Dentistry Today — November/December 2021

Inside this issue

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

1. Page 7

   SAVE YOUR PATIENTS TIME. MAKE YOUR PRACTICE MONEY. The glidewell.io™ In-Office Solution brings the "wow" factor. In just one visit, your patient is receiving a beautiful BruxZir® NOW crown that's going to last a lifetime. – Dr. Christina Do | Costa Mesa, CA Graduate of Loma Linda University School of Dentistry Dr. Do has been a glidewell.io user since 2018. Limited-Time 0% Financing! The glidewell.io™ In-Office Solution was created to make same-visit dentistry more accessible to clinicians. Explore the glidewell.io difference: • Skip staining, glazing and firing. Deliver BruxZir® NOW crowns straight from the mill — just cement and move…

2. Page 12

   Cover Me The Annual Leaders in CE directory is one of the most anticipated features of the year for Dentistry Today. Clinicians and dental professionals quickly scan the cover to see if their photo is there. They share a copy of the cover on Facebook, LinkedIn, and Instagram and in other places. It is wonderful for bragging rights as a leader in the dental publishing community and also a bump in this magazine's online visibility. As an aside, please take a look at our redesigned website, . It is easier to navigate and, as I have stated throughout this year,…

3. Page 14

   The Staying Power of Live, Interactive Streaming Education The impact of COVID-19 on in-person education was immediate. This ushered into the current recovery period. The effect of the pandemic on continuing education (CE) has been binary: On one hand, there has been a decrease in person training and learning, but on the other hand, there has been a rapid increase in live streaming education. In fact, the lockdowns that were implemented globally during the pandemic saw an increase of livestreaming by approximately 50%, with an expected industry growth to $130 billion by the year 2023. At the onset of COVID-19,…

4. Page 16

   VIEWPOINT continued from page 12 Here's an example of how ILS courses are broken down: • Eighty percent to 86% of ILS lectures include real-time polling and live, interactive Q and A sessions with peers and instructors. • Two-way lectures stream from an actual video studio at HD quality and have video switchers similar to broadcast news for the most professional and effective presentation. • Online video content is available prior to the start of the course for elevated preparation. • Prescheduled live office hours with instructors that correspond to the online video modules are available. • An extensive participant…

5. Page 18

   Dental Unit Waterlines Amanda Hill, RDH, BSDH, discusses the importance of waterline safety and how your practice can stay compliant. Q: Why does biofilm grow in dental unit waterlines (DUWLs)? A: As observed at the bottom of a periodontal pocket, biofilm loves to grow in a warm, moist environment. DUWL tubing is small in diameter and long, leaving lots of opportunity for the water and its many microbes to touch the sides of the tubing and hold on. One study shows that colony-forming units (CFUs) can grow to 200,000 in just 5 days in brand new lines. So if you've…

6. Page 20

   Utilizing iTero Element 5D NIRI Technology to Aid in Caries Detection Bret Jacobson, DDS Caries screening is a routine process that, at times, can be difficult to accomplish. Traditional intraoral photographs can be inconsistent due to tooth morphology, overlaps, image quality issues, or difficult accesses. The iTero Element 5D imaging system (Align Technology), with near-infrared imaging (NIRI), was developed to give the practitioner state-of-the-art technology to aid in the diagnosis of interproximal caries above the gingiva. NIRI technology utilizes a near-visible light source and a designated sensor (870-nm wavelength) to scan the internal structure of the teeth. Tooth enamel is…

7. Page 22

   Lithium Disilicate Block's Properties Allow for Easy Path to Reach Fully Crystalized State ALSIP, Ill–GC America's GC Initial LiSi Block is a fully crystalized lithium disilicate block with optimized physical properties without the need for firing. Thanks to GC's unique High Density Microstructure (HDM) technology for CAD/CAM, the block can be polished immediately after milling. GC Initial LiSi Block's unique ultrafine crystal makes the material easy to grind and able to be quickly milled in its fully crystalized state. Because of GC Initial LiSi Block's exceptional properties, high gloss, and natural opalescence, the fully crystalized state can be obtained in…

8. Page 24

   High-Speed Scanner Produces Short Turnaround Times CHARLOTTE, NC–The fully automatic Ceramill Map 600+, Amann Girrbach's new flagship scanner for open articulator scanning, excels without outstanding precision for perfect restorations and optimally supports dental technicians in their work. This new, high performance scanner heralds the advent of the fourth industrial revolution in the laboratory. The intelligent software algorithm automatically assigns the upper and lower jaws, thereby eliminating the vestibular scan and up to 30% of the manual steps in the laboratory. Due to its integrated universal carrier plate for all common types of articulators, the Map 600+ saves time consumed by…

9. Page 25

   New! Every shade. One choice. omniCHROMA Flow One-Shade Flowable Composite OMNICHROMA FLOW is the world's first one-shade flowable composite to esthetically match every color of tooth from A1 to D4 with a single shade of composite. Tokuyama Dental's Smart Chromatic Technology, first implemented through the universal composite OMNICHROMA, has changed the way thousands of dentists practice restorative dentistry forever. Now, the same one-shade benefits are made available in a flowable consistency capable of addressing a wider range of restorative needs, saving clinicians even more time and money. Outstanding Features • Unprecedented shade matching • High polishability • High stain resistance…

10. Page 26

    Intraoral Scanner's Software Update Optimizes Performance CHARLOTTE, NC/BENSHEIM, Germany–Dentsply Sirona has validated a new workflow for clinically efficient and digitally supported implant treatment that includes all components, from impressions to prosthetics. An essential part of this workflow is taking the digital impression with Primescan, which is characterized by ease of use, speed, and high accuracy over the entire arch. All treatment steps are coordinated with each other and come together in an efficient implant dentistry workflow. With the upgrade of Connect SW 5.2, dental professionals now have convenient access to high-quality, patient specific Atlantis suprastructures, designed and manufactured using highly…

11. Page 27

    To Drill or Not to Drill a suspicious occlusal lesion Introducing the Ortek-ECD Unlike other caries detection systems, the Ortek-ECD measures the conductivity of enamel. The ECD is designed to accurately detect if occlusal lesions have initially breached the dentin-enamel function, advanced further into the dentin, or are confined to the enamel. The Ortek-ECD is extremely effective at detecting small cavitated lesions that are difficult to diagnose and often go untreated. • Instantly diagnose suspicious occlusal lesions • 100% sensitivity, 93% specificity* • Early detection conserves tooth structure • Fast and easy to use • Immediate quantitative caries score •…

12. Page 29

    DENTISTRY TODAY 12th ANNUAL READERS' CHOICE Top 50 TECHNOLOGY PRODUCTS Dentistry Today's 12th 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. Ritter Dental USA Dental Chair Upgrade your practice with the German-engineered Ritter Dental Vanguard and Vanguard Smart dental packages. The Vanguard Smart is a smart choice for one's practice due to its reliability and ease of use. It offers a complete dental package and comes with or without a cuspidor and is Ritter Dental's most affordable dental…

13. Page 30

    Top 50 Technology Products Parkell Pulp Vitality Tester When percussion, ice, heat, and radiographs are not enough, electric stimulation may be the diagnostic tool dentists need for determining the location of the patient's discomfort. The Digitest 3 Pulp Vitality Tester electrically stimulates the tooth to test for vitality. Comparing the response to the stimulus of the suspected tooth with a known healthy tooth's response can help dentists identify the location of patient's pain. The ergonomically designed Digitest 3 has an intuitive single-button control and can easily be programmed to accommodate every dentist's personal settings preference. The 4 autoclavable probes promote…

14. Page 32

    Top 50 Technology Products Glidewell 3D Printed Bite Splint The Comfort3D Bite Splint is a new, hard occlusal splint that is ideal for protecting against the harmful effects of nighttime bruxism. Digitally designed and fabricated with precision CAD and 3D printing technology, this bite splint offers more patient benefits than traditionally manufactured splints. For example, the Comfort3D Bite Splint has a more accurate fit and additional tongue space due to less coverage in the palatal area. These features result in a more precise and more comfortable appliance for patients. Its hard design also allows for the protection of dentition and…

15. Page 34

    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 time, (3) standard and 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,…

16. Page 36

    Top 50 Technology Products Zest Dental Solutions Removable Attachment System The LOCATOR R-Tx offers 25% greater wear resistance and up to 60% of total implant divergence, eliminating the need for pre-angled abutments. Its pivoting technology allows patients to easily align and properly seat their overdentures. The system also offers enhanced customizable retention for every patient with low-, medium-, and high-retention inserts for standard-range and limited-range inserts. LOCATOR R-Tx makes it easy with a standard .050-in/1.25 mm hex drive mechanism, as well as convenient, all-in-one packaging that includes the abutment, denture attachment housing with processing insert, retention inserts (zero, low, medium,…

17. Page 38

    Top 50 Technology Products Ronvig Anesthesia System Calaject offers a computer-assisted local anesthetic system while enabling a consistent flow rate and pain-free injections for patients. It also provides ergonomic improvements for dentists. Calaject takes away 2 major pain points, one for the doctor and one for the patient. The dentist uses no finger power and avoids strain on muscles, while the patient experiences less discomfort or pain, even during palatal injections. The light pen grip allows for good finger support, so the needle is perfectly still in situ during the injection. The system controls the flow rate, which ensures a…

18. Page 40

    Top 50 Technology Products Dentis USA Digital Guide Center The dental implant landscape is changing rapidly as guided surgery makes placing implants safer, faster, and more predictable. With the ability to digitally preplan implant angulation and depth, risk is greatly reduced, and restorations can be planned ahead of time. DENTIS Digital Guide Center is making it easier than ever for doctors to utilize this game-changing innovation without having to invest in the equipment or take time to design the guides. The process is simple. Send a CBCT scan and an intraoral scan to one of Dentis USA's Digital Guide Centers,…

19. Page 42

    Top 50 Technology Products Whip Mix 3D Printer The VeriBuild LCD 3D Printer offers features and spec-ification only seen in economically priced printers. Laboratories and dental practices can now print extremely precise models and accurate surgical guides with slice thicknesses between 25 and 100 µm. This open system printer is able to print 405-nm print resins using the proper file with its advanced software. The system produces consistently high print quality and accuracy at an affordable price for any laboratory. VeriBuild LCD 3D Printer's features include (1) an open material system, (2) offering a high resolution at 47 µm, (3)…

20. Page 43

    Top 50 Technology Products AMD LASERS Curing Light The Monet Laser Curing Light is the world's first handheld laser dental curing light. It's designed for faster and reliable dental curing. It offers the following capabilities: (1) the ability to cure an 8-mm depth of composite in 3 seconds; (2) a 360° rotatable head; (3) a coherent collimated beam with a consistent diameter of 12 mm; (4) beam intensity that does not decrease with distance; (5) a variety of aperture attachments for light intensity attenuation and different beam sizes in 2, 4, or 6 mm for different applications; (6) handheld and…

21. Page 44

    Top 50 Technology Products SOTA Imaging Digital X-Ray Sensor The Clio Prime digital x-ray sensor delivers consistently exceptional diagnostic images. It can be used with any handheld x-ray or wall-mounted unit. No matter the source, the EveryShot X-Ray Capture technology effectively eliminates underexposure and overexposure, preventing time-consuming retakes. Clio Prime, available in adult and pedo sizes, features a ComfyCorner-designed capsule, which is crafted for effortless positioning. For more information, call (888) 266-7682, visit the website located at sotaimaging.com, or email sales@sotaimaging.com. FREEinfo, Carestream Dental Generator The CS 2400 P is a portable, battery-free generator for the palm of your hand.…

22. Page 45

    Top 50 Technology Products DentiMax Software Available in cloud and server editions, DentiMax software offers a smooth workflow with easy-to-use practice management, as well as clinical, radiography, and intraoral photography features. The software makes it simple for front desk personnel to send electronic claims and digital attachments, and it provides a straightforward way to see financial information. It also includes the ability to send text messages to remind patients of and confirm their appointments, easily share details of completed work with front desk personnel, and create treatment plans that show the patient's financial responsibility. It is loaded with tools designed…

23. Page 46

    Top 50 Technology Products Q-Optics Loupes Q-Optics' TTL (Through-the-Lens) loupes offer a better look, as well as a fit for everyone. With advanced materials and nose-relief design, Q-Optics features titanium frames and lightweight oculars with a lifetime warranty. True-Fit Technology ensures ergonomic placement with out impeding performance. The high-resolution loupes feature a dense optical system yet weigh, on average, 25 g less than standard systems. They offer the company's clearest resolution yet. For more information, call toll-free at (800) 858-2121 or visit q-optics.com. FREEinfo, Bluelight Analytics/3M Radiometer The Bluelight CheckUp Radiometer helps dentists improve the outcomes of their restorative procedures.…

24. Page 47

    Top 50 Technology Products Aurident Intraoral Scanner Aoralscan intraoral scanner from Shining 3D delivers a quality scanning experience for patients, clinicians, and technicians and features user-friendly operation that supplies the intra-oral scanning experience and provides high-quality digital impressions. A secured cloud platform enables clinicians and labs to communicate and share files seamlessly. The Aoralscan is the ideal choice for a full range of indications, including crowns and bridges, implant restorations, and orthodontics. Motion-sensing technology and a dynamic LED indicator light allow the clinician to operate the scanner without controlling the laptop. This robust intraoral scanner is packed with practical yet…

25. Page 48

    Top 50 Technology Products Dentsply Sirona/Panthera Dental Digital Impression System This collaboration between Dentsply Sirona and Panthera Dental allows dentists to use precise scans in a validated workflow as a basis to create a custom-made Digital Sleep Apnea Device (D-SAD). The outstanding quality of the intraoral scan data delivers reliable data for the high-quality, custom-made D-SAD Mandibular Advancement Device (MAD) indicated for people suffering from obstructive sleep apnea and snoring. Thanks to Primescan, a complete and accurate full-arch scan is possible in as little as one minute to give the dentist immediate control of a 3D model. The outstanding accuracy…

26. Page 49

    Q&A: A Closer Look at Noble Metal Refining's Operation Company's Open-Door Policy and Secure Refining Process Ensure Transparency, Safety, and Full Value for Customers' Precious Metal Dental Scrap Q: Noble Metal Refining has been in the business of refining scrap metal since 2012. How did you get your start? A: We started out and utilized the services of other refiners, so we have a unique perspective as a refining customer, and now, for several years, as a side-of-the-art refining facility. We know how our customers have been on their side of the fence. Q: In your experience, what are dentists…

27. Page 50

    Soft Chews Activate Natural pH-Raising Prebiotic Process ROSLYN HEIGHTS, NY–Sugar-free BasicBites from Ortek Therapeutics are candy-like soft chews that contain Ortek's revolutionary arginine bicarbonate and calcium carbonate oral microbiome technology. Decades of university-based research led to the discovery of beneficial pH-raising bacteria in microbial ecosystems on tooth surfaces. Arginine, an amino acid, was isolated as the key substrate in saliva that these protective or commensal bacterial strains metabolize to produce alkali. BasicBites activates this natural pH-raising prebiotic process, resulting in immediate and sustained buffering of harmful plaque acids. In this optimal pH environment, the calcium carbonate in BasicBites is available…

28. Page 52

    Orthodontic Aligners Offer 3D Virtual Treatment Plan LOMPOC, Calif.–OrthoClear, a highly effective and clear orthodontic solution, comes from DenMat, a company trusted with comprehensive aesthetic full arch restorations. Through the use of orthodontic aligners, dental professionals are able to offer a straightforward service to treat patients who have crowding, spacing issues, and misalignment, at a fraction of the laboratory fees typically associated with such treatment. These 3D virtual treatment plan so that clinicians can review the tooth movements and anticipate results prior to aligner manufacturing. OrthoClear aligners are made of premium BPA- and phthalate-free material. This material is high-quality, as…

29. Page 54

    Devices Assist People Suffering from Migraines NEWPORT BEACH, Calif.-Glidewell now supplies dentists with 2 devices proven effective at relieving their patients' tension headaches and migraines: the NTI-tss Plus and the NTI OmniSplint. By adding this new clinical opportunity to its family of preventive care products, Glidewell has made it easier than ever for dental clinicians to help the 36 million people in the United States who suffer from migraines (data on file). The NTI-tss Plus has been prescribed by thousands of dentists for more than 20 years and is a trusted name in the industry. The device covers the anterior…

30. Page 55

    System Provides Ergonomic Improvements DAUGAARD, Denmark–Calaject from Renvig offers a computer-assisted local anesthetic system while enabling a consistent flow rate and pain-free injections for patients. It also provides ergonomic improvements for dentists. Calaject takes away 2 major pain points, one for the doctor and one for the patient. The dentist uses no finger power and avoids strain on muscles while the patient experiences less discomfort or pain, even with painful injections. The light pen grip allows for good finger support, so the needle is perfectly still in its path during the injection. The system controls the flow rate, which ensures…

31. Page 56

    Varnish Provides Protective Shield and Immediate Relief SCHAUMBURG, ILL—BISCO Dental Products' FluoroCal is a fluoride and calcium releasing varnish that is indicated for application to enamel and dentin for the treatment of hypersensitive teeth. It delivers targeted and sustained release of calcium and fluoride for more than 24 hours and provides immediate relief of sensitivity by penetrating and sealing dentin tubules. When tested, FluoroCal showed significantly higher fluoride uptake than other leading fluoride varnishes (data on file). Additionally, it contains Tri-Calcium Phosphate (TCP), which studies have shown may help strengthen enamel and build more acid-resistant mineral when combined with fluoride.…

32. Page 57

    Composite Ends Need for Glazing and Polishing THE VILLAGES, Fla—DMP Dental's Bright Temporary C&B is a new, self curing composite for temporary crowns, bridges, inlays, and onlays. It is a unique combination of nanosized particles and ideally sized glass filler that provides enhanced composite strength. Its elastic properties provide easy, failure-free placement with the added advantage of the company's Chameleon Effect that matches shade, opacity, and fluorescence for a natural look. It offers 2 significant benefits, including (1) a short trim and finish time of 3 minutes and (2) its convenience. For more information, call DMP Dental at (908) 963-8240,…

33. Page 58

    CELLERANT BEST OF CLASS TECHNOLOGY AWARDS 2021 In February 2020, the committee for the Cellerant Best of Class Technology Awards met for the 12th year at the Chicago Dental Society's 156th Midwinter Meeting and voted on the Best of Class products of 2019 and a few that emerged in the first few months of 2020. We had a number of items to follow up on at the next few meetings, in order to clarify questions we had. Little did we know that this was the last time we would be at a dental meeting together for more than a year.…

34. Page 60

    BEST OF CLASS TECHNOLOGY AWARDS I700 • FIRST-TIME WINNER • MEDIT | medit.com MEDIT has been making scanners for the dental laboratory for years. In 2018, they decided to launch a new intraoral scanner, the i500, which was somewhat revolutionary. The sub-$20,000 price point raised many eyebrows, but dentists soon realized that this was a high-end product with many cutting-edge features that happened to be more affordable. The accuracy was stellar and the speed was fast, and, as user numbers increased, they were very quick to incorporate new features. But MEDIT did not rest on its success, launching the i700…

35. Page 62

    Industry News Dr. Todd Ehrlich Dies in Motorcycle Accident Dr. Todd Erlich Dr. Todd Ehrlich, a respected dentist and dental surgeon, died October 27 from injuries sustained during a motorcycle accident on October 26. He was a University of Texas Health Science Center alumnus with more than 20 years as a dental practitioner. He graduated magna cum laude and was president of the Alumni Association. He also served as a Master CEREC trainer, as well as working as a CEREC and IPS e.max CAD beta tester. His training courses in this particular technology were regarded as some of the best.…

36. Page 64

    Pearl to Introduce Groundbreaking AI to Australian and New Zealand Dentistry Pearl, the leader in AI solutions, has announced that it has received authorization to introduce its Second Opinion AI solution to the Australian and New Zealand dental markets. The clearances from Australia's Therapeutic Goods Administration and New Zealand's Medical Devices Safety Authority follow the European CE marking Second Opinion received earlier this year for assistive use in dental radiology. The clearances signal growing recognition of AI's utility in clinical dentistry. Pearl—a driving force behind AI's emergence in the dental category—developed Second Opinion to aid dentists in their evaluation of…

37. Page 66

    Communication and Technology for a Positive Implant Prognosis Implant dentistry is going through some remarkable technological advances. Thirty years ago, I began my implant career with Paul Nemita, the "implantologist" in the Detroit area. Paul was an innovator at that time. Our intentions were always to place these modern fixtures into available bone, but the patient would need to be satisfied with whatever prosthetic design we could create. At that time, I remember many of my colleagues saying, "Implants are experimental." That certainly may have been a bit true in that technology had not caught up with the procedures we…

38. Page 68

    Implant Treatment Planning: Simplicity for Success INTRODUCTION Implantology is a highly predictable procedure with a mean survival rate of 94.6% and a mean success rate of 89.7% after more than 10 years.¹ Other studies have shown higher success rates with 10-year survival at the implant level (96.4%).² Of course, that success level only occurs when everything is done right or just about. As more and more dentists are incorporating this type of treatment into their own practices and a higher number of people are being treated yearly, sound principles are imperative when it comes to treatment planning. About 93% or…

39. Page 70

    Implant Treatment Planning... continued from page 66 arthritis, Crohn's disease, and psoriasis, to name a few. In short, the big things to look out for are diseases or medications that will directly affect the healing process. These can run the gambit from diabetes to autoimmune disorders and from treatment of chronic inflammation with steroids to chemotherapeutic agents and radiation. Osteoporotic patients have a dental implant failure rate of 10.9%.7 What is more of an issue with these patients is their medications and their effects on healing. These patients are either being treated with conventional bisphosphonates or RANK Ligand inhibitors (Figure…

40. Page 71

    IMPLANTS keratinized tissue around the abutment for optimal restorative health once the restoration is placed. Tissue thickness also plays a role in implant placement position in the vertical dimension. A thin gingival biotype may require a deeper, subcrestal placement or a connective tissue graft to allow the room necessary to have a proper emergence profile. Just remember that implant placement is a restoratively driven surgical procedure! Past dental history is another crucial area to delve into during the treatment planning appointment. It is beneficial to know how the tooth or teeth were lost and whether the site was grafted at…

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