Dentistry Today — July 2018

Inside this issue

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

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   New Generation of Bulk Fill: Ecosite Bulk Fill Universal Composite Mark Kleive, DDS For dependable, fast, and aesthetic Class I and II posterior restorations, all bulk-fill composites are not created equal. Technique sensitivity poses complications for the busy clinician, which is why a speed-friendly and dependable bulk-fill composite material with low shrinkage stress, which does not require layering, becomes an indispensable component of posterior restorative protocols. A new generation of bulk-fill composites, led by Ecosite Bulk Fill from DMG America, has enhanced features, including higher viscosity for excellent handling, depth of cure up to 5 mm in a single, 20-second…

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   Restorative Focus The dental profession continues to witness a steady stream of progress when it comes to advances in direct and indirect dental materials and the associated techniques. Clinicians and patients are benefiting from a plethora of innovations, new product introductions, and restorative techniques that are the fruits of the tireless efforts of research and material scientists, manufacturer-based product developers, and dedicated leading clinicians who can often be found supporting/consulting the manufacturers behind the scenes. For example, in the past 48 plus years, there has been a real focus on the creation, development, and introduction of revolutionary all-ceramic materials; first…

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   Improving Financial Performance Over the many years that I have been a dentist, the leading dental practice consultants in the world of dental practice management have focused on what is called the systems approach to improved financial performance. Of course, who would dispute the fact that well-thought-out systems improve performance, both clinical and financial? The editorial tone of articles in Dentistry Today, except for the occasional practice management Focus On or Viewpoint article, is devoted to clinical content, and the information published is but one of the many venues that can assist clinicians in their quest for a higher level…

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   VIEWPOINT continued from page 10 at the time, and I had just learned that I needed another root canal. I felt bombarded by life, but Rosie couldn't have been kinder or more understanding. Her voice and words soothed me. She told me not to worry and that we would work something out. I'll never forget that interaction!" There are many ways to appreciate this conversation, and one way is to appreciate that it was transformational. Rosie, with her reassuring tone of voice and choice of words, created a conversation/experience that our patient remembered 25 years later. Interactions like this are…

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   FOCUS ON: Dental Clearance Sam Simos, DDS, discusses dental clearance requests from physicians and what your patients need to know about them. Q: What is a dental clearance? A: A dental clearance is a written endorsement supplied by a dentist stating that a specified patient's oral health is satisfactory and without issues. Physicians will often request a dental clearance as a precursory step for patients in need of certain complicated medical procedures such as joint replacement, heart surgery, radiotherapy, etc. Q: Why is a dental clearance important? A: The mouth is teeming with bacteria, good and bad, to the extent…

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   Q&A: Overcoming Isolation in Private Practice Timothy Bizga, DDS, FAGD, shows how meaningful relationships with peers can be a compelling catalyst for success in your practice. Q: Dentistry has changed quite a bit during your career, hasn't it? A: When I got out of school, they told me I was graduating into the platinum age of dentistry. The statistics said dentistry was growing year over year. It was heralded as being recession proof. And then 2007 to 2008 happens. Just 2 years out of school, the mortgage crisis hit, and everything went haywire. Everybody started running for the hills and…

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   Get Back Paul Feuerstein, DMD ...it seems that we are replacing many direct composites more frequently than their old amalgam predecessors. This is due to fractures, wear, and marginal decay. With all of the discussions of CAD/CAM, everyone's focus is on indirect restorations. We talk about accurate marginal fit, new cements, durability, and longevity. New materials, such as CAD zirconia and lithium disilicate, as well as milled or printed appliances, are all the rage. But there is still a world of direct restorations and good old-fashioned analog lab work. Master technicians are still hand building full ceramic and ceramic-fused-to-metal restorations.…

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   Pins Fairfax Dental The Stabilok pin is designed to achieve 2 criteria: the ability to be self-shearing with maximal reliability and insertion with maximal ease. The wide-pitch thread provides excellent retention for the pins, which are available in pure titanium or stainless 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. FREEinfo, COLTENE TMS, TMS Link Series, and MAX Restorative Pins are simple, color-coded, self-threading, retentive pin…

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   Fiber Posts RTD USA The FIBERCONE Accessory is a small, slender fiber post, which is used in combination with virtually any brand of master fiber post and any resin cement and core composite. This well-documented technique offers a stronger, low-modulus, aesthetic, radiopaque, reversible alternative to metal posts in wide, flared, overprepared canals. The placement technique is reminiscent of placing gutta-percha cones and improves failure modes. It creases fatigue resistance, and enhances internal adaptation for better interfaces and less microleakage. For more information, call toll-free at (800) 265 3444 or visit the website rtddental.com. FREEinfo, Light-Post™ 1999 Aestheti-Plus™ 1995 Aestheti-Post™ 1994…

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    Komet USA Made of glass fiber reinforced composite, DentinPost and DentinPost X root posts feature dentin-like elasticity that allows stress-free transmission of forces into the root tooth. Special unidirectional glass fibers offer superior resistance and stability, and the tooth-colored composition ensures attractive, natural-looking restorations. The radiopaque posts permit radiographic monitoring of treatment quality. The DentinPost is recommended for composite restoration of partially destroyed crowns. The DentinPost X, which incorporates a pronounced retention head, facilitates strong reconstruction even in cases of severely destroyed teeth. For more information, call (888) 566-3887 or visit kometusa.com. FREEinfo, VOCO America Rebilda Post is a fiber-reinforced…

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    Fuse: Practice Management for an Evolving Industry With Fuse, Patterson Dental's goal was to create a different kind of practice management solution that could meet the changing needs of an evolving industry. To do that, Patterson first needed to understand what those needs were. They sent out a dedicated team that asked hundreds of dental professionals what they needed and listened intently. Then, they built Fuse. "We took advantage of the efficiency and convenience of the cloud while keeping in mind everything they learned about what dental teams want from their software. The resulting product has 4 key features—referred to…

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    Spotlight Intraoral Scanner Offers Useful Software Features for General Practitioners SAN JOSE, Calif.—Align Technology's iTero Element intraoral scanner is an innovation in dental technology; but its abilities aren't limited to its highly precise, ultrafast scanning—it also offers a number of software features that make it incredibly useful for general practitioners and specialists alike. The Invisalign Outcome Simulator is just one of these unique features. This function takes a scan of the patient's mouth as it is currently, then creates a 3-D visualization of what the teeth could look like after their Invisalign treatment is completed. Also, the exclusive iTero TimeLapse…

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    Laser's Mobility Allows Access and Visibility During Posterior Procedures LOMPOC, Calif.–DenMat's latest evolution in cordless, soft-tissue lasers enables you to deliver the benefits of laser dentistry to each patient while increasing practice production across all departments. The pocket-size, wire-less NV Microlaser is completely portable yet just as powerful as conventional soft-tissue lasers. Weighing only 1.9 oz and measuring at 6.9 in., this innovative, handheld design gives you unprecedented freedom in the office and the operatory. The plug-and-play system comes with 12 preset procedural settings optimized for your entire periodontal, restorative, and orthodontic treatment needs. The NV PRO3 features a lithium-ion…

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    Device Tracks Radiation Exposure for Employees SMYRNA, Ga.—The revolutionary Instadose+ dosimeter is a smarter choice to help keep staff safe. It bundles the active and passive dosimeter function (on-demand dose information and accumulated legal dose registration) in one smarter dosimeter. Developed by Mirion Technologies, the Instadose+ badge is a small, rugged dosimeter based on proprietary direct-on storage technology to track radiation exposure for employees, sending email alerts when a dose exceeds a user-specified level. The Instadose+ dosimeter uses Bluetooth Low Energy Technology to transmit dose data that can be seen on smart devices and PCs. The data is periodically scheduled…

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    Digital Toolset Supplies Users With Enhanced Treatment Options NEWPORT BEACH, Calif.- For clinicians who desire more flexibility in their everyday restorative workflows, Glidewell Dental recently introduced the glidewell.io In-Office Solution. This versatile suite of technologies equips clinicians with enhanced treatment options—on a patient-by-patient basis, choose between creating restorations in your office or sending cases digitally to Glidewell Laboratories. The glidewell.io Solution comprises interconnected technologies, including the iTero Element Intraoral Scanner, Lastdesign.io Software, and fastmill.io In-Office Unit. These advanced tools are linked to the intuitive glidewell.io interface, from which users can (1) collaborate with Glidewell Laboratories, (2) design and mill dental…

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    Motor's Upgradeable Software Keeps It Updated WOODINVILLE, Wash.—A product made from 30 years of motor manufacturing experience, Aseptico's 7000 Series Motor is one of the most powerful and comprehensive dental motors on the market today. It features adjustable torque and can be used for implant, surgical, and endodontic applications. Aseptico's worldwide reputation for building strong, dependable dental equipment guarantees reliability and performance for years. Many other features set the 7000 Series Motor apart from the rest, including a dynamometer calibration system that ensures that the motor's torque output is always accurate. Its programmable preset buttons allow for complete personalization. The…

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    Spotlight Kit Accommodates Needs for Fabricating New Prostheses on Existing Mini Implants GROVER BEACH, Calif.—In order to make servicing existing patients with 3M mini implant-supported prostheses simpler, PREAT Corporation introduces the Mini Implant Servicing Kit. The kit will work with all 3M/3i/Mg 1.8-mm sphere-size mini implants and provides the impression copings, laboratory analogs, metal housings, and 3 options for retention of final o-rings. This ideal kit contains everything the clinician and technician need to fabricate a new prosthesis on existing mini implants. For more information, call PREAT Corporation at (800) 232-7732 or visit preat.com. FREEinfo, Apex Locator Can Be Used…

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    Tokuyama Celebrating 100 Years of Innovation Tokuyama Dental America draws on nearly a century of accomplishments and knowledge to gain a competitive advantage in today's dentistry. Recently celebrating its 100th birthday, Tokuyama is proud to share its story at tokuyamarevealed.com. Our constant pursuit of excellence and innovation thrives from a strong link between our company and visionary dental professionals who shape the future of dentistry. Tokuyama strives to listen to your needs, incorporate your voice into the development of innovative products, and ensure our products meet the highest standards of quality. Tokuyama's expertise is leveraged, and materials are created within…

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    Ti-Max Z900L +++++ (99%) NSK Dental | (888) 675-1675 | nskdental.us Consultants' Comments • "Great all-around handpiece." • "Seamless transition from my regular handpiece." • "Very smooth and concentric." • "Even water spray." • "3-D Fusion wedges adapted better than others and stayed in place." • "Slim neck, good visibility." Description Ti-Max Z900L is an air-driven, high-speed handpiece that delivers 26 W of power and operates between 320,000 and 420,000 rpm. A proprietary, specially shaped turbine allows for this power output, enabling fast cutting, as well as a smooth, consistent cutting feel. The handpiece features a split titanium body with…

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    Luxator ✚✚✚✚ ½ (92%) Directa Dental | (203) 491-2273 | directadental.com Consultants' Comments • "I loved the sharpness of the blade." • "This is really easy to use." • "The handle fits great in my hand." • "The blade remained sharp. I did not need to sharpen it." Description Luxator instruments are periodontal ligament knives to aid in traumatic extractions. The fine, tapered blade compresses the alveolar bone, cuts the membrane, and eases the tooth from its socket. The handle is designed for tactile control while minimizing force during use. The tip is thin and sharp so that it inserts…

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    Spotlight Bulk-Fill Products Deliver Superior Aesthetics and Adaptation RIDGEFIELD PARK, NJ—DMG America announced the release of Ecosite Bulk Fill and Ecosite Bond, 2 new bulk-fill products. Designed with practice efficiency in mind, they are engineered to deliver superior aesthetics and adaptation with one quick, 20-second light cure. Unlike other bulk-fill composites that have dramatically different particle sizes, Ecosite's submicron nano-technology allows for low shrinkage stress and high-gloss finish for exceptional, natural-looking aesthetics. Thanks to its unique chemical formulation, Ecosite provides protection by releasing fluoride after placement. Extremely versatile, Ecosite is indicated for dental fillings, Class V restorations, and core buildups.…

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    New Filler Technology Leads To a Clinical Breakthrough Rolando Nuñez, DDS Restorative dentistry is evolving and clinicians are embracing more conservative and protective materials in their practices. There is no need to unnecessarily remove tooth structure to generate retention due to the advancements of bonding techniques and protocols. And, even though tooth preparations need to follow certain guidelines, much can be achieved with adhesive dentistry, conservatively. Another approach is offering protective treatment utilizing materials that are more tissue friendly and provide some sort of interaction between the material and the remaining tooth structure. Mineral Trioxide Aggregate (MTA) is one such…

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    Universal Adhesive Does Not Require Surface Agitation, Light Curing, or Wait Time After Placement ENCINITAS, Calif.-Tokuyama Dental America announces the launch of Tokuyama Universal Bond, a 2-component universal adhesive that does not require surface agitation, light curing, or wait time after placement. A quick and easy application cuts chair time, especially in multi tooth preparations. Universal Bond can be used in all etching techniques, including self-etch, total etch, and selective etch mode, for direct and indirect restorations. This adhesive is fully compatible with light-cured, self-cured, and dual-cured composite materials. As a true universal adhesive, it does not require additional activators…

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    Nanohybrid Composite Produces Long-Lasting Restorations THE VILLAGES, Fla.-Easily and confidently create long-lasting, natural-looking restorations that your patients won't stop smiling about. With more than 30 years of experience, DMP has developed an innovative manufacturing process that integrates a unique blend of microand nano-fillers into the resin matrix, generating an easy-to-sculpt nanohybrid composite for Class I through 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. The original color is maintained throughout the…

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    Tray and Wash Material Line Provides Exceptional Tear Strength and Elastic Recovery To Ensure Dimensional Accuracy Root Canal Sealer Obturates Canal Without Impacting Cells INDIAN LAND, SC—After the successful introduction of V-Posil tray and wash impression materials, VOCO is expanding its V-Posil line with a monophase viscosity in V-Posil Mono-Fast. V-Posil Mono-Fast, as with the rest of the V-Posil viscosities, offers optimized timing that provides up to 2 minutes of adjustable working time as well as an abbreviated, 2-minute, thermo-activated set time. Additionally, it provides exceptional tear strength and elastic recovery (99.6%) to ensure dimensional accuracy of the impression after…

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    Wipes, Spray Work Together To Effectively Clean and Disinfect Operatory Surfaces ALSIP, ILL—COFect MinuteWipes from GC America can be used to effectively clean and disinfect a dental operatory, sterilization bay, or other potentially contaminated areas in less time when compared to other products that have longer "kill rates" or outdated formulations. This one-step surface disinfectant features an ethanol base, low toxicity, and a pleasant nonfragrance. It has been laboratory tested and is EPA registered as an effective bactericide, virucide, tuberculocide, and fungicide for one minute of "kill time" for 25 pathogens. Additionally, the larger size (9 x 10) and unique…

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    Soft Chews Help Maintain Oral Homeostasis ROSLYN HEIGHTS, NY-Ortek's BasicBites soft chews are clinically shown to maintain enamel health. Sugar-free BasicBites contain revolutionary, patented microbiome technology developed at Stony Brook University School of Dental Medicine. BasicBites contain arginine bicarbonate and calcium carbonate. These vital, saliva-based nutrients trigger the mouth's natural processes for protecting teeth. Just 2 BasicBites per day nourish and activate pH-raising bacteria discovered in oral biofilms, counteract plasmacids, support mineral repair, and help maintain oral homeostasis. BasicBites are recommended for patients with dry mouth and those who consume excess fermentable carbohydrates. For more information, visit Ortek's website at…

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    Spotlight Stripping System Provides Greater Precision in Reducing Interproximal Enamel ROCK HILL, SC–Komet USA unveiled an advanced stripping system to help dentists more easily, efficiently, and accurately perform interproximal enamel reductions on adult patients being prepared to receive braces fixed at the buccal or lingual side of the tooth or prior to treatment with dental aligners. The DISCstance IPR system (Kit 4671) is designed to simplify and speed up the task of stripping when indicated for correcting lower jaw tooth sizes that are disproportionate to those of the upper jaw, for eliminating crowding, and for creating full-surface contact (especially in…

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    NEWS/TRENDS Industry News Denbur Named Illinois Exporter of the Year The Illinois Department of Commerce & Economic Opportunity (DCEO) named Denbur as an Exporter of the Year as part of its 2018 Governor's Export Awards, held at the Union League of Chicago on May 24. The awards are the state's highest recognition of export achievement, honoring Illinois companies that have achieved excellence in exporting as well as organizations that provide export assistance, DCEO reports. "Exports are a vital component of our economy and an important factor for continued economic growth. Illinois takes great pride in its export successes, which is…

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    NEWS/TRENDS Smoking Impairs Healing After Nonsurgical Periodontal Treatment Smoking impacts periodontal healing up to a year after nonsurgical treatment, according to research from the Centre for Oral Rehabilitation in Falun, Sweden, that was presented last month at the European Federation of Periodontology's EuroPerio conference in Amsterdam. "Nonsurgical periodontal treatment significantly reduced pockets greater than 4 mm deep in both smokers and nonsmokers," said Dr. Aorra Naji, a periodontist in the Department of Periodontology at the Centre for Oral Rehabilitation. "Nevertheless, we found that the reduction was more prodepth reduction in nonsmokers," said Naji. Larger studies are needed to investigate the…

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    NEWS/TRENDS Handheld Sensor... continued from page 42 fide, and it is mainly related to disease in the nose or lungs. "In our study, we tried to focus on the diagnosis of intraoral halitosis since a majority of halitosis patients suffer from it," said researcher Seom-Jim Choi, MS, PhD, at MIT. The researchers collected breath samples in Tedlar bags. These samples were mixed with 1 ppm of hydrogen sulfide to simulate halitosis, and the mixtures were exposed to the sensors. All of the sensors turned from white to a brownish color, indicating successful sensing of hydrogen sulfide despite interfering gases. In…

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    Three Questions To Ask Before Purchasing New Equipment By Keith W. Gruebele [Photo of Keith W. Gruebele] Staying relevant is key to a successful future in dentistry. And, while you don't have to jump on every new piece of technology that enters the field, you should make some upgrades. Focus on the equipment that can take your practice to the next level and keep you on the leading edge of the dental industry. But, before you take the plunge, ask yourself these 3 questions. Will the upgrade improve ROI? When it comes to large purchases for your practice, it's important…

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    Cellular Messengers Communicate With Oral Bacteria A study led by the University of California at Los Angeles provides clear evidence that cellular messengers in saliva may be able to regulate the growth of oral bacteria responsible for diseases such as periodontitis and meningitis. It suggests that a body's cellular messengers play an important role in managing the amount of good and bad bacteria in the mouth. RNA acts as a messenger that transports DNA's instructions to other parts of the cell. Small regulatory noncoding RNAs, known as sRNAs, regulate genes. A new class of sRNAs called transfer RNA (tsRNA) has…

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    50 32nd ANNUAL TOP 100 PRODUCTS VOCO America Composite Offers Less Shrinkage and Shrinkage Stress The world of nano-ORMOCER-based restoratives continues to expand and garner more attention with Admira Fusion, the all-ceramic-based direct universal condensable. Nano-ORMOCER technology is based on the innovative fusion of VOCO's proven nanohybrid ORMOCER (ORganically Modified CEramer) technologies. As a nano-ORMOCER, Admira Fusion offers up to 50% less shrinkage and shrinkage stress compared to conventional composites. It provides ceramic-like aesthetics with a better balance in translucency versus opacity, as well as much higher color stability. For more information, call (888) 658-2584 or visit vocoamerica.com. FREEinfo, 3M…

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    52 32nd ANNUAL TOP 100 PRODUCTS Waterpik Matrix System Creates More Access, Visibility for Outstanding Restorations The unique hourglass shape of the Waterpik ClearView Sectional Matrix System provides 25% more access and visibility of the site for outstanding restorations with tighter contacts. In addition, the ClearView Ring retains its strength longer with up to 35% more tooth separation force for consistent and predictable restorations. The deeper gripping tines are designed to eliminate springoff and to reduce flash. For more information, call (800) 525-2020 or visit clearview.waterpik.com. FREEinfo, Bien-Air Dental Turbine's Technology Aids in Efficiency Tornado is destined to positively impact…

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    54 32nd ANNUAL TOP 100 PRODUCTS BISCO Dental Products Self-Adhesive Resin Cement Indicated for Luting TheraCem is a dual-cured, calciumand fluoride-releasing self-adhesive resin cement indicated for luting crowns, bridges, inlays, onlays, and posts (prefabricated metal, nonmetallic, and fiber). In addition to delivering the strongest bond to zirconia and to most other substrates, it offers easy cleanup and high radiopacity, and clinicians will enjoy its effortless, reliable, and durable cementation of all indirect restorations. For more information, call (800) 247-3368 or visit bisco.com. FREEinfo, Air Techniques Vacuum System Operates Without Collection Tank The Mojave LT is designed to replace conventional liquid…

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    56 32nd ANNUAL TOP 100 PRODUCTS Kulzer Suction Device Speeds Up Procedure Times Ivory ReLeaf is a hands-free, high-volume dental suction device that assists clinicians with evacuation, isolation, retraction, and maintaining a dry field while scaling, root planing, polishing, debriding, and performing various restorative procedures. By eliminating the need to constantly stop procedures to perform suction with a saliva ejector, Ivory ReLeaf allows procedures to be completed up to 15 minutes faster than with conventional suction devices. It also delivers exceptional clinician and patient comfort and allows the clinician an unobstructed view of the oral cavity. For more information, call…

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    58 32nd ANNUAL TOP 100 PRODUCTS XDR Radiology Sensor's Rounded Corners Increase Patient Comfort The XDR Anatomic Sensor comes in sizes 1 and 2. Uniquely designed by dentists, its patented, maximized mesial imaging area helps you capture challenging canine-premolar contacts. Its rounded and beveled corners broaden the contact zone for increased patient comfort. Its white face eases intraoral visibility, and the sleek button on its immersible shell is easier to clean and even cold sterilize. In synergy with XDR Software, you'll see the subtlest of lesions and the tip of your No. 6 endo file. For more information, call (844)…

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    60 32nd ANNUAL TOP 100 PRODUCTS DrQuickLook Tablet Case Acceptance Captures and Reviews Images Never struggle with traditional intraoral cameras again. The DrQuickLook PDA Tablet Case Acceptance System is portable, easy to use, and integration-free. You can capture and review single images or use quad view, which allows you to draw on images and save detailed intraoral/extraoral images. Manage risk with included clinical videos, and educate patients with optional PE videos. It works right out of the box. For more information, call (888) 346-6153 or visit drquicklook.com. FREEinfo, NSK Dental Air-Driven, High-Speed Handpiece Delivers High Power The Ti-Max Z900L is…

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    62 32nd ANNUAL TOP 100 PRODUCTS Denterprise International Injection Device Delivers Local Anesthesia Painlessly EZ-FLOW is a professional and painless local anesthesia injection device used for the oral cavity. It is appropriate for local infiltration anesthesia for dental treatment using Lidocaine, Prilocaine, Scandogest, and other major anesthetics. The method used to deliver the anesthetic to the patient allows the use of less anesthetic, and the onset of the anesthesia is often faster. For more information, call (877) 509-3180 or visit denterpriseintl.com. FREEinfo, Align Technology Intraoral Scanner Improves Chairside Treatment Acceptance The iTero Element intraoral scanner is an innovation in dental…

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