Dentistry Today — July 2019

Inside this issue

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

1. Page 6

   Growing Responsibility for the Restorative GP This issue of Dentistry Today shines a light on restorative dentistry, which now encompasses a much broader array of topics than it once did. Reflecting this trend, this month we are offering articles that span many different subject areas under the restorative umbrella. Highlighting aesthetics, Dr. Joyce Bassett shares a technique that simplifies the work for the lab technician and makes the clinician's work easier, with a more predictable outcome, and Dr. Tim Kosinski demonstrates an innovation that assists the GP in planning smile design cases. In technology, Dr. Arun Garg describes a new…

2. Page 8

   The Pendulum Swings "Minimally Invasive" vs "Maximally Appropriate" The Premise The concept of minimally invasive can be misleading in the world of endodontics. An example of misuse of the phrase "minimally invasive" in endodontics would refer to making an access that did not predictably achieve the access of the Three F's of endodontic treatment mechanics: "Find, Follow, and Finish." "Find" refers to discovering the root canal system's diseased orifi. "Follow" refers to navigating an endodontic file from canal orifice to the canal terminus. "Finish" means to (1) clean and disinfect the root canal labyrinth, (2) prepare an appropriate radicular shape…

3. Page 10

   VIEWPOINT continued from page 8 greatest. In the future, today's buzzwords will be considered old fashioned and out of date. Oh, how the pendulum swings! The Distinction MIE begs the question of how the role of ferrule fits into the invasive vs appropriate equation. Which distinction produces the best choice for both the dentist and the patient? And so goes the ferrule and MIE. The balance between preservation of tooth structure (conservative) and appropriate (thoughtful) endodontic preparations that produce predictable 3-D and 3-D controlled obturation are always on the endodontic clinician's mind. For example, to extract the MB access of…

4. Page 12

   FOCUS ON: Case Acceptance Ara Nazarian, DDS, focuses on ways GPs can improve large-case acceptance. Q: What's the No. 1 question that doctors are asking when you lecture? A: I have been very fortunate to be able to practice the type of comprehensive dentistry that I do within my private practice, whether it is full mouth reconstruction with dental implants or a rehabilitation with implant restorations or existing worn dentition. I am continuously asked, "How can a dental provider improve on case acceptance for these types of cases?" The excitement once they understand the condition or issue with which they…

5. Page 14

   Introducing the A-dec 500 Dental Chair Paul Fuerstein, DMD When setting up a new treatment room, the largest items are the dental chair, unit, and cabinetry. There are many brands and styles that are manufactured in the United States and abroad. One of the first names that comes to mind is A-dec, one of the industry standards for quality, durability, and usability. For those who do not know, the name is an acronym for the founders, Ken and Joan Austin (ie, Austin Dental Equipment Corporation). They were a remarkable couple. We just lost Ken on May 1, and the entire…

6. Page 16

   Fiber Posts COLTENE ParaPost Taper Lux is a tapered aesthetic system designed for use in canals with ParaPost Taper files. ParaPost fiber lux parallel can be used with self-, dual-, or light-cured materials for fast cementation. Taper Lux posts are color-coded and available in 4 standard sizes 4, 5, 5.5, and 6.6. Post length can be easily trimmed with a diamond bur. For more information, call (800) 221-3046 or visit coltene.com. FREEinfo, Ultradent Products UniCore posts comprise cent and radiopaque posts respond to compressive forces without compromising the durability of the restoration. The taper of the post corresponds to the…

7. Page 18

   FIBER POSTS detection on x-ray images, and a cervical bulge that reinforces the post and resists marginal opening due to flexing. Available in both fine and medium, each post is manufactured to a precise 2.6° taper for safe placement with maximal post length and reduced risk of root perforation. For FREEinfo, Filhol Dental The FILPOST prefabricated post system can be customized to suit restorations for root post/core build-up. The post can be bent and threaded without risk of fracture, enabling easy insertion of multiple posts into converging canals. Each post is easy to place, preserving more healthy tooth structure. FIL-…

8. Page 19

   PINS high performance and premium design. For hygienic purposes, the Stabidkit is designed to store individual COLTENE TMS, TMS Link Series, and MAX Restorative Pins are simple, color-coded, self threading, retentive pin systems that provide a reliable link between restorative filling STABILOK the world trusted dentin pins pins and drills in its own compartment. For more information, call (800) 233-2305. FREEinfo, Angelus Dental The MICROPIN brand system consists of glass fiber materials and dentin. While conventional TMS pins were conceived for manual insertion, TMS Link Series and MAX Restorative Pins are mechanically installed. All TMS Link Series Pin Systems are…

9. Page 20

   Estelite Sigma Quick ★★★★★ (99%) Tokuyama Dental America | (877) 378-3548 | tokuyama-us.com Description Estelite Sigma Quick is a low-shrinkage, submicron-filled composite for use in anterior and posterior restorations. This enhanced version of Estelite Sigma implements RAP technology (Radical Anionic Photopolymerization initiator technology), which offers an increased working time of 90 seconds under ambient light while decreasing curing time to 10 seconds with a halogen light. Estelite Sigma Quick contains 82% by weight of silica-zirconia filler. The composite is available in syringes and preloaded tips (PLT) in shades of A0, A1, A2, A3, A3.5, A4, A5, B1, B2, B3, B4,…

10. Page 22

    Guidance System for the Partially Edentulous Arch Arun K. Garg, DDS Gregori M. Kurtzman, DDS Niloufar Rezakhani, DMD INTRODUCTION Partially edentulous arches are the cases that are most frequently treated with implants in the average dental practice. Patients lose teeth for a variety of reasons, including periodontal loss, endodontic failures, and non-restorability of a tooth that may be related to caries or trauma. Implants can be placed free-hand or guided. Free-hand placement has the potential for a number of errors that can make restoration challenging, damage the adjacent teeth, or create spacing issues that may lead to periodontal problems over…

11. Page 24

    A Guidance System for the... continued from page 22 cal or facial will likely not blend well with the adjacent teeth, and this also complicates the work for the lab technician, who must create an abutment and crown to restore that implant. Of course, placement too far lingually is usually less of a complication to the desired aesthetic outcome. Orientation in the mesiodistal dimension may yield complications more closely related to periodontal concerns than aesthetics. When insufficient space is provided between the implant and adjacent teeth, the papilla is often lost either initially or over time, leading to bone loss.…

12. Page 25

    TECHNOLOGY (with less lateral movement possible). A pilot drill is introduced through the hole in the guidance tab, paralleling the drill with the long axis of the adjacent teeth (Figure 6). It is recommended that the pilot drill be taken to half the planned depth. A Parallel Pin is placed, and then a radiograph taken to verify orientation to adjacent teeth and anatomical structures. Following confirmation, the guidance tab is reinserted, and the pilot drill is taken to the full planned depth. The osteotomy is completed with wider drills without the guidance tab. The system may be used in the…

13. Page 26

    Spotlight Device Offers Unique Patient Experience STAFFORD, Texas–Beyond International's Polus Advanced Ultra Whitening Accelerator combines halogen and LED lights with ultrasonic technologies and a proprietary destaining chemistry to offer maximized whitening within a unique patient experience. The attractive, state-of-the-art Accelerator Unit is easy to set up and offers a full-color touchscreen controller. Its motorized arm (360° range) positions the Accelerator head optimally for patient comfort. The powerful, fan-cooled halogen light is bridged to the 13 blue LED lights through a filtered lens (to eliminate ultraviolet light and excess heat) by 200,000 optic fibers; this delivers an optimal whitening acceleration beam…

14. Page 28

    Spotlight Software Unveils Enterprise-Ready Accounting LINCOLN, Neb.–On its 15th anniversary, MacPractice announced the release of macOS-native MacPractice Gen 11, the 11th generation of practice management and clinical software for dentists who prefer to use Apple devices and technology to protect patient information and achieve efficiency and productivity. MacPractice Gen 11 introduces enterprise-ready accounting, a new server architecture (non-dedicated in all but the largest practices), and a new underlying database, enabling lower pricing and amplified future development to enhance use for multi-site and remote operation. In addition, new Gen 11 services include (1) integrated, 2-way texting for patient communication; (2) integrated…

15. Page 29

    Estelite Universal Flow: A Truly 'Universal' Restorative Material Figure 1. This occlusal groove in tooth No. 4 has suspected caries present, although the explorer does not "stick." Figure 2. The presence of caries is shown through fluorescence using intraoral imaging (SOPRO·CARE [Acteon]). Figure 3. A fissurotomic burr (SS White Burs) is used to create a minimally invasive cavity preparation that maximizes the preservation of healthy tooth structure. Figure 4. A universal adhesive (Tokuyama Universal Bond [Tokuyama Dental America]) is applied to the cavity preparation. Figure 5. A universal flowable composite (Estelite Universal Flow [Tokuyama America]) is syringed into the cavity…

16. Page 30

    Spotlight New Line of Polisher Produces Brilliant Luster on Composite Materials CENTENNIAL, Colo–MEISINGER USA's COMPOSITE SINGLES are a new line of single-use polishers designed to produce a brilliant luster on all composite materials. They are available in 4 shapes for easy access to all surface areas and fit all right angle/latch handpieces. In addition, the 2-step polishers allow for short polishing times and extremely high levels of durability. For more information, call Meisinger USA at (866) 634-7464. FREEinfo, Abutment Revolutionizes Methods for Cementing Crowns and Bridges AMHERST, NY–Shatkin F.I.R.S.T.'s new Tru-Lok Abutments will revolutionize the way one cements crowns, bridges,…

17. Page 32

    Material Offers Distortion-Free Impressions LOMPOC, Calif.—DenMat's Splash Max is a high-quality VPS impression material that offers users distortion-free impressions, resulting in quality margins, fit, and function for every case. Featuring (a) instant hydrophilicity,(b) maximal tear strength and elasticity,(c) excellent dimensional accuracy,(d) high contrast color,(e) thixotropic consistency, and (f) ideal flow properties, this premium VPS impression material ensures maximal performance with fewer retakes, saving valuable chairside time and money. Independent testing reveals that Splash Max achieves a lower contact angle within seconds and much higher tear strength than leading competitors. Its low contact angle, combined with high tear strength and 99.9%…

18. Page 34

    Industry News Aseptico to Support Climb for a Cause in September Aseptico will help raise funds for oral health education and treatment in developing nations around the world via its support for Climb for a Cause (CFAC) when the nonprofit foundation hosts a hike from September 13 to September 15 near Grand Teton National Park. Each year since 1998, CFAC has organized an annual hiking event for dentists, their teams, and industry participants to help make a positive difference in the oral health of needy children. "As the world's leading portable dental equipment manufacturer, Aseptico works closely with humanitarian organizations…

19. Page 35

    Braces Don't Always Bring Happiness Research from the University of Adelaide Dental School suggests that braces don't boost self-confidence. It's striking followed 448 subjects from age of 13 through 30, with more than a third receiving orthodontic treatment. "The study, which is the first of its type undertaken in Australia and only the second in the world, examined having braces led to a greater level of happiness or psychosocial outcomes later in life," said author Esma Dogramaci, BDS, MSc, MFD, MDrh. "There was a pattern of higher psychosocial scores in people who did not have orthodontic treatment, meaning people who…

20. Page 36

    Oral Cancer... continued from page 34 efficacy in mouse models of oral cancer and no adverse effects on healthy tissue. The team synthesized 30 new compounds with chemical structures based on capsazepine and screened them based on their ability to kill oral cancer cells in culture. Lead compounds CIDDx4, CIDDx9, and CIDDx11 were validated in mouse models of human cancer. Next, the team focused on the most effective lead compound, CIDDx9. CIDDx9 eradicated the tumors while leaving normal healthy tissue unaffected. Plus, CIDDx9 sensitized oral cancer cells to traditional chemotherapies, so much lower doses of chemotherapy could be used with…

21. Page 40

    33rd Annual TOP 100 PRODUCTS Garrison Dental Solutions Interproximal Wedges Fuse 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 ribs help to prevent back out, even when wet. For…

22. Page 42

    33rd Annual TOP 100 PRODUCTS DiaDent Rotary Files Provide More Resistance to Cyclic Fatigue With their progressive taper designs, heat-treated construction, and superior cutting efficiency, DiaDent's new Dia-X rotary files offer extreme flexibility, strength, safety, and reliable clinical results. The files provide 143% more resistance to cyclic fatigue than Dia PT rotary files. Each Dia-X rotary file's convex triangular cross section reduces rotational friction and contact with the canal wall. The heat-treated surface is also coated, providing high corrosion resistance. The Dia-X rotary file handle is only 11 mm long, offering improved accessibility to teeth. For more information, call (877)…

23. Page 44

    33rd Annual TOP 100 PRODUCTS Ultradent Products Disposable Matrix Band Adjusts to any Preparation The Omni-Matrix disposable retainer and matrix is a superior circumferential matrix band solution. Designed to perfectly customize to any preparation, the band's circumference can be easily adjusted simply by twisting the handle. Its pivoting head allows it to access any quadrant of the mouth. Once the restoration is complete, the Omni-Matrix band easily releases without disturbing the restorative material. The disposable retainer and matrix features an unmatched body design that is ideal for single and simultaneous restorations. For more information, call toll-free at (800) 552-5512 or…

24. Page 45

    CHAIRSIDE WITH DR. K THE SECRET TO MORE EFFECTIVE WHITENING No two patients are exactly the same. So why use just one whitening protocol to treat them all? At KöR Whitening, we recognize that each patient presents a different whitening challenge and that's why we developed a full line of whitening systems to meet your patient's individual need. And KöR Whitening is the first whitening system in the world to maintain potency of its entire line of whitening gels by constant refrigeration from the instant of manufacture until being received cold-packed at your office. Dr. Rod Kurthy #1 Proper Product…

25. Page 46

    33rd Annual TOP 100 PRODUCTS Meisinger USA Carbides Constructed to Reduce Cut Vibration Meisinger offers a complete line of 180 shapes of single-patient use diamonds as well as a variety of sterile-packed and sterilized carbides. Each instrument is individually packaged and sold in quantities of 25. Singles carbides are designed and constructed to greatly reduce cut vibration and breakage due to a patented welding process between the carbide head and the surgical stainless steel shank. These diamonds provide efficient and precise ablation, allowing for excellent working results. For more information, call (303) 288-5400 or visit meisinger.com. FREEinfo, Essential Dental Systems…

26. Page 48

    33rd Annual TOP 100 PRODUCTS 3Shape System Displays Scans and Treatment Designs Up Close TRIOS Next can show patients by displaying their scans and treatment designs up close. The system provides the ease of always being able to position the setup in the right place for optimal comfort. The system includes the TRIOS 3 scanner, a PC, and a full-HD touchscreen. Allow patients to view their dynamic treatment proposals on their mobile devices using the My 3Shape app, and encourage them to share and discuss treatment options with family and friends. For more information, call (908) 867-0144 or visit the…

27. Page 50

    50 33rd Annual TOP 100 PRODUCTS Premier Dental Products Diamonds Engineered to Provide Superior Cut Always sharp, Solo Diamonds are engineered to provide a superior cut. And because each Solo Diamond is presterilized, the diamonds are ready to go right out of the package and reduce cross contamination. That means ideal workflow efficiency, for every patient, every time. There are a variety of clinical shapes and diamond grits. The diamonds enable one to eliminate unnecessary bur blocks. There is also a 5-year pouch seal integrity validation. For more information, visit premierdentalco.com. FREEinfo, Owandy Radiology System Performs Many Types of Examinations…

28. Page 52

    33rd Annual TOP 100 PRODUCTS Benco Dental CAD/CAM Portfolio Comprises Profession-Leading Scanners, Chairside Mills, and Blocks OneVisit brings lean production to same-day dentistry. It is open, affordable, efficient, and consistent. The OneVisit CAD/CAM portfolio comprises profession-leading intra-oral scanners, chairside mills, blocks, and 3-D printing solutions that work together to create a seamless digital workflow. Benco Dental encourages its customers to step into digital dentistry at their own pace and add on as needed by combining the proposed to using a completely closed system. Benco Dental boasts a manufacturer lineup with products from Straumann, Carestream Dental, 3M, Glidewell Laboratories, VITA, and…

29. Page 54

    54 33rd Annual TOP 100 PRODUCTS 3M Restorative Material Allows for Simplicity of One-Step Placement Filtek One Bulk Fill Restorative is a simple, one-step placement restorative material. Designed for the posterior, its optical properties and increased opacity allow for the simplicity of one-step placement without compromising aesthetic results. With excellent adaptation and handling, it can be placed in a single increment up to 5 mm—no need for layering or expensive dispensing devices. For more information, call (800) 634-2249 or visit 3m.com/filtek. FREEinfo, VOCO America RMGI Cement Features Nearly Double Bond Strength of Others Meron Plus QM is a paste-to-paste RMGI…

30. Page 56

    33rd Annual TOP 100 PRODUCTS Impladent Plug Offers Precise Bone Graft Delivery for Socket Preservation The Osteocon Bioactive Bone Graft Plug offers a one-step solution for the easiest and most affordable way for precise bone graft delivery for socket preservation without a membrane, as all of the OsteoGen Bioactive bone graft crystal particulates are contained by the collagen plug. After a thorough debridement, create bleeders lingually through the lamina dura and let the plug soak up the patient's blood. Condense the entire plug to the level for the soft tissue, and crisscross suture over the top to keep the plug…

31. Page 58

    33rd Annual TOP 100 PRODUCTS Denterprpise International 3-D Scanner Comes Equipped With Cutting-Edge Technology The QuickScan IOS marks the next step in intraoral scanning technology. Completely borderless, this full-color digital 3-D scanner comes equipped with cutting-edge technology for high-quality, reliable scans. Tested by independent labs, the QuickScan IOS is head and shoulders above the competition. It is now compatible with exocad with software for quick STL and PLY file transfers via QR codes. For more information, call (877) 509-3180 or (800) 323-2690 or visit videodental.com/quickscanios/. FREEinfo, EdgeEndo Files Improve Resistance to Cyclic Fatigue and Flexibility The EdgeTaper Platinum is an…

32. Page 60

    33rd Annual TOP 100 PRODUCTS CLINICIAN'S CHOICE Dental Products Polishers Suited for Use With Various Materials A-dec Dental Furniture Ensures Productivity and Longevity A.S.A.P All Surface Access Polishers provide the ultimate high shine in less time—with only one shape. These diamond-impregnated, flexible polishing spirals are designed for optimal adaptation to any surface and will give your restoration the ultimate polish in just 2 simple steps. Embedded with diamond particles, A.S.A.P Pre-Polishers are ideal for use with composite, lithium disilicate, provisional materials, most ceramics, and zirconia. For more information, visit clinicianschoice.com. FREEinfo, The A-dec Inspire Furniture Collection is dental furniture designed…

33. Page 62

    33rd Annual TOP 100 PRODUCTS Millennium Dental Technologies Laser Regenerates Bone Around Failing Implants The PerioLase MVP7 has the first and only scientifically proven FDA clearance for True Bone Regeneration with the LANAP Protocol, which reverses moderate and severe periodontitis. It can regenerate bone around failing implants via the LANAP protocol. Maximize return on investment and patient satisfaction with a 6-month, money-back, clinical results guarantee. The PerioLase performs more than 40 other procedures. The technology includes a built-in water meter and Joule counter for calculating clinical algorithms for safety and efficacy. For more information, call (888) 49-LASER (495-2737) or visit…

34. Page 64

    33rd Annual TOP 100 PRODUCTS JS Dental Manufacturing Luxating Instrument Enables Rapid Healing and Future Implant Placement The exceptionally ergonomic luxating instruments, LM-LiftOut and LM-SlimLift, allow extraction to be done as atraumatically as possible. This is important to enable rapid healing and future implant placement. The robust LM-TwistOut elevators work best when more force and torque are needed. LM-ErgoTouch's surface provides a good, nonslip grip. LM-DuraGradeMax's super-steel blades are designed for maximal strength. For more information, call (800) 284-3368 or visit jsdental.com. FREEinfo, DentiMax Digital Sensors Bridge To Virtually All Practice Management Systems The award-winning DentiMax Digital Sensors produce phenomenally…

35. Page 65

    Dental Herb Company Gel Fights Harmful Bacteria and Inflammation PerioSpot is a new, powerful gum therapy gel designed to fight harmful bacteria and inflammation directly at the spot. Formulated with the same truly natural ingredients as Dental Herb Company's award-winning Tooth & Gums Tonic, this sticky gel can be placed directly on the affected site to provide an antimicrobial boost where the gums need it most. PerioSpot is perfect for stubborn inflammation sites or to enhance preventative care after dental procedures. For more information or to a request a sample, call (800) 747-4372 or visit periospotgel.com. FREEinfo, Kuraray America Universal…

36. Page 66

    33rd Annual TOP 100 PRODUCTS BISCO Dental Products Self-Adhesive Resin Produces Reliable and Durable Cementation TheraCem is a dual-cured, calcium and fluoride-releasing, self-adhesive resin cement indicated for luting crowns, bridges, inlays, onlays and posts (prefabricated metal/non-metal/fiber posts). Delivering a strong bond to zirconia and most substrates, along with easy cleanup and high radiopacity, TheraCem offers the clinician a reliable and durable cementation of indirect restorations. For more information, call (800) 247-3368 or visit bisco.com. FREEinfo, PreXion System Offers Small Focal Point With the launch of the Excelsior line, PreXion still has one of the smallest focal points in the industry.…

37. Page 68

    33rd Annual TOP 100 PRODUCTS Kerr Composite Produces Chameleon Effect for Better Blending Harmonize Universal Composite begins with ART—Adaptive Response Technology, a nanoparticle filler network that helps you achieve lifelike restorations with more ease and simplicity than ever. With better blending capabilities and enhanced structural integrity, the ART of Harmonize provides your restorations with exceptional strength and unmatched aesthetics. With the ART filler system, Harmonize diffuses and reflects light in a similar way as human enamel, leading to an enhanced chameleon effect for better blending and improved aesthetics overall. For more information, visit kerrharmonize.com. FREEinfo, HIOSSEN Implant Provides Benefits for…

38. Page 70

    33rd Annual TOP 100 PRODUCTS Parkell Gel Provides Patients Relief Within Seconds Pain-Free Gel will give patients relief within seconds. Its thick gel consistency allows for precise placement of the medication, providing desensitizing results exactly where needed. It seals the tooth's open dentinal tubules with a unique, Tripolimer formula for effective, long-term results. Parkell has been a leader in providing effective therapies for dentin hypersensitivity for many years, and Pain-Free Gel is the smart choice for patients in pain. For more information, call toll-free at (800) 243-7446 or visit parkell.com. FREEinfo, NDI Curing Light Built for Durability and Efficiency Putting…

39. Page 72

    33rd Annual TOP 100 PRODUCTS Beyes Dental Canada Autoclave's Features Allow Users To Control Unit The Masteni Class B autoclave features capacitance control technology, allowing users to control the unit even with gloves on. Its seamless modern design prevents dirt from getting trapped along the surface. A triple-lock safety system offers peace of mind. Data is stored in the built-in data logger with an internal printer option. The unit comes in 18 and 23 L. The autoclave allows one to enjoy sterilized instruments in approximately 21 minutes. For more information, call (855) 603-1888 or visit beyes.ca. FREEinfo, Vista Dental Products…

40. Page 74

    33rd Annual TOP 100 PRODUCTS Dentsply Sirona Endodontics Single Glide Path File's Enhanced Flexibility Increases Patient Safety WaveOne Gold Glider file offers the same reciprocating motion as WaveOne Gold and is designed to enhance the WaveOne Gold family of products. The WaveOne Gold Glider offers several benefits, including: (1) optimal canal preparation before shaping with WaveOne Gold while preserving the natural shape of the canal; (2) increased patient safety due to enhanced flexibility and resistance to cyclic fatigue when compared to PathFile; and (3) the fact it's sterile and ready for single use. For more information, call (800) 662-1202 or…

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