Dentistry Today — October 2016

Inside this issue

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

1. Page 8

   The Future of Pediatric Dentistry WE HAVE COME A LONG WAY There has been a technological explosion in pediatric dentistry during the last 35 years. This has been characterized by new and improved restorative materials that allow us to remove less tooth structure. We have finally been able to reach the treatment goals found in delivering more minimally invasive dentistry. We have a better understanding of the complex caries process and, importantly, how to prevent it. Instead of drilling out lesions, now nonvitiated lesions can be remineralized with fluoride varnishes. Nowhere has there been more activity and interest than in…

2. Page 10

   VIEWPOINT continued from page 8 The second future challenge is the result of the recently passed Affordable Care Act (ACA). It is clear the ACA was a reaction to ever-increasing cost of the social safety net that could no longer be sustained at its previous levels of increasing costs, limited resources, and limited funds. While coverage for adult dentistry appears to have been largely omitted in the ACA, the dental needs of children are a covered benefit, although not mandated. Consequently, pediatric dentistry and general dentistry need to prepare for an increase in the number of pediatric dental patients who…

3. Page 14

   FOCUS ON: Third-Party Carriers Howard S. Glazer, DDS, ponders the relationship between third-party carriers and dental practitioners and their patients. Q: Can third-party carriers be both a friend and foe to patients and practitioners? A: The short, simple answer is yes! Unfortunately, all too many times, the third-party carrier (the insurance company) seems to act in an adversarial way to both the dentist and to the patient. We all know that insurance can be an asset in receiving treatment but may not be all-encompassing relative to the treatment indicated for a patient. And that is when the "foe" aspectrises; often…

4. Page 16

   Vista Dental Products Vista Dental Products' Dripless Syringe— the world's only dripless syringe—features anti-drip technology that greatly reduces the risk of bleach stains and damage to skin, eyes, and oral mucosa, and it costs no more than a standard irrigation syringe. It features a unique, color-coded plunger to quickly identify NaOCl and a color-coded ring for improved visibility in magnified fields. It is available in untipped and tipped 6cc and 12cc syringes. For more information, call toll-free (877) 418-4782 or visit the website vista-dental.com. FREEinfo, SEPARATORS Golden Dental Solutions Physics Forceps Separators are uniquely designed to assist in the atraumatic…

5. Page 18

   From the July 2016 Issue DIODE LASER Ultradent Products The Gemini 810 + 980 Diode Laser offers dual-wave technology, combining the optimal absorption of the 810-nm wavelength and optimal water absorption of the 980-nm wavelength. Its sleek, innovative design features a transparent electroluminescent display, while the tip of the laser illuminates, providing better visibility at the surgical site. The laser's simple user interface comes with 19 preset procedures to enhance ease of use. For more information, call (800) 552-5512 or visit the website ultradent.com. FREEinfo, CAD/CAM SYSTEM Benco Dental The OneVisit CAD/CAM System offers a custom-built solution that caters to…

6. Page 20

   The Shape of Things to Come Paul Feuerstein, DMD By now, we are familiar with the term one-visit dentistry. Practically Sirona and Planmeca have promoted this concept for years, with the former focusing directly on consumers. One of the term's core components is the existence of in-office design software and a milling unit that can create in-office crowns and small bridges. This technology also allows for fabrication of small appliances such as surgical guides using what is called in CAD/CAM as "subtractive" creation. In other words, a block of material is milled with burs—or in the future, with lasers (dentallasings.com)—to…

7. Page 24

   Restorative Digital Dentistry, Part 1... continued from page 22 prescription, and the lab team returns the restoration for chairside seating. The laboratory portion of the workflow incorporates digital processes including scanning, printing, designing, and milling. The totally digital workflow eliminates the physical impression by utilizing an intraoral scanner to create a digital impression, then transmitting the data via a software program that can be used to design a restoration. An easy way to envision a digital scan is to imagine a virtual impression. It is notably different from a physical impression because the latter essentially captures a negative image of…

8. Page 26

   Restorative Digital Dentistry... continued from page 24 screen 3.1 is manipulated within the oral cavity. The operator would task his or her attention between watching the virtual (or digital) model being generated on the screen and using tactile and visual cues to position the scanner in order to capture the data that will build that virtual model. These digital models are built by moving the scanner around the oral cavity, capturing the surfaces of the hard and soft tissue so that an exact virtual replica is generated (Figures 3 to 5). Particular attention is paid to keeping the extraneous structures…

9. Page 27

   TECHNOLOGY consistency in the material from one restoration to the next. The milling time can vary from less than or minutes to almost an hour, depending upon the restorative material selected. In general, a polymer ceramic resto ration (such as Enamel6, Lava Ultimate or CERAMSMART) requires the shortest milling time. Finish ing is done with rubber wheels and a suitable polishing paste. These materials do not require any firing time in an oven so the overall appointment time is the shortest. The lithium disilicate (such as IPS e.max CAD [Ivoclar Vivadent] and Obsidian [Glidewell Laboratories] will have relatively fast polishing…

10. Page 28

    Electric Handpieces George Freedman, DDS Electric handpiece motors can impel bursts at up to 40,000 rpm, a fraction of the 400,000 rpm or more that air-driven units can deliver. Electric motors, however, have gear multipliers (usually identified by a red ring) that increase the rotation by a factor of 5 to 200,000 rpm. (There are also reducer gears that decrease bur rotation to 0.0625 times of the nominal speed for endodontic canal preparation and deep dentin removal.) Many electric handpieces have full-range rheostat controls, allowing bur rotation at 100 rpm or less. Torque (cutting power) is independent of rotational speed,…

11. Page 30

    continued from page 28 A-dec The FA-53 electric motor is one of the world's smallest and lightest motors, and it's ready to perform with the A-dec 500 and A-dec 300. Enjoy low noise and virtually no vibration with a natural tactile sensation. The exceptional torque lets you feel resistance without a drop in power. Sized for outstanding access and maneuverability, it is engineered with LED+ illumination for unparalleled visual acuity. For more information, call (800) 547-1883 or visit the website a-dec.com. FREEinfo, Aseptico The AEU-5000 Electric Handpiece is designed to convert a standard air dental delivery system to a powerful…

12. Page 32

    ELECTRIC HANDPIECES continued from page 30 KaVo Dental MASTERmatic M3L offers KaVo's triple gear system, which includes a unique gear system, quiet and low-vibration, and is extremely hardwearing. The maximum operating speed is 200,000 rpm. It has a ceramic ball bearing for uniquely long life. It offers a push button auto shut-off and thermal disinfector and is sterilizable up to 135°C(275°F). It has a 3-port spray. For more information, call (888) ASK KAVO. FREEinfo, NSK Dental The Ti-Max Z series contra angles feature the smallest head and slimmest neck dimensions in the global market, providing a standard of operational visibility…

13. Page 34

    Spotlight Operating Light Combines Optimal Illumination With Ergonomic Workflow and Hygienic Safety CHARLOTTE, NC–Dentsply Sirona's new LEDview Plus Operating Light not only offers optimal treatment site illumination but also ensures ergonomic workflow and hygienic safety, thanks to its well thought-out design. The light is equipped with polychrome LEDs that enable true-to-life color rendering; as a result, evaluation of gingiva and hard dental tissue is easier, and treatment is safer. A special feature of the light is its composite mode; if a composite filling is placed, the white LEDs can be deactivated in order to reduce the blue light component, thus…

14. Page 36

    Snap-On Polishers Feature Durable Diamond Coating SAVANNAH, GA Brasseler USA's new VersaFlex disposable snap-on polishers are outfitted with a durable diamond coating that provides numerous advantages over traditional aluminum oxide-coated polishers. Gently yet effectively, they smooth all surface irregularities powerfully and effortlessly, removing rough exterior areas caused by adjusting and finishing while leaving behind a high-gloss, aesthetically pleasing exterior on any restorative material. The polishers' flexible design easily conforms to the individual contours of each tooth, providing unrestricted access to even hard-to-reach brasseler locations such as tight inter-proximal areas for a thorough finish every time. Additionally, they work well on…

15. Page 38

    Spotlight Award-Winning Sensor Combines Crisp Image Quality With Exceptional Patient Comfort MESA, Ariz.—The DentiMax Dream Sensor, recipient of THE DENTAL ADVISOR'S Editors' Choice Award and repeatedly recognized as a Dentistry Today Top 50 Technology Product and top 100 Product, uses the latest CMOS active pixel chip and an industry-leading high-sensitivity scintillator with a built in circuit board. As a result, it produces crisper images than those from other sensors. Additionally, its extremely rounded corners with beveled edges make it excellent for patient comfort, and with a width of only 5.41 mm, it is the thinnest CMOS sensor on the market.…

16. Page 40

    Spotlight Additions to Successful Implant Line Feature New Coronal Texturing Options With Microgrooves PALM BEACH GARDENS, Fla.-Zimmer Biomet introduces the TSVI (Figure 1) and TSVI (Figure 2) MP + HA Dental Implants, manufactured by Zimmer Dental. Additions to the successful Tapered Screw-Vent (TSV) implant line, the implants' configurations are designed to address clinical challenges and preferences for crestal bone maintenance and soft tissue management through coronal texturing options with microgrooves. Available in the same diameters and lengths as existing TSVI implants, the implants feature a highly crystalline MP + HA-coated midsection designed to resist dissolution for long-term coating stability while…

17. Page 41

    CLINICAL REVIEWS THE DENTAL ADVISOR Whole You Denture CP ++++1/2 Whole You | (844) 548-3385 | wholeyou.com/oral/dental-solutions Consultants' Comments • "Rapid completion of a quality denture." • "Impression and bite relations at the same visit saves time." • "Easy to take impression." • "Establishing vertical was very easy even for inexperienced operators." • "Tooth selection and position was very good." • "Very precise impression technique led to great fit." • "The optional try-in is solid white. It does not allow for evaluation of tooth shade." Whole You's response: "As 3-D printer hardware and materials evolve, Whole You expects the try-in…

18. Page 42

    Spotlight Latest Addition to World-Renowned Curing Light Family Features Larger Head Size and 50% Bigger Lens SOUTH JORDAN, Utah–Ultradent Products' new VALO Grand Curing Light, the latest addition to the world-renowned VALO Curing Light family, features all the benefits of the award winning VALO light but with a larger head size; a 50% bigger lens, measuring 12 mm; and a back activation button for ease of use. The VALO Grand's efficient broadband LEDs (395 to 480 nm) keep the wand body cool to the touch, while its unique unibody construction—it's precision milled from a single bar of aircraft grade aluminum—and…

19. Page 44

    Spotlight Time-saving Glass Ionomer Restorative Facilitates Restorative Procedures ST. PAUL, Minn — Whether working with children, teens, or geriatric patients, dentists need effective restorative options that can be placed quickly, and 3M's new Ketac Universal Aplicap Glass Ionomer Restorative offers them a time-saving solution. With its fewer steps, easy handling, and ability to reduce chair time to get patients on their way fast with a fluoride-releasing restoration that is strong enough for long-term use. Available in 6 shades in an Aplicap delivery system that offers better access to deep cavities, Ketac Universal is self-adhesive and self-curing, eliminating the need for…

20. Page 46

    Company Helps Practices Improve Efficiency and Productivity SALEM, Ore - First Pacific Corp's practice advisors work closely with practices to help them improve efficiency and productivity. By identifying unscheduled major restorative treatment plans and using First Pacific Corp's no-day free financing, practices can move patients forward with much-needed proposed treatment. By scheduling one more patient weekly, with the average treatment being from $500 to $1,000, a practice can generate $26,000 to $52,000 in additional production yearly by utilizing First Pacific Corp's services. For more information, call First Pacific Corp toll-free at (800) 544-2345 or visit firstpacific.com. FREEinfo, START WITH PRECISION.…

21. Page 47

    Natural Oral Healthcare Products Now Available in Convenient Single Packs LANCASTER, NH–Dental Herb Company nw offers Tooth & Gums Tonic and Tooth & Gums Paste in single packs—economical packs that are ideal for prophy bags and provide an excellent way to introduce these powerful antimicrobial products to your patients. Tooth & Gums Tonic, a powerful alternative to chlorhexidine, is a nonaining, alcohol free antimicrobial rinse. Tooth & Gums Paste is a natural, sodium lauryl sulfate-free antimicrobial toothpaste. Since 1996, Dental Herb Company has formulated its professional strength products with only the finest herbs and essential oils proven to reduce oral…

22. Page 48

    Spotlight Nasal Spray Allows for Needle-Free Dental Anesthesia Delivery With Its High-Density Polymer Network, Temporary C&B Material Is Ideal for Any Sized Provisional FORT COLLINS, Colo—Offered by St. Renatus, LLC, FDA-approved Kovanaze (tetracaine HCl and oxymetazoline HCl) Nasal Spray is the first product that allows dental anesthesia to be delivered through a nasal spray without using a needle. It is intended for use in dentistry as a topical anesthetic delivered in the nasal cavity to achieve regional anesthesia for the restorative treatment of teeth. Like traditional dental injections, it delivers local dental anesthetic, but without the needle. Kovanaze is indicated…

23. Page 49

    Versatile Temporary Dental Splint's Ease of Use and Cost Effectiveness Cited SAN DIEGO—Quick Splint, an easy-to-use interim dental splint designed for 4 to 6 weeks of use, can be easily fabricated in the dental practice and provided to the patient immediately, at low cost, without waiting for lab fabrication. It works similarly to an anterior deprogrammer—preventing contact between posterior teeth, interrupting occlusal memory, allowing for condylar seating, unlocking interference, and allowing the pterygoid musculature to relax and recover—but unlike most anterior deprogrammers, it disperses forces across 8 anterior teeth instead of 3, making it more comfortable and stabilizing for the…

24. Page 50

    Spotlight Nasal Hood's Hood-in-Hood Design Reduces Ambient Nitrous Oxide in Operatory PHOENIX, Ariz–Used for delivery of nitrous oxide, Accutron's ClearView Single Use Nasal Hood, THE DENTAL ADVISOR's 2016 Assistant Product of the Year, features a double-hood design with a clear outer hood and a brightly colored and lightly scented inner hood. This hood-in-hood design draws more excess gas into the vacuum system than a single hood, reducing ambient nitrous oxide in the operatory. Offering visual assurance to the clinician, condensation collects in the clear outer hood while a patient breathes through his or her nose, while the soft inner hood…

25. Page 51

    Dual-Cured Resin Luting Cement Optimized to Yield Stronger Restorations SCHAUMBURG, Ill–BISCO Dental Products' DUO-LINK UNIVERSAL dual-cured resin luting cement is perfect for reliable, high-strength cementation with easy cleanup, and its extremely high and consistent degree of conversion in both self-cured and light-cured modes addresses what's required for today's stronger restorations. In addition, its low film thickness assists in effective seating and offers diagnostic radiopacity for that perfect margin. DUO-LINK UNIVERSAL has been maximized to reduce its sensitivity to oxygenation and curing lights, resulting in a longer gel phase and ease of use cementation adhesive restorations. It is offered in 2…

26. Page 52

    NEWS/TRENDS Industry News Millennium Dental Technologies Awarded Military Contracts Cerrittos, California-based Millennium Dental Technologies announced recently that it has been awarded multimillion-dollar contracts with both the US Navy and Army to train residents of the state's post-graduate periodontal programs in the use of its PerioLase MVP-7 Laser in the LANAP Protocol. The protocol is the only laser gum disease treatment to have FDA clearance for true periodontal tissue regeneration, and the military believes its soldiers and sailors will be of better return to duty significantly faster due to the minimally invasive nature of its fiberoptic, arthroscopic-type surgery. For more information,…

27. Page 54

    Lights! Camera! Brush! Recording Selfie Videos While Brushing Teeth Can Improve Oral Healthcare Skills Recording smartphone selfie videos of tooth brushing can help people learn to improve their oral healthcare techniques, according to a new study conducted by researchers from the Case Western Reserve University School of Dental Medicine. Using smartphones propped on stands, study participants filmed their brushing at home. When analyzing the film, the researchers saw an increase in the accuracy of brush strokes, an increase in number of strokes, an overall 8% improvement in tooth brushing skills, but a decrease in the length of time a person…

28. Page 55

    NEWS/TRENDS 55 AAID Announces Availability of Journal of Implantology's JOI Glossary of Terms, 2016 Edition The American Academy of Implant Dentistry (AAID) and Allen Press announce the availability of the Journal of Implantology's JOI Glossary of Terms, 2016 Edition, a specialized collection of words, phrases, and definitions used in general dentistry, implantology, and oral surgery. Updated with more than 1,500 terms, it's the largest and most comprehensive edition of the glossary yet, and for the first time, it will be readily available in a digital flipbook format that can be accessed by a PC, tablet, or smartphone. "The goal of…

29. 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. Calibra Universal Dentsply Sirona Cementation is the final step in the indirect restorative procedure. It is, of course, critical to the long term success of the restoration and the overall oral health of the patient. The cement must secure the indirect restoration to the tooth for very long term permanence while also sealing the tooth-restoration interface at the margin. Cements must be biocompatible with both soft and hard tissues, and they must resist acid dissolution…

30. Page 60

    21st Annual FALL PRODUCT SHOWCASE Garrison Dental Solutions INTERPROXIMAL WEDGE The 3D Fusion Ultra Adaptive Wedge is the first interproximal wedge to fuse 2 materials together to produce the perfect combination of adaptability and retention. The wedge, available in an assortment of kits, features a patent-pending design that combines a Soft Foot overmold with a firm inner core and advanced mechanical features to produce a wedge with improved adaptation to interproximal irregularities. Also, insertion and separation are significantly improved with the new design. For more information, call (888) 437-0032 or visit garrisondental.com. BOOTH NUMBER: 1732 FREEinfo, Zimmer Biomet IMPLANT SYSTEM…

31. Page 62

    21st Annual FALL PRODUCT SHOWCASE Anutra Medical ANESTHETIC DELIVERY SYSTEM The Anutra Local Anesthetic Delivery System is a revolutionary way to simply buffer local anesthetics, with buffering, practitioners can be more productive, efficient, and profitable while providing a more comfortable experience. Imagine anesthetizing your patient and going to work in just 2 minutes. One of the most innovative components of the system is the Anutra Feedback Aspiration Syringe. The extraordinary syringe allows for multiple doses in a single syringe. For more information, call (844) ANUTRA-1 or visit anuttramedical.com. BOOTH NUMBER: 2844 FREEinfo, Curve Dental ONLINE FORMS Now a feature of…

32. Page 64

    64 . 1 21st Annual FALL PRODUCT SHOWCASE 3M FIBER POST Building on 8 years of clinical success of the original RelyX Fiber Post, RelyX Fiber Post 3D features an updated design that offers higher mechanical retention to the core build-up material due to its coronel 3-D macro retentions and maintains a strong bond to the root due to its miniscous surface. Post position control within the canal is precisely improved as a result of the post's enhanced radiopacity. For more information, visit 3m.com/relyx3d. BOOTH NUMBER: 1442 FREEinfo, KAT Implants IMPLANT SYSTEM The KAT Implants system is built around a…

33. Page 66

    21st Annual FALL PRODUCT SHOWCASE Assured Dental Laboratory ZIRCONIA RESTORATION Aesthetic Z is a highly translucent, high-strength zirconia solution for your anterior and posterior cases. Benefits include (1) translucency that rivals lithium disilicate, (2) aesthetics that reflect natural dentition, (3) durability and high strength (769 MPa flexural strength), (4) being designed digitally to increase efficiency and profitability, (5) conventional cementation, and (6) perfect fit for single crowns and 3-unit anterior bridges. For more information, call (877) 283-5351 or visit assureddentalllab.com. FREEinfo, Fairfax Dental DENTAL PIN The Stablilok Pin is designed to achieve 2 criteria: self-threading with maximal reliability and insertion…

34. Page 68

    68 . 1 21st Annual FALL PRODUCT SHOWCASE Dental Claims Cleanup DENTAL FINANCIAL MANAGEMENT SERVICE Dental Claims Cleanup, LLC, a national dental billing and accounts receivable management service, now utilizes a system designed for improving cash flow and decreasing payroll expenses. Among the company's services are electronic clean claims/narratives submission and benefits verification, and it assists practices with unlocked claims, credentialing, fee schedules setup, and collections. Also offered is medical billing for dentists, ppd, tice management training, and consulting, and its patient reactivation program increases production and grows your practice. For more information, visit dentalclaimscleanup.com. FREEinfo, SDI (North America) TOOTH-WHITENING…

35. Page 70

    70 . 1 21st Annual FALL PRODUCT SHOWCASE Air Techniques PANORAMIC X-RAY SYSTEM From a single exposure, only S-Pan acquires 20 layers of images and slices each of them into 20,000 fragments. The best are selected and compiled to generate a single, exceptionally sharp panoramic image—automatically. All sections of the image are as sharp as possible because they include individual anatomic feature data and the patient's position. This means that important diagnostic information is sharply displayed, including the mandibular canal and bone structure. For more information, call (800) 247-8324 or visit airtechniques.com. BOOTH NUMBER: 2035 FREEinfo, Convergent Dental LASER Solea…

36. Page 72

    72 . 1 21st Annual FALL PRODUCT SHOWCASE DentalEZ HANDPIECE A recent independent test reveals that a 270% increase in the new StarDent 430 Torque has the highest power output on the market (data on file). A double-bucket rotor design and dual air control maximizes airflow to the turbine for a powerful performance, and the double water spray thoroughly flushes the working area, keeping the instrument operating site cool and clean. Moreover, a unique vortex washer limits harmful vibrations and stick-back to the handpiece housing. For more information, call (866) DTE-INFO or visit dentalez.com. BOOTH NUMBER: 1817 FREEinfo, AdDent ORAL…

37. Page 73

    21st Annual FALL PRODUCT SHOWCASE Perio Protect DELIVERY TRAYS Prescription Perio Trays feature internal peripheral seals that deliver medication into shallow and deep pockets. They are ideal for patients with generalized pocketing or who struggle with maintenance and for cosmetic, restorative, and geriatric cases. Research shows that the tray's delivery of 1.7% hydrogen peroxide combined with scaling/root planing achieves better results than SRP alone. Hygienists note reductions in inflammation and pocket depth scores, softening calculus, and more efficient appointments. For more information, call (314) 256-0772 or visit providers.perioprotect.com. BOOTH NUMBER: 517 FREEinfo, Prophy Magic HANDPIECE The Prophy Magic Hygiene Handpiece…

38. Page 74

    21st Annual FALL PRODUCT SHOWCASE Filhol Dental ENDODONTIC PIN The FILPIN denture retention pin is engineered to be easier, faster, and safer to place. It comprises 99.8% pure titanium. It is biocompatible and compatible with all dental materials. It possesses self-threading, self-aligning speeds and eases placement with self-shearing at optimal depth. After insertion, FILPIN can be left out to suit the restoration without breaking it or the tooth. For more information, call (855) 714-9250, visit filhol.com or email filhol@verizon.net. FREEinfo, JS Dental Manufacturing LUXATING INSTRUMENTS To enable rapid healing and improve future implant placement, the LM-LiftOut and LM-SlimLift luxating instruments…

39. Page 75

    21st Annual FALL PRODUCT SHOWCASE Charles B. Schwed GUTTA-PERCHA POINTS NanoFlow gutta-percha points arrive with a new, advanced synthetic nanoformulation. As a result, numerous improved material and working characteristics have been made possible. During manufacturing, the cone material is injection-molded to precision tolerances, eliminating any concern about point size variations. The nanochemistry employed provides a material that is denser, less sticky, and has significantly fewer voids. Coupled with a lowered volumetric change during obturation, a lower working temperature can be utilized. For more information, call (800) 847-4073 or visit schwed.com. FREEinfo, DenMat LASER The NV Microlaser delivers the full power…

40. Page 76

    76 21st Annual FALL PRODUCT SHOWCASE CJM Engineering BURS The unique Munce Discovery Burs are the answer to calcified canals, uncovered hidden canals, troughing the isthmus, and providing cement-line dissection around posts. The long, narrow-yet-stiff shafts provide an excellent view corridor and ensure positive control with the familiar tactile feedback of round burs. The carbide tips enable post core out and broken or cross-threaded implant screw pull out. The Munce Discovery Burs are heat-less, not prone to spontaneous breakage, and create a more readable surface. For more information, call (888) 256-0099 or visit cjmengineering.com. FREEinfo, Keller Laboratories ZIRCONIA CROWNS Znext…

And 40 more pages — read the whole issue.