Dentistry Today — January 2018

Inside this issue

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1. Page 10

   Practicing Slow Dentistry The challenges facing dentists in these modern times are quite different from the ones their colleagues confronted in the past. The fast pace at which we live, an overwhelming number of appointments and procedures, a lack of managerial and organizational protocols with possible confusion at the practice, and uncomfortable levels of stress are some of the things that can detract from both excellence on the job and our general well being. Regardless of these observations, more and more professionals assume that this type of accelerated lifestyle, along with the constant need to grapple with time, is something…

2. Page 12

   VIEWPOINT continued from page 10 unanimously agree that working too hard for too long increases the risk of physical or psychological injury. Nobody can sprint around the track every single day of the week. Knowing how to balance the lulls in our practices with the bursts of activity is critical, not only when it comes to caring for ourselves, but also for being the best that we can be on the job. Worshipping Time Without a doubt, time is essential when it comes to enjoying practicing dentistry and making it beneficial for us and our patients. It seems far too…

3. Page 14

   FOCUS ON: Endodontic Emergencies Emergencies can be intrusive in a busy day! Q: How can the dental team distinguish between a true emergency vs a non-emergency? A: Much of how a dental team reacts to an emergency patient is based on training, judgment, and experience. There are 3 critical questions your dental team should be trained to ask an emergency patient in pain to protect an already fully scheduled day: How bad would you rate your pain? How long have you been in pain? Is there a stimulus that triggers your pain? Your team should carefully clarify each question so…

4. Page 15

   OneVisit brings 'lean production' to same-day dentistry. It's open, affordable, efficient, and consistent. straumann simply doing more CARES IO CART INTUITIVE DIGITAL IMPRESSION TECHNOLOGY The CARES IO Scanner, powered by Dental Wings' innovative and user-friendly software, with one of the smallest and most ergonomic handpieces in the industry. The CARES IO scanner also features hand motion and verbal command control for an easy-to-use and seamless workflow. These features and more allow a user to focus on the patient, rather than a screen. DENTISTRY TODAY'S TOP 50 TECHNOLOGY PRODUCTS READER'S CHOICE AWARD 2017 Carestream DENTAL CS 3600 FASTER, EASIER, MORE OPEN…

5. Page 18

   Spotlight Motor's Design Saves Space, Time, and Money HOLLIS, NY-Implant Ltd's PiezoPro Plus Two in One Piezo-electric Surgery and Implant Motor comes with a 2-in-1 compact design. This design saves (1) space in your surgical area; (2) the time it takes to switch between machines; and (3) money, as the unit is up to 50% less expensive than other comparable brands. The complete set not only contains a piezo handpiece with 10 tips and an LED contra angle handpiece for implants, but also includes the award-winning OsteoGen Bone Crafting Plugs and OsteoGen Strips. The PiezoPro Plus dual piezo/implant motor has…

6. Page 19

   Endodontic System Boasts Various Torque Settings and Adjustable Speeds [Image shows endodontic motor unit with display screen, handpiece, and various files] SOUTH JORDAN, Utah—The Endo-Eze Genius system is an endodontic system that gives you the safety of reciprocation movement and the efficiency of rotary movement. The Genius endodontic motor, contra angle, and files are designed to work together as a complete system. The Genius endodontic motor is designed for reciprocating and rotary files. An adaptable, easy-to-use motor, it has various torque settings. It is quiet, smooth, and offers adjustable speeds. The auto-stop settings interrupt movement when a set torque limit…

7. Page 20

   Spotlight System's Simple Design and Clear Picture Indications Ease the Switch to Electric Digital Toolset Facilitates Lab-Quality Restorations in Chairside Environment NEWPORT BEACH, Calif. For clinicians who desire more flexibility in their everyday restorative workflows, Glidewell Dental recently introduced the glidewell.io In-Office Solution. This versatile suite of technologies empowers clinicians with enhanced treatment options—on a patient-by-patient basis, choose between creating restorations in your office or sending cases digitally to Glidewell Laboratories. The glidewell.io Solution comprises interconnected technologies, including the iTero Element Intraoral Scanner, fasdesign.io Software, and fastmill.io In-Office Unit. These advanced tools are linked to the intuitive glidewell.io interface, from…

8. Page 21

   TECHNOLOGY 21 Laser Offers Immediate Profitability and Increased Patient Satisfaction CERRITOS, Calif.–Immediate profitability and increased patient satisfaction come with the world's first and only laser FDA cleared for True Regeneration—with new cements, new PDL, and new alveolar bone. The bone-building LANAP protocol with Millennium Dental Technologies' PerioLase MVP-7 has the power to reverse gum disease with a simple, sutureless procedure developed by general you have the best training and support. For more information, call Millennium Dental Technologies at (888) 49 LASER (495-2737) or visit lanap.com. FREEinfo, glidewell.io™ IN-OFFICE SOLUTION You're in Control. We're Here to Help The glidewell.io™ In-Office Solution…

9. Page 22

   Spotlight Polishers Can Reach All Tooth Surface Areas, Provide Natural Finish on Ceramic Materials SOUTH JORDAN, Utah—Ultradent Products introduces the Jiffy Natural Universal Finishing System—a complement to Ultradent's renowned Jiffy Universal Finishing System. The polishers in the Jiffy Natural Universal Finishing System are designed to efficiently and easily reach all tooth surface areas to give a natural finish on all ceramic materials, including zirconia. They can also be used to create super high polishes to create the look of natural enamel. The Jiffy Natural Universal System comprises malleable, spiral-shaped wheels that are designed to easily conform to tooth anatomy. Their…

10. Page 23

    Polishers Provide High Shine in Less Time NEW MILFORD, Conn.–A.S.A.P. All Surface Access Polishers provide the ultimate high shine in less time—with only one shape. These diamond-impregnated, flexible polishing spirals are designed for optimal adaptation to any surface, and will give your restoration the ultimate polish in just 2 simple steps. Embedded with diamond particles, A.S.A.P. Pre-Polishers are ideal for use with composites, most ceramics, zirconia, lithium disilicate, and provisional materials. For more information, call CLINICIAN'S CHOICE Dental Products at (800) 372-4346 or visit henryscheinedental.com. FREEinfo, Impression System Offers Portable Dispenser That Quickly Fills Trays ENGLEWOOD CLIFFS, NJ–The SmartTouch Scannable…

11. Page 24

    Spotlight Injection Device Delivers Local Anesthesia Painlessly ORMOND BEACH, Fla.–Denterprises International's EZ-FLOW is a professional and painless local anesthesia injection device used for the oral cavity. It is appropriate for local infiltration anesthesia for dental treatment using Lidocaine, Primacaribe, Scandouest, and other major anesthetics. The method used to deliver the anesthetic to the patient allows the use of less anesthetic and the onset of the anesthesia is often faster. The needle is not what causes the discomfort of an injection to the patient, rather it's the flow of the anesthetic or the rate of delivery to the tissue. For more…

12. Page 26

    INNOVATIONS CAD/CAM Blocks Offer Physical Properties That Mimic Human Dentition INDIAN LAND, SC—VOCO introduces Grandio blocs, the new, 86% filled, nano ceramic resin hybrid CAD/CAM block indicated for crowns, inlays/onlays, veneers, and implant-supported crowns. With a combination of optimal, tooth-like physical properties, category leading compressive strength, extremely low water absorption, and natural aesthetics with enhanced color stability, Grandio blocs provide a new solution for practitioners and labs that are looking to streamline their CAD/CAM processes and deliver high-quality restorations. Due to their extremely high filler degree of 86%, Grandio blocs offer physical properties that mimic human dentition, such as modulus…

13. Page 28

    NEWS/TRENDS Industry News Restorative Ecosystem to Be Distributed With Intraoral Scanner Glidewell Dental will distribute Align Technology's iTero Element intraoral scanning system in North America with the glidewell.io In-Office Solution, a chairside restorative ecosystem set to simplify the process of prescribing and delivering dental restorations. "The glidewell.io Solution provides a streamlined workflow with the iTero Element and Glidewell's fastdesign.io Software, which serves to auto-design restorations for the clinician's approval or communicate with the lab's digital design experts as needed. Final designs can be used to prescribe a laboratory restoration or sent to the fasttmill.io In-Office Unit for immediate chairside milling.…

14. Page 29

    NEWS/TRENDS Precision Dentistry Suite Opens at Columbia University Precision medicine uses data to tailor healthcare treatment to individual patients. This approach is now coming to oral health, with the opening of the Center for Precision Dental Medicine at the Columbia University College of Dental Medicine. The suite comprises a total of 48 operatories designed to stretch the boundaries of dentistry. Via passive data collection, the center will craft care for each patient and offer quantifiable feedback to each patient. Electronic dental records will be tied to health records so dentists and other providers can treat patients based on comprehensive health…

15. Page 30

    NEWS/TRENDS AACD to Offer Dental Team Certificate at Annual Conference The American Academy of Cosmetic Dentistry (AACD) will pilot a dental team certificate program during its 34th Annual AACD Scientific Session, scheduled for April 18 to 21, 2018, in Chicago. The Team Certificate Program will educate dental team members on essential skills for assisting with cosmetic dentistry patients, including communication skills, contemporary concepts in esthetic dentistry, leadership and business skills, and aesthetic dental photography. "A dental practice can only be successful with knowledgeable, motivated team members," said Mickey Bernstein, DDS, past president of the AACD and member of the AACD…

16. Page 31

    NEWS/TRENDS Only 59% of Youth Athletes Wear Mouth Guards Safety is a primary concern when it comes to kids and athletics. Yet only 59% of American children who play in fall and winter sports such as football and hockey wear mouth guards, according to an online Delta Dental survey. "Something as simple a mouth guard could be the difference between a safe sporting activity and a trip to the emergency room," said Bill Kohn, DDS, VP of dental science and policy at the Delta Dental Plans Association. "A conversation with your dentist and a well-fitting mouth guard can help ensure…

17. Page 34

    Risk for HPV-Related Throat Cancer Remains Low The prevalence of oropharyngeal cancers caused by the human papillomavirus (HPV) has increased in recent decades, with some groups much more likely than others to have the oral HPV infections that can cause these cancers. However, a study by Johns Hopkins Bloomberg School of Public Health researchers shows that the risk of developing HPV-related throat cancer remains generally low. HPV is transmitted to the mouth and throat mostly through oral sex and appears to cause about 70% of oropharyngeal cancers. While there has been interest in the possibility of testing for oral HPV…

18. Page 36

    An Efficient and Reliable Post and Core Technique Garry M. Radz, DDS INTRODUCTION Background Dentists frequently encounter patients presenting with teeth requiring endodontic treatment. When indicated by the clinical findings, the endodontic treatment is then followed by restoration with a post and core prior to preparation and placement of a definitive full-coverage crown restoration. Regardless of the materials and techniques available for predictable stabilizing and restoring endodontically treated teeth, the requirements for long-term function continue to include sufficient post and restoration retention, functional stress distribution, and minimal insertion stress.¹ Post and core restorations replace missing tooth structure to enhance the…

19. Page 38

    RESTORATIVE FIGURE 1. Preoperative view of tooth No. 12, previously restored with an all-ceramic only, that now required endodontic treatment and a full-coverage restoration. FIGURE 2. The existing ceramic onlay and a small area of decay were removed, and the buccal and lingual canals are located. FIGURE 3. The canals were prepared to a depth between 10.0 and 11.9 mm using a LuxaPost Omni (DMG America). FIGURE 4. The entire tooth preparation was etched with phosphoric acid for 20 seconds, then rinsed thoroughly with water. FIGURE 5. A dual-cure bonding agent (LuxaBond Total Etch [DMG America]) was brushed into the…

20. Page 39

    RESTORATIVE (taken at the beginning of the operative appointment before preparation), a temporary crown restoration was fabricated from a self-curing bis-acryl provisional composite (Luxatemp Ultra [DMG America]). This provisional material is known for its high flexural strength and long-term durability. The temporary was trimmed, polished, and cemented into place using temporary cement (TempoCem [DMG America]). The occlusion was finalized, and a final polish was imparted on the temporary crown by applying a liquid resin glaze (LuxaGlaze [DMG America]) to enhance the final aesthetics and stain resistance. Delivery of the Final Restoration When the patient returned to our office, the provisional…

21. Page 40

    Restorative Materials Continue to Evolve Spherical Supra-Nano Composites Peter Auster, DMD Dental practitioners are encouraged to use a composite material for the first time by an advertisement, a review, or word of mouth. Continued use of that restorative product is determined by the comfort zone the dentist attains with that material. Smoothness, a shade-blending effect for optimal aesthetics, nonstick handling, and an ability to polish easily are among the properties that clinicians look for in determining their go-to materials. THE IMPORTANCE OF FILLER PARTICLE DESIGN The size and shape of composite filler particles are vital to creating optimal success with…

22. Page 42

    DENTAL MATERIALS CASE 1 Figure 2. The patient presented with old deficient amalgam restorations on teeth Nos. 28, 29, 30, and 31. Tooth No. 30 was more undermined by recurrent caries than the others, but the patient requested a direct restoration at this point with an understanding that a crown (or onlay) would likely be required in the near future. Figure 3. The restorations were removed using a No. 556 bur in a high-speed electric handpiece (CAMOFfome System [Kavo]). The remaining decay was removed with a No. 4 round bur in a low-speed handpiece. Figures 4 and 5. Following the…

23. Page 43

    DENTAL MATERIALS resin was added to recreate the broken incisal and proximal edges of tooth No. 9 on the maxillary model. A palatal matrix was then created using a fast-set putty impression material (Virtual Putty [Ivoclar Vivadent]). This matrix is an indispensable aide in restoring Class IV incisal edge damage (Figures 10 and 11). The remainder of the old restoration was removed with a No. 556 high-speed carbide bur. The labial margin was established with an irregular long bevel to hide the marginal area using a coarse diamond (No. 15 uB [Microcopy]). Labial and palatal areas were then sandblasted (Microblaster…

24. Page 44

    Test 217 dentalCEtoday.com RESTORATIVE What is Bioactive Dentistry? A Review This article discusses the definition of bioactive dental materials and analyzes products that claim to possess bioactivity. Three brief case reports using bioactive restorative materials are presented. The biological compatibility of bioactive materials is currently a significant topic of interest in the field of restorative dental medicine. At the most recent International Association for Dental Research Meeting (2017), 68 presentations involved bioactive materials, which indicates the high level of activity in this area. The stimulation of biological tissue and cells and the incorporation of materials into tooth structures have both…

25. Page 45

    Figure 1. In this preoperative view, the lesion appeared small. However, that was not the case. Figure 2. The Solea 9.3 µm CO₂ laser (Convergent Dental) preparation. Figure 3. The use of a bioactive liner. Figure 4. The use of a bioactive restorative material—ACTIVA, from Pulpdent—3 years postoperatively. ...bioactive materials are able to induce growth factors and stimulate natural mineralization. the future, as seen by the following trend of bioactive material compositions: zinc phosphate to polycarboxylate to glass ionomer cements.¹ The area of regenerative dentistry has been affected more by the use of bioactive materials than by incompatible materials. Experiences…

26. Page 46

    Figure 5. Pre-op view showing the appearance of rampant caries. Figure 6. Preparation for the bioactive liner. Figure 7. The use of the bioactive ACTIVA liner. Figure 8. Two restored teeth following the use of bioactive ACTIVA restorative. saline (PBS) solution for 2 months, they were shown by the Push-Out test for bond strengths to have increased adhesion to dentin.16 More recently, ACTIVA Bioactive Restorative was shown to have significantly greater shear bond strength compared to an RMGI material (ie, GC Fuji Ortho LC Automix [GC America]) and less demineralization than the RMGI and composite resin materials.Translated XT light cure…

27. Page 47

    RESTORATIVE market. The chemistry, packaging, and characteristics are analogous to ACTIVA cement. It is classified as an RMGI cement specifically designed for pediatric dental patients. The manufacturer claims that this material contains bioactive components that form hydroxyapatite, which integrates and regenerates the tooth structure.14 This material is used as a luting agent, as it has been shown to create bonds between the dentin of teeth and either stainless steel, pre-veneered, or zirconia crowns. The secure bond is created due to the vast amount of phosphate ions released from the material. The effect of this bond creates a passive eruption fit…

28. Page 48

    TEST 217 Expiration date of this CE article is January 1, 2021 To submit Continuing Education (CE) answers, use the answer sheet below. Or, use our easy online option at dentalcetoday.com. This article is available for 2 hours of CE credit. The following 10 questions were derived from "What is Bioactive Dentistry? A Review" by Olivia Dworkin, BS, MS; Gerard Kugel, DMD, MS, PhD; and Chsen Loo, BDS, DMD, MPhil, PhD, on pages 44 to 47. Learning Objectives: After reading this article, the individual will learn: (1) the definition of bioactive dental materials, and (2) current dental materials that possess…

29. Page 50

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 ABRASION (AIR) Handpiece Solutions With the Quick Jet 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) 488-3885 or visit the website handpiecesolutions.com. FREEinfo, Johnson-Prident The Deldent Miniblister Clinical Sandblast produces micropolished surfaces that enhance bonding to all dental materials. It is FDA approved for indirect use and is fully autoclavable. The Miniblister is designed for leftand right-handed operators, and its index finger-controlled valve gives…

30. Page 51

    . 1 or 49 2018 EQUIPMENT BUYERS' GUIDE 51 Kerr A fully computerized and programmable amalgamator, OptiMix is designed to ensure perfect mix-to-mix consistency and performance. You can use the OptiMix with Kerr's great family of alloys—Tytin, Tytin FC, and Contour—for a perfect match. For more information, call (877) KERR-123 or visit the website kerrdental.com. FREEinfo, SDI (North America) The Ultramat 2 is a high-speed, multiuse trituration with a 5-year limited warranty. It is the quietest mixer with low vibration provides consistent and accurate trituration. It is suitable for all types and brands of glass ionomer, amalgam, and cement capsules.…

31. Page 52

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 local anesthesia injection device used for the oral cavity. It is appropriate for local infiltration anesthesia for dental treatment using Lidocaine, Primacaine, Scandohest, and other major anesthetics. The method used to deliver the anesthetic to the patient allows the use of less anesthetic and the onset of the anesthesia is often faster. For more information, call toll-free at (877) 509-3180 or visit dentryriseemiti.com. FREEinfo, Golden Dental Solutions VibraJect provides a simple and cost-effective solution that works to alleviate injection discomfort that patients appreciate. Simply clip the device onto your existing syringe and…

32. Page 54

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 52 Ultradent Products The Endo-Eze FIND is an electronic device used for apex localization and working length determination during root canal treatment. It offers (1) unsurpassed accuracy with a convenient, easy-to-read, full-color graphic display; (2) audio feedback; and (3) fully automatic, multifrequency measurements. Because of its compact design and small footprint, FIND easily fits on any counter or treatment tray. For more information, call (888) 230-1420 or visit ultradent.com. FREEinfo, BLEACHING LIGHTS DenMat The Sapphire Plus creates brilliant, white smiles with power conversion technology. With the whitening crystal, gently…

33. Page 55

    . 1 or 49 2018 EQUIPMENT BUYERS' GUIDE 55 CAD/CAM (CHAIRSIDE) Benco Dental OneVisit provides same day restorations. With the 3M True Definition Scanner used in conjunction with the iOS Glidewell TS 150 mill, affordable restorations are a reality. Investment in the system is within every dentist's reach, with special offers and financing available. The simplicity of the software eases its integration. For more information, call (800) GO-BENCO or visit benco.com. FREEinfo, Dental Wings Dental Wings DWOS Chairside is a fast and intuitive prosthetic CAD solution that can be combined with a milling machine or impression scanner to create a…

34. Page 56

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 Carestream Dental The CS 1500 intraoral camera offers a wide focus range of one mm to infinity plus years of use and the 2-year warranty offers peace of mind. For more information, visit the website located at dentalpysirona.com. FREEInfo, DEXIS The DEXcam 4 Intraoral Camera offers extremely clear, sharp images that are displayed in natural color tones for diagnosis, communication, and documentation. Its anodized aluminum housing feels solid and balanced. Its touch-activated focus levels are easily triggered; and capture buttons are on both sides of the handpiece. The DEXcam 4 provides pronounced…

35. Page 58

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 56 Sigma Digital X-Ray The Bio-Flex USB Cam offers (1) streaming video; (2) excellent resolution; (1.3 megapixels); (3) auto focus; and (4) easy installation. It plugs directly into a USB port 2.0 or higher with twin driver software integration. This camera is designed for helping the diagnosis of a dental patient by taking intraoral and extraoral images with its comfortable, lightweight, and easy-to-use buttons. For more information, call (800) 331-6077 or visit sigmadigitalxray.com. FREEinfo, SOTA Imaging The Claris i4D Intraoral Camera incorporates a proprietary high-end lens, hand-control focus, and…

36. Page 59

    2018 EQUIPMENT BUYERS' GUIDE Aseptico Preferred by dentists worldwide, the portable AseptiChair supports loads up to 300 lbs (136 kg). With 5 convenient height positions, the backrest is adjustable from fully upright to supine. The headrest cushion, armrest slings, and padded carrying case are included accessories for the chair. For more information, call (800) 244-2854 or visit aseptico.com. FREEinfo, Belmont Equipment The Quolis 5000 Chair is designed with patient comfort in mind. Smooth seat and backrest motion gently glide patients into position for treatment. Chairs are available in 4 upholstery styles and in Belmont standard Ultraleather colors to fit the…

37. Page 60

    2018 EQUIPMENT BUYERS' GUIDE USE FREE Info Card on pg. 1 or 49 Midmark The Elevance Dental Chair combines sophisticated styling, optimal patient access, and exceptional comfort in a dental chair your patients will thank you for. Some features include (1) Can-tilevered Forward design with unsurpassed range of motion, (2) SonicEscape optional heat and massage system; (3) soft-start/slow movement, and (4) integrated armrests for easy entry and exit. For more information, call (800) MIDMARK or visit the website midmark.com. FREEinfo, Pelton & Crane The Spirit 3300 Dental Chair builds on a strong foundation to provide enhancements in doctor access, patient…

38. Page 62

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 continued from page 60 Flight Dental Systems A high-powered LED curing light, the Xlite 2 produces up to 1,900 mW/cm² of power and is capable of curing any composite in less than 5 seconds. It has 2 modes: ramp mode and fast with a 20-second timer that provides audible intervals at every 5 seconds. For more information, call toll-free at (866) 799-0517 or visit flightdentalsystems.com. FREEinfo, GC America The light operates from 440 to 490 nm (peak-ing at 460 nm) to meet all standard light-curing needs. Its light intensity per mode includes…

39. Page 63

    2018 EQUIPMENT BUYERS' GUIDE DELIVERY SYSTEMS (MOBILE/PORTABLE) The VALO Grand Curing Light features all the benefits of the award-winning VALO light but with a larger head size and 50% bigger lens, measuring 12 mm. It comes with a handy back activation button for ease of use, and its highly efficient broadband LEDs (395 to 480 nm) keep the wand body cool to the touch. For more information, call (800) 552-5512 or visit ultradent.com. FREEinfo, A-dec With self-contained water systems, these field-proven portable operatory units are ready to go anywhere. They include manual control for 2 hand-pieces, wedry foot control, and…

40. Page 64

    2018 EQUIPMENT BUYERS' GUIDE . 1 or 49 Aseptico Aseptico's most popular port-table dental unit, the Express is great for outreach dentistry, mobile hygienists, or anywhere you need to perform restorative or preventative dentistry in the field. For more information, call toll-free at (866) 244-2954 or visit aseptico.com. FREEinfo, DCI Edge The Series 4 Cart System delivers the style and functionality your practice needs, without going over budget. It offers a sturdy, all-metal contoured head with smooth lines for easy cleaning; it provides automatic control for 3 handpieces and there are individual drive air and water coolant controls. For more…

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