Dentistry Today — July/August 2024

Inside this issue

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

1. Page 6

   Summer in the City Wow, what a summer so far. I hope that those of you affected by the heat, storms, power outages, and more have finally gotten a reprieve. Even here in New England, we are pushing our comfort limits. My heart goes out to all who have been affected. The old joke about frying an egg on the pavement isn't so funny right now. I saw a photo on Facebook where someone had a baking sheet with chocolate chip cookie batter on the dashboard. The car probably smelled great. During all of this, we still push along in…

2. Page 8

   Burnout Prevention for Dentists To begin with, lately, there have been many comments regarding dental practice burnout on many social media sites. Like any practitioner, some days can be better than others, and that is simply part of the human experience when it comes to our profession or any profession. I started answering a burnout question recently on a dental social media Facebook group, and I started with this: "To begin a great question and post, I could probably keep writing the answer for the next 4 days. So, I will try to keep it short and sweet; this could…

3. Page 10

   VIEWPOINT continued from page 8 to everyone. Does your office have a mission, vision, and culture statement, and does every one of your team members know it by cold? And when you get comfortable with your self and your team, the team absolutely should do a personal SWOT (strengths, weaknesses, opportunities, and threats) analysis on you. Do You Have the Right Team? Everybody I know hears this a lot, but it is so important to always ...some days can be better than others, and that is simply part of the human experience.... when you get comfortable with yourself and your…

4. Page 12

   Directa USA Pediatric Crowns Provide Natural Translucency, High-Gloss Surface NEWTOWN, Conn.–Ceramir Pediatric Crowns set a new standard in restorative dentistry for children. Utilizing patented laser sintering technology, these crowns feature a homogeneous, glass-like structure, providing natural translucency and a high-gloss surface. The crowns mimic the anatomy of primary teeth in color and shape, ensuring a natural and aesthetically pleasing appearance. The advanced technology used in Ceramir Pediatric Crowns allows for the creation of crowns with very thin walls. These crowns can be easily repaired chairside with additional composite material, enabling minimally invasive procedures and preserving as much tooth structure as…

5. Page 14

   Ritter Implants Implant's Superior Design Increases Primary Stability SAN ANTONIO— Ritter Implants are made of a Grade 5 titanium alloy, which goes through a special sandblasting and etching process. The overall superior implant design by Dr. Mauricio Salama produces increased primary stability and high insertion torque values. Ritter Implants have 2 platforms and a wide range of platform shifting/switching. The standard platform has the capability of platform shifting from 3.75 mm all the way to 6 mm in diameter. In total, the implants offer a complete line with 3 sizes using the same platform diameter. The narrow platform encompasses 8…

6. Page 16

   Dental Handpiece Offers Two-Spray Technology HOFFMAN ESTATES, Ill—The Ti-Max Z95L with switch functionality is a 1:5 increasing electric handpiece. Instantly switch between a water spray or a water jet with the world's first 2-way spray technology. When extra safety is needed, just the water jet provides maximum protection while offering optimal cooling. Infection protection comes standard. The DualDefense system offers a clean head system that prevents cross contamination of the air lines, and anti-traction valves in the high-speed handpieces and electric micromotor to prevent cross contamination of the waterlines. For more information, call (888) 675-1675 or visit nskdental.com. . Unprecedented…

7. Page 18

   Efficient Isolation and Aerosol Control With DryShield Sam Halabo, DMD Dental isolation techniques have remained largely unchanged, relying heavily on traditional methods, such as rubber dams. These methods, while effective, often posed challenges in terms of patient comfort, ease of use, and procedural efficiency. However, the advent of DryShield (Solutex) has revolutionized dental isolation by providing a more advanced, user-friendly, and effective solution. With 27 years of practice in San Diego, I have integrated the DryShield isolation system into my dental practice over the past decade. This innovation has significantly enhanced the efficiency and quality of my procedures, addressing the…

8. Page 20

   Kerr Universal Adhesive Delivers Exceptional Bond Strength BREA, Calif.–Powered by Kerr's patented GPDM technology and now enriched with MDP, OptiBond Universal 360 is a single component universal adhesive effective on virtually all common substrates. One bottle is used for etching, priming, and bonding. This universal adhesive is effective with as little as one coat and delivers exceptional bond strength to direct and indirect substrates, including dentin, enamel, zirconia, metal, ceramic, and composite. Kerr's patented Ternary Solvent System technology and optimal balance of hydrophobicity and hydrophilicity deliver excellent penetration into dentinal tubules for extraordinary bond strength and protection against microleakage and…

9. Page 22

   National Dentex Labs Aligners Deliver High-Quality Orthodontic Treatment Premier Dental Diamond Burs Provide Superior Performance, Procedural Efficiency PLYMOUTH MEETING, PA—Two Striper Pro Packs are exciting, procedural diamond bur packs. For 110 years, dental professionals have turned to Premier Dental as a leader in bringing innovative products to market that improves daily procedures, practices, and patient outcomes. Choose from a diamond bur procedure packs. Each pack contains 5 of the most popular diamond bur shapes for crown and bridge, inlays/onlays, veneers, and operative procedures. Pro Packs are attractively priced, so one can take this opportunity to experience the superior performance and…

10. Page 24

    Procter & Gamble Electric Toothbrush Provides Quiet Experience CINCINNATI–Unique features of the Oral B iO include the round brush head, which oscillates and micro-vibrates to deliver superior cleaning and an irresistible brushing experience. Concentrated energy helps brush heads glide over tooth for smooth, effective clean and a quiet brushing experience. The smart pressure sensor indicates when brushing at optimal pressure for superior gum protection. Transform patients' gum health at home by recommending Oral-B iO. For more information, call (800) 543-2577 or visit oralborushop.com. USE FREE info card, Clinician's Choice Adhesive Developed for Use With All Etching Techniques LONDON, Ont, Canada–MPa…

11. Page 26

    Dentsply Sirona Easy-to-Use Universal Adhesive Provides Consistent Results for Strong, Reliable Bond CHARLOTTE, NC–Prime&Bond active Universal Adhesive is designed for all etching methods and indications. It features patented Active-Guard technology, which is a significant advancement in adhesive chemistry that actively controls moisture on the prepared surface. Even if dentin is very wet or dry, Prime&Bond active is simple to use and provides consistent results for a strong, reliable bond. With Prime&Bond active, dental professionals can focus on the treatment with confidence, knowing that their performance and efficiency are optimized. Patented Active-Guard technology balances hydrophobic and hydrophilic properties and helps achieve…

12. Page 28

    DENTISTRY TODAY 38TH ANNUAL TOP 100 PRODUCTS Dentistry Today's 38th Annual Top 100 Products are selected based on lead generation. All products appeared in Dentistry Today at some point in the last year and are in no particular order. DMG America DLP 3D Printer Precisely Produces Multiple Devices The 3Demax is a compact, high-speed DLP 3D printer ideal for various dental applications. With ultra-fine resolution and a large build plate, it can precisely produce multiple devices, including surgical guides, bleaching trays, mouthguards, occlusal splints, custom trays, models, and more. Its patented "Force Feedback" technology speeds up printing by 50%, while…

13. Page 30

    30 38TH ANNUAL TOP 100 PRODUCTS Philips Oral Healthcare Electric Toothbrush Offers Intuitive Experience DiamondClean Smart houses Bluetooth technology, smart sensors, and high-performance brush heads to help eliminate the guesswork from brushing and deliver an exceptional cleaning. Featuring 5 brushing modes (Clean, White +, Gum Health, Deep Clean +, and Tongue Care) and 3 intensity settings, it offers an intuitive user experience with personalized coaching through the Philips Sonicare app. DiamondClean Smart is clinically superior in removing 10x more plaque and 100% more stains in just 3 days compared to a manual toothbrush. For more information, call (800) 422-9448 or…

14. Page 32

    32 38TH ANNUAL TOP 100 PRODUCTS Bien-Air USA Chair-Integrated System Performs Numerous Procedures Whether you are planning to upgrade your dental practice with the latest technology or you are just about to start your professional career, OptimalNT is an all-in-one solution offering the full range of treatment options seamlessly integrated into your dental chair. No need for additional equipment anymore because the iOptimalNT lets you perform restorative procedures, endo treatments (including reciprocating mode) and surgical procedures, including implant placement. A piezo scaling function is included as well. Installed directly into the existing dental unit, the system is easily controlled through…

15. Page 34

    34 38TH ANNUAL TOP 100 PRODUCTS Ritter Dental USA Dental Chair Features Ambidextrous Qualities Ritter Dental provides practices with a top-of-the-line product at an affordable price. The Vanguard Dental Unit features a Series 5 hydraulic lift with adjustable speed. The unit is ambidextrous with a 30° swivel. It includes dentist and assistant delivery with 3 active handpiece positions on the dentist side. For more information, call (210) 940-5227 or visit ritterdentalusa.com/vanguard. aser Produces Faster Healing Waterlase iPius is BIOLASE's flagship, most capable laser offering practice-changing, patient-preferred, all-tissue laser dentistry. Waterlase's proprietary YSGG wavelength is optimal for all-tissue procedures and is…

16. Page 36

    36 38TH ANNUAL TOP 100 PRODUCTS DEKA Lasers Lasers Feature Latest Advancements in Technology DEKA offers some of the most advanced CO2 and Nd:YAG lasers in the industry. With 8 dedicated research and development facilities around the world, DEKA represents the latest advancements in technology. With multiple laser applications available, applications include treatment of all intraoral soft tissues, biostimulation and pain management, and the use of fractional handpieces for treating palatal constriction and facial aesthetics. Manufacturing laser technology for more than 40 years, DEKA (part of El.En.) is the largest laser manufacturer in the world and distributes in every corner…

17. Page 38

    38 38TH ANNUAL TOP 100 PRODUCTS Dental Plus USA Restorative Material Features Simplified Fabrication Process GCAM is specially designed for permanent dental structures and offers an ideal combination of strength, aesthetics, and longevity, making it an excellent choice for a range of dental applications. With its simplified fabrication process, it presents significant time-saving benefits to dental professionals. Its monolithic nature eliminates the complexity of layering techniques, reducing the time spent on restorative cases. This streamlined workflow translates into increased patient throughput and potential cost savings. For more information, call (385) 343-5539, visit the website dentalplususa.com, or email orders@dentalplususa.com. Panoramic System…

18. Page 40

    38TH ANNUAL TOP 100 PRODUCTS LightScalpel Carbon Dioxide Lasers Offer Precise Cutting LightScalpel is an American-based designer and manufacturer of advanced CO2 lasers with flexible fibers and ergonomic handpieces. These lasers offer precise cutting, minimal collateral damage, and fast healing, making them ideal for soft-tissue dental procedures like frenectomies, biopsies, crown lengthening, and non-ablative soft palate treatments. The predictable tissue response, instant hemostasis, and clear operating field enhance surgical precision and patient comfort. For more information, call (866) 589-2722 or visit lightscalpel.com. sly Transmits High-Quality Images to Computers Air2Zed is a revolutionary imaging solution engineered and manufactured in the United…

19. Page 42

    42 38TH ANNUAL TOP 100 PRODUCTS Pac-Dent Universal Bonding Agent Offers High Adhesion Strength Rodin Bond is the first universal bonding agent to bring the power of the 3D printing revolution to restorative dentistry. Crafted with the same cutting-edge technology that powers Rodin Resins, Rodin Bond offers exceptional bond strength for 3D-printed restorative applications and the highest adhesion strength for conventional restorative procedures. The effectiveness of Rodin Bond is further enhanced by Sensiguard, which is a dual-function primer and desensitizer. This combination synergizes to produce unparalleled bond strength and adhesion for direct and indirect restorations. For more information, call (909)…

20. Page 44

    44 38TH ANNUAL TOP 100 PRODUCTS Pulpdent Bio-interactive Molecule Facilitates Remineralization of Tooth Structure Crysta is the trade name for a newly patented bio-interactive molecule. The technical name for the Crysta molecule is methacrylate-functionalized calcium phosphate, or MCP. It is a stabilized calcium phosphate that is arrested in a transitional state and able to provide needed calcium, phosphate, and fluoride to damaged teeth. Crysta can be incorporated in aesthetic, load-bearing composites to facilitate remineralization of tooth structure; seal margins through deposition of calcium, phosphate, and fluoride; and break the cycle of restorative failure and secondary caries. For more information, call…

21. Page 46

    46 38TH ANNUAL TOP 100 PRODUCTS DiaDent Bio Sealer Produces Optimal Flowability The new DiaRoot Bio Sealer is a highly radiopaque, premixed, and pre-filled bioceramic calcium silicate-based MTA sealer in a syringe. It has high biocompatibility to induce hard tissue regeneration and low solubility to maintain an excellent seal inside the canal. It also has optimal flowability to ensure all canals are reached and a high pH for antibacterial action. For more information, visit diadent.com. ses Innovative Properties Ceramic Crown resin revolutionizes in-office production of definitive crowns with its innovative properties and comprehensive chairside solution. It is an FDA-cleared resin…

22. Page 48

    48 38TH ANNUAL TOP 100 PRODUCTS Procter & Gamble Electric Toothbrush Delivers Superior Cleaning Help patients remove up to 100% more plaque when compared to a manual toothbrush and improve gum health with the Oral-B. Unique features include the dental professional-inspired round brush head, which oscillates and micro-vibrates to deliver superior cleaning and an irresistible brushing experience. Concentrated energy helps the brush head glide tooth-by-tooth for a smooth, effective clean and a quiet brushing experience. The smart pressure sensor indicates when brushing at optimal pressure for superior gum protection. For more information, call (800) 543-2577 or visit the website crestoralprobshop.com.…

23. Page 49

    38TH ANNUAL TOP 100 PRODUCTS Glidewell Zirconia Delivers Lasting Transformations With BruxZir Esthetic, there's no need to choose between strength or appearance. Clinicians rely on it to impress patients and deliver lasting transformations. With this formulation, you can create a stunning, natural look anywhere in the mouth. You'll also experience the convenience of Glidewell's 3-day in-lab turnaround time. Finally, with unconditional remakes and the BruxZir lifetime warranty, you can prescribe with ultimate confidence and peace of mind. For more information, call toll-free at (800) 471-9757 or visit glidewell.com. isualization of Each Patient's Dental Health OVO is an innovative scanner and…

24. Page 50

    50 38TH ANNUAL TOP 100 PRODUCTS Aseptico Implant Motor Features Powerful and Precise Brushless Motor The 1070 Series Implant Motor delivers ease of use, power, and precision for implant dentistry at an affordable price. Its key features include a compact design, an intuitive interface, and a powerful and precise brushless motor with the ability to place implants up to 70 Ncm. Other key features include integrated handpiece calibration, programmable presets, and a multifunction foot control for hands-free adjustments. It is made in the United States. The handpiece is not included. For more information, call (425) 408-9347 or visit the website…

25. Page 51

    38TH ANNUAL TOP 100 PRODUCTS Glidewell In-Office Solution Makes Digital Dentistry More Accessible With the glidewell.io In-Office Solution, you can deliver fully sintered BruxZir NOW crowns and bridges, plus other leading materials, with no own time and big savings. Combining AI-powered one-click designs, reliable training and support directly from Glidewell, and the flexibility to pair with the intraoral scanner. Assured Dental Lab Aligners Resist Tearing and Staining The innovative design of DreamAligners guarantees a constant and reliable force, delivering exceptional benefits, including precise fit for optimal results, sustained force retention, accelerated treatment protocol, unmatched durability, and patient comfort. These aligners…

26. Page 53

    38TH ANNUAL TOP 100 PRODUCTS A-dec LED Light Offers Complete Spectrum of Colors Everything about the premium A-dec 500 LED is designed to create optimal working conditions, like continuous light that floods the oral cavity, reducing shadows and eye fatigue. It offers a cure safe mode that provides more time to work with composites. It also includes a complete spectrum of colors that appear precisely as nature intended. The precise positioning and pressure feature set empowers a clinician and his or her team to sit comfortably, see clearly, and diagnose accurately, day after day. For more information, call (800) 547-1883…

27. Page 55

    DMP Dental Nanohybrid Composite Produces Superior Aesthetic Results With more than 30 years of experience, DMP has developed an innovative manufacturing process that integrates a unique blend of microand nanofillers into the resin matrix, creating an easy-to-sculpt nanohybrid composite for class I to IV restorations. NANOCERAMBRIGHT outperforms the competition, achieving superior physical and aesthetic results. Excellent color stability, 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 email info@dmpdental.us. t System Allows For Use of Translucent Restorative Materials The SMARTbase abutment…

28. Page 56

    56 38TH ANNUAL TOP 100 PRODUCTS Directa USA Bioceramic Cement's Low Viscosity Ensures Easy Seating Ceramir Crown & Bridge Quilcap Bioceramic Cement is resin-free, reducing secondary decay risk. Merging Ceramic and glass ionomer technologies, it suits crown and bridge applications. Its low viscosity ensures easy seating, and the gel-phase allows for straightforward cement removal. Releasing calcium ions, it fosters an alkaline environment for hydroxyapatite formation, addressing marginal gaps. Self-curing and requiring no pretreatment, it reduces chair time and patient sensitivity. It's known for consistent mixes, setting times, and easy excess cement removal. For more information, call (800) 537-8765 or visit…

29. Page 58

    58 38TH ANNUAL TOP 100 PRODUCTS Henry Schein One Practice Management Software Offers Simple Interface Dentrix Ascend moves practice management to the cloud, empowering practices to focus on patient care by removing IT challenges, such as backups and server maintenance. The modern, role-based interface is easy to learn and use. Top features include SOC2 Type II security; access from any device; centralized, multi-site scheduling and billing; digital radiography and AI analysis; online booking; appointment reminders; electronic forms; insurance eligibility; and much more. For more information, call (800) 336-8749 or visit dentrixascend.com. USE FREE info card, Medit Scanning Device Delivers Realistic…

30. Page 60

    60 38TH ANNUAL TOP 100 PRODUCTS Fairfax Dental Dental Pin's Wide-Pitch Thread Provides Excellent Retention The Stabilok Pin is designed to achieve 2 criteria: self-shearing with maximum reliability and insertion with maximum ease. The wide-pitch thread provides excellent retention for the pins, which are available in either the purest commercially available titanium or stainless steel. The pins and drills are dispensed from the box through apertures, which can be set to either the hermetically sealed position or the open position by hinged flap. For more information, call (800) 233-2305 or visit stabilok.com. ral Scanner's Technology Includes Smart Pixel Sensor, Intelligent…

31. Page 62

    62 38TH ANNUAL TOP 100 PRODUCTS Shofu Dental Digital Camera Produces High-Quality Clinical Photographs EyeSpecial is a smart digital camera designed exclusively for dentistry. It allows the entire dental team to take perfect pictures every time—no photography skills are needed. It features an ultra-lightweight body, 9 shooting modes, auto-cropping, smart focus, zoom, and Wi-Fi capability to achieve stress-free, high-quality clinical photographs. The camera can be easily cleaned, and the large LCD touchscreen works with exam gloves. For more information, visit shofu.com. ms Tomosynthesis System Produces More Actionable Diagnoses With the power of 3D tomosynthesis, dentists can obtain more clinical information,…

32. Page 66

    Fiber Posts/Pins FIBER POSTS Dentsply Sirona FluoroPost endodontic fiber post is the reliable post material for those cases when not enough hard tissue remains. Glass fiber posts keep catastrophic and restorable fracture rates low, increasing the overall longevity and success of a final crown restoration. FluoroPost provides high bond strength without additional silanization or sandblasting. It provides comparable e-modulus to dentin, reduces stress transfer to the tooth, and has a tapered shape that mimics root canal anatomy—so you can efficiently achieve a precise fit with minimal dentin removal in the apical area. For more information, call (844) 848-0137 or visit…

33. Page 68

    FIBER POSTS iLumi Sciences The Super Fiber Post is a reliable choice for dental restorations. It allows photocuring light to pass through to the apex and has 5x radiopacity for visibility on x-rays. Made of patented, fiber-optic material, it offers superior flexural strength and dentin-like elasticity for long-lasting restorations. For more information, call (877) 854-5864 or visit ilumi.com. 4x Fiber Posts have a radiopacity of up to 400% of aluminum to help ensure that they are clearly identified on a radiograph at placement and follow-up appointments. Translucent glass fibers are bundled in a proprietary clear resin matrix to provide reliable…

34. Page 69

    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 more information, call (800) 233-2305. 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, self-aligning…

35. Page 71

    South Florida Dental Meeting Set for November South Florida is getting a brand new and exciting annual dental event. The event will take place at the Le Meridian Hotel in Dania Beach, Fl, from November 8 through November 10. This venue is perfectly situated between Miami and Palm Beach and just minutes from the Ft. Lauderdale Int'l Airport. This makes it accessible to more than 10,000 dental professionals in the area to easily drive to this event. Secured world-class speakers include Randy Shoup (biomimetic dentistry), Thomas Wiedemann (NYU associate professor in oral surgery), Juan Carlos Ortiz Hugues, Robert Miller, Stan…

36. Page 76

    The Use of Zygomatic Implants in Restorative Cases INTRODUCTION Dr. Leonard Linkow, one of the pioneers of implant dentistry, once noted that to successfully treat the maxilla with dental implants, new techniques would be required to circumvent maxillary problem areas to establish solid anchorage for fixed restorations.¹ Years later, while seeking alternative anchorage sites for patients with severe maxillary atrophy, the widely recognized father of modern implant dentistry, Dr. Per Ingvar Brånemark, expounded on Linkow's sentiment, noting "Mother Nature provided an area of dense and extensive bone, near the area of the jaw, which could provide good anchorage properties."² Dr.…

37. Page 78

    IMPLANTS CASE 1 Figure 1. Presurgical CBCT 3D rendering showing advanced maxillary atrophy. Figure 2. CBCT scan slice (sagittal view) showing advanced maxillary atrophy. Figure 3. Maxillary atrophy appreciated following mucoperiosteal flap reflection. Figure 4. A barrel diamond bur was used to create creviculus channel preparation to facilitate placement of a zygomatic implant. Figure 5. An initial marking drill penetrated the lateral zygomatic cortex using the oronasius bur preparation for guidance. Figure 6. A probing ruler was used to measure the zygoma osteotomy for determination of the proper fixture length. Figure 7. Quad zygomatic and pterygoid implant placement with multi-unit…

38. Page 79

    IMPLANTS 79 to 60° are required to achieve proper prosthodontic positioning (Figure 2). While all on X dental literature often cites 120 Ncm of composite torque value as a minimum requirement for success in immediately loaded full-arch dental implant protocols, the cumulative insertion torque of the fixtures in this case exceeded 200 Ncm. To reduce the chances of future mucogingival recession exposing the extrasinous portions of the axiomatic implants, buccal fat pedicles were advanced to thicken overlying tissues (Figures 8). Flap closure was achieved using 4-0 chromic gut sutures in Holtzcelaw's Texas 2-Step technique. (Figure 9). Digital scanning, design, and…

39. Page 80

    The elimination of bone grafting is a game changer for these patients. at sinus graft placement was more than 6 months prior, the xenograft in both sinuses remained unincorporated and had minimal turnover (Figure 15). The axial implants in the graft were firmly mobile and easily removed (Figure 16). Likewise, the unincorporated xenograft was also removed with little effort via simple curettage and irrigation. Following the removal of the sinus xenograft, the trans sinus dental implant only had osseous engagement at the lateral nasal wall. Despite having 6 months of osseointegration, the trans sinus implant was removed using only 20…

40. Page 82

    82 2 CE Credits Test 265 dentalCEtoday.com Use of Aesthetic Crown Lengthening Surgery to Correct Gummy Smiles This article discusses an effective treatment of gingival excess using a periodontal and restorative approach with long-term follow-up results of 8 years showing that the results can be maintained over time. Ahmad Soolari, DMD, MS, received his DMD degree from the University of Mississippi in 1990. He is a Diplomate of the American Board of Periodontology. He received his certificate in Periodontics from Eastman Dental and his MS degree from the University of Rochester in New York. Dr. Soolari is a Diplomate of…

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