Dentistry Today — February 2020

Inside this issue

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

1. Page 2

   Heritage of Innovation: The History of Glidewell When Glidewell opened for business on January 15, 1970, its customer base could be counted on one hand and its only employee was Jim Glidewell himself. The company's design and manufacturing protocols, while state-of-the-art for their time, were still highly analog and labor-intensive. Today, more than 4,300 Glidewell professionals design and manufacture crowns, bridges, dentures, implants, and more for dentists around the globe. The company's stunning growth has been driven by an array of factors, but primary among those is its commitment to innovation in the domain of dental technology. Commitment to Research…

2. Page 8

   Practical Information for Immediate Use! One of things that we take much pride in at Dentistry Today, as the nation's leading and most popular clinical news magazine, is showcasing clinical case reports and other clinically related articles that provide practical information, advice, and techniques that can be put to immediate use in the dental practice. Specifically, we are targeting general practitioners who have an interest in learning from colleagues who are willing to share their everyday clinical experiences and expertise. Our future editorial calendar is replete with selections that include many different topics that will assist our readers in staying…

3. Page 10

   Physics Forceps: A Simplified, Less Stressful Approach to Extractions Gregori M. Kurtzman, DDS Extractions can be stressful for the patient and practitioner. This becomes especially true when the tooth being extracted has significant coronal breakdown, making it more difficult to grasp with traditional forceps. Traditional forceps also require significant hand force to extract the tooth and there is potential for fracture of the surrounding socket walls. The Physics Forceps (Directa Dental) consist of a set of 4 forceps (Standard series) or 2 forceps (Molar series). Both sets of instruments comprise forceps with a beak on one of the terminal ends…

4. Page 12

   The Biggest Killer of Dentists Steven Peters, DDS * was one of those health puffs—he ran, didn't eat much meat, and even practiced yoga. His cholesterol was good, his PSA was fine. His family and team at the office loved him. Then suddenly, one Friday afternoon, Dr. Steven Peters had a heart attack, and died on the way to the hospital at the age of 57. You've probably heard that fitness guru Bob Harper of NBC's The Biggest Loser had a heart attack too. He was 51. If there hadn't been a physician at the gym when it happened, he…

5. Page 14

   VIEWPOINT continued from page 12 about healthy eating and exercise are apparently not enough. The cardiac standard of care for predicting cardiovascular risk and the government's National Cholesterol Education program is based on a large, well-researched study involving a group of people from Framingham, Mass. Looking at the health habits and health outcomes of this group of people over several generations has allowed researchers to make associations and estimates of your future health risks. For example, let's say you are a 50-year-old male who doesn't smoke, has normal cholesterol levels, is not overweight, eats well, and exercises. Your statistical odds…

6. Page 16

   Open Formats Martin Jablow, DMD, discusses the benefits of open architecture and integration in a dental practice. Dentists have been sharing data between practices for as long as we can remember. It started with chart notes and the duplication of radiographic films, which was labor intensive and expensive. The advent of digital technologies has improved the ability to share patient data; however, proprietary data formats continue to present obstacles to collaborating on cases. These "closed systems" format may have been an advantage early in the dental computer age but should no longer exist in 2020. Closed systems only assist companies…

7. Page 18

   Early Caries Detection Using the Ortek ECD (Electronic Caries Detector) On a Maxillary First Molar FIGURE 1. Preoperative view of tooth No. 14 showing 3 sites evaluated with Ortek ECD (Ortek Therapeutics). FIGURE 2. Initial prep through the enamel layer. FIGURE 3. Preparation into dentin, showing relative extents of decay. FIGURE 4. Final preparation of the decay was removed, showing the depth necessary to remove decay relative to ECD findings. The Ortek ECD is shown. Derek Zimbardi, DDS Dental caries remains one of the most common chronic diseases in humans. Approximately 80% to 90% of tooth decay in permanent teeth…

8. Page 20

   Come to My Window ...we are seeing a lot of new digital impression systems coming into the marketplace....from familiar...[and] new manufacturers.... Paul Feuerstein, DMD The last quarter of 2019 was very busy with new product introductions as well as an interesting computer issue that will affect every office. This "issue" is Windows 10. As of January 14, prior versions of Windows are not supported. You might think that this is not a big deal; after all, how often do you call Microsoft for Windows support? That is not the big story: They will no longer update the operating system with…

9. Page 22

   What You Can't See Can Hurt You! Ensuring Success Via Full Polymerization of Composites We place both anterior and posterior direct composite restorations in our practices every day. And yet, their use is not always as simplistic as it might seem, and their implementation requires a meticulous technique for success. Composite fillings have been described as the "bread and butter" of procedures for general dentists, with the number of restorations exceeding 122 million per year. However, their utilization can become very frustrating when postoperative problems arise, especially after the placement of a Class I or Class II composite. It has…

10. Page 24

    What You Can't See Can Hurt You! continued from page 22 late-masked derivatives, newer resin-based chemistries with additional entrants into the market under the monikers of bioclectic, gommer, and ormocer technologies. These bulk-fill (one-increment) and semi-bulk fill (3-increment) composites may be categorized by their viscosities: flowable and denser body or paste forms (Table 2). Their use offers the practitioner numerous options for restoring Class I and Class II preparations. The vast majority allow for curing depths in the 4- to 5-mm range with varying curing times and energy requirements. Flowable bulk-fill materials may or may not require a top layer…

11. Page 25

    Every composite has its own energy requirement to reach its full potential. This data is available for all resins and bonding agents from the manufacturer but is cumbersome to correlate ourselves. Even the instructions from the companies for use of materials and curing lights can be difficult to decipher, unclear, and incorrect. The correlation of adequate light curing with the material selection is critical to ensure that you are maximizing the benefits for the best clinical performance. One new technology to hit the market is checkUP (BlueLight Analytics). It is a platform that helps deliver great curing results every time.…

12. Page 26

    Caries Detection Device Diagnoses Suspicious Caries Lesions ROSLYN HEIGHTS, NY-Ortek Therapeutics has introduced the Ortek ECD, a revolutionary electronic caries detection device. The ECD was specifically designed to help diagnose suspicious caries lesions on occlusal surfaces of posterior teeth. The ECD demonstrated 100% sensitivity and 93% specificity in a clinical study, helping solve an everyday challenge for dental professionals. By measuring the conductivity of enamel, the ECD can instantly and accurately detect if a suspicious caries lesion has breached the dentin/enamel junction, advanced and progressed further into the dentin, or is confined to the enamel. Using the ECD is fast…

13. Page 28

    Device Accurately Places Materials Into Oral Cavity SPOTLIGHT Assessment Tool Simplifies Conversation Around Malocclusion RIDGEFIELD PARK, NJ–DMG America's Composite Dispenser is particularly effective with DMG's Ecsite bulk fill composite. Designed for the placement of dental materials precisely and accurately into the oral cavity, the ergonomic Composite Dispenser will simplify the workflow of dental professionals. It allows for fast and easy placement of composites as well as other dental materials, such as cements and glass ionomers. Additionally, it has comfortable handle grips and maneuvers easily while allowing for an effortless load. SAN JOSE, Calif.–Align Technology's SmileView assessment tool provides a self-simulation…

14. Page 30

    Single-Visit Dentistry Solutions Allow Users to Reliably Deliver Aesthetically Demanding Restorations WOBURN, Mass.–The enhancements of exocad America's ChairsideCAD, the 2.3 Matera version, will have the widest range of indications for single-visit dentistry and the broadest selection of integrated open architecture devices. The software is intuitive and easy to learn, so users reliably deliver aesthetically demanding restorations in a single-patient session. ChairsideCAD (and modules) are integrated using exocad's proven and robust software platform that's been successfully in use for more than 10 years. With ChairsideCAD 2.3 Matera, exocad intuitively expands single-visit capabilities. New features are available with 2.3 Matera, including (1)…

15. Page 31

    Handpiece Features Better Grip, Shorter Head CHARLOTTE, NC—Dentsply Sirona's new Midwest Stylus Plus Mini high-speed air handpiece features an improved grip and shorter head to allow deeper access, without compromising performance and durability. The handpiece has a new, patented grip design with a mix of dimpled and flat areas to help with intuitive index positioning. Additionally, the modified grip design provides clinicians with clear tactile feedback on hand orientation for a high degree of handpiece control. As part of the Midwest Stylus Plus family of handpieces, the new Midwest Stylus Plus Mini integrates the exclusive Dynamic Speed Control technology. The…

16. Page 32

    Whitening System Created for Treating Tetracycline IRVINE, Calif.-The KoR Ultra T whitening system is designed specifically to treat tetracycline and has even been proven effective on discolored superfecta cases. The system utilizes an in-office "jump start" conditioning application prior to at-home whitening using KoR Dual Activated, Tri-Barrel 13% Hybride Peroxide. This gel is placed into KoR Seal Trays, and no retractors or paint on gingival barriers are necessary. Two consecutive 20-minute applications are required. The 13% Hybride Peroxide is specifically catalyzed in a way to initiate the internal cleansing of the tooth microstructure. This enables the following at-home whitening protocol…

17. Page 33

    CHAIRSIDE WITH DR. K THE SECRET TO MORE EFFECTIVE WHITENING No two patients are exactly the same. So why use just one whitening protocol to treat them all? At K&R Whitening, we recognize that each patient presents a different whitening challenge and that's why we developed a full line of whitening systems to meet your patient's individual need. And K&R Whitening is the first whitening system in the world to maintain potency of its entire line of whitening gels by constant refrigeration from the instant of manufacture until being received cold-packed at your office. Dr. Rod Kurthy #1 Proper Product…

18. Page 34

    Template System Provides More Natural Restorations SOUTH JORDAN, Utah—The latest innovation in dental restorative technology is the Uveneer Extra template system from Ultradent Products. The system complements the original Uveneer template system to provide more natural restorations with 4 new upper anterior designs, including extra large, large, medium, and square templates. The templates work with any preferred composite to create exquisite, reproducible composite veneers with predictable shapes and symmetry. These unique, autoclavable templates prevent the oxygen inhibition layer from forming during the curing process, resulting in hard, glossy surfaces while also allowing light to pass through to the composite for…

19. Page 36

    Restorative Provides Ideal Treatment for High-Risk Caries Patients ALSIP, Ill—GC America's innovative, bulk-fill, glass hybrid restorative, EQUIA Forte HT, builds on the success of EQUIA Forte. This strong and esthetic restorative system combines an improved restorative formulation—EQUIA Forte HT Fil with a resin coat—and produces EQUIA Forte Coat in a new bottle. Some of the key features and benefits include: (1) improved translucency and physical properties for esthetic restorations; (2) optimal marginal seal for long-term resistance to microleakage; (3) high fluoride release at the tooth restorative interface; (4) a new flip-top coat bottle, providing ergonomics and minimizing waste; and (5)…

20. Page 37

    INNOVATIONS 37 SPOTLIGHT Pin Provides Maximal Advantages ORLANDO - Filhol Dental's FILPIN is the perfect product for all pin requirements, providing maximal advantages without compromising safety, dentin integrity, or retention. It is made of 99.8% pure titanium. The self-threading, self-aligning FILPIN speeds and eases placement for self-shearing the first time, every time optimal depth is reached. Where minimal tooth structure is present, pins are mended to enhance chemical bonding provided by adhesives. For more information, call Filhol Dental at (800) 330-0890 or visit filhol.com. FREEinfo, Universal Cement Delivers Durable Chemical Adhesion to Virtually All Materials NEW YORK CITY - From…

21. Page 38

    Industry News Tokuyama Partners With Give Back A Smile to Help Abuse Victims More than 5 million women are affected by domestic violence each year, according to the National Violence Against Women Survey, resulting in nearly $4.1 billion in healthcare costs. Tokuyama Dental America is responding to this crisis by partnering with the American Academy of Cosmetic Dentistry Charitable Foundation's Give Back A Smile (GBAS) program. [Photo caption: Give Back A Smile recipient Page Mozingo with American Academy of Cosmetic Dentistry Charitable Foundation trustee Nancy Lashley Sullivan.] GBAS provides free dental care to adult women and men who have suffered…

22. Page 40

    Anti-Aging Drug Holds Promise for Treating Age-Related Oral Diseases A transplant drug with anti-aging properties can regenerate bone and decrease gum inflammation, promising new treatment for common dental problems in aging patients, according to researchers at the University of Washington School of Dentistry. Approved by the US Food and Drug Administration, rapamycin prevents organ transplant rejection and has slowed aging and increased lifespan in a variety of species, including worms, mice, and dogs, in preclinical studies. But until now, nobody has ever explored the effect of rapamycin in the aging mouth, where people also commonly experience age related decline and…

23. Page 41

    Texas A&M Opens Nine-Story Dental Clinic and Education Building The start of 2020 will usher in a new era in dental education for Texas A&M University's College of Dentistry. The opening of its new 160,000-square-foot, 9-story Clinic and Education building will enable the school to increase access to care for underserved patients and shift from a traditional discipline-based approach to a "whole health" educational model. To celebrate the new facility, the college held a dedication ceremony on January 23. Featuring nearly 300 dental chair stations with advanced technology, specialized clinics, clinical support areas, classrooms, and study spaces, the facility is…

24. Page 45

    Top Innovative Products Dentistry Today's Fourth Annual Top Innovative Products are selected based on lead generation. These products appeared in our Innovations section throughout the past year. Booth numbers for the Chicago Dental Society's 155th Midwinter Meeting are included. Ivoclar Vivadent Restorative Material Displays Highly Resistant and Highly Aesthetic Characteristics Since the introduction of IPS e.max in 2005, dentists and dental technicians worldwide have relied on this highly resistant and highly aesthetic lithium disilicate glass ceramic material, and 12 years of consistent quality tests prove that it has excellent biaxial flexural strength of 500 MPa. Thanks to the clinical data,…

25. Page 46

    Top Innovative Products Pulpdent Bioactive Restorative Material Helps Maintain Oral Health ACTIVA BioACTIVE-RESTORATIVE is the first in a new generation of aesthetic, durable, bioactive restorative materials that play an active role in maintaining oral health with release and recharge of significant amounts of calcium, phosphate, and fluoride. ACTIVA is a smart material that responds to pH cycles with release and recharge of its mineral components. It helps stimulate formation of a connective layer of mineral apatite that is the defining requirement of bioactive materials. This process knits the restoration and the tooth together, penetrates and fills microgaps, reduces sensitivity, guards…

26. Page 48

    Top Innovative Products Glidewell Laboratories Sleep Apnea Appliance Shifts Lower Jaw to Prevent Airway from Collapsing Obstructive sleep apnea is a sleep-related breathing disorder where the airway completely collapses and airflow is obstructed. People with this condition often wake up gasping for air or choking in the middle of the night. The OASYS Hinge Appliance is designed to gently shift the lower jaw forward during sleep, which activates airway muscles and ligaments to prevent the airway from collapsing. The appliance is designed with comfort in mind for patients to wear throughout the night, helping to improve health and quality of…

27. Page 50

    Top Innovative Products GC America Composite Displays Ideal Viscosity, Handling, and Adaptation Characteristics Gaenial BULK Injectable is an injectable, high-strength, ultrafine particle composite with ideal viscosity, handling, and adaptation characteristics that may be used as a one-step application for bulk filling up to the occlusal surface (up to 4 mm) without the need for capping or veneering with another composite. The homogeneously dispersed, ultrafine particle formula provides high flexural strength and wear resistance for a durable and long-lasting restoration that retains its gloss for many years after placement. It is highly shapeable and easy to manipulate, yet provides superb adaptation…

28. Page 52

    Top Innovative Products K&R Whitening Desensitizer Strongly Fuses to Hydroxyapatite Molecules The Complete Desensitizer is a unique oxalate desensitizer that strongly fuses to hydroxyapatite molecules of highly mineralized enamel (96% mineral) and peritubular dentin (92% to 93% mineral) to provide immediate closure of open dentinal tubules. Unlike oxalate desensitizing products that simply plug the open orifices of dentinal tubules, K&R Complete reacts with and fuses to the hydroxyapatite molecule in tooth structure via a chelation reaction. This forms a durable combination of calcium oxalate mineral crystals fused to peritubular hydroxyapatite, 7 to 12 μm deep within dentinal tubules. In addition…

29. Page 54

    Top Innovative Products VITA North America Product Helps Correct Restorations Approximately 30% of restoration remakes are due to the wrong shade and color mismatches, costing time and money. Now resurface that restoration quickly and easily with VITA AKZENT Plus CHROMA STAINS. It can help correct chroma reactivity in just a few minutes. And one can correct restorations in the lab or even chairside. Its benefits include (1) simple chroma modification thanks to one-step stain firing; (2) being easy to use and controlling intensification saturation; (3) universal, CTE-independent stains for all standard veneering ceramics, monolithic zirconia, silicate, and feldspar ceramics; and…

30. Page 55

    Award Winning Innovation from DMP The Only Digital Shade Guide: CHROMATCHER DMP USA Nanohybrid Composite Displays Chameleon-Like Technology With NANOCERAMBRIGHT's adaptive chameleon-like technology, one can easily and confidently create long-lasting, natural-looking restorations that patients won't stop smiling about. For more than 30 years, DMP has developed an innovative manufacturing process that integrates a unique blend of microand nano-fillers into the resin matrix, creating an easy-to-sculpt nanohybrid composite for Class I to IV restorations. Adaptive Chameleon-like technology achieves excellent color matching, high polish-ability, and lifelike translucency, allowing the restoration to blend into the natural tooth structure and surrounding area. NANOCERAMBRIGHT outperforms…

31. Page 56

    Top Innovative Products DiaDent File Efficiently Removes Debris and Soft Tissue Dia-X Rotary File System offers heat-treated, premium NiTi construction with extreme flexibility and durability. The resistance to cyclic fatigue is at least 143% greater compared to other nontreated rotary files. With its progressive taper design and superior cutting efficiency, these files offer precision, safety, and reliable clinical results. Dia-X Rotary File has a convex triangular cross section while reducing rotational friction and contact with canal walls. The heat-treated surface is also coated, providing high corrosion resistance. Dia-X Rotary File has a length of 11 mm, offering improved accessibility to…

32. Page 58

    Top Innovative Products MEISINGER USA Polishers Produce Brilliant Luster on Composite Materials COMPOSITE SINGLES are a line of single-use polishers designed to produce brilliant luster on all composite materials. They are available in 4 shapes for easy access to all surface areas and fit all right angle/latch handpieces. In addition, the 2-step polishers allow for short polishing times and extremely high levels of durability. For more information, call (866) 634-7464. BOOTH NUMBER: 4040 FREEinfo, Video Dental Concepts Scanner Eliminates Need for Impression Material QuickScan iOS is a state-of-the-art, 3-D intraoral impression scanner that allows "model-less" dentistry. Eliminate the need for…

33. Page 59

    Microcopy Carbide Designed to Remove Weak Point in Neck of Burs Following suit with the 557 Squared, the section of the 330 Squared Blended Neck Carbide Burr between the cutting head and the shank is blended, so there's no reduction in neck width. This design, coupled with the removal of the weld joint, is engineered to remove any weak points in the bur's neck that might otherwise cause breakage. For more information, call (800) 235-1863 or visit the website microcopydental.com/neoburr-carbides. BOOTH NUMBER: 4107 FREEinfo, Vista Dental Products Composite Warming Device Uses Near-Infrared Technology Phasor is the first of its kind,…

34. Page 60

    Top Innovative Products Premier Dental Products Cordless Prophy Handpiece Provides Mobility and Control Now there's finally a lightweight, ergonomic, cordless, and pedal-less handpiece that gives the mobility one wants, the choice of prophy angles dental professionals like, and the control needed. Based on extensive input from dental professionals, AeroPro design helps reduce hand fatigue by allowing one to rotate the angle 360° for improved intraoral access and comfort. Its quick-touch button enables fingertip control for easy switching between low and high speeds. Its quiet yet powerful motor maintains a consistent speed during polishing—no extra pressure is required. ChargeSMART Battery Technology…

35. Page 61

    Top Innovative Products Ascentcare Dental Products Prop System Maintains Open Mouth Efficiently facilitate all unique needs with this intelligent and patented mouth prop system. Comprising several quick and easy-to-interchange attachments, the multi-use mouth prop system was designed to maintain an open access work area while meeting a wide array of clinical applications. Its easy adaptability, intense illumination, and ability to meet a variety of needs are what sets the Bite Buddy mouth prop system apart from all others on the market. Easily slide a saliva ejector tube holder or tongue guard into the track or attach a powerful light source…

36. Page 62

    Top Innovative Products Align Technology Material Designed for Moving Teeth Many clear aligner systems use off-the-shelf plastics, but only the Invisalign system uses SmartTrack material, which is a proprietary material designed for the sole purpose of moving teeth. Backed by decades of global research, patents, and successful cases, the SmartTrack difference includes (1) greater than 75% improvement in predict ability of overall tooth movement compared to off-the-shelf, single-layer, 0.03in material; (2) being 4 times more durable than generic materials (data on file); and (3) providing a better fit and better comfort and being easier to use and remove than other…

37. Page 64

    Top Innovative Products Bausch System Combines Traditional and Digital Registration Pressure Distribution of Occlusal Surfaces OccluSense combines the traditional and digital registration of the pressure distribution of the occlusal surfaces. OccluSense handheld is a battery-powered device that uses a local wireless network to transfer the recorded data to the OccluSense iPad app. The inductive charger provides a wireless power transfer. Fully charged batteries allow the usage of the device for up to 4 hours. The 60-µm OccluSense Electronic Pressure Sensors is used just like traditional occlusion test materials. The technologically advanced pressure sensors allow the recording of the masticatory forces…

38. Page 65

    Top Innovative Products CLINICIAN'S CHOICE Diamond Polishing System Refines and Creates Outstanding Shine The ASAP INDIRECT+ diamond polishing system is all one needs to refine and create an outstanding shine on all indirect ceramic restorations. The ASAP INDIRECT+ Pt. Coarse Adjuster has the ability to make minor adjustments to remove scratches caused by diamond bur adjustments. It is available in a disc, point, or cylinder shape and can be used on any zirconia, lithium disilicate, or ceramic prosthesis. Next, use the ASAP INDIRECT+ Polisher to smooth the prosthetic surface and initiate an initial gloss. The final step of this technique…

39. Page 66

    Top Innovative Products ContactEZ Interproximal Reduction System Makes Enamel Stripping Safe The IPR Strip System is an innovative, interproximal reduction system that makes enamel stripping safe, accurate, and stress-free without the risk of creating sharp corners or subgingival ledges. Designed for use with Invisalign, ClearCorrect, eCligner, Six Month Smiles, and other orthodontic treatments, these flexible diamond strips curve and conform to the natural contours of the teeth to easily prevent leaving flat contacts. The IPR Strip System is also the only brand to have specifications printed right on the handle, eliminating the need to memorize measurements or refer back to…

40. Page 67

    Top Innovative Products Angelus Bioceramic Repair Cement Maintains All Indications MTA Repair HP is a bioceramic repair cement that maintains all indications and chemical and biological properties of the original MTA. In a putty form, it drastically facilitates its application. Handling was a cause of stress reported by clinicians when using conventional MTA due to its sandy consistency. The enhancement formula with calcium tungstate does not stain the tooth and in only 15 minutes, it sets to allow treatment in single visits. Exclusive vials and capsules guarantee a 3-year shelf life. For more information, call (855) FIND MTA (346-3682) or…

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