Dentistry Today — January 2017

Inside this issue

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1. Page 8

   Optimism Rings in the New Year The end of the year brought us another opportunity to reflect on the many learning experiences, challenges, and successes of 2016. Even more importantly, we can now look forward to another year of creating and achieving our highest personal and professional goals. Most of us, if lucky enough to have had a holiday breather with friends and family, come out on the other side renewed in spirit. I must confess that I am carrying a big dose of optimism into 2017 and, having joined together with the Dentistry Today editorial, production, and sales teams…

2. Page 10

   Corporate Healthcare: Important Contracts There exist 3 common contracts doctors sign with corporate dentistry. These include employment contracts, purchase agreements, and business service agreements (BSAs). Each of these contracts may be peppered with legal landmines. It is imperative that doctors accept that their expertise is patient care, and swimming with the sharks of corporate healthcare. Nothing in corporate business negotiation can be taken at face value. This is not a friendship based on mutual trust and respect, as in the doctor patient relationship, or when working with a specialist colleague. Corporate interest is almost exclusively directed at the financial welfare…

3. Page 12

   VIEWPOINT continued from page 10 Further complicating doctor compensation is the phrase "nonqualified arrangements." Exactly how and why will the dentist's income be adjusted down? Will the adjustments for flawed "Gold Plan" masquerading as insurance, in which the DSO receives a monthly payment for discounted services, for which the employee doctor can loses for discarcare? Noncompete clauses all too often represent a mechanism to retain employees, no matter their dissatisfaction with the company and the desire to leave. In states such as California, these clauses are fully unenforceable. In other states, these agreements are fully enforceable. A designated time frame…

4. Page 16

   FOCUS ON: Continuing Education Thomas E. Dudney, DMD, presents the benefits of clinical training that is experienced via live-patient, hands-on dental continuing education. Q: Define live-patient hands-on program. A: It is a type of program where dentists, accompanied by their appropriate team members, bring one of their own patients to the course to do preplanned and pre-agreed upon clinical procedures under the supervision of an experienced clinical instructor. Hands-on programs allow the doctor and team to receive valuable knowledge and information with lectures and personalized instruction in a clinical setting. Whereas this format can be used for teaching different types…

5. Page 18

   Born to Run Paul Fuerstein, DMD My quest at dental meetings is to run up and down exhibitor aisles researching products (so you don't have to). My Fitbit averages more than 50,000 steps during these meetings! At the end of last year, there was a flurry of meetings such as the ADA Annual Session and the Greater New York Dental Meeting, and a number of new products appeared on their exhibit floors. Throughout the year, I report on these products. Some I've had a hands on chance to use; others I just found interesting. Here are a few that are…

6. Page 20

   Restorative Digital Dentistry, Part 2 Gary Kaye, DDS Choosing the Right Digital Dentistry Strategy This is the second in a 3-part article series. Part 1 was published in the October 2016 issue of Dentistry Today, and can be found archived online at . INTRODUCTION The new paradigms for digital dentistry are transforming our profession and dental practices in fundamental ways. These changes are having a profound impact on many aspects of the way dentistry is practiced. They are having dramatic implications with regard to how we talk to our patients about dental care and the new patient service experience. There…

7. Page 22

   Restorative Digital Dentistry, Part 2... continued from page 20 The author believes that a majority of dentists adopting this technology during the next few years will opt to do away with physical impressions and will purchase (or lease) a standalone intraoral scanner. The scans will then be sent electronically to a digital laboratory. We can refer to this strategy as scan only, as opposed to chairside (where the entire process is done in the office). If a dentist selects the scan only strategy, then the next decision is which scanner/manufacturer to use. At NYCDD, a technology scorecard has been developed…

8. Page 23

   TECHNOLOGY the dentist's productivity is pivotal so more results can be produced in shorter periods of time. Issues such as scanning and design work can be delegated to team members. The dentist will see the best results when delegating most of the tasks that others can complete, leaving more time to focus on the high value work that only the clinician can undertake. DIGITAL DENTISTRY RELATIONSHIPS The Doctor-Technician Relationship In order to provide successful prosthetic outcomes for our patients, the relationship we have with our laboratories and lab technicians is of paramount importance. As we move into the digital restorative…

9. Page 24

   Digital dentistry is constantly changing, making this a great time to be practicing dentistry! Figure 5a. Scanning of stone models to create digital files. Figure 5b. Technician scanning the physical models. Figure 5c. Digital model created from scan of physical models. Figures 5d and 5e. Detail view of preparation and margins. Figures 5f and 5g. Designed restoration or virtual wax up. Figure 6. PlanMill (Planmeca). Figure 7. TS150 (Glidewell Laboratories). Figure 8. Chairside scanning PlanScan (Planmeca). DIGITAL SERVICES New Types of Services As Labs Are Transformed by Digital Dentistry and Advanced Material Science Everywhere we are seeing how technology is…

10. Page 26

    Spotlight Diode Laser Hailed As the Most Powerful in Dentistry IRVINE, Calif.–BIOLASE's all-new Epic Pro dental diode laser offers the most laser power of any diode laser in dentistry, and it is the first product to be introduced resulting from BIOLASE's strategic development agreement with IPG Photonics. The newest addition to the Epic family of soft-tissue dental lasers, it features several new innovations that are industry firsts: (1) new super-pulse technology for more precise, enhanced tissue cutting; (2) real-time automatic power control to enhance speed and consistency when performing surgery; and (3) pre-initiated, bendable, disposable tips with new smart up…

11. Page 28

    LED Light's Innovative New Technologies and Light Weight Cited PLANO, Tex.- The Nano Freedom LED Light is engineered to be super-lightweight, with only 3 g of weight on the nose bridge, and its unique, touch-free battery design disperses weight evenly across the head, with little extra weight on the nose or ear. Packed with innovative new technologies, the light offers clinicians the following features: (1) uniform color temperature light using exceptional optics; (2) a focused, shadowfree beam offering 20,000 lux of intensity; (3) freedom from the hassle of managing the cords and battery packs of traditional LED lights; (4) non…

12. Page 30

    Spotlight Light-Based Screening Device Engineered for Optimal Diagnosis of Oral Lesions Cement Ideal for Restorations Made of Zirconium Oxide and Metal Ceramics LOMPOC, Calif.—For more than 10 years, clinicians have been using fluorescence technology to enhance the visualization of oral mucosa, thereby facilitating the earliest possible discovery of potentially malignant and cancerous lesions. Representing the latest innovation in this light-based adjunctive screening technology, DenMat's ViziLite PRO has been engineered to operate within the wavelength for optimal discrimination of oral lesions, as defined by years of clinical fluorescence research. An affordable, handheld device, the ViziLite PRO utilizes powerful shortwave LEDs to…

13. Page 32

    Root Canal Sealer's Capabilities Cited LANCASTER, Pa - Hailed as a breakthrough in mineral-based root canal filling materials for permanent canal obturation, Septodont's BioRoot RCS root canal sealer incorporates an easy-to-use cold obturation technique that ensures a long-lasting, leak-free seal, and high pH (>11). And because it is biocompatible and resin-free, it will not have any impact on human cells in case of over-obturation. For more information, call Septodont at (800)23-8305 or visit septodontusa.com. FREEinfo, The Ultimate Solution! sani-treet plus Enzymatic Cleaner Evacuation Cleaner Instrument Pre-Soak Ultra-Sonic Cleaner • Eliminates organic odors • Breaks down build-up of organic debris •…

14. Page 34

    Spotlight Improved Version of MTA Reparative Cement Now Offered LONDRINA, Parana, Brazil—Angelus's MTA (mineral trioxide aggregate) Reparative Cement has an established use in endodontics—its clinical results have been proven by numerous scientific studies. However, due to its powder's inherent handling and carrying the material to the repair spot. To correct this, Angelus is now offers MTA Repair HP (High Plasticity), which keeps all the chemical and biological properties of the original MTA and adds the following advantages: (1) a putty-like consistency that offers better handling properties; (2) the addition of a new radiopacifier, calcium tungstate, that prevents staining of the…

15. Page 36

    NEWS/TRENDS Industry News 3M Launches Trusted Connection for 3M True Definition Scanner 3M announced recently that users of the 3M True Definition Scanner now have the ability to place a record of their intraoral scans into a patient's chart in Henry Schein's DentlX Practice Management System. Working closely with Henry Schein, 3M has certified its True Definition Scanner as DentlX Connected with DentlX, a leading practice management software system for dental practices. "This connection furthers our integration within the digital dental ecosystem and strengthens the relationship that Henry Schein, DentlX, and 3M bring to our customers," said Karen Burquest, global…

16. Page 38

    NEWS/TRENDS Industry News continued from page 36 of lever will help our customers provide both in-office and take-home teeth-whitening products that are easy to use, less sensitive, and require less time to obtain highly recognizable results." For additional information visit the websites located at zestdent.com or iverwhitening.com. NuSmile Acquires Avalon Biomed Houston-based NuSmile, a global leader in pediatric restorative and esthetic dentistry, announced recently its acquisition of substantially all the assets of Avalon Biomed, a leading manufacturer of advanced mineral trioxide aggregate (MTA) products. Avalon Biomed's NeoMTA Plus and Grey MTA Plus will continue to be marketed through its global…

17. Page 40

    NEWS/TRENDS AADOM Names 2016 Practice Administrator of the Year The American Association of Dental Office Management (AADOM) announced recently that Jamie Perryman, director of operations for Grove Dental Associates in Grove, Okla, has been named its 12th annual Practice Administrator of the Year. As the 2016 award winner, he will receive a special package provided by CareCredit, AADOM's founding sponsor, that includes complimentary registration to the AADOM conference; a profile story in AADOM's digital magazine, The Observer; and $1,000 in prize money. Commenting on Mr. Perryman's selection, Heather Colicchio, AADOM president, said, "This year, the committee agreed that Jamie's passion…

18. Page 44

    Carbide Burs Micropy NeoBurr sets the standard for strength against all other carbides. Single-piece construction, coupled with break-resistant, pure tungsten carbide composition, ensures that you have the strongest bur for all your dental procedures (data on file). Reinforcing Microcopy's commitment to patient safety, each NeoBurr is individually packaged and sterilized for added convenience. Precision engineering ensures optimal quality and performance for even the most demanding cases. For more information, call (800) 235-1863 or visit neoburr.com. FREEinfo, Brasseler USA Feather Touch carbide burs feature a unique blade design that requires a mere feather touch for a controlled and smooth cut. As…

19. Page 45

    NeoBurr: Eliminating the Weak Link Perry L. Parke, president, Miccopy Many years ago, I remember reading a report from the CRA, (now CR) that polled the main frustrations dentists had with carbides. The two that tied for first were a lack of aggressive cutting and breakage. We just introduced the NeoBurr carbides at Miccopy, but I remember thinking that if we could just address this breakage issue, we could easily give dentists something that they really needed. So, we did. It wasn't easy, and it took 12 long years. The first thing we did was convert all shapes to single-piece…

20. Page 46

    Shofu Dental Manufactured under strict ISO standards, Robot Carbide FG Finishers feature high-quality 10- and 12-fluted tungsten carbides on a stainless steel shank. These universal abrasives are intended for contouring and finishing of all restorative materials in anterior and posterior regions. For optimal performance, Robot Carbide FG Finishers should be operated at a speed lower than 350,000 rpm. Also made of high-quality tungsten carbides on a stainless steel shank are Robot Carbides CTF-FG Finishers. They are manufactured under strict ISO standards and come in 8-, 16-, and 30-fluted combinations. For more information, call (800) 827-4638 or visit shofu.com. FREEinfo, MUNCE…

21. Page 47

    Medidenta High-quality burs are a necessity for every dental practice. It is imperative that every doctor is confident and comfortable with the bur that he or she is using for every procedure. That is why Medidenta is placing a satisfaction guarantee on its new, high-quality dental bur line, DynaCut Burs. Medidenta is offering a 100% money-back guarantee on the entire DynaCut Bur line. For more information, call (800) 221-0750 or visit the website located at medidenta.com. FREEinfo, Dentsply Sirona MultiPrep Fine Cross Cut Burs provide a unique, multipurpose bur upgrade for rapid, precise, and easy cutting of metals, porcelain, composites,…

22. 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. SiriusMax Advanced Curing System National Dental Light curing is a large part of every dental practice, as there are many photopolymerized materials used for restorative and preventive procedures. The more efficiently the light polymerizes the resin, the quicker the dentist can move to the next procedure step. Curing lights must be ergonomic and intuitive as well as disinfectable, rugged, and transport-able. National Dental's SiriusMax is a high-performance curing light with customizable modes and power levels.…

23. Page 50

    50 2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 ABRASION (AIR) Handpiece Solutions With the Quick Jet M Air Polisher, tooth surfaces and brilliance can be achieved quickly. It is compact, highly effective, and requires no electrical connections. It's available in black or white and is made in Japan. For more information, call (888) 488-3888 or visit the website handpiecesolutions.com. FREEinfo, Groman Micro Etching Tips are ideal for (1) intraoral smear layer removal; (2) coating of enamel, ortho odontic brackets, and sealants; (3) composite and porcelain repair; and (4) crown and bond enhancement of all bonding procedures. The single-use tips…

24. Page 52

    continued from page 50 Anutra Medical The Anutra Local Anesthetic Delivery System is a revolutionary way to supply fuller local anesthetics. With buffering, practitioners can be more productive, efficient, and profitable while providing a more comfortable experience. Imagine anesthetizing your patient and going to work in just 2 minutes. One of the most innovative components of the system is the Anutra Feedback Aspiration Syringe. For more information, call (844) ANUTRA-1 or visit the website anuramed.com. FREEinfo, DentalVibe The new DentalVibe Injection Comfort System GEN3 blocks injection pain. Invented by NYU graduate Dr. Steven G. Goldberg, it is equipped with VibraPulse…

25. Page 54

    2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 52 Dentsply Sirona The Detect Apex Locator features a full-color screen, progressive sound control, and the latest multifrequency technology for improved visualization of the file progression. Supported by extensive research and testing, it allows practitioners to sharpen root canal visibility and accurately measure root canal length during endodontic therapy. For more information, call (800) 924-7393 or visit the website millerlerc.com. FREEinfo, Dentsply Sirona Endodontics With its color touchscreen and close-up apical zoom view, the ProMark Apex Locator delivers proven, precise length determination for dentists performing root canal therapy. It…

26. Page 56

    2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 54 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 Cabinetry's steel frame, asepsis-friendly design, interior and exterior modularity provide an unmatched record of strength and durability. For more information, call (800) MIDMARK or visit midmark.com. FREEinfo, Pelton & Drane The Renaissance collection of dental cabinetry showcases a unique aesthetic while enhancing efficiency and technology integration. Created in collaboration with dentists, dental assistants, and hygienists, a host of innovative features improve in-procedure…

27. Page 58

    2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 56 Carestream Dental The CS 1500 Intraoral camera offers a focus range of one mm to infinity plus high resolution, enabling you to easily view the smallest cracks, caries, and lesions. Patented liquid lens technology provides automatic focus, and an 8-LED lighting system adjusts to optimize illumination and contrast. For more information, call (800) 944-6365 or visit carestream dental.com. FREEinfo, Denterprise International QuickCam DUO, the world's first dental imaging instrument with 2 cameras, allows you to shoot adequate patient ID, brilliant cosmetic smile, and arches from its extraoral camera.…

28. Page 60

    2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 58 CARIES DETECTION DEVICES ACTEON North America With SoproLIFE, you have the ability to detect tooth decay at different stages of its development, allowing you to determine the most adequate treatment. The auto fluorescence technology in SoproLIFE enables you to detect occlusal or interproximal decay, which is often missed by x-rays. For more information, call (800) 289-8367 or visit us.acteonusa.com. FREEinfo, AdDent The Microlux Transilluminator continues to improve thanks to the development of innovative attachments. A multipurpose unit, it is inexpensive and easy to use. Fractures and interproximal caries…

29. Page 62

    continued from page 60 profession-leading 5-year warranty, the comfort of knowing that you're receiving a quality, maintenance-free product is priceless. For more information, call toll-free at (800) 799-8911 or visit flightdentalystems.com. FREEinfo, Midmark The Elegance Dental Chair offers sophisticated styling, optimal patient access, and exceptional patient comfort. It is a genuine departure from other patient chairs on the market today, with its cantilever forward design that allows for unsurpassed range of travel. Additionally, its SeriesEscape features offer the patient relaxing heat and massage. For more information, call toll-free at (800) MIDMARK or visit midmark.com. FREEinfo, Pelton & Crane The Spirit…

30. Page 63

    . 1 or 49 2017 EQUIPMENT BUYERS' GUIDE 63 information, call (800) 533-6825, visit the website located at noclarviavident.com, or send email to mail@noclarviavident.com. FREEinfo, Johnson-Prominent The Clear Blue Digi 2.0 LED Curing Light offers a high power of 1,200 mW/cm for fast cures and can solidify any brand of resin with its 430- to 480-nm wavelength. It has an easy-to-read digital display and 3 working modes. It is compact and lightweight and operates coolly and silently, with no fan necessary, like halogen lamps. For more information, call (800) 286-8865 or visit the website johnsonpromident.com. FREEinfo, Kerr The Demi Ultra…

31. Page 64

    2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 Spring Health Products The CURE TC-24 easily integrates into all manufacturers' delivery systems, freeing up operatory space, and its all-metal construction makes it extremely durable. Its slim profile and lightweight housing help prevent fatigue, and its LED light has 4 diodes and generates a broad light spectrum, giving excellent compatibility with most composite materials providing polymerization in seconds. For more information, call (800) 800-1680. FREEinfo, Ultradent Products The VALO Curing Light features a multiwavelength, LED and an optimally collimated beam capable of polymerizing any dental material. Its ergonomic body and foot-print of…

32. Page 65

    2017 EQUIPMENT BUYERS' GUIDE Midmark The Eleveance Delivery System is designed to complement the way you work. Midmark has combined clinician-inspired design and cutting-edge technology with time-tested quality to help improve clinical efficiency. The Integration Control Module controls all of your devices from one location, giving you maximal control with simple operation. For more information, call (800) MIDMARK or visit the website midmark.com. FREEinfo, Planmeca The Sovereign Classic Dental Unit was designed with ergonomics, comfort, and usability in mind, including a compact, manual left/right swivel function and a slim cuspidor to make it perfect for every treatment room. A user-centered…

33. Page 66

    2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 steel instrument tray. For more information, call toll-free at (800) 275-3368 or visit summitdental.com. FREEinfo, DIGITAL IMPRESSION SYSTEMS 3M The Mobile True Definition Scanner is a one-of-a-kind, tablet-tethered scanner that fits in your hand. Its compact, ergonomic design allows clinicians to move freely without power cords or cables. Restorations created from its scans are proven to be accurate—and more consistently accurate—than other leading intraoral scanners, with a 99.7% fit rate. For more information, call (800) 634-2249 or visit 3m.com/intraoral. FREEinfo, 3Shape The award-winning TRIOS is recognized for its amazing speed, documented accuracy,…

34. Page 67

    2017 EQUIPMENT BUYERS' GUIDE call (888) JIMORITA (566-7482) or visit morita.com/usa. FREEinfo, NewTom (Cefla Medical Equipment) NewTom Go 2D/3D is the first wall-mounted CBCT in the world. It provides maximal flexibility with 22 programs in 2-D for panoramic, TMJ, sinus, dentition, and bite-wing imaging. It offers 3-D fields of view from 6 x 5 cm to 10 x 10 cm. NewTom's SafeBeam technology automatically detects patient density and adjusts the dose. For more information, visit cefladental.com. FREEinfo, Planmeca The ProMax 3D Mid is an all-in-one 2-D/3-D unit, including 3-D photo, digital 2-D panoramics, and cephalometry. It includes Planmeca Romexis open…

35. Page 68

    68 2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 DIGITAL RADIOGRAPHY (INTRAORAL) ACTEON North America The SOPIX² Digital Sensor integrates AEC technology and automatically limits the x-ray energy received to acquire a perfect image. The result is spectacular image quality with no risk of overexposing images. Also available is SOPiX Inside, which integrates into the X-Mind Unity X-Ray System. SOPiX² is compatible with Windows 32, 64-bit and Mac OS. For more information, call (800) 289-6367 or visit us.acteonusa.com. FREEinfo, Air Techniques ScanX Intraoral is a centralized intraoral workhorse capable of reading images simultaneously from 4 PSPs. It accepts intraoral size…

36. Page 69

    . 1 or 49 2017 EQUIPMENT BUYERS' GUIDE 69 sizes (1.0, 1.5, and 2.0), making it easier to position within the patient's mouth. A direct integrated USB connection enables fast and convenient image capture. The sensor is clinically usable at a wide range of exposure settings and is more consistent than all other sensors in the market (data on file). For more information, call toll-free at (888) 396-6872. FREEinfo, Video Dental Concepts FDA- registered and easy to use, the InstaRay is an intraoral digital dental sensor that PLANMECA ULTRA-LOW DOSE™ IMAGING REDEFINED replaces conventional x-ray film. It is a sleek…

37. Page 70

    70 2017 EQUIPMENT BUYERS' GUIDE . 1 or 49 Carestream Dental The CS 8100SC provides the fastest cephalometric scanning in the world. Its exclusive auto-tracing feature turns images into tracings within 90 seconds. Two scanning modes and selectable fields of view allow you to adapt image quality and exposure area based on your diagnostic needs. It is ideal for daily orthodontic and oral surgery applications. For more information, call (800) 944-6365 or visit the website carestreamdentel.com. FREEinfo, Gendex The GXDP-700 Series starts with a digital panoramic with sophisticated styling and an ergonomic design, including an advanced touch-screen interface and award-winning…

38. Page 71

    . 1 or 49 2017 EQUIPMENT BUYERS' GUIDE 71 EndoSync Apex Locator. The EndoSync features 6 fully programmable settings, a fixed speed range of 50 to 1,000 rpm, auto-reverse, and torque control. For more information, call (800) 841-4522. FREEinfo, Coltene CanalPro CL is a cordless endodontic handpiece with a film-covering design for better access to hard-to-reach areas. Its large, user-friendly LCD panel allows the clinician to preprogram up to 5 settings for different file sequences and even one for post prep as well as offering an auto-reverse mode. For more information, call toll-free at (800) 236-0448 or visit coltene.com. FREEinfo,…

39. Page 72

    2017 EQUIPMENT BUYERS' GUIDE Kerr Endodontics The MiniEndo is a piezoelectric unit controlled by a microprocessor that delivers back-and-forth linear motion at the tip and constantly self-adjusts to provide a precise amount of power. The unit accepts all standard s-type threaded tips. For more information, call (800) KERR-123 or visit kerrendodontics.com. FREEinfo, Ultradent Products Ultrawave offers an intuitive design and Reflex technology that gives patients a level of superior performance and gentle comfort other ultrasonic devices simply can't. Scaling, endo, perio, and restorative procedures are now easier than ever thanks to new advancements in piezoelectric technology. The Ultrawave Color-Coding System…

40. Page 74

    2017 EQUIPMENT BUYERS' GUIDE continued from page 72 Bien-Air Dental The Tornado delivers an outstanding power output of 30W. Operating at an unparalleled 55-dB sound level, it skillfully combines performance with user and patient comfort. It features a new spray/illumination system and an improved bur-locking mechanism, and it is fitted with custom-designed ceramic ball bearings capable of handling the highest speed and heaviest loads. For more information, call (800) 433-2436. FREEinfo, Brasseler USA The NL4500 handpiece has a unique, 45° angle head design that allows for maximal visibility and operator access and is ideal for treating impacted molars. Equally important…

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