Dentistry Today — February 2017 cover

January 2017 · 148 pages

Dentistry Today — February 2017

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.

  1. Page 10

    Proud Defenders of Dentistry As dentists, we love to build patient relationships, tinker, solve problems, focus quite literally on microscopic margins, and geek out on cool technology. It is in our blood; it's what we do. Business per se is not in our blood; helping people is. We are doctors, not salesmen or businessmen. As a result, it's easy for us to lose sight of the world outside our office walls — a world that, while abundant, promising, and beautiful—is simultaneously interconnected, at times dangerous, filled with risk, and infinitely complex. World events, weather, politics, terrorism, currency movements, and evolving…

  2. Page 12

    continued from page 10 For dentistry, the effects are real and direct. Lower employment means fewer insured patients and less money to pay for our services, already overtaxed electively by much of the public. Ironically and counterproductively, increased regulatory costs the federal government tens of billions ($57 billion in 2015 alone) to administer, yet we further will be paid for by the taxpayers. It is not benefit analysis, there is not even a remote equivalence between the costs of compliance and dentistry in particular, is a solid first step to guide our voting, political and dentistry in particular, is a…

  3. Page 14

    Small-Diameter Implants: Looking Forward Allan Fuhr, DMD Reflecting back over 40-plus years of practice in oral surgery, I have had the privilege of watching the growth and development of current day implantology from infancy to today's contemporary status. Based on today's technology and engineering, would you purchase a 1998 model car or cell phone or current models? Easy answer. Why shouldn't your choice of an implant system be as direct? The "industry" of design, engineering, and manufacturing implants is not stagnant; like that of autos and cell phones, it is extremely dynamic. The secret of ongoing success in the practice…

  4. Page 16

    This month on The Wednesday Watch New Year, New Format The Wednesday Watch, Dentistry Today's weekly video newscast, is newly formatted for 2017. We've modernized our look and added more stories that are shorter in length so you can get more news in less time. You can still depend on our Dental News Network (DNN) to bring the latest news about research studies, clinical topics, product releases, and more. If you're not on the email distribution list for DNN, you can always signup online at signup. Chicago Midwinter Meeting Video Blog Coverage It's February, so that means the Dentistry Today…

  5. Page 18

    FOCUS ON: Silver Diamine Fluoride Rella Christensen, PhD, discusses the use of silver diamine fluoride for trauma-free caries treatment. Q: Who needs to know about silver diamine fluoride (SDF), and why? A: Anyone who cares for the health of people of any age needs to become acquainted with SDF (eg, dental/medical clinicians, school nurses, daycare for children and adults, social workers) because (1) US clinicians are using SDF for caries in patients of all ages to prevent pain, delay progression, and lower biofilm accumulation. SDF needs no injection, handpiece, or electric current to apply fluoride); (2) published randomized controlled clinical…

  6. Page 20

    From the September, October, and November 2016 Issues IMAGE-TRACKING SOFTWARE Digital Doc Patients want to be shown, not told, what needs to be done. Join more than 35,000 dental offices that have sold yes to Digital Doc. Follow a simple plan to create a patient experience that will result in double-digit growth. NightHawk Image Tracking Software tracks how many images are taken and the scheduled production per provider, proving a return on investment. Remember, the number of images is directly related to an increase in production. For more information, call toll-free (800) 518-1102 or visit digi-doc.com. FREEinfo, DIODE LASER Ultradent…

  7. Page 22

    Can See for Miles Paul Feuerstein, DMD My colleagues have consistently told me that I owe it to my readers to add magnification to my technology repertoire; that there is, well, a lot that I am not seeing... In my years of practice, I have never performed clinical dentistry with a microscope. I have worked with various magnifying loupes but stopped my journey at 3.5x magnification. Colleagues have tried to push me to 4x plus or acquire the Orascoptics EyeZoom (orascoptic.com), which allows a range from 3.5x. I have also worked with indirect vision, using products like MagnaVu that project…

  8. Page 24

    Spotlight Arches Create a Beautiful, Dazzling White Smile COCONUT GROVE, Fla.–Developed by VIAX Dental technologies, NOVO Smile Shapers are noninvasive, reversible cosmetic arches that slide over existing teeth to create a beautiful, dazzling white smile. They transform worn, misshapen, broken, and discolored teeth into the most naturally, beautiful smile possible. To utilize NOVO Smile Shapers, no shots or aesthetic are required; the procedure is entirely pain-free, and no reduction of tooth structure is required. And unlike other dental procedures that require grinding, cutting, and removal of tooth structure, NOVO Smile Shapers do not touch natural teeth. Made of patented resin…

  9. Page 26

    At Last, a Digital Solution for Mini Implant Restorations BOCA RATON, Fla-With the introduction of Intra-Lock's MDL (shown) and MILO Titanium Bases, in this age of digital dentistry, clinicians now have the option of fabricating crowns for small diameter implants utilizing computer assisted designs (CAD) and computer-assisted manufacturing (CAM). Intra-Lock's patented Cement-Over Abutment System, featuring these bases, enables clinicians and dental laboratories using the aShape Dental System or Exocad software to fabricate highly aesthetic crowns for their Intra-Lock Small Diameter Implant restorations. For more information, call Intra-Lock at (877) 330-9338 or visit the website intra-lock.com. FREEinfo, High-Performance Diamond-Impregnated Polishers Offered…

  10. Page 28

    Spotlight Periotome Prevents Traumatic Extractions NEWTON, Conn-The Luxator LX mechanical periotome offers improved safety, precision, and access. Its vertically reciprocating tip securely cuts periodontal fibers, preventing traumatic extractions in a patient friendly manner, and the tip is self-directing, allowing the periotome blade to follow the root surface, reducing the risk of bone damage. Achieve optimal access for difficult-to-reach areas (molar, lingual/palatal, distal) as the sharpening-free, titanium-coated tip glides easily into the socket. For more information, call Directa Dental at (202) 497-2273. FREEinfo, Time-Saving High-Power Turbine Positively Impacts Practice Efficiency and Profitability IRVINE, Calif-Hailed as the dental industry's most powerful turbine,…

  11. Page 30

    Obturation Device's Combination of Heat and Vibration Yields Effective Canal Filling LAS VEGAS-Medidenta's RootBuddy is the only endodontic obturation device that can heat, vibrate, or do both simultaneously, and this combination of heat and vibration provides a higher density of both primary and lateral root canals than systems that use only heat. Therefore, the RootBuddy is ideal for quickly heating the thermoplastic filling material, distributing it laterally or vertically, and condensing it in the root canal. The result is an extremely effective 3-dimensional apical and coronal filling of the root canal. For additional information, call Medidenta toll-free at (800) 221-0750…

  12. Page 31

    The Wonderful World of Teeth Whitening Hal Stewart, DDS Almost everyone would love to have a whiter and brighter smile. In fact, per the American Academy of Cosmetic Dentistry, tooth whitening is now the No. 1 requested cosmetic service. Outside of the dental office, it is every bit as popular, with Americans spending more than $1 billion annually on over-the-counter teeth whitening products. Teeth whitening is a wonderful service that can be almost completely staff driven, making it fun and profitable for the office while offering an affordable, conservative, valued service to patients. Ultradent Products, an industry leader in whitening…

  13. Page 34

    Spotlight Desensitizer Quickly and Effectively Seals Dentin Tubules ENCINITAS, Calif.—Tokuyama Dental's Shield Force Plus Light Cure Desensitizer quickly and effectively seals dentin tubules, reducing the pain of sensitivity instantly without the assistance of glutaraldehyde. With each application lasting up to 3 years, it allows patients to experience extended relief from tooth sensitivity and prevention against dentin loss due to abrasion. The secret sensitivity fighting compound in Shield Force Plus is its Double-Block technology. Upon first application, the SR monomer reacts with calcium ions to form resin tags that permeate 50 μm deep into the dentinal tubules, preventing the movement of…

  14. Page 36

    Spotlight New Appliance Cleaner Also Gently Whitens Teeth LOS ANGELES—EverSmile's patented, new WhiteFoam is proven to clean clear aligners, clear braces, mouth pieces, and clear retainers while at the same time gently whitening teeth, with virtually no sensitivity issues. It is easily applied into aligners and can be used in the mouth, while the patient is wearing the aligner, or outside the mouth, while allowing as in their case. WhiteFoam's formula is gentle on teeth and gums, causing no sensitivity, and the whitening effect of its hydrogen peroxide will penetrate through tooth enamel under any aligner attachments, so there will…

  15. Page 38

    Handpiece's Quality and Ergonomics Cited MONTREAL-Backed by a 2-year warranty and offered in Standard and Mini Head models for KaVo and NSK couplers, the WOlf Black Label high-speed handpiece features exceptional quality and optimal ergonomics. It offers a TV of cutting power combined with a quiet working environment of 61 dB. The handpiece's angular contact ceramic bearings offer extreme burr concentricity, which means better worn precision, and the chuck offers 44 N force for less burr slippage, far more than the ISO minimum of 22N force. WOlf handpieces are recognized for their high cutting precision, high performance, and affordable price.…

  16. Page 39

    Spotlight Offered in Four Simple Shades, Universal Nanohybrid Composite Facilitates Production of Brilliant Restorations ITASCA, Ill—Offered in 4 simple shades that easily equate to the VITA Shade Guide, Aura eASY, SDI's new universal nanohybrid composite, eliminates the guesswork in finding the right match to produce brilliant restorations. It features SDI's unique, proprietary filler technology that delivers an optimal blend of handling and performance, resulting in a nonsticky, easy-to-sculpt, nonshrumping universal composite that can meet virtually all your day-to-day dental needs. Aura eASY combines a low-shrinking resin system with the unique morphology of ultrahighdensity glass filler that provides an extremely high…

  17. Page 41

    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. Liquid Magic Resin Barrier TAUB Products [Image of product bottle and clinical application photo showing tooth with resin barrier] TAUB Products' Liquid Magic Resin Barrier effectively protects all internal components of implants and abutments. (Dentistry by Ross Nash, DDS.) Implant abutments are retained to implants by screws that must be accessible in cases of loosening or ceramic fracture of the crown. Implant crowns are attached to abutments by cement or through access hole fixation. The…

  18. Page 42

    NEWS/TRENDS Industry News BruxZir Milling Blanks Receive Price Reduction Glidewell Dental announced recently a price decrease for its BruxZir Milling Blanks, the material used to fabricate authentic BruxZir Solid Zirconia crowns and bridges. The entire line of blanks, including BruxZir Anterior, BruxZir Shaded, BruxZir Shaded 16, and BruxZir HR, will receive a significant price decrease across all milling blank thicknesses. For more information, visit bruxzir.com. Ceatus Media Group to Continue Sponsorship With Nash Institute The San Diego, California-based Ceatus Media Group, a leading provider of digital marketing services for healthcare organizations, announced recently the continuation of its sponsorship of the…

  19. Page 44

    NEWS/TRENDS New Implant Education Facility Opens in New Mexico Based in Albuquerque, NM, the new Ascend Dental Academy, serving as OCO Biomedical's exclusive education partner, will provide today's dentists with comprehensive dental implant surgical and restorative training. OCO Biomedical's commitment to provide the most practical and comprehensive implant training in the dental profession has led to a partnership with Ara Nazarian, DDS, a world renowned educator and widely respected implantologist. The Ascend Dental Academy, a joint venture with Dr. Nazarian, was created to meet this demand. "I see OCO Biomedical dentists to provide the most for their patients while fulfilling…

  20. Page 45

    NEWS/TRENDS Stem Cell Researchers continued from page 42 support the growth of new dental pulp tissue. Using GelMA, the team encapsulated a mix of human dental pulp stem cells, obtained from extracted wisdom teeth, and endothelial cells, which accelerate cell growth. The mix was then delivered into isolated, previously damaged human tooth roots, extracted from patients as part of unrelated clinical treatment. Sterilized of remaining living tissue, the roots were then implanted and allowed to grow in a rodent animal model for up to 8 weeks. The researchers observed pulp-like tissue inside the once-empty tooth roots after 2 weeks. Increased…

  21. Page 50

    Top Innovative Products Ivoclar Vivadent Resin Cement Ideal for Use With Restorations Made of Zirconium Oxide and Metal Ceramics With its optimized formulation, SpeedCEM Plus, a self-adhesive, self-curing resin cement with a light-curing option, is especially suited for (1) restorations made of zirconium oxide and metal ceramics and (2) cementation of restorations on implant abutments. Not every restoration allows a complete and uniform light cure. Strong self-curing capabilities provide an additional measure of safety when seating restorations that are opaque or impervious to light. SpeedCEM Plus achieves a high bond strength to zirconium oxide, nonprecious metals such as titanium, and…

  22. Page 52

    Top Innovative Products Shofu Dental Nanohybrid Resin Composite Provides Enhanced Handling Properties Beautifil II Gingiva is a highly-filled bioactive nanohybrid resin composite with enhanced handling properties and clinically proven Giomer chemistry. It provides general practitioners with the means to optically improve gingival esthetics in the operatory, thus simplifying and reducing the time and cost of a treatment. Five gingival shades of Beautifil II (dark pink, light pink, orange, brown, and gingiva violet) can be coalesced to custom shade-match any type of soft-tissue topography. Using appropriate instruments, an adhesive technique, and adequate moisture-control and curing devices, the material can be predictably…

  23. Page 54

    Top Innovative Products A-dec Dental Stools Designed for Optimal Performance The A-dec 500 doctor and assistant stools were designed for optimal performance, conforming to your every move. Everything from the unique dynamic seat and suspension frame to the flexible, body-conforming materials are there for a purpose, which is comfort and support. Three flexible layers conform to every shift and move. Individual performance zones create body-conforming surfaces. And 4 points of adjustability allow multiple users to completely and easily customize the stools and maintain ergonomically healthy posture throughout the day. This reduces stress on joints and the spine, providing better circulation…

  24. Page 56

    Top Innovative Products Bien-Air Dental Turbine Positively Impacts Practice Efficiency and Profitability Hailed as the dental profession's most powerful turbine, Tornado is destined to positively impact the efficiency and profitability of dental practices globally. Thanks to a series of proprietary technologies, it delivers a profession-best power output of 30W, helping to rejuvenate dentists' No. 1 concern, lack of time, while promising them the level of quality and reliability they have come to expect from Bien-Air. Operating at an unparalleled 55-dB sound level, the Tornado skillfully combines performance with user and patient comfort, and it premieres such features as a new…

  25. Page 58

    Top Innovative Products Midmark Sterilizers Serve As an All-Inclusive Solution for Infection Control Today, more than ever, you need instrument-processing products that are reliable and simple to use. According to the CDC, the most widely used and dependable method of sterilization is pressurized steam. It has the largest margin of safety due to its reliability, consistency, and lethality to microorganisms. Aligned with this technology, the Midmark family of sterilizers serves as an all-inclusive solution for infection control. From the large capacity of the market-leading M11 UltraClave to the 6-minute turnaround of the highly rated M3 UltraFast, Midmark dental sterilization equipment…

  26. Page 60

    Top Innovative Products Impladent Bone-Grafting Plug Offers Easy, Affordable Way to Deliver Bone Graft for Socket Reservation The OsteoGen Bone Grafting Plug offers one of the easiest and most affordable ways to deliver bone graft for socket preservation. Since all OsteoGen bone graft particulates are contained by the collagen plug, just place the plug into your extraction sites and suture over the top—there is no membrane required. After a thorough debridement, deliver the plug dry and let it soak up the patient's blood. Condense it to the level of the soft tissue and suture over top to keep in place.…

  27. Page 62

    Top Innovative Products Global Dental Solutions Economy Crowns Created to Meet Certain Market Needs Global Dental Solutions, LLC, continues the availability of its nonprecious alloy Economy PFM Crown and Economy Full Zirconia Crown. The crowns are designed to meet a particular market need. Because they are low cost, these crowns and bridges will receive less attention to detail than their usual product and will be fabricated to a standard occlusal and interproximal contact that has satisfied a majority of customers. Rest assured, Global Dental Solutions guarantees good marginal fit and fabrication using quality materials. Shipping is free. For more information,…

  28. Page 64

    Top Innovative Products B&L Biotech USA Obturation System Designed for Warm Gutta-Percha Techniques The SuperEndo Beta Cordless Obturation device is designed for warm gutta-percha techniques, such as backfilling a canal with warm vertical obturation or with a complete fill technique (injecting from the apex up). Perfectly complementing B&L's Alpha heat source, the Beta provides simplicity, durability, operator ease, and comfort, in this cordless injectable obturation gun. Equipped with a durable, rechargeable battery, the Beta will provide more than 4 hours of continuous use on a single charge. Unique design features include a patented 360° swivel needle, allowing the operator to…

  29. Page 66

    Top Innovative Products Zest Dental Solutions Overdenture Attachment Combines Improved Design and System Simplicity The LOCATOR Rx Removable Attachment System is the next generation of LOCATOR, combining improved design, system simplicity, and Duratec coating toughness while relying on the same restorative techniques as the original LOCATOR. LOCATOR Rx Tx offers practical benefits, including the new DuraTec Coating, providing a harder, more wear-resistant abutment. It now accepts .050in/1.25mm hex drive mechanism. The coronal geometry of the abutment and nylon retention inserts incorporate dual-retentive features that work in harmony with the redesigned Denture Attachment Housing, allowing for a 50% increase in pivoting…

  30. Page 68

    Top Innovative Products Owandy Radiology Versatile Unit Performs 2-D and 3-D Scans The i-Max touch is a versatile unit that can perform 2-D panoramic exams, 2-D cephalometric exams, and 3-D cone beam scans. This 3-in-one and evolving concept (pan/ceph/3-D) has found many supporters in the dental profession. It comes with a total of 18 programs (including TMJ, bite-wings, maxillary sinus, frontal and lateral ceph, carpus, etc) in 2-D mode. The 3-D mode is supported by SIMPLANT implant planning software and the combination from Materialise and Owandy Radiology's expertise makes the i-Max Touch 3-D a must-have for your practice. For more…

  31. Page 70

    Top Innovative Products Zest Dental Solutions Composite Addresses Limitations in Bulk Fills With Bulk EZ, Zest Dental Solutions has reinvented bulk-fill composites by addressing the limitations in bulk fills that plague current products, such as gap formation and stress from rapid curing. It is an easy-to-place, flowable composite that combines flowable cavity adaptation with high strength and wear resistance—all in one, simple step. Its self-cure, patent-pending IntelliTek Technology is designed to specifically control and direct shrinkage while eliminating leakage in all posterior restorations. Additionally, Bulk EZ provides unlimited depth of cure, and utilizes a unique curing mechanism that is highly…

  32. Page 72

    Top Innovative Products Align Technology Intraoral Scanner Provides Everything Dentists Need The Trero Element intraoral scanner delivers everything doctors look for in advanced digital impression technology. It is portable, powerful, and intuitive. The innovative touchscreen interface and compact design enable immediate practice capability improvements in a small footprint. Tracking patient information throughout time has never been easier, and the Element has workflows prepared for both orthodontic and restorative cases. With the new 3D Progress Assessment feature of the exclusive Insalign Outcome Simulator, doctors will now be able to compare a patient scan during treatment to the original to help assess…

  33. Page 73

    Microcopy Polishers Suited for Single-Patient Use The new Minnow Polishers are the go-anywhere polishers. Perfectly suited for single-patient use, Minnows provide just the right fit when accessing pits, fissures, and tooth anatomy that other, larger polishers just can't reach. Their size provides an efficient and economical answer for finishing off all classes of restorations. Examples include the feel of control with the cup when polishing close to soft tissue, as in Class V restorations, or ease of accessing pits and fissures with the point for Class I restorations. Minnow is designed to polish today's nanocomposite and retain its shape without…

  34. Page 74

    Top Innovative Products Carestream Dental Intraoral Scanner Allows Users to Capture Detailed Scans Whether doctors use an intraoral scanner for restorative, orthodontic, or implant-borne restorative applications, the CS 3600 can meet their needs. High-speed continuous scanning allows users to capture scans in a smooth, uninterrupted manner, while the scanner's Intelligent Matching System smiles it easy to fill in any missing information from any location in the dataset. The CS 3600 features 2 autoclavable, interchangeable tips—normal and side-oriented—that can be used based on the unique anatomy of a patient's mouth. The side-oriented tip features the shortest tip height in the profession…

  35. Page 76

    Top Innovative Products DenMat Diode Laser Cited for Convenience, Portability, Ease of Use The award-winning NV Microlaser has been widely recognized for its convenience, portability, ease of use amongst dental soft-tissue diode lasers. The next-generation NV PRO3 Microlaser maintains the same features and ergonomic design as the NV. It also offers a redesigned lithium-ion battery with overcharge and undercharge protection, software updates and improvements, and additional preset procedural settings. This latest evolution in cordless soft-tissue lasers is now optimized for periodontal, restorative, and orthodontic needs, enabling you to deliver the benefits of laser dentistry to a broader range of patient…

  36. Page 78

    Top Innovative Products St. Renatus, LLC Needle-Free Option Provides Anesthesia Alternative St. Renatus, LLC is the manufacturer of Kovanaze (tetracaine HCl and oxymetazoline HCl) Nasal Spray, which is a topical anesthetic for more information, call (800) 770-9400 or visit kovanaze.com. BOOTH NUMBER: 643 FREEinfo, FDA Approved • Visit Booth #643 at the Chicago Dental Society MidWinter Meeting February 23-25, 2017 Learn more at www.kovanaze.com or call the Kovanaze Support Line at 1.800.770.9400 Manufactured for St. Renatus ACTEON North America Renowned Retraction Paste's Performance and Effectiveness Cited Now being marketed and distributed under the ACTEON brand name, EXPASYL gingivial retraction paste,…

  37. Page 79

    Top Innovative Products Brasseler USA Featuring Controlled Memory Technology, NiTi Files Are Ideal for Challenging Canals Featuring patented new Controlled Memory Technology, Kontraflex NiTi files are the ideal choice for challenging canals as well as for hard-to-reach areas of the tooth due to calcification. The technology strengthens the files to allow them to be precurved yet highly resistant to cyclic fatigue, unlike other "controlled memory" files on the market that can experience a drastic reduction in cutting efficiency as a result of softened metal. An extensive range of tip sizes and tapers is offered. For more information or to schedule…

  38. Page 81

    Top Innovative Products h2ofloss Oral Irrigator Helps Remove Food Particles and Bacteria Utilizing pulsating water, the h2ofloss Oral Irrigator helps remove food particles and bacteria. It combats gingivitis and periodontal disease and massages your gums while keeping fresh breath. Additionally, it helps to reduce allergies caused by sinusitis and is suitable for braces and implants. For more information, visit the website h2ofloss.net/en or send email to janet.lai@h2ofloss.com. FREEinfo, Perio Protect Delivery Trays Feature Internal Peripheral Seals Prescription Perio Trays, innovative tools for periodontal care, feature internal peripheral seals that deliver medication into shallow and deep pockets (>6 mm). They are…

  39. Page 82

    Top Innovative Products Aurelia Gloves Adapt to Various Hand Movements Sonic Nitrile Gloves are another example of innovative nitrile gloves from the maker of Amazing Gloves. They are made from a customized formulation to adapt seamlessly to the way your hands move throughout the entire day. The gloves also deliver a soothing indigo blue to keep you looking your best, no matter the circumstances. There are 100 gloves per box, using eco-packing. For more information, call (877) 287-3542 or visit aureliagloves.com. BOOTH NUMBER: 4615 FREEinfo, The same efficiency, superior handling angelus MTA Repair HP Bioceramic putty form reparative cement With…

  40. Page 83

    Top Innovative Products Intra-Lock Comprehensive Starter Kit for Small-Diameter Implants Introduced Intra-Lock International is responding to implant dentistry's needs for innovative, scientifically proven solutions by introducing a comprehensive starter kit for use with its MDL Small Diameter Implants. With this action, Intra-Lock is enabling a seamless transition for realizing patientand indication-specific implant designs and surface technologies as well as efficacious and efficient surgical and prosthetic concepts. Many of the features and technologies of MDL Small Diameter Implants have been clinically proven, well researched, and patented years ahead of other implants and related technologies. Intra-Lock has pioneered and delivered a great…

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