Dentistry Today — October 2018

Inside this issue

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

1. Page 6

   Unique Perspective! By now, perhaps you have had the time to read the interview with Dr. Rella Christensen in last month's issue. (If not, check it out in your print copy of Dentistry Today or online at .) As a researcher and in her experiences as the co-founder of Clinical Research Associates (now CRA), Rella shared some unique perspectives on the technological revolution. This month, we are proud to present Dr. Paul Feuerstein on yet another brief look at some of the latest technologies in dentistry. The "interview" with Paul takes the form of a most roundtable discussion between the…

2. Page 8

   Teledentistry for a Prosperous Future In 2017, more than $650,000 was paid out in health benefits for my husband and me. This is crazy! Having observed much of this treatment, the best I can say about our healthcare system is that there was no negative intent underlying the care that we received. It involved many dedicated professionals working like busy ants. Henry David Thoreau said, "It's not enough to be busy; so are the ants." The question is: what are we busy about?" In the end, it is important to realize that healthcare "busy-ness" does not necessarily equate to healthier…

3. Page 10

   VIEWPOINT continued from page 8 As a typical baby boomer, the majority of the damage to my teeth occurred before the age of 8. Since that time, even as an RDH with impeccable hygiene, there has been a cycle of repair, followed by e-repair, and then further e-repair. Like many baby boomers, I have 7 endodontically treated teeth, one implant, and more! Only my 6 mandibular anterior teeth have not been touched by a bus. All of this amazing dentistry costs a lot. It has been the foundation of our business model. The more unhealthy our patients are, the more…

4. Page 12

   FOCUS ON: The Secret of Self-Education John West, DDS, MSD, focuses on the importance of being at the leading edge of change in dentistry. Q: Drawing on 4 decades of teaching, you have always identified the No. 1 practice builder as: "the best dental education in the world is your own." Can you explain how this "self-education" is a critical ingredient for the growth of a value-based practice? A: I begin the answer with a question that I ask myself often about the future: "Are you prepared?" The only way to be prepared is to prepare. We never truly learn…

5. Page 14

   What's New on ADA Meeting Cellerant Best of Class Coverage This month, at the annual ADA meeting, Dentistry Today will be covering the Cellerant Best of Class Technology Awards 2018. As featured in this issue (page 52), there are 30 winners representing true innovations in dentistry. These products, chosen by a committee of dentists, have raised the standard for accuracy, reliability, and ease-of-use in the field. For more information, see our feature on page 52 or visit boc. Dentistry Today On the Go Read the Digital Edition Now Can't wait for the latest issue of Dentistry Today to arrive? The…

6. Page 16

   The Technology Boom in Dentistry Our editor-in-chief, Damon Adams, DDS, and our technology editor, Paul Feuerstein, DMD, recently discussed some of the key trends in technology and their implications for the practitioner. Due to their respective connections with Dentistry Today, they find it fun once in a while to sit down over a glass of wine and dinner, catch up, and candidly talk about dentistry. In this case, they recorded their conversation for the benefit of our readers. Presented here are some salient portions of their discussion. Paul Feuerstein, DMD Damon Adams, DDS Paul, I bet our readers, especially the…

7. Page 18

   The Technology Boom in Dentistry continued from page 16 much of the basic crown and bridge work, are created using computer-driven mills. Our laboratory teams can only create restorations from the latest materials using a digital workflow. The number of days left for plaster models, waxing, and casting grows shorter with every passing year. The new labs, even the smallest ones, have some sort of CAD/CAM system in place. There are a number of impression scanners that labs use to turn the traditional physical impressions taken, including any models sent, into digital files. If you think about this, scanning an…

8. Page 20

   The Technology Boom in Dentistry continued from page 18 manufacturing, ingredients, and formulas for the zirconia blocks being sold and used. Not all manufacturers, nor dental labs, dealing with these products are created equal. For just a couple of examples, companies like Glidewell Laboratories (BruxZir and BruxZir Anterior) or Ivoclar Vivadent (IPS e.max ZirCAD and IPS e.max Zir CAD Multi) have amazing quality controls in place and work with a team of chemists and scientists to ensure that clinicians and patients are getting the excellence in product performance that is expected. Like anything else, there are both name brands and…

9. Page 21

   INTERVIEW be diagnosed for fractures, additional canals, or apical lesions easily, and it can be demonstrative to the patient and doctor. As far as restorative impression scans can be supposed on the cone beam for the diagnosis and treatment planning of many procedures, particularly implant placement. Even if the dentist does not place them, the position of the crown preoperatively could help determine where (and if) an implant should be placed for optimal physdeveloped with amazing technologies. It is so exciting to know that there is plenty of material for us to continue writing and lecturing until in this area…

10. Page 22

    CLINICAL REVIEWS DA DENTAL ADVISOR Composi-Tight 3D Fusion ★★★★★ (97%) Garrison Dental Solutions | (888) 437-0032 | garrisondental.com Consultants' Comments • "I liked having sectional matrices with the subgingival extension." • "Best forceps of any system I have used and best selection of clamps." • "Coating of the matrix made band removal easy, along with the yoke on the matrix band." • "The new ring design makes placement predictable on tough preps, short clinical crowns, and other challenging areas. The rubber ends of the rings result in minimal slippage." • "3D Fusion wedges adapted better than others and stayed in…

11. Page 24

    Spotlight Handpiece's Specially Shaped Turbine Produces High Power Output HOFFMAN ESTATES, Ill–NSK Dental features an ultra-premium line of air turbines, the Ti-Max Z handpiece line. The handpieces are engineered for maximal durability, consistent performance, smooth cutting, and optimal access to all areas of the mouth. The standard-head Ti-Max Z90oL delivers a profession-leading 20W of power and operates between 330,000 and 400,000 rpm. A proprietary, specially shaped turbine makes these power outputs possible and enables fast cutting for reduced treatment time. There's also a smooth, consistent cutting feel for comfortable operation. The handpieces feature solid titanium bodies. The ergonomic shape and…

12. Page 26

    Autoclave Unit Built To Hold Up in Toughest Environments TORONTO–Beyes Dental Canada recently launched the highly advanced Masteri Class B automatic cycle autoclave unit. It has the distinctive main attributes, including (1) speed, with its thoroughly sterilized instruments available in 21 minutes; (2) security, with a built-in data logger, storing your information on a USB drive that is waterproof and shockproof, with an internal printer available as an option; (3) simplicity, with a range of sterilization options that can be easily selected via an intuitive touch display; and (4) safety, meeting all the latest regulatory requirements. The Masteri also includes…

13. Page 28

    Pocket-Size Laser Delivers as Much Power as Larger Ones LOMPOC, Calif.–DenMat's latest evolution in cordless, soft-tissue lasers enables you to deliver the benefits of laser dentistry to each patient while increasing practice production across all departments. The pocket-size, wireless NV Microlaser is completely portable yet just as powerful as conventional soft-tissue lasers. Weighing only 1.9 oz and measuring at 6.9 in., this innovative, hand-held design gives you unprecedented freedom in the office and the operatory. The plug-and-play system comes with 12 preset procedural settings optimized for your entire periodontal, restorative, and orthodontic treatment needs. The NV PRO3 features a lithium-ion…

14. Page 29

    System Transmits Radiation Data To Smart Devices, Computers [Image of a triangular dosimeter device with Mirion branding and "Dr. Smith Collar Radiology instadose" label] SMYRNA, GA–The revolutionary Instadose+ dosimeter is a smarter choice to help keep staff safe. It bundles the active and passive dosimeter function (on-demand dose information and accumulated legal dose registration) in one smarter dosime­ter. Developed by Mirion Technologies, the Instadose+ badge is a small, rugged dosimeter based on proprietary direc­tion storage technology to track radiation exposure for employees, sending email alerts when a dose exceeds a user-specified level. The Instadose+ dosimeter uses Bluetooth Low Energy Tech­nology…

15. Page 30

    When Digital Doesn't, digit Power Does Arthur R. Volker, DDS, MSEd While digital technology has revolutionized many aspects of dentistry, there are times when technology is unable to accomplish a task and "analog" dentistry comes back in to round up our arsenal of materials to achieve the desired goal. The patient presented with failing porcelain-fused-to-metal crowns on teeth Nos. 6 to 8 with open margins, gingival inflammation, and gingival zenith inflammation, and gingival zeniths appearing to be apical to their contralateral counterparts. Facial probing depths ranged from 3 to 4 mm. The proposed treatment plan was to perform a soft-tissue…

16. Page 32

    Spotlight Composite Provides Ideal Viscosity, Handling, and Adaptation Characteristics ALSIP, ILL–G-ential BULK Injectable from GC America is an injectable, high-strength nanoparticle composite with ideal viscosity, handling, and adaptation characteristics that may be used as a one-step application for buildup to the occlusal surface (up to 1 mm) without the need for capping or veneering with another composite. The homogeneously dispersed nanoparticle formula provides high flexural strength and wear resistance for a durable and long lasting restoration that retains its gloss for many years after placement. It is highly shapeable and easy to manipulate yet provides superb adaptation to the cavity…

17. Page 34

    Spotlight Angulation of Screw Channel Service Available for All Major Implant Systems IRVINE, Calif.–TruAbutment's innovative solutions include the addition of the Angulated Screw Channel (ASC) to its other custom abutment products. Even though screw-retained solutions have become the standard with the advent of CAD/CAM technology, it has been largely limited to the esthetic anterior restorations due to the design challenges in the anterior region. The pioneering concept of the ASC Ti bases has allowed users to deal with these challenges by providing a restoration that is aesthetic and convenient. But the launch of TruAbutment ASC will further advance the concept…

18. Page 36

    Spotlight Piezo/Implant Motor Offers Stable, Powerful Output With an LED Screen HOLLIS, NY–Implant Ltd's PiezoPro Plus Two in One Piezeoelectric Surgery and Implant Motor comes with a 2-in-1 compact design. This design saves (1) space in your surgical area; (2) the time it takes to switch between machines; and (3) money, as the unit is up to 50% less expensive than other comparable brands. The complete set not only contains a piezo handpiece with 16 tips and an LED contra-angle handpiece for implants, but also includes the award-winning OsteoGen Bone Grafting Plugs and OsteoGen Strips. The PiezoPro Plus dual piezo/implant…

19. Page 38

    Spotlight Carbide Burs Permit Range of Operative and Finishing Procedures ROCK HILL, SC - Each tungsten-carbide bur from Komet USA is engineered to exacting standards for consistently reliable, high-efficiency cutting. Designed for ease of use; comfort in handling; and unmatched precision, longevity, and performance, the burs feature stainless steel shanks and tungsten-carbide heads with geometrically defined blades. The carbides are offered in an array of configurations that permit a range of operative and finishing procedures, from crown preparations and composite finishing to amalgam removal and orthodontic debonding. For more information, call Komet USA at (888) 566-3887 or visit kometusa.com. FREEinfo,…

20. Page 42

    New Alignment Dr. David Galler Joins Aspen Dental Management, Inc and Helps Usher in the Age of Invisalign at Aspen Dental David Galler, DMD As a private practitioner in New York City, I personally treated 2,000 patients with Invisalign aligners over the course of 10 years. In addition, over the past decade, I consulted on more than 30,000 cases in my role as an Invisalign faculty member and speaker. I found the work rewarding and fulfilling. So why did I decide to join Aspen Dental Management, Inc (ADMI) as senior vice president of orthodontic services? Because I knew that the…

21. Page 44

    NEWS/TRENDS Industry News DenMat Now a Recognized CERP Provider The ADA has named DenMat Holdings a Continuing Education Recognition Program (CERP) provider. This distinction means that continuing education courses, lectures, and seminars offered by DenMat have been reviewed and approved as quality continuing dental education, according to the company. "We are very pleased to have our continuing education platform recognized by the ADA," said David Casper, DenMat's chief executive officer. "CE has and will continue to play a strategic role in our company, with nearly 100 CE events held in North America this year alone." The Commission for Continuing Education…

22. Page 46

    NEWS/TRENDS University of Oklahoma... continued from page 44 efficiently," said Raymond A. Cohlmia, DDS, dean of the College of Dentistry. Eventually, the college would like to incorporate the use of the machines permanently into the curriculum, creating digital dentistry technology courses where students would be trained extensively to use all types of digital dental technology. The combination of the digital lab and digital dental technology courses will mark the college as one of the first dental schools in the United States to teach technology at this level, the college says. The lab is the result of months of research, meetings,…

23. Page 50

    Adolescents Risk Long-Term Opioid Use After Wisdom Tooth Extractions A University of Michigan study has found that young people ages 13 to 30 who filled an opioid prescription immediately before or after they had their wisdom teeth removed were nearly 2.7 times as likely as their peers to still be filling opioid prescriptions weeks or months later. Those in their late teens and twenties had the highest odds of persistent opioid use, compared with those of middle school and high school age. Led by Calista Harbaugh, MD, the researchers used insurance data to focus on young people who were "opioid…

24. Page 51

    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. He can be reached at (416) 473-0045 or via email at freedman@epdol.com. BasicBites Ortek Therapeutics Everybody loves candy. Unfortunately, it is bad for you—especially for your teeth. How many times have we heard that familiar refrain? And how many times have we repeated it as dentists? Sugar-induced candy creates a harmful acidic environment, allowing demineralizing damage on the enamel and dentin surfaces, providing a welcoming environment for more bacteria that generate even more acid and,…

25. Page 52

    CELLERANT BEST OF CLASS TECHNOLOGY AWARDS 2018 Paul Feuerstein, DMD For the 10th year, a committee of dentists met in Chicago in February and looked at the past year's technology products. As one of its core members, I've spent hours researching, trying, and reviewing many of the products in my dental practice to take a real-world look at them. My colleagues on the panel do the same, and all of us report year-round to guide you through print and online media such as Dentistry Today, in other forums, and in lectures at dental meetings and study clubs. The latter often…

26. Page 54

    CELLERANT BEST OF CLASS TECHNOLOGY AWARDS Tornado Bien-Air | (800) 433-BIEN (2436) | bienair.com Although the Bien-Air name is associated with fine electric handpieces, the company also has the highest-torque air driven units. The Tornado has an amazing 30 W of power, almost rivaling the electric units in the portfolio. This torque is important when pressure is exerted on a tooth or material during preparation because it is difficult to stall. The turbine is also very concentric, making preparation a smooth process. This also makes it one of the quietest handpieces. Another feature that is "borrowed" from the electrics is…

27. Page 56

    CELLERANT BEST OF CLASS TECHNOLOGY AWARDS EyeSpecial C-III Shofu Dental | (800) 827-4638 | shofu.com There are a few products that the Best of Class committee has seen that continue to impress and lead a category. The new version of Shofu Dental's digital dental camera, the EyeSpecial C-III, has a few minor tweaks and still stands out as the best camera for dental photography in the marketplace. The camera was built exclusively for the dental office, which explains its unique, disinfectable case. It is water and chemical resistant and can be cleaned with surface wipes. Shofu has spoken with doctors,…

28. Page 58

    CELLERANT BEST OF CLASS TECHNOLOGY AWARDS LUM G2 Digital Doc | (800) 518-1102 | digi-doc.com Digital Doc has had what many feel has been the premier intraoral camera for many years. It has always had top-of-the-line illumination as well as HD imaging, which is always being upgraded. The iris camera is highly respected as being able to deliver print-quality images. The company has just introduced an add-on called the LUM, which allows the camera to transilluminate teeth and then capture an image. It is like a "hood" that goes over the end of the camera and, using LED technology, "applies…

29. Page 60

    23rd Annual Fall Product Showcase Dentistry Today's 2018 Fall Product Showcase highlights the latest products being offered to dental professionals at the fall meetings, including the ADA Annual Session, being held in Honolulu at the Hawaii Convention Center, and the Greater New York Dental Meeting at the Jacob K. Javits Convention Center. Booth Numbers for the ADA Annual Session are included. Ivoclar Vivadent CURING LIGHT Bluepahse Style represents the latest in LED curing light technology. With patented Polywave technology to cure all dental materials, a uniquely designed light probe for easy access to posterior teeth, and the option to be…

30. Page 62

    23rd Annual Fall Product Showcase Convergent Dental LASER Solea provides breakthrough technology that delivers a completely different experience than any laser before. It is the first all-tissue laser that can cut hard tissue—including all phases of its preps—quickly, smoothly, and reliably while doing it anesthesia-free, then transition easily to cutting soft tissue without bleeding, sutures, or discomfort. For more information, call (844) GO-SOLEA (467-6532) or visit the website convergentdental.com. FREEinfo, 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…

31. Page 64

    23rd Annual Fall Product Showcase COLTENE HYBRID COMPOSITE BRILLIANT Ever-Glow is a universal submicron hybrid composite distinguished by easy polishability, gloss retention, ideal handling, and exceptional esthetic properties. Highly esthetic outcomes can be achieved using 7 universal shades in the Duo Shade system, each with open 2 classical VITA shades. Two enamel and 3 opaque shades enhance design options for customized restorations. For more information, call (800) 221-0246 or visit coltene.com. BOOTH NUMBER: 904 FREEinfo, Digital Doc INTRAORAL CAMERA The new iRIS HD USB 3.0 intraoral camera brings the smallest details into brilliant, full-screen, high-resolution focus. With dual-capture buttons and…

32. Page 65

    Fairfax Dental DENTAL PIN The Stabilok Pin is designed to achieve 2 criteria: self-shearing with maximal reliability and insertion with maximal ease. The wide-pitch thread provides excellent retention for the pins, which are available in either the purest commercially available titanium or stainless steel. The pins and drills are dispensed from the box through apertures, which can be set to either the hermetically sealed position or the open position by hinged flap. For more information, call (800) 233-2305 or visit the website stabilok.com. FREEinfo, Patterson Dental PRACTICE MANAGEMENT SOFTWARE Fuse addresses the needs of modern dental practices by leveraging cloud-based…

33. Page 66

    23rd Annual Fall Product Showcase Anutra Medical ANESTHETIC DELIVERY SYSTEM Anutra Medical has revolutionized local anesthetic delivery by leveraging the science of buffering coupled with groundbreaking innovation. Buffering increases the predictability of a patient getting numb the first time. This is more efficient with a faster uptake, and can reduce the pain of injection. For more information, call (844) ANUTRA-1 (268-8721) or visit anutramedical.com. FREEinfo, XDR Radiology INTRAORAL SENSOR The XDR Anatomic Sensor uses 1) and 2) is uniquely designed by dentists. Its patented, maxi-mized intraoral imaging area helps you capture canine-premolar contacts. Its rounded and beveled corners broaden the…

34. Page 67

    Directa Dental PERIODONTAL LIGAMENT KNIVES Luxator instruments are periodontal ligament knives used to aid in atraumatic extractions. The fine-tapered blade compresses the alveolar bone, cuts the membrane, and eases the tooth from its socket. The handle is designed for tactile control while minimizing force during use. The tip is thin and sharp, so it inserts easily between bone and root with minimal damage to the tissues. The instrument handles are color-coded, and numbers are marked on the shaft for identification. For more information, call (203) 491-2273 or visit directadental.com. FREEinfo, Ritter Dental IMPLANT Implant placement into the osteotomy is easy…

35. Page 68

    23rd Annual Fall Product Showcase OCO Biomedical IMPLANT SYSTEM The OCO Biomedical Engage Dental Implant System, with its patibonated Butt Nose Abutment Tip, Mini Cortex-D Thread design, and high-performance Surface Treatment, was designed for high initial stability and optimal bone integration. The Engage Dental Implant, benefitting from OCO Bio's medical's 40 years of experience, offers practitioners a simple, highly effective, universal system that can be used on a variety of bone types. For more information, call (800) 922-8147 or visit ocobiomedical.com. FREEinfo, PinkBand Dental Solutions MATRIX BAND PinkBand is an innovative silicone and active, tin-coated matrix band. It was evaluated…

36. Page 69

    23rd Annual Fall Product Showcase Bausch OCCLUSAL CONTACT SPRAY Arti-Spray is used to test occlusal contacts and assure proper fit of crowns and bridges. It applies thinly and is easily removable with just plain water. It comes with an applicator nozzle that provides an extra-thin application. The product is available in 4 colors: white, red, blue, and green. For more information, visit bauschnpaper.com. BOOTH NUMBER: 1921 FREEinfo, Vista Dental Products CURING LIGHT In a sea of blue curing lights, Vista Dental Products differentiates with a unique technology. Using pink light, a combination of near-infrared and standard blue light, VALIANT PINK…

37. Page 70

    70 23rd Annual Fall Product Showcase EdgeEndo FILES The EdgeTaper Platinum is an assortment of shaping and finishing files that set a standard in safety and canal center cutting by significantly improving the resistance to cyclic fatigue and flexibility. The proprietary FireWire heat treatment vastly improves the NiTi metallurgy, delivering unmatched strength and flexibility. EdgeEndo was founded on a revolutionary idea of creating superior endodontic products for less and passing the cost savings on to the customers. For more information, call (855) 985-3636 or visit edgeendo.com. BOOTH NUMBER: 1534 FREEinfo, Curaprox USA TOOTHPASTE Black is White toothpaste contains activated charcoal.…

38. Page 71

    23rd 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 anatomical feature data and the patient's position. This means that important diagnostic information is sharply displayed, including the mandibular canal and bone structures. For more information, call (800) 247-8324 or visit airtechniques.com. FREEinfo, Zest Dental Solutions OVERDENTURE ATTACHMENT SYSTEM The LOCATOR R-Tx Attachment…

39. Page 72

    23rd Annual Fall Product Showcase Charles B. Schwed GUTTA-PERCHA POINTS NanoFlow gutta-percha points are made with a new, advanced synthetic nano-formulation. As a result, numerous improved material and working characteristics have been made possible. During manufacturing, the core material is injection-molded to precision tolerances, eliminating any concern about point size variations. The biochemistry 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, Microcopy NANOCOMPOSITE POLISHER The Minnow "go-anywhere" nanocomposite polisher…

40. Page 73

    23rd Annual Fall Product Showcase Henry Schein One PRACTICE MANAGEMENT SOFTWARE Dentrix Ascend moves practice management to the cloud, lifting IT burdens from dentists so they can focus on patient care. They can access practice data at any time, from any location, on any device. For more information, call (855) 232-9493 or visit dentrixascend.com. BOOTH NUMBER: 1405 FREEinfo, Integrated dental systems IMPLANT SYSTEM The AnyRidge Implant System is used for immediate placement in molar extraction. Its innovative knife thread achieves excellent initial stability. It has diameters of 6.0, 6.5, 7.0, 7.5, and 8.0 mm. The 5° internal connection and platform…

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