Dentistry Today — May 2014

Inside this issue

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

1. Page 4

   INTERVIEW PERRY L. PARKE, Microcopy 1 Can you give us some background on Microcopy? How did the company come to be, and how did it get to where it is today? My uncle and his fellow Microcopy in California back in 1970. Their goal then, as it is now, was to provide a simple product that resulted in a sense of delight for the user. You wouldn't know it by looking at him, but my uncle, Thom Maass, was a giant killer. He had just graduated from Cal State University, Long Beach, and his father had just retired from the…

2. Page 10

   Minimally Invasive Revolution? For quite some time now, the buzz has been "minimally invasive dentistry." Is this a real trend in our profession or just another catchphrase that is not helping us tackle reality? One of this month's articles, by Drs. Jose-Luis Ruiz and Renee Kurtz, discusses the need to consider partial coverage restorations when possible, pointing to a recent survey by CLINICIANS REPORT stating that only 2% of all restorations fabricated by US laboratories are partial coverage onlays or veneers. Is this resulting from the ongoing economic conditions, issues related to insurance coverage, new corporate practice models, the introduction…

3. Page 12

   Dentist to Physician Patient Advocacy for Health's Sake INTRODUCTION An advocate is "one who speaks, pleads, or argues in favor of." Every day, 15,200 Americans turn 65 years old.¹ Two in every one will contract heart disease;² one in 6 will become diabetic; and 6 of 10 will manage more than one disease which doubles needed doctor visits, worsening our present physician shortfall.³ At least 50% have periodontitis,⁴ a bacterial infection that can cause chronic inflammation.⁵ Patients are twice as likely to become diabetic if they have periodontal disease⁶ and at least double their chances for cardiovascular disease.⁵ Because 76%…

4. Page 14

   continued from page 12 VIEWPOINT bacterial decomposition before deep SRP, to remove plaque and calculus without bacteria. Laser assisted periodontal therapy (LAPT) was used to remove necrotic gum tissue to promote healing and kill pathogenic bacteria. To keep the bacteria in remission postoperatively, home care was replaced with Disease Control Kits (CloSYS rinse and toothpaste, Rowpar Pharmaceuticals Dentific Research's Hydrabrush and Oral Care Technologies' Hydrofoss and perionormal formula by Avalon Lab oratories and Osteogenesis from Tolos Labs). A Case As Treated in the Office of Bradley Parker, DDS A 50-year-old female patient of record in the dental practice of Dr.…

5. Page 16

   Below is a Letter to the Editor that Dentistry Today received as an update from the authors to the article, "Importance of Early Detection of Squamous Cell Carcinoma," which ran in April 2014 on pages 106 to 109. Dear Editor: We would like to update you on recent developments in the case that was described in our article published in the April issue of Dentistry Today, because, in our opinion, the issue of early detection of cancer is seriously important for dentists. The rate of occurrence of oral cancer is on the rise; therefore, early detection followed by the correct…

6. Page 18

   FOCUS ON: Aesthetic Dentistry Frank J. Milnar, DDS, reflects on the importance of the profession's aesthetic guidelines and continuing one's education in order to achieve long-lasting treatment results. Q: What parameters and guidelines help to govern today's aesthetic dentistry? A: Although beauty may be in the eye of the beholder, there are several attributes of the teeth, lips, mouth, and relation of the smile to the face that dictate whether dentistry is aesthetic or not. There are respected parameters that guide the manner in which aesthetic dentistry is executed. For example, the American Academy of Cosmetic Dentistry (AACD) is a…

7. Page 19

   If you've been searching for a way to do endo economically, you have reached your destination. The Foramatron Apex Locator Precisely pinpoints the apical constriction using high and low frequency bands. Ergonomic, aseptic design. LED illuminated display for easy viewing. Four distinct audio signals reinforce the indicator lights. Reliable results even in the presence of all types of fluids. Uses a replaceable, inexpensive 9-Volt battery. Includes detachable autoclavable cables. 5-year power-unit warranty. Electronic apex locators have become so reliable in measuring root canals in relation to the apical foramen, that to operate without one is almost unheard of. The popularity…

8. Page 20

   Visit Our Site Today! Technique of the Week Shaping Canals Cliff Ruddle, DDS Dr. Clifford Ruddle discusses the extraordinary features of ProTaper NEXT (PTN), including the clinical advantages of shaping canals using files with an offset cross-sectional design and resultant asymmetric motion. This clinical video will demonstrate the use of PTN rotary files in a mandibular molar. GuttaCore is the obturation technique employed in this endodontic case. To watch the video, visit . From the Show Floor California Dental Association The Dentistry Today video team is getting ready to travel west for the California Dental Association's CDA Presents in Anaheim.…

9. Page 22

   From the February 2014 Issue IMPRESSION MATERIAL EXACTA Dental Direct FRESH Bold VPS is an advanced VPS impression material system that provides dentists with incredible accuracy and ease of use at a great value. It is available in 8 different viscosities and 2 setting times. The lower viscosities have exceptional hydrophilic properties and tear strength. For more information, call (800) 474-7665 or visit the Web site exactadental.com. FREEinfo, LOUPES DenMat PeriOptix offers high-quality, lightweight loupes and headlights at an unbeatable price. The company has introduced numerous innovations, including a unique modular frame system and portable LED light source. PeriOptix is…

10. Page 24

    NEW PRODUCTS AIR-DRIVEN HANDPIECES NSK NSK now offers the 26W, standard-head Ti-Max Z900L (shown), the dental profession's most powerful air-driven handpiece, and the 23W, miniature-head TiMax Z800L. Both feature a new cartridge design to dramatically improve durability, smaller head sizes to enhance operational visibility and cartridges that can be easily replaced chairside. Both also feature solid-titanium bodies and DURARIP coating, which makes them easy to load, even when wet. A 4-port water spray and a 2.5-year warranty complete the offering. For more information, call (888) 675-1675. FREEinfo, ULTRASONIC CLEANING UNITS BrandMax BrandMax Tri-Clean all-stainless steel ultrasonic cleaning units provide superior…

11. Page 26

    CLINICAL REVIEWS THE DENTAL ADVISOR eCEMENT +++++1/2 BISCO Dental Products | bisco.com Consultants' Comments • "It is a complete system with everything in one kit." • "Universal shade works well in most cases." • "Compared to other adhesive resin cements, eCEMENT is a complete kit and easy to use." • "Easy cleanup around the margins." • "Multiple steps." Description eCEMENT is an adhesive resin cement system packaged to simplify the placement of lithium disilicate restorations. Included in the system are light and dual-cured versions of eCEMENT plus compatible etchants, adhesives, and primers. Evaluated by 14 consultants, the system earned a…

12. Page 28

    CLINICAL REVIEWS THE DENTAL ADVISOR Cinema ProMED System ++++ Total 3D Solutions | total3dsolutions.com Consultants' Comments • "Best new piece of technology that I've incorporated in years." • "Reduces my stress by aiding in patient relaxation." • "Patients were thrilled with this new technology." • "Sleek design; it didn't hinder my treatment at all." • "Patients wanted to stay in finish their movies after treatment was done." • "Best suited for long procedures." • "Serum is difficult for those who are not tech savvy." • "Most setups rely on a Wi-Fi connection, which was not always reliable in my case."…

13. Page 30

    Improving Class II Clinical Restorative Outcomes With Garrison's Composi-Tight 3D XR Sectional Matrix System By Robert Rosenfeld, DDS For many patients and practitioners, composite resin has become the material of choice for direct restoration of posterior teeth. Many practitioners may not recall the history of the usage of this material for purpose. The earliest generations of resin materials were designed strictly for restoration of anterior teeth. As dentists pushed the envelope by using these materials to restore posterior teeth, we encountered outcomes that were less than satisfactory. Posterior restorations made with composite resins were subject to excessive wear, and Class…

14. Page 31

    Let Garrison improve your Class II's "The ring (3D XR) adapts to all teeth perfectly, seals the gingival margin way better than any other ring and doesn't spring-off. The ring is AWESOME and has made me more confident and less stressed out with my Class II composites. GREAT PRODUCT ! P.S. It has cut about 10-20 minutes off appointment times." Neil Olson, DDS Superior, Wisconsin, USA In 2008, Garrison Dental Solutions introduced the Composi-Tight 3D ring, which incorporated soft silicone pads that helped adapt the segmental band to the tooth being restored, thus eliminating one flash and simplifying the trimming…

15. Page 32

    Spotlight World's First No-Touch Headlight Introduced ANN ARBOR, Mich.–The danger of cross contamination threatens both clinician and patient, and switches and knobs are a perfect trap for biological material. To combat this danger, SurgiTel introduces the Micro Eclipse No-Touch LED Headlight. Featuring advanced motion sensor technology, the headlight turns on and off with a simple wave of the hand. Comfortably wave the light off when finished with a patient, move around the office, and simply wave it on with the next patient. No more lost loupes. Turn the light off easily and speak to your patients without blinding them. And…

16. Page 34

    Spotlight Furnace Now Offered in Limited-Edition Model That Includes Substantial Savings Package BREA, Calif.-VITA's popular VACUMAT 6000 M microprocessor-controlled, fully automatic furnace is now available in a limited-edition black model that included a $2,200 savings package offering platinum pins, a firing tray, a set of metal cooling trays, magnetic side panels, a vFad footstep, and an upgrade to the vFad excellence control unit for the price of the vFad comfort. Customizable, the VACUMAT 6000 M allows you to select only the features you want, and the vFad excellence offers 1,000 programs and the ability to control up to 4 furnaces…

17. Page 36

    Spotlight Dental Chair Package's Impressive On-Board Technologies and Features Cited CHARLOTTE, NC- Cefla Dental, Europe's largest dental chair manufacturer and the parent company of MyRay, NewTom, and Stern Weber (brands already available in the United States), introduces the Anthos R7, a complete dental chair package available in several different configurations. With technologies and features not found in other dental chair packages currently available, it's set to raise the bar for others to follow. With left/right doctor's delivery available in both continental and international versions or modular cart delivery, the R7 can accommodate any advanced practice, and its unique ergonomic features…

18. Page 38

    Spotlight Dental Chair and Delivery System Combines Versatility With Elegance Electric Handpiece System Boosts Performance of Dental Practices NEWBERG, Ore.– Combining versatility with elegance, the A-dec 400 dental chair and delivery system emphasizes flexibility and comfort, satisfying the need for less complexity and more style at a competitive price point. IRVINE, Calif.– To be officially launched this month at the CDA meeting in Anaheim, Bien-Air's iOptima substantially boosts the performance of dental practices, enabling practitioners to transform a traditional pneumatic system into a potent electric system into a potent electric unit equipped with a brushless, sensorless micromotor, and an iPod…

19. Page 40

    Handpiece Features Angled Head for Superior Access to Posterior Areas MALVERN, Pa.-DentalEZ Group's 430-45, the newest member of its classic 430 handpiece line, is available in 2 configurations—the 430 SWL 45 and the 430 SW 45—and both are equipped with a unique 45°angled head that provides unprecedented access to hard-to-reach posterior areas of the oral cavity. The 430-45 has been designed to be the perfect handpiece for surgical procedures commonly performed by the general dentist, such as removal of impacted molars, crown lengthenings, and apiccoectomies. Its specialty designed side ports effectively exhaust air way from the procedure area, reducing the…

20. Page 42

    The Values of Quality... Getting to Know the New Danville From the innovative FiberKlicker, one of the most widely used devices in dentistry, to the recently introduced ZNano Universal Nanocomposite, California-based Danville Materials has been recognized for more than a quarter of a century for its design and production of high quality dental equipment and materials. And today's Danville is more committed than ever to continuing new product development. "It's my mission to deliver better performance along with superior value." Dr. Raymond Bertolotti, co-founder and now chairman of Danville, pioneered "adhesion dentistry" and is long recognized internationally as an innovator…

21. Page 44

    Spotlight New Universal Adhesive's Delivery System Substantially Decreases Cost Per Application AMHERST, NY--Adhese Universal, Ivoclar Vivadent's new single-component, light-cured universal adhesive for direct and indirect bonding procedures, is compatible with all etching techniques: self-etch, selective enamel-etch, and total-etch. What sets it apart from others is that it is the only universal adhesive available in the revolutionary VivaFen delivery form as well as in the traditional bottle delivery form. The ergonomically designed VivaFen pushes the adhesive to be delivered directly to the preparation in a fast and convenient manner with virtually no waste. It delivers up to 700 single tooth applications,…

22. Page 48

    Universal Bond's Versatility Cited NEW YORK CITY—Kuraray's CLEARFIL Universal Bond, a single-component, light-cure bonding agent, is indicated for all direct and indirect applications in combination with all etching techniques (total-etch, self etch, or selective-etch). It is also indicated for the surface treatment of zirconia and silica-based glass ceramics (ie, lithium disilicate), making it truly "universal," without the need for a separate silane coupling agent. CLEARFIL Universal Bond contains the "ORIGINAL MDP" adhesive monomer developed and introduced by Kuraray in 1983, and dentists' chair time can be reduced due to its quick application. For additional information, visit kuraraydental.com or contact Kuraray…

23. Page 52

    Short-Term Orthodontics System Designed for General Practitioners ROCHESTER, NY—Six Month Smiles is a cosmetic, minimally invasive system designed to straighten your adult patients' teeth in about 6 months, and the Six Month Smiles 2-day, hands-on course provides you with the knowledge and confidence needed to start using this award-winning system. Improve your patients' lives with clear braces while simultaneously growing your practice and your services. No previous orthodontic experience is needed. Become a Six Month Smiles Provider by registering for an upcoming course. For more information, call Six Month Smiles at (866) 957-7645 or visit sixmonthsmiles.com. FREEinfo, [THREE PHOTOS showing…

24. Page 55

    Impression Materials' Accuracy Minimizes the Need for Retakes AMHERST, NY-Ivoclar Vivadent's Virtual XD, an advanced system of VPS impression materials, features new "Xtra-Definition" wash materials, resulting in more accurate and better-fitting restorations while minimizing the need for retakes. VirtualXD impression materials offer many of the high-quality benefits dentists have come to expect from the original Virtual system, including high tear strength, superior elastic recovery, and outstanding dimensional stability. New benefits include optimized flow characteristics for deeper penetration into the undercuts and improved coverage of the panes, advanced wetting ability for precise detail reproduction of both soft and hard tissue, and…

25. Page 56

    Spotlight Soft Chews Support Sustained Alkali Generation on Tooth Surfaces ROSLYN HEIGHTS, NY–Ortek Therapeutics' BasicBites are delicious, sugar-free chocolate soft chews that help maintain healthy teeth by supporting the shedding normal acid base (pH) levels on tooth surfaces while also providing a mineral source for the teeth. Utilizing AlkaGen Technology, they coat teeth with a patented blend of vital nutrients discovered to be present in saliva. The nutrients found in BasicBites chews aspiring healthcare and calcium carbonate, creating a compelling amino acid that helps promote sustained base or alkali production on the surfaces of teeth. When tooth surfaces are in…

26. Page 57

    Power Toothbrush Proven to Remove Seven Times More Plaque Than a Manual Toothbrush STAMFORD, Conn.– The Philips Sonicare DiamondClean Black Edition power toothbrush is clinically proven to remove up to 7 times more plaque overall and from hard-to-reach places than a manual toothbrush. It is also clinically proven to whiten teeth in one week, and its gentle technology can help reduce sensitivity. The toothbrush uses sonic technology to produce a powerful dynamic cleaning action for a different users can see and feel, helping to keep teeth strong and healthy. Five brush modes are offered (Clean, White, Polish, Care, and Sensitive),…

27. Page 58

    Spotlight System Facilitates Biological Spore Testing SEATTLE—HealthFirst's OnTraQ BIOlogical Monitoring is a turnkey system that allows dental practices to establish a complete testing process and provide them with reminders when an autoclave must be tested. The system is designed to help protect practices from unintentional noncompliance. Automated e-mail and text reminder notifications apprise practice members of scheduled testing regimes, and autoclave test results are stored within each practice's OnTraQ Compliance Manager account for around-the-clock secure access from any computer. The Compliance Manager also allows practices to establish and monitor all of the processes relating to biological spore testing, creating a…

28. Page 59

    Cloud File-Sharing Service Makes It Easy to Send, Share, and Protect Patient Files RALEIGH, NC-Citrix Share File now offers Citrix ShareFile Cloud for Healthcare, a dedicated virtual private cloud for protected health information. With updated architecture to provide enhanced segregation and security for ShareFile's healthcare customers, it can help dental practices tackle compliance rules for the safety of patient information. ShareFile specializes in secure file-sharing solutions for healthcare organizations, and adoption of ShareFile within the healthcare market has increased by 137% during the past year alone. With ShareFile, practitioners can easily organize, store, and share patient files and information with…

29. Page 61

    INNOVATIONS 61 VPS Impression Material's Setting Time Hailed as the Fastest on the Dental Market Anterior and Posterior Hygiene Scalers Offered in Three Handle Options ST. PAUL, Minn.- With a set time of just 75 seconds, 3M ESPE's Imprint 4 VPS Impression Material is the fastest setting impression material on the dental market. It gives dentists the same long working time they've known from Imprint ; VPS Impression Material but speeds up the set time with an innovative active self-waning feature, developed exclusively for it. A unique chemical reaction causes the material to quickly warm up to body temperature after…

30. Page 62

    NEWS/TRENDS Industry News Martin D. Lerman, DDS Martin D. Lerman, DDS, inventor of the Aqualizer hydrostatic splint and founder of Jumar Corp., has passed away. A retired associate professor of prosthodontics at the University of Illinois and past associate editor of the Journal of Prosthetic Dentistry, he presented clinics, lectured world-wide, and authored many peer-reviewed articles. After retiring from practice, he dedicated his life to promoting the power of prosthodontics as essential to the practice of sound dentistry. His fervent dedication to this paradigm will be greatly missed. Six Month Smiles Appoints New Assistant Clinical Director Six Month Smiles announced…

31. Page 64

    NEWS/TRENDS INDUSTRY NEWS Autistic Patients and Dental Injections; One Father's Story Robert Gardner's 10-year-old son Patrick is autistic and has always been able to tolerate teeth cleaning; however, other dental work had to be done under sedation dental work with him anesthetized, which is a challenge to dentists because he physically resists injections. A recent change in Patrick's dental insurance forced Mr. Gardner to seek a new dentist, which led him to Kenneth Meinbach, DDS, of Dental located in Jupiter, Fla. Dr. Meinbach examined Patrick's teeth, found one cavity, and convinced Mr. Gardner to let him try to fill Patrick's…

32. Page 68

    MEETINGS/SEMINARS sium scheduled for June 6 to June 7 at the Sandia Resort and Casino in Albuquerque, NM. Information-packed and featuring nationally recognized pre-centers, this event will feature to lectures that offer dental practitioners and support staff the opportunity to learn immediate, practical, and profitable skills in the most advanced methods of implantology, restorative dentistry, sinus elevation, and bone grafting. The keynote speaker is Howard Farran, DDS, MBA. Attendees can earn 16 hours of CE credit. For more information, call (866) 238-9277 or visit biocmedical.com. Aesthetic Restorative Series Dramatically increase your practice production and technical expertise with the Center for…

33. Page 69

    MEETINGS/SEMINARS the job, increase treatment plan acceptance, handle noncompliant cases to produce favorable results, increase office production, eliminate downtime and control broken appointments. Earn 5 CE credits. For more information, call (800) 228-9286, ext. 11 or visit the Web site classicpractice.com. Dental Sleep Medicine/Medical Billing The next generation of online dental sleep medicine education is here. With the American Academy of Facial Esthetics, train and review at your own pace, train the entire team, and save thousands of dollars on travel and lost production time. Join Dr. Louis Malcmacher in exquisite on-line education with high-definition video demonstrations. This comprehensive training…

34. Page 70

    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. Perfectempo DenMat Provisional restorations are obligatory steps in the indirect restorative process. They are often time-consuming and technique-sensitive but are critical to patient satisfaction and predicting the long-term success of the treatment. Practitioners make significant efforts to ensure the provisional restorations look good despite the fact that most will be in the mouth for only a short period of time. Patients demand fully functional and highly aesthetic results in both temporary and permanent situations. Provisional…

35. Page 72

    Human Papillomavirus-Associated Cancer Human papillomavirus (HPV) infection is the most common sexually transmitted infection in men and women in the United States; recent data indicate that approximately 79 million people are currently infected with HPV, and 14 million are newly infected each year. There are more than 150 types of HPV; mucosal HPV types are classified as either high-risk HPV (oncogenic, ie types 16 and 18) or low-risk HPV (eg, types 6 and 11). High-risk HPV (ie causes many types of cancers are linked to many oropharyngeal cancers, while low-risk HPV causes recurrent respiratory papillomatosis, a rare but important condition…

36. Page 73

    Cleft Lip and Palate: Avoiding Adulthood Surgeries Approximately one in 700 babies are born with cleft lip and palate (CLP) each year, and the treatment process begins from when these newborns are just a few weeks old when they undergo their first of multiple surgeries that continue through adulthood. This is a long, painstaking routine, and how each individual perceives him/herself throughout will help determine the level of difficulty they will suffer along the way. An article published in The Cleft Palate-Craniofacial Journal provides an in-depth look at how the treatment process can affect people during different stages of their…

37. Page 74

    Dual Anesthetics Preferred in the United States Anesthesia is commonly used by dentists when they want to ensure young patients remain calm during an operation and feel as little pain as possible afterward. Dentist anesthesiologists may use either general or local anesthesia, but some choose to use both with children, despite conflicting research on the combined approach. The journal Anesthesia Progress reports on a survey given to members of the American Society of Dentist Anesthesiologists (ASDA), asking about anesthesia choices for young patients and reasons for supplementing general anesthesia with local anesthesia. Prior studies have found that local anesthesia can…

38. Page 76

    READERS' CHOICE TOP 50 FIRST IMPRESSION PRODUCTS Spectra Caries Detection Aid Air Techniques Patients depend on their practitioner to diagnose and locate dental decay as early as possible. Dentists depend on their diagnostic tools to eliminate the guesswork. The Spectra Caries Detection Aid utilizes fluorescence technology to reliably identify fissure and smooth surface caries, even when too small to be detected visually or radiographically. The Spectra shines a high-energy violet-blue light onto the tooth surface to stimulate cariogenic bacteria metabolites (porphyrins). Viewed through the onboard optical filtration and seen on the monitor, decay appears red-yellow-orange in contrast to healthy green…

39. Page 78

    TOP 50 FIRST IMPRESSION PRODUCTS GrandioSO VOCO America Composites are synthetic materials that dentists use to restore function and form to the decayed, diseased, or missing tooth structure. GrandioSO is a light-cured, radiopaque nanohybrid composite indicated for all classes of restorations on permanent and deciduous teeth, core buildups, composite inlays, and splinting. Its 89% filler content exhibits very little shrinkage stress, and its dentin elasticity offers resistance to deformation. Margins are protected in the long term by the very low thermal loading contraction, and an excellent compressive strength provides resistance to fracture. GrandioSO's viscosity is high enough to make it…

40. Page 79

    DMP DENTAL 29 Years of Clinical Excellence Nanoceram Universal, Nano Ceram Bright Flowable and Bright Posterior Completed with only ONE shade of composite! Photos courtesy of Dr. Ross Nash NanoCeram Universal composites' special blend of Nano and Micro Fillers produce superlative aesthetic results achieved through a sophisticated nanomanufacturing process integrating the Nano fillers in the resin matrix resulting in excellent properties and ultra low wear. Nano Ceram Bright Flowable' yields particle size gives a smooth hard glossy finish that is easy to polish. High strength, fracture and abrasion resistance values make it unlikely to chip or fracture. Bright posterior has…

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