Dentistry Today — November/December 2022

Inside this issue

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

1. Page 8

   Cover Me Did I make the cover? I can't wait to post a photo of it on Facebook!" When I took over this position, I was inundated with emails and calls asking, "Hey Paul, can you get me on the cover?" I had no idea how this all worked and have spent this year trying to figure it out. This honor was set up many years ago when CE was only five and dental practitioners had to attend meetings to get credits. There were several influential dentists who would present at the larger and more well-known meetings. In order to…

2. Page 9

   Interview with Annette Ravn Nielsen, CEO of Ronvig Denmark, on Calaject, Which Was Acquired by the DirectaDentalGroup in 2020. [Four images showing: Palatal injections; Easy and comfortable pen-grip hold; Calaject portable computer-controlled local anesthesia delivery with 3 settings controlling the flow rate; Calaject is used with standard dental needles and anesthetic cartridges.] Q: Please provide a brief overview of your background in the dental industry and how you first learned about Calaject. A: I have been working for the Ronvig company for 25 years, first as international sales and marketing manager and, since 2016, as CEO. In January 2020 Ronvig…

3. Page 10

   DirectaDentalGroup DIRECTA topdental ORSING parkell physics CEPS RØNVIG TrollDental Sendoline CONTACTEZ DDG FOCUS Directa Dental Group embarked on multi-year worldwide acquisition strategy that continues to this day. These acquisitions which began in 2014 have made Directa Dental Group one of the fastest growing dental companies in the Nordic region and spanning from Europe to the United States, with over 200 employees, and is currently active in dental markets in over 90 countries. Ability to Change can Determine the Future of your Practice Dentistry is always changing and evolving, offering new treatments that are easier and more effective, giving a gentler…

4. Page 12

   Can New-Patient Calls Be Your Best Marketing? Now more than ever, dental practices have a golden opportunity to shine over the phone. According to a 2020 survey by Arizona State University, "customer service is worse than ever, and more people are enraged about it." Inevitably, unhelpful, impolite interactions are becoming the norm, making it much easier for thoughtful, caring businesses to truly stand out. There's no better place to start for dental practices than with every new-patient call. An increasing number of people may be embracing apps, email, and texting to make appointments or answer their questions, and you can…

5. Page 14

   VIEWPOINT continued from page 10 you can give your team lots of leeway to make calls personal. I suggest encouraging them to be themselves and inject their own personalities into patient interactions. It's a sharp contrast to the stiff, rigidly controlled pseudo-conversations that characterize bad call experiences. Let's touch on some basic tips. • Answer the phone by the third ring. It demonstrates attentiveness and enthusiasm on the part of your practice. Let it ring far too long, and you risk a prospective patient hanging up or thinking your practice is overly busy or disorganized (which, frankly, is true if…

6. Page 16

   Oral Cancer Jaisri R. Thoppay, DDS, MBA, MS, discusses the assessment and management of oral lesions. Q: Why is oral cancer so difficult to diagnose? A: The impact of systemic conditions and diseases in the oral cavity is well documented and often quoted as a window to the body. The oral cavity, though easily accessible, is complex and sometimes presents enigmatic conditions. With newer medical management and advancement in clinical approaches, new oral conditions have started to present. Post-COVID-19 complications in the oral cavity are among the sites of late-onset neuropathic, and oral lesions are a few to mention. The…

7. Page 18

   Women in Dentistry Stephenie Goddard, CEO of Glidewell Dental, speaks with Dentistry Today's editor-in-chief, Dr. Paul Feuerstein, about the organization's Guiding Leaders program. Q: First of all, tell us about your new position. A: Earlier this year, I was named the new CEO of Glidewell Dental. Jim Glidewell has led and, in fact, works with me almost daily. I hope to be able to continue his quest for excellence and innovation in the years to come. He has been a leader in dentistry for 52 years, and the company has evolved from a dental laboratory to a creative, educational, and…

8. Page 19

   A: Yes. Last year, we had about 100 applicants and could only pick 25. To qualify, you have to have 5 years of experience and must be currently practicing. One of the essential requirements is a true commitment to the program as well as attendance. We don't want paper members. These women work as a cohesive group and have continuous "projects" that won't really work if they are not all in. They also have to be emotionally present and willing to participate, not just present. Also, second-year members have a "capstone" project where each has to either do a large…

9. Page 20

   Changing Lives With 3D Facial Aesthetics Dean Vafiadis, DDS, discusses the details of full-mouth reconstruction. Q: What do you specialize in? A: We specialize in full-mouth reconstruction (FMR) and as you may know, FMR is when we take patients who have lost teeth and been disabled dentally. They've lost vertical dimension. Their dentition has been either neglected or the dentistry has not been there for many years. The patient needs to get rehabilitated. FMR basically puts teeth back together in the right position one by one and 3-dimensionally facially. This enables the teeth to be put together in an ideal…

10. Page 22

    Shade-Taking Solution Eliminates Second Guessing and Laboratory Remakes ORMOND BEACH, Fla - Enterprise International's Rayplicker Cobra is the most advanced spectrophotometer on the market today (data on file). This innovative device offers a fast, reliable, and accurate shade-taking solution that eliminates second guessing, laboratory remakes, and wasting time. It can provide detailed shade mappings that will surely provide the perfect shade match every single time. It is also useful in tracking teeth whitening results. It's a great tool for before and after comparisons. The Rayplicker Cobra levels up from its predecessor, the Rayplicker QuickShade, by allowing instantaneous transmission of information…

11. Page 24

    Device Offers Relief of Pain Stemming From TMJ/TMD Dysfunction SEATTLE—Myotronics' J5 is used successfully by thousands of clinicians world wide for numerous things, including treatment of TMJ/TMD and associated pain. The treatment is done by using controlled bilateral stimulation. The J5 promotes muscle relaxation for relief of symptoms associated with muscle spasms of the masticatory and cervical muscles common to TMJ/TMD dysfunction. It also offers relief of symptoms associated with muscle spasms. The J5 boasts a safe, drug-fee method of treatment. It stimulates increased local blood flow while restoring normal muscle physiology by pumping in nutrients and oxygen, forcing accumulated…

12. Page 27

    Innovative Products From Medidenta in 2022 Freestyle Pro The Freestyle Pro was made with the clinician in mind. Its cordless design eliminates drag and pulling while increasing mobility for working professionals. Its ultralight construction comes in at 20% lighter than industryleading low-speed handpieces in the cordless category. It boasts extraordinary performance and a dual-mode control system that offers variable or fixed 6-speed settings. The dual-mode control provides maximum ergonomics with its quick-touch button, along with the added convenience of the Bluetooth-powered footpedal. Hygiene rooms love the options only provided by Freestyle Pro. For more information, call (800) 221-0750 or visit…

13. Page 30

    Temporary Gingival Retraction and Moisture Management INTRODUCTION Although scientific and technological advancements have enhanced the predictability of many dental procedures, cedures, the clinical techniques and products used for gingival retraction and hemostasis remain critical to the success of crown, bridge, and other restorative treatments. In particular, the retraction, hemostatic, and moisture control protocol undertaken when creating a clearly visible and unencumbered path to gingival margins and finish lines significantly affect efficiency, accuracy, and comfort during preparation and impression taking procedures—whether they be conventional or digital. Fortunately, retraction paste can be used to effectively displace the soft tissue and produce a…

14. Page 31

    Figure 1. Preoperative view of tooth No. 3 that would be prepared with digitally scanned for impressions for a full-coverage zirconia crown. Figure 2. Following initial preparation and decay removal, the biologic width was checked. Figure 3. View of bleeding in the sulcus and gingival tissues after tooth preparation. Figure 4. An aluminum chloride-based paste (Retraction Paste [VOCO]) was selected to establish hemostasis and gently manage the gingival tissues. Figure 5. The extra-long, thin, plastic tip was inserted into the sulcus, and the paste was extruded. Figure 6. The tip was moved around the tooth circumferentially while extruding the retraction…

15. Page 32

    Your First Defense in Restorative Preservation: The Infinix State-of-the-Art Restorative System Figure 1. Radiograph demonstrating significant decay on tooth No. 14. Figure 2. Tooth following excavation of decay in preparation for a direct resin restoration. Figure 3. Infinix Universal Bond System (Nobio) application (primer and bond). Figure 4. Infinix Universal Composite (Nobio) buildup, incrementally placed (up to 2 mm depth), light cured between increments, and sculpted to full contour. Figure 5. Completed direct composite posterior restoration on tooth No. 14. Figure 6. High radiopacity performance with Infinix. Yuval Wind, DMD, Gregori M. Kurtzman, DDS, MAGD It has been reported that…

16. Page 36

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS exocad America Software Chairside CAD 3.0 Galway is exocad's next-generation, easy-to-use CAD software for single-visit dentistry. The new chairside workflow is highly automated, intuitive, and optimized for in-practice use. Newcomers to CAD/CAM can benefit from its fast wizard-guided workflows, while experts can select free-design sequences. The software provides a smooth integration with open intraoral scanners, production devices, and implant systems. Clinicians can pair it with their preferred open hardware to enjoy freedom of choice. The new release offers improved automatic design proposals and features Instant Anatomic Morphing, enabling efficient adjustments as the anatomy of…

17. Page 38

    Readers' Choice 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 pre-plan the 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 intraoral scan to one of Dentis USA's Digital…

18. Page 40

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Philips Oral Healthcare Power Toothbrush Philips Sonicare Cordless Power Flosser provides patients with a simple and effective way to remove up to 99.9% of plaque. The product features innovative Quad Stream technology, which is a unique, cross-shaped nozzle that creates 4 wide streams that are 150% more effective than string floss at improving gingival health. It also offers innovative Pulse Wave technology, which provides brief pauses in the cleaning motions to prompt patients to glide the nozzle to the next interproximal space to ensure a whitebread clean. The compact product is developed for patients…

19. Page 42

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Designs for Vision Loupes The paradigm-shifting REVEAL system allows one to visualize nature biofilm in real time without the use of any pharmaceutical, chemical, or dye. The headlight uses a narrow-spectrum excitation light to stimulate the byproducts of the bacteria that are associated with caries, calculus, and periimplantitis, causing them to emit endogenous fluorescence. REVEAL eyewear filters out the excitation wavelengths to allow clear visualization of the fluorescence. REVEAL allows one to detect and manage peri-implantitis and confirm successful treatment. The system helps to identify and differentiate between active and arrested caries lesions, allowing…

20. Page 44

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS KometaBio Dentin Grinder GENESIS is the recently launched, next-generation Smart Dentin Grinder. This newly updated product is able to convert any extracted tooth into autologous graft within 7 minutes from extraction. The new features on this device include simple, push-button controls for pulverizing the tooth within seconds and then sorting the particulate to the desired graft particle size. It is a must-have device for anyone who is extracting teeth and cares about the prognosis of the socket. Autologous dentin graft has been proven to actively regenerate bone as well as maintain the dimensions of…

21. Page 46

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS CHROME GuidedSMILE Surgical/Restorative Guide CHROME guidedSMILE is the ultimate all-in-one surgical/restorative guide, offering unique attributes superior to plastic systems. It has been adopted by specialists, implantologists, and institutions and has become an international guide of choice for thousands of doctors. It was developed for dentists who desire a safer, faster, smaller, and stronger pre-planned, full-arch immediate solution. For more information, visit the website located at chromeguidedsmile.com/pro. FREEinfo, Ortek Therapeutics Caries Detection Device The Ortek ECD is a revolutionary, FDA-cleared medical device that immediately detects early occlusal cavitated lesions often before x-ray, visual, and tactile…

22. Page 48

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Shofu Dental Digital Dental Camera The EyeSpecial digital dental camera is made exclusively for dentistry. This unique and innovative camera allows the entire dental team to take perfect pictures every time—no photography skills are needed. Easily take stress-free, high-quality images for case documentation, lab collaboration, and patient communication by merely pressing one of the 9 preset dental shooting modes. In addition, the EyeSpecial can prevent cross contamination by simply wiping the camera with a disinfecting wipe between patients, which is essential for infection control in the office, and the large LCD touchscreen works with…

23. Page 50

    Readers' Choice 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 staff members to send electronic claims and digital attachments while providing a straightforward way to see the financials. It also includes the ability to send text messages to remind patients and confirm their appointments, easily share details of completed work with front desk staff members, and create treatment plans that show the patient's financial responsibility. It is loaded with…

24. Page 52

    Readers' Choice 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. 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…

25. Page 54

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Align Technology Imaging System The iTero Element 5D Plus imaging system in cart configuration is the latest generation of Hero Element scanners and imaging systems. It's a powerhouse of capabilities designed to improve the practice and patient experience with state-of-the-art computing power, elegant design, and ergonomics. Enhanced, more detailed visualizations with wider viewing angles provide an unmatched patient experience. Powerful computing advancements enable a smoother and more intuitive scanning experience. The system is ergonomically designed to conform to how practices scan. The integrated intraoral camera eliminates the need for a second device, while enhancing…

26. Page 55

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Procter & Gamble Toothbrush Oral-B iO comes with 2 brush heads that are only compatible with Oral-B iO. The Ultimate Clean brush head has twisted tufts of bristles and longer filaments for an outstanding clean, including in hard-to-reach areas. The Genie Care brush head uses thousands of fine filaments for an extra-gentle clean that patients will love. For more information, visit oralcare.com. FREEinfo, AdDent Composite-Warming Device Compex HD delivers the perfect flow at an optimal temperature for all restorative and cementation procedures. Having the optimal composite temperature at the point of delivery makes all…

27. Page 56

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Clinician's Choice Dental Products Diode Laser With enhanced procedural efficiency, the versatile Bluewave Soft Tissue Diode Laser is ready for many restorative or periodontal indications and boasts up to 5 W of power and 3 preprogrammed settings (debride, perio, and cut). With its compact size and wireless footpedal, the Bluewave offers true lightweight portability while its robust, lithium-ion rechargeable battery allows for more than 3 hours of continuous use on every charge. Saving time and frustration, Bluewave's disposable tips (regular, 4 mm, and perio, 9 mm) are designed for convenience and safety by eliminating…

28. Page 58

    56 . 1 Readers' Choice TOP 50 TECHNOLOGY PRODUCTS ContacEZ – A Division of DirectaDentalGroup Interproximal Reduction System IPR Strip System is a safe and innovative interproximal reduction system that makes interproximal enamel stripping efficient and accurate without creating sharp corners or subgingival ledges. Designed for use with clear aligners and other orthodontic treatments, these flexible diamond strips curve and conform to the natural contours of the teeth to maximize patient comfort and safety. They are especially effective for anterior teeth and for case refinement. IPR Strip System prevents gagging or cutting lips and gums with built-in flexibility to conform…

29. Page 59

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS NSK Dental Electric Handpiece The Ti-Max Z95L with switch functionality is NSK's newest 1:5 increasing electric handpiece. Instantly switch between a water spray or a water jet with the world's first 2-way spray technology. When extra safety is needed, just the water jet provides maximum protection while offering optimal cooling. Infection protection comes standard. The DualDefense system offers a clean head system that prevents cross contamination of the air lines, and anti-retraction valves in the high-speed handpieces and electric micromotor to prevent cross contamination of the waterlines. For more information, call (888) 675-1675 or…

30. Page 60

    Readers' Choice 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…

31. Page 61

    Readers' Choice TOP 50 TECHNOLOGY PRODUCTS Aurident Intraoral Scanner Aoralscan intraoral scanner from Shining 3D delivers a quality scanning experience for patients, clinicians, and technicians alike. User-friendly operation simplifies the intraoral 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 crown and bridge, 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…

32. Page 62

    Medit Makes Mac Users Smile Medit intraoral scanners are officially the first and only in the world to be compatible with Apple Mac computers. The company has recently announced a huge software update for native software platforms—Medit Link, Medit Scan for Clinics, and Medit Scan for Labs—and Mac users will be happy to hear that Medit Link and Medit Scan for Clinics are finally available for Mac users. Dentists using Mac can simply go to the Medit Link website and download the Mac OS installer, plug in a Medit intraoral scanner (i600, i700, or i700 wireless), and start scanning without…

33. Page 64

    Flowable Composite Produces Low Linear Shrinkage ENCINITAS, Calif.–Tokuyama Dental America's OMNICHROMA FLOW, a one-of-a-kind flowable composite, follows in the footsteps of OMNICHROMA. OMNICHROMA FLOW is capable of matching any of the 16 VITA classical tooth shades with a single shade of composite. By eliminating the need to shade match or stock multiples shades of composites, OMNICHROMA FLOW simplifies restorative procedures and allows dentists to reduce their inventory, supply time and cost. OMNICHROMA FLOW is indicated for Class I through V restorations in anterior and posterior teeth. The following qualities make OMNICHROMA FLOW an excellent choice for dentists looking for great…

34. Page 65

    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 •…

35. Page 66

    Zirconia Family of Restorative Materials Offers Lasting Toughness IRVINE, Calif.–Glidewell's BruxZir Zirconia family of restorative materials offers clinicians high-strength solutions that exceed patient aesthetic expectations. It benefits from proprietary processing methods, which result in restorations with best-in-class translucency, enhanced shade matching, and lasting toughness. Available in 16 mutations, BruxZir zirconia provides solutions for virtually any indication. Choose BruxZir Full Strength for functionally demanding cases or choose BruxZir Esthetic for situations that require a premier appearance. All Glidewell made BruxZir restorations are now warrantied for life. This lifetime warranty is designed to give clinicians added peace of mind and to reinforce…

36. Page 68

    Impression Material Easily Captures Surface Tooth Details Air2Zed SMARTER DENTISTRY BEGINS WITH SMARTER TECHNOLOGY Air2Zed makes your existing X-ray sensors wireless. Use one sensor across multiple rooms Compatible with most major brands Instant setup No additional training No new software FREEinfo, on card Try it free! SCAN TO VISIT Air2Zed.com THE VILLAGES, Fla— An award winning VPS impression material, DMP USA's Bonasil A+ is uniquely formulated to easily and accurately capture surface tooth details. It contains special additives that improve flow and is an exceptionally reliable material, with outstanding stability and low dimensional shrinkage. All viscosities and set times are…

37. Page 69

    Remote Monitoring Solution Streamlines Workflows SANJO SE, Calif.–Align Technology's Invisalign Virtual Care AI is a next generation, remote monitoring solution with new artificial intelligence-assisted capabilities that streamline workflows for doctors and their staffs. It includes features such as patient enrollment, setup, and review directly on the Invisalign Doctor Site without the need to use separate standalone solutions. Invisalign Virtual Care AI helps clinicians remotely monitor Invisalign treatment progress based on their own programmed clinical settings and AI-assisted algorithms for automatic assessment calibrated to each doctor's ClinCheck treatment features. AI-assisted automated notifications, based on customized settings, guide patients to either advance…

38. Page 70

    Solution Effectively Removes Debris HEATH, Ohio—Sani Soak Ultra from Enzyme Industries is a dual-purpose, anti-corrosive, enzymatic cleaner that can be used in the ultrasonic and as a wet evacuation cleaner. It is highly concentrated, non-toxic, biodegradable, safe for the environment, and effective in removing organic debris while improving the life of instruments and burs. Sani-Soak Ultra is offered in 2 scents (Lemongrass Lavender and Cool Mint) and dispensed in a tip and pour measured quart or gallon with a pump for ease of use and added convenience. For more information, call Enzyme Industries at (888) 236-9963 or visit enzymeindustries.com/products/sani-soak-ultra. FREEinfo,…

39. Page 72

    Streamline Your Restorative Workflow Scan the scan body of your choice and send the iTero scan automatically to your laboratory. Highlight contact relationship between arches with clear, color-coded images. Show patients' gradual changes in tooth wear, tooth movement, and gingiva over time using chairside visuals. The path to digital transformation is now more affordable with the trusted iTero Element scanner (Align Technology). With 20 years of restorative success and more than 10 million restorations (data on file, as of June 30, 2021), the iTero scanners have been a powerhouse, from crowns and bridges to implants and dentures. These intraoral scanners…

40. Page 76

    Oral HPV Testing: A New Dental Approach to an Old Problem Human Papillomavirus (HPV) is the most common sexually transmitted disease in the United States. The Centers for Disease Control estimates approximately 10% of men and 3.6% of women have oral HPV. It can infect the mouth and throat and cause squamous cell carcinoma, known as oropharyngeal cancer (OPC), including on the base of the tongue and the tonsils. Seventy percent of OPC in the United States is caused by HPV. Alcohol and tobacco products may also contribute to OPC. Mohammad Kamal, MD [Four microscopy and medical imagery images shown]…

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