Dentistry Today — February 2013

Inside this issue

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1. Page 8

   The Challenge of Access to Care Can an innovative dental education model help address the access issue? The answer is yes—making it happen is another thing. Access to care has dominated the dental care delivery discussion for quite a while and is more complex than most of us have realized. For example, even if a patient has transportation, motivation to see a dentist, and some form of insurance to pay for it, there has to be a ready, willing, and able dentist to provide the care. If a patient is lacking the transportation, motivation, access to care becomes more difficult…

2. Page 10

   VIEWPOINT continued from page 8 DENTAL EDUCATION RESPONSE Dental education has a unique and critical opportunity to step up and adjust to these compelling issues. The entire educational model—from who is accepted, how they are trained, the integration of "community mindedness," and interprofessional practices—is essential in the development of dental leaders/providers. They are needed to solve the access to care issue that lingers and will continue unless changes are made. If we continue to do what we have always done, we will only get what we have always gotten. The sole private practice model of dental care delivery has to…

3. Page 12

   Below are Letters to the Editor of Dentistry Today received in response to the articles "The Future of Solo Private Practice," written by Marc B. Cooper, DDS, MSD, and "No Attached Keratinized Gingiva? A Clinical Solution for the Clinician," written by Timonth Kosinski, DDS, both in the January 2013 issue. The articles are available on our Web site, . Dear Editor: I read with interest the Viewpoint by Dr. Mark Cooper predicting the doom of solo private practice. This is such nonsense that I feel compelled to comment. There in my generation will remember Avrom King of the early 1980s.…

4. Page 13

   is also a viable tactic. That is a method that I like to think would both expand our horizons and as well would acknowledge our essential impermanence. Younger people are, well, younger. Alan Goldstein, DMD New York, NY Dr. Cooper responds: I appreciate your comments. I also acknowledge your life experiences, your intention to making a difference for dentists, and the work you've committing to accomplishing. I also appreciated your references to Buddha's and his teachings. The first 3 toys of Buddha's a Noble Truths are: (1) Life is suffering, and (2) The origin of suffering is attachment. Many of…

5. Page 14

   Dentistry Today.com Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! Stay tuned for... LIVE ONLINE BLOG Chicago Dental Society 148th MIDWINTER MEETING February 21-23, 2013 Interactive Coverage •Live video product demonstrations •Product releases •Announcements •Insight from clinicians on products •Interviews with manufacturers DENTISTRY TODAY For more information and to view the blog, visit live-blog Technique of the Week Basic Prosthetic Steps Michael Tischler, DDS, of Woodstock, NY, provides the basic steps for the Prettau Zirconia Implant Bridge. Watch this video and learn about the makeup of this CAD/CAM-milled screw-retained bridge for…

6. Page 16

   From the November 2012 Issue IMPRESSION MATERIAL DENTSPLY Caulk Jeltrate Chroma Dustless Color-Changing Alginate Impression Material is formulated to change colors for each preparation phase, from (1) fuchsia during mixing and (2) lavender during tray loading and seating to (3) light blue during setting in the mouth. It has a set time of 2 minutes and is 5 days dimensionally stable when stored in a hermetically sealed plastic bag. For more information, call (800) LD-CAULK. FREEinfo, FILM DIGITIZER X-Ray Support The QuickShot Film Digitizer turns your x-ray film into high-definition digital images. Its about one second. Images are automatically cropped,…

7. Page 17

   Air Techniques Spectra can detect decay hidden between the margins of existing composite and amalgam restorations. It is the only caries detection aid that works like Doppler radar to discover caries earlier. Its new, sleek design features a 120° button ring for added comfort. For more information, call (800) 247-8324 or visit the Web site airtechniques.com. FREEinfo, DENTAL CART Velopex International You can organize your office with SMARTCART. Featuring a contemporary design, split construction, and adjustable shelves, it can accommodate a myriad of items, such as a soft-tissue laser, an Aerosol unit, a gingival light, an ultra sonic scaler, a…

8. Page 18

   NEW PRODUCTS CANAL-PROBING FILES DiaDent Dia-Probe Files are canal-probing files with a minimal taper at 1% that helps perform intermediate steps in calcified or curved canals. Additionally, the files' square sections increase safety and resistance to distortion. For more information, call (877) 342-3368 or visit the Web site diadent.com. FREEinfo, FIT CHECKERS GC America FIT CHECKER ADVANCED and FIT CHECKER ADVANCED BLUE incorporate new features and benefits, including excellent detail and accuracy, minimal fill thickness, optimal flowability, and excellent transparency. FIT CHECKER ADVANCED BLUE is also indicated for checking occlusal contact. For more information, visit the Web site gcamerica.com. FREEinfo,…

9. Page 19

   Inseparable: Zirconia and PermaCem 2.0 PermaCem 2.0 has the Strongest Adhesion to Zirconia than any Leading Self-Adhesive Permanent Cement* PermaCem 2.0 is proven to provide one of the strongest bonds to Zirconia restorations compared to the other leading self-adhesive cements. Incorporating a recently developed adhesive monomer formula, the dual curing properties deliver an exceptional bond across all substrates. Formulated for easy clean-up, the optimized viscosity and no-drip formulation provide for the fastest and easiest removal of excess of all other self-adhesive cements, resulting in less stress and chair time. Plus as a single-step cement, it provides you with the added…

10. Page 20

    FOCUS ON: New Directions Steven L. Rasner, DMD, discusses implants in the aesthetic zone. Q: What is the biggest challenge for the implant and restorative dentist in the aesthetic zone? A: I'm pretty certain most clinicians would list predictability of the "final gingival drape" around the definitive restoration at the top of their list. If the patient has a high lipline, uneven gingival margins can turn a perfectly integrated implant into a clinical challenge. The clinical challenge is to provide restoration that is functionally, biologically sound, and mimics the contours of a natural tooth. It is not unlike the judging…

11. Page 22

    BeautiSealant ++++½ SHOFU Dental | (800) 827-4638 | shofu.com Consultants' Comments • "Precise placement means less adjustment." • "Good flow into pits and grooves." • "No etching or rinsing." • "Quickest sealant procedure ever!" • "A primer that does not require refrigeration would be more convenient." Description BeautiSealant, a BFA- and HEMA-free fluoride recharging pit and fissure sealant, slows demineralization, promotes remineralization, provides fluoride uptake, neutralizes acid, and decreases cariogenic bacteria production. It is offered with a self-etching primer that eliminates the need for phosphoric acid etching. Available in a white shade, it cures in 30 seconds with a halogen…

12. Page 24

    CLINICAL REVIEWS THE DENTAL ADVISOR Tetric EvoCeram Bulk Fill +++++ Ivoclar Vivadent | (800) 533-6825 | ivoclarvivadent.com Consultants' Comments • "An excellent composite." • "Good results without layering." • "This is now my go-to product for posterior composites." • "Great esthetics." • "Shade names are confusing." Description Tetric EvoCeram Bulk Fill, a nanohybrid composite for direct restorations in posterior teeth, contains patented polymerization boosters and light sensitivity filters for a deeper depth of cure with extended working time. According to Ivoclar Vivadent, patented shrinkage stress relievers integrated into the filler composition reduce polymerization shrinkage and shrinkage stress, resulting in excellent…

13. Page 26

    CLINICAL REVIEWS THE DENTAL ADVISOR ALL-BOND UNIVERSAL +++++ BISCO Dental Products | (800) 247-3368 | bisco.com Consultants' Comments • "Easy to use and works for everything" • "Less technique-sensitive than other adhesives." • "The built-in desensitizer eliminates one step from our previous protocols." • "Works great with my dual-cure core material." • "Low viscosity wets the tooth well." • "Film thickness does not interfere with sealing of indirect restorations." • "Application of 2 coats makes the procedure longer." • "No silane is included for superior silica-based ceramics." Description ALL-BOND UNIVERSAL, a single component, light-cured bonding agent, combines etching, priming, and…

14. Page 28

    Spotlight Dental Profession's Smallest Tabletop Digital X-Ray PSP Scanner Introduced CITY OF INDUSTRY, Calif.–For the convenient in-operatory acquisition of digital x-rays, Apixia Digital Imaging introduces the Apixia PSP (phosphor plate) Scanner, the dental profession's smallest PSP scanner, packing tremendous imaging power into a unit smaller than a typical coffeemaker. Imaging with PSP plates offers all the flexibility and patient comfort of film combined with the immediacy and environmental benefits of digital radiography. Images are scanned, and the plates automatically erased for next use in about 10 seconds. Included with the scanner at no additional cost is easy-to-use imaging software with…

15. Page 30

    Spotlight Ideal for Both Entry-Level and Experienced Users, Laser Delivers Essential Features at an Affordable Price SANTA MARIA, Calif.—Offered by DenMat, SOL is an ideal laser for both entry-level and experienced laser users, delivering all the power and essential features you demand in a laser but at a fraction of the price. Offering true portability, power, and precision along with enhanced ergonomics, it features a simple interface and the industry's first high-contrast blue aiming beam at a value no other laser can match, making it the most attractive desktop laser in industry. If you prefer to use a laser for…

16. Page 32

    Cloud-Based Educational Portal Updated With Improved Functionality and Presentation Capabilities ST. PAUL, Minn- Patterson Dental Supply's version 1.3 update to CASEYS Cloud, its online patient education portal, offers improved functionality and presentation capabilities. New features include Smile Channel content, new and updated videos, and improved search functionality—all available via fast, convenient cloud delivery. Smile Channel presentations, available in high definition for optimal patient viewing, provide engaging programming for the reception er content is being shown during an appointment. CASEYS Cloud offers more than 350 multimedia presentations and requires no installation and no network connection between participating devices; all that is…

17. Page 34

    Predictable Emergency Implant Placement: Maintaining the Buccal Plate With the Physics Forceps Extraction Technique Timothy Kosinski, MS, DDS Practitioners like me who offer implants desire the "emergency implant" situation that arises to be more predictable, starting with a complete atraumatic extraction that preserves the buccal plate. This is particularly the case when dealing with anterior teeth, where the buccal plate can be very thin. If we are able to start with an extraction technique that preserves the buccal plate on a predictable basis, these emergency cases could be a bit more straightforward. Advancements in today's extraction instruments provide for less…

18. Page 35

    THE PHRASE "Work Smarter, Not Harder" HAS NEVER BEEN MORE APT vs. physics forceps Physics Forceps is, quite simply, the easiest to use and most effective tooth extraction instrument on the market. By utilizing innovative design, Physics Forceps allows all dentists to perform difficult extractions – no bite strength required. So do your patients, your hands – and your practice – a favor, and learn more about Physics Forceps today. 877.987.2284 | GoldenDentalSolutions.com BUY DIRECT CALL 877-987-2284 or on card ONE OF CLINICIANS REPORT 2012 BEST PRODUCTS EVALUATION CR BUYING GUIDE* GOLDEN Dental Solutions An independent non-profit dental education &…

19. Page 36

    36 . 1 INNOVATIONS Spotlight New Ceramic Material Dramatically Improves Productivity and Aesthetic Outcomes SAN MARCOS, Calif.-Offered by Shofu Dental, One Shot Unit Layering Porcelain, an extension to the popular Vintage MP and ZR product lines (shown), is a revolutionary next-generation ceramic material that dramatically improves productivity and aesthetic outcomes with a simplified single-powder build-up process. Just one baking cycle provides a flawless color match for any VITA shade. The densely packed homogeneous material yields vastly reduced shrinkage versus multiple firing cycle techniques while allowing one powder to build to full contour. For more information, call Lab Customer Service, Shofu…

20. Page 39

    Bite Tabs Color-Coded for Easy Size Reference KENNESAW, Ga - Offered by Microcopy, Flaps cushioned bite tabs are now available in color coding for easy size reference: white, original (formerly Film Flaps), and blue, long (formerly Sensor Flaps). Both sizes can be used on either film or sensor. Affordably priced, Flaps are disposable, giving users use-and-toss convenience, and they make taking x-rays easier, especially for children. For additional information, call Microcopy at (800) 235-1863 or visit flapsbitetabs.com. FREEinfo, Intraoral Protective Barrier Offered FAIR LAWN, NJ - MIS Implants' PerioPatch intraoral barrier adheres to gingival or mucosal tissue to protect localized…

21. Page 40

    Spotlight World's First All-in-One Wireless Loupe/Headlight Introduced ANAHEIM, Calif.–Offered by Orascoptic, the new XV1 is the world's first all-in-one wireless loupe and headlight, providing exceptional visualization through superior magnification and illumination. It seamlessly combines Orascoptic's award-winning loupes with its award-winning headlights–offering light and allows dental professionals to deliver exceptional procedural outcomes with greater ease and less strain on their bodies. Featuring a lightweight and completely cableless design—and by removing the heavy and bulky light packs of past headlights—the XV1 has been ergonomically designed for comfort, function, and style. All electronics are completely contained within the XV1's custom-built frame, so there…

22. Page 41

    Durable CAD/CAM Restorative Material Offered With 10-Year Warranty ST. PAUL, Minn.–Based on 3M ESPE's renowned nanotechnology, Lava Ultimate CAD/CAM Restorative, a new class of CAD/CAM material, offers lasting polishability and is backed by a 10-year warranty, something no other chairside block can match. It provides a fast, no-firing process that is easy to mill, helping dentists maximize the productivity of their in-office restorative systems, and it is resilient, nonbrittle, and incredibly durable and shock absorbent. The material is indicated for a full range of permanent-adhesive, single-unit restorations, including crowns, onlays, inlays, and veneers. Additionally, it is ideally suited for implant-supported…

23. Page 42

    INTERVIEW: ROBERT ASH, president, SNAP Imaging Systems 1 What do you see as being the next big upcoming advancements in cosmetic imaging? I have always viewed cosmetic simulation software as a means of increasing cosmetic bookings. In order to do that, it's important to make the software so fast and easy to use that the staff will be willing to simulate almost everyone who walks in the door. Even noncosemetic patients should be simulated so they can take the picture home to show their family and friends, thus sparking interest that did not exist before. Currently, our SNAP software produces…

24. Page 44

    NEWS/TRENDS Industry News Hispanic Dental Association Selects New Board President The Hispanic Dental Association (HDA) announced recently the selection of Maritza Morell, DDS, MS, MPH, as its 2013 board president. Dr. Morell is a board-certified pediatric dentist and a Diplomate of the American Board of Pediatric Dentistry. She is also a clinical associate at the Boston Children's Hospital and at the Harvard School of Dental Medicine, where she is the faculty advisor to the student chapter. Dr. Morell obtained her dental and public health degrees from the University of Puerto Rico School of Dental Medicine, the University of Puerto Rico…

25. Page 46

    NEWS/TRENDS We're No. 5! Dentists Rank in Top Ten Again in Honesty/Ethics Poll EXACTA Give us 10 minutes, and we'll save you up to 50% (800) 474-7665 www.exactadental.com/10min FREE info, on card In a recently released Gallup Poll, dentists were listed No. 5 for their honesty and ethical standards. In previous years' polls, they also scored in the top 10. As part of the poll, the public was asked to rank 22 professions on a point scale, ranging from very high to very low, and 62% of respondents ranked dentists as very high or high. Dentist scored slightly lower than…

26. Page 47

    NEWS/TRENDS Could the Remedy for Tooth Sensitivity Be found in...Mussels? Taking inspiration from Mother Nature, scientists are reporting an advance toward preventing tooth sensitivity that involves a substance similar to the adhesive mussels use to attach to rocks and other surfaces in water. The scientists, Quan-Li Li and Chun Hung Chu, cited the need for a substance that rebuilds both enamel and dentin at the same time. To meet this challenge, they turned to a sticky material similar to the adhesive that mussels use to adhere to surfaces, reasoning that it could help keep minerals in contact with dentin long…

27. Page 50

    Orthognathic Surgery and Recovery Have Different Anesthetic Requirements Orthognathic surgery affecting the jaws and face requires a balancing act in anesthetic technique. Factors such as limiting blood loss, avoiding respiratory depression, and averting postoperative nausea and vomiting can lead to optimal patient outcomes. The use of the drugs such as propofol and remifentanil Orthognathic surgery affecting the jaws and face requires a balancing act in anesthetic technique. is increasing because the drugs can meet these needs; however, with the use of these drugs patients may subsequently experience more postoperative pain. In the Summer 2013 issue of the journal Anesthesia Progress,…

28. Page 51

    treatment. While ketamine provides a more cost-effective alternative for dental sedation—remifentanil is more expensive—it requires a longer patient recovery time. This study found that the more rapid recovery from the propofol-remifentanil combination makes it a more ideal deep sedative for dental office third molar surgery. (Source: Anesthesia Progress, 2013, Volume 59, Number 3) Stem Cell Therapy Regrows Craniofacial Tissues In the first human study of its kind, researchers found that using stem cells to regrow craniofacial tissues—mainly bone—proved quicker, more effective, and less invasive than traditional bone regeneration treatments. Researchers from the University of Michigan (U-M) School of Dentistry and…

29. Page 52

    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. Filtek Bulk Fill Flowable Restorative 3M ESPE Posterior restorations can be rather time consuming. It is difficult to manipulate highly viscous composite resin into the nooks and crannies of the preparation and to closely adapt it to the preparation margins. (Anything less than an excellent seal will permit oral fluid and bacterial infiltration, eventually causing the restoration to break down.) Furthermore, it is common practice to polymerize every 2 mm layer separately to assure complete…

30. Page 54

    54 . 1 Scan the QR code for FREEinfo or visit: freeinfo LIVE BLOG FROM CHICAGO Go to Tuesday-Friday 23 Midwinter Product Showcase The Midwinter Product Showcase highlights products that will be featured at the Chicago Dental Society's 148th Midwinter Meeting ALL-TISSUE LASER BIOLASE Technology You can be amazed by the new WaterLase iPlus. For less-shot, less-drill, same-day dentistry, the iPlus is unmatched. The WaterLase system cuts like a high-speed, and a revolutionary interface makes performing 53 procedures simple. You can achieve multiquadrant dentistry with less chair time and less reappointment. For more information, call (889) 460-9494 or visit amazedbywaterlase.com.…

31. Page 56

    Midwinter Product Showcase ROOT CANAL SEALER Brasseler USA The BC Sealer is a revolutionary, premixed, and injectable root canal sealer utilizing new bioceramic-technology. This highly radiopaque and hydrophilic sealer forms hydroxyapatite upon setting and chemically bonds to both dentin and to bioceramic points (EndoSequence BC Points). BC Sealer is antibacterial during setting due to its highly alkaline pH and, unlike traditional sealers, it exhibits absolutely zero shrinkage. For more information, call (800) 841-4522. FREEinfo, IMPLANT SYSTEM Zest Anchors The LOCATOR Overdenture Implant System is designed exclusively for overdentures by providing an ideal treatment option for fully or partially edentulous patients…

32. Page 58

    Midwinter Product Showcase DENTAL CHAIR Flight Dental Systems The A10 Patient Chair is an ergonomically engineered seat with a cushion design. Easy drop-down arm rests and synchronized seat and headrest movement make for a reliable and comfortable chair. Also, a double-articulating headrest provides unlimited positioning for patient comfort. For more information, call (866) 799-0517. FREEinfo, SHADE-MATCHING DEVICE AdDent The Rite Lite 2 shade matching light is a device that incorporates advanced LED technology to simulate various lighting conditions to aid in the color matching of teeth and all types of dental restorations. It offers 3 modes of light for shade…

33. Page 60

    Midwinter Product Showcase PANORAMIC SYSTEM Carestream Dental With CS 8100, all of the traditional panoramic system features have been revisited and enhanced in order to bring an innovative panoramic concept to the market, combining the very latest technologies and features into one compact system to help dental professionals provide the best patient care, making their daily work simpler and more intuitive. For more information, call (800) 944-6365 or visit carestreamdental.com. FREEinfo, OBSTURATION SYSTEM B&L Biotech USA The Cordless Alpha A2 Heat Source is a multitasking, precision obturation instrument for warm gutta-percha techniques. This well-designed, ergonomic handpiece easily facilitates the Schilder…

34. Page 62

    Midwinter Product Showcase FIBER-OPTIC HANDPIECE Dental EZ Group As the No. 1 selling fiber-optic handpiece on the market (based on research by Strategic Data Marketing), each handpiece in the StarDental 430 series high-speed handpiece line remains a classic favorite among dental professionals. Made with StarDental ceramic ball bearing turbines, the full family of the 430 Series includes StarDental's 430 SWL, 430 K, 430 Sw and the new 430 Satin. Each is available in lubricated or LubeFree. For more information, call (866) DIT-INFO or visit dentalez.com. FREEinfo, COSMETIC BRACE SYSTEM Six Month Smiles This Short Term Ortho System offers a conservative…

35. Page 64

    Midwinter Product Showcase CARIES DETECTION DEVICE/INTRAORAL CAMERA ACTEON North America The SOPRLIFE is 2 devices in one, operating as a caries detection device as well as a high-magnification intraoral camera. It is not software dependent so it works with most imaging and practice-management software, and it is backward-compatible with all SOPRO docking stations. For more information, call (800) 289-6367, visit us.acteongroup.com, or send e-mail to info@us.acteongroup.com. FREEinfo, DENTAL WEB SITE DESIGNER Sesame Communications It only takes 90 seconds for a patient to decide if he or she will contact the practice. A groundbreaking research study has uncovered the 25 factors…

36. Page 66

    Midwinter Product Showcase CARBIDE BUR Dental Savings Club KUT burs and carbides are manufactured with the best stainless steel shank and tungsten available on the international market, overcoming the ISO standards required for rotative instruments. They are very efficient in tooth preparation, cut very rapidly, and continue to do so for multiple tooth preparations. (ISO exceeding stainless steel shanks maintain concentricity and accuracy.) For more information, call (888) 768-1230 or visit the Web site dentalsavingsclub.com. FREEinfo, ENDODONTIC STORAGE SYSTEM Jordco The Encoring FileCaddy organizer provides a unique bulk-storage solution for all endodontic files. The clinician places multiple files securely into…

37. Page 68

    Midwinter Product Showcase DISPOSABLE APPLICATORS Microbrush Microbrush applicators are specially designed for precise application of controlled amounts of material in hard-to-reach areas. Their design features stiff applicator heads in 3 sizes that allow for scrubbing, enable users that resist the harsh dental materials, and a strong bendable position. They are ideal for applying cements, etichants, sealants, bonding agents, hemostatic solutions, and conditioners. For more information, call (866) 866-8998 or visit microbrush.com. FREEinfo, SOFTWARE/DIGITAL SENSOR DentiMax DentiMax is a true, fully integrated sensor/practice management system. You can easily create treatment plans and view digital x-rays from one screen. Simply click on…

38. Page 70

    Midwinter Product Showcase ALIGNER MATERIAL MicroDental Laboratories ZEUS Full Contour Zirconia Restoratives are a strong alternative to PFM and full metal restorations. These restoratives offer aesthetic advantages over full metals and are more resilient to fracture or delamination than PFMs. They are highly biocompatible and are not affected by fluctuations in alloy prices. ZEUS Restoratives are available in 3 tiers of products. For more information, call (800) 229-0936. FREEinfo, ABUTMENTS DENTSPLY Implants Available for all major implant systems and in your choice of titanium, gold-shaded titanium, and different shades of zirconia, ATLANTIS patient-specific abutments allow you to optimally meet the…

39. Page 71

    Midwinter Product Showcase ZIRCONIA IMPLANT BRIDGE Tischler Dental Laboratory The Prettau Zirconia Implant Bridge is a screw-retained implant bridge that revolutionizes implant prosthetics. Its all-inclusive pricing is less than most hybrid bridges, bar overdentures, or PFM screw-retained bridges, and there is a 5-year warranty against chipping or breakage. It boasts custom shades, custom shapes, no chipping, no staining, no acrylic, and less prosthetic space needed than a hybrid bridge. For more information, call (845)-679-2737 or visit prettaubridge.com. FREEinfo, ORAL SHIELD Richmond Dental Reflective Shields Plus is designed for maximum absorbency without expansion, optimal illumination of the oral cavity, patient comfort,…

40. Page 72

    Midwinter Product Showcase ALIGNMENT HOUSINGS PREAT With the new Hader Alignment Housings, dental professionals now have a choice between the popular Horn/Hader thin housings and the new knurled Hader Alignment Housings. This alignment groove on top of the alignment housings provide an easy way to maintain clip alignment, assures that the clips have not rotated prior to processing, and maintains a parallel path of insertion/draw. For more information, call (800) 232-7732 or visit preat.com. FREEinfo, DIGITAL X-RAY SENSORS Apixia Digital Imaging Apixia digital x-ray sensors deliver crisp, clear images instantly for as much as 75% less cost as competing systems.…

And 43 more pages — read the whole issue.