Dentistry Today — November 2019

Inside this issue

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

1. Page 8

   Giving Thanks We will be celebrating Thanksgiving in the United States again this month. It's a time to be thankful for family, friends, and others who share our lives and for the blessings of life. It is also a good time to show thankfulness by doing acts of kindness for those who may be less fortunate in life. We can be thankful for our noble profession and the hard work done, which provides caring services for so many patients. Expressions of appreciation and gratitude make great gifts to give generously to our office teams, laboratory teams, and your patients. And,…

2. Page 10

   Vaping: What Every Teenager Should Know The astonishing rise of vaping and e-cigarette use among our youth, particularly in middle and high school students, presents a new dilemma for dentists. About 3.6 million students used e-cigarettes in 2018, an increase of 1.5 million students from the previous year. This represents a 78% jump in usage among middle school students and 78% among high school students in one year. When talking about vaping, it's important to note that these products are referred to by many names, including e-cigarettes, vape pens, e-hookahs, and electronic nicotine delivery systems (ENDS), as well as by…

3. Page 11

   ...flavors like mango, fruit medley, creme brûlée, and cucumber contain 5% nicotine strength, the equivalent of a pack of cigarettes. health risks of vaping. The agency is also putting pressure on manufacturers with new requirements in an effort to reduce underage vaping. And more lawmakers across the country are calling for a ban on flavored e-cigarettes. CLOSING COMMENTS Like many dental health professionals, the FDA is concerned about the rising use of e-cigarettes by our nation's youth, as well as their potential to convert teenagers into traditional cigarette smokers. Let's do our part to help protect our youths by taking…

4. Page 12

   Diabetes Detection Susan Maples, DDS, discusses the importance of screening for diabetes in a dental practice. In light of the well-documented impact diabetes mellitus (DM) has on oral disease, and vice versa, our ability to detect DM has become our opportunity as dentists, and perhaps soon, our responsibility! Data from the 2009-2010 National Health and Nutrition Examination Survey revealed that a staggering 60% of those with DM had moderate to severe periodontal disease (PD). There is, in fact, a bidirectional relationship between active PD and uncontrolled DM, meaning each makes the other worse. Thus, a dual epidemic is upon us:…

5. Page 14

   What's New on Opioid Epidemic Online Survey Winner of the $250 Amazon Gift Card Dentistry Today recently conducted an online survey focusing on the opioid epidemic in dentistry. The information obtained from the survey will be used in an upcoming article/study to help inform our readers of the severity of this topic. Dr. JC Duncan of Huntersville, NC, was randomly selected and chosen as the winner of the $250 Amazon gift card for completing the survey. Dr. Duncan earned his Bachelors of Science degree in zoology from North Carolina State University and his DDS degree from the University of North…

6. Page 16

   The 3S PowerCure System: Rethinking Direct Resin Restorations From the Ground Up Peter A. Gardell, DDS Direct resin restorations have become the treatment cornerstone for the general dentist's office. The financial health of a practice can revolve around each practitioner's ability to place them efficiently. The reputation of the office can also be negatively affected if the dentist cannot deliver a beautiful, long-lasting, and high free filling. These are all potential pitfalls when one worries more about speed and cost rather than quality. Dental material companies realize this, and they seek to evolve their products to enhance the process. During…

7. Page 18

   CLINICAL REVIEWS DENTAL ADVISOR OMNICHROMA ++++½ (94%) Tokuyama Dental America | (877) 378-3548 | tokuyama-us.com Evaluators' Comments •"The transition from opaque white to tooth shade blending after curing is amazing." •"Creamy consistency, stacks well, and handles beautifully." •"Easy to pack. Did not stick to instruments or pull away from the tooth during placement." •"90% of the time, a perfect shade. Other times, the value was neutral or slightly transucent." •"This concept could be a real game changer for everyday dental restorations." •"Not well suited for extreme white (bleach) shades." •"Somewhat opaque after curing and it needs to be more radiopaque."…

8. Page 19

   omnichROMA One-Shade Universal Composite Why Are Thousands of Doctors Trusting OMNICHROMA? "OMNICHROMA is GROUNDBREAKING— a win-win for all offices. No need to stock 30 composite shades that expire and take up space. So economical and it works great!" -Dr. Peter Auster "OMNICHROMA has all the features you need from handling, strength, polishability, and most importantly, it matches all tooth shades. This is my go-to composite from the simplest to the complex... The result speaks for itself." • Dr. Allan Mohr Case image courtesy of Dr. Peter Auster, Pomona, NY Case image courtesy of Dr. Allan Mohr, Massapequa Park, NY REQUEST…

9. Page 20

   Spotlight Implant System Expands Indications for Narrow-, Standard-Ridge Cases CARLSBAD, Calif.—Zest Dental Solutions released the 3.4 mm LOCATOR Overdenture Implant System, which expands the indications for use to support narrowand standard-ridge cases. Design features include aggressive threads for stability, a roughened surface for superior outcomes, and reduced vertical height. These benefits, coupled with the simplicity of a 2-part system, make the LOCATOR Implant System a cost-effective and predictable choice for clinicians placing implants for partial and fully edentulous patients. LOCATOR Narrow and Standard Ridge Implants, built for the best-in-class LOCATOR Abutment, offer a less-invasive, predictable, and durable implant retained overdenture…

10. Page 22

    Camera Enables Taking Impressive Images for Case Documentation SAN MARCOS, Calif.-The EyeSpecial C III camera, a 5-time winner of Cellerant's Best of Class Technology Awards, enables staff to take impressive images for case documentation, diagnosis and treatment planning, and patient communication and education. This digital dental camera has 8 preprogrammed shooting modes that are designed for clinicians and their team members. In order to complete a photo series with ease and consistency, for every step of the case documentation, the camera's operator will simply select a suitable mode. The EyeSpecial C III will automatically set the appropriate f-stop, aperture, and…

11. Page 24

    Spotlight System Offers High Image Quality at Low Doses Gel Suited for Inflammation Sites, Enhances Preventative Care CHARLOTTE, NC—The new Orthophos Systems provide premium solutions for multiple applications: high image quality at a low dose; efficient and reliable diagnoses; and intuitive digital workflows. The Orthophos line offers a flexible solution for any practice to deliver treatment with confidence. It improves treatment processes, provides optimal utilization of digital technologies, and drives the development of products and solutions that are adaptable to the individual needs of a dental practice. This new generation x-ray units (Orthophos E, Orthophos S, and the prized Orthophos…

12. Page 26

    DENTISTRY TODAY 10th ANNUAL READERS' CHOICE TOP 50 TECHNOLOGY PRODUCTS Dentistry Today's 10th Annual Readers' Choice Top 50 Technology Products, selected on the basis of lead generation, represent some of the profession's most innovative technology products. The products appear in no particular order. Ivoclar Vivadent LED CURING LIGHT Ivoclar Vivadent's Bluephase G4 is the first intelligent LED curing light. Its automated assistance system detects if the halogen moved during the curing process and the restoration can no longer be cured reliably. Depending on the extent of movement, the Bluephase G4 Polysilon either emits a vibration alert to inform the operator…

13. Page 28

    Top 50 Technology Products Ultradent Products CURING LIGHT The VALO Grand curing light uses a custom, multi-wavelength light-emitting diode for producing intensity light at 385 to 515 nm through an optimally collimated beam capable of polymerizing all light-cured dental materials, including porcelain and underlying resin cements. The VALO Grand light features a 120 mm lens, and its extremely durable, slim, ergonomic shape allows unprecedented access to all restoration sites. It is available in cordless and corded models, featuring either a medical-grade, international power supply that is suitable for power outlets from 100 to 240 V or rechargeable batteries and a…

14. Page 30

    Top 50 Technology Products Digital Doc INTRAORAL CAMERA IRIS X80's new liquid-lens auto focus keeps things sharp and clear without buttons. An internal computer monitors the image and adjusts the focus automatically from micro to infinity. With plug-and-play ease, there is no installation: just plug it in and start taking high-definition 1080p images over a standard USB 2.0 protocol connection. Quality is built into every component, from a Sony sensor to the multi-element lens path and prism assembly. For more than 16 years, Digital Doc's innovation has been one of the leaders of the industry and provides one of the…

15. Page 32

    Top 50 Technology Products A-dec DELIVERY SYSTEM The new A-dec 500 chair and delivery system is based on the legendary reliability and longevity one expects from A-dec, with built-in details and holistic control to seamlessly activate, deactivate, position, and place instruments without looking away from the procedure. A-dec has worked hard to keep the equipment and technology simple to maintain one's confidence in front of patients. LED coolant indicators, for example, light up when one lifts a handpiece out of the holder for adjustments without second guessing. The delivery moves smoothly and stays put. An option integrated exclusively on the…

16. Page 34

    Top 50 Technology Products EdgeEndo FILES The EdgeTaper Platinum is an assortment of shaping and finishing files that set a new standard in safety and canal center-ing by significantly improving the resistance to cyclic loading and flexibility. The proprietary FireWire heat treatment vastly improves the NiTi metallurgy, delivering unmatched strength and flexibility. EdgeEndo was founded on a revolutionary idea of creating superior endodontic products for less and passing the cost savings on to the customers. Staying true to that promise not only defines industry wisdom but has also made EdgeEndo one of the world's largest rotary NiTi suppliers in 4…

17. Page 36

    Top 50 Technology Products XDR Radiology INTRAORAL SENSOR The XDR Anatomic Sensor was uniquely designed by dentists, Citrix-ready, and militaryand GSA-approved; its maximized mesial imaging area helps capture challenging canine-premolar contacts. Its rounded and beveled corners broaden the contact zone to increase patient comfort. Its white face eases intraoral visibility. The sleek button on its immersible shell eases cleaning. In synergy with XDR Software, one can see the subtlest of lesions and the tip of the No. 6 file. The XDR Anatomic Sensor has a durable yet replaceable Kevlar-reinforced cord. If accidents happen, XDR's overnight loaners allow a person to…

18. Page 38

    Top 50 Technology Products Ritter Dental DENTAL CHAIR The German-engineered Vanguard and Vanguard Smart dental packages combine the technology of electronics and the smooth movements of hydraulics in Ritter Dental's most popular dental unit. The left and right 360° unit can be easily switched from right-hand use to left-hand use. The patient is synchronized and also offers a 30° swivel. This package comes standard with an upgraded LED operating light and all of the quality and features that one has come to expect from Ritter Dental. The Vanguard and Vanguard Smart are hassle-free dental packages and come with a 5-year…

19. Page 39

    Technology Products READERS' CHOICE Top 50 Glidewell Laboratories RESTORATIVE SYSTEM The glidewell.io In-Office Solution offers clinicians everything they need to scan, design, mill, and deliver single-visit restorations made from BruxZir Solid Zirconia and other industry-leading materials. Users of glidewell.io are empowered to provide patients with high-quality treatment while maximizing profit and streamlining their practice workflows. The proprietary software of glidewell.io, called fast-design.io, takes digital design to a new level. It relies upon cutting-edge AI technology, which draws upon real-world data from millions of past successful cases created by Glidewell Laboratories when creating proposals. The resulting restorations are highly unique and…

20. Page 40

    Top 50 Technology Products . 1 3Shape DIGITAL SCANNING SYSTEM TRIOS MOVE includes the 3Shape TRIOS 3 scanner, a PC, and a full-HD touchscreen. Now, one can easily share digital scans, images, and treatment plans with patients. It's also possible to excite patients and advance case acceptance. The system allows one to always position the screen in the right place and enjoy a superior user experience. The system boasts an ergonomic and a lightweight design. For more information, call (908) 867-0144 or visit 3shape.com. FREEinfo, Kerr Endodontics OBTURATION SYSTEM The elements iC Obturation System introduces an innovative upgrade in endodontic…

21. Page 42

    Top 50 Technology Products . 1 Good Doctors USA APEX LOCATOR The lightweight NEO is the size of a smart watch (43 x 46 x 16 mm) and is the world's smallest apex locator (data on file). It was designed by a dentist who was tired of having to continually lift up his or her head to look at the apex locator while performing root canals. This small device can actually clip onto a finger ruler. One never has to unnecessarily hold his or her head up again while checking pocket depths. The neck-saving, ergonomic NEO can be attached to…

22. Page 43

    Technology Products READERS' CHOICE Top 50 AdDent ORAL CANCER SCREENING DEVICE The improved Bio/Screen oral cancer screening device offers a 40% increase in light uptake for improved lesion visibility. It can be used in full room light due to its exceptionally powerful shortwave LEDs. It is lightweight and ergonomically designed for maximal comfort and ease of use. Special optical filters improve contrast between healthy and abnormal tissue to enhance visualization of early-stage lesions when treatment is most successful. The Bio/Screen needs no fan and is completely quiet. It is cordless, rechargeable, and will operate continuously for more than one hour…

23. Page 44

    Top 50 Technology Products BrandMax ULTRASONIC CLEANING UNIT Tri-Clean Ultrasonic Cleaners deliver the next generation of cleaning power. Working in conjunction with the Tri-Clean Triple Enzymatic Cleaners, BrandMax ultrasonic cleaners can prolong instrument life, produce cleaner instruments, and improve infection prevention. Utilizing a consistent elevated temperature of 110°F can help produce cleaner instruments. All Tri-Clean Ultrasonic units feature a heating element at no extra charge. BrandMax provides industry-leading power and the basket at no additional cost. The system's stainless steel construction and best-in-class product support are second to none. For more information, call (844) 874-2532 or visit brandmax.us. FREEinfo, OmniVision…

24. Page 45

    Technology Products READERS' CHOICE Top 50 Q-Optics LOUPES The Q-Optics Prismatic loupes harmoniously blend aesthetics, mechanical design, and precision engineering, resulting in a class-defining optical system. Experience 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 enclose both 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 Q-Optics Eclipse Titanium frame, total system weight is an unprecedented 58 g or less. The machined…

25. Page 46

    Top 50 Technology Products Carestream Dental INTRAORAL SCANNER New enhancements to the CS 3600 Intraoral scanner's acquisition software take the technology from smart to genius. Intelligent scanning features, such as color coding to indicate gaps in the data set and guide arrows that show the ideal direction for a rescan, deliver helpful feedback to improve scans in real time. In restoration mode, users are alerted to possible undercuts, have the ability to lock retracted gingiva to avoid collapse, and can take measurements around the arch. The updated, implant-borne restorative workflow includes the new scanbody area selection tool, allowing users to…

26. Page 47

    Technology Products READERS' CHOICE Top 50 Dentsply Sirona DIGITAL IMPRESSION SYSTEM Primescan makes digital impression taking easier than ever, faster than before, and more accurate than previously possible. With its completely new, patent-pending digital impressioning technology, it enables high-precision digital impressions to be taken of the entire jaw. These scans present numerous possibilities for users. Primescan was designed for various digital workflows, with the laboratory directly in the practice, with CEREC, or in cooperation with external partners. Validated interfaces noticeably simplify the process, offering dentists the flexibility they desire. Primescan's optical impression system has been decisively developed. The scan of…

27. Page 48

    Top 50 Technology Products Eclipse Dental Loupes LOUPES Eclipse Dental Loupes and products offers Ray-Ban eyewear for customized dental magnification. Ray-Ban, a leader in eyewear frames, adds great styling with exceptional quality to dentists, hygienists, and dental assistants in the practice. The lightweight frames and arms blend a bold a classic style, and the loupes are prescription ready. Eclipse offers 4 different Ray-Ban Wayfarer frame styles are now available in 75 colors. The loupes offer great style and added function to any size dental team, in any office. For more information, call (877) 585-4015 or visit eclipseloupesandproducts.com. FREEinfo, DentLight ORAL…

28. Page 49

    Technology Products READERS' CHOICE Top 50 DrQuickLook DENTAL TABLET The PDA Dental Tablet works right out of the box and saves patients by name. Place it in your patients' hands and bring your diagnoses to life. Watch your case acceptance soar as patients see what you see with crisp intraoral and extraoral images captured on a large touchscreen. The tablet's not dependent on computers or unpredictable integration, yet users can easily transfer data with the included thumb drive to any practice software or any computer or through WiFi to your network. For more information, call (888) 346-6153 or visit drquicklook.com.…

29. Page 50

    Top 50 Technology Products Great Lakes Dental Technologies OCCLUSAL APPLIANCE The Rhea occlusal appliance is the solution to poor-fitting, uncomfortable splints. It is fabricated with material unlike any other heat-softening material on the market and uses an innovative manufacturing process to provide exceptional fit, retention, and patient comfort. Rhea combines the accuracy of a laboratory-made split with the ease of a boil and bite appliance. Rather than simply softening to temporarily engage undercutes, the Rhea appliance will actually reform to subtle differences in the patient's dentition and compensate for slight inaccuracies in impressions and the deformities caused by plaster expansion.…

30. Page 51

    Key Developments in Adhesive Dentistry The development of new adhesive materials has begun to revolutionize many aspects of restorative and preventive dentistry. Swiss chemist Oscar Hagger patented a "Cavity Seal" material to be used in combination with the chemically curing resin Sevriton in 1951. This product contained an adhesive called glycerophosphoric acid dimethacrylate, which was polymerized using a sulfmic acid initiator, later known as "Sevriton Cavity Seal." This adhesive material relied on acidic monomers capable of etching and interacting with tooth surfaces on a molecular level in order to form physical/chemical bonds between restorations and teeth. Hagger's concept was soon…

31. Page 52

    Spotlight Diamond Burs Produce Less Chair Time, Better Patient Experience PLYMOUTH MEETING, Pa—Premier Dental's Two Striper diamond burs are designed to provide greater value by lasting longer and delivering faster, efficient cutting. This means the use of fewer burs per chair time, and a better patient experience. Unlike other diamond burs that electroplate the diamond crystals onto the shank, the Two Striper uses a proprietary braze process to bond natural diamond crystals. This bonding process maximizes the exposure of diamond-cutting surfaces, especially at the tips and upper circumference of the bur where most cutting occurs. The result is diamond crystals,…

32. Page 53

    All diamond burs are not created equal! Two Striper An ADVANCE TECHNOLOGY BRAND Two Striper performs better!¹ [Chart showing: Bur advancement index/bur life applied Brastrier: 4.50 Neo: 4.74 STR Premacy: 4.76 Two Striper: 5.28 US White: 4.92] #1 DENTIST-PREFERRED Bur BEST PRODUCT Always the Diamond Standard, Two Striper® lasts longer and delivers faster, cooler cutting than electroplated multi-use brands. Which means fewer burs used, less chair time and happier patients. Made from a select grade of natural diamonds, only Two Striper burs are developed with a proprietary P.B.S.® brazing process that is recognized as the best bonding system in the…

33. Page 54

    Spotlight Primer Enhances Bond When Preparing for Cementation Resin Cement Provides Excellent Adhesion in Simple Application LOMPOC, Calif.-DenMat has expanded its line of high-quality restorative products for crown cementation to include Zirconia Prime, a multi-surface primer for zirconia, metal, and alumina restorations. Compatible with self, light, and dual-cure resin luting cements, Zirconia Prime significantly enhances the bond between indirect restorative materials, composite resin cements, and resin-based bonding agents when preparing zirconia and metal restorations for cementation. [Image showing Zirconia Prime bottle] Studies have shown that primers containing MDP, such as Zirconia Prime, provide an increased bond strength of up to…

34. Page 56

    Cleaning Solution Offers Multiple Dispensing Options for Ease of Use HEATH, Ohio–Enzyme Industries' Sani-Soak Ultra is a dual-purpose, anticorrosive enzymatic cleaner that can be used in an ultrasonic and as a wet evacuation cleaner. Offered in 3 scents, Lemongrass Lavender and Cool Mint, it is highly concentrated, nontoxic, biodegradable, safe for the environment, and effective in removing organic debris while improving the life of instruments and burs. Multiple dispensing options are offered for ease of use and added convenience. For more information, call Enzyme Industries toll free at (888) 236-9903 or visit enzymeindustries.com. FREEinfo, sani-street plus Enzymatic Cleaner ☑ Evacuation…

35. Page 58

    PULPDENT DENTAL INNOVATION SINCE 1947 INNOVATIONS Spotlight Implant's Cleaning Process Yields Contamination-Free Surface ACTIVA BioACTIVE-CEMENT™ Success Every Time BioACTIVE Means Better Patient Outcomes • Seals out microleakage • Perfect for all substrates • Shock absorbent ice dentin • Resists wash out #ACTIVABioACTIVE [Images of dental syringes shown] 2018 REALITY [Star rating shown] The use of traditional dual cure resin cements should be questioned today because of newer bioactive self-adhesive cements such as ACTIVA BioACTIVE-CEMENT. While comparable strength, esthetics, and durability to traditional dual cure resin cements, ACTIVA has the important benefit of dual cure resin cement. It may be time…

36. Page 60

    Industry News Tokuyama Donates Products To Homeless Not Toothless Tokuyama Empowers, Tokuyama Dental America's corporate social responsibility program, has donated more than $18,000 of dental products to Homeless Not Toothless. The nonprofit is committed to raising the pride and dignity of underserved children through quality and compassionate dental services. It focuses particularly on foster children living below the poverty line and in low-income areas without insurance benefits. With the donated products, Homeless Not Toothless will provide dental care to thousands of underserved children in the South Los Angeles area. South Los Angeles, Boyle Heights, and Watts have been recognized as…

37. Page 61

    Adaptive Movement Improves Root Canal Success Rates Adaptive movement of NiTi files improves root canal success rates by reducing torque generation, which then reduces the risk of tooth damage and file fracture, reports Pusan National University in South Korea. Engine-driven nickel-titanium (NiTi) files: • Flexibility, cutting efficiency • Iatrogenic errors Problems with NiTi tools: Unpredictables file fracture due to cyclic and torsional failure Better NiTi files with special movements tested. To reduce the risks of file fracture, the researchers at Pusan National University tested heat-treated NiTi alloy files with specially designed rotary movements. Compared to stainless steel manual files, engine-driven…

38. Page 62

    Industry News continued from page 60 BruZir Solid Zirconia is available in BruZir Full-Strength, which is engineered to face the toughest oral challenges, and BruZir Esthetic, which boasts strength, translucency, and vitality. by name," said Jim Glidewell, CDT, president and CEO of the company. "We originally developed BruZir to give clinicians a tooth-colored alternative to cast gold restorations. Now BruZir has become the leading, lasting, and loved brand by dentists and patients around the world," Glidewell said. When BruZir Solid Zirconia was launched in 2009, it primarily was used in the posterior due to its fracture-resistant nature. It now is…

39. Page 66

    Variations in Dental Implant Applications This month, in our introduction to Implants Today, let's briefly discuss the many variations that exist in implant applications as we consider implant treatment for our patients. As the dental implant industry has grown over the past 10 years, so has the variety of options to choose from among dental implants, fixtures, prosthetic components, and materials. The benefit of this variety is simple: to offer our patients the best choices specific to the applications needed. This month, we have 2 excellent articles that exemplify the diversity of implant applications. Dr. Todd Shatkin shares information based…

40. Page 68

    Minimally Invasive Mini Dental Implants Todd E. Shatkin, DDS Arman Ghafarian Jared F. Shatkin, MS Kyle Hayes, MS Thomas Spulecki Jr, DDS INTRODUCTION Implant dentistry has been a field that has been evolving ever since the early investigator Branemark introduced the process of bone osseointegration. Conventional implants use the concept of bone osseointegration to unite the placed implant and bone. This process often requires a healing process of several months after placement of the implant. Mini dental implants are a continuation of the practice of minimally invasive dentistry where the osseointegration time is essentially minimized. With the technology of mini…

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