Dentistry Today — November 2016

Inside this issue

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

1. Page 6

   Spotlight on Technology This issue of Dentistry Today focuses on a number of authors who have their roots in advances in science and technology. One important area of technology, CAD/CAM, was introduced to the field in the mid-1980s. The implementation and then subsequent improvements in this still evolving technology has had a profound impact on clinicians, dental technicians, and patients. Anyone with at least a keen interest in CAD/CAM throughout the years, even if a non participant clinician at the chair, has certainly been made aware of the tremendous advances in the strength and aesthetics of restorative options, ease and…

2. Page 8

   The Future Dental Auxillary Is Here You step into your operatory and greet your patient. Then, the local anesthetic is administered and allowed to reach a profound state. Next, you prepare the teeth to completion; then, here is where things change. Your assistant slips on a pair of loupes and takes a seat in the operator stool. You then leave the operatory, turning the placement and completion of the restorations over to your highly trained dental professional who is an expanded function dental assistant (EFDA). This professional, arguably the most underused and underutilized dental auxillary, takes over the most time-consuming…

3. Page 10

   continued from page 8 Permitted procedures vary slightly from state to state, but the following are the basic tasks that an EFDA can perform in addition to those of a certified dental assistant: • Placement of dental medications • Placement of dental restorations (amalgam, composite resin, and glass ionomer) • Adjustment and polishing of restorations • Cosmetic mockup for aesthetic demonstration. EFDAs cannot diagnose or perform any irreversible procedures, and it is important to note that the dentist is ultimately responsible for any procedures completed by the EFDA. THE EFDA ADVANTAGE Having an EFDA adds flexibility to the doctor's schedule.…

4. Page 16

   NEW PRODUCTS SURGICAL/PIEZO UNIT Saeshin Precision Company The affordably priced SUS10 Surgical & Piezo Combination Unit facilitates piezo procedures and allows clinicians to place an implant using one surgical unit; no wasting counter space with 2 separate units. Easy push-button controls are provided for both procedures, and included with the unit are 2 handpieces, piezo tips, and a foot control. For more information, call (760) 519-7771. FREEinfo, CURING LIGHT Ultradent Products The new VALO Grand Curing Light features all the benefits of the award-winning VALO light but with a larger head size; a 50% bigger head measuring 12 mm; and…

5. Page 18

   From the August 2016 Issue TAPERED IMPLANT Glidewell Laboratories The Inclusive Tapered Implant is now available in a 3.2-mm diameter, a size that incorporates a narrow-diameter apex and has been designed to ease positioning in areas of limited anatomical space, such as upper lateral incisors, lower incisors, and narrow ridges. With this size addition, the Inclusive Tapered Implant is now available in 3.2 mm, 3.7 mm, 4.2 mm, 4.7 mm, and 5.2-mm diameters. For more information, call (800) 407-3379 or visit inclusivdental.com. FREEinfo, ROOT CANAL SEALER Dentsply Sirona Endodontics Made from an enhanced formula of its counterpart, ProRoot MTA Root…

6. Page 20

   CLINICAL REVIEWS THE DENTAL ADVISOR BulkEZ ++++ Danville Materials | (800) 827-7940 | danvillematerials.com Consultants' Comments • "It is reassuring to know that the restorative material is fully cured. With light-cured materials, sometimes I wonder." • "Placing large fillings in a single layer saves time." • "Matrix has to be adapted well to get a good proximal contact since there is no ability to pack the material." Description BulkEZ is a dual-cured, bulk-fill posterior composite that is placed like a flowable composite, and it is compatible with any adhesive system. It is one of the few dual cure posterior composites…

7. Page 22

   CLINICAL REVIEWS THE DENTAL ADVISOR Ti-Max Z900L +++++ NSK | (888) 675-1675 | nskdentalus Consultants' Comments • "Great all-around handpiece." • "Slim neck, good visibility." • "Seamless transition from my regular handpiece." • "Very smooth and concentric." • "Even water spray." Description The Ti-Max Z900L, an air driven high-speed handpiece, delivers 26W of power and operates between 320,000 and 400,000 rpm. A proprietary, specially shaped turbine allows for its power, enabling fast cutting as well as a smooth, consistent cutting feel. Equipped with cellular glass optics and ceramic hearings, the handpiece features a solid titanium body with a DURAGRIP coating,…

8. Page 23

   CLINICAL REVIEWS GLASSIX plus RADIOPAQUE & LIGHT TRANSMITTING FIBER POST Optimal radiopacity (350% Al.) Twisted grooves for retention Elasticity close to dentin (20 GPa) High flexural strength (1500 MPa) 100% biocompatible; epoxy free JS DENTAL MANUFACTURING, INC. LM Extraction Instruments Feel the difference of Ergonomic Excellence Ergonomic color coded handles LM-ErgoTouch non-slip surface LM-DuraGrip/MAX supersharp LiftOut and SlimLift for gentle luxation extractions. TwistOut for when more force & torque is needed. GLASSIX Plus Radiopaque & Light Transmitting Fiber Posts ++++ Nordin Dental | (800) 747-4372 | nordin-dental.com Consultants' Comments "Drills were superb—cut smoothly, cleanly, without chattering, and resulted in a…

9. Page 24

   Owandy Radiology, a Team at Your Service Owandy Radiology, a renowned equipment manufacturer based in Croissy Beaulbourg, France (Figure 1), has experienced a quick and steady growth since its beginnings more than 20 years ago, thanks to its comprehensive portfolio in digital imaging solutions. Innovative products like the Opteo intraoral sensor (Figure 2) and the Imax Touch 2D/3D unit (Figure 3) have guided Owandy's success and contributed significantly in establishing the company as a leading brand within the industry. Because Owandy understands that providing efficient service is the key to success in the dental industry, it has established a facility…

10. Page 26

    Spotlight Laser Features Simple Problem-Solving Protocols for Perio and Implant Patients IRVINE, Calif.–The Waterlase iPlus, BIOLASE's hard-tissue laser, offers dentists the enhanced benefits of completing many common dental procedures with minimally invasive laser energy combined with a fine water spray to gently remove hard and soft tissue. The latest model now incorporates REPAIR Perio and REPAIR Implant, 2 power laser-based protocols for managing early-to-moderate periodontitis and peri-implantitis in a general dental setting. Both protocols leverage the gentle removal of diseased tissue and calculus. For tooth cutting, the Waterlase iPlus helps to eliminate the microfractures associated with the traditional dental drill…

11. Page 28

    Spotlight Next Generation of Award-Winning Soft-Tissue Diode Laser Introduced LOMPOC, Calif.-DenMat's award-winning NV Microlaser soft tissue diode laser has been widely recognized for its convenience, portability, and ease of use, and the new, next generation NV PRO3 Microlaser combines the NV's same features and ergonomic design with (1) a redesigned lithium-ion battery with overcharge and undercharge protection, (2) software updates and improvements, and (3) additional preset procedural settings. Representing the latest evolution in cordless soft tissue lasers, the NV PRO3 is optimized for periodontal, restorative, and orthodontic needs, enabling clinicians to deliver the benefits of laser dentistry to a broader…

12. Page 30

    Implant Tool Kit's Carefully Designed Drills Reduce Overdrilling and Potential Complications BEACHWOOD, Ohio–Zuga Medical's Implant Tool Kit features carefully designed drills with automatic stop guides that reduce overdrilling and potential complications. The company's implant process is a drill based solution that simplifies the procedure into 6 easy steps. Bone-level implants are designed to maintain crestal bone heights and retain soft tissue for a more natural and aesthetic result. A conical, low-angle taper design offers a tight, secure position of the abutment, allowing the implant to achieve higher fatigue strength while preventing leakage. For more information, contact Zuga Medical at (216)…

13. Page 31

    Software, With Its Single-Setting Feature, Simplifies All-Tissue Laser's Workflow NATICK, Mass.–Convergent Dental's Solea 3.0 software dramatically enhances the Solea All-Tissue Laser's anesthesia-free and blood-free performance. Convergent has simplified the laser's workflow to allow dentists to cut any tissue without changing any settings; simply turn Solea on, direct the beam at the desired tissue, and step on the variable-speed foot pedal. This one-setting-fits-all approach works for tooth structure, bone, and soft tissue and enables any dentist to reliably perform anesthesia-free, blood free, suture-free, pain-free procedures. Solea 3.0 is easy to use and cuts 2.5 times faster and 5 times smoother than…

14. Page 32

    Digital Dentures Require Fewer Appointments to Yield Exceptional Results SOUTH BEND, Ind.-Heraeus Kulzer's Pala Digital Denture System utilizes computer-aided design and printing to model and create dentures that laboratories can deliver to dental practices in one third of the time of conventional systems. Moreover, the dentures provide exceptional aesthetics and a highly precise fit. The entire process requires just 1 appointment, since dentists can capture the final impression, bite registration, vertical dimension, and centric relations one visit. The website located at heraeus-kulzer-us.com. FREEinfo, Superior handling, same efficiency MTA Repair HP Bioceramic putty form reparative cement MTA Repair HP • New…

15. Page 33

    Updated Software Improves Caries Detection Efficiency ATLANTA-Carestream Dental's updated Logicon Caries Detector v5.2 Software makes using it easier and more efficient. Fewer screen icons let users focus on diagnosing with out distraction, and better organized menus and simplified icons enhance its diagnostic ca pabilities. Users will also notice an updated look and feel to the software's interface—a monochromatic black color scheme that creates sophisticated look while enhancing diagnostic comfort. The only commercially available FDA-approved, computer-aided radiographic caries diagnosis software, Logicon is clinically proven tool to help practitioners detect and find interproximal caries at an early stage, enabling minimally invasive treatments.…

16. Page 34

    TECHNOLOGY dentalCEtoday.com Go online to earn credit for reading this CE article. Making Local Anesthesia Delivery More Comfortable Barry F. McArdle, DMD The most invasive dental procedures in this country are accomplished using local anesthesia.¹ The first "Novocaine" (procaine) was used in the United States in about 1905.² One of the main reasons that Americans do not visit the dentist regularly is fear of pain associated with dental treatment.³ Of the different minimally to extensively invasive treatments in dentistry (such as oral prophylaxis, operative restorations, implant placement or third molar removal, and others), administration of local anesthetics (fear of "the…

17. Page 36

    Making Local Anesthesia Delivery... continued from page 34 Wand (Milestone Scientific) has been developed to control the rate of local anesthetic infusion into mucosal tissues, with the knowledge that faster injections mean more pressure-related discomfort. To address the burning sensations created by the acidity of local anesthetics, 2 buffering systems (Onset (Onpharma) and Anutra Local Anesthetic Delivery System (Anutra Medical)) were recently introduced to neutralize anesthetic acidity. (Further discussion to follow.) In my practice, patient comfort is of the utmost importance. My chair steam and I have evaluated and used many of these products for a number of years to…

18. Page 37

    TECHNOLOGY (Septocaine [Septodont], whose chemical formula includes a thiophene ring that enhances its ability to traverse through adipose tissue,14 this technique has allowed me to give mandibular blocks that are both comfortable and effective at a higher rate of success on the first attempt. Some authors in the literature of a higher incidence of paresthesia with mandibular block have yet been confirmed.15 I have only documented 3 such paresthesias, among the thousands of these injections that I have performed using this anesthetic since it became available in 2000, all of which resolved spontaneously. With regard to delivering palatal anesthesia, no…

19. Page 38

    IMPORTANT SAFETY INFORMATION WARNING: RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS See full prescribing information for complete boxed warning. • Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in treatment and may increase with duration of use • SPRX is contraindicated in the setting of coronary artery bypass graft (CABG) surgery • NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur…

20. Page 39

    TECHNOLOGY TODAY "Let It Grow" Paul Feuerstein, DMD It has become apparent today that a lot of research must be done to help you find "the one"—that company/service ideally suited to help you grow your practice. TODAY, WE ARE INTERACTING with our patients very differently than in years past. I can safely say that flipping through the Yellow Pages and finding a new dentist is happening, although the Yellow Pages is now online, it has been replaced by Google, Yelp, Facebook, Angie's List, Healthgrades, and other search methods. Personal recommendations and referrals still represent a large percentage of new patient…

21. Page 40

    Top 50 Technology Products TER To ensure that sufficient polymerization during procedures is achieved, it is imperative that the light intensity of curing lights be tested on a regular basis and Bluephase Meter II, hailed as the most accurate dental radiometer on the market, instantly, easily, and precisely checks the light intensity of all available curing lights. A portable device, the Bluephase Meter II is ideal for use throughout all operatories and features a lightweight and ergonomic design that perfectly complements the Bluephase Style LED curing light. For more information, call (800) 533-6825 or visit shopivoclarvivadent.com. In Canada, call (800)…

22. Page 42

    Top 50 Technology Products SonEndo DENTAL CLEANING SYSTEM The result of years of research and development, the GentleWave System comprises a console and a presterilized procedure instrument designed to deliver Multisonic Ultracleaning Technology for exceptional cleaning of even the most complex root canal anatomies. The Multisonic Ultracleaning difference results in more thorough, more effective cleaning, as documented in numerous case studies and publications. SonEndo's mission statement, "Saving Teeth Through Sound Science," advocates improvements in clinical efficacy, treatment efficiency, and practice economy. For more information, call (844) SONENDO (766-3636) or visit the website sonendo.com. FREEinfo, ACTEON North America CARIES DETECTION DEVICE/INTRAORAL…

23. Page 44

    Top 50 Technology Products -dec 300 dental chair is built with features such as virtual pivot-back for enhanced patient comfort and a third delivery system configuration option. Designed as a modular solution, dentists begin with the chair and pick and choose the features they want: from delivery system styles and touchpads to foot controls, lights, and monitors. With ancillary integration, dentists can also add new, integrated clinical devices down the road to grow with the practice. The result is an individualized solution that precisely fits the dental team—and budget. For more information, call (800) 547-1883 or visit a-dec.com/300. FREEinfo, Shofu…

24. Page 46

    Top 50 Technology Products ICE RootBuddy is the only endodontic obturation device that can heat, vibrate, or do both simultaneously, and this combination of heat and vibration provides a higher density of both primary and lateral root canals than systems that use only heat. Therefore, the RootBuddy is perfect for (1) quickly heating the thermoplastic filling material, (2) distributing it laterally or vertically, and (3) condensing it in the root canal. The result is an extremely effective 3D apical and coronal filling of the root canal. For more information, call (800) 221-0750 or visit medidenta.com. FREEinfo, DentiMax DIGITAL SENSORS The…

25. Page 48

    Top 50 Technology Products gonomic loupes are specially designed to provide clinicians with relief from neck pain by facilitating an ergonomic posture. Other companies' designs may force a user to bend his or her head to view their target. With SurgiTel's truly custom declination angles, the clinician looks downward through the loupes while keeping his or her head and neck upright. SurgiTel offers one of the greatest ranges of magnification options for TTL and FLM loupes, from 2.5x to 8.0x. Clinicians using the Prism Pro line (5.5x, 6.5x, or 8.0x) can do work reserved for microscopes while enjoying the flexibility…

26. Page 50

    Top 50 Technology Products Solea is the first laser that can cut any tissue with a single setting. Its revolutionary software is so simple that any dentist can become a laser dentist. Simply turn it on, direct the beam at the desired tissue, and step on the variable speed foot pedal. The one-setting-fits-all approach works for tooth structure and soft-tissue, enabling any dentist to reliably deliver anesthesia-free, blood-free, suture-free, and pain-free results. With Solea, dentists experience dramatic efficiency gains, perform multiquadrant dentistry, and offer soft-tissue procedures that are often referred out. For more information, call (844) GOSOLEA or visit convergentdental.com.…

27. Page 52

    Top 50 Technology Products -ABRASION DEVICE The one objection to air abrasion is now gone. A cone of fine water spray surrounds the abrasive spray, capturing virtually all dust. Water is supplied by a removable tanks, allowing office water to be used. Only air connection is required. No water or electric connection is needed. Use with warm water has been reported to enhance patient comfort and performance is not impaired. For more information, call (800) 827-7940 or visit danvillematerials.com. FREEinfo, 3M DIGITAL IMPRESSION SYSTEM Whether you want to add digital impressioning to your existing workflow or expand your digital footprint,…

28. Page 54

    Top 50 Technology Products DentalEZ HANDPIECES Available in 2 configurations, the 430 SWL 45 and the 430 SW 45 from StarDental Instruments 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 is specially designed to be the perfect handpiece for certain procedures commonly performed by the general dentist, such as removal of impacted molars and various endodontic and periodontal practices. Along with the 45° angle feature, the small head and optional fiberoptic feature of the 430-45 provides dental professionals with superior oral access and visibility. The…

29. Page 56

    Top 50 Technology Products N SYSTEM Award-winning TRIOS 3 is recognized for its profession-leading speed, documented accuracy, Real-Color scans, and ease of use. Supporting the widest range of dental indications, TRIOS 3 features an intraoral scanner, integrated intraoral camera, and automated shade measurement, all in one device. The easy-to-use digital color impression solution is available in a pen or handle grip with pod, cart (cord and rechargeable battery models), and chair-integrated configurations. For doctors seeking an entry-level intraoral scanner, the new TRIOS 3 Mono is a cost-effective, future-proof alternative. Priced at nearly a 40% discount compared to TRIOS color models,…

30. Page 58

    Top 50 Technology Products asso Plus is designed with the dentist and hygienist in mind. It's simple to use, looks great, and is one of the top choices around the world. When dental offices purchase Picasso lasers, they continue confidence. Picasso dental lasers provide the ultimate tool for treating soft tissue procedures. From laser gingivectomies, perfect impressions through laser gingival troughing, safe implant recovery, or laser periodontal treatment, Picasso soft-tissue lasers provide one of the most effective and affordable solutions for every dental office. For more information, call (866) 999-2635 or visit amdlasers.com. FREEinfo, DEXIS CARIES DETECTION DEVICE CariVu is…

31. Page 60

    Top 50 Technology Products USION 5 is an ultrafast, 2-second LED curing light with a plasma-like 4,000 mW/cm² uniform curing intensity. Its unique, patented optics deliver a laser-sharp curing beam with minimal dispersion. It is optimized for quality composite-curing and bulk-curing with curing capabilities up to 10 mm. It is built with a drop-proof aircraft aluminum body and some of the most efficient optomechanics for low-heat generation. It is easy to use with its ergonomic and advanced industrial design embodied in its (1) modern, backlit LCD metal keypad interface; (2) low-profile, 90° light tip; and (3) large, raised activation button.…

32. Page 62

    Top 50 Technology Products TEM The OneVisit CAD/CAM for dentistry solution provides same-day restorations. Affordable innovation has long been sought in dentistry and now with 3M's True Definition Scanner used in conjunction with the iOS Glidewell TRIOS mill, same-day restorations are no longer something of dreams. Investment for the system is within every dentist's reach with special offers and financing. The simplicity of the software eases its integration into each dental office. The True Definition scanner is capable of completing clinical indications, such as crown and bridge, inlays, onlays, veneers, and implant planning. This scanning device is proven to be…

33. Page 64

    Top 50 Technology Products HANDPIECE Perform a broad range of procedures with the power and flexibility provided by the Midwest E Electric Handpiece System. The handpiece easily lets you apply your skills to the fullest with confidence, accuracy, and efficiency. Now featuring a 20% smaller head for easier access, a titanium shell for reduced weight, and ceramic head bearings for extended durability, there are many reasons to consider upgrading to electric. Seamlessly integrate electric into your existing treatment center with the Midwest E system. For more information, call (800) 800-2888 or visit dentsplyirona.com. FREEinfo, BIOLASE DIODE LASER The EPIC X…

34. Page 66

    Top 50 Technology Products mi Ultra is the first and only curing light powered by state-of-the-art ultracapacitor technology. With the U-40 Ultracapacitor, the Demi Ultra is never more than 40 seconds away from being able to deliver 25 ten-second cures. For more information, call (800) KERR-123 or visit kerrdental.com. FREEinfo, DenMat LASER The award-winning NV Microlaser has been widely recognized for its convenience, portability, and ease of use and has the strongest dental soft-tissue diode lasers. The next-generation NV PRO3 Microlaser maintains the same features and ergonomic design as the NV Microlaser but also includes (1) a redesigned lithium-ion battery…

35. Page 70

    Top 50 Technology Products MERA DrQuickLook designs all-in-one intraoral camera models. The cameras are handheld and work right out of the box with simple touchscreens. There's no need to use operatory computers or monitors for imaging and showing the patient what you see. This eliminates traditional intraoral camera frustration that often requires computers, software, and USB cords. No software integration is required with these intraoral cameras. For your staff, there's almost nothing in the world easier; they can self-train without the need for lunch-and-learns or blocked time. Save images if needed to all practice management software, including EagleSoft, Dentrix, Gendex,…

36. Page 72

    SEVENTH ANNUAL READERS' CHOICE ts B&L Biotech USA OBTURATION SYSTEM The SuperFob beta obturator obturation device is designed for warm gutta-percha techniques, such as backfilling a canal with warm vertical obturation or with a complete fill technique (injecting 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…

37. Page 73

    Custom Earpiece OFFICE COMMUNICATION SYSTEM The wireless Black Diamond Radio System facilitates and enhances intraoffice communication. Utilizing an industrial radio band not shared by truckers or hobbyists, it improves teamwork through seamless mesh communication, providing audible clarity even in noisy areas. Additionally, there is no setup or installation and no training needed; simply plug and play. Radio earpieces are equipped with single Kevlar wires for convenience and durability. Front desk users can wear Concierge earpieces, while office staff usually opt for Sentinel earpieces. Additionally, there's semi-custom, soft-siliconed earmolds and custom skeleton earmolds for improved individual user comfort. All necessary components…

38. Page 74

    Spotlight World's First Tablet-Based Mobile Intraoral Scanner Introduced ST. PAUL, Minn.–3M Oral Care introduces the 3M Mobile True Definition Scanner, a one-of-a-kind, tablet-based, battery-operated intraoral scanner that fits in your hand. Its compact, ergonomic design—a design similar to that of the rechargeable tablets patients and clinicians use in their daily lives—will allow clinicians to move freely between operatories without power cords or carts, and its flexible mounting options will help to minimize workspace clutter. Utilizing the scanner will facilitate informed discussion and visual patient communication; place it directly into patients' hands or lips so they can experience a cutting-edge digital…

39. Page 76

    Dry Mouth Nightguard System Offered Spotlight TONAWANDA, NY Great Lakes Orthodontics' Americo Dry Mouth Nightguard System is designed to protect teeth from the effects of abnormal dry mouth and prevent permanent periodontal damage during sleep. Its custom-made upper and lower appliance trays are fit to fit comfortably and hold a specially formulated gel that increases salivary flow to protect tooth enamel. The gel contains xylitol, an anticariogenic agent that consistently maintains moisture around teeth and gums throughout the night, reducing dental decay, plaque formation, and bacteria growth and decreasing the risk of oral infection. New RMGI Restorative's Attributes Benefit Both…

40. Page 77

    Popular Bulk-Fill Flowable Composite Upgraded With Expanded Indications and Improved Features MILFORD, Del.–Dentsply Sirona's SureFil SDR flow bulk-fill flowable has been used with great success in restorative dentistry since 2010. It is self-levelling for excellent cavity adaptation, supports the bulk-filling technique in increments of up to 4 mm, and exhibits extremely low polymerization stress. Now, Dentsply Sirona offers SureFil SDR flow+, a product upgrade with the same excellent cavity adaptation but offers expanded indications (Classes III and V), improved wear resistance, and increased radiopacity. It brings its unique self-leveling handling and low stress performance beyond the satisfying traditional flowable indications…

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