First Impressions Sept 18 by BOC design Inc

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September 2018

The Equipment Guide Equipment solutions for your dental customers

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SEPTEMBER 2018

FOR DENTAL SALES PROFESSIONALS

The Equipment Guide Equipment solutions for your dental customers

6 12 14

42 49 4

Editor’s Note

High-tech solutions for a progressive industry

An Eye to the Future

From the reception area to the operatory, office design can impact both the dental team and patients.

The Equipment Guide

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Hand in Glove

Multiple considerations can impact glove selection.

First Impressions

Dental patients are drawn to an efficient and attractive practice, say experts.

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When selecting the best surface disinfectants for a dental practice, efficiency and efficacy count.

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Infection control is a vital component of safe dental care

News

September 2018

Form and Function

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FROM ENGAGEMENT TO PROCUREMENT: Don’t miss this inside look at DSOs and Dental Group Practices! Brought to you by Efficiency in Group Practice Buy 2 Tickets • Get 1 FREE Renaissance Atlanta Airport Gateway Hotel November 8-9

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This year’s attendees will have the opportunity to: • Learn more about the procurement process and how it differs from group to group • Engage in a panel discussion with representatives from DSOs and group practices • Hone your skills on interacting with the dominant population of women in the dental industry and group practice

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EDITOR’S NOTE

LAURA THILL Editorial Staff

High-tech solutions for a progressive industry September marks

First Impressions Magazine’s annual Equipment Guide – an opportunity to share with distributor readers their manufacturer partners’ latest and greatest technology offerings. From CAD/CAM milling to nitrous oxide/oxygen systems, polishing and biofilm management, water purification and more, sales reps and their dental customers can take advantage of some of the most progressive dental technology to date. Of course, without a well-designed office, the dental team can’t take full advantage of their equipment and technology. With the guidance of a design expert, dental owners can create an inviting space that offers both function and efficiency, according to Jen Rhode, Integrated Design Studio manager, Henry Schein Dental, and Ben Oliver, equipment sales specialist, Henry Schein Dental. “Beyond flow and function of space, we partner with our team of equipment and technology sales specialists to optimize our customers’ space and identify equipment and technology needs, including chairs and delivery units, cabinetry, mechanical utilities, digital diagnostic equipment, imaging solutions and digital restorations,” says Rhode. “By offering a wide range of equipment, we can provide a balance of quality and technology that dentists want,” adds Oliver. “If dental owners don’t plan for the long-term, they risk limitations down the road.” Indeed, an upfront investment of time – Scott Reagles, an office design and careful planning for an office design can specialist with Patterson Dental save dentists much aggravation down the road, as well as help them avoid lost revenue, according to Scott Reagles, an office design specialist with Patterson Dental. “Dentists and their design experts must incorporate opportunities for future growth in their initial business plan,” he says. “They must look for a space or building that will accommodate the current and growth plan, and then design around all anticipated needs and capacity. Poor planning and design could add unnecessary costs and disrupt the practice’s operations when it’s time to grow.” With that in mind, we invite you to explore our annual Equipment Guide and expand your repertoire of solutions to meet your dental customers’ evolving needs.

“Poor planning and design could add unnecessary costs and disrupt the practice’s operations when it’s time to grow.”

September 2018

First Impressions

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Editor Laura Thill lthill@ sharemovingmedia.com Managing Editor Graham Garrison ggarrison@ sharemovingmedia.com Founder Brian Taylor btaylor@ sharemovingmedia.com Senior Director of Business Development Diana Craig dcraig@ sharemovingmedia.com

Director of Business Development Jamie Falasz, RDH jfalasz@ sharemovingmedia.com Art Director Brent Cashman bcashman@ sharemovingmedia.com Circulation Wai Bun Cheung wcheung@ sharemovingmedia.com Weekly Drill Editor Alan Cherry acherry@ sharemovingmedia.com

First Impressions is published bi-monthly by Share Moving Media 1735 N. Brown Rd. Ste. 140 • Lawrenceville, GA 30043-8153 Phone: 770/263-5257 • Fax: 770/236-8023 www.firstimpressionsmag.com

First Impressions (ISSN 1548-4165) is published bi-monthly by Share Moving Media., 1735 N. Brown Rd. Ste. 140, Lawrenceville, GA 30043-8153. Copyright 2018 by Share Moving Media. All rights reserved. Subscriptions: $48 per year. 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 publisher. Publisher cannot accept responsibility for the correctness of an opinion expressed by contributing authors.

First Impressions editorial advisory board Shannon Bruil, Burkhart Dental Frank Cohen, Safco Steve Desautel, Dental Health Products Inc. Nicole Fox, Patterson Dental Suzanne Kump, Patterson Dental Dawn Metcalf, Midway Dental Supply Lori Paulson, NDC Patrick Ryan, Benco Dental Co. Scott Smith, Benco Dental Co. Tim Sullivan, Henry Schein Dental

Clinical board Brent Agran, DDS, Northbrook, Ill. Clayton Davis, DMD, Duluth, Ga. Sheri Doniger, DDS, Lincolnwood, Ill. Nicholas Hein, DDS, Billings, Mo. Roshan Parikh, DDS, Olympia Fields, Ill Tony Stefanou, DMD, Dental Sales Academy

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OFFICE DESIGN

Form and Function

Dental patients are drawn to an efficient and attractive practice, say experts. BY LAURA THILL

Designing a new dental office is no small undertaking. It’s a timeconsuming and costly endeavor and without an expert’s guidance, dental owners risk making decisions that can adversely impact the future of their practice. Not only is it important to design a dental office “for the future,” it is essential to design with both form and function in mind, according to Jen Rhode, Integrated Design Studio manager, Henry Schein Dental, and Ben Oliver, equipment sales specialist, Henry Schein Dental. “At Integrated Design Studio, we focus on creating a warm and inviting environment, as well as creating a space that offers function and efficiency,” says Rhode. “In order to achieve

September 2018

First Impressions

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the ideal work environment and ultimate patient experience, we structure the space into three zones: public, treatment and staff zone. Beyond flow and function of space, we partner with our team of equipment and technology sales specialists to optimize our customers’ space and identify equipment and technology needs, including chairs and delivery units, cabinetry, mechanical utilities, digital diagnostic equipment, imaging solutions and digital restorations.”

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OFFICE DESIGN Together, Henry Schein’s Integrated Design Studio team and equipment technology sales specialists strive to create a personalized office space designed around function, creativity and innovation. “We work with both general and specialty practices around expansions, remodels and new construction,” she says. “We offer space planning, 3D visualization and interior finish selection, such as furniture, fabric, flooring, paint, laminate, solid surface, wallcovering, artwork, décor and lighting.” Once the dental practice works with the equipment sales specialist, such as Oliver, to select its equipment, Rhode’s team finalizes equipment specifications, installation requirements and placement. “The average equipment budget for a start-up dental practice is between $150,000 - $200,000,”

If dental owners don’t plan for the long-term, they risk limitations down the road, Oliver points out. “We must design dental offices for the future, which means adding 3D printing and milling units,” he says. “Designing an office without the ability to have this technology would be like designing a car without the ability to navigate! “Designing an office around CAD/CAM and 3D is crucial to its ability to be competitive while delivering the highest level of quality and convenient patient care,” he continues. “Clinicians often focus on how they can expand their practice based on the volume of patients, but we encourage them to consider how a remodel – with the integration of 3D and CAD/CAM technologies – can help enhance efficiencies and increase production. Two examples of this are in sleep dentistry and implantology. The top two nitrous oxide manufacturers offer digital portable nitrous options that are both efficient and esthetic.”

“ In order to achieve the ideal work environment and ultimate patient experience, we structure the space into three zones: public, treatment and staff zone. Beyond flow and function of space, we partner with our team of equipment and technology sales specialists to optimize our customers’ space and identify equipment and technology needs, including chairs and delivery units, cabinetry, mechanical utilities, digital diagnostic equipment, imaging solutions and digital restorations.” Oliver says, adding that dental owners’ initial concerns are how many rooms/operatories they should build and what technology they should add first. “Typically, practitioners start with three operatories, digital sensors and intraoral cameras,” Oliver says. But, depending on the line of equipment they select – and the cost involved – it may be more practical to begin with two operatories, he notes. “If the practice owner needs four operatories, as well as technology, we offer a complete portfolio of cost-effective solutions to meet their budget,” he says. In many cases, dentists want digital impressioning up front, but may not have the budget to accommodate it. “To help meet their needs cost-effectively, we suggest different brands of operatory equipment, mechanical room equipment and other categories of equipment, thereby freeing up their budget for digital impressioning. By offering a wide range of equipment, we can provide a balance of quality and technology that dentists want.”

September 2018

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Sterilization center

The sterilization center is a primary consideration in designing an office, according to Oliver. “The sterilization center should be within 30 feet of all operatories and preferably have two entrances to offer easy access and improve workflow and efficiency,” he says. Often, a semiopen look is created by incorporating a glass wall to separate the sterilization – Jen Rhode space from the operatory hallway, enabling patients to see the dental team at work and helping to put them at ease, he explains. “The size of a steri-center is just as important as its location,” says Oliver. “For a mid-size office with four to six operatories, we suggest between 12-16 linear feet of sterilization space. A linear sterilization area utilizes the space more efficiently, but sometimes an L- shape is required. A galley style sterilization area is also a great way to design a steri-center, preferably with an entrance on each side. For dental practices with more than six operatories, the multiple steri-centers must be addressed to ensure proper flow.

Chairside ergonomics It seems dentists often prioritize the health of their dental team and patients over their own wellbeing, notes Oliver. “This is a topic that the equipment sales specialist should discuss with every doctor,” he points out. “For dentists new to the field, it is

important that they create good ergoFirst impressions nomic habits early on. It’s just as imPatients form their impression of the portant for seasoned dentists to modify dental practice the moment they entheir habits to decrease spinal and muster the waiting room. So, it’s very imculature fatigue, which they likely have portant that the front office reflect the been experiencing for many years.” level of care that the patient expects to For starters, equipment specialreceive, says Oliver. “Dentists should ists should focus on the placement of take a tip from Starbucks! On average, the doctor’s instrumentation and his or Starbucks completes a minor remodel her proper seating on the stool, notes every three to five years. Do they do Oliver. No matter where the dentist’s this because the place is falling apart? unit is located (i.e., chair-mounted, No. They do this because the custom12-o’clock-mounted or side-mounted), ers’ perception is their reality. there are pros and cons, he says. “As “Clinicians must keep their practice our customers’ trusted advisor, we “up-to-date and relevant,” he continues. must discuss each option and pick the “Updates do not necessarily mean add– Ben Oliver best fit for their practice. When it comes ing a flat panel TV and a Keurig in the to stools, configuration and set-up is waiting room. Rather, the dental practice key.” Even the most expensive stool available on the market should maintain a clean, contemporary, welcoming environment.” may not offer the appropriate size seat pan, height or tilt for a Amenities, such as beverage stations, a children’s play particular dentist, he points out. “Set-up is key, and an equiparea, comfortable seating and charging stations, reinforce the ment specialist – together with the manufacturer – should help professionalism of the dental practice and beckon patients, with this.” Rhode adds.

“We must design dental offices for the future, which means adding 3D printing and milling units. Designing an office without the ability to have this technology would be like designing a car without the ability to navigate!”

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First Impressions

September 2018

OFFICE DESIGN

An Eye to the Future From the reception area to the operatory, office design can impact both the dental team and patients. BY LAURA THILL

An upfront investment of time and careful planning for an office design can save dentists much aggravation down the road, as well as help them avoid lost revenue. With the help of an office design expert, they should identify both immediate and future needs for their practice, according to Scott Reagles, an office design specialist with Patterson Dental. Reagles is part of a team of designers at Patterson Dental who focus on interior design, equipment selection and placement, and technology integration. “Dentists and their design experts must incorporate opportunities for future growth in their initial business plan,” he says. “They must look for a space or building that will accommodate the current and growth plan, and then design around all anticipated needs and capacity.” Adding as many spaces and rough-ins as their budget permits will help them avoid additional construction expenses later on, he notes. “Poor planning and design could add unnecessary costs and disrupt the practice’s operations when it’s time to grow.”

Office flow When designing a dental space, Reagles recommends starting with the operatories, the sterilization center and the mechanical

September 2018

First Impressions

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room. (Digital impressions/3D imaging and CAD/CAM should follow within three years, he adds.) Floor plans should be evaluated up front. For instance, an open concept might benefit some offices but not others. “Open floor plans can offer some advantages, such as fitting more equipment into a smaller space, or highlighting technology and sterilization practices,” he says. It can also serve to create a welcoming environment between the reception area and the rest of the office. At the same time, “open offices can introduce new concerns, such as privacy, comfort, sound travel and environmental control,” he adds. “The design expert must consider the dental practice’s business model and operations.” The dental office layout should maximize efficiency and flow, Reagles points out. It should define public and private spaces, ensure patient privacy and help the dental team members avoid unnecessary steps and movement. For instance, poorly placed or designed cabinetry in the operatory is often associated with ergonomic concerns that can impact the health of the dental staff. Similarly, a poorly designed sterilization center can interfere with

office efficiency and profitability, he adds. “Whenever possible, the sterilization center should be centrally located to all treatment rooms and placed to limit travel for efficiency,” he says. “Placing it where it can be seen by patients coming and going from treatment may reinforce that the office has nothing to hide when it comes to proper hygiene and their concern for safety.” Office lighting can also have an effect on the dental team, Reagles continues. When properly installed, lighting can soothe staff and help reduce patient anxiety, he notes. When the operatory lighting cannot be adjusted, however, and patients are

“Dentists and their design experts must incorporate opportunities for future growth in their initial business plan. They must look for a space or building that will accommodate the current and growth plan, and then design around all anticipated needs and capacity.” – Scott Reagles

forced to stare at overly bright or harsh lights, it can be upsetting for them. On the flip side, a poorly lit area leaves the dental staff straining to see properly as they administer treatment.

Setting expectations The reception area should not be overlooked in an office design, notes Reagles. “The reception area can set patients’ expectation of their treatment experience and influence whether they return for further treatment,” he says. “When patients enter the office, everything from the way the front door operates and looks to lighting, décor and furniture, can help them relax or elevate their fears about the visit. Patients should see – and interact with – a friendly face the moment they enter the office. They should be able to expect a clean, up-to-date environment, with amenities to keep them comfortable and entertained until their treatment begins. And, they should have access to staff if they have any questions or concerns.” Editor’s note: To learn more, visit https://www.pattersondental.com/Services/Office-Design.

Filling the Gap To ensure a smooth-running office, dental owners and office managers must follow through on protocols. A common concern among dental owners is to ensure the entire team is working together to support one another. It’s not uncommon to find a “disconnect” between the staff and the office manager or dentist, says Corinne E. Jameson-Kuehl, owner, Custom Dental Solutions. An expert in dental practice business solutions and training, she works with practices to address a range of issues, from customer care and treatment coordination to insurance, human resources, hygiene and more. Dental owners don’t always “follow through on rules and discipline,” she points out. “I’ve seen situations where employees are not doing the job expected, but the office manager isn’t sure how to handle the situation. Sometimes managers are afraid to discipline employees because they fear hurting their feelings.” Dental owners and their – Jameson-Kuehl office managers should always refer to the office handbook when evaluating employee behavior, she continues. “If there is nothing related to the incident in the handbook, we advise our clients on the best way to move forward.” When appropriate, Jameson-Kuehl and her team provide clients with the necessary tools to initiate a discussion with their employees. “Depending on the number of locations a practice has, we sometimes arrange a meeting for all of the office managers and help them update the office handbook,” says Jameson-Kuehl. “I believe dental practices should evaluate office flow and production quarterly. This way, they can discuss recent issues that may have occurred, address them and change the office flow or process if necessary.”

“I believe dental practices should evaluate office flow and production quarterly.”

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September 2018

The Equipment Guide Equipment solutions for your dental customers No matter what

time of year dentists make a big purchase, they want to be certain it is an investment â&#x20AC;&#x201C; not just overhead. Sales reps can help by sitting down with their customers, analyzing how the practice currently operates, examining the dentistsâ&#x20AC;&#x2122; short- and long-term goals, and then advising them on optimal solutions. The following articles present products and solutions to help your dental customers succeed.

September 2018

First Impressions

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PrograMill™ One by Ivoclar Vivadent The new PrograMill™ One is changing the conversation about chair-

Additional features include a 5-way material changer, an 8-position tool changer, an integrated camera for a high level of automation and Optical Status Display. For dentists looking for a mill that allows them to build a digital workflow that’s perfect for their practice, this is the One. For more information visit www.ivoclardigital.com. PrograMill One and other Ivoclar Digital products are distributed by Henry Schein Dental and Patterson Dental.

side CAD/CAM milling by offering stunning design, function and flexibility from the leading CAD/CAM materials manufacturer. As the dental industry moves towards digital processes and workflows, so do expectations for quality restorations. Combining the PrograMill One with IPS e.max® CAD creates a total solution that features innovation, durability and clinical success. Here are a few reasons why: • Optimized for IPS e.max® restorations. The unique milling technology designed into the PrograMill One creates an IPS e.max CAD restoration with smooth surface quality and an excellent fit. Practices that are new to creating in-office restorations, or want to upgrade their system, can be confident they are offering their patients the best version of the #1 digital material in dentistry. • Unique 5-axis turn-milling technology (5XT). Innovative 5-axis technology means the block moves around the tool. The infeed remains consistent and the tool never leaves the workpiece. This is the next generation of processing, enabling short machining times while keeping tool wear low. Depending on the materials and indications, individual validated machining strategies are used, reducing rework to a minimum. • Universal, open-source architecture. With PrograMill One’s open architecture, practices are no longer tied to a closed system. Practices that have – or are considering – scanners, such as the 3Shape Trios or Planmeca Emerald, are excellent candidates for this mill. • Sleek design with small office footprint. PrograMill One is the smallest smart 5-axis milling machine in the world. This full-featured machine is the perfect size for active practices. • Can be operated via a tablet or smartphone. The machine is wireless and can be placed anywhere within the practice and operated via an app.

Editor’s note: Sponsored by Ivoclar Vivadent.

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September 2018

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. Distributor sales representatives can initiate a discussion with their dental customers about ScanX Swift View by asking the following questions: • “Doctor, is your practice currently film-based, or digital?” • “If you’ve already incorporated a direct-digital hard sensor, do you still find it difficult to capture images?” • “What percent of your patients are pediatric? What percent are geriatric?” • “Do many of your patients have special needs or issues with gagging?” • “Do you ever have the need to take a size 4 occlusal?”

September 2018

First Impressions

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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.

The New Standard for Digital X-rays Introducing the Newest Single-Slot Scanner The ScanX Swift View digital radiography system enables the intuitive, efficient and time-saving digitization of PSPs for all intraoral formats, sizes 0-4. • Easy-to-use interface • WiFi or LAN connection: place it anywhere • High resolution image quality for easier diagnosis TAKE ADVANTAGE OF THE INCREASED DEDUCTION LIMIT FOR SECTION 179 You may deduct the full cost of dental equipment from your 2018 taxes up to $1 million. Please consult with your tax advisor for further information. For more information, to schedule a demo, or to place an order, contact your local dealer representative. To learn more, visit www.airtechniques.com

EQUIPMENT GUIDE

DryShield All-in-One Autoclavable Isolation System DryShield – the

first and only autoclavable all-in-one modern isolation system – 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, it’s an intelligent breakthrough in isolation, bringing ease and comfort to doctors and patients alike. In a recent 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 25 to 40 percent,

when comparing procedures using DryShield versus traditional isolation methods. 85 percent also indicated that DryShield improved their patients’ experience by increasing comfort, as well as reducing chair time. Autoclavability is the standout feature of the DryShield system, allowing doctors to save on disposable costs. The patented DryShield mouthpiece – available in five sizes – is completely autoclavable. In a cost comparison with comparable modern

September 2018

First Impressions

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isolation products, DryShield proved to be the most cost-effective both upfront and in the long run, saving about 37 percent in setup cost per operatory and 80 percent annually due to the reusability of mouthpieces. DryShield can be used for almost every dental procedure. The system is easy to use, installs in seconds and immediately improves patient experience and safety when used. The mouthpieces are soft and flexible, yet they provide increased visibility and cheek retraction to aid the doctor in performing dental procedures. Distributor sales representatives can initiate a discussion with their dental customers about DryShield by asking how they prefer to isolate. For dentists, the advantages of switching to DryShield include reduction in chair time, increased autonomy for both the dentist and assistant, 2-quadrant dentistry and the ability to sterilize DryShield in the same workflow as other dental tools. It is key to highlight the dramatic cost savings, reduction in waste and portability. By increasing office productivity and efficiency, DryShield lets dentists focus on what they do best: Provide quality dentistry and an ideal patient experience. The DryShield system represents our company’s commitment to enabling dentists to grow their practice 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.

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EQUIPMENT GUIDE

The Digital Ultra® Flowmeter, an Accutron line of nitrous oxide/oxygen sedation systems by Crosstex International, a Cantel Medical Company Dental visits can sometimes be a source of anxiety for patients who fear treatment, resulting in missed appointments or last-minute cancellations. As a result, patients’ health – and the practice’s business – is compromised. Offering mild sedation through the use of nitrous oxide/oxygen systems can help manage anxiety and provide a better overall experience for dental patients. With minimal side effects and a solid safety record, nitrous oxide/oxygen sedation can also increase efficiency in the practice.

Crosstex provides complete solutions for patient comfort through the Accutron line of nitrous oxide/oxygen sedation systems. For instance, the Digital Ultra® Flowmeter features a contemporary design with a flat surface, which is easy to barrier-protect and disinfect between patients. It also offers automatic compensation to easily adjust total flow or gas ratio while the percentage stays constant, making it easier to use than traditional analog systems. The maximum nitrous oxide ratio is set at 70 percent and, along with updated audible and visual alarms, this helps ensure patient safety. Sales reps can determine whether the Digital Ultra is right for their dental customers by asking a few questions: • “Doctor, how often do you see patients who exhibit fear or anxiety? How does patient unease with dental visits affect your practice?” • “Which screening tool/standardized method is being used to appropriately identify a fearful or anxious

September 2018

First Impressions

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patient?” (i.e., Scale 1-10, Modified Dental Anxiety Scale, Short Dental Fear Question) • “Are you currently using nitrous at your practice? If so, how old are your units?” • “Based on manufacturers guidelines, what is your written inspection and safety protocol for the nitrous oxide/oxygen equipment and cylinders? • “Did you know that by upgrading from an analog to a digital unit, you can save time during procedures and train new staff more easily?”

As with any equipment, flowmeters will not last forever, no matter how well they are maintained. So, it may make sense for the dental practice to invest in a new model, especially one that includes additional safety features. Offering nitrous oxide/oxygen sedation can help increase efficiency throughout a dental practice, as well as increase patient satisfaction and help attract new patients. And, when administered and monitored appropriately through well-maintained equipment, including scavenging circuits, the ADA notes there is no evidence of adverse health effects (Source: The Journal of the American Dental Association, Volume 128, Issue 3, 364 – 365). Digital Ultra is available in a variety of configurations suited to both central and portable nitrous oxide/oxygen delivery, including an optional remote control. Together with Digital Ultra, the Accutron product line offers additional equipment and accessories to address the needs of the office. Editor’s note: Sponsored by Crosstex International, a Cantel Medical company.

Compliance made easy with the power of cyclonic action

Easy to install, high-capacity canister extends time between changes The Syclone™ Amalgam Separator supports dental practices in meeting the requirements of the new EPA dental amalgam discharge ruling with rapid-velocity separation, higher-yield waste capture and better operational efficiency. • Innovative cyclonic action delivers 99% amalgam separation, exceeding EPA requirements • ISO 11143:2008 certified by NSF International • Versatile replacement canister that is compatible with other systems • 50% additional canister capacity as compared to similar products • Backed by a competitive 2-year warranty* for added peace of mind Learn more at Crosstex.com/Syclone *Warranty for the system. Other terms and conditions apply. All product names are trademarks of Crosstex International, Inc., a Cantel Medical company, its affiliates or related companies, unless otherwise noted. Patent pending.

888-276-7783 crosstex.com

EQUIPMENT GUIDE

AIR-FLOW Master® by Hu-Friedy The AIR-FLOW Master

by Hu-Friedy is a state-of-the-art air polishing and biofilm management device. The Classic side can be used for standard air polishing and stain removal with sodium bicarbonate powder. The Perio/Plus side is designed for fine-grain glycine and erythritol powders, which are safe for supra- and subgingival biofilm removal. The low abrasive powders can be used on implants, restorations and around ortho brackets and other hardware.

By using AIR-FLOW Master before scaling for comprehensive biofilm removal, clinicians can save between eight and 12 minutes per patient compared with using traditional instrumentation. They can focus their scaling on hard deposit removal only and will not require rubber cup polishing following the procedure. The AIR-FLOW Master features power and water controls for a completely customizable experience for each patient. Adjustable levels ensure efficient powder delivery, saving clinicians money on powder in the long-term. Biofilm is one major cause of oral diseases, so shifting the focus of the hygiene and perio maintenance

September 2018

First Impressions

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procedures to biofilm removal results in reduced inflammation and healthier patients. By asking a few questions, sales representatives can help their dental customers determine whether the AIR-FLOW Master is right for their practice: • “Doctor, what is your protocol for implant/perio maintenance patients?” • “What is your biofilm management protocol?” • “How much time do you spend using instrumentation?” • “What if you could save 8-12 minutes per patient?”

Some clinicians may question why it’s not productive to use scalers, rubber cups, etc., especially if they work just fine. While power or hand scaling can remove subgingival biofilm, and rubber cups can remove supragingival biofilm, these methods are less efficient than using the AIR-FLOW Master. With instrumentation, clinicians use overlapping strokes for 30-60 seconds per tooth surface, and then must pick up the rubber cup to complete the job. When used before scaling, AIR-FLOW can do a more comprehensive job in just 5 seconds. Clinicians may also question the cost-effectiveness of purchasing the AIR-FLOW Master. Sales representatives should remind them that the device is used to maintain/restore patient health. While it is an investment, there is no other technology that is efficient, safe and comfortable to use in all areas of the mouth to comprehensively remove biofilm. Plus, the benefits of patient retention cannot be overstated. When patients are comfortable, they will come back for this technology alone. Editor’s note: Sponsored by Hu-Friedy.

MOVING FORWARD. TOGETHER. Because Every Step Matters in Infection Prevention

UTILITY GLOVES

CLEANING & CARE

INSTRUMENT MANAGEMENT

CLEANING & STERILIZATION MONITORING

STERILIZATION PACKAGING

EQUIPMENT GUIDE

EZPlus series fully automatic sterilizers by Tuttnauer U.S.A Co., Ltd. At Tuttnauer, our

single focus on sterilization and infection control enables us to offer products to help practitioners meet today’s challenging workloads and regulatory requirements. The EZPlus series fully automatic sterilizers meet the most current standards ANSI/AAMI ST55.

It is a closed-door, HEPA filtered air-drying system engineered to maintain sterility and ensure efficient drying of packs and pouches. Because the door remains closed throughout the drying cycle, the staff is encouraged to leave the pouches/packs in the unit until all items are completely dry. Distributor sales representatives can initiate a discussion with their dental customers about the EZPlus series by asking the following questions: • “Doctor, how old is your sterilizer? Is it time to replace it?” • “What type of sterilizer are you comfortable using? What model are you replacing and what chamber size does it have?”

September 2018

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• “Does your current model sterilizer meet all of the needs at your office?” • “Would you say your office needs to change from a manual autoclave to a fully automatic system? Will doing so free up time for the staff to work more closely with patients and perform/ assist with procedures that add to the bottom line?” • “Has the volume of items to be sterilized at your office increased, decreased or remained the same? Do you need a larger, smaller or equivalent chamber size than you currently have?”

Some dentists may question the best way to maintain an EZPlus autoclave: • Regular cleaning and maintenance of a sterilizer is critical to keep the device in good working condition. • Do not overload the sterilizer trays. Overloading sterilizers is the number one cause of sterilization cycle failures, including inadequate sterilization and drying. • Always use steam-distilled water with the physical characteristics detailed in the sterilizer manufacturer’s operator’s manual. Tuttnauer is the only manufacturer to offer a two-year warranty on parts and labor, as well as an additional 10-year warranty on the chamber for all of its fully automatic autoclaves. Editor’s note: Sponsored by Tuttnauer U.S.A Co., Ltd.

WHY CHOOSE TUTTNAUER? AS EXPERTS IN STERILIZATION AND INFECTION CONTROL, WE BEST UNDERSTAND THE MARKET’S VARYING NEEDS

LARGEST SELECTION

BEST WARRANTY

BIGGEST CHAMBER SIZES

• 5 Manual Models To Choose From • 7 Automatic Models To Choose From

• 2 Year Parts & Labor Warranty* • 10 Year Chamber Warranty

Use promo code FIRSTIMPRESSIONS2018 for an add’l. $50 manufacturer’s rebate

• 7”, 9”, 10”, 11” & 15” Chambers *Fully automatic units only

Designed to meet the most current sterilization standards ANSI/AAMI ST55

DID YOU KNOW? Our EZPlus models offer a closed-door drying system.

WHY IS THIS IMPORTANT? This ensures the door remains closed throughout the dry cycle to maintain sterility and efficient drying of packs and pouches.

Buy any new EZPlus, EZ, EA or Elara11 from September 15 thru December 15, 2018 and get a $450.00 manufacturer’s rebate. To redeem, the end user must visit www.tuttnauerUSA.com/rebate, upload the dealer invoice dated September 15 thru December 15, 2018 (with doctor’s and/or practice/facility name and date purchased), complete the information required on the form (which includes the serial number of the autoclave), and select “Submit”. All information will be verified by Tuttnauer USA upon submission. A confirmation email will be sent for your records. Keep the confirmation until rebate is received. Redemption deadline is January 15, 2019. Please allow 4 weeks for receipt of rebate. Excludes reconditioned and scratch and dent machines.

OVER

YEARS

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ce 1925

25 Power Drive Hauppauge, NY 11788 • 800 624 5836 • info@tuttnauerUSA.com, www.tuttnauerUSA.com

EQUIPMENT GUIDE

The InOffice™ by DentalEZ® The DentalEZ® InOffice™

workstation offers dentists the flexibility and organization they need to provide the best possible lab services for single-visit dentistry. The workstation is available with multiple drawer configurations and includes a variety of features, from durable steel construction and ½-inch solid-surface countertops, to a wide selection of scratch-resistant color finishes, adjustable height capabilities and options for dust collection. The DentalEZ InOffice Workstation is built with the power of flexibility in mind!

By asking a few questions, sales representatives can help their dental customers determine whether the DentalEZ InOffice workstation is right for their practice: • “Doctor, does your practice include a dedicated area designed for making adjustments and cutting restorations off of milled blocks and discs?” • “Are you considering keeping more lab work in-house to generate higher profits?” • “Have you considered how the DentalEZ InOffice workstation will enable you to add new features in the future, particularly as your business model changes and attracts new patients with different needs?” DentalEZ products are designed to help dental practices keep up with the many advancements in restoration and single-visit dentistry. In addition to its standard features, the DentalEZ InOffice workstation can be upgraded later on to accommodate the growing needs of the office. Editor’s note: Sponsored by DentalEZ®.

September 2018

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Buy any DentalEZ Chair and Delivery Unit, get a CORE Light FREE! Buy now to take advantage of tax breaks with your Section 179 deduction!

Strong The CORE™ Chair has a durable baseplate and stable footprint. The CORE Chair situates patients in an ideal position with a durable hydraulic lift cylinder. The chair is quiet yet powerful with smooth operation.

Flexible With CORE, choose from a left/right Magellan style mount or a fixed console mount unit, both positioning StarDental® handpieces and ancillaries within easy, comfortable reach. Match with other DentalEZ® LED Lights and delivery units.

Simple CORE products provide a straightforward, easy to use delivery unit with common components, integrated holders and easy to read pressure gauge. The CORE comes with a limited 5 Year warranty that covers the chair, light and delivery unit.

Reliable The CORE LED is equipped with 3 light intensity settings and no touch operation. The handles can be repositioned 360° and can be autoclaved.

Comfortable The new CORE chair design provides great support and helps patients stay relaxed for a great dental experience.

EQUIPMENT GUIDE

New operatory system by Engle Engle has developed a new operatory system that seamlessly integrates auxiliary technology chairside, including digital sensors, monitors, handpieces and more. Rapid advances in dental technology make it essential that these new devices are accessible to dentists. Engle has integrated USB 2.0 within the control head, a digital sensor holder, monitor mounts and assemblies with prewired HDMI cables. Our quality equipment is easy to use and even easier to install. Engle’s upgraded operatory system, which arrives at the dental office 80 percent assembled, enables dental professionals to quickly plug in their digital sensors or intraoral cameras into the delivery unit, as well as efficiently move technology between each operatory. Because they only require a single sensor for the entire office, the practice can expect a substantial cost savings. Distributor sales representatives can initiate a discussion with their dental customers about Engle’s upgraded operatory system by asking the following questions:

• “Doctor, are you aware that enhanced accessibility to the latest technology is key to an efficient dental office?” • “Do you often trip over wires and cables in the office?” • “Do you have difficulty setting up your digital sensors or intraoral camera?”

Some dentists may be concerned that the new signal will not be strong enough to accommodate their digital sensors. Engle’s USB cable has a power amplifier that minimizes signal loss over long cables. And, our intraoral cameras have been tested to ensure clear, crisp images. Integrating technology into dentistry is the industry’s future. Engle is committed to providing intelligent engineering and premium features at an affordable price to ensure the operatory equipment supports all the new technology. Editor’s note: Sponsored by Engle.

September 2018

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EQUIPMENT GUIDE

NXT Hg5 Amalgam Separator by Solmetex Solmetex has over

20 years in the business of amalgam separation and has continuously been a market leader in the industry with its Hg5 series of Amalgam Separators. Our latest separator, the NXT Hg5, meets or exceeds all requirements of the new EPA Dental Amalgam regulation, which went into effect July 2017. The NXT Hg5 is ISO 11143:2008 certified, includes online certificates of recycling and compliance, and now includes a Practice Waste Solutions (PWS) Amalgam bucket for the proper disposal and recycling of dry amalgam waste. Combined, the entire package of products and certification documentation will ensure that your dental customers are compliant with the amalgam regulation.

According to the regulation, dental practices are now being held responsible for the proper disposal of wet and dry amalgam waste. In short, anything that comes in contact with amalgam, now needs to be recycled properly. Solmetex has this covered in a simple, all-in-one solution. The NXT Hg5 Amalgam Separator takes care of the wet amalgam waste, while the PWS Amalgam Bucket takes care of the dry amalgam waste. Dentists

Itâ&#x20AC;&#x2122;s a complete solution to the amalgam dental regulation and peace of mind for your customers, knowing they never are without proper documentation of compliance. can recycle items, such as their chairside traps, teeth with amalgam, spent amalgam capsules, contact and noncontact amalgam and vacuum filters, in the amalgam bucket. Then they can utilize the Solmetex mail-back recycling program, which is included in the cost of the products. Finally, they

September 2018

First Impressions

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Goodbye mercury. Hello compliance. Removing mercury from the dental practice is now required by law - and we’re way ahead of the game. When it comes to Amalgam Separation, no one knows more than Solmetex. With over 20 years in the industry, our experience in water science has led us to create a system that easily and affordably removes amalgam waste from dental practices. Our signature product, the NXT Hg5, is the industry standard and has won more awards than all competitors combined. As a ‘total solution provider,’ Solmetex takes care of waste handling and recycling so you don’t have to. Solmetex – clearly the leader in amalgam separation

The EPA says you need one - FREE Installation with NXT Purchase* Receive up to $200 reimbursement for installation by a service tech, dealer or plumber, or $150 for a diy installation. *Submissions must include both purchase and installation invoices. Enrollment in AutoShip program is required. Offer not valid with any other promotions and only applies to standard priced offers. Offer may be discontinued or changed without notice and void where not valid. Offer expires 09.30.18.

(800) 216-5505 | www.solmetex.com/1st-imp

can access the Compliance Center 24/7 on solmetex.com for certificates of recycling. It’s a complete solution to the amalgam dental regulation and peace of mind for your customers, knowing they never are without proper documentation of compliance. Your dental customers who are considering the variety of separators on the market should ask themselves a few key questions: • How many operatories do I need my separator to support and how much space do I have to accommodate the separator? • What are the costs of the initial purchase, installation and annual maintenance? •D oes the separator meet all the requirements of the regulation, including recycling and documentation? Some dentists may question the need to purchase an amalgam separator:

1STIMP_0918

Q: “I no longer place amalgam. Why do I need to install an amalgam separator?” A: Although practices no longer place amalgam, most practices still remove amalgam, and that amalgam needs to be recycled. Q: “According to the EPA regulation, I have until July 14, 2020, to install an amalgam separator. Why do it now?” A: As we near July 2020, the demand for amalgam separators – as well as for installations – will increase. With increasing demand, cost generally rises as well. Installing an amalgam separator today means fewer obstacles down the road. Solmetex has been the pioneer in amalgam separation and the market leader for over two decades. With Solmetex, dentists can be confident they are doing what is best for their practice and the environment. Editor’s note: Sponsored by Solmetex.

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First Impressions

September 2018

EQUIPMENT GUIDE

STATIM ® G4 Cassette Autoclaves by SciCan STATIM ® provides sterilization and dryness at speeds faster than conventional chambered autoclaves. Gentle

Fast Cycle Times

The fresh water feature guarantees fresh water with every cycle. State-of-the-art steam technology is gentle on both solid and hollow instruments.

STATIM ® 2000 G4 unwrapped cycle times are the world’s fastest at 6 minutes. Wrapped cycles, including drying, can be completed in 35 minutes. STATIM ® 5000 G4 can complete unwrapped cycles in as little as 9 minutes. Wrapped cycles, including drying, can be completed in 40 minutes.

Reliable For over 25 years, STATIM ®’s unmatched speed, reliability and dependability have made it one of the world’s best-selling tabletop autoclaves.

G4 Technology SciCan’s G4 equipment can connect and send accurate information to your dental customers’ smart devices, providing them with cycle data, instructions and maintenance notifications at their fingertips.

September 2018

First Impressions

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Capacity STATIM ® G4 autoclaves not only offer fast sterilization times but also enough capacity to meet the needs of a busy practice. The STATIM ® 2000 G4 capacity allows for up to 5 pouches and the STATIM ® 5000 G4 allows for up to 12 pouches. Editor’s note: Sponsored by SciCan.

EQUIPMENT GUIDE

Intraoral Camera by MouthWatch An asset to every dental practice, intraoral cameras are essential for educating patients about the need for treatment, boosting case acceptance and supporting insurance claims. And informed patients who are involved in co-diagnosis are more likely to accept treatment, including cosmetic cases. The MouthWatch intraoral camera shares many of the same features as high-end cameras, but at a price that makes sense. The easy-to-use MouthWatch intraoral camera is designed to seamlessly integrate with a dental practice’s digital x-ray imaging soft¬ware. The camera’s single-button capture and focusfree operation ensure the dental team can depend on sharp, diagnostic-quality images at every patient visit. MouthWatch cameras are backed by U.S.-based technical support and come with a no-risk satisfaction guarantee and a one-year warranty. Distributor sales representatives can initiate a discussion with their dental customers about the MouthWatch intraoral camera by asking the following questions:

September 2018

First Impressions

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• “Doctor, what does your current new patient exam process look like?” • “How do you present cases to your patients?” • “Do you limit yourself to one expensive camera? Does this restrict your ability to capture diagnostic-quality images for your patients?”

Moving a single camera from room to room may work for a short time. But, as more clinicians at the practice incorporate intraoral imaging into their workflow, it’s less and less realistic. The affordability and convenience of the MouthWatch intraoral camera, as well as its ability to integrate with the practice’s digital x-ray imaging soft¬ware and its no-risk guarantee, make it an optimal solution for any practice. Editor’s note: Sponsored by MouthWatch.

New Style Electric NLZ Motor Systems by NSK NSK America Corporation

introduces two NLZ Electric Micromotor Systems with new technology, faster performance, compact design and a new proprietary contra angle check function. The new NLZ has the highest torque in its class (4.2 Ncm) with the smallest dimension. The endodontic version, NLZ E, has both a reciprocating and rotary function, making it compatible with WaveOne® files. The NLZ is a compact powerhouse with 36 percent more torque than any other motor in its class! It easily cuts through EMAX, Zirconia and PFM. Using new technology, the NLZ is more powerful, yet lighter and with less heat generation than our existing models. The conventional magnet rotor has been replaced with an improved magnet rotor to provide a more powerful rotation. The unique water and air lines are now integrated with the motor to make maximum use of the space. Using a simple nonlayered coil, it is as compact as possible, shortening the pathway for heat generating current. As a result, it generates less heat without reducing the power. A totally new installation style separates the control unit from the main unit. Every part of the NLZ has been made more compact to minimize the required space for installation. The Main Unit (W146 x D75 x H48mm) fits under the counter, keeping only the Control Unit (W76 x D87.1 x H63.4mm) visible.

NLZ’s new Contra-Check Function helps detect abnormalities caused by deterioration of the electric attachment and insufficient maintenance before use. To use it, just connect the electric attachment to the motor, press the Check key and view the results on the Control Unit. It will indicate whether the attachment needs oil, repairs or if it is ready to use. The NLZ E endo motor has both rotary and reciprocating functions, which allow it to work with DENTSPLY Sirona’s WaveOne® files. A large rotating angle in the cutting direction provides high efficiency, whereas a smaller angle in the reverse direction allows the WaveOne® file to safely progress along the canal path, whilst reducing the risk of a screwing effect and file breakage. NSK’s all new NLZ can help any user of air driven hand pieces convert to electric and enjoy the full benefits of this smart system. A big change in treatment environment is brought with only a minor addition to the current equipment in your dental customers’ office. Visit www.nskdental.us for more information. Editor’s note: Sponsored by NSK.

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First Impressions

September 2018

EQUIPMENT GUIDE

The Sterisil® System G5 The Sterisil® System G5 utilizes six stages of purification to pro-

vide on-demand, purified and treated dental water for any dental practice. The G5 concept takes the existing silver-based antimicrobial technology and brings it into the future with integrated smart technology. It is the only system engineered with a Class A UV light capable of killing 99.99 percent of bacteria and viruses.* Equipped with a touchscreen, a PC app and a network of sensors, the G5 offers water quality monitoring and real-time diagnostics for optimized dental water treatment.

Continuous monitoring and recording of water quality protects dentists with a liability failsafe should the cleanliness of their water be brought into question. The improved diagnostics also allow users to efficiently track and maximize cartridge life resulting in costs savings over the lifespan of the system.

Some dentists may question the need to add 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 3rd 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. • “That’s quite a bit more money than the other Sterisil Systems. Is there that much more to it comparatively?” • Absolutely. The G5 expands on the previous water quality and notification platform well beyond the Sterisil® System G4’s capabilities. 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 pathogen destruction and you have a powerful dental waterline disinfection system in a sleek, user-friendly package. Interfacing with our dental water systems is the next evolution for waterline infection control. Having access to real-time water quality data allows any user to be an expert in dental water compliance. With built-in WiFi or a direct ethernet connection, water quality data and alarms are aggregated into one location via the PC app for efficient diagnostics and water quality control. In addition, centralized data aggregation and Next Step alert guidance eliminate costly technician visits for routine maintenance.

September 2018

First Impressions

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At a time when efficiency is a commodity in high demand, the G5 is poised to lead the way forward to a more user-friendly and efficient water treatment program. * 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.

Editor’s note: Sponsored by Sterisil®.

INFECTION CONTROL

FastActing, Readyto-Use When selecting the best surface disinfectants for a dental practice, efficiency a nd efficacy count.

From the upholstered chairs in the patient waiting area, to hard metal,

plastic and laminate equipment and counter surfaces in the operatory, dental settings can be a haven for bacteria, flu viruses, MRSA and bloodborne pathogens – some which survive on surfaces for days, weeks or months, according to Sarah C. Bell-West, PhD, technical liaison for Clorox Healthcare. “Patients who carry these pathogens may not always show the symptoms, making disinfection a constant priority beyond just the operatory,” she says. In turn, dental professionals require fast-acting, ready-to-use disinfectants, which are compatible with a variety of surfaces, she adds. “In order to address infection control issues across the entire practice, it is important to select disinfectants that are appropriate for use on a wide variety of surfaces found throughout dental settings, and that have also been optimized for aesthetics, surface compatibility and ease of

September 2018

First Impressions

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use, with low-odor profiles and minimal residue formulations,” Bell-West continues. Clorox Healthcare offers a number of such products, some which are designed to kill antibiotic-resistant microorganisms, TB, Hepatitis B, HIV, norovirus, flu viruses and MRSA.

Evaluating the products

In a busy dental setting, where both efficacy and efficiency are essential, dental professionals need surface disinfectants that kill priority pathogens, as well as save the practice time. The best way to familiarize themselves with available products is to carefully read product labels, notes Bell-West.

INFECTION CONTROL

Before using new products, the dental team should review product labels and safety data sheets (SDS) “to familiarize themselves with the product chemistry, directions for use and safety information.”

“Every minute counts in a busy dental practice, and dental procedures can easily and quickly contaminate the environment with bodily fluids and pathogens of concern, so it is important that dental teams select one-step cleaner-disinfectants that have demonstrated disinfection efficacy in the presence of soil,” she says. “Distributor representatives should encourage dental teams to review product label instructions, which provide guidance on whether users need to preclean a surface before disinfecting (a two-step product) or whether users can clean and disinfect with one application (a one-step product).” Another important consideration is a product’s compatibility with surfaces and equipment in the office. Before using new products, the dental team should review product labels and safety data sheets (SDS) “to familiarize themselves with the product chemistry, directions for use and safety information,” says Bell-West. “Some disinfectant ingredients, such as alcohols (i.e., ethanol and isopropanol) are essential for disinfection efficacy, but can damage surfaces like hard plastics and flexible tubing over time.” It is also important to use the proper personal protective equipment (PPE), when appropriate, to ensure safe handling. Dental professionals should explore the evidence behind product claims, including efficacy data and peer-reviewed studies, Bell-West continues. “Facts about the germ prevalence, cross-contamination and transmission can help dental practices i ii

see the value in selecting Environmental Protection Agency (EPA) registered surface disinfectants, which do not force them to make tradeoffs between efficacy and compatibility. Studies suggest that 80 percent of infectious diseases are spread by touch. In one dental practice, researchers recovered MRSA colonies from light switches, computer keyboards and dental chair push buttons over the course of a single day. Patients and staff members can carry and spread germs without knowing it, and many germs can survive on environmental surfaces for extended periods and be spread to others, making cleaning and disinfection an important daily step to help ensure a safe and healthy dental practice.”

For more information on surface disinfection, or to stay informed on current guidelines, Bell-West recommends visiting the Centers for Disease Control and Prevention (CDC), Occupational Safety and Health Administration (OSHA) and Organization for Safety, Asepsis and Prevention (OSAP) websites: • CDC Guidelines for Infection Control in Dental HealthCare Settings. • CDC Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. • Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard. • Organization for Safety, Asepsis and Prevention (OSAP).

Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis. 2006;6:130. doi:10.1186/1471-2334-6-130. G erba CP et al. Distribution of Bacteria in Dental Offices and the Impact of Hydrogen Peroxide Disinfecting Wipes. J. Dental Hygiene. 2016;90(6):354 361.

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Brought to you by Share Moving Media DentalFacts was founded in 1994 to provide timely and accurate business and technical information to the worldwide dental industry. Today, Share Moving Media, your trusted providers of the Weekly Drill, First Impressions, and Efficiency in Group Practice magazines is carrying out this legacy and continuing to deliver the most up-to-date industry news!

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INFECTION CONTROL

Hand in Glove Multiple considerations can impact glove selection.

When selecting the best

glove option for a dental practice, dental professionals must account for several factors. In fact, the final decision may rest on much more than fit and comfort.

Indeed, gloves are worn by the entire clinical staff throughout the work day, and while comfort is important, so are a host of other considerations, including: • What procedure will a particular glove be used for? (This can determine the appropriate fit.) •D o any patients or clinicians at the practice have latex allergies? • Will some patients be uncomfortable with the chemical smell often associated with vinyl gloves? Clinicians constantly grip small tools and instruments, leading them to favor a particular glove texture. For instance, some

gloves are thinner or softer, facilitating greater dexterity and helping prevent hand fatigue. A good starting point may be to evaluate what the dental team has – or has not – appreciated about gloves worn in the past. If there are newcomers to the team, it may be necessary to add more glove sizes, such as extra-small or extra-large. Most importantly, the practice runs a risk when it compromises quality to save money up front. Gloves are a barrier to infection, illness and injury, protecting both the dental staff and their patients. Less expensive, lower quality glove options often break or tear more easily. They may not dispense from the box as easily, leading to additional waste. When the dental office supplies its team with a consistently versatile, high-quality glove, clinicians can focus on providing efficient, optimal patient care.

Editor’s note: First Impressions Magazine would like to thank Ventyv for its assistance with this article.

Gloves 101 • Latex gloves. Latex gloves are made from natural rubber latex. They are known for their flexibility and fitment properties and offer reliable barrier protection. Because some practitioners and patients have allergic reactions to latex gloves, latex-free gloves, such as vinyl, nitrile and polychloroprene materials, have gained popularity in the dental office. • Vinyl gloves. Vinyl gloves are considered a more economical option than latex. They are made with polyvinyl chloride and, as such, are

September 2018

First Impressions

free of latex allergens. However, some may feel that vinyl gloves do not offer the same flexibility as latex gloves. • Nitrile gloves. Like vinyl gloves, nitrile gloves are made of synthetic rubber material – one that features similar characteristics to natural rubber and offers much of the same in flexibility and durability as latex gloves. Whereas some doctors may have shied away from nitrile gloves in the past because they cost more than other glove options, newer generations of nitrile gloves

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are thinner and less expensive. That said, there have been growing concerns of allergic reactions to chemical accelerators used in nitrile glove manufacturing; in response, newer, accelerator-free nitriles have become available. • Polychloroprene gloves. Polychloroprene gloves are made with a synthetic rubber said to closely match the flexibility and barrier protection of latex gloves. In addition, polychloroprene gloves do not raise allergen/ dermatitis concerns associated with latex and nitrile gloves.

Don’t let work slip through your fingertips Get a serious grip on protection with Octopus Exam Gloves by Ventyv ! TM

Visit ventyv.com/fi for more information Hello@ventyv.com • 5401 West Kennedy Boulevard, Suite 760, Tampa, FL 33609-2447 • 1.888.4Ventyv

SPONSORED

DRNA

Cost-Saving Compliance DRNA has an amalgam solution that you – and your customers – will thoroughly appreciate.

By now, you’re likely aware of the U.S. Environmental Protection Agency

(EPA’s) 2017 amalgam ruling. But if this is your first time hearing about it – or if you need a quick refresher – here’s the SparkNotes version: In an effort to reduce the amount of metals such as mercury that end up in municipal sewage treatment plants, most dental offices, clinics, and schools will be required to install amalgam separators. While new dental practices must adopt the standards immediately, existing offices have until July 14, 2020 to install the technology. For dental suppliers and independents, this means that now is the time to set your customers up with the proper equipment. Being an early adopter and installing amalgam separators as soon as possible isn’t just about keeping additional mercury out of the environment – it is also a financially savvy move for you and your customers. That’s where Dental Recycling North America (DRNA) can help. For 20 years, DRNA has been a leader in assisting dental professionals with compliance services. As businesses gear up to meet the 2020 EPA deadline, they’re also at the forefront of cost-saving compliance solutions and have a very attractive remuneration program for customer acquisition. The EPA estimates that the separator purchase cost for dental offices with three to five chairs will be $697 – and for an office with six chairs, the price of the separators is estimated at $1,058. But DRNA can help take that cost down. That’s because their amalgam separator technology is free when combined with a service agreement.1 Better yet, once the equipment is in place, they offer highly competitive recycling costs, allowing dental practices to lock in an annual price with a three- or five-year service agreement. This guarantees that your customers won’t have to deal with “surprise” costs down the road as the price of maintenance inevitably increases, making you look good. In fact, the DRNA annual recycling cost for an office with six chairs is 48 percent less than what the EPA estimates the annual cost to be.2

Your customers will be thrilled when you explain that, instead of having to purchase a pricey piece of amalgam equipment, you can offer them a free amalgam separator (who doesn’t like a freebie?) and a highly cost-competitive compliance solution.

September 2018

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Compliance isn’t an option, and for good reason. The EPA expects that compliance will keep a whopping 5.1 tons of mercury, along with 5.3 tons of other metals, out of municipal sewage treatment plants.

“How can DRNA be so cost effective? Well, we know our business,” says Marc Sussman, founder, president, and CEO of DRNA. “Dental suppliers and independents are always looking for the best overall solution for their customers on such issues, especially on the cost side. Now they can bring their valued customers the best solution for EPA compliance on amalgam. We have no doubt that these customers will really appreciate this cost-saving and total compliance solution.” Think of it this way: Because dental practices are required to install this technology, you could even leverage cross-selling opportunities. Your customers will be thrilled when you explain that, instead of having to purchase a pricey piece of amalgam equipment, you can offer them a free amalgam separator (who doesn’t like a

freebie?) and a highly cost-competitive compliance solution. This will actually put money back in your customers’ pockets, allowing them to instead spend it on practice-enhancement products and equipment, such as that new dental chair you know they’ve been eyeing. It’s a win-win for you and your customers. Even better, if a customer is hesitant to jump on board immediately, DRNA gives dental offices the option to sign up now but wait until 2020 for the amalgam separator delivery and 2021 for their first payment. Compliance isn’t an option, and for good reason. The EPA expects that compliance will keep a whopping 5.1 tons of mercury, along with 5.3 tons of other metals, out of municipal sewage treatment plants. But you do have the option to make the smart choice and save your customers money, both now and in the long run. Now that’s smart business.

For more information, visit DRNA.com, email info@drna.com, or call 1-800-360-1001 ext. 2 1 Table 10-3. Dental Office Compliance Costs by Number of Chairs, Offices with No Technology in Place (2016$), Technical and Economic Development Document for the Final Effluent Limitations Guidelines and Standards for the Dental Category, EPA, 10-6. 2 Table 10-5. Summary of Annualized Compliance Costs for Dental Office with No Technology in Place (2016$), Technical and Economic Development Document for the Final Effluent Limitations Guidelines and Standards for the Dental Category, EPA, 10-9.

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September 2018

INFECTION CONTROL

Dental Infection Control Awareness Month Infection control is a vital component of safe dental care

BY DR. KATHERINE SCHRUBBE, RDH, BS, M.ED, PHD.

Your dental customers strive to do what’s best for their patients. That in-

Autumn is a reminder to all dental professionals that infection control is a vital component of safe dental care. Launched by the Organization for Safety, Asepsis and Prevention (OSAP), this September marks the 3rd annual DICAM.1 The goals of Dental Infection Control Awareness Month are to reinforce the new CDC information, support the infection control coordinator and build patients’ trust in infection control.2 How can dental practices encourage infection control awareness? OSAP outlines three strategies to promote infection control in September.2 The first is to ensure and implement the CDC’s Summary of Infection Prevention Practices in

cludes paying attention to health initiatives that will benefit them. Although their focus is on providing the highest quality dental care and treatment, other general health campaigns and programs play an important role in promoting overall health for patients.

February is Dental Health Month. April is Oral Cancer Awareness Month. May is Hepatitis Awareness Month. June is National Safety Month and September is Dental Infection Control Awareness Month (DICAM). Multisite practices sometimes have the infrastructure to carry out or participate in health campaigns at their practice sites, in local communities or even on a national level. DICAM is an awareness campaign that all dental practices should participate in.

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A third strategy to promote infection control awareness is to build patient trust. OSAP suggests that practices educate patients about what the practice is doing to protect them.

Dental Settings: Basic Expectations for Safe Care and Companion Checklist. In March 2016, the CDC released this document as a companion to the CDC’s 2003 Guidelines for Infection Control in Dental Health-Care Settings. The 2016 release is a 41-page document, downloadable and easy to read, that provides key recommendations for each of the elements needed to prevent transmission of infectious agents in dental settings.3 Every dental practice should have a copy of this document to review

with their teams and implement the necessary steps needed for safe staff and patient care related to infection prevention. The companion checklists are an outstanding way to complete a self-check or self-audit on compliance to the guidelines. As a continuous quality improvement plan, practices should use the checklists to gather baseline

these are available to all personnel (e.g., Bloodborne Pathogens Standard; Personal Protective Equipment (general requirements)). • Maintain current related permits, licenses and other documents (e.g., training, sterilization, medical and other records and logs). • Generate/update/maintain logs of other safety-related records (e.g., manifests from medical waste haulers and radiographic equipment certifications). • Act as a resource on infection control/prevention for the team or organization. • Provide infection control and OSHAmandated training and education. • Monitor compliance through observation, sterilization logs, checklists and other methods. • Confirm that employee immunizations are current, and that supplies/equipment and ordering systems are in place.

data on the various infection prevention elements and then determine what improvements must be implemented.

Since this staff member has such a large responsibility for managing and oversight of the infection control and safety program of the practice, it is imperative that he or she not only have the training, but also a desire to fulfill this role; practices should not randomly assign a staff member as the ICC. A third strategy to promote infection control awareness is to build patient trust. OSAP suggests that practices educate patients about what the practice is doing to protect them. “Clinicians don’t usually bring it up, and patients may be too shy to ask, so use Dental Infection Control Awareness Month as a neutral conversation starter for showcasing your infection control and safety practices”.2 OSAP has sample scripts, letters and brochures that can be used to showcase a commitment to infection control. Simple actions, such as

A second strategy for DICAM is to champion the practice’s infection control coordinator (ICC). Both OSHA and the CDC state it is essential that at least one individual trained in infection control be assigned in the dental practice.3,4 Some duties of the ICC are bulleted below, but this is not an all-inclusive list:5 • Lead in policy development, implementation and monitoring and review and update written policies, SOPs, procedures and other documents; use credible sources (e.g., CDC, OSHA, EPA); assess expected outcomes. • Maintain relevant regulatory and guidance documents and make sure

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INFECTION CONTROL opening sterilized pouches in front of the patient and stating that instrument sterilization is something the practice takes seriously to ensure safety for each and every patient, is an example of promoting the work being done to reinforce compliance to infection prevention principals. And, of course, social media is another way to show the practiceâ&#x20AC;&#x2122;s commitment to DICAM.6 OSAP has a list of resources that are available for practice websites, including selfie signs, hashtags, sample Facebook posts and tweets, which can be found at https:// www.osap.org/page/DICAMSocialMediaTool?. There is also a DICAM web button, which can be downloaded to announce Dental Infection Control Awareness Month on a website and reinforce

Dental infection control is the foundation to providing safe care to patients and maintaining staff safety. At times federal standards, agency guidelines and professional best practices seem cumbersome and overwhelming, but put into an organized program with definitive steps, compliance can be achieved.

participation in this patient-oriented campaign.6 Lastly, there is a poster that can be used in the practice reception area to demonstrate the commitment to dental infection control.7 Dental infection control is the foundation to providing safe care to patients and maintaining staff safety. At times federal standards, agency guidelines and professional best practices seem cumbersome and overwhelming, but put into an organized program with definitive steps, compliance can be achieved. As the leaves being to fall, September is a great time for dental professionals to promote dental infection control awareness and focus on these protocols and procedures to ensure that in all practice settings, infection prevention is a priority.

Editorâ&#x20AC;&#x2122;s note: 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. References

1. O rganization for Safety, Asepsis and Prevention. Dental infection control awareness month. Available at https://www.osap.org/general/custom.asp?page=DICAM. Accessed July 8, 2018. 2. O rganization for Safety, Asepsis and Prevention. Dental infection control awareness month. Available at https://www.osap.org/general/custom. asp?page=DICAMDentalPractices. Accessed July 8, 2018. 3. Centers for Disease Control and Prevention. Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Oral Health, March 2016. 4. U nited States Department of Labor. Occupational Safety and Health Administration; Bloodborne Pathogens. Available at https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=10051&p_table=STANDARDS. Accessed July 9, 2018. 5. Organization for Safety, Asepsis and Prevention. Dental infection control awareness month. Available at https://www.osap.org/page/RoleofICPC?. Accessed July 9, 2018. 6. O rganization for Safety, Asepsis and Prevention. Dental infection control awareness month. Available at https://www.osap.org/page/DICAMSocialMediaTool?. Accessed July 10, 2018. 7. O rganization for Safety, Asepsis and Prevention. Dental infection control awareness month. Available at https://cdn.ymaws.com/www.osap.org/resource/resmgr/dicam2017/OSAP_DICAM_Poster_FINAL.pdf. Accessed July 10, 2018.

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Industry News Burkhart Dental Supply hires Michael Nesland as CFO Burkhart Dental Supply announced the hiring of Michael T. Nesland, CGMA, CPA, MBA, as its chief financial officer. Prior to joining Burkhart, Nesland was Corporate Controller for Hydraulex Global, a Michael T. $100 million worldwide remanufacturer and distribNesland utor of industrial components. A Fox Island resident, Nesland will lead the accounting and financial operations at Burkhart and will be a member of the Executive Team. Nesland earned a bachelor’s degree in business administration (with a finance concentration) from Seattle Pacific University, holds a master’s in business administration (MBA) from the University of Washington, is a Certified Public Accountant (CPA) and a Chartered Global Management Accountant (CGMA).

DSO implements incentivized insurance plans Delta Dental of Arizona announced six new dental insurance plans for individuals and families. Delta Dental of AZ reduced waiting periods on its traditional dental plans, ensuring that members have full access to covered benefits within their first year on the plan. Although most of the new offerings are traditional plan designs, two of the plans reward members for maintaining dental coverage. With these incentive plans, the amount members pay for covered

services decreases for the first 3 years they are enrolled in the plan. There are no waiting periods on the incentive plans, so members have full access to covered benefits from day one.

Henry Schein donates 4k Welcome Kits to guests at American Cancer Society Hope Lodge facilities Henry Schein Inc (Melville, NY) announced its donation of 4,000 Welcome Kits for people staying at American Cancer Society Hope Lodge facilities, which provide free temporary housing services in locations across the US for people receiving cancer treatment far from home and their loved ones. This is the tenth year Henry Schein has supported Hope Lodge through the Welcome Kit program. Each welcome kit contains personal hygiene products and related items, including toothbrushes and toothpaste, hand sanitizer, skin cream, mouthwash, a multiwire charging cable, and a personal journal. The company’s donation, conducted with the support of 16 of Henry Schein’s supplier partners, is an initiative of Henry Schein Cares, the company’s global corporate social responsibility program.

SDI introduces Riva Star SDI (North America), Inc. announced the FDA has given registration approval to market Riva Star in the USA. Riva Star’s FDA registration is as a new generation SDF (silver diamine fluoride) desensitizer that immediately relieves tooth sensitivity. Riva Star’s key ingredients are silver diamine fluoride (SDF) and potassium iodide (KI). Unlike any other SDF based system, Riva Star’s two step globally patented procedure minimizes the risk of staining the tooth black. This patented two-step process results in an esthetically acceptable tooth colored appearance for the patient.

SDI Appointee Announcements Julie Garceau National Sales Manager, North America

Gina Verkamp Territory Manager for Los Angeles, Ventura, Santa Barbara, San Luis Obispo and Kern Counties

Katherine Tallis Sales and Marketing Coordinator

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NEWS

Patterson New Trainees

James Armstrong

Mary Blackwell

Janis Bowdoin

Shawn Childers

Norine Farrell

Mary Flum

Cori Hendrickson

Wes Heymann

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Dain Livesay

Kristen Miller

Pedro Pinzon

Jon Seay

Ben Smith

Sarah Smith

Michael Sweeney

Morgan Tate

Beth Thomas

Kent Wells

Catharine Wing

Nicholas Zabolio

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