Dentistry Today — July 2017

Inside this issue

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

1. Page 6

   Applauding Today's Product Choices I often point out to my lecture attendees that when I graduated from dental school, the material and equipment choices for delivering restorative dental services were very limited. Indeed, in the following years, we have all witnessed the innovation and development of many choices in new restorative products and related equipment. This explosion in products was born out of the hard work and creative skills of the researchers and product scientists who were often spurred on by competition between manufacturers, the input and feedback of practicing dentists, and the overall desire to benefit and profit by…

2. Page 8

   The Dentist as CEO, Leader, and Coach These are exciting and challenging times in the business of dentistry. Greek philosopher Heraclitus is quoted as saying, "change is the only constant in life." Change seems to be coming quicker and faster. In the mid-1990s, when I began my work with dentists to improve the systems and profitability of their practices, the business of dentistry was quite different. Most offices had computers, yet they were still scheduling in paper appointment books. Also, many dentists did not participate in insurance and were easily getting their full fee. Due to higher reimbursement from insurance…

3. Page 10

   VIEWPOINT continued from page 8 team on board. This is the greatest challenge when it comes to continuous and sustainable growth in your dental business. So, where do you start? As a leader, give your team a clear picture of what the expectations are for how they conduct themselves in the practice. One of the biggest breakdowns in practice performance occurs when the owner believes the expectations are clear, but in reality they are not all clear to the team member. Often, I hear that these expectations should be common sense, but if there is one thing I know with…

4. Page 12

   This month on Latest Featured eBook The Dentist's Guide To Managing Employees You went to dental school to master your clinical skills, but how good are you at managing your staff? For example, how do you sort through dozens of applicants for a single opening? Is your productivity slipping because of an constantly mediating staff conflicts? Do you know if your personal time policy is compliant with your state's regulations? Whether you're an old pro who needs some new ideas or launching your first practice, our experts can help you navigate the soft skills of finding, hiring, and keeping good…

5. Page 14

   FOCUS ON: Hot Topics in Ethics Michael W. Davis, DDS, presents perspectives and legalities on fee-splitting and kickbacks in the dental profession. Q: What are fee-splitting and kickbacks? A: Fee splitting and kickbacks may take a variety of forms. Sometimes they assume the model of kickbacks to referral sources. These parties may be other doctors or business entities which generate patient referrals for a financial (or large gift) inducement. These actions are strictly unlawful under the US federal Stark Law (tinyurl.com/yagkhtnc) and Anti-Kickback Statute (tinyurl.com/yrrvgcb). Thus, this represents unlawful activity for Medicaid providers (tinyurl.com/y7kkgzwl). A strictly fee-splitting arrangement is generated…

6. Page 16

   CLINICAL REVIEWS THE DENTAL ADVISOR CS 8100 Digital Panoramic System +++++ Carestream Dental | (800) 944-6365 | carestream dental.com Consultants' Comments • "One of the easiest machines to use." • "Clear, crisp images." • "Small, compact unit." • "Software is intuitive." • "The 2D+ feature is useful in determining the buccal-lingual relationship of objects in the images." Description The CS 8100 digital panoramic system is a compact x-ray unit with imaging software. The x-ray unit is designed with transparent patient supports and face to face positioning device for alignment. It comprises a high frequency generator, the Active Pixel CMOS sensor,…

7. Page 17

   Sani-Soak Ultra ++++1½ Enzyme Industries | (888) 236-9963 | enzymeindustries.com Consultants' Comments • "It did not break down in ultrasonic cleaner like the other solutions do." • "Effective and nontoxic; instruments come out shiny." • "Cleaned up instruments that were starting to rust." • "Opinions were split on the scent." Description Sani-Soak Ultra, an anti-corrosive enzymatic cleaner, can be used as an ultrasonic cleaner and/or an evacuation system cleaner. Nontoxic and safe to use on burs and instruments, it is available in a one-quart bottle or in a 64-count box of 0.5 oz unidose packets. The quart bottle has a…

8. Page 18

   Spotlight Scanner Software's TimeLapse Technology Lets Users Compare Patient's Historic 3-D Scans to Present-Day Scans SAN JOSE, Calif—Align Technology's software upgrade 1.5 for its iTero Element intraoral scanners includes the ability to compare patient scans over time with new TimeLapse technology, providing general practitioners and orthodontists with enhanced visualization, assessment, and communication tools. Additionally, with the upgrade, patient scans can be completed in as little as one minute with the same accuracy and reliability that dental professionals have come to expect from iTero scanners. TimeLapse technology lets users compare a patient's historic 3-D scans to the present day scan, enabling…

9. Page 20

   Spotlight Invisible Aligner System's Effectiveness and Affordability Cited TONAWANDA, NY—Offered by Great Lakes Orthodontics, the Smart Moves Hard/Soft Invisible Aligner System offers a less expensive alternative to other progressive aligner systems. Highly effective, it is designed to treat minor anterior teeth malalignment and is ideal for orthodontic relapse and prerestorative alignment cases. Great Lakes makes Smart Moves easy to use by providing free consultation for case selection, treatment options, and estimates for the number of aligners required to complete the case. For more information, call Great Lakes Orthodontics at (800) 828-7626, visit smartmovesaligners.com, or email info@greatlakesortho.com. FREEinfo, Dental Tablet Helps…

10. Page 21

    Sectional Matrix System Designed for More Than Just Tight Contacts NEW MILFORD, Conn.—CLINICIAN'S CHOICE'S DUAL-FORCE Sectional Matrix System is designed for more than just tight contacts. DUAL-FORCE Rings utilize dual NiTi wires that provide strong, balanced separation force on both mesial and distal surfaces, and they render the rings resistant to fatigue to provide consistent separation force throughout the rings' life. Available in molar and premolar sizes, the rings feature a independent tines that adapt to the tooth morphology and exhibit the ideal engagement angle to ensure they seat firmly and securely, resisting dislodgement. DUAL-FORCE Matrix Bands, available in sizes…

11. Page 22

    Spotlight New Pedo Light Guide for Transilluminator Introduced Software Provides the Tools Needed to Build a Complete Digital Dental Office AMERICAN FORK, Utah— Trusted by dentists for more than 20 years, Henry Schein Dentrix Software leads the industry with award winning tools that provide superior charting capabilities, improved productivity, and superior imaging connectivity. It is what you need to build your complete digital dental office. With integrated Dentrix eServices that boost productivity and Dentrix connected partners that enable you to build your practice with certified applications, Dentrix is the right choice for dentists who want to increase profitability. For more…

12. Page 23

    Pins Fairfax Dental The Stabilok pin is designed to achieve 2 criteria: the ability to be self-shearing with maximal ease and insertion with maximal reliability. The wide-pitch thread provides excellent retention for the pins, which are available in pure titanium or stain less steel. The Stabilok pin system is a trustworthy choice for restoration because of high performance and premium design. For hygienic purposes, the Stabilok kit is designed to store individual pins and drills in its own compartment. For more information, call (800) 233-2305 or visit fairfaxdental.co. FREEinfo, Coltene TMS, TMS Link Series, and MAX Restorative Pins are simple,…

13. Page 24

    Fiber Posts CLINICIAN'S CHOICE Dental Products 3M RelyX Fiber Post 3D builds on 9 years of clinical success of the original RelyX Fiber Post. Its updated design offers higher mechanical retention to the core build-up material, thanks to coronal 3-D macro retentions, and maintains a strong bond in the root canal due to its microporous surface. It also features enhanced radiopacity. In combination with RelyX Unicem 2 Automix Self Adhesive Universal Resin Cement with the endodontic tip, the post and core build-up procedure can be significantly simplified. For more information, visit 3m.com/relyxsd. FREEinfo, Essential Dental Systems MACRO-LOCK ILLUSION X-RO posts…

14. Page 25

    FIBER POSTS 25 Dentsply Sirona Endodontics GT Fiber Posts bring advanced post technology to light—starting with greater translucency for improved aesthetics and enhanced light transmission during curing. Their fiber resin composition allows them to flex with the tooth and resist fracture, while their passive, parallel shape creates less stress on roots. The posts match the size and color of GT Rotary Files, GT Obturators, and GT Post Drills. No matter which GT Post you choose for your particular cases, you'll have the right size. For more information, call toll-free (800) 662-1202 or visit dentsplysirona.com/endo. FREEinfo, COLTENE ParaPost Taper Lux is…

15. Page 26

    FIBER POSTS iLumi Sciences The patented, new generation iLumi Super Fiber Posts have unparalleled light transmission. The true fiber-optic light transmission distributes maximal light energy throughout the post, promising thorough polymerization. Each post offers more than 5 times radiopacity for detailed x-ray visibility with dentinlike elasticity. The posts are non-corrosive, biocompatible, and made in the United States. For more information, call (877) 854-5864 or visit ilumi-dental. FREEinfo, Brasseler USA EndoSequence Fiber Posts are fully synchronized with .04 and .06 constant tapered file preparations. These factory-eliminated, circular glide fiber posts are a constant tapered for the first 12 mm and then…

16. Page 27

    FIBER POSTS 27 Zest Dental Solutions ICElight features a 70% fill of parallel glass fibers for exceptional strength. Also, the posts feature high radioactivity and are value priced. Post design is paralleled with a tapered end and is prepolished. Its flexibility is close to dentin to stress is distributed, minimizing the risk of cervical fractures. ICElight transmits light for use with light cured as well as self-dual cured resins. Four diameters and the length are easily formatted. For more information, call (800) 837-7940 or visit aurillermaterials.com. FREEinfo, DenMat Core Post is ideal for core buildups in single tooth restorations. Flexing…

17. Page 28

    INNOVATIONS . 1 Spotlight Desensitizer Provides Immediate Relief With Just One 30-Second Application EDGEWOOD, NY—Now, with just one 30 second treatment with Parkell's new PAIN-FREE gel, even your most sensitive patients can get immediate relief from painful cold stimuli. With a thick gel consistency that won't run off the tooth, PAIN-FREE gel provides precise pinpoint placement of the medication, providing desensitizing results exactly where you need them. PAIN-FREE gel doesn't require acid etching dentin or anesthetizing patients, which can lower their threshold and make the pain worse. It seals the tooth's open dentinal tubules with a tripolymer formulation penetrating deep…

18. Page 30

    Spotlight Premium Tooth Line Sets New Standard in Shape, Shade Accuracy, and Light Dynamics YORBA LINDA, Calif—VITA North America introduces VITAPAN EXCELL, a new generation of premium denture teeth with natural shape, outstanding shade accuracy, and brilliant play of light. Constructed of durable microfiller-reinforced polymer composite material, the teeth are ideal for highly aesthetic full, partial, and implant-retained anterior dentures. For ideal restoration results, an anterior tooth requires perfectly aligned tooth axes, length, and width rations, and a natural angle and curvature characteristics. VITAPAN EXCELL was created with these golden proportions in mind, allowing for easy replication of the natural…

19. Page 31

    Plug Offers One-Step Bone-Grafting Solution for Socket Preservation; No Membrane Required HOLLIS, NY–Implant Ltd's OsteoGen Bone Grafting Plug offers the easiest and most affordable way to deliver bone graft for socket preservation. Since all of its bone graft particulates are contained by the collagen plug, simply place the plug into your extraction sites and suture over top; no membrane is required. After thorough debridement, deliver the plug dry, and let it soak up the patient's blood. Condense it to the level of the soft tissue, and suture over top to keep in place. Bone grafting for socket preservation has never…

20. Page 32

    Spotlight Company's Products Deliver Predictable, Aesthetic Results Without Compromise CLEVELAND–Thommen Medical, a Swiss manufacturer of dental implant systems, is highlighting 30 years of clinical success with its implant abutment connection (shown). Recognized for unsurpassed precision and impactful design, the company's products deliver predictable, aesthetic results without compromise. Most implant companies view the clinician as just a customer. Being family-owned, Thommen views them as partners to ensure long-term success. It believes in doing what is right, and it believes in doing what matters. For more information, call Thommen Medical at (360) 453 1517. FREEinfo, Universal Adhesive's Time-Saving Capabilities and Versatility Cited…

21. Page 33

    INNOVATIONS 33 Oral Spray Helps Dry Mouth Sufferers BUFFALO, NY- Lubricity Oral Spray helps those people who frequently experience dry mouth. Featuring a unique formulation that provides long-lasting results for up to 8 hours, the alcohol and sugar-free spray successfully moisturizes dry mouth, and in a clinical study, approximately 70% of participants preferred it over their current product. A 2-oz bottle provides a 30-plus-day supply. For more information, visit the website located at lubricity.innovations.com. FREEinfo, Handpiece Ideal for Surgical/Perio Procedures LAS VEGAS- The only 90° surgical high-speed handpiece on the market, the 20W Air Free 90S creates a completely air-free…

22. Page 34

    Discs Provide Precise Separation of Zirconia, Lithium Disilicate, and Porcelain Restorations TORRANCE, Calif—Offered by Continental Dental Laboratories of California, Diamond Impregnated Separators are oversized discs that are specially designed for the precise separation of zirconia, lithium disilicate, and porcelain restorations. Offered in sizes ranging from 26 mm to 29 mm with thicknesses ranging from 0.18 mm to 0.46 mm, the discs are specifically designed for perfect separation, countering and finishing of the hardest and most difficult dental implants and bridge restorations. Three disc styles are offered: Ultra Thin (0.18 to 0.22 mm), Combo (0.22 to 0.26 mm), and Universal (0.36…

23. Page 35

    Products' New-Generation Ca-Lok Flowable Adhesive Calcium Base/Liner What is important is how a material works in your hands. Feeling comfortable using a product allows best results for your patient. While Ca-Lok's low viscosity make it feel like a flowable, it really is a base/liner that allows control and precise placement of material where needed. Unlike other base/liners, the adhesive properties of Ca-Lok allow it to become part of the tooth. It is tooth-integrating, which offers a depth of penetration of material into tooth structure allowing no microleakage while staying in place (not floating). Ca-Lok contains calcium and releases fluoride. Upon…

24. Page 36

    Dentsply Sirona's Aquasil Ultra+ Smart Wetting Impression Material Focuses on Key Clinical Benefits Jason H. Goodchild, DMD Dentsply Sirona's recently introduced Aquasil Ultra+ Smart Wetting Impression Material (Figure 1), an upgrade in the well-established Aquasil line of polyvinyl siloxane impression materials, has been specially designed to help clinicians in 3 key areas. First, impression materials used intraorally need to work in the presence of moisture (ie, be hydrophilic), not just when cured but more importantly when uncured. To provide hydrophilicity where it's needed most, in the mouth, Aquasil Ultra+ features a market-leading low contact angle as tested on uncured samples…

25. Page 38

    NEWS/TRENDS Susan O. Radcliffe 1925 — 2017 Susan (Oettinger) Radcliffe passed away peacefully this past June 7 surrounded by family members. She was 91 years old. Born and raised in Cincinnati and a graduate of DePauw University, she was an accomplished artist before founding Dentistry Today in 1981 with her husband Paul Radcliffe. She was acting secretary of the publication for 33 years prior to her retirement in 2015. Susan was a devoted member of the Union Congregational Church of Montclair (NJ), the Women's Club of Upper Montclair, and the Montclair Boomerangers, and she enjoyed her summers with her 4…

26. Page 39

    NEWS/TRENDS Hot or Cold Water—It's All Good When Washing Hands Scientists at NJ's Rutgers University-New Brunswick have poured cold water on the theory that washing hands with hot water kills more germs than unheat water. In a study, they wanted to determine if popular assumptions about the benefits of warm or hot water and official guidance on hot water given to the food industry in the United States held true. They asked 20 people to wash their hands 20 times each with water that was 59°F, 79°F, or 100°F. Before According to experts, washing your hands properly should take about…

27. Page 40

    MEETINGS/SEMINARS Global Oral Health Summit to Be Held in Orlando Carestream DENTAL GLOBAL ORAL HEALTH SUMMIT The 2017 Global Oral Health Summit, presented by Carestream Dental, is a 2-day immersive learning experience designed for professionals looking to enhance their workflow by either learning more about the software and equipment they already have or introducing new technology to their practice. Oral health professionals of all specialties are invited to attend and participate from November 10 to November 12 in Orlando, Fla. In addition to courses geared toward tackling everyday challenges, discussing the latest industry trends, and exploring innovation in diagnostic techniques,…

28. Page 42

    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. Dentapreg SFM Dentapreg America Splinting has been an integral part of dentistry for more than 2 millennia. As early as Roman times, thin gold wires were wound around loose teeth in an attempt to stabilize them in function. More recently, the profession has started to utilize glass fiber reinforced composite strips for splinting. The most common indications for fiber splinting are post-orthodontic maintenance and temporary and long-term periodontal stabilization. Many splinting fibers are less than…

29. Page 44

    31st Annual TOP 100 PRODUCTS TAUB Products Calcium-Filled Resin Hailed As a Breakthrough in Base/Liner Materials Ca-Lok Flowable Adhesive Calcium Base/Liner is a breakthrough in base/liner materials. It is a light-cured, calcium-filled resin with (1) adhesive properties (acidic monomers) to dentin and (2) seamless compatibility to other restorative materials. Radiopaque and fluoride-releasing, Ca-Lok is used as a protective liner and can be placed under restorative materials and cements for all deep-cavity preparations. With its flowable viscosity and hydrophilic/hydrophobic properties, precise placement and control is achieved once it's light-cured. It creates the adhesion that seals out microleakage and eliminates sensitivity. For…

30. Page 46

    46 31st Annual TOP 100 PRODUCTS DMP Dental Nanohybrid Composite Integrates Unique Blend of Microfillers and Nanofillers into Resin Matrix With more than 30 years of experience, DMP has developed an innovative manufacturing process that integrates a unique blend of micro and nanofillers into the resin matrix, creating an easy-to-sculpt nanohybrid composite for Class I to IV restorations. NANOCERAM BRIGHT outperforms the competition, achieving superior physical and aesthetic results. Excellent color matching, high polishability, and lifelike translucency allow the restoration to blend into the natural tooth structure and surrounding area for a chameleon effect. For more information, visit dmpdental.us or…

31. Page 48

    48 31st Annual TOP 100 PRODUCTS Parkell Ceramic Primer Formulated to Enhance Adhesive Bonding Ea-Zy Primer is a 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 the 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. FREEinfo, ZEST Anchors Next Generation Offers Better,…

32. Page 50

    50 31st Annual TOP 100 PRODUCTS Carestream Dental Intraoral Scanner Integrates Seamlessly into Practice Environment Designed to work the way doctors do, the CS 3600 intraoral scanner integrates seamlessly into the practice environment with 3 task-specific workflows to choose from: restorative, orthodontic, and implant. Fast, continuous scanning increases patient comfort, eliminates the need to manipulate buttons, and produces accurate digital impressions while HD 3-D images improve communication with patients, practices, and labs. Plus, the open architecture of the CS 3600 makes sharing files with labs simple and straightforward. For more information, call (800) 944-6365 or visit carestreamdental.com. FREEinfo, Convergent Dental…

33. Page 52

    52 31st Annual TOP 100 PRODUCTS Dentsply Sirona Chairside CAD/CAM Solution Executes Numerous Procedures CEREC AC with Omnicam is a chairside solution designed to execute anything from single-visit restorations to digital orthodontics and solutions for integrated implantology. The slim, nonbulky camera allows for easy rotation in the intraoral space and is optimized for powder-free scanning of natural tooth structures and gingiva, providing a more efficient workflow for the doctor and more convenience for the patient. CEREC makes scanning simpler and faster. It also enhances precision while increasing patients' satisfaction. For more information, visit dentsplyirona.com. FREEinfo, Bien-Air Dental Contra-Angle Features Patented…

34. Page 54

    54 31st Annual TOP 100 PRODUCTS Medidenta Endodontic Obturation Device Can Heat, Vibrate Simultaneously The RootBuddy is the only endodontic obturation device that can heat, vibrate, or even do both simultaneously. Clinical studies prove that its combination of heat and vibration technology results in a denser, more compact filling of the root canal space. The RootBuddy handpiece can generate heat from approximately 50°C to 350°C (125°F to 662°F), improving the flow of thermoplastic filling materials. It also produces a gentle, low-frequency (100Hz) vibration that ensures the filling material is free of voids and air pockets. For more information, call (800)…

35. Page 56

    56 31st Annual TOP 100 PRODUCTS VOCO America Universal Restorative Offers Technological Breakthrough in Direct Restoratives Admira Fusion is the world's first all-ceramic-based direct universal restorative. Based on evolutionary Nano-ORMOCER technology, Admira Fusion is a technological breakthrough in the category of direct restoratives, offering many advantages compared to composites. Some of the advantages include (1) up to 50% lower shrinkage and shrinkage stress, (2) improved aesthetics and handling, and (3) a new level of biocompatibility, as it contains no classic monomers. For more information, call (888) 658-2584 or visit vocoamerica.com. FREEinfo, Microcopy Carbide Bur Handles the Most Demanding Cases NeoBurr…

36. Page 58

    58 31st Annual TOP 100 PRODUCTS Garrison Dental Solutions Interproximal Wedge 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 over-mold 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 fins help to prevent back out, even when wet.…

37. Page 60

    60 31st Annual TOP 100 PRODUCTS Glidewell Laboratories Implant Engineered to Meet Demands of Modern Implant Dentistry Named the official system of the Misch International Implant Institute, the Hahn Tapered Implant System is precisely engineered to meet the demands of modern implant dentistry. Designed by implant pioneer Dr. Jack Hahn, Hahn Tapered Implants allow for precise control during placement, efficient insertion, and excellent primary stability. With implant-specific drills and time-tested features enhanced by cutting-edge design, the Hahn Tapered Implant System enables clinicians to enhance the quality of treatment while reducing the cost of care. For more information, call (800) 407-3379…

38. Page 62

    62 31st Annual TOP 100 PRODUCTS Sable Industries Fiber-Optic High-Speed Handpieces Cut Natural and Restorative Materials Quickly and Effectively The Sable Access S4500KL mini head and Rotamax S6500KL torque head fiber-optic high-speed handpieces cut natural and restorative materials quickly and effectively. Their compact head height permits easier access and visibility, and their ceramic bearings provide vibration-free preparations at lower noise levels, decreasing fatigue and muscle strain. The handpieces are titanium-finished and KaVo Multiflex coupler compatible, and they offer 25,000-lux illumination, 3-port spray, and swivel attachments that are light and ergonomic. For more information, call (800) 368-8106 or visit sableindustriesinc.com. FREEinfo,…

39. Page 64

    64 31st Annual TOP 100 PRODUCTS B&L Biotech Obturation Device Designed for Warm Gutta-Percha Techniques Superendo Beta Mini cordless Obturation device is designed for warm gutta-percha techniques. Perfectly complementing the Alpha heat source, it provides simplicity, durability, ease of use, and comfort in a cordless, injectable obturation gun. Compact in size, the Beta Mini is designed for an easier, effortless squeeze of gutta-percha while being lightweight and ergonomic for all users. With the use of the patented 360° swivel needle, users can change the angle of entry to any canal. For more information, call (844) 265-2460 or visit blbio.com. FREEinfo,…

40. Page 66

    66 31st Annual TOP 100 PRODUCTS HealthFirst Kit Provides Land-Based Medical Waste Pick-Up Services Sharps Management provides an economical alternative to costly land-based medical waste pick-up services. These specially packaged, mail-back sharps kits come with prepaid shipping and disposal services included. Smaller sharps containers are available in single and multipacks for use in each operatory. Larger DOT-rated containers are also available to handle medical red bag waste, as well as accumulated sharps waste in large quantities. For more information, call (800) 331-1984 or visit healthfirst.com. FREEinfo, QuickSplint Customized Splint Allows Pericranial Musculature to Relax During Nighttime Wear QuickSplint is an…

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