Dentistry Today — January 2012

Inside this issue

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

1. Page 10

   Celebrating 30 Years of Dentistry Today! Looking back, one can easily see that Dentistry Today has grown in many positive ways since its inception in 1982. This would not have been possible without the vision of the publishers and the talents of the people who work together inside and outside of Dentistry Today's offices. The magazine's long-term success has also been due to the support of its many consistent advertisers and, above all, the loyalty and interest of you, our readers. Doctors and Dentistry Today must lead clinical magazine because of the quality of the clinical content, the variety of…

2. Page 14

   Impact of Social Media on Dental Practices A decade ago, the term "social media" was foreign to all of us. Now, it has become a part of everyday life in both personal and business life. Many dental practices have taken the leap to expand their marketing efforts into the social media arena. As the "newness" of this type of marketing begins to wane, one needs to examine the impact of social media on dental practices as well as the importance of participating in these efforts. SOCIAL MEDIA IN DENTISTRY: JUST A FAD? First, let's define social media as it pertains…

3. Page 16

   continued from page 14 VIEWPOINT designed and up-to-date Web site, this would be the place to start. Next in order of importance would be a Facebook page. Facebook has more than 700 million users and is a wonderful venue for connecting with your patients, as well as an opportunity to your community. Be sure to set up a Facebook business page, versus using a personal Facebook page. 3. Establish accountability within your practice. Decide who on your team will have access to the page. You, as the practice, must be an administrator for the page. Too many practices have Facebook…

4. Page 17

   FOCUS ON: Technology Paul Feuerstein, DMD, discusses the newest trends in technology for 2012. Q: What is the biggest change you have seen in dental technology over the years? A: The Internet! It has changed the way we do everything. Information, education, and purchasing; it is impossible to list it all. Also, the integration of computer technology into our equipment has also revolutionized much of our clinical practice. Processors are embedded in almost all basic equipment we use today; they are in dental chairs, lights, and handpiece controls that have been staples in our offices for years. Computer networks throughout…

5. Page 18

   INTERVIEW: ANTON WOOLF, Argen Corporation 1 Can you give Dentistry Today readers some background on the Argen Corporation? The Argen Corporation is the largest dental alloy manufacturer in the world, with more than 50 years of experience serving the dental industry. We distribute more than 600 precious and nonprecious metal alloys and offer refining services to more than 100 countries. Our state-of-the-art manufacturing facility, located in San Diego, Calif., houses the latest and most precise analytical instruments in the industry. And our team of scientists, engineers, chemists, and technicians are all certified experts in their fields. Argen's status as a…

6. Page 20

   From the October 2011 Issue UNIVERSAL ADHESIVE 3M ESPE Scotchbond Universal Adhesive is a single-bottle adhesive with a forgiving technique that offers versatile solutions for direct and indirect restorations. With Scotchbond Universal adhesive, dentists now have an easy-to-use, single bottle solution that provides uncompromising results for all surfaces in total or etch-etch adhesive. For more information, call (800) 634-2249 or visit 3mespe.com. FREEinfo, FLIP-UP LOUPES PeriOptix The MicroLine Flip-Ups are some of the smallest and lightest flip-up loupes. At one third the size and weight of other loupes, these are so comfortable you won't notice you're wearing loupes. PeriOptix's optical…

7. Page 22

   NEW PRODUCTS NANOHYBRID COMPOSITE Ivoclar Vivadent Tetric EvoCeram Bulk Fill is a unique nanohybrid composite material developed specifically for the fast, efficient bulk placement of direct posterior composite restorations. With Tetric EvoCeram Bulk Fill Composite, restorations can be placed with one material, in one increment, without the need for additional layers or dispensing equipment. For more information, call (800) 533-6825 or visit ivoclarvivadent.com. FREEinfo, IMPRESSION TRAY Triodent In designing Tiotray Pro, its next generation impression tray, accuracy was Triodent's key goal. A reusable, rigid stainless steel tray with disposable mesh inserts, it completely overcomes the issues of distortion common to…

8. Page 24

   To assist practitioners in their selection of essential dental products, Dentistry Today presents items reviewed by THE DENTAL ADVISOR'S staff of editors and consultants. Established in 1984, THE DENTAL ADVISOR, based in Ann Arbor, Mich, has provided dental professionals worldwide with objective, accurate information using in vivo and in vitro results on the performance of materials and equipment based on clinical and laboratory research. For more information, visit dentaladvisor.com or call (800) 347-1330. Demi Plus Light Curing System +++++ Kerr Corporation | (800) 537-7123 | kerrdental.com Consultants' Comments • "Easy to use, multiple curing capabilities, intense light, solid charging station."…

9. Page 26

   Spotlight Kit's Instruments Provide Greater Patient Comfort During Cavity Preparation LAKEWOOD, NJ—Featuring a selection of patented rotary instruments that make caries preparation less invasive and more efficient, SS White's Comfortable Cavity Preparation Kit provides greater patient comfort during cavity restoration procedures by eliminating the need for anesthesia in most Class I, II, and V preparations. Included in the kit are Fissurotomy Burs for minimally invasive caries exploration and SmartBurs II for removal of carious dentin without harm to healthy dentin. Also included are Great White Burs for restoration removal, 12- and 20-blade finishing burs for precise composite contouring and prepolishing,…

10. Page 28

    Spotlight Nasal Hood's Hood-in-Hood Design Reduces Ambient Nitrous Oxide in Operatory PHOENIX, Ariz.—Used for the delivery of nitrous oxide, Accutron's ClearView Single-Use Nasal Hood features a double-hood design with a clear outer hood and a brightly colored and lightly scented inner hood. This hood-in-hood design draws more gas into the vacuum system than a single hood, reducing ambient nitrous oxide in the operatory. Offering visual assurance to the clinician, condensation collects in the clear outer hood when a patient breathes through his or her nose, while the soft inner hood creates a desirable nasal seal and is comfortable against the…

11. Page 30

    Bulk, Sculpt, and Cure for Predictable Posterior Restorations: Ivoclar Vivadent's Tetric EvoCeram Bulk Fill Michael R. Sesemann, DDS Direct posterior restorations play a significant role in everyday dentistry. However, achieving predictable and successful outcomes with resin composite restorations remains a main concern for many practitioners, primarily due to technique sensitivity and the numerous steps required for proper placement. New advancements in resin material science and nanopolymerization technology now enable dentists to be productive without compromising the quality of care we provide patients. Among these is Ivoclar Vivadent's Tetric EvoCeram Bulk Fill composite, an easily adaptable, completely curable, low-shrinkage material that…

12. Page 32

    Spotlight Precontoured Stainless Steel Crowns Offer Affordable and Effective Solution for Pediatric Patients DETROIT, Mich.–ACEROST surgical-grade stainless steel crowns are preformed and precontoured ("precinped") with a shallow occlusal anatomy to preserve healthy tooth structure with less tooth reduction. Offering a functional restoration for badly decayed deciduous (baby) teeth until the adult tooth erupts, they are tooth-shaped to replicate the contacts and embracures of the natural dentition, and they are created with optimal thickness throughout to prevent occlusal wear from mastication. Trimmed to exact specifications for ideal length and contour, minimizing chairside adjustments, the crowns are labeled similar to the Universal/National…

13. Page 35

    Patients Love KöR Results! Before KöR [image showing tooth before whitening - yellowed/discolored] [After KöR] [image showing tooth after whitening - bright white] This is a real case; photos are not retouched or altered in any way. To see additional KöR Whitening cases, please visit www.korchallenge.com. Case by Dr. Victor Burdick, Littleton, CO Take the KöR Challenge today and receive 10%off your Start-up Kit! Plus, you'll receive a complimentary Teeth Whitening Simulator Program with your order. Mention Promo Code DTY112 when you call. The Teeth Whitening Simulator Program lets you and your patients see how amazing their teeth will look…

14. Page 36

    With 20,000 Units Restored, Simplified Implant Restoration Protocol Establishes Its Efficacy LONG ISLAND, NY–Doctors have found that with Town & Country Dental Studio's SIMPL–Simplified Implant in Restoration Protocol–they can restore more implant cases in less time and at a lower cost with predictable, clinically superior results. And with more than 20,000 units restored, SIMPL implant restorations remain a remake factor of less than 1%. Utilizing Atlantis CAD/CAM abutments, SIMPL eliminates the need to supply implant parts, saving time on ordering, stocking, and shipping, and being milled by computer improves fit and function. Plus there is no expensive gold or palladium…

15. Page 37

    INNOVATIONS 37 Portable Darkroom Kit Addresses Problems Arising From X-Ray Emergencies KENNESAW, Ga.–Question: If your digital imaging equipment malfunctions, if the sensor is broken, or if there is a power outage, how do you keep working? Answer: the Insta-Veloper Portable Darkroom, offered by Microcopy, which provides a back-up so workflow doesn't stop. For quality processing in seconds with no power requirement that is efficient and economical, consider the Insta-Veloper Portable Darkroom kit. Developing solutions, Insta-Mag and Insta-Fix are also available for reorder. For more information, call Microcopy at (800) 235-1863 or visit microcopydenral.com. FREEinfo, Bridges' Superior Aesthetics and Long-Term Health…

16. Page 40

    NEWS/TRENDS Industry News Wyatt Wilson 1972-2011 It is with deep sadness and regret that ACTEON North America reports the passing of Wyatt Wilson, his VP/COO. Mr. Wilson passed away suddenly on December 10 at his home in Sewell, NJ. He was 39 years old. Mr. Wilson's energy and leadership were the driving force behind ACTEON North America's success, and he will be missed as a leader, colleague, league, and friend after his many years of loyal service. His passing leaves behind a void that can never be filled, but those who knew him have all been made richer by the…

17. Page 43

    nois, and Gigi Meinecke with aesthetic physicians Drs. Kristine Krever and Jill Lezaic, who will teach how therapeutic facial injectables such as botulinum toxin (BOTOX) and dermal fillers in everyday practice for smoothing facial wrinkles and volumizing facial folds, lip augmentations, TMJ, and more. This live patient hands-on course will take place March 2 to March 3 in Red lands, Calif. and Dallas, Tex; March 8 to March 9 in Valley Forge, Pa; March 16 to March 17 in Minneapolis, Minn; March 23 to March 24 in New York; and March 30 to March 31 in Orlando. For more information,…

18. Page 44

    Comparing Storage Media for Avulsed Teeth A study evaluated the ability of soy-milk, powdered milk, and Hank's balanced salt solution (HBSS) to maintain human periodontal ligament (PDL) cell viability in vitro. PDL cells were obtained from extracted healthy third molars and cultured in Dubeco's modified Eagles medium (DMEM). The cultures were exposed for one, 2, 4, and 8 hours to experimental solutions at 37°C. Tap water served as a negative control and DMEM served as positive control. The viable cells were then counted using the trypan blue exclusion technique. Data were analyzed by using one-way ANOVA, post hoc Scheffe, and…

19. Page 46

    Healthcare-Associated Infections Declined in 2010 Four common infections seen in 1 surgical site infections and 3.8% in healthcare facilities declined in 2010, the number of people developing according to the US Centers for Dishealthcare-associated invasive methease Control and Prevention (CDC). icillin resistant Staphylococcus aureus "Hospitals continue to make im- (MRSA) infections. In addition, CDC pressive progress in driving down rates saw improvement in healthcare proof infections in intensive care units vider adherence to proven infection through implementation of CDC preprevention measures, such as approvention strategies," said CDC Director Thomas R. Frieden, MD, MPH. "Hospriate techniques for inserting central pitals and…

20. Page 48

    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. Pola Day CP SDI Patients choose to have their teeth whitened either in the office or at home. Most in-office protocols recommend at least a short period of at-home follow-up or in between sessions of bleaching. Many at-home regimens are plagued with poor compliance from patients who are looking for rapid results but are less willing to make a proper effort. Much of this problem arises from the extensive wear time (overnight or several hours…

21. Page 50

    Carbide Burs DENTSPLY Midwest MultiPrep Fine Cross Cut Burs provide a unique multipurpose burr upgrade for rapid, precise, and easy cutting of metals, porcelain, composites, and natural dentition. There are 80% more crosscuts than other crosscut burs, and proprietary blade geometry means high cutting efficiency; less force is required to achieve the same cutting rate of other burs. They are available in an extensive selection of shapes and sizes. For more information, call (800) 989-8826. FREEinfo, MUNCE DISCOVERY BURS™ The Original Troughing Burr™ IN THE WORLD'S FINEST HANDS www.cjmengineering.com Toll Free: 888/256-0999 Local: 805/966-2632 Santa Barbara, California FREEinfo, on card…

22. Page 51

    Award Winning Carbides Microcopy Award-winning Neoburr carbides are precision engineered to cut with greater blade contact on tooth surfaces for a faster, smoother, vibration-free performance. Microcopy's most popular carbides are constructed from a single piece of tungsten carbide for optimal strength and concentricity with less chance for breakage. New shapes extend the line, specifically so blade finishing, Surgical1-5-7 Z and Lindemann, and Oral Surgery 4-4-5-mm carbides. All carbides are sterilized for safety and convenience. The burs are available in 5-, 10-, 25-, and 50-packs. For more information, call (800) 235-1863 or visit microcopy.com. FREEinfo, CLINICIAN'S CHOICE Rigid manufacturing tolerances and…

23. Page 52

    Coltène/Whaledent Alpen SteriX are presterilized carbide instruments, individually packaged, dual edged, so you get bur right out of the box, providing infection control and convenience. With one of the largest one-piece carbide offerings on the market, Alpen SteriX burs are sold in packs of 10 and 50. For more information, call (800) 221-3046 or visit alpenrotary.com. FREEinfo, Alpen Carbides offer a comprehensive line of one-piece carbides that cut faster, last longer, and eliminate brazed joint breakage and rusting. The majority of carbides sold today are based on 6-yard, 2-piece construction. Alpen Carbides provide clinicians with a comprehensive line of advanced…

24. Page 53

    SybronEndo LA Axcess instruments help optimize access preparations. Parabolic tips ensure line-angle extensions without ledges or irregularities. They quickly, safely, and accurately cut ideal file paths, reducing access time and minimizing the chances of file separation. In straight canals, LA Axcess line-angle instruments can be used to rough out coronal shape in seconds. For more information, call (800) 346-3636. FREEinfo, SS White Burs The Great White Gold Series carbide burs utilize unique blade geometry with an increased number of dentates that translates into faster cutting rates with less vibration, even through the hardest materials. The SS White carbide burs use…

25. Page 56

    Implant Cementation: Clinical Problems and Solutions Implant cementation as a means of attaching the coronal restoration to the implant fixture has become a routine dental procedure. However, the cementation procedure itself is not without issues (Figures 1a to 1c). Multiple case reports have highlighted problems with excess cement which could ultimately lead to implant failure. A recent study reported that a direct link between excess cement and peri-implant disease exists. In this study, the average time before any clinical sign or symptom of peri-implant disease developing was 3 years, with a range of between 4 months and nearly 9.5 years.…

26. Page 58

    Implant Cementation... continued from page 56 ness" (Figures 2d and 2e). The soft tissues appeared inflamed and cyanotic. A decision was made to raise a full thickness soft tissue flap and evaluate the implant. The exposed implant showed facial fenestration, with occlusal residue visible on the implant body. Only a thin bridge of bone existed near the coronal aspect. The cement was removed and the implant was mechanically cleaned using hand instrumentation followed by Air-flow Perio (EMS), a commercially available amino acid glycine which has been shown to be useful in the removal of bacterial deposits from titanium dental implant…

27. Page 60

    Implant Cementation... continued from page 58 to clean resin-based materials from implant surfaces11 which at that time were predominantly smooth. With today's rougher surface implants and advances in the adhesive capabilities of cements, this may present even difficulties. Many commonly used cements cannot be seen radiographically12 (Figures 4a and 4b), and to further compound the detection issue, some manufacturers even go to the extent of making the cements with "aesthetic gingival shading for natural appearance"— these cements are actually pink. This again greatly interferes with the ability of the clinician to find excess cement, since the pink-colored cement easily blends…

28. Page 61

    IMPLANTS 61 the crown with KY Jelly (Johnson & Johnson) or other water-soluble lubricant, which is washed off after the custom copy abutment is made. The spacer will provide a luting space of 50 µm approximating the ideal thickness for cement space) such that the copy abutment fabricated is 50 µm smaller than the crown itself. The spacer is removed when the VPS copy abutment material is set. The crown may then be loaded ...it is clear that any implant cement in excess may pose a clinical problem. with cement arbitrarily, so that when the copy abutment is seated into…

29. Page 63

    Test 145 Expiration date of this CE article is January 1, 2015. To submit continuing education (CE) answers, use the answer sheet on page 54. Circle the letter corresponding to the answer you believe is correct, detach the answer sheet from this magazine, and mail to Dentistry Today Department of CE, Or, use our easy online option at the Web site dentalcetoday.com. This article is available for 2 hours of CE credit. The following 16 questions were derived from the article Implant Cementation: Clinical Problems and Solutions by Chandur P. R. Kadhwan, DDS, MSD, and Alfonso F. Piñeyro, DDS, on…

30. Page 66

    66 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 ABRASION (AIR) Danville Materials The Prepstart has received top ratings from major reviewers for features and performance. It is one the world's highest-selling air abrasion systems. The abrasive flow is even for a consistent cut depth and offers crisp on/off control. Multiple tip sizes allow rapid cutting at low pressures, and it connects to a regular air. For more information, call (800) 827-7940 or visit danvillematerials.com. FREEinfo, Groman The unidose EtchMaster tip is the ultimate powder-blasting instrument for intraoral prophy and abrasion procedures. Its tips never clog, and they operate without…

31. Page 67

    . 1 or 65 2012 EQUIPMENT BUYERS' GUIDE 67 ABRASION (HYDRO) Danville Materials The Prepsart is one of the world's leaders in air abrasion. The H2O Prepsart sprays a conical jet of water suspending the abrasive stream, capturing virtually all the dust. The water tank is removable for easy filling. It is available as a complete system or as an easily retrofitted accessory for all existing Prepstarts. For more information, call (800) 827-7940 or visit danvillematerials.com. FREEinfo, AIR COMPRESSORS Air Techniques AirStar dental air compressors produce 100% oil-free, ultradry dental compressed air. The unique Membrane Dryer System provides maximum dryness…

32. Page 68

    68 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 SDI (North America) Offered with a 5-year warranty, this high-speed amalgamator is robust and powerful. It fits most capsules has a wide range of trituration rate tituration; and offers quiet, low vibration on your bench. Safe and simple to use, it will be a long-lasting investment. For more information, call (800) 228-5166 or visit sdi.com.au. 228-5166 or visit sdi.com.au. ly quiet machine that has minimal vibration. For more information, call (800) 228-5166 or visit the Web Site sdi.com.au. FREEinfo, Offering a 2-year warranty, the Ultramat S provides accurate and consistent trituration…

33. Page 70

    70 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 continued from page 68 J. Morita USA The new Root ZX mini offers proven apex location technology in an updated, compact design, measuring just more than 4 x 2.3 in. Its patented technology has been independently evaluated at a 99% accuracy rate, and with its new smaller size, it can be placed on the tray or any other convenient location during procedures. For more information, call (866) JMORITA (566-7482) or visit the web site morita.com/usa. FREEinfo, Milestone Scientific The Wand All injection instrument represents the world's first-and-only technology that accurately and…

34. Page 72

    72 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 continued from page 70 CABINETS A-dec The 5580 is built to work. Storage options bring equipment within an arm's reach, organizing your assistant. Everything is right at your fingertips, including your mount work surface, so there's no stretching or straining to reach what's needed. And with pass-through storage options, you get a treatment console that creates a natural flow of materials into and out of the operatory. For more information, visit a-dec.com. FREEinfo, Belmont Equipment When your cabinetry requirements include quality craftsmanship, elegant appearance, ergonomic efficiency, enhanced accessibility, quick shipment, or…

35. Page 74

    74 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 continued from page 72 Lester A. Dine The Dine Digital Solution is a small and simple handheld 14-megapixel camera designed to accomplish the full range of dental photography with ease. It requires no additional attachments (reflectors/add-on lenses) to function improperly. In addition, it is easy to pick up and use, shock-resistant, and waterproof, meaning liquid sterilization can be used to clean it. For more information, visit dinedental.com. FREEinfo, Norman Camera The Norman Camera 60D Dental kit is one of the highest-regarded dental cameras on the market. It is popular for its…

36. Page 76

    76 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 continued from page 74 a mini monitor so you don't need to look up to the TV monitor. For more information, call (800) 339-0999. FREEinfo, MyRay The CU2 intraoral camera sports 12 micro-lights for the highest degree of illumination in its category. Automatic brightness setting, touch-sensitive control, focus-free lens, and progressive scan technology allow for perfect image-freeze and guarantee top-quality definition. CU2 comes with complimentary Raynage imaging software but will integrate with most existing dental imaging software. For more information, call (800) 353-9078 or visit myrayamerica.com. FREEinfo, RF Dentist The Wireless…

37. Page 78

    78 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 continued from page 76 Groman The PrepMaster Mini is a disposable air-abrasive tip for minimally invasive diagnosis and treatment of non-cavitated carious lesions as well as pit and fissure stain removal and V restorations. Each PrepMaster tip is prefilled with 27 μm of aluminum oxide and can perform one to 3 cavity prep procedures. Flow control is via a simple, 2-speed, fin-per-activated adapter. For more information, call (800) 906-9298 or visit gromarental.com. FREEinfo, Henry Schein The Caries Indicator Syringe Kit is used to identify carious tooth dentin. The economical system includes…

38. Page 79

    Pelton & Crane The Spirit 3300 is Pelton & Crane's flagship dental chair. Innovation, engineering, and design merge into this state-of-the-art chair, offering leading-edge features such as (1) a slim back for optimal patient access, (2) retractable armrests for patients' ease of access, and (3) the highest quality backrest with a 5-year warranty. For more information, call (800) 659-6560 or visit pelton.net. FREEinfo, Sirona Dental Systems The C8+ Dental Treatment Center represents the state of the art in flexibility, integration, and technology. Choose from multiple delivery modalities, SOLO (patient chair only), fixed, or turn base (OTP). Almost infinitely upgradeable, the…

39. Page 80

    80 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 Coltène/Whaledent The Coltolite LED curing light is slim, fast, and cordless. The high-power output allows for curing 2 mm of composite in only 10 seconds. The thin construction provides for easier posterior access and better visibility. An LED foot pedal controls the unit, which operates for 20 seconds with a tone at the 10-second interval. For more information, call (800) 221-3046 or visit the Web site coltenewhalsedent.com. FREEinfo, CAO Group The Ascent PX Cordless LED curing light boasts powerful curing, with the ability to cure 2,000 mW/cm² for every photoinitilator. Its…

40. Page 82

    82 2012 EQUIPMENT BUYERS' GUIDE . 1 or 65 continued from page 80 DiaDent D-Lux is made from the highest-quality aluminum. It dissipates heat quickly so that it can produce the maximum light intensity at 1,600 mW/cm² safely and consistently. It has 5 versatile curing modes, including turbo, soft start, and pulse mode. Its high-performance lithium-ion battery can be fully recharged in 90 minutes and provides 160 ten-second cures with a full charge. For more information, call (877) 342-3368. FREEinfo, Golden Dental Solutions The FlashMax P3 cures quickly and only in one second because of its large amounts of power.…

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