Dentistry Today — May 2017

Inside this issue

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1. Page 2

   The Importance of Single-Patient-Use Products in the Dental Practice Dentistry dates back as far as 5000 BC, and as with other medical practices of the period, nothing was known of contamination and spread of disease. It wasn't until the 19th century that universal standards for infection control were introduced. With today's standards and procedures, there is absolutely no reason why a patient should be introduced to any risk of infection in a dental practice. Sterilization protocol has equipped clinicians with state-of-the-art products, and these products help provide the utmost excellence in safe, effective patient care. When choosing dental supplies, we…

2. Page 8

   Aesthetics in Dentistry: It's More Than Beauty Aesthetic outcomes, having always been heavily dependent upon the materials, techniques, and options available to any given generation of clinicians, have been improving dramatically with an exponential climb in the observed results during the past 25 years. Nowadays, acute and well-trained clinicians can provide amazing results to their patients, delivering clinical work that also lends aesthetics to proper harmony with function. Both direct and indirect material options have arrived at a point that permit the artist within the clinician and/or the doctor-lab team to achieve what is required to create teeth that can…

3. Page 10

   Checklists Can Help Build Effective Teams Given the complexity of today's fast-paced dental offices, there exists a fundamental confusion within modern dentistry—an individual is seeking your care, and in order to help that person, you have to make sure that the multitude of daily tasks, hundreds of materials, and countless instruments are handled correctly despite the phone ringing off the hook, despite the hygiene checks you are behind in seeing, despite your assistant telling you that the crown you are about to place has not made it back from the lab, and despite your receptionist interrupting you to let you…

4. Page 12

   VIEWPOINT continued from page 10 environment. They remind workers of the minimal steps necessary and make these steps explicitly, allowing capable workers the ability to succeed and feel good about being accountable for their actions. Ultimately, when created and implemented properly, checklists instill discipline and higher performance within each individual team member resulting in a stronger office as a whole. Checklists Strengthen Communication Checklists are about dictating instructions to workers to ensure they accomplish tasks to the standard that management expects. Uncertainty about a consistently successful outcome of a particular task should not depend on the judiciousness of a single…

5. Page 16

   FOCUS ON: Bioactive Dental Materials Robert A. Lowe, DDS, discusses a new class of materials that are impacting the way dentistry is practiced. Q: What is bioactivity as it relates to today's dental materials? A: For years, bioactivity in dentistry has only been associated with fluoride release and the conversion of hydroxyapatite to its stronger form. Thus conversion has helped to strengthen tooth enamel and make it more resistant to acid attack. Fluoridated water and fluoride treatments for young patients have all been helpful in the fight against tooth decay for many decades. The definition of bioactivity is expanding in…

6. Page 18

   From the February 2017 Issue FLUORIDE VARNISH Ultradent Products Enamelast is a 5% sodium fluoride varnish with a patented adhesion-promoting agent that enhances retention, allowing for superior fluoride release and uptake. Created in response to overwhelming demand for an effective varnish that doesn't leave an unsightly, uncomfortable, and gritty residue, Enamelast finally allows patients to leave the dental office with teeth that feel clean and smooth. In addition to its silky texture, it appears nearly invisible against the teeth. For more information, call (800) 552-5512 or visit ultradent.com. FREEinfo, NITI FILES Brasseler USA Featuring patented new Controlled Memory Technology, KontroFlex…

7. Page 19

   Intra-Lock This comprehensive starter kit can be used with MDL Small Diameter Implants. With this kit, Intra-Lock is enabling a seamless transition for real-izing patientand indication-specific implant designs and surface technologies as well as efficacious and efficient surgical and prosthetic concepts. Many of the features and technologies of MDL Small Diameter Implants have been clinically proven, well researched, and patented. For more information, call (877) 330-0338 or visit Intra-lock.com. FREEinfo, ZIRCONIA MILLING BLOCK Glidewell BruxZir NOW is a preshaded, fully sintered zirconia milling block system that enables clinicians to manufacture authentic BruxZir crowns in just one appointment. Designed and fabricated…

8. Page 20

   Shofu Dental A universal bur holder, the BurButler simplifies the storage and management of rotary instruments. It holds abrasives of various shank sizes in a base constructed of medical-grade silicone units with an autoclavable plastic lid. Three configurations are offered—5, 10-, and 25-hole—in 5 color options for intuitive coding and identification. The 25-hole configuration can be complemented by either a short or tall lid for storage of small items such as implant components or perio irrigation tips. For more information, visit shofu.com. FREEinfo, HIGH-SPEED SURGICAL HANDPIECE Medidenta The only 90° surgical high-speed handpiece on the market, the 20W Air-Free 90S…

9. Page 22

   Show Me the Way Paul Feuerstein, DMD This year's International Dental Show did not disappoint: 155,000 participants from 157 countries attended, as did more than 2,300 exhibitors from 59 countries. The biggest dental show in the world, the International Dental Show (IDS) held over 2 years in Cologne, Germany during March. This year, 155,000 participants from 157 countries attended, as did more than 2,300 exhibitors from 59 countries. Held in large buildings some with 2 or 3 floors utilizing more than 1.2 million square feet of space, the show is really an industry showcase with no official CE offerings, although…

10. Page 24

    In-Office CAD/CAM Systems 3Shape The new E-scanner (dental lab scanner) series for restorative and orthodontic CAD/CAM workflows is radically different in design from the D and R series lab scanners. The new E-series delivers advanced scanning features and CAD design workflows at a more affordable price. With Blue LED and the option of multitiling, high-speed scanning, the E-series provides optimal detail capture and accuracy to enable labs to complete more cases in less time. The E-series also features impression scanning so that labs can scan traditional impressions directly without pouring a model. For more information, call (908) 867-9144 or visit…

11. Page 26

    IN-OFFICE CAD/CAM SYSTEMS Dental Wings The iSeries Dental Impression Scanner allows dentists to go digital without changing their familiar impression taking protocol while gaining access to a world of restorative opportunities normally associated with intraoral scanning. Laboratories can also benefit from important workflow efficiencies and precision with in-lab impression scanning. The iSeries inte- LIMITED 0% FINANCING SPECIAL Double your scanning capacity with 2 intraoral scanners for your practice from Planmeca $2,198 Per month for 60 Months Our comprehensive offer includes: • PlanScan FIT Intraoral Scanner or PlanScan (retail • PLUS additional PlanScan or Emerald Intraoral Scanner upon request • ID…

12. Page 27

    . 1 TECHNOLOGY Spotlight Procedure Yields One-Visit Crown; No Milling Machine or CAD/CAM Required [FOUR CLINICAL IMAGES: Before and after views of dental crown procedures showing tooth preparation and final restoration] KATIKATI, NZ - With the One Visit Crown (OVC) procedure, a patient no longer needs 2 appointments for dental crown restorations. The procedure is simple and effective. The remaining tooth surface is prepped, and the OVC technique for both minimally invasive or full-coverage crowns is initiated. The OVC Selector Key determines the required crown size. The Replica is provided with every OVC to verify mesio distal width and occlusal…

13. Page 28

    Spotlight Arches Create a Beautiful, Dazzling White Smile COCONUT GROVE, Fla—Developed by VIAX Dental Technologies, NOVO Smile Shapers are noninvasive, reversible cosmetic arches that slide over existing teeth to create a beautiful, dazzling white smile. They transform worn, misshapen, broken, and discolored teeth into the most naturally, beautiful smile possible. To utilize NOVO Smile Shapers, no shots or anesthetic are required. The procedure is entirely pain-free, and no reduction of tooth structure is required. And unlike other dental procedures that require grinding, cutting, and removal of tooth structure, NOVO Smile Shapers do not touch natural teeth. Made of patented-tested material…

14. Page 30

    Spotlight Periotome Prevents Traumatic Extractions in Patient-Friendly manner Attachment System Offers a Restorative Solution Requiring No Screws or Cement CARLSBAD, Calif.-With the LOCATOR F-TX, Zest Dental Solutions offers a new way to think about fixed full arch restorations that addresses the inherent limitations of conventional screw-retained and cemented solutions, such as (1) the need for screw access channels or (2) the potential for subgingival cement when attaching the prosthesis to the abutments. Fixed for the patient yet easily removed by the clinician, the LOCATOR F-TX is a simplified fixed attachment system for full arch restorations that offers no compromise to…

15. Page 31

    New Heating Tray for Composite Warmer Offered DANBURY, Conn.–AdDent's new 3D heating tray for its Calset Composite Warmer is designed to be used with layering or bulk-fill procedures where a large volume of warmed composite needs to be readily available. It holds 3 composite dispensers, 4 compules, and a composite syringe or warmed finishing instrument. It fits conveniently on top of the Calset heater base, and it can be purchased separately or as a complete Calset kit. An extensive list of research articles on the advantages of warming composites can be viewed at addent.com. For more information, call AdDent at…

16. Page 33

    New Sectional Matrix System Designed for More Than Just Tight Contacts NEW MILFORD, Conn—CLINICIAN'S CHOICE's new DUAL FORCE Sectional Matrix System is designed for more than just tight contacts. Its DUAL FORCE Rings utilize dual NiTi wires that provide strong, balanced separation force on both mesial and distal surfaces, and they render the rings resistant to fatigue to provide consistent separation force throughout the rings' life. Available in molar and premolar sizes, the rings feature a independent tines that adapt to the tooth morphology and exhibit the ideal engagement angle to ensure they seat firmly and securely, resisting dislodgement. DUALFORCE…

17. Page 34

    Sectional Matrix System Consistently Delivers Predictable, Accurate Contacts Ninety-seven percent of clinicians say that achieving proper isolation of a Class II cavity is difficult in at least one out of 10 cases (data on file). When using resin-based restoratives, both isolation and accurate contact creation are essential for success. Choose a matrix system that not only provides anatomically accurate contacts but also helps create a tight seal around the restorative field. Dentsply Sirona's Palodent Plus System is designed to create predictable, accurate contacts, and a tight gingival seal, and it can be configured for multiple restorations at once. The system…

18. Page 36

    CLINICAL REVIEWS THE DENTAL ADVISOR Sonic Nitrile Powder Free Exam Gloves ++++1/2 Aurelia Gloves Supermax Healthcare | (877) 287-3542 | aureliagloves.com Consultants' Comments • "They fit very well, good cuff length, and I love the color." • "My skin felt smoother and healthier using these gloves." • "If you like a very form-fitted glove, these are great." • "This is the first nonlatex glove I've liked." • "The ability to hold instruments without them slipping was great." • "Tactile sensitivity was fantastic; it was as if I was not wearing gloves." • "Last a long time during procedures." • "I…

19. Page 38

    Spotlight New-Generation Composite Developed to Minimize Polymerization Shrinkage and Shrinkage Stress SAN MARCOS, Calif.–A new generation of a low-shrink composite indicated for all classes of restorations, Shofu Dental's Beautiful II LS (Low Shrink), available in syringes, tips, and 14 dentin and enamel shades, has been developed to minimize polymerization shrinkage and shrinkage stress. Featuring Shofu Dental's proprietary Giomer chemistry and clinically proven in 8- and 13-year recall studies in international bench studies, this ground breaking material demonstrated a volumetric shrinkage of 0.85% and polymerization shrinkage stress of 2.72 MPa. Credited for these revolutionary results are (1) a proprietary, new monomer…

20. Page 40

    Spotlight Compact New Ultrasonic Cleaner Offered CUYAHOGA FALLS, Ohio—COLTENE's BioSonic Ultrasonic Cleaning Systems introduces the BioSonic UC150, a compact, quiet 1.5 gal ultrasonic cleaner that can be utilized on the countertop or recessed. It's equipped with a multilingual, user-friendly touch screen, and it offers customizable operation, degas function, controlled heating, quick and easy draining, and an exclusive data-logging feature to download usage information via USB. For more information, call COLTENE at (800) 221-3046 or visit coltene.com. FREEinfo, Self-Etch, Self-Adhesive Cement Provides a New Advancement in Adhesive Technology SOUTH HACKENSACK, NJ—Essential Dental Systems' Envy, a self etch, self-adhesive cement, provides a…

21. Page 41

    INNOVATIONS 41 Resin Barrier Protects Internal Components of Implants and Abutments JERSEY CITY, NJ—Now offered with an improved depth of cure, TAUB Products' liquid Magic Resin Barrier for implant and cosmetic dentistry is a light-cured resin used to protect the threading, screws, and internal components of implants and abutments. It can also be used to fill and seal implant abutment access holes in place of cotton or Teflon tape, and when used with TAUB Products' ZERO-G Bio Implant Cement prior to the placement of a crown, better seating of the crown is achieved. For more information, call TAUB Products at…

22. Page 42

    Self-Adhesive Resin Cement's Strong Bond Strength and Easy Cleanup Cited SCHAUMBURG, ILL–Offered by BISCO Dental Products, TheraCem is a dual cured, calcium and fluoride-releasing self adhesive resin cement indicated for luting crowns, bridges, inlays, onlays, and posts (prefabricated metal, nonmetal, and fiber). In addition to delivering the strongest bond to zirconia and to most other substrates, it offers easy cleanup and high radiopacity, and clinicians will enjoy its effortless, reliable, and durable cementation of all indirect restorations. For more information, call BISCO Dental Products at (800) 247-3368 or visit the website bisco.com. FREEinfo, Spotlight All-Natural Antimicrobial Concentrate Designed for Dilution…

23. Page 43

    INNOVATIONS 43 Prophy Handpiece is Lightweight and Ergonomically Designed TOMS RIVER, NJ – Unlike straight prophy handpieces, Osseo Scientific's Integrity III Prophy Hygiene Handpiece, offered with a one-year warranty, features a 45° back bend to reduce air tube aggravation and lessen fatigue on the clinician's wrist. Ergonomically designed, the handpiece also features a 360° swivel nose cone that provides smooth maneuverability with exceptional control, and 2.4 oz, it is one of the lightest handpieces on the market. The Integrity II's friction-grip nose cone will accept all disposable prophy angles and is removable for ease of cleaning and autoclaving, and its…

24. Page 44

    Spray Helps Dry Mouth Sufferers Spotlight VPS Impression Material Represents New Advancement in Prosthodontics and Restorative Dentistry SOUTH JORDAN, Utah—Ultradent Products' Thermo Clone VPS Impression Material represents new advancements in prosthodontics and restorative dentistry. For the dental professional taking an impression while trying to minimize patient discomfort, bubble gum-scented Thermo Clone facilitates the task due to its consistent setting times and thermal curing that activates when placed in the patient's mouth. Thermo Clone is engineered to be reliable and consistent. Its extremely temperature-sensitive nature allows for long working time, short setting time, and minimal time in the critical zone where…

25. Page 45

    INNOVATIONS 46 Device Facilitates Oral Lesion Diagnosis LOMPOC, Calif.—DenMat's ViziLite PRO has been engineered to operate within the wavelength for optimal discrimination of oral lesions, as defined by years of clinical fluorescence research. An affordable, handheld device, it utilizes powerful short-wave LEDs to generate biofluorescence and enhance visualization. Lack of fluorescence reveals damaged or abnormal cells before they may be noticed visually using a normal clinical exam light. For more information, call DenMat at (800) DENMAT. FREEinfo, Capabilities of Sealer Cited LANCASTER, Pa.—A mineral-based root canal filling material for permanent canal obturation, BioRoot RCS incorporates an easy-to-use cold obturation technique…

26. Page 46

    Spotlight Aesthetically Oriented Temporary Cement Delivers Optimal Performance for Provisional Restorations ENGLEWOOD, NJ–DMG America introduces TempoCem ID, an aesthetically oriented temporary cement that—unlike other clear temporary cements—allows clinicians to detect excess cement (even below the gumline) that can often be removed in one piece. Engineered for optimal transparency, TempoCem ID's color-neutral formulation means it never impacts the shade of the provisional, making it an ideal choice for posterior and anterior restorations alike. And because it is a noneugenol formulation, there are no adverse reactions with soft tissue. Available in a handheld syringe, it flows and mixes easily, doesn't stick to…

27. Page 47

    INNOVATIONS 47 Spotlight Implant Procedure Yields Exceptionally Precise Frameworks NAPERVILLE, ILL—Offered by LSK12r Oral Prosthetics, CTZ Implants, comprising cast/milled composite with a titanium framework and zirconia, fully utilize LSK12r's state-of-the-art laboratory equipment in a procedure to create exceptionally precise frameworks that have natural appearances and beautiful aesthetics. The implants are easy to repair when chipping or cracking occurs, and the ceramic composite allows for full reline capabilities underneath pontics, while the titanium framework is 30% lighter than zirconia. For more information, visit lsk12r.com. FREEinfo, Universal Adhesive's Time-Saving Capabilities and Versatility Cited NEW YORK CITY—Kuraray's CLEARFIL Universal Bond Quick is a…

28. Page 48

    NEWS/TRENDS Industry News Hu-Friedy Acquires J. Palmero Sales Company Hu-Friedy, manufacturer of dental instruments and products, announced recently the acquisition of J. Palmero Sales Company, a dental products company located in Stratford, Conn. Founded in 1931, it offers a wide range of infection prevention and safety products for the dental practice. The acquisition represents a continuation of Hu-Friedy's strategy to expand into product categories and markets that align with its growth objectives. During the last 3 years, it has acquired brands such as J&J Instruments, Julius Wirth, and Karl Schumacher. As with these acquisitions, Hu-Friedy and Palmero will operate mostly…

29. Page 50

    NEWS/TRENDS NCOHF Selects 2017 Dental Clinic of the Year Academy of Osseointegration Appoints New President America's ToothFairy: National Children's Oral Health Foundation (NCOHF) announced recently that it has selected the Kids' Community Dental Clinic (KCDC) as its 2017 Dental Clinic of the Year. Located in Burbank, Calif., KCDC is dedicated to improving children's oral health through quality dental care and preventive education for low-income families in Southern California. Dale Gorman, KCDC's executive director, and Ana Gomez, RDA, programs administrator, accepted a celebratory plaque at the America's ToothFairy Celebration of Smiles held at the Chicago Dental Society's winter meeting this past…

30. Page 51

    NEWS/TRENDS Cigarette Smoke and Strawberries—Researchers Examine Link in Fight Against Oral Cancer Can cigarette smoke and the saliva of heavy smokers inhibit the metabolism of cancer inhibiting chemicals found in strawberries and the expression of genes associated with oral cancer risk? A new pilot study conducted at The Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solove Research Institute hypothesized that they can, and initial data reveals some intriguing differences in the oral microenvironment of smokers versus nonsmokers. Previous studies have suggested that the dietary administration of whole strawberries has substantial potential as…

31. Page 54

    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. Tornado High-Power Air Handpiece Bien-Air A significant income-limiting factor for most dentists is a lack of chairside time; the dentist typically operates at the most effective balance of high-quality/high production possible. The only means to improve the bottom line is to make dental technologies and materials more efficient. The typical practice day involves operative procedures, using handpieces and burs. A recent revolutionary high-powered air handpiece is Bien-Air's Tornado, with an output of 50 W that…

32. Page 56

    Prometheus Self-Contained LED Couplers Johnson-Promident The effective illumination of the operative area is an absolute necessity. Operatory lights, whether ceiling or post-mounted, simply do not have the intraoral access and the intensity. The dentist's loupes-mounted light is more effective but not always efficiently focused on the objective. Handpiece lights, always targeting the tip of the cutting bur, have become standards of clinical practice, and indispensable for the practitioner. The major concerns for most dentists are (1) the costs of the light illuminated handpiece and its associated accessories and (2) the installation expenses involved in retrofitting the system—including, tubing, control hose,…

33. Page 58

    Top 25 Aesthetic/Restorative Products . 1 DMG America The MiniDam is a gingival, latex-free protection device that is small enough to be placed quickly and easily, protects the proximal area during treatment, and provides comfortable gingival coverage for patients. Its unique shape allows it to self-stabilize around adjacent teeth, where it securely maintains unlimited access and unobstructed view, providing the patient with quick protection where it's needed. All of this is done without the use of clamps. Some clinicians may find traditional dental dam systems to be complicated and somewhat cumbersome. MiniDam couldn't be simpler and was designed to be…

34. Page 60

    Top 25 Aesthetic/Restorative Products Dentsply Sirona Restorative Dentists can now benefit from the quickness of tack-curing without the stress of overcuring. New Calibra Universal cement offers a wide tack-cure window of up to 10 seconds and an extended 45-second gel phase, providing dentists with the ability for a more thorough and effective cleaning. Predictable cleanup, exceptional strength, and beautiful aesthetics are some of the advantages of Calibra Universal. For more information, call (800) 532-2855 or visit calibracem ent.com. FREEinfo, AMD Medicom Engineered with a sophisticated design to meet the evolving needs of dentistry, Pro-Matrix will simplify Class II restorations through…

35. Page 62

    Top 25 Aesthetic/Restorative Products KöR Whitening KöR Whitening's unique, Dual Activated, Tri-Barrel Hydremide Peroxide technology separates the whitening chemistry into 3 chambers instead of the usual 2. By introducing the first Tri-Barrel delivery system in whitening, KöR is able to expand the formulation with critical additional ingredients. And this more complex Hydremide Peroxide formulation allows KöR to overcome previous whitening compromises, achieve more ideal properties, and provide some of the most consistently reliable whitening possible. KöR Whitening offers cost-effective whitening solutions from phenomenal home whitening for average patients to astonishing treatment of tetracycline cases—and everything between. And you never need…

36. Page 64

    Top 25 Aesthetic/Restorative Products . 1 Argen SLM Captek offers a High Noble gold solution through selective laser melting (SLM) technology. Offering increased strength and stability, SLM Captek copings have a precise fit and improved reliability without sacrificing the biocompatibility and beautiful aesthetics of traditional Captek. Building on 20 years of clinical success, Captek is the only PFM clinically proven to reduce harmful bacterial plaque. It continues to be a valuable restorative solution for dentists. SLM Captek is available in single units and there are no certifications necessary to order, making it easy for all dental laboratories to offer. For…

37. Page 66

    Top 25 Aesthetic/Restorative Products Garrison Dental Solutions The 3D Fusion Ultra Adaptive Wedge is the first interproximal wedge to fuse 2 materials together to produce the perfect combination of adaptability and retention. The wedge, available in an assortment of kits, features a patent-pending design that combines a Soft Face overmold with a firm inner core and advanced mechanical features to produce a wedge with improved adaptation to interproximal irregularities. Furthermore, while insertion and separation are significantly improved with the new design, soft retentive fins help to prevent back out, even when wet. The wedge works in concert with a sectional…

38. Page 68

    Top 25 Aesthetic/Restorative Products Ivoclar Vivadent With its optimized formulation and easy cleanup, SpeedCEM Plus, a self-adhesive, self-curing resin cement with a light-curing option, is especially suited for (1) restorations made of zirconium oxide and metal ceramics and (2) cementation of restorations on implant abutments. Not every restoration allows a complete and uniform light cure. Strong self-curing capabilities provide an additional measure of safety when seating restorations that are opaque or impervious to light. SpeedCEM Plus achieves a high bond strength to zirconium oxide, nonprecious metal such as titanium, and dentin without exposure to light. It establishes a reliable bond…

39. Page 69

    The Best Bulk Fill is BioACTIVE ACTIVA BioACTIVE-RESTORATIVE™ High Strength BioACTIVE Composite Dual Cure • Penetrates, seals, stimulates apatite formation • Patented rubberized resin resists chipping and wear • Fast, simplified syringe technique • Eliminates voids and bubbles Looks and behaves like natural tooth COLTENE ONE COAT 7 UNIVERSAL, a versatile, state-of-the-art, self-etch bonding agent, may be used for high-quality, predictable results for self-etch, selective-etch, or total-etch adhesive restoration techniques. With ONE COAT 7 UNIVERSAL, a single drop of liquid bonds light-curing filling materials easily and efficiently. And with only a single bonding layer, it provides consistently high bond strength…

40. Page 70

    Top 25 Aesthetic/Restorative Products DenMat SplashMax VPS Impression Material is the ultimate in accuracy, reliability, and value. It is a high-quality, yet affordable VPS impression material featuring instant hydrophilicity, maximal tear strength, excellent dimensional accuracy, 2 set times, and high color contrast. In independent testing, SplashMax achieved a lower contact angle within seconds and much higher tear strength than leading competitors. Its low contact angle, combined with high tear strength and 99.9% recovery after stretching and compression, results in highly detailed and accurate impressions, delivering maximal performance in a VPS impression material with fewer mishaps. SplashMax is available in 4…

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