Dentistry Today — February 2016

Inside this issue

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

1. Page 6

   Embracing Change The theme of our February issue is new directions. The technology used in the everyday treatment of patients continues to evolve in ways never thought imaginable just a few decades ago. The increasingly diverse applications of CAD/CAM, 3 D printing, and CBCT have dramatically impacted how doctors are delivering care. The reach of these helpful technologies—as well as ones yet to be discovered—will only grow. To deliver the best dentistry possible, it is important to become involved in a thoughtful selection and implementation of proven technologies. Even with these advancements, the modern dentist must still maintain a solid…

2. Page 8

   The Oral-Psychiatric Link MENTAL HEALTH IS NOT CURRENTLY A PART OF THE CONVERSATION I am not sure how much time was spent talking about mental illness in your hygiene or dental school, but when I was in school, it was a topic either taboo or taught likely seen as unrelated to dentistry to get any floor time. My experience as a mother and dental provider has taught me that mental health and oral health are inextricably linked. As the conversation surrounding the mouth is gaining ground, it is important to make sure the mental health of our patients is no…

3. Page 10

   VIEWPOINT continued from page 8 Warning Signs One reason my missed early intervention with my daughter was the lack of urgency expressed by her doctors. Experts confirm there is a glaring lack of knowledge by both medical providers and dental providers on the specific needs of the mentally ill.¹ Mental health providers must understand that the most common side effect of medications used by mouth, or drug-induced xerostomia. Dry mouth can lead to a series of painful oral infections. Mental health professionals should be aware their patients are at risk for the following: • Dental caries • Periodontal disease •…

4. Page 14

   FOCUS ON: Regenerative Dentistry Jack D. Griffin Jr, DMD, reviews the history of bioactivity and discusses the possibilities that regenerative materials have in the future of dentistry. Q: The word bioactivity is used all over in journals and product ads these days. What does it mean? A: The word bioactivity itself simply means "to elicit a response from a living tissue." That description is not a particularly good term for dentistry as that "response" could be either positive or negative. A word that better fits what we are looking for in an ideal dental material is "promotive," meaning, "to provide…

5. Page 16

   From the November 2015 Issue BRUSH TIP Vista Dental Products The Spira-Flo brush tip is designed specifically for application of viscous materials, offering controlled delivery of etchants, resins, and other viscous materials used in most restorative procedures. The length of the tip's brush fiber can be adjusted by pulling to lengthen for a softer effect or pushing to shorten for a stiffer effect. Among the tip's features are its curved cannula for optimal entry, internal spiral channel, and universal lever lockstyle hub. For more information, call (877) 418-4782 or visit vista-dental.com. FREEinfo, NANOHYBRID COMPOSITE VOCO America GrandioSO is light-cured and…

6. Page 17

   Propel Orthodontics The Excelerator and Excelerator for RT are 510k-cleared, Class II medical devices designed to create perforations in bone and tissue for orthodontic procedures. These devices take just minutes to perform micro-osteoperformation characters to facilitate ideal results in simple cases as well as complex malocclusions in conjunction with braces or clear aligners. For more information, call (855) 377-6745 or visit the website propelorthodontics.com. FREEinfo, SENSOR SYSTEM Zuma Dental The Z-Ray Hi-Performance Sensors and state-of-the-art imaging software provide unparalleled image quality. Including the most powerful imaging software suite available, Z-image features (1) nine arrays of manual enhancements and filters and…

7. Page 18

   Microcopy The 557‡ carbide bur, reinforced for strength with a new blended neck design, is a true workhorse with durability that dwells in competition (see p. 42). It's been precision engineered to ensure optimal quality and performance for even the most demanding cases. If you frustrated with burs that break and interrupt your procedures, upgrade to the 557‡ and make bur breakage a thing of the past. For more information, call (800) 235-1863 or visit neobur.com for a free sample. FREEinfo, DUAL-WAVELENGTH SOFT-TISSUE LASER Ultradent Products The Gemini 810 + 980 Soft-Tissue Laser is dentistry's first dual-wavelength soft-tissue diode laser,…

8. Page 20

   CLINICAL REVIEWS THE DENTAL ADVISOR Composi-Tight 3D XR Sectional Matrix System +++++ Garrison Dental Solutions | (888) 437-0032 | garrisondental.com Consultants' Comments • "Blue rings are retentive and stable on teeth." • "I thought the original 3D was a good product, but the new blue face is even better." • "No excess flash." • "Great aesthetics." • "Not ideal for wide proximal boxes." • "The plastic wedges are slippery." Description The Composi-Tight 3D XR Sectional Matrix System is designed to create tight, anatomical contacts on Class II composite restorations. Its rings are Soft Face silicone to enhance matrix band adaptation…

9. Page 21

   Luxator ++++1/2 Directa Dental | (203) 491-2273 | directadental.com Consultants' Comments • "I loved the sharpness of the blade." • "This is really easy to use." • "The handle fits great in my hand." • "The blade remained sharp. I did not need to sharpen it." Description Luxator instruments are periodontal ligament knives to aid in atraumatic extractions. The fine tapered blade compresses the alveolar bone, cuts the membrane, and eases the tooth from its socket. The handle is designed for tactile control while minimizing force during use. The tip is thin and sharp so it inserts easily between bone…

10. Page 22

    CORPORATE PROFILE LSKI21 Oral Prosthetics LSK121 Oral Prosthetics® facility in Naperville, Ill. The work area for LSKI21 Oral Prosthetics® 35 technicians, advisors, and support workers. The Chairside Shade Guide. This year, LSKI21 Oral Prosthetics celebrates 20 years of providing world-class laboratory services to dentists throughout North America. LSKI21 drives innovation among dental laboratories around the world and offers potentially the widest assortment of state-of-the-art products and services available from a single laboratory. By offering this wide range of services, LSKI21 is an extremely convenient resource for dentists seeking a combination of services. LSKI21's staff, comprising 35 technicians, advisors, and support…

11. Page 24

    Steal Away Paul Feuerstein, DMD Data breach protection has to be handled with tools such as firewalls and encryption, but what chance does a small dental office have of protecting itself when giant corporations, government agencies, and banks can be affected? This is where professional help comes in. "Hello, This is Rick from your computer monitoring center, and we just detected a virus in your system. Follow my instructions as fast as possible so your whole system won't crash." The unsuspecting staff member on the phone is put into a bind by this professionally trained caller. "Just open a browser…

12. Page 26

    Spotlight New Endodontic System Designed to Complement Today's Most Popular Endodontic Technique ALBUQUERQUE, NM–EdgeEndo's newest endodontic file system features (1) the EdgeTaper Platinum heat-treated NiTi rotary file, and (2) the EdgeTaper, a nonheated NiTi rotary file. Both have been designed to be used by ProTaperGold and ProTaper users in the same method and technique. EdgeEndo's newest innovations, the files are a direct response to the dental market's most popular taper technique and the need for files with higher cycle fatigue rates without a premium price tag. Internal tests show that the EdgeTaper Platinum exhibits exceptional cyclic fatigue and strength, and…

13. Page 28

    Scaler, Now Available With LED Handpiece, Combines Power With Compact Design RACINE, Wis—Now avail in 6 colors with autoclav able with a LED handpiece for enhanced visibility, Vista Dental Products' Piezo Pi lot Ultrasonic Scaler offers users a combination of un precedented power and com pact design. And — unlike the mag neto strictive tech nology of other scalers, which of fers a vibrating, fig ure-8 motion that produces a consid erable amount of heat, the Piezo Pi lot's piezoelectric technology operates in a linear push/pull motion, resulting in less pa tient sensitivity, less heat, and much less water usage.…

14. Page 30

    Spotlight Unit Offers the Latest 2-D and 3-D Panoramic Technologies ORMOND BEACH, Fla.- Owandy's I Max Touch offers 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, Owandy 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 x-rays of the skull and carpus. The 3-D option allows acquisition of…

15. Page 32

    With Kevin McKay of DDS Refining 1 Tell us about yourself and DDS Refining. DDS Refining is a precious metal refining company specializing in processing gold and porcelain-fused-to-metal (PFM) scrap from the dental industry. We do work with other industries that use precious metal alloys, but the dental industry is where our primary focus is. I am currently the vice president of sales and operations and have held that position since 2009. I started in the dental refining business in 2001 and have given well over less lectures on the topic since then. I have also been published several times…

16. Page 34

    Spotlight Popular Bulk-Fill Flowable Composite Upgraded With Expanded Indications and Improved Features MILFORD, Del— DENTSPLY Caulk's SureFil SDR flow bulk-fill flowable has been used with great success in restorative dentistry since 2009. It is self-leveling for excellent cavity adaptation, it supports the bulk-filling technique in increments of up to 4 mm, and it exhibits extremely low polymerization stress. In 6 years, SureFil SDR flow has become a global success, with more than 40 million applications sold. Excellent clinical results confirm its exceptional reliability, and prospective clinical studies (data on file) found no secondary caries, no posteruptive sensitivity, and no failures…

17. Page 36

    Endodontic Handpieces Offered TOMS RIVER, NJ-Osseo Scientific's INTEGRITY ENDO Handpieces are specifically designed to offer a perfect alternative to handheld and standard CA root canal instruments. Compared to conventional hand techniques, a mechanical endo handpiece system helps reduce hand fatigue and substantially shortens operation time. INTEGRITY ENDO Handpieces offer 90° reciprocating action. For more information, call Osseo Scientific at (866) 618-1720 or visit the website dentalhp.com. FREEinfo, --- Spotlight Product Line Facilitates Treatment of Pediatric Patients CORAL GABLES, Fla.-With playful features and a bit of humor, the Angie line of pedodontic products offers products with a unique approach, presenting its…

18. Page 37

    Latest Generation of Clinically Proven Rotary Toothbrush Introduced LOMPOC, Calif–Advancing Rotadent's reputation of more than 25 years as the premiere at-home solution for periodontal maintenance, DenMat introduces the latest-generation Rotadent toothbrush, the Rotadent ProCare. Rotadent toothbrushes have been clinically proven to be as effective as brushing and flossing combined, and clinical studies proven that they remove 92% of plaque in the first minute, improving patient compliance. One of the secrets to Rotadent's efficacy lies with its unique brush head design. Each brush head has 4,577 Microfilaments, proprietary bristles that are one third the width of traditional toothbrush bristles, enabling them…

19. Page 38

    Patch and Oral Rinse Combine Science and Nature to Treat Periodontal Disease NEW YORK CITY— Izun Oral Care presents a breakthrough in the realm of oral anti-inflammatory therapies with the introduction of 2 new powerful non-steroidal topical treatments using naturally derived pharmaceutical actives. PeriActive is a unique topical patch that will reduce the signs and symptoms of inflammation and help promote more effective healing. Supplied as a 6-patch dose pack, it may be used adjunctively with scaling and root planing to assist with increased tooth attachment, reduce pocket depth, and provide less post-treatment pain. It has been shown to be…

20. Page 39

    World's First In-Office Teeth-Whitening Strip With One-Minute Chair Time Introduced SALT LAKE CITY—The CAO Group introduces Sheer White! In-Office Teeth Whitening Strips, the world's first in-office teeth-whitening strips with one-minute chair time. The strips, which contain 20% hydrogen peroxide, are designed with CAO's Comfort Fit Technology and require no soft-tissue retraction or isolation. A dental professional simply takes one minute of chair time to apply them to a patient to wear for 30 minutes, then sends the patient on his or her way. To complete the system, a Sheer White Take-Home Whitening Strip kit can be provided to the patient…

21. Page 40

    Spotlight Kit Facilitates the Finishing of Anterior Composite Restorations SAN MARCOS, Calif—Designed for the finishing of anterior composite restorations in a minimally invasive manner, Shofu Dental's Artistic Composite Kit features a selection of Shofu's finest diamonds, carbides, and stones. The instruments included in this kit are concomitant with "The Essence of Composite Art," an artistic restoration concept developed by Frank J. Milnar, DDS. The protocol begins with creating a unified surface using the kit's fine and superfine Robot Diamonds. In the following steps, with a fine-grit FRP Hybrid point diamond and egg shaped Robot Carbide Finisher, 3 facial planes—the emergence…

22. Page 41

    First-and-Only FDA-Approved Botox Syringe Introduced LOS ANGELES The Unitox syringe, created by Sid Solomon, DDS, facilitates the simple, precise, and accurate drawing and injecting of botulinum toxins such as Botox and Xeomin. Current syringes on the market measure in cc (ml), while Botox is measured in units. This requires the dentist to make time-consuming mathematical conversions with every injection. The tox syringe eliminates the need for these often confusing conversions, ensuring patient comfort and saving valuable chair time. Each 0.5 mL Unitox syringe is marked with bold 5, 10, 15, and 20-unit hash marks based on the FDA-approved 2.5 mL…

23. Page 42

    New Carbide Design Enhances Bur Strength Marty Jablou, DMD Recently, my assistant, in an effort to save money, ordered a bag of less expensive carbide burs for the office. When I started to use these burs, I noticed a big problem: they would constantly break. This continued breakage interrupted the procedures I was performing and was therefore costing me money as I was going through more burs. So I started doing some research on bur strength. Carbide dental burs are subject to rigorous and strenuous forces. These forces are applied when cutting natural teeth and metal crowns, making the burs…

24. Page 43

    NEWS/TRENDS Industry News Glidewell Laboratories Names Neil Park, DMD, Director of Clinical Affairs Glidewell Laboratories announced recently that it has named Neil Park, DMD, as director of clinical affairs, a new position created to oversee the clinical aspects of product research and development. In addition to coordinating the activities of Glidewell's clinical staff, Dr. Park will help guide the company's training and education efforts to meet the needs of dentists and enhance knowledge and awareness of new techniques, materials, and procedures. A graduate of Temple University's School of Dentistry, Dr. Park practiced as a general dentist for 12 years before…

25. Page 44

    NEWS/TRENDS OSAP Seeks Abstracts for Infection Control Conference; Cash Award Offered The Organization for Safety, Asepsis, and Prevention (OSAP), advocate for The Safest Dental Visit, is seeking abstracts for its Annual Infection Control Conference, to be held from June 2 to June 4 in San Diego. The abstracts will be reviewed by a panel of experts according to International Association for Dental Research (IADR) review criteria with the objective to advance infection control, patient safety research, and a clinical practice agenda across international borders. The abstract judged best overall will be awarded the James A. Cottone Award for Excellence in…

26. Page 45

    Four Ways To Increase 2016 Revenue Do you want higher revenue in 2016? How much higher? Do you have a detailed plan in place now to accomplish this? How would you like to double your revenue? Mike Kesner, DDS I have doubled my revenue several times. Here's how. There are four primary ways you can increase the revenue in your practice. If you only get 30% better on average in each of these four categories then your revenue will double! This is because of the "rule of 72". Since these four categories are inter-related there is a compounding synergistic effect…

27. Page 52

    Genetic Cause of Disturbed Dental Development Discovered Researchers at University Medical Center (UMC) Utrecht (Netherlands) have identified a gene that may cause oligodontia, a rare but serious condition characterized by the absence of 6 or more permanent teeth. The discovery of the so-called LPR6 gene makes it possible to diagnose patients more effectively, provide them with better information and develop customized treatment. The results were published in The American Journal of Human Genetics. Seventy percent of oligodontia patients have mutations in several genes. Additional genetic testing involving 20 patients with nonsyndromic oligodontia using Whole Exome Sequencing showed that, in these…

28. Page 53

    Admira Fusion Biocompatible Nano-ORMOCER; the World's First All-Ceramic-Based Direct Restorative Nanohybrid technology was first introduced to the dental industry in 2003 when VOCO successfully launched Grandio, the world's first nanohybrid composite. ORMOCER (Organically MOdified CeRamics) technology, developed by the Germany-based Fraunhofer Institute for Silicate Research ISC, has been embraced and implemented by many other industries with much success for its beneficial optical properties, scratch resistance, and antistatic and antimicrobial behaviors. These benefits have created new levels of quality for industries utilizing medical technologies, electronics, optics, sensors, and surface refinements. Today, VOCO has brought these 2 successful technologies together as a…

29. Page 54

    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. OVC One Visit Crown Rhondium A patient's problems with the indirect crown include that it requires 2 visits to the dentist (time off from work, travel time, parking) and 2 sessions of anesthetic. The dentist's problems with the lab-fabricated crown include 2 appointments of expensive chair time, impression expenses, and lab fees. Clinically, a successful crown must have appropriate occlusal form and function, perfect interproximal contacts, and acceptable aesthetics. The innovative OVC One Visit Crown…

30. Page 56

    Black Diamond Radio Custom Earpiece Comprehensive and continuous office communications are essential to the success of a practice. Even the smallest dental offices have several team members at separate locations, while large group practices may have dozens of individuals who need to stay in the loop. Shouting from one operator to another is not acceptable, and physical displacement to speak to somebody for just a moment is inefficient, and very costly to the bottom line. Furthermore, some conversations must be kept private. Custom Earpiece has introduced/partnered/series/Black Diamond Radio (BDR) to facilitate and enhance interoffice communications. The system is expandable for…

31. Page 58

    58 . 1 or 57 21st Annual MIDWINTER SHOWCASE Planmeca CAD/CAM SYSTEM Planmeca PlanMill provides a fully integrated digital workflow to create restorations that are individually crafted to perfection. It offers clinicians the ultimate chairside digital solution for operational efficiency and profitability within the dental practice. Use the PlanScan scanner to accurately scan the tooth; intuitively design a high-quality restoration with the PlanCAD software; and with PlanMill 40, quickly mill out the restoration in the milling unit. For more information, call (972) 234-3880 or visit planmecacadcam.com. BOOTH NUMBER: 3014 FREEinfo, BISCO Dental Products DENTAL ADHESIVE ALL-BOND UNIVERSAL combines etchant, primer,…

32. Page 60

    60 . 1 or 57 21st Annual MIDWINTER SHOWCASE KAT Implants IMPLANT SYSTEM The KAT Implants system is built around a single external locking taper platform that allows the same abutments to be used on implants ranging in diameter from 2.5 to 5.5 mm and body length from 6.0 to 14.0 mm. Solid body design, lock nut connection, and the presence of a microgap between abutments and implants are just a few of the aspects that distinguish the KAT Implants system from the competition. For more information, call (877) 528-7978 or (603) 427-0084 or visit the website katimplants.com. FREEinfo, DenMat…

33. Page 62

    62 . 1 or 57 21st Annual MIDWINTER SHOWCASE Sirona Dental TREATMENT CENTER Transcendental treatment centers allow practitioners to seamlessly integrate components of digital and traditional dentistry into easy-to-use units, streamlining workflow while increasing efficiency. The new TENEO and INTEGO are ergonomically designed to ensure optimal patient comfort while maximizing clinical proficiency. Transcendental treatment centers exceed profession standards for the highest quality designs. For more information, call (800) 659-8397 or visit sironatc.com. BOOTH NUMBER: 2025 FREEinfo, Essential Dental Systems TWO-IN-ONE IRRIGATION SOLUTION Irrigate, clean, and rapidly disinfect the root canal in one step. Introil is a single-step, disinfecting endodontic irrigation…

34. Page 64

    21st Annual MIDWINTER SHOWCASE ZEST Anchors OVERDENTURE ATTACHMENT SYSTEM The new LOCATOR R-Tx Removable Attachment System represents the next generation of the world's leading overdenture attachment system. It combines improved design, system simplicity, and a new coating that is aesthetic, harder, and more wear-resistant while relying on the same restorative techniques as the award-winning LOCATOR. For more information, call (800) 262-2310 or visit the website zestanchors.com. BOOTH NUMBER: 929 FREEinfo, Velopex International AIR-ABRASION SYSTEM The Velopex AquaCare Systems are minimally invasive fluid air systems that deliver fast prophylactic treatments through advanced slurry polishing capability. AquaCare Twin preps Classes I through…

35. Page 66

    66 . 1 or 57 21st Annual MIDWINTER SHOWCASE DENTSPLY Midwest HANDPIECE With the Midwest Tradition Plus hand-piece, DENTSPLY Midwest has taken a 30-year bestseller and made it even better. Smartly engi-neered and constructed, it simplifies each cutting procedure with (1) confident handling and (2) consistent, uncompromised power. Its patented ceramic bearing enclosure exceeds life, its innovative chuck facilitates easy bur release after heavy cutting, and its distinctive raised knurling offers excellent grip and control. For more information, call toll-free at (800) 800-2888 or visit dentsply.com. BOOTH NUMBER: 2202, 2402 FREEinfo, Septodont DENTAL NEEDLES Septodont manufactures 3 different styles of…

36. Page 68

    68 . 1 or 57 21st Annual MIDWINTER SHOWCASE A-dec CHAIR The top-of-the-line Adec 500 allows you to get close to the patient, maintaining a healthy posture and reducing pain and discomfort. Unique cushioning reduces pressure points and provides support across the entire body. Synchronized to move with the patient's natural motion, a virtual pivot eliminates repositioning when the chair is lowered or raised. For more information, call (800) 547-1883 or visit a-dec.com. BOOTH NUMBER: 1215 FREEinfo, Assured Dental Laboratory ZIRCONIA RESTORATION Zenostar is a 100% full-milled zirconia restoration that meets the patient's demand for high strength and aesthetics. Its…

37. Page 70

    70 . 1 or 57 21st Annual MIDWINTER SHOWCASE DiaDent OBTURATION SYSTEM EvoFill Duo is the new, advanced cordless obturation system that consists of the EvoFill backfill obturation device and EvoRack warm vertical compaction devices. EvoFill features powered extrusion, fast heating of built-in gutta-percha cartridge, and a digital control panel. EvoRack features an LED light guided plugger, instant heating, and digital temperature control. Both units are lightweight and ergonomically designed and crafted. For more information, call (877) 342-3368. BOOTH NUMBER: 4721 FREEinfo, KaVo Kerr Group Imaging 3-D IMAGING SYSTEM The ORTHOPANTOMOGRAPH OP300 Maxio is one of the most comprehensive 3-in-1…

38. Page 72

    72 . 1 or 57 21st Annual MIDWINTER SHOWCASE Align Technology ALIGNER MATERIAL SmarTrack is a highly elastic aligner material that delivers more constant force to improve control of tooth movements. A study of 1,015 patients treated with aligners made with SmarTrack material showed (1) a significant improvement in control of tooth movements, such as rotation and extrusion and (2) the percentage of patients on track with treatment was significantly higher at a follow-up appointment after 5 months. For more information, visit alignertechnology.com. BOOTH NUMBER: 3847 FREEinfo, SciCan THERMAL REDUCTION SYSTEM VistaCool is a validated, effective, reliable, and maintenance-free solution…

39. Page 74

    21st Annual MIDWINTER SHOWCASE Johnson-Prominent COUPLER LINE The new Prometheus Coupler line features quick-disconnect couplers with self contained LED fiber optics that fit all your favorite fiber-optic hand-piece brands. The couplers create bright, white LED light, with no additional power source or fiber-optic system needed. They use patent-pending dome air technology to energize the LED. Simply connect the coupler to your favorite fiber-optic halo, Star, NSK, Midwest, or fixed-hand-piece for bright fiber optics instantly—no new equipment or service call is needed. For more information, call (845) 589-0210 or visit the website johnsonpromident.com. FREEinfo, PREAT Corp OVERDENTURE ATTACHMENT SYSTEM The new…

40. Page 75

    . 1 or 57 21st Annual MIDWINTER SHOWCASE Angelus PEDIATRIC PRODUCT LINE The Angie Line includes pediatric products with fun and entertaining characters designed to diminish anxiety that children may have during a dental office visit. These are colorful products with unique characters called Dental Friends. They add a playful, interactive appeal to a dental appointment. Angie includes a wide variety of clinical products and take-home items. For more information, call (855) 346-3682 or visit the website angie.angelusdental.com. BOOTH NUMBER: 4932 FREEinfo, Charles B. Schwed FILE C Files are ideal for negotiating calculus, torturous, or severely curved canals. The files…

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