Dentistry Today — November 2024

Inside this issue

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

1. Page 8

   Leader(s) of the Pack This special end of year issue once again recognizes the leaders in dental education. The "Where's Waldo" begins when the cover is first seen. As I have said in the past, it is an almost impossible task to have everyone on these pages as there are so many great educators in our field. Many of the faces you see have been in the forefront of dentistry for many years, and several are new. Every year we are flooded with questions like "Why is Dr. X still on the cover?" or "Why isn't Dr. Y on there?"…

2. Page 10

   The Unwavering Power of Human Compassion I am without a doubt sure that every single, solitary application submitted into the colleges of dentistry worldwide bears these little words: "I want to help people." It's what we pledged. But have we been able to materialize that promise? The idea of wanting to help people, in my opinion, goes much further than treating periodontal disease and deeper than resolving peripheral lesions. Helping people lies in the intimate human capacity for compassion and empathy. While it may seem intangible, its effects are tangible and far reaching, extending beyond just physical healing to emotional…

3. Page 12

   VIEWPOINT continued from page 8 As healthcare providers, the tempo of our duties is accelerated, and as a result, carrying out moments for genuine patient interaction proves challenging. The constraints of diminishing insurance reimbursements necessitate abbreviated appointment windows, subtly nudging us toward efficiency over relationships. Within the confines of the operatory, the lure of the digital—charts, x-rays, reports, and CBCs—captivates our attention, diverting our gaze from the human before us. Compassion doesn't just involve spending time with our patients, though studies have shown that all we need is 40 seconds added to the appointment to make a difference. True compassion…

4. Page 14

   Experience Revolutionary Dental Air Purification Technology The Unhealthy Reality Dental professionals, the unsung heroes of oral health, deserve a spotlight on the air they breathe. Shockingly, their work environment has earned the title of "most unhealthy" in North America. Brace yourself for some eye-opening statistics: 74% of North Americans suffer from indoor air quality anxiety (data on file), and 6 of 10 employees quit over poor indoor air quality in their places of business (data on file). But worry not; we're here to revolutionize their indoor air quality and transform their work environments, aligning with the latest guidelines advocating for…

5. Page 16

   The Business of Hygiene Kathryn Gilliam, BA, RDH, discusses why she believes the dental hygiene department within a dental practice should be run as a business within a business. Q: Isn't the dental hygiene department meant to be a loss leader? A: In the past, dental hygiene was seen as a loss leader. The dentist owner would charge nominal fees for a "cleaning," which would allow the doctor an opportunity to do an examination and find needed treatment, and that's where the real revenues would come in. If dental hygiene was a loss leader in the past, it is no…

6. Page 18

   Call to Action: Help WVRF Restore the Smiles of Florida's Wounded and Disabled Veterans BEFORE BEFORE BEFORE Sam J., US Army. Joshua S., US Army. Shanita W., US Army. Every day, veterans across Florida face serious chronic dental issues that severely impact their lives after serving this country. Access to health care, specifically dental care, is a daily struggle for many of these veterans. The Wounded Veterans Relief Fund (WVRF) has established the Critical Dental Assistance Program (CDAP) to provide essential dental services to those who have sacrificed so much. But we can't do it alone. Veterans have endured unimaginable…

7. Page 20

   Ritter Dental Chair Enables Practices to Elevate Operations SAN ANTONIO—The Vanguard Dental Unit is a game-changer in dental equipment that combines cutting edge technology with exceptional value. It enables practices to elevate their operations with a unit designed to deliver performance and style. It stands out with its seamless electric lift, offering a sturdy built that supports more than 400 lbs. Its ambidextrous design, featuring a 30° swivel, ensures effortless patient access and greater flexibility for the dentist. This versatile unit comes with dedicated delivery systems for both the dentist and the assistant. The assistant's side boasts up to 4…

8. Page 22

   America Dentsply Sirona Electric Attachment Provides Excellent Visibility Software Update Enhances HOFFMAN ESTATES, ILL–Ti-Max Workflow Z Premium Series Electric Attach- Flexibility ments perform at a remarkably low noise level with virtually no vibration due to NSK's precision micro-engineering technology. Slim head and neck dimensions 30% lighter than stainless steel retraction valve. For more informaprovide excellent visibility and and comes with scratch-resistant tion, call (888) 675-1675 or visit intraoral access. A unique head cap DURAGRIP. Contamination reducthe website nsdental.com. design helps to limit heat gention is provided via the NSK's eration during treatment (Z45L, DualDefense System with the . The solid…

9. Page 24

   Digital Impression Systems Denterpraise International Experience the difference of the new QuickScan Intraoral Scanner. This upgraded version boasts a sleek, lightweight, and ergonomic design that makes 3D scanning easy, accurate, and fast. It comes with software that is simple and intuitive. The system is fully open, allowing quick transfer of STL, PLY, and OBJ files to any laboratory of choice. At a fraction of the cost of other leading scanners, QuickScanIOS is an choice for digital impression systems. For more information, call (800) 323-2690 or visit videodental.com. an is an intraoral scanner that allows one to step into digital dentistry…

10. Page 25

    DIGITAL IMPRESSION SYSTEMS 23 Glidewell comes complete with a portable cart, laptop, and monitor. For more information, call (844) 949-7184 or visit the website located at glidewell.io/fastscan-io. .io monitor on stand] The fastscan.io Scanning Solution combines Medit i900 technology with fastscan.io software to deliver a complete, stress-free, and affordable introduction to digital dentistry. The fastscan.io is not only an attractive solution to digital dentistry newcomers but also to those looking to expand their clinical possibilities with an additional scanner. It includes direct support and training from Glidewell and 3 WAYS FASTSCAN.IO™ HELPS MAXIMIZE YOUR SUCCESS NEW! fastscan.io™ SCANNING SOLUTION FEATURING…

11. Page 26

    Pulpdent Base/Cavity Liner Renowned for Ability to Eliminate Sensitivity WATERTOWN, Mass.–Lime-Lite Enhanced is an everyday, light-cured base/cavity liner that is specially formulated for use with adhesives, composites, and conventional restorative materials. It releases calcium, phosphate, and fluoride. It is notably moisture tolerant, comes in a universal dentin shade, and is radiopaque. It is more adhesive than other base/liners and renowned for its ability to eliminate sensitivity. Lime-Lite Enhanced is durable, exhibiting high compressive strength and wear resistance. It is shock-absorbing and will not fracture nor crumble. It contains no Bisphenol A, no bis-GMA, and no BPA derivatives. It is made…

12. Page 28

    Filhol Dental Posts Designed to Be Easier to Place ORLANDO—FILPOST is the only prefabricated post system that can be customized to suit restorations for root post and core buildups. The posts can be bent and shortened to suit canals without risk of fracture, enabling easy insertion of multiple posts into converging canals. The posts are engineered to be easier to place, even in difficult cases, in a faster, safer manner. They are more preserving of healthy tooth structure and stronger use via the unique, passive interlocking system. For more information, call (800) 330-0890 or visit filhol.com. USE FREE info card,…

13. Page 30

    Glidewell 3D Print Resin Material Results in Long-Term Protection Against Bacteria NEWPORT BEACH, Calif.–The 3D printed Simply Natural Digital Dentures now feature bactericidal and fungicidal effects as demonstrated in vitro testing, eliminating more than 99.9% of the most common bacteria and fungi known to cause biofilm and contamination of a denture surface. For denture wearers, less bacteria and fungi on the surface of the printed denture can result in a cleaner denture with fewer micro-organisms colonizing. This can lead to longer denture life and a more pleasant overall experience for the patient. The formulation of the 3DP Denture Base Resin…

14. Page 31

    INNOVATIONS 29 Clench Relief Mouthpiece Helps Ease Pain for TMD Sufferers [Image: clenchRelief 10 PACK box with mouthpiece devices] BEVERLY HILLS, Calif.— Clench Relief is on a mission to transform treatment for the more than 30 million TMD sufferers struggling with jaw and neck pains, headaches, and other annoying symptoms of TMD. The company identified the fact that current prescription treatment options available to dentists didn't provide immediate relief. As a result, it developed a lightweight, custom fit mouthpiece. The innovation lies in the quickset polyvinyl siloxane, as well as the Clench Relief frame and removable alignment guide that reposition…

15. Page 32

    What 15 Years in the Corporate Dental Lab World Taught Me Aaron Bellerose Many in the dental industry understand this: Large companies often prioritize profits over people. In the corporate dental lab world, I believed we were working to create happy patients and satisfied doctors. I wanted to be a part of that. Over some time, but, eventually, I realized that decisions often focused on profits and not patient care. I started out pouring plaster in the model room, earning minimum wage. It wasn't easy, but, at the end of the day, when I fired up my Xbox to relax,…

16. Page 34

    Industry News Owandy Radiology Relocates its US Headquarters to Larger, Modern Facility in Garden City, NY Owandy Radiology Inc., a global leader in the manufacture of dental radiology hardware and imaging software, recently moved its US headquarters to a newly-renovated office building on 585 Stewart Street, Suite L30, Garden City, New York. This move is the company's third expansion and relocation on Long Island since establishing its US headquarters there almost 20 years ago. The new 1,800-sq. ft ultra-modern facility is a combination of office, showroom, and training center. According to Boris Loyez, Owandy's VP of sales and marketing for…

17. Page 36

    Celebrate 50 Years of the Yankee Dental Congress The 50th installment of the Yankee Dental Congress will take place from January 30 through February 1, 2025, at the Boston Convention and Exhibition Center in Boston. The Yankee Dental Congress is the premier dental meeting in the United States for dental professionals seeking the highest quality dental continuing education. Yankee will provide products, services, and resources. For 50 years, Yankee has been the place for dental professionals to learn together, connect with colleagues, and define the future of dentistry. Head to Yankee this year as they celebrate 50 years of excellence…

18. Page 39

    PRODUCT FOCUS 3D Printers George Freedman, DDS The digital transformation of dentistry is a superb example of science driving technology and art. The digital workflow model has reorganized the dental office protocol. The clinical practice landscape is being reconfigured and renovated to the great advantage of both patients and dentists. Three-dimensional printing is arguably in its early stages, just beginning the implementation of its massive future dental paradigm shift. The dental profession has traditionally been driven by form; function; and, more recently, aesthetics. These have been the foundational parameters of the science and art of dental medicine. While these factors…

19. Page 41

    3D PRINTERS 39 Glidewell low-labor, user-friendly experience. Plus, Glidewell offers free lab support and training. For more information, call (844) 949-7184 or visit glidewell.io/fastprint.io. he fastprint.io 3D Printing Solution combines the innovation of LuxCreo with the user-friendly workflow of the glidewell.io In-Office Solution to give clinicians a cost-effective, same-day, 3D printing solution. With fastprint.io, crystal-clear appliances can be printed straight out of the printer with minimal post-processing required. Slicing, nesting, washing cycles are already automated, giving users a FASTPRINT.IO™: THE SIMPLE, INTUITIVE, HANDS-OFF 3D PRINTING SOLUTION [Image showing dental appliances on hands with arrows pointing to "COMPETITOR" and "NEW! fastprint.io…

20. Page 42

    Q&A Insurance Companies Exploiting AI Joshua Rubin, DDS, and Richard Ricci, DDS, discuss some of the impacts of artificial intelligence on the dental industry. Dr. Rubin: It's no secret that dealing with insurance companies is a major part of dentist's daily work. Do you anticipate that AI will lead to more denials from insurance companies? Dr. Ricci: Absolutely, and it's already happening. Insurance companies are using AI against us. For instance, they employ AI to measure the distance from the CEJ to the alveolar crest. If the measurements don't meet their preset thresholds, AI automatically denies approval for SRP without…

21. Page 44

    Top 50 Technology Products Dentistry Today's 15th 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. Bien-Air Dental All-in-One System Whether you are planning to upgrade your dental practice with the latest technology or you are just about to start your next professional career, Optima|INT is an all-in-one solution offering the full range of treatment options seamlessly integrated into your dental chair. No need for additional equipment anymore because the OptimalNT lets you perform restorative procedures, endo treatments (including…

22. Page 46

    Top 50 Technology Products Owandy Radiology Panoramic System The I-Max Ceph 2D Panoramic Unit and the I-Max Ceph 3D Panoramic Unit can easily switch between 3D and 2D modes at the touch of a button. The systems share the following features, including (1) a small footprint, (2) an ultra-sensitive sensor with short exposure sure time, (3) standardand reduced-dose ceph exam options, (4) an intuitive and user-friendly interface, (5) compatibility with most practice management software, and (6) a 5-year warranty. The I-Max 2D ceph beam and I-Max Ceph 3D (3-in-1 unit) include the following additional features: (1) multiple fields of view,…

23. Page 48

    Top 50 Technology Products Air2Zed Wireless Sensor The DUO wireless-ready sensor offers cutting-edge image quality and durability. With its advanced CMOS technology, the sensor delivers crystal-clear x-ray images whether or not it is connected directly or wirelessly with Air2Zed, sold separately. The innovative QuickSnap replaceable cable design makes costly repairs a thing of the past—simply snap in a new cable, if damaged. Available in 2 sizes for optimal patient comfort, the sensor's smooth, contoured edges ensure the best fit. For added protection, the industry-leading DUO Plus protection plan offers the ultimate peace of mind. This monthly or annual membership option…

24. Page 50

    Top 50 Technology Products TriAgenics Molar Treatment System Fully guided ZeroS TBA is a preventive-care treatment designed to irreversibly block third-molar formation by applying low levels of CT-guided microwave energy to the center of third-molar tooth buds. This new treatment modality is based on microwave ablation techniques commonly used to remove cancerous tumors. TriAgenics' research and development team believes this new technology and minimally invasive procedure represent the future of wisdom teeth management for dentists and their patients ages 6 to 12. TriAgenics' business model is similar to how Align Technology manufactures and delivers its clear braces. Dentists will send…

25. Page 52

    Top 50 Technology Products LightScalpel Laser Manufactured in the United States, the LightScalpel CO2 laser sets the standard for performance and comfort. It is recognized as the most ergonomic CO2 laser on the market and features a unique, flexible-fiber delivery system and pen-like handpieces. These features allow medical professionals to hold the handpiece closer to the target tissue than any other CO2 laser, enhancing surgical precision and safety. The laser minimizes collateral damage, provides a clear operating field, and reduces postoperative pain thanks to its high-precision cutting, rapid tissue ablation, and instant hemostasis. These attributes make it a top choice…

26. Page 54

    Top 50 Technology Products 3Shape Intraoral Scanner The award-winning TRIOS intraoral scanner portfolio includes the TRIOS 5 and TRIOS 4 wireless models, as well as the USB-C cable-powered TRIOS 3 and TRIOS Core. Clinical studies document the accuracy of TRIOS and recommend it for all dental indications, including fully edentulous patients. Dental professionals routinely praise TRIOS for its ease of use and intuitive interface. All TRIOS systems come with 3Shape Unite, which connects dentists to more than 25,000 dental laboratories and more than 100 treatment providers worldwide. Also, 3Shape Unite stores all patient cases on the cloud, enabling professionals to…

27. Page 56

    Top 50 Technology Products Mid America Dental Sales X-Ray Generator The innovative X4 handheld x-ray generator features dual safety handles to grip, eliminating the need for the user to wrap his or her hands around an x-ray tube housing or x-ray cone. The dual grips also aid in reducing fatigue and aid in aiming and correct positioning to gain the maximum protection from the backscatter shield. The ambidextrous and lightweight X4 weighs just 4 lbs., making it easy to position and perfect for one-handed use. The X4 utilizes the new carbon nano x-ray tube technology that leapfrogs the older analog,…

28. Page 58

    Top 50 Technology Products Curaprox Sonic Toothbrush Hydrosonic Pro offers a brush head design that's nothing short of exceptional. Ultra-fine, gentle Curen filaments—instead of conventional nylon bristles—wrap around each tooth to clean more effectively. With the most effective impact on oral health in mind, the 3 unique brush heads are gentle and effective for manual cleaning, as well as strong and powerful in hydrodynamic cleaning. The sensitive and powerful extra-small heads, with an innovative teardrop design, clean each tooth with maximum precision and support the hydrodynamic effect. The single, extra-small brush head cleans tooth by tooth, as well as the…

29. Page 60

    Top 50 Technology Products Dentsply Sirona Intraoral Scanner Primescan is an intraoral scanner that allows one to step into digital dentistry with an open and versatile approach, allowing for growth and expansion. Its patented technology includes smart pixel sensor and intelligent processing that scans 1.5 million 3D data points per second, making it one of the most accurate intraoral scanners in digital dentistry. Primescan can scan the full jaw (upper, lower, and buccal) in less than 60 seconds, faster than ever before, helping to reduce the length of appointments and provide a more comfortable experience for the patient. Switching from…

30. Page 62

    Top 50 Technology Products Designs for Vision Loupes The Infinity VUE Loupes offer a straight forward approach to ergonomics. The loupes keep your chin up, your neck straight, and your eyes looking forward while viewing the magnified oral cavity. The loupes help combat back and neck pain. For more information, call toll-free at (800) 345-4008 or visit the website info@designforvision.com. nologies Laser The PerioLase MVP-7 has the first and only scientifically proven FDA clearance for True Bone Regeneration with the LANAP Protocol, which reverses moderate and severe periodontitis. It can regenerate bone around failing implants via the LAPIP protocol. Maximize…

31. Page 63

    Top 50 Technology Products ) 683-2063, visit glidewell.io, or email robert.brenner@glidewell.com. Glidewell Digital Dentistry System The glidewell.io In-Office Solution makes same-day dentistry simple and affordable to clinicians everywhere. An open system design provides the flexibility to pair the CAD/CAM system with an intraoral scanner of your choice or with the fastscan.io Scanning Solution for a seamless connection to Glidewell. Then send the scan to the fastdesign.io Software and Design Station, where AI-powered, one-click designs make the process of designing crowns easy and user-friendly. Thanks to CrownAI and MarginAI technology. Just confirm the crown design, then it's ready to mill. The…

32. Page 64

    Top 50 Technology Products Video Dental Concepts Intraoral Camera The iCam HD Intraoral Camera represents a cutting-edge innovation for dental professionals, delivering stunning 1080p resolution to capture the finest intraoral details. Designed with a detachable cable for flexibility and a sealed lens for contamination protection, it ensures durability and precision in a fast-paced environment. This USB plug-and-play camera also includes zoom capabilities and adjustable light intensity, allowing practitioners to capture precise images that enhance diagnostic accuracy. Compatible with most dental imaging software, the iCam HD is not just a camera—it's an essential diagnostic tool that fosters patient understanding and aids…

33. Page 65

    Top 50 Technology Products Global Surgical Microscope From endodontic treatments to restorative procedures, the A-Series microscope provides crystal-clear magnification from 2.1x to 19.2x for higher clinical precision. Beyond magnification, this microscope delivers shadow-free illumination for increased visibility, HD case documentation, and superior ergonomics that help improve posture during exams and treatments. Designed, engineered, and manufactured in the United States, the A-Series microscope features a limited lifetime warranty and is known for performance and reliability. For more information, call toll-free at (800) 767-8726 or visit globalsurgical.com. eaning System Tri-Clean Ultrasonic Cleaners deliver the next generation of cleaning power. All BrandMax ultrasonic…

34. Page 66

    Top 50 Technology Products Vatech America Digital Imaging System Green CT 2 is an advanced, 4-in-1 digital x-ray imaging system that incorporates panoramic, cephalometric, CBCT, and model scan options. It provides high-quality images with lower radiation by combining image processing and accumulated dental imaging experience from Vatech. Obtain diagnostic accuracy with increased treatment planning and patient satisfaction. The Green CT 2 minimizes motion artifacts and enables faster workflow due to its scan time. Focusing on the highest quality of patient care, Vatech strives to improve the health and safety of patients. What Vatech has developed breaks many dental radiography conventions.…

35. Page 67

    North America CBCT System The innovative Eco x CBCT system is designed for superior diagnostic performance. It is a 4-in-1 system featuring CBCT imaging (3 x 3 to 16 x 9 cm field of view), panoramic radiography (standard, bite-wings, and TMJ), model scanning, and optional cephalometric x-rays. It is equipped with an unlimited upgradable image processing algorithm and metal artifact reduction, creating unmatched imaging clarity and continuous image improvement throughout the life of the unit. The Eco x CBCT creates clear, accurate imaging that is ideal for endodontics, implantology, and craniomaxillofacial analysis, providing a complete 2D/3D imaging solution. HDX with…

36. Page 68

    Intraoral Video Cameras Denterprize International The iCam HD is designed for dentists to capture HD intraoral photographs. It works in any imaging software throughout the dental industry that supports direct video input devices. The fixed focal length allows the user to concentrate on the patient and not on adjusting any settings on the camera during the exam. It uses a simple USB connection with a small software utility for sending keyboard shortcuts to the user's program whenever the capture button on the device is pressed. For more information, call (877) 509-3180. a fixed-focus intraoral camera that produces clear, high-quality images…

37. Page 70

    Streamlining Denture Delivery: The 2-Appointment Digital Workflow Introduction Traditional denture fabrication typically requires 5 or more appointments. With today's digital workflows, practitioners can deliver high-quality dentures in just 2 visits, with clinical data showing 96.6% of cases seat perfectly without a try-in appointment. Clinical Advantages Integrating digital dentures into a practice offers numerous advantages, including increased chairtime efficiency, faster delivery of final dentures, and improved patient satisfaction. Since 2015, ROE Dental Laboratory has been at the forefront of helping dental offices optimize and digitize their denture workflows, completing more than 90,000 digital denture cases across the United States. As technology…

38. Page 80

    Direct Composite Restorations in the Aesthetic Zone INTRODUCTION As patients' desires for a more attractive smile are growing, so are the options available to them. One option that has proven its value and predictability in significantly enhancing a patient's smile is porcelain veneers. However, it is important to consider that porcelain veneers almost always require the removal of some natural, healthy tooth structure. In contrast, direct composite restorations seldom require any removal of such structures, because patients are expected to live longer than ever before in our history, dentists must become more aware of and comfortable with more biologically conservative…

39. Page 82

    Figure 1. Preoperative photo showing the older, leaking restorations. Figure 2. Pre-op photo showing lower anterior crowding. Figure 3. Post-orthodontic image. Figure 4. Digital additive wax-up. Figure 5. Silicone matrix. Figure 6. Visual mockup. Figure 7. Thin application of Enamel Light (DMG America). Figure 8. Shade rehearsal completed for evaluation. Figure 9. Rubber dam isolation. Direct Composite Restorations... continued from page 78 After 2 weeks of daily application of the bleaching agent Opaline 15% [Ultradent Products], it was confirmed that the whitening was progressing uneventfully with minimal sensitivity and no gingival irritation. The patient was pleased with her new shade…

40. Page 83

    Figure 10. Shade applied to the incisal area of tooth No. 9. Figure 11. Completed restoration of teeth nos. 6 to 11. Figure 12. Patient at the 2-week followup. flat and concave surfaces. Once the final shade and characteristics were accomplished, the final shine was accentuated using goat hair brushes (Jiff) (Ultradent Products) and ospium diamond polishing paste at a high speed with light pressure and copious amounts of water. Tooth No. 9 was now completed. The same process was repeated for the remaining teeth that were to be restored (Figure 11). 7. Occlusal adjustments and evaluation Upon completion, the…

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