Nov/Dec TIPS 2022

T P S I I

THE Power OF 3D PRINTING

ANESTHETICS

GINGI-PAK®

GINGICaine ® Topical Anesthetic Inside Front Cover Pierrel Pharma Orabloc Articaine & Epinephrine 4

APPAREL

Medicom® SafeWear ® Hipster Jacket 3

BONDING & CEMENTS

3M

RelyX™ Universal, Scotchbond™ Universal Plus 16 Ivoclar Vivadent ® Variolink ® Esthetic , SpeedCEM ® Plus 12

Kuraray PANAVIA™ SA Cement Universal 7 Parkell® Predicta ® Bioactive Cement . . . 6 VOCO Futurabond U Back Cover

CURING LIGHTS

Ivoclar Vivadent ® Bluephase ® PowerCure™ System, Bluephase ® G4 12

DISPOSABLES

Burkhart

Mixing Tips Inside Back Cover

Medicom®

SafeGauze ® Hemostat™ Topical Dressing 3

GLOVES

Cranberry ® Carbon, Contour, Xlim, Evolve , Revosoft 14

HANDPIECE & MAINTENANCE

PacDent ® ProMate™ CL Cordless Hygiene Handpiece . Inside Front Cover

HYGIENE

Crest ® + Oral-B®

iO™ Ortho Essentials System, iO™ Transformational Gum Health System, Kids 3+ Electric Systems, Gingivitis System, Kids 6+ Electric System 13

PacDent ® AntiSplatr, ProAngle ® Plus, EZ, ERGO, Mini 90™, Mini Ergo™, FUNimals™ Disposable Prophy Angles Inside FrontCover

VOCO

Profluorid Varnish Back Cover

ISOLATION & RETRACTION MATERIALS

GINGI-PAK® GINGIPaste ®, STASIS ® , GINGI-AID ® , Z-Twist ® Weave Retraction Cord Inside Front

WHITENING

INSIGHTS

From Steve Lunde Director of Sales, Southern Division

Why 3D Printing?

Greetings,

In today’s competitive and rapidly changing dental market, many clinicians are faced with making numerous changes to the way they treat their patients Today’s patients cannot be treated the way they were five years ago Patients are well-informed and have raised the expectations of how dentistry is done — no waiting weeks for a restoration and no waiting for a second visit for a device to be delivered Now, more than ever, accuracy and repeatability are the standard by which offices are now measured

3D printing addresses these concerns with minimal upfront cost and is one of the easiest ways for practices to improve efficiencies and add services The costs that are incurred can be quickly recouped and start increasing profitability for the practice As an example, an office adopted Occlusal Guards into their practice through 3D printing rather than the standard lab approach Through a lab, the average cost is $175 With an in-office 3D printer, the design cost is $25, the resin cost is $5, and the labor time is roughly $10, for a total cost of $40 and a $135 savings per unit In the event a patient loses the appliance, a reprint is even less For the patient, the benefit of having their appliance in hand the same day is priceless . It saves time, increases case acceptance, and eliminates the need for additional scheduling

Currently, the most common application for 3D printing is orthodontic aligners and occlusal guards, but there are more applications available that add value for patients For instance, a surgical guide can be modeled and printed in 30 minutes Guided surgery, without argument, is safer, faster, and more accurate than with traditional methods

Adding a 3D printer to the practice makes the digital workflow more effective and profitable while increasing comfort and convenience Most importantly, it provides better care for patients with greater accuracy of final restorations and appliances Because of this, it’s already seen incredible growth In 2020, the global dental 3D printing market was $2 7 billion It’s expected to reach $9 7 billion by the end of 2027 By 2030, about 80% of offices will have 3D printing capability

3D printing is not only the future of dentistry, it is making real and valuable impacts on practices today

Sincerely,

SERVING THE DENTAL PROFESSION SINCE 1888

We believe our clients have a genuine desire to provide excellent patient care The Burkhart culture is dedicated to helping you do what you do best by reducing obstacles in areas of supply ordering, business practices, overhead costs, and equipment service to help increase efficiencies.

Our TIPS publication is your go-to resource, loaded with discounts to help you plan for upcoming purchases while providing insight into the latest trends, innovations, and product solutions

Steve Lunde Southern Division Sales Director

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Benefits of In-House 3D Printing

Safe, Accurate & Time-Efficient

3D printing has created opportunities for clinicians to provide the most cost-effective and efficient solutions for their patients, whether those involve mock-ups or more permanent applications . Dentists like Dr . Russell Schafer, owner of NOLA Dentures and General Dentistry in New Orleans, LA, have been working with digital workflows because of the benefits they provide . “In the past ‘trial smiles’ and diagnostic wax-ups would have taken us weeks Now we are looking at a few hours to one day,” Schafer said .

Dental 3D Printers Opportunities

For more than four years, Schafer has been exploring the possibilities of what 3D printing can bring to practices. The top benefits are time, cost, quality, and accuracy .

“One of the biggest advantages of adopting a digital workflow is reducing the time spent on producing a crown, splint, or denture, and maximizing contact with patients An intraoral scanner, for example, can get a more accurate image of a patient’s mouth in under five minutes, which then is immediately sent to my lab tech rather than an analog impression, which would need to be mailed adding up to a week to the entire process A crown can be created from start to finish in under an hour Dentures can be produced in a week rather than a month . This additional time allows for better interactions with your patients and maximizes the efficiency of your clinic,” Schafer said.

Schafer, who is experienced in both analog and digital workflows, frequently uses 3D printed mockups to sell highly profitable restorative cases.

A 3D printed try-on smile only takes around fifty minutes to produce and gives patients a real experience of what their smile would look like with a permanent milled restoration The ability to quickly and concretely show this to a patient encourages them to adopt a treatment .

Try-ons represent only one side of 3D printing . Most newcomers to the realm of 3D printing start with the in-house production of dental models and night guards, which reduces their lab costs significantly and has a fast return on their initial hardware investment .

With the new materials that are entering the market, 3D printing is a reliable and inexpensive alternative to milling . At this time, there are three materials available for the Ackuretta SOL system that are cleared by the FDA for permanent restorations BEGO VarseoSmile Crown plus, Saremco CROWNTEC, and Pac-Dent Rodin Sculpture

What You Need to Know About 3D Printing

Successfully 3D printing a biocompatible application requires some preparation We recommend clinicians first acquire an intraoral scanner to take digital impressions While this can be learned quickly, it’s still best to gain some experience before starting with their own in-house production of dental applications .

The Ackuretta Sol can 3D print dental models, surgical guides, temporary crowns, denture bases and teeth, partials, IBTs, trays, gingiva, splints, mouth guards, and castable crowns

The next step will be to determine whether the clinicians or even technicians would want to create the CAD design themselves if so, the recommendation is to purchase CAD software and commit to indepth training . However, there are many digital designers available that offer print-ready files within a short period of time consult with your sales representative to get their recommendations or reach out to Ackuretta

Each step in the 3D printing process is essential, and each instrument must be calibrated carefully to get a validated workflow.

Importance of Validated Printing Workflows

3D printing resins are health hazards in their liquid form . They become safe and biocompatible through the process of polymerization using UV light . Part of that process happens during the printing of the application . The second part happens during the curing process with a UV oven .

These UV ovens need to have a sophisticated light distribution technique to ensure that the 3D-printed part is fully cured . A recommendation is to look for UV chambers that cover a range of UV wavelengths and have 360-degree light distribution .

Having a range of UV wavelengths works to permeate deeper levels of the 3D-printed piece to fully cure it Then the UV light intensity and post-curing time will be adjusted to get the optimum mechanical property, accuracy, and color . Inappropriate settings will affect the final print properties . Resin manufacturers like Ackuretta undergo lengthy testing periods to secure that the curing parameters for all resins deliver fully cured 3D-printed applications .

The Ackuretta Sol 3D Printer is the perfect same-day chairside solution for digital dentistry SOL sets the bar for high-speed and high-precision 3D printing Achieve three times the speed of a regular LCD printer and maximize accuracy thanks to its >95% LED light uniformity

The printer and UV chamber are calibrated once the optimal settings have been determined . Application engineers determine these optimal settings using sophisticated testing tools Once these parameters for printing, cleaning, and curing the 3D application are determined, the printing process is known as a validated printing workflow.

“With some systems, determining the optimal settings for printing success with each unique resin and application takes a lot of trial and error,” Schafer said . “With Ackuretta everything is preinstalled for you, the printer comes out of the box and is ready to go ”

Why Start a Digital Workflow Now?

3D printing in dentistry has left the experimental state and is well established in dental labs across the country already . The improvements in resin strength and quality are moving rapidly with many fantastic materials on the market and having FDA approval .

In an interview with Ackuretta, Schafer gives his perspective:

“In addition to personal professional growth, digital tools also allow for clinic growth — through consistent successful outcomes for patients, and increased awareness of these new technologies in the field. By adopting a digital workflow and creating more time to focus on faster and improved care, dentists are able to expand their offices... And marketing strategies that promote a more streamlined workflow for patients can add top and bottom-line revenue for dentists .””

Manufacturers of 3D printing solutions and resins go through lengthy testing protocols to ensure that the dimensional stability and biocompatibility of 3D printed applications are safe for patients and fit well

Julia Kemmesies Partner Program Manager Ackuretta

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