Dentistry Today — October 2011

Inside this issue

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

1. Page 4

   Endo Direct SMARTER, BETTER, & QUICKER ENDODONTICS Revo-S a customized treatment using only 3 instruments Get down to your working length in... 1 2 3 APEX! An Endo REVOLUTION A Unique and Innovative Sequence Intended for initial endodontic treatments, the Revo-S innovates with only 3 instruments. It's asymmetrical section initiates a snake-like movement if the instrument inside the canal. High performance and simple to use, this sequence is adopted for most root canal anatomies Advantages •Excellent cleaning •Adapted active length •The extended cutting part in the coronal region increases instrument flexibility •Optimal upward movement of the debris Check out our…

2. Page 12

   Great Aesthetic Expectations How many times do patients have services done expecting much more than can actually be delivered? They may not always thoroughly understand what they might need to endure to get exactly (or even close to) what they really desire. In a preponderance of case reports articles, through authors' photos and explanations, we see a seemingly smooth path from diagnosis to final treatment, closing on the "before-to-after" journey. Rarely are we actually made privy to all that really happened "between the lines" of completing the case. For example, before Dr. Lorin Berland and his discussed possible cases to…

3. Page 14

   Like an Axe, Tools of the Trade Need Sharpening One of my most memorable law enforcement instructors with the US Treasury taught us that the "ultimate tool of the crime fighter" was not the sidearm, vehicle, personal communication device, or partner—but was in fact the lowly pencil. The same can be said for professional firefighters and their reliance on the symbolic Collins Tool "Sequoia" axe. As the firefighter was successful in ventilation control, so must the crime fighter control ventilation. So must we manage the flow of documented information. Your dental practice is no different. Control and manage the ventilation…

4. Page 16

   continued from page 14 LOOKING AT THE SPECIFIC NUMBERS the hard way why for years I have stood my ground in teaching to never ever submit a claim for benefits until the procedures are actually and totally completed. As concerns the other hard numbers, look closely and scrutinize the following specifics in your office. BUT SOMETIMES THE NUMBERS JUST DON'T ADD UP We are all in the hot and heavies of yet another political season. Who should we believe, and are they telling us the truth? Is the economy strong and stable with improving employment numbers, or are we on…

5. Page 18

   Dentistry Today.com Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! Technique of the Week Extraand Intraoral Examinations Lee Ann Brady, DMD, vice president of clinical education at the Spear Institute and former clinical director of the Pankey Institute, demonstrates the importance of muscle and joint exams on a dental patient. Dr. Brady covers extraand intraoral exams on the patient for accuracy and a full evaluation. She provides a comprehensive view before performing a procedure. History, recent trauma, and alignment of muscle and teeth structure are taken into account. For a full…

6. Page 20

   From the July 2011 Issue BONDING AGENT BISCO Dental Products Z-PRIME Plus is a single-component priming agent designed to enhance adhesion between indirect restorative materials and resin cements. Available in a 4-mL bottle with a technique card and instructions, it is used as a surface treatment for zirconia, alumina, metal/alloy, composite, endodontic posts, and intraoral repairs. It is compatible with light-cured and dual-cured resin luting cements. For more information, call (800) 247-3368. FREEinfo, PERMANENT VENEERS DenMat The new Cerinate One-hour Permanent Veneers make it possible for dentists to provide patients with permanently white, virtually instant smile makeovers at a price…

7. Page 22

   Overdenture Attachments For 10 years, ZEST Anchors has been a global leader in the design and manufacture of overdenture attachments. It pioneered self aligning attachments to combat the damage done by the improper seating of overdentures. ZEST's LOCATOR Attachment is designed with the primary benefits of ease of insertion and removal, customizable levels of retention, low tactical profile, and exceptional durability. Its most critical design feature is its innovative ability to pivot, which increases the LOCATOR's resiliency and tolerance for the high mastication forces an attachment must withstand and allows it to compensate for the path of insertion even with…

8. Page 24

   To assist practitioners in their selection of essential dental products, Dentistry Today presents items reviewed by THE DENTAL ADVISOR'S staff of editors and consultants. Established in 1984, THE DENTAL ADVISOR, based in Ann Arbor, Mich, has provided dental professionals worldwide with objective, accurate information using in vivo and in vitro results on the performance of materials and equipment based on clinical and laboratory research. For more information, visit dentaladvisor.com or call (800) 347-1330. Microbrush Disposable Applicators +++++ Microbrush International | (866) 866-8698 | microbrush.com Consultants' Comments "Will reach anywhere in the mouth." "Much nicer to use than pellets." "Handle size…

9. Page 26

   Spotlight New, Feature-Laden Apex Locator's Outstanding Accuracy Cited IRVINE, Calif.–Morita USA's new Root ZX mini apex locator offers a compact design with the same proven Root ZX ratio technique for precise length measurement. Barely the size of a smartphone, it is so light and compact that it can easily be moved to work in any quadrant of the mouth, and it takes up very little counter space when it is stored after use. Most importantly, users can count on the same technology as the original Root ZX to provide outstanding accuracy, which is critical in endodontics. For enhanced safety, the…

10. Page 28

    LED Version of Implant Center Offered MOUNT LAUREL, NJ— With ACTEON North America's introduction of the LED version of its Implant Center 2, the most powerful, versatile implantology device on the market just got brighter. Now combines powerful, effective Piezotome 3 piezeoelectric bone surgery with the I-Surge LED implant motor in one convenient console to perform everything from preimplant bone surgery to implant placement as well as implant maintenance with the optional Newtron LED function. The Piezotome 3 LED handpiece is the first autoclavable, LED lit surgical ultrasonic handpiece on the market. ACTEON North America now includes the same 100,000…

11. Page 32

    Spotlight Aligner System's New Features Engineered to Achieve Predictable Tooth Movement SAN JOSE, Calif.–Invisalign G4 SmartForce features now deliver the next generation of innovation for improving clinical outcomes. New SmartForce attachments and aligner features have been engineered to optimize the force systems required to achieve predictable tooth movement. For cases requiring space closure and mesiodistal root uprighting, new Optimized Root Control Attachments give doctors greater mesiodistal control for canines and central incisors. Two Root Control Attachments on the incisal aspect of the tooth provide multiple points of contact to create a moment that is favorable for the movement. New Optimized…

12. Page 34

    Versatile New Etchant's Antimicrobial Properties, Pinpoint Placement Cited SCHAUMBURG, Ill–BISCO Dental Products' SELECT HV ETCH, a new, high-viscosity etchant containing benzalkonium chloride, a proven antimicrobial agent, is formulated for maximum working and handling, pinpoint placement, and the elimination of runon onto the dentin surface. Its brilliant blue coloring makes it perfect for clinicians utilizing the selective etch or hybrid technique—etching enamel margins without etching dentin—as well as for everyday etching where deep color differentiation is important. Intended for use on enamel, dentin, and as a cleaning agent for restorative substrates, SELECT HV ETCH will effectively remove the smear layer, etch,…

13. Page 36

    Bonding Agent Hailed as the "Complete Adhesive Tool Kit" SOUTH JORDAN, Utah–Hailed as the "complete adhesive tool kit," Ultradent's Peak Universal Bond, a light-cure resin adhesive with chlorhexidine (0.2%), offers unmatched versatility, providing the ability to bond to dentin, enamel, porcelain, metal, composite, and zirconia. It's the only light-cure adhesive that contains chlorhexidine, which helps ensure long-term bond strengths. Peak Universal Bond is the ideal agent for indirect and direct bonding as well as post and core procedures, working equally well with self and etch techniques. With such versatility, there's no need for multiple agentes to complete other technique. Peak…

14. Page 37

    Solution Decalcifies Root Canals WOODSIDE, NY-CALCINASE is an acid-free EDTA solution that is ideal in finding and widening root canals since it breaks down calcium deposits. It is also ideal for removing smear layer within the canal walls, making canal instrumentation safer, more effective, and more efficient. For more information, call MEDIDENTA/ENDO DIRECT at (800) 221-9750 or visit medidentata.com. FREEinfo, New Telescope Glasses Offered CHERRY HILL, NJ-Vision USA's new telescope glasses can be worn over prescription, safety, and safety laser glasses. There's no need to purchase a second pair of loupes because your prescription changed or you need to wear…

15. Page 38

    Three-D-Shaped Dental Wedge Follows Contour of the Tooth BRIARCLIFF MANOR, NY—Offered by VOCO America, the Curvy Anatomical Dental Wedge is dimensionally shaped to follow the contour of the tooth. Other wedges bend only 2-dimensionally. Easy to insert and remove with cotton pliers, it creates significantly less tissue irritation and postoperative discomfort, and it helps to adapt the matrix band more precisely for faster finishing of the restoration by achieving more accurate interproximal contacts and less chance for overhangs. The wedge comes in 3 sizes (small, medium, and large) in clockwise and counter-clockwise designs. For critical marginal adaptation, a clockwise wedge…

16. Page 40

    Easy to Shape and Contour and BPA-Free, Glass Ionomer Restorative Offers Exceptional Aesthetics BENSENVILLE, Ill.- Offered by SDI, Riva Light Cure HV is a high-viscosity, resin reinforced glass ionomer restorative that resists any initial bleeding due to additionally found with a light-cured glass ionomer cement. Easy to shape and contour and BPA-free, its exceptional aesthetics give your restorations lifelike qualities, and it offers excellent resistance to cavitation stains such as black tea and red wine. Riva Light Cure HV releases high levels of fluoride, minimizes microleakage, and has long-term wear resistance. Offering the strength, chemical adhesion, and biocompatibility that practitioners…

17. Page 42

    New Shades Added to Line of Lithium Disilicate Ceramic Blocks AMHERST, NY–The existing block concept for Ivoclar Vivadent's IPS e.max CAD, lithium disilicate ceramic blocks featuring a flexural strength of 360 MPa, has been expanded and now includes 5 Impulse shades. These 5 materials consist of 3 Value and 3 Opal shades. Due to the different brightness values of the Value blocks, restorations can be optimally integrated into the surrounding tooth structure in terms of their shade. The Opal blocks at low users to ideally imitate the lifelike opal escent effect, which is desired in anterior restorations. These blocks are…

18. Page 44

    Needle Designed for Smoother Penetration With Less Tissue Displacement Cordless Device Facilitates Warm Gutta-Percha Techniques LANCASTER, Pa.-Featuring an innovative, patented, scalpel-designed bevel, the Seprojet Evolution Needle is designed for smoother penetration with less tissue displacement. Research shows that it requires 29% less force than standard needles to penetrate tissue. This means less discomfort for patients, even when used for multiple injections. Also, the need for less force combined with significantly reduced deflection offers dentists better control and accuracy for enhanced information, call Septodont at (800) 872-8305. FREEinfo, BALA CYNWYD, PA.-BSL Biotech's cordless Beta Obtruration device has been designed for warm…

19. Page 46

    NEWS/TRENDS Industry News Darby Dental Supply Adds KODAK Dental Systems Items to Its Product Line Darby Dental Supply announced recently that it has expanded its product line by adding 3 KODAK products to its roster of dental operatory equipment: Carestream Dental's KODAK 8600 Digital Panoramic System, the KODAK 9000 Extraoral Imaging System, and SOFIDENT Practice Management Software. For more information, call your local Darby representative or visit darbydentalsupply.com. ImageWorks Announces Managerial Promotion Elmsford, NY-based ImageWorks, a leading provider of imaging products to the dental, medical, and veterinary marketplace, announced recently the promotion of Kevin Dillon to vice president of the…

20. Page 48

    NEWS/TRENDS NYU College of Dentistry and UMDNJ Receive $3.2 Million HIV Prevention Grant The National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health (NIH), has awarded a 5 year $3.2 million grant to the New York University (NYU) College of Dentistry and the University of Medicine and Dentistry of New York (UMDNJ) to conduct the first study to evaluate whether gp340, a protein found in saliva and other mucosal secretions, can prevent HIV transmission in vivo. The study will be led by Dr. Daniel Malamud, professor of basic science and craniofacial head and director of…

21. Page 49

    INTERVIEW: WYATT WILSON, ACTEON Group 1 What exactly is the ACTEON Group? The ACTEON Group is a European-based manufacturer that comprises very distinct and different companies organized by divisions. SATELEC is the Equipment Division, SOPRO is the Imaging Division, Pierre-Rolland is the Pharma Division, byDental is the Endo/Implant Motor Division, DoCozzani is the X-ray/CBCT Division, and SOPRO-COMES is the Endoscopic Surgery Division. The actual name ACTEON Group was constructed 8 years ago to unify our divisions under one common banner. The unification under the name ACTEON became a necessity after 6 company acquisitions that took place from 2000 to 2006.…

22. Page 52

    Key Plaque Bacterium Protein Discovered Two chemists at the University of California (UC) San Diego have discovered the most naturally variable protein currently known in the bacterium Porphyromonas gingivalis, which is a key bacterium in the formation of dental plaque. The chemists announced their discovery in the online edition of the journal Proceedings of the National Academy of Sciences, stating that they believe the extreme variability of the protein they discovered in T. denticola is to adhere to the bacterium commonly known as dental plaque, that exists in people's mouths. Psoial plaques varies from person to person in the kinds…

23. Page 54

    Passing Along Harmful Bacteria From Parent to Child Most parents don't know they can pass harmful bacteria from their mouth to their baby's mouth, which can put their child at an increased risk for cavities. In fact, less than a third of American caregivers (32%) realize they can pass dental disease to their baby. That's one of the key findings from a survey of American children's oral health, conducted on behalf of Delta Dental Plans Association, the nation's leading dental benefits provider. Most people know that the bacteria in the mouth that causes tooth decay can be transferred from person…

24. Page 55

    Implant Prosthesis Offers an Improvement Over Dentures As the number of older adults increases, more people are facing a reduced quality of life because of tooth loss. Edentulism is common among the elderly, and one survey estimates that 23 million Americans will need dentures by 2020. With this increasing demand comes an increasing need to offer a better solution. An article in the Journal of Oral Implantology reports on an alternative treatment to dentures. The "All-on-Four" therapy uses 4 implants to support a fixed prosthesis, and the patient's new teeth can be put in place the day of surgery. When…

25. Page 56

    Resistance to Antibiotics Not a Recent Phenomenon It is well known that certain bacteria have developed resistance to the antibiotic and biotic drugs when they were developed less than a century ago. Now scientists at McMaster University have found that resistance has been around for at least 3000 years. Research findings show that antibiotic resistance is a natural phenomenon that predates modern clinical antibiotics. "Antibiotic resistance is seen as a current problem and the fact that antibiotics are becoming less effective because of resistance germs found in hospitals is a known fact," said Gerry Wright, a professor at McMaster University…

26. Page 57

    Symptoms and Risk Factors of Xerostomia Examining the symptoms and risk factors associated with self-reported xerostomia, the authors of this study collected data from 661 self-administered questionnaires among dental clinic attendees in order to investigate the association for exposures of interest, such as sociodemographic characteristics, self-reported symptoms, oral hygiene habits, and xerostomia. Participants reported having dry mouth in 19.6% of cases. Xerostomia was associated with a significant increase in the odds of having dry lips, throat, eye, skin and nose. Patients with self-reported xerostomia were 3 times more likely to drink water to avoid low lips than were patients without…

27. Page 58

    In First Impressions, George Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. Triotray Pro Triodent Corporation Impressions are always stressful in the dental practice. Since impression materials are expensive, and chair time costs even more, it is essential that impression be perfect first time, every time. One of the most common errors that lab technicians have identified in impressions that they receive is distortion; the impression material is not held rigidly enough during its polymerization phase, allowing it to move away from the prepared tooth surfaces. This…

28. Page 60

    Waternik Ultra Water Flosser (WP-100) Water Pik Many of our patients do not floss. They don't like to floss. They don't want to floss. They find the process too difficult, too messy. Excuses abound while compliance is low. Numerous studies attest to the importance of at-home interproximal cleansing. How to bridge the gap? Water Pik's Ultra Water Flosser (WP-100) is an easier alternative to string flossing, and it is clinically proven to remove plaque biofilm, reduce inflammation, and decrease gingival bleeding. Compare the effectiveness of manual brushing with the chairside dental water spray? Water flossing has been available for several…

29. Page 62

    Fall Product Showcase Dentistry Today's 2011 Fall Product Showcase highlights the latest products being offered to dental professionals at the fall meetings, including the ADA Annual Session, being held in Las Vegas, and the Greater New York Dental Meeting, being held at the Jacob K. Javits Convention Center. ADHESIVE/RESTORATIVE GC America The development of EQUIA was based on the positive feedback from years of clinical experience with high-viscosity glass ionomer cement restorations, of which longevity has been highlighted again in recent systematic literature reviews. On this basis, there is evidence that resin coating optimizes the physical properties of the EQUIA…

30. Page 64

    Fall Product Showcase ADHESIVE Tokuyama America Tokuyama Bond Force is an award-winning, single-component, self-etching, light-cured dental adhesive. It's now available in a pen dispensing system. Offering a 3-D link to the tooth with its patented SR monomer, it generates an extremely strong bond to enamel and dentin. It requires only one application and is designed to be used on cut and uncut enamel and dentin, and for fractured porcelain and composite repair. It's available in a bottle, unit dose, and the new pen. For more information, call (877) 373-3548. FREEinfo, LED CURING LIGHT SDI (North America) Radii cal is a…

31. Page 66

    Fall Product Showcase HEMOSTATIC AGENTS Vista Dental Products The expanded line of hemostatic agents is utilized for optimal control of bleeding during impressions, restorations, and crown and bridge procedures. These include ferric sulfate gel, aluminum chloride clear gel, liquid aluminum sulfate solutions, knitted retraction cords, and cord packers. The products are packaged individually and in a variety of kit configurations that are sold through dealers nationwide. For more information, call (262) 635-3393. FREEinfo, ROTARY FILE DENTSPLY Tulsa Dental Specialties WaveOne sets new standards in endodontics by bringing simplicity, efficiency, and safety to the root canal shaping procedures. The proprietary reciprocating…

32. Page 68

    Fall Product Showcase IMPRESSION MATERIAL DMG America New Honigum Pro is powered by GPS technology and is the only impression material with Directional Intelligence, enabling it to show viscosity variation when placed under pressure. The flexible working time formulation offers greater control, while extreme hydrophilicity and rapid snapset reduce voids, impression errors, and micromovement distortions. For more information, call (800) 662-6383 or visit dmgamerica.com. FREEinfo, DIGITAL RADIOGRAPHY SYSTEM Carestream Dental The Kodak RVG 6100 Digital Radiography System has the highest resolution digital imaging sensor on the market today. Carestream Dental understands how image resolution is related to confident diagnoses and…

33. Page 70

    Fall Product Showcase UNIVERSAL ADHESIVE SYSTEM Kerr OptiBond XTR stands apart as the only bonding agent that embodies both the power and durability of a total-etch adhesive and the simplified protocol of a self-etch technique. Universal compatibility enables use for all direct and indirect restorations. The unique chemistry of an enhanced self-etch primer and optimized adhesive in this 2-bottle system brings outstanding bond strengths to uncut enamel and dentin. For more information, call (800) KERR-123 or visit kerrdental.com. FREEinfo, SALIVARY DIAGNOSTIC TESTS OralDNA Labs Three salivary diagnostic tests are fundamental elements of a patient's wellness plan: (1) MyPerio PST determines…

34. Page 72

    Fall Product Showcase ELECTRIC HANDPIECE Bien-Air Dental With the Optima MX2 INT system, just 2 contra-angles are all you need for restorative, prophylaxis, and cosmetic procedures. The MX2 LED motor ensures perfect control with a speed range of 100 to 200,000 rpm. It is compatible with Bien-Air Neoton Series handpieces, where are 30% smaller, and standard c-type attachments from all manufacturers. For more information, call (800) 433-2436. FREEinfo, SHADE-TAKING UNIT Vident The VITA Easyshade Compact delivers the fastest, easiest way to measure tooth shades under any lighting condition. Updated sensor is now available, featuring faster performance, extended memory, and the…

35. Page 73

    Take the KöR Whitening Challenge Come to KöR Booth 3149 at the ADA and see it SNOW! {KöR Whitening Deep Bleaching System} Before KöR [photo of tooth] After KöR [photo of tooth] This is a real case; photos are not retouched or altered in any way. To see additional KöR Whitening cases, please visit www.korchallenge.com. Case by Dr. Victor Burdick, Littleton, CO Take the KöR Challenge today and receive 10% off your Start-up Kit! Plus, you'll receive a complimentary Teeth Whitening Simulator Program with your order. Mention Promo Code DTY1011 when you call. The Teeth Whitening Simulator Program lets you…

36. Page 74

    Fall Product Showcase NI-TI FILES SybronEndo With SybronEndo's Twisted Files, endodontic procedures can be performed faster, safer, and with fewer files than other rotary Ni-Ti systems. Efficient cutting files, they are highly flexible and very strong. SybronEndo's patented production process eliminates the microfractures found in ground files that cause file separation. Twisted Files are available in a variety of tapers, lengths, and tip sizes. For more information, call (800) 346-3636 or visit sybronendo.com. FREEinfo, NANOHYBRID COMPOSITE Discus Dental Nuance nanohybrid composite makes aesthetic restorations simple by virtually eliminating the need for multishade layering. The material contains proprietary, multifaceted fillers that…

37. Page 76

    Fall Product Showcase DELIVERY SYSTEM A-dec A-dec delivery systems provide the finest integration of dental instrumentation, giving you just what you need exactly where you are. You can choose from continental or traditional delivery styles, with radius mounted to the chair. Other options include at 12 o'clock, on a side cabinet, or mounted with a 2-in post. For more information, call (800) 547-1883 or visit adec.com. FREEinfo, WHITENING FILM CAO Group Sheer White! teeth-whitening films are easily applied, stay where they're placed, and whiten teeth fast. This proprietary product completely replaces custom trays. It molds tight to the teeth to…

38. Page 78

    Fall Product Showcase LED LIGHT SOURCE Global Surgical This high-output light source connects directly to the microscope body—no fiber-optic cable and no more light bulbs to charge. You can save money, time, and the hassle of changing bulbs. It is quiet, small, and remains cool. An integrated composite filter is available. The LED comes with a 3-year warranty and is retroffitable to existing Global microscopes. For more information, call (800) 861-3585 or visit globalsurgical.com. FREEinfo, UNIVERSAL ADHESIVE 3M ESPE With Scotchbond Universal adhesive, dentists have an easy-to-use, single-bottle solution that provides uncompromised results for all surfaces in totalor self-etch mode.…

39. Page 80

    Fall Product Showcase SEPARATOR RING Garrison Dental Solutions The newly redesigned Soft-Face separator ring boasts a 35% reduction in the size of the ring-forcing overload while improving chemical resistance and longevity. The ring retains the over-the-wedge placement design and anatomy-hugging shape that also tips that make it an instant success. The reduction in body size provides improved visibility and greatly simplifies ring placement. For more information, call (888) 437-0332 or visit garrisondental.com. FREEinfo, DIAMOND BUR Microcopy NeoDiamond is America's highest-rated, No.1-selling diamond bur, based on SDI dealer sales. Its exclusive Triton bonding fastens diamonds to the shank with superior hardness,…

40. Page 82

    Fall Product Showcase MAINTENANCE TABLETS Clearline Chemicals Vac'ta Clear and Shock'ta Clear patented time-release vacuum line maintenance tablets are now formulated with AF-12, which produces a time-release residual preventing any return of biofilm buildup. Vac'ta Clear with AF-12 is inserted once per week into each solids collector, slowly releasing its chemical daily throughout the entire workweek. InitialTreatment Shock'ta Clear with AF-12 safely removes and cleans out old accumulations. For more information or for a free trial kit, call (888) 533-9514 or visit clearlinechemicals.com. FREEinfo, WHITENING SYSTEM Heraeus Kulzer Venus White Ultra is a smart, convenient, entry-level whitening option comprised of…

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