Dentistry Today — October 2015

Inside this issue

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

1. Page 6

   Conservative Dentistry: Are We There Yet? The buzz on minimally invasive (MI) dentistry continues to grow. In our cover featured article, we are proud to share the outstanding work of Dr. Jose-Luis Ruiz, who is passionate about practicing MI dentistry. He leads by example in his lectures, hands-on courses, and in his own clinical work. I have observed that many other clinical leaders are teaching and practicing MI techniques, having left more aggressive preparation paradigms in the dustbin of their own dental history. However, how does the work of "clinical leaders" compare to the everyday dental world? Frankly, if one…

2. Page 8

   It's the Point of Transaction Having lived in the dental benefit family and having been associated with the dentistry for the better part of the last 40 years has been an experiencing for me. Tom M. Limoli Jr As a preteenager working in my father's dental laboratory, I learned the importance of early stage preparation and execution. It's the minor, often overlooked, details that will fail a case. Skip the proper preparation of the impression, miss the stone consistently, pour the model incorrectly, mishear a margin, and the die is wrong. When the die is wrong, the wax up, investment,…

3. Page 10

   Technique of the Week Simplifying Onlay Cementation Jose-Luis Ruiz, DDS In this technique video, Jose-Luis Ruiz, DDS, shares 3 clinical tricks to make onlay cementation simpler, faster, and more predictable. Dr. Ruiz guides the viewer through each step, consisting of (1) pressing the onlay fully at the time of cure to ensure no gaps or trapped air, (2) using compression to stop a papilla from bleeding, and (3) using a No. 12 blade with 2 hands for maximal safety and easy cement cleanup. This video can be seen at . CEREC 30th Celebration Coverage From Las Vegas The Dentistry Today…

4. Page 14

   FOCUS ON: Cosmetic Imaging Lorin Berland, DDS, describes the role cosmetic imaging can play in improving patient case acceptance. Q: What is cosmetic imaging, and how long have you been using this digital technology? A: Cosmetic imaging is an easy, fast, and low-cost way for patients to see how their smile can be improved. In the 25-plus years I've been imaging, it has proven to be extremely helpful in the continued growth of my practice. Why? Simply put, because imaging simulates and it simulates—it simulates the proposed smile and that stimulates the patient to proceed with cosmetic dentistry. Q: Does…

5. Page 16

   From the July 2015 Issue SALIVA ABSORBENT Microcopy NeoDry saliva absorbents provide the ultimate parotid saliva control, utilizing an advanced inner core to trap moisture quickly to provide a superior dry field. And there will be no messy leaks, even with the core fully saturated. Neo-Drys' moisture-proof backing protects the cheek from abrasion and bounces light into the working area, and Microcopy's patented Comfort Edge eliminates the stiff abrasive material that causes patient discomfort. For more information, call (800) 235-1863 or visit neodry.com. FREEinfo, ETCHANT BISCO Dental Products Offered in an economical 30mL bulk syringe system, UNI-ETCH w/BAC and ETCH-37…

6. Page 18

   NEW PRODUCTS OPEN CAD/CAM SYSTEM Planmeca Planmeca FIT, Planmeca's open CAD/CAM system for same-day dentistry, provides a fully integrated digital workflow to create restorations individually crafted to perfection. Use the PlanScan scanner to accurately scan the tooth; intuitively design a high-quality restoration with the PlanCAD software; and with PlanMill 40, quickly mill out the restoration, all in the same day. For more information, call (972) 234-3890 or visit planmeca.com. FREEinfo, ROOT CANAL SEALER Septodont Hailed as a breakthrough in mineral-based root canal filling materials for permanent canal obturation, BioRoot RCS (root canal sealer) incorporates an easy-to-use cold obturation technique that…

7. Page 20

   CLINICAL REVIEWS PROBLEM SOLVERS THE DENTAL ADVISOR reports on products recommended by its editorial team that are deemed an excellent choice for solving a particular clinical challenge, thereby earning the title of Clinical Problem Solver. Here are 4 examples. Problem No. 1 "It is time-consuming to place a liner under deep restorations because most materials on the market have to be hand-mixed or triturated." — Sabiha Bunek, DDS PROBLEM SOLVER: TheraCal LC BISCO Dental Products | (800) 247-3368 | bisco.com "TheraCal LC is one of my favorite products on the market. It is a resin-modified calcium silicate-filled material ideal for…

8. Page 22

   Introducing ODIN Visionary Technology's Affordable, Cordless ODI-LUX LED Headlight Tyler Green, DDS A reduction in the amount of cords that we as dentists have to navigate during just one procedure is now dentistry's "Holy Grail." With handpiece cords, air/water syringe cords, and suction cords, it is a miracle we don't strangle ourselves while treating our patients. When I added a light onto my loupes and caught the cord on it by just walking by a cabinet, I thought to myself, "Great! Another cord to get into my way!" Now there is hope, not just on the horizon but available today,…

9. Page 24

   Spotlight Among Dental Software's Features Is Industry-First Fully Integrated HIPAA-Compliant Communications LINCOLN, Neb–MacPractice DDS 5.1 features next-generation dental charting and imaging and the following dental industry firsts: fully integrated HIPAA-compliant communications, integrated faxing, and integrated Reputation Marketing, powered by BriteRev. The professional's leading OS X native dental software, MacPractice DDS 5.1 is incompatible with Yosemite (required for charting) and Mavericks, and it interoperates with MacPractice's IOS native Patient Check In, Clipboard, and iEHR Apps for iPad as well as the MacPractice Interface for iPad and the MacPractice Interface for iPhone. Among the software's updated clinical abilities are Perio 2, Restorative…

10. Page 26

    Spotlight New Noninvasive Oral Cancer Screening System Yields Immediate Results RACINE, Wis.—Drawing on 8 years of research, development, and clinical studies, Visual Solutions introduces the ESPyOC Oral Cancer Screening System, a game changer in the way the dental and medical community visualizes oral cancer. A simple, cost-effective, noninvasive chairside test, ESPyOC yields immediate results for patients with suspicious lesions. Utilizing a unique, patent-pending biomarker approach, it demonstrated 90% sensitivity and 85% specificity for oral cancer detection in more than 120 patients. It never failed to detect a cancer and accurately detected 79% of precancerous lesions. Visual Solutions, a wholly owned…

11. Page 28

    Matrix Ring Designed to Achieve Consistently Tight, Reliable Contacts SAN RAMON, Calif.—Danville Materials' endcavable Mega V Contact Matrix Ring is designed to achieve consistently tight, reliable contacts. Wedge placement is simplified through its V design, while converging tines prevent pop-offs. Its larger diameter provides easy access, its inclined hoop angle allows stacking, and its unique alloy and design combine to resist distortion and exhibit superior separating force. And even better—it's priced at half the cost of most competitive products. The Mega V Clinical Kit includes 4 rings, 100 small matrices, 100 large matrices, ring pliers, and matrix forceps. Also available…

12. Page 29

    Two-Step Guided Surgery System Delivers Exceptional Precision and Performance ALBUQUERQUE, NM -OCO Biomedical's Two-Step Guided Surgery System, the world's first 2-step guided surgery system, delivers exceptional precision and performance. Included among its features are the following: (1) innovative instrumentation specifically designed by dentists to increase placement accuracy, enhance predictability in treatment, and provide precise placement for implants with diameters of 3.25, 4, and 5 mm, and (2) a proven 4-drill protocol that significantly decreases surgical time and increases accuracy. The system's custom-designed kit includes one key per implant diameter, color-coded instrumentation for quick reference, and labeled components for easy removal…

13. Page 32

    Pride Institute 2015 Best of Class BruxZir Solid Zirconia—Anterior Glidewell Laboratories | (800) 471-9757 | glidewelldental.com PFM restorations are slowly disappearing from our crown selection. The advances in full ceramic restorations, especially zirconia, have been the game changer. This has been fine for posterior restorations, but the translucency needed for anterior restorations has been lacking, leading to some very strong but lifeless restorations. Glidewell has a massive research and development center in addition to its traditional laboratory products and has answered this call. The leadership of Jim Glidewell is obvious throughout the company, and his vision of getting this material…

14. Page 33

    Pride Institute 2015 Best of Class Excellerator Propel Orthodontics | (855) 377-6735 | propelorthodontics.com The Propel system is a method to shorten the time of orthodontic treatment, independent of the system being used. Clear aligners, brackets, and wires and even removable appliance treatment is accelerated by creating "micro-osteoperforations" using a disposable driver with a stainless steel edge. In simple terms, these microperforations soften up the cortical plate, thus allowing the teeth to move faster. The company features clinical research on its website. 3Shape Trios 3Shape North America | (908) 867 0144 | 3shapedental.com Intraoral digital impressions are one of the…

15. Page 34

    Pride Institute 2015 Best of Class TS150 Mill IOS Technologies, a wholly owned subsidiary of Glidewell Laboratories | (858) 202-3360 | ios3d.com Many practices want to start using digital impressions but would prefer to send cases to the laboratory. There are several scanning units in the marketplace that were initially designed to do just that, using what is called an open (universal) file system. Glidewell Laboratories looked at this and devised an independent in-office milling unit along with design software based on hundreds of thousands preps and restorations that could directly connect to these "scan-only" units. This opens the doors…

16. Page 35

    Pride Institute 2015 Best of Class VELscope VX LED Dental | (844) 952-7327 | velscope.com Oral Cancer examinations are an essential part of every dental examination. We have all been trained in pathology classes what to look for in existing lesions using white light, magnification, and experience. The VELscope VX is just another tool to help in these exams. Although there are other systems in the marketplace, this unit is simple to use, has helpful resources to aid in diagnosis and has easy to use documentation if a photograph is necessary. The newer design is cordless, lighter, and less expensive…

17. Page 36

    t of Class DDS Rescue Liptak Dental Services | (800) 998 9048 | ddsrescue.com With electronic records, digital radiographic scans, intraoral scans, and all sorts of electronic data, every practice has to be concerned with the potential of an electronic disaster. There are many backup systems, but this one seems to have covered every failure possibility and allows a rapid restoration of the data, reducing down time to a minimum. The entire server is backed up on the practice unit about 30 times a day. It is also encrypted and sent off to a remote site for further security. That…

18. Page 37

    Pride Institute 2015 Best of Class DentaPure CrossTex | (888) 276-7783 | dentapure.com Providing clean, safe dental water is a critical part of practice. Most practices have changed from direct municipal or well water to bottled water or their dental units. This necessitates keeping their water up to standards. Offices typically set up a schedule of using tablets or chemistry on a regular basis, but this can be flawed depending on water usage as well as people simply forgetting. Dentapure allows the office to place one cartridge into the bottle and forget it for a year. Its technology comes from…

19. Page 38

    INNOVATIONS . 1 Spotlight Composite Combines Long-Standing Success of Established Brand With Outstanding Features ORANGE, Calif.–For decades, Kerr Dental's Herculite brand has established clinical success in the dental practice. Now, Kerr combines this long-standing success with an innovative, new nanohybrid flowable composite, Herculite Flow Ultra. It's the perfect match with the aesthetics and performance of Herculite Ultra. Featuring Smart Placement Technology, Herculite Ultra Flow flows easily when used as a base/liner, and it maintains its shape when used in small restorations. Utilizing this material, clinicians will experience outstanding flexural strength, more than 300% opacity, low shrinkage, easy polishability, excellent gloss…

20. Page 40

    Spotlight Zirconia Crowns Deliver the Natural Translucency Required for Anterior Placement ST. LOUIS—Offered exclusively by Keller Laboratories, Znext Anterior Zirconia Crowns deliver the natural translucency required for anterior placement while providing the strength and durability of monolithic zirconia. The crowns combine CAD/CAM technology for superior fit and margins with an average flexural strength of 650 MPa for durability, and they are guaranteed for 8 years. The crowns are fabricated from models, impressions, and digital files, with only a lab working days required, and model-less production is available, lowering fees and reducing in-lab time to one day. For more information, call…

21. Page 42

    Spotlight Benefits of Award-Winning Try-In Adhesive Liner Cited YORKTOWN HEIGHTS, NY—Offered by the Crown Delta Corp, Stabiliner is a translucent try-in adhesive liner for temporary stabilization of ceramic crowns and veneers. Use of Stabiliner during try-in facilitates a secure preview of restoration fit, eliminates repetitive on/off placement, and enables adjustments to restorations prior to final cementation. Awarded a 5-rating by THE DENTAL ADVISOR and voted one of its 2015 Clinical Problem Solvers, Stabiliner—available for purchase through Zahn, Henry Schein, and Pearson Dental—also enhances the try-in experience for patients, who can preview aesthetics without dislodging the restoration(s). For more information, call…

22. Page 43

    Self-Adhesive Cement's Easy Cleanup Ensures the Creation of Beautiful, Long-Lasting Restorations MILFORD, Del.—DENTSPLY Caulk's Calibra Universal self-adhesive resin cement offers a wide tack-cure window of up to 10 seconds and an extended 45-second gel phase, providing dentists with the ability to form a thorough and effective cleanup and ensuring the creation of a beautiful restoration that will last. Conventional resin cements only allow light curing for one or 2 seconds before they harden to the point where a burr may be required to remove the excess. But Calibra Universal, with its tack curing window of up to 10 seconds and…

23. Page 44

    Bulk-Fill Syringe Facilitates Administration of Anesthetics MORRISVILLE, NC-Approved by the FDA this past January, Anutra Medical's disposable, bulk-delivery Anutra Feedback Aspiration Syringe has been designed to overcome many of the shortcomings of traditional dental syringes. Until now, an aspiration dental syringe has been limited to holding only one cartridge at a time, one that typically holds 1.8 mL of fluid, and most dental restorative procedures require the use of multiple cartridges. As a result, Anutra Medical engineered its syringe to hold up to 5 mL of fluid. To further enhance the clinician's experience, Anutra's syringe is designed with audible and…

24. Page 45

    Needle Designed for Smoother Penetration With Less Tissue Displacement 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 additional information, contact Septodont toll free at (800) 872-8305. FREEinfo, LANCASTER, Pa- Featuring an innovative, patented, scalpel-designed bevel, the Septoject Evolution Needle is designed for smoother penetration with less tissue displacement. Research shows that it requires 29% less force than standard needles. X-Ray Protection Gloves Offered DETROIT- Golden Dental Solutions' X-Ray Protective Surgical Gloves stop up to 75% of radiation (when…

25. Page 46

    Single-Use, Preassembled Matrix Band Offered MONTREAL-The innovative Medicom Pro-Matrix Band allows dentists to perfect the art of restoration while prioritizing patient safety. The band's dedicated design simplifies procedures via easier placement and improved visibility. Single-use and preassembled, the band is easy to use and will save valuable time due its adjustability. For more information, call Medicom at (800) 308-6589 or visit the website medicom.com. FREEinfo, BUILD THE PRACTICE OF YOUR DREAMS United Community Bank's specialized dental lending team can help with all stages of practice growth including relocation, remodeling, new construction, practice acquisitions and more! With our 50+ years of…

26. Page 48

    NEWS/TRENDS Industry News Colan Rogers Named President of NSK Dental Hoffman Estates, Ill-based NSK Dental announced recently that it has named Colan Rogers president. Mr. Rogers has more than 20 years of experience in the dental industry and most recently was director of institutional sales for Henry Schein Special Markets. Previously, he was national sales manager for Brasseler USA, for ordering information, visit the website nskdental.com. [Photo: Colan Rogers] 2015 Dental Industry Metrics Report Now Available The 2015 Dental Industry Metrics Report is now available from The Anaheim Group, publishers of Dentalfax Weekly. A 365-page report, it contains performance data…

27. Page 50

    NEWS/TRENDS Periodontitis and Heart Disease: Researchers Connect the Molecular Dots Periodontitis is a risk factor for heart disease, and now a team of researchers, in a study to appear in Infection and Immunity, a journal of the American Society for Microbiology, has shown that a periodontal pathogen causes changes in gene expression that boost inflammation and atherosclerosis in aortic smooth muscle cells. According to the research team, the circumstantial evidence that led to this study was simple. The periodontal pathogen, Porphyromonas gingivalis, has also been found in coronary artery plaques of heart attack patients. And in a species of animal…

28. Page 55

    MEETINGS/SEMINARS reciprocating endodontic techniques. Learn how stress-free, safer, more time efficient, and far less costly endodontics. The dentist will experience the elimination of hand fatigue, canal distortion, and instrument separation while learning how to save on procedural costs. This workshop is being held from October 16 to October 17, and November 20 to November 21 in Hackensack, NJ. For more information, call Ginger at (888) 544-8528 or visit the website essentialseminars.org. Anterior Restorative Techniques Keating Dental Arts presents a series of over-the-shoulder patient courses led by Dr. David Hornbrook, taking place in Orange County, Calif. The next course will be…

29. Page 56

    Study Finds Cancer Suppressor Fades As the Human Body Ages Researchers have found that a protein that serves as a suppressor of cancer diminishes in skin and epithelial cells as the human body ages. Dr. No-Hee Park, dean of the at University of California-Los Angeles (UCLA) School of Dentistry, and his research team have been studying p53, a tumor suppressor protein known as "the guardian of the genome" because of its involvement in DNA repair, cell cycle regulation, and cellular deterioration. "Looking at ways to maintain levels of p53 as one ages may provide a therapeutic clue to preventing cancer…

30. 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. Stabiliner Crown Delta Corporation The try-in and adjustment phase of final restoration chairside experience. Whether in the mouth or on the working die, the crowns, bridges, and veneers must be securely supported as the methodical refinement to a perfect functional fit is achieved. Any slippage or displacement during the final contouring destroys the ideal interdental relationships. Crown Delta's recent introduction of Stabiliner, a highly innovative try-in adhesive liner for temporary stabilization of ceramic restorations, permits…

31. Page 60

    FALL PRODUCT SHOWCASE ULTRADENT PRODUCTS In-Office Whitening System Opalescence Boost PF 40% is Ultradent's chemically activated, powerful in-office whitening product. Single-to-syringe mixing activates Opalescence Boost just prior to application, so it doesn't require the use of a light for whitening. The extruded 40% hydrogen peroxide gel is conveniently delivered via syringe for precise and easy delivery. Opalescence Boost is also easy to use, allowing for complete removal between applications. Apply two 20-minute applications for a total of 40 minutes of treatment time. For more information, call (800) 552-5512 or visit ultradent.com. BOOTH NUMBER: 2837 FREEinfo, SIRONA DENTAL CAD/CAM System CEREC…

32. Page 62

    FALL PRODUCT SHOWCASE DIGITAL DOC Intraoral Camera The new IRIS HD USB 3.0 Intraoral Camera brings the smallest details into brilliant, full-screen, high-resolution focus. It features dual-capture buttons, one-touch focus, a precision optical lens array, brilliant LED lighting, and Sony's advanced HD sensor for the some of the finest picture quality. For more information, call toll-free at (800) 513-1102 or visit the website@digitaldc.com. BOOTH NUMBER: 2349 FREEinfo, MICROCOPY Saliva Absorbent Microcopy turned NeoDrys pink to raise awareness for breast cancer. From October through December, NeoDrys will be produced in pink and a portion of the proceeds of all sales will…

33. Page 64

    Practice Management Software MOGO has dedicated more than 30 years to providing general dentists and specialists with advanced dental practice management software. The MOGO Cloud is an innovative and cost-effective dental software powered by the Microsoft Cloud (Azure) for practice hosting security, ensuring safety and reliability. There are no add-ons with this software. The entire program, which is a complete DPM software from eReminders to imaging/x-rays, offers a range of options from charting to reports—all on the cloud for a low monthly fee. For more information, call (800) 944-6686 or visit mogo.com. FREEinfo, SHATKIN F.I.R.S.T. Small-Diameter Implant Designed for single-tooth…

34. Page 66

    Autoclave The STATIM G4 is the same renowned and trusted autoclave it has been for more than 20 years but now boasts a new contemporary look and connectivity that is the first of its kind. The G4 technology will change the way you interact by providing a direct channel of communication through the Internet to you or anyone you desire. It's still powered by SciCan's signature steam technology to provide sterilization and dryness at speeds faster than conventional chambered autoclaves. For more information, call (800) 5742114 or visit scican.com. BOOTH NUMBER: 2018 FREEinfo, MICRODENTAL LABORATORIES Posterior Restorative With the new…

35. Page 67

    NSET DENTAL LAB Partial Denture EverFlex is a metal-free, monomer-free partial that retains its flexibility for life. The partials exert much less torque and damaging extractive force on abutment teeth when compared to improperly designed cast partials. They are virtually unbreakable and blend with most patients' gingiva due to their 5 different tissue shades. EverFlex partials are perfect for patients who are sensitive to monomer-containing acrylics or who just don't want metal in their mouths. For more information, call (855) 236-7972 or visit sunsetdentallab.com. FREEinfo, ESSENTIAL DENTAL SYSTEMS Complete Endodontic System With new Tango-Endo, it only takes 2 instruments. Tough…

36. Page 68

    Universal Composite Designed for use in both posterior and anterior composite cases where strength and beauty are desired, ZhaNO is a unique, zirconia silica, nanoparticle-filled universal composite developed by years of extensive research and development by Danville Materials. Without compromising strength, Danville's innovative composite formulation has given ZhaNO nanoparticles that are significantly smaller particles than most microfill composites (80 nm compared to more than 400 nm). For more information, call (800) 827-7940 or visit danvillematerials.com. BOOTH NUMBER: 1716 FREEinfo, GC AMERICA Restorative Composites EQUIA Fil is a comprehensive, glass ionomer-based, bulk fill, rapid restorative system. It is a self-adhesive posterior…

37. Page 69

    NTSPLY CAULK Self-Adhesive Resin Cement The dentist can now benefit from the swiftness of tack curing without the stress of overcuring. The new Calibra Universal self-adhesive resin cement offers a wide tack cure window and an extended gel phase, providing the dentist with the ability to offer a more thorough and effective cleanup. For more information, call (800) 532-2855 or visit calibracement.com. BOOTH NUMBER: 2405 FREEinfo, AIR TECHNIQUES Caries Detection Aid Spectra is a noninvasive caries detection aid that helps eliminate the guesswork in detecting and diagnosing tooth decay and enhances case acceptance through better patient education. Its Doppler radar-like…

38. Page 70

    Anesthesia System The Wand STA computer-controlled injection system allows clinicians to administer injections without the fear and anxiety of traditional syringes. Micropressor-regulated anesthetic delivery is more controlled, more predictable, and more comfortable for both the patient and the clinician for all injection types. Blocks, palatal injections, and the patented STA injection are administered at a flow rate below the patient's pain threshold. For more information, call toll-free at (866) 244-2954 or visit aseptico.com. BOOTH NUMBER: 604 FREEinfo, DENTIMAX Digital X-Ray Sensors The award-winning DentiMax digital x-ray sensors produce photomicron crystal-clear images. To accomplish this, the sensors use the latest CMOS…

39. Page 72

    FALL PRODUCT SHOWCASE SESAME COMMUNICATIONS Practice Management Software Sesame is your single source for comprehensive digital marketing and patient engagement. We have everything your practice needs to drive new patient appointments and increase practice production. Sesame's core applications and services include mobile-friendly websites, search engine optimization, social media, and a vast array of patient engagement tools, including automated reminders, mobile-friendly patient portal, and practice analytics. For more information, call (866) 600-4979 or visit sesame.com/marketing. BOOTH NUMBER: 3423 FREEinfo, ADDENT Oral Cancer Screening Device BioScreen is a new and improved oral cancer biofluorescence screening device. This device can be used in…

40. Page 73

    FALL PRODUCT SHOWCASE ANGELUS DENTAL Pediatric Product Line A little alligator to cover the anes thesia, the enchanted chest of the tooth fairy, a magic Dappen Ring. How come no one thought of this before? The Angie line has unique products, vibrating and cheerful colors, and lots of imagination for you to treat children in the way they like best: like playing. For more information, call (855) 346-3682 or visit angie.angelusdental.com. BOOTH NUMBER: 1541 FREEinfo, SUNI MEDICAL IMAGING Intraoral Digital Radiography System SuniRay digital radiography system is the favorite among dental practitioners for how easily and quickly it captures and…

And 43 more pages — read the whole issue.