Dentistry Today — November 2015

Inside this issue

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

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   Buffering: It's Not Just for Lidocaine Anymore Mic Falkel, DDS; John Goeltz, PhD Since 2011, dental practitioners have completed millions of their dental procedures faster and more comfortably by buffering their local anesthetic immediately before the injection, using the Onset Buffering System. Until now, the Onset System was approved for use only with lidocaine with epinephrine. Before the Onset Buffering System, dental practitioners had no alternatives to unbuffered anesthetic, which required a waiting time on-set of anesthesia of up to 15 minutes after the injection for pulpal analgesia. During this time, the patient's tissues slowly buffered the anesthetic solution toward…

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   Near Collision With Benefits for Many November arrives like a cosmic "big bang" from a continuing education (CE) standpoint! In what turned out to be a near collision on the calendar between 2 major meetings, the ADA's 2015 Annual Session and 5 outstanding dental festivities on the fifth of this month in Washington, DC, According to the ADA, "dental professionals view the ADA annual meeting as the leading source of continuing education and purchasing information in the United States." Later in November, beginning on the 27th, the Greater New York Dental Meeting, sponsored by the Second District and New York…

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   Reflections on Modern Dental Ceramics INTRODUCTION An important clinical objective is dentistry that is both aesthetic and functional for the patient. The knowledge within dental technology, dental science, and the dental practice has dramatically expanded, leading to better quality, a higher level of artistry, and more standards-based clinical applications. Ceramics are the most consistently predictable aesthetic dental material, and dentists can now offer more treatment options for esthetic complex problems. Metal ceramics continue to be the "state of the art" and profoundly affect complex prosthodontic care where splinted restorations are required. However, single phase of monolithic all-ceramic materials have become…

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   VIEWPOINT continued from page 10 Jeff Cranska [June 2013 and March 2015] reporting the successful removal of all ceramic restorations using an erbium YAG laser. ZIRCONIA RESTORATIONS Zirconia restorations continue to be successful (from the standpoint of fit, retention, wear, and fracture resistance), and yet controversial in some clinical leader and academic circles, for use in simple single unit and more complex restorations. 1. There are perhaps 50 different zirconia ceramics on the market and often, the laboratory technician or clinician has little idea what the manufacturing standards were for a given zirconia block or disk used to fabricate restorations…

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   DMP DENTAL 30+ Years of Clinical Excellence NANOCERAM COMPOSITE With 30+ years of experience; DMP has developed an innovative manufacturing process that integrates a unique blend of micro and nano-fillers into the resin matrix creating an easy to sculpt, nano-hybrid composite that achieves superior physical and aesthetic results. Easily and confidently create long lasting, natural-looking restorations that your patients won't stop smiling about! Clinical case replacing a discolored IV restoration with NANOCERAM performed by Dr. Ross Nash, DDS WHY CHOOSE NANOCERAM Superior Aesthetics • Chameleon effect for a natural look. • Average particle size of 20nm; for high polishability &…

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   FOCUS ON: Prosthodontics Joseph J. Massad, DDS, explains how to achieve patients' perception of what they want their final smile to look like at the end of treatment. Q: How can a patient accept the final aesthetic tooth display before treatment? A: The answer begins at the assessment and examination appointment. After a series of patient questions are concluded, it becomes very clear what the patient likes and does not like about his or her existing smile. At this point, it becomes incumbent that the clinician addresses these concerns with the patient before attempting to quote a fee and, for…

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   From the August 2015 Issue MATRIX BAND Medicom The innovative Pro-Matrix Band allows dentists to perfect the art of restoration while prioritizing patient safety. The band's sophisticated design simplifies procedures via easier placement and improved visibility. Single-use and preassembled, the band is easy to use and will save valuable time due its adjustability. For more information, call (800) 308-6589 or visit medicom.com. FREEinfo, UNIT-DOSE BONDING MATERIAL BISCO ALL-BOND UNIVERSAL is now available in unit-dose packaging. Available in 50- and 100-count kits and not requiring refrigeration, the easy-to-handle, orange-colored unit-doses improve efficiency and reduce the potential of cross contamination. ALL-BOND UNIVERSAL…

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   NEW PRODUCTS ORAL CANCER SCREENING SYSTEM Vista Dental Products A simple, cost-effective, noninvasive chairside test, the ESPyOC Oral Cancer Screening System yields immediate results for patients with suspicious lesions. Utilizing a unique, patent-pending biomarker approach, it demonstrated 99% sensitivity and 85% specificity for oral cancer detection in more than 120 patients. It never failed to detect a cancer and accurately detected 79% of precancerous lesions. For more information, call at (877) 418-4782, ext. 127. FREEinfo, PRIMER Ivoclar Vivadent Monobond Etch & Prime, the first-ever self-etching, single-component glass-ceramic primer, allows clinicians to etch and silanate glass-ceramic surfaces in one easy working…

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   Somebody's Watching Me Paul Feuerstein, DMD This month, I offer a glimpse of the future as more companies develop software-controlled and Internet-enabled dental equipment. In the days before caller ID, you might have received prank calls asking the question "Is your refrigerator running?" "Well, yes," you'd respond. And then, of course, you'd get hit with this: "Then you better go catch it." Today, your practice might get a call from the SciCan Corporation, asking "Is your STATIM G4 Sterilizer running?" You might say yes, but the irony on the other end of the phone line might disagree. The STATIM G4—as…

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    Spotlight Bestselling Handpiece Builds on Thirty Years of Success DES PLAINES, ILL-With the Midwest Tradition Plus handpiece, DENTSPLY Midwest has taken a 30-year bestseller and made it even better. Smartly equipped and constructed, it simplifies each cutting procedure with (1) confident handling and (2) consistent, uncompromised power. A patented ceramic bearing retainer extends life, while the innovative chuck is designed to ease bur release after heavy cutting. Distinctive raised knurling offers excellent grip and control that is now available for the first time in both standard and coupler connection versions. Reliable, versatile, and easy to use, the Tradition Plus is…

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    Elevators' Ability to Loosen and Remove Dental Roots and Root Fragments Cited PLYMOUTH MEETING, Pa.- Premier Dental Products' new US made Cryer 44 and Cryer 45 elevators are ideal for loosening or removing dental roots, root fragments, or teeth from bony sockets. They are paired dealer to take advantage of Premier's 5+1 or 12+1 introwith left and right small flag tips for excellent access; their tips are made from 440A stainless steel, which provides superior toughness and outstanding resistance to rusting; and their handles have a large diameter to ensure a secure grip. ductory offers on select Premier hand instruments.…

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    Spotlight New Endodontic Motor, Files, and Contra-Angle Introduced SOUTH JORDAN, Utah- Ultradent Products introduces the Endo-Eze EVOS (Endodontic Variable Operating System) motor, the Endo-Eze EVOS 81 contra-angle, and Endo-Eze Genius reciprocal and rotary files. With the EVOS motor, clinicians will no longer have to choose between the safety of reciprocation and the efficiency of rotary; it allows for easy movement between the modes. Its control unit features an LCD screen with a selection of settings, and included with it is a foot pedal that allows users to selectively activate/deactivate it. The working part of each Genius file comprises Ni-Ti alloy,…

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    Oral Exam Light's Filters Improve Contrast Between Healthy and Abnormal Tissue DANBURY, Conn.—An oral cancer biofluorescence screening device, AdDent's Bio Screen Oral Examination Light contrast between healthy and abnormal tissue to improve visualization of potential problems at an early stage, where treatment is most successful. Completely quiet and requiring no fan, the device is cordless and rechargeable, and it will operate for an hour without needing to be charged. For additional information, contact AdDent toll free at (855) 2+3-3413 or visit the website located at addent.com. FREEinfo, can be used in full room light due to its exceptionally powerful shortwave…

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    Top 50 Technology Products RIVEN HANDPIECE Delivering exceptionally high power, the newest ultra-premium air turbines in the Ti-Max Z handpiece line are engineered for maximal durability, consistent performance, smooth cutting, and optimal access to all areas of the mouth. The standard-head Ti-Max Z900L delivers a profession-leading 26W and operates between 330,000 and 400,000 rpm. Providing 23W, the miniature head Ti-Max Z300L runs from 360,000 to 430,000 rpm. Made possible by a proprietary, specially shaped turbine, these power outputs enable fast cutting for reduced treatment time, as well as a smooth, consistent cutting feel for comfortable operation. The handpieces feature solid-titanium…

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    Top 50 Technology Products ernational SENSOR The QuickRay Direct USB dental sensor offers pristine, high-resolution radiographs and produces patient comfort. Available in sizes 1 and 2, the sensor comes with a free 7-year replacement plan against accidental damage—a first in the profession—and is almost half the cost of its competitors. QuickRay is Macand Windows-compatible and integrates with DEXIS, KDI, Schick, MacPractice, and others. For more information, call (877) 509-3180 or visit denterpriseintl.com. FREEinfo, VITA North America SHADE-MATCHING SYSTEM Whether it's the VITA SYSTEM 3D-MASTER or VITA classical A1 to D4, this digital measuring device determines and verifies all tooth shades…

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    Top 50 Technology Products ANDPIECES Available in 2 configurations, the 430 SWL 45 and the 430 SW 45 from StarDental Instrument Solutions are both equipped with a unique 45° angled head that provides unprecedented access to hard-to-reach posterior areas of the oral cavity. The 430-45 was specifically designed to be the perfect handpiece for certain procedures commonly performed by the general dentist, such as removal of interproximal and various endodontic and periodontal practices. Along with the 45° angle feature, the small head and optical fiber-optic feature of the 430-45 provide dental professionals with superior rod access and visibility. The 430-45…

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    Top 50 Technology Products Brasseler USA HIGH-SPEED HANDPIECE Small in size but big in performance, the MINI high-speed handpiece offers a super-miniature head size that provides maximal access and visibility. The lightweight handpiece features fiber-optic light, ceramic ball bearings, and an easy-to-replace turbine. Moreover, Brasseler recently introduced a new range of MINI Burs to further complement the MINI high-speed handpiece. Shorter than conventional short-shank friction grip burs, MINI Burs deliver unprecedented access when combined with the MINI high-speed handpiece. For more information, call (800) 841-4522 or visit brasselerusa.com. FREEinfo, Convergent Dental LASER Solea, the first FDA-cleared, computer-aided CO2 9.3-μm laser…

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    Top 50 Technology Products -THE-LENS LOUPES The Q-Optics 3.5x prismatic loupes harmoniously blend aesthetics, mechanical design, and precision engineering, resulting in a class-defining optical system. Experience the some of the lightest and most ergonomically correct expanded-field loupes ever introduced. The size and weight of traditional expanded-field loupes are driven by the large housing required to encase the lens elements and the large prisms. For the first time, prisms extend beyond the lens housing into the protective carbon fiber shrouds. When mounted in the Eclipse Titanium frame, total system weight is an unprecedented 54 g. The machined titanium housing further enhances…

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    Top 50 Technology Products IMAGING SYSTEM VOLUX21C is a true all-in-one unit, providing all major x-ray imaging capabilities. It offers true panoramic xray, CBCT, and cephalometric xray with a high-resolution CMOS sensor that provides excellent image quality. VOLUX21C will provide you with quick and vital information you need to place implants in just one low-dose scan. For more information, call (855) GENERAY (436-6729) or visit generayamerica.com. FREEinfo, Kerr Endodontics OBTURATION SYSTEM The cordless elementsfree obturation system combines a down-pack heat source with a motorized back-fill extruder. The down-pack device provides instantaneous heating of the heat plugger with precisely controlled temperature,…

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    Top 50 Technology Products AORAL CAMERA The new IRIS HD USB 3.0 brings the smallest details into brilliant, full-screen, high-resolution focus. Control is always within reach with dual-capture buttons and one-touch focus. The newly designed electronic focus will advance automatically to the next focus mode showing all 5 positions on screen. The built-in motion sensor has auto-on when lifted and auto-off after 10 minutes of inactivity. A new, tapered USB 3.0 connector will fit in a standard delivery unit. IRIS HD extreme clarity is obtained with a precision optical lens array, brilliant 8-point LED lighting, and Sony's advanced HD sensor,…

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    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 if 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 dosimeter and depth guide, the Wand STA provides real-time audio/visual feedback, and it's easy to use.…

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    Top 50 Technology Products ducts ULTRASONIC SCALER Science has shown that irrigants are more effective when they are electromechanically activated. Acoustic streaming and cavitation of endotoxic solutions has been shown to significantly enhance cleansing of difficult anatomy. Studies have shown that low-frequency (sonic) oscillation (160 to 190 Hz) was not sufficient in creating acoustic streaming or cavitation within the canal space. EndoUltra is one of the only cordless, compact, battery-operated piezo ultrasonic (40 kHz) activation devices. It is capable of producing acoustic streaming and cavitation in small canal spaces, resulting in significantly improved debridement, disruption of biofilm, improved penetration of…

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    Top 50 Technology Products D/CAM SYSTEM CEREC AC with Omnicam makes the things patients are looking for possible, including a more comfortable treatment experience and one that allows them to go about their daily lives with as little interruption as possible. Sirona offers a range of digital impression systems and single-visit chairside restoration systems from which to choose, each available in a variety of configurations and price points to fit the framework of any practice and any budget. Whether replacing physical impressions with digital impressions or giving patients the opportunity to have their restorative work completed in a single visit…

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    Top 50 Technology Products ELECTRIC HANDPIECE SYSTEM The iOptima is perfect for all endodontic and restorative procedures. Boost the performance of your operatory with a unique electric system equipped with the latest technology. It is preprogrammed with endodontic systems and restorative procedures, with the option to fully customize procedures. Equipped with an Apple iPod touch user interface and one of the best brushless, sensorless micromotors on the market—the MX2 LED—the iOptima will transform your dental unit by seamlessly adding the latest technology. The micromotor's Smart Logic electronic management system automatically controls the power and compensates for speed variations. The performance…

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    Top 50 Technology Products ECTION DEVICE Shofu Dental DENTAL CAMERA CariVu is a portable caries detection device that uses patented transillumination technology to support the identification of occlusal, interproximal, and recurrent carious lesions and cracks—a much more inclusive detection of conditions. It helps the tooth and enamel in safe, unrestricted light. On the resulting images, enamel appears transparent while lesions appear as dark areas. This allows the clinician to see through the tooth, observe its structure and the actual shape, position, and size of any carious lesions with very high accuracy without the need for removal of bacteria on the…

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    Top 50 Technology Products OBTURATION SYSTEM The SuperEndo Beta Cordless Obturation device is designed for warm gutta-percha techniques, such as backfilling a canal with warm vertical obturation or with a complete fill technique delivery from the apex up. Perfectly complementing B&L's Alpha heat source, the Beta provides simplicity, durability, operator ease, and comfort, in this cordless injectable obturation gun. Equipped with a durable, rechargeable battery, the Beta will provide more than 4 hours of continuous use on a single charge. Unique design features include a patented 360° swivel needle, allowing the operator to change the angle of entry to any…

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    Top 50 Technology Products SENSORS The award-winning Dream Sensors produce crystal-clear, x-ray images that are among the best in the profession. The sensors have received numerous accolades. Patient comfort is achieved with extra rounded corners and 2 sensor sizes to provide the ideal fit for varying mouth sizes. And at 5.41 mm, the Dream Sensors are the thinnest CMOS sensors on the market. Like the rounded corners, the small cable makes a big difference with patient comfort. The sensors are compatible with all versions of Windows and bridge to virtually all practice management software systems, including Dentrix, Eaglesoft, Practice Works,…

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    Top 50 Technology Products X LOCATOR Today's endodontic technology attempts better cleaning, shaping, and filling of the root canal using endodontic handpieces and new types of files that may be more aggressive. The Rider S-2 apex locator helps dentists accomplish better and faster root canal preparation with a reduced risk of perforation. All MedicNRG/USA apex locators utilize digital circuitry, not obsolete analog circuitry in all other units that causes frustrating sporadic false readings. The highly affordable S2 allows dentists to attach it to their own handpiece and to get the exact, continuous file position, within 0.1 mm as it approaches…

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    The Chairside Solution for Digital Radiography Todd Snyder, DDS Digital radiography in the dental practice has significantly saved time and provided the dental professional with more accurate diagnoses due to superior image quality than argenic film. One of the digital radiography options, phosphorus plate (PSP) devices, gives the dental practice the ability to go digital in a way that is similar to film but without the need for harmful chemicals or development time. To utilize a PSP scanner, the dental professional shoots an individual or series of x-rays, then leaves the room to run the digital plates through the scanner,…

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    Spotlight Whitening Gel Yields Professional Results at a Lower Concentration, Enhancing Patient Comfort SOUTH JORDAN, Utah–Opalescence Go 6% hydrogen peroxide whitening gel, Ultradent Products' newest take-home whitening product, yields professional results at a lower concentration than existing products, giving patients with sensitivity a safe, comfortable, and convenient take-home whitening option. The 6% hydrogen peroxide gel has a work time of 60 to 90 minutes and is available in delicious mint or melon flavors. As with all Opalescence Go products, the 6% concentration features the UltraFit tray, which adapts comfortably to the teeth in a matter of minutes to give patients…

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    Spotlight Time-Tested Composite's Handling, Wear Resistance, and Aesthetics Cited ORANGE, Calif.–Kerr Herculite Ultra, a universal nanohybrid dental composite, represents a powerful, trusted brand that is recognized across the globe. Designed for easy placement and optimal handling, it offers high wear resistance and long-lasting polishability that maintains a lifelike luster longer than other leading materials. Hailed as being the profession's gold standard for 25 years, Herculite Ultra uses a 0.4 filler particle that provides better blending and light scattering, helping the material blend into the tooth for restorations that are difficult to detect. For more information, call Kerr Dental at (800)…

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    Primer's Bond-Enhancing Qualities Cited EDGEWOOD, NY—The perfect adjunct to any resin cement, Parkell's new EaZy-Primer is specifically formulated with an MDP monomer added to 4 META, which enhances the bond to the silica-free, polycrystalline structure of zirconia. It will also work well with lithium disilicate and porcelain in conjunction with adhesive resin cements. And while EaZy-Primer users can eliminate the need for hydrofluoric acid and the risks that come with it, such as discomfort if it comes in contact with soft tissue. For more information, call Parkell at (800) 243-7446 or visit the website located at parkell.com. FREEinfo, Spotlight Reliability…

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    Cement's Exceptional Handling, Radiopacity, and Healing Properties Cited NEW MILFORD, Conn.- With a proven scientific and clinical track record, MTA-Angelus Reparative Cement exhibits exceptional handling, ideal radiopacity, and incomparable biological healing properties. With a 10- to 15- minute setting time (compared to 2 plus hours for other current MTA products), it is an ideal choice for pulp capping, perforation repair, root-end filling, apexification, and apexogenesis as well as root resorption repair. For more information, call CLINICIAN'S CHOICE, now partnered with Angelus, a Brazil-based dental products manufacturer, at (800) 265-3444 or visit clinicianschoice.com. FREEinfo, Spotlight Anterior Zirconia Offers Labs a New…

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    New Zirconia Material's Strength, Translucency, and Prep Flexibility Cited DUBLIN, Calif.–MicroDental Laboratories' new ZEUS Ultra Zirconia Restorations offer dentists a new option for clinical situations requiring strength, translucency, and enhanced zirconia prep flexibility. Stronger than PFM and other all ceramic materials yet more translucent than traditional zirconia, ZEUS Ultra is the economical choice for smile zone anterior and posterior restorations. With 600 to 680 MPa of flexural strength, monolithic ZEUS Ultra restorations offer greater durability and chip resistance than metal ceramics. They are manufactured by experienced designers using top-of-the-line milling machines. This produces consistent, predictable quality and enhanced zirconia esthetics.…

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    INNOVATIONS 75 Brush Tip Designed Specifically for Application of Viscous Materials RACINE, Wis.—Offered by Vista Dental Products, the Spira-Flo brush tip is designed specifically for application of viscous materials, offering controlled delivery of etchants, softer effect of pushing to shorten for a stiffer effect. Among the tip's features are its curved cannula for optimal entry, internal spiral channel, and universal luer lockstyle hub. For more information, visit vista-dental.com, call Vista Dental Products toll-free at (877) 478-4782 or FREEinfo, [THIS IS FIGURE: Image of red brush tip applicator] resins, and other viscous materials used in most restorative procedures. The length of…

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    Spotlight Matrices' Matte Finish Creates High Contrast/Low Reflection Working Environment MEZZOVICO, Switzerland—Offered by Polydentia, the LumiContrast Sectional Matrix System incorporates parameters such as light ("Lumi") and contrast ("Contrast") to offer clinicians the best solution for their eyes. Thanks to their matte surface, the system's matrices are characterized by low reflection, with consequently no blinding effect. Moreover, a high contrast between dark color/white teeth is created. This innovative matrix coloration cannot be scratched away, and no particles can scatter into the filling material. LumiContrast is an absolute must-have when working with modern technologies with intense light sources, such as loupes or…

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    Next-Generation Alginate Impression System Introduced AMHERST, NY—Ivoclar Vivadent's new AccuDent XD Alginate Impression System represents the evolution of the time-proven Accudent Impression System. It includes (2) two dual-phase alginate materials (tray and syringe) for improved accuracy and precision and (2) a thermoplastic, heat moldable tray system for both dentate and edentulous impressions. The secret behind the XD system is the unique relationship between the 2 impression materials. The irreversible hydrocolloid tray and syringe gels have different viscosities, but they are chemically compatible and designed to work harmoniously in the mouth to create impressions with outstanding accuracy and detail. The light-bodied,…

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    Simple and Effective Way for General Dentists to Cosmetically Align Teeth Have you ever noticed that when you refer your adult patients to an orthodontist, only a few actually move forward with treatment? What about those patients who declined? What options are you offering them for their crooked, spaced, or misaligned teeth? Do you leave them stuck and do nothing? Prep for veneers? Or do you give them an aligner option, which can take up to 2 years, similar to the comprehensive route? Most patients do not want to go through 2 years of treatment and therefore decline, having many…

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    CLINICAL REVIEWS THE DENTAL ADVISOR DentiMax Dream Sensor +++++ DentiMax, LLC | (800) 704-8494 | dentimax.com Consultants' Comments • "Patients noted comfort. It's a little slimmer, but it makes a big difference." • "Very clear images; diagnostic quality was excellent." • "Its thin 5.5 mm profile offers a high level of patient comfort." • "Customer support is very responsive; great value." • "Images are crisper than those from many other sensors." • "No. 1 sensor is smaller than No. 1 film; it's ideal for pediatric patients." Description The DentiMax Dream Sensor has rounded corners and beveled edges and is available…

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    CLINICAL REVIEWS THE DENTAL ADVISOR HYDRIM L110w G4 ++++1/2 SciCan | (800) 5724211 | scican.com Consultants' Comments • "Instruments are clean and dry before sterilization." • "I used the 5-minute rise cycle to clean soiled instruments immediately after use; later, I ran a full cycle." • "Control panel is easy to operate." • "I had to reconsider sequencing of my sterilization process." Description The HYDRIM L110w G4 is a large capacity, stainless steel instrument washer that can be freestanding or mounted under a counter. The G4 series features a Web connection and interface that allow for data storage and remote…

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