SEPTEMBER/OCTOBER . 2019
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Equipment Guide
SEPTEMBER/OCTOBER . 2019
EFFICIENT MARKETING FOR MULTI-SITE AND DSO LOCATIONS RevenueWell Enterprise enables you to manage marketing for your entire group as easily as you would a single office.
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Boost Production and Generate ROI The average RevenueWell practice generates more than 900 additional appointments in the first year of use. For a 15-location group practice, that could result in more than $1.1 million of added revenue.
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September/October . 2019
Editor’s Note A Look Beyond...................................................................... 2
Quickbytes
Partnering for Growth 2019
Coming Clean
Technology news..................................................................39
ADSO meeting promises to be the premier event for small and emerging DSOs and group practices.......................... 4
Surface disinfection is key to a safe dental environment..................44
2019 OSAP Annual Conference................................ 8
Instrument Management Systems
Equipment Guide .......................................................12 • Acteon • Air Techniques • Tokuyama • Dentsply Sirona • GOJO Industries, Inc. • DentalEZ • MouthWatch • DryShield • KaVo Kerr • Flow Dental • Ivoclar Vivadent • Septodont • Handler Manufacturing • SHOFU • Sterisil® • Solmetex
EDITORIAL BOARD
A.J. Acierno, DDS, CEO, DecisionOne Dental Partners Kristine Berry, RDH, MSEC, NextLevel Practice Coach Brad Guyton, DDS, MBA, MPH, Vice President, Clinician Development, Dean, PDS University™ – Institute of Dentistry, Pacific Dental Services Brandon Halcott, Co-Founder and President, Tru Family Dental DeAnn McClain, Executive Vice President of Operations, Heartland Dental Kasey Pickett, Sr. Director, Communications, Aspen Dental Management, Inc Heather Walker, DDS, Mortenson Family Dental
A key process for efficiency, organization and safety.......................50
Going for the Gold
CBCT continues to change the dental landscape..........................56
Dykema hosts awardwinning conference ..................................................64 Setting Them Up For Success
A bad system will beat a good person every time...........................68
News............................................................................. 71
EDITOR Laura Thill • lthill@sharemovingmedia.com MANAGING EDITOR Graham Garrison • ggarrison@sharemovingmedia.com ASSOCIATE EDITOR Alan Cherry • acherry@sharemovingmedia.com CIRCULATION Laura Gantert • lgantert@sharemovingmedia.com ART DIRECTOR Brent Cashman • bcashman@sharemovingmedia.com
ADVERTISING SALES Diana Partin dpartin@sharemovingmedia.com ADVERTISING SALES Jamie Falasz, RDH jfalasz@sharemovingmedia.com
Efficiency In Group Practice is published six times a year by Share Moving Media • 1735 N. Brown Rd. Ste. 140 Lawrenceville, GA 30043-8153 Phone: 770-263-5257 • Fax: 770-236-8023 www.dentalgrouppractice.com
Efficiency In Group Practice is published six times a year by Share Moving Media, 1735 N. Brown Rd. Ste. 140, Lawrenceville, GA 30043-8153. Copyright 2019 by Share Moving Media All rights reserved. If you would like to subscribe or notify us of address changes, please contact us at the above numbers or address. POSTMASTER: Send address changes to Share Moving Media, 1735 N. Brown Rd. Ste. 140, Lawrenceville, GA 30043-8153. Please note: The acceptance of advertising or products mentioned by contributing authors does not constitute endorsement by the publishers. Publishers cannot accept responsibility for the correctness of an opinion expressed by contributing authors.
ISSUE 5 • 2019 : DentalGroupPractice.com
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/ Editor’s Note /
A Look Beyond September marks the Efficiency in Group Practice annual Equipment & Technology Guide – an opportunity to share with readers the latest and greatest technology offerings. From dental waterline treatment systems to amalgam separators, dry vacuums, intraoral scanners, curing lights, etc., dental professionals can take advantage of some of the most progressive dental technology to date. Laura Thill
Indeed, advances in dental technology have continued to change the face of dentistry. Take the introduction of cone beam computed technology (CBCT) in the United States. After significantly evolving over the last 20 years, the technology has been credited with having led to greater diagnostic accuracy, more precise
In fact, with CBCT, the entire dental team can work more efficiently, whether they are visualizing periodontal bone levels, taking diagnostic images or adhering to more efficient schedules, she adds. Many industry experts believe CBCT has emerged as the gold standard for imaging in the oral maxillofacial area, according to Keith R. VanBenthuysen, DMD, FAGD, a Nashville, Tennessee-based practice owner and a consultant for Marquee Dental Partners. A patient’s visit to a dental office looks vastly different today versus five years ago, he says. Diagnoses – as well as crowns – can be completed in one appointment, – Keith R. VanBenthuysen, DMD, FAGD he points out. “CBCT will continue to revolutionize the practice of dentistry,” he says. implant placement, reduced chair times for Particularly as radiation exposure is reduced patients and more. In addition, patients can and images improve, we will be even better be more involved and proactive in their overable to combine CBCT with other technolall healthcare, notes Heidi Kohltfarber, DDS, ogies to enhance our treatment capabilities MS, PhD, founder, Dental Radiology Diagand outcomes. nostics, and a consultant for Dentsply Sirona. As we head into the final stretch of 2019, Doctors can better educate their patients, creEfficiency in Group Practice invites readers to ating a stronger doctor-patient bond and facillook beyond and envision their dental practice itating greater case acceptance, she points out. as a community leader for years to come.
“ A patient’s visit to a dental office looks vastly different today versus five years ago. Diagnoses – as well as crowns – can be completed in one appointment.”
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Efficiency In Group Practice : ISSUE 5 • 2019
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Partnering for Growth 2019 ADSO meeting promises to be the premier event for small and emerging DSOs and group practices.
The Association of Dental Support Organizations (ADSO) Partnering for Growth meeting, scheduled to run Thursday, September 26 – Friday, September 27, 2019, is an opportunity for small and emerging DSOs and group practices to acquire critical education and actionable strategies. The event caters to business professionals looking to start or expand their DSO and better understand the next step in their growth story. Partnering for Growth will be held at the Omni Orlando Resort at Championsgate in Championsgate, Florida. Industry leaders will discuss lessons learned and best practices around scaling up operations, using methods that are both successful and sustainable. The agenda will include moderated panel discussions on a variety of topics, such as: • Keeping your Practice Compliant. • Leadership in Emerging Markets. • Revenue Management in Growing Groups. Each topic will be covered by a moderated panel of industry experts and will include audience Q&A, followed by breakout sessions led by the panelists, enabling attendees to obtain personalized guidance around their key growth concerns. 4
Efficiency In Group Practice : ISSUE 5 • 2019
Agenda: Thursday, September 26, 2019 8:00 AM – 8:50 AM Breakfast 8:00 AM – 7:00 PM Registration 9:00 AM – 9:15 AM Welcome & words from title sponsor 9:15 AM – 10:25 AM Panel Session: Growth Stories. Confirmed Speakers: Sulman Ahmed, AJ Acierno, Alistair Madle 10:30 AM – 11:40 AM Panel Session: Keeping your Practice Compliant Confirmed Speakers: Andy Lyness, Michael Williamson 11:40 AM – 12:00 PM Morning Coffee & Snack Break 12:00 PM – 1:00 PM Round Table Discussions: Growth Stories & Doctor Onboarding and Training 1:00 PM – 1:50 PM Lunch 2:00 PM – 3:10 PM Panel Session: Leadership in Emerging Markets. Confirmed Speakers: Emmet Scott, Gennady Sirota 3:15 PM – 4:25 PM Panel Session: Banking & Financing for Growing DSOs. Confirmed Speakers: Mark Denman, Todd Vernon 4:30 PM – 5:30 PM Round Table Discussions: Leadership in Emerging Markets & Banking & Financing for Growing DSOs 5:30 PM – 6:30 PM Talk Table Exhibit & Networking 7:00 PM – 10:00 PM Welcome Reception
Friday, September 27, 2019 8:00 AM – 8:45 AM Breakfast 8:00 AM – 2:00 PM Registration 8:45 AM – 9:45 AM Talk Table Exhibit & Networking 9:45 AM – 10:00 AM Welcome & Words From Your Welcome Reception Sponsor 10:00 AM – 11:10 AM Panel Session: Revenue Management in Growing Groups Confirmed Speakers: Colleen Ayala, Mike White, David Harris 11:15 AM – 12:25 PM Panel Session: Regional Managers Confirmed Speaker: Shawna Eury 12:30 PM – 1:30 PM Round Table Discussions: Revenue Management in Growing Groups & Regional Managers 1:35 PM – 2:00 PM Closing Session
Reduce the Cost of Handpiece Infection Control Compliance
ēsa brings your practice 100% compliance at 50% of the cost¹ Let’s simplify the CDC recommendations. If a semi-critical item (i.e., low speed handpiece) is heat-tolerant, it should be sterilized between patients. If it’s heat-sensitive, you should not use it: Instead, replace it with a heat-tolerant or disposable alternative.² Since replacement can be costly, talk to us about ēsa and the compliant, cost-effective ēsamate prophy system. ēsa disposable prophy angles fit the Midwest Shorty®, Rhino® and Star® Titan® handpieces.3 So, if you already own these handpieces, put an ēsa on them and be compliant wherever you work.
If not, consider our ēsamate ST and new ēsamate MW lube-free low speed handpieces. • Both are heat sterilization tolerant, 5,000 rpm, and backed by a 2-year warranty • Both offer proven air-driven performance; no recharging or batteries • Both are lightweight with a 360° swivel Best of all, both offer a simple, cost-effective solution to handpiece infection control compliance in all 50 states. To learn more, call us at 800-474-8681 or visit www.preventech.com
4330-C Matthews-Indian Trail Road • Indian Trail, NC 28079 • 800.474.8681 • 704.849.2416 • fax: 704.849.2417 • preventech.com 1 Cost comparison based on Henry Schein Dental website prices and promotions for ēsamate® and Nupro Freedom® Handpieces as of August, 2018. 2 “Summary of Infection Prevention Practices in Dental Settings,” Centers for Disease Control and Prevention, March, 2016. Page 14. 3 ēsa is available for Star Titan, Midwest Shorty and Rhino. All third party marks - ® and ™ - are the property of their respective owners.
Following are some of the confirmed speakers scheduled to present at Partnering for Growth: • Dr. Sulman Ahmed, Founder & focus on patient-centered care as a •M ark Denman, President, Genesis CEO, DECA Dental. Dr. Ahmed culture. When you have a culture of Credit. Mark Denman has been president is the founder and CEO of DECA being an advocate for your patient, of Genesis Credit, the private label credit Dental. He is instrumental in the possibilities are endless. card financing business unit of Genesis shaping and overseeing DECA • Alistair Madle, CEO, D4C Dental Financial Solutions, since January 2018. Dental’s growth, strategy and culture. Brands, Inc. Alistair Madle graduThe programs offered through the In 2008, Dr. Ahmed opened his first ated from the University of Hull in Genesis Credit brand allow retailers to dental office and set out to create a England with a B.S. in mathematics. provide access to high quality financing truly patient centered model. His He trained and qualified as a chartered solutions with flexible payment plans and belief in putting patients first is the accountant in London, subsequently attractive programs to customers typically fundamental backbone of DECA joining a national retail-franchising turned down by prime lenders. Denman Dental’s core values and patient care client as CFO. In 2001, Madle relofocuses on driving Genesis Credit’s longdelivery model. Ensuring adequate cated to Florida and became the CFO term strategic development and immetraining for doctors, the very best of Women’s Care Florida, a newly diate incremental growth, while building materials being placed in the patient’s consolidated group of 30 OB/GYN strong relationships with current and mouth, weekend hours and multiple physicians. In 2008, he was promoted future retail partners. Genesis currently specialists working under one roof are to chief executive officer, and the group offers its services to over 400 companies just the beginning of his vision. grew to one of the largest single-spewith over 16,000 brick-and-mortar • Dr. AJ Acierno, CEO, DecisionOne cialty physician groups in the country locations, as well as e-Comm and omniDental. Dr. Acierno is a practicing with 200 OB/GYNs, 55 medical channel companies. During Denman’s dentist and the CEO of DecisionOne offices, a central laboratory and a time with Genesis Credit, his team has Dental Partners, headquartered in highly functioning business operation. originated over $2B in sales volume Schaumburg, Illinois. After receiving In 2015, Alistair was recruited to join and is the largest second-look financing his D.D.S. from Creighton UniverD4C as Chief Financial Officer. company in the nation. Denman brings sity, he practiced dentistry in both • Emmet Scott, CEO, Community over 25 years of leadership experience corporate and private environments, Dental Partners. Emmet Scott is in the consumer lending and finance where he discovered the benefits co-founder of Community Dental industry. Prior to his current role at and challenges of each practice. Partners (CDP), a DSO focused on Genesis Credit, he served as executive vice Compelled with a vision to make creating Amazing Patient Experiences president at AcceptanceNow, an entity a difference in the way dentistry is in underserved markets. Scott has over of lease provider Rent-A-Center, which practiced, Dr. Acierno, together with 20 years of experience as an entreprespecializes in kiosks within a retail setting. his brother and fellow dentist, Dr. neur and executive in the financial, Prior to his EVP role at AcceptanceNow, Michael Acierno, founded Decisioconstruction, law, IT and healthcare he was divisional vice president for both nOne Dental Partners in 2011. Over industries. He was CEO of an execRent-A-Center and AcceptanceNow the past seven years, DecisionOne utive consulting company and host brands, as well as operations manager at has grown to 22 dental practices. of the radio show The Entrepreneur The Rental Store (TRS), which RentAs the company continues to grow, Life before starting CDP. He now the A-Center acquired in 2010. Denman’s DecisionOne remains dedicated to produces two podcasts: DSO Secrets extensive retail consumer-credit record the mission of changing the way and 2 Minds of a Dentist. Scott lives proves his ability to understand partner dentistry is done to improve lives. on a small ranch in Sanger, TX with needs as well as enhance the overall This growth is a direct result of a his wife and five kids. customer experience. For more information about Partnering for Growth, visit http://theadso.org, email Wendy Chew at wchew@theadso.org or call 703-940-3860. 6
Efficiency In Group Practice : ISSUE 5 • 2019
» What drives me? Advanced technology offering the best results. Primescan is my answer. « Dr. Meena Barsoum, DMD
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Safest Dental Visit
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2019 OSAP Annual Conference The Organization for Safety, Asepsis and Prevention (OSAP) – a community of clinicians, educators, policy makers, consultants and industry representatives who advocate for the Safest Dental Visit™ – hosted its 2019 OSAP Annual Conference May 30 – June, 2, 2019 at the Westin La Paloma Resort and Spa in Tuscan, Arizona. Billed as the premier patient infection and patient safety education networking event, the conference delivered the latest updates on evolving guidance and emerging infection prevention and safety issues.
• List new resources, tools and networks to optimize compliance. • Identify important attributes to develop and enhance global leadership for the optimal delivery of infection prevention and safety.
Continuing dental education Attendees had the opportunity to customize their experience through multiple topic tracks, gaining valuable information, resources and products designed to help them better address infection prevention and safety challenges, as well as meet new colleagues who share their interest in this critically important topic area. In addition, OSAP partnered with Indian Health Services (IHS) to offer an IHS-only dental infection prevention and safety program May 29 – 30. The private event offered up to nine hours of CE credit. Preconference sessions were available for educators and consultants to earn additional CE credits. The 2019 OSAP Annual Conference was targeted to: • Educators.
• Infection control coordinators. • Consultants and lecturers. • Compliance officers of state dental boards. • Risk managers. • Policy makers. • Sterilization technicians. • Compliance officers of state dental boards. • Hospitals and Federally Qualified Health Centers (FQHC) with dental clinics. • Companies engaged in infection control and safety products and services. Participants left the conference with the ability to: • Describe current and emerging issues related to infection prevention and safety in oral healthcare settings.
OSAP is an ADA Continuing Education Recognition Program (CERP) Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. To receive continuing education credit, participants were required to sign in at the conference, attend the sessions, record the assigned CE number for each lecture attended (note: CE verification numbers are announced at the end of each session), and complete the required evaluation forms. Attendees maintained their CE verification form as proof of participation in the educational programming.
For more information about the 2019 OSAP Annual Conference, email Office@OSAP.org or call +1 (410) 571-0003 | US & Canada: +1 (800) 298-6727. Editor’s note: OSAP focuses on strategies to improve compliance with safe practices and on building a strong network of recognized infection control experts. The organization offers an online collection of resources, publications, FAQs, checklists and toolkits that help dental professionals deliver the Safest Dental Visit for their patients. Plus, online and live courses help advance the level of knowledge and skill for every member of the dental team. For additional information, visit www.osap.org. 8
Efficiency In Group Practice : ISSUE 5 • 2019
The The culmination culmination ofof 3535 years years ofof research research and and development, development, Tokuyama Tokuyama Dental Dental is is proud proud toto present present OMNICHROMA, OMNICHROMA, the the world’s world’s first first dental dental composite composite that that matches matches every every tooth tooth with with a single a single composite composite shade. shade. Color Color and and Composites Composites All smiles All smiles have have something something in common, in common, andand thatthat is the is the colors colors thatthat make make up up human human teeth teeth shades. shades. From From A1 to A1 D4, to D4, all all shades shades of teeth of teeth express express a narrow a narrow range range of red-to-yellow of red-to-yellow color. color. WhiteWhite
A A
A1 A1 A2 A2 A3 A3A3.5A3.5A4 A4
B B
B1 B1 B2 B2 B3 B3 B4 B4
C C
C1 C1 C2 C2 C3 C3 C4 C4
D D
D2 D2 D3 D3 D4 D4
Reddish-Brownish Reddish-Brownish
ToothTooth colorcolor spacespace
Reddish-Yellowish Reddish-Yellowish
Lightness Lightness Hue Hue
Greyish Greyish Shades Shades ColorColor Saturation Saturation
Reddish-Grey Reddish-Grey Darker Darker
To match To match every every smile, smile, most most composite composite brands brands require require multiple multiple shades. shades. That’s That’s because because most most composites composites today today depend depend on on thethe color color of red of red andand yellow yellow dyes dyes added added to the to the resin resin material material to emulate to emulate tooth tooth shades. shades. ThisThis means means thatthat dentists dentists must must keep keep a large a large inventory inventory of diff of diff erent erent composites composites to accommodate to accommodate a variety a variety of patients. of patients.
OMNICHROMA OMNICHROMA Changes Changes Everything Everything OMNICHROMA OMNICHROMA is the is the firstfirst universal universal composite composite thatthat offers offers oneone shade shade to match to match all patients. all patients. TheThe red-to-yellow red-to-yellow structural structural color color generated generated by OMNICHROMA by OMNICHROMA combines combines with with thethe reflrefl ected ected color color of the of the surrounding surrounding tooth tooth andand creates creates thethe perfect perfect match match for for almost almost every every patient. patient.
Before Before Light Light Curing Curing
A1 A1 A2 A2 A3 A3A3.5A3.5A4 A4B1 B1 B2 B2B3 B3B4 B4C1 C1C2 C2C3 C3C4 C4D2 D2D3 D3D4 D4
After After Light Light Curing Curing
Just Just One One Shade Shade forfor Every Every Patient Patient • No • No more more shade shade selecting selecting needed needed • No • No more more excess excess product product forfor incidental incidental shades shades • No • No more more expired expired composite composite
IN S I DE THE T EC H NO LO GY Structural Color Structural color occurs when different wavelengths of light are amplified or weakened by the structure of a material itself, expressing colors other than what the material may actually be. From morpho butterflies to peacocks, some of the rarest and most beautiful colors in nature are the result of structural color.
Smart Chromatic Technology Through the utilization of Tokuyama’s spherical fillers and Smart Chromatic Technology, OMNICHROMA is the first use of structural color in composite dentistry. OMNICHROMA’s structural color mechanism is made possible by the precise shape and size of the filler within the composite. The 260nm identical spherical fillers of OMNICHROMA are the perfect size and shape to produce the effects of structural color to match the surrounding tooth color.
SEM Image of OMNICHROMA at 5,000x Magnification
Herculite™ Ultra
Filtek™ Supreme Ultra
OMNICHROMA
OMNICHROMA
A1 Tooth
A4 Tooth
Excellent color match
Excellent color match
A1 teeth restored using OMNICHROMA
SEM Image of OMNICHROMA at 20,000x Magnification
Tetric EvoCeram®
TPH Spectra® ST
OMNICHROMA Fillers generate red-to-yellow structural color as ambient light passes through the composite, without the need of added pigments and dyes. The red-to-yellow color combines with the reflected color of the patient’s surrounding dentition, creating the perfect match from A1 to D4 and beyond.
A4 teeth restored using OMNICHROMA
*Limit one sample kit per doctor. While supplies last. Offer valid until 11/30/19. Please allow 4-6 weeks for delivery of complimentary goods. Offer valid in US and Canada only. For evaluation purposes only. Participating doctors or dentists are obligated to properly report and reflect any bonus product, rewards, rebates, discounts or other benefit they receive on their submissions to Medicare, Medicaid, state or federally funded healthcare program and/or private insurance.
September is Dental Infection Control Awareness Month (DICAM), a proactive way to deliver education to show what’s being done to September is Dental Infection Awareness Month (DICAM), protect patientsControl and build trust in infection control. a proactive way to deliver education to show what’s being done to protect patients and build trust in infection control.
TAKE TAKE SAFETY SAFETY VIRAL VIRAL #DICAM19 #DICAM19
Whether you’re a dental practice, educator, consultant, or part of the dental trade, The Whether you’re dentalAsepsis practice, educator, Organization foraSafety, and consultant, or part of the dentalyou trade, Prevention (OSAP) encourages to The Organization for Safety, Asepsis and participate in #DICAM19 and Take Prevention Safety Viral.(OSAP) encourages you to participate in #DICAM19 and Take HELP TAKE SAFETY VIRAL WITH THE SafetyUS Viral. SAFEST DENTAL VISIT™ PLEDGE: HELP US TAKE SAFETY VIRAL WITH THE • Comply with current Guidelines SAFEST DENTAL VISIT™CDC PLEDGE: • • • •
Have an Infection Control Coordinator Comply with current CDC Guidelines Foster a culture of infection Have an Infection Control Coordinator prevention and safety • Foster a culture of infection Educate your patients about what your prevention and safety practice is doing to protect them. Clinicians Educate yourbring patients about your don’t usually it up, and what patients practice is doing protect them. Clinicians may be too shy totoask, so we’ve created don’t usually bring it up, and patients free campaign materials to help may be too shy to ask, so we’ve you start — and continue — this created free campaign materials to help important conversation. you start — and continue — this important conversation.
Visit OSAP.org/DICAM Visit OSAP.org/DICAM
How Isolite can benefit your Group Practice Our patented dental isolation system has been shown to increase safety, efficiency, productivity, collections per hour, production, standards of procedures, while reducing staff overhead. Let us help you streamline your practice to enhance your clinical care, maximize your scheduling and help improve the patient experience.
Request a Consultation Every dental office and group practice is unique. Request a consultation to learn how an Isolite can complement your practice. A Zyris representative can explain the various applications and describe how our devices are used in clinical applications. Visit https://zyr.is/fbs to schedule your consultation.
ISOLITE SYSTEMS ÂŽ
Benefits to your Group Practice Productivity Continuous hands-free suction evacuates water, saliva and debris for unsurpassed moisture control. When your assistant isn’t sitting there for suction and retraction, their focus can be on the demands of today’s sophisticated dentistry.
Efficiency Imagine freeing up to 15 hours per week, simply by using the Isolite 3. That extra time could allow you to add additional patient visits and boost your practice’s production, or give you the opportunity to pursue continuing education when you’d normally be chair-side.
Predictability The Isolite eliminates fluids, humidity, and debris which improves the efficacy of bonding and cementation. This leads to consistent clinical outcomes such as increased resin tooth bond strength, less microleakages, as well as reduced volumetric polymerization shrinkage of resin-based composite. Less re-dos!
Risk Management The Isolite mouthpiece shields soft tissue from sharps and highspeed hand pieces, reducing the risk of accidental injuries to patients. Designed to support your Infection Control protocol, the single-use mouthpiece gently hugs the vestibule and protects the airway to prevent foreign body ingestion or aspiration.
Affordable Isolite systems boosts your practice’s productivity, and production AND we also have programs and discounts available to complement your equipment budget. We have a payment plan option, group discounts, and as icing on the cake, our systems are Section 179 eligible.
ISOLITE SYSTEMS ®
Equipment Guide No matter what time of year a group practice makes a big purchase, you want to be certain it is an investment – not just overhead. You can start the process by sitting down with your suppliers, analyzing how your group practice currently operates, examining your short- and long-term goals, and then arriving at optimal solutions. The following articles present products and solutions to help your group practice succeed.
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Efficiency In Group Practice : ISSUE 5 • 2019
X-Mind Prime by ACTEON X-Mind Prime is the latest addition to ACTEON’s panoramic and CBCT digital imaging product line. It blends cutting-edge technology with ease of use in a compact design. With X-Mind Prime, high tech is at any dental professional’s fingertips, with tools for accurate diagnosis and complete treatment planning.
X-Mind Prime combines 2D and 3D technologies. Using a single sensor, the practitioner can quickly and easily switch between modes. With 24 panoramic and 32 CBCT options, X-Mind Prime covers many clinical
applications, including implantology, endodontics, TMJ and sinus imaging. Practitioners can also scan 3D objects, such as stone models and impression materials, opening up a whole range of new possibilities.
Clinicians can determine whether the X-Mind Prime by ACTEON is right for their dental practice by considering the following: • How would adding 3D CBCT technology benefit my patients and my practice? • How does X-Mind Prime compare to brands of 3D CBCT I’ve considered in the past? Some dentists may question whether it’s practical to purchase a new CBCT/PAN unit. Is there enough room in the practice to accommodate the unit? Is the technology affordable? What is the return on investment? For starters, X-Mind Prime is wall mounted and very compact. Its zero footprint enables it to fit in just about any practice. At $25,000 for a PAN only, and $59,999 for a CBCT/PAN combination, the X-Mind Prime is affordable for many dentists. And based on a recent study, 53 percent of treatment plans are changed after a 3D CBCT is performed. 3D CBCT technology is a proven way to enhance your diagnostic capabilities and can almost immediately impact any dental practice. The ability to see things three dimensionally can help change the course of a treatment plan and facilitate comprehensive care for every patient. X-Mind Prime is the perfect device for ensuring this. Editor’s note: Sponsored by ACTEON. ISSUE 5 • 2019 : DentalGroupPractice.com 13
/ The Equipment Guide /
ScanX Swift View by Air Techniques The ScanX Swift View – the newest addition to the Air Techniques ScanX product portfolio – is a compact, single-slot phosphor storage plate (PSP) scanner digital radiography system. An ideal in-operatory solution or an adjunct to an existing direct digital sensor, the ScanX Swift View provides high-diagnostic image resolution (up to 20 lp/mm) with intuitive, time-saving digitization for all intraoral sizes (0-4). ScanX PSPs are as thin and flexible as traditional analog film, permitting easy placement for significantly increased patient comfort. And, greater patient comfort ensures fewer retakes, increasing productivity and profitability for the dental practice.
Dentists who are considering adding a ScanX Swift View should ask themselves several questions: • Is my practice currently filmbased, or digital? • If I’ve already incorporated a direct-digital hard sensor, do I still find it difficult to capture images?” • What percent of my patients are pediatric? What percent are geriatric? • Do many of my patients have special needs or issues with gagging? • Do I ever have the need to take a size 4 occlusal? Some dentists may question the need to purchase a new direct-digital sensor. However, ScanX Swift View PSP technology should not be undervalued. Often, the best digital solution for a dental practice is a hybrid approach that includes both direct sensors and ScanX PSP technology. Dentists can capture 100 percent of their images with a hybrid digital solution, completely eliminating film and chemicals from the practice – a great solution for patients, the dental team and the practice. Air Techniques offers a diverse product portfolio for today’s dynamic market place, and the ScanX Swift View provides dentists with an innovative solution designed to address a variety of needs that may arise in their practice. Editor’s note: Sponsored by Air Techniques.
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Efficiency In Group Practice : ISSUE 5 • 2019
ONE SIZE DOES NOT FIT ALL! ScanX PSPs are 30x thinner than rigid sensors. Which one is a better fit for your patient?
What’s all the chatter about? Visit https://www.airtechniques.com/scanx-chatter/ For more information, to schedule a demo, or to place an order, contact your local dealer representative. To learn more, visit www.airtechniques.com
COMBINE SECTION 179 TAX INCENTIVES WITH PROMOTIONAL REBATES! Help your business grow and deduct the FULL COST of Dental Equipment, Up to $1,000,000! Please consult with your tax advisor for further information.
/ The Equipment Guide /
EsteCem® II by Tokuyama EsteCem® II is Tokuyama Dental’s latest innovation in adhesive dentistry. Compatible with all dental substrates and materials, this dual-cure resin cement simplifies indirect restorations, eliminating the need to stock various cements and following different protocols, depending on the case.
By integrating Tokuyama Universal Bond’s compatibility with all restorative materials and speed of application, EsteCem II reduces chair time, cost and inventory by eliminating the need for extraneous primers, activators, bonding agents and luting materials. The EsteCem II paste is extremely hydrophobic, as it does not contain an acidic monomer, resulting in minimal water absorption and significant reduction of marginal discoloration and cracking risk. EsteCem II is indicated for cementation of crowns, bridges, inlays and onlays made of glass/oxide ceramics (porcelain, zirconia and alumina), metals (precious and non-precious) and resin materials, including inorganic filler (composite materials). EsteCem II is also recommended for cementation of veneers, which makes it stand out from competitors that need to offer separate products for different techniques. 16
Efficiency In Group Practice : ISSUE 5 • 2019
Cleaning up excess cement is easy: Three seconds of tack cure produces a gel-like viscosity that can be peeled off. To finish the restoration, EsteCem II can be lightcured in 20 seconds (depending on the curing light used), or self-cured in about 8 minutes. EsteCem II delivers high bond strength to all prosthetic materials, thanks to Tokuyama Universal Bond’s 3D-SR monomer. The molecules form a three-dimensional cross-linking adhesion interface. It allows a reinforced adhesion to all restorative materials with retentive and non-retentive surfaces in self-etch, light-cure or self-cure mode, offering flexibility for doctors’ cases. This gives clinicians the freedom to use their preferred restorative for all indications. When used with Tokuyama Universal Bond, EsteCem II does not require light-curing or etching (optional), and virtually eliminates post-op sensitivity.
EsteCem II offers a savings potential for dentists who keep multiple cements, additional primers or activators, and desensitizers in inventory. Dentists can determine whether EsteCem II is right for their dental practice by considering a few points: • When used with Tokuyama Universal Bond, restorations with EsteCem II will always follow the same and short protocol, simplifying the process and saving chair time. • The EsteCem II cement system does not require additional primers or activators, no matter what material the doctor is using, and what case the patient presents with. It eliminates the need to stock additional products, allowing doctors to reduce their inventory and save money. • EsteCem II is extremely hydrophobic, resulting in minimal marginal discoloration and reduced risk of cracking. The restoration can stay in service for many years to come while retaining desirable esthetics, leaving the patient satisfied with the results of the treatment they received. Brochures and additional studies can be downloaded at www.tokuyamaus.com/estecem-ii-dental-cement. Editor’s note: Sponsored by Tokuyama.
/ The Equipment Guide /
CEREC® Primescan by Dentsply Sirona CEREC® Primescan by Dentsply Sirona is the fastest, most accurate intraoral scanner on the market today, taking digital impressioning to a higher level of quality*. The innovative Smart Pixel Sensor processes more than 1,000,000 3D points per second, producing photorealistic and highly accurate data. Its dynamic depth scan technology enables perfect sharpness and outstanding precision, even at a measuring depth up to 20 mm – a crucial advantage for sub-gingival indications. Primescan’s unique technology allows for easy capturing and quicker processing of more data in higher resolution. Intelligent processing in Primescan ensures the optimal interaction with the software by transmitting exactly the data the software needs to proceed. The result: Complete 3D-scan models are displayed immediately, no matter how fast you scan. Clinicians can determine whether CEREC Primescan is right for their dental practice by considering the following: • What has kept me away from digital impressions or CAD/CAM? • “What are the workflow benefits and cost savings associated with scanning and sending to the lab? • Would the ability to add implants, ortho or sleep apnea treatment help my practice grow?” • “What materials am I using with my lab for crowns? Could these same materials be used with single visit dentistry? 18
Efficiency In Group Practice : ISSUE 5 • 2019
Some dentists may question whether it’s practical to purchase the CEREC Primescan: • “Is Primescan really worth between $45,000 for DI and $155,000 for single visit dentistry?” •Y es! Your doctors are already paying this. A practice placing 16 crowns a month that normally take two visits to place can save almost $24,000 in its first year using a CEREC Single Visit restoration workflow. • “I’m not sure I have the time to learn a new technology.” • Primescan is fast and easy from the very first scan. The
newly designed software utilizes AI for a five-click concept, which automates many of the design steps, such as auto margin and model axis generation. CEREC has the largest community of support and education through multiple programs from Dentsply Sirona and partners. CEREC Primescan is your perfect starting point into digital dentistry. No matter how you design your workflows, CEREC Primescan facilitates efficient digital workflows – both chairside at your practice and with your preferred partners. With flexible options that complement the way you work, CEREC can produce anything from single-unit crowns to implant abutments, surgical guides and more. CEREC Primescan eliminates the need for impression materials and inconvenient temporaries, reducing in-office time for patients and increasing efficiency for a range of workflows. Editor’s note: Sponsored by Dentsply Sirona. * Accuracy of complete- and partial-arch impressions of actual intraoral scanning systems in-vitro Andreas ENDER (PD Dr med dent), Moritz ZIMMERMANN (Dr med dent), Albert MEHL (Prof Dr med dent Dr rer nat), University of Zurich, Int J Comput Dent. (publishing date: March 2019).
PURELL Surface Disinfectant by GOJO Industries, Inc. PURELL Surface Disinfectant offers no tradeoffs between safety and efficacy! Compared with other products, PURELL Surface Disinfectant has powerful germ kill, with no glove or rinse requirements. Using the power of alcohol, it disinfects bacteria and viruses in as little as 30 seconds. Additionally, it has the lowest EPA toxicity rating, which means there are no precautionary statements or warnings. With rapid kill and dry times, by the time the product dries, the germs have been killed, making it possible to turn over a room very quickly. PURELL Healthcare Surface Disinfectant is effective on most hard and soft surfaces, including plastics, porcelain, metals, laminate, granite, upholstery, sealed wood, vinyl, Corian®, stainless steel and hand piece tubing. The EPA classifies products by Categories 1-4. Products considered EPA Category 3 or lower are less safe and should include warning labels and precautionary statements. Many of these products also require dental professionals to use personal protective equipment and wash their hands after use. Some may also contain harsh fumes from bleach or other active ingredients. Fragrance-free, PURELL Surface Disinfectant is in Category 4 – the safest category. Clinicians can determine whether the PURELL Surface Disinfectant is right for their dental practice by considering the following: • How do I feel about my current surface disinfectant? Am I concerned about contact times and kill claims?
Many of these products also require dental professionals to use personal protective equipment and wash their hands after use. Some may also contain harsh fumes from bleach or other active ingredients.
• PURELL Surface Disinfectant is safe and effective. It has powerful germ kill, with no glove or rinse requirements, making it especially convenient for your staff to use. You are guaranteed to reduce the risk of infection without harming your equipment. Editor’s note: Sponsored by GOJO Industries, Inc.
• Am I concerned that my current product is harming my equipment? • Would a surface disinfectant with no glove or rinse requirements make my practice safer and more efficient? Some dentists may question whether it’s practical to purchase PURELL Surface Disinfectant: • “We are currently buying surface wipes and they work fine.” ISSUE 5 • 2019 : DentalGroupPractice.com 19
/ The Equipment Guide /
RAMVAC dry vacuums by DentalEZ RAMVAC dry vacuums – including the Bulldog and Bison – are known to be reliable and long lasting! Their energy-efficient technology makes them a great choice for any dental office.
• How high is our current electric bill? Is utility room energy consumption contributing to higher costs? • Do we have an opportunity to offset the consumption of power, while at the same time maintain high suction? • Would it benefit our practice to take advantage of highefficiency motor pumps, which consume less BTUs at the highest suction than competitive pumps do when idle? Some dentists may question whether it’s practical to purchase RAMVAC dry vacuums: • “I am concerned about the cost of the RAMVAC dry vacuums.” • Rest assured, RAMVAC dry vacuums offer a great return on investment. The low-maintenance dry vacuums consume less water and energy, and their long-term benefits pay off quickly.
Energy efficient RAMVAC motors and rotary vane pumps run at a minimum of 50 percent less BTUs than competitive technology*, enabling dental practices to save on their energy costs without sacrificing any performance. The rotary vane pumps used in RAMVAC dry vacuums ensure consistent vacuum performance, even 20
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as additional HVEs are opened. They require minimal maintenance and still outlast the service life of non-lubricated systems. Clinicians can determine whether RAMVAC dry vacuums are right for their dental practice by considering the following:
Rest easy knowing that the Bulldog and Bison vacuums will run consistently and efficiently for years to come, as backed by a 10-year pump limited warranty. *As noted in user manuals. Editor’s note: Sponsored by DentalEZ.
Working together to provide the products that fit your group’s needs! With DentalEZ, you get one stop shopping and one contact for your DSO operatories.
For over 100 years, StarDental has manufactured easy to use, high quality handpieces that really perform.
RAMVAC is a leader in proven, tested technology in air compressors, vacuum systems and utility room accessories.
Since 1958, DentalEZ® Equipment has been at the forefront of developing simple, easy to use products that make work easier and more comfortable for dentists, hygienists and patients.
Forest Dental pays extra attention to detail and quality, from tight tolerances between parts to durable finishes and metal components for maximum value.
For more information, please visit www.DentalEZ.com. or contact our Strategic Accounts Executive Aggie Pennington at (484) 433-8980 or apennington@dentalez.com.
©2019 DentalEZ, Inc. DentalEZ, StarDental and Dentoform are registered trademarks and NevinLabs is a trademark of DentalEZ Inc. RAMVAC is a registered trademark of RAMVAC Dental Products Inc.
/ The Equipment Guide /
TeleDent 2.0 by MouthWatch MouthWatch recently introduced TeleDent 2.0, a feature-rich upgrade to its field-proven all-in-one teledentistry platform. TeleDent 2.0 provides dentists with telehealth functionality comparable to that which currently enables hospitals and medical groups to efficiently practice connected care.
True healthcare for dentistry, TeleDent 2.0 takes the digital workflows seen in business and other healthcare systems and applies it to improving dental care delivery. As with other telehealth platforms, TeleDent 2.0 can facilitate and enhance remote communication between providers and patients, while also allowing real-time clinical video consultations between patients and providers or members of a care team. The end result is more efficient clinical operations and improved patient outcomes. Clinicians can determine whether TeleDent 2.0 is right for their dental practice by considering the following: • Am I looking to generate additional revenue streams? • Would I like to expand hygiene department hours without needing a dentist in the office? 22
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• Can I use a more efficient referral system or a better way to manage rotating specialists? • Would I like to collaborate with allied healthcare providers, particularly in the case of medically-compromised patients? • Would I like the ability to exchange information directly with my patients? • Would you like to expand my community outreach programs? TeleDent 2.0 will enable you to transform these challenges into business opportunities. Some dentists may question whether it’s practical to purchase the MouthWatch TeleDent 2.0. • “My IT department is already overworked and doesn’t need another integration project.”
• TeleDent 2.0 is cloudbased software that comes with superior customer support and training. It also integrates seamlessly with most practice management and imaging software on the market. • “My team won’t use it.” • Our experience has been that dental teams learn how to use TeleDent fairly quickly and enjoy the improved workflow and the ability to collaborate with their peers. They also enjoy the positive patient feedback. • “It’s too expensive.” • TeleDent is surprisingly affordable and can be easily expanded as you grow your team or add locations. • “New, improved technology is constantly available. Perhaps I should keep my options open.” • TeleDent is virtually futureproof. We constantly improve the technology, and when we do, our current customers are upgraded free-of-charge. TeleDent 2.0 may be the only technology investment dentists can make that can simultaneously improve access to both care and new revenue streams. Editor’s note: Sponsored by MouthWatch.
CONNECT TO GROWTH
TeleDent™ TeleDent™ Keeps Keeps Your Your Growing Growing Group Group Practice Practice Connected Connected ― ― So So You You Can Can Scale Scale Efficiently. Efficiently.
DENTAL GROUP DENTAL GROUP
With With TeleDent™ TeleDent™ no no office office is is an an island island Let us help you understand the unique opportunities and Let us help you understand the unique opportunities and competitive advantages that teledentistry with TeleDent™ presents. competitive advantages that teledentistry with TeleDent™ presents. Enhanced collaboration and easier referrals are just the beginning. Enhanced collaboration and easier referrals are just the beginning.
For more information, to schedule a demo, or to place an order, please contact us at mouthwatch.com or call 877.544.4342 For more information, to schedule a demo, or to place an order, please contact us at mouthwatch.com or call 877.544.4342
/ The Equipment Guide /
DryShield All-in-One Isolation System DryShield – the all-in-one modern isolation system, now with autoclavable and all-new single-use mouthpieces – combines the tasks of a high-suction evacuator, saliva ejector, bite block, tongue shield and oral pathway protector in one sleek easy-to-use device.
Designed by a dentist for dentists, the DryShield mouthpiece is engineered in two options – autoclavable and now single-use – to meet dentists’ needs for maximum affordability and convenience. It’s an intelligent breakthrough in isolation, bringing ease and comfort to doctors and patients alike. In a study of DryShield users, 95 percent of dentists reported that DryShield made it easier to perform restorative procedures while improving procedure quality. Procedure times were dramatically reduced by 20 to 30 percent per procedure, allowing more procedures per appointment, more patients scheduled per day and more consistent on-time schedules. Eight-five percent also indicated that DryShield improved their patients’ experience by increasing comfort, as well as reducing chair time. 24
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With a vision of making modern isolation accessible for all dentists, DryShield is the first all-inone isolation system to offer a full slate of autoclavable and single-use mouthpiece options. Both options work interchangeably with the flagship DryShield isolation system. Although DryShield autoclavable mouthpieces continue to be the most economical option for many offices, for certain practices a single-use mouthpiece option may be preferred. In particular, the single-use mouthpieces target the needs of certain hospitals, government organizations and practices that want the added convenience. DryShield can be used on almost every dental procedure. The system is easy to use, installs in seconds and immediately improves patient
experience and safety. The mouthpieces are soft and flexible, yet provide increased visibility and cheek retraction to aid the doctor in performing dental procedures. Dentists can determine whether DryShield is right for their dental practice by considering a few points: • For modern isolation users: How much are they spending today on mouthpieces? For them, DryShield represents savings, ease of use and portability. • For dentists using traditional methods: Switching to DryShield means a significant reduction in chair time, increased autonomy for both the dentist and assistant, 2-quadrant dentistry and the ability to fit DryShield into their practice’s workflow. By increasing office productivity and efficiency, DryShield lets dentists focus on what they do best: provide quality dentistry and an ideal patient experience at a very reasonable price point. The DryShield system represents our company’s commitment to enabling dentists to grow their practices and rediscover their love of dentistry. DryShield is a winning solution for the entire dental office and their patients. Editor’ s note: Sponsored by DryShield.
elements™ e-motion by KaVo Kerr KaVo Kerr is excited to introduce the elements™ e-motion endodontic motor with next generation Adaptive Motion technology. The new Adaptive Motion enables higher cutting efficiency and greater protection against file separation, deformation and transportation. elements e-motion also features an intuitive, full-color touch screen and a customizable interface, allowing users to program up to five pre-sets, with ten files each for streamlined efficiency. elements e-motion provides clinicians with a database of 196 pre-loaded file settings for maximum file sequence customizability.
Powered by KaVo’s 100 percent German-made technology, elements e-motion is built to be lighter, more compact and ergonomic compared to other devices. It accommodates both right- and left-handed users, with four handpiece mounting options for ergonomic comfort. The smaller handpiece head also offers improved visibility and easier posterior access. With thoughtful features, Adaptive Motion technology and a remarkably intuitive interface, the new elements e-motion motor
is equipped to modernize and simplify the endodontic experience. Clinicians who have added elements e-motion to their practice have benefited from: • Higher cutting efficiency and greater protection against file separation, deformation and transportation. • An intuitive, full-color touch screen and customizable interface, allowing users to program up to five pre-sets, with ten files each for streamlined efficiency.
• A database of 196 pre-loaded file settings for maximum file sequence customizability. • One hundred percent German-made technology and lightweight, compact, ergonomic construction. • Four handpiece mounting options for ergonomic comfort and a design that accommodates both right- and lefthanded users. • A smaller handpiece with improved visibility and easier posterior access. Clinicians can determine whether elements e-motion is right for their dental practice by considering the following: • Am I happy with my current endodontic file system and motor? • What do I like about my current system, and what would I like to change? • How would a new endodontic motor equipped with the latest technology and compatible with my current file system benefit my practice? With thoughtful features, Adaptive Motion technology, and a remarkably intuitive interface, the new elements e-motion motor is equipped to modernize and simplify the endodontic experience. Editor’s note: Sponsored by KaVo Kerr. ISSUE 5 • 2019 : DentalGroupPractice.com 25
/ The Equipment Guide /
Bullseye alignment ring by Flow Dental Flow Dental’s new Bullseye is an essential add-on for any dentist who uses a hand-held X-ray. With hand-held imaging, it’s possible that the X-ray may move during exposure and fail to align properly to the sensor, phosphor plate or film. The Bullseye alignment ring acts as a docking station, ensuring the X-ray remains properly aligned and thereby eliminating cone-cutting, blurred images and embarrassing re-takes. The universal alignment ring works with all handheld X-rays, including NoMad® and Xray 2Go*. The Bullseye is easy to use. Dentists simply peel and stick the Bullseye ring to the acrylic shield on their handheld X-ray, then slide the aiming ring
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on the positioner along the aiming bar until it passively nests within the Bullseye ring. Bullseye is re-usable and mounts permanently on the handheld X-ray. Clinicians can determine whether the Bullseye alignment ring by Flow Dental is right for their dental practice by considering the following:
• Do I use a hand-held X-ray in my practice?” • How would a product designed to eliminate the risk of cone-cutting or blurred images when using a hand-held X-ray benefit my practice? Some dentists may question whether it’s practical to purchase a Bullseye alignment ring: • “I am concerned about the cost.” •A Bullseye retails for only $20. • “Is it disposable? How often must I replace it?”
The Bullseye alignment ring acts as a docking station, ensuring the X-ray remains properly aligned and thereby eliminating cone-cutting, blurred images and embarrassing re-takes.
Protection
• The Bullseye is re-usable. Stick it on your hand-held X-ray and you are good to go. • “Will the Bullseye add weight to my hand-held X-ray?” • The Bullseye is practically weightless. This neat little gadget takes the guesswork out of handheld X-ray positioning. It’s an opportunity dentists cannot afford to miss! Editor’s note: Sponsored by Flow Dental.
NEW PRODUCT!
ADJUSTABLE APRON HANGER
Tranzform the way you store your aprons! Improperly Store your X-Ray aprons and you can get cracks in the protective material that changes “protective” into a guessing game. Tranzform™ Adjustable Apron Hanger, new from Flow Dental, changes all that. Tranzform is the first apron hanger that adjusts to the size and shape of your apron. For Panoramic style or aprons with attached collars you can angle the shoulder supports for optimum storage. For bib aprons, either align the shoulder supports vertically or use the cut away opening to hang them by their loops. You can even hang two aprons on one Tranzform hanger! Tranzform hanger will protect your x-ray apron investment, and your patients. Constructed of durable stainless steel, your Tranzform comes with everything you need to mount it on your door or wall in minutes.
For more information visit: www.flowdental.com
Tranzform-7.875 x 5.indd 1
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/ The Equipment Guide /
Bluephase® G4 by Ivoclar Vivadent Bluephase® G4 is an intelligent LED curing light with Polyvision™, a technology designed to help guarantee a more effective polymerization of light-cured dental materials. Polyvision alerts clinicians if they move the curing light probe away from the tooth while curing, and dynamically adjusts the curing time to compensate for the movement, ensuring the restoration has received the right amount of light energy needed for proper polymerization.
while curing a restoration? • Moving a curing light a mere 30 degrees reduces energy delivered to the restoration by more than 25 percent, possibly resulting in clinical failures. Some dentists may question whether it’s practical to purchase the Bluephase® G4: • “I find the Polyvision feature annoying.” • I t is easy to turn off Polyvision, however, you may find it helpful. For instance, some toothbrushes vibrate and light up when excessive pressure is applied while brushing. At first, some patients may find this annoying, but they quickly learn better brushing techniques. Similarly, the Polyvision technology helps dental professionals become aware of movements that can result in inadequate curing.
Moving the curing light a mere 30 degrees significantly reduces energy delivered to the restoration, possibly resulting in inadequate curing, negative patient outcomes and clinical failures, such as post-operative sensitivity. Bluephase G4 helps alter clinician of movement, just as 28
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some automobiles alert drivers when they start drifting out of their lane. Clinicians can determine whether Ivoclar Vivadent’s Bluephase® G4 is right for their dental practice by considering the following: • Do I ever glance or drift away
Bluephase G4 also features Polywave™ technology, which provides a broad wavelength spectrum of 385515nm, allowing the light to cure all dental materials on the market today. The optimal cure means happier, healthier patients and, ultimately, a more successful dental practice. Editor’s note: Sponsored by Ivoclar Vivadent.
Introducing
3s PowerCure System ™
ZERO TO 4MM IN 3 SECONDS • Esthetics and efficiency with no compromise on quality • Low shrinkage stress due to proprietary (AFCT) technology • Intelligent and efficient curing to 4mm in just 3 seconds with low heat development
Efficient Esthetics Isolate
Bond
Restore
Cure
Learn more at EfficientEsthetics.IvoclarVivadent.com For more information, call us at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada. © 2019 Ivoclar Vivadent, Inc. Ivoclar Vivadent, Bluephase and Tetric are registered trademarks of Ivoclar Vivadent, Inc.
POWER CURE SYSTEM
/ The Equipment Guide /
Dentapen by Septodont A consistent injection of anesthesia is an essential step toward a more comfortable patient experience. But dentists face a variety of issues when using a traditional syringe, such as adhering to the recommended injection time (1milliliter in 1 minute); variations in pressure, which can damage tissue and cause discomfort to the patient; and providing consistently high-quality injections throughout the day. The Septodont Dentapen – a new generation of electronic syringes, designed to perform less painful injections – ensures these challenges are greatly reduced. As with most electronic syringes, the Dentapen injection is monitored with a constant flow, at the right pace, enabling the dentist to focus more on needle insertion1. The dentist remains in better control of the injection and the patient experiences less pain. According to one recent study of 50 dentists who received a palatal injection, 96 percent preferred injections from an electronic syringe vs. manual syringe, and their pain perception was reduced by a factor of two2. A self-contained, cordless, intuitive device that matches the dentists’ habits, Dentapen is a leader among electronic syringes. There is no console, tubing, foot pads or proprietary disposables for dentists to contend with. Dentapen can be held in two different ways: by the wings, like a manual syringe, or pen-like, for a precise injection during special procedures. Dentists can use any local anesthetic cartridge and their favorite dental needle. And, patients find the small, modern look to be less threatening and more reassuring, enabling them to relax.
Clinicians can determine whether the Dentapen by Septodont is right for their dental practice by considering the following: • Do my patients appear anxious about receiving an injection of anesthesia? • Would I benefit by using a new injection technique – one that is more exact and less painful for my patients? Some dentists may question whether it’s practical to purchase the Dentapen: • “The Dentapen costs more than traditional dental syringes.” • True, but Dentapen offers much more than an easier way to give an injection. It ensures a much-improved patient experience. Quick injections can be painful. The Dentapen forces dentists to slow down their injection pace, thereby significantly improving the patient experience. When patients are more relaxed, dentists can work more efficiently, with better outcomes. Dentapen is an important step in the right direction. Editor’s note: Sponsored by Septodont.
1. CCLAD (Computer-Controlled Local Anesthesia Device). 2. Hochman MN, Chiarello D, Hochman CB, Lopatkin R, Pergola S, Computerized Local Anesthesia Delivery vs. Traditional Syringe Technique. NY State Dent J. 1997; 63:24-9.
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DENTAPEN
the PERFECT MATCH for your practice
by Septodont
.................................
................
...................
CORDLESS
EFFORTLESS
COMFORTABLE
BEYOND INJECTION Dentapen, the new powered injector for Dental Anesthesia • MATCHES YOUR PRACTICE NEEDS The injection performance is smooth from start to finish, for both you and your patient
MANAGING
• MATCHES YOUR PATIENTS’ EXPECTATIONS Less pain and less anxiety due to its design
YOUR
• MATCHES YOUR ROUTINE · Simple to use and requires no training · Compatible with any needle · Both syringe and pen-like holding possible
PAIN FOR PRACTICE Interested in ordering? Visit septodont.link/dentapen
* Dentapen is actual size 800-872-8305 · septodontusa.com From the manufacturers of Septocaine® anesthetics · materials · endodontics · infection control
/ The Equipment Guide /
Pro Tech Lite PTL-24 by Handler Manufacturing The Handler Manufacturing PTL-241, the latest in the Pro Tech Lite line of workstations, is the first-of-its-kind high-tech platform for milling and 3D printing devices manufactured in the U.S.A. of heavy gauge steel and pharmaceutical grade solid work surface.
Since the advent of technology in the dental lab space, there has not been a platform built specifically for the high-tech, expensive equipment used in digital dentistry. Today’s milling and 3D printing technology requires a solid, level and stable platform to operate and perform efficiently, while protecting the investment. The PTL-241 is stable and sturdy for all bench-top digital dentistry 32
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applications. The PTL-241 comes standard with four lockable storage drawers to help control inventory of pucks, blocks, tools and supplies, and a single-door cabinet to house a dust collector, PC or small compressor. The PTL-241 provides users with an ergonomic, solid platform to protect their investment in technology and control valuable inventory, all in one contained and controllable
steel cabinet. Handler Manufacturing can also build to suit any size, space or lab layout, including the PTL-241 with other cabinetry and Pro Tech Lite workstations for an ergonomic contemporary workflow. PTL-241 features: • Single-door cabinet for dust collector, small compressor or PC. • Four lockable drawers to secure expensive inventory of pucks, blocks, burs and tools. • 38-inch wide work surface with cable drops and ample space for a milling machine, computer monitor and keyboard. • Large openings on the back of the cabinet to effectively run utilities, hoses and cables. • Leg levelers designed to provide excellent stability, with no vibration. • Scalable/customizable to fit any space. • Available in several standard color options. • Dimensions: 38 inches wide x 27 inches deep x 36 ¾ inches high. Contact Handler directly at rickladuca@handlermfg.com or (908) 233-7796, or go to www.handlermfg.com for more information. Editor’s note: Sponsored by Handler Manufacturing.
The #1 Choice Faster, more effective hemostasis & retraction
Traxodent
®
Looking for a better solution that delivers quicker hemostasis and retraction…plus a better patient experience too? Award-winning Traxodent is the #1 choice1 among dental professionals because it works fast, helps capture accurate impressions and rinses away easily. No film residue – no worries! Use it alone, with cord, or a retraction cap for greater gingival deflection. And since Traxodent doesn’t irritate or discolor surrounding tissue, patients leave happier too. Predictable results and reduced chair time. Every time. Talk about efficiency! Available in unit dose and syringes through your authorized dealer.
1. Traxodent is the #1 choice among dental professionals. SDM Data 2019.
premierdentalco.com/promise
Premier® Dental Products Company • 888-670-6100 • premierdentalco.com ©2019 Premier Dental Co. | All Rights Reserved
/ The Equipment Guide /
EyeSpecial camera by SHOFU Digital photography plays a crucial role in documenting treatment planning. With the right camera, team members can educate their patients and increase case acceptance. The EyeSpecial camera by SHOFU enables staff to take impressive images for case documentation, diagnosis, treatment planning, patient education and lab communication. This user-friendly digital camera has eight pre-programmed shooting modes tailored specifically to dental professionals, making it easy for clinicians and their team members to work efficiently and consistently and earning it the 2019 Cellerant Best of Class Technology award for the 5th consecutive year.
Mode, which grays out soft tissue for optimal shade matching. By combining the photos from any of the eight shooting modes with a draw/ edit function, the camera allows clinicians to make notes directly on the images, allowing them to discuss treatment evaluation, patient progress and/or challenges and communicate with the lab.
Another unique EyeSpecial feature is Isolate Shade Mode, which grays out soft tissue for optimal shade matching.
The EyeSpecial automatically sets the appropriate f-stop, aperture and focal length and offers intuitive, one-touch operation, even for clinicians wearing gloves. In addition, the camera demonstrates exceptional depth-of-field, fast autofocusing, and anti-shake and anti-reflection attributes, enabling clinicians to achieve predictable and consistent clinical photographs. 34
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The EyeSpecial’s ultra-lightweight body can be held in one hand, which means only one team member is needed to achieve mirror images! The operator selects the button corresponding to Mirror Mode, holds the camera in one hand and the mirror in the other, and captures the image; this mode then inverts the picture to the correct relation. Another unique EyeSpecial feature is Isolate Shade
The ultra-lightweight EyeSpecial is water- and chemical-resistant and can be easily cleaned with a disinfectant wipe to ensure optimal infection control in the office. It is HIPAA compliant, with the ability to program the patient identification number on the images. The easy-tolearn, easy-to-use EyeSpecial will capture consistent quality images every time. With the EyeSpecial, the entire dental team can engage in clinical photography, and the visually aided patient consultation will increase patient treatment acceptance. Editor’s note: Sponsored by Shofu.
SNESCIIIA-0519
IT’S SO SIMPLE TO ACHIEVE CONSISTENT CLINICAL IMAGES
EyeSpecial C-III
WATCH NOW! EYESPECIAL C-III
THE DENTAL CAMERA THAT MAKES IT EASY 8 Dental shooting modes – Easier, faster and more reproducible images Auto-cropping, smart focus and zoom Auto flash adjustment for true color 3.5 inch LED/LCD touchscreen – Works with exam gloves Water/chemical resistant – Essential for infection control in the office Ultra-lightweight body: approximately 1lb Shofu Dental Corporation | San Marcos, CA
www.shofu.com | 800.827.4638
Photo courtesy of Shannon Brinker, CDA, CDD
/ The Equipment Guide /
System G5 by Sterisil® The Sterisil® System G5 utilizes six stages of purification to provide on-demand, purified and treated dental water for any dental practice. The G5 combines silver-based antimicrobial technology with integrated smart technology, making it a leader in dental water purification. It is the only dental water treatment system engineered with a Class A UV light capable of killing 99.99 percent of bacteria and viruses.* Equipped with a touchscreen, PC app, and a network of sensors, the G5 offers water quality monitoring and real-time diagnostics for optimized dental water treatment. attain distilled water, as well as time spent manually dosing the water for treatment. With the G5, both distilled quality water and treated dental water can be produced onsite with no additional costs or labor. Water is plumbed to the system from a municipal supply, such as a sink line; it’s then purified and dispensed, either as distilled quality or treated dental water. * Chevrefils, G., B.Ing, Caron, E., B.Sc., Wright, H., Sakamoto, G., Payment, P., Barbeau, B., & Cairns, B. (2006). UV Dose Required to Achieve Incremental Log Inactivation of Bacteria, Protozoa and Viruses. IUVA News,8, 1st ser., 38-45. Purchasing distilled water to be used as a base for treated dental water often leads to additional steps for the dental practice, which must properly treat the water to resist bacterial growth. This can be time-consuming and costly. The G5 eliminates trips to the store or costly deliveries to 36
Efficiency In Group Practice : ISSUE 5 • 2019
Clinicians can determine whether the Sterisil System G5 is right for their dental practice by considering the following: • What is my current waterline treatment protocol? • How much time do I spend on waterline related issues? • What does an ideal waterline quality assurance protocol look like for my practice? • Am I covered from liability should the quality of my dental water treatment be called into question?
Some dentists may question whether it’s practical to purchase the G5: • “I’ve never had a problem with my waterlines.” • Waterline issues may not always be visible to the naked eye. An HPC bacterial assessment performed by an impartial third-party lab will prove what we already know to be true: Not treating your lines leaves your patients and staff vulnerable to serious bacterial exposure. • “The G5 costs more than other Sterisil Systems. Does it offer that much more?” • Absolutely. An assortment of sensors and integrated smart technology make the user experience easier and more intuitive than the previous G4 System. Add a Class A UV light for upgraded disinfection and you have a powerful dental waterline treatment system in a sleek, user friendly package. The introduction of Class A UV disinfection and smart technology exemplify a major shift in the waterline category compared to traditional chemical treatments and manual processes. The Sterisil® System G5 is poised to lead the way forward to a more user-friendly and efficient water treatment program. Editor’s note: Sponsored by Sterisil.
Convenience. Productivity. Protection.
Virtually every process in the sterilization center involves water. The right systems enable your staff to stop buying and storing water, and to stop filling machines and emptying condenser bottles manually – enhancing efficiency, boosting productivity, and protecting the investments you’ve made in dental equipment and instruments.
VistaPure™
VistaCool™
Eliminates the expense and inconvenience of purchasing and storing bottled water for autoclaves, dental bottles, ultrasonic cleaners, and for the final-rinse cycle of instrument washers.
Cools autoclave wastewater and sends condensation safely down the drain automatically – protecting cabinets and drains, while also saving valuable staff time.
Direct-to-Drain Cooling System for Autoclave Wastewater
Water Purification System
All product names are trademarks of Crosstex International, Inc., a Cantel Medical Company, its affiliates or related companies, unless otherwise noted. Marks not registered in all jurisdictions. © 2019 Crosstex International, Inc. DADV01054 Rev A 0819
(888) 276-7783
info@crosstex.com
crosstex.com
/ The Equipment Guide /
NXT Hg5 Amalgam Separator by Solmetex
Solmetex has been the market leader in amalgam separation for the past 25 years. Our current award-winning system, the NXT Hg5 Amalgam Separator, is available in 3 sizes:
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• NXT Hg5 Amalgam Separator: Suitable for 1-10 ops. • NXT Hg5 Mini Separator: Suitable 1-4 ops. • NXT Hg5 High Volume Separator: Suitable for 11-20 ops.
• A properly labeled amalgam bucket for the recycling of all dental amalgam waste (Practice Waste Solutions Amalgam Bucket). • A vacuum line cleaner with a pH level between 6 and 8
The NXT Hg5 Amalgam Separator is part of the Solmetex complete solution to the EPA dental rule on the handling and disposing of amalgam waste in the dental practice. Four main components of the regulation include: • An ISO 11143 certified amalgam separator (NXT Hg5 Amalgam Separator).
(PowerScrub Vacuum Line Cleaner with a true pH of 7). • Proper recycling and certificates of compliance (Solmetex Compliance Center at solmetex.com).
Efficiency In Group Practice : ISSUE 5 • 2019
Clinicians can determine whether the NXT Hg5 Amalgam Separator by Solmetex is right for their dental practice by considering the following:
• “Do I already have an amalgam separator installed?” • “If not, how many operatories do I have and what is my plan to purchase an amalgam separator prior to July 14, 2020?” Some dentists may question whether it’s practical to purchase the NXT Hg5 Amalgam Separator: • “I no longer place amalgam in my dental practice. Why do I need an amalgam separator?” • Although some dentists may no longer place amalgam, they likely continue to remove amalgam from their patients’ mouths. • “The EPA deadline for dentists to install an amalgam separator is July, 2020. I have plenty of time!” • Dental practices should not wait too long to purchase an amalgam separator. As we near the EPA deadline, installers are likely to be in high demand and installation costs may increase. The NXT Hg5 series of amalgam separators meet or exceed all requirements of the EPA dental regulation. Solmetex offers a simple, turn-key solution to amalgam waste recycling, including certificates of compliance available online at solmetex.com. Editor’s note: Sponsored by Solmetex.
/ Quickbytes /
Technology news Cool on demand Summer heat is with us a little while longer. Homeowners who install a smart thermostat like Nest can control their electric fans and air conditioners at a set schedule. But the rest of us can use a cheaper solution – a Wi-Fi-connected power outlet, also known as a smart plug. It’s simple, according to The New York Times “Personal Tech.” Leave your fan’s power switch in the “on” position. Plug the smart plug into a power outlet, and then plug your electric fan into the smart plug. Install the plug’s companion app on your phone. Inside the app, connect the plug to your Wi-Fi network and name the plug “fan.” From here, you can schedule the plug to turn off at a specific time. If you leave the house and forget to turn off the fan, you can use the app to manually shut it off. Some examples of smart plugs: a $17 device from TP-Link, which works with an app called Kasa; and the Womo Mini, which costs around $25.
Wireless earbuds with noise cancellation Truly wireless earbuds have exploded in popularity over the past couple of years, but one feature they often lack is active noise cancellation. Sony was preparing to release its new wireless WF-1000XM3 earbuds with active noise cancellation, and Google Assistant built in, reports 9to5Google. Sony advertises strong battery life for the WF-1000XM3. The earbuds themselves offer six hours of playback while using noise cancellation, and another 24 hours of power within the
charging case. That case can also deliver 90 minutes of playtime with just 10 minutes of charging, and it also uses magnets to guide and hold the earbuds in place, as well as using USB-C. Sony has delivered native Google Assistant with the new earbuds. A tap and hold of the right earbud’s touchpad triggers the Assistant. Other features include pausing music when one earbud is taken out, a “Quick Attention” feature that lets in ambient sound, and customizable touch controls, too. Price was expected to be $230 through outlets such as Amazon.
Protect your privacy from apps Apps on your smartphone or other mobile devices can be convenient tools to access the news, get directions, pick up a ride share, or play games. But these tools can also put your privacy at risk, warns the
Department of Homeland Security. When you download an app, it may ask for permission to access personal information – such as email contacts, calendar inputs, call logs, and location data – from your device. Apps may gather this information for legitimate purposes – for example, a ride-share app will need your location data in order to pick you up. However, app developers gain access to this information and may share it with third parties, such as companies who develop targeted ads based on your location and interests. Some steps to take: Review app permissions; be cautious with signing into apps on public Wi-Fi networks; avoid connecting your smartphone to any computer or charging station that you do not control. More tips may be found at www.us-cert.gov/ ncas/tips/st19-003 ISSUE 5 • 2019 : DentalGroupPractice.com 39
/ Sponsored / A-dec
The Value of Reliability John Bettencourt, A-dec special markets representative, talks about choosing dental equipment—and shares his top tips on making a wise purchase. Q: If you had just one piece of advice about purchasing dental equipment, what would it be? John Bettencourt: Look at the big picture, not just the price tag. The true cost of dental equipment goes beyond the purchase price. Consider the “hidden costs” of ongoing maintenance, repairs, replacement, and typical product lifespan. There’s also a “human cost” to trading quality for price: Unreliable, inefficient equipment is frustrating for dental teams to use, and can give patients a negative impression of your organization. Q: So what’s the most important thing to look for? Bettencourt: Choose reliability first. Everything depends on your equipment working consistently, day after day. That’s what keeps operatories full, clinic schedules running smoothly, and your staff working productively. The dental equipment in a DSO gets a lot more use than the equipment in a private practice; you’ve got to know that you can count on it to work today, tomorrow, and down the road. Any time your equipment is out of service, no matter what the reason— maintenance, repairs, or waiting on a part—it’s not making you money. Q: Is there a way to accurately gauge reliability? Bettencourt: Ask a lot of questions before you buy! Get your dealer’s honest opinion about the durability 40
Efficiency In Group Practice : ISSUE 5 • 2019
John Bettencourt
“The true cost of dental equipment goes beyond the purchase price. Consider the “hidden costs” of ongoing maintenance, repairs, replacement, and typical product lifespan.”
of each brand. What’s the expected lifespan? Is the equipment specifically designed for a DSO setting? Take a look at what dental schools are using. They’re similar to DSOs in that their equipment takes a lot of wear and tear, and they want the best value for their money. It says a lot that 57 out of 62 North American dental schools choose A-dec equipment—even those on tight budgets. They recognize that reliability pays off.
Q: But if a DSO is planning to sell their group within a few years, wouldn’t it make sense to get the lowest-priced equipment? Bettencourt: I understand the pressure to keep costs low; but not at the expense of quality. If your equipment breaks down, you’re not generating income from it—so you’re not getting a good return on your investment, no matter what the initial cost was. It all comes back to the same principle: Reliability pays off. That’s true in the short run as well as the long run. Q: Equipment is a big capital expense. How can DSOs feel more confident making that purchase? Bettencourt: First, think about the manufacturer’s reputation: Are they known for high quality products? Second, look at what kind of customer support you’ll get after the sale (a solid warranty is the minimum you should expect.) Third, talk to equipment technicians and ask which brands they think are the most reliable, and if the manufacturers provide thorough training for installation, maintenance, and trouble-shooting. And one final consideration: Will parts still be available five years from now? That can make the difference between a quick, easy repair and having to replace an entire chair or delivery system.
tech approved
Simplified Man
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tech approved Simplified Man PAYS OFF, YEAR AFTER YEAR. long-term value Any time your equipment is out of service, you’re not getting the maximum return on your investment. A-dec dental 60% equipment is rigorously engineered, tested, and built to
last—for 20 years of continuous use, even in a DSO setting. That’s proven reliability you can count on, year after year.
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tech approveda 2019 independent long-term value study* voted A-dec best in quality.tech approved Simplified Man
Smart, intuitive designs with fewer moving parts lowers risk of failure.
ROIlong-term value 60%
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All chairs and equipment are backed with a 5-year warranty—10 for hydraulic lift components.
5 YEAR WARRANTY
57% of dentists surveyed in a 2019 independent survey* voted A-dec the best long-term value.
60%
We have a dedicated DSO team to provide you with excellent service. 60%
A-dec DSO team t: 1-800-547-1883 60% e: DSOcustomerservice@a-dec.com
* independent study by Key Group Consultive market research. © 2019 A-dec Inc. All rights reserved.
RO
/ Sponsored / Align Technology
It’s a Go! Invisalign® Go treatment opens possibilities for more patients Giving patients the opportunity to benefit from Invisalign treatment has never been easier. Just ask Spencer Faddis, D.D.S, a Pacific Dental Services supported doctor practicing in North Las Vegas, Nevada. Dr. Faddis believes in the Invisalign product and his patients believe in the Invisalign brand. Thanks to the simplicity of the Invisalign Go system, he is treating more patients than ever before. The Invisalign Go system is a tooth straightening tool created for dentists that focuses on predictable tooth movements, case selection, and a streamlined digital workflow designed for a dental practice. The digital system guides dentists through the process, helping them confidently move teeth. The Invisalign Go system offers consumers an affordable, convenient treatment, designed to encourage patients to say “yes” more often.
“ With the Invisalign® Go [system], I feel more comfortable initiating a discussion about (Invisalign) treatment.” – Spencer Faddis, D.D.S.
Using Invisalign Go’s case assessment tool as an aid, Dr. Faddis can easily determine if Invisalign Go treatment can address the patient’s chief concern. “I usually begin by suggesting that we take photos of their teeth to determine their need,” he says. “Because the case assessment photos are taken with an i-Pad, my patients are comfortable with the 42
Efficiency In Group Practice : ISSUE 5 • 2019
technology,” Dr. Faddis points out. “Once we review their photos together, and they can see close-ups of their teeth, they generally are very open to moving forward with treatment.” “Not only that, the digital case assessment tool takes two minutes, at
the most, saving my practice time and making my job much easier.” With the Invisalign Go system, Dr. Faddis is seeing more patients saying ‘yes’ to treatment chairside. “With two fulltime dentists, 11 team members and several specialists, efficiency is everything,” he adds. By implementing Invisalign Go treatment, dental practices benefit from a seamless, digital workflow that supports the doctor during their treatment planning and monitoring. The simplified Invisalign
Go prescription forms allow doctors to choose from multiple treatment plans to help patients achieve their new smiles. Invisalign clear aligners provide doctors with enhanced movement predictability and offer patients the comfort and convenience of easily removable clear aligners. Invisalign Go treatment can treat mild to moderate malocclusions with up to 20 aligners, from second premolar to second premolar and includes two sets of additional aligners. Made from proprietary SmartTrack® material and customizable SmartForce® attachments which provide more predictable and efficient movements* throughout the treatment. Within a few months of incorporating the Invisalign Go system into his practice workflow, Dr. Faddis has treated 12 patients. Eventually,
he anticipates increasing his average monthly Invisalign Go case starts each month based on his recent growth. “With the Invisalign Go [system], I feel more comfortable initiating a discussion about treatment,” he says, adding that the ability to engage patients with the
picture of their own teeth really spark their interest. “I can’t imagine that any doctor would hesitate to add Invisalign Go system to their practice,” says Dr. Faddis. “All that’s required is a mobile device [and some] training. It doesn’t get much easier than that!”
*Compared to aligners made from off-the-shelf, single layer .030in material ISSUE 5 • 2019 : DentalGroupPractice.com 43
/ Infection Control /
Coming Clean Surface disinfection is key to a safe dental environment. Taking precautionary steps to prevent the spread of infection at the dental practice is not necessarily difficult. But it does require time, effort and mindfulness. Unless regularly disinfected to remove germs and bloodborne pathogens, some surfaces – particularly those that are frequently touched or contacted – present a risk of contamination. The good news is that surface disinfectant manufacturers have begun collaborating with other device and product companies, leaving dental professionals with an increasing number of options for preventing the spread of infection at their practice. “The versatility of surface disinfectants has increased, enhancing product compatibility and permitting use throughout a facility,” says Joel Rich, national sales director of non-acute, GOJO Industries, Inc. “As surface disinfectant manufacturers 44
Efficiency In Group Practice : ISSUE 5 • 2019
collaborate with other device and product manufacturers, a synergistic effect has taken hold, leading to new and easier-to-use disinfectants.” As an example, GOJO Industries, Inc. has introduced PURELL Surface Disinfectant, which features rapid
kill and dry times with no glove or rinse requirements. It is said to be effective on most hard and soft surfaces, from plastics and porcelain to metals, laminate, granite, upholstery, sealed wood, vinyl and more. In additional, it has the lowest possible EPA ratings, and as such, carries no precautionary statements or warnings. “The room can be disinfected quickly and safely,” Rich points out. “The Centers for Disease Control and Infection (CDC) guidelines encourage the proper cleaning and disinfection between patient
/ Infection Control /
use of shared medical devices and patient-centric areas,” says Rich. Today’s surface disinfectants make it easier for the dental staff to do so, he adds.
Clean and safe: CDC recommendations for disinfecting surfaces Cleaning is the necessary first step of any disinfection process, according to the Centers for Disease Control and Prevention (CDC). Cleaning removes organic matter, salts and visible soils, all of which interfere with microbial inactivation. The physical action of scrubbing with
detergents and surfactants and rinsing with water removes substantial numbers of microorganisms. If a surface is not cleaned first, the success of the disinfection process can be compromised. Removal of all visible blood and inorganic and organic matter can be as critical as the germicidal activity of the disinfecting agent. When a surface cannot be cleaned adequately, it should be protected with barriers. Environmental surfaces can be divided into clinical contact surfaces and housekeeping surfaces. Clinical contact surfaces can be directly contaminated from patient materials
either by direct spray or spatter generated during dental procedures or by contact with gloved hands of dental health care personnel. These surfaces can subsequently contaminate other instruments, devices, hands, or gloves. Housekeeping surfaces (e.g., walls, floors, sinks) are not directly touched during dental treatment and carry the lowest risk of disease transmission. There are three levels of disinfection: high, intermediate, and low. High-level disinfectants, such as glutaraldehyde, are used as chemical sterilants and should never be used on environmental surfaces.
Recommendations for cleaning and disinfecting environmental surfaces: Environmental Surface Type
Examples
Recommendations for Cleaning and Disinfecting*
Clinical contact
Light Handles Switches Dental radiograph equipment Computers Drawer handles Faucets
Use surface barriers to protect, particularly for surfaces that are hard to clean, and change barriers between patients. Use surface barriers to speed operatory turnaround. OR Clean and disinfect surfaces that are not barrier protected using an EPA-registered hospital disinfectant with a low-level (i.e., HIV and HBV label claims) to intermediate-level (i.e., tuberculocidal claim) activity after each patient. Use an intermediate-level disinfectant if visibly contaminated with blood.
Housekeeping
Floors Walls Sinks
Clean with a detergent and water or an EPA-registered hospital disinfectant/detergent on a routine basis, and when visibly soiled. Clean mops and cloths after use and allow to dry before reuse; or use single-use, disposable mop heads or cloths. Prepare fresh cleaning or EPA-registered disinfecting solutions daily and as instructed by the manufacturer. Clean walls, blinds, and window curtains in patient-care areas when they are visibly dusty or soiled.
* High-level disinfectants should never be used on environmental surfaces. 46
Efficiency In Group Practice : ISSUE 5 • 2019
/ Infection Control /
Intermediate-level disinfectants are registered with the Environmental Protection Agency (EPA) and have a tuberculocidal claim, and low-level disinfectant are EPA-registered without a tuberculocidal claim (i.e., hepatitis B virus and HIV label claims). The Environmental Protection Agency regulates low- and intermediate-level disinfectants that are used
on environmental surfaces (clinical contact surfaces and housekeeping). The Food and Drug Administration regulates liquid chemical sterilants/ high-level disinfectants (e.g., glutaraldehyde, hydrogen peroxide, and peracetic acid) used on heat-sensitive semicritical patient care devices. When used correctly, commercially available disposable disinfectant
Dental health care personnel should always follow manufacturer recommendations for use of cleaners and EPA-registered disinfectants (e.g., amount, dilution, contact time, safe use, disposal). Disinfectant wipes that you can buy at the grocery store are not EPA-registered and are not recommended for use in a dental setting.
wipes, cloths, or towelettes are effective for cleaning and disinfecting environmental surfaces in dental settings. Any disinfectant used in a dental setting should be registered by the Environmental Protection Agency (EPA) and be approved for use in health care settings (i.e., hospital grade). Dental health care personnel should always follow manufacturer recommendations for use of cleaners and EPA-registered disinfectants (e.g., amount, dilution, contact time, safe use, disposal). Disinfectant wipes that you can buy at the grocery store are not EPA-registered and are not recommended for use in a dental setting. Other techniques refer to the two-step procedure used to clean and disinfect environmental surfaces. If using liquid disinfectant, the user would spray the surface with the disinfectant and wipe it using a disposable towel to clean the surface (“spray-wipe”), followed by another “spray” to disinfect the surface. When using disposable disinfectant wipes, the process is described as wipe-discard-wipe because the user uses one wipe to clean the surface, discards the wipe, and uses a second wipe to disinfect the surface. Disinfectant products should not be used as cleaners unless the label indicates the product is suitable for such use. The Centers for Disease Control and Prevention recommends following manufacturer recommendations for use (e.g., amount, dilution, contact time, safe use, disposal).
Source: Centers for Disease Control and Prevention, CDC 24/7: Saving Lives, Protecting People ™. For more information visit www.cdc.gov/oralhealth/infectioncontrol/faqs/cleaning-disinfecting-environmental-surfaces.html. 48
Efficiency In Group Practice : ISSUE 5 • 2019
MEET THE BISCO
DREAM TEAM
See why these award-winning products made the cut! TheraCal LC
®
Resin-Modified Calcium Silicate Pulp Protectant/Liner TheraCal LC is a light-cured, resin-modified calcium silicate. Its unique apatite stimulating ability1,2 makes it ideal for direct and indirect pulp capping and as a protective base/liner.
All-Bond Universal
®
TheraCem
®
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All-Bond Universal allows you to standardize clinical protocols for effective delivery of adhesion with a single-bottle.
TheraCem is a dual-cured, calcium and fluoride-releasing, self-adhesive resin cement. It delivers a strong bond to zirconia, along with easy clean-up and high radiopacity.
Z-Prime™ Plus
Zirconia-Alumina-Metal Primer Z-Prime Plus is a single-component priming agent used to enhance adhesion between indirect restorative materials and composite resin cements3.
1. BISCO has, on file, the calcium release data for Theracal LC. 2. Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. International Endodontic Journal. 2012 Jun;45(6):571-9. 3. BISCO, Inc. data on file.
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/ Infection Control /
By Katherine Schrubbe, RDH, BS, M.Ed, PhD Dr. Katherine Schrubbe, RDH, BS, M.Ed, PhD, is an independent compliance consultant with expertise in OSHA, dental infection control, quality assurance and risk management. She is an invited speaker for continuing education and training programs for local and national dental organizations, schools of dentistry and private dental groups. She has held positions in corporate as well as academic dentistry and continues to contribute to the scientific literature. Dr. Schrubbe can be reached at kathy@ schrubbecompliance.com.
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Instrument Management Systems A key process for efficiency, organization and safety What is the best way to guarantee that your favorite family cake recipe will turn out? There are a few key basics that need to be considered. First, obtain all of the required ingredients: flour, sugar and spices. Next, have the required equipment on hand: mixer, spatulas and pan. Lastly, follow the order of the recipe to ensure a consistent method for baking and serving. In short, be organized and have an efficient, standard process in place. The same holds true for the management of instruments in a dental practice. Whether the practice is a DSO, a large group or a smaller private practice, the utilization of an instrument management system (IMS) that uses cassettes is key to ensuring organization, efficiency and patient safety. Although organization is
Efficiency In Group Practice : ISSUE 5 • 2019
not a natural strength for everyone, this management skill is critical in a healthcare environment to promote long-term benefits, such as increased efficiency, effectiveness, productivity and enhanced communication; having no specified systems in place can produce higher stress levels in the workplace.1
Regulatory safety and best practice According to OSHA’s Bloodborne Pathogens (BBP) Standard (29 CFR 1910.1030), dental practices must identify and use engineering controls. These are devices that isolate or remove the blood-borne pathogens hazard from the workplace.2 Engineering controls are products or devices that have been made or manufactured to help reduce the risk of injury to team members. A cassette is a container that holds instruments for specified procedures and is available in stainless steel, aluminum, plastic or resin material, which can withstand steam, chemical vapor and dry-heat sterilization.3
Cassettes fall under the category of engineering control safety devices, and when incorporated into practice, can reduce the risk of BBP exposure, especially during transporting and reprocessing of dental instruments. In fact, one study showed that 31 percent of sharps injuries occur when instruments are cleaned by hand.4 Team members assigned to reprocessing instruments in the sterilization area are constantly exposed to potential injuries from contaminated sharps, as well as chemicals; the use of cassettes reduces direct handling of contaminated instruments and keeps the instruments together through the entire process,
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from chairside to cleaning, sterilizing, storage and presentation to the next patient.3 Cassettes provide an extremely safe avenue because the team member never has to handle or hand-scrub the contaminated instruments. The cassette goes directly into a washer-disinfector or ultrasonic for cleaning. When transporting contaminated sharps from the operatory to the sterilization area, OSHA states that immediately or as soon as possible after use, contaminated reusable sharps should be placed in appropriate containers until properly reprocessed. These containers must be puncture resistant, labeled or color-coded in accordance with this
SAVE the DATE July 15 – 17, 2020 Omni Dallas Hotel www.DykemaDSO.com California | Illinois | Michigan | Minnesota | Texas | Washington, D.C. © 2019 Dykema Gossett PLLC Attorney Advertising
/ Infection Control /
standard and leakproof on the sides and bottom.5 The CDC concurs on this aspect of practice and states team members should minimize handling of loose contaminated instruments during transport to the instrument processing area, as well as use work practice controls (e.g. carry instruments in a covered container) to minimize exposure potential.6 Thus, it is important to note that although cassettes reduce risk, they alone do not meet the criteria of the standard and should be placed on, or into, a secondary transport box, covered tray or container that meets OSHA’s standards for worker safety.
operatory is clutter-free and organized, the dentist and assistant are able to function more efficiently as a team. And when the team operates efficiently, a major benefit is increased productivity. The use of an IMS allows the smooth transfer of instruments between team members and permits them to devote more time to patient communication. When the team performs efficiently, they are also more likely to adhere to their scheduled appointment times, thereby helping the front-desk staff plan schedules accurately, without having to explain delays to patients.1 Cassettes also provide efficiency
It can’t be overstated: Cassettes keep instruments contained and away from team members, thereby saving time during the reprocessing steps. Practices should always follow CDC guidelines and ensure that all cassettes are wrapped or placed in peel-pouch packages with appropriate chemical indicators prior to sterilization.3,6 The use of cassettes can also maximize counter and storage space in the sterilization area, as they can be neatly stacked and stored more efficiently than trays. The following graphic illustrates how and where the sterilization steps can be streamlined and time saved when cassettes are utilized.
Efficiency is a win-win for all aspects of the practice. When the operatory is clutter-free and organized, the dentist and assistant are able to function more efficiently as a team. And when the team operates efficiently, a major benefit is increased productivity. Efficiency Being organized improves efficiency. When an IMS with cassettes is used, all of the specified instruments for each procedure are readily available in the cassette. Patients perceive organization and its results. For some, the experience of visiting the dentist can be a source of anxiety, and the professionalism that organization conveys can help reduce this stress. The appearance of the dental operatory can significantly affect a patient’s experience, and an operatory that is clutter-free and organized will be more appealing to patients.1 Efficiency is a win-win for all aspects of the practice. When the 52
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in the clinical setting by reducing the time needed for operatory set-up and clean-up, and facilitating a streamlined process during treatment. If cassettes are labeled by procedure in the storage area, the team member can easily select the type of cassette needed. While working, the cassette can be used on the tray to hold and keep instruments in order, reducing the messy tray problem for providers, as well as patients. As for clean-up, once treatment is complete, the instruments can be returned to their place in the cassette, and the cassette can be closed, locked and transported safely to the sterilization area.1,7
Graphic courtesy of Hu-Friedy, 2019
GROUP PRACTICES REQUIRE: MAXIMUM EFFICIENCY COMPLETE ORGANIZATION ENSURED SAFETY AND INFINITE CONFIDENCE.
INSTRUMENT MANAGEMENT
INFINITY SERIES™ CASSETTES The most sophisticated solution for instrument management As dentistry’s innovator of the cassette-based instrument management system, Hu-Friedy believes that every practice deserves the peace of mind and confidence of knowing they are employing the most contemporary method of processing instruments. Our Infinity Series Cassettes offer: • An open hole pattern that promotes water flow throughout the cassette • Color-coded silicone rail system that significantly reduces instrument contact and allows for more water flow while protecting the instruments during reprocessing • Easy-to-use, ergonomic latch that allows for one-handed opening Performing at your best means having confidence in what you do. Hu-Friedy’s IMS solution advances Group Practices to the next level in efficiency, safety and patient care.
To learn more about how IMS can enhance your Group Practice visit Hu-Friedy.com/IMS ©2019 Hu-Friedy Mfg. Co., LLC. All rights reserved.
/ Infection Control /
Instrument longevity It is common knowledge that dental instruments are costly for any practice setting, and controlling cost is a high priority. Although it is an investment to implement an IMS, there are long-term benefits that provide numerous advantages, which can have a positive impact on cost containment and instrument life. A few examples include: • Maintaining inventory effectively. Instruments are already allocated by cassette, so the chance of something being misplaced is reduced, as incomplete set-ups would be apparent. Also, having an organized system for instruments will help maintain the instrument stock and reorders when necessary, rather than at a critical point during a procedure, when the instrument is needed. • Reducing instrument breakage. Accidental dropping of instruments can occur at any time. However, when instruments are encased in a cassette, they are better protected, substantially reducing breakages. In
turn, there will be fewer reorders and less down time due to important instruments breaking at an inopportune time. • Extending instrument life. Cassettes space items appropriately and generally consist of rails that are constructed of a soft and flexible material. This can prevent the scratching of surfaces and unnecessary bending, and help extend instrument life.
overloading trays or containers during instrument processing and the subsequent loss of sterilization efficacy.8 Just like having the cake turn out perfectly, an Instrument Management System and the use of cassettes provide the practice with the tools needed to ensure organization, efficiency and safety. Large group practices and DSOs tend to be very busy, with definitive metrics and goals and little
It can’t be overstated: Cassettes keep instruments contained and away from team members, thereby saving time during the reprocessing steps.
• Improve the sterilization process. When instrument cassettes are loaded correctly and adequately spaced, it allows for complete decontamination (in the case of liquid submersion) and temperature penetration (during thermocycling via an autoclave) to every area of the instruments. The use of an IMS may reduce the possibility of
time for inefficiency. When an IMS is in place, team members can perform their duties without hesitation, indecision or question, knowing that the practice is committed to team safety and efficiency. And the enhanced organization is integral to growing a practice that has methodical systems of well-orchestrated routines – always ready for the next procedure, the next patient, and the next day.1
References 1. Lance K, Reil E, Norsted J. Office organization systems enhance practice efficiency and patient experience. Inside Dental Assisting, Vol 7;5, Sept/Oct 2011. Available at https://www.aegisdentalnetwork.com/ida/2011/10/office-organization-systems. Accessed July 12, 2019. 2. U.S. Department of Labor. Occupational Safety and Health Administration. OSHA Bloodborne Pathogens fact sheet. Available at https:// www.osha.gov/OshDoc/data_BloodborneFacts/bbfact01.pdf. Accessed July 12, 2019. 3. Miller CH, Palenik CJ. Infection Control and Management of Hazardous Materials for the Dental Team. 5th ed. St. Louis: Mosby Elsevier; 2013; 128. 4. Younai FS, Murphy DC, Kotelchuck D. Occupational exposures to blood in a dental teaching environment: results of a ten-year surveillance study. Journal of Dental Education May 2001, 65 (5) 436-448. Available at http://www.jdentaled.org/content/65/5/436. Accessed July 12, 2019. 5. U.S. Department of Labor. Occupational Safety and Health Administration. OSHA Bloodborne Pathogens Standard. Available at https:// www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=10051&p_table=STANDARDS. Accessed July 12, 2019. 6. Centers for Disease Control and Prevention. Guidelines for infection control in dental health-care settings – 2003. MMWR Recomm Rep 2003;52(RR-17):1-61. Available at https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1030. Accessed July 12, 2019. 7. Govoni M. Instrument management systems. RDH; April 1, 2012. Available at https://www.rdhmag.com/infection-control/sterilization/ article/16405818/instrument-management-systems. Accessed July 15, 2019. 8. Dentalytec. Dental sterilization cassettes; a case study of the pros and cons. December 21, 2016. Available at https://www.dentalytec.com/en/ dental-sterilization-cassettes-case-study-pros-cons/. Accessed July 15, 2019.
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/ Specialty Focus / Radiology
Going for the Gold CBCT continues to change the dental landscape The last 20 years have seen major strides in dental technology, perhaps the most significant of which was the introduction of cone beam computed technology (CBCT) in the United States. As far as some doctors are concerned, the possibilities CBCT has opened continue to expand. Today, the technology is credited with having led to greater diagnostic accuracy, more precise implant placement, reduced chair times for patients and more. Efficiency in Group Practice reached out to a few doctors about the impact of CBCT and their ability to provide the best possible patient care. Here is what they have to say. 56
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Heidi Kohltfarber, DDS, MS, PhD, oral and maxillofacial radiology, diplomate of the ABOMR, adjunct assistant professor, UNC-Chapel Hill, founder, Dental
Radiology Diagnostics, consultant for Dentsply Sirona. Thanks to CBCT, patients today spend less time in the dental chair, according to Heidi Kohltfarber, DDS, MS, PhD. Doctors can better educate their patients, creating a stronger doctor-patient bond and facilitating greater case acceptance. Not only are patients more involved and proactive in their overall healthcare, they can benefit from more
accurate and innovative treatment options than ever before, she adds. “CBCT was introduced into the dental field due to the need for low cost, low dose three-dimensional images for implant treatment planning purposes,” says Kohltfarber. “Clinicians were eager to improve the accuracy of implant placement and there was an obvious need to clearly visualize pertinent anatomy. “The technology is based on a cone beam in which a dental X-ray source and reciprocating detector move in synchrony around the patient in a single rotation,” she explains. “It delivers multiple high-resolution, multiplanar, reconstructed images, which provide a geometrically accurate representation of the patient’s anatomy in the axial, sagittal and coronal sections with a 1:1 measurement ratio of objects within the volumetric images. “Cone beam CT was invented from a combination of three different technologies,” says Kohltfarber. “The original image intensifiers are similar to those used in cardiac imaging with fluoroscopy. It employs an algorithm used for medical CT and is usually constructed and designed on a unit that is structurally similar in appearance and size to a dental panoramic X-ray machine. As such, it will fit into a dental office.” Efficiency in Group Practice: How has CBCT led to greater efficiency? Heidi Kohltfarber, DDS, MS, PhD, oral and maxillofacial radiology: Cone beam CT is an excellent modality, which has led to greater diagnostic accuracy, become a foundation for digital dentistry, and enhanced patient education. For example:
• CBCT images can be used to produce surgical guides that are based on a clinician’s implant treatment plan. This has helped to decrease chair time during implant surgery, as well as decrease the chance of post-operative complications. • It has multiple applications beyond implant dentistry, such as endodontics, periodontics, orthodontics, prosthodontics and craniofacial surgery.
planning, surgical predications, fabrication of surgical stents and post-surgical follow-up. In fact, a very exciting and emerging area is the use of cone beam CT volumes to develop 3D models, as well as 3D printed appliances and surgical guides. Efficiency in Group Practice: How has CBCT impacted the role of dental professionals?
“ CBCT images can be used to produce surgical guides that are based on a clinician’s implant treatment plan. This has helped to decrease chair time during implant surgery, as well as decrease the chance of post-operative complications.” – Heidi Kohltfarber, DDS, MS, PhD
• It has improved efficiency by allowing clinicians to visualize the dentition without the impediment of superimposition of structures, enabling them to diagnose in multiple areas more effectively and efficiently (such as apical pathologies, periodontal bone loss, position and orientation of the teeth, visualization of the airway space and temporomandibular joints, as well as give a more accurate estimation of tooth prognosis.) • Cone beam CT volumes provide clinicians with the ability to enhance patient care through surgical simulations that improve surgical treatment
Kohltfarber: With CBCT, the entire dental team can be better involved in patients’ health and welfare. • Dentists can diagnose patient problems more efficiently and accurately. They can provide more accurate implant placement, more accurate surgical and orthodontic results, and place same-day crowns. • Dentists can diagnose limited airway spaces, which may cause obstructive sleep apnea; observe and appropriately refer patients to their medical colleagues for vascular calcifications that may put patients at an increased risk for stroke; and visualize various pathologies while they are still treatable. ISSUE 5 • 2019 : DentalGroupPractice.com 57
/ Specialty Focus / Radiology
• Dental hygienists can more accurately visualize periodontal bone levels, areas of bone loss and radiographic calculus. Dental assistants can take diagnostic images much more quickly than traditional fullmouth series. • Office managers can provide more efficient schedules to help improve overall patient care and satisfaction. Efficiency in Group Practice: When is it more appropriate for dentists to use twodimensional radiographs? Kohltfarber: Cone beam CT is not a great imaging modality for caries diagnosis. Imaging artifacts around metallic restorations can lead to increased false positives. Therefore,
traditional 2D radiographs, such as intraoral bitewings, should still be employed for the task of caries diagnosis. However, there is exciting research in the area of digital tomosynthesis currently being conducted at UNC-Chapel Hill, which may soon change the way that we view traditional bitewing radiographs. Efficiency in Group Practice: How will dental radiology continue to evolve? Kohltfarber: The industry continues to research three-dimensional imaging and hopes to develop new technologies that will help make dentists more productive and efficient, as well as provide patients with more options for better dental care. CBCT has given scientists the ability to observe a particular anatomic
region with an accurate 3D representation, which can be segmented into a 3D model, rotated and overlaid with the same object from another time period. As such, they can easily evaluate everything from orthognathic surgery cases to orthodontic treatment, periodontal bone loss, osteoarthritic changes, limited airways and craniofacial surgery cases over time. In addition, based on three-dimensional, segmented models, scientist have been able to 3D print bony scaffolds, infuse them with stem cells and regrow various anatomical regions, such as mandibular condyles. The ability to replace a diseased area with one that is anatomically correct for the patient could be phenomenal. Other imaging modalities, such as digital tomosynthesis, ultrasound and magnetic resonance imaging, are also being evaluated for their accuracy and efficacy in the field of dentistry. Digital dentistry is just the tip of the iceberg. Keith R. VanBenthuysen, DMD, FAGD, a Nashville, Tennessee-based practice owner and a consultant for Marquee Dental Partners. Digital radiography has dramatically changed the dental landscape, says Keith R. VanBenthuysen, DMD, FAGD. But cone beam computed tomography has advanced the industry even further. “With digital radiography, we are able to share images in real-time online with our colleagues, he points out. “CBCT has taken the industry beyond that, advancing our ability to see the anatomy. It has become an invaluable tool to support dental diagnostics.” In fact, many
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industry experts believe CBCT has emerged as the gold standard for imaging in the oral maxillofacial area, he adds. Efficiency in Group Practice: How has CBCT led to greater efficiency? Keith R. VanBenthuysen, DMD, FAGD: A patient’s visit to a dental office looks vastly different today versus five years ago. Thanks to CEREC and related technologies, patients are finding their crowns can be completed in one appointment, rather than having to live with a temporary crown for two or three weeks. With CBCT, patients can get a proper diagnosis at the first appointment instead of making multiple visits while we watch their tooth, waiting for the symptoms to worsen. Efficiency in Group Practice: How has CBCT impacted the role of dental professionals? VanBenthuysen: It has done so in many ways: • Endodontists are better able to diagnose cracked teeth and vertical root fractures. They are in a better position to determine whether or not the tooth is restorable. Additionally, CBCTs can assist in determining the number, shape and position of the canals. • Oral surgeons can better evaluate the anatomy surrounding third molars, perhaps avoiding injury to the IAN. They can look at potential implant sites and pre-plan implant surgeries. In conjunction with CEREC technologies and
“ A patient’s visit to a dental office looks vastly different today versus five years ago. Thanks to CEREC and related technologies, patients are finding their crowns can be completed in one appointment, rather than having to live with a temporary crown for two or three weeks. With CBCT, patients can get a proper diagnosis at the first appointment instead of making multiple visits while we watch their tooth, waiting for the symptoms to worsen.” – Keith R. VanBenthuysen, DMD, FAGD
CBCT, surgeons can create surgical guides with extreme accuracy, thereby avoiding many of the previous pitfalls associated with implant surgery. Procedures can be
streamlined and performed in a more timely manner. • CBCT has provided better diagnostic imaging for doctors and hygienists, improved ISSUE 5 • 2019 : DentalGroupPractice.com 59
/ Specialty Focus / Radiology
efficiency for dental assistants and has enabled office managers to communicate treatment recommendations more clearly with insurance companies. Efficiency in Group Practice: When is it more appropriate for dentists to use twodimensional radiographs? VanBenthuysen: According to the FDA, total radiation doses from 3D CBCT exams are 96 percent lower than conventional CT exams; however they deliver more radiation than standard 2D radiography. It is my opinion that CBCT should be reserved for use where 2D radiographs and other diagnostic tools prevent doctors from making an accurate diagnosis. 2D X-rays may be more appropriate for the diagnosis of caries, periodontal disease and most endodontic cases. Efficiency in Group Practice: How will dental radiology continue to evolve?
VanBenthuysen: It is my absolute belief that CBCT will improve our visualization of the oral and maxillofacial complex. In the future, I expect radiation exposure will be reduced and the images will further improve. We will be even better able to combine CBCT with other
technologies to enhance our treatment capabilities and outcomes. CBCT, digital radiographs and intraoral scanners will continue to revolutionize the practice of dentistry by maximizing economy and accuracy, minimizing chair time and reducing patient visits.
CBCT continues to advance dental industry Over the past number of years cone beam computed technology (CBCT) has decreased in price, making it increasingly prevalent, according to Eric Tobler, DMD, regional president, Stonehaven Dental, part of Mortenson Dental Partners. In addition, the dosage of radiation had decreased significantly, he points out. “In our practice CBCT is regularly referenced for review of impacted teeth, analysis of bone in edentulous areas and for endodontic diagnosis,”
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says Tobler. “This is especially true for the diagnosis of maxillary molars, where CBCT may detect abscesses near the sinus or the presence of MB2, which may be difficult or impossible to detect with 2D radiographs. CBCT can also be useful for organic orthodontic treatment, airway studies and the diagnosis of sinus conditions.” All that said, 2D digital radiographs continue to be the preferred method for routine examinations and diagnosis of dental decay, he adds.
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“Once I began using Tokuyama Universal Bond, our workflow immediately improved,” says Dr. Abai. A solo practitioner who relies on one assistant, one hygienist and an office manager to help him run his practice, he knows very well the value of efficiency. “One of the greatest clinical challenges of bonding and cementation procedures is the multiple steps required to prepare the tooth structure for direct restorations, as well as both the tooth structure and restoration for indirect restorations,” he points out. “The multiple-bottle techniques of the past can potentially lead to inaccuracies in treatment workflows, and they often require additional staff training in various and separate silanating agents and bonding products. Tokuyama Universal Bond has reduced the guesswork for my team 62
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“Tokuyama Universal Bond is unique in that it is truly a one-step bonding agent compatible with many clinical situations,” says Dr. Abai. “Whether I am doing immediate dentin sealing, a direct restoration or an indirect restoration, I can depend on this bonding agent to provide a strong bond, without requiring multiple time-consuming
steps.” And, because it is so versatile, he can use it on any substrate, including metals and ceramics, such as zirconia, optimizing his bonding technique without the need for primers or activators, he adds. “Tokuyama Universal Bond has definitely facilitated greater efficiency at my practice,” Dr. Abai continues. “For one, the product allows for self-etching and requires a short application time, with no light curing. The application is as simple as mixing a two-bottle system and applying the mixture to the surface, followed by gentle air application. The entire process takes me 20 seconds – a time-savings that is invaluable to both my staff and patients.”
Tokuyama Universal Bond: At a glance Tokuyama Universal Bond offers much more than your typical bonding agent. • Quick & Easy. Application takes 25 seconds and requires no light cure, agitation or wait. • Reliable. Provides high bond strength for both direct and indirect restorations. • True Universal. Works on all restorative substrates. No additional activators or primers are required. • Active Chemistry. The self-curing bond offers worry-free polymerization where curing lights cannot reach. In addition, Tokuyama Universal Bond is compatible with different etching techniques, including total-, self- and selective-etch mode. It works with all dual and self-cured materials, without the use of a separate activator. And, it can be used as a primer for silica-based and metallic restorations.
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/ Conference /
Dykema hosts awardwinning conference Dykema held its 6th Annual Definitive Conference for Dental Service Organizations (DSOs) July 10-12, 2019, at the Omni Dallas Hotel. Designed to serve as an immersive event for practice owners, executives, investors and in-house counsel, the annual conference has been so successful that it has quickly become the preeminent industry event. Considered by many to be one of the most informative and best networking DSO events of the year, the award-winning conference had more than 800 registrants, featuring attendees from across the nation – 33 percent more than last year’s event. The number of sponsors also increased by more than one-third, reaching a total of 68 this year. The event also featured boxing hall of famer, Olympic champion and bestselling author Sugar Ray Leonard, who served as keynote speaker. Leonard shared inspiring stories about achieving his dream of Olympic gold, gaining professional success and making the challenging transition from life as an athlete to that of an entrepreneur. Next year, the firm’s 7th annual conference is slated for July 15-17, 2020, at the Omni Dallas Hotel.
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/ Leadership /
Setting Them Up For Success A bad system will beat a good person every time By Lisa Earle McLeod
The waitress was late with the food. She looked frazzled and frustrated. After she rushed off, we discovered the salad we requested with dressing on the side was doused in ranch. Clearly, she wasn’t a good server. Or was she? Edwards Deming said, “A bad system will beat a good person every time.” I’ll take it a step further; a bad system can turn even the most enthusiastic workers into frustrated poor performers. 68
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Paying the price for systemic failures Let’s go back to our waitress. The food was late because the kitchen was short staffed that day. Our server had noted salad dressing on the side in the order system. But the salad was mixed before they got to the expo station.
The food runner saw dressing on the side, so he added another container of ranch to our plate. As for being frazzled, wouldn’t you be if half your orders were late, and customers were complaining about dressing? If you’ve ever waited tables, you’ve no doubt experienced this for yourself. The front line often pays the price for systemic failures. As you look at your own organization, be it your workplace or your
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/ Leadership /
home, ask yourself, are your systems set up to help people be their best, or do they create obstacles? As a consultant, I frequently see organizations try to solve problems by training employees or trying to get better employees. In many cases the issue is the system. Recently, we were working with an organization where customer callbacks were a problem. A few employees were great at calling clients backs. But, more often than not, when customers called in with problems, the employees would promise to look into it, and fail to call back. Further investigation revealed that employees were making notes with the intent of
As you look at your own organization, be it your workplace or your home, ask yourself, are your systems set up to help people be their best, or do they create obstacles? getting back to customers. Yet as the day wore on, and the tasks piled up, they never circled back. After it sat for a few days, the employees either forgot about it, or were too embarrassed to call back.
The leadership team assumed it was a training and accountability issue. If the top performers could do it, clearly something must be wrong with everyone else. After watching the team for an afternoon, I saw the problem. The top performers had created workarounds to ensure they never lost track of client issues. One woman put post-its across her wall, another kept his client to do’s on a yellow pad. There was no systemic way for people to log notes, and have them pop back up until they were handled. It’s easy to say people should create their own systems, but individual systems can’t scale. One of my friends used to keep a birthday daybook. She was great about sending everyone a nice note on their special day. In terms of birthdays, she was a top performer. I always felt guilty not being that kind of friend. Now, thanks to Facebook reminders, my good intentions can scale. Mediocre me is now a top performer in the birthday category. If you want your team to excel at scale, look at your systems. Whether it’s dressing on the side, scheduling patient appointments, or how you handle inventory, ask yourself, is my system setting my team up for success? A bad system will beat a good person. A great system will help all the good people be great.
Lisa Earle McLeod is a sought after keynote speaker who has rocked the house everywhere from Apple to Peterbilt Trucking. McLeod is known for her cutting edge ideas, practical techniques, and inspirational humor. She is the author of 4 bestselling books, in 4 genres: leadership, sales, personal development and a collection of humor essays. For more information, visit https://www.mcleodandmore.com 70
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/ Industry News /
Industry News Cantel to acquire Hu-Friedy Cantel Medical Corp. announced that it has reached an agreement to acquire Hu-Friedy Mfg. Co., LLC, a 111-year-old global leading manufacturer of instruments and instrument reprocessing workflow systems serving the dental industry. After closing, Cantel will combine Hu-Friedy with its dental division, Crosstex, a global leader in infection prevention, sterility assurance, dental water management and conscious sedation systems. Hu-Friedy’s large sales and customer care team, supported by a strong marketing organization, will enhance Cantel’s commercial and customer engagement capabilities, according to a release. The acquisition will also enhance the dental division’s supply chain efficiency and enable it to better support its distribution partners while also addressing the increased concern among healthcare professionals in the areas of clinical performance, compliance, technology, education and training. Finally, the acquisition will further help dental professionals eliminate risk and streamline operations to deliver best-in-class patient care. “The combination of our two dental businesses provides a clear and immediate opportunity to become the leading provider of a ‘Complete Circle of Protection’ offering for instrument reprocessing workflow and infection prevention and compliance solutions in the dental industry,” said George Fotiades, president and chief
executive officer of Cantel. “By bringing together our highly complementary dental portfolios, we will create a business that is uniquely positioned to address the most critical workflow needs of our customers while improving patient care. Hu-Friedy brings us the scale, commercial capabilities and portfolio breadth to enable our dental business to be a significant driver of long-term profitable growth for Cantel.” “We are excited to join forces with Cantel and are looking forward to the opportunities this combination will bring for our customers, employees and other stakeholders,” said Ron Saslow, chairman and chief executive officer of Hu-Friedy. “As a leader in dental instrumentation and instrument management solutions, Hu-Friedy’s combination with the Cantel portfolio of leading infection prevention dental consumables is a perfect match to further enhance our ability to serve our dental customers.”
Children’s Choice Pediatric Dental Care names new CEO Children’s Choice Pediatric Dental Care, a portfolio company of Amulet Capital Partners LP (Greenwich, CT), appointed Stan Andrakowicz as CEO. Andrakowicz most recently was president and CEO for Familia Dental, a privately held DSO. He succeeds Dr. Jeff Saladin, ISSUE 5 • 2019 : DentalGroupPractice.com 71
/ Industry News /
founder and CEO, who has been with the company for 12 years. Dr. Saladin is leaving Children’s Choice to head the newly formed “innovation Business,” an organization focused on leveraging technology-enabled services to drive innovation in dental care delivery.
Four groups endorse AAP-AAPD dental sedation guidelines for children Four health organizations have added their endorsements to recent guidance from the AAP and American Academy of Pediatric Dentistry (AAPD) that aims to improve the safety of pediatric patients undergoing dental sedation. The American Society of Anesthesiologists, Society for Pediatric Anesthesia, American Society of Dentist Anesthesiologists, and Society for Pediatric Sedation issued a statement supporting a joint AAP-AAPD clinical report, which recommends at least two individuals with specific training and credentials should be present with a pediatric patient receiving deep sedation/general anesthesia for dental treatment.
Global dental implants market to reach to $721.0M by 2024 A new report from Zion Market Research, shows that the global dental implants market was valued at approximately $5.08 billion in 2017 and is expected to generate revenue of around $7.97 billion by end of 2024, growing at a CAGR of around 6.63% between 2018 and 2024. The “Dental Clinics” segment holds over half the market share in terms of revenue. The report says that, “Moving forward, this segment is likely to receive a considerable boost from developing countries of the world due to increasing demand for private clinics.” Regionally, Europe is anticipated to lead the market throughout the forecast period. The report authors say that the geriatric population is the most profitable market for companies in the dental implants market. Additionally, endosteal implants are expected to lead the market with nearly 75% of the market share through 2024. Subperiosteal implants, which are based on CT scans of a patient’s jaw and custom made, will also be growing in demand.
Colorado dentist sentenced to 3 years for illegal prescriptions A Greenly, Colorado dentist was sentenced July 29 to three years in prison for illegally prescribing opioids to 72
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employees. Bonifacio Guillena, DDS, who worked at Comfort Dental, pleaded guilty in January to possession with intent to distribute a controlled substance. A former employee tipped off authorities about Dr. Guillena’s prescribing patterns. Dr. Guillena’s dentistry license was suspended at the end of 2017. Dr. Guillena then surrendered his license in 2018.
Florida Career College launching dental assistant program across all of its FL campuses Florida Career College announced it will be launching its Dental Assistant program across all Florida campuses to include Boynton Beach, Hialeah, Jacksonville, Lauderdale Lakes, Margate, Miami, Tampa, and West Palm Beach. Currently, the Dental Assistant program is offered only at the Orlando and Pembroke Pines locations. All students who enroll in this program will receive the hands-on training they need to be successful in an entry-level role, the company said. The Florida Career College dental assistant program trains students in preventative, radiographic, and clinic dentistry procedures.
Dental Trade Alliance CEO to retire Gary W. Price, president and CEO of Dental Trade Alliance (DTA) (Arlington, VA) has announced his intention to retire. Price will work with the DTA leadership over the next few months to ensure a smooth transition to new staff leadership for the association.
Liberty Dental announces value-based insurance program Liberty Dental Plan (Irvine, CA) has created a dental insurance program that rewards providers based on patient health outcomes. The program will be available in California, Florida, Nevada, and New York during Q3 2019. Liberty’s Value-Based Dental program rewards providers with incentive payments based on the following criteria: • Changing practice patterns from restorative to preventive • Practicing preventive dentistry that leads to healthy outcomes • Encouraging patients to establish a dental home • Engaging patients to take an active role in their own care to help ensure their oral health
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Comparison to examples of other intraoral scanner wand sizes
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REAL REAL SUPPORT SUPPORT IS PERSONAL. IS PERSONAL. Real support for your group’s technology is a late-in-the-evening email technology from your Real support for your group’s success manager, brainstorming ways to is a late-in-the-evening email from your boost your return.brainstorming ways to success manager, boost your return. It’s a detailed analysis of your systems to streamline your operations even more.to It’s a detailed analysis of your systems streamline your operations even more. It’s a partner who is as invested in your patients and who business you are.in your It’s a partner is asas invested patients and business as you are.
Experience What Experience What Really Is Personal Support Personal Support Really Is A streamlined marketing and communication
operation is anmarketing in-the-black Schedule a A streamlined andoperation. communication personal, complimentary assessment us to a operation is an in-the-black operation.with Schedule determinecomplimentary where you canassessment increase revenue personal, with uswhile to lowering overhead. determine where you can increase revenue while lowering overhead. Schedule your assessment at www.revenuewell.com/assessment Schedule your assessment at www.revenuewell.com/assessment
Are You Getting Support from a Partner — or Just a Vendor? The biggest sign that the technology company you’re considering is actually a business partner and not just another vendor? Their level of support. Use these signs below to make sure your group chooses a partner who is as dedicated to your business as your own team.
VENDOR
PARTNER
A corporate contact center accessible via a 1-800 number or corporate email
Your own dedicated success manager, directly accessible by phone or email
A printed user manual on how to install and run the technology
Proactive guidance on increasing your return on the technology
A generic feedback survey on the performance of the technology
Regular reviews and ďŹ nancial analyses to adapt your technology to business needs
A general directory of general support articles, lists, and FAQs
Individualized, ongoing training throughout your partnership with the company
Standard promotional emails up-selling and cross-selling new products
Personal introduction to new features and enhancements at or before their launch
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