Dentistry Today — July 2012

Inside this issue

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1. Page 4

   Now, combine the best live TV with your custom messaging. Introducing DIRECTV® Message Board. Only DIRECTV's industry-leading technology combines the best TV lineup with a powerful new marketing tool. Our revolutionary Message Board lets you overlay your messaging onto live TV so you can communicate with your customers in a way they can't ignore. This web-based system is simple to use and makes it easy for anyone to create or update messages within minutes across one or more locations, from anywhere at any time. You don't need expensive media players, special software, content, licenses or extra hardware. FREEinfo, on card…

2. Page 10

   Share Your Thoughts! As Dentistry Today is aimed squarely at the wet-fingered GPs in the profession, we continually strive to have con-tent that is of clinical relevance and is representative of real world clinical experiences. In order to provide you, as busy clinicians, the selection of topics and information from which you will benefit most, your thoughtful feedback is welcomed. Please feel free to e-mail us with any helpful suggestions or comments that you may wish to share with us. In recent issues, you may have also noticed that we have been publishing some interesting Letters to the Editor. These…

3. Page 12

   WIN A NEW STATIM™ I ♥ My Statim Tell us at facebook.com/STATIMautoclaves why your office loves STATIM and you could win a brand new STATIM 5000 and have your office be featured in our national advertising campaign. The more creative the better! Go to facebook.com/STATIMautoclaves FREEinfo, on card SciCan Dental Your Infection Control Specialist™ VIEWPOINT Grow or Die David J. Ahearn, DDS Try as we might to ignore this fact, nothing stays the same. There is progress or decline, improvement or erosion. Our practices are no different in this pattern of life, with the wonderful exception that we have significant…

4. Page 14

   VIEWPOINT continued from page 12 2. Underperforming signals: Most offices lack adequate tracking signals for growth. Therefore, it is en-tirely up clear to the owner exactly what the growth potential is. A universal observation, from my work designing dental of-fices during the past decade, is that their growth bottoms out at surprisingly short, even for those offices committed to growth. We need doctors who have been in a steady state in 3 chairs, with a 4 month wait for a hygiene appointment, who are sure that one (or maybe 2) additional chairs most surely will provide for sufficient capacity expansion.…

5. Page 16

   Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! Technique of the Week Smile Design Cosmetic Procedure Dr. Trent Smallwood, of Tempe, Ariz, discusses successful smile design for a patient seeking a brighter, broader smile. Teeth Nos. 8 and 9 on this particular patient needed some restoration to allow the smile to become proportionate in the mouth. In this video, Dr. Smallwood touches upon the initial records appointment, wax-up, provisional step, preparation of the teeth, and the final seat sequence. This video can be viewed at . To see the full procedure…

6. Page 17

   FOCUS ON: Dental and Facial Aesthetics Louis Malmacher, DDS, talks about the importance of dental and facial aesthetics. Q: What are some important and recent advancements in dental aesthetics? A: From a general dentist's standpoint, there have been major advancements in dental aesthetics. No new veneers became a very hot topic approximately 10 years ago, but the early entries into that field had some significant challenges. There are really secrets to having a well done, no-prep aesthetic veneer: (1) having a specialized porcelain veneer for an ultra thin this dental laboratory team. If you can find all 3, then you…

7. Page 18

   ADVERTISING SUPPLEMENT QUICK TECHNIQUE 3M ESPE Filtek Bulk Fill Flowable Restorative Providing Strong Restorations in Less Time Fred S. Margolis, DDS 3M ESPE's new Filtek Bulk Fill Flowable Restorative (Figure 1) offers a faster and easier solution for restorative procedures while still maintaining the strong characteristics dentists have come to expect from the Filtek brand. It is recommended for bulk-fill liner/base applications and can be used in both the anterior and posterior regions. Offering more than twice the wear resistance of leading bulk fills, it provides dentists with a dependable bulk-fill flowable that will deliver long term results. Additionally, Filtek…

8. Page 20

   CLINICAL REVIEWS THEDENTALADVISOR www.dentaladvisor.com 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. STATIS Air-Driven Handpieces +++++ SciCan | (800) 572-1211 | scican.com | 18-Month Clinical Review Overview When searching for a high-speed handpiece, dentists have…

9. Page 22

   Spotlight New Software Delivers Improved Power and Performance to the Entire Restorative Process CHARLOTTE, NC–Sirona Dental Systems introduces inLab Software 4.0, a major software upgrade that effortlessly handles everything from single-unit crowns to complete smile makes overs with the touch of a button. Among the many enhancements made possible with inLab Software 4.0 are the following: (1) Intuitive Graphical Interface—the software guides you confidently through the design process, allowing you to see exactly what step you're working on, what's next, and what you've already accomplished; (2) Multiple Restoration Design—work on as many different restorations and indications as you want and…

10. Page 24

    Device Utilizes Three-Wavelength Optical Illumination/Visualization System to Detect Oral Cancer MALVERN, Pa—Now marketed under DentalEZ Group's StarDental brand, the dentifit oral cancer screening device detects biochemical and morphological changes in the cells of the mouth, throat, tongue, and tonsils that may potentially lead to oral cancer. Intended for use by dentists, hygienists, and oral surgeons, the cordless, handheld device utilizes a 3-wavelength optical illumination and visualization system that allows users to identify oral mucosal abnormalities that may not be visible to the naked eye. White, violet, and green amber wavelengths of light monitor biochemical changes with fluorescence, while morphological changes…

11. Page 26

    If You Haven't Experienced DenMat Lately, You Haven't Experienced DenMat Innovative. Customer-centric. Totally dedicated to serving the dental professional. Today's DenMat is this…and much more. From a new leadership team with decades of dental experience to exciting new products to an ongoing commitment to quality of service, DenMat is advancing its long-standing tradition of bringing powerful clinical and practice-building solutions to dentists. Snap-On Smile, the ultimate provisional, is one of the recent breakthroughs, already embraced by thousands of dentists and their patients. As the pioneer of the thin veneer, LUMINEERS, DenMat holds a unique "mindshare" position in the consumer market…

12. Page 28

    Spotlight New Bulk-Fill Flowable Restorative Introduced ST. PAUL, Minn—3M ESPE's new Filtek Bulk Fill Flowable Restorative provides dentists with the ability to treat patients quickly and easily without compromising their high standards for product performance. Recommended for bulk-fill liner/base applications, its flowable viscosity provides good adaptation, and its 4-mm depth of cure reduces the need to incrementally layer restorative material. It also offers better wear resistance than other leading bulk-fill flowables while maintaining low stress and shrinkage. Most importantly, it offers higher compressive and diametral tensile strength than competitors (data on file) to dentists can feel confident placing it as…

13. Page 30

    Root Canal Treatment Paste Offered BURNABY, BC-DiaDent's Diapaste, a calcium hydroxide barium sulfate paste for root canal treatment, is offered as an alternative to Diadent's novel poplar product, Diapex. Iodoform-free, Diapaste is water-soluble (so it is easy to clean and remove), radiopaque, and antibacterial. Suitable indications for Diapaste include apexification treatment for an infected root canal, temporary root filling, root canal filling for primary teeth, disinfection after pulp extirpation treatment, vital pulpotomy, and temporary pulp capping. Premixed, it is packed in a convenient syringe, which eliminates mixing and provides an ideal vehicle for application to the root apex. It may…

14. Page 31

    Implant Product Lines Expanded SANTA YNEZ, Calif.–PREAT Corp announces the addition of several new items to its implant abutment and auxiliary product lines. The LOCATOR abutment is now available for the 3i Certain system in addition to all of the major implant systems, and high-quality lab screws, anodized implant analogs, and ICC abutments are individually packaged at great prices. For more information, call PREAT Corp at (800) 232-7732 or visit preatcom. FREEinfo, Composite Veneer System Provides Low-Cost Alternative to Custom Lab Veneers SOUTH JORDAN, Utah–Ultradent Products' Edelweiss, a uniquely engineered composite veneer system, provides a low-cost, custom lab alternative to…

15. Page 32

    NEWS/TRENDS Industry News Align Technology Appoints Tim Mack as Senior Vice President San Jose, Calif.-based Align Technology announced recently the appointment of Tim Mack as senior vice president, marketing and business development. Mr. Mack has served as senior vice president, business development, since Align's April 2011 acquisition of Cadent. He joined Cadent in 2005 as executive vice president and led the introduction and adoption of its 3-D digital imaging technology into the market. From 2009 until Align's acquisition of the company, he served as its president and CEO. 2012 DentalEZ Group Catalog Now Available Now available, DentalEZ Group's new, 152-page…

16. Page 33

    Proposed Kansas Legislation Establishes New Level of Hygienist House Bill No. 2631 Expands Hygienists' Role, Awaits Senate Approval The Kansas House of Representatives this past May passed a bill that would let specially trained dental hygienists do temporary fillings, polish teeth, and perform other basic dentistry. Officially dubbed House Bill no. 2631, it creates a new class of Level III hygienists who would receive more training than regular hygienists. The idea behind the bill is to allow the limited number of dentists at urban and rural clinics to spend their time on more complicated work. In addition to the cleaning…

17. Page 34

    NEWS/TRENDS The Comprehensive Dental Reform Act of 2012 continued from page 32 for health clinics, including federally qualified health centers, (2) increases funding for school-based dental services, (3) authorizes new funding for mobile and portable services and outreach in rural communities, (4) creates an emergency room care coordination grants program to enable individuals to receive dental care in clinics rather than in emergency room settings, and (5) provides funding for case management programs to identify people in need of dental care, match providers with those requiring care, provide community oral health education, arrange transportation for dental appointments, and coordinate pro…

18. Page 35

    NEWS/TRENDS Oral Cancer Research Grant Awarded The National Cancer Institute, part of the National Institutes of Health, has awarded a new grant to Dr. Brian L. Schmidt, professor of oral and maxillofacial surgery at the New York University College of Dentistry, and Dr. Donna G. Albertson, professor at the University of California/San Francisco Helen Diller Family Comprehensive Cancer Center, to fund research to customize treatment for oral Genomic marker could be used to tailor treatment. cancer patients. Drs. Schmidt and Albertson have identified candidate genomic markers in tumors that predict if an oral cancer is likely to spread to the…

19. Page 37

    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. CarieScan PRO RemoteView Software CarieScan The CarieScan PRO device is utilized for the detection and monitoring of caries by impedance spectroscopy analysis and has become well established as a leading-edge clinical technology since it was introduced several years ago. A very small electric current is passed through the patient's tissues; the patient cannot feel it, and it does not pose any health risks. Dental caries can be identified very early and evaluated very accurately with…

20. Page 38

    INTERVIEW: ROD KURTHY, DMD, KöR Whitening 1 How long has KöR Whitening been in existence, and why did you start your own company? In addition to private practice, I've been involved in research and development in multiple disciplines of dentistry for over 35 years. My first involvement in periodontal research was in 1976; teeth whitening in 1977. I've consulted for several of the whitening companies, and it always bothered me that they only took suggestions from me that helped them make more profit but never seemed interested in just doing things to make their systems work better. I used to…

21. Page 40

    Top 100 Products Dentistry Today's 26th Annual Top 100 Products, selected on the basis of reader response, represent what's new and innovative in the profession today. The products appear in no particular order. FLOWABLE COMPOSITE DENTSPLY Caulk SureFil SDR flow posterior bulk-fill flowable base, one of the most successful bulk-fill flowable composites that saves up to 40% in placement time, is now available in a syringe delivery and offers expanded indications for use, including conservative Class I, pit and fissure sealants, and filling of defects and undercuts in crown, inlay, and onlay preparations. For more information, call (800) 532-2855 or…

22. Page 41

    MAKE A CLEAR IMPACT TO YOUR PRACTICE WITH INVISALIGN® More patients want the solution they can barely see 9 out of 10 patients recommend Invisalign Many solutions claim to grow your practice, yet fall short of delivering the clinical results you expect. Invisalign not only delivers improved clinical outcomes, but it also delivers demand. Patients are eager to achieve a great smile with a virtually undetectable solution. The facts speak for themselves—and show how Invisalign could grow your dental practice: • 1.8 million patients have already chosen Invisalign • 93% of Invisalign patients are satisfied with their investment • Improved…

23. Page 42

    Top 100 Products DIGITAL IMPRESSION SYSTEM Sirona Dental Systems CEREC AC Connect allows dental professionals to scan and send digital impressions to the inLab dental laboratory of choice, with no additional scanning fees. It delivers some of the fastest acquisition speeds on the market and brings one the fastest returns on investment. With CEREC technology, there's the ability to upgrade and connect to an in-office milling unit at any time. For more information, call (800) 873-7683. FREEinfo, SELF-TAPPING IMPLANT TECHNOLOGY Intra-Lock International BLOSSOM, a new technology in self-tapping, screw-type dental implant architecture, eliminates the need for conventional flutes and vents…

24. Page 43

    Screen with Certainty. Detect with Confidence. Identafi Oral Cancer Screening Device White light Conventional examination of tissue is performed using a highly concentrated White light. Violet light PathoLite® Violet light enhances normal tissue's natural fluorescence; however, suspicious tissue will appear dark or non-vital to loss of fluorescence. Green-Amber light Unique Green-Amber light helps observe the difference between normal and abnormal tissue's vasculature. Utilizing three distinct wavelengths, Identafi® allows the clinician to see abnormal or suspicious tissue early. Identafi® is an effective screening tool that helps dental professionals visualize premalignant mucosal abnormalities before they become cancer. Use it routinely with every…

25. Page 44

    Top 100 Products WHITENING SYSTEM SDI (North America) Requiring a wear time of just 15 minutes once or twice daily, patients will see dramatic results with Pola Day CR a superfast take-home tooth-whitening system containing 35% carbamide peroxide. Its neutral pH gel has a high wear comfort that prevents teeth from becoming dehydrated, and natural soothers and conditioners further assist in minimizing sensitivity. The pleasantly flavored spearmint gel is easily dispensed from a syringe and stays white spaced due to its high viscosity. For more information, call (800) 228-5166 or visit sdi.com.au. FREEinfo, RECIPROCATING FILE SYSTEM DENTSPLY Tulsa Dental Wave0ne…

26. Page 46

    Top 100 Products TEMPORARY CEMENT CLINICIAN'S CHOICE Noneugenol GLING2 Resin Optimized Temporary Cement is a versatile, easy-use temporary cement featuring a quick, 90-second set time and easy cleanup (effortlessly peeling off the prep site). An ideal choice for cementing provisional crowns, bridges, inlays, and onlays, it includes a small amount of polycarbonylate resin, helping to optimize adhesion, soothe the tooth, and provide an excellent seal to prevent bacterial buildup under the temporary and maintain tissue health. For more information, call (800) 255-3444 or visit clinicianschoice.com. FREEinfo, ELECTRIC HANDPIECE SciCan Designed to offer the flexibility to meet your needs, the ESTI/S…

27. Page 48

    Top 100 Products DIODE LASER AMD LASERS is the global leader at providing affordable laser technology for dental professionals preparing to take their practice to the next level. The integration of the Picasso line of soft-tissue dental lasers enables every dental practice to affordably provide treatment for soft tissue surgery, periodontal treatment, endodontic treatment, and laser whitening. For more information, call (866) 999-2635 or visit amdlasers.com. FREEinfo, AMD LASERS PULP TESTER Parkell You can get accurate vitality readings and maximize patient comfort with the affordably priced Digitest II, the next generation in battery-operated pulp testers. Ergonomically designed, it is controlled…

28. Page 50

    Top 100 Products AMALGAM SEPARATOR Medidenta The M.A.R.S amalgam separator features an 8-year recovery rating of 99.9% and is maintenance-free for its life cycle, which means never having to change a filter. You can install it and forget it for at least 3 years until it is time to replace the separator at no charge. For more information, call (800) 799-3858. FREEinfo, SHADE-TAKING UNIT Vident The cordless VITA Easyshade Compact, the second generation of the VITA Easyshade device, delivers instant, accurate shades in both VITA 3D-Master and VITA Classical shades, regardless of lighting conditions and other elements that can lead…

29. Page 52

    Top 100 Products DENTAL CAMERA Clinipix The Clinipix 1-2-3-E2 Camera enables clinicians, regardless of photographic skills, to quickly and easily record high-quality intraoral views as well as full face/profiles. All functions are preset, and dental-specific instructions are included. The modified, 1.2-megapixel camera has a 3-in LCD image stabilization, and audio/video modes. Lifetime, toll-free telephone support is provided. For more information, call (866) 254-6749, visit clinipixinc.com, or e-mail clinipix@bishoulut.net. FREEinfo, IMPLANT Hiossen Enhanced initial stability provided by an ETH fixture yields optimal conditions for immediate and early loading. The corkscrew thread design provides self-tapping and path-correcting ability where it delivers smooth…

30. Page 54

    54 . 1 Top 100 Products CARIES DETECTION DEVICE Air Techniques Spectra is a handheld, noninvasive imaging instrument that uses fluorescence technology to indicate the extent of decay with color and numerical readings. Early detection means more restoration and less excavation. You can use it during the caries removal process to ensure all carious dentin is removed. For more information, call (800) AIRTECH or visit airtechniques.com. FREEinfo, ENDODONTIC FILE JS Dental Manufacturing Xtreme endodontic files follow the canal with virtually no transportation, ledging, or perforation. The development of a controlled memory material has enabled JS Dental to make the files…

31. Page 58

    Top 100 Products FLEXIBLE PARTIALS Assured Dental Laboratory Lucitone FRS Flexible Partial Dentures by DENTSPY Trubyte is a thermoplastic injectable resin offering superior flexibility for excellent patient comfort and transparency for optimal esthetics. Its characteristics are higher tensile strength (a stronger appliance with better tooth retention and higher flexural strength), a more stable appliance with the ability to flex in and out of undercuts, and 4 Lucitone 199 shades. FRS will be replaced by a product soon to be announced. For more information, call (877) 283-5351 or visit assuredddentallab.com. FREEinfo, [ATLAS DENTURE COMFORT NARROW-BODY IMPLANTS] Easy to Learn & Implement,…

32. Page 60

    Top 100 Products BITE SPLINT Trident Dental Laboratories BiteSoft is one of the top prescribed custom anterior bite splint in the world. The BiteSoft Anterior Splint is used to help patients overcome bruxism as well as for the successful management of headaches and jaw pain resulting from clenching and grinding. It is custom fitted and worn over the 6 anterior teeth while sleeping. The lingua ramp's patented design helps establish mandibular stability and relaxation of tense jaw muscles. For more information, call (800) 221-4831. FREEinfo, DIGITAL PANORAMIC IMAGER MyRay/Cefla Dental There are 28 different imaging programs, such as wide-focus pano,…

33. Page 62

    Top 100 Products OBTURATION GUN B&L Biotech USA The Beta Obturation device is designed for warm gutta-percha techniques, such as back-filling a canal with warm vertical obturation or with a complete live technique (injecting from the apex up). Perfectly complementing the Alpha heat source, the Beta unit adds simplicity, operator ease and comfort, and durability into this cordless, injectable obturation gun. For more information, call (949) 581-3636, visit betabio.com, or send e-mail to bishefsky@betbio.com. FREEinfo, WHITENING FILM CAO Group Sheer White is a thin, moldable whitening film that completely contours to the teeth, tightly adapting to each patients' anatomy. The…

34. Page 64

    Top 100 Products ROOT CANAL TREATMENT PASTE DiaDent Diapaste is a premixed calcium hydroxide barium sulfate paste for root canal treatment. It's odor/free and water soluble so it is easy to clean and remove. It is also radiopaque and antibacterial. Its indications include aperfication, temporary root filling, vital pulpotomy, temporary pulp capping, and disinfection after pulp extirpation treatment. For more information, call (877) 342-3368. FREEinfo, DIGITAL RADIOGRAPHY INTRAORAL SENSOR BIOLASE Technology The DaVinci Imaging iTab viewer puts sharp, diagnostic x-ray images instantly in your hand for diagnosis and presentation. Just click the touchscreen to view the x-ray, diagnose, present to…

35. Page 65

    Directa AB The FenderMate flexible wing separates the teeth, pressing the matrix toward the cervical margin, avoiding overhang. Its optimal curvature and pre-shaped contact compromises the most conservative Class II preparation. No ring is needed. With the facility to insert it lingually and/or buccally, the dentist can maintain a smaller, more conservative preparation. For more information, call (800) 284-3368 or visit jsdental.com or the Web site directadental.com. FREEinfo, NI-TI FILES Axis|SybronEndo With TF, endodontic procedures can be performed faster, safer, and with fewer files than other rotary NiTi file systems. These efficient cutting files are highly flexible and very strong…

36. Page 66

    Top 100 Products SLEEP APNEA TEACHING TOOL Great Lakes Orthodontics The obstructive sleep apnea (OSA) demonstrator is an effective teaching tool to show patients the differences between normal breathing and OSA by demonstrating their actual conditions. All parts on the demonstrator are easily moveable to illustrate tissue obstruction, airflow limitation, and how a patient's sleep apnea/snoring condition will improve with mandibular repositioning. For more information, call (800) 828-7626 or visit greatlakeortho.com. FREEinfo, ANTISEPTIC RINSE Sunstar Americas Unlike other commercial antiseptic rinses, G-U-M PeroShield Oral Health Rinse provides a unique, plaque-blocking technology that forms a shield to help prevent bacterial plaque…

37. Page 67

    Top 100 Products EXTRACTION INSTRUMENTS Golden Dental Solutions The innovative Beak & Bumper design of the Physics Forceps dental extraction instruments allows teeth to be extracted in a simple, predictable, and non-surgical manner. This technique allows for light but constant pressure to be applied to the tooth using only wrist movement, which leads to chemical changes in the PDL. For more information, call (877) 987-2284 or visit physicsforceps.com. FREEinfo, INTERPROXIMAL CLEANING DEVICE Philips AirFloss is a breakthrough interproximal cleaning device that uses advanced microburst technology to blast air and water droplets between teeth to remove 99% more plaque than a…

38. Page 68

    Top 100 Products IMPLANT-PLANNING SOFTWARE D4D Technologies E4D Compass, new education, communication, and collaboration implant-planning software, integrates 3D data from leading cone beam systems with E4D scan data to provide clinicians with a comprehensive and interactive view of the complete oral environment prior to implant placement. Leading the way with restorative-based implant therapy, E4D Compass can aid in the design of the ideal implant treatment plan. For more information, call (972) 234-3880 or e-mail info@e4dsdy.com. FREEinfo, DIGITAL DENTURES Global Dental Science AvaDent Digital Dentures feature breakthrough digital technology that brings the precision, aesthetics, speed, and profitability of CAD/CAM technology to…

39. Page 69

    . 1 Top 100 Products GUTTA-PERCHA SYSTEM Obtura Spartan The Obtura III Max is the preferred instrument for all backfill procedures. This new and improved unit features better ergonomics and user-friendly features, such as (1) an enhanced thermal protector that reduces heat around patient contact surfaces, (2) cartridge-free operation that eliminates midprocedure filling hassles, (3) advanced connectivity that eliminates downtime for charging, and (4) an updated design and new unit face control for even easier handling overall. For more information, call (800) 344-1321 or visit obtura.com. FREEinfo, BURS SS White Burs EndoGuide Burs are a unique set of 8 burs…

40. Page 70

    70 . 1 Top 100 Products PERIO MEDICATION TRAYS Perio Protect, LLC The effective, noninvasive, and easy-to-use Perio Tray is a prescription device to place solutions of the dentist's choice into gingival crevices or periodontal pockets. Dentists determine frequency and duration of Perio Tray use based on individual patient conditions. The soft, flexible trays are comfortable and custom-fitted to the individual patient. Patients A Breakthrough in Bonding. Fast. Easy. Flexible. Prelude™ Prelude SE by Danville Materials is the gold standard in self-etch technology. Forget "too wet" or "too dry." Prelude is versatile enough to tolerate all moisture levels. With an…

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