Dentistry Today — October 2014

Inside this issue

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1. Page 10

   Managing Our Patients in the Information Age The field of dentistry continues to change at an exponential rate. From the introduction of new technologies to new and innovative understandings of normal and abnormal biology and diseases, to new diagnostic tests and protocols, dental providers and our patients are inundated with information at a prolific rate. For example, we might hear reports of a study showing that it is healthy to ingest eggs or drink a glass of red wine and then, a short time later, we may hear about yet another study stating that it is unhealthy to ingest or…

2. Page 12

   VIEWPOINT continued from page 10 relied on the Dewey Decimal System, the periodicals, or the librarian to ascertain credible information, often taking hours. In today's fast-paced age of instant gratification and want-it-yesterday mentality, most people now rely almost solely on the Internet as their primary source of information.1 As doctors, we should take more time than our patients to become involved in scholarship and theories (related to dentistry) and to evaluate the information we are retrieving, whether the resource is the library, journals, textbooks, the Internet, or perhaps from our colleagues. In my opinion, we need to devote time and…

3. Page 16

   CORPORATE PROFILE CEFLA DENTAL GROUP Cefla Dental Group is a leading source of some of the world's most technologically innovative and revered dental brands, including the MyRay, NewTom, Anthos, and Stern Weber brands, now sold in North America. Cefla's multifaceted organization and experienced engineering staffs ensure that we are in touch with professional changes and requirements throughout the world and can help drive the evolution of the industry. Cefla Dental is part of Cefla s.c., a private, employee-owned cooperative with headquarters in Imola, Italy. In business for more than 80 years, our employees are also owners who are highly involved…

4. Page 18

   FOCUS ON: Endodontics L. Stephen Buchanan, DDS, discusses endoscopy and its future in endodontics. Q: What technological addition do you see with the greatest potential to positively impact endodontic procedures? A: The biggest coming change will be the entry of endoscopy into endodontic practice and, from there in short order, through the rest of dentistry. Endoscopic camera lenses will take endodontics by storm because we are usually first to the imaging party (since we can't see diddly during most of our procedures), but after we get it started, I predict endoscopes will be in use by more general practitioners and…

5. Page 20

   From the July 2014 Issue HVE TIP Ghost Mfg The Multi-Axis Spiral Suction HVE suction tip features a spiral vented design, an angled barrel wall, and a rolled edge. These innovative features create an HVE tip that (1) does not grab soft tissue; (2) provides continuous suction, even if the only is occluded; (3) is angled for better visibility and ergonomic hand positioning; (4) prevents backflow of fluids and tissue trauma; (5) is quieter than traditional HVE tips; and (6) eliminates the need for a saliva ejector. For more information, call (269) 281-0489 or visit the Web site nassauction.com. FREEinfo,…

6. Page 22

   NEW PRODUCTS ULTRASONIC CLEANERS BrandMax Offered with an 18-month warranty, Tri-Clean Ultrasonic Cleaners feature all-stainless steel construction, powerful cleaning energy, quiet operation, and a heating element for improved cleaning results. To improve your instrument-cleaning process, utilize BrandMax's ultrasonic cleaners with Tri-Clean Triple Enzymatic Cleaner and heat to 1120°F or 120°F for the ultimate cleaning solution. All units come with free heat and basket and ship within 24 to 48 hours. For more information, call (844) 874-2532 or visit brandmax.us. FREEinfo, ARTICULATION FILM Microcopy Featuring an innovative easy-grip handle to simplify occlusal adjustments without the need for forceps, Bite-Chek articulation film…

7. Page 24

   CLINICAL REVIEWS THE DENTAL ADVISOR Multilink Automix +++++ Four-Year Clinical Performance Ivoclar Vivadent | ivoclarvivadent.com | (800) 533-6825 Consultants' Comments • "Four years of excellent data makes me confident about the long-term success of my restorations cemented with Multilink Automix." • "Based on the long-term success of the preceding generations, I will be trying the Multilink Automix." • "The debond rate of my restorations is minimal as a result of using this excellent cement." • "Of the 407 restorations recalled, it gives me great confidence to know that more than 400 showed no signs of microleakage." Description Available in 4…

8. Page 26

   INTERVIEW: ROGER P. LEVIN, DDS, Levin Group 1 Would you explain to Dentistry Today readers how Levin Group became a leading dental consulting firm? Soon after I went into practice as a general dentist, I realized that a lack of management expertise was holding back most dental practices. Even highly successful dentists and specialists could have been more successful if they knew how to apply techniques used routinely by business leaders. I set out to adapt proven management strategies to meet the unique needs of dental practices. The demand for my business advice was tremendous, so I built Levin Group…

9. Page 28

   28 . 1 TECHNOLOGY Spotlight New Laser Is Effective for a Variety of Hardand Soft-Tissue Applications and Clinically Ideal for Periodontal Treatment IRVINE, Calif.–J. Morita USA introduces AdvErL Evo, an ErYAG laser effective for a wide variety of applications on both hard and soft tissue and clinically ideal for periodontal treatment. It eliminates the vibration of a high-speed handpiece, providing a comfortable laser treatment option, and its wavelength is readily absorbed by water and efficiently vaporizes soft tissue. The AdvErL Evo is offered with a variety of tip options, adding to its versatility, with an extensive selection offered for periodontic…

10. Page 30

    Company Adds New Features and Stronger Warranties to Its Handpiece Collection NEWBERG, Ore—New from A-decW&H are more handpiece choices for a full range of applications, doctor preferences, and budgets. Available in air and electric systems, the handpieces include advances in fatigue-reducing design, optimal illumination and access, and lower noise and vibration. The A-decW&H product line now includes 3 distinct handpiece options: Synea 500, Synea 400, and Alegra 300. And for the first time, all offer daylight-quality LED lighting. A-decW&H has also improved the warranty on the top-of-the-line Synea 500 and Synea 400 series handpieces, providing 4 years of coverage for…

11. Page 32

    Spotlight Scanner's Patent-Pending Technology Improves Clinicians' Ability to Capture High-Quality Data RICHARDSON, Tex.--Planmeca's ultrafast PlanScan Scanner expands upon years of experience with powder-free image capture in the intraoral environment, and it is the first camera to use EdD's patent-pending blue laser technology, which improves the clinician's ability to capture high-quality data for more precise and accurate prosthetics. Capturing every detail of the preparation enables clinicians to predictably design and mill precise restorations. The PlanScan Scanner, together with Planmeca PlanCAD design software and the Planmeca Pmi Mill 40, gives dental professionals the ultimate in flexibility and productivity. For additional information, call…

12. Page 33

    Cloud-Based Practice Management Software Helps Practices Operate More Efficiently ATLANTA–Carestream Dental's CS SoftDent Cloud practice management software has been designed to help even the busiest practices operate more efficiently. It offers a full suite of practice management software tools to increase productivity and streamline daily workflow. CS SoftDent Cloud's features enable practices to effectively manage their day to day business—including insurance benefits tracking, electronic patient charts, and detailed financial reports—at any time, from any location, and sensitive patient and practice management files are securely backed up and maintained by Carestream Dental in HIPAA-compliant storage. Utilizing CS SoftDent Cloud, practices will…

13. Page 34

    Samsung and LED Dental: A Partnership Forged in Innovation Every so often, a new partnership is formed that is meant to be. When 2 companies with decades of experience, a commitment to exceptional technology, and a passion for excellence come together, synergies come naturally. This past April, Ray Co., a subsidiary of Samsung, selected LED Dental as its primary distribution partner in the North American market, and a strong partnership was formed. The Rayscan Alpha Expert 2D and 3D extraoral imaging system became the flagship product of LED Dental's newly launched digital imaging product line and the platform for the…

14. Page 35

    Mr. Roberts, Dr. Lee, and Dr. Gane looking under the hood with a member of the manufacturing team. excellent clarity and contrast to help deliver a confident diagnosis using proprietary noise reduction and adaptive moving focus technologies." Innovative features, such as (1) the industry's first wireless remote control for patient positioning and (2) integrated LED lighting to intuitively indicate exposure status, show a dedication to implementing features that streamline clinical workflow and improve patient comfort. Finally, the Rayscan has an award-winning design that integrates advanced imaging technology into a beautifully engineered system that maintains a compact footprint for installation into…

15. Page 36

    2014 Best of Class Pride Institute's BEST OF CLASS Takes Center Stage Paul Feuerstein, DMD Technology Editor In our profession, we all look at products and want to be sure we are using "the best" one. We see the advertisements, listen to the experts, and read the journals in an attempt to make sense of it all. I have written and talked about this many times throughout the years. And now, once again, this year at the ADA Annual Session, there will be an area on the floor of the exhibit hall reserved for the Pride Institute Best of Class…

16. Page 38

    Pride Institute 2014 Best of Class Aquasil Ultra Cordless System DENTSPLY Caulk | (800) 532-2855 | dentsply.com Retraction for crown and bridge has been part of the process that no one particularly likes to do, but it is of course critical in order to transmit the proper information to the laboratory or digital design center. It is tedious of using one cord and takes more time if using 2. The use of pastes and gels is also somewhat time consuming (as the patient has to bite on cotton or Styrofoam for a few minutes), and cotton shows the retraction results…

17. Page 40

    Pride Institute 2014 Best of Class Excellerator & Excellerator RT Propel Orthodontics | (855) 377-6735 | propelorthodontics.com What if you could reduce the time of orthodontic treatment with any type of tooth movement modality? It is well known that moving teeth too rapidly can cause a myriad of issues unless you change the biology of the alveolar bone. Whether you are using brackets, metal, clear or white wires, or clear aligner trays, you are still holds the cards on the length of treatment. There are systems to improve efficiency, including indirect bonding, computer-aided setups, mini implants, and self-ligation, to name…

18. Page 42

    Pride Institute 2014 Best of Class AirFloss Philips Oral Healthcare | (800) 422-9448 | philipsoralhealth care.com Almost every dental professional asks every patient at his or her primary and recall visit the following question: "How often are you flossing?" The answers of course range from the honest "never" to "always," but many are stated with a bit if a grimace. This tedious task has gone high-tech with Philips Oral Healthcare's AirFloss. Unlike a pulsating water system, this small, self-contained unit sends a microburst of air and water or mouthrinse between teeth for a full-mouth interproximal cleaning in 30 seconds. Studies…

19. Page 43

    Pride Institute 2014 Best of Class CariVu DEXIS | (888) 883-3947 | dexis.com Even with the best digital radiography systems, there are often areas of decay that we still question. The use of a bright, near-infrared light can transilluminate the tooth and often show decayed areas just below the enamel surface on the occlusal or even subsurfaces under a marginal ridge interproximally. This lighting also is quite vivid in showing fractures. DEXIS, with its CariVu System, has the bright, near-infrared light with a small camera, allowing the clinician to capture these images much in the way you would take a…

20. Page 46

    46 . 1 INNOVATIONS Spotlight Material's One-Step Bulk Placement Facilitates Posterior Restorative Procedures Its Ability to Be Placed up to 5 mm in One Increment Cited ST. PAUL, Minn.-With approximately 70% of restorations placed in the posterior, dentists everywhere are seeking solutions to help them perform faster and easier procedures without compromising patient care. 3M ESPE's new Filtek Bulk Fill Posterior Restorative meets this need as a one-step placement bulk fill material that delivers stress relief, excellent wear resistance, and the ability to place up to 5 mm in one increment. By eliminating expensive dispensing devices, additional layers, and multiple…

21. Page 48

    Exceptional Capabilities of Cement and Sealer Cited NEW MILFORD, Conn.— With a proven scientific and clinical track record, MTA Angelus Reparative Cement exhibits excellent handling, ideal radiopacity, low solubility, and incomparable biological healing properties. With a 10- to 15-minute setting time (compared to 2-plus hours for other current MTA products), it is an ideal choice for pulp capping, perforation repair, root-end filling, apexification, and apogeogenesis as well as root resorption repair. Selected as a 2014 four-star product by DENTAL ADVISOR, MTA Fillapex contains 13.2% MTA and is unmatched in its biological healing properties and tissue-friendly, biologically compat ible salicylate resin.…

22. Page 50

    Company Offers Capital Without the Hassle of a SBA Loan LOS ANGELES—A Wide Merchant Advance can eradicate some of the bothersome pain points that business owners face when considering a SBA loan. While loans are subjected to credit approval, require collateral, and take weeks to process, Wide Merchant's same day funding process can get merchants approved with just 1 of their most recent bank statements, no collateral, and a lessthan-ideal credit profile. Wide Merchant's Underwriting Department carefully reviews a potential merchant's financial activity to select a daily ACH program that will allow him or her to complete their advance faster;…

23. Page 51

    Composite's Fillers Provide Superior Wear Resistance and Improved Marginal Integrity SAN RAMON, Calif.—Danville Material's zNano is a unique composite filled with zirconia-silica nanoparticles and zirconia fillers—being far harder than the barium glass fillers used in many traditional composites, provide superior wear resistance and improved marginal integrity. Available in 13 shades in 4-g syringes or unit dose configurations, zNano offers exceptional polishability and polish retention that yield stain resistant, long-lasting restorations, and its far smaller particle size (80 nm versus 400-plus nm) resists "plucking" and creates a more aesthetic result. This makes it an ideal handling material with very high physicochemical…

24. Page 54

    Versatile Light-Cure and Dual-Cure Cements Offered JERSEY CITY, NJ—FUSION-Zr Multi-Purpose Veneer Cement and Dual Cure Resin Cement are self-adhesive and available in light cure or dual-cure formulas. They are indicated for the permanent cementation of all-ceramic restorations, zirconia, lithium disilicate, CAD/CAM materials, veneers, crown and bridge, inlays/onlays, PFM, and metal, titanium, and fiber posts. Bonding agents can be used, but they are not required. Among the cemently enhanced features are the following: self-adhesive strength to zirconia and all restorative substrates; highly favorable handling; color stability; and remarkably fast and easy cleanup. Trusted by renowned clinicians, the cements are implemented into…

25. Page 55

    Drivers Accelerate Orthodontic Treatment and Release Challenging Movements OSSINING, NY–Propel Orthodontics presents the Excelleration Series, a line of advanced orthodontic drivers that both advance a patient's orthodontic treatment and grow a clinician's practice. Winner of the Pride Institute's 2014 Best of Class Technology Award, the drivers—known as the Excellerator and the Excellerator RT—are changing the landscape of orthodontic care. The Propel technique creates micro-osteoperforations that stimulate the alveolar bone in orthodontic treatment in order to accelerate tooth movement or release challenging movements, thereby increasing predictability and reducing a patient's overall orthodontic treatment time. A New York University clinical study appearing…

26. Page 56

    In First Impressions, Georac Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. TwinPower Turbine 45 Basic Surgical Handpiece J. Morita USA Intraoral surgery is a specialized service and demands specially modified clinical equipment. The sectioning of a third molar (as well as endodontic and periodontic treatment) can be a relatively straightforward procedure, assuming of course that that the practitioner has equipment with appropriate angulation, power, speed, and dimensions to ensure proper access. Some years ago, the 45° handpiece head was developed to facilitate the only approach to…

27. Page 58

    NEWS/TRENDS Industry News DentiMax Introduces New Web Site DentiMax introduces dentimax.com, its all-new Web site that is designed to showcase digital sensors, practice management software, and electronic health records. With the web site's introduction, dental practices now have access to software tips, digital x-ray images, and remote technical support. "As DentiMax has expanded from practice management to digital sensors and now to ONC-certified electronic health records, we have found the Internet to be the perfect tool to educate and assist both our customers and prospects in understanding and effectively using our products," said David Arnett, DentiMax's co-founder. "Our Web site's…

28. Page 60

    NEWS/TRENDS INDUSTRY NEWS Dental Companies Support Breast Cancer Awareness Month In their ongoing support of breast cancer research, the following dental companies have planned the following charitable activities. Ivoclar Vivadent, for the second consecutive year, will donate $100 to breast cancer research for each pink Bluephase Style curing light sold during October, Breast Cancer Awareness Month, and its employees will be participating in the Susan B. Komen Race for the Cure. For more information, call John Isherwood at (716) 691-2231 or email him at john.isherwood@ivoclar.com. DenMat, manufacturer of PerioOptix Loupes and the Flashlite LED curing light, will contribute a portion…

29. Page 61

    NEWS/TRENDS Guide Provides Treatment Options for Compromised Teeth Now offered by the American Association of Endodontists (AAE), Treatment Options for the Compromised Tooth: A Decision Guide features 13 new cases and more than 100 images demonstrating successful endodontic treatment in difficult clinical situations. Designed to encourage dentists to assess all possible endodontic treatment options before recommending extraction of a compromised tooth, the guide will help dentists evaluate a variety of conditions using case examples with radiographs and clinical photographs, clinical considerations, and guidance for successful outcomes based on prognosis. "This unique guide offers clinicians a systematic, step-by-step approach to the…

30. Page 62

    MEETINGS/SEMINARS Greater New York Celebrates 90 Years The year 2014 marks the 90th anniversary of the Greater New York Dental Meeting, and this year's meeting is not one to be missed. It will take place at the Jacob K. Javits Center from November 30 to December 1. For those in search of continuing education (CE), there will be a variety of fulland half-day seminars, hands-on workshops, a live patient demonstration area, and an expanded Implant Expo. Dentists are also encouraged to visit the more than 600 exhibitors from all over the world who will be showcasing new as well as…

31. Page 64

    Probiotics Help Cleft Lip and Palate Orthodontic Patients Poor oral hygiene and higher incidence of tooth decay are often prevalent in people with cleft lip and palate (CLP). Food supplements containing probiotic bacteria can help reduce the incidence and severity of dental caries. A study of 30 adolescents with CLP analyzed the effects of probiotics on oral health. Fifteen subjects in the intervention group drank a probiotic milk powder containing Lactobacillus paracasei SD1 for 8 weeks while 15 subjects in the control group grew even milk without the probiotic. Levels of salivary mutans streptococci and lactobacilli were measured at the…

32. Page 66

    FALL PRODUCT SHOWCASE ACTEON NORTH AMERICA Ultrasonic Scalers Experience PURE NEWTRON with the all-new, completely redesigned devices that come in 3 versions: NEW TRON P5 XS, NEWTRON P5, and NEWTRON BOOSTER. All have new features, such as a handpiece and glowing power dial designed to make scaling, endodontics, and any other procedure you choose easier, more effective, and better for patients. For more information, call (800) 289-6367. FREEinfo, BISCO DENTAL PRODUCTS Universal Adhesive ALL-BOND UNIVERSAL combines etching, priming, and bonding in a single bottle. Unlike other one-bottle adhesives, ALL-BOND UNIVERSAL can be used with both direct and indirect restorations, bonds…

33. Page 68

    WCASE CARESTREAM DENTAL CAD/CAM Restoration Process CS Solutions streamlines the CAD/CAM restoration process. Doctors can scan a conventional impression with a CBCT unit or use the CS 3500 intraoral scanner to capture a digital impression. Next, CS Restore is used to design the restoration. Finally, the information is sent to the CS 3000 milling machine for fabrication. For more information, call (800) 944-6365 or visit carestream dental.com. FREEinfo, OBTURA SPARTAN Ultrasonic System The Spartan Wave Piezo Electric Ultrasonic Unit gives clinicians a complete system to efficiently and accurately perform essential endodontic procedures. It is ideal for root canal preparation, retro…

34. Page 70

    FALL PRODUCT SHOWCASE DENTALEZ GROUP Dental Chair Whether performing a routine cleaning or more complex surgical procedures, the NuSimplicity patient chair provides accommodation modating features. It offers a narrow, tapered back for close patient contact and a base plate designed for closer stool placement. Dual-location touchpad controls are conveniently located on both sides of the upper backrest. For more information, call (866) DTE-INFO. FREEinfo, KERR Contra-Angle The Perfect Pearl boasts a stressless contra-angle design that's easy on your wrist. Its path of accuracy is achieved by harmonizing two clinical design components: prophy cup design, beveled gears for less vibration, and…

35. Page 72

    FALL PRODUCT SHOWCASE TRIDENT/ULTRADENT PRODUCTS Matrix System The newly introduced V4 ClearMetal Matrix System features microwedges. It is the only transparent matrix system with the advantages of metal and leadability for optimal polymerization. The V4 System creates natural contours with ease, and the added benefits of a snug, matrix, and transparent wedge make it a great match for bulk-fill resins and deep cavities. For more information, call toll-free at (800) 552-5512 or visit ultradent.com. FREEinfo, DANVILLE MATERIALS Matrix Band The Mega V system offers many advantages aside from a value price. The wide lines are split into a V, allowing…

36. Page 74

    FALL PRODUCT SHOWCASE ZIMMER DENTAL Intraoral Scanner Zimmer Dental has expanded its digital offerings through an agreement with Align Technology and their iTero Intraoral Scanner. The arrangement supports the design and manufacturing of Zimmer 2k custom abutments and other restorative products. This new digital implant workflow will offer clinicians access to a broad range of CAD/CAM services for greater precision and enhanced efficiency. For more information, call (800) 854-7019 or visit zimmerdental.com. FREEinfo, SABLE INDUSTRIES Handpiece Access S4500LK Fiber Optic High Speed Handpiece quickly cuts natural and restorative materials. Compact head height permits easier access and visibility. Ceramic bearings provide…

37. Page 76

    FALL PRODUCT SHOWCASE XDR RADIOLOGY Intraoral Sensor The XDR Anatomic Sensor is part of a complete imaging solution. Uniquely designed by dentists, a maximized mesial imaging area helps you capture challenging canine-premolar contacts, while rounded and beveled corners broaden the contact zone for increased patient comfort. In synergy with XDR Software, you'll see both the subtlest of lesions and the tip of your No. 6 file. For more information, call toll-free at (888) 937-9728 or visit xdratomic.com. FREEinfo, SEILER Microscope Seiler offers a full line of microscope products, including the newly designed dental microscopes featuring LED illumination, apochromatic lenses for…

38. Page 77

    WCASE VIDENT Shade-Matching System The all-new VITA Easyshade Advance 4.0 delivers the fastest, easiest way to measure tooth shades under any lighting condition. It gives you the ability to conquer the trickiest shade-matching challenges all day, every day, instantly and accurately. Now you can measure natural teeth, check restoration shades, and track bleaching progress with the push of a button. For more information, call toll-free at (800) 828-3839. FREEinfo, DIADENT Ni-Ti Files Dia Kondensor is a versatile endo-condenser hand instrument that is durable, lightweight, and ergonomic. It has double-ended tips with Ni-Ti and stainless steel. It is color-coded for fast…

39. Page 78

    All-Tissue Laser The WaterLase pIus laser offers the benefits of advanced laser dentistry: precise differentiation with high return on investment and patient-friendly procedures. The all-tissue laser adds value with a wide range of softand hard-tissue treatments, including periodontal procedures (periodontitis and peri-implantitis treatment/removal of subgingival calculus) and endodontic treatment (root canal shaping/cleaning). It delivers fast, efficient cutting with little or no anesthetic required. For more information, call toll-free at (888) 424-6527 or visit biolase.com. FREEinfo, MICRODENTAL LABORATORIES Obstructive Sleep Apnea Device The first CAD/CAM-milled Obstructive Sleep Apnea Device, MicroD2, is FDA-cleared and offers dentists an innovative option for patients diagnosed…

40. Page 79

    SHOWCASE ARGEN Crowns and Bridges Building on 20 years of clinical success, Captek continues to be a valuable restorative solution for dentists and dental labs. The new and improved Captek Nano is stronger, thinner, offers better aesthetics, and is now available in the digital workflow. Captek is still the only crown or bridge clinically proven to protect patients from harmful bacteria. For more information, call (800) 921-2227 or visit captek.com. FREEinfo, BEYES Handpiece The AirLight has a truly innovative design that incorporates a highly efficient micro built-in generator to power the LED. The generator will eliminate the need for a…

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