Dentistry Today — November 2013

Inside this issue

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

1. Page 8

   Changed Economic Landscape for Patients Yes, according to economic experts, the Great Recession has been difficult over for a while now. The chatter in most corners is now centered on either the when-normal recovery or what lies ahead with many potential economic pit falls (federal policies, US debt, foreign economies, etc). No matter how you slice it, and depending on where you practice, the economic landscape for many dental patients has definitely changed. This, in turn, has had an impact on how dentists should be managing their businesses. Learning or refining skills related to treatment planning, on the profitability of…

2. Page 10

   Peri-Implant Diseases and Collaborative Treatment Traditional goals of the dental profession are to conserve the natural dentition for the life of the patient. In cases where dental disease presents, such as caries, periodontal disease, endodontic disease, etc. the goals are to restore the teeth and supporting structures to a state of health, function, and esthetics. Periodontists, working in collaboration with restorative dentists, diagnose and treat gingivitis and the various forms of periodontitis. Such chronic and aggressive—in an effort to help our patients keep their natural teeth. Clinical procedures such as the elimination of pathological pockets, crown lengthening, and reblinding of…

3. Page 12

   VIEWPOINT continued from page 10 recent systematic review of the literature by Mouhyi et al. the disease was found in 28% of patients (corresponding to 10% of implants placed within 5 to 10 years following implant restoration) and natural bone remodeling. Even using the most conservative thresholds to define peri-implants in the various published studies, these numbers represent a significant number of implants developing peri-implantitis following placement of the final implant supported restorations. PREVALENCE OF PERI-IMPLANTITIS To understand the significance of this disease, one has only to look at research from the Millennium Research Group (an independent research organization) which…

4. Page 14

   Visit Our Site Today! Technique of the Week Oral Health: Flossing Mhari Coxon, RDH, is a leading dental hygienist and founding member of Britain's Tooth Whitening Information Group. She discusses the importance of flossing in this video, demonstrating the Philips Sonicare AirFloss. Ms. Coxon gives tips on usage, battery charging, storage, cleaning, and more. She highlights how the whole mouth can be completely cleaned in as little as 30 seconds. For more information, and to watch the video, visit . Coverage From the Show Floor Live Blog From the ADA Meeting Dentistry Today attended the ADA meeting in New Orleans,…

5. Page 16

   FOCUS ON: Salivary Diagnostics Neil R. Gotthrer, DDS, discusses salivary diagnostics in dentistry. Q: Has there been any recent change in mortality of oral diseases? A: Oral squamous cell cancer has remained the sixth most common cancer worldwide with an average 5-year survival rate of approximately 60%. At least one human being dies per hour from this dreaded disease. Q: Has the US government issued any white papers regarding the status of health in dental care? A: In 2000, the Surgeon General released The Oral Health in America: A Report of the Surgeon General. The mouth was seen as a…

6. Page 18

   From the August 2013 Issue VENEER SYSTEM DenMat Lumineers are now better than ever. The ultrathin veneers allow dentists to create a naturally beautiful smile with the greatest preservation of tooth structure possible. Created in DenMat's new, full service lab and production facility, all Lumineers are US-made using advanced digital design software and new 3D printing processes. For more information, call (888) 393-2974 or visit denmat.com/lumineers. FREEinfo, UNIVERSAL COMPOSITE DENTSPLY Caulk TPH Spectra Universal Composite offers you preferred composite handling without the aggravating tech niques required to overcome handling obstacles associated with currently marketed composites. TPH Spectra has your handling…

7. Page 20

   NEW PRODUCTS NANOHYBRID COMPOSITE Exacta Dental NANOCERAM, a light-cure nanohybrid composite formulated with a special blend of nano and microfillers, produces a superior restoration, and high aesthetic results have been achieved by the integration of the nanoparticles in the resin matrix. These nanoparticles, with an average particle size of 20 μm, assist in a quick shell-like polishability, better placement and create ultralow wear. For more information, call (800) 474-7665. FREEinfo, INVISIBLE RETAINER MATERIAL Great Lakes Ortho Clear, strong, durable, and stain-resistant, Invisacryl Ultra is ideal for fabricating invisible retainers, and it offers fast fabrication, uniform thickness, and consistently high quality.…

8. Page 22

   CLINICAL REVIEWS CS 8100 Digital Panoramic System +++++ Carestream Dental | carestremdental.com Consultants' Comments • "One of the easiest machines to use." • "Clear, crisp images." • "Small, compact unit." • "Software is intuitive." • "The 3D+ feature is useful in determining the buccal-lingual relationship of objects in the images." Description The CS 8100 digital panoramic system is a compact x-ray unit with imaging software. The x-ray unit is designed with transparent patient supports and face-to-face positioning for ease of alignment. It comprises a high-frequency generator, the Active Pixel CMOS sensor, and a vibration-free motion system with a 0.5-mm focal…

9. Page 24

   Perfect Temporaries With DenMat's New Perfectemp10 Simona Cuevas, DDS In a dental world flooded with an array of temporary crown and bridge materials, very few have been able to fulfill the requirements set forth today by savvy dentists and their picky patients. DenMat's Perfectemp10 has risen above the rest by fulfilling these requirements to become an ideal, easy-to-use crown and bridge temporary material. A good provisional material has a tremendous impact on the outcome and success of the final case. This new generation of Perfectemp is a premium multifunctional acrylic composite temporary crown and bridge material that delivers results at…

10. Page 26

    Spotlight New Apex Locator Features Compact Design, Full-Color Screen, and Progressive Sound Control TULSA, Okla.–DENTSPLY Maillefer's new Detect Apex Locator features a full color screen, progressive sound control, and the latest multifrequency technology for improved visualization of the file progression. Supported by extensive research and testing, it allows practitioners to sharpen root canal visibility and accurately measure root canal length during endodontic therapy. The full color screen shows an image of the tooth as well as a numerical value to indicate the file progression in the tooth. And in addition to this visual information, Detect emits audible information using progressive…

11. Page 28

    Spotlight Software Upgrade Improves Scanner's Performance Applicator Optimizes Composite Performance ST. PAUL, Minn—Software upgrade 4.1 for 3M ESPE's 3M True Definition Scanner allows dentists to more quickly and efficiently take digital impressions for challenging cases. The upgrade improves the focal range of the scanning handpiece, making it easier to scan a full arch and capture challenging areas of the oral anatomy, and it will be automatically installed on all 3M True Definition Scanners. Practitioners using the new software emphasize its improved scan speed and ease of capturing incisal edges and interproximal spaces, resulting in more user control and a scanning…

12. Page 29

    If Steve Jobs had created a denture... It just might have been an AvaDent Digital Denture! By Mike Brennan VP Marketing Global Dental Science FREEinfo, on card Steve Jobs will forever be associated with making products that are simple and elegant. As complicated as the product might be on the inside, his vision was to conceal that complexity. "Place it in a technological 'black box' and create an elegant product with a user interface that was easy and intuitive. In doing so he created products that others could not even conceive, made simplicity the ultimate sophistication and changed the lives…

13. Page 32

    Optimal Canal Shaping and Disinfection Ron Kaminer, DDS Successful endodontic cleaning and shaping protocol requires the mechanical removal of root canal contents and the chemical dissolution and flushing away of infectious substances while establishing a specific cavity form. Currently, the emphasis in endodontic treatment is changing from establishing cavity form with Ni-Ti instruments of various tapers to achieving a thoroughly disinfected canal system using irrigation devices or techniques to activate various irrigating solutions. This shift in emphasis is due to recent research showing that after Ni-Ti instrumentation, many areas of the main root canals remain unprepared regardless of the instrumentation…

14. Page 34

    Spotlight Cordless Impression-Taking System Hailed as First Innovation in Impression Taking in More Than a Decade MILFORD, Del—A monumental breakthrough in impression taking, DENTSPLY Caulk's Aquasil Ultra Cordless is the first and only tissue-managing impression system that does not require tissue retraction, in most cases. There is no need for cord and no need for paste; just utilize this easy, one-step system to place superhigh-tear strength wash material precisely into the sulcus within seconds for a less stressful experience that delivers incredibly accurate marginal detail. It's the first innovation in impression taking in more than a decade, and it's another…

15. Page 36

    Spotlight New Laser System Perfectly Pairs Laser Technology With an iPod touch WEST JORDAN, Utah–The CAO Group's new Precise SHP Diode Laser System, distributed exclusively through Henry Schein Dental, perfectly combines state-of-the-art diode laser technology with the cutting-edge operating system of an iPod touch. It is the first diode laser system used with an iPod touch to receive FDA clearance for a variety of procedures and also the first to include sterilized tips. The laser's 21 presets cover a wide spectrum of specialties, making everyday dental procedures easier to perform with excellent outcomes, and step-by-step setup instructions, laser procedure demonstrations,…

16. Page 37

    Award-Winning Bulk-Fill Composite's Popularity and Dependability Cited ORANGE, Calif.–Since its launch in June 2011, Kerr's SonicFill bulk-fill composite has received numerous awards and recognition as an innovative solution to one of the most common, tedious, time-consuming procedures dentists complete each day—posterior restorations. And in addition to these awards and recognition, the clinical community has widely embraced SonicFill, with more than 10,000 users and 4 million tips sold to dentists in the United States alone. These dentists cite better patient outcomes, shorter appointment times, more consistent results, and incredible ease of use as just some of SonicFill's many benefits. With 2…

17. Page 38

    Capabilities of Complete Composite System's Materials Cited THE VILLAGES, Fla—DMP Dental's Complete Composite System features (1) NanoCeram Universal, a light-curing nanohybrid composite for all direct anterior and posterior restorations, (2) NanoCeram Flowable, and (3) Bright Posterior. They are offered in 4-g syringes and unit-dose capsules as well as 2-g syringes of flowable in a variety of VLUs shades. Ease of sculpting combined with extremely low water sorption, solubility, and polymerization shrinkage create restorations that resist deterioration and provide longevity, high marginal integrity, and minimal postoperative sensitivity. Also, microleakage is virtually eliminated. The Nano composites have a creamy consistency that is…

18. Page 40

    Global Dental Solutions, LLC Full service dental laboratory A full service dental laboratory dedicated to your success since 2001. Our consistently low remake rate and competitive pricing make us the laboratory capable of handling all of your needs. We offer free round-trip shipping, via FedEx preprinted labels or local courier. Additionally, our owners, Hal and Brad, are on site 5 days a week. Just a sampling of our products: ALL-ON-4 SCREW RETAINED DENTURE with milled titanium bar All inclusive $2580 *plus abutments CROWN & BRIDGE CEREC Authorized laboratory CADIAX iTero. REMOVABLES Voloplast CERTIFIED LABORATORY tcs IMPLANTS Round-house implant supported bridges…

19. Page 42

    Featuring Unit-Dose Delivery System, Universal Adhesive's Advantages and Versatility Cited BRIARCLIFF MANOR, NY— VOCO's Futurabond U, the world's first and only true universal adhesive in a unit dose delivery system, offers practitioners a distinct advantages: (1) its universal indications for all adhesive procedures without the need for additional activators or primers and (2) its ability to prevent solvent evaporation, a well documented challenge for adhesives that are dispensed in a bottle. Futurabond U's versatility allows it to be used in self, selective, or total etch mode, without any additional pH activators, on virtually all substrates. It achieves total etch bond…

20. Page 43

    Dual Tooth-Whitening Regimen Yields Fast, Effective Results Without Sensitivity NEW YORK CITY-GLO Science is revolutionizing the traditional teeth-whitening experience for dental professionals and their patients with its GLO Brilliant Professional Teeth Whitening Device. Together with the GLO Science Professional in-office whitening treatment, GLO Brilliant empowers dentists to offer patients a fast, effective way to whiten teeth without sensitivity. This dual teeth-whitening regimen consists of one 32-minute in-office whitening session followed by GLO Brilliant Professional, a take-home maintenance system that gives patients the necessary contact time to stabilize whitening results achieved in-office. With 9 patents and 20 patents pending, GLO uses…

21. Page 44

    Obtaining Accurate Impressions for Posterior 3-Unit Restorations Ivoclar Vivadent's Virtual XD VPS Impression Material Figure 1. The preparations were cleaned following removal of the provisional bridge. Figure 2. Gingival retraction cords were placed. Note the deep sulcus on the lingual aspect of the molar. Figure 3. The dental assistant dispensed the heavy-body tray material, ensuring the dispensing tip was embedded in the impression during extrusion to avoid air bubbles. Figure 4. Simultaneously, the dentist dispensed the wash material around the tooth, also ensuring the dispensing tip was embedded in the impression during extrusion. Figure 5. Full-arch view of the final…

22. Page 46

    NEWS/TRENDS Industry News Prosthodontics Group Honors Robert Ganley, CEO of Ivoclar Vivadent, AG Robert Ganley, CEO of Ivoclar Vivadent, AG, was recently honored by the American College of Prosthodontists (ACP) at the 2013 Annual Session in Las Vegas, recognized along with Don L. Wiens, Brigadier USA's chairman, president and CEO, as honorary directors of the ACP Education Foundation. "Bob has a deep understanding of the dental market and its customers. His vision, leadership, dedication, and service help advance the field of prosthodontics," said Nancy Deal Chandler, the executive director of the ACP and the foundation. Mr. Ganley has been with…

23. Page 47

    ADVERTISING SUPPLEMENT 47 Mission Statement • To Engage and Involve the Younger Generation of Dentists and to help assimilate them into the greater Dental Community. As the average new graduating dentist owes upwards of $450,000 in student loans and due to the lack of employment opportunities present, it has become impossibly difficult for the new dentist to become part of Organized Dentistry. It is evident across the nation that attendees of younger dentists and healthcare providers of various conferences, seminars and dental gatherings is at an all-time low. It is also evident that dentists are depending more on the Internet…

24. Page 48

    NEWS/TRENDS Add Yet Another Item to the "I-Am- Addicted-to" List: Oreos Connecticut College students and a professor of neuroscience have found that Oreos, "America's favorite cookie," are just as addictive as cocaine—at least for lab rats. And just like most humans, the rats go for the middle first. In a study designed to shed light on the potential addictiveness of high-fat/high-sugar foods, Joseph Schroeder, PhD, associate professor of neuroscience at Connecticut College, and his students found that rats formed an equally strong association between the pleasurable effects of the Oreos as they did with cocaine or morphine. They also found…

25. Page 49

    NEWS/TRENDS a joint investigation of a dental surgical practice with offices in Tabia and Owasso. The investigation began March 28 when public health officials notified the practice's former patients that they may have been exposed to bloodborne viruses. The oral surgeon involved in the case has since voluntarily surrendered his license. An epidemiological investigation indicated that one case of the transmission of the virus occurred in the dental practice. The transmission was described as "patient-to-patient" because improper infection control procedures caused the virus to be passed from one patient to another. Genetic-based testing of patient specimens by the CDC provided…

26. Page 50

    Course Year-End SPECIAL Buy1 Get1 Offer ONLINE EXCLUSIVE YEAR END SPECIAL! Purchase 1 CE Course at regular price and receive a second CE Course of equal or lesser value for FREE. Visit now online at dental ce today.com — Dentistry Today Promotion Code: DT2013SPECIAL at checkout. Limited Time: Expires 12-31-2013. Dentistry Today is adding more opportunities to earn CE credits for selected clinical articles. Each month you can choose from any of the CE selections. For more courses visit dentalcetoday.com. REACH THE HIGHEST LEVEL OF TECHNICAL EXCELLENCE AND BOTTOMLINE PRODUCTIVITY Advanced Restorative Series Hands-on Training Double, triple, quadruple your practice…

27. Page 53

    INTERVIEW: Julie Charlestein, President, Premier Dental Products 1. What should our readers know about Julie Charlestein? I am someone who loves this industry. I love the opportunities it presents, the relationships it forges, the technology it develops, and the communities it helps. 2. What can you tell us about the history of Premier Dental? Premier Dental was started 100 years ago by Julius Charlestein, my great-grandfather, who started his career as a sharpener of dental hand instruments. His drive led to the ownership and growth of Premier, which he accomplished through entrepreneurship, global vision, and relationship building. These incredible paths…

28. Page 54

    QUICK TECHNIQUE BISCO's eCEMENT in Everyday Porcelain Cementation A Single Cementation System for Adhesive Bonding Procedures Fred Peck, DDS Dentistry is undergoing major innovations in the arena of dental ceramics and bonding cements. New ceramic materials are continually being introduced to the dental profession, and these materials need reliable adhesion cements such as BISCO's eCEMENT. This new cement comes in both light-cured and dual-cured formulations. In my office, I have been using the light-cured eCEMENT under porcelain veneers, where I can achieve a complete cure. The single-phase eCEMENT can also be used with lithium disilicate and other glass ceramics such…

29. Page 58

    Top 50 Technology Products . 1 Ultradent Products CURING LIGHT VALO was created in 2009 to address the many problems left unsolved by other curing lights. Since its introduction, VALO has proven to be the most powerful light on the market, thanks to its multiwavelength, light-emitting diode and optimally collimated beam capable of polymerizing any dental material, including porcelain and underlying resins. The ergonomic design of its wand-style body and large footprint of the curing head provides unprecedented access to the oral cavity where other curing lights simply cannot reach. Precision-milled from a solid bar of high-grade, aircraft aluminum, VALO's…

30. Page 60

    Top 50 Technology Products . 1 DenMat DIODE LASER The SOL laser is a highly versatile soft-tissue diode laser than can be used for gingival contouring, tissue retraction for impressions, or laser-assisted periodontal therapy. This portable and efficient laser is designed for both novice and experienced laser users, delivering the power that they need at a fraction of the price of other leading competitors. SOL is both lightweight and portable with an internal battery that allows you to move between operatories for more than 3 hours without recharging. It has 3 easy-to-use settings designed to simplify use for both dentists…

31. Page 62

    Top 50 Technology Products . 1 Ellman International ELECTROSURGICAL DEVICE The new Radiosurgery generator enables dentists and oral surgeons to cut and coagulate soft tissues with extreme precision. Operating at 4 MHz, it minimizes heat dissipation and cellular alteration, giving you the precision you require with the versatility you need. It requires less setup time, is easier to use, more cost-effective, safer, and clinically proven to cause less thermal damage than lasers. For more information, call (516) 594-3333 or visit ellman.com. FREEinfo, SciCan AUTOCLAVE The STATIM G4 is the same renowned and trusted autoclave it has been for more than…

32. Page 64

    Top 50 Technology Products . 1 DentalEZ Group OPERATORY LIGHT The EverLight LED operatory light presents an alternative to halogen-based operatory lights. It provides color-corrected lighting, a precise light pattern, and energy-efficient features. The EverLight has 100% true, direct LED technology that remains at a consistent, cool temperature. It provides extremely precise lighting and is equipped with 9 color temperature/intensity settings including more focused, shadow-free, color-corrected lighting. Its natural daylight illumination mode provides clearer oral cavity visibility and extremely precise shade matching. The EverLight's LED composite setting will not cause premature on composite materials. It provides several energy-efficient features. It…

33. Page 66

    Top 50 Technology Products MedicNRG APEX LOCATOR Designed to work with most handpieces, the ApexNRG Rider and the ApexNRG Blue apex locators measure canal length in real time with a precision of 0.1 mm, allowing for quicker canal preparation without frequent manual verification stops. While other aggressive files increase the possibility of apex perforation, MedicNRG's devices use Digital Signal Processing to enable optimal preparation of the canal all the way to the apical construction. This can be done without fear of perforation caused by the lag time of reading the file location, which can cause penetration of the periapical tissues.…

34. Page 68

    Top 50 Technology Products . 1 Sirona Dental Systems CAD/CAM SYSTEM CEREC AC is the true CAD/CAM system that combines the great features of a market-leading digital impression technology with the ability to connect to chairside milling for the ultimate in patient experience and practice efficiency. It delivers the fastest acquisition speeds on the market, and provides a quick return on investment. It utilizes the latest intraoral imaging technology to help dentists harness the full potential of digital impressions. CEREC AC provides the best balance of speed, ease of use, and precision for chairside applications, and creates stand-alone digital impressions…

35. Page 70

    Top 50 Technology Products DENTSPLY Tulsa Dental Specialties TORQUE CONTROL MOTOR Designed for rotary and reciprocation instruments, new e3 torque control motor offers quiet operation, and its large, clear, easy-to-read display is preprogrammed for the WaveOne reciprocating file as well as all other DENTSPLY Tulsa Dental Specialties' file settings, including (but not limited to) ProFile Vortex, ProTaper Universal, and PathFile plus 15 other programmable settings. It operates on battery or AC power and in rotary mode offers speed setting from 250 to 1,000 rpm, torque settings from 20 to 410 gcm, and auto-stop, reverse, and forward. A 6:1 contra-angle (e-type)…

36. Page 72

    Top 50 Technology Products . 1 3Shape DIGITAL IMPRESSION SYSTEM TRIOS Color is a next generation intraoral impression solution that is fast, accurate, and easy to use. Its features include high accuracy capture in color, powder-free scanning, clinical validation, and more. TRIOS is optimized for a wide range of dental indications. The built-in Communicate software lets dentists and labs interact and exchange case information, 3-D designs, and treatment previews. With every TRIOS system, 3Shape offers yearly software upgrades, providing new features. The TRIOS POD configuration option offers both mobility and flexibility and gives clinics alternative setup options, including scanning and…

37. Page 74

    Top 50 Technology Products . 1 SNAP Imaging Systems COSMETIC SIMULATOR The SNAP Cosmetic Simulator now provides marketing materials on how to easily reach out to patients and potential patients via the reception area, bridal shows, health clubs, the web, and much more. You can produce realistic "before-and-after" cosmetic simulation photos in less than a minute, and patients can take home the images to show the spouse, family, and friends. For more information, call (866) 987-7627 or visit snapdental.com. FREEinfo, Obtura Spartan ULTRASONIC UNIT The new Spartan Wave Piezo Electric Ultrasonic Unit, used in conjunction with Obtura Spartan's wide variety…

38. Page 76

    Top 50 Technology Products . 1 SDI (North America) CURING LIGHT/DIAGNOSTIC TIP Dental teams need the ability to work quickly and with precision. Radii Plus Pro enables you to work as fast as possible. Within seconds, you can change from using a diagnostic tip to a curing light. A simple swap of the tips requires minimal working space. Super durable and with a 5-year limited warranty, the Radii Plus Pro is a long lasting dental office tool. Included in the Radii Plus Pro kit are one Radii Plus LED curing light, one Diagnostic LED Attachment, one Diagnostic Adapter Tip, and…

39. Page 78

    Top 50 Technology Products . 1 DentiMax DIGITAL X-RAY SENSORS The award-winning DentiMax digital sensors produce phenomenally crystal-clear xray images that are the best in the profession. The sensors have received numerous accolades. Patient comfort is achieved with extreme rounded corners and 2 sensor sizes to provide the ideal fit for varying mouth sizes. And at just 5.5 mm, DentiMax sensors are the thinnest CMOS sensors on the market. The sensors are compatible with all versions of Windows and bridge to virtually all practice management software systems, including Dentrix, Eaglesoft, PracticeWorks, Easy Dental, and Softdent. DentiMax digital sensors can be…

40. Page 79

    . 1 READERS' CHOICE Top 50 Technology Products Velopex International HYDRO-ABRASION DEVICE Aquacut Quattro utilizes reduced chair time, no drill noise, no heat, no smell, minimal removal of sound tools, tooth, and no chipping or stress fractures. The greatly lowered need for needles reduces operator and patient apprehension levels. With no direct contact to the tooth, the Aquacut Quattro is used for cutting of tooth structure, microabrasion of teeth before bonding, removal of old composite, cleaning of amalgam staining, removal of orthodontic bracket cement, and removal of cement from debonded restorations. The twin powder chambers permit both cutting and prophy…

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