Dentistry Today — July/August 2020

Inside this issue

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

1. Page 8

   Urgent Care Dentistry and the Future A number of factors have come together that very well may influence urgent care dentistry being combined within the emerging dental specialty of general dentistry. The ADA does not follow the medical model of specialty recognition. The medical model does not require an emerging specialty to be completely unique as compared to other existing specialties but does require that, after completing approved clinical training, doctors demonstrate a minimum level of competence by successfully completing diplomat examinations. Examples include the medical specialties of internal medicine, family medicine, and urgent care medicine. The American Board of…

2. Page 10

   VIEWPOINT continued from page 8 tooth injuries, injury to dental restorations and prostheses, jaw trauma, infection, bleeding, tooth avulsion, mobility, and gingival swelling. Is Emergency Care Accurately Advertised? Although advertised as emergency dentistry, not every dental practice offered extended care or regular business hours or weekends. More than half (a out of 23) of the websites in this sample did not offer services in the evening or during weekend hours. The term "emergency" on these websites appeared to be applicable for same day or walk-in. In this sample,13 dental practices offered emergency care or emergency phone consultations after regular business…

3. Page 12

   Giving Patients What They Want Nick Clausen, chair of the Manufacturing Council and a member of the Education Committee for the Academy of Laser Dentistry and director of laser mastery for Fortune Management, focuses on successful laser implementation that transforms the dental patient experience from fear to gratitude. A Brief Background Every successful business provides value by creating pleasure or reducing pain (solving problems). But the dental marketplace has unique dynamics we must consider. Look at these statistics from consulting company Focused Evolution regarding patients in the United States: • 60% do not go to the dentist. • 82% have…

4. Page 15

   Pioneers of Single-Patient-Use Burs NeoDiamond is the leader in SPU diamonds since 1985. NeoDiamond is the No. 1 SPU diamond. NeoBurr Blended-Neck carbides. Microcopy began its venture in the dental industry more than 50 years ago in Newbury Park, Calif., a suburb of Los Angeles. From its humble beginnings as the provider of INSTA-FIX x-ray solution products, the company has grown to become a state-of-the-art production and manufacturing facility now located in beautiful Kennesaw, Ga., just north of the Atlanta metropolis. As the company grew, the product portfolio expanded, and in 1989, it launched NeoDiamond, a single-patient-use diamond burs on…

5. Page 16

   Fiber Posts and Pins FIBER POSTS iLumi Sciences The patented, new generation Super Fiber Posts have unparalleled light transmission. Each post's true fiber-optic light transmission distribution delivers maximal light-curing energy throughout the entire post, despite polymerization. The posts offer more than 5 times radiopacity for extra-detailed x-ray visibility with dentin-like elasticity. The posts are non-corrosive, biocompatible, and proudly made in the United States. For more information, call (877) 854-5864 or visit ilumi.com. FREEinfo, Parkell The CI White Glass Fiber Posts comprise braided fiberglass and epoxy resin for enhanced strength, stiffness, and durability. Posts feature enhanced radiopacity for easy detection on…

6. Page 17

   Filhol FILPIN, designed for dentin retention pulpal pin requirements, provides maximal advantages without compromising safety, dentin integrity, or retention. It is 99.8% pure titanium, more flexible, biocompatible, and compatible with all dental materials. It is self-threading and self-aligning to speed and ease placement for self-shearing once the optimal depth is reached. If minimal tooth structure is present, pins are recommended to enhance chemical bonding provided by adhesives. Its unique thread design maximizes retention strength. FILPIN is available for handpiece and hand placement. For more information, call (800) 330-0890 or visit filhol.com. FREEinfo, Angelus USA Micropin is the first advancement in…

7. Page 18

   How to Reduce Aerosols in the Practice James L. Ratcliff, PhD Dental professionals are concerned about microbial contamination resulting from airborne splatter from the patient's mouth during the use of dental equipment. And the concern is real. Since December 2019, COVID-19 has spread worldwide. As of May, there were more than 4 million diagnosed cases, more than 300,000 deaths, and more than 1.5 million people who have recovered worldwide. As reported by the ADA in Dentistry Today in April, more than 95% of all dental offices in the United States were closed to all but emergency cases.¹ As dentists consider…

8. Page 20

   Dental Dealer Offers Numerous Types of Lasers ALBUQUERQUE, NM–Diamond Dental Supply is a full-service dental dealer servicing North America. The company's partners represent leaders in global technologies, including 3-D CBCT, piezosurgery, laser technology, oral cancer screening, and more. Diamond Dental Supply offers the family of DEKA CO2 lasers in North America. DEKA is part of ELEn., which is the only company in the world to manufacture medical and industrial CO2 lasers. ELEn. is also the only CO2 laser manufacturer that produces their laser systems as well as their laser sources. Utilizing the latest micro-pulsed CO2 technology, an advanced articulating arm…

9. Page 21

   Patient Communications Platform Improves Office Efficiency TEMECULA, Calif.—ProSites' PracticeMojo, an automated patient reminder, recall, and patient communications platform, launched new integrated features to help dentists better communicate with patients and improve office efficiency. The solution comes at a pivotal time for dental practices, which must incorporate digital solutions to care for patients and protect patient and staff. PracticeMojo's new Managed Plans allows dentists to provide patients with HIPAA-compliant online patient forms and a COVID-19 questionnaire to eliminate the need for patients to complete them in the waiting room. Additionally, PracticeMojo Managed includes phone call integration, so dental staff can see…

10. Page 22

    Dental Aerosol Capture System Provides Post-COVID-19 Protection KATIKATI, New Zealand—Rhodium, the creators of the One Visit Crown, are pleased to unveil the Rhondair Aerosol Capture System. The Rhondair is a powerful vacuum and filtration device that effectively captures dental aerosols at the source, preventing the spread of airborne pathogens during procedures. The single-use transparent parent shield creates superb aerosol capture capability without impeding the work area or direct line of sight. The shields are autoclayable for ideal infection control. The 2-speed vacuum fan is quiet and controlled by a foot pedal. Certified HEPA filters remove 99.95% of all particles as…

11. Page 23

    From a Distance Paul Feuerstein, DMD Over the past few months, most of us have been interacting with patients and staff via phone calls, texts, emails, and video chats. We have often asked patients who had urgent issues to use their smartphones to send a "selfie" or photo of their problems, often of a broken tooth or lost crown. Many times, we were able to talk them off the ledge and reassure them that the problem was not as urgent as they had assumed. And, as we know, the tongue seems to magnify that "giant hole" or piece of tooth…

12. Page 24

    My History of Aesthetic and Cosmetic Dentistry Ross W. Nash, DDS I graduated from North Carolina State University in 1970 with a Bachelor of Science degree in textile technology and went to work for DuPont in a nylon yarn manufacturing plant in Martinsville, VA, as a process engineer. Nylon is a polymer, much like the ones we use in dentistry. In this job I was able to learn a lot about how polymers (plastics) work. In 1972, I accepted a job with Ciba Geigy Chemical Company in Charlotte, NC, where my family lived. I was hired as a dye colorist,…

13. Page 25

    CLINICIAN PROFILE ily. Hard tissue lasers allow expanded procedures that include bone and tooth structure removal. Minor tooth movement with removable appliances can be accomplished quickly to enhance aesthetic or cosmetic treatment and allow for more conservative tooth preparation. And the list goes on. Over the years, I built a general practice that is focused on aesthetic and cosmetic treatment, and I plan to spend the rest of my career in this exciting field. The rewards I receive go far beyond money. When I am able to help a patient with health and function, I am rewarded as a doctor.…

14. Page 26

    Composite Material Allows for Precise Crown Prep and Cementation THE VILLAGES, Fla—Oxford Scientific's Zircone NANO is a dual-cure, radiopaque composite material for core buildup and post cementing. It contains nano silica, nano-zirconia, and nano calcium fluoride, yielding excellent mechanical and physical properties that allow for precise crown prep and easy cementation. It also has a short setting time and excellent thixotropic properties. Zircone NANO's nano-calcium fluoride assists in caries prevention. Its dual-cure properties enable the dentist to perform cemantations and core build-ups where light curing cannot be guaranteed to be adequate. Zircone NANO is compatible with other resinor composite-based products.…

15. Page 28

    Oral Care System Aids in Treating Many Conditions for Adults Over 55 SCOTTSDALE, Ariz.-Cl6SYS Silver is specially formulated for adults older than 55 because as we age, our oral health begins to suffer, and the mouth becomes more sensitive. Cl6SYS Silver with sodium fluoride plus Cloralstan helps with multiple adult mouth conditions. It is now available in rinse and the company's new and gentlest toothpaste gel. Cl6SYS patented formula contains Cloralstan, the trade name for stabilized chlorine dioxide. When ready to use, Cl6SYS is exposed to the amino acids in saliva, allowing the antimicrobial Cloralstan to be activated. There is…

16. Page 29

    Transparent Screen Thwarts Potentially Dangerous Pathogens NEWTOWN, Conn—CareShield by Orsing, offered from Directa USA, is an easy-to-use transparent screen with an integrated HVE suction function that removes droplets and aerosols that harbor potentially dangerous pathogens. During dental procedures, general practitioners, hygienists, dental assistants, and patients are exposed to aerosols and organic fluids, such as blood and saliva. These fluids can spread and contaminate personal protective equipment as well as surfaces around the clinic. CareShield helps reduce cross contamination by removing aerosols and droplets through the HVE system during treatment. Easy to connect and use, CareShield ensures prevention contamination procedures will…

17. Page 30

    Implant Scaling Tip Prevents Pain for Hypersensitive Patients FAIRFAX, Va.–B&L Biotech's new IS Tip is a smart choice for implant scaling. The tip is bendable, which allows easy access and leaves no scratches on implant abutments and porcelain restorations. There is no pain for hypersensitive patients and no scratches on veneer restorations. For more information, visit B&L Biotech's website at bnlbio.com or email customerservice@bnlbio.com. FREEinfo, Resin Cement Sets Faster and More Completely Than Others CHICAGO–The new ROCK Cement, available from Cosmedent, is a dual-cure, self-adhesive resin cement used for the permanent cementation of ceramics, zirconia, lithium disilicate, and metal-based restorations.…

18. Page 32

    34th Annual Top 100 Products 3M Restorative Enables 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 enable 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 expulsive dispensing devices. Furthermore, 3M has performed rigorous testing to ensure the safety of warming Filtek composites for clinicians and patients. For more information, call (800) 634-2249 or visit 3m.com/filtek.one. FREEinfo, DMG America Composite Crown…

19. Page 34

    34 34th Annual Top 100 Products BISCO Dental Products Calcium Silicate Designed for Pulpotomy Treatment TheraCal PT is a biocompatible, dual-cured, resin-modified calcium silicate designed for pulpotomy treatment. It maintains tooth vitality by performing as a barrier and protectant of the dental pulpal complex. Its chemical formulation consists of synthetic Portland cement calcium silicate particles in a unique hydrophilic matrix, which facilitates calcium release. TheraCal PT is radiopaque, allowing for easy identification and differentiation from resident decay and other restorative materials. Its physical properties resist breakdown and degradation, leading to a durable seal. For more information, call (800) 247-3368 or…

20. Page 36

    34th Annual Top 100 Products JS Dental Manufacturing Luxating Instrument Allows for Atraumatic Extraction The exceptionally ergonomic luxating instruments LM-LItOut 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-TwistCut elevators work best when more force and torque are needed. The LM-ErgoTouch surface provides a good, non-slip grip. LM-DuraGradeMax's super-steel blades are designed for maximal strength. For more information, call (800) 284-3368 or visit jsdental.com. FREEinfo, KöR Whitening Oxalate Desensitizer Fuses to Hydroxyapatite Molecules The Complete Desensitizer is a unique oxalate desensitizer that strongly fuses…

21. Page 37

    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 and…

22. Page 38

    38 34th Annual Top 100 Products ContactEZ Strip System Performs Any Amount of IPR The expansion to the IPR Strip System, IPR Plus, provides additional single-sided strips and reduction up to 0.50 mm. For clear aligner providers, this means IPR Strip can now safely and effectively perform any amount of IPR required by a patient's treatment plan. Combined with specification on every handle and unique flexible strips that preserve natural contours, these strips are designed to make IPR safe and stress-free. For more information, call (360) 694-1000 or visit the website located at contactez.com/interproximalreduction. FREEinfo, Philips Oral Healthcare Toothbrush Features…

23. Page 40

    34th Annual Top 100 Products Septodont System Enables Delivery of Local Anesthetic in Multiple Speeds The Dentapen is a self-contained OCLAD that enables the dentist to utilize standard dental anesthetic cartridges and needles. It is entirely portable, meaning that a single device may be all that a dentist needs to purchase. It runs on disposable batteries and enables the local anesthetic to be delivered at 3 speeds and in 3 modes, including (1) full speed, (2) ramped up (blue light), and (3) pressure mode (purple light). For more information, call toll-free at (800) 872-8305. FREEinfo, DiaDent Rotary Files Offer Extreme…

24. Page 42

    34th Annual Top 100 Products Directa Dental Periodontal Ligament Knives Offer Handles Designed for Tactile Control Luxator instruments are periodontal ligament knives used to aid in intramucosal 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 it inserts easily between bone and root with minimal damage to the tissues. The instrument handles are color-coded, and numbers are marked on the shaft for identification. For more information, call (203) 491-2273 or visit directadental.com.…

25. Page 44

    34th Annual Top 100 Products Kuraray America Universal Cement Delivers Strong, Durable Chemical Adhesion Incorporating a unique silane coupling agent—LCSi monomer—PANAVIA SA Cement Universal delivers strong, durable chemical adhesion to virtually all materials, including porcelain, composite resin, and even glass ceramics, without the need for a separate silane or primer. In addition, high concentrations of the original MDP monomer allow for increased chemical reactiveness with zirconia, dentin, and enamel. It offers the same wide range of indications for adhesion and is recommended for all prosthetic restorations. For more information, call toll-free at (800) 879-1676 or visit kuraraydentalusa.com. FREEinfo, Preat Corporation…

26. Page 45

    34th Annual Top 100 Products Great Lakes Dental Technologies Occlusal Appliance Provides Solution for Poor-Fitting Splints The Rhea occlusal appliance provides the solution to poor-fitting, uncomfortable splints. It is fabricated with unique, heat-softened material and uses an innovative manufacturing process to provide exceptional fit, retention, and patient comfort. The appliances are custom-formed to original models, and as a result, chairside seating is only necessary to fine-tune fit and adjust for minor variations. Rhea is available as a Wearguard, Flat Occlusal Plane, or Full Contact with Anterior Guidance splint. For more information, call (800) 828-7626 or visit greatlakesdentaltech.com. FREEinfo, Hu-Friedy Mirrors…

27. Page 46

    34th Annual Top 100 Products Advantage Dental Desensitizer Offers Antimicrobial Inhibition Zones HS&C has been ranked the best overall desensitizer in a study of 9 products because of its antimicrobial action (4% chlorhexidine with HEMA), increase of bond strength, and nonirritating compatibility with soft tissues. Recently published research demonstrates antimicrobial inhibition zones nearly twice that of glutaraldehyde-based products. It can also be used in deep lesions at a fraction of the price of the glutaraldehyde products. It is available in a bulk bottle and unit-dose delivery. For more information, call (800) 388-6319 or visit the website advantagedentalinc.com. FREEinfo, Sunset Dental…

28. Page 47

    34th Annual Top 100 Products MouthWatch Intraoral Camera Captures Sharp, Diagnostic-Quality Images The MouthWatch intraoral camera captures sharp, diagnostic-quality images at an affordable price. Finally, dentists can equip every operatory, document every case, and increase treatment plan acceptance. This intraoral camera is ergonomic, can be installed quickly, is easy to use, and integrates with just about all dental imaging software. Other features include single-button image capture and a fixed-focus lens that eliminates the hassle of manual focusing. In other words, everyone on the dental team can take consistent quality images. For more information, call (877) 544-4342 or visit mouthwatch.com. FREEinfo,…

29. Page 48

    34th Annual Top 100 Products Digital Doc Intraoral Camera Provides Brilliant, High-Resolution Focus The new IRIS HD USB 3.0 intraoral camera brings the smallest details into brilliant, full-screen, high-resolution focus. With one capture buttons and one touch focus, control is always at within reach. The IRIS HD precision optical lens array, brilliant 8-point LED lighting, and Sony's enhanced IR sensor combine for some of the finest picture quality and extreme clarity in HD. For more information, call (800) 518-1102 or visit digi-doc.com. FREEinfo, Perio Protect Trays Produce Reductions in Pocket Depths Perio Trays deliver medication deep below the gums to…

30. Page 50

    34th Annual Top 100 Products Premier Dental Burs Deliver Fast, Cool Cutting Two Striper Ultra-Premium Diamond Burs stay sharp longer and deliver faster, cooler cutting than electroplated brands. This means there is less chair time and happier patients. Made from a select grade of natural diamonds, only Two Striper burs are developed with a proprietary P.S. brazing process that is recognized as the best bonding system in the industry. You can count on Two Striper for diamonds that deliver efficient, predictable results. For more information, call (888) 870-6300 or visit premierdentalco.com. FREEinfo, Angelus Dental Cement's Enhanced Formula Avoids Any Teeth…

31. Page 51

    34th Annual Top 100 Products Bioclear Matrix Ring Contains Composite, Eliminating Line-Angle Overhangs The innovative design of the Twin Ring enablers the ring's tines to adapt any matrix to a variety of tooth shapes and sizes. This intimate matrix adaptation provides composite within the matrix, thus eliminating all line-angle overhangs. The easy-to-open-and-place twin NiTi wires are long-lasting, maintaining the same initial strength and shape throughout their life while providing incredible separation for tight posterior contacts. For more information, call (855) 712-5327 or visit bioclearmatrix.com. FREEinfo, Ortek Therapeutics Caries Detection Device Instantly Diagnoses Suspicious Occlusal Lesions The new Ortek-ECD is a…

32. Page 52

    34th Annual Top 100 Products Enzyme Industries Enzymatic Cleaner Exhibits Effectiveness in Removing Debris Sani-Soak Ultra is a dual-purpose, anti-corrosive, enzymatic cleaner that can be used in the ultrasonic and as a dual evacuation cleaner. It is highly concentrated, non-toxic, biodegradable, safe for the environment, and effective in removing organic debris while improving the life of instruments and burs. Sani-Soak Ultra is offered in 2 scents (Lemongrass Lavender and Cool Mint) and dispensed in a flip-and-pour measured quart or gallon with a pump for ease of use and added convenience. For more information, call (888) 236-9963 or visit enzymeindustries.com/products/sani-soak-ultra. FREEinfo,…

33. Page 53

    34th Annual Top 100 Products Quest Products Melts for Xerostomia Stimulate Saliva and Reduce Plaque All-natural XyliMelts slowly release 550 mg of xylitol to stimulate saliva and reduce plaque. They act as an oral lubricant, keeping the mouth moist for long-lasting relief day and night. XyliMelts are nonacidic with a pH of 8. They are the only dry-mouth remedy safe for use while sleeping. Available flavors include mild mint, slightly sweet (winterfresh), and cinnamon. For more information, call (800) 650-0113 or visit the website located at oracoat.com. FREEinfo, Garrison Dental Solutions Interproximal Wedges Produce Ideal Combination of Adaptability and Retention…

34. Page 54

    34th Annual Top 100 Products DentiMax Sensors Produce Crystal-Clear X-Ray Images The award-winning Dream Sensors excel in every area, including image quality, patient comfort, durability, and hardware/software compatibility. These sensors produce phenomenally crystal-clear x-ray images that are among the best in the industry. Patient comfits are achieved with rounded, beveled corners as well as the thinnest CMOS design on the market. These sensors are built to last, with a Kevlar-reinforced, repairable cable that is connected through waterproof, tightly sealed housing. For more information, call toll-free at (800) 704-8494 or visit dentimax.com. FREEinfo, Filhol Post System Offers Ability to Be Customized…

35. Page 56

    34th Annual Top 100 Products DenMat System Treats and Prevents Periodontal Disease Perio Restore is a convenient home care treatment for patients to keep periodontal disease at bay between dental visits. Formulated to fight bacterial buildup and prevent further infection, it includes a customized tray featuring unique reservoirs designed to push the 1.7% hydrogen peroxide gel into the periodontal pocket to break up biofilm and mobilize bacteria from recolonizing. Perio Restore significantly reduces bacteria when used daily while also providing fresh breath and brighter teeth. For more information, call (800) 433-6628 or visit denmat.com. FREEinfo, Designs for Vision Microscopes Utilize…

36. Page 58

    58 34th Annual Top 100 Products Bausch Device Provides Occlusal Masticatory Distribution Data on App Occlusion combines the traditional and digital registration of the pressure distribution of the occlusal surfaces. The OccluSense handheld is a battery-powered device that uses a local wireless network to transfer the recorded data to the OccluSense iPad app. The inductive charger provides a wireless power transfer. Fully charged batteries allow the usage of the device for up to 4 hours. The 60-μm OccluSense Electronic Pressure Sensor is used just like traditional occlusion test materials. For more information, call (888) BAUSCH (622-8724) or visit bauschpaper.com. FREEinfo,…

37. Page 59

    Patient Demand for Implant Dentistry Grows for General Practitioners Timothy F. Kosinski, DDS Dental implants have certainly become a viable alternative to conventional dental techniques. I started my implant training in 1984, when our modern dental implants were relatively new to the profession. At that time, the prominent implant system was not available to the general dentist. Slowly, over time, our materials and techniques have vastly improved, but there certainly were many bumps in this road over the years. Some materials and designs worked reasonably well, while others did not. We learned together through study clubs and continuing education sponsored…

38. Page 60

    An Experienced Implant Clinician Shares Perspectives Charles D. Schlesinger, DDS, in an interview with our editor-in-chief, Damon Adams, DDS, discusses his perspectives and opinions as a clinician and educator for the GP who is wanting to learn more about implant dentistry. Thanks for taking the time to share your thoughts with our readers, Charles! You have been a loyal contributing author, and Dr. Tim Kosinski, our implant section editor, and I wish to thank you for serving on our Implant Advisory Board as well. So, to start things off, how did you get your implant training? Dr. Schlesinger: When I…

39. Page 62

    The use of CBCT technology is one of the greatest things to happen to implantology. Scanners such as the PaX-i3D Green (Vatech) have become affordable and do not take up a lot of space (Figure 1). Treatment planning software can then be used (Figure 2) to fabricate accurate surgical guides by any number of companies, such as Glidewell (Figure 3). This full-arch guide was manufactured by 3D Diagnostics (Figure 4). Resonance Frequency Analysis (RFA) Devices such as the Osstell IDx (Figure 5) or the Penguin ID (Figure 6) relate so much information regarding the state of stability for implants at…

40. Page 64

    An Experienced Implant Clinician... continued from page 62 As a second technology that I want to mention, I have to say that resonance frequency analysis (RFA) technology has also been a game changer for me. The use of an Osstell or Penguin device changed the way I look at implant placement and restoration timelines. If you are unfamiliar with it, when using RFA technology, the clinician is able to quantitatively evaluate the stability of an implant at placement; during healing and, ultimately, right prior to the restoration phase of treatment. I use this technology on every case to determine initial…

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