Dentistry Today — October 2012

Inside this issue

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

1. Page 12

   The Impact of Effective Online Marketing From the iPhone that I use 50 times a day to the automated appointment reminders my office's has in place, everything these days is booming digital. If you asked me a decade ago how I was running my practice's marketing efforts, I would have said the yellow pages was one of the best ways to attract new patients. These days there's no question, dentists like me need to meet patients where they are most likely to be found: online. Ted Fang, DDS THE NEED FOR CHANGE For 13 years, the most effective way I…

2. Page 14

   VIEWPOINT continued from page 12 than a decade, but I also wanted a new Web site and a strong presence on Facebook. In 2008, I spoke with Nancy Lashley, a friend of mine who works at Athena Marketing, as well as with Dr. Gilbert Snow, a local orthodontist and a member of Sesame Communications, a company that helps dental practices attract and meet patients online. Both Dr. Snow and Nancy gave Sesame a strong endorsement, and I figured it was an excellent option to help me attract new patients to my practice. MOST DO NOT ALREADY HAVE EXPERTS IN THEIR…

3. Page 15

   Inseparable: Zirconia and PermaCem 2.0 PermaCem 2.0 has the Strongest Adhesion to Zirconia than any Leading Self-Adhesive Permanent Cement* PermaCem 2.0 is proven to provide one of the strongest bonds to Zirconium restorations compared to the other leading self-adhesive cements. Incorporating a recently developed adhesive monomer formula, the dual curing properties deliver an exceptional bond across all substrates. Formulated for easy clean-up, the optimized viscosity and no-drip formulation provide for the fastest and easiest removal of excess of all other self-adhesive cements, resulting in less stress and chair time. Plus as a single-step cement, it provides you with the added…

4. Page 16

   Below is a Letter to the Editor of Dentistry Today received in response to the article, "Predictable Stabilization of a Lower Denture," written by Lawrence Schoonover, DDS, that ran in the August 2012 issue. The article is available on our Web site, . Dear Editor: After reading the article "Predictable Stabilization of the Lower Denture," written by Lawrence Schoonover, DDS, I felt compelled to write to express my concern over the way this article was presented. In the article, Dr. Schoonover demonstrates utilization of a radiographic stent, using a panoramic radiograph, to identify where the inferior alveolar nerves are located.…

5. Page 17

   ADVERTISING SUPPLEMENT 17 INTERVIEW: Olaf Brand, Director of Quality Management, Komet Worldwide 1 What does the word "quality," which is consistently associated with Komet dental instruments, mean to the Komet organization? Quality describes our corporate philosophy and mission as well as our customers' and our own expectations of Komet products. Our goal is to provide the right instrument for the right type of material for the right type of procedure. Our reputation rests on meeting the expectations of our customers—dentists and dental lab technicians—providing durable, reliable, precision-engineered instruments to meet their needs. Our customers accept the quality of our products…

6. Page 18

   Providing you with news and information from the industry leader in clinical content. Visit Our Site Today! Be apart of our... LIVE ONLINE BLOG ADA live-blog Reach Your Target Audience San Francisco American Dental Association ANNUAL SESSION Showcase Your Products Beyond The Showroom Floor Interactive Coverage: •Live video product demonstrations •Product releases & Announcements •Insight from clinicians on products •Interviews with manufacturers •E-mailed to more than 85k dentists DENTISTRY TODAY Space is limited. Call your sales representative today for more details. advertise Technique of the Week Root Canal Therapy William Nudera, DDS William Nudera, DDS, a board-certified endodontist from Bloomingdale,…

7. Page 20

   From the July 2012 Issue BONDING AGENT Shofu Dental BeautiBond is a self-etch, prime, and bond all-in-one product. Its unique, dual-functioning monomers (phosphonic acid and carboxylic acid) work independently, achieving equal bond strength to dentin and enamel that is comparable to sixth-generation adhesives. It has an ultra-thin film thickness of only 5 μm, providing predictable and reliable marginal integrity. For more information, call (800) 827-4638 or visit shofu.com. FREEinfo, TEMPORARY CEMENT DUX Dental The new ZONEfree temporary cement contains prismatic, color blending nanofilters that act like tiny beads of glass to reflect the color of any adjacent surface. The only…

8. Page 22

   SciCan The newest addition to the STATIM family of autoclaves, the STATIM G4 series boasts a contemporary new look and technology that provides a direct channel of communication through the Internet to increase productivity and limit downtime. Still powered by SciCan's signature steam technology, the units provide sterilization at speeds faster than conventional chambered autoclaves. For more information, visit scicanusa.com. FREEinfo, ALIGNER Inman Aligner The Inman Aligner is an innovative solution for patients suffering with protruding or crowded anterior teeth. Great for quick relapse and pre-alignment for cosmetic work, it is removable and highly discreet, and the average treatment time…

9. 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. Scotchbond Universal Adhesive +++++ 3M ESPE | (800) 634-2249 | 3mespe.com Consultants' Comments • "So many different uses in one bottle." • "No postoperative sensitivity." • "Non…

10. Page 26

    Spotlight Feature-Laden Diode Laser's Performance and Value Cited IRVINE, Calif.–Packed with one BIOLASE-exclusive feature after another, the EPIC diode laser sets a new standard in diode laser performance and value. A breakthrough touchscreen interface puts up to 20 soft tissue procedures–plus 20-minute full-mouth whitening and BIOLASE-exclusive temporary pain relief–at your fingertips. Plus, a new ComfortPulse setting reduces pulse length to as little as one ten-millionth of a second to avoid heat buildup at the surgical site for fast cutting with less patient discomfort. For more information, call BIOLASE at (888) +BIOLASE or visit the Web site biolase.com. FREEinfo, New Sinus…

11. Page 28

    Spotlight Practice Management Software Now Supports Two Electronic Services that Streamline Workflow ATLANTA–Carestream Dental's PracticeWorks v7.5, the latest version of the popular practice management software, now supports 2 new electronic services. The ePostings service streamlines the process of receiving and posting reimbursements from insurance carriers, removing the need to decipher detailed paper EOBs, and it automatically notifies users when EOBs are received, then posts the payments directly to the appropriate patients within work. It can even be used on an iPad, which allows patients to digitally sign consent forms. For nearly 20 years, PracticeWorks has delivered tools that help practices…

12. Page 30

    Spotlight Affordable Scanner Provides True-Definition Technology and Cloud-Based Connectivity ST. PAUL, Minn.—Offered at an unprecedented price, the 3M True Definition Scanner is shattering the high financial barrier of CAD/CAM dentistry, and the True Definition system is supported by an open and secure cloud-based platform, offering you and your dental lab a more ways to store clinical cases, share, and connect. The scanner features powerful "4D-in-motion" video technology that allows you to capture and simultaneously view a true replica of the oral anatomy in extraordinary detail. This gives you the flexibility needed for quadrant dentistry and the accuracy needed for full-arch…

13. Page 32

    Spotlight Sonic-Activated Bulk-Fill Composite Makes Posterior Restorations Practical and Efficient ORANGE, Calif.–Fill and cure up to a 5-mm cavity in one increment with Kerr's SonicFill, the only sonic activated, single-step bulk-fill composite system that makes posterior restorations practical and efficient. Eliminate incremental layering of composite in challenging areas, achieve less adaptation to cavity walls, and sculpt and contour anatomy without composite handling issues. Sonic activation turns a high-viscosity nanohybrid material into a flowable that fills the cavity prep void free, gradually returning to its original state once the sonic energy is turned off. The highly filled composite composition ensures superior…

14. Page 34

    Zirconia Implant Bridge Offered With 5-Year Warranty Against Chipping or Breakage WOODSTOCK, NY Tischler Dental Laboratory, under the direction of Michael Tischler, DDS, now offers the Prettau Zirconia Implant Bridge, a screw-retained implant bridge that revolutionizes implant prosthetics. Its all-inclusive pricing is less than most hybrid bridges, bar overdentures, or PFM screw-retained bridges, and there is a 5-year warranty against chipping or breakage, underscoring the confidence in the Prettau zirconia. With custom shades, custom shapes, no chipping, no staining, no acrylic, and less prosthetic space needed than a hybrid bridge, the Prettau zirconia bridge offers all the benefits of the…

15. Page 35

    Sealant's Patient-Centered Results Cited SOUTH JORDAN, Utah–Ultradent Products' UltraSeal XT hydro, its new sealant with a hydrophilic chemistry, incorporates advanced adhesive technology and fluorescent properties to offer exceptional, patient-centered results. Based on the proven, award-winning chemistry of UltraSeal XT plus, UltraSeal XT hydro's hydrophilic properties eliminate the need to pretreat the tooth with a drying agent, allowing for faster treatments without compromising quality results. It also fluoresces under a black light, making it easy to check retention at the time of placement and at subsequent visits, and its advanced adhesive technology securely bonds to enamel, increasing marginal retention and reducing…

16. Page 36

    Spotlight Online Emergency Medical Kit Training Offered MOUNTLAKE TERRACE, Wash.—Know how and when to use an emergency medical kit only works if you know how and when to use it. You may be prepared with the right medications, portable positive-pressure oxygen, and an AED, but if a patient has a phobia anesthesia phobic reaction, would you know how much epi-nephrine +1000 to inject? In the heat of the moment, would you remember how to draw medication from a vial? A life may depend on it. To allay these concerns, HealthFirst now offers a training course online spanning less than one…

17. Page 38

    Flowable Composites Now Offered in New Unit-Dose Delivery System SAN DIEGO—Now offered in both syringe and new, preloaded-tip unit-dose delivery systems, Tokuyama Dental's Estelle Flow Quick and Flow Quick High Flow supranano-filled resins and composites offer optimal flowability utilizing roots spherically filled technology. Multifunctional flowables, they are indicated for a wide variety of cases, including direct anterior and posterior restorations, shallow tunnel preps, cavity lining, blocking enamel cracks, and repairs of porcelain or composites. With superb handling, exceptional mechanical strengths (Flow Quick, 71%; Flow Quick High Flow, 68%), and superior aesthetics, Estelle Flow Quick and Flow Quick High Flow have…

18. Page 39

    Pulp Protectant/Liner Designed to "Seal to Heal" SCHAUMBURG, Ill.-BISCO Dental Products' "seal to heal" TheraCal LC, a light-cured, resin-modified, calcium silicate filled base/liner, is designed for use in direct and indirect pulp capping and as a protective base/liner under composite, amalgam, cements, and other base materials. It can also be used as an alternative to calcium hydroxide, glass ionomer, RMGI, RMGI/ZOE, and other restorative materials. Performing as a barrier and protectant to the dental pulp complex, TheraCal LC's precise placement allows its use in all deep cavity preparations, and its proprietary formulation allows for a command set with visible light…

19. Page 40

    Spotlight Provisional Offers Ideal Function, Superior Aesthetics, and High Patient Satisfaction SANTA MARIA, Calif.-Whether for temporization or removable aesthetics, DenMat's Snap-On Smile provides the stability, function, and beauty every patient wants; redefining provisional performance. It's noninvasive, it's easy to prescribe, and it eliminates uncomfortable and messy temporaries or complicated procedures requiring too much chair time. Finally, there's a temporary solution that's convenient and simple to place as well as comfortable and attractive for the patient. BEFORE AFTER Snap-On Smile literally snaps over the existing dentition without intruding on the gingival tissue or covering the palate. It comes with no tooth…

20. Page 41

    Cementation Navigation System Now Available as App for iPhone and iPad AMHERST, NY-In response to the increasing popularity of the mobile Internet, Ivoclar Vivadent has developed an app version of its Cementation Navigation System (CNS) that allows users to gain an overview of cementation options while on the move. It is now offered for download in the iTunes Store as an app for both iPhones and iPads. CNS is a multimedia application that offers dentists practical orientation and guidance in the selection of the best luting material for each case. Since its launch in March 2011, it has been met…

21. Page 42

    NEWS/TRENDS Industry News Cefla Names New Director of Sales for NewTom Scanners Charlotte, NC-based Cefla North America announced recently that it has named Dan Tharp as director of sales for the NewTom brand of 3-D CBCT scanners. As director of sales, Mr. Tharp will be responsible for sales operations in the North American market for the NewTom Via, Viso, Via, Flex mobile, and 5G supine CBCT scanners. Mr. Tharp, who has 20 years of medical equipment sales, previously served as director of sales and operations at Diagnostix 3-D Imaging, a mobile 3-D CBCT imaging center. Dan Tharp Komet to Unveil…

22. Page 45

    And Yet Again, Teeth.... continued from page 42 pattern that's seen in the teeth with the pattern that's seen in the arms. We did more sophisticated analysis of the arms—the collarbone, the humerus, the radius, and the ulna—because we have them on both sides. And we looked at cortical thickness and other biomechanical measurements. All of them confirmed that everything was more robust on the right side then the left." Dr. Frayer said Neanderthals used their mouths like a "third hand," and that produced more wear and tear on the front teeth than their back ones. "It's long been known…

23. Page 48

    Methadone Use Poses Risks Prescription painkiller overdoses were responsible for more than 15,200 deaths in 2009, the latest data available. While all prescription painkillers have contributed to an increase in overdose deaths throughout the last decade, methadone has played a central role in the epidemic. More than 30% of prescription painkiller deaths involve methadone, even though only More than 30% of prescription painkiller deaths involve methadone.... 2% of painkiller prescriptions are for this drug. Six times as many people died of methadone overdoses in 2009 than a decade before. Methadone has been used safely and effectively to treat drug addiction…

24. Page 49

    Challenges of Cleft Lip and Palate Children with cleft lip and/or palate encounter different challenges throughout the course of their development. Both environmental and biological factors play a role, and can affect speech, academic performance, and behavior. Research has shown varying influences, including the type of cleft, gender, and age, affecting outcomes. The Cleft Palate-Craniofacial Journal (July 2012) reviews findings about individuals with cleft in 3 age groups infancy/early development, school age, and adolescence/young adulthood. Behavioral, neuropsychosocial, and learning/achievement outcomes are examined. The environmental impacts of cleft lip and/or palate are rather transparent. Children with clefts can have facial differences…

25. Page 50

    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. Ultramat 2 SDI (North America) For many years, the dental profession used amalgamators to mix the silver and mercury components of the then-popular restorative material. The amalgamator was faster, more effective, and more predictable than hand mixing and quickly became standard practice. As amalgam has decreased in favor, amalgamators have been relegated to the back room or squirreled out of the practice altogether. Today's glass and resin cements are often delivered in trituable packaging. Fortunately,…

26. Page 52

    52 . 1 17th Annual Fall Product Showcase Dentistry Today's 2012 Fall Product Showcase highlights the latest products being offered to dental professionals at the fall meetings, including the ADA Annual Session, being held in San Francisco, and the Greater New York Dental Meeting, being held at the Jacob K. Javits Convention Center. SCANNING SYSTEM 3M ESPE The 3M True Definition Scanner features powerful 3D in-motion video technology that allows you to capture and simultaneously view a true replica of the oral anatomy in extraordinary detail. This gives the flexibility needed for quadrant dentistry and the accuracy needed for full-arch…

27. Page 54

    Fall Product Showcase AIR-ABRASION DEVICE Groman Dental The unidose EtchMaster tip is the ultimate powder-blasting instrument for intraoral prophy and abrasion procedures. Its tips never clog and operate smoothly, unlike traditional air polishers and sandblasting equipment. You can achieve perfect surface preparation prior to sealants, composite and porcelain repairs, crowns, veneers, brackets, bonding, plus localized stain removal and surface polishing. For more information, call (800) 906-9298 or visit gromandental.com. FREEinfo, IMPRESSION TRAY CLINICIAN'S CHOICE The QUAD TRAY XL is the newest addition to the Quad tray family of distortion-free, customizable, aluminum dual-arch impression trays. Its extended length captures the full…

28. Page 56

    Fall Product Showcase PERIO MEDICATION TRAYS Perio Protect, LLC The effective, noninvasive, and easy-to-use Perio Tray is a prescription device to place solutions of the clinician's choice into gingival crevices or periodontal pockets. Dentists determine frequency and duration of Perio Tray usage based on individual patient conditions. The soft, flexible trays are comfortable and custom-fitted to the individual patient. Patients appreciate the convenience of using Perio Trays in their own homes. For more information, call (877) 434-GUMS (4867) or visit peiotray.com. FREEinfo, ADHESIVE RESIN Darby Dental Compolite Bond SE is a light-cured, self-etch bond that is a self-etching, light-curing single…

29. Page 58

    Fall Product Showcase PANORAMIC SYSTEM Carestream Dental With CS 8100, all of the traditional panoramic system features have been revised and enhanced in order to bring an innovative panoramic concept to the market, combining the very latest technologies and features into one compact system to help dental professionals provide the best patient care while making their daily work simpler and more productive. For more information, call (800) 944-6365 or visit the Web site carestreramdental.com. FREEinfo, DENTAL WEB SITE DESIGNER Sesame Communications Sesame designed Web and mobile sites provide dental practices with authentic brand personalization and consistency, unmatched dental content, and…

30. Page 60

    Fall Product Showcase DIGITAL RADIOGRAPHY SYSTEM Air Techniques ScanX Classic works with both intraoral and extraoral images. With the use of the Phosphor Storage Plate technology, a full-mouth series takes less than 2 minutes. ScanX provides unmatched patient comfort with small, light, soft, and flexible Phosphor Storage Plates. It accepts sizes 0, 1, 2, 3, 4, panoramic 6 in x 12 in and 6 in x 12 in cephalometric, and TPAN. For more information, call (800) AIRTECH or visit the Web site airtechniques.com/dental. FREEinfo, HANDPIECE DENTSPLY Professional The Midwest Stylus ATC is the highest rated—based on several studies—and fastest growing…

31. Page 62

    Fall Product Showcase RESIN CEMENT BISCO Dental Products DUO-LINK UNIVERSAL adhesive resin cement is specially formulated for all indirect restorations. It is available in 2 aesthetic shades, universal and milky white. It offers the ideal working viscosity and provides all of the desired properties for universal cementation: high radiopacity, excellent mechanical and bond strengths, high wear resistance, low film thickness, and easy cleanup. For more information, call (800) BIS-DENT or visit bisco.com. FREEinfo, CROWN AND BRIDGE REMOVAL SYSTEM Metalift The Metalift Crown and Bridge Removal System removes inlays, three-quarter crowns, full crowns, and fixed bridges without destroying them, thus allowing…

32. Page 64

    Fall Product Showcase MATRIX SYSTEM Triodent SuperCurve is a must-have for anyone wanting to produce ideal anatomy without spending a lot of time finishing. It hugs the tooth for unmatched stability during placement, and the rolled ridge on the occlusal margin creates beautiful marginal ridges. The color coded, microthin, nonstick finish ensures that consistently tight contacts are achieved, yet it is easy to remove after curing. For more information, call (800) 811-3949. FREEinfo, PORCELAIN COMPOSITE DenMat Not every patient can afford veneers. Until now, there hasn't been a more affordable solution that you can stand behind clinically. Duo-PCH changes that.…

33. Page 66

    Fall Product Showcase DIGITAL IMPRESSION SOFTWARE Sirona Dental Systems CEREC Software 4.0 represents a major reengineering of the CEREC software platform. It derives the full potential of the CEREC AC Acquisition unit and its Bluecam imaging technology. CEREC Software 4.0's highly intuitive graphical user interface, coupled with multi tooth simultaneous design, enables a new level of productivity and an easier transition to multitooth dentistry. For more information, call (800) 873-7633 or visit cereconline.com. FREEinfo, ORAL CANCER SCREENING DEVICE OralDNA Labs The OraRisk HPV test is a noninvasive, easy-to-use screening tool for identifying the type(s) of oral HPV, a mucosal viral…

34. Page 68

    Fall Product Showcase FILES SybronEndo With SybronEndo's Twisted Files, endodontic procedures can be performed faster, safer, and with fewer files than other rotary Ni-Ti file systems. Efficient cutting files, they are highly flexible and very strong. SybronEndo's patented production process eliminates the microfratures 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, ROOT CANAL TREATMENT PASTE DiaDent Diapaste is a premixed calcium hydroxide barium sulfate paste for root canal treatment. It is iodoform and water soluble, so it…

35. Page 70

    Fall Product Showcase DISPOSABLE SENSOR PAD Steri-Shield Smoothies are supersoft, adhesive-backed foam pads designed for use with digital x-ray sensors or regular x-ray film. These disposable pads aid in smoothing out those sharp edges on digital sensors and film packets that cause soft tissue discomfort in such places as the roof of the mouth or gum line. For more information, call (800) 699-7220 or visit steri-shield.com. FREEinfo, COSMETIC SIMULATION SOFTWARE SNAP Imaging Systems SNAP Instant Cosmetic Simulation software is designed to increase your cosmetic revenue from the very first day you use it. From small enhancements to a complete smile…

36. Page 72

    Fall Product Showcase PRACTICE MANAGEMENT SOFTWARE Henry Schein Easy Dental Henry Schein Easy Dental is the easy, affordable practice management system. It gives budget-conscious practices powerful features without the cost of complex, expanded feature sets. It provides complete management and clinical tools with the ability to add functionality when a practice grows—all backed by quality customer service and support. For more information, call (800) 768-6464 or visit easydental.com. FREEinfo, The first removable temporary cement designed specifically for implant restorations. Implantlink semi Implantlink is a new dual-cure temporary cement that has been designed specifically for today's implant restorations. Implantlink provides secure…

37. Page 73

    Fall Product Showcase ALIGNING DEVICE Inman Aligner The Inman Aligner is an innovative solution for patients suffering with protruding or crowded anterior teeth. The aligner is great for ortho relapse and prealignment for cosmetic work. This revolutionary appliance is removable, highly discreet, and the average treatment time is only 6 to 16 weeks. Training for the Inman Aligner is available online or at any of the popular hands-on certification courses. For more information, call (800) 289-0118 or visit inmanaligner.com. FREEinfo, PIT AND FISSURE SEALANT Shofu Dental BeautiSealant is a tooth-colored, fluoride-recharging pit and fissure sealant that speeds treatment time by…

38. Page 75

    Make it e.max! Everyday Dentistry, Everyday IPS e.max! LEE ANN BRADY, DMD FLOWABLE COMPOSITE DENTSPLY Caulk [Image of dental syringe] SureFil SDR flow posterior bulk-fill flowable base, the most successful bulk-fill flowable composite that saves up to 45% in placement time, is now available in a syringe delivery and offers expanded indications for use, including conservative Class I, pit and fissure sealants, and filling of defects and undercuts in crown, inlay, and onlay preparations. For more information, call (800) 532-3855 or visit surfilflow.com. FREEinfo, CURING LIGHT Ivoclar Vivadent [Image of dental curing light] The bluephase style combines a new, slim,…

39. Page 76

    Fall Product Showcase BRIDGES Argen Captek Nano bridges offer superior aesthetics and long-term health protection for the abutment teeth compared to traditional PFM, lithium disilicate, and zirconia restorations. Two recent studies comparing Captek Nano and zirconia bridges showed cyclic fatigue did not have a significant effect on Captek Nano frameworks. For more information, call (800) 921-2227 or e mail captekinfo@argen.com. FREEinfo, MICROSCOPE Seiler Precision Microscopes ANESTHESIA SYSTEM Onpharma Onset is a revolutionary chairside approach for precision buffering of local anesthetic, which allows you to take control of your delicate. One of the most common reasons for getting behind schedule is…

40. Page 78

    Fall Product Showcase PRACTICE MANAGEMENT SOFTWARE Henry Schein With 30,000 installations and more than 20 years of experience, Henry Schein Dentrix is one of the profession's most proven and comprehensive practice management solutions. It combines intelligent patient management, flexible clinical tools, advanced treatment planning, and powerful business management features to make your practice more productive and profitable while creating a strong foundation for your entire digital dental office. For more information, call (800) DENTRIX or visit dentrix.com. FREEinfo, DENTURE Assured Dental Laboratory The Duraflex partial denture is an advanced thermoplastic material--lightweight and flexible--that delivers patient satisfaction. Offering natural-looking aesthetics and…

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