensuring complete polymerization deep down to the apical region of the root canal. Beyond this, you will experience more than 500% radiopacity for detailed x-ray visibility and full dentin-like mechanical elasticity. The posts also offer superior mechanical strength. They are noncorrosive and biologically rejection-free. The posts have a color-coded stopper for error-free handling and demarcation. Hygienic blister packaging provides clean and easy storage. The posts are available in 6 sizes. For more information, call (877) 854-5864 or visit ilumisi.com. FREEinfo, DiaDent EvoFill Duo…

30. Page 66

    Top 25 Endodontic Products Edge Endo The EdgeTaper Platinum is an assortment of shaping and finishing files that set a new standard in safety and canal centering by significantly improving the resistance to cyclic fatigue and flexibility. The proprietary FireWire heat treatment vastly improves the NiTi metallurgy, delivering unmatched strength and flexibility. For more information, call (855) 985-3636 or visit edgeendo.com. FREEinfo, Vista Dental Products SmearOFF effectively replaces 2 commonly used solutions: EDTA and chlorhexidine (CHX). It is an EDTA-based formula enhanced with CHX. SmearOFF not only effectively removes smear layer, but also kills bacteria in one easy step. Unlike…

31. Page 67

    Endodontic Products Top 25 Jordco The e-Dx is the next generation in endodontic diagnostic instruments. This unique instrument can easily cold and fracture-test teeth. Using a special open-cell foam insert, the e-Dx stores dental coolants briefly, 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, Kerr Endodontics The TF Adaptive…

32. Page 68

    Top 25 Endodontic Products DenMat Core-Post is ideal for core buildups in single-tooth restorations. Flexing like natural tooth structure, it dramatically minimizes tooth loss and features that excel with standard metal posts. With a coefficient of thermal expansion and modulus of elasticity nearly identical to dentin, Core-Post's exceptional physical properties are key to its strength and compatibility with cement, dentin, and core. Core-Posts are easy to cut and use, and available in carbon fiber for increased posterior strength and tooth-colored glass fiber for esthetic anterior restorations. The posts are available in 5 diameters: 1.0, 1.2, 1.4, 1.7, and 2 mm.…

33. Page 69

    Endodontic Products Top 25 READERS' CHOICE Charles B. Schwed NanoFlow gutta-percha points are made with a new, advanced synthetic nano formulation. As a result, numerous improved material and working characteristics have been made possible. During manufacturing, the cone material is injection molded to precision tolerances, eliminating any concern about point size variations. The nano chemistry composed provides a material that is denser, less sticky, and has significantly fewer voids. Coupled with a lowered volumetric change during obturation, a lower working temperature can be utilized. The softness, hardness, and flow characteristics can also be carefully controlled, making NanoFlow suitable for use…

34. Page 70

    Top 25 Endodontic Products Angelus Dental With more than 15 years of evidence-based research, MTA-Angelus is a Bioceramic reparative cement for root and pulp reconstruction. It is indicated for the treatment of lateral and furcation perforations, apexification, internal resorption, pulpotomy, pulp capping, and apexogenesis. MTA is the only cement capable of stimulating cells to the point of fully regenerating infection-compromised sites. Also, unlike other substances with identical indications, MTA can be inserted in moist areas, dramatically facilitating the work of the dentist. The release of calcium ions promotes the formation of a dentin bridge when used for pulp capping and…

35. Page 71

    Endodontic Products Top 25 READERS' CHOICE 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. For more information, call (800) 284-3368 or visit jsdental.com. FREEinfo, Brasseler USA ESX Rotary Files are specially designed for precise, minimally…

36. Page 72

    The Importance of Increasing the Success Rate A Look at Procedures, Factors, and Clinical Practices INTRODUCTION When I first started in practice dentistry, I asked myself what is important when treating patients. My answer was: "a high clinical success rate." Not only is it important to make patients feel that what you do for your patients will actually work, but the clinical success rate can also be a benchmark to measure what techniques and products will directly benefit your patients. If the clinical success rate reported is the same for similar procedures or techniques, then one can fall back on…

37. Page 73

    Simple Approach Advanced Instruments Expert Training Hands-on training with Dr. Buchanan The Art of Endodontics™ / System-Based Endodontics® Train up with one of the finest and most respected clinicians in the field. Dr. Buchanan has trained more practicing general dentists in current endodontic techniques than any other educator. A leading innovator and educator, Dr. Buchanan's strength lies in simplifying the complexity of root canal therapy into predictable and reproducible results. Using hands-on approach and one-on-one coaching, Dr. Buchanan teaches the same techniques he uses every week in his own clinical practice. Limited to 14 participants, each program includes a live…

38. Page 74

    The Importance of Increasing the... continued from page 72 instruments (Essential Dental Systems). Tampa Endo is a tough and reusable 2 instrument reciprocal system that contains a unique patented "flat" along the entire length of the reamers. This flat permits faster engagement with less resistance, increased flexibility without sacrificing strength, and nearly eliminates instrument separation. By using only 2 instruments subsequent to the creation of the glide path, the clinician can cut down the patient chair time substantially. One of the more interesting articles that I have read evaluated the clinical success of 2,000 endodontically treated teeth.10 (Figures 4A). This…

39. Page 75

    ENDODONTICS I now mark my No. 4 round bur with a permanent marker at the 7.0 mm point on the bur. 12 years, many corroborating papers have been published on pulp chamber morphologic measurements.3&-13 All these papers verify that the distance to the middle of the pulp chamber from a cusp tip is approximately 7.0 mm. It is another 7.0 mm from the floor of the chamber to the closest furcal perforation point. As a result, I now mark my No. 4 round bur with a permanent marker at the 7.0 mm point on the bur. This lets me immediately…

40. Page 76

    Creating Well-Obturated Canals The Use of Warm Vertical Condensation Techniques [PHOTO: Headshot of smiling man in dental coat] Trent T. Lally, DDS, MSD Eric Pacheco, DDS Garry L. Bej, DDS INTRODUCTION One of the most common questions asked by general practitioners and specialists alike is: "How do I obturate the root canal system?" With many techniques and materials available to the practitioner, it can be difficult to know which system is the right one for both you and your patient's tooth. Not all root canal to obturation with the correct anatomical system, as not every canal can be shaped with…

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