Dentistry Today — May 2016

Inside this issue

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

1. Page 10

   An Aesthetics Focus: For Good Reason In this issue of Dentistry Today, we have several clinical articles focusing on aesthetic topics. As we prepare to attend the CDA Meeting in Anaheim this month, some of our team has just returned from the American Academy of Cosmetic Dentistry (AACD) Scientific Session. While the AACD meeting's continuing education (CE) focus is primarily on aesthetics, one cannot help but notice that other meetings, like the upcoming CDA Presents, also have many CE offerings dealing with aesthetics. This focus for cosmetic dentistry has been growing during the past 20 years, and for good reason.…

2. Page 12

   Oral Cancer Screening Reducing Fear Using Salivary Diagnostics Oral cancer is the sixth leading cancer worldwide, and the mortality for this disease has not significantly changed in decades. It accounts for more deaths than cervical cancer, testicular cancer, kidney cancer, liver cancer, melanoma, and Hodgkin's disease. The cost of care for oral cancer is twice that of most other malignancies, with more than $3 billion in annual expenditure in the United States alone. Most patients with oral cancer do not return to the workforce, adding additional financial burdens beyond the human burdens and the costs of medical care. Two-thirds of…

3. Page 14

   VIEWPOINT continued from page 12 identified. This reduces the screening protocol simply down to a find-and-refer-to-biopsy process. Sounds easy enough, right? However, is this the best course of patient management in all cases? Is it truly a patient centered decision, or is it done as a simple way to pass on the responsibility for care on the part of the general dentist? Patients with oral lesions are also understandably fearful of a recommendation for a surgical consultation for a potential biopsy. Should it be a surprise then, based upon oral surgery office records, that many patients do not comply with…

4. Page 16

   "Tommy, Can You Hear Me?" Paul Feuerstein, DMD According to Sam Shamardi, DMD, a Boston-based periodontist who has been studying dentistry's noise level issues, noise-induced hearing loss is nearly a guarantee to some degree for all dental professionals. Years of playing in rock bands as well as attending concerts have put a strain on my hearing, which is often a good excuse for not hearing orders from my wife or coworkers. Auditory damage is well documented, and OSHA requires hearing protection for people working in loud noise environments. In its literature, it clearly states this: "Exposure to high levels of…

5. Page 18

   FOCUS ON: Business Models Mark T. Murphy, DDS, reflects on today's new business models in dentistry. Q: What is today's changing business model for dentistry? A: It is such a broad and deep topic steeped in history, it's probably best to start at the beginning—when dentists and the profession set the stage for where I believe we are presently. In 1957, well meaning dentists formed the Washington State Dental Services (later to become Delta Dental), I am sure the goal was to transfer some of the costs of dentistry to a third party to increase utilization of services and create…

6. Page 20

   CLINICAL REVIEWS THE DENTAL ADVISOR iOptima ++++1/2 Bien-Air USA | (800) 704-8494 | bienair.com Consultants' Comments • "Patients commented on the high-tech nature of iOptima." • "I'm not an iPod user, but this was intuitive." • "The preprogrammed settings make this system unique and user friendly." • "Handpiece runs quietly and smoothly." • "A larger screen would be easier to see and navigate." • "There was no setting for reciprocating endo files." Description An Apple iPod interface, iOptima allows users to convert their dental unit to an electric handpiece system. Its app, downloaded from iTunes, contains preprogrammed and ergologic procedures.…

7. Page 22

   Edward Shellard, DMD, Vice President of Sales and Marketing, Carestream Dental Tells us about Carestream Dental. Carestream Dental has always been proud of its prestigious past. During the course of 100 years—and building on the foundation of industry leaders such as Eastman Kodak, Trophy, and PracticeWorks—we've refined our dental expertise and leadership. We're headquartered in Atlanta, yet we have 2000 plus employees around the world. Carestream Dental products are used by 7 out of 10 practitioners globally, and more than 800 million dental images are captured each year with our technology. What distinguishes Carestream Dental from other companies? Carestream Dental…

8. Page 24

   In-Office CAD/CAM Systems Planmeca CAD/CAM Solutions Planmeca FIT is an open CAD/CAM system that provides the ultimate chairside digital solution for same-day dentistry. Streamline your workflow with Planmeca FIT by scanning intraorally with PlanScan, designing with PlanCAD, and milling the restoration in-house with PlanMill 40. Create long-lasting, beautiful restorations for your patients that not only fit their mouth but also their health and well being. Achieve perfect chairside restorations that patients love with Planmeca FIT. For more information, call (855) 801-1121 or visit planmecacadcam.com. FREEinfo, Benco Dental The OneVisit CAD/CAM System offers predictable outcomes and increases production, revenue, and patient…

9. Page 25

   IN-OFFICE CAD/CAM SYSTEMS 3Shape Award-winning TRIOS is recognized for its profession-leading speed, high levels of accuracy, and ease of use. Supporting the widest range of dental indications, it features an intraoral scanner, integrated intraoral camera, and an automated shade measurement in one device. The easy-to-use digital color impression solution has an autoclayable tip with a removable mirror for easy sterilization. TRIOS is available in a pen or handle-grip with a pod, cart (with a cord and rechargeable battery models), and chair-integrated configurations. For more information, call (908) 867 0144 or visit 3shape.com/trios. FREEinfo, Carestream Dental CS Solutions allows clinicians to…

10. Page 26

    NEW PRODUCTS INTRAORAL CAMERA SYSTEM DrQuickLook Offered with a 60-day money-back guarantee, the DrQuickLook SD PLUS Intraoral Camera System is multifunctional, portable, and easy to use. It works right out of the box; no need for software integration, USB cords, or IT services. Quickly take, save, and review images with patients. Document, print, email, or submit images with insurance claims. Among the camera's features are a HD touchscreen, a draw-on screen, photo archival camera, and three-class stamping. For more information, call toll-free (888) 346-6153 or visit drquicklook.com. FREEinfo, HOME TEETH-WHITENING SYSTEM Manhattan Whitening Co LumaLuxe, a professional home teeth-whitening system,…

11. Page 27

    Why do dental practices choose Wells Fargo for their patient financing? Survey participants say . . . SIMPLICITY 9 in 10 participants appreciate how easy the program is to use.* SUPPORT 98% of participants, on average, rank Wells Fargo as excellent or very good for professionalism, prompt issue resolution, and timely follow-up.* CONVENIENCE 96% of participants enjoy the speed of credit decisions.* TOOLS TO GROW YOUR PRACTICE 88% of program participants believe Wells Fargo provides exceptional service, support, and tools to grow their business.* "Wells Fargo is making a commitment to the industry . . . The programs that we…

12. Page 28

    Spotlight New Implant Offers a Strong, Aesthetic Solution for Narrow Anterior Spaces PALM BEACH GARDENS, Fla.—Manufactured by Zimmer Dental, part of the Zimmer Biomet Dental Division, the 3.1mm D Eztetic Implant is designed to offer improvements over similar commercially available implants, particularly in the areas of strength and primary stability. When compared to select competitive implants of similar diameters, it achieved a 43% higher fatigue strength, and it performed exceptionally well in insertion torque and torsional yield strength testing (data on file). For the first time, 3 concepts have been combined to create a precise implant/abutment connection designed to reduce…

13. Page 30

    Imaging Unit Offers the Latest in 2-D and 3-D Technologies ORMOND BEACH, Fla-Owahy's I-Max Touch offers the latest in 2-D and 3-D panoramic technology. Its combination of intuitive and tactile technologies allows dentists to save precious time in their practices. Available in several upgradeable models—from a 2-D pan unit to a 3-in-1 pan/ceph/3-D unit—Owahy offers a unit that fulfills the needs of most modern dental practices. With 14 programs, the panoramic unit facilitates any clinical exam. The cephalometric option adds 5 programs for acquiring views of the skull and carpus. The 3-D option allows acquisition of 3-D images for implantology…

14. Page 31

    ADVERTISING SUPPLEMENT SPONSORED FEATURE A new crown procedure CASE REPORT A 45-year-old female patient presented with a lower right 1st molar (#30) with a failing MOD with fractured mesio-lingual cusp. The patient was offered a large direct composite restoration, an OVC or a custom-made lab crown and selected the OVC best value for money and the convenience of the single appointment. The OVC procedure is best considered in three stages: preparation, customization and finishing. Preparation A relatively flat-top simple preparation was completed quickly since no sub-gingival margin or cord-packing was required (Figure a). The occlusal clearance was checked using the…

15. Page 32

    Spotlight FDA-Cleared Laser Protocol Can Regenerate Tissue and Bone Lost to Gum Disease CERRITOS, Calif.–Millenium Dental Technologies' PerioLase MVP-7 Dental Laser has the world's first and only FDA clearance for periodontal tissue regeneration—new cementum, new PDL, and new alveolar bone. With proven technology created by GPs for GPs and specialists alike, the PerioLase MVP-7 is the only laser designed specifically to perform the LANAP protocol can regenerate tissue and bone lost to gum disease and facilitate the return to functional health. An optimized Nd:Yag laser, the PerioLase MVP-7 is the only laser designed specifically to perform the LANAP periodontitis and…

16. Page 35

    Spotlight Radio System Facilitates Intraoffice Communications AURORA, Colo–Custom Earpiece's wireless Black Diamond Radio System facilitates and enhances intraoffice communications. Utilizing an industrial radio band not shared by trucks or hobbyists, it improves teamwork through seamless instant communication, providing audio clarity even in noisy areas. Additionally, there is no setup or installation and no learning curve–simply plug and play. Radio earpieces are equipped with single Kevlar wires for convenience and durability. From desk users can wear Concierge earpieces, while dental team members can opt for coiled tube earpieces, semi-custom soft silicone earmolds, or skeleton custom earmolds. All necessary components are custom-selected…

17. Page 36

    Danny Marinkovic, CDT, COO, Synergy 3D Dental Laboratory Q: How does Synergy 3D differentiate itself from other laboratories, and what additional support is available? A: We are not just in the business of manufacturing teeth. We are 100% dedicated to helping our clients understand the evolving dental practice world, from PPO and HMO insurances putting more pressure on providers not to bill units on insertion (compared to how they used to operate; billing on prep, soon after a check would be coming in from the insurance company). There's also additional demands placed on large group practices to continue to grow;…

18. Page 38

    Spotlight Featuring Heat-Arresting Technology, Contra-Angle Hailed As the World's Safest IRVINE, Calif.— In response to public health authorities' growing concern about dental patient burns caused by electric handpieces, Bien-Air introduces the EVO.15, the safest contra-angle on the market today. In procedures utilizing electric handpieces, the briefest contact between the instrument's push button and the patient's inner cheek causes the instrument to overheat, resulting in possible burn injuries. The most severe incidents have caused third-degree burns, requiring reconstructive surgery, thereby likely subjecting the practitioner to lengthy legal actions. Equipped with patented COOLTOUCH - heat arresting technology, the EVO.15 is the only…

19. Page 40

    Cost-Effective MTA Optimized for Pediatric Pulp Therapy HOUSTON-The first cost-effective MTA (mineral trioxide aggregate) optimized for pediatric pulp therapy, NeoSmile NeoMTA provides a bioactive, nontoxic, proven alternative to formcresol without the toxicity concerns associated with formcresol's formaldehyde component. A new MTA, it promotes dentinal bridging and hydroxyapatite formation, contributing to the health and viability of the tooth. And unlike hybrid MTA/resin products, NeoMTA is a pure MTA designed for maximal effectiveness, engineered to be nonstaining and quicker setting, with excellent handling properties. For more information, call NuSmile at (888) 346-5133 or visit nusmile.com. FREEinfo, [IMAGE: Product box of NeoMTA with…

20. Page 42

    ACCEPTING NEW DENTISTS. FREE STARTER KIT 866-905-1111 Global Dental Solutions, LLC Full service dental laboratory Screw-Retained Zirconia Crowns on Ti-bases are available for most implant systems. Ask for them as full contour or layered with porcelain. Dedicated to your success since 2001. Having grown up in their parents' lab, the Abramson brothers provide the highest level of expertise, with two generations of experience. Personal attention is guaranteed. FREEinfo, on card For free pickups, clinical support, starter kits, or establishing an account: 866-905-1111 or sales@GlobalDentalSolutions.com GlobalDentalSolutions.com INNOVATIONS Spotlight Universal Adhesive's New Unit-Dose Packaging Improves Efficiency SCHAUMBURG, ILL-ALL-BOND UNIVERSAL, BISCO's single universal…

21. Page 44

    Spotlight Popular Core Build-Up Material Improved With Better Flowability, Strength, and Aesthetics ENGLEWOOD, NJ–Infused with zirconia, LuxaCore Z-Dual composite core build-up material offers exceptional physical properties that now include better flowability, strength, and aesthetics. With the most dentist-like cuttability in its category, clinicians can prepare precise margin preparations with less ditching. The result: excellent fit, a long-lasting restoration, and the best possible care for the patient. It's no wonder why the LuxaCore brand is one of the most trusted names in core build-up materials. It is available in natural, blue, and light opaque shades. For more information, call DMG America…

22. Page 46

    Spotlight Cleaners' Effectiveness and Ability to Prolong Instrument Life and Improve Infection Control Cited ALPHARETTA, Ga.—BrandMax Tri-Clean All Stainless Steel Ultrasonic Cleaners provide improved technology that can produce cleaner instruments, prolong instrument life, and improve infection prevention. Using BrandMax's standard heating element to heat and maintain your enzymatic cleaning solution at 110°F to 120°F will dramatically increase enzyme activity, helping to produce cleaner instruments. And without effective cleaning, you will not achieve effective sterilization. Combine this heat with BrandMax's powerful cavitation to help effectively remove debris and prepare your instruments for sterilization. A free stainless basket is included. For more…

23. Page 47

    Spotlight Device Hailed As the Digital Solution for Anesthesia LIVINGSTON, NJ—Replacing 160-year-old syringe technology, the Wand STA provides a new way to distinguish a practice, increase referrals, and build patient loyalty. It performs traditional techniques like blocks and infiltrations more comfortably for both patient and provider and enables new techniques that increase comfort and eliminate collateral numbness for the patient. The new STA technique provides profound single tooth anesthesia for every procedure, with no collateral anesthesia to the lips, cheek, or tongue. The AMSA and P.ASA techniques provide profound anesthesia in the anesthetic zone without collateral numbness, enabling immediate smile…

24. Page 48

    Ceramic Crown for an Implant Abutment Ross W. Nash, DDS INTRODUCTION In this article, I describe a technique for cementation of an implant-supported crown for a mandibular first premolar. The patient was a mature adult female with other ceramic restorations. Figure 1 shows the implant-healing screw in place ready for abutment and crown placement. In Figure 2, you can see the zirconia oxide abutment, which has been placed and torqued. In the incissal view (Figure 3), the implant screw securing the abutment to the implant can be seen. Covering the Screw In the past, I have used a small cotton…

25. Page 50

    NEWS/TRENDS Industry News Sonendo Receives FDA 510(k) Clearance for Next-Generation GentleWave System Laguna Hills, Calif.—based Sonendo announced recently that it has received FDA 510(k) clearance for the next generation of its GentleWave System. The clearance provides endodontists, when using the system, with the choice of using the default treatment device or reducing the treatment dose as desired based on their evaluation of a tooth for root canal treatment. The GentleWave System, with its Multisonic Ultra-cleaning Technology, delivers unsurpassed cleaning and disinfection in a single treatment and helps endodontists maintain as much structural integrity of the tooth as possible by removing…

26. Page 51

    Share. Engage. Evolve. Frank Spear, DDS, MSD Clifford Ruddle, DDS Bernie Stoltz Fred Joyal SIROWORLD: The Ultimate Dental Meeting is anticipated by many within the dental community to be the largest event in digital dentistry in terms of knowledge sharing, entertainment, attendance, and most importantly, educational value. Hosted by Dentsply Sirona, this educational festival is considerably different from previous events hosted by Dentsply Sirona, such as the CEREC anniversaries celebrations. SIROWORLD will not focus solely on CAD/CAM (CEREC) but instead will target all aspects of digital dentistry, including extraoral and intraoral imaging, orthodontics, hygiene, practice management, and more. To be…

27. Page 52

    NEWS/TRENDS BIOLASE Unveils New Learning Center Irvine, Calif.-based BIOLASE, a leading manufacturer of dental lasers, announced recently the unveiling of the BIOLASE Learning Center, a state-of-the-art learning facility designed to provide a comprehensive laser training experience for dental professionals. A 4,587-square foot facility, it features a main lecture hall that seats more than 50; a fully equipped, hands-on laser lab featuring at each station the company's latest laser solutions such as the Waterlase iPlus all tissue laser and EPIC X diode laser; group meeting rooms; and a business center. "A key part of our go forward strategy in the transformation…

28. Page 53

    NEWS/TRENDS Kiss Me, Doc! A record number of patients underwent lip augmentation in 2015, making it the second fastest growing facial procedure in the United States since 2000. Only demabrasion procedures have grown faster. Commenting on the trend, David H. Song, MD, president of the American Society of Plastic Surgeons (ASPS), said, "We live in the age of the selfie, and because we see images of ourselves almost constantly on social media, we're much more aware of how our lips look." According to newly released data from the ASPS, the number of lip implant procedures grew by double digits in…

29. Page 57

    MEETINGS/SEMINARS teeth, and understand how orthodontics complements other specialties. Dentists of various backgrounds are invited to attend upcoming classes in Orange County, Calif.; San Jose, Calif.; and New York City. Up to 16 CE credits are available. For more information, call (714) 973-2266 or visit the website megamposteroid. Comprehensive Implant Training The American Academy of Implant Prosthodontics (AAIP) presents comprehensive implant training programs in Clinton, Okl, this spring. The course will include lectures, surgical and prosthodontic demonstrations, hands-on participation, diagnosis and treatment planning, construction of surgical templates, diagnostic wax-ups, and the insertion of a minimum of 15 implants by each…

30. Page 58

    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. Waterpik ClearView Sectional Matrix System Water Pik Tooth-colored restorations have all but replaced amalgam fillings in mainstream dentistry. This is the case for multisurface posterior restorations as well. This process requires placing a matrix band around a tooth, tightening it appropriately, inserting the wedges, and then positioning the whole assembly so that it is suitable for the insertion of the restorative material. Traditional circumferential matrix systems may be uncomfortable for the patient, technique sensitive for…

31. Page 60

    All Ceramic Polishers Intra-Oral Kit Cosmedent Most dentists who have experienced the dubious pleasure of "polishing" zirconia, lithium disilicate, and similar porcelain restorations are understandably reluctant to repeat the experience. The polishing sequence is long, tedious, and does not always confer an acceptable surface to the target material. It is very frustrating to work with a material for an extended period of time with very little result to show for the effort. Accomplishing the task intraorally makes it even more difficult. One of the key problems is that these harder ceramic materials are not greatly affected by traditional dental polishers.…

32. Page 61

    AquaCare Twin-Dental Air Abrasion and Polishing Unit Velopex Microabrasion was first introduced to dentistry almost a century ago. The amalgam restorative technique was, unfortunately, not clinically suitable for the air-abrasion cavity preparation. Adhesive dentistry has made all the difference, and air abrasion is now the most tailor-made for bonded dental restorations. The only chairside problem is the mess of the abrasive dust that is used for cutting and polishing. Cavity preparations often do not require any anesthetic or rotary instrumentation, thus it can be conservative and very comfortable for the patient. [Image: Close-up of dental handpiece] Velopex has been a…

33. Page 64

    Top 25 Aesthetic/Restorative Products BISCO Dental Products TheraCal LC is a radiopaque, light-curable flowable composite containing apatite-stimulating calcium silicates to protect and stimulate pulpal and dentin repair. It is the ideal replacement to calcium hydroxide, glass ionomer, or RMGi materials due to its excellent handling, ease of placement, and enhanced regenerative properties. TheraCal LC performs as a barrier and protectant of the dental pulpal complex. With high physical properties and low solubility immediately following light-curing, TheraCal LC is ideally suited for all deep cavity preparations. Placement is facilitated by a 20-sec light-cure and the ability to be syringed directly onto…

34. Page 66

    Top 25 Aesthetic/Restorative Products VOCO America Admira Fusion is the world's first all-ceramic direct restorative material. It is a universal nano-ORMOCER (Organic MOdified CERamic), a pure silicate technology (fillers and matrix are based purely on silicon oxide) that offers enhanced physical properties and more aesthetic results for today's dentist. This groundbreaking technology utilizes none of the classic monomers (no BisGMA, UDMA, TEGDMA, HEMA, etc.), creating an entirely new level of biocompatibility for its users. Admira Fusion's nano-ORMOCER technology reduces shrinkage and shrinkage stress by up to 50% compared to conventional composites and has a perfect balance of translucency and opacity…

35. Page 68

    Top 25 Aesthetic/Restorative Products Danville Materials Bulk EZ is a dual-cured dental restorative composite designed for direct restorations. When allowed to self-cure, Bulk EZ features excellent physical properties for posterior restorations and offers an unlimited depth of cure. Light-curing is only needed to harden the air-inhibited top layer after self-curing. With no layering required, the clinician can reduce his or her time by 60% compared to light-cured bulk composites. For more information, call (800) 827-7940 or visit danvillematerials.com. FREEinfo, GC America EQUIA Forte is an innovative, bulk-fill, fluoride-releasing restorative system that combines EQUIA Forte Fil, which is a high strength…

36. Page 70

    Top 25 Aesthetic/Restorative Products Kerr Maxcem Elite Chroma, the first self-etch/self-adhesive resin cement offering a Color Cleanup Indicator, is the smartest cement available on the market today. It begins with a color that fades at the gel state, indicating the optimal time to clean up excess cement. The pink color will disappear after both selfand tack-cure, allowing for maximal flexibility. Radiopaque for easy x-ray identification, Maxcem Elite Chroma offers One-Peel cleanup; an automix delivery system; easy, no-refrigeration storage; and compatibility with all indirect restorations. Featuring best-in-class adhesion when compared to other leading self-adhesive cements (data on file), it forms a…

37. Page 72

    Top 25 Aesthetic/Restorative Products Glidewell Laboratories The world's most prescribed zirconia restoration is now packaged with the Hahn Tapered Implant and all the prosthetic components needed to restore the edentulous space. Designed by implant pioneer Dr. Jack Hahn, the Hahn Tapered Implant System addresses the challenges clinicians face with a blend of time-tested features and innovation. Simple, straightforward, and cost-effective, the BruxZir Implant Bundle is a complete case solution designed to maximize efficiency while providing the function and aesthetics that clinicians and patients demand. For about the same price as a crown and custom abutment, everything needed to replace a…

38. Page 74

    Top 25 Aesthetic/Restorative Products Tokuyama Dental America Estelite Sigma Quick is the only universal composite using supranano spherical fillers to allow the dental professional to recreate the natural look and feel of a real tooth in restorative dentistry. Using time-tested methods, the spherical fillers deliver a lasting, high-gloss polish yet years to come and resist abrasion for excellent wear. A quick curing time allows for minimal volumetric shrinkage at 1.3%, and the uniform small size of the supranano fillers allow for tight packability. Estelite Sigma Quick has a creamy, nonsticky consistency, making it exceptionally versatile and easy to handle. The…

39. Page 75

    Septodont Backed by more than 10 years of research and development, Biodentine, hailed as "dentin in a capsule," offers clinicians a material with optimal biocompatibility and proven bioactivity that preserves pulp vitality (direct and indirect) and promotes pulpal healing and remineralization. Biodentine is ideal for use by general practitioners, pediatric dentists, and endodontists to save a tooth from root canal treatment, preserve pulp vitality, and treat a pediatric pulpotomy. It (1) cuts like dentin and has the same mechanical properties and similar flexural modulus as dentin; (2) saves time, giving you the ability to bulk fill with no need for…

40. Page 76

    Top 25 Aesthetic/Restorative Products Anutra Medical The Anutra Local Anesthetic Delivery System is a revolutionary way to simplify buffer local anesthetics. With buffering, practitioners can be more productive, efficient, and profitable while providing a more comfortable experience. Imagine anesthetizing your patient and going to work in just 2 minutes. One of the most innovative components of the system is the Anutra Feedback Aspiration Syringe. The extraordinary syringe allows for multiple doses in a single syringe. The Anutra Local Anesthetic Delivery System truly enhances a practitioner's efficiency and patient's experience. For more information, call (844) ANUTRA-1 or visit anutramedical.com. FREEinfo, DMP…

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