Dentistry Today — November 2014

Inside this issue

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

1. Page 10

   Nutritional Status and Corpus Deterioratum NUTRITIONAL STATUS The overlooked (or possibly ignored?) understanding is that whatever happens invasively and noninvasively causes the body to respond, and that response is always a reflection of the body's nutritional status. Poor systemic health, inverted immune defenses, allergic reactions and, of course, that catches all phrase host response are usually mentioned as etiologic factors yet they are nothing more than epiphenomena for the same thing: the body's nutritional status, because everything that happens in the body is influenced or determined by that. Nutritional status (i.e., nutritional strength) indicates the body's ability to function well…

2. Page 12

   VIEWPOINT continued from page 10 mutates food + bacteria = acids that dissolve enamel. It's infinitely more complicated than that. Many enzyme systems must go awry for the hardest structure in the body to turn into a soft, smelly, decayed mass. You should not get a hole in your tooth any more than you should get a hole in your leg, and, if you awoke with a hole in your tooth, you'd be alarmed. A hole in your tooth should sound the same alarm bells. Cavities are one of the 7 simple signs of low nutritional status. We all eat…

3. Page 15

   How to Increase your Practice Income while you work less and feel more fulfilled By Dr. Ken Whelan Advertising Supplement Dr. Ken Whelan generated $9.2 million within 5-and-a-half years in one scratch practice in Southern California on a 3-day weekly schedule. He's launched multiple million-dollar practices and helped many other dentists do the same. Here are a few of the elements Dr. Whelan uses as part of his Winning Practice Strategy to build multimillion dollar practices. They may be useful to you as well. Become the go-to dentist in your area How do you position yourself so new patients flock…

4. Page 16

   FOCUS ON: Implants David A. Little, DDS, examines how digital technology is enhancing the steps of quality implant care: diagnosis, treatment planning, and managing patient expectations. Q: In what ways is digital technology becoming an increasingly integral part of dental implant treatments? A: The integration of digital technology in dental practices can have transformative effects on practice workflows and patient care, particularly where implant treatments are concerned. Implant treatments involve a range of professional services, each with their own diagnostic, information transfer, and technology (ie, hardware and software) requirements. However, the highest level of quality implant care is predicated on…

5. Page 18

   From the August 2014 Issue LOUPES Q-Optics Q Optics Prism Loupes redefine the standard in surgical and dental loupes. Advanced materials and nose-relief design combine to create the most lightweight and ergonomic prism loupe, and machined titanium unibody housing allows lenses and prisms to be aligned and affixed in a unique optical cage. Carbonfiber shrouds provide weight reduction and nose relief for the steepest ergonomic angles. For more information, call (800) 858-2121, ext. 3675, or visit the Web site q-optics.com. FREEinfo, CLEAR TEMPLATE SYSTEM Dental Arts Innovations Uveneer, a clear template system comprising ideal tooth sizes and proportions, produces glossy,…

6. Page 20

   NEW PRODUCTS ULTRASONIC WASHER ESMA Engineered to perform all the tasks of ultrasonic cleaning, rinsing, and drying automatically, the E789 Ultrasonic Washer allows for automated instruments to be reprocessed prior to sterilization, all at the push of a button. For more information, call (800) 276-2466 or visit esmainc.com. FREEinfo, PANORAMIC X-RAY Air Techniques From one exposure, the Proveeta S-Pan Panoramic X-Ray acquires 20 layers of images and slices each of them into 1,000 fragments. Of these 20,000 fragments, the best 1,000 are selected and recompiled to generate a single, exceptionally sharp panoramic image automatically. All image sections are as sharp…

7. Page 22

   CLINICAL REVIEWS THE DENTAL ADVISOR Prelude One +++++ CoForm ++++ Danville Materials | danvillematerials.com | (800) 827-7940 Directa Dental | directadental.com | (203) 438-8832 Consultants' Comments Consultants' Comments • "A truly universal material." • "No post-op sensitivity." • "I love having only one bottle with no separate activator." • "No refrigeration required." • "Unit dose container could be shallower." • "Made repairing incisal fractures very easy and predictable." • "Easy to place and remove." • "Softer composites are easier to pack into the form." • "Hard to pass through an interproximal contact." • "Poor identification system for forms; size selection…

8. Page 24

   Spotlight X-Ray Generator With Integrated Digital Sensor Yields Perfect Images While Minimizing X-Ray Emissions MOUNT LAUREL, NJ—Combining elegant style and patented ACE technology, ACTEON's X-Mind Unity elevates x-ray generation to the next level, achieving perfect accuracy and patient protection. It confirms with the ACE Technology present in the integrated Sopix inside digital sensor and analyzes in real time the precise amount of x-rays emission needed for a perfect image. Once the image is created, the digital sensor communicates with the generator to stop emitting radiation. The result of this is a high-quality exposure combined with a reduction in patient and…

9. Page 26

   Spotlight New Piezo Ultrasonic Devices Treat Tooth Surfaces Gently While Removing the Toughest Calculus SOUTH JORDAN, Utah—Ultradent Products introduces Ultrawave and Ultrawave XS, piezo ultrasonic devices designed for clinicians seeking a power scaler that is gentle to the tooth surface yet powerful enough to remove the toughest calculus. Their ultrasonic piezoelectric linear motion moves back and forth, in contrast to the ellipse of nondestructive competitive devices, providing more complete scaling with less effort. This linear motion also provides greater consistency and faster performance while treating the tooth more gently. And thanks to their intuitive Reflex technology, both devices offer optimized…

10. Page 28

    Spotlight Highly Rated Handheld X-Ray Device Allows Single-Handed Use ORMOND BEACH, Fla.—Enterprise International's XRayZGo EX, its newest portable handheld x-ray device, offers pistol-grip triggering, allowing single-handed use. It also has been upgraded to 3 mA, and the battery will deliver 200 consecutive x rays with out recharging. An excellent alternative to conventional, wall-mounted x-ray heads, it was reviewed favorably as "good to excellent" by the CE Roundtable in its August 2013 newsletter. All practices can use XrayZGo EX, whether film-based or using PSP plate systems or digital sensors. It is perfect for replacing older x-ray heads, setting up new offices,…

11. Page 29

    Handpiece Line Expanded to Include Basic Surgical Model IRVINE, Calif.–J. Morita has expanded its TwinPower Turbine product line with the addition of the new TwinPower Turbine 45 Basic, a 45° surgical model. As with the original 45°, its double impeller rotor design delivers 20W of power with constant torque and controlled speed, even under high load conditions, and its overall head size—with a height of 13.3 mm and diameter of 10.5 mm—is smaller than competitive units and thus provides maximal access and visibility. Additional features include (1) rear-facing exhaust vents to direct airflow away from the surgical site, (2) a…

12. Page 30

    Spotlight Pilot Drill and Surgical Guide Provide Alternative to Fabricating Conventional Surgical Guide DETROIT–The MD Guide provides a simple solution to more accurate mesio-distal spacing and parallelism, no matter what implant system or brand you may be utilizing. It is not changing your current surgical protocol. It is just helping make it more accurate by combining the pilot drill with an alternative surgical guide. The guide minimizes the stress of misaligned and malpositioned implants and can save time and money over conventional surgical guides. It allows you to work efficiently and accurately and enables you to drill your pilot hole…

13. Page 31

    Ultrasonic Scaler Now Available With LED Handpiece for Enhanced Visibility RACINE, Wis—Vista Dental Products' Piezo Pilot Ultrasonic Scaler offers an unprecedented power in a compact, lightweight design and is now available with a LED handpiece for enhanced visibility. The cold, white LED light offers increased tissue recognition and visibility in posterior regions. Piezolectric technology operates in a linear push/pull motion, unlike the vibrational oscilstric technology of other scalers, which has a vibrating figure-8 motion that produces a considerable amount of heat. This controlled motion results in less patient sensitivity, less heat, and much less water usage. The Pilot is available…

14. Page 32

    Flosser Maximizes Plaque Removal FORT COLLINS, Colo.-Offered to patients exclusively through dental practices online, Water Pik's Waterpik Aquarius Professional Water Flosser features a compact and contemporary design, an on/off water control on its handle, an LED information panel, and 7 water flosser tips. Backed by a 3-year warranty, the flosser features new pulse-modulation technology that maximizes plaque removal in those Mode and enhances gingival stimulation and improves circulation in Hydro Pulse Massage Mode, and its one-minute timer with a 30-second pacer ensures thorough water flossing in all areas. Professional trial pricing for the water flosser is available, and for practices…

15. Page 34

    QUICK TECHNIQUE BISCO's TheraCal LC: Helping to Combine and Strengthen the Art and Science of Adhesive Dentistry Adamo E. Notarantonio, DDS Modern dentistry and the materials available have become optimized for speed and ease of use. In almost every industry, time is money, and choices are usually made with this in mind. This, however, is no way to build something beautiful or something that will last. In dentistry, to achieve this goal, one must combine both the art and science of today's dental materials. TheraCal LC is a light-cured, resin-modified, calcium silicate-filled liner designed for use in direct and indirect…

16. Page 36

    Spotlight New Dual-Solvent Bonding Agent Provides High Bond Strengths, Reduces Sensitivity LOMPOC, Calif–DenMat introduces Tenure®G, a dual solvent bonding agent for bonding any resin restorative to all intraoral surfaces. Featuring an improved formulation over the popular Tenure MPB bonding system, it is a 4th generation, multipurpose, self-cure adhesive system that provides higher bond strengths and is designed to reduce sensitivity to give clinicians more confidence in their composite restorations. Tenure®G is formulated with ethanol and acetone for strength and sensitivity control, and its easy-flow viscosity ensures deep penetration for interaction with the inter-tubule dentin to form a hybrid layer and…

17. Page 38

    Spotlight Zirconia Implant-Retained Prosthesis Offers Exceptional Function, Aesthetics, and Durability SAN FRANCISCO—MicroDental Laboratories' ZEUS ZIP is an implant-retained prosthesis that helps dentists treat the rapidly growing number of edentulous patients. Precision milled out of zirconia, it offers dentists better function and aesthetics, and it is more durable and easier to maintain than hybrid denture alternatives. And to enhance the patient/doctor experience, MicroDental uses a 3-step appointment verification process that reduces setup appointments. The unique ZEUS ZIP verification template ensures fit; no chairside adjustments of the final zirconia product are needed. MicroDental's CAD design experts and higher performance mills provide a…

18. Page 40

    Suction System Better Visibility Bendable Sterile Suction Needles Canal Drying, Reduces Paper Points Introductory Offer: 1 Suction Hand Piece + 3 Boxes of 100 Needles Each only $100.00 For more information, visit TranscodentUSA.com or call 855.210.2556 Transcoject America, L.P. 63 Wall Street Madison, CT 06443 transcodent SPECIAL OFFER CALL 855-210-2556 or on card Spotlight Tool Assesses Practice Performance in Nine Essential Areas, Creating Blueprint for Growth OWINGS MILLS, Md.—After extensive testing involving more than 500 dental practices, the dental consulting firm Levin Group introduces a new diagnostic tool known as the Practice Performance Matrix. Now used exclusively by Levin Group's…

19. Page 41

    Medical/Dental Artwork Cited for Its Collectibility AUSTIN, Tex—The Ronaldro Collection offers collectors of fine medical and dental art bronze sculpture and porcelain figurines crafted by the late master artist Ronaldro, who died in 2012. Each bronze sculpture is crafted entirely by hand and finished to a warm glow. Doctors, surgeons, dentists, and other collectors of medical artwork have made Ronaldro's sculptures and figurines highly prized medical art. For more information, call NADIA International at (800) 237-3868. To view the entire Ronaldro collection, visit ronaldro.com. FREEinfo, Gutta-Percha Delivers Smooth Consistency and Control at a Lower Working Temperature ALGONQUIN, Ill—Flow 150 Gutta…

20. Page 42

    Sterilized Irrigation Tips Offered Spotlight BURNABY, BC–For endodontic and periodontal use, DiaDent's new Sterilized Irrigation Tips feature a side-port dispersal design that creates an upward flushing motion for a complete root canal preparation. Health Canada and FDA approved, the tips are compatible with luer lock syringes, and their round tip ends reduce the risk of tissue damage. For additional information, contact DiaDent toll-free at (877) 342-3368 or visit the Web site diadent.com. New Gel Helps Prevent Caries, Gingivitis, and Treats Sensitivity PLYMOUTH MEETING, Pa.–Premier Dental Products' new Enamelon Preventive Treatment Gel offers a safe and effective alternative for patient homecare…

21. Page 43

    The Benefits of Nanohybrid Flowable Composite's Smart Placement Technology Cited ORANGE, Calif.-Kerr's Herculite Ultra Flow, a hybrid flowable composite and the newest member of Kerr's award-winning Herculite Ultra family, features Smart Placement Technology that enables it to flow easily when used as a base or liner while maintaining its shape when used in small restorations. Other highlights include out-standing flexural strength, minimal shrinkage, easy polish-ability, excellent gloss retention, low wear, and more. than 300% radio-opacity. Offered in 12 shades for optimal clinician convenience, Herculite Ultra Flow is now ready for distribution and is currently shipping to customers. Kerr's Refill pack-ages…

22. Page 44

    The Benefits of Healthcare Fixtures With Antimicrobial Copper Nickel Surfaces Cited FRANKLIN PARK, Ill.-Extensive laboratory and field testing during 15 years of Department of Defense-funded clinical trials has shown that when cleaned regularly, sinks and other products made from antimicrobial copper nickel kill greater than 99.9% of bacteria within 2 hours and continue to kill 99% of bacteria even after repeated contamination (data on file). To bring the benefits of this material to the healthcare market, Jest Manufacturing now offers more than two standard healthcare fixtures, scrub sinks, patient suite lavatory sinks, and nurse's hand wash stations made with CuVerro…

23. Page 46

    NEWS/TRENDS Industry News Air Techniques Restructures Executive Management Team Melville, NY-based Air Techniques announced recently a restructuring of its executive management team that includes the hiring of Christopher Roper as its new CEO and the changing of John Scott's role from president to chief marketing officer. Mr. Roper, who comes to Air Techniques with vast experience managing an international medical company, said he will focus on improving and broadening Air Techniques' product offerings and services to better serve its customers' needs. In his new role, Mr. Scott said he will focus on expanding sales opportunities both domestically and internationally and…

24. Page 48

    Virtual ToothFairy Ball and Online Auction to Benefit At-Risk Children National Children's Oral Health Foundation-America's ToothFairy(NCOHF) will hold a Virtual ToothFairy Ball and Online Auction November 1 to November 24 to engage generous companies and individuals across the dental industry in saving the smiles of at-risk children. Corporations and individuals can participate by purchasing virtual "tables" for $5,000 and/or by donating items for the silent auction. Each table sponsor will have a $5,000 ToothFairy Grant awarded in its name to a NCOHF affiliate community clinic or program serving at-risk children. Thanks to generous underwriters, 100% of event proceeds will be…

25. Page 53

    MEETINGS/SEMINARS 53 offers one hour of CE credit, review at your own pace, learn the entire team, and save thousands of dollars on travel and lost production time. Join Dr. Louis Malcmacher for an exquisite sleep and users will have access to unlimited viewing and program notes. For more information, or to register, call William Edgerton toll-free at (800) 828-8350 ext. 238, or visit the Web site located at vident.com/courses. TMJ/Orofacial Pain Therapy Drs. Louis Malcmacher, David Kimmell, Jim Jesse, Peter Harnois, and faculty will demonstrate on live patients how to easily integrate frontline pain therapy for every dental practice.…

26. Page 54

    Addition of ATP to Midazolam Offers Enhanced Dental Sedation The anesthetic drug midazolam is in widespread use for brief dental and medical procedures due to its sedative and amnestic properties. However, cardiorespiratory depression can occur when it is given in higher doses or repeatedly to achieve deeper levels of sedation. A new study tests the ability of an added drug, adenosine s-triphosphate (ATP), to safely achieve these deeper levels of anesthesia. The current issue of the Journal Anesthesia Progress reports results of a study of 10 healthy volunteers who underwent 2 anesthetic experiments at least 2 weeks apart. In one…

27. Page 55

    Rethinking Free Sugars Intake Sugars should make up no more than 3% of total energy intake in the diet to reduce the significant financial and social burdens of tooth decay, finds new research from University College London and the London School of Hygiene and Tropical Medicine. Published in the open-access journal BMC Public Health, the study analyzed the effect of sugars on dental caries. It shows that sugars are the only cause of tooth decay in children and adults. Free sugars are defined by the World Health Organization (WHO) Nutrition Guidance Advisory Group as follows: "Free sugars include monosaccharides and…

28. Page 56

    In First Impressions, Georac Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. UltraSeal XT hydro Ultradent Products Pit and fissure sealants are a proven treatment modality for caries prevention. They have been available to the profession in a succession of formats for more than 50 years. There are several problems that dentists face. Hydrophobic sealants do not respond well to retained moisture in the tooth surface, weakening their adhesion. If the adhesion fails, causing loss of the sealant, it requires a replacement. Who is responsible, the patient…

29. Page 58

    Test 179 dentalCEtoday.com TMD Rediscovered: A New Paradigm, Part One The human temporomandibular joint (TMJ) has been most eloquently described by Benjamin Moffett¹ It reigns as the paladin of joints, for having served as the evolutionary deliverer of the middle ear, it gallantly became the enduring hinge on which woman's prim equilibrium continued its swings. Its versatility fills us with respect for a structure so magnificent in function that at one moment it is the gliding pivot of trituration and mastication, the next, the smashing safety valve of rage and fury, and, in moments of sublime creativity, the proprioceptive function…

30. Page 60

    TMD Rediscovered: A New Paradigm... continued from page 58 Both proand anti-inflammatory cytokines are frequently found together in symptomatic patients.43-45,53 Additionally, several members of this ailing family have dual roles in modulating the inflammatory immune response and other regulatory processes as demonstrated by IL-6.43,53,57 Cytokines maintain a fundamental role as part of the innate immune system, serving as acute phase reactants in the initial nonspecific response to infection. The innate immune cells comprise a population of predominately circulating white blood cells (WBCs) forming the frontline of defense when our barrier system(s) have been breached. Cytokines are released by resident members…

31. Page 61

    ORAL MEDICINE clotting disorders) may precipitously amplify the clotting cascade during infection must also be considered.64 Is TMD an Infectious Disease? The literature supporting TMD as an infectious disease is largely specious and reactive to the greater number of articles written by researchers within the medical profession. However, the lesser body of evidence in the dental space demonstrating the presence of pathogenic organisms either in the peripheral venous blood, or TMJ tissues or fluid, warrant merit and lend credence to the concept that infection is involved with TMJ disturbances, and may be the leading cause. Although many of the dental…

32. Page 64

    Test 179 Expiration date of this CE article is November 1, 2017. To submit Continuing Education (CE) answers, use the answer sheet below. Or, use our easy online option at dentaltoday.com. This article is available for 2 hours of CE credit. The following 10 questions were derived from the article "TMD Rediscovered: A New Paradigm, Part 1" by Lawrence Gottesman, DDS, on pages 58 to 63. Learning Objectives: After reading this article, the individual will learn: (1) evidence-based support for arthritis of the temporomandibular joint (TMJ) as an infectious disease, and (2) elements of inflammation as a vascular event that…

33. Page 66

    FIFTH ANNUAL READERS' CHOICE y Products Kerr CURING LIGHT The Demi Ultra LED ultracapacitor curing light is a new generation of cordless curing light technology, providing dentists with a battery-free option. It is powered by the revolutionary U-40 Ultracapacitor—exclusive technology that enables a full charge in fewer than 40 seconds for incomparable convenience. The new LED light system also features proprietary C.U.R.E. technology, which rapidly delivers uniform depth of cure with professional-leading low temperatures. Demi Ultra's Erg-Sonic feature set combines simple and intuitive operation with worry-free cleaning. Though ultracapacitors are similar in size and shape to traditional batteries, they work…

34. Page 68

    Top 50 Technology Products UE LASER The WaterLase iPius laser offers the benefits of advanced laser dentistry: selective differentiation with high return on investment, virtually pain-free procedures, and an optimized patient experience. The all-tissue WaterLase iPius gives you maximum versatility to perform both hardand soft-tissue procedures, including laser periosteal titis, peri-implantitis, and endodontic protocols. During tooth cutting, the WaterLase iPius helps to eliminate microfractures, thermal damage, and cross-sectional stress. A comfortable, contra-angle handpiece offers precision during treatment while an intuitive touchscreen and automated settings simplify any learning curve. Your WaterLase iPius package includes a standard 2 year warranty and training…

35. Page 70

    Top 50 Technology Products SIA SYSTEM Ideal for pediatric, endo, implant, oral surgery, and general dentistry, the Wand STA (Single Tooth Anesthesia) all-injection system allows clinicians to gently, precisely, and quickly administer dental injections (PDL, block, palatal, etc) without the anxiety of traditional syringes. Single-tooth injections eliminate numbness of the cheek, lips, or tongue for a more pleasant experience during and after procedures, and the immediate onset of profound anesthesia means no waiting time. Doctors can perform bilateral dentistry during a single visit. Featuring a dissipator and depth guide, the Wand STA provides real-time audio/visual feedback, and it's easy to…

36. Page 72

    Top 50 Technology Products ca) CURING LIGHT/DIAGNOSTIC TIP Dental teams need the ability to work quickly and with precision. Radii Plus Pro enables you to do this. 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, Radii Plus Pro is a long-lasting dental office tool. It's available in Radi Plus, which includes an LED curing light. It also comes in the Radii Plus Pro Kit, which includes (1) one Radii Plus LED curing light, (2) one Diagnostic…

37. Page 74

    Top 50 Technology Products ORAL SENSORS Opteo Intraoral Sensors provide the perfect combination of image quality, patient comfort, efficient workflow, and durability. With true image resolution of greater than 20 lp/mm, Opteo sensors provide high-definition images that are among the best resolution in the profession. A thin profile, beveled edges, and rounded corners improve patient comfort, while the flexible cord design makes positioning easy. Automatic Activation Technology readies the sensor for exposure without manual intervention, creating improved workflow efficiency. Additionally, Opteo sensors are built to withstand even the most rigorous workload. A shock absorption system protects against bites and impacts,…

38. Page 76

    Top 50 Technology Products IR With sleek styling and attention to every last detail, the A-dec 400 combines versatility and elegance at an affordable price. The chair offers a virtual pivot and ultrathin backrest that cradles the patient with unparalleled comfort, all while maintaining optimized access to the oral cavity. With flexible delivery system mounting positions, a solution that matches every practice style is assured. The Radius-edge delivery and support modules quickly and easily rotate around the chair and offer proper comfort for both leftand right-handed operators. Seamless ancillary integration ensures your equipment can expand with the needs of your…

39. Page 78

    FIFTH ANNUAL READERS' CHOICE y Products Millennium Dental Technologies LASER The PerioLase MVP-7 Digital TruePulse Nd:YAG laser's award-winning technology gives all clinicians ultimate tissue control with more than 41 laser-based procedures from nonablative elimination of mucoceles to the ability to effectively treat peri-implantitis with the LANAP protocol. Designed specifically for the LANAP protocol, the PerioLase MVP-7 is the only laser peri-implantitis surgery histologically and scientifically proven to work. It includes an intuitive Samsung 10.1 tablet display with fingertip controls, plus a built-in power meter and joule counter for treatment accuracy and patient safety. For more information, call (888) 49-LASER or…

40. Page 80

    FIFTH ANNUAL READERS' CHOICE y Products DentiLight ORAL CANCER DETECTION DEVICE The award-winning DOE 5E system is an advanced oral exam instrument for early oral cancer screening. It uses patent-pending LED technology and a custom high-contrast fluorescence viewer for direct detection of oral lesions without the need to miss the mouth. The small cordless wand enables high power and high-resolution fluorescence imaging. It allows the detection of traditional and HPV virus-associated oral cancer with its capability to deliver high power and intraoral access. Users also get the benefit of 3 lights in one with the option to upgrade for (1)…

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