Dentistry Today — March 2018

Inside this issue

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

1. Page 4

   Shatkin F.I.R.S.T. Changing the Lives of Patients Locally, Nationally, and Globally Todd E. Shatkin, DDS Locally I have placed more than 15,000 mini dental implants and have changed the lives of my patients in Western New York one smile at a time. My patented F.I.R.S.T. procedure with mini dental implants has made replacing missing teeth and stabilizing dentures simple and less invasive. In fact, I developed the "Fix on Six" procedure that eliminates the need for dentures. The mini dental implant procedure is less invasive, produces less discomfort, results in less healing time, requires fewer visits to the dentist, and…

2. Page 8

   Continuing Focus on Dental Materials Last month, in our cover feature, Dr. Sameer Puri presented a review of and update on in-office CAD/CAM dental materials. In this issue of Dentistry Today, we are proud to have Dr. George Tysowsky, a highly respected expert in dental materials and their clinical applications, as the author of a perceptive continuing education selection available for 2 FAGD/MAGD CEUs. Dr. Tysowsky outlines the history and evolution of zirconia, along with an update on the current clinical applications of this modern dental material. He also covers the key preparation and cementation factors that every practicing clinician…

3. Page 10

   Emerging Dental Specialties and Recognition In 1932, there were only 4 medical specialties: ophthalmology, otolaryngology, obstetrics and gynecology, and dermatology and syphilology. The American Medical Association (AMA) had controlled the specialty recognition process and kept new emerging medical specialties, such as cardiology, internal medicine, pediatrics, and surgery, from gaining specialty recognition. Therefore, these emerging medical specialties formed the American Board of Medical Specialties (ABMS) and took over the process of medical specialty recognition. As the AMA was (and is) a trade organization, the ABMS formed as a credentialing agency. A credentialing agency sets the standards, which include clinical and didactic…

4. Page 12

   VIEWPOINT continued from page 10 Specialization Within Dentistry In 1957, there were 7 dental specialties recognized by the ADA: endodontics, oral surgery (oral and maxillofacial surgery), orthodontics (dentofacial orthopedics), pedodontics (pediatric dentistry), periodontics, oral pathology (oral and maxillofacial pathology), and dental public health. Endodontics became a recognized dental specialty in 1963, and oral and maxillofacial radiology became one in 1999. A number of dental specialty applications were submitted to the ADA from such emerging dental specialties as oral medicine, dental anesthesia, orofacial pain, and implant dentistry, and these applications were all rejected, even when the dental specialty application had categorically…

5. Page 13

   COMPANY PROFILE ids—integrated dental systems: Improving Implant Dentistry The AnyRidge Implant System offers superior surgical performance, immediate stability, and more. The AIE program includes didactic sessions, hands-on workshops, and live surgery. The new Mega'Gen 250,000 square-foot state-of-the-art implant manufacturing facility. Founded in 2013, integrated dental systems (ids) provides all-suite productive value-add for dentists and their patients more opinions and better dental implant outcomes through innovative, premium designs backed by clinical research. Its designs and technologies lead to more precise procedures, shorter recovery times, and improved relationships between dentists and patients, all at more cost-effective price points. The Products With its…

6. Page 15

   Load fast, finish fast The AnyRidge patented knife-thread design and XPEED S-L-A with only isthmic surface treatment deliver faster cell proliferation, immediate stability, and fast osseointegration. And our MegaISQ stability meter provides a guide for optimal loading decisions and the confidence you need to load faster or immediately. Match thread diameter to bone density for maximum stability This allows for immediate or faster loading, fewer office visits, the ability to perform more cases, and to realize faster payments. Core Diameter (mm) Thread Diameter (mm) Length (mm) 2.8 3.5 8.5, 10, 11.5, 13, 15 3.3 4.0, 4.5, 5.0, 5.5 7, 7.8,…

7. Page 16

   What's New on Chicago Midwinter Meeting Video Blog Coverage The Dentistry Today film crew was present at the Chicago Dental Society's 153rd Midwinter Meeting, held at McCormick Place West in Chicago from February 22 to February 24. The theme for this year's meeting was "A Dental Triad: Pride • Passion • Professionalism." We covered many new releases, announcements, and exciting moments that the Midwinter Meeting is known for. Visit our website, , to watch our video blogs, featuring the latest technology launches and other exciting industry updates. E-Newsletter The Latest Dental News in Your Inbox Dentistry Today gathers all the…

8. Page 18

   FOCUS ON: New Horizons in Aesthetics Dr. Louis Malcmacher opines on the latest skills needed to fully serve patients and expand professional goals. Q: What has been the biggest change in aesthetic dentistry in the last 10 years? A: By far, the biggest change is the realization by dental professionals that aesthetic dentistry involves more than just the teeth. For years, aesthetic dentistry educators would teach dental professionals to tell their patients, "If I put white veneers on the 4 to 6 front teeth, you will have some great looking teeth, but you will not have a great looking smile."…

9. Page 20

   From the December 2017 Issue LOCAL ANESTHESIA DEVICE Denterprises EZ-FLOW is the first cordless local anesthesia device to deliver precise and accurate flow with a velvet touch. It has undergone painstaking testing and trials with phenomenal reviews. The most innovative components of the EZ-FLOW are (1) sound analgesia, (2) control of anesthesia flow and pressure, and (3) dose. It is a high-tech handheld system with a chargeable base, LED controls, and aspiration mode. It uses standard ampules and needles. For more information, call (877) 509-3180 or visit FREEinfo, denterpriseintl.com. PAIN TREATMENT DEVICE Jumar Corp Aqualizer RehaBite is an adjunct training…

10. Page 22

    Variolink Esthetic +++++ (98%) Ivoclar Vivadent | (800) 533-6825 | ivoclarvivadent.com Consultants' Comments • "Complete kit with everything needed." • "I was able to get precise shade matching with Variolink Esthetic." • "Easy cleanup." • "Shading system is different, but it makes sense." Description Variolink Esthetic is an adhesive luting composite for the permanent cementation of ceramic and composite restorations. Based on its predecessors (Variolink II and Variolink Veneer), Variolink Esthetic combines features of both and is available in light-cure (LC) and dual-cure (DC) versions. It contains the patented light initiator, Ivocerin, which is 100% amine free for enhanced shade…

11. Page 24

    Spotlight Endodontic System Offers Safety of Reciprocation Movement, Efficiency of Rotary Movement SOUTH JORDAN, Utah—The Endo-Eze Genius system is an endodontic system that gives you the safety of reciprocation movement and the efficiency of rotary movement. The Genius endodontic motor, contra-angle, and files are designed to work together as a complete system. The Genius endodontic motor is designed for reciprocating and rotary files. In adaptable, easy-to-use motor, it has various torque settings. It is quiet, smooth, and offers adjustable speeds. The auto-stop settings interrupt movement when a set torque limit is reached, which helps to prevent file separation. The Genius…

12. Page 26

    Spotlight Turbine Offers Improved Visibility in Working Area IRVINE, Calif.-Thanks to its compact head, which is 10.8 mm in diameter and 12.1 mm in height, Bien-Air's Tornado® offers improved visibility in the working area. The reduced size of its head also facilitates access to molar areas, ensuring optimal patient comfort. Despite its small size, it offers exceptional power output. Like the Tornado turbine, the Tornado® is equipped with Bien-Air SteadyTorque technology. With its 24W power output, it is simply one of the most powerful turbines with a compact head. The remarkably efficient new Bien-Air turbine reduces the length of operations,…

13. Page 28

    Spotlight Implant Allows Emergence Profile To Be Maintained Dentron Systems Will Now Sell Owandy Radiology's Systems NEW IBERIA, La.–Dentron Systems is proud to announce a new partnership with Owandy Radiology, which will enable them to offer some of the leading panoramic units on the market. The I-Max Touch 2D wall-mounted units offer optimal patient positioning with face-to-face operation. The new ALIS (Automated Layer Integration System) will immediately and automatically select the best shots to display a perfect image, with no intervention necessary. The I-Max is also unique in its didactic and almost educational, human-machine interface (HMI). The imaging tools and…

14. Page 30

    Spotlight Milling Machine Can Be Positioned Anywhere in Practice or Laboratory AMHERST, NY—Ivodar Vivadent announces the release of the PrograMill One milling machine, a compact, 5-axis milling machine designed to mill beautiful, aesthetic IPS cans restorations. The fresh design allows for high precision and convenience due to a self-contained milling system. This distinguishes it from other mills on the market that necessitate separate filtration or suction units. PrograMill One is wireless, which enables it to be positioned anywhere within the practice or dental laboratory. It can be controlled using the mill's corresponding app on a tablet or smartphone. An LED…

15. Page 32

    Spotlight Handpiece Provides Maximal Durability and Consistent Performance HOFFMAN ESTATES, Ill–NSK Dental features an ultra-premium line of air turbines, the Ti-Max Z handpiece line. The handpieces are engineered for maximal durability, consistent performance, smooth cutting, and optimal access to all areas of the mouth. The standard-head Ti-Max Z900L delivers a profession-leading 26W of power and operates between 330,000 and 400,000 rpm. A proprietary, specially shaped turbine makes these power outputs possible and enables fast cutting for reduced treatment time. There's also a smooth, consistent cutting feel for comfortable operation. The handpieces feature solid titanium bodies. The ergonomic shape and DURAGRIP…

16. Page 34

    Tablet Offers Ability to Easily Transfer Data LIVERPOOL, NY–DrQuickLook's PDA Hero Dental Tablet works right out of the box and saves patients by name. Place it in your patients' hands and bring your diagnoses to life. Watch your case acceptance soar as patients see what you use with crisp intraoral and extraoral images captured in a large touchscreen. The tablet's not dependent on computers or unpredictable integration, yet users can easily transfer data using the included thumb drive to any practice software or any computer or Wi-Fi network. For more information, call DrQuickLook at (888) 346-6153 or visit drquicklook.com. FREEinfo,…

17. Page 36

    Not Enough Time Paul Fuerstein, DMD ...end-of-month reports could find overdue accounts...but many times they are simply glanced at....With all that goes on managing a practice, who has time to read them? Most dental offices seem to get set up, trained, and started with practice management software, but how many of us are using it to its full potential? I recently spoke with Alex Nudel, founder of RevenueWell and an industry luminary. At a recent dental meeting, I had the pleasure of reconnecting with Alex Nudel, and he knows the day-to-day challenges we all face as practice owners. He is…

18. Page 38

    Spotlight Handpiece Enables Clinicians to Have Clearer Illuminated Operative Field TORONTO–Beyes Dental Canada's AirLight M80oX handpiece enables clinicians to have a clearer illuminated operative field. The direct LED is also brighter and has a larger light pattern than traditional power tools systems. The well designed and precisely manufactured handpiece provides extraordinary torque to ensure the accurate and powerful cutting dentists need. Its new features include (1) IS technology, which provides instant stop capability while eliminating backflow and noise when ceasing operation; (2) X ball bearings that last up to 4 times longer than traditional ball bearings thanks to Beyes' newly…

19. Page 40

    New Type of File Bolsters Product Line by Treating Curved Canals CUYAHOGA FALLS, Ohio—COLTENE has expanded its HyFlex EDM product line. The files are now available in 21 mm, as well as a 6/mm, 4/mm format. In addition, a 20/05 Preparation File has been added to the line, which enables the clinician to treat curved canals only with the efficient HyFlex EDM system. After creating a glidepath with the 10/05, the 20/05 file allows minimally invasive, fast preparation of the canal. HyFlex EDM files are endodontically activated in cases with calcium or retenium. Fabricated using electrical discharge machining (EDM) breakthrough…

20. Page 42

    Soft Silicone-Based Reline Material Offers Exceptional Comfort and Durability ENCINITAS, Calif.–Tokuyama Dental America's award-winning Sofreliner Tough, a self-cured, soft silicone-based reline material, offers exceptional comfort and durability. It is indicated for patients who require long term relining on temporary, partial, or full dentures as well as those who need relief from irritated tissues after surgery, teeth extraction, or implant procedures. Sofreliner Tough provides superb stain, odor, and tear resistance as well as better adhesion and suction. It offers long-lasting comfort for up to 2 years in a simple, one-appointment procedure. Chairside relining has never been easier thanks to an automixing…

21. Page 44

    Spotlight Toothpaste Protects Enamel and Fills in Small Holes CINCINNATI—Curaprox USA's Black Is White toothpaste contains activated charcoal as opposed to the chemical bleaching agents other whitening pastes contain. So it is black—truly black—and all, it does grind the enamel away. Instead, the activated charcoal absorbs precisely those particles that cause discoloration, especially tea, coffee, nicotine, and red wine. Black Is White is enamel friendly as well. This is because the hydroxylapatite actually touches the tooth enamel as a thin film. As a result, it protects the enamel and even fills in small holes. This whitening toothpaste is exactly the…

22. Page 45

    Spotlight Composite Acts as Perfect Flowable Resin For Use in Restorations EDGEWOOD, NY— Parkell's new LC Base Restorative composite acts as a perfect flowable resin for use under anterior or posterior composite restorations. Featuring a high-flow, self-leveling consistency, it will conform to irregular, deep preparations prior to topping off with Parkell's HyperFil dual-cure, bulk fill resin or any conventional composite. It contains a proprietary low-shrinkage resin, allowing the clinician to bulk fill up to 4-mm increments and to ensure reliable marginal seals. LC Base is available in 2 shades, including Universal (A1/A2) and Enamel. For more information call Parkell at…

23. Page 48

    HVE Tip's Angled Barrel Wall Allows for Better Visibility ST. JOSEPH, Mich—Ghost Mfg's Multi-Axis Spiral Suction is the latest must-have tool for your dental arsenal. Heralded as the first real advancement in HVE tips in 40 years, it is the first and only HVE tip that will not grab soft tissue, even when a patient closes his or her lips around it, due to its patented, spiral-vented design. Additionally, the angled barrel wall and rounded edge allow for better visibility and increased patient comfort if you accidentally bump their tissues. The Multi-Axis Spiral Suction has earned numerous major dental product…

24. Page 50

    NEWS/TRENDS Industry News Vitale Named President at Kulzer Kulzer has appointed John Vitale as president, North America. Vitale will report to Marc Berendes, chief sales officer at the company. With more than 20 years of sales, marketing, and operations experience in the dental, consumer, and military sectors, Vitale has worked at Procter & Gamble, Nobel Biocare, Keystone Dental, Cocoon, and GLO Science. "We are very pleased to welcome John to Kulzer. His demonstrated record of leadership excellence and achieving results by building winning organizations, forging strong distributor partnerships, and accelerating new product commercialization is a great fit for the Kulzer…

25. Page 52

    NEWS/TRENDS Haering Named Dean of College of Dental Medicine-Illinois Midwestern University has promoted Harold J. Haering, DMD, to dean of the College of Dental Medicine-Illinois. Previously, he was the associate dean for clinical education at Midwestern's College of Dental Medicine-Arizona. "Dr. Haering has outstanding experience in both preclinical and clinical dental education and has brought energy and insight to the College of Dental Medicine-Arizona since he joined Mid-western University in 2011," said Kathleen H. Goeppinger, PhD, president and CEO of Midwestern University. After earning his degree from the University of Kentucky College of Dentistry and serving as a commissioned officer…

26. Page 54

    NEWS/TRENDS UofL Dental Students Screen 600 Kids for Cavities at Give Kids a Smile Students at the University of Louisville (UofL) School of Dentistry provided nearly 600 free dental screenings for children at the Engelhard, Roosevelt Perry, Camp Taylor, Wilkinson, Jeffersontown, and Rutherford elementary schools on February 1 as part of its Give Kids a Smile Day. The students looked for signs of dental decay and cavities and notified parents about their findings. Staff at the School of Dentistry are now following up with parents of children who had urgent needs to schedule treatment appointments. "Tooth decay can be painful…

27. Page 55

    NEWS/TRENDS Oral Healthcare Could Improve Substance Abuse Disorder Treatment The University of Utah School of Dentistry has preliminary results from a first of its kind pilot study integrating comprehensive oral healthcare with treatment for substance abuse disorder. The researchers believe that this approach could curb the national opioid epidemic and fundamentally reshape the way we think about addiction. With funding provided by the Health Resources and Services Administration, the school has partnered with First Step House and Odyssey House, 2 substance abuse treatment programs that are based in Salt Lake City, to provide oral healthcare to patients, including those with…

28. Page 56

    MEETINGS/SEMINARS The AAE Comes to Denver The annual meeting of the American Association of Endodontists (AAE) will be held at the Colorado Convention Center in Denver from April 25 to April 28. Attendees of AAE is can earn up to 28 continuing education (CE) credits at the event from lectures on topics such as pain control, mandibular molars, diagnosis with CBCT, guided tissue regeneration, laser irrigation, intentional replantation, periapical microsurgery, medical emergencies, vital pulp therapy, NiTi rotary files, maxillary sinus issues, root perforations, crown and crown-root fractures, cervical and mid-root resorption, bioceramic obturation, and more. More than 100 vendors will…

29. Page 58

    Zirconia Implants Prove Successful in Three-Year Study A recent study clinically and radiographically evaluated the outcome of zirconia oral implants after 3 years of function. It involved 66 patients in need of a single-tooth replacement or a 3-unit fixed dental prosthesis (FDP). A total of 71 one-piece zirconia implants (48 in the mandible, 23 in the maxilla) were placed and immediately restored with temporary fixed prostheses. After a period of at least 2 months in the mandible and at least 4 months in the maxilla, 71 zirconia based restorations were cemented in the 60 patients with 49 crowns and 11…

30. Page 59

    Conservative Approach to a Multidisciplinary Challenge James Elias, DDS Many patients and doctors can find it challenging when multiple disciplines of dentistry are needed in the course of treating a patient. We know that a comprehensive general dentist and/or a comprehensive team can best handle more complex treatment plans. Patients simply want to have a positive outcome, and most people believe that we were put on this earth to help one another. If we can assure them of that, and if we work together to have a treatment plan and timeline for care that is within our patients' financial abilities,…

31. Page 60

    AESTHETICS we decided to let her wear it home for further evaluation. She wore it for 2 weeks, during which we saw her 3 times for adjustments of temporaries, shade, and function. Her jaw felt better, and she continued to report that the aesthetics were pleasing to her. Now, having been an actual part of the process of fully evaluating the aesthetics and function of the additive restorative treatment proposed, she said, "Let's do this!" Clinical Protocol The first step was to remove the occlusal bis-acryl temporaries from teeth Nos. 3 to 5 and Nos. 12 to 15. Due to…

32. Page 62

    Using the Right Matrix Band for Better and Faster Large Class II Restorations Robert Haraden, DDS There are 3 key challenges relating to matrix bands for dentists performing Class II restorations. The first is choosing and placing the right style: either a sectional matrix band or a Tofflemire-style matrix band. The second is properly wedging the band to separate the teeth to accommodate the width of the band to facilitate a good contact and create more interpoximal box to prevent composite overhangs. The third is properly tightening the band to eliminate contamination, which includes blood and other gingival sulcular fluids.…

33. Page 63

    tamination test technique is used to verify that the band is free of contamination. Because the silicone seal created by the PinkBand surface maintains a contamination-free area, blood or other salivary fluid will rarely, if ever, return (Figure 3). Furthermore, when the composite is being packed and placed, contamination is prevented if the PinkBand is properly wedged and tightened. PinkBand restorations can be made even more convenient with the use of a Contact Pro 2 contact forming instrument, which can be used to create ideally shaped and positioned interproximal contacts (Figure 4). PinkBand's superior seal is especially advantageous when performing…

34. Page 64

    Matrix Systems AMD Medicom The 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. For more information, call (800) 308-6589 or visit medicom.com.…

35. Page 66

    Water Pik The unique hourglass shape of the ClearView universal retaining ring allows more visibility and access to the site, enabling outstanding restorations with tighter contacts. When placed prior to and left on during cavity preparation, ClearView rings help create interproximal space required for sectional matrix placement. They retain strength over time for consistent, predictable restorations, and the innovative gripping lines are designed to eliminate spring-off and reduce flash. For more information, call (800) 525-2020 or visit the website clearview.waterpik.com. FREEinfo, Ultradent Products Every part of the V3 Sectional Matrix System has been expertly designed to work together, creating a…

36. Page 68

    Bioclear Biofit is a transformative posterior matrix system to complement its award-winning anterior matrix. The Biofit matrix's anatomic shape outperforms metal matrices' inherent limitations with new HD, clear Mylar that is tougher than stainless steel. Bulk fill is best served with full light penetration through a clear matrix. The patented Diamond Wedge is the first wedge that delivers the separation of wooden wedges but is easy to place. The powerful TwinRing is guaranteed not to stretch out. For more information, call toll-free at (855) 712-5327 or visit the website bioclearmatrix.com. FREEinfo, Polydentia Polydentia Sectional Matrix Systems provide effective, user friendly…

37. Page 69

    Directa Dental ProxyPal is a transparent, 3-D contoured matrix for the front area. The preshaped progressive curvature creates incisal fillings with a correct anatomical shape and is especially designed for large proximal fillings and closure of frontal diastemas. To achieve a perfect filling, the matrix has been designed so that the curvature of the matrix escalates linearly along its total length. At one end, the curvature is vague, which is ideal for lower jaw incisors. At the other end, the matrix curvature is distinct, thus suitable. For more information, call (203) 438-9848 or visit directadental.com. FREEinfo, Cosmedent Because the ultrathin…

38. Page 72

    Enhances Facially Driven Digital Implant Design Natalie Wong, DDS INTRODUCTION Implant placement is no longer a novel treatment for dentists or patients. Although many treatment plans involving implant placement and restorations can be done using conventional radiographs and traditional surgical techniques, there are distinct advantages in incorporating cone beam computed tomography (CBCT) techniques in the treatment planning phase. The use of a 3-D CBCT scan in implantology is essential to avoid vital anatomy or to navigate challenging anatomical structures, such as nerves, blood vessels, concavities in the mandible and maxilla, and maxillary sinuses. The use of 2-D periapical films and…

39. Page 74

    Enhances Facially Driven... continued from page 72 is desirable to establish a new incisal edge position, the newly sized teeth can be overlaid on the masked teeth and compared (Figure 2). Similarly, newly created digital teeth can be added into the correct positions at the desired angulations for function and aesthetics (Figure 3). Essentially, this is the beginning of the digital wax-up design phase. Manipulating the Data to Create a Facially Driven Treatment Plan The CBCT scan is invaluable when creating a treatment plan and is used most often to guide a bone-driven plan. However, the CBCT scan can also…

40. Page 75

    Planning Implant Placement Once the facially driven design has been created, the implant placement can be planned. The software has a library of different implants and components from all of the manufacturers, which allows the dentist to choose the desired implant size, length, and abutments for each designated implant tooth.* At this stage, the clinician evaluates the patient's anatomy and hard tissue structures, including the restorative space, bone width, bone height, and bone density, to aid in the selection and position of the implants. It is essential that the implant is placed in the best volume and quality of bone…

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