Dentistry Today — June 2018

Inside this issue

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1. Page 8

   Continuing Education Options We are aware that you have many options for your continuing education (CE) needs and that you are likely making all of your CE choices with your learning goals and state board requirements for relicensure foremost in mind. Over the years, we have been adding new content to our CE library (dentaltoday.com) so that you can earn at least some of your CE credits conveniently in the comfort of your office or home. Phil Bonner, our CE editor, and I continue to select content that will be of keen interest to any clinicians wishing to participate. Our…

2. Page 10

   Cybersecurity Needs in Dentistry There is little doubt that running a modern dental practice is significantly more complicated than it was only 5 years ago. The main reasons for this are twofold: First, all dental practices must comply with HIPAA rules and regulations, and secondly, practices are now under constant cyber-attack for their data. On the black market, most IT researchers agree that patient health records have the highest monetary value. So, it would be incorrect to assume that your sole dental practice is not a target, because nothing could be further from the truth! The purpose of this article…

3. Page 12

   VIEWPOINT continued from 10 Ransomware: The Biggest Threat? Ransomware is a very licit attack in late January crippled the EHR program Allscripts for more than a week. Even a cursory search on Google will show results on dozens of minor and major ransomware attacks. Some of the more notable attacks have targeted the United Kingdom's National Health Service, airports, banks, etc. So, how do you know you have been affected by ransomware? At the time it happens, with no obligations to it. However, it is programmed to attack at some future point and, when that happens, there won't be any…

4. Page 16

   FOCUS ON: New Endodontic Technology Carlos Alberto Spironelli Ramos, DDS, MS, PhD, discusses professional and personal issues relevant to product development in his area of expertise. Q: How does one shift from being a clinical endodontist, endodontic professor, and researcher to a role as a product developer? A: The day-by-day dental practice, especially in endodontics, is one composed of simple tasks. Necessity is the mother of innovation, and when a dentist faces a challenging root canal treatment, he or she ends up creating inventive and personalized solutions. For several years, I was practicing endodontics while teaching, and, in both endeavors,…

5. Page 18

   Four Ways Your Competition Values Security More Than You Do Chris Hunt WE HEAR IT EVERY DAY: THE FUTURE IS DIGITAL Every business needs to be utilizing technology, especially those in the dental industry. At Bankers Healthcare Group (BHG), we've helped more than 110,000 healthcare professionals secure funding to better their careers and improve their practice. At the top of that list? Investing in up-to-date technology. Technology can provide numerous benefits to both the provider and the patient, from better care and increased efficiency and accuracy to convenience, stronger communication, and enhanced security. I'd like to focus on that last…

6. Page 20

   Composi-Tight 3D Fusion ★★★★½ (87%) Garrison Dental Solutions | (888) 437-0032 | garrisondental.com Consultants' Comments • "I liked having sectional matrices with the subgingival extension." • "Best forceps of any system I have used and best selection of clamps." • "Coating of the matrix made band removal easy, along with the path on the matrix band." • "The new ring design makes placement predictable on tough preps, short clinical crowns, and other challenging areas. The rubber ends of the rings result in minimal slippage." • "3D Fusion wedges adapted better than others and stayed in place." • "Stacking is hard.…

7. Page 22

   Do the Evolution Paul Feuerstein, DMD There are in-office and laboratory scanners that can put...impressions into the digital workflow, so even holdouts can be part of this new wave. Evolution is the name of the game. It is time to take a step back before we get into details of the new CAD/CAM systems, impression scanners, mills, printers, etc. The "experts," as well as the manufacturers, are making many dentists feel inadequate if they are not doing crowns digitally. I am constantly told by colleagues and lecture attendees that "I have not taken a regular impression in ages." Many have…

8. Page 23

   Centrix's NoCord VPS impressioning system. with a pen grip as opposed to traditional guns, which appears to allow a more accurate placement of the Aquasil Ultra. Centrix (centrixdental.com) just introduced NoCord VPS, which actually contains 15% alum for hemostasis and a very small injection tip that is claimed, along with the MegaBody Tray Material (Centrix), to force the light body into the sulcus. In addition, Centrix has a similar valuable product called Nomix take-home cement, which can be used when the impression technique includes a temporary crown and bridge. Nomix comes in 0.5 g tubes that can be given to…

9. Page 24

   24 . 1 TECHNOLOGY Spotlight CAD/CAM System Offers Dental Practices Optimal Solution for Many Situations CHARLOTTE, NC—Dentsply Sirona's CEREC AC with Omnicam is a chairside solution designed to accomplish single-visit restorations, digital orthodontics, and integrated implantology. Designed with the dentists' and patients' comfort in mind, the small, rounded, handheld camera is ideal for rotation in the intraoral space and captures lifelike 3-D scans without the use of powder or impression material. The camera system, PC, and screen comprise one mobile unit, making the CEREC AC with Omnicam an optimal solution for most dental practices. With easy-to-learn software, detailed instructions guide…

10. Page 26

    Application Gives Dental Providers Access to Images From Any Web-Enabled Device MESA, Ariz.-DentiMax announces the release of its all new DentiMax Cloud Imaging application. Specifically designed for the cloud, it gives dental providers access to all of their digital x-rays and extraoral images from any web-enabled device. Increasingly, dentists have expressed interest in a cloudand Internet-based system that includes everything needed to manage the clinical, financial, and imaging areas of their practices. After working closely with dental practices for many years, DentiMax has delivered this integrated cloud solution. Now practices can get all the cloud functionality they need from one…

11. Page 28

    Spotlight System Combines Cordless Obturation Device and Warm Vertical Compaction Device BURNABY, BC, CANADA–DiaDent's cordless obturation system, Dia-Duo, is an advanced and complete obturation system that comprises the Duo-Gun Cordless Backfill Obturation Device and the Duo-Pen Cordless Warm Vertical Compaction Device. The Duo-Charger conveniently charges both devices together. The Duo-Gun and Duo-Pen can also be purchased separately. Duo-Gun features (1) a fast and durable heating system with temperature reaching 200°C within 15 seconds; (2) atomic, durable, and bendable Duo-Gun tips (available in 23 and 25 g); (3) a design made for left-handed and right-handed individuals with duo display windows and…

12. Page 29

    Laser Enables Access, Visibility Without Finger Fatigue 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, wireless NV Microlaser is completely portable yet just as powerful as conventional soft-tissue lasers. Weighing only 1.9 oz and measuring 6.9 in, this innovative, handheld system 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 battery with overcharge…

13. Page 30

    Oral Examination Light Provides Extremely Powerful Shortwave LEDs DANBURY, Conn--AdDent's Bio/Screen is a new and improved oral cancer biofluorescence screening device. It can be used in full-room light due to its exceptionally powerful shortwave LEDs. It is lightweight and ergonomically designed for maximal comfort and ease of use. Special optical filters improve contrast between healthy and abnormal tissue to improve visualization of potential problems at an early stage where treatment is most successful. It needs no fan and is completely quiet. Bio/Screen is cordless, rechargeable, and will operate for an hour without needing to be charged. It has an LED…

14. Page 32

    Diode Laser Uses in the General Practice Timothy Kesinski, DDS INTRODUCTION In this article, we will be discussing some soft tissue uses of the diode laser that can greatly assist the general practitioner (GP) and benefit the patient. Our patients are responsive to the use of the laser as a high-tech tool that is at less invasive and scary than a scalpel blade.¹ The diode laser used in my practice and discussed here is the NV PRO3 Microlaser (DenMat). Being cordless and very light (approximately the size of a Sharpie marker), it is portable and easily transported from room to…

15. Page 34

    Figure 5. The use of the diode laser (on the continuous wave setting at 1.6 W with an initiated tip) to uncover a buried dental implant creates hemostasis. Figure 6. A tissue-punch technique is a more traditional method to uncover an implant. Figure 7. There was much bleeding with the punch technique in this case, and local anesthetic was required. Figure 8. Postoperative healing around the implant healing abutments was excellent, with minimal tissue shrinkage. Figure 9. A mucosal was identified during a routine oral examination. Figure 10. The mucoseal was excised by using the diode laser in the continuous…

16. Page 35

    Figure 14. A 4-day post-op photo indicated a complete healing of the herpetic lesion and a very happy patient. Figure 15. A second patient presented with an active and painful herpetic lesion on his lower lip. Figure 16. The laser was set at 1.5 W in a pulsed mode and was used with a non-initiated tip. Figure 17. Again, there is no contact made between the non-initiated tip and the lesion. Figure 18. The 4-day post-op follow-up showed complete healing at the site. Figure 19. A periodontal examination reveals pocket depths greater than 3.0 mm and bleeding on probing. Figure…

17. Page 36

    Today's Dental Practice Philanthropy Eases the American Dental Crisis Rashad Altawaty, DDS Nearly 150 million Americans didn't go to the dentist last year, and one of the biggest reasons is access to care—63 million people throughout the United States live in places where there is little or no access to care in "dental deserts." The overall population living in one of these dental deserts is roughly 144 times the size of our homeless population. After graduating from the Herman Ostrow School of Dentistry of USC in Los Angeles, I relocated to central Texas—an area that's been designated as a dental…

18. Page 38

    Spotlight Matrix Band Meets Evolving Needs of Dentistry MONTREAL–AMD Medicom's Pro-Matrix is a next generation matrix band designed to meet the evolving needs of dentistry, including simplifying procedures through easier placement and improved visibility. Available in 2 sizes, 6 mm and 4.5 mm, the Pro-Matrix has a sliding band deflector and a smooth tightening mechanism. All you have to do is slide it in and turn. The wider blue ones are used for permanent molars, while the narrower green ones are used for pedo teeth and premolars. They're suited for single patient use, so the cleanup is easy. There are…

19. Page 40

    System Allows for Re-creation of Aesthetic, Natural Finish on All Composite Surfaces SOUTH JORDAN, Utah–For dentists who care about providing quality results for their patients, Ultradent Products' new Jiffy Natural Universal Composite finishing system allows for the recreation of an aesthetic, natural finish on all composite surfaces that looks like enamel and is designed to last. The system is also designed to make the process efficient for clinicians without shortcut results. The new Jiffy Natural Universal Composite finishing and polishing kits are complete procedural systems, comprising malleable spiral-shaped wheels that naturally conform to all tooth surfaces and are ideal for…

20. Page 41

    Spotlight Composite Material Provides Impressive Compressive, Tensile, and Flexural Strengths EDGEWOOD, NY– Parkell's new Absolute Dentin LV is a nano filled, dual-cure, core composite material conveniently packaged in a hand-dispensed 5-mL syringe. The low-shrinkage filler provides impressive compressive, tensile, and flexural strengths for strong, durable composite cores. The manufacturing of Absolute Dentin LV involves a process that is void of any BPA. Absolute Dentin LV cuts similarly to dentin, resisting bur ditching. The material ensures excellent adaptation to irregularly shaped tooth structures and post/core preparations. Absolute Dentin LV's dual-cure capability ensures complete polymerization in deep areas of the tooth and…

21. Page 42

    Composite Combines Superior Levels of Handling, Placement, and Depth of Cure SCHAUMBURG, Ill.—BISCO Dental Products' REVEAL HD Bulk is a light-cured, bulk-fill composite designed to improve the quality and timeliness of restorations. It is optimized to allow for easier, faster posterior restorations by combining superior levels of handling, placement, and depth of cure. The exceptional ease of use allows for simple and convenient placement of the composite in the prep while the category-leading depth of cure ensures a solid restoration from the top down so you can cure with confidence. BISCO's HD Filler Technology allows REVEAL HD Bulk to improve…

22. Page 44

    Cement Displays Ability to Depend on One Adhesive for All Types of Restorations SOUTH HACKENSACK, NJ—Essential Dental Systems' Envy, a self-etch, self-adhesive cement, provides a new advancement in adhesive technology. It is a truly multisurface cement that even solves the problem of adhesion to zirconia, and its unique chemistry provides tack-one bing for easy clean up. Light-cure for a few seconds to allow it to become a gel-like material that flakes right off in one clean piece. As the first of its kind, Envy's multiple adhesion promoter technology allows you to depend on one single cement for all types of…

23. Page 45

    Spotlight Discs Separate, Pre-Cut, and Contour Acrylic and Veneering Ceramics ROCK HILL, SC–Specially designed to ensure optimal chip removal while separating, pre-cutting, and contouring acrylic and veneering ceramics, Komet USA's new double-sided discs incorporate coarse diamond grains, as indicated by their green color ring that simplifies identification. The discs are offered in 2 sizes: D2014.HP.180, which measures 18 mm in diameter; and D2014.HP.220, which measures 22 mm diameter. For more information, call Komet USA at (888) 566-3887 or visit kometusa.com. FREEinfo, Blocks Provide Solution for Those Looking to Streamline CAD/CAM Processes INDIAN LAND, SC–VOCO's Grandio blocs are 86%-filled, nanoceramic resin…

24. Page 46

    Digital Dental Platform Enhances Referrals and Consultations METUCHEN, NJ–TeleDent by MouthWatch, the all-in-one teledentistry platform, has been field tested in public health settings and is now poised to revolutionize private practice dentistry. With TeleDent, patient data, clinical information, intraoral images, and video can be shared live or recorded and stored for review later. The system enhances referrals, consultations, and collaboration between general practitioners and specialists, group practice locations, hygiene settings, and even between dentists and physicians. The result is improved efficiency, increased profitability, and an elevated standard of patient care. What's more, TeleDent takes care of HIPAA compliance for your…

25. Page 47

    INNOVATIONS 47 Implant System Delivers Faster Cell Proliferation and Immediate Stability ENGLEWOOD CLIFFS, NJ–AnyRidge from integrated dental solutions offers a patented KnifeThread design and Speed S-LA with nano calcium ion surface treatment that delivers faster cell proliferation, immediate stability, and faster osseointegration. And the MegaSQ usability meterprovides a guide for optimal loading decisions and the confidence needed to load faster or immediate loading, fewer office visits, the ability to perform more cases, and to realize faster payments. AnyRidge has a single connection for all prosthetic components, therefore there is less inventory, which makes it simpler to use for any tooth…

26. Page 50

    NEWS/TRENDS Industry News Dentsply Sirona Opens Training Facility in Charlotte, NC Dentsply Sirona hosted a ribbon cutting ceremony on May 24 to celebrate the opening of its Dentsply Sirona Academy-Charlotte. The multipurpose training facility will showcase the most advanced and proven dental product solutions in a clinical setting, according to the company. "Dentsply Sirona is committed to bringing the best training and broadest educational experiences to dental professionals around the world," said group VP Greg Sheehan. "Our new and revolutionary training facility in Charlotte will accommodate a comprehensive variety of clinical and technical curricula, including hands-on teaching, live lectures, and…

27. Page 52

    Toothpaste... continued from page 50 The researchers grew 6,000 biofilms in petri dishes and added in tobramycin along with many different compounds to see what worked better at killing the bacteria. Twenty-five potential compounds were effective, but one stood out. "It's well known that triclosan, when used by itself, isn't effective at killing Pseudomonas aeruginosa," said Hunt. "But when I saw it used as a possible compound to use with tobramycin, I was intrigued. We found triclosan was the one that worked every time." Triclosan has been used for more than 40 years in soaps, makeup, and other commercial products…

28. Page 53

    NEWS/TRENDS Rural Seniors Have Poorer Oral Health Than Their Urban Counterparts Senior citizens in rural areas have poorer health outcomes than their urban and suburban peers, according to the United Health Foundation's America's Health Rankings Senior Report. Using 34 measures of senior health, the report highlights the successes and challenges that the 65 and older population faces nationwide. "It is our goal with this report to help seniors, family caregivers, and advocates better understand the specific health concerns in their own communities so we can all work together to address them," said Rhonda Randall, DO, senior advisor to the United…

29. Page 55

    MEETINGS/SEMINARS CE Cruise Dr. Travel Seminars is offering cruise-ship seminars for CE credit. Book a Western Mediterranean cruise sailing the Fourth of July week, July 1-6 from Barcelona, Spain, to Rome and Naples, Italy, and take the seminar "Are You Prepared for a Crisis Situation?" for 12 CE credits. Also on the horizon is a week-long, mid-summer cruise from Seattle to Glacier Bay, Alaska, from July 22 to August 5, featuring "A Week in Pain" for 16 CE credits. Plans are also in the works for a Christmas-season cruise, a New Zealand cruise in January 2019, and a cruise the…

30. Page 56

    Class of Drug Linked to Surge in Opioid-Related Deaths People who have chronic pain often are prescribed benzodiazepines to treat their anxiety, panic attacks, and other mental conditions that can be brought on by the stress of coping with their pain. However, these people also are likelier to receive new opioid prescriptions for their pain than people who don't use benzodiazepines, reports the University of California at Los Angeles (UCLA). Used in combination, the researchers explain, these drugs are known to sharply increase the risk of overdose. According to UCLA's researchers, rates of new opioid prescriptions in the United States…

31. Page 57

    Molecule Plays Role in Itch and Pain Pathways Human survival depends in part on our ability to distinguish among unpleasant sensations, such as itch versus pain, so we can take appropriate action. The skin is studied with nerve endings that detect itch and pain. Although itch and pain nerves are thought to convey distinct sensations, in many cases their pathways are so close that their signals sometimes overlap. Studies show that certain types of pain can suppress itch. To tease apart and better understand these pathways, researchers from the National Institute of Dental and Craniofacial Research and the University of…

32. Page 58

    Digital Radiography—Panoramic Systems Owandy The new I-Max can be installed on a wall and is linked directly to your network. It is delivered fully assembled and is almost a plug-and-play product. You'll be able to view all clinical and anatomical details with maximal precision. With its Automatic Layers Integration System, your unit will immediately and automatically select the best shots in order to display a perfect image. The I-Max offers a superlative performance/investment ratio with lower purchase, delivery, and installation costs, in addition to easier maintenance. For more information, call (203) 745-0575 or email to sales@owandy.com. FREEinfo, Ray America Rayscan…

33. Page 60

    DIGITAL RADIOGRAPHY—PANORAMIC SYSTEMS continued from page 58 Air Techniques The 2-D ProVecta S Pan panoramic x-ray system offers ease of handling and optimal workflow, supported by an innovative 7-in touch display. Its modern CSI sensor technology enables better image quality and significantly easier diagnosis. Its 5-in technology considers the individual patient's anatomy and several accordingly aligned layers to create a pin-sharp panoramic image at any spatial position of the tooth and jaw. The quick scan mode enables you to scan a complete OPG image of an adult in only 7 seconds with an especially low dose. For more information, call…

34. Page 61

    In First Impressions, George Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. He can be reached at (416) 473-0045 or via email at freedman@epdol.com. Flash Polishing Strips Johnson-Promident The finishing and polishing of dental restorative materials involves a progression of steps from gross reduction and contouring to final polishing. Effective finishing and polishing produces optimal aesthetics and improves soft-tissue oral health and marginal integrity. Coated abrasive strips, used in this process, are made by bonding abrasive particles onto a thin polymer or plastic backing. Polishing strips are…

35. Page 62

    TOP 25 FIRST IMPRESSIONS PRODUCTS EVO.15 Electric High-Speed Handpiece Bien-Air Dental High-speed handpieces rotate burs rapidly to effectively and efficiently remove tissue. Air-driven handpieces rotate burs far more rapidly, but electric handpieces produce better torque (essential for cutting speed and control), regardless of the bur rotational speed. The push-button chucking system is the simplest means for changing burs, but it can overheat, causing burns to oral structures. Bien-Air Dental's innovative EVO.15, with patented CoolTouch+ heat-arresting technology, is the only contra-angle designed to never exceed human body temperature. The stainless steel EVO.15's new internal rotor design, high-quality ball bearings, and precision…

36. Page 64

    READERS' CHOICE TOP 25 FIRST IMPRESSIONS PRODUCTS EyeSpecial C-III Smart Digital Camera Shofu Dental Traditional cameras generated professional-quality images but were complicated to set up, operate, and use. Easier-to-use, lower quality cameras provided poor images. Shofu Dental's sophisticated EyeSpecial C-III is a "smart" digital camera specifically designed for dentistry. High-quality images and an exceptional depth of field make it ideal for dental/orthodontic photography, case presentations, and the lab. Smart and fast auto-focusing, stabilizing antishadow software, and dual-flash ensure perfect images every time. Its lightweight design allows for single-handed operation while the other hand manipulates single-touch controls. The EyeSpecial C-III is…

37. Page 65

    EPIC X BIOLASE BIOLASE's EPIC X was created to be one of the most versatile, most responsive, and most portable diode lasers on the market so dentists can delight their patients faster. It offers fast access, fast whitening, and hygiene versatility—along with its features, such as exclusive pain therapy treatment modes, simplified user controls, and enhanced ComfortPulse settings—to deliver greater patient comfort. For more information, call (888) 424-6527 or visit biolase.com. FREEinfo, SiriusMax Advanced Curing System National Dental The practitioner uses many photopolymerized materials for restorative and preventive procedures daily. The predictability and efficiency of curing is significant to the…

38. Page 66

    READERS' CHOICE TOP25 FIRST IMPRESSIONS PRODUCTS Spectra Air Techniques Patients depend on their practitioners to diagnose and locate dental decay as early as possible. Dentists depend on their diagnostic tools to eliminate the guesswork. Air Techniques' Spectra caries detection aid utilizes fluorescence technology to reliably identify fissure and smooth surface caries, even when they are too small to be detected visually or radiographically. The Spectra shines a high-energy, violet-blue light onto the tooth surface to stimulate endogenous bacteria metabolites (porphyrins). Viewed through the onboard optical filtration and seen on the monitor, decay appears red, yellow, or orange in contrast to…

39. Page 67

    READERS' CHOICE FIRST IMPRESSIONS PRODUCTS TOP 25 SplashMax DenMat Vinyl polysiloxane impression materials were introduced 40 years ago. Easier and more convenient than the earlier polysiloxides (rubber base), they were hydrophobic and their performance was compromised in the wet oral environment, particularly in the critical sulcus region continually bathed in crevicular fluid. The 1990s introduced hydrophilicity and cartridge mixing, fine-tuning dental impression tasting. SplashMax has excellent dimensional accuracy with a 99% recovery after stretching and compression, preventing permanent distortion of the impression on mouth removal. Instant hydrophilicity offers consistently high-detailed impressions in a moist environment, and high elasticity keeps the…

40. Page 68

    READERS' CHOICE TOP25 FIRST IMPRESSIONS PRODUCTS IRIS Digital Doc The intraoral camera can only be productive if it is in the operatory, ready for use by a motivated dental team, with every patient and appointment. For education, improved co-diagnosis, and co-treatment planning, Delphi Doc's IRIS is a precision optical instrument with Sony's Hi-Resolution CCD, with an easy-to-use 5-point focus wheel, a smaller and softer tip, and brilliant 5-point LED illumination. The convenient camera and light on/off buttons are readily accessible particularly the rightand left-handed capture buttons on either side of the camera. The multistep focus wheel achieves precise sharpness from…

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