Dentistry Today — June 2025

Inside this issue

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1. Page 6

   EDITOR’S PAGE De ————————— EERE Ee ky Ta th sive techniques that mimic natural tooth structure”. om oge er B In this issue, Drs. Bertolotti and Ruiz present several cases ye , to demonstrate this process. For me, over the years, this infor- 4 r mation has made me look at the remaining enamel and try en I was in dental school in 1970 in New Jersey, >. | to recreate the tooth with an additive approach in contrast a pediatric dentistry professor named Zia Sheyk- 4 to removing this tooth structure and creating crowns. In holeslam, aka Shey, was…

2. Page 8

   a —— ————————————————————————————————— Putti E d How the Sunday Scaries Came To Be mg an n I dreaded Mondays. In high school, college, dental school, and . 4 intomy practicing career. Mondays meant an end to the safety to the Sunday Scaries and astart of the uncertainty and pain that I might face. Thus, N S 4 the birth of the Sunday Scaries. Why? Monday was coming. 4 —/ i - How is it that a 40-year-old dentist has a paralyzing fear of It's okay until it’s not. rk A Mondays? Turns out, I was not alone. My relationship with…

3. Page 10

   VIEWPOINT 1 continued from page 8 you need to be doing, and I started ization, decision, and knowledge I bedtime. There is a system here, but fighting. It was harder to understand dreading Sundays as well. I never couldn't doiton my own. here’s the basics. Get a piece of paper back then because it was hard forme knew when the feeling was going to 2. One reason I dreaded Mondays out, write down everything swirling to describe. hit. The word should is powerful, and is that I had an excessive amount of in your head, and then come up with…

4. Page 12

   Real Estate Investing Dale Wills, owner and founder of Centra Capital Partners, discusses how dentists can invest in real estate without sacrificing time in their practice. Q: Why should dentists even consider real estate than committing to holds for ro-plus years. It balinvesting with all the economic uncertainty and - ances the desire for passive income with the flexthe time commitment it seems to require? ibility to adapt as their careers and life goals evolve. A w Dentists are no strangers to financial responwsibility—running a practice demands signif- Q: Real estate investing still carries risks. How icant investment of time,…

5. Page 14

   [] [] [] Dentsply Sirona: How Rethinkin ply : Packaging Can Positively Impact Dental Practices and Labs ackaging in dental pracresponding to these changes? tices and labs impacts BP: The feedback has been very storage, workflows, and a « positive. We asked dental profeswaste. Smarter, more sus- 3 sionals at international industry tainable options make a real differ- LA events like DS World and Chicago ence—for practices and the planet. 2 Midwinter what they value in packag- At Dentsply Sirona, a cross-func- B . ing. Over 70% valued recyclability tional approach is driving change: « ¢ i and were open…

6. Page 16

   - [] ] == L] From Chair Time to Bottom Line: Driving Practice Efficiency With Innovation Addressing Clinical Inefficiencies “> F474 Dental professionals routinely face a range of - | Va B&B Ls 4 challenges during procedures, including moisture #4, | / control, limited visibility, soft tissue interference, = - <a 7 and unpredictable patient movement. These fac- , rN hee > tors not only complicate clinical workflows but rr EN JT “4 8 also reduce procedural efficiency—impacting both . ral NS # productivity and profitability. J / h The Isolite System from Zyris was developed ) Fs Nl -…

7. Page 18

   VELMENI: Al for Your u Dental Practice rtificial intelligence (Al) powered dental applications enhance diagincreases in speed and acceptance. A= precision, streamline workflows, and improve patient out- Your submissions might even be subject to Al review without you knowcomes. The applications for Al in dentistry are rapidly expanding, and ing it. Dental insurers are increasingly relying on Al for case review. There's the technology grows more powerful every day. little need to incur the expense and delay of sending a claim to the human radiology team when the Al corroborates the submitted findings. Dental Al works like GPS If you've…

8. Page 20

   | | ] Efficient Full-Arch Implant Capture With Intraoral Photogrammetry By Isaac D. Tawil, DDS, MS p= = Te) pee = = A JTL wg a — c - ~~ = - = Capturing implant positions pe Y % 4 oo. ; for full-arch restorations has — K 0 4) i o traditionally required multiple ' H ! a v devices, multiple scans, and = © : o : —_— f significant technical skill. (intraoral photogrammetry) into the Shining 3D Elite wired or wireless scanner, clinicians cannow — streamline implant capture using a single chairside > = ST uit np…

9. Page 22

   Ritter Dental Implant Design Betters Stability and Insertion Torque Values SAN ANTONIO—Ritter Implants | 21 sizes using the same platform are made of a Grade 5 titanium diameter. The narrow platalloy, which goes through a special «, " ° form encompasses 8 additional sandblasting and etching process. AN oy implants in 3.0-and 3.3-mm The overall superior implant design ~ K v implants. All surgical kits contain by Dr. Maurice Salama produces < basic tools to place Ritter platincreased primary stability and high a forms. They are equipped witha insertion torque values. . ov complete prosthetic selection of Ritter Implants have…

10. Page 24

    Aseptico SPOTLIGHT Portable Dental System Designed os for Ease of Use and Reliability . ‘WOODINVILLE, Wash-The AEU-350S is a new ) A Comprehensive ’ Purp osemodel of the GO Ultra Portable Dental System that | . . . features a built-in ultrasonic scaler to streamline nn Built - Digit al X-Ray Solution oral hygiene workflow, eliminating the need to =B 4 1 carry and set up a separate piece of equipment. 3] gl sl Designed for ease of use and outstanding reliability, L S= : BOULDER, Colo —What makes Cleartooth Digital X-Ray different this system facilitates efficient restorative dentistry ~~…

11. Page 26

    = TECHNOLOGY HuFriedyGroup Hiossen . . oe 5 All-In-One Scaler and Polisher Delivers Digital X-Ray System’s Features Power With Patient Comfort Help Produce Clear Images CHICAGO—The new PWR Pair Piezoelectric Scaler . ENGLEWOOD CLIFFS, NJ-T2 reconstructs 2D and 3D images & Air Polisher delivers the power of all-in-one verby converting x-ray signals into digital signals to analyze the oral satile air polishing to every clinician treating every a and maxillofacial region anatomically. T2’s metal artifact reduction patient. The PWR Pair brings users the power of - a function reduces the noise caused by metal materials, resulting in supraand subgingival calculus…

12. Page 28

    Xlear, Inc Smart Science Behind Toothpaste Delivers Stronger Smiles AMERICAN FORK, Utah—Spry EnamelMax Tootha refreshing brushing experience that patients look forpaste blends science and simplicity to deliver advanced w ward to. And with no SLS, artificial colors, or unnecessary enamel protection and total-mouth wellness—without t] MN additives, EnamelMax is ideal for every patient, especially compromise. Formulated with xylitol—a natural, dentistthose patients seeking a cleaner, more natural oral care recommended sweetener—EnamelMax helps block solution. cavity-causing bacteria while supporting the mouth’s oH Whether you're looking to support post-treatment natural defenses. i ; healing, remineralize and strengthen enamel, or help Its power lies…

13. Page 30

    Kettenbach LP Philips Fluoride Varnish Formulated to At-Home Teeth W hitening Appeal to Clinicians and Patients Produces High-Quality Results r= HUNTINGTON BEACH, Calif— ( er Formulated to appeal to both clini- [— Ld | CAMBRIDGE, Mass— K—a ~~ cians and patients, Kettenbach LP's Beas = 4 Philips Zoom! Delivered a = Ea Profisil Fluoride Varnish Plus is a sig- Br - - is an at-home teeth — = . " nificant advancement of its already | &; aN. | whitening solution that — 2325 popular Profisil Fluoride Varnish. oom Waar delivers consistently «~~ Profisil Plus incorporates calcium, | =__ —…

14. Page 32

    B52 INNOVATIONS OraCare Pac-Dent Micro Netting Technology Naturalizing Kit Offers New Level Enables Toothpaste to Improve of Restoration Finish Pl aque Rem ov. al BREA, Calif-Rodin Glaze N -Free and Rodin Palette N -Free Naturalizing Kit q are a groundbreaking resin characterization system set to redefine the stain- BRIDGEPORT, WV—OraPro is ing and glazing procedure for printed dental restorations. This innovative | ZoR\ | described as the most advanced system has been designed for surface detailing across a wide range of dental = i) Ik toothpaste yet. Featuring cuttingrestorations, including hybrid ceramics, Vy RB == edge Micro Netting Technology, PMMA…

15. Page 34

    Premier Dental SPO I LIG HT Injectable Matrix System Allows Clinicians to Create Dentsply Sirona . Clear Ali Simoli Natural-Looking Veneers ear 1ZNETS 1mp if y PLYMOUTH MEETING, Pa a 3 VeneerNow Injectable Matrix System a Treatment Pl anning is an innovative solution designed to ad & simplify chairside anterior compos- = ENCINITAS, Calif-SureSmile Clear Aligners provide a better treatite restorations. It allows clinicians ment experience. A recent 3-year retrospective analysis showed that to quickly and efficiently create - 75% of all completed Surebeautiful, natural-looking chairside — Smile cases required no refinecomposite veneers and anterior respro ee ments (data on…

16. Page 36

    & INNOVATIONS exocad Ritter Software Offers More Dental Chair Offers Dedicated Automation, Sp eed, and Delivery System for Dentists, oe Intuitive Workflows Assistants Pa SAN ANTONIO-The 9 ‘WOBURN, Mass-DentalCAD ~~ Vanguard Dental Unit 22) is one of the leading dental is a game-changer in 79 ) CAD software programs with dental equipment that Ea "ig N, Y LORS thousands of licenses sold combines cutting-edge In de Thigh 0 a, ul i g [) LATA) each year. The newest release, technology with excep srt Gi ul ) DentalCAD 3.2 Elefsina, offers tional value. It enables il} \ [Y (1) de. If…

17. Page 38

    Registration Now Open Head to Dallas for the Southwest for AGD2025 in Montreal Dental Conference in August The Academy of General Dentistry (AGD) is pleased to announce that The Southwest Dental Conference takes registration is now open for AGD2025, taking place July 9 through July EST 0, place from August 22 through August 12 in Montreal. This premier continuing education (CE) event offers general QD w 23 at the Hilton Anatole Dallas in Daldentists hands-on courses, =) 4 2 las. The Southwest Dental Conference, expert-led sessions, and the © a hosted annually by the Dallas County ACA DEMY chance to…

18. Page 42

    [] ] [] [] Digital Radiography—Panoramic Systems Owandy Radiology The I-Max 2D PRO is the first wall-mounted pan The I-Max 2D PRO Ceph combines system and is linked directly to one’s network. All style with cutting-edge technology. 3 . clinical and anatomical details can be viewed with A This ultra-sophisticated unit is one n bi | wo maximum precision. The system is sleek and lightp of the most compact of its kind on IV, 4 weight (136 Ibs). It offers ALI-S (Automatic Layers 3 ND the market and comes with a 5-year RS Integration System), which allows one to immedi-…

19. Page 44

    44 - ~~ : nN - Why the Best Dentists Work With the Best Lab ehind every exceptional dental restoration is an excepmunication behind it that separates a good lab from a great one. tional lab—and in 2025, these labs have evolved into In this 3rd Annual Leading Dental Labs of 2025 special section, something far more than just a place where crowns are we feature profiles of some of the leading labs, as well as a listmilled and dentures are poured. Today's top dental labs ing of 40 dental labs (Page 60). The following labs are showcased are clinical…

20. Page 46

    YY . . . °o Glidewell’s Digital Command: Leadin g * g the Fut f Restorative Dentist or more than 5 decades, Glidewell a Th | | an ] has combined quality craftsmanship BEE ed RE j - with cutting-edge innovation. Today, . ET re = uD ny = es _o as the largest US-based full-service fe” RAVER | =» dental lab, it's redefining restorative » Cha 7 « > dentistry through bold advances -r3 owl. ao Shi at el 3 in digital technology and artificial [SERRE » $0 0.0 RE] Wa! 5 . (7 y 7 intelligence (Al). At…

21. Page 47

    47 = = = = = = = = — — —— —— ——3 3rd Annual LEADING DENTAL LABS OF 2025 possible by the company’s expansive vertical promising usability. neise, Glidewell isn’t just competing —it's continuing integration. “When you combine speed, support, quality,and to set the standard for the future of dentistry. Glidewell HT Implants,which boast a 99.2% cliniaffordability; says chief growth officer Robert Bren- For more information, visit glidewell.com. cal success rate and design features that rival premium brands, are just $99, and feature 20% savings on implant restorations from Glidewell labs. Inclusive Prosthetic Components, manufactured in house, enable…

22. Page 48

    ny 3rd Annual LEADING DENTAL LABS OF 2025 You Don’t Need to Hear Most spotlights talk about the business. We'd rather show you what it’s like to work with 1UP Dental—through the voices of doctors, office staff, and even patients who've experienced it for themselves. “I came to 1UP Dental because of their pricwork with trusted friends, not just a service pro- \ I~ ing, but | stayed because of the partnership. I've vider. We couldn't ask for a better partner!” 7) 2 = - worked with national labs and smaller providers, —Destiny, operations manager 1%» ve ) » and…

23. Page 50

    Ye _ 3rd Annual LEADING DENTAL LABS OF 2025 . . ° Denbright Dental Labs: National Reach, Local Expertise—Elevating the Dental La erience xpertise—Elevating the Dental Lab Experi s the dental landscape contin- 6 . mally invasive cosmetic workflows—all aimed at ues to evolve, clinicians require [RARE 38 0.3 helping dentists stay ahead of clinical and techmore than just high-quality res- V () } nological trends. torations—they need strategic en lab partners who understand p Shared Services That Support Excellence their practice, embrace the latest oe a LE Each Denbright lab is supported by a robust echnology, and deliver responow…

24. Page 52

    52 ——_— 3rd Annual LEADING DENTAL LABS OF 2025 ° ©° . ROE Dental Laboratory: Redefining Restorative and Surgical Solutions t ROE Dental Laboratory, — 2 . A 7 EF i technology meets artisan . rN EG. 1] craftsmanship, and preci- 5) Se [EY yl 1 sion meets innovation. As Lr: p= v / i i 3 ~Y) TN he largest privately held LFS Nv ¢” oS laboratory in the United States, ROE LY 1) = & ; yy “A 1 offers a comprehensive suite of dental ra y y Wy BR hy solutions that seamlessly blend digii tal worflows…

25. Page 54

    ee 3rd Annual LEADING DENTAL LABS OF 2025 . . National Dentex Labs: Merging | tion With Local E ti th a national footprint intraoral scanning, or traditional analog techof more than 45 laboraniques, the NDX lab network helps to ensure tories across the United precise results—supporting both guided and non- States, National Dentex guided workflows for optimized surgical and pros- Labs (NDX) stands as a thetic outcomes. leading full-service dental lab network. Offering DIGITAL DENTURES a comprehensive suite of solutions—from den- Modern Materials. Proven Workflows. tures, crowns, and bridges to implant restorations, NDX Digital Dentures leverage advanced technolsurgical guides,…

26. Page 56

    ee 3rd Annual LEADING DENTAL LABS OF 2025 . . Keating Dental Lab: Powered by Precision and Passion ounded by local visionary LS a { ar is unmatched. It's not just about craft- Shaun Keating, CDT, in 2002, © - g Ra A ing great dental restorations; it's about F Keating Dental Lab has been ¢ Rat La cultivating great relationships, deliverdelivering dental excellence > ing top-notch service and upholding a from its home in Orange & ia 1 relentless pursuit of perfection. County for more than 2 decades. : | =p 1 With a 7-step internal quality control This…

27. Page 59

    ee . Bayshore Dental Studio: ° . . Powerful Solutions to Simplify Workflows ayshore Dental Studio is proud to offer 2 power- » ful solutions that simplify | od a your workflow and elevate BAY = | E X > 3 . H . patient care: Bayflex flexible par- “bo tials and our Simplicity all-in-one PARTIALS implant package. As a fully digital lab, were committed to helping INVISIBLE. COMFORTABLE. ADJUSTABLE. Bayflex flexible partials can be repaired practices modernize with seamless and relined and allow you to add teeth digital integration—including access o, overtime. to the Intelliscan 3D, our advanced 93%…

28. Page 62

    5s RESTORATIVE (©) © ; FREE LIVE © WEBINAR ® on Thursday, August 21, expanding on this article’s topic. Scan QR code or visit webinar to register hesion! Trust Adhesion! Minimally I ive Bonded Brid 4 d Restorati he first time I repaired a broken anterior tooth zirconia, many believing it is not possible or predictable, | with a bonded class IV composite was in the late Dr. Bertolotti continued to develop clever tools and mate- 8os,in dental school. I was worried it wouldn't last, rials needed to perform better adhesive dentistry (he ultiand the professors appeared equally skeptical. Sadly,…

29. Page 64

    So RESTORATIVE missing tooth, including incisal S— — TUR edges, and was applied directly - = > to the silicon matrix, estimating [£3 -S —-— vw how much material would be = IN: needed. The matrix was seated ® 1 A 3 N SI on the mouth, and all teeth were | (] vi 4 SORA built simultaneously using the “ v . y Figure 2. Preoperative photo. Figure 3. Final, direct bonded composite matrix as a guide. The matrix al 4 & restoration after 3 years. To date, 10 oN years later, the restorations are in the lows foranaccurate…

30. Page 66

    RESTORATIVE ¥ v adhesive dentistry influencing the . 24 b profession and thousands of dentists as he did me. This article is meant to 4 Ph o R a honor his many contributions.+ L a. E References $ ¥ 1. Ruiz JL, Bertolotti R. Minimally invasive 1 - bonded bridges vs implants. Dent Today. J - - 2023;42(1):72-5. 4 2. Froum SJ. Chapter 1: Implant complications: A dm pd scope of the problem. In: Froum SJ, ed. Den- Figure 10. Pre-op view. Figure 11. Bonded bridge preparation. Figure 12. Implantsupported crown showing $1 (mpent: Complications. ‘Whey Stachel the frosted appearance…

31. Page 68

    i. RESTORATIVE Ideal R rial? An Ideal Restorative Material INTRODUCTION buccal and lingual (palatal) aspects of a Class II prepa- It has long been a goal of dental clinical and material sciration after removal of the matrix help increase the ence to find a less technique-sensitive approach to the ability to cure composite at the gingival margin of the posterior direct resin restorative process. Unlike amalproximal box in a Class Il restoration." gam, the technique “insensitive” patrician of direct " Incremental placement, regardless of the classic 2 restoratives, successful placement of composite resins mm incremental approach of bulk placement of…

32. Page 69

    he ~ ee ~gVe® » # P \ \ y %. » ‘ | Te ‘ |. } \ LD rr Figure 2. An occlusal view of Figure 3. After partial removal of Figure 4. Complete removal of Figure 5. A 2X occlusal view after tooth No. 12. In addition to the old restorative material, it can the existing composite material is tunnel preparation is completed the breakdown of the occlusal be clearly seen that the gingival shown. In order to affect a proper on the mesial aspect of the cavity surface, there is radiographic portion of the cavity preparation…

33. Page 70

    Figure nces F 11 shows th rg the bulk fill ks paced and light cured. toe re i Jo and there cavity was not overfill = ior 3S oy vs El al. Cuspa eflection and dept oF cure n \ te’ ga el pointes a composite fio id cure in | ep hile exces t a , incremental poor ce to te ate ths nation technique lg Rea =. : rs o s. J Al Figure 14. A - the finishing TC ’ this os ad re i i” i a sat Y ep process of the restora 2. Rees…

34. Page 72

    72 = Ee 3 & IMPLANTS TODAY Immediate Implant Placement [] 2 and Loading: Is It for You” mplant dentistry has gone through and occlusion. This information is used to visualize the case finished before 4 I myriad of advancements over the any surgical intervention using digital technology. The surgical guide cremany years since it has become a ated helped the practitioner to safely idealize not only the implant posimainstream treatment modality. Patients tion in the available bone but allowed him to demonstrate to the patient present to our practices wishing permathe aesthetics he hoped to achieve. Any complications that…

35. Page 74

    ft IMPLANTS I diate Implant PI t ° p ° ° and Provisionalization: ° A Fully Guided A h he reconstruction of partially edentulous [Align Technology]), CBCT (Green X [Vatech Amerpatients with dental implants has become a ica]),and ashade was taken prior to patient discharge. predictable approach in dentistry.’ The imme- ~ The intraoral scan and CBCT files were sent to diate implant placement with provisionalization [ merge and reformat the digital information. A meet- (IPP) concept has been utilized to maintain hard » 4 ing with the design company (Implant Concierge) and soft tissue, as well as replace teeth…

36. Page 77

    IMPLANTS ZZ implantprocess.Inthiscase, thedeterr —— 7 —— 1. roe ot Beano bs cal: mination ofacement retained restorasoi im How does the timing of implant placement to mination ntreta The IPP digital approach was utilized to pod ig Sulla ied tion initiates the discussion, followed $ Implants. 2007;22(Supp!):203-23. by surgical placement in 3D. The bucestablish a seamless execution.... 8. Schubert O, Schweiger J, Stimmelmayr M, He 3 . et al. Digital implant planning and guided cal palatal position was designed pal Cr] Hplagk: sunny. veorkton. si. relay. Bf atal to the incisal edge. The coronal Dent J. 2019;226(2):101-8. d0i:10.1038/ . Er…

37. Page 78

    Integrating Digital Dentistry i g g 1g Ty Removable Prosthodontics: ° INTRODUCTION intaglio surface, followed by a fast-set light-body PVS As new solutions emerge to enhance comfort, aesmaterial (Figure 4). A blue bite registration (Nice Bite thetics, and patient turnaround time, incorporating [Safco]) was also recorded to establish centric reladigital dentistry has revolutionized the approach tion. This approach provided a predictable foundato removable prosthodontics. The adoption of cuttion for digital modeling while retaining familiar ting-edge technologies such as intraoral scanners, contours and occlusal characteristics. design software, and 3D printing enables dental professionals to deliver highly customized, pre- Intraoral Scanning and…

38. Page 80

    PROSTHODONTICS LE y = 3 « — = ~ y? po] nay abby LL he —~ - 4 f=" we { " 2 2 AF - Figure 1. Patient's existing complete Figure 2. Patient's side profile confirm- Figure 3. Frontal occlusal view showing Figure 4. Light-body PVS reline impression denture. ing maintained vertical dimension of acceptable aesthetics and alignment. inside original prosthesis. occlusion. pr py = TZ : = 2 = i yd Phi \ P LIT] l » © Roow | Res “Sey \ . Li re venture | TITAN 55 b BASERO Figure 5. Digital denture design in…

39. Page 84

    fi I The Evolution of Speed Sintering raditionally, zirconia restorations required several Strength and Translucency ( hours in a sintering furnace to achieve optimal In 2019, researchers from the University of Alabama at Birro strength and aesthetics. This long process limited the ~~ mingham reported that speed-sintering programs affect dif- 4 3 ability to provide same-day restorations, a growing demand ferent brands of zirconia differently. KATANA Zirconia STML ed | in modern digital dentistry. Many researchers from industry ~~ (Kuraray) showed higher strength and unaffected translu- [ 3 ren | and institutions tried to develop zirconia material that could ~~…