Dentistry Today — January 2016

Inside this issue

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

1. Page 8

   Kicking Off Our 35th Year With this issue of Dentistry Today, our clinical news magazine is now beginning its 35th year in publication. This would not be possible without the talented team of professionals who work hard behind the scenes and in many meeting venues throughout North America to bring this magazine to life every month. We would also like to acknowledge the magazine's loyal readers and advertisers and take the opportunity to wish every one of you a very healthy and a kick-off to your 2016. This month, in addition to our clinical articles written by today's top clinicians,…

2. Page 18

   FOCUS ON: Implants Randolph R. Resnik, DMD, MDS, talks about the popularity, success rate, and risks of immediate placement implants. Q: Why have immediate placement implants become so popular? A: Immediate implants are now in great demand because patients prefer "easier" and "faster" results. Patient acceptance of such treatment has grown due to a decreased treatment time, and because with this technique, only one surgical procedure is required. If the alveolus is ideal from an anatomical standpoint, the soft tissue drape and bony architecture can be preserved by preventing post-extraction collapse and dermal healing. However, even with all of these…

3. Page 20

   CLINICAL REVIEWS THE DENTAL ADVISOR Variolink Esthetic +++++ Ivoclar Vivadent | (800) 533-6825 | ivoclarvivadent.com Consultants' Comments • "Complete kit with everything needed." • "I was able to get precise shade matching." • "Easy cleanup." • "Shading system is different, but it makes sense." Description Variolink Esthetic, an adhesive luting composite for the permanent cementation of ceramic and composite restorations, is offered in light-cure (LC) and dual-cure (DC) versions, and it contains the patented light initiator ivocerinwhich is 100% acrylate free for enhanced shade stability. Variolink Esthetic LC is indicated for use with glass-ceramic, lithium disilicate and composite inlays, onlays,…

4. Page 22

   Comfortably Numb Paul Feuerstein, DMD There are several anesthesia products and techniques available today, but our number one objective must be to remove our patients' fears. Dentist: "Why are you afraid of me?" Patient: "I hate the shots." This all too common answer needs a lot of TLC and comforting responses from a practitioner. Of course, empathy goes a long way. But it is also reassuring to respond to an "I am afraid" statement with this: "Well, that was the old days; things have changed." So, what has changed to help these fearful souls? First and foremost is topical anesthesia…

5. Page 24

   dentalCEtoday.com Go online to earn credit for reading this CE article. TECHNOLOGY Evolution of Comprehensive Care, Part 6 Aesthetics, Veneers, and Whitening Gregori M. Kurtzman, DDS David F. Ouellei, DDS This is the final article in a 6-part series. Parts 1 through 5 of Dr. Kurtzman's series were published in previous issues of Dentistry Today and can be found in the Online Archives section of the website dentalcetoday.com. INTRODUCTION Aesthetic changes are an increasing interest for patients as they seek improvement of their smiles. These may range from minor alterations of the teeth to restorative sharp or chipped areas, to…

6. Page 26

   Evolution of Comprehensive Care... continued from page 24 Upon return of the completed leucite-reinforced porcelain veneers (Lumineers [DenMat]), the luting process was modified to further mask the tetracyclic staining. A thin layer of pink opaque resin (TetraSque Pink [DenMat]) was applied over the adhesive that had been previously applied to the etched teeth as directed. Next, resin cement (Ultra Bond [DenMat]) was placed into the veneers, and then they were seated and light cured (Sapphire Plus Plasma Arc Curing Light [DenMat]). The pink tone of the modifier neutralizes the dark stains, resulting in a warmer, natural color (Figure 2). With…

7. Page 28

   Evolution of Comprehensive Care... continued from page 26 minimal preparation may still be needed when spacing is present and no rotations are being dealt with. The patient presented with chalky discoloration to the teeth with a midline diastema. Examination noted that although the central incisors had a flat facial, the laterals and canines bilaterally were prominent in the mid facial area. The incisal length of the centrals was slightly long, and the laterals were too short compared to the adjacent anterior teeth (Figure 10). Minimal preparation was needed to flatten the bulkiness of the laterals and cuspids so that the…

8. Page 29

   TECHNOLOGY lessened as the protection from the light burning the lips and tissue removed from the procedure. But, dramatic results can be achieved in a single visit without patient reports of sensitivity. As a prelude to other treatment, the patient decided to start with in-office whitening and had reported light generalized sensitivity at the follow up treatment and a significant shade change resulted that remained stable long term (Figure 14). TRANSITIONAL AESTHETICS AND TEMPORIZATION Patients may present with needs for temporary aesthetic improvements. These can range from minor recontouring, to the correction of some age related wear, to more extensive…

9. Page 30

   TECHNOLOGY SPOTLIGHT "My Best Handpiece" John J. Groeber, DMD I asked what handpiece in my office I would consider to be the most valuable. I would consider it's characteristics first. For example, is it effective for the majority of hard tissue procedures? Does it cause collateral or iatrogenic damage; it isquiet; it does create a clean cut and the best bond strength? Is it able to polish stains easily? Now, with my think I was questioning the characteristics of a laser handpiece, but no. I was questioning the characteristics of an air-abrasion handpiece, and the answers to all these questions…

10. Page 32

    Spotlight New Soft-Tissue Laser Features Dual Wavelengths, 20W of Power, and Innovative Transparent Display SOUTH JORDAN, Utah—Ultradent Products introduces the Gemini 810 + 980 Soft-Tissue Laser—dentistry's first dual wavelength soft tissue diode laser with 20W of peak super pulsed power and an innovative, fully transparent electroluminescent display. No matter the procedure, Gemini will make it faster, smoother, and more efficient. Thanks to Gemini's 810 + 980 dual-wave technology, it combines the optimal melanin absorption of the 810-nm wavelength with the optimal water absorption of the 980-nm wavelength, making it the first and only laser of its kind. Additionally, the 20W…

11. Page 34

    Spotlight Light Lets Clinicians Cure With Confidence BARRIE, Ont- Putting you in control for the right cure every time, the SiriusMax Advanced Curing Light features a powerful, elegant, all-aluminum design that is built for durability and efficiency. Its go' swivel head functionality and ultrasllim profile mean better ergonomics, easier access, and more precise placement; its optical dual lens technology culminates the light beam for deep, even curing; and its new generation battery and charging system provides up to 500 cures on a single charge. An easy to set, brilliant LED display and customizable menu offer multiple output intensity and duration…

12. Page 35

    Spotlight Sensor Provides Top-Tier Imaging Without the Top-Tier Price LOS ANGELES-XDR Radiology's Anatomic Sensor, offered in sizes 1 and 2, provides top tier imaging without the top tier price. The sensor maximizes intraoral imaging area to help you capture challenging canine premolar contacts, and its synergy with XDR Software, its top-tier contrast and spatial resolution, mean you'll see both the subtlest of lesions and the tip of your No. 6 file. The sensor's rounded and beveled corners broaden the contact zone for increased patient comfort, matching the mouth's contours, and its distinctive white face eases intraoral visibility. A sleek button…

13. Page 36

    Spotlight World's First All-Ceramic-Based Universal Direct Restorative Material Introduced INDIAN LAND, SC—VOCO presents an evolutionary step forward in the realm of direct restorative dental materials with Admira Fusion, the world's first all-ceramic-based universal direct restorative material. It represents the fusion of VOCO's proven nanohydrid technology with ORMOCER (Organic Modified CERamie) technology, already noted for its success in some of the world's largest industries. As the world's first nano-ORMOCER, Admira Fusion offers many advantages when compared to conventional composites, including up to 50% lower shrinkage and shrinkage stress, high aesthetics, and a new level of biocompatibility. The ORMOCER aspect of Admira…

14. Page 38

    Spotlight Intraoral Scanner's Improved Scan Speed and Crisp Imaging Cited SAN JOSE, Calif The new iTero Element Scanner delivers everything you love about iTero scanners in a compact form factor, with even more capabilities. The redesigned and features built into controls, including side buttons and touchpad for user interface control, and the image sensor enables 20x faster scan speed versus previous iTero scanner. Open choice imaging lets you view images in 3-D, while easy visualization improves visibility and chairside communication with patients. Scanned images appear instantly with crisp definition on the 19-inch high definition, multi-touch display. With the iTero Element,…

15. Page 40

    App Hailed As a Revolutionary Communication System for Dentist and Laboratories LONDON, Ont.-Hailed as a revolutionary communication system for dentists and laboratories, the iDent iPad app, available from the App Store, lets you connect to your laboratory chairside with real-time consulting for better patient acceptance, better results, and maximal flexibility. Begin your journey into digital dentistry with iDent. For additional information, visit the website identdentistry.ca. FREE info, Non-Latex Barriers For Lamp Handles Steri-Shield is introducing it's popular and elastic T-Bar and C-Bar lamp handle covers in a non-latex, nitrile material. The new nitrile material provides a super elastic yet durable…

16. Page 42

    NEWS/TRENDS Industry News Frank Midulla Frank Midulla, founder and former president/CEO of Sabra Dental Products, passed away this past July. Mr. Midulla founded Sabra Dental Products in 1981, and through great effort and innovation, Sabra rapidly became one of the nation's leading independent dental manufacturers and suppliers. Under his leadership, Sabra brought new ideas and products to dentistry, introducing the 45° angle surgical handpiece and many other innovative products. Mr. Midulla grew Sabra not only with his business acumen and intelligence but also with his kindness and good nature. He endeared himself on his relationships within the industry and more…

17. Page 44

    Australia Considers a Future of "No-Drill" Dentistry Results of Seven-Year Study Confirm Benefits of Preventative Oral Care Tooth decay can be stopped, reversed, and prevented without the need for the traditional "fill and drill" approach that has dominated dental care for decades, according to a study conducted by researchers at the University of Sydney. The results of the 7-year study, published recently in Community Dentistry and Oral Epidemiology, found that the need for fillings was reduced by 30% to 50% through preventative oral care. "It's unnecessary for patients to have fillings because they're not required in many cases of dental…

18. Page 50

    50 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 ABRASION (AIR) Danville Materials The IsoSorber is a steam autoclavable, Major internal improvements also provide enhanced performance and reliability in abrasive size. The intended design allows the nozzle to be rotated 360° and interchanged with other nozzles. The nozzle is slimmer in profile for greater visibility. For more information, call (800) 837-7360 or visit denvillematerials.com. FREEinfo, Handpiece Solutions With the Quick Jet M Air Polisher, tooth whiteness and brilliance can be achieved quickly. It is compact, highly effective, and requires no electrical connections. It is available in black or white and…

19. Page 51

    . 1 or 49 2016 EQUIPMENT BUYERS' GUIDE 51 SDI (North America) The Ultramat 2 is one of the quietest, lowest-vibration mixers available. It features a programmable operator-selectable timer that provides consistent and accurate titration, ensuring the optimal handling and chemical characteristics of restorative materials. The multiuse Ultramat 2 is suitable for all types of restorative dental materials. For more information, call (800) 228-5166 or visit sdi.com.au. FREEinfo, ANALGESIA/ANESTHESIA EQUIPMENT Accutron The Digital Ultra Flushmount flowmeter, with the control unit separated from the gas supply module, mounts in cabinets where space is limited. Features include: (1) percentage controls, (2) brightly…

20. Page 52

    52 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 APEX LOCATORS Axis I Dental New technology allows you to accurately and precisely determine the working length of a root canal for the best treatment possible. It can customize the zero point based on your clinical judgment. It continuously calibrates for accurate, uninterrupted readings in real time, and it is accurate in almost any condition. For more information, call (800) 346-3636. FREEinfo, Brasseler USA Using advanced multifrequency software, the PAL Apex Locator filters irrelevant signals that appear in curved canals. Its lightweight, compact design provides accurate measurements in all conditions, including…

21. Page 53

    . 1 or 49 2016 EQUIPMENT BUYERS' GUIDE 53 and checkout—all within the operatory. You will have the ability to access patient records and schedule appointments, all while clinical information can be assessed into existing wall cavity space, allowing it to offer extensive storage and counter space. For more information, call (866) 374-6487 or visit the website ergonomicsdesign.com. FREEinfo, Midmark Artizan Expression's unique look, modern design, and expressive style come together to create a warm and inviting environment for your patients and staff. Integra Dental Casework's steel frame, asepsis-friendly design, and interior and exterior modularity provide an unmatched record of…

22. Page 54

    S4 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 Woodway Manufacturing ATC-1001 RestorationII is a medium-high speed unit with a hand 1 2 o'clock workstation designed to house most technologies and maximize countertop workspace. The ATC-1001 is available in hundreds of colors, patterns, and wood options. For more information, call (888) 368-4770 or visit woodwaydental.com. FREEinfo, CAD/CAM (CHAIRSIDE) 3Shape These high-speed scanners have the capability to provide the accuracy and detail required for inlays, bridges and implant bars. Unique technology features include 5-megapixel cameras, autofocus impression scanning, and texture-capture capabilities. Full integration with milling equipment and desktop workflow. For more…

23. Page 56

    56 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 54 The CamX Polaris Intraoral Camera provides exceptional image quality that will aid in case acceptance. Its new, sleek body design features a 120° button ring for added comfort, and superior optics and broad focal range deliver exceptional image quality that will enhance your patient diagnosis. For more information, call (800) AIRTECH or visit airtechniques.com. FREEinfo, Carestream Dental Available in both wired and wireless models, the CS 1500 Intraoral camera is the ideal conversational starter for any dental practitioner. Delivering precise, true-to-life images with each shot, it provides…

24. Page 58

    58 2016 EQUIPMENT BUYERS' GUIDE . 1 of 49 continued from page 56 Video Dental Concepts Our company features a high and intraoral video camera offering excellent image quality and a 1-step focus adjustment for viewing the face, smile, full arch, and lower/upper anteriors in great detail, including macro. It is easy to use due to its speed and programmable capture button that allows for seamless integration in all major imaging software. For more information, call (800) 323-2690 or visit the web-site videodental.com. FREEinfo, XDR Radiology The XDR Intraoral Camera is uniquely designed by dentists for balance, weight, and focus…

25. Page 60

    60 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 58 Flight Dental Systems The Avanta Chair is a fully hydraulic dental chair with synchronized chair movement for some of the best ergonomics in its class. There is also a swivel function on the chair that allows it to rotate 30° to the left and right of the centerpoint. The patient chair is reliable and affordable and comes with a booster parts warranty. For more information, call (866) 799-0517 or visit the website flightdentalintiatives.com. FREEinfo, Forest Dental Known for superior comfort, the Forest 3900 is a growth leader…

26. Page 62

    62 2016 EQUIPMENT BUYERS' GUIDE . 1 of 49 continued from page 60 DENTSPLY Caulk The SmartLite Focus Pen-Style LED Curing Light has (1) a collimated light beam that reduces light divergence for dependable cure over larger diameters; (2) a homogeneous beam profile for uniform performance within the curing area; (3) easy, one-touch operation; (4) a lightweight design; and (5) excellent intraoral control. For more information, call (800) 532-2855 or visit the website at dentsply.com. FREEinfo, DiaDent DLux is a new, advanced, cordless LED curing light with a high-intensity output of 1,600 mW/cm². Made from the highest quality aluminum, it…

27. Page 63

    . 1 or 49 information, call (800) 367-9290 or visit mtfdental.com. FREEinfo, National Dental The SiriusMax Advanced Curing System features a powerful and elegant, all-aluminum design that is built for durability and efficiency. Its 90° swivel head functionality and ultraslim profile means better ergonomics, easier access, and more precise placement. Optical dual-lens technology collimates the light beam for deep and even curing. For more information, call (800) 3920-1171 or visit the website the-curinglight.com. FREEinfo, Parkell The Aurora S3 Curing Light features a thin design and an easy-access head to reach anywhere, even posterior teeth of petite patients. There are 3…

28. Page 64

    64 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 DELIVERY SYSTEMS (MOBILE/PORTABLE) Aseptico The Transport, Express, and Task Force fam-ily of portable units are fully self-contained, featuring an integrated compressor, suction, water reservoir, and waste storage. The Transport III has the additional benefits of new electronic micromotor (with fiber optics), saliva ejector and high volumesuction, and an optional ultrasonic scaler. For more information, call (866) 224-2954 or visit aseptico.com. FREEinfo, DentalEZ NextGen and Simplicity Carts are economical choices for convenient and quality mobile delivery units. These carts come equipped with wide-range vertical height adjustment, stable 4-frame base with 4 dual-wheel…

29. Page 66

    66 2016 EQUIPMENT BUYERS' GUIDE . 1 of 49 continued from page 64 3Shape TRIOS reinvents your digital scanning. Ideal for capturing digital impressions, intraoral scans, and HD photos, it packs precision and speed into an easy-to-use, powder-free scanning solution. Enhanced digital capture makes it simple to identify preparation margins and evaluations; shade measurement maturity identifies tooth shades as you scan. For more information, call (800) 967-0144 or visit 3shapedental.com/trios. FREEinfo, Align Technology The new Itero Element Scanner is designed to offer (1) two compact, space-saving form factors, (2) a 40% smaller and lighter wand that features built-in controls, and…

30. Page 67

    . 1 or 49 2016 EQUIPMENT BUYERS' GUIDE 67 integration and superior image quality with the low dose. It is the perfect system for 3-D imaging technology as well as GALILEOS Face Scan, which makes it easier to better understand and accept treatment recommendations. For more information, call (800) 659-5977 or visit the website sirona usa.com. FREEinfo, ORTHOPHOS SL offers a range of incredibly sharp 2-D panoramic images for full 3-D volume flexibility due to its selectable field of view and easier, more secure patient positioning for the perfect x-ray, from orbit to orbit analysis. The revolutionary Direct Conversion Sensor…

31. Page 68

    68 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 Carestream Dental With the RVG 6200 intraoral digital imaging system, you can capture images in just a few quick shots. Offering dentists portable, chair-side intraoral processing tools, the RVG 6200 allows you to customize images according to your own specifications for enhanced diagnosis and ease of use. For more information, call (800) 944-6365 or visit carestreamdental.com. FREEinfo, Cefla Dental Xpod provides instant digital diagnostic quality radiographs on a battery-operated handheld device that can last all day. It enables users to collect hundreds of high-resolution images on secure digital cards and then…

32. Page 70

    70 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 68 DIGITAL RADIOGRAPHY (PAN/CEPH) Air Techniques The ScanX Classic is the go-to digital panoramic system that reads images simultaneously from 4 895 and accepts intraoral size Nos. 2, and 4 and extraoral (pans, ceph, and TMJ) for patients of all ages and anatomies. Easily installed, it will work with your existing x-ray system. At or DC. For more information, call (800) AIR-TECH or visit airtechniques.com. FREEinfo, Belmont Equipment Bel-Cypher N is a user-friendly digital panoramic x-ray system that features bite-wing imaging capability as well as diagnostic panoramic and…

33. Page 71

    . 1 or 49 2016 EQUIPMENT BUYERS' GUIDE 71 settings, auto reverse, and torque control. The handpiece provides exceptional balance and ergonomy required for any case, including endo. The lightweight micromotor provides superior tactile awareness with comfort and control. For more information, call (800) 841-4522. FREEinfo, Coltene CanalPro CL is a cordless endodontic handpiece with a thin ergonomic design for better access to hard-to-reach areas. Its large, user-friendly LCD pad allows the clinician to visualize up to 5 settings for different file sequences and even one for root prep as well as offering an auto-reverse mode. For more information, call…

34. Page 72

    72 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 Aseptico The AA-20 has been developed as an emergency portable suction system, and it also has an innovative saliva ejector system for portable and cosmetic dental applications. It includes a rechargeable battery for remote use and may be operated from main power (110 or 220V) or from a 12V car power socket. For more information, call (866) 234-2954 or visit aseptico.com. FREEinfo, Dansereau Health Products The Roadrunner Dry Vacuum, a variable-speed dry vacuum system, uses a 2-stage turbine (twice as much air flow) to create a stable vacuum for the dentist.…

35. Page 73

    . 1 or 49 15-minute speed crystallization program for IPS e.max CAD. For more information, call (800) 533-6825, visit ivoclarhsdent.com, or email mallei@ivoclarhsdent.com. FREEinfo, VITA North America The VITA VACUMAT 6000 M, now available in 5 color choices, features precision-controlled fast cooling, power failure protection, and automatic temperature adjustment before every program. Plus, you get the choice of 2 feature-rich control units, allowing you to customize your experience and select only the features you want. For more information, call (800) 828-3839 or visit vitanorthamerica.com. FREEinfo, HANDPIECE PURGING SYSTEMS DENTSPLY Professional The Automate System enhances efficiency and complements the way you…

36. Page 74

    74 2016 EQUIPMENT BUYERS' GUIDE . 1 or 49 Brasseler USA Small in size but big in performance, the Mili line from Brasseler offers a super-miniature head size that provides maximal access and visibility. In addition to a quick disconnect model for Brasseler coupling, the Mili is now also available for easy connection to Kavo style couplings. The lightweight handpiece features fiber-optic and ceramic ball bearings, and an easy-to-replace turbine. For more information, call (800) 841-8522. FREEinfo, Danville Materials The C-Saw System with GP Separator is ideal for interproximal reduction and low-speed rotary with high torque. The full system includes…

37. Page 75

    . 1 or 49 2016 EQUIPMENT BUYERS' GUIDE 75 speed and torque adjustments. Its ergonomic design and display ensures easy readability. You can use it with the AHP-7250 1:5 increaser handpiece for restorative needs. For more information, call (866) 244-2954 or visit aseptico.com. FREEinfo, Bien-Air Dental Equipped with patented COOLTOUCH+ heat-arresting technology, EV015 is the only contra-angle proven to never exceed human body temperature, data on file. It is used to protect the patient and the clinician during some of the profession's most frequently performed procedures. It features a considerably smaller and lighter shockproof head, a new spray/illumination system, and…

38. Page 76

    76 2016 EQUIPMENT BUYERS' GUIDE . 1 of 49 NSK Dental The Ti-Max X Series handpieces are constructed of lightweight, solid titanium. The fiber-optic attachments feature ceramic ball bearings, a patented clean head system, and a 4-port water spray. The X gear system built into every attachment delivers quiet operation with minimal vibration. The gear ratios range from 1:5 to 16:1. For more information, call (888) 675-1675 or visit the website nskdental.com. FREEinfo, The Ti-Max Z45L 45° electric (contra-angle) dental handpiece provides access to hard-to-reach molars, while the slim design offers excellent visibility and high operability, enabling more space between…

39. Page 78

    78 2016 EQUIPMENT BUYERS' GUIDE . 1 of 49 continued from page 76 design incorporates all stainless steel construction, titanium alloy bur ports, an endo turbine for serviceability, and a patented Push-Lok chuck mechanism. For more information, call (800) 233-2346 or visit kineticfnc.com. FREEinfo, Lares Research Euro High-Speeds offer outstanding cutting power and smooth operation, a stainless steel handpiece with smooth grip, MULTIflex compatible quick disconnect, 360° swivel, and push-button bur changing. With one of the smallest heads in the profession, the 557 head size offers superior accessibility and visibility. For more information, call (888) 333-8440, ext. 1. FREEinfo, Medidental…

40. Page 80

    80 2016 EQUIPMENT BUYERS' GUIDE . 1 of 49 continued from page 78 reciprocating file as well as all other DENTSPLY Tulsa handpieces. Also available, included but not limited to: Profile Vortex, ProTaper Universal, and PathFile. For more information, call (800) 862-1202 & visit the website dentsply.com. FREEinfo, Golden Dental Solutions The 2 in 1-F Rad Drill & Surgical Guide provides an alternative to fabricating a conventional surgical guide. It's a simple solution to more accurate mesiodistal spacing and parallelism, no matter what implant system you use. Don't change anything with your current surgical protocol; just make it more accurate.…

And 44 more pages — read the whole issue.