Dentistry Today — July 2015

Inside this issue

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

1. Page 8

   Saluting Our Readers At every opportunity, while on business for the magazine or presenting lectures throughout North America, I have been asking questions to get a real feel for how the magazine is faring among you as my peers. I can honestly and proudly report that the magazine is highly appreciated and respected for its many interesting case report clinical articles. All the comments I have heard, from the hundreds of conversations, have confirmed directly that Dentistry Today has a strong reputation for being a credible source of clinically relevant information. In addition to this anecdotal information gathered randomly in…

2. Page 10

   Oral Healthcare for Elders: A Missing Link Elderly residents in nursing homes are known to have poor oral hygiene and extensive oral disease, suffering from the poorest oral health of any population (Journal of the American Geriatrics Society, 2006). This information initially came from Oral Health in America: A Report from the Surgeon General, published in 2000 by the US Department of Health and Human Services. Poor oral health can lead to aspiration pneumonia, heart attack, stroke, and uncontrollable diabetes; and all these conditions can cause death. Therefore, the elderly run the risk of dying from dirty teeth. Even though…

3. Page 12

   VIEWPOINT continued from page 10 certainly helped improve the statistic mentioned above. But what I discovered was, even though I was seeing many residents every 3 months, they still had dental conditions that were worsening. Why would this be happening, when I had been providing services? The answer is simple, and all dental professionals know the answer—simply cleaning teeth every 3 months and having an annual dental exam, is not enough to ensure good oral health, especially in this often medically over-promised population. In addition, what would make us think dependent elders would be able to perform the needed self-care…

4. Page 14

   This month on Website New Site Gets Great Response Dentistry Today announced the launch of our brand new website earlier this year, and it has been met with a great response. Our exciting new feature is the fact that it is responsive to any mobile device, meaning it automatically sizes itself for easy viewing on their phones, tablets, and other devices. Our site is updated daily with the latest dental news, product releases, medical studies, and more. Users can easily navigate through news sections such as daily dental news, science and medicine, industry news, and our meetings calendar. Dentistry Today…

5. Page 16

   FOCUS ON: Facial Aesthetics Warren P. W. Roberts, DMD, examines how introducing Botox for therapeutic and cosmetic treatments affects patients and the practice. Q: What is the number one cosmetic treatment requested in North America? A: Dentists possibly think it is tooth whitening, but Botox treatment for frown lines is the number one cosmetic request laser, skin treatments, and dermal fillers follow next. For the majority of age groups, Botox reigns the biggest "Wow!" effect. Other complimentary facial rejuvenation procedures, such as laser skin tightening and dermal fillers to replace lost volume, build on the muscle-relaxing action of Botox. Q:…

6. Page 18

   INTERVIEW: Claude Berthoin, President and CEO, Denterpriseinternal Claude Berthoin grew up in France and graduated from the Lycee Sorbonne in 1972 with a prelim degree. He obtained an MBA equivalent in real estate in France, and holds a B.I in international business from the University of Central Florida. He moved to Florida in 1980, and in 1989 founded Video Dental Concepts. In 2010, he founded Denterpriseint. He is a member of the Dental Trade Alliance, the National Association of Realtors, and is a representative of the French Consulate in Florida. 1 Claude, it has been 26 years since you co-invented…

7. Page 19

   anesthesia delivery system; QuickScan, a low-priced PSP intraoral scanner ($18K/unit); Evoltion, an intraoral iCam laser $3K; Finally, QuickScan3D digital impression system next year. 6 How can you offer your products at 30% to 50% less than competitors' similar products? Easy; first, we buy all our components direct; second, we are more efficient as we perform R&D, product development or selection, regulatory, legal, marketing and sales internally. So, our "manufacturing" costs are a fraction of our competitors'. Secondly, we believe that people should get paid for what they contribute and not some bogus amount based on archaic rules. When you buy…

8. Page 20

   CLINICAL REVIEWS THE DENTAL ADVISOR iLumi Fiber Optic Dental Posts ++++1/2 IRIS Intraoral Camera +++++ iLumi Sciences | (877) 854-5864 | ilumisi.com Digital Doc | (800) 518-1102 | digi-doc.com Consultants' Comments Consultants' Comments • "Drills are nicely matched with the post size, making placement predictable." • "Good radiopacity." • "Blister packs keep posts clean until ready for use." • "Good color coding between drills and posts." • "Organizes posts and drills in a compact kit; provide a bur block for drills." • "Posts smaller than 1.35 mm would be useful." • "Include millimeter markings on the drills." • "Great images"…

9. Page 22

   Radical Reconstruction of a Class II Division II Patient With Splinted Veneers Joseph Pelerin, DDS In the following case there was a tight time frame—a 24-year-old male in the Merchant Marines on leave. As a teenager, he received orthodontic treatment, and the proper anterior angulation was established. However, the lower jaw was not in place, and there was a mistake. Teeth Nos. 7 and 10 were tipped lingually, and he was grinding and shortened them about 7 mm. If more time were available, orthodontic banding and bringing the teeth to the correct anterior placement would have been the ideal treatment…

10. Page 23

    Once the silicone shim was removed, I trimmed very little flashing, adjusted the occlusion, and we used the temporaries to guide us on what we wanted for the final restoration. Already the temporaries were a huge difference from the patient's previous conditions. I thought we could use another 1.5 mm incisally, starting with the centrals, and then kept the laterals slightly off the plane and the canside having the same length as the centrals. But also I wanted a little more protrusive advancement incisally, so I instructed the lab to do that. I also instructed the lab that I wanted…

11. Page 24

    TECHNOLOGY TODAY I'm Beginning to See the Light Paul Fuerstein, DMD For dental use, the great thing about LEDs is that each one can be programmed to emit a specific frequency from the light spectrum. The bulb in my trusty old Pelton Crane Light Fantastic went out. Checking around the office, I found a little white box that contained a wrapped bulb and what looked like a cheap pair of piles. Instructions said to pry the socket prongs apart and carefully remove the expired bulb, being sure the switch was in the off position. (No matter how many times I…

12. Page 26

    TECHNOLOGY . 1 Spotlight New Features Added to Updated Chair and Delivery System NEWBERG, Ore.–The updated A-dec 300 chair (model 311) and delivery system (model 336) build on current designs by adding features such as (1) virtual pivot to the chair for enhanced patient comfort and (2) a third delivery system configuration option that precisely fits the needs of the dental team while still maintaining an attractive price. Built as a modular unit, dentists begin with the chair and choose the features they want, from delivery system styles and touchpads to foot controls, lights, and monitors. The result is an…

13. Page 27

    Feature-Laden Camera Optimized for Dentistry WELLINGTON, Fla - Optimized for dentistry, the CliniPix 123-EZ Camera, which is now smaller and lighter, enables dental professionals, regardless of their 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. Additionally, lifetime toll-free telephone support is provided. A modified 16-megapixel camera, the 123-EZ offers such features as a 5-in LCD image stabilization, a USB reader, audio/video modes, a 6GB SD card, a stainless steel mirror, wireless and imaging software. For additional information, contact CliniPix toll-free at (866) 254-6749…

14. Page 28

    Spotlight Laser Accessories Enable Clinicians to Operate More Effectively in the Periodontal Pocket NATICK, Mass.–Convergent Dental now offers the Ultraguide handpiece (shown) and the 15/400 hollow waveguide and automatic alignment system for Solea, the first FDA approved, CO2 9.3-μm laser for hard and soft tissue. The 15/400 hollow waveguide is specifically designed for access to the periodontal pocket and other hard-to-access oral cavity areas. Deriving its name from its dimensions, which are a length of 15 mm with an inner diameter of 400 μm, it is the first in a family of hollow waveguides to soon be released by Convergent,…

15. Page 29

    Rotary Files Now Feature Greater Flexibility for More Predictable Performance TULSA, Okla.—Featuring the same efficiency, tapered shapes, and predictable performance clinicians know and trust from ProTaper Universal Rotary Files, DENTSPLY Tulsa Dental Specialties' ProTaper Gold Rotary Files have been developed with proprietary advanced metallurgy to deliver greater flexibility for predictable ProTaper performance that's more brilliant than ever. They provide greater resistance to cyclic fatigue and are offered with a shorter 16-mm handle. For more information, call DENTSPLY Tulsa Dental Specialties at (800) 662-1202 or visit the website tulsodentalspecialties.com. FREEinfo, Self-Contained Intraoral Camera Increases Treatment Plan Acceptance ORMOND BEACH, Fla.—Video Dental…

16. Page 30

    Spotlight Core Build-Up Material Formulated to Bond With All Common Adhesives HUNTINGTON BEACH, Calif.–Kettenbach LP's new Visalys Core dual-curing core build-up material features Active-Connect-Technology that ensures a reliable bond with all common adhesives—without an additional activator. With Visalys Core, clinicians can use their preferred bonding agent, no matter whether it is a light-curing or dual-curing system, as well as a singleor multibottle system. A fluoride-containing, dispensable composite available in dentin and white shades in 5-mL double syringe and 25-mL cartridges, Visalys Core is indicated for (1) the fabrication of endodontic core buildups and fillings and (2) cementing root posts. It…

17. Page 31

    Bone Cutter Represents New Generation of Oral Surgery Instruments ROCK HILL, SC—Komet USA's Hr62ST ("sabertooth") bone cutter represents a new generation of oral surgery instruments. Applying the knowledge and experience gained from its successful developments in the medical sector to the needs of dentistry, Komet has incorporated the blade geometry of its renowned cranial surgery instruments into a new tungsten-carbide rotary instrument specifically designed for oral surgery, producing the new ST configuration for outstanding effectiveness. The Hr62ST's innovative toothing provides the exceptional sharpness, ideal cutting behavior, and maximal control required for bone cuts during osteotomies, osteoplasty procedures, bone and bone-lid…

18. Page 32

    Spotlight Benefits of Metal-Free Two-Piece Zirconia Implants Cited HALIFAX, Mass-With more than a decade of clinical experience in Europe, Switzerland-based Z-Systems is the world's leading solution for naturally white, metal-free zirconia implants. Its latest generation implant, the Z64 zirconia 2-piece implant, offers excellent esthetics and benefits similar to today's 2-piece systems (no gray shine-through), and it achieves an industry-leading >98% implant survival rate (data on file). For more information, call Z-Systems USA toll-free at (877) 874-9407, email usa@zsystems.com, or visit zsystems.com. FREEinfo, Dual-Solvent Bonding Agent Provides High Bond Strengths, Reduces Sensitivity LOMPOC, Calif.-DenMat's Tenure6 dual-solvent bonding agent for bonding any…

19. Page 34

    Spotlight Etchants Specifically Formulated to Facilitate Large Surface Application and Cleanup SCHAUMBURG, ILL—Offered in an economical 30-mL bulk syringe system, BISCO Dental Products' UNI-ETCH w/BAC and ETCH-37 w/BAC, 32% and 37% semi-gel phosphoric acid etchants with the antimicrobial agent benzalkonium chloride (BAC), are ideal for etching tooth structure prior to bonding and specifically formulated to be easily applied to larger surface areas and rinsed cleanly with no residue. Intended for use on enamel and dentin and as a cleaning agent for restorative substrates, the etchants will effectively remove the smear layer and dentin and demineralize enamel and dentin, producing the…

20. Page 35

    Brush Tip Designed Specifically for Application of Viscous Materials RACINE, Wis.—Offered by Vista Dental Products, the Spira-Flo brush tip is designed specifically for application of viscous materials, offering ing to shorten for a stiffer effect. Among the tip's features are its curved cannula for optimal entry, internal spiral channel, and universal luer lock-style hub. For more information, call Vista Dental Products toll-free at (877) 418-4782 or visit the website vista-dental.com. FREEinfo, viscous materials, offering controlled delivery of etchants, resins, and other viscous materials used in most restorative procedures. The length of the tip's brush fiber can be adjusted by pulling…

21. Page 36

    Spotlight Adhesive Cement Simplifies Aesthetic Cementation HUNTINGTON BEACH, Calif.—Ivoclar Vivadent's Variolink Esthetic is a dualand light cure only resin adhesive cement that simplifies aesthetic cementation. Indicated for the permanent adhesive cementation of demanding glass-ceramic and composite restorations, it represents the next generation of the well-established Variolink II and Variolink Veneer aesthetic cements. Variolink Esthetic demonstrates exceptional aesthetics and a user-friendly procedure. Precise shade matching of the restoration to the surrounding dentition is ensured with the "Effect" shade system, a new approach that includes 5 shades to enable color-neutral cementation while providing brightening or darkening of the restoration. Variolink Esthetic is…

22. Page 37

    New Apex Locator's Upgraded Digital Circuitry Improves Its Speed and Ease of Use CHERRY HILL, NJ–MedicNRG USA's new Rider S-3 Apex Locator features upgraded digital circuitry that offers greater speed and ease of use while eliminating the periodic false readings common to other units, even with a metallic restoration, with a precision of one mm. The Rider S-3 can be used as a tiny conventional apex locator, and it can also be attached to the dentist's own handpiece to get the precise location of the file while it is moving toward the apex. While other aggressive files increase the possibility…

23. Page 38

    NEWS/TRENDS Industry News ZEST Anchors to Offer 10-Year Warranty for Its Implants Escondido, Calif-based ZEST Anchors announced recently that effective May 1, it will offer a 10-year warranty for its narrow-diameter (3 mm) implants. This action places ZEST among only a handful of companies to offer this service. "A warranty of this magnitude is typical with standard-diameter implant manufacturers," said Steve Schiess, ZEST Anchors CEO. "However, due to the lower overall cost of narrow-diameter implants and the fact that some of these systems were originally designed as temporary solutions, many competitive systems are not backed by a replacement warranty. ZEST's…

24. Page 40

    NEWS/TRENDS Arginine Bicarbonate... continued from page 38 from the acid, rinsed thoroughly in deionized water and then placed in the plastic hydraulic chamber of the testing device. The soft chew confection was softened by mixing with centrifuged whole saliva supernatant donated by a human subject. The resulting softened product was applied manually by direct fingertip application to the exposed surface of the dentin disc positioned in the device chamber. Fluid flow was recorded every 5 minutes for successive 30-minute intervals, before and 30 minutes after a single application. According to the hydrodynamic theory for tooth sensitivity, dentinal hypersensitivity is related…

25. Page 41

    Bad Teeth?... continued from page 38 like Big Brother and The Only Way is Essex, underscoring the influence of the more dazzling American aesthetic. Whatever the priority, UK private spending on improving teeth has increased sharply. It reached £1.86 billion (approximately US $2.84 billion) last year, according to the market research group Mintel, up 27% since 2010. According to London dentist Uchenna Okoye, the UK media is more aware now of teeth, and beauty magazines now cover teeth and tooth pastes, which was ago just didn't happen. "Rightly or wrongly, we are appearance driven, and as teeth have become more…

26. Page 44

    Naturally Occurring Amino Acid Could Improve Oral Health Arginine—a common amino acid found naturally in foods—breaks down dental plaque, which could help millions of people avoid cavities and gum disease, researchers at the University of Michigan and Newcastle University have discovered. Alexander Rickard, assistant professor of epidemiology at the University of Michigan School of Public Health, and colleagues discovered that, in the lab, L-arginine—found in red meat, poultry, fish and dairy products, and is already used in dental products for tooth sensitivity—stopped the formation of dental plaque. "This is important as bacteria like to aggregate on tooth surfaces to form…

27. Page 46

    Test 187 dentalCEtoday.com Uncontrolled Dental Caries in a Young Adult: A Therapeutic Perspective and Case Report This article presents a case of uncontrolled dental caries in a 24-year-old adult and discusses diagnosis, etiology, and management of the high-risk caries patient. Cheryl E. Fryer, DDS, MS, MA is on faculty at Howard University College of Dentistry, where she serves as director of caries management and director of the caries management clinic for third-year dental students. She can be reached via email at cfryer@howard.edu. Ronald S. Brown, DDS, MS, is a professor in the department of oral surgery at Howard University College…

28. Page 47

    FIGURE 1. Preoperative clinical photograph of 24-year-old male patient with uncontrolled dental caries. tion of xerostomia and its management. He was also educated about his restorative needs to correct existing restorations and treatment of his existing carious lesions. Finally, he was directed to return to the referring periodontist and ultimately advised to seek rehabilitation for his current condition through care given by a general dentist. DISCUSSION Caries Risk Assessment When a patient presents for examination and dental treatment with the clinical picture that this patient did, it is important to gather as much information as possible in order to determine…

29. Page 48

    In First Impressions, Georac Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. EyeSpecial C-II Smart Digital Camera Shofu Dental Historically, dental cameras have been divided into the following 2 categories: professional cameras offering excellent images but requiring significant skills to set up, operate, and troubleshoot; and amateur cameras, readily used by almost anyone, but providing poor images with limited dental-use adaptability. Shofu Dental has introduced the EyeSpecial C-II, the first smart digital camera designed specifically for dentistry. With high quality, 12-megapixel images, and a large depth of…

30. Page 50

    50 100 PRODUCTS MEDIDENTA Handpiece The new Foresight 45 Self Generating LED handpiece features a built-in generator to power a brilliant LED light to illuminate the surgical pocket. Now you don't need a fiber-optic system—it's all built into the handpiece. With 22W, a one-year warranty (including the turbine and generator), and titanium coating, the Foresight 45 SGL is a must-have in your practice. It's also available in nonsurgical formats. For more information, call (800) 221-0750. FREEinfo, ULTRADENT PRODUCTS Fluoride Varnish Enamelast is a 5% sodium fluoride varnish with a patented adhesion-promoting agent for enhanced retention, allowing for superior fluoride release…

31. Page 52

    52 100 PRODUCTS A-DEC Dental Chair Emphasizing flexibility, access, and comfort, the A-dec 400 offers simplicity and style at a competitive price. Robustly constructed and contemporarily styled with an ultrathin and flexible backrest, it provides uninhibited access to the oral cavity from any working position. The Radius-style delivery and support modules easily rotate around the chair for complete left/right compatibility. With everything in reach, your team has the option for an ambidextrous configuration that accommodates doctor preferences. For more information, call (800) 547-1883 or visit a-dec.com. FREEinfo, MICROCOPY Articulation Film Bite-Chek articulation film, with its easy-grip handle, is the ideal…

32. Page 54

    54 100 PRODUCTS BIOLASE Diode Laser The EPIC X diode laser is the instrument of choice to delight your patients. Clinically versatile for complete patient care, it is designed to maximize efficiency. It offers faster, more accurate treatment prep with patented preinitiated tips. It provides the fastest in-office laser whitening available. There's also an exclusive handpiece for in-office pain relief. It's totally wireless for easy portability. For more information, call toll-free at (888) 424-6527 or visit the website biolase.com. FREEinfo, DMG AMERICA Flowable Composite Ionosit Baseliner is a single-component flowable composite that virtually eliminates microleakage, sensitivity, and recurrent decay by…

33. Page 56

    56 100 PRODUCTS CAO GROUP Whitening Strips Sheer White! whitening strips are easy to apply and conform to a patient's teeth with Sheer Film comfort fit technology, ensuring a secure fit. Patients speak normally, experience less sensitivity, and even have a drink. The strips provide up to 5 shades whiter teeth in 5 days. Patients enjoy the best of both worlds, at a competitive price, experiencing professional dental care while whitening anytime, anywhere. For more information, call toll-free at (877) 236-4408 or visit the website caogroup.com/dental. FREEinfo, ZIMMER DENTAL Dental Implant With the Zfx System, users can design a wide…

34. Page 60

    60 100 PRODUCTS DENTIMAX Digital X-Ray Sensors The Dream Sensor is a boxless sensor that represents the latest in CMOS digital radiography. The quality of the x-ray images is among the best in the profession. And at just 5.41 mm, this sensor is the thinnest CMOS sensor on the market and comes with rounded and beveled corners to guarantee patient comfort. For more information, call (800) 733-6820, visit the website dentimax.com/sensors, or email sales@dentimax.com. FREEinfo, GLIDEWELL LABORATORIES Implant System The Inclusive Tooth Replacement System has everything necessary for single-tooth implant cases, from start to finish, including the implant. An Inclusive…

35. Page 61

    Control gingival esthetics with titanium healing components The patient presented with a symptomatic and mobile maxillary right central incisor. The titanium custom healing abutment was placed to mimic the original tissue contours. Following four months of healing, the custom healing abutment revealed an ideal emergence profile. The final BruxZir® Solid Zirconia crown shows a natural emergence profile and ideal crown margins. Clinical dentistry by Timothy F. Kosinski, DDS, MAGD The Inclusive® Tooth Replacement System is a convenient and effective method of promoting and preserving the ideal tissue contours throughout the implant treatment process. It includes treatment options for these clinical…

36. Page 62

    62 100 PRODUCTS TISCHLER DENTAL Implant Bridge The Prettau Zirconia Implant Bridge is a screw-retained implant bridge that revolutionizes implant prosthetics. Its all-inclusive pricing is less than most hybrid bridges, bar overdentures, or PFM screw-retained bridges, and there is a 5-year warranty against chipping or breakage, underscoring the confidence in the Prettau zirconia. With custom shades, custom shapes, no chipping, no staining, no acrylic, and less prosthetic space needed than a hybrid bridge, it offers all the benefits over alternative choices. For more information, call (845) 679-2737 or visit the website zrbridge.com. FREEinfo, ZEST ANCHORS Implant System The LODI System…

37. Page 64

    64 100 PRODUCTS MICRODENTAL LABORATORIES Zirconia Restorative When strength can't be compromised, ZEUS Zirconia Restorations offer many benefits over PFM and full metal. ZEUS Full Contour Zirconia Crowns, Bridges, and Implant Restorations are a new treatment option for clinical situations that require an exceptional balance of strength, aesthetics, and value. Made of high-performance zirconia, ZEUS restorations offer economical and durability advantages compared to PFM restorations. Metal-free ZEUS restorations are highly biocompatible and are not affected by fluctuations in alloy prices. For more information, call (800) 229-0936 or visit microdental.com. FREEinfo, DENTSPLY TULSA DENTAL SPECIALTIES Rotary File Using a large rotating…

38. Page 66

    66 100 PRODUCTS DENMAT Resin Cement UltraBond Clear is a light-cured resin cement formulated for bonding lumineers and other ceramic or composite veneers. Created with more than 35 years of innovation in resin cements, UltraBond Clear features (1) highly translucent clear and natural shades, (2) a viscosity developed for optimal handling when placing veneers, (3) high bond strength, and (4) excellent color stability, providing final aesthetics that your patients and you will love. For more information, call toll-free at (800) 4DENMAT (433-6628) or visit the website denmat.com/ultra-bond-clear. FREEinfo, CARESTREAM DENTAL Practice Management Software CS SoftDent Cloud is a powerful practice…

39. Page 68

    68 100 PRODUCTS KELLER LABORATORIES Bite Guard Originally developed to prevent migraine pain, the NTHss Plus is an effective alternative to full-coverage bite guards. It does the job of a bite guard but covers only the centrals and laterals. By providing the patient with immediate and continuous incisal guidance, the NTHss Plus prevents parafunction occlusion of the canine and posterior teeth, reducing muscle contraction intensity by nearly 70%, protecting teeth, muscles, and joints. NTHss Plus offers a design for every indication. For more information, call toll-free at (800) 325-3056 or visit the website kellerlab.com. FREEInfo, AIR TECHNIQUES Caries Detection Aid…

40. Page 70

    70 100 PRODUCTS DIADENT Root Canal Treatment Paste Diapaste is a premixed calcium hydroxide barium sulfate paste for root canal treatment. It is iodoform-free and water-soluble, so it is easy to clean and remove. It is also radiopaque and antibacterial. Diapaste's indications include apexification, temporary root filling, vital pulpotomy, temporary pulp capping, and disinfection after pulp extrpation treatment. For more information, call (877) 342-3368. FREEinfo, ACTEON NORTH AMERICA Ultrasonic Devices Experience PURE NEUTRON, the originator of piezo-ultrasonics in dentistry. The all-new, completely redesigned devices come in 3 versions: NEUTRON, NEUTRON B.LED, and NEUTRON B.LED XS. All of these devices have…

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