Dentistry Today — November 2012

Inside this issue

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

1. Page 10

   The Case for Practice Management I left my Fleet Street, London newspaper job in my 20s and moved to New York City to work for the J. Walter Thompson Advertising Agency. Moving to San Francisco, I had a widely different and challenging jobs. I worked as an executive assistant for an entrepreneur who purchased, renovated, and managed old San Francisco commercial buildings. I then became a collection manager for the country's oldest mortgage company. Then, I moved on to the challenge of managing entire orders for California's largest privately owned clothing manufacturing company. These positions provided me with a wealth…

2. Page 14

   To assist practitioners in their selection of essential dental products, Dentistry Today presents items reviewed by THE DENTAL ADVISOR'S staff of editors and consultants. Established in 1984, THE DENTAL ADVISOR, based in Ann Arbor, Mich, has provided dental professionals worldwide with objective, accurate information using in vivo and in vitro results on the performance of materials and equipment based on clinical and laboratory research. For more information, visit dentaladvisor.com or call (800) 347-1330. MX2 Micro-Series +++++ Bien-Air USA | (800) 433-BIEN | bienair.com Consultants' Comments • "Easy to use within the mouth." • "I liked the ease of attaching the…

3. Page 16

   Dentistry Today.com Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! DNN CHANNEL William Nudera, DDS Technique of the Week Root Canal Therapy presents THE WEDNESDAY WATCH William Nudera, DDS, a board-certified endodontist from Bloomingdale, Ill, demonstrates his root canal therapy (RCT) protocol featuring the WaveOne reciprocating instrument from DENTSPLY Tulsa Dental Specialties. In addition to showing the WaveOne in a challenging molar case, Dr. Nudera also points out other key steps that he follows for long-term RCT success. For more information, and to watch the video, visit . Join us Live…

4. Page 17

   ADVERTISING SUPPLEMENT 17 INTERVIEW: Warren White, COO, Komet USA 1 Why has Komet recently launched a new look and new company logo? We live in an era of perpetual change; we are overloaded with information, and the importance of new electronic media is growing rapidly. We know that personal and professional use of electronic and print media has changed fundamentally, and we acknowledge the increased significance of recognizable brands. In response to these developments, we adapted our corporate design in line with the perceptions and requirements of our customers. The Komet logo was last redesigned in 1986, and we took…

5. Page 18

   From the August 2012 Issue TORQUE WRENCH 3M ESPE The Graduated Torque Wrench gives dentists a torque and ratchet feature in one simple tool. With easy-to-read ounce, tom torque markings that provide a continuous readout, it helps maintain appropriate torque levels during the MDI implant procedure. Its standard 4 x 4 adapter can also accommodate MDI implant adapters and extensions. For more information, call (800) 634-2249 or visit 3mespe.com/implants. FREEinfo, PROTECTIVE COATING GC America OPTIGLAZE is a nanofilled, light-cured protective coating that provides an aesthetic, glossy surface on indirect composite restorations, artificial teeth, removable dentures, temporary crowns, and individual acrylic…

6. Page 20

   TotalCare Presaturated with CaviCide1, CaviWipes1 are the only low-alcohol surface disinfectant/cleaners that offers compatibility with all kill time of one minute for TB and all other laboratory organisms. Durable and nonabrasive, they can do the job of 3 products—disinfectant, cleaner, and decontaminant—saving money by reducing inventory, space, and time. For more information, call (800) 841-1428. FREEinfo, ALGINATE IMPRESSION MATERIAL DENTSPLY Caulk Jeltrate Chroma Dustless Color-Changing Alginate Impression Material is formulated to change colors for each preparation phase, from (1) fuchsia during mixing to (2) lavender during tray loading and seating to (3) light blue during setting in the mouth. It…

7. Page 22

   ADVERTISING SUPPLEMENT INTERVIEW: John Scott, president, Air Techniques 1 What types of products have made Air Techniques a success—both yesterday and today? The first major product manufactured by Air Techniques was the Dento-Dri, a dryer designed to remove moisture from oil air compressors. This product made a significant impact on the future of dental air compressors and the workflow of the dental office. We at Air Techniques have always considered the air compressor to be the "heart beat of the dental practice" because it is vital to the productivity of the dental professional. Today, Air Techniques' top-selling products are in…

8. Page 24

   Spotlight Product Line Enhanced With New Handpiece and LED Swivel MALVERN, Pa.–DentalEZ Group announces 2 enhancements to its top-selling StarDental 430 handpiece line: (1) the 430 Satin, the line's newest member and (2) the StarBright Plug n' Play LED Swivel. The 430 Satin features the same durable stainless steel construction and superior performance that each handpiece in the 430 series provides, yet it has an updated, elegant new look. Dental professionals can now choose from either a high gloss or satin finish when purchasing their 430 handpiece. The StarBright Plug n' Play LED Swivel offers the same lightweight feel and…

9. Page 26

   Spotlight Feature-Laden Implantology Motor System Controlled from an iPad System Facilitates Oral Cancer Exams and Assessment of Lesions [Image of VELscope Vx device] SANTA MARIA, Calif.–In addition to the conventional oral cancer exam involving palpation and visual inspection, more and more dental practices are responding to the surprising growth in oral cancer by regularly examining patients with the VELscope Vx enhanced oral assessment system, now being distributed exclusively by DenMat. The VELscope Vx has been proven in numerous clinical studies to help discover cancerous and precancerous lesions and other lesions that might not be apparent to the naked eye. An…

10. Page 28

    Implant's Unique Bone-Healing Process Yields New Dental Term: Osseoincorporation CARLSBAD, Calif.—Zimmer Dental has received FDA approval to use the term osseoincorporation in describing its unique bone-healing process made possible with its Trabecular Metal Dental Implant. Osseoincorporation refers to the healing potential of bone onto an implant surface and into an implant structure. The Trabecular Metal Dental Implant features an osteoconductive misdirection, formed from trabecular metal-alloy, designed for ingrowth as well as outgrowth in a process new to implant dentistry—osseoincorporation. Used in Zimmer's orthopedic devices for more than a decade, trabecular metal is an alloy, a 3-D biocompatible material—not an implant…

11. Page 29

    New Overdenture Implant System Introduced ESCONDIDO, Calif.–Zest Anchors' new LOCATOR Overdenture Implant System (LODI) features narrow diameter implants designed to work perfectly with LOCATOR.LODI features a 2-piece coronal design not found with o-ball mini implants as the LOCATOR attachment is seated after implant placement, allowing for replacement if wear should occur throughout time. The LOCATOR attachment also incorporates a dramatically reduced vertical height compared to o-ball mini implants. LODI will be commercially available this winter. For more information, call ZEST Anchors at (855) 868-5654) or visit zestanchors.com. FREEinfo, Practice Management Software's 2013 Upgrade Introduced MESA, Ariz.–DentiMax introduces the 2013 upgrade…

12. Page 30

    Spotlight New Series of Autoclaves' Internet Connectivity and Sterilization Speeds Cited CANONSBURG, Pa–SciCan's G4 Series autoclaves, the latest addition to its STATIM family of autoclaves, feature connectivity that is the first of its kind. G4 technology provides a direct channel of communication through the Internet to increase productivity and time downtime. Still powered by SciCan's signature steam technology to provide sterilization at speeds faster than conventional chambered autoclaves, the G4 series has been modernized with a new facsimile that is fresh and contemporary, and its 3.5-in high resolution touchscreen offers a vivid display of messages and current cycle information with…

13. Page 32

    Simplifying the Cementation and Placement Process for Zirconia Restorations Ivoclar Vivadent's Ivoclean Universal Cleaning Paste Michael DiTolla, DDS Childewell Dental Laboratory, zirconia-based crowns (eg, Bruxir) now account for 75% of the anterior crowns we fabricate. As this number is likely to continue to rise, the laboratory is committed to increasing the material's ability to be predictably prescribed in anterior situations. However, the predictability and success of such restoration and placement process. Such protocol inherently opens a clean working field and restorations to be properly cleaned and primed after try-in. Fortunately, innovative advancements in resin material science and photopolymerization technology permit…

14. Page 34

    Spotlight New Matrix System Eliminates Ring "Spring-Off," Even on Difficult Dentition SPRING LAKE, Mich.–Garrison Dental Solutions introduces the latest innovation in sectional matrix systems: the Composit-Tight 3D XR Sectional Matrix System, which features an ultraretentive matrix ring designed for use with short or malpositoned teeth, including areas between the canine and first bicuspid. The ring's enhanced soft-face silicone ensures true matrix band adaptation, which reduces both flash and finishing time while improving contacts. In addition, a dynamic tip angle allows for proper tip alignment with the buccal and lingual surfaces for precise adaptation. And while the 3D XR ring was…

15. Page 36

    Spotlight Large Class II Fillings—Truly Thinking "Outside the Box" STOCKHOLM, Sweden–The remarkable combination matrix/plastic wedge for Class II restorations, a sectional matrix band system designed for small and medium cavity boxes, had its limitations for larger boxes. Now it has a companion—Directa AB's FENDERMATTE FIX, which secures the matrix band in place around the tooth for large boxes for Class II fillings. The concept is simple: once FenderMate is inserted into the interproximal space, the matrix band is separated from the wedge, and FENDERMATTE FIX is applied between the band and the wedge. Light-cure for 5 seconds, and there you…

16. Page 37

    Inseparable: Zirconia and PermaCem 2.0 PermaCem 2.0 has the Strongest Adhesion to Zirconia than any Leading Self-Adhesive Permanent Cement* PermaCem 2.0 is proven to provide one of the strongest bonds to Zirconium restorations compared to the other leading self-adhesive cements. Incorporating a recently developed adhesive monomer formula, the dual curing properties deliver an exceptional bond across all substrates. Formulated for easy clean-up, the optimized viscosity and no-drip formulation provide for the fastest and easiest removal of excess of all other self-adhesive cements, resulting in less stress and chair time. Plus as a single-step cement, it provides you with the added…

17. Page 38

    Self-Adhesive Cement Engineered to Bond to Zirconia ENGLEWOOD, NJ—DMG America's PermaCem 2.0 permanent cement provides one of the strongest bonds to zirconia restorations compared to other leading self-adhesive cements. Utilizing both chemical and mechanical adhesion, its dual-curing properties offer an exceptional bond across all substrates, including zirconia. Formulated for easy clean-up, PermaCem 2.0's optimized viscosity and no-drip formulation provide for the fastest and easiest removal of excess of all self-adhesive cements, resulting in less stress and chair time for the clinician. Thus, as a single-step cement, it provides clinicians with the added benefit of not requiring an etching step. With…

18. Page 40

    Retraction Capsule Provides Effective Gingival Retraction in Half the Time ST. PAUL, Minn.—Designed with an extrafine tip that can be inserted right into the sulcus, the 3M ESPE Retraction Capsule is the first gingival retraction product that delivers astringent retraction paste into common composite dispensers. The timesaving enabled by its use makes it a convenient alternative to traditional gingival retraction methods such as retraction cord and other retraction pastes. Compared to retraction cords, it can cut up to half the time from the gingival retraction process and is up to 30% faster than the leading retraction paste while effectively deflecting…

19. Page 42

    Patient-Specific Implant Treatment Kit Offered NEWPORT BEACH, Calif.— Glidewell Labs now offers an all-in-one, restorative based solution that includes everything you need to restore a missing tooth over tapered implant of choice: surgical drills, patient-specific healing abutments and temporary abutments; and a BioTemps crown. These components ensure that ideal soft tissue contours are created from implant placement. A matching impression coping communicates tissue contours to the included final custom abutment and Bruxzir Solid Zirconia or IPS e.max crown. For more information, Glidewell Labs at (800) 407-3379 or visit the Web site includedentalcom. FREEinfo, Virtually Unbreakable Partial Denture's Aesthetics and Comfort…

20. Page 43

    Radiographic Stent Material Offered TONAWANDA, NY—New from Great Lakes Orthodontics, Biocyl Form-X is radiographic stent material that allows tooth position communication on CT scan images, simplifies the stent fabrication process, and trims easily and quickly. For more information, contact Great Lakes Orthodontics at (800) 828-7626. FREEinfo, New Cold Sore Treatment's Efficacy Cited SAN FRANCISCO—Viroxyn Professional Use, a single-application cold sore treatment, contains 9.5% benzocaine to numb the site of the cold sore before treatment, and is patented no-touch applicator applies the medicine directly to the virus itself while avoiding skin-to-skin contact. This starts the healing process immediately and provides the…

21. Page 44

    Create Invisible, Bonded Lingual Retainers in Just One Visit SANTA YNEZ, Calif.-PREAT Corp's ether is a translucent glass fiber impregnated with both PMMA and Bis-GMA for creating aesthetic, noninvasive, metal-free lingual retainers. It is easily adapted to patients' tooth anatomy, allows engagement of the interproximal areas, and is light-curable bonding to composite or etched enamel. An ether retainer is easily finished and polished to a smooth, nonirritating surface. An "invisible" retainer, it eliminates gaps and food traps, assures easy cleaning and patient comfort, and can be fabricated in one visit. A versatile material, ether is also indicated for space maintainers…

22. Page 45

    Feature-Laden Diode Laser's Performance and Value Cited IRVINE, Calif.—Packed with one BIOLASE-exclusive feature after another, the EPIC diode laser sets a new standard in diode laser performance and value. A breakthrough touchscreen interface puts up to 20 soft tissue procedures—plus 20-minute full-mouth whitening and BIOLASE exclusive temporary pain relief—at your fingertips. Plus, a new ComfortPulse setting reduces pulse length to as little as one ten-millionth of a second to avoid heat buildup at the surgical site for fast cutting with less patient discomfort. For more information, call BIOLASE at (888) 4 BIOLASE or visit the Web site biolase.com. FREEinfo, Sonic-Activated…

23. Page 46

    Company Focus 2012 KöR Whitening: Growth This Fast Is Still Possible! It's only been about a year since Dr. Rod Kurthy's Evolve Dental Technologies KöR Whitening was profiled, but with its continued rapid growth, the question begging to be asked is just how and why this has been possible, even in this depressed economy. As bad luck would have it, Dr. Kurthy opened Evolve at the same time the bottom fell out of the economy. Yet after only 5 years, it's already moved into its third facility—the company just seems to keep outgrowing them. Here is what's been learned: Dr.…

24. Page 48

    NEWS/TRENDS Industry News MIS Implants Technologies Celebrates Facility Renovation MIS Implants Technologies, a global leader in the development and production of products and solutions designed to simplify dental implantology, recently celebrated the completion of its headquarters renovation in Fair Lawn, NJ. The facility was presented to clinicians, vendors, and members of the press by attending the event from Dentistry Today were James Radcliffe, vice president/public relations; Tom Serif, marketing/media sales; and John Lannon, senior editor. [Left to right: Tom Serif, John Lannon, James Radcliffe, and Meir Weisman.] DenMat to Be Global Distributor of VELscope Vx Oral Cancer Detection System DenMat…

25. Page 52

    Meetings/Seminars Greater New York Meeting The Greater New York Dental Meeting will take place from November 22 to November 28, with the exhibit floor open from November 23 to November 28. This year's meeting will boast 1,500 booths including more than 600 companies. The partnership with the US Department of Commerce International Buyer Program will provide the opportunity for attendees to meet worldwide senior-level volume buyers. Celebrity speaker this year is Steven Rodes. Other speakers include Drs. Harry Rosenthal, Ronald Goldstein, David Garber, Henry Salama, and many more. There will also be an international pavilion featuring multilanguage courses and a…

26. Page 54

    Surgical Techniques for Jaw Reconstruction For a successful dental implant, the first step for some patients is reconstructive surgery of the jaw. A bone graft to augment the upper jaw can now be achieved by several methods. To assess these methods, their risk of sinus perforation, and the best evaluation technology, researchers put these procedures to the test on 20 human cadaver specimens. An article entitled, "The Incidence of Maxillary Sinus Membrane Perforation During Endoscopically Assessed Crestal Sinus Floor Elevation: A Pilot Study," by Antoanela Garbacca, DDS, et al., was published in the Journal of Oral Implantology. It presented a…

27. Page 56

    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. GrandioSO VOCO America Composites are synthetic materials that dentists use to restore function and form to the decayed, discolored, or missing tooth structure. The material properties of a restorative must be as close to a natural tooth parameters as possible, and clinical practitioners have specific concerns: strength, surface hardness, elasticity, thermal conductivity, and wear. GrandioSO, from VOCO America, is a light-cured, radiopaque nanohybrid composite indicated for all classes of restorations on permanent and deciduous teeth,…

28. Page 57

    Sofreliner Tough Tokuyama As patients age, their alveolar bone undergoes continuous remodeling. In time, this makes even the best-fitting full or partial dentures less adapted to the supporting oral structures. Most professional guidelines call for complete new prosthetics at least every 5 years and relining much more often than that to refine the fit for improved function and comfort. Relining materials must be durable, easy to apply to the denture acrylic, and comfortable for the patient. Sofreliner Tough was developed by Tokuyama to provide 12 to 24 months of relief for patients suffering from pressure-point problems and mucous atrophy and…

29. Page 58

    58 . 1 READERS' CHOICE Top 50 Technology Products Dentistry Today's third annual Readers' Choice Top 50 Technology Products, selected on the basis of lead generation, represent some of the profession's most innovative technology products. The products appear in no particular order. PULP VITALITY TESTER Parkell The new Digitest II encompasses all of the classic features of the original Digitest and more. The device's microprocessor produces a gentle, pulsed waveform that produces a pulpal response well below the patient's pain threshold. It performs a self-test every time the unit is turned on to assure that the entire electronic system is…

30. Page 60

    Top 50 Technology Products . 1 CARIES DETECTION AID Air Techniques Named "Best of Class" 3 years in a row by the Pride Institute, Spectra is the only caries detection aid with both color and numerical displays to indicate the precise amount of decay. It uses fluorescence technology to enable reliable tooth-by-tooth detection of fissure caries and caries on smooth surfaces that are too small to be detected by an x-ray. Special light intensity LEDs project safe, high-energy, violet-blue light onto the tooth surface. This violet light stimulates metabolites of cariogenic bacteria (called porphyrins) to appear red when viewed on…

31. Page 62

    Top 50 Technology Products . 1 DENTAL ISOLATION SYSTEM Isolite Systems Isolite Systems are an easy-to-use alternative to traditional isolation products. The heart of the system is the unique shape and softness of the Isolite mouthpieces. Designed specifically to fit the morphology and physiology of a wide spectrum of patients—from small children to large adults—Iso-lite mouthpieces give you superior isolation for every procedure in your practice. Both Isolite and Isodry systems put you in control of the oral environment—virtually eliminating sources of contamination. Continuous hands-free suction gives you control of oral humidity, moisture, and debris. Retraction of tongue and cheek…

32. Page 63

    COMBINING ACCURACY, PATIENT COMFORT, ERGONOMICS AND RELIABILITY—ALL FOR ONLY $349.00 Removable autoclavable probes (Comes with 4) Large digital display indicates intensity Simple push-button activation for gradual stimulus increase and improved patient comfort Three rates of stimulus to choose from: slow, medium and fast Standard 9V alkaline battery can conveniently be replaced in the office Digitest II™ PULP VITALITY TESTER Convenient & Easy Operation: The Digitest II™ is the next generation in battery-powered, handheld pulp vitality testing. It's a significant upgrade to Parkell's popular original Digitest device. While the Digitest II incorporates all of the best features of the original Digitest,…

33. Page 64

    Top 50 Technology Products ALL-TISSUE LASER BIOLASE Technology The Waterlase MD Turbo all-tissue laser increases treatment acceptance, attracts new patients, and prevents cross-contamination. It offers a minimally invasive alternative to drills with injections for many restorative procedures—welcome news for anxious or fearful patients. With the proprietary YSGG wavelength (2,780 nm), up to 8W of power and turbo handpiece, there is no noticeable difference in speed when cutting hard tissue compared to conventional high-speed drills. It also provides therapy for moderate to advanced gum disease, promoting new attachment, and removing calculus. It can also clean and disinfect root canals after endodontic…

34. Page 66

    Top 50 Technology Products . 1 CURING LIGHT 3M ESPE Increased power, versatility, and speed of cures are available to dental professionals through the power of the Elipar S10 LED curing light. Its one piece stainless steel casing makes it durable and virtually unbreakable, and the simple 2-button operation provides one cure mode for all indications and a tack cure mode. The Elipar S10 curing light comes equipped with a 2", 10., and 8-mm light guide that offers up to 3 times more intensity than comparable devices. Enabling a light intensity of up to 1,600 mW/cm², the 8-mm light guide…

35. Page 68

    Top 50 Technology Products INTRAORAL DIGITAL RADIOGRAPHY Suni Medical Imaging SuniRay digital radiography system is the favorite among dental practitioners for how easily and quickly it captures and analyzes dental radiographs. With its one-click image enhancement, it displays crystal-clear images even in the toughest areas, and its ergonomic design ensures easy positioning and optimal patient comfort. SuniRay sensors also integrate seamlessly with all major practice management systems. For more information, call (800) 438-7864 or visit suni.com. FREEinfo, AMALGAM SEPARATOR HealthFirst The Rebec Catch Hg 400, part of the Catch Hg amalgam separation series and environmental program offered by HealthFirst, is…

36. Page 70

    Top 50 Technology Products . 1 DIODE LASER AMD LASERS The Picasso represents a dramatic breakthrough in laser technology that has led to a remarkable breakthrough in price. With an unprecedented level of affordability, the multifunctional, soft-tissue diode laser offers comprehensive clinical results in surgical, periodontal therapy procedures, and bleaching. Picasso's innovative design, 7W of power, 8 programmable presets, color touch screen, multilingual menu, option of disposable tip system or strippable fiber, wireless foot control, standard 2-year warranty and low annual operating cost make Picasso the one of the only complete laser solutions for dentists who want the flexibility to…

37. Page 72

    Top 50 Technology Products DIGITAL SENSOR Schick Technologies Schick 33 from Sirona is the latest addition to the profession-leading Schick Elite platform. Touted as one of the most advanced sensors in dentistry, it delivers an unparalleled combination of high-resolution images and dynamic image enhancement. The Schick 33 allows for an unprecedented level of diagnostic control. Paired with new imaging software and a theoretical resolution limit of 33 line pairs, dentists can review, store, and share enhanced images from a variety of clinical perspectives—general dentistry, endodontic, periodontic, and restorative. The Schick 33 digital intraoral sensor accommodates the needs of every dental…

38. Page 74

    Top 50 Technology Products . 1 HANDPIECE DENTSPLY Professional Midwest Stylus ATC is the highest rated (based on several studies), fastest-growing handpiece in the nation (based on SDN data). It solves 2 longstanding challenges facing dentists: (1) load-based variations in speed that can cause stalling and (2) burr deflection and chatter that occur at high speeds, which can affect accuracy and precision. The 2 features that do this are speed-sensing intelligence (SSI) and superior turbine suspension (STS). SSI automatically optimizes power for constant speed under load. STS allows the handpiece to operate at high speeds under load with no noticeable…

39. Page 76

    Top 50 Technology Products ORAL IRRIGATOR Philips Sonicare AirFloss is a breakthrough interproximal cleaning device from the makers of the No. 1 recommended power toothbrush brand by dental professionals in the United States (based on sales and recommendation figures). It removes plaque from between teeth with quick bursts of air and microwater droplets, providing a simple and effective alternative for those patients who won't use traditional string floss. In just 60 seconds, Sonicare AirFloss uses less than a teaspoon of water to remove up to 99% more plaque between teeth than brushing with a manual toothbrush alone. It's equipped with…

40. Page 78

    Top 50 Technology Products DISPOSABLE HANDPIECE Azenic Field tested and expert-endorsed, the Azenic DHP disposable high-speed handpiece is the new standard of care in dentistry. Offering amazing power, torque, and cutting efficiency, you can use the low-cost DHP to tackle harsh reduction cases, crown preparations, and surgical procedures, protecting your expensive handpieces from costly wear and tear. Individually wrapped, single-patient-use, sterile, and disposable, with the powerful DHP on hand, you don't have to worry about busy days, equipment breakdowns, and emergency cases, assuring your practice and your bottom line stay on track. Better yet, the DHP is 100% recyclable and…

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