Dentistry Today — July 2016

Inside this issue

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1. Page 8

   The Changing Face of Restorative Dentistry In this issue of Dentistry Today, we are focusing on restorative dentistry. Exciting developments are taking place that have the potential to positively impact every restoratively based dental practice now and into the future. We are seeing a growing interest in minimally invasive dentistry, supported in large part by newly developed materials and techniques. In the arena of restorative materials, improvements are being seen in composite resins and bonding adhesives, lab-fabricated restorations and cements, and recently, the introduction of bioactive cements. To mention just a few. This issue contains articles touching on restoratively based…

2. Page 10

   Challenges Faced by Foreign National Dentists BACKGROUND ON INTERNATIONAL DENTAL STUDENTS A modern dental school program in the United States today may have as much as (or more than) one third of their graduation class consisting of foreign nationals. These students are all lawful residents of the United States. In order to enter a US dental program, each student must demonstrate proficiency in the English language, usually through certified examination through the test of English as a Foreign Language (also known as TOEFL). This can be a challenging examination for individuals for whom English is not their first language. Most…

3. Page 12

   This month on Technique of the Week Articulating Paper Provides Proper Occlusion Michael Roscher, DDS Michael Roscher, DDS, of Newport, Minn., describes the ease of use dentists can experience with TrollFoil articulating paper. In this video, Dr. Roscher shows the convenience of the product's packaging and its ability to mark teeth for proper occlusion. He demonstrates, with his patient, that the paper marks effectively with both wet and dry environments in the mouth. TrollFoil is made in Sweden, and the company is now celebrating its 20th anniversary. For more information, visit our home page, . Brushing Made Smarter Sonicare FlexCare…

4. Page 14

   FOCUS ON: Dental Photography Martin B. Goldstein, DMD, discusses clinical situations to show clinicians how to maximize the use of their DSLR cameras. Q: Does our dental office really need a digital single-lens reflex (DSLR) camera? A: Many dentists are able to use simple point-and-shoot cameras, and even smartphone cameras, most notably when capturing images of the anterior dentition. To effectively and consistently take images of the posterior dentition is another story. Using point-and-shoot cameras for full arch occlusal and single molar shots requires considerable skill and, frankly, a fair amount of luck. More often than not, shadows are cast…

5. Page 15

   CLINICAL REVIEWS THE DENTAL ADVISOR Bioclear Anterior Matrix Kit +++++ Bioclear Matrix Systems | (855) 712-5327 | bioclearmatrix.com Consultants' Comments • "Superior to flat Mylar strips." • "A great solution for Class III composites and diastema closure." • "Matrix maintains good isolation of the prepared surface." • "An excellent matrix to close diastemas instead of free handing material." • "The kit enabled me to create contours with composite that I was not able to with traditional Mylar strips." • "Flexible matrices work better when using an injection technique rather than packing the composite in layers." Description The Bioclear Anterior Matrix…

6. Page 16

   Somebody's Watching Me Paul Feuerstein, DMD In our connected, fast-paced world, we are seeing a true evolution of healthcare products. Data obtained should be helpful in creating healthier mouths for both the users and the professionals who are analyzing it. Toothbrushes are the primary home care products our patients use. Ever since Bucky Beaver appeared in Ipana toothpaste TV commercials, we've encouraged our patients to brush twice a day and see the dentist twice a year (a proposal created by the commercials, not the dental profession; thus the foundation of our 6-month recalls). We have seen toothbrushes evolve with a…

7. Page 17

   that some of these toothbrushes are more focused on technology and the app than on design and research, so be sure to question manufacturers as you start using and recommending them. A. Philips (sonicare.com) started with the clinically proven Sonicare for Kids with an interactive BTV video game app that gives users a sequence to follow and keeps track of the date, time, and time spent brushing. Recently, the company launched the Philips SonicareFlexCare Platinum Connected (Figure 2), which not only tracks brushing but also alerts users if they are brushing too fast or too hard. It also gives an…

8. Page 18

   Spotlight New Software, With Its First-Ever Single-Setting Feature, Simplifies All-Tissue Laser's Workflow NATICK, Mass. Convergent Dental's new Solea 3.0 software dramatically enhances the Solea All-Tissue Laser's anesthesia-free and blood-free performance. Convergent has simplified the laser's workflow to allow dentists to cut any tissue without changing any settings. Dentists simply turn Solea on, direct the beam at the desired tissue, and stop the variable-speed foot pedal. This one-setting all-in-one workflow works for tooth structure, bone, and soft tissue, and it enables any dentist to reliably perform anesthesia-free, blood-free, suture-free, pain-free procedures. Solea 3.0 is easy to use and cuts 2.5 times…

9. Page 20

   FDA-Cleared Laser Protocol Can Regenerate Tissue and Bone Lost to Gum Disease CERRITOS, Calif.-Millennium Dental Technologies' PerioLase MVP-7 Dental Laser has the world's first and only FDA clearance for periodontal tissue regeneration—new cementum, new PDL, and new alveolar bone. With its proven technology created by GPs for GPs and specialists alike, the PerioLase MVP-7 for the LANAP Protocol can regenerate tissue and bone lost to gum disease and facilitate the return to functional health. An optimized 6W free running Nd:YAG laser, the PerioLase MVP-7 is the only laser designed specifically to perform the LANAP Periodontitis and LAPIT Peri-Implantitis Treatment Protocols,…

10. Page 22

    New High-Speed Handpiece's Power Cited MALVERN, Pa In an independent test conducted by THE DENTAL ADVISOR, the StarDental 430 Torque Star, the newest member of StarDental's 430 high-speed handpiece line, offered the highest power of all handpieces tested—27W (data on file), enabling it to deliver powerful performance for every dental procedure. The handpiece's coaxial water spray optimizes the direction of water pressure to thoroughly cool the burr and flush the working area, keeping the instrument as well as the operatory site cool, clear, and its vortex washer design minimizes harmful debris and "suck back" into its housing, inhibiting unwanted buildup…

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    Overcoming the Money Issue in Dentistry: A Patient Financing Solution Bobbi Stanley, DDS After 20 years of practicing dentistry, two goals have remained: for my patients to be happy and healthy after being in my care. My ideal "dental world" is to save all teeth and help my patients be disease free while providing the highest level of service I can offer. But also, over the years I have found that the impact of real world issues such as fear and money tend to stand in the way on a daily basis. Fears some patients experience can be minimized with…

12. Page 24

    Spotlight Popular Bulk-Fill Flowable Composite Upgraded With Expanded Indications and Improved Features MILFORD, Del.–DENTSPLY Sirona's SureFil SDR flow bulk-fill flowable has been used with great success in restorative dentistry since 2009. It is (1) self-leveling for excellent cavity adaptation, (2) supports the bulk-filling technique in increments of up to 4 mm, and (3) exhibits extremely low polymerization stress. Now, Dentsply Sirona offers SureFil SDR flow+, a product upgrade with the same excellent cavity adaptation that offers expanded indications (Class III and V), improved wear resistance, and increased radiopacity. It brings its unique self-leveling handling and low stress performance beyond the…

13. Page 26

    Spotlight Versatile Temporary Dental Splint's Ease of Use and Cost Effectiveness Cited SAN DIEGO-QuickSplint, an easy-to-use interim dental splint designed for 4 to 6 weeks of use, can be easily fabricated in the dental practice and provided to the patient immediately, at low cost, without waiting for lab fabrication. It works similarly to an anterior deprogrammer, preventing contact between posterior teeth, interrupting occlusal memory, allowing for condylar seating, unlocking interference, and allowing the pericranial musculature to relax and recover, but unlike most anterior deprogrammers, it disperses forces across 8 anterior teeth instead of 2, making it more comfortable and stabilizing…

14. Page 27

    Cost-Effective MTA Optimized for Pediatric Pulp Therapy HOUSTON The first cost effective MTA (mineral trioxide aggregate) optimized for pediatric pulp therapy, NuSmile NeoMTA provides a bioactive, nontoxic, proven alternative to formocresol without the toxicity concerns associated with formocresol's formaldehyde component. A new MTA, it promotes dentinal bridging and hydroxyapatite formation, contributing to the health and viability of the tooth. And unlike hybrid MTA/resin product blends, it's pure MTA designed for maximal effectiveness, engineered to be nonstaiming and quicker setting with excellent handling properties. For more information, call NuSmile at (800) 346-5133 or visit the website nusmile.com. FREEinfo, Calcium-Filled Resin Hailed…

15. Page 28

    New Enzyme Cleaner Has Three Enzymes for Broader Cleaning ALPHARETTA, Ga. The new BrandMax TriClean Triple Enzymatic Cleaner has (1) proteases enzymes to attack proteins and blood; (2) amylase enzymes to attack starches, sugars, and carbohydrates; and (3) lipase enzymes to attack body fats. All of these bio-burden types come from the body, so you can have a 3 enzyme formula for the price of a single enzyme. The cleaner is offered in a convenient, easy-to-use, 1.0 oz. single-dose packet for your ultrasonic cleaner. For samples and/or more information, call BrandMax at (844) 874-2532 or visit brandmax.us. FREEinfo, SMOOTHFOAM Dental…

16. Page 29

    Comprehensive Starter Kit for Small-Diameter Implants Introduced BOCA RATON, Fla.–In the wake of 3M's elimination of its small-diameter implant division, Intra-Lock International is responding to implant dentistry's needs for innovative, scientifically proven solutions by introducing a comprehensive starter kit for use with its MDL Small Diameter Implants. With this action, Intra-Lock is enabling a seamless transition for realizing patientand indication-specific implant designs and surface technologies as well as efficacious and efficient surgical and prosthetic concepts. Many of the features and technologies of MDL Small Diameter Implants have been clinically proven, well researched, and patented years ahead of other implants and…

17. Page 30

    Portable, Competitively Priced Curing Light Offered ALBUQUERQUE, NM - The portable, competitively priced BEAM LED Curing Light features easy-to-program curing modes with independent time setting selections ranging from 5 to 60 second increments. Its enhanced optical condenser light guide transmits a blue-light wavelength between 420 and 480 nm at a light intensity of 1,200 to 2,000 mW/cm² (according to selected mode). Powered by a lithium-ion battery, the light is suitable for all curing composites, minimum 2 mm cure depth x 8 mm area. For more information, call Steri-Shield at (800) 699-7220 or visit steri-shield.com. FREEinfo, BUY 3 GET 2 FREE…

18. Page 31

    Resin Cement Ideal for Use With Restorations Made of Zirconium Oxide and Metal Ceramics AMHERST, NY -With its optimized formulation, Ivoclar Vivadent's SpeedCEM Plus, a self-adhesive, self-curing resin cement with a light-curing option, is especially suited for (1) restorations made of zirconium oxide and metal ceramics and (2) cementation of restorations on implant abutments. Not every restoration allows a complete and uniform light cure. Strong self-curing capabilities provide an additional measure of safety when seating restorations that are opaque or impervious to light. SpeedCEM Plus achieves a high bond strength to zirconium oxide, nonprecious metal such as titanium, and dentin…

19. Page 32

    Q&A: Dental Networking Thriving as an independent dentist. Open any dental industry publication today and you'll see story after story predicting the end of private practice. While it's true that corporate dentistry is growing at a rapid pace, there are many dentists in private practice who will tell you their practices are doing better than ever. So what's their secret? Dr. Gary Radsz shares his perspective in a recent interview along with Trevor Maurer, CEO of Smile Source. Smile Source Q: Do you feel that private practice is being made obsolete by corporate dentistry? Radsz: Not obsolete, but it certainly…

20. Page 34

    NEWS/TRENDS Industry News Pamela D. Conway Pamela D. Conway, age 60, manager of marketing and communications for the Dentsply Group dental supply company and a friend to many in the dental industry, passed away on April 21. Included among Pamela's hobbies were art and entertaining at home, and she loved her Corgis and mourned their recent passing. In lieu of flowers, contributions to the Hospice of the Western Reserve (hospicewor.org) or any animal rescue group of your choice in Pamela's memory would be appreciated. Ultradent Products Launches Opalescence Whitening Toothpaste Online Store Ultradent Products announced recently the launch of opalescence.com,…

21. Page 36

    NEWS/TRENDS Dentistry = Art = Cash for Kids At the University of Louisville (UofL) School of Dentistry, taking impressions isn't only for teeth. For more than a dozen years, a select group of students and faculty members has been extending this practice to the world of art and sculpture. Specifically, as part of a UofL pediatric dentistry fundraising event held at Louisville's St. James Court Art Show, presented each fall, members of the Alpha Omega (AO) International Dental Fraternity student chapter have been utilizing dental plaster-molding techniques learned in the lab to create custom-made, 3-D plaster casts of hands, feet,…

22. Page 40

    MEETINGS/SEMINARS provide the highest level of dental care for their patients. For more information, email institute@kisco.com. Implant Symposium OCO Biomedical — a leader in implant products, technology and education — presents the 2016 OCO Dental Implant Symposium, which will be held from July 22 to July 23 at the Sandia Resort and Casino in Albuquerque, NM. Attendees of this third annual event will receive a hours of ADA PACE CE credits and have the opportunity to network and nationally recognized lecturer in periodontal, biomechanical, profitable skills in the most advanced methods of implant topology, restorative dentistry, sinus elevation, and bone…

23. Page 42

    30TH ANNUAL Top 100 Products 3M Bulk-Fill Posterior Restorative Offers Excellent Wear Resistance and Stress Relief Filtek Bulk Fill Posterior Restorative gives dentists the ability to place up to 5 mm in one increment while offering excellent wear resistance and stress relief. By eliminating additional layers and multiple steps, Filtek Bulk Fill Posterior Restorative outshines competitors to give dentists a fast and easy option for direct posterior restorations. For more information, visit 3mespe.com/filtekbulkfillposterior. FREE info, Kerr Bulk-Fill Composite System Transforms Tedious, Repetitive Posterior Restorations Building upon the award-winning performance of its predecessor, SonicFill 2 transforms tedious, repetitive posterior restorations into…

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    30TH ANNUAL Top 100 Products KAT Implants Implant System With a Single External Locking Taper Platform The KAT Implants system is built around a single external locking taper platform that allows the same abutments to be used on implants ranging in diameter from 2.5 to 6.5 mm and in length from 6.0 to 14.0 mm. Solid body design, locking taper connection, and the absence of a microgap between abutments and implants are just a few of the aspects that distinguish the KAT Implants system from the competition. For more information, call (877) 528-7978, (603) 427-0084, or visit katimplants.com. FREEinfo, ACTEON…

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    30TH ANNUAL Top 100 Products Voclar Vivadent Dual-Curing Adhesive Cement Provides Dentists With Aesthetic Cementation Made Simple Variolink Esthetic is a new, dual-curing adhesive cement that provides dentists with aesthetic cementation made simple. Indicated for the permanent adhesive cementation of demanding ceramic and composite restorations, Variolink Esthetic represents the next generation of the well-established Variolink II and Variolink Veneer luting composite. This adhesive luting composite demonstrates exceptional aesthetics and user-friendly processing with a 100% amine-free chemistry, eliminating any shade shifting. For more information, call (800) 533-6825 in the United States and (800) 263-8182 in Canada. FREEinfo, TrollDental USA Specialized Articulating…

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    30TH ANNUAL Top 100 Products A-dec Pain-Reducing Dental Chair With Scientific Pressure Mapping The top-of-the-line A-dec 500 allows you to get close to the patient, maintaining a healthy posture and reducing pain and discomfort. Scientific pressure mapping offers ultimate patient comfort, too. Unique cushioning reduces pressure points and provides support across the entire body. Synchronized to move with the patient's natural motion, a virtual pivot eliminates repositioning when the chair is lowered or raised. For more information, call (800) 547-1883 or visit a-dec.com. FREEinfo, GC America Innovative, Bulk-Fill, Fluoride-Releasing Restorative System EQUIA Forte is an innovative, bulk-fill, fluoride-releasing restorative system…

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    50 30TH ANNUAL Top 100 Products iLumi Sciences New-Generation Fiber-Optic Posts That Offer Unparalleled Light Transmission The patented, new-generation iLumi fiber-optic posts have unparalleled light transmission. The true, fiber-optic light transmission distributes maximal light-curing energy throughout the post, promising thorough polymerization. The posts offer more than 5 times the radio-capacity for detailed xray visibility with dentin-like elasticity. The posts are noncorrosive, biocompatible, and made in the United States. For more information, call (877) 854-5864 or visit ilumsi.com. FREEinfo, EdgeEndo Flexible Shaping Files That Significantly Improve Resistance to Cyclic Fatigue The EdgeTaper Platinum is an assortment of shaping and finishing files…

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    52 30TH ANNUAL Top 100 Products ZEST Anchors Better, Simpler, and Stronger Overdenture Attachment System That Incorporates Enhancements Building on 15 years of clinical expertise with the award-winning LOCATOR, the next-generation LOCATOR RX is a better, simpler, and stronger system by incorporating enhancements, such as (1) a harder, more wear resistant coating; (2) a hex drive mechanism; (3) a new abutment design that provides easier alignment and overdenture seating; (4) aesthetic Denture Housing that resists movement; and (5) convenient, all-in-one packaging. For more information, call (800) 282-2310 or visit zestanchors.com/rtx. FREEinfo, VOCO America World's First All-Ceramic-Based Direct Universal Restorative Admira…

29. Page 54

    54 30TH ANNUAL Top 100 Products Essential Dental Systems Complete Endodontic System Featuring Tough, Reusable Instruments With Tango-Endo, it only takes 2 instruments. Tough and reusable Tango-Endo instruments boast a unique, patented flat along the entire length. This flat allows for faster engagement with less resistance, increased flexibility without sacrificing strength, and virtually eliminates instrument separation. The Tango-Endo system includes its own reciprocating handpiece. The latch-type handpiece is designed to aid in the prevention of binding and to assist in the preservation of the canal's unique anatomy. For more information, visit edsdental.com. FREEinfo, Carestream Dental Intraoral Scanner That Produces Accurate…

30. Page 56

    30TH ANNUAL Top 100 Products LSK121 Oral Prosthetics Tooth Shade Guide Provides Dentists With the Tools Necessary for Overcoming Common Pitfalls The Chairside Shade Guide provides dentists with the tools necessary for overcoming common pitfalls faced when matching adjacent patient teeth and communicating that information to laboratories. Based on more than a decade of research on approximately 1,500 natural teeth, the guide is a set of 5 individual trays of ceramic shade tabs that allows dentists to match and communicate tooth color, dentition, translucency, and other characteristics. For more information, call (630) 955-1010 or visit chairsideshadeguide.com. FREEinfo, DenMat New Whitening…

31. Page 58

    58 30TH ANNUAL Top 100 Products Parkell Ceramic Primer Specifically Formulated to Enhance Adhesive Bonding Ea-Zy Primer is a new ceramic primer specifically formulated to enhance adhesive bonding to classic porcelains and high-strength dental ceramics, including lithium, disilicate, and zirconia. This 2-bottle system contains silane and MDP which are activated prior to use to ensure maximal freshness and a long shelf life. Ea-Zy Primer is a perfect adjunct for bonding ceramics, resin cements, and composites, which provides strong, durable adhesion, excellent aesthetics, and restorations that last. For more information, call (800) 243-7446 or visit parkell.com. FREE info, Digital Doc Intraoral…

32. Page 60

    60 30TH ANNUAL Top 100 Products Fairfax Dental Dental Pin Designed to Achieve Self-Shearing With Maximal Reliability and Insertion With Maximal Ease The Stabilok Pin is designed to achieve 2 criteria: self-shearing with maximal reliability and insertion with maximal ease. The wide-pitch thread provides excellent retention for the pins, which are available in either the purest commercially available titanium or stainless steel. The pins and drills are dispensed from the box through apertures, which can be set to either the hermetically sealed position or the open position by hinged flap. For more information, call (800) 233-2305 or visit the website…

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    30TH ANNUAL Top 100 Products Aseptico All-In-One System That's the Pinnacle of Implant Motor Technology The 7000 series motor is the pinnacle of implant motor technology. Backed by 30 years of surgical motor manufacturing, the device features upgradeable software allowing it to adapt to new developments in dentistry. Complete with an advanced calibration system, the 7000 Implant, Oral Surgery, and Endo System is the perfect motor for those looking for an advanced, all-in-one system. For more information, call (866) 244-2954. FREEinfo, Danville Materials Bulk-Fill Composite Offering Unlimited Depth of Cure and Superb Polishability Bulk EZ has reinvented bulk-fill composites, setting…

34. Page 68

    68 30TH ANNUAL Top 100 Products KaVo Kerr Group Imaging One of the Most Comprehensive Three-in-One Imaging Systems Available The ORTHOPANTOMOGRAPH OP300 Maxio is one of the most comprehensive 3-in-1 imaging systems available. It combines advanced panoramic imaging with cephalometric, cone beam 3-D imaging, or both—offering a truly adaptable system. Automatic Dose Control for 2-D and 3-D is an exclusive feature of Instrumentarium Dental, in combination with Low Dose Technology, flexible field-of-view positioning, 5 x 5 cm to 13 x 15 cm field of view sizes, and award-winning 3-D software. For more information, call (800) 5580-6120 or visit the website…

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    70 30TH ANNUAL Top 100 Products Garrison Dental Solutions Interproximal Wedge That Fuses Two Materials Together The 3D Fusion Ultra Adaptive Wedge is the first interproximal wedge to fuse 2 materials together to produce the perfect combination of adaptability and retention. The wedge, available in an assortment of kits, features a patent-pending design that combines a Soft Face overmold with a firm inner core and advanced mechanical features to produce a wedge with improved adaptation to interproximal irregularities. Furthermore, while insertion and separation are significantly improved with the new design, soft retentive films help to prevent back out, even when…

36. Page 72

    72 30TH ANNUAL Top 100 Products NSK Dental Air-Driven, High-Speed Handpiece That Delivers 26W of Power The Ti-Max Z900L is an air-driven, high-speed handpiece that delivers 26W of power. The specially shaped turbine allows for this power output, enabling fast cutting, as well as a smooth, consistent cutting feel. The handpiece features a solid titanium body with a DURAGRIP coating. A slim neck, angled head, and 2 unique finger and thumb notch enhance ergonomics and access. The Ti-Max Z900L is equipped with cellular glass optics and long-lasting ceramic bearings. For more information, call (888) 675-1675 or askdental.us. FREEinfo, ClearCorrect Custom,…

37. Page 74

    74 30TH ANNUAL Top 100 Products Rhondium One-Visit Crown Restoration Procedure with the One Visit Crown (OVC) a patient no longer needs 2 appointments for indirect den­tal crown restorations. The procedure is straightforward. The dentist measures the size of the OVC required, fits and shapes the crown, finishes the crown outside mouth, and then bonds it in place—all in one chairside appointment. There are also no lab fees. For more information, call (800) 875-6246, visit rhondium.com, or email info@rhondium.com. FREEinfo, Planmeca System Offers Multiple 2-D and 3-D Imaging Modalities The ProMax 3D Mid offers multiple 2-D and 3-D imaging modalities,…

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    78 30TH ANNUAL Top 100 Products KoR Whitening Whitening System Offers Cost-Effective Solutions KoR Whitening offers cost-effective solutions, from phenomenal home whitening for average patients to astonishing treatment of tetracycline cases—and everything in between. Dual-Advanced, Tri-Barrel Hydremide Peroxide technology and continuous refrigeration of the whitening gels from the manufacturing process through delivery to the dental office result in a powerful, chemically complex system capable of whitening any case. These whitening systems include in-office power whitening, Home, Max, Ultra, and Ultra-T (designed specifically for tetracycline staining). For more information, call (866) 763-7753 or visit korwhitening.com. FREEinfo, CLINICIAN'S CHOICE Dental Products Diamond-Impregnated,…

39. Page 86

    86 30TH ANNUAL Top 100 Products Angelus Endodontic Reparative Cement With Mineral Trioxide Aggregate MTA Angelus is a bioceramic endodontic reparative cement, containing mineral trioxide aggregate (MTA). On the world market since 2001, it is indicated for the treatment of lateral and furcation perforations, apexification, internal resorption, blotching, pulp capping, and apexogenesis. MTA is the only cement able to stimulate cells to the point of fully regenerating infection-compromised sites. Also, unlike other substances with identical indications, MTA can be inserted in moist areas, drastically facilitating the work of the dentist. For more information, call (855) FIND MTA (346-3682) or visit…

40. Page 90

    30TH ANNUAL Top 100 Products Glidewell Laboratories One of the World's Most Prescribed Zirconia Restorations The world's most prescribed zirconia restoration (according to a study) is now packaged with the Hahn Tapered Implant and all the prosthetic components needed to restore the edentulous space. Designed by implant pioneer Dr. Jack Hahn, the Hahn Tapered Implant System addresses the challenges clinicians face with a blend of time-tested features and innovation. The BruxZir Implant Bundle is a complete case solution designed to maximize efficiency while providing the function and esthetics that clinicians and patients demand. For more information, call (800) 407-3379 or…

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