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COVER PRODUCTS

KOMET USA

PREDICTABLE IPR

are chosen based on innovation or their perceived impact on improving patient care and practice efficiency.

Everything you need for optimal interproximal enamel reduction. MORE ON PAGE 8

DENTSPLY Tulsa

ONE AND DONE Reduce your canal shaping time. MORE ON PAGE 8

Kerr Corp.

SONIC-ACTIVATED STRENGTH Easy to sculpt, low shrinkage composite system. MORE ON PAGE 8

PRODUCT WATCH

3M ESPE

SEAMLESS SCANS Chairside scanning just got easier. MORE ON PAGE 8

WHO TAKES THE

TOP SPOT?

The EcoDentistry Association shortlists its Top 10 so you can get your ofﬁce green — today! TECHNOLOGY EVANGELIST

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GET THEM TO YES Dr. Harvey Silverman outlines how sincerity can lead to patient interest in elective cosmetics. Go to dentalproductsreport.com.

Handpiece heroics Dr. John Flucke updates you on the latest innovations. THINK LIKE A CEO

Make continuing care count Advice from the Pride Institute to help you grow your hygiene department.

*Source: BPA Publisher Statement, December 2011.

2011 Calendar of Caring

HEALTH

WEâ&#x20AC;&#x2122;RE HELPING HEALTH HAPPEN Preparedness

wellness treatment

Second Quarter Focus: HEALTHY ENVIRONMENT OUR MISSION The mission of Henry Schein Cares is to “help health happen” by expanding access to care for at-risk and underserved populations globally through One way to support the important work of Henry Schein Cares is through participating in our Calendar of Caring programs. Each

the support of not-for-proﬁt

quarter we offer special products for purchase. A portion of the proceeds will be donated to the Henry Schein Cares Foundation in support of health related causes.

organizations, institutions, and communities dedicated

This Quarter Henry Schein is pleased to provide customers with the

to increasing the delivery

opportunity to become a “Green Advocate” in their practice through our Global Reﬂections program. A portion of the sales proceeds from

of health education and care.

special “green” products will be donated to the Henry Schein Cares Henry Schein Cares focuses

Foundation.* The Foundation will use this funding to support

on advancing three areas:

organizations that focus on the issues affecting health and the environment. wellness, prevention, and

For example, in 2010, a portion of the proceeds from Global Reﬂections were donated to train school nurses throughout the United States to manage

treatment; emergency

triggers for asthma among children. preparedness and relief;

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and capacity building.

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Polished posteriors in less than 3 minutes Designed to let dentists go from placement to polished in less than 3 minutes on cavities up to 5 mm, SonicFill composite system features a proprietary sonic activation delivery system that lowers the viscosity of the composite during placement. The composite is said to immediately return to a nonslumping, highly sculptable state that is easy to carve without being sticky. It reportedly provides optimal mechanical properties including high strength, low shrinkage and high depth of cure.

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Cover Products and other EDITOR’S CHOICE products throughout this issue are chosen based on innovation or their perceived impact on improving patient care and practice efficiency.

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Lava Software 3.0 for the Lava™ Chairside Oral Scanner C.O.S., is designed to make scanning easier and more efﬁcient. New features include Easy Scan with more scanning options that require fewer wand rotations; Scan Rewind to retake a portion of a scan without starting over; Smart Scan that automatically eliminates extraneous data such as a patient’s tongue; and an Occlusal Reduction Tool that identiﬁes underreduced areas and premature contact points during the scan. 800-634-2249 3MESPE.com/LavaCOS

800-662-1202 tulsadentalspecialties.com

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MOST PRODUCTS. BEST SEARCH.

Find thousands of products at products.dentalproductsreport.com

Our advertising policy

Our editorial process

DPR makes every effort commensurate with professional editorial and advertising standards to report manufacturer’s product news accurately, but cannot assume responsibility for the validity of product claims. It is necessary for the editorial staff to remove itself from policing the content or images used in various ads or marketing campaigns. Any reader with a complaint should contact the manufacturer directly.

The dental profession and the publications that cover it have no shortage of dental professionals ready to share their expertise. DPR sets itself apart with an editorial team comprised of journalists, not dentists. Each month, we reach out to a wide variety of voices to help tell the story of innovation in the dental profession. We don’t assume we know all the answers; we are, instead, committed to asking the right questions and delivering unbiased, quality content. None of the articles you read are “paid for,” but as a product-centric magazine, working closely with our manufacturing partners is an important part of the process.

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April2011 16 19 20

From the editor Clicks & Picks

28 42 72

44 46

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YOUR CONTINUING CARE TOOL BOX P. 90

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56 Clinical 360°

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Evolving education

Tradeshows aren’t the only option for quality CE. by Thais Carter

Greig Cosgrove, Pride Institute Consultant and Trainer

TECHNIQUE

Capture prep detail Precision, Discus Dental

Your continuing care tool box Technologies for a proﬁtable hygiene department. by Merry

TECHNIQUE

Developing a Hygiene Philosophy of Care

Create a stable C&B platform

The role of the continuing care department. by Mary Lynn Wheaton,

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TECH BRIEF

Motorola CLS1410 Tech Wholesale Inc.

97 Products

in Practice

BENCHMARK

The Invisible Gorilla Reviewed by the Atlanta Center for Dental Excellence

solutions-driven practice management advice

Technology Evangelist

Handpiece evolution Dr. John Flucke looks at DENTSPLY

Hiring, compensating and coaching for stellar performance.

Communicating with hygiene patients

20 11

Vo l u m e 4 5

Dental Products Report provides dentists with comprehensive, accurate and unbiased information across the spectrum of specialties. In consultation with forward-looking clinicians and manufacturers, our staff supports dentists as they apply new products and technologies for excellence in patient care and practice development. On the Cover: Getty Images / Flying Colours Ltd; Image Source

EFFICIENCY

Not the glass ionomer you remember Busting the myths about these restoratives. by Dr. Howard E. Strassler

Looking for a few good co-pilots

Sharyn Weiss, Pride Institute Consultant and Trainer

Contents

ASK AMY

Put your patients at ease. by

OUR MISSION

product impact on the practice’s bottom line

80 Think Like a CEO

The cure for cancellations. by

™

Midwest’s Stylus ATC and Azenic’s DHP Disposable Highspeed Handpiece.

IS SUE

The Rx for patient commitment the Pride Institute staff

New Products Ivoclar Vivadent’s bluephase G2

practical clinical advice, research and techniques

Green Products A sampling of products accepted as green by the Eco-Dentistry Association.

Reviewed by Catapult

increase the patients’ ability to co-diagnose

10 Questions

product launches and updates from throughout the industry

Technology provides the continuing care tools to their dental condition with the dentist and the hygienist.

What real dentists are searching for and savoring at dentalproductsreport.com.

5 REASONS TO BUY

102

Sterillium Comfort Gel

104

Lightwalker™ lasers

116

Byte-by-Byte

from Hu-Friedy 5 REASONS TO BUY

from Lares Research

Outﬁtting your operatory with the right cabinets.

Dental Products Report (ISSN# 0011-8737), is published monthly by Advanstar Communications, Inc., 131 West First St., Duluth, MN 55802-2065. One-year subscription rates: $150 in the United States & Possessions; $170 in Canada and Mexico; all other countries $275. Single copies (prepaid only) $24 in the United States; $35 in Canada and Mexico; all other countries $35. Include $6 per copy for U.S. postage and handling. Periodicals postage paid at Duluth, MN 55806 and additional mailing offices. Postmaster, please send address changes to: Dental Products Report, PO Box 6076, Duluth, MN 55806-6076. Canadian GST number R-124213133RT001, PUBLICATIONS MAIL AGREEMENT NO. 40612608, Return Undeliverable Canadian Addresses to: Pitney Bowes, P. O. Box 25542, London, ON N6C 6B2, CANADA. Printed in the U.S.A. Subscription inquiries/address changes: toll-free 888-527-7009, or dial direct 218-740-6477. ©2011 Advanstar Communications Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording, or information storage and retrieval without permission in writing from the publisher. Authorization to photocopy items for internal/educational or personal use, or the internal/educational or personal use of specific clients is granted by Advanstar Communications Inc. for libraries and other users registered with the Copyright Clearance Center, 222 Rosewood Dr. Danvers, MA 01923, 978-750-8400 fax 978-646-8700. For uses beyond those listed above, please direct your written request to Permission Dept. fax 440-891-2650 or email: mcannon@advanstar.com. Microfilm or microfiche copies of issues are available through Advanstar Marketing Services, 800-225-4569, Ext. 839. Dental Products Report cannot be held responsible for the safekeeping or return of unsolicited articles, manuscripts, photographs, illustrations, or other materials. Advanstar Communications provides certain customer contact data (such as customers’ names, addresses, phone numbers and e-mail addresses) to third parties who wish to promote relevant products, services, and other opportunities which October be of interest to you. If you do not want Advanstar Communications to make your contact information available to third parties for marketing purposes, simply call toll-free 888-527-7008 between the hours of 7:30 am and 5 pm CT and a customer service representative will assist you in removing your name from Advanstar’s lists. Outside the U.S., please phone 218-740-6477. Dental Products Report does not verify any claims or other information appearing in any of the advertisements contained in the publication, and cannot take responsibility for any losses or other damages incurred by readers in reliance on such content.

DENTALPRODUCTSREPORT.COM

April 2011

For dental hygienists who go the extra mile,

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Increase Your Practice Income With LightWalker All Tissue Lasers 速

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We want to kNow whAT yoU ThiNk about DPR. Your comments, good and bad, are always welcome! E-mail TcARTeR@ADvANSTAR.coM.

Beyond press releases One of the things I enjoy most about tradeshows is the opportunity to spend a weekend face to face with both our readers and our advertisers and explain to them what I believe sets us apart from our competitors. Ever y dent a l mag a zi ne can—and most dental magazines do—run press releases on new products. And, while we make room in our Product Watch section to run edited versions of these releases, the editorial team feels strongly

DeNTALPRoDUcTSRePoRT.coM

April 2011

that to truly “cover” products, you have to go beyond the press release. This manifests itself in several ways within the pages of DPR. Product features such as our Tech Briefs, Techniques and 5 Reasons to Buy allow us to look at singular products in new ways and oﬀer simple steps as to how those products can be put to use in your practice. Pieces such as You and Your Lab allow you to look at products in the context of business partnerships. Our Benchmark articles and new Double Take feature provide the perspective of people who have put a product through its paces and are eager to give you their insight on why

voice

minutes or less, for your dental news download. This Friday and every Friday.

this product deserves your time and dollars. Our Products in Practice section looks at how simple products can effect everything from cash flow, to marketing, to efficiency in the practice. Our Special Reports offer an exclusive, behind-the-scenes look at product development and the passion that goes into the products you find on our cover year-round. So with all this going on— where does DPR go next?

Press play What if instead of reading a press release it actually “came alive?” In March, we launched DPR Friday to do just that. This weekly short video segment goes over cover products, special reports and industry news. In three minutes or less, you’re up-to-date on the news that matters. We’re eager for you to check out the weekly broadcast and let us know if it’s a helpful way to download your dental news. •

Th a is C a rTe r DireCTor of ConTenT tcarter@advanstar.com

Subscribe to Advanstar Dental Media eNewsletters at dentalproductsreport.com/newsletter/signup.

EAGLESOFT 16 IS HERE! Powerful enough for your entire practice. Personalized for the way you work!

For more information on Eaglesoft 16, contact your Patterson representative, local branch or call 800.294.8504

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EDITORIAL OFFICES VP/General Manager Jim Vitkus Director of Content Thais Carter

NEW!

Reaches over to the adjacent tooth more easily to help you create broader, deeper contacts.

Executive Editor Stan Goff Senior Editors Renee Knight, Noah Levine Web Editor Natalie Hasselbacher Technology Editor Dr. John Flucke E-Marketing Manager Heather Coen Marketing Graphic Designer Chris DiBiase Art Director Steph Johnson-Bentz Production Director David Erickson Director of Circulation Ronda Hughes, 218-740-6526 Circulation Manager Melissa Feiro, 218-740-6431 List Sales Carissa J. Simmerman

Clinical Tip • Extremely wide preps are simpliﬁed. Tighter gingival seal is beneﬁcial for all restorations.

Permissions/Licensing Maureen Cannon, 440-891-2742 Group Controller Jack Brabant

Use dead-soft green bands when contact is COMPLETELY broken with adjacent teeth for maximum burnishability. When contact is NOT broken with adjacent teeth, use gray bands, which can be slid through contacts with minimal deformation.

• Improved visibility for core buildups.

Executive Vice President Daniel M. Phillips

ADVERTISING SALES Publisher/Director of Sales Dennis O’Neill, 212-951-6613 Fax: 212-951-6666, doneill@advanstar.com Mid-West Keith Easty, 218-740-6511 Fax: 218-740-6433, keasty@advanstar.com Northeast Molly Nieser, 440-891-2765 Fax: 218-740-7224, mnieser@advanstar.com Mid-Atlantic Doug Mersten, 212-951-6633 Fax: 212-951-6666, dmersten@advanstar.com Southeast Derek Hamilton, 610-449-1056 Fax: 610-449-1056, dhamilton@advanstar.com West Coast Drew Thornley, 917-696-7071 Fax: 218-740-7224, dthornley@advanstar.com

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EXECUTIVE OFFICERS President, CEO Joe Loggia Executive VP, Finance, CFO Ted Alpert Executive VP, Corporate Development Eric I. Lisman VP, Information Technology J. Vaughn VP, Electronic Media Group Mike Alic VP, Media Operations Francis Heid VP, Human Resources Nancy Nugent

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April 2011

KOMET KONNECT A P R I L

2 0 1 1

S A L E S

P R O M O T I O N S

MORE SELECTION

WHEN YOU DEMAND VARIETY

“ The OS system will revolutionize interproximal reduction by providing unparalleled safety and eﬃcacy. This system will eliminate the need for interproximal strips for reducing contacts.” Dr. Jerry Gildner

Innovation in Interproximal Reduction Introducing the IPR Gildner Kit LD0528 The IPR Starter Kit developed with KOMET consultant Dr. Jerry Gildner

Promotional Oﬀer Inside

Feel the impact A world-wide leader in rotary instruments

888 566 3887

www.komet-usa.com

©KOMET USA LLC 4/11 405590V0

Feel the impact

KOMET KONNECT New OS Oscillating Segment Instruments Change The Way You Think About IPR The IPR Starter Kit by Dr. Jerry Gildner contains six handselected instruments for optimal interproximal enamel reduction. Featuring both single-and double-sided OS discs along with two single-sided “contact breakers,” the kit oﬀers an uncomplicated IPR procedure that protects adjacent tooth structure. Start the process with the appropriate contact breaker, and then follow up with the necessary OS instruments for optimal, predictable results every time.

Call 888-KOMET-USA to receive step-by-step demo from your Komet representative

Order Number: OS30 handpiece sold separately

Retail $1199 IPR Gildner Kit LD0528

Retail: $268

Three installments of $475 available with the purchase of a Komet OS30 handpiece and kit. Retail on both $1,467, with approved credit application.

step 1

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A 32-year-old female patient presents for orthodontic evaluation. Her chief complaints are crowding and esthetics. She is unwilling to pursue conventional orthodontics. A treatment plan is developed to address the clinical concerns of crowding, esthetics, protruding lower incisors, and gingival recession. Treatment begins with 3 months of arch development prior to the Invisalign® phase.

If desired, insert a wooden wedge as pictured to help protect the gingival tissue.

Select the appropriate singlesided contact breaker that allows straight-line access to the contact. Position the OS instrument so a ﬁnger rest can be achieved. Interference with teeth or oral structures by the head of the handpiece must be avoided. Important: Maintain the instrument position OS30 that is perpendicular to the contact point and parallel to the long axis of the contact.

Accelerate the OS30 oscillating contra-angle handpiece to full speed (5,000 oscillations before contact is engaged. Use gentle, intermittent, apical pressure until contact is fully reduced.

Verify the width of the cut, and then use the OS20-FH honeycomb instrument to continue with the interproximal reduction.

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Due to the ﬂexible honeycomb construction of the OS20 instrument, natural anatomical embrasure spaces are easily attained

After completing final anatomical contouring, finishing, and polishing, use the 4564 Komet Composite Polishing System. Shown here is medium grit section of strip CS40. Next, move on to fine grit section of same strip CS40.

Use the ultra-ﬁne grit section of the strip CS40 to ﬁnalize polishing.

Apply in-oﬃce topical ﬂuoride per manufacturer instructions.

Following IPR treatment with the Gildner Kit, the patient’s teeth exhibit normal tooth contours and natural anatomy far beyond that possible with standard discs or strips.

ZR Diamonds™

Feel the impact

The Cutting Edge of High-Strength Ceramics…Literally Since their launch into the dental marketplace, ZR Diamonds™ have been the go-to choice for recontouring zirconia restorations in both the operatory and the laboratory. With the recent advent of lithium disilicate restorations, the ZR line has once again stepped up as the standard against which all others are measured. Quite simply, nothing works like a ZR. In the operatory and in the laboratory, ZR Diamonds™ provide superior results quickly and with minimal eﬀort. The unique, KOMET-engineered design of the ZR line features diamond particles permanently bonded in a dense, packed layer. The result: vastly superior coarse-, medium-, and ﬁne-grit diamonds that address modern ceramic demands. • Coarse-grit ZR Diamonds™ have an outstanding performance and service life ratio. • Medium-grit ZR Diamonds™ are even more abrasive, making them especially suited for all kinds of adjustments. • Fine-grit ZR Diamonds™ produce an optimal smooth surface.

Buy 6 Packs, Get 1 Pack Free* Buy 12 Packs, Get 3 Packs Free*

Unmatched in versatility and performance, ZR Diamonds™ are essential tools for today’s dentists and lab technicians. Working with zirconia and lithium disilicate has never been easier.

Retail $10.95 per piece

Crown Cutter for Zirconia

Coarse Grit

4ZR.FG.012 4ZR.FG.014

ZR6379.FG.023 ZR6881.FG.012 ZR6881.FG.016

Fine Grit

ZR6856.FG.025

ZR8850.FG.016

ZR6830L.FG.014

ZR8881.FGL.016

ZR6801.FG.010 ZR6801.FG.014

ZR8379L.FGL.014

Medium Grit ZR850.FG.016 ZR862.FG.016 ZR863.FG.014 ZR379.FG.014 ZR379L.FGL.014

ZR8801L.FGL.008 ZR8801L.FGL.010 ZR8801L.FGL.014 ZR8801L.FGL.018

Milling Technique ZR371M.FG.025 ZR371F.FG.025 ZR371EF.FG.025 ZR371UF.FG.025

* Sold in packs of 5. Price per piece.

KOMET KONNECT

Feel the impact

DCB Abrasives

Add Versatility to the Tool Box Diamonds with Ceramic Bond (DCB) abrasives are ideally suited for recontouring all of today’s high-strength ceramics, particularly lithium disilicate and zirconium oxide. Oﬀering extraordinary durability and abrasive function, the instruments maintain superior, long-term working edges. DCB1 $22.95 They perform quickly, eﬃciently, and with very little user-applied pressure. DCB2 $22.95

Buy 5 at retail, get 1 free mix and match equal or less value

DCB3

$22.95

DCB4

$25.95

DCB5

$25.95

S-Cutters™

Precision tools for lab technicians S-Cutters™ identiﬁed by the “E” on the shank, are medium staggered toothing instruments designed for use on dry plaster, acrylics and metal alloys. Fine S-Cutters™ with “EF” can be used on metal alloys, acrylics and even dry plaster.

Buy 6, Get 2 Free* Buy 12, Get 5 Free*

H251E.HP.060

$25.95

H251EF.HP.060

$25.95

H77E.HP.040

$25.95

H79E.HP.040

$25.95

H79EF.HP.040

$25.95

* Applies to listed cutters.

www.komet-usa.com | 888-KOMET-USA email: Konnect@komet-usa.com

dentalproductsreport

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MOST PRODUCTS. BEST SEARCH.

Find thousands of products and all of the following web-exclusive content on our website.

Clicks & Picks

What real dentists were searching and savoring @ DENTALPRODUCTSREPORT.COM in February…

NEW T TEN CON VERY

Photo: Courtesy of Northwestern University

E DAY WEDNES

What can a sea mollusk do for dentistry? Two researchers at Northwestern University used atom-probe tomography to study the teeth of a tiny sea creature, an Eastern Beaded Chiton.

10 MOST-VIEWED PRODUCTS

ZR-Diamonds

Rok Posterior Composite

KOMET USA

SDI North America

G-aenial Bond & Universal Flo Kit GC America

04 05

Easyscan Dental X-Ray Scanner Dent Corp. Research & Development

VALO Curing Light

08 Temporary Appliance Snap-On Smile

Ultradent

Icon Caries Infiltrant

Flip-Up Loupes

DMG America

PeriOptix

Endo Rescue Kit KOMET USA

airBUG Edge Medical Technologies Inc.

10 MOST-READ ARTICLES ONLINE Help your patients get a beautiful, affordable smile by Dr. Harvey N. Silverman, DMD

Clinical education journey

Find out who was in Haiti and why.

Where’s the love? Shaul Schwarz /Getty Images

Lost your passion for dentistry? Here’s how to get it back.

Become your town’s local expert Eight ways public relations experts say it will help you promote your practice.

New tax legislation provides relief for dentists

Getty Images / Peter Dazeley

by J. Haden Werhan, CPA/PFS, Capital Performance Advisors

Lunch by Eva Watson, RDH

Improve your dental assistant skills by Callie Haynes, Pride Institute Consultant

School nurses team up with dentists for oral health by Annemarie Mannion, Contributing Writer

Fight cavities with sweet Valentine’s Day treats by Stan Goff, Executive Editor

The minimally invasive bridge by Dr. J. Tim Rainey, DDS, MAGD

Do you know what tobacco use is doing to your patient’s periodontal health? by Dr. Mark Ryder

Featured video Watch DPR Friday’s Premier Broadcast! DPR Friday is a weekly product news broadcast that you don’t want to miss!

Seeing is believing Compiled by Thais Carter, Director of Content

Does franchise dentistry make sense in this economy?

TOP 5 SEARCHES

01 02 03 04 05

Digital Radiography Implants Continuing Education Hygiene Endodontics

April 2011

DENTALPRODUCTSREPORT.COM

with industry leaders to discuss what’s next in dentistry

QUESTIONS

A DIALOGUE

Next month:

CEO of Hayes Handpiece Co. Joe Hayes

for products that better assist dental professionals with oral cancer screening.

How does this shift differ from what DentalEZ and its other divisions have traditionally offered?

Q+A

Rick Gross

SENIOR PRODUCT MANAGER STARDENTAL DIV. OF DENTALEZ

It’s moving away from what we’re used to doing. We want to move toward tools that assist the doctor in making better decisions, better screening and better diagnoses. This is not a diagnostic device. It’s really a screening device to identify abnormal oral pathologies and that includes oral cancer. Many times it is difﬁcult for dentists to make good clinical decisions because they do not have the right information. The Identaﬁ system helps identify biochemical and morphological changes in the cells of the mouth, throat, tongue and tonsils, often not visible to the naked eye.

How important is it for practices to get involved with screening for oral cancer?

DentalEZ just purchased the Identafi 3000 ultra oral cancer screening device. Why was this a good time for such an acquisition? We’re traditionally a company that focuses on equipment, the nuts and bolts of the office from dental chairs to compressors and pumps and obviously we have a long history with handpieces. We recognized the recent market changes and the need to look at areas where there’s going to be tremendous growth. Our first step is looking at the diagnostic and screening markets.

What makes oral cancer detection such a prominent area of the market?

It’s critically important. One person dies from oral cancer every hour…oral cancer screening is similar to strides made to battle cervical cancer. Traditionally people who were susceptible were mostly smokers and drinkers. But now because of HPV, primarily 16 and 18, a huge population is susceptible to oral cancer. The Centers for Disease Control and Prevention recommends that all patients older than 17 be screened annually now. If caught early the survival rate for oral cancer is nearly 90%.

Does this change the role of the dentist and hygienist? Yes, as the physician of the mouth, dental professionals are on the front line of detection and have expanding roles in addressing patients’ overall health.

There’s been a dramatic rise in the number of HPV cases, particularly among the younger age groups, which puts them at risk for oral cancer. There’s really a need

“

DENTALPRODUCTSREPORT.COM

April 2011

How does the technology work? The test is simple, painless and takes less than three minutes to use. It’s similar in appearance to a mouth mirror. It features a threewavelength optical illumination technology that enables users to detect possibly cancerous lesions not visible by the naked eye.

What sets this technology apart from other oral cancer detection systems? That green amber light (third wavelength) is intended to ﬂuoresce the blood vessel. When you have true abnormalities, potentially oral cancer, you have a defused or dilated vascularization. The difference between our product and the other products on the market is this three-wavelength technology.

So using the Identaﬁ gives you all the answers in terms of oral cancer detection? The device does not make a diagnosis but it gives the clinician additional information in which to make a sound treatment plan.

Is this technology economical for the practice and to patients? Dental ofﬁces typically charge the patient or insurance company about $30, or in some cases the dental professional offers it as added value to the annual exam. If dentists do charge for it, they should recover their investment of the unit in about six to eight weeks. There is a disposable cost of a few dollars per patient.

What is the company doing to create awareness of this acquisition and the importance of screenings?

We recognized the recent market changes and the need to look at areas where there’s going to be tremendous growth. 20

”

We are actively putting together a robust marketing campaign that will include education for both dental professionals and their patients. Our goal is to assist the dental professionals in educating their patients about oral cancer. We will make all our resources available on identaﬁ.net.

Photo courtesy of DentalEZ

t c erfe

p e r u t ic

Introducing BIOLASE Comfort

Thousands of dentists provide healthier, more comfortable treatment with our minimally invasive WaterLase™, ezLase™ and iLase™ laser systems. Patients today expect that high level of care throughout their dental experience. So

Dentistry™

BIOLASE is now dedicating itself to a bold new idea we call BIOLASE Comfort Dentistry™. Applying advanced technologies to improve patient comfort not only in treatment but in diagnosis and prevention as well. INTRODUCING BIOLASE DA VINCI™ IMAGING Our new BIOLASE Da Vinci™ 3D Cone Beam Computed Tomography, portable digital x-ray, and intraoral camera systems make us the only technology partner that can provide you with the most advanced diagnosis and treatment. Imagine being able to diagnose using just a fraction of the radiation of ﬁlm radiology, then treat without the discomfort or cross-contamination risk of the needle and drill. BIOLASE Da Vinci™ 3D CBCT

Your patients here

YOUR MOST EXPERIENCED TECHNOLOGY PARTNER BIOLASE has successfully integrated advanced technology in more dental practices than anyone else, to provide the healthy, therapeutic results patients want. Future BIOLASE Comfort Dentistry™ solutions will further expand your ability to attract and keep patients. Learn more at CDA booth 172 or BIOLASE.com/comfort.

PRODUCT WATCH GREEN PRODUCTS

Is it really GREEN? The Eco-Dentistry Association takes the guess-work out of choosing green products. Compiled by S TA N

GOFF

Information provided by The Eco-Dentistry Association.

With

all the hype about green this and green that, it’s hard to tell whether the latest gadget is authentically green or just something toxic in a “green” box. The new Eco-Dentistry Association “Accepted Seal” makes it easy to choose dental products that are truly green. The Seal, which has been earned by more than 20 dental products since its launch just months ago, is your assurance that products bearing it are the real thing: real energy and water savers, real pollution preventers, real waste reducers and real wellness-based dentistry products. And the certification reports prepared by the EDA are available to everyone at ecodentistry.org, so you can see exactly which criteria a product and its manufacturer meets. Maybe it’s time to celebrate Earth Day by switching out that water guzzling vacuum system or those plastic, disposable barriers? Start by perusing these planet-friendly offerings. DentalEZ A

everLight™ LED Operatory Light Tired of replacing expensive halogen bulbs in your operatory lights? Look no further than the DentalEZ everLight™, the ﬁrst operatory light using long-lasting, LED technology to give you the best in eco-friendly patient lighting with energy savings of 70% over traditional models. And the bonus: outstanding color matching and better control for curing composites because LED lights produce less heat.

DentalEZ C

Every dental ofﬁce should have a separator to keep mercury-containing material out of our water supplies, even if you only remove old amalgam ﬁllings. The Hg5 has achieved the highest ISO standards and captures 99.82% of toxic waste. Its high-tech cartridge tells you when it needs changing, and you can be assured that your waste is properly recycled, not dumped elsewhere.

866-DTE-INFO dentalez.com C

866-DTE-INFO dentalez.com

R.E. Morrison B

B D

Base Vac Did you know the average dental vacuum system wastes 360 gallons of fresh, clean water every day? The Base Vac Waterless Vacuum uses none, and its operation is also oil-free. Its manufacturer, R.E. Morrison, has implemented energy efficiencies in its plant, uses no polluting Styrofoam in its packaging, and donates these efficient systems to non-profit dental clinics providing services to the needy. 800-668-8736 basevacdental.com

DENTALPRODUCTSREPORT.COM

April 2011

Hg5 Amalgam Separator

Discus Dental D

Transcendentist® Cloth Sterilization and Barrier Line Reduce the millions of disposable sterilization pouches and barriers thrown into landfill by dental offices every year and save money with the Transcendentist reusable cloth infection control line. Fabric is patented and FDA approved and uses high-tech microfibers allowing steam to penetrate and then to create a contaminant barrier. Patients love the feel of the cloth bibs, which require no bib chain. 800-422-9448 discusdental.com

PRODUCT WATCH GREEN PRODUCTS

OralDNA Labs E

MyPerioPath®, MyPerioID® PST® tests Identify bacterial targets and genetic susceptibility for periodontal disease, and screen patients for oral HPV with OralDNA Labs’ salivary diagnostic tests. The ﬁrst tests to be commercially available to dentistry, testing takes only moments, yet yields comprehensive lab reports regarding pathogens of interest, and enables appropriate treatment and/ or referral protocols. The company uses paper-free, digital test ordering, result reporting and billing. 877-577-9055

Hu-Friedy H

Team Vista Stop worrying about nasty bioﬁlm build up in your water lines with Hu-Friedy’s Earth-friendly Team Vista® cleaners. The combo pack includes both tablets and drops that are easy to use, biodegradable, non-toxic and phosphate-free. And you’ll be patronizing a company that makes its products here in the U.S. and supports environmental causes through its free instrument recycling program, Environdent.

oraldna.com

800-HU-FRIEDY hu-friedy.com

SciCan Inc.

SciCan Inc. F

Optim 33TB

Providing both efficacy and environmental safety, Optim 33TB is the only EPA-approved dental office cleaner and disinfectant deemed truly safe by the EPA, and its kill times for TB and other pathogens rival the toxic stuff. Its manufacturer is a certified green business, its containers are refillable, and its ingredients degrade into oxygen and water.

Statim 2000/5000 Steam Sterilizer Get rid of the “dental ofﬁce smell” caused by chemical sterilizers with Statim steam sterilizers. Using fresh, clean, distilled water, they eliminate cumbersome monthly cleaning cycles. They help the environment and your bank account by avoiding expensive chemical sterilants that go from your ofﬁce into local waterstreams. U.S. made; shipped in recycled-content boxes.

800-572-1211 www.scicanusa.com

Hu-Friedy J

Eleva Naturals G

Professional Oral Care What makes Eleva’s new suite of oral care products ground-breaking is what they don’t contain: no alcohol, no sodium lauryl sulfate, and no titanium dioxide, a chemical that makes paint white. Instead, you’ll find soothing aloe vera juice, wheat grass extracts and natural cavity-fighting xylitol packaged in recyclable containers that can be refilled. That should make you and your patients smile!

Enzymax Earth Ultrasonic detergent and Presoak

Use this high-tech enzymatic cleaner for everything from instrument pre-soaking and cleaning to removing stains from dental ofﬁce linens. The formula is biodegradable, contains no harmful phosphates and effectively removes deposits and bio-ﬁlm build-up. Simply dissolve Enzymax Earth in warm water, place your instruments inside for 3-5 minutes and they’re ready for the steam sterilizer.

800-HU-FRIEDY hu-friedy.com

800-306-3041 elevanaturals.com

April 2011

DENTALPRODUCTSREPORT.COM

ÂŠ2011 Gendex Dental Systems, 906.9023/03.11Rev0

A Prize

Value o f

$23,71 5

Win a GXS-700 Sensor Combo!

Enter Today!

Win the NEW GXS-700 Sensor Combo from Gendex!

Simply complete all the details below to enter for a chance to win a FREE GXS-700 Sensor Combo and VixWin Platinum Software. ÂŠ YES! Enter me in the drawing to win the NEW GXS-700 Sensor Combo and VixWin Platinum Imaging Software.

ÂŠ YES! I am interested in learning more about Gendex imaging solutions â&#x20AC;&#x201D; please contact me to schedule an in-ofďŹ ce demonstration.

Practice or Doctorâ&#x20AC;&#x2122;s Name: What type of product(s) are you interested in? Please check all that apply:

Street Address: City, State, ZIP: E-mail:

Phone:

Specialty:

No. of Operatories:

Practice Management Program:

ÂŠ ÂŠ ÂŠ ÂŠ ÂŠ ÂŠ ÂŠ ÂŠ ÂŠ

Panoramic X-ray System Intraoral X-ray System Digital Intraoral Sensor Digital X-ray Phosphor Plate Intraoral Camera Cone Beam CT Caries Detection Aid Electric Handpiece Other:

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Return the attached card today. Good luck!

Gendex Dental Systems www.gendex.com Call toll-free: 1-888-339-4750

Imaging Excellence Since 1893

NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES

BUSINESS REPLY MAIL FIRST-CLASS MAIL

PERMIT NO. 7800

ALPHARETTA, GA

POSTAGE WILL BE PAID BY ADDRESSEE

'35 :,1 *(1'(; '(17$/ 6<67(06 $/(;$1'(5 '5 67( $/3+$5(77$ *$

Enter Today! Win the NEW GXS-700 Digital Imaging Combo from Gendex!

Q Return the attached card today. Good luck!

GXS-700 Digital Intraoral Sensors: The Vision To Advance Your Quality Of Care NEW from Gendex!

Direct USB

Introducing the new GXS-700, designed to make migrating from ďŹ lm, or upgrading a digital system, easier than ever.

As the eighth generation digital sensor from Gendex, the GXS-700 system comes from a strong lineage of imaging excellence, raising the performance bar for other digital sensors. From ease-of-use and portability, to enhanced acuity and sustainability, these new direct USB sensors underscore our desire and commitment to help advance your practice with innovative and affordable solutions.

Cone Beam 3D Imaging Systems Panoramic X-ray Systems Intraoral X-ray Systems

P Digital Intraoral Sensors Digital X-ray Phosphor Plates Intraoral Cameras Imaging Software

For more information or to schedule an in-ofďŹ ce demonstration please contact: Gendex Dental Systems www.gendex.com Call toll-free: 1-888-339-4750

Imaging Excellence Since 1893

product

WATCH

Take a look at the following pages for the best new products now availble from a VARIETY OF MANUFACTURERS, including several innovative Editor’s Choice selections.

NEW PRODUCTS

Onpharma A

Designed to provide an automated, reliable and convenient way to adjust the pH of lidocaine with epinephrine cartridges at chairside immediately prior to injection, the Onset® Mixing Pen and Onset Cartridge Connectors reportedly take just 5 seconds to use. Reducing the acidity of the anesthetic injection is said to make the process less painful for the patient.

By buffering injectable anesthetic to a neutral pH, you can reduce the pain your patients feel.

Anesthetic buffering kit

Buffering injection acidity to reduce pain

877-336-6738

Heraeus D

Now available in a syringe, Venus Bulk Fill low stress composite provides an easier, faster restorative solution described as more cost effective per restoration than the traditional incremental layering technique. Designed for bulk ﬁlling Class I and II restorations in 4 mm increments, the ﬂowable material exhibits low shrinkage.

onpharma.com

Panasonic B

Intraoral camera Endodontic ﬁles

Intraoral in focus With Panasonic Digital Signal Processing technology said to provide outstanding color reproduction for teeth and gums, the EJ-CA01UP Intraoral Camera features a multiple-lens design. Auto Focus works from ranges of 0 mm to inﬁnity, the Image Stabilization feature reportedly reduces the need to recapture images, and images can be viewed as simultaneous multiple still images on a monitor, PC or printer. 201-271-3254 panasonic.com/visionsystems

Coltène/Whaledent Inc. C

Syringable bulk ﬁll

Air polisher

Bending in the right ways HyFlex® CM Rotary Files feature a “Controlled Memory” (CM) effect said to make the NiTi files extremely flexible, without shape memory. This is said to allow the files to follow the canal without creating undesired lateral forces on the canal wall while reducing the risk of file separation, binding and complications such as ledging, transportation and perforation. The files hold their shape and can be autoclaved and reused. 330-916-8800

DENTALPRODUCTSREPORT.COM

April 2011

coltene.com

Precise bulk fill delivery

800-431-1785 heraeusdentalusa.com

Bosworth E

Simple set up, highpowered polishing Described as light and ergonomic, the Bosworth Air Polisher connects to most quick connect couplings and delivers a ﬁne sodium bicarbonate and water spray said to easily remove plaque and stains. The autoclavable nozzle rotates 360° for easy access to all sections of the mouth, and the unit features a large powder chamber capacity. 800-323-4352

bosworth.com

One shade. One solution. Before

Nuance is the composite material you can rely on everyday for beautiful, strong restorations you can do quickly and get great, natural-looking results. In the past, natural looking meant multi-hour restorative work, with multiple layers, multiple colors, and a lot of patience. Nuance gives you the ability with a single shade, to do restorations that live up to your standards, and meet your patients’ needs.

“I have been using Nuance for several months now and been very pleased with the results. The material allows easy adaption to all surfaces without the voids and the sculptability is terriﬁc. The one layer shade match and esthetics of Nuance is impressive.” - Robert Beatty, DDS

• Nano-hybrid material • Exceptionally low shrinkage After Photo un-retouched

• Chameleon effect with multi-faceted ﬁllers • Amazing polishability and handling • Unique unit-dose delivery system

Case Study Composite Veneer restored by Dr. Michael A. Miyasaki Desired outcome: A natural esthetic restoration with high polishability Technique: Mono layer using a single shade of Nuance (OA1). To see this tooth in different conditions, go to discusdental.com/nuance

Request your FREE sample today! Visit: discusdental.com/nuance

OR CALL: (800) 422-9448

THE USUAL

They may look sweet and innocent, but these guys can easily rip out

GC Fuji TEMP LT™ The First of its Kind. Conventional Glass Ionomer Temporary Cement. • Great handling with no runny consistency in a moist environment • Ability to continually recharge fluoride • Biocompatible material that is non-irritating to the tooth structure or soft tissue making it an ideal choice to help prevent peri-implantitis • Excellent insulation (helps prevents thermal sensitivity) • Ionic bonding to tooth structures and metals to optimize marginal seal • Easy to clean-up with no adverse residual effect on final cementation which is common with eugenol cements • Low film thickness (6 microns)

L CULPRITS

your temporary restoration. If you have been a victim, there is help.

Indicated for temporary (provisional) cementation of all types of all-ceramic, resin and metal-based crowns and bridges.

PRODUCT WATCH

J. Morita USA A

Enhanced images with decreased patient exposure Highly reﬁned, the 3D Accuitomo 170 X-ray unit features enhanced clarity and a new Dose Reduction feature that is said to reduce patient exposure by 30% to 40% compared with the previous model. The unit comes standard with i-Dixel 2.0 3D imaging software that also includes improvements such as an intuitive, new user interface that makes it easier to navigate.

Cone beam

Increased image clarity with lower patient radiation exposure make this a stand out cone beam unit.

800-831-3222

Certol Int’l D

Designed to encourage singlehanded needle recapping and reduce the possibility of accidental needle sticks, the ProTector needle sheath prop can be used to safely uncap and recap needles. The disposable recapping device secures the cap and holds it in the ready position. The needle sheaths are autoclavable for one time sterile tray set-up.

jmorita.com

Patterson Dental B

Patient education

Updated patient ed with new look and feel A comprehensive update featuring a new look and feel, CAESY 10 DVD includes 61 new and updated presentations that provide clinicians with up-to-date tools for explaining diagnoses, procedures, alternatives and post-op instructions to patients. More than 270 multimedia presentations using full-motion video, full-color graphics and dynamic 3D animation are included in English and Spanish.

Interproximal reduction system

800-294-8504

caesy.com

Danville Materials C

Needle sheath

Whitening pen

Interproximal reduction simplified Designed for interproximal reduction, the C-Saw System includes a GP Separator and is said to recreate natural contours easily. The full system comes with an air-driven, high-torque reciprocating handpiece, diamond blades, diamond strips in a C-Saw frame and a proximal spreading clamp that reportedly allows for easy blade insertion between the teeth while protecting the gingiva and the tongue. 800-827-7940 danvillematerials.com

DENTALPRODUCTSREPORT.COM

April 2011

Needle sheath helps avoid needle sticks

800-843-3343

certol.com

Hager Worldwide E

Easy, gentle whitening pen The Mirawhite oxygen whitening pen acts pH-neutral and is free of peroxide so it’s well suited for tooth whitening for patients with sensitive teeth, gingival problems, or numerous ﬁllings. The pen contains 1.8 mL of gel for easy brush application and if applied twice a day for 14 days, is said to whiten teeth up to 5 shades. The handy and slim design of the pen allows direct application even in interdental spaces and on-the-go touch-ups. 800-328-2335 hagerworldwide.com

New! BIOACTIVE DENTIN SUBSTITUTE: USE BIODENTINE® WHEREVER DENTIN IS DAMAGED. Dentin caries

Perforations

Pulp exposure Pulpotomy

Internal/External Resorptions Apexification Apical surgery

• For crown and root indications • Promotes remineralization of dentin • Preserves pulp vitality and promotes pulp healing • Replaces natural dentin with the same mechanical properties

Prof. Tim Watson, PhD, BSc, MCSP Director of Research, King’s College London Dental Institute

“ Biodentine® is a material that, for the first time, allows a dentist to achieve biomimetic mineralization within the depths of a carious cavity. Biodentine® has the potential to revolutionize the management of the deep carious cavity in operative dentistry, whether or not the pulp is exposed.”

See Biodentine at the Hinman Booth #1705

From the manufacturers of Septocaine® and N’Durance® anesthetics • materials • endodontics • infection control

800-872-8305 septodontusa.com Order through your dental dealer

PRODUCT WATCH

Med-Dent Safety and Supply Co. A

Safe, comfortable NO2 delivery system Created to provide patient and staff protection during nitrous oxide delivery, the Safe Sedate® dental nasal mask system reportedly reduces leakage by providing more direct delivery of anesthetic through cannula placed directly in the patient’s nasal passage. A vacuum line evacuates residual gas, reducing clinician exposure. The single-use disposable system reduces cross-contamination, and the masks are available in 2 sizes.

Nitrous oxide delivery

877-336-8233

Isolite Systems D

Designed to provide isolation, retraction and suction, the Isolite™ is now available in a Small Deep Vestibule mouthpiece size. The new size was developed for patients who need a small biteblock but have a relatively deeper vestibule. The new mouthpiece design reportedly allows for an even more complete tongue retraction and better ﬁt in the patient’s mouth. It is made from the same soft material as other Isolite sizes.

SafeSedate.com

Dentamerica Inc. B

Versatile, cordless endo handpiece The cordless Endomax™ endodontic handpiece features a high torque motor with auto-stop and auto-reverse mechanisms for patient safety. A reciprocating setting is available without attachment, and nine rotation speeds are available for different applications. Described as ergonomic, it features a high-capacity lithium-ion battery with a low battery indicator.

Endodontic handpiece

626-912-1388 dentamerica.com C

Implant

Astra Tech Dental C

Isolation system E

Articulator transfer system

Sloped implant matches ridge shape Anatomically designed for sloped ridges, OsseoSpeed™ TX Proﬁle implants are said to eliminate the common compromise between marginal bone levels and esthetics in sloped alveolar ridge situations. The implant design reportedly lets it adapt to the anatomy and it is well suited for use in the esthetic zone. Due to their sloped necks, they are recommended for use only by experienced clinicians. 800-531-3481 astratechdental.com

DENTALPRODUCTSREPORT.COM

April 2011

Same isolation, new size

800-560-6066 isolitesystems.com

Whip Mix E

Fast, accurate articulation Designed to provide quick, easy and accurate transfer of proper maxillary relationship from patient to articulator, the Quick Lock Toggle System for the Denar® Slidematic facebow is detachable allowing the facebow to be used on the next patient. The system helps prevent rotation of the bite fork and documents the patient’s bite record by tightening just the knob. It ﬁts most Denar®, Hanau™ and Whip Mix articulators. 800-626-5651

whipmix.com

Septocaine® with epinephrine 1:100,000 Septocaine® with epinephrine 1:200,000

Table 1. Adverse Events in controlled trials with an incidence of 1% or greater in patients administered Septocaine® with epinephrine 1:100,000.

(articaine hydrochloride 4% (40 mg/ml) with epinephrine 1:100,000 or 1:200,000 injection) BRIEF SUMMARY. [See Package Insert For Full Prescribing Information]

Body System

USE Septocaine® is indicated for local, infiltrative, or conductive anesthesia in both simple and complex dental procedures. For most routine dental procedures, Septocaine® with epinephrine 1:200,000 is preferred. Septocaine® with epinephrine 1:100,000 is preferred during operative or surgical procedures when improved visualization of the surgical field is desirable. CONTRAINDICATIONS Septocaine® is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide type, or in patients with known hypersensitivity to sodium metabisulfite. WARNINGS Accidental intravascular injection may be associated with convulsions, followed by central nervous system or cardiorespiratory depression and coma, progressing ultimately to respiratory arrest. Dental practitioners and/or clinicians who employ local anesthetic agents should be well versed in diagnosis and management of emergencies that may arise from their use. Resuscitative equipment, oxygen, and other resuscitative drugs should be available for immediate use. Intravascular injections should be avoided. To avoid intravascular injection, aspiration should be performed before Septocaine® is injected. The needle must be repositioned until no return of blood can be elicited by aspiration. Note, however, that the absence of blood in the syringe does not guarantee that intravascular injection has been avoided. Septocaine® contains epinephrine that can cause local tissue necrosis or systemic toxicity. Usual precautions for epinephrine administration should be observed. Septocaine® contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. The overall prevalence of sulfite sensitivity in the general population is unknown. Sulfite sensitivity is seen more frequently in asthmatic than in non-asthmatic people. Septocaine®, along with other local anesthetics, is capable of producing methemoglobinemia. The clinical signs of methemoglobinemia are cyanosis of the nail beds and lips, fatigue and weakness. If methemoglobinemia does not respond to administration of oxygen, administration of methylene blue intravenously 1-2 mg/kg body weight over a 5 minute period is recommended. The American Heart Association has made the following recommendation regarding the use of local anesthetics with vasoconstrictors in patients with ischemic heart disease: “Vasoconstrictor agents should be used in local anesthesia solutions during dental practice only when it is clear that the procedure will be shortened or the analgesia rendered more profound. When a vasoconstrictor is indicated, extreme care should be taken to avoid intravascular injection. The minimum possible amount of vasoconstrictor should be used.” (Kaplan, EL, editor: Cardiovascular disease in dental practice, Dallas 1986, American Heart Association.) PRECAUTIONS General: Resuscitative equipment, oxygen, and other resuscitative drugs should be available for immediate use (see WARNINGS). The lowest dosage that results in effective anesthesia should be used to avoid high plasma levels and serious adverse effects. Repeated doses of Septocaine® may cause significant increases in blood levels with each repeated dose because of possible accumulation of the drug or its metabolites. Tolerance to elevated blood levels varies with the status of the patient.

Number of patients Body as a whole Face Edema Headache Infection Pain Digestive system Gingivitis Nervous system Paresthesia

Septocaine® with epinephrine 1:100,000 N (%) 882 (100%) 13 (1%) 31 (4%) 10 (1%) 114 (13%) 13 (1%) 11 (1%)

Table 2. Adverse Events in controlled trials with an incidence of 1% or greater in patients administered Septocaine® with epinephrine 1:100,000 and Septocaine® with epinephrine 1:200,000. Number of patients exposed to drug

Septocaine® with epinephrine 1:100,000 (N=182)

Number of patients that reported any Adverse Event Pain Headache Positive blood aspiration into syringe Swelling Trismus Nausea and emesis Sleepiness Numbness and tingling Palpitation Ear symptoms (earache, otitis media) Cough, persistent cough

Septocaine® with epinephrine 1:200,000 (N=179)

35 14 (7.6%) 6 (3.2%) 6 (3.2%) 5 (2.7%) 3 (1.6%) 0 (0%) 1 (0.5%) 2 (1.0%) 2 (1.0%) 2 (1.0%) 2 (1.0%)

33 11 (6.1%) 9 (5.0%) 3 (1.6%) 3 (1.6%) 1 (0.5%) 3 (1.6%) 2 (1.1%) 1 (0.5%) 0 (0%) 1 (0.5%) 0 (0%)

The following list includes adverse and intercurrent events that were recorded in 1 or more patients, but occurred at an overall rate of less than one percent, and were considered clinically relevant. Body as a Whole: abdominal pain, accidental injury, asthenia, back pain, injection site pain, burning sensation above injection site, malaise, neck pain. Cardiovascular System: hemorrhage, migraine, syncope, tachycardia, elevated blood pressure. Digestive System: constipation, diarrhea, dyspepsia, glossitis, gum hemorrhage, mouth ulceration, nausea, stomatitis, tongue edemas, tooth disorder, vomiting. Hemic and Lymphatic System: ecchymosis, lymphadenopathy. Metabolic and Nutritional System: edema, thirst. Musculoskeletal System: arthralgia, myalgia, osteomyelitis. Nervous System: dizziness, dry mouth, facial paralysis, hyperesthesia, increased salivation, nervousness, neuropathy, paresthesia, somnolence, exacerbation of Kearns-Sayre Syndrome. Respiratory System: pharyngitis, rhinitis, sinus pain, sinus congestion. Skin and Appendages: pruritus, skin disorder. Special Senses: ear pain, taste perversion. Urogenital System: dysmenorrhea. Persistent paresthesias of the lips, tongue, and oral tissues have been reported with use of articaine hydrochloride, with slow, incomplete, or no recovery. These post-marketing events have been reported chiefly following nerve blocks in the mandible and have involved the trigeminal nerve and its branches. OVERDOSAGE Acute emergencies from local anesthetics are generally related to high plasma levels encountered during therapeutic use of local anesthetics or to unintended subarachnoid injection of local anesthetic solution (see WARNINGS, PRECAUTIONS; General and ADVERSE REACTIONS). Management of Local Anesthetic Emergencies: The first consideration is prevention, best accomplished by careful and constant monitoring of cardiovascular and respiratory vital signs and the patient’s state of consciousness after each local anesthetic injection. At the first sign of change, oxygen should be administered. The first step in the management of convulsions, as well as hypoventilation, consists of immediate attention to the maintenance of a patient airway and assisted or controlled ventilation as needed. The adequacy of the circulation should be assessed. Should convulsions persist despite adequate respiratory support, treatment with appropriate anticonvulsant therapy is indicated. The practitioner should be familiar, prior to the use of local anesthetics, with the use of anticonvulsant drugs. Supportive treatment of circulatory depression may require administration of intravenous fluids and, when appropriate, a vasopressor. If not treated immediately, both convulsions and cardiovascular depression can result in hypoxia, acidosis, bradycardia, arrhythmias and cardiac arrest. If cardiac arrest should occur, standard cardiopulmonary resuscitative measures should be instituted. HOW SUPPLIED Septocaine® (articaine HCl 4% with epinephrine 1:100,000 or 1:200,000 injection) is available in 1.7 mL glass cartridges, in boxes of 50 cartridges. The product is formulated with a 15% overage of epinephrine. NDC 0362-9048-02 Septocaine® with epinephrine 1:200,000 Box of 50 cartridges NDC 0362-9049-02 Septocaine® with epinephrine 1:100,000 Box of 50 cartridges Distributed by: SEPTODONT Louisville, CO 80027

Debilitated patients, elderly patients, acutely ill patients and pediatric patients should be given reduced doses commensurate with their age and physical condition. Septocaine® should be used with caution in patients with heart block. Local anesthetic solutions, such as Septocaine®, containing a vasoconstrictor should be used cautiously. Patients with peripheral vascular disease and those with hypertensive vascular disease may exhibit exaggerated vasoconstrictor response. Ischemic injury or necrosis may result. Septocaine® should be used with caution in patients during or following the administration of potent general anesthetic agents, since cardiac arrhythmias may occur under such conditions. Systemic absorption of local anesthetics can produce effects on the central nervous and cardiovascular systems. At blood concentrations achieved with therapeutic doses, changes in cardiac conduction, excitability, refractoriness, contractility, and peripheral vascular resistance are minimal. However, toxic blood concentrations depress cardiac conduction and excitability, which may lead to atrioventricular block, ventricular arrhythmias, and cardiac arrest, possibly resulting in fatalities. In addition, myocardial contractility is depressed and peripheral vasodilation occurs, leading to decreased cardiac output and arterial blood pressure. Careful and constant monitoring of cardiovascular and respiratory (adequacy of ventilation) vital signs and the patient’s state of consciousness should be performed after each local anesthetic injection. It should be kept in mind at such times that restlessness, anxiety, tinnitus, dizziness, blurred vision, tremors, depression, or drowsiness may be early warning signs of central nervous system toxicity. In vitro studies show that about 5% to 10% of articaine is metabolized by the human liver microsomal P450 isoenzyme system. However, because no studies have been performed in patients with liver dysfunction, caution should be used in patients with severe hepatic disease. Septocaine® should also be used with caution in patients with impaired cardiovascular function since they may be less able to compensate for functional changes associated with the prolongation of A-V conduction produced by these drugs. Small doses of local anesthetics injected in dental blocks may produce adverse reactions similar to systemic toxicity seen with unintentional intravascular injections of larger doses. Confusion, convulsions, respiratory depression and/or respiratory arrest, and cardiovascular stimulation or depression have been reported. These reactions may be due to intra-arterial injection of the local anesthetic with retrograde flow to the cerebral circulation. Patients receiving these blocks should be observed constantly. Resuscitative equipment and personnel for treating adverse reactions should be immediately available.

SEPTOCAINE

ARTICAINE HCI 4% WITH EPINEPHRINE

Dosage recommendations should not be exceeded (see DOSAGE AND ADMINISTRATION in package insert). Information for Patients: • The patient should be informed in advance of the possibility of temporary loss of sensation and muscle function following infiltration and nerve block injections. • Patients should be instructed not to eat or drink until normal sensation returns.

I NJ ECTIO NS EVERY SECOND

Clinically Significant Drug Interactions: The administration of local anesthetic solutions containing epinephrine to patients receiving monoamine oxidase inhibitors, nonselective beta adrenergic antagonists or tricyclic antidepressants may produce severe, prolonged hypertension. Phenothiazines and butyrophenones may reduce or reverse the pressor effect of epinephrine. Concurrent use of these agents should generally be avoided. In situations when concurrent therapy is necessary, careful patient monitoring is essential. Carcinogenesis, Mutagenesis, Impairment of Fertility: Studies to evaluate the carcinogenic potential of articaine HCI in animals have not been conducted. Five standard mutagenicity tests, including three in vitro tests (the nonmammalian Ames test, the mammalian Chinese hamster ovary chromosomal aberration test and a mammalian gene mutation test with articaine HCl) and two in vivo mouse micronucleous tests (one with Septocaine® with epinephrine 1:100,000 and one with articaine HCl alone) showed no mutagenic effects. No effects on male or female fertility were observed in rats for Septocaine® with epinephrine 1:100,000 administered subcutaneously in doses up to 80 mg/kg/day (approximately two times the maximum male and female recommended human dose on a mg/m2 basis).

W O R L D W I D E*

Pregnancy: Teratogenic Effects-Pregnancy Category C. In developmental studies, no embryofetal toxicities were observed when Septocaine® with epinephrine 1:100,000 was administered subcutaneously throughout organogenesis at doses up to 40 mg/kg in rabbits and 80 mg/kg in rats (approximately 2 times the maximum recommended human dose on a mg/m2 basis). In rabbits, 80 mg/kg (approximately 4 times the maximum recommended human dose on a mg/m2 basis) did cause fetal death and increase fetal skeletal variations, but these effects may be attributable to the severe maternal toxicity, including seizures, observed at this dose. When articaine hydrochloride was administered subcutaneously to rats throughout gestation and lactation, 80 mg/kg (approximately 2 times the maximum recommended human dose on a mg/m2 basis) increased the number of stillbirths and adversely affected passive avoidance, a measure of learning, in pups. This dose also produced severe maternal toxicity in some animals. A dose of 40 mg/kg (approximately equal to the maximum recommended human dose on a mg/m2 basis) did not produce these effects. A similar study using Septocaine® with epinephrine 1:100,000 rather than articaine hydrochloride alone produced maternal toxicity, but no effects on offspring. There are no adequate and well-controlled studies in pregnant women. Animal reproduction studies are not always predictive of human response. Septocaine® should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Why do dentists around the world inject Septocaine® more than 150 million times* a year? Because, for decades, Septodont has been the world leader in pain control, and continues to be a trusted partner to dentists everywhere.

Nursing Mothers: It is not known whether articaine is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Septocaine® is administered to a nursing woman. Pediatric Use: In clinical trials, 61 pediatric patients between the ages of 4 and 16 years received Septocaine® with epinephrine 1:100,000. Among these pediatric patients, doses from 0.76 mg/kg to 5.65 mg/kg (0.9 to 5.1 mL) were administered safely to 51 patients for simple procedures and doses between 0.37 mg/kg and 7.48 mg/kg (0.7 to 3.9 mL) were administered safely to 10 patients for complex procedures. However, there was insufficient exposure to Septocaine® with epinephrine 1:100,000 at doses greater than 7.00 mg/kg in order to assess its safety in pediatric patients. No unusual adverse events were noted in these patients. Approximately 13% of these pediatric patients required additional injections of anesthetic for complete anesthesia. Safety and effectiveness in pediatric patients below the age of 4 years have not been established. Dosages in pediatric patients should be reduced, commensurate with age, body weight, and physical condition. See DOSAGE AND ADMINISTRATION in package insert. Geriatric Use: In clinical trials, 54 patients between the ages of 65 and 75 years, and 11 patients 75 years and over received Septocaine® with epinephrine 1:100,000. Among all patients between 65 and 75 years, doses from 0.43 mg/kg to 4.76 mg/kg (0.9 to 11.9 mL) were administered safely to 35 patients for simple procedures and doses from 1.05 mg/kg to 4.27 mg/kg (1.3 to 6.8 mL) were administered safely to 19 patients for complex procedures. Among the 11 patients ³ 75 years old, doses from 0.78 mg/kg to 4.76 mg/kg (1.3 to 11.9 mL) were administered safely to 7 patients for simple procedures and doses of 1.12 mg/kg to 2.17 mg/kg (1.3 to 5.1 mL) were safely administered to 4 patients for complex procedures. No overall differences in safety or effectiveness were observed between elderly subjects and younger subjects, and other reported clinical experience has not identified differences in responses between the elderly and younger patients, but greater sensitivity of some older individuals cannot be ruled out. Approximately 6% of patients between the ages of 65 and 75 years and none of the 11 patients 75 years of age or older required additional injections of anesthetic for complete anesthesia compared with 11% of patients between 17 and 65 years old who required additional injections. ADVERSE REACTIONS Reactions to Septocaine® are characteristic of those associated with other amide-type local anesthetics. Adverse reactions to this group of drugs may also result from excessive plasma levels (which may be due to overdosage, unintentional intravascular injection, or slow metabolic degradation), injection technique, volume of injection, hypersensitivity, or may be idiosyncratic. The reported adverse events are derived from clinical trials in the US and UK. Table 1 displays the adverse events reported in clinical trials where 882 individuals were exposed to Septocaine® with epinephrine 1:100,000 and Table 2 displays the adverse events reported in clinical trials where 182 individuals were exposed to Septocaine® with epinephrine 1:100,000 and 179 individuals were exposed to Septocaine® with epinephrine 1:200,000.

With the widest range of volumes, terminal sterilization and global approval, Septocaine® means more options and more peace of mind for you and for your patients.

SEPTOCAINE. TRUST YOUR INJECTION. *Septocaine® is also sold in other countries under the name Septanest® Septocaine® is indicated for local, infiltrative, or conductive anesthesia in both simple and complex dental procedures. Septocaine® with epinephrine 1:100,000 is preferred during operative or surgical procedures when improved visualization of the surgical field is desirable. Reactions to Septocaine® (pain and headache, for example, or convulsions or respiratory arrest following accidental intravascular injection) are characteristic of those associated with other amide-type local anesthetics. Septocaine® contains sodium metabisulfite, a sulfite that may cause allergic-type reactions including anaphylactic symptoms and life-threatening or less severe asthmatic episodes in certain susceptible people. Accidental intravascular injection may be associated with convulsions, followed by central nervous system or cardiorespiratory depression and coma, progressing ultimately to respiratory arrest. Dental practitioners and/or clinicians who employ local anesthetic agents should be well versed in diagnosis and management of emergencies that may arise from their use. Resuscitative equipment, oxygen, and other resuscitative drugs should be available for immediate use. Septocaine® along with other local anesthetics, is capable of producing methemoglobenemia. The clinical signs of methemoglobenemia are cyanosis of the nail beds and lips, fatigue and weakness. If methemoglobenemia does not respond to administration of oxygen, administration of methylene blue intravenously 1-2 mg/kg body weight over a 5 minute period is recommended. Please see Package Insert for full prescribing information.

From the manufacturers of N’Durance® anesthetics • materials • endodontics • infection control

800-872-8305 septodontusa.com Order through your dental dealer

PRODUCT WATCH

DENTSPLY Int’l A

Continuous care system for hypersensitivity The NUPRO Sensodyne comprehensive treatment regiment includes NUPRO Sensodyne Prophylaxis Paste, a desensitizing prophy paste, and NUPRO Professional Toothpaste with NovaMin, a high-sodium fluoride mint flavored toothpaste that prevents caries, remineralizes teeth and is dye and gluten free. The prophy paste is said to provide immediate sensitivity relief and is available in polish and stain-removal grits. Available in a variety of flavors, the paste is effective when used as a prescaling polish.

Sensitivity system

MOVCO Media Productions D

Customizable patient education Developed to educate patients about dental procedures, the series of pre-produced dental videos help promote dentist/ patient communication. These short 45 second to 1 minute videos can be used in the reception room or on a dental website. Topics covered include implants, veneers and sleep apnea. Dentists can customize templates with an introductory video, ofﬁce images or a logo for a one-time fee.

PLAY VIDEO ONLINE AT DENTALPRODUCTSREPORT.COM

800-989-8826 nupro-sensodyne.com

312-926-6334 www.movcomedia.com B

Handpiece

Beyes Dental Canada C

Bonding adhesive

Air-driven handpiece with built-in generator The AirLite M600 is a highspeed, air-driven handpiece featuring a built-in generator that provides its user with daylight quality LED illumination, even if there is no ﬁber optic connection available. 416-293-2868

beyes.ca

Patient education Ribbond Inc. C

Vacuum system

Simple unfilled bonding resin Ribbond Wetting Resin is a 4th generation unﬁlled bonding resin that does not contain dentin primers or acid etchant components. This simple unﬁlled BisGMA bonding adhesive is available in 10 mL bottles. 800-624-4554

DENTALPRODUCTSREPORT.COM

April 2011

ribbond.com

Midmark Dental E

Energy saving vacuum system Described as intelligent and energy efﬁcient, the PowerVac G reportedly can save up to 83% of the energy required to run similar sized vacuum systems by monitoring vacuum demand and only providing what’s necessary. Featuring a waterless design, the system reportedly can save practices up to 240,000 gallons of water a year. It also has maintenance-free operation, is easily upgradable and comes with a warranty. 877-503-3756

midmark.com

Icon® Practice Proﬁle “White spots are a major issue for my post-orthodontic patients. Icon enables me to remove them in one simple, painless treatment. It’s a ‘wow’ moment for the patient, and a signiﬁcant source of growth for my practice.” Timothy A. Hess, DDS Auburn, WA

After Icon treatment

tment re Icon trea fo e b s n io s Le

Actual un-retouched patient photos

Icon delivers revolutionary results for patients . . . and practices! ®

Dentists across the U.S. are making a real difference for real patients with Icon®, the breakthrough caries inﬁltrant. Icon removes post-ortho and other cariogenic white spots in one simple treatment, offering a highly esthetic alternative to restorative treatments. In addition, Icon arrests progression of early carious lesions without drilling, anesthesia or unnecessary loss of healthy tooth structure. Join the Icon revolution today! For more

Icon Proximal: fast treatment of proximal caries

information, contact your dental supplier, call 800-662-6383 or visit dmg-america.com.

Join the revolution... visit www.drilling-no-thanks.com

Icon Smooth Surface: fast removal of white spots

PRODUCT WATCH

L&R Ultrasonics A

Easy access cassette rack The spacious 310 Casette Rack provides quick, easy access to casettes while its larger instrument capacity reduces prep and cleaning time. The open-sided casette rack features secured extended handles for a firm grip; uses all internal tank space; holds large, small and hygiene size cassettes; and accomplishes multiple casette configurations. It fits all Quantrex® and SweepZone® 310 ultrasonic cleaners and most 3-gallon ultrasonic cleaning units.

Cassette rack

Parkell Inc. D

E.T.C.™ Easy Temporary Cement is described as the strongest temporary bonding cement on the market. The cement contains Triclosan and is non-eugenol. E.T.C. also offers easy ﬂow from its automix syringe for simple and complete seating of temporary prosthetics. It is dual-cure and its translucent shade shows no demarcation between the temporary and tooth.

201-991-5330 LRultrasonics.com

Imagin Systems Corp. B

Intraoral camera

Plug-and-play intraoral camera Featuring a solid state FFLED lighting system that allows for a very small camera tip, the ImageMaster USB intraoral camera has a high-resolution C-MOS Sensor and precision custom optics. The hi-speed USB 2.0 digital interface plugs directly into a computer without the need for drivers and the handpiece is detachable from the USB cable. Other features include anti-fog lens and single-hand operation.

Online aligner course

650-596-1001 imaginsystems.com

ClearCorrect Inc. C

Temporary cement

Fluoride varnish

E-course clear aligner education ClearCorrect has introduced a convenient way for doctors to become clear aligner providers. ClearCorrect’s doctor-friendly e-course is self-paced and can be completed from home or the ofﬁce. Upon completion doctors will receive a CE certiﬁcate, marketing materials, submission materials and will be listed on the ClearCorrect website as a provider. 888-331-3323 clearcorrect.com

DENTALPRODUCTSREPORT.COM

April 2011

Strong temporary bonding

631-249-1134

parkell.com

Denticator E

High-concentration flouride varnish Zooby Varnish features a userand patient-friendly formula that delivers a high concentration of fluoride. The smooth, clumpfree consistency allows for an even, efficient application while eliminating leftover residue. The 5% sodium fluoride varnish comes in Turtle Melon™ (watermelon) flavor and is gluten-free. The Zooby family also includes fluoride foam said to reduce patient gagging. 800-227-3321 denticator.com

HAND

LIN

Tetric EvoCeram

速

Direct Composite Technology has Evolved! ET ESTH

ICS

OV C L I N I C A L LY P R EN

New & Improved Tetric EvoCeram

速

A unique chemistry offering the perfect balance of handling, esthetics and durability. Creamy, sculptable consistency for optimal handling Innovative refractive index technology for unsurpassed esthetics Clinically proven with over 90,000,000 restorations

Tetric EvoCeram

速

NANO-OPTIMIZED COMPOSITE RESTORATIVE

100% CUSTOMER SATISFACTION GUARANTEED!

ivoclarvivadent.com

Call us toll free at 1-800-533-6825 in the U.S., 1-800-263-8182 in Canada. 息 2011 Ivoclar Vivadent, Inc. Tetric EvoCeram is a registered trademark of Ivoclar Vivadent.

PRODUCT WATCH

Surgical Solutions USA A

Autograft alternative Sourced from human allograft tissue, Osteogrow/Osteokor is said to provide an economical option for dental grafting procedures. It is well suited for guided bone regeneration procedures including perio defects, sinus grafting, extraction sockets, intrabony defects and in conjunction with dental implant placement. It provides an alternative to the complications that come with autografts and is available in mineralized or demineralized versions.

Allograft material

Tess Oral Health D

Featuring custom imprinted channel-trim dual head and travel orthodontic brushes, this Ortho Patient Kit provides patients with all the tools they need while also promoting your practice. Channel-trim allows for optimal end rounding and polishing on both bristle levels to provide safe and effective cleaning. The kit also includes a 2-minute timer, interproximal brush, mouth mirror, relief wax, 15M ﬂoss and packet of 10 ﬂoss threaders. Preassembled in 5 assorted colors.

877-266-3360 surgicalsolutionsusa.com

Philips Burton Medical B

LED task lighting

Low profile LED fixture Designed to adapt to many task lighting applications, the Nuance Elite LED fixture is said to provide more than 70% in energy savings. It delivers a high-quality illumination with minimal maintenance required and features a CRI of 85 and no projected heat or UV light. The fixtures are available in three lengths and can be interconnected to create a continuous row of under cabinet lighting. The fixtures are easy to install and are available in white painted or satin finish.

Saliva ejector

800-444-9909 www.burtonmedical.com

Efficient Dental Technologies C

Orthodontic kit

Highspeed handpieces

Disposable, compact saliva ejector DryPop™ is a disposable mouth prop saliva ejector designed to provide continuous suction while gently stabilizing the mandible. Its compact design reportedly enables operators to move more efﬁciently with few interruptions, which improves access and decreases chair time. It is available in four colorcoded sizes: extra small, small, medium and large. 877-744-9339

DENTALPRODUCTSREPORT.COM

April 2011

edtdental.com

All-in-one ortho kit

800-762-1765 tessoralhealth.com

Sable Industries Inc. E

Economical highspeed handpieces The S600NL and S700NL fiber optic highspeed handpieces are NSK compatible. The S600NL features a standard head size for easy, comfortable access to the posterior while maintaining high torque. The S700NL has a torque head for more power. Both handpieces have soft push button actuation of the chuck mechanism and triple port spray. The economical handpieces fit all standard 6 hole fiber optic tubing. 800-368-8106 sableindustriesinc.com

Flowables have been called

Flowables provide a fast, easy solution for a wide range of cases. But more than a quick ﬁx, you need to be conﬁdent your restorative will perform. That’s why dentists are choosing Filtek™ Supreme Ultra Flowable Restorative. We could roll out a long list of advantages, but we’ll stick with three. • Versatile formula is ideal for multiple indications • Unique nanotechnology for excellent esthetics and low wear • Flow-on-demand handling dentists prefer

By the way … Filtek Supreme Ultra ﬂowable restorative is now available in capsules. It just keeps getting better.

www.3mespe.com/ﬁltek or 800-634-2249

www.YouTube.com/3MESPEdental

™

Filtek Supreme Ultra Flowable Restorative

Product Watch double tAke

“The only curing solution you need…” a clinician’s view on Ivoclar Vivadent’s bluephase® G2 curing light. Compiled b y

s ta n g o f f

Ivoclar Vivadent Inc.

bluephase® G2 Setting new standards in restorative dentistry, the bluephase® g2 curing light demonstrates 1,200 mW/cm2 of power and patented polywave™ LeD technology. in contrast to conventional LeD technologies, this LeD provides an optimal broadband range of light from 380 to 515 nanometers—enabling dentists to cure all dental materials all the time, and it is suitable for all photoinitiators. Additionally, a corded “back-up” provides power if the battery should ever run low. it can be purchased alone, or with a separate stand-alone LeD radiometer included. 800-533-6825 • ivoclarvivadent.com

DR. ED LOwE, BSC, DMD, AACD ACCreDiteD MeMber VAnCouVer, bC, CAnADA PrACtiCing SinCe 1986

hen I started in dentistry in 1986, the most powerful quartz halogen light required at least 40 seconds to fully cure an increment of composite, while conventional curing lights lacked power. When indirect restorations asserted their presence in the 1990s, materials like Empress (Ivoclar Vivadent) leucite porcelain or feldspathic porcelain veneers allowed light penetration. However, materials like InCeram (VITA) and Procera (Nobel Biocare) still did not. For direct restorations, I found myself using small increments of direct resins and had to learn to patiently wait while they cured. When placing indirect restorations, it was necessary to use dual cure resin cements, which used both a catalyst and a base. This was the only way to be sure the luting cement would fully cure. With the advances made in curing lights today, many of these issues have been resolved. With an overwhelming number of choices, I spent time researching and compar-

DENTALPRODUCTSREPORT.COM

April 2011

ing the best options for my practice. Ultimately, I chose the bluephase® G2 LED curing light.

Why choose the bluephase® G2? This curing light not only solved the challenges that I faced in the late 1980s and 1990s, but it also oﬀered the power, features and design I had been searching for more recently. Enabling me to use it where, when and how I need to, the unit’s sleek design leaves a small footprint and ﬁts easily in the hand, as well as in the mouth. Its high power ensures a greater depth of cure and lowers curing time. Saving me time and my practice maintenance costs, the innovative polywave™ LED technology generates less heat and uses a bulb that virtually never burns out.

How does it compare to others? The performance is outstanding and fulﬁlls all the criteria that I look for in a curing light. Aside from the ergonomic

and comfortable “pistol grip” design, the swivel light guide and design of the docking station are unparalleled. “Click & Cure” allows me to operate the unit cordlessly or plugged-in when my battery runs low. Further, the internal cooling system is impressive and provides continuous cooling during my most extensive restorative cases. The one feature that truly stands out over other LED lights, however, is the security and comfort that comes with knowing I can effectively cure all composite materials—even resin modified glass ionomers. It offers settings that allow curing close to the pulp, highspeed curing and low shrinkage so I can provide solutions to the many different restorative situations I encounter on a day-to-day basis. I highly recommend this light curing unit to colleagues and it is truly the only curing solution you need.

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“Essentially a great answer for patients…” A clinician’s view on Ultradent’s Opalescence Trèswhite Supreme 15%. Compiled b y

S TA N G O F F

Ultradent Products Inc.

Opalescence Trèswhite Supreme 15% It greatly simplifies the tooth-whitening process by using pre-filled disposable trays with a 15% hydrogen peroxide formula and a 15 minute wear time. With no impressions, models or lab time required, Opalescence Trèswhite Supreme is the perfect option for the patient with an “on-the-go” lifestyle. Most often recommended for entrylevel whitening patients as an alternative to OTC products, it contains the same potassium nitrate and fluoride based formulation found in other Opalescence products. 800-552-5512

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ith the advent of vital tooth bleaching, the market has been flooded with options leaving patients confused about the process and often misled by Internet marketing and unsupervised OTC products. For a lot of our patients, nighttime bleaching with custom trays is simply not an option although it is a preferred method for many dentists as it uses carbamide peroxide with lower concentration and slower release time. Opalescence Trèswhite Supreme has played an important role in our office for the past seven years as part of our armamentarium for tooth bleaching.

Why choose this product? It has been a great way to introduce the idea of bleaching to our more reluctant patients. The relatively low cost allows

DENTALPRODUCTSREPORT.COM

April 2011

us to provide it as a sample to some patients who are curious about trying or potentially investing in the bleaching process. I have found the results to be satisfactory and predictable albeit not necessarily dramatic. Ultradent recently released a new hydrogen peroxide solution in a preloaded disposable tray that is easy to place adequately over the teeth and can be worn for 15 minutes a day, making it a more attractive option.

Controlled sensitivity a plus Of course, there always is potential for tooth sensitivity, but Ultradent’s whitening products have been enhanced with fluoride and potassium nitrate to aid in that perspective. It is imperative for patients to seek professional advice and for us to properly instruct patients on the potential

risks and proper care during tooth-whitening procedures. Opalescence Trèswhite Supreme’s PF formula, patented by Ultradent, decreases sensitivity while strengthening enamel and preventing caries.

Why I would recommend this product With the Opalescence Trèswhite Supreme 15% formula, the tooth-whitening process is simplified by using pre-filled disposable trays with a 15% hydrogen peroxide formula and a 15 minute wear time. Because there is no need for impressions, models or lab time required, Opalescence Trèswhite Supreme is a great choice for your patients. This product is essentially a great answer for those patients who lead busy lifestyles and prefer daytime bleaching and an abbreviated wear time.

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get it right the first time. Making impressions is a big part of any practice, so retakes and remakes can really eat away at profitability, efficiency and your reputation. That’s why dentists who try Impregum™ Soft Polyether Impression Material continue using it. It captures the margins better than any VPS,1 especially in challenging cases like implants or where moisture control is an issue. Polyether is accurate, reliable and ultimately forgiving—so it consistently produces great-fitting restorations on the first take.

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Bisco’s DUO-LINK Composite Luting Cement catapult presents its review of this new material, based on feedback from evaluators nationwide. by D r .

L o u G r a h a m , P r e s i D e n t o f C ata P u Lt, a n D D r . m a r k L at ta , C ata P u Lt ’ s C o n s u Lta n t

f o r t e C h n i C a L & s C i e n t i f i C a f fa i r s

DUO-LiNk™ COMPOSiTE LUTiNg CEMENT A dual-cured luting cement with ultrafine filler particles, DUO-Link Composite Luting Cement is intended to be used with an adhesive system. It is available in a translucent shade, and the high glass filler content is said to increase strength and resistance to wear and staining. BISCO • BISCO.COm

isco’s DUO-LINK composite luting cement is a dual-cured, highly filled cement and competes in a very crowded and often confusing product niche in restorative dentistry. DUO-LINK is not a newly introduced product, but one that has had a long history of producing excellent clinical results. So why is this product of such great interest today? Selecting the ideal cement from the pure resin, self-adhesive resin, glass ionomer categories with allceramic, metal ceramic and post cementation procedures is a challenge and most clinicians use multiple materials in their day-to-day treatment. DUO-LINK shines as a versatile cement for numerous clinical indications when the doctor demands a dualcured chemistry for the clinical procedure. It is suited for adhesive cementation of metal supported porcelain-fused-to-metal crowns and bridges, crowns, inlays and onlays fabricated from metal, composite resin or ceramics, and metal and fiber-reinforced endodontic posts. In looking at what makes DUO-LINK stand out as a luting material, it is impor-

About cAtApult Catapult is an organization that consists of more than 50 clinicians spread throughout Canada and the United States. As a company, manufacturers pay a fee for their product to be evaluated and what we deliver are truthful, independent answers from surveys that we develop with them. We have had many products that have either had to be altered before hitting the market or simply never arrived because of our openly honest evaluations. In this way, Catapult assists the manufacturer to avoid potentially releasing a faulty product, or simply a product that needs reﬁnement. Lastly our clients are omnipresent in the industry, small to large, no favoritism, simply reviewing the latest products in our practices.

DENTALPRODUCTSREPORT.COM

April 2011

tant to understand that many cements do not cure equally as well in the purely light-cured mode compared to the selfcured mode. For many clinical situations it is not possible to get light penetration through the restoration to the deepest part of the cement layer. The integrity of the cement (and the restoration itself) then is dependent on the chemical curing components to achieve a high degree of conversion (cure) without light exposure. DUO-LINK achieves a very high degree of conversion in both the self- and lightcure modes, independent of each other. The physical properties of DUO-LINK also are excellent and balance a high ﬁller content for marginal wear resistance with a low film thickness and f low to ensure ease of cementation. Catapult evaluators listed the two most important characteristics of a luting material as the ease of removing excess cement and the durability of the cement margin. These characteristics were closely followed by the working time and the intrinsic physical properties of the cement.

Findings from the Catapult Evaluation Ȝ

95% of the Catapult evaluators would use Bisco DUO-LINK cement for at least some clinical indications in their practices. In situations where adhesive cementation is required, such as with single all-ceramic restorations made from a feldspathic or leucite ceramic (i.e. Empress I) or when there is a compromised retention form, this material (in conjunction with a compatible adhesive system) would be a material of choice. 81% of the evaluators rated the ﬂow characteristics of the cement as “just right” with less than 5% feeling the working time was too short. This characteristic is critical to ensure full and complete seating of the restoration to achieve the best marginal adaptation. The ﬁlm thickness

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of the cement was rated either very good or excellent by more than 75% of the evaluators. The majority of evaluators rated the automix delivery system as close to ideal in terms of extrusion force and the quantity of material in the delivery system. The delivery system was especially noted for creating a minimal amount of wasted material. 62% of the evaluators found the cement working time to be “just right” with fewer than 5% who felt the working time was too short. Favoring a slightly longer working time is better in most clinical situations to eliminate the chance for incompletely seating a restoration. Clean-up of the excess cement also was rated very highly by the Catapult evaluators. On a 1-7 scale where 1 represented ‘easy’ and 7 ‘very di,cult,’ clean-up

in the self-cure mode was rated 2.8 and in the lightcure mode 2.9—both excellent scores. As with all resin based cements, the timing of cement removal in the light-cured mode is dependent on the power of the light used. A bench trial of the cement and the light to be used clinically can help the clinician gauge the appropriate clean-up timing. DUO-LINK is available in a translucent shade and as such would not provide signi.cant color modi.cation to the .nal restoration. While certainly this cement can be used for cementing veneers, for achieving signi.cant color stability a lightcure only cement such as CHOICE 2 would be preferred. The very high percentage (95%) of evaluators that would incorporate this cement into their practices is impressive and reﬁects the very good physical properties and the well accepted handling characteristics of this cement. While certainly it would

not be the de.nitive choice for cementing all indirect restorations, it represents a terri.c option when an adhesive cementation technique is indicated.

Key tips to this product DUO-LINK is designed for use with universal adhesive systems such as ALLBOND 2, ALL-BOND 3, ONE-STEP PLUS or ALL-BOND SE. Some incompatibilities may occur with dual-cured resin cement systems and some adhesive systems, especially adhesives that are low in pH, such as most self-etching systems. Prior to using DUO-LINK with other adhesives, check with the manufacturer to be sure there are not unexpected interactions that could inhibit chemical curing of the cement. At room temperature the working time for DUO-LINK is 2 minutes and the setting time is 5 minutes 30 seconds for dualsyringe mixed material. Both working and setting times will be accelerated by mouth temperature, and by coming into

contact with some adhesive system primers, depending on the adhesive system used. When used for the .rst time, careful attention to the intraoral setting behavior is important to prevent the cement from setting to a point that makes removal of the excess di,cult. Promotion of adhesion of DUO-LINK to the restoration surface can be accomplished by the appropriate preparation of the metal, ceramic or composite surface and the use of a suitable bonding primer for the speci.c material being cemented. This review represents a summary of the .ndings amongst the Catapult evaluators, who used this product to cement a wide variety of restorations. While a small minority would have preferred the cement to have a slightly shorter work/set time, the survey results show that overall there was wide acceptance of this cement, especially for adhesive cementation of ceramic restorations. Visit catapultyourpractice.com for more comments.

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The Invisible Gorilla the atlanta center for dental Excellence reviews this 2010 book that may help you understand the importance of taking a closer look at your practice. by D r .

B r e n t o n You n g

ThE INvISIbLE GORILLA AND OThER WAyS OUR INTUITIONS DECEIvE US This book reveals the many ways our intuitions can deceive us. The authors explain why people succumb to these everyday illusions and what we can do about it. They combine the work of other researchers with their own ﬁndings on attention, perception, memory and reasoning to reveal how faulty intuitions often get people into trouble. THEINvISIBlEGorIllA.Com

o you know what you’re missing? You might be surprised. A friend forwarded an e-mail to me, sometime in 2002, with the subject line, “I don’t normally forward these, but you HAVE to see this.” I clicked on the link and started watching a video of two teams passing a basketball. The scrolling text below the video told me to count the passes made by the team in the white shirts, while ignoring the passes made by the team in the black shirts. I focused intently on the whiteshirted team. At the end of the video, the text asked if I’d counted 34 passes. Score one for me! I had in fact counted every pass. Then the text asked if I had seen the gorilla. I was sure it was a lame joke, certain there had been no gorilla, but I backed the video up and watched it a second time without counting passes. Sure enough, midway through the video, a person wearing a black gorilla costume walked to the middle of the court, stopped, beat his or her chest and then walked off. Total on-screen time: 9 seconds. I was incredulous. As a dentist, I believed my attention to detail was better than average. Surely this was some video sleight of hand and not a mistake on my part. But I had fallen into the trap of Harvard psychologists Christopher Chabris and Daniel Simons, who created the video to test selective attention. Their 1999 research showed 50% of people would miss the gorilla. They found no pattern in age, gender or education level to explain who saw it and who didn’t. What they did find was people missed the gorilla specifically because they were not looking for anything

About the ACDe reviews The clinicians of the Atlanta Center for Dental Excellence (theacde.com) conduct independent, unbiased reviews of products and services based on actual ongoing use in an active practice. Evaluation criteria include overall quality, contribution to practice success and return on investment. In the ﬁve-star rating system, one star indicates a “poor” rating, and ﬁve stars indicate a rating of “excellent.”

DENTALPRODUCTSREPORT.COM

April 2011

out of the ordinary. Our brains are wired to expect the expected, and as dentists we are trained to do the same. As the adage goes, “If you hear hoof beats in Georgia then you should expect a horse” rather than a zebra—or, in this case, a gorilla. Chabris and Simons dubbed the phenomenon “inattentional blindness.” In their 2010 book, The Invisible Gorilla and Other Ways Our Intuitions Deceive Us, they build on that research, sharing some incredible examples of how our memory and attention are not completely reliable. We think we see the world as it is, but the authors tell us “our vivid visual experience belies a striking mental blindness.” This is not a bug in our software, so to speak, but rather an inherent limitation. Because the brain is a closed system, it has ﬁnite resources. We unconsciously allocate those resources, choosing what to “see” and what to ignore. This blindness can affect the dental practice as well. Feeling rushed and overly busy, we walk into a hygiene check, look at the bitewings and completely miss the decay. Similarly, a dentist who is completely focused on the practice’s “bottom line” numbers may overlook the fact that the entire oﬃce is not functioning at its best and is slowly coming apart at the seams. Chabris and Simons cite many examples of the limitations of our brains, but they do not propose a remedy for this blind spot in our attention. While each story is interesting, the book lacks an overarching story line to tie the vignettes together. Nevertheless, the f indings make us aware of our own limitations. We can

create processes to compensate for these blind spots and reduce error. Having your hygienists review bitewings and comparing their ﬁndings with your own is a good way to reduce the chances of missing an important ﬁnding. Periodic team sessions with a practice manager may help the dentist take a more global view of the practice, thereby raising team morale and increasing overall production. Such practices take into account the holes in our attention and close them to the gorillas that we can all miss. ★★★★ — 4 stars out of a possible 5.

The Benchmark column is written by the directors of the Atlanta Center for Dental Excellence, an alliance of practicing clinicians dedicated to progress in dentistry. The ACDE advises dental companies on product development and marketing, and provides PACE-approved high-level continuing education. To learn more, visit theacde.com, or contact Molly Thompson at info@theacde.com. Brenton Young, DDS, is co-author of A Survival Guide to Clinical Dentistry and has lectured at the UNC School of Dentistry and internationally. His work with the ACDE focuses on the impact that EQ (Emotional Quotient) has on a dentist’s success in the dental ofﬁce and in his or her personal life. Dr. Young is married with two college-age children and practices general dentistry in Shelby, North Carolina.

ADVERTISING SUPPLEMENT TO DENTAL PRODUCTS REPORT

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Dental Practice 2011 Best Financial Advisers Advertising Supplement is written and published by Advanstar Communications Inc. (“Publisher”) as a source of information concerning individual financial advisers (“Advisers”), for use by dentists, health care professionals, and the public. The information supplied in this Dental Practice 2011 Best Financial Advisers Advertising Supplement is provided only as a service to its Subscribers,. The Dental Practice 2011 Best Financial Advisers Advertising Supplement does not contain sufficient information to verify the listed Advisers’ credentials but it does offer the public, dentists, hygiensts, and other health care organizations general information pertaining to the listed Advisers. Adviser data contained in the Dental Practice 2011 Best Financial Advisers Advertising Supplement is self-reported by each Adviser. Publisher has attempted to confirm with certain regulatory authorities that no disciplinary actions or proceedings against the Advisers in this Dental Practice 2011 Best Financial Advisers Advertising Supplement were active, recorded or pending at the time of publication. References to any specific Adviser in this Dental Practice 2011 Best Financial Advisers Advertising Supplement does not imply or constitute an endorsement, recommendation, or favoring of such Adviser by the Publisher or any of its affiliates. The Publisher does not warrant the completeness or accuracy of any information, product, service, or process referred to in this Dental Practice 2011 Best Financial Advisers Advertising Supplement, nor does the Publisher assume any liability stemming from the use of any information contained therein.

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au al Evaluating va ua at atiin ng g A R by K E N

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hey can provide the expertise and resources you need to reach your long-term goals. You’ve cre ated a good practice for yourself and your employees. Business is good, and everything seems to be going your way. While the fi nancial picture of your practice is important, so, too, is your personal financial picture, most especially planning for the long-term future of you and your family. Financial planning is important for successful dentists, but sometimes it takes some homework to find the right financial adviser. That’s why, for the first time, Dental Products Report is offering to help you plan the financial future that works best for you and your family, by presenting the Best Financial Advisers listing. We felt it was important to offer this listing because, like most other professionals, dentists can find it difficult and time-consuming to concentrate on their personal finances by themselves. You’re already busy enough trying

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to keep your practice active and thriving. Then you go home, and you want to spend time with your family. Concentrating on personal finances—making sure the right amount of money is going in the right fund or to the right stock—is a fulltime job. Consider your practice. You delegate functions you don’t absolutely have to perform yourself to dental assistants and hygienists. You might retain the services of an accountant or CPA for your bookkeeping and an attorney for legal advice. They all bring value to your practice. Delegating your personal finances to a professional adviser can bring value to your long-term future. The best financial advisers can provide the expertise you need to navigate the complex world of financial planning, as well as to meet your long- and short-term goals such as developing a portfolio, having a financial buffer in the event

of unexpected events, planning for retirement, and paying for college.

Value Independence What questions should a dentist ask of a financial adviser before choosing? “There are a host of questions that every dentist should ask of their prospective financial adviser,” says Pat Beaird, CPA, PFS, president of Beaird Harris Wealth Management Inc. in Dallas. Those questions include: » What percentage of clients are dentists? » What is the ratio of clients to advisers at your firm? » How are you compensated and how much do you charge? » Do you sell products and receive commissions, or are you a fee-only financial adviser? » What professional qualifications/designations do you have?

Do you serve your clients in a fiduciary capacity, and are you required to disclose all conflicts of interest? » What is your investment philosophy and how do you go about selecting your recommendations to your clients? » When should I start investing? » What’s the best way to review advisers’ fee arrangements? » How can I work with an adviser to develop a financial plan if I want to execute the plan myself? » How can I evaluate the credentials of an adviser? » How can I get recommendations for an adviser? It doesn’t matter if you are a beginner or have been investing for years, it’s never too early—or too late—to start asking questions. A good financial professional will

What is the most important asset a ﬁnancial adviser can provide to a dentist?

Why is it important for a dentist to have a ﬁnancial adviser?

“It is important for a financial adviser to provide clients with peace of mind. This will allow them to save the time and energy that it takes to manage complex financial situations in their lives, so they are free to focus on matters that mean the most to them.”

“Dentists are a highly intelligent group. I find that almost all do a lot of things right. But like everyone else, they have a few material holes in their financial plans. Most common I find is not having a well-defined financial or investment plan, specifically designed to achieve their goals.”

Louis P. Stanasolovich CFP®

Steven W. Kaye CFP®

Legend Financial Advisors Inc. Pittsburgh, PA

April 2011

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welcome your questions, no matter how basic. Financial professionals know that an educated client is an asset, not a liability. Which financial professional you select is very important for several reasons. It’s important before doing business with a financial professional or firm to make sure there is no history of complaints or problems with regulators. Also, you should know if your fi nancial professional, or his or her firm, goes out of business or declares bankruptcy. Advisers have different educational and professional backgrounds, and they also manage their clients’ portfolios in a variety of ways. For example, some advisers may offer only investment advice, while others may combine a variety of services (e.g., tax or estate planning) with traditional portfolio management. To make the best choices, it is helpful to understand the differences between the various types of financial advisers. Regardless of your choice, the adviser should be willing to refer

you to a specialist when an issue arises that falls outside the scope of his or her expertise.

How we chose our list We based inclusion on the following criteria: Knowledge and experience—

Brainpower and wisdom are mandatory, and we looked for advisers with depth of knowledge about a broad range of financial issues. Credentials count, because they show a background of knowledge. Additionally, retaining some certifications (CFP, for example) requires continuing education. This encourages the adviser to keep up-to-date with financial developments and products. However, we included advisers without credentials based on their years of experience in financial planning. The advisers typically have at least 10 years of professional experience. Life confronts us with unexpected situations, so it’s beneficial to rely on someone who has already

weathered similar storms. Geography—The advisers represent a broad geographic range. In addition, many advisers operate across state lines or across long distances. Between email and phone calls, it’s possible to use an adviser who is not in your community, as long as you are available for occasional visits, and if the adviser is licensed in your state. Fee arrangements— Advisers charge for their services in various ways, including fee-only and commission. There are also several types of fee arrangements and many variants, so be sure to ask and understand. Fee-only advisers earn a percentage of the money they manage for you. (Fees typically range from .75 percent to 1.5 percent, depending on the amount invested.) Commission arrangements mean the adviser earns payment when you invest in mutual funds with a load (sales charge). Some advisers charge fee-only for investments, but if they also sell insurance products (which Continues on page 8

When and how often should a dentist meet with his or her ﬁnancial adviser?

How can a ﬁnancial adviser help a dentist plan for retirement?

“In addition to regular correspondence about their investments we suggest an annual planning review to update their personal balance sheet and cash flow projections. This comprehensive look at their entire financial picture often leads to a list of two to three actionable items per year.”

“A qualified financial planner will build a comprehensive plan that is tailored to your unique circumstances and designed to achieve your retirement goals. The planner will help you select the best retirement options for you and your business, and even develop a transition plan for your practice. Seek out a CFP® professional.”

Chad Norfolk CFP®

Financial Advantage, Inc. Columbia, MD

Craig Larsen CFP®

ChFC

AHC Advisors, Inc. St. Charles, IL

Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice | April 2011

BEST ST Fiinancial Fin F nan ial

2011

Advisers Ad ie

What is unique about dealing with the dentist-client?

What is the most rewarding experience you’ve had as an adviser?

“Dentists must uniquely balance small business concerns, family financial concerns and patient health concerns. Their primary focus is the examination of their patients, not necessarily the examination of their financial health. Proactive financial and retirement planning are as essential to a dentist as preventive dentistry is for his or her patients. Once dentists have achieved some degree of financial independence, they need to have an estate plan. Having a good financial adviser is imperative.”

“Without doubt, the most rewarding aspect of our work also happens to be exactly what defines our success in this profession — our clients’ success in achieving their goals. When our clients’ plans come full circle and they begin to experience the satisfaction of achieving their goals — that is our most significant reward. I’m proud that our team plays a part in making those goals become a reality.”

Michael T. Jankowski IAR

Timothy Walla CFP®

Walla Street Wealth Management Inc. Leawood, KS

Senior Planning Network Westchester, IL

How can you ﬁnancially protect your dental practice?

How can a dentist professional ﬁnd the “right” ﬁnancial adviser?

“To fully recover the capital investment required of today’s modern dental practice, it is important to reflect these assets in your business valuation and operating agreement. We advise clients to review these documents carefully and to title ownership of business interests in a revocable trust. This technique provides protection for partners and family members.”

“Finding the ‘right’ financial adviser takes time and patience. Your relationship with an adviser is only as good as your partnership. Make sure you feel comfortable discussing very personal issues about your family and money. Find someone who will genuinely care about you and your family.”

Michael J. Chasnoff CFP®

CFP®

CFA

MBA

CPA

PFS

Stevens Wealth Management Deerfield, IL

Truepoint Inc. Cincinnati, OH

April 2011

Sue Stevens

Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

Continued from page 6

often are part of a comprehensive financial plan), they may earn a commission. Additionally, you can pay a flat fee to have a financial plan developed. You then have the option of executing the plan yourself or having the adviser manage it for you. M i n i m u m p o r t f o l i o — M a ny well-established advisers require a minimum amount of money under their management. Others have no minimum investment, but they do charge a minimum annual fee. Some advisers are flexible about minimums, so if you’re interested in an adviser but don’t meet his or her investment level, you might want to inquire anyhow. Most advisers on

our list have minimum portfolio requirements of $1 million or less, or are flexible about their minimum. However, consideration was given to advisers whose minimum portfolio is above $1 million. Good standing— We checked each adviser against databases in the Securities and Exchange Commission, Certified Financial Planner Board of Standards Inc. and Financial Industry Regulatory Authority to confi rm that the advisers listed in this guide have no disciplinary action against them on a national level.

cial adviser. After all, you will share some of the most confidential information regarding your personal finances, as well as your hopes and dreams for the future—for you and your family. “Your adviser is someone who will help you make life-altering and permanent, often irreversible decisions,” Beaird says. “Trust is an extremely important part of the relationship, and you won’t sleep well at night unless the trust factor is high. After all, it’s hard to trust someone who’s not looking out for your best interest.” ●

Trustworthiness is critical

Ken Krizner is a writer and editor based in Cleveland, Ohio. He covers a variety of industries, including healthcare. Edit work completed by Bob Feigenbaum, a writer and editor based in Akron, Ohio.

Most importantly, dentists should feel comfortable with their finan-

Is dealing with a dentist-client different from dealing with other professional clients, in or out of the medical ﬁeld?

“The basic issues of financial planning— identifying goals, quantifying results and developing an acceptable strategy to attain goals—are the same for medical professionals as for any other clients. Medical professionals, including dentists, are intelligent, and they value their time, so efficiency has to be emphasized in the planning process. Generally, dentist-clients want to understand the rationale behind recommendations and are very resultsoriented. They are confident in their abilities, and you have to gain their trust to be effective in working with them as clients.” James E. Pearman Jr. CPA

PFS

When should a dentist start investing?

“Waiting to save money to help meet your goals will definitely put you behind, and you will forever try to catch up. Dental professionals should analyze their monthly discretionary cash flow, along with their personal and professional goals, and adopt a two-tier investment plan. First, contribute to their qualified pension plan; second, take a percentage of their monthly discretionary cash flow and adopt a systematic investment plan via an investment platform that meets their risktolerance and asset-allocation objectives.” Rick O. Helbing CFP®

Suncoast Advisory Group Sarasota, FL

CFP®

Partners in Financial Planning LLC Salem, VA

ChFC

Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice | April 2011

WHAT DO

CERTIFICATIONS MEAN? AIF®

ACCREDITED INVESTMENT FIDUCIARY

This designation represents a thorough knowledge of, and ability to apply, ﬁduciary practices. AIF designees have a reputation in the industry for the ability to implement a prudent process into their own investment practices, as well as being able to assist others in implementing proper policies and procedures.

AWMA®

ACCREDITED WEALTH MANAGEMENT ADVISOR

Advisers holding this designation take coursework designed to give them advanced knowledge of asset management, allocation and selection; investment performance and strategies; and taxation issues pertaining to investments for a broad range of investors, including small businesses and deferred compensation plans.

CFA®

CHARTERED FINANCIAL ANALYST

This designation focuses on portfolio management and ﬁnancial analysis for stocks and investing. ®

CFP

CERTIFIED FINANCIAL PLANNER

Advisers are knowledgeable about all phases of ﬁnancial planning.

ChFC®

CHARTERED FINANCIAL CONSULTANT

Agents who wish to specialize in life insurance for business or estate-planning purposes have traditionally pursued this designation. Financial planning disciplines include insurance, income taxation, and retirement planning.

CIMA®

CERTIFIED INVESTMENT MANAGEMENT ANALYST

CLU

Dentists looking for a ﬁnancial adviser can turn to the following three organizations for help. FINANCIAL PLANNING ASSOCIATION (FPA) www.fpanet.org

FPA has 96 chapters throughout the United States representing more than 25,000 members, who are involved in all facets of providing ﬁnancial planning services. THE NATIONAL ASSOCIATION OF PERSONAL FINANCIAL ADVISORS (NAPFA) www.napfa.org

Dedicated to the advancement of fee-only comprehensive ﬁnancial planning. THE ACADEMY OF DENTAL CPAS (ADCPA) www.adcpa.org

Enhancing its members’ expertise to provide progressive consulting, accounting and tax services to dental professionals. Other organizations you can turn to: AICPA American Institute of Certiﬁed Public Accountants. CFA Institute CFP Certiﬁed Financial Planner Board of Standards FPF Foundation for Financial Planning FSI Financial Services Institute

This signiﬁes a specialty in client-centered investment management experience. ®

WHERE TO GET HELP

IAA Investment Adviser Association

CHARTERED LICENSED UNDERWRITER

This designation refers to a specialist in life insurance and estate planning.

IARFC International Association of Registered Financial Consultants ICFA Institute of Chartered Financial Analysts

CPA

CERTIFIED PUBLIC ACCOUNTANT

A public accountant who has been certiﬁed by a state examining board as having met the state’s legal requirements.

JURIS DOCTORATE

A designation that signiﬁes expertise in the ﬁeld of law.

MBA

MDRT Million Dollar Round Table NAIFA National Association of Insurance and Financial Advisors NATP National Association of Tax Professionals

MASTER’S OF BUSINESS ADMINISTRATION

This post-graduate degree can beneﬁt individuals in positions in business and management.

PFS

IMCA Investment Management Consultants Association

PERSONAL FINANCIAL SPECIALIST

This designation is reserved for certiﬁed public accountants who have additional ﬁnancial planning expertise.

April 2011

NSCHBC National Society of Certiﬁed Healthcare Business Consultants RIIA Retirement Income Industry Association SFSP Society for Financial Service Professionals

Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

2011 Best Financial Advisers for Dentists Fee/ Commission Based

Credentials/ Certifications

Firm

City/Contact Information

Min Portfolio

The Welch Group, LLC

Birmingham•(205)879-5001•stewart@welchgroup.com

Flexible

NAPFA

25+

Fee Only

CFP®, AEP

Bonnett, Mark A.

North Star Resource Group

Phoenix•(602)224-5366 mark.bonnett@northstarfinancial.com www.northstarfinancial.com

No Minimum

NAIFA, MDRT

Fee and Commission Based

None

Stempel, Mark

Encore Wealth Advisors

Tucson•(520)531-9977•mark@encorewealthadvisors.com www.encorewealthadvisors.com

No Minimum

NAPFA

20+

Fee Only

CFP®, EA

Boone, Norman M.

Mosaic Financial Partners, Inc.

San Francisco•(415)788-1952•Norm@MosaicFP.com www.MosaicFP.com

1.5M

FPA

30+

Fee Only

MBA, CFP®

Lancaster, Jeffrey D.

Bingham Osborn & Scarborough, LLC

San Francisco•(415)781-8535 jeff.lancaster@bosinvest.com

FPA

15+

Fee Only

CFP®

Masci, Barry D.

Morgan Stanley Smith Barney

San Diego•(800)473-1331•barry.masci@mssb.com

100K

CFA Board, CFP

Fee Based and Compensation

CFA®, CMT®, CFP®, CMFC

McFarland, Thomas

The Darrow Company Inc.

Los Angeles•(310)556-2220 tom@darrowwealthmanagement.com www.darrowwealthmanagement.com

500K

FPA, NAPFA

25+

Fee Only

CFP®

Oliver, Barry

Capital Performance Advisors

Walnut Creek•(925)938-5188•Barry@cpas4docs.com www.cpas4docs.com

500K

AICPA

Fee Based

CPA, PFS

Carnick & Company

Colorado Springs•(800)447-8181•Craig@Carnick.com www.DoctorAdvisory.com

No Minimum

NAPFA

Fee Only

CFP®

Milestone Wealth Advisors, Inc

Greenville•(302)351-1988 michael.sicuranza@milestonewealthadv.com www.milestonewealthadv.com

FPA

15+

Fee Based

CFP®

Frye, Austin

Frye Financial Center

Aventura•(305)931-3200•austin@fryefinancial.com www.fryefinancial.com

250K

FPA

Fee Based

CFP®, MBA, JD

Helbing, Rick O.

Suncoast Advisory Group

Sarasota•(941)375-7320•rick@suncoastadvisorygroup.com www.suncoastadvisorygroup.com

250K

FPA, SFSP

Fee and Partial Commission

CFP®, ChFC®

Hockett, Robert

Cambridge Southern Financial Advisors

Atlanta•(678)833-1166•robert@cambridgesouthern.com www.cambridgesouthern.com

800K

NAPFA, FPA, NATP

16+

Fee Only

CFP®

Polstra, David

Brightworth

Atlanta•(404)760-9000•dave.polstra@brightworth.com

FPA, NAPFA, IMCA

Fee Only

CPA, CFP®, CIMA®

Jankowski, Michael

Senior Planning Network

Westchester•(877)990-PLAN michael@seniorplanningnetwork.com www.seniorplanningnetwork.com

500K

MDRT

20+

Fee or Commission Based

IAR

King, Jim

Balasa Dinverno Foltz LLC

Itasca•(630)875-4909•jking@bdfllc.com

FPA, AICPA

Fee Only

CFP®, CPA

Larsen, Craig R.

AHC Advisors, Inc.

Saint Charles•(630)762-8185•info@ahcadvisors.com www.ahcadvisors.com

500K

FPA, NAPFA

Fee Only

CFP®, ChFC®

Leonetti, Michael

Leonetti & Associates, LLC

Buffalo Grove•(847)520-0999 mleonetti@leonettiassoc.com

200K

NAPFA, FPA, IMCA

28+

Fee Only

CFP®, CFS, AIF®

Contact Name

Association(s)

Yrs Exp

Alabama Welch III, Stewart H. Arizona

California

Colorado

Carnick, Craig

Delaware

Sicuranza, Michael

Florida

Georgia

Illinois

There are no listings for the following states: AK, AR, CT, HI, ID, KY, LA, ME, MS, MT, NE, ND, OK, RI, SD, TN, UT, VT, WV, WY

10 Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

April 2011

BEST ST Fiinancial Fin F nan ial

2011

Advisers Ad ie Fee/ Commission Based

Firm

City/Contact Information

Min Portfolio

Stevens, Sue

Stevens Wealth Management

Deerfield•(847)580-4240•sue@stevenswealth.com www.stevenswealth.com

1M, Flexible

FPA, NAPFA, AICPA

Fee Only

CFP®, CFA®, CPA, PFS®, MBA, MS

Wimbiscus, John W.

Trinity Financial Advisors, LLC

Chicago•(312)245-1300•john.wimbiscus@tfa-llc.com www.tfa-llc.com

NAPFA, FPA, IMCA, AICPA

25+

Fee Only

CFP®, MBA

Bedel, Elaine E.

Bedel Financial Consulting, Inc.

Indianapolis•(317)843-1358 Bedel@BedelFinancial.com•www.bedelfinancial.com

500K

NAPFA, FPA

20+

Fee Only

CFP®, MBA

Clark, Randall

The Windsor Group, Ltd.

Indianapolis•(317)848-3005•(800)678-1078 rclark@windsor-group.com

500K

FPA

Fee Based

CFP®

DeWald, Joseph L.

Wealth Advisors Group

Fort Wayne•(260)490-8808•joe.dewald@LpL.com

250K

FPA

Fee Based

CFP®, GEPC

Martin, Thomas S.

Larson Financial Group, LLC

Fort Wayne•(260)436-9600•tom.martin@larsonfinancial.com

No Minimum

FPA

Fee Based

CFP®

Whicker, R. Seth

SYM Financial Advisors

Winona Lake•(800)888-7968• swhicker@sym.com

300K

FPA

Fee Only

CFP®, MS

North Star Resource Group

Iowa City•(800)883-9454 william.montag@northstarfinancial.com

No Minimum

NAIFA, MDRT

Fee and Commission Based

None

Contact Name

Association(s)

Yrs Exp

Credentials/ Certifications

Illinois continued

Indiana

Iowa

Montag, William H.

There are no listings for the following states: AK, AR, CT, HI, ID, KY, LA, ME, MS, MT, NE, ND, OK, RI, SD, TN, UT, VT, WV, WY

April 2011

Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

BEST ST Fiinancial Fin F nan ial

2011

Advisers Ad ie

Contact Name

Min Portfolio

Association(s)

Yrs Exp

Fee/ Commission Based

Credentials/ Certifications

Firm

City/Contact Information

Davis, Matthew

Davis Financial Management, Inc.

Leawood•(913)890-7279•matt@ davisfinancialmanagement.com www.davisfinancialmanagement.com

No Minimum

NAPFA, FPA

Fee Only

CFP®, CPA, PFS

Walla, Timothy

Walla Street Wealth Management, Inc.

Leawood•(913)543-3836•tim@wallastreet.com www.wallastreet.com

No Minimum

FPA

Fee Based

CFP®

Cornelius, Fred

Burt Associates, Inc.

Rockville•(301)770-9880•fcornelius@burtassociates.com www.burtassociates.com

CFA, NAPFA, FPA

Fee Only

CFA®, CFP®

Dinkins, Jon

Glass Jacobson

Owings Mills•(800)356-7666•(410)356-1000 jon.dinkins@glassjacobson.com

250K

AICPA, FPA, IMCA

Fee Based

CPA, PFS, CIMA®, AIF®, CMFC

Norfolk, Chad J.

Financial Advantage, Inc.

Columbia•(410)715-9200•cnorfolk@investfai.com www.investfai.com

400K

NAPFA

Fee Only

CFP®

Parr, Christopher P.

Parr Financial Solutions, Inc.

Columbia•(410)740-9011 cpparr@ParrFinancialSolutions.com www.ParrFinancialSolutions.com

500K

NAPFA

Fee Only

CFP®, MBA

Gadkowski, Linda

Beacon Financial Planning, Inc.

South Easton•(508)790-7039 linda@beaconfinancialplanning.com

100K

NAPFA

20+

Fee Only

M.Ed, CFP®

Herlihy, Walter

Beacon Financial Planning, Inc.

South Easton•(508)230-3588 walter@beaconfinancialplanning.com

100K

NAPFA

25+

Fee Only

ChFC®

McFarland, Thomas

The Darrow Company Inc.

Concord•(978)369-5144•tom@ darrowwealthmanagement.com www.darrowwealthmanagement.com

500K

FPA, NAPFA

25+

Fee Only

CFP®

Ameriprise Financial Services, Inc.

Troy•(248)928-1300•david.f.brazen@ampf.com www.davidbrazen.com

No Minimum

None

Fee Based, Some Commission

CRPC®

Epple, Rick

Epple Financial Advisors, LLC

Wayzata•(952)470-5049•rick@epplefinancial.com www.epplefinancial.com

500K

NAPFA

Fee Only

CFP®

Gifford, Marshall W.

North Star Resource Group

Minneapolis•(612)617-6119 mgifford@northstarfinancial.com

50K, for fee based mgmt

NAIFA, MDRT

Fee and Commission

ChFC®, CLU®

Greenwald, Joel

Sterling Retirement Resources

St. Louis Park• (952)224-7160 •jsg@sterlingretirement.com www.sterlingretirement.com

500K

FPA

10+

Fee Based

MD, CFP®

Beldner, Timothy S.

Larson Financial Group, LLC

Saint Louis•(314)569-2400 tim.beldner@larsonfinancial.com

No Minimum

FPA

Fee Only

None

Larson, Paul D.

Larson Financial Group, LLC

Saint Louis•(314)569-2400 paul.larson@larsonfinancial.com

No Minimum

FPA

10+

Fee Only

CFP®, CLU®

Ames Planning Associates, Inc.

Peterborough•(603)924-9939•harv@amesplanning.com www.amesplanning.com

500K

CFP, FPA

Fee Only

MBA, CFP®, AIF®, ChFC®, CLU®

Kansas

Maryland

Massachusetts

Michigan

Brazen, David

Minnesota

Missouri

New Hampshire

Ames, Harvey M.J.

There are no listings for the following states: AK, AR, CT, HI, ID, KY, LA, ME, MS, MT, NE, ND, OK, RI, SD, TN, UT, VT, WV, WY

12 Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

April 2011

BEST ST Fiinancial Fin F nan ial

2011

Advisers Ad ie

Contact Name

Min Portfolio

Association(s)

Yrs Exp

Fee/ Commission Based

Credentials/ Certifications

Firm

City/Contact Information

DiQuollo, Robert J.

Brinton Eaton Wealth Advisors

Madison•(800)364-2468•info@brintoneaton.com www.brintoneaton.com

500K

NAPFA, AICPA

25+

Fee Only

CFP®, CPA, PFS

Ernst, James J.

Mangan, Ernst, and Rankin Wealth Management Group

Marlton•(800)613-1327•Jernst@janney.com www.merwealth.com

500K

FPA

Fee Based

AAMS, CMFC

Kaye, Steven W.

American Economic Planning Group, Inc.

Warren•(908)757-5600•skaye@aepg.com•www.aepg.com

750K

FPA, SFSP

Fee Based

CFP®, CLU®, ChFC®, RHU, CEBS, AAMS, CRC

North Star Resource Group

Albuquerque•(505)247-1800 damon.lichtenberger@northstarfinancial.com www.northstarfinancial.com

No Minimum

MDRT, NAIFA

Fee or Commission

CLTC

Altfest PhD, Lewis J.

Altfest Personal Wealth Management

New York•(212)406-0850•lja@altfest.com www.altfest.com/dentist

500K

NAPFA, FPA, AICPA

25+

Fee Only

CFA®, CFP®, CPA, PFS

Luster, Brian

The Abernathy Group II Physician Family Office

New York•(212)293-3463•BLuster@Abbygroup.com www.abbygroup.com

None

10+

Fee Only

None

Schnall, Darin

Schnall Advisory Services

New York•(212)967-6155•schnalladvisory@gmail.com

500K

NAPFA, AICPA

Fee Only

CFP®, CPA, MBA

Schwartz, Steven

Wealth Design Services Inc.

Rochester•(585)442-3230 sschwartz@wealthdesignservices.com www.wealthdesignservices.com

750K

NAPFA, AICPA, RIIA

10+

Fee Only

JD, CPA, PFS, RMA

James, Jr., Roger A.

Parsec Financial

Asheville•(828)255-0271•rjames@parsecfinancial.com

500K

None

Fee Based

JD, CTFA

McDonald, Con T.

Physicians Financial Services

Raleigh•(919)863-2355•con@physiciansfs.com www.physiciansfs.com

Assessed per client

FPA

Fee Only

CFP®

Chasnoff, Michael J.

Truepoint, Inc.

Cincinnati•(513)792-6648•m.chasnoff@truepointinc.com www.truepointinc.com

500K

NAPFA

Fee Only

CFP®

Leuby, William A.

Hamilton Capital Management, Inc.

Columbus•(614)273-1000•wal@hamiltoncapital.com www.hamiltoncapital.com

Flexible

FPA, NAPFA

10+

Fee Only

JD, CPA, CFP®

Loftus , Douglas P.

Wealth Dimensions Group, Ltd.

Cincinnati•(513)554-6000•dloftus@wealthdimensions.com www.wealthdimensions.com

500K

FPA

Fee Only

CFP®, AIF®

O’Dell, Jason M.

OJM Group LLC

Cincinnati•(877)656-4362•odell@ojmgroup.com

500K

FPA

Fee Based

None

Roe, Daniel B.

Budros, Ruhlin & Roe, Inc.

Columbus•(614)481-6900•droe@b-r-r.com

500K

FPA, NAPFA, IMCA

Fee Only

CFP®

Ruhlin, Peggy M.

Budros, Ruhlin & Roe, Inc.

Columbus•(614)481-6900•pruhlin@b-r-r.com

500K

FPA, NAPFA, AICPA

Fee Only

CFP®, CPA, PFS

Sprenkle, Chris

Merrill Lynch

Cincinnati•(513)579-3618•(800)919-3618 chris_sprenkle@ml.com

250K

CFP

90% Fee Based; 10% Transaction

CFP®, CRPS, CRPC, AIF

Welsh, Gene

Professional Management, Inc.

Strongsville•(440)572-5522 genew@professionalmanagementinc.com www.professionalmanagementinc.com

250K

None

Fee Based

CPA, PFS

Collis Wealth Management Group/ Merrill Lynch

Eugene•(541)342-5634•Randall_Collis@ml.com http://fa.ml.com/collis_group

250K

IMCA

Fee and Commission

CFM, CIMA®

New Jersey

New Mexico

Lichtenberger, Damon

New York

North Carolina

Ohio

Oregon

Collis, Randall

Pennsylvania There are no listings for the following states: AK, AR, CT, HI, ID, KY, LA, ME, MS, MT, NE, ND, OK, RI, SD, TN, UT, VT, WV, WY

April 2011

Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

BEST ST Fiinancial Fin F nan ial

2011

Advisers Ad ie

Contact Name

Firm

City/Contact Information

DeMuth, Donald L.

Mighty Oak Strong America Investment Company

Mechanicsburg•(717)790-9001•don.mosaic@comcast.net www.investwithmosaic.com

Evans, Erik

United Capital of Philadelphia

Holtzman, James J.

Min Portfolio

Fee/ Commission Based

Credentials/ Certifications

Association(s)

Yrs Exp

100K

NAPFA, NSCHBC, AICPA

10+

Fee Only

MBA, CPA, PFS, ABV, CHBC

Lower Gwynedd•(800)643-5655•erik.evans@unitedcp.com www.unitedcapitalphila.com

500K

FPA, NAPFA

10+

Fee Only

CFP®

Legend Financial Advisors, Inc.

Pittsburgh•(412)635-9210•legend@legend-financial.com www.legend-financial.com

FPA, AICPA

Fee Only

CFP®, CPA

Pearson, Diane M.

Legend Financial Advisors, Inc.

Pittsburgh•(412)635-9210•legend@legend-financial.com www.legend-financial.com

NAPFA, FPA

Fee Only

CFP®, PPC™, CDFA™

Stanasolovich, Louis P.

Legend Financial Advisors, Inc.

Pittsburgh•(412)635-9210•legend@legend-financial.com www.legend-financial.com

NAPFA, FPA

Fee Only

CFP®

Commonwealth Financial Group

Daniel Island (Charleston)•(888)858-5213 Nathan.Straus@commonwealthfg.com

No Minimum

FPA

Fee and Fee Based

CFP®

Beaird, Pat C.

Beaird Harris Wealth Management, Inc.

Dallas•(972)503-1040•PatB@bh-co.com www.bhcocapital.com

500K

FPA, AICPA

Fee Only

CPA, PFS

Danley, Bryce R.

Ameriprise Financial

Hurst•(817)770-8415•bryce.r.danley@ampf.com www.ameripriseadvisors.com/bryce.r.danley/profile/

250K

FPA

Fee Based

CFP®

Lugar, Steven M.

Beaird Harris Wealth Management, Inc.

Dallas•(972)503-1040•SteveL@bh-co.com www.bhcocapital.com

500K

FPA

Fee Only

CFP®

Dunn, Blaine

Dunn Financial Advisors, LLC

Winchester•(540)665-8006•bpdunn@dunnadvisors.com www.dunnadvisors.com

No Minimum

NAPFA

Fee Only

CFP®, MA

Kautt, Glenn G.

The Monitor Group, Inc.

McLean•(703)288-0500•kautt@themonitorgroup.com www.themonitorgroup.com

FPA

Fee Only

CFP®, AIFA, EA, MBA

Pearman, Jr., James E.

Partners in Financial Planning, LLC

Salem•(540)444-2930 james@partnersinfinancialplanning.com www.partnersinfinancialplanning.com

Min. Fee of $3,500

NAPFA, AICPA

30+

Fee Only

CPA, PFS, CFP®

Flynn, Todd D.

Soundmark Wealth Management, LLC

Kirkland•(425-820-1769•tflynn@soundmarkwealth.com www.soundmarkwealth.com

No Minimum

FPA

10+

Fee Only

CPA, CFP®

Prewitt, Travis

The Prewitt Group/UBS Financial Services

Spokane•(509)744-3314•travis.prewitt@ubs.com www.ubs/com/team/prewittgroup

250K

None

30+

Fee Based

None

Stapp, Gregory T.

Stapp Financial Planning, PLLC

Olympia•(360)754-8895•gstapp@stappfinancial.com www.stappfinancial.com

100K

NAPFA, AICPA

20+

Percentage of Assets

CFP®, CPA, PFS

SJA Financial Advisory LLC

Menomonee Falls (Milwaukee)•(414)390-1491 MattGoihl@Sattell.com

No Minimum

NAPFA

Fee Only

CFP®

South Carolina

Straus, Nathan P.

Texas

Virginia

Washington

Wisconsin

Goihl, Matt

There are no listings for the following states: AK, AR, CT, HI, ID, KY, LA, ME, MS, MT, NE, ND, OK, RI, SD, TN, UT, VT, WV, WY

©2011 Advanstar Communications Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording, or information storage and retrieval without permission in writing from the publisher. Authorization to photocopy items for internal/educational or personal use, or the internal/educational or personal use of speciﬁc clients is granted by Advanstar Communications Inc. for libraries and other users registered with the Copyright Clearance Center, 222 Rosewood Dr. Danvers, MA 01923, 978-750-8400 fax 978-646-8700. For uses beyond those listed above, please direct your written request to Permission Dept. fax 440-891-2650 or email: mcannon@advanstar.com. Return Undeliverable Canadian Addresses to: Bleuchip International, P. O. Box 25542, London, ON N6C 6B2, CANADA. SMARTER BUSINESS BETTER PATIENT CARE is used pending trademark approval. Advanstar Communications provides certain customer contact data (such as customers’ names, addresses, phone numbers and e-mail addresses) to third parties who wish to promote relevant products, services, and other opportunities which may be of interest to you. If you do not want Advanstar Communications to make your contact information available to third parties for marketing purposes, call toll-free 888-527-7008 between 7:30 a.m. and 5 p.m. CT and a customer service representative will assist you in removing your name from Advanstar’s lists. Outside the US, please phone 218-740-6477. Dental Practice does not verify any claims or other information appearing in any of the advertisements contained in the publication, and cannot take responsibility for any losses or other damages incurred by readers in reliance on such content. Dental Practice cannot be held responsible for the safekeeping or return of unsolicited articles, manuscripts, photographs, illustrations or other materials.

14 Advertising Supplement to DENTALPRODUCTSREPORT.com/DentalPractice

April 2011

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PRODUCT WATCH TECHNOLOGY EVANGELIST

Handpiece evolution Innovations to this core piece of dental technology are making providing high-quality care easier and more convenient. by D R .

JOHN FLUCK E

We’ve continued to see the evolution of the dental handpiece in the last few years. First it was the arrival

of ProDrive (prodrivesystems.com) and the turbine replacement system that uses a triangular chuck and a triangular bur shank to increase efficiency of the cut as well as the quality of the marginal preparation. Now we’re seeing more advancements coming along that should provide further innovation into the world of highspeed rotary instrumentation. These are technologies doctors should be paying particular attention to. There is no single device the doctor picks up more on a daily basis than the highspeed handpiece. Because of that, improvements in this category of equipment can be translated into less fatigue and less stress on the operator. That, of course, means the chances of repetitive stress injuries or career threatening disabilities are reduced. The second reason is one I’m equally passionate about. As handpiece technology improves, it allows the doctor to provide a better service to the patient. Better margins, decreased patient stress and decreased treatment time can all be things the patient gains through improvements in rotary instrumentation.

ABOUT THE AUTHOR John Flucke, DDS, is Technology Editor for Dental Products Report and dentistry’s “Technology Evangelist.” He practices in Lee’s Summit, Mo., and has followed his passions for both dentistry and technology to become a respected speaker and clinical tester of the latest in dental technology, with a focus on things that provide better care and better experiences for patients. He blogs about technology and life at blog.denticle.com.

DENTALPRODUCTSREPORT.COM

Power and control We’re going to cover two devices in this article, and the first is the Midwest ® Stylus™ ATC from DENTSPLY Midwest (stylusATC.com). The device was announced to the market in June 2010, but I’d been testing it for a little while before that. I was especially delighted when I asked, “Can I try and break it?” (because that’s one of the things I do best) and Midwest responded with a resounding, “of course.” Well here I sit more than a year later, and I can tell you I’ve been unsuccessful in that endeavor. I have found the Stylus ATC to be a workhorse and a definite plus for my dentistry. The advantages come from two different components in the handpiece system. One is Speed-Sensing Intelligence (SSI). It is a sensor that has been added to the handpiece that provides information to a control box in the dental unit. SSI is an electronic brain that keeps the controller box constantly informed of the bur speed. When the bur begins to drop in rpms the controller box allows more air to the system, which keeps the bur spinning at its optimal rate. This happens without intervention by the operator. In fact you can’t even tell it is happening. All you notice is smooth, predictable power and torque. The second advantage is Superior Turbine Suspension (STS). This is a combination of o-rings that provide radial support with wave springs that provide axial support. What does this mean to

April 2011

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Winner receives an all expenses paid trip toDallas, TX including 3-night hotel accommodations, 1 round trip airfare and 1 free admission to the 5th International Congress on 3-D Dental Imaging. One winner will be selected in a random drawing from all properly completed entry forms. Entries may be submitted by completing and mailing a printed business reply card. The drawing will be held on or about August 31, 2011 by the sponsor, Imaging Sciences International, LLC (“ISI” or “Sponsor”), whose decision is final. Sweepstakes open to practicing US-resident dentists only. One entry per person, and the sweepstakes will not be combined with any other ISI promotions. Not transferable to cash. Offer void where prohibited.

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PRODUCT WATCH

TECHNOLOGY EVANGELIST

Convenience at hand

The piece that fits the hand DENTSPLY Midwest’s Stylus ATC (left) is a handpiece ready to provide the power, control and durability to meet the demands of a busy practice. However, as a back-up or for those extremely rough cutting tasks that beat up a handpiece, Azenic’s DHP Disposable Highspeed Handpiece (above) is an ideal option to keep on hand.

the “non-handpiece geek?” In a nutshell it means you can really lean on the bur for different procedures without noticing the bur moving or deflecting in the turbine. The result? Less chatter and a more concentric and “truer” cut. When these two technologies are combined, they allow the Stylus ATC to run at 330,000 rpm without losing any torque or speed. The Stylus ATC

has proven itself in my hands over the last several months. It exhibits power that is unexpected from an air driven handpiece and also has been incredibly durable. No turbine failures (one of my pet peeves) have occurred and all the handpieces are still performing as they did the day they came out of the box.

Now on to the next highspeed topic. Azenic (azenic.com) has brought something to the market that we haven’t seen since the late 1980s…a disposable highspeed handpiece. Now before you ask, “Disposable?” let me tell you why. Azenic is not attempting to tell you to replace your existing handpiece inventory with the DHP™ Disposable Highspeed Handpiece, not at all. In fact they are encouraging you to keep your expensive handpieces serviceable by letting their disposables do the heavy lifting of cutting through existing fi xed prosthetics. Personally, I think that’s an idea worth considering. When you think of the tolerances highspeeds perform under, it makes sense to let a device that goes in the trash after the procedure take that abuse. If you think of the cost of replacement turbines, having a disposable option may work for you.

LIVE

Also, for surgical extractions, the Azenic handpiece uses water coolant, but no chip air, so the odds of an air embolism are minimal. There also is the case of a good backup. Good highspeeds are expensive, and if your office is trying to save money, then use disposables as your backup solution. If you are in a jam and need an extra handpiece, there is a great cost savings in using a disposable as opposed to a regular highspeed because Azenics retail for $15 per unit.

Wrapping it up I’m excited by these outside the box ideas in the world of rotary instrumentation. One of the things I fight against is the attitude of “but we’ve always done it this way.” Take a closer look at the Midwest Stylus ATC and the Azenic DHP. I think you’ll find that by coming at it from different angles, these companies may provide solutions to problems you've been battling.

Cone Beam 3-D Events

Join Us at our Continuing Education Courses on the Benefits of 3-D Imaging in Dentistry

Networking with Colleagues

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LIVE 3-D Dentistry Forum July 29, 2011 Ortho Session July 30, 2011 Implant Session 8 CE Credits per session

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$150 off Registration Enter promo code DPR411

Dallas, Texas

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April 2011

DENTALPRODUCTSREPORT.COM

CLINICAL PRACTICAL ADVICE

RESEARCH

TECHNIQUES

360°

DELIVERED FROM EVERY ANGLE

A NEW TAKE ON EDUCATION CE DOESN’T JUST HAPPEN AT THE BIG TRADESHOWS ANY MORE.

These days, there are plenty of online learning options that allow you to take in CE from just about anywhere, along with smaller manufacturer events designed to give dentists a chance to interact with companies in a more engaged way as well as to help the dental community better understand new concepts and new products. This month, we break down some of the those online options and niche events you may want to add to your calendar this year.

% 65

of dentists said a CE course is the most helpful source of information in preparing them for new purchases. Source: November 2009 DPR Purchasing and Implementation Survey

PRODUCTS AND TECHNIQUES YOU’LL WANT TO LEARN MORE ABOUT… Technique in Practice

Technique in Practice

Tech Brief

CAPTURE PREP DETAIL

CREATE A STABLE C&B PLATFORM

A step-by-step using Discus Dental’s Precision impression material.

A step-by-step using Pentron Clinical’s Build-It FR dual-cure core material.

TECH WHOLESALE’S MOTOROLA CLS1410 How two-way radios can improve communication in your practice. 76

78 Getty Images / PhotoConcepts

DENTALPRODUCTSREPORT.COM

April 2011

“ The main focus of my practice is cosmetic smile design, which requires precise full-arch capabilities. The powerful new software upgrade for Lava C.O.S. is really exciting and gives me the speed and accuracy I need. ”

—John F. Weston, D.D.S., F.A.A.C.D.

Powerful new software

for easier full-arch dentistry

helps you do more. Prescribe the same materials you do today.

The Lava™ C.O.S. will have a huge impact on you, your practice and your patients.

Work with your existing lab.

© 3M 2011. All rights reserved. 3M, ESPE and Lava are trademarks of 3M or 3M ESPE AG. Used under license in Canada. 1.Valid for new Lava C.O.S. doctors until one year after certification date. Fit Guarantee covers any Lava restoration sent back to the lab because of marginal fit. See contract for full details.

What will be the most important to you?

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• Guaranteed ﬁt of Lava™ restorations1 • Improving productivity through faster seating times and reduced remakes • Greater patient comfort leading to word-of-mouth referrals

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Chairside Oral Scanner C.O.S.

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• Get paid faster by electronic submission of X-rays on claim forms • Increase patient acceptance • Oﬀer your patients up to 90% less radiation • Use less chemicals • Have X-rays ready in three seconds

Schick digital will help you:

• Schick Intraoral Digital sensors, intraoral cameras, remotes, cables, training and starter kits can be included in the ﬁnancing contract. Support will continue to be billed on a monthly basis. Does not include panoramic X-rays or iPan upgrades.

Effective March 1, 2011, place your order and take delivery of a new Schick Intraoral Digital X-ray Sensor product by April 29, 2011, and qualify for: • 60-month Patterson finance contract featuring the first 12 months with no payments at 0%, followed by 48 payments at 7.95%. Minimum contract amount of $10,000 is required.

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All Schick C D R syste ms are sold, installe d, and ser v iced b y t h e m o s t t r u s t e d n a m e i n d e n t a l e q u i p m e n t t o d a y, Pa t t e r s o n D e n t a l . Fo r a f r e e i n - o f f i c e d e m o n s t r a t i o n , call your local Patterson representative, your local Patte rson branch or c all 1 -8 0 0 -8 7 3 -7 6 8 3 to day.

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THE TAKE-AWAYS

Expanding digital education opportunities make it easy to learn and train from the comfort of your own home. Manufacturers are heading up niche events that allow dentists to get deeper dives on certain products.

EVOlVinG

EDUCaTiOn Why tradeshows aren’t the only game in town for quality continuing education, and how that beneﬁts you. by T H A I S

C A RT E R

tWO PHrasEs WE HEar tHrOWN Out a lOt iN tHis iNDustrY arE “HiGH tEcH” aND “HiGH tOucH.” tHEsE tWO siMPlE cONstructiONs arE tHE BuZZWOrDs MEaNt tO ENcaPsulatE tHE tWO MaiN WaYs tHE DENtal PracticE is cHaNGiNG.

DPR is here to help! For a complete list of all the OnDemand webinars available through DPR and Advanstar Dental Media, go to dentalproductsreport. com/resources/webinars.

Getty Images / photosindia

DENTALPRODUCTSREPORT.COM

April 2011

CliniCal 360° ExclusivE fEaturE

first, as it pertains to new equipment, enhanced treatment and planning options, greater efficiency and the overall wow factor provided by technological innovations. second, as practices realize today’s patients crave a personalized experience where more than just a number or a chart, they feel their needs are prioritized, and the practice delivers a high standard of clinical care without sacrificing personal care. it’s interesting that even as numerous lectures focus on these topics, it’s rare for anyone to ask how these trends have changed the lectures themselves. cE looks very diﬁerent today than it did 25 years ago, and it’s not surprising to find the same factors changing the practice also are impacting the way practitioners get information.

From the Hyatt to your home tradeshows have long been a part of the professional experience. Places to network, scout new products, and hear speakers hold forth on a variety of topics the “annual meeting” will continue to have its place. However, with the costs associated with closing the practice compounded with whatever costs are incurred to travel to the conference itself and pay for certain courses (many remain free), getting away can seem like a big sacrifice. if a dentist wants his or her team involved in that experience, it becomes even more challenging. the beauty of the internet and the high-speed connectivity many of us now enjoy (and depend upon), means the headache of “getting to the show” is now optional. in many

cases, the best parts of the show will come to you—and we’re not just talking “virtual” meetings. Webinars have become an easy way to bring some of the biggest names in dentistry and some of the most trend-setting topics right to your desk. typically an hour and oﬁered by a variety of providers, webinars can be viewed live, but showcase their true value when available “On Demand.” Much like your Dvr allows you to watch your favorite shows any time, the On Demand webinar allows you to pause, go back, forward the link to a colleague or team member, and introduce important concepts to new team members in a comprehensive way. Here is just a sampling of the various webinar options available to you right now.

Digital learning DentalXP

Dent a l xP is one of t he f a ste st g row i ng on l i ne dent a l educat ion sites, with visitors from more than 140 different countries. the site is proud to offer extensive online dental education courses free to its premium members. these courses are a combination of videos and lectures pertaining to a specific topic. With these online seminars, dentists can learn from the world’s leading clinicians from the comfort of their own home. all of the content on the site is provided by dentists from around the world who are widely recognized as experts in their fields. included in the content are: online lectures, online educational videos, articles, dental publications, product information and online continuing education (cE) courses.

Catapult Your Practice

catapult Your Practice is a Web-based resource run by Dental team concepts, oﬁering online education, product evaluations and more. the following is a quick interview with catapult’s Executive Director, Dr. lou Graham. What made you decide entering the realm of digital education was an important step? In today’s challenging environment, it’s all about time. Although nothing relates to a great live event, many of the techniques we teach can be demonstrated online as they are in live courses. With live online programs, the audience can ask questions directly to the presenter. Does it replace a full day of live speaking? I think that depends on the speaker, subject and content matter. In creating your digital offering, what were some of the primary needs you hoped to achieve? We value our colleague’s time. Along with webinar events, we offer online videos that are essential clinical tips from more than 50 key thought leaders on products we have evaluated and many others that we use clinically every day. We all want to learn what others have found to be the pearls of a product versus learning on our own the hard way. The Internet allows us to begin conversing online via chat sessions or through brief video presentations. What a great way to collaborate versus practicing in our own box! What do you feel sets your online CE apart from others in the ﬁeld? What we offer is online CE in a different mode. All too often,

doctors are charged to attend an online seminar to receive their CE credits or simply view a course from a library and pay for each course viewed. We took a different direction by offering dentists and their teams access to a great variety of CE materials in different formats, for a nominal monthly rate. Furthermore, our site offers additional features and beneﬁts to complement CE. Imagine a buying group with the power to bring thousands of doctors together and create the opportunity to act as ONE entity versus buying as we all do independently. Additionally, we offer unbiased product reviews, exclusive promotions, and the opportunity to try products risk free.

The catapultyourpractice. com website offers plenty of learning opportunities.

Seattle is the place to be for one of Kerr Corp.’s i2i events scheduled in April. See p. 67 for details. In your opinion, what are some of the benefits of online education versus traditional live courses? Convenience and efficiency! What’s better than learning from the comfort of your own home or office and not have to take a day off? No lost production or downtime! One-hour seminars seem targeted to deliver concise information, which is exactly what most dental professionals want. On the other hand, live courses with great speakers are irreplaceable and will continue to be essential in our CE formats. We will be more selective as to which lecturers and programs we plan to attend in the future. What do you see as the next step in advancing the popularity of online CE? Hands-on programs! In the near future, Catapult will coordi-

nate doctors and team members to receive the hands-on content, and we simply do these handson programs over the Internet. Once complete, the doctors send the self-addressed kits back and now they are further educated on a technique and product. Equally, we envision multiple instructors presenting at the same time, and thus becoming far more interactive. Where can our readers go to ﬁnd more information about the education archived or upcoming on your site? Go to catapultyourpractice. com and register with promotion code 2617QV to access your ﬁrst month free. We are at a turning curve in both education and purchasing, and dentists have far more opportunities to get what they want, went they want it. The future of dentistry is very exciting.

Getty Images / Karl Weatherly

April 6022

DENTALPRODUCTSREPORT.COM

CliniCal 360° ExclusivE fEaturE

Kerr Corp.

immediately after passing exam. 3. Ke r r o n l i n e (w e b i n a r a n d o n demand) education courses are offered at no cost to the clinician. 4. Ability to offer consecutive, multiple part training topics in a short window of time. 5. Ability for a clinician anywhere in the world to view modules any time day or night. 6. Clinicians can view archived modules as often as they wish.

Kerr corp., a division of sybron Dental specialties, offers a variety of cE courses in the “Kerr university” section of kerrdental.com. the following is a quick interview with sue seamon, Kerr’s senior Director of Marketing communications. What made you decide that entering the realm of digital education was an important step? Kerr decided to offer digital education, the “Kerr Learning Source” three years ago in an effort to provide dental professionals with a convenient way to obtain continuing education credit and stay current on the latest procedures, all in the comfort of their home or ofﬁce. Offering education that would be available any day of the week and any time of the day provides tremendous ﬂexibility for those busy building a practice. Kerr’s online education component enables dentists residing anywhere in the world an opportunity to participate online during webinars or view archived modules at any time. In creating your digital offering, what were some of the primary needs you hoped to meet? Increase awareness and perception of

Kerr as an innovator of dental products and educational tools; provide a platform to communicate proper use of manufacturer’s products; and offer differentiating topics that would generate demand to attend both live and archived sessions. What do you feel sets your online CE apart from others in the ﬁeld? Kerr offers differentiating topics that speak to the dentist’s “procedural pain points.” We engage motivating speakers who are passionate about technique protocols and proper product use. Kerr introduces a new training module every month, and live webinars and on-demand (archived) CE modules from Kerr are offered at no cost. Kerr has regular communications announcing upcoming CE training modules—collaboration with media partners helps drive the message to the dental community. Also, online evaluations are available for attendees to

URL www.mani.co.jp E-mail dental.exp@ms.mani.co.jp

Strength & Sharpness of Stainless Steel. The Flexibility of Nickel Titanium.

The

Kerr Learning Source, found at kerrlearningsource.com, offers clinicians CE from the comfort of their own homes.

complete following their online experience. In your opinion, what are some of the benefits of online education versus traditional live courses? There are many beneﬁts, including: 1. Convenience of participation from the home or office. The entire staff can participate/watch training modules. 2. Ability to receive CE certificate

What do you see as the next step in advancing the popularity of online CE? Adoption of virtual hands-on model— one of the only elements missing from an online platform is the inability to use product during the webcast. Kerr is developing this next phase of online learning, which would necessitate that a manufacturer send material to the clinician in advance of the webinar so the participant can have a true hands-on experience. Where can our readers go to find more information about the education archived or upcoming on your site? They can go to kerrlearningsource. com, or through our main website, kerrdental.com.

SmartPractice

smartPractice is proud to announce exciting educational opportunities for dental professionals to earn free cE credits online. visit smartpractice.com/training for access to more than 140 hours of content including 74 product tutorials from 3M EsPE, DENtsPlY, Kerr, Gc america and many other leading manufacturers. additional learning opportunities include live webinars hosted by industry experts and renowned clinicians, as well as unlimited access to a complete archive of selfstudy content provided by viva learning sites. all content is accessible 24 hours a day to make it easy and convenient for dental practice teams to fit cE training into their busy schedules.

ADA CONSIDERS CORRALLING MANUFACTURERS

The

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Benco Dental 1-800-GO-BENCO Endoco, Inc. 1-800-388-7868 Endo/Tech 1-888-554-3636 Pearson Dental Supply Co. 1-800-535-4535

April 6022

The ADA’s Council on Dental Education and Licensure (CDEL) and its CERP Committee have proposed changing the Eligibility Criteria for the ADA’s Continuing Education Recognition Program (CERP). If approved, “commercial entities,” defined by CERP as companies that produce, market, re-sell or distribute health care goods or services consumed by, or used on, patients would no longer be eligible for CERP approval. The Council stated that the proposed change is in response to increased public and regulatory concerns regarding conﬂicts of interest in medicine and other health care professions. The proposed change will bring ADA CERP into alignment with current accreditation guidelines related to man-

aging commercial conﬂicts of interest. If the proposed changes to the ADA CERP Eligibility Criteria are approved, commercial entities could no longer become CERP approved providers of continuing dental education. (Providers of clinical services directly to patients, such as dental practices or hospitals, for example, are not considered commercial entities.) A phase-out period would be provided for currently approved commercial providers. Commercial entities would still be able to support (e.g., through grants, equipment) CE activities offered by independent CE providers. The Council is accepting comments on the proposed change through June and will take ﬁnal action on the proposal in November.

The Shade Matching Technology That Reduces Remakes

Instant Shades in the Palm of Your Hand Cordless, sleek and incredibly fast, the VITA EasyshadeÂŽ Compact delivers the fastest, easiest way to measure tooth shades under any lighting condition. Easyshade Compact gives you the ability to conquer all shade challenges all day, every day, instantly and accurately. Now you can measure natural teeth, check restoration shades and track bleaching progress with the push of a button. Order today and instantly prescribe VITA 3D-Master and Classical shades. Now available exclusively from Patterson Dental. Call 800-873-7683 today.

ÂŠ Vident 2011. Easyshade is a registered trademark of VITA Zahnfabrik.

CliniCal 360° ExclusivE fEaturE

Nobel Biocare

Nobel Biocare, a leader in restorative and esthetic dental solutions, offers a suite of free training and educational material to its customers, the dental community and students via its site on itunes u. training is one of Nobel Biocare’s main strengths and one of the key trends in education on which Nobel Biocare wants to continue to build its reputation is the rapid development of e-learning. located in the “Beyond campus” section of itunes u, Nobel Biocare’s online training and education program provides easy, state-of-the-art on-demand e-learning. users can search and download training and education material directly from the site, and then use it on their Mac or Pc, or sync with iPod or iPhone to learn anywhere, anytime.

3M ESPE

3M EsPE manufactures more than 2,000 products and services designed to help dental professionals improve the oral health of their patients. through its Espertise portal online, it provides education on those products from respected KOls. the following is a quick interview with Karen sullivan, u.s. Marketing communications Manager. What made you decide that entering the realm of digital education was an important step? “Digital” and “Online” have become ubiquitous. People are accessing the Internet in their homes, at their ofﬁces, and even while traveling via mobile and tablet technologies. Taking continuing education online was a natural evolution of the printed and handson CE that we’ve offered for years. It’s about making quality CE easily accessible to all dental professionals. In creating your digital offering, what were some of the primary needs you hoped to achieve? We knew it needed to be easily accessible and very visual wherever possible.

Incorporating video into the process is certainly key, as is making sure all the CE offerings are available in one location on our site. This makes it easier to bookmark one destination. What do you feel sets your online CE apart from others in the field? There are many companies in this industry that are doing a nice job with continuing education. What we’re doing at 3M ESPE is listening to customers to find out what they want to learn more about and then going out and finding top clinicians who are willing to help provide CE programming that meets those interests. It’s all about listening to the customer. In your opinion, what are some of the benefits of online education versus traditional live courses? There are certainly advantages to both approaches, and both really are needed. Specific to online education advantages, though, in a word: access. We’re a global organization, and we have customers all around the world. The only way to offer 24/7 access to our CE to any dental professional in any country is via our website. Additionally, there are no limitations on the amount of people who can access the content at one time. What do you see as the next step in advancing the popularity of online CE? Continuing to offer more content in more areas will be one way of popularizing it further. Working it into the overall communications of the organization could be another. We announce our CE offerings through traditional and social media outlets, as well as internal customer communications. Once dental professionals discover the site and see how much it has to offer, that is an incentive to keep coming back. Continuing to advance the amount and types of content will drive repeat visitors.

3M ESPE’s espertiseinteractivelearning. com offers dentists CE in one convenient spot.

DENTALPRODUCTSREPORT.COM

Where can our readers go to find more information about the education archived or upcoming on your site? Dental professionals can visit espertiseinteractivelearning.com.

April 2011

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Niche events

From sales to schooling another poor dynamic facilitated by the typical tradeshow model is the focus on the transactional nature of the relationship between dental companies and dentists. Yes, as manufacturers, the companies make products they hope to sell to dentists—but that is only part of the story. as manufacturers, they make products. Period. End of sentence. as the makers of these products, they often have vast amounts of knowledge about the science and process behind the merchandise, but are very rarely viewed as a good resource for this information. Why? Because of the sale. the assumption is, the company will say anything to make the sale. and, cordoned away in the “exhibit hall” where the emphasis is on promotional pricing, free samples and huge signage, it’s easy to understand where that assumption comes from.

DENTALPRODUCTSREPORT.COM

r ather than rema in on t he edges of the educational forum, many manufacturers are choosing to jump in. Now, it’s important to point out that the american Dental association and its aDa council on Dental Education and licensure are becoming more restrictive in terms of manufacturer-provided education (see ADA considers corralling manufacturers, p. 62). However, even as these changes are put in place, many companies would rather provide education for the sake of education—not credits— to help the dental community better understand new concepts and allow individuals to interact with the company in a more engaged way that makes room for a sound decision on whether that company is a suitable partner moving forward. the following manufacturerdriven events cover a range of opportunities and topics.

April 6022

Clinician’s Choice

clinician’s choice is a company whose mission is to support, promote and teach better dentistry through the presentation of clinical seminars, workshops and scientific research studies, and to provide only clinically-proven products to dentists via a highly trained and skilled technical support staff. it is no surprise, then, that they have created a special event to help fulfill that purpose. the following is a quick interview with Melanie Nowell-coombs, the Marketing Project coordinator. How long has the company been hosting its own live CE courses independent of tradeshows? Clinician's Choice has been hosting our own CE courses for 20 years now.

What do you hope this experience provides for the dental professional? A good learning experience and the chance to get some down time all at once.

What were some of the main motivating factors in creating this different type of experience? Clinician’s Choice's mission statement is based on “teaching, supporting and promoting better dentistry” therefore having our own Continuing Education courses seemed logical.

How do you see this event meeting a need not currently filled by CE at traditional tradeshows? It isn't about attending full day lectures and visiting 100s of exhibit booths. We offer 3 1/2 day lectures, on a broad array of clinically relevant topics. The afternoons are open to give doctors a chance to relax or enjoy island activities.

How would you describe your company’s signature event? Our signature event is our yearly fall destination course that we have been rotating between Bermuda and the Bahamas. We choose a tropical destination, which gives the doctor a chance to get away and obtain some CE credits all at the same time.

What are dates of the next event (or events) and how can our readers go about getting more information for registration? Nov. 3-5 - Bermuda, Fairmont Southampton Resort featuring Dr. Jeff Brucia, Dr. Buddy Mopper and Dr. Elliot Mechanic. For details visit clinicianschoice.com or call Irene Lamonde at 800-265-3444, ext. 223.

CliniCal 360° ExclusivE fEaturE

Cosmedent’s Center for Esthetic Excellence has hosted CE courses since 1998 and is located in Chicago. See p. 70 for details on upcoming courses.

Kerr Corp.

Kerr corp., a division of sybron Dental specialties, offers a new live event, making its way to key cities across the u.s. the following is a quick interview with Kirsten Edwards, Kerr's Director clinical affairs. How long have you been organizing your own live CE courses independent of tradeshows? Kerr Corp. has been hosting and/or sponsoring continuing education courses on a regional level for more than 10 years. We have supported study clubs, lunch ‘n learns and universities offering continuing education, just to name a few methods of outreach.

Getty Images / Chris Pritchard

What were some of the main motivating factors in creating this different type of experience? We recognized a need to provide dentists a convenient method to build on their education following graduation from dental school. Kerr focuses on teaching new techniques while keeping dentists abreast of new product technologies. Organizing courses independent of tradeshows provides the dentist with a more cost effective and time

efﬁcient way to participate in handson educational opportunities.

How do you see this event meeting a need not currently ﬁlled by CE at traditional tradeshows? These programs are offered locally for the dentist making it convenient to attend. We also offer several other educational topics during each event, including Webbased practice management and digital dentistry topics.

How would you describe your company’s signature event? We have created a new platform in which to execute a schedule of events called i2i, Inspired to Innovate, Experiential CE Events. Sponsored by Kerr, these 2½hour programs are offered twice a day in many cities throughout North America and are designed to teach clinicians a more time efficient approach to completing direct restorations using new breakthrough technology.

What are dates of the next event and how can our readers go about getting more information for registration? The next two event dates are April 1st in Seattle and April 29th in San Francisco. Readers can also go to our website for more information at i2i.kerrdental.com.

What do you hope this experience provides for the dental professional? We hope these programs will provide a practical, hands-on experience dentists can integrate into their practice the next day.

April 6022

DENTALPRODUCTSREPORT.COM

CliniCal 360° ExclusivE fEaturE

Biomet 3i

Biomet 3i’s BiOMEt 3i synergy training Program® (stP ®) offers interactive education and comprehensive training in all aspects of restorative implant dentistry. How long have you been hosting and/ or organizing your own live CE courses independent of tradeshows? Providing implant dentistry professionals with continuing education courses has been a focus of BIOMET 3i’s Education Department for more than a decade. These CE Programs are designed for all levels of expertise and are delivered through a variety of media, including university settings, peerto-peer education and programs offered at the BIOMET 3i Institute for Implant and Reconstructive Dentistry in Palm Beach Gardens, Fla.

Clinician’s Choice signature yearly event rotates between Bermuda and the Bahamas. This year it’s in Bermuda. See p. 66 for details. Getty Images / Stuart Gregory

What were some of the main motivating factors in creating this different type of experience? The main motivation for BIOMET 3i is to help dental professionals provide the best possible care to patients, while growing their business through three distinct solutions: comprehensive treatment, enhanced knowledge, and business excellence.

Gendex & Imaging Sciences Int’l

Gendex and isi are two powerhouse imaging companies behind the GxcB-500 HD and the i-cat, leaders in cone beam technology. the following is a quick interview with two of the people behind the 3D imaging institute organized by the companies—candy ross, Director of Professional relations, and Nicole serago, Marketing specialist and Events coordinator. How long have you been hosting and/or organizing your own live CE courses independent of tradeshows? Serago: ISI and Gendex have been sponsoring CE courses through the 3D Imaging Institute since the 1st International Congress in 2007. And it’s our great pleasure to provide these educational opportunities on cone beam’s clinical and practical beneﬁts. What were some of the main motivating factors in creating this different type of experience? Ross: Our motivation comes, in part, from those who have implemented the technology—they initially created the demand for more education. We responded by developing the 3D Imaging Institute that sponsors a wide range of subjects and many lecturers. Af ter delivering 2 days of initial on -site training with certified instructors, we found doctors were hungr y for

more information. As a manufacturer of award-winning cone beam systems, we see it as our responsibility to sponsor events where dentists can gain education based on fact and science.

evidence-based information so they can make an informed choice about implementing CBCT and have a greater understanding of how to use it to better care for their patients.

How would you describe your company’s signature event? Serago: The 3D Imaging Institute provides CBCT education for all clinicians. While throughout the year, we sponsor webinars for those with varying levels of knowledge and day-long advanced customer training sessions, our signature events are definitely “Live” courses and the Annual 2-day Congress. At these events, attendees can witness live scans, surgeries and real-time treatment planning, as well as a multitude of diverse lectures. Feedback from Congress attendees verifies we are on the right track, that the speakers’ “combined knowledge is very impressive” and that the courses are “so beneficial.”

How do you see this event meeting a need not currently filled by CE at traditional tradeshows? Ross: I think this gets back to why we started the 3D Imaging Institute in the ﬁrst place—dentists came to us seeking more information, and they continue to do so. I think we are highly-adaptive in the course topics and speakers we can sponsor. So, I would say we have our “ﬁnger on the pulse” of what clinicians need and we can deliver it in a timely manner.

What do you hope this experience provides for the dental professional? Ross: Our sincere hope is that dentists will come away with balanced,

Gendex’ s GXCB-500 HD cone beam imaging system powered by i-CAT technology.

DENTALPRODUCTSREPORT.COM

April 6022

What are dates of the next event (or events) and how can our readers go about getting more information for registration? Serago: The “Live 3-D Dentistry Forum” will be at the Sybron Learning Center in Anaheim, Calif, July 29-30. Our 5th International Congress on 3-D Dental Imaging will be at the Gaylord Texan in Dallas, Nov. 4-5. We encourage doctors to visit i-CAT3D.com to learn more and to register for any and all events.

How would you describe your company’s signature event? While BIOMET 3i offers multiple CE offerings, the company’s longest running program is the BIOMET 3i Synergy Training Program® (STP®). The BIOMET 3i STP® is a program in which the dental team works together toward an optimal ﬁnal outcome for the patient. The team approach includes the surgeon, restorative clinician, staff and lab. What do you hope this experience provides for the dental laboratory professional? Dental laboratory technicians are encouraged to participate throughout the BIOMET 3i STP®; they receive CE for their participation, have the opportunity to build professional relationships with clinicians and exhibit their lab’s capabilities. How do you see this event meeting a need not currently filled by CE at traditional tradeshows? The BIOMET 3i Synergy Training Program® (STP®) offers interactive education and comprehensive training in all aspects of restorative implant dentistry. It also is a convenient alternative as these programs are conducted at the local level fostering professional and clinical networking as well as potentially impacting the quality of dental care offered in the local community. What are dates of the next event (or events) and how can our readers go about getting more information for registration? Readers can visit the BIOMET 3i website at: biomet3i.com or contact their local BIOMET 3i sales representative.

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DenMat

Known originally for its luMiNEErs, DenMat is continuing to expand its brand through innovative products such as snap-On smile and snap-it. the following is a quick interview with Eric relyea, vice President of Marketing, DenMat. How long have you been organizing your own live CE courses independent of tradeshows? Continuing Education has been fundamental to DenMat since its inception. We’ve been supporting both regional courses and LUMINEERS Destination Education through the American Society for Clinical Research for more than two decades. Since we started LUMINEERS Destination Education, now twice-yearly in both Las Vegas and Orlando, we’ve developed a model that combines CE with the chance for attendees to be among the ﬁrst to learn about new clinical technologies as well as experiencing a great team-building learning environment.

DenMat’s Snap-It! “snaps on” to adjacent teeth and provides a stable and esthetic temporary solution for implant patients.

What were some of the main motivating factors in creating this different type of experience? We want real world learning that can immediately make a difference in the practice. The ongoing clinical and practice success of each of our clinicians is our principal motivating goal. When we introduced LUMINEERS, minimally invasive dentistry was a new concept. Our courses continue to give dentists the opportunity to deliver innovative treatment options to their patients and build dynamic, healthy practices. Recently, we’ve developed courses around potentially life-saving lesion detection technology, the latest techniques in laser dentistry and the DenMat Smile Continuum, which ranges from patient consultation techniques built around LUMISmile computer imaging to Snap-On Smile removable veneers to LUMINEERS and the new LUMITray all-at-once delivery system. It’s a comprehensive approach to total practice growth. How would you describe your company’s signature event? Our teaching clinicians are simply outstanding. This year’s Keynote Speaker, Dr. Bill Dorfman, will be sharing his experience with Snap-On Smile and this is sure to give everyone a new perspective on just how powerful this treatment option can be, both for the patient and the practice. And there’s much more, with leading educators like Drs. Ross Nash, Marc Liechtung, Todd Engel, Cyrus Tahmasebi, Ralph Green, Peter Harnois, Louis Malcmacher, Stacey Layman and Michael Kesner. That’s not to mention a great experience that is designed to be fun, engaging and unlike any other event in dentistry today.

Cosmedent

cosmedent’s center for Esthetic Excellence is a continuation of cosmedent’s 14-year commitment to quality educational services for the cosmetic dentist. the following is a quick interview with Erika Heier. How long have you been hosting and/ or organizing your own live CE courses independent of tradeshows? Cosmedent’s Center for Esthetic Excellence has hosted continuing education courses since 1998. The CEE is the only educational center in the country that is exclusively dedicated to teaching direct composite bonding. What were some of the main motivating factors in creating this different type of experience? The main motivation today for creating this type of experience is the same as it was a decade ago. The CEE gives the dentist an opportunity to work directly with composite materials and to learn the vast possibilities that these materials offer to the dentist and the patient. The CEE gives a dentist the opportunity to learn from some of the foremost esthetic dentists in the country who are eager to

DENTALPRODUCTSREPORT.COM

share their knowledge and expertise. These direct anterior composite courses are taught with genuine enthusiasm and integrity pertaining to all aspects of composite bonding. Each course is limited to 15 dentists and half of the time is devoted to a hands-on experience. An intimate group such as this allows the instructor a greater ability to focus on each attendee’s speciﬁc objectives allowing for consistent mentoring, active listening, demonstration and the ability for each dentist to consistently strive to obtain predictability and clinical success with every technique that is taught. How would you describe your company’s signature events? Our signature event always have been an enduring mission to offer the most exemplary esthetic/restorative clinical courses that avail to dentists throughout the world and to teach the absolute sig-

April 6022

The Snap-On Smile from DenMat.

What do you hope this experience provides for the dental professional? How about a new approach that will transform the way they treat patients, every day? Sound aggressive? It is and we don’t see why it shouldn’t be. If a doctor and his team are taking time out of their ofﬁces to attend Destination Education or one of our regional courses, what they learn should be absolutely practice changing. Our goal is immediate practice growth, ongoing practice success and nothing short of a game-changing experience. How do you see this event meeting a need not currently ﬁlled by CE at traditional tradeshows? Our CE is built around techniques and technologies that can be implemented immediately. It’s hands-on, it’s real world and it’s focused on the clinical success of each attendee. Destination Education is about taking what is learned back into the practice on Monday and changing the way patients are treated. What are dates of the next event (or events) and how can our readers go about getting more information for registration? Our upcoming LUMINEERS Destination Education event will be May 27-29 at the fantastic Aria Hotel in Las Vegas. You won’t want to miss our Keynote Speaker, Dr. Bill Dorfman, plus a powerful line-up of thought leaders and educators. For a calendar of upcoming events or more information, go to ASCREDU.org or call 800-445-0345.

niﬁcance of the most beautiful, conservative and creative material available in the dental market place: Composite. What do you hope this experience provides for the dental professional? The men and women who have taught at the Center for Esthetic Excellence are some of the most passionate dentists in the world. Their motivation and creativity expressed throughout each course taught always has been insightful and continually supportive. To experience a course taken at the CEE is to render a quality experience that practicing dentists can use for the rest of their lives. An experience in clinical leadership and personal growth in ones profession, we stand steadfast to be ever available to the dentist in shaping and growing a vital part of their practice—esthetic and restorative composite dentistry. How do you see this event meeting a need not currently ﬁlled by CE at traditional tradeshows? Lack of depth and time always has been the greatest opponent pertaining to CE at traditional tradeshows. While learn-

ing how, why and where these materials are used restoratively and esthetically, a balanced blend of oral presentation, instructor demonstration and clinical execution of every restorative intricacy is necessary and more time, rather than less, will typically be in favor while learning these vast techniques. What are the dates of the next event (or events) and how can our readers go about getting more information for registration? “Free-hand Composite Bonding—The Ultimate Esthetics Course,” presented by Dr. Corky Willhite July 14-16; “Free-hand Composite Bonding—Accreditation Case Type 5” presented by Dr. Corky Willhite, Oct. 5-8; Passionate? Yes! Catch The Composite Wave! Presented by K. William (Buddy) Mopper, Oct. 20-21; “Transitional Bonding,” presented by Dr. Corky Willhite, Dec. 8-10. Visit cosmedent.com for a through description of all forthcoming courses or call 800-837-2321 to speak with Erika Heier.

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CliniCal 360° Technique in PracTice

HOW TO

CaPTURE PREP DETail Taking quality impressions for minimally invasive restorations. by D R .

M I C H A E L M I YA SA K I 1

Information provided by Discus Dental.

Dentists are used to providing dental treatment requiring removal of diseased tooth structure, and although it would seem intuitive to preserve tooth structure, it is sometimes a difficult concept for some clinicians to accept when dealing with esthetics. With today’s strong, yet translucent, esthetic materials, and the accuracy we can attain with a high-quality polyvinylsiloxane impression material, such as Discus’s Precision impression material, our goal of tooth preservation can be predictably attained. Today’s materials and patients’ wants are changing esthetic techniques. The pendulum is swinging to very minimal tooth alteration and away from invasive tooth preparations. Today’s materials allow us to be more conservative and oftentimes not have to anesthetize our patient or make temporaries, and require very little ﬁnishing time. it is this author’s belief in providing purely elective esthetic treatment that, when possible, little or no tooth removal would be best.

Clinical steps The patient presented with discolored, worn teeth and is interested in correcting the esthetics and remedy the ‘dark gumline’ of the second left bicuspid (Fig. 1). STEP Diagnostic models were made with Discus’ medium-body/monophase Splash impression material. From these accurate impressions, STEP diagnostic wax-ups were created with wax being added to the unprepared models (Fig. 2). STEP a Splash putty stent was relined with Precision light-body material (Fig. 3).

AT A GLANCE

over the unprepared teeth. The material was allowed to set for 2½ minutes, the stent was peeled oﬀ, and the patient was allowed to evaluate the occlusal, length and color diﬀerence, and the ‘thickness’ that might be felt (Fig. 4). This overlay allowed us to address any of our patient’s concerns preemptively and only takes minutes of chair time (Fig. 5). STEP Tooth nos. 9, 11 and 12 had u ndergone prior root canal treatments, which were judged to be clinically acceptable but darker than the adjacent teeth. During the procedure, the pulp chambers were debrided, carefully sealed internally just below the ceJ with a bonded restorative and internally bleached with DayWhite 38% carbamide peroxide with acP. This lightened the teeth up considerably (Fig. 6) so that no further treatment was required to control the color, which is a concern when doing very thin translucent porcelain restorations. STEP The mesials of tooth nos. 8 and 9 were opened up in the preparations due to large old composite restorations that were deemed clinically unacceptable with leaking margins and underlying decay. if it had not been for these failing restorations the mesial contacts also would have been preserved.

1. Patient presents with discolored and worn teeth with a ‘dark gumline’ of the second left bicuspid.

3. Splash putty stent relined with Precision light-body material.

5. Overlay removed showing where recontouring can be done.

PRECISION FEATURES Moisture-displacing chemistry allows capture of needed detail in a moist environment 2:45–3:45 minute setting time that is thermally activated Flexible working time permits both single- and full-arch impressions

STEP The relined putty stent was ﬁlled

self-curing temporary mate04 with rial (Perfectemp ii) and placed

Discus Dental discusdental.com

April 2011

4. Overlay of Perfectemp II fabricated over the un-prepared teeth.

DENTALPRODUCTSREPORT.COM

2. Diagnostic wax-ups were created with wax being added to the unprepared models.

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CliniCal 360°

Technique in PracTice

STEP Part of the lab communication

must be an accurate bite registration (Fig. 7). Discus’ Precision impression STEP material was used to accurately capture the cervical of the teeth and the free gingival margins of the minimally invasive restorative preparations (Fig. 8) and the deep margins of tooth nos. 12 and 13 (Fig. 9). STEP Before attempting to make the impression, all margins must be visible with no bleeding. This was accomplished through the use of Discus’ nV Microlaser. STEP The assistant should have the tray filled with the heavier-body tray impression material so the tray (PerFecTray, Discus) is ready to place in the mouth at the time the doctor

6. Conservative preparation of the pre-whitened teeth 7. Vanilla bite registration enhances lab communication. 8. Detailed full arch impression. 9. Impression has captured details of subgingival margins.

10. Lithium disilicate restorations on the model. 11. The patient was pleased with the minimal tooth reduction and the ﬁnal esthetic result.

has completed syringing the lighter-body impression material over the preparations and used a blast of air to spread the material over the teeth and gingiva to decrease the surface tension. STEP The tray with Discus’ Precision impression material was then seated along the long axis of the teeth and held without movement until the material was fully set. Precision has moisture displacing chemistry allowing it to capture the needed detail in a moist environment and a f lexible working time so it can be used for both singleand full-arch impressions. The material’s colors contrast to make the evaluation of the details of the impression easy and quick. With clean preparations and accurate impressions and bite registration, Todd Fong, cDT, of LK Dental Studio, created the case using a high value, hT, e.max lithium disilicate material (ivoclar Vivadent), which shows excellent wear characteristics, translucency for the desired esthetic wanted in this case and strength so that very thin restorations could be created with razor thin margins. in the past, materials of lesser strength had to have thicker margins, which the clinician would then smooth down after the restorations were bonded into place. This is a time-consuming and laborious procedure that we no longer have to worry about. Because of the accuracy of the records, the technician was able to fabricate 10 restorations that required no adjustment during or after cementation (Fig. 10). in the end, the patient received an improved smile that she was very pleased with (Fig. 11), and because of the minimal tooth reduction she experienced no tooth sensitivity during the process. it is very fulfilling as the clinician knowing the patient was thrilled by the end result and the comfort during the process and that clinically we did no harm.

The author would like to thank Mr. Todd Fong, CDT, of LK Dental Studio in San Ramon, Calif., for the excellent laboratory support. More technique information can also be found on the Principle-based Dentistry International website at P-bdi.com.

April 1722

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CliniCal 360° Technique in PracTice

HOW TO

CREaTE a STaBlE C&B PlaTFORM Using Pentron Clinical’s Build-it FR dual-cure core material. by D R .

AT A GLANCE

D AV I D L . F R I E D

Information provided by Pentron Clinical.

1. Radiograph shows evidence of bone loss.

core build-ups are a routine procedure for restorative dentists. For crown and bridge procedures to be successful, the restoration needs to be mounted onto a stable platform, which is structurally sound and healthy. The structure needs to be able to withstand lateral and compressive forces or the restoration will fail. There also must be adequate tooth structure to have a successful outcome. choosing the correct material for each application, while maintaining tooth structure and viability, is crucial for successful dentistry. The decision making process can be diﬃcult, with many options for materials compared to 20 years ago. Many dentists feel that posts cause teeth to fracture, while others continue to use posts on every endodontically treated tooth. retentive pins have fallen out of favor in recent years, but others rely on pins for extra security in questionable core buildups. Some operators feel the best way to ensure longevity of a restoration is to perform a crown lengthening or orthodontic eruption procedure, allowing more supragingival tooth structure to be available. The amount of underlying tooth structure drives the decision-making process when deciding on the type of material and the mechanical buildup needed. The ferrule eﬀect often seems to have been violated when evaluating fractured teeth. The concept is that a ferrule strengthens and seals the margin of a crown, reducing the stress on the core material. The amount of ferrule affects the way the masticatory forces impact

on the longevity of the restorations. The ferrule needs to be on at least 2 mm of tooth below the restoration, allowing for adequate bevel or chamfer at the margin. The ferrule inf luences the distribution of lateral forces, which could fracture a tooth by directing forces at the tooth itself, rather than at the post and core. Moving the fulcrum point from lateral forces apically onto the tooth rather than occlusally onto the post 2 and core reduces the chances of root fracture and prevents the loosening of the crown. Without adequate ferrule, lateral forces are distributed occlusally onto the post and core, and the fulcrum pressure is transferred internally into the tooth, causing root fractures. Many molars do not require a post because of the large pulp space and adequate retention gained from placing one to two millimeters of core material into

2. Obturation with RealSeal points and sealer. 1

3. FibreKleer Serrated Posts bonded with Cement-It Universal Cement. 4. Core build-up with Build-It FR Blue. 5. Pocket reduction using the DEKA CO2 laser. 6. TempSpan provisional crown.

BUILD-IT FR FEATURES Dual-cure, cuts like dentin, contains fluoride Specially treated glass fibers enhance compressive strength 189 MPa flexural strength matches natural tooth structure

Pentron Clinical pentron.com

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April 2011

800-551-0283

CliniCal 360°

Technique in PracTice

Functional Engineering by Design

Introducing

structure into the root system, remembering that no material is going to strengthen the root as much as the root itself. historically, posts do not strengthen endodontically treated teeth but are an important element in the retention of the core and the coronal restoration. however, with the newest technology in bonding creating a solid unicore of composite resin there is merit to using fiber posts and composite cores. as bond strengths continue to improve with each generation of bonding agent, the post and core complex transfers stresses more evenly across the root surfaces and reduces root fracture. clinical success of fiber posts has been attributed to their lower elastic modulus compared to metal posts. as the post and core tooth complex flexes at a comparable rate, transfer of forces into the root are more evenly distributed. as the root flexes, so does the fiber post making a much more biocompatible complex. it can be viewed as building construction in an earthquake zone. instead of building super-rigid structures, the seismic forces are allowed to flow through the structures and absorb some of the shock waves. The interface of the bonded complex to the internal aspect of the tooth is the important link in preventing damaging untoward forces onto the root. reducing fracture is the important part in the complex. The core material, with or without a post, needs to exhibit certain mechanical properties such as flexural strength and compressive strength that closely approximate the properties of dentin. Flexural strength, also known as the modulus of rupture, bend strength or brittleness, measures the ability to resist deformation under load. Materials also must be biocompatible and have suﬃcient bond strengths to prevent microleakage.

Clinical case 5

The clinical case involves a fractured molar having had root canal therapy with realSeal (Sybron endo). note there is evidence of bone loss (Fig. 1). note there is a fracture still present along the distal root. however, with a proper ferrule, the forces should maintain the root integrity and prevent fracture. STEP a rubber dam was placed and the tooth was excavated and prepared to evaluate restorability (Fig. 2) .

STEP The tooth was etched, Bond1 Primer adhesive was

and a FibreKleer Serrated Post was 02 applied, cemented in place with cement-it universal c&B

the root spaces. Some may require one post in the distal or palatal canals, avoiding the more curved canals due to perforation potential. Premolar pulp chambers are considerably smaller and generally require posts. Some may even need two posts to provide adequate retention of the core. Whenever posts are used, it is important to keep the post diameter to a minimum, conserving the tooth

cement (Fig. 3). STEP Build-it Fr was chosen as the core material because it possesses physical properties that are close to natural tooth structure and it cuts like dentin. The blue color was chosen because it adds contrast when evaluating the interface of where the tooth meets the core material (Fig. 4) . STEP The DeKa cO2 laser (DeKa Laser Technologies) was used to reduce the pocket around the tooth and allowed the margin to be placed apically, yet still be periodontally maintainable (Fig. 5) . STEP a temporary crown was fabricated using Temp-Span Dualcure Temporary crown and Bridge Material (Fig. 6).

04 05

April 0177

DENTALPRODUCTSREPORT.COM

the Acme Manufacturing Vacuum on Demand

PF-3 Vacuum on Demand Dry Vacuum System: Our PF 3 Vacuum on demand utlizes a Specialized Designed Turbine and advance electronic technology in the design and engineering of our Vacuum on Demand Dry System Our VFD Solid State Control saves energy reduces heat and controls the voltage range that will normally shorten the lifetme of a system The PF 3 Vacuum on Demand slows down to an idle when not in use then speeds up each tme an operatory HVE valve is opened for the needed vacuum As more operatories are used the speed of the vacuum increases or decreases if less operatories are used This allows for the energy savings by not operating constantly at full speed as other dry vacuum systems Our solid state sensing system automatcally drains the tank when it reaches full capacity or is shut down The PF 3 Vacuum on Demand provides quiet operaton while supplying superior sucton Our systems are completely self contained and are ready for installaton The Vacuum on Demand system can be installed on any existng vacuum piping saving you both tme and thousands of dollars in savings Our PF 3 Vacuum on Demand dry vacuum system has been designed and engineered to be simple eﬃcient and reliable (no maintenance needed- and accommodates up to 10 users Warranty on the PF 3 Vacuum on Demand is a Full 5 Years from the date of installaton STANDARD FEATURES: . Energy Savings VFD Control . Variable Speed . Shipped Completely Assembled . Cyclonic Separaton of Evacuated Waste . No Need For a Vacuum Trap . No Water Needed . No Veins or Lubricaton . Non Corrosive Tank . Auto Drain Feature . Built for Endurance . Quiet Operaton . UL Approved BENEFITS: . Energy Savings . Less Heat on System . Virtually Maintenance Free . No Trap to Clean Like Compettors Dry Vacuum Systems . Save in Water and Sewer Costs . No Concern for Noise . 5 Year Warranty

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CLINICAL 360° TECH BRIEF

APPLYING

MOTOROLA CLS1410 in your practice Compiled by R E N E E

KNIGHT

Information provided by Tech Wholesale Inc.

Adding professional two-way radios like the Motorola CLS1410 with discrete earpieces and microphones to your practice will save needless back-andforth trips between the hygienists, billing office and patient lounge, making it easier to manage your office and improve communication between you and your team members. INSTANT COMMUNICATION: Incorporating these walkie talkies into your practice will improve response time to patients by enabling you and your team members to instantly request needed materials. IMPROVED EFFICIENCY: These office communication tools increase staff productivity, saving hundreds of staff hours every year. THEY’RE USER FRIENDLY: Compact and easy to use, these radios are powerful enough to cover your entire dental practice but are light enough to clip onto a belt or slip into a pocket. ADDED PLUS: For a limited time, a free $250 multi-unit charger will be delivered to dentists referring to DPR1 in their $500+ orders.

ARE YOU READY TO APPLY THIS TECHNOLOGY IN YOUR PRACTICE? Tech Wholesale Inc. techwholesale.com 888-925-5982

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April 2011

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THINK LIKE A LEADERSHIP

TEAM - BUILDING

STRATEGY

FINANCES

MARKETING

CEO

TIME FOR AN UPGRADE THERE ARE PLENTY OF TECHNOLOGIES THAT CAN HELP YOU GROW YOUR HYGIENE DEPARTMENT. And if you want to stay competitive, you’re going to need to start implementing some of these into your practice. From oral cancer screening devices to lasers, the Pride Institute outlines how these technologies can improve your practice and provide signiﬁcant ROI.

68%

of dentists think it’s important or somewhat important to invest in new technology offerings to compete with other practices in their area Source: August 2010 DPR Technology Census

MORE ADVICE TO HELP YOU GROW YOUR HYGIENE DEPARTMENT… Ask Amy

Strategy

Team-Building

LOOKING FOR A FEW GOOD CO-PILOTS

COMMUNICATING WITH HYGIENE PATIENTS

How to hire, compensate and coach for the best performance in continuing care.

How to put your patients at ease for increased case acceptance.

DEVELOPING A HYGIENE PHILOSOPHY OF CARE

The role of the continuing care department. 94 Getty Images / Daly and Newton

DENTALPRODUCTSREPORT.COM

April 2011

THINK LIKE A CEO ASK AMY

LOOKING FOR A FEW

GOOD CO-PILOTS How to hire, compensate and coach for stellar performance in continuing care. by A M Y

MORGAN, CEO OF THE PRIDE INSTITUTE

Amy Morgan is the CEO of The Pride Institute. She is the author and co-author (along with Sharyn Weiss) of more than 20 books for dental professionals. Her latest releases are the Pride Institute’s Building Blox (a series of topic speciﬁc, interactive staff training modules for systems training including scheduling, marketing, telephone skills and much more). This article is an excerpt from Pride Institute’s Team Performance System (a 3 book series on how to hire, train and compensate employees). For more information on the Building Blox and Team Performance System, visit prideinstitute.com or call 800-925-2600.

WEB EXCLUSIVE For more advice from Amy Morgan, don’t miss our new practice management e-newsletter. Sign up at dentalproductsreport.com.

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If I took an educated guess on what topics the majority of The Pride Institute’s phone calls for “help” were based on, I would have to say half of the calls are from hygienists who feel under appreciated, undervalued and underused, while the other half come from dentists who are, quite frankly, a little anxious about their relationship with their hygienist(s). Considering the No. 1 secret to succeeding in these challenging times is a modern, interactive hygiene experience, we need to get to the bottom of what seems to cause frustration for the key players involved in continuing care. It starts with a foundation that both the dentist and hygienist can be passionate about and willing to move forward together on. Don’t even think about hiring, training or coaching a hygiene team to new performance levels without the following: 1. A vision/philosophy for the practice and the hygiene department. A vision is the “why” you and your team do what you do, not the “how” or “when.” If you want a “state of the art, warm and caring practice that exceeds your patient’s expectations, where ideal oral health leads to complete health and well being, where the hygienist serves as co-pilot with the dentist in partnering with committed patients to provide the very best in dentistry,” then you can hire and coach for the

April 2011

specific knowledge, skills and abilities and attitudes (KSAs) that will support and promote that vision. Your vision should be in your hiring ads, your training plans, reward models and be a daily part of feedback and coaching. What gets acknowledged gets repeated. When you acknowledge through your vision you motivate team members to new levels of success. 2. A written job description that includes: the vision of the practice and the continuing care department; the desired outcomes of the department; the department’s key statistics; the “KSAs” of the position; and a list of all the tasks, in priority order based on the practice’s strategies and goals. What KSAs are important in your hygiene team? Is it advanced periodontal/clinical techniques? Is it customer service and communication skills? Advanced teamwork and selfdirected skills? Don’t assume a new hire or existing team member knows which skills are vital to continuous practice growth. What statistics/benchmarks will be monitored? Will you monitor hygiene production per day or per hour? Will you monitor no-shows and cancellation

percentages, case acceptance percentages on patients of record, the number of adult fluoride, antimicrobial and sealants done on patients in any given month? Is room turnover more important than an excellent hygiene patient debrief that reduces no-shows and cancellations? When there is a long list of actions that a position is responsible for, you can’t assume the employee knows which tasks are priority. In the absence of the leader prioritizing, the hygienist will default to what he/she feels most competent in. If I believe I have great clinical skills, but I am uncertain about my ability to handle patient objections, guess what my focus will be? The more complete the job description is, the more empowered a hygienist will feel in taking these opportunities to the next level. 3. A dynamic compensation model that rewards performance and direct contributions to the practice’s growth is essential. Myopic bonus or commission plans focus on just one aspect of the job description. What happens when a hygienist is commissioned on direct hygiene production only? You get a team member who believes the only valuable outcome is production. Don’t you want

a self-directed hygienist who actively participates with the rest of your team to achieve ALL of the practice’s goals: treatment acceptance, raving fans who actively refer, ideal balanced scheduling models and co-pays collected at time of service? An excellent wage and reward plan incentivizes team members to grow in all directions. Growth conferences, salary reviews and informal feedback opportunities are essential to making that compensation model come alive. How do you know how much you can afford to pay your hygienist? There are several formulas to analyze a hygiene department’s profitability. One of the simplest is the “30-40 Rule.” Hygiene gross salaries and benefits can be in the range of 30 to 40% of direct hygiene production. Within that range there are many opportunities to ensure a well-compensated, informed and committed employee who WANTS the practice to grow. These are the fundamentals of establishing a forward moving continuing care department. Without them, inspiring new levels of performance can be frustrating. Implement the basics and the No. 1 topic for phone calls to Pride will dwindle to nothing!

Do you have a question for Amy Morgan, CEO of The Pride Institute? She and the Pride team are eager to help you ﬁnd answers. Please submit any practice management inquiries via e-mail to tcarter@advanstar.com.

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CommuniCating with hygiene Patients

how to use active listening and beneﬁt plus procedure statements to put your patients at ease. by S h a r y n

W e i S S , P r i d e i n S t i t u t e c o n S u lta n t a n d t r a i n e r

Remember

A benefit plus procedure statement ALWAYS begins with the benefit first.

every team member has a role to play in making sure hygiene patients feel comfortable and well taken care of. Because the hygiene visit is the appointment patients are most likely to cancel, your words and tone must be consistently professional and compassionate. in this article you will learn how to use active listening and beneﬁt plus procedure statements to reassure patients you have heard their fears, frustrations and questions.

How it works active listening is a technique that helps patients identify and thereby reduce their emotional concerns. active listening has a formula but it is not a formulaic response because it is always adapted to the patient. an active listening statement begins with a lead-in such as “it sounds like” or “i’m hearing” or “i sense.” this tells the patient you are trying to paraphrase. the second part of active listening identiﬁes the emotion the patient is experiencing. you may have to intuit this emotion unless a patient directly says what he or she feels. Common feelings patients express include disappointment, confusion, apprehension, frustration, overwhelm, stress or even positive emotions such as anticipation or excitement.

the third component of active listening is restating the content of the patient’s message. this should be a brief sum mar izat ion. a sa mple active listening statement is, “i hear how frustrated you are that you need to get scaling and root planing again.” the last part of active listening is sometimes the most difficult. it is simply silence. after we active listen to a patient we need to pause and wait for his or her response. the formula for active listening looks like this: Lead-in plus emotion plus content. Pause.

once you have engaged in active listening with the patient, the next step is to use a benefit plus procedure statement. Benefit statements inf luence the patient to want to do the suggested next step. Benefit statements consist of two parts: Ȝ the benefit to the patient based on his or her motivators and concerns. this tells the patient “what’s in it for me.” Ȝ the procedure or the next step that is necessary to obtain the benefit. a benef it plus procedure statement aLways begins

with the benef it f irst. this grabs the patient’s attention because it matches the patient’s motivator or concern. the benefit plus procedure statement connects the patient’s “ w a n t s” t o t h e p a t ie n t ’s “needs.” Benefit plus procedure statements usually begin with “Because you said” or “so that you” or “in order for you.” using the situation we named earlier, the communication would sound like this: (Active listening) “i hear how frustrated you are that you need to get scaling and root planing again.” Getty Images / Thomas Northcut

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April 2011

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An active listening statement… Ȝ Ȝ Ȝ

Always starts with a phrase like “I’m hearing” or “I sense” Identiﬁes the emotion the patient is experiencing Summarizes the content of the patient’s message

(Beneﬁt plus procedure) “so that you don’t face this situation in the future, let’s spend some time talking about how you can care for your gums at home.” here are some additional examples of how to respond to patients using these communication tools.

Active listening: “It sounds like you’re feeling frustrated about how long the home care instructions take.” Beneﬁt plus procedure: “So that you feel relaxed during your appointment and also get the care you need, I will communicate your concerns to the hygienist.”

Example one

Example two

nancy says to the appointment coordinator: “I know I have to come in for that

mona says: “Oh I’d hate to come back just to hear more bad news about my teeth. Can’t you just tell it to me all now and then we can see if my insurance will cover it?” Active listening: “It sounds like you’re feeling discouraged about possibly hearing bad news.”

cleaning, but I just don’t have much time. I know your hygienist is just doing her job but she spends so much time telling me how to brush and floss. I really just want to get in an out as quickly as possible. Can you get her to hurry up?”

Benefit plus procedure: “So that you feel totally comfortable about your course of treatment and we can answer all your questions about what insurance will cover, I recommend that we set aside time so that we have plenty of time to talk.”

Example three tom says: “Well I guess I could come back here four times a year but I only have a limited amount I can spend on my insurance plan and I’d much rather spend it on getting my old silver fillings taken out. I can’t believe how bad they look when I talk.” active listening: “It sounds like you’re pretty eager to replace your silver fillings.” Beneﬁt plus procedure: “Because you will want any new fillings to be placed on a solid foundation, let’s get you scheduled with hygiene first and then we’ll talk about getting you scheduled to see the doctor.”

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April 2011

It works as you can see, active listening and beneﬁt plus procedure statements are foundational communication tools that can be used in almost any situation. they communicate that you are listening and that your message is tailored to your hygiene patient’s unique concern. Sharyn Weiss is a consultant and trainer at Pride Institute. She is the author and co-author (along with Amy Morgan) of more than 20 books for dental professionals. Her latest releases are the Pride Institute’s Building Blox, a series of topic speciﬁc, interactive staff training modules for systems training including scheduling, marketing, telephone skills and more. This article is an excerpt from the More than a Cleaning: Building a Dynamic Continuing Care System Building Blox. For more information on the Building Blox visit prideinstitute.com or call 800-925-2600.

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THINK LIKE A CEO STRATEGY

THE FOR PATIENT COMMITMENT Here’s your cure for patient no-shows and cancellations. Compiled b y

T H E P R I D E I N S T I T U T E S TA F F

What’s the biggest threat of disease in a healthy continuing care department? The dreaded no-show or cancellation, which is a symptom of the bigger issue known as lack of commitment and value. The RX? Inoculate your patients before they are exposed to the germs of discontent.

What needs to be the clinical focus for the next appointment? When is the timing for the next appointment and how does that interval tie into a health benefit that is important to the patient? Why the next appointment is important based on the patient’s needs and desires so he/she will be motivated to show up and participate.

To avoid the pain and itch of excessive cancelling…take the 3 Ws after every hygiene appointment—What, When and Why. Getty Images / Steve Cole

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your continuing care tool box Adding these technologies to your practice can help ensure a proﬁtable hygiene department. by M e r r y

G r e iG C o s G rov e , r DH , M s

in this tough economy, the dental hygiene department is key to a practice’s success. upgrades in the dental hygiene department are essential to maintain productivity, patient compliance/case acceptance and building long-term value in the practice. te c h n o l o g y p r o v i d e s the continuing care tools to increase the patients’ ability to co-diagnose their dental condition with the dentist and the hygienist. this saves patients from higher expenditures and increases their value and commitment to treatment. For example, getting patients to agree to treatments of adult ﬂuoride is far less costly than a quadrant of composites. So what are the innovations that should be in our hygiene technology tool chest? let’s look at some of these tools that can benefit our patients and the practice. Digital radiography: For years, with traditional radiog r aph s we h ave mou nted x-rays on the view box, out of the patient’s direct sight. the challenge with that process is the patient does not “see” what the dentist or hygienist sees. Digital radiography allows the clinician to instantly transmit to a monitor in the examination room. the video monitor

allows the computer-generated image to be shifted, enlarged and highlighted for a more accurate diagnosis. better yet, it allows for increased codiagnosis with patients, which means a better understanding of their dental problem, which in turn creates increased followthrough with treatment. Decay detection: there are now devices that allow the hygienist and doctor to scan the teeth to look for hidden decay, and then with treatment to stop the spread of disease before it destroys the tooth from within. this technique provides the patient with instant feedback regarding each tooth’s health. the main advantage for the patient? this takes care of

decay while smaller, versus waiting until there is pain or a larger area of decay to treat. Intraoral cameras: they say a picture is worth a thousand words, and the intraoral camera does the job wonderfully! this technology provides a visual tour of the dentition and shows the patient key areas that need treatment now or in the future. these advances allow patients to become part of their dental experience. because most people are visual learners, it allows the dental hygienist to show a picture of a tooth with decay or an older amalgam breaking away from the tooth structure. this leads to increased case acceptance of restorative dentistry out of the hygiene chair.

Was it worth it?

How do you know if that new technology is working? Here are a few benchmarks: Ȝ Include a case acceptance monitor to track the amount of restorative case acceptance out of the hygiene chair Ȝ Look for an increase in dental hygiene treatments such as radiographs, ﬂuoride and antimicrobials Ȝ Check to see if there is a decrease in unﬁlled hygiene hours Getty Images / Hans Hansen

DENTALPRODUCTSREPORT.COM

April 2011

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expanding your continuing care technology tool chest is the key to maintaining a competitive edge in these difficult times. Oral cancer screening lights: oral cancer screening devices (lights) allow for a non-invasive test that can be compared with similar screening tools used for other cancers, such as the mammogram for breast cancer or the PSa test for prostate cancer. incorporating screening lights into the standard of care ensures patients receive a thorough and complete exam.

DENTALPRODUCTSREPORT.COM

oral cancer is a growing problem among people 40 and older, especially among smokers, smokeless tobacco users and drinkers. However, according to the american Dental association, more than 25% of those who are diagnosed with oral cancer, including those younger than 30, have no lifestyle risk factors and do not fall into these categories. this is important because abnormal cells in the mouth

April 2011

can progress to a pre-cancerous state with little warning, but early detection can minimize or eliminate the potentially disﬂguring effects of oral cancer and possibly even save a patient’s life. Antimicrobials: integrating antimicrobials into dental hygiene therapies can signiﬂcantly reduce a patient’s pocket depths, kill bacteria associated with periodontal disease and decrease bleeding during probing. this technology is so effective it can prevent more costly treatment for patients and encourage regular compliance with continuing care. the additional adjunct to treatment also can positively effect the hygiene department’s productivity. Lasers: lasers use light energy as their method of operation, resulting in a shortened and almost painless healing period.

this technology allows the hygiene department to offer patients services that are faster, better and less intrusive. With laser periodontal treatment, many patients can undergo treatment without needing pain relief of any kind. these benefits can be a motivator to patients who have delayed or not scheduled treatment because they are concerned about pain or time away from work for healing. Internet/social media: the best way to keep up with modern patients is to communicate on their terms. today, dental appointments can be made through a practice website, conﬂrmed via e-mail, text or phone. e-mail messages are free (can’t beat that) and most patients check

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their inbox multiple times a day. Send patients birthday greetings, promote a new technology you’ve added, oﬁer them a promotional discount or just tell them what kind of electric toothbrush you recommend. it’s an easy way to stay in contact with your patients non-intrusively on a consistent basis.

Return on investment investing in these technologies and others is only the ﬂrst step to creating success in challenging times. the practice’s culture (including training, integrating and marketing) must be set up so each new technology can provide a signiﬂcant return on investment for the practice. the dental hygienist, dentist and team

must develop benchmarks to ensure the investment is worthwhile and is creating positive results for both the patients and the practice. benchmarks include a case acceptance monitor that tracks the amount of restorative case acceptance out of the hygiene chair, an increase in dental hygiene treatments such as radiographs, fluoride, antimicrobials, and a decrease in unﬂlled hygiene hours, to name a few. expanding your continuing care technology tool chest is the key to maintaining a competitive edge in these difficult times. So choose your enhancements, plan for success and enjoy the ride! Merry Greig Cosgrove, RDH, MS, brings a wealth of expertise with more than 25 years of experience in many phases of dentistry. As a senior trainer and consultant, her background is in dental hygiene, dental assisting and practice

Investing in these technologies and others is only the first step to creating success in these challenging times. organization. A former Dental Hygiene Program Director and educator at Chabot College and the University of California, San Francisco, School of Dentistry, she is a dynamic and interactive speaker, which results in effective team training and results oriented practice development. Merry is best known for using her “you can have fun at work attitude” along with a strong background in sales, marketing and conﬂict resolution to help

support positive change and continual improvement. Merry received her degree B.S., R.D.H. from the University of California, San Francisco School of Dentistry and her M.S. in Health Science from San Francisco State University. For more information about Pride Institute, go to prideinstitute.com/subpages/ask/ ask_pride.htm or call 800-925-2600.

April 2011

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think LikE A CEO teAm-building

Developing a Hygiene pHilosopHy of Care the role of the continuing care department in today’s challenging environment. by M a r y

Ly n n W h e at o n , r D h , B S , M a ,

P r i D e i n S t i t u t e D i r e c t o r o f c o n S u Lt i n g

Many dentists have a written document that outlines their practice’s vision and philosophy. ideally, the doctor shares this with the dental team and with patients as it is not only a statement of what you aspire to attain, but it is a useful tool for clear communication. it has been said that the difference between a vision and a hallucination is how many people see it! if your team and patients have not seen your practice philosophy, it may be a hallucination. in our challenging economic climate where patients question the recommendations we make for their care, the dental team plays a critical role in representing the practice’s vision. often dental hygienists are on the front line, advocating treatment plans to patients. patients must be educated to understand that it is in their best interest to

The beneﬁts

heed the hygienist’s recommendations. The Dental Hygiene philosophy of Care is another tool to help with this. it is tied intimately to the practice’s vision, and takes it a step further by explaining how dental hygiene care plays an integral role in the patient’s health.

What it does for your practice The Dental Hygiene philosophy of Care can be a guiding tool to help your team consistently make decisions that are compatible with the clinical direction of the practice’s doctor and the hygienists. The document can be used during the hiring process, at the very beginning of the relationship between a doctor and a potential new hygienist. for example, in reviewing the practice philosophy along with the dental

There are plenty of reasons to encourage your hygienists to develop a Dental Hygiene Philosophy of Care. Here are a few: Ȝ It can be used in the hiring process to determine if a hygienist is a good ﬁt for your practice, and the process allows hygienists to share their views and come to a common ground on what they aspire to attain for patients Ȝ It gives hygienists the opportunity to express their career goals Ȝ It leads to a seamless delivery to patients Ȝ It decreases stress levels for everyone on the team, including the doctor, administrative staff and assisting colleagues Ȝ It helps patients understand why they need recommended care, leading to increased case acceptance

hygiene philosophy, a dentist and hygienist can discover incompatibilities between their philosophies. Compatibilities ensure a match made in heaven! Multiple hygienists in a practice can benefit from developing a Dental Hygiene philosophy of Care. The process allows hygienists to share their views and come to a common ground on what they aspire to attain for patients as well as expressing their desires toward career fulfillment. Think of a practice where all clinicians are on the same page, using the same methods, providing the same information to patients and having a continuity of services. This provides a seamless delivery to patients and decreases everyone’s stress, including the doctor, administrative staff, and assisting colleagues. Think of this philosophy statement as the broadcast of the hygienists’ vision and values. What do they want to broadcast? Here are three areas for each hygienist in your practice to consider:

Facts: What does the hygienist stand for? What contribution does she want to make to the patients and to the practice? What does she aspire to create? What words does she connect to in the practice vision? Ȝ Emotions: What feelings does the hygienist want to have when thinking about her career? What does she want others to feel about her personally and professionally? Ȝ Images: What images come to mind when she thinks about her future? What phrases or mottoes describe the practice? What images come to mind in thinking of the relationships she has with her patients and co-workers? if there are multiple hygienists in the practice, encourage them to use these and follow-up

Getty Images / Alberto L Pomares G

DENTALPRODUCTSREPORT.COM

April 2011

think LikE A CEO teAm-building

in our challenging economic climate where patients question the recommendations we make for their care, the dental team plays a critical role in representing the practice’s vision. questions to interview each other. Have someone take notes to capture the words and phrases that seem most important to the team. if there is only one hygienist in the practice, encourage that hygienist to have this conversation with you. Talk about getting to know one another.

How it helps your patients your practice’s hygiene vision might end up sounding like this example: “We believe that patients deserve to attain the highest level of health possible. our dental hygienists partner with the doctor and patients to provide trusting relationships where patients understand their care. our hygienists are dedicated to assessing the health status of each patient and

providing customized treatment recommendations based on these assessments. patients value this approach by committing to their care and ultimately are rewarded with a lifetime of smiles!” These words are now part of your armamentarium. When patients question you or your hygienists about why they need 3-month continuing maintenance care and raise some of the myriad of other objections you hear daily, you and your team are “armed and dangerous.” The vision is a catalyst toward conversations that unite people. Uniting people with an understanding of common goals is important in achieving success any time, but in these economic times it is foundational.

Helping your hygienists grow part of pride institute’s vision is to provide the dental community the best

information and counsel to enable them to enhance their lives as well as the lives of the patients they serve. This Dpr supplement along with our new Building Blox, “More Than a Cleaning: Building a Dynamic Continuing Care system,” are examples of our commitment to provide practice management tools to the dental hygienist. and it starts with that vision! Mary Lynn Wheaton, RDH, BS, MA, has 25 years of experience in all aspects of dental practice management and serves as consultant team leader at Pride Institute. She specializes in practice development, team building, group interaction and customer service, and is known for providing interactive in-ofﬁce training and dynamic workshops. To ask Mary Lynn about this article or for more information about Pride Institute, visit prideinstitute.com/subpages/ask/ ask_pride.htm or call 800-925-2600.

April 2011

DENTALPRODUCTSREPORT.COM

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Dr. Howard Strassler dispels some of the common misconceptions about glass ionomers, and outlines how the new nano glass ionomer can beneﬁt your patients and your practice.

“

This nano ionomer offers many benefits to your practice,

creating a new category of restorative materials that provide improved esthetics,

”

self-mixing and all the benefits of glass ionomers.

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PRODUCTS IN PRACTICE EFFICIENCY

NOT THE

GLASS IONOMER YOU REMEMBER 3M ESPE’s Ketac Nano will make you re-think everything you thought you knew about glass ionomers. by D R .

H O WA R D E . S T R A S S L E R

Glass ionomer cements (GIC) were introduced to restorative dentistry in the late 1970s, featuring a chemistry that differentiated the material from other restoratives. GICs are self-adhesive to enamel and dentin, provide caries protective fluoride release at the margins, can have the fluoride within their chemical matrix recharged by outside exposure to other f luoride containing materials, and provide moisture tolerance. Unfortunately, early generat ion convent iona l glass ionomers were dif f icu lt to manipulate and not esthetic, with colors and opacities rarely seen in the natural dentition. Also, glass ionomers had to be protected with a varnish while the material underwent a 24-hour acid-base setting reaction. Over the years there were improvements in esthetics with the introduction of resin-modified glass ionomers (RMGIs), which were primarily light cured. Still, even these resin-modified glass ionomer cements required mechanical mixers or capsules,

DENTALPRODUCTSREPORT.COM

April 2011

Misconception: creating challenges in their handling. There had to be a better way. 3M ESPE’s Ketac ™ Nano Light Curing Glass Ionomer Restorative (3MESPE.com/ KetacNano) has paved the way for a new classification in the glass ionomer category: the nano ionomer. This improved formulation provides for a significant change in what was for some dentists a disappointing class of restoratives. Still, there are plenty of misconceptions about glass ionomers and what they can do for your practice. Here, we dispel some of those myths and highlight what this material has done to prove them wrong.

Misconception: Glass ionomers are not esthetic

Ketac Nano, through nano technology, features a combination of zirconia and silica nanofillers and nanoclusters that incorporate benefits seen with nanohybrid composites—improved esthetics, easy polishability with superior smoothness and luster, better wear resistance and improved physical properties. A nano ionomer is a significant improvement over conventional glass ionomers and past resinmodified glass ionomers. Ketac Nano’s range of shades (A1, A2, A3, A3.5, B2) handles most of the applications a clinician would use

for a glass ionomer. Additionally, an A4 shade will be introduced soon, allowing for better matching of the cervical third of the tooth.

Misconception: Glass ionomers require either hand mixing or a mechanical mixer

In the past if you wanted to use a glass ionomer restorative, either you had to dispense to a mixing pad and hand spatulate the restorative material or take a capsule, shake and tap it, activate the capsule and then mix it on an amalgamator-triturator (automatic mixer) that required a minimum speed of 4200 rpm. Many dentists who now have amalgam-free practices don’t have a mechanical mixer and have discarded glass ionomers from their restorative armamentarium. The Quick Mix Capsule solves this problem. This delivery system easily mixes the nano ionomer with a miniaturized, clinically proven, self-mixing technology used with impression materials, composite resin core materials and resin cements. This capsule saves time, eliminates the need for a mechanical mixer taking up valuable counter space and allows for quick placement in significantly less time than traditional triturated capsules.

Glass ionomers are only for pediatric and geriatric applications

No longer true. The improved esthetics and physical properties make RMGIs all-purpose restoratives. They are a perfect match for pediatric and geriatric use, but clinicians also should consider using them for patients with Class V carious and noncarious cervical lesions (Figs. 1 and 2). For patients of all ages with high caries risk and carious lesions, a nano ionomer is an excellent choice. It’s also a good choice for patients with ultra-sensitivity of notched areas on root surfaces (Figs. 3 and 4). An RMGI bonds via ionic adhesion to enamel and dentin, eliminating etching, which can contribute to even more sensitivity. RMGIs can be used for preventive resin restorations and to repair carious cervical margins of existing restorations. This is a restorative material for patients of any age.

Misconception: Applying a primer prevents fluoride release

One of the significant benefits of any GIC is the release of fluoride at the margins of the restoration and extending 1 mm beyond these margins. Instead of using a polyacrylic acid cavity cleanser that must be rinsed from the tooth surface, a nano ionomer

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Fig. 2 The area following treatment with Ketac Nano.

Fig. 1 Pre-operative view of cervical caries.

uses a light cured primer as a surface treatment. The primer removes the smear layer and improves surface wettability for better adaptation of the product to the tooth surface when it is placed. The primer does not interfere with fluoride release. Also, the nano ionomer matrix is still fluoride rechargeable from other fluoride containing materials, especially toothpastes and mouthrinses, making it a smart restorative material.

photopolymerization gives them the ability to have less water sorption for improved physical properties.

Misconception:

Dr. Howard Strassler is Professor, Division of Operative Dentistry at the University of Maryland Dental School in the Department of Endodontics, Prosthodontics and Operative Dentistry. He has lectured nationally and internationally on techniques and selection of dental materials in clinical use and esthetic restorative dentistry.

If it doesn’t self cure, it’s not a glass ionomer

Fig. 3 Pre-operative view of notched areas on root surfaces in a sensitivity case.

Fig. 4 The area after treatment. RMGIs are instrumental for use on exposed root surfaces.

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Pa st g l a ss ionomer for mu l at ion s required the self setting reaction. This is no longer true. The photoactivated resins in resin-modified glass ionomers allows them to set rapidly upon photoinitiation, which helps exclude any surface contamination by fluids. This

Now you know Ketac Nano isn’t the glass ionomer you’ve always known. This nano ionomer offers many benefits, creating a new category of restorative materials that provide improved esthetics, self-mixing and all the benefits that come with glass ionomers.

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With the dual wavelength 8-watt DT model, users gain Nd:YAG wavelength capabilities and can perform expanded soft tissue options including the proprietary WPT™ periodontic protocol. The dual wavelength 20-watt AT model can be upgraded for esthetic treatments such as wrinkle removal, permanent hair removal, and skin resurfacing.

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CliniC al 36

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DENTALPRODUCTSREPORT.COM

April 1100

For Advertising Information:

Linda Barrier 800.225.4569 x2701 Craig MacGregor 800.225.4569 x2608

ad index April

Ad Index

Impact Media Systems www.impactmediasystems.com

3M ESPE www.3MESPE.com

41, 45, 57

Acme Dental Mfg. www.acmemfg.com

Align Technologies Inc. www.invisalign.com/dpr

AMD Lasers LLC www.amdlasers.com

6–7

Biolase Technology Inc www.biolase.com

22–23, 91

Ivoclar Vivadent www.ivoclarvivadent.com

95 39, 96

JP Solutions/Johnson Promident www.jpsolutionsbrands.

KAVO America kavousa.com

F1–F2

Kerr Sybron Dental Specialities www.kerrdental.com

83, 85

Bisco www.bisco.com

Komet USA LLC www.komet-usa.com

Lares Research laresdental.com

14-15

Clinician’s Choice www.clinicianschoice.com

MANI www.mani.co.jp

DBI America Corp. www.dbidental.com DenMat www.denmat.com

74-75

Dental Expo dental-expo.com

Dental USA mydentalusa.com

115

DentalEZ Group www.dentalez.com

DENTSPLY Caulk www.caulk.com

CV3

DENTSPLY Professional professional.dentsply.com

18 a–d, CV4

Microbrush www.microbrush.com

100

National Children’s Oral Health Foundation www.AmericasToothfairy.com

101

Northeast Laboratory www.nedentallab.com ONLINE PRACTICE.COM theonlinepractice.com Palodex Group palodexgroup.com

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92 105 42 A–B, 43

Dexis LLC www.dexis.com

10–11

Discus Dental www.discusdental.com

4–5, 29, 69

DMG America www.dmg-america.com

Patterson Dental eaglesoft.net

Patterson Dental www.caesy.com

Premier Dental Products Co. www.premusa.com

Progressive Orthodontics www.posortho.com

Enzyme Industries Inc. www.enzymeindustries.com

100

Evolve Dental Technologies www.korscience.com

Rhein 83 USA Inc. www.rhein83usa.com

Schick schicktech.com

58-59

Flexview Systems www.ﬂexviewsystems.com

Septodont USA septodontusa.com

33, 35

Flow Dental www.ﬂowdental.com Garrison Dental Solutions www.garrisondental.com GC America Inc. www.gcamerica.com

The all-new Right-Curve non-stick matrix band creates a signiﬁcantly increased funnel-shaped cone when wrapped around a tooth. It’s the right choice for many restorations.

18, 115 30–31, 50–51

Gendex www.gendex.com Great Lakes Orthodontics Ltd. www.greatlakesortho.com Henry Schein Inc henryscheindental.com Imaging Sciences International www.i-CAT3D.com

26-27 88 CV2-3 55

Sirona Dental Systems sirona.com

Tech Naissance Inc denturevault.com

Tuttnauer USA Co. Ltd www.tuttnauerUSA.com

Ultradant Products Inc. ultradent.com

Vatech America www.vatechamerica.com

Vident vident.com

April 2011

DENTALPRODUCTSREPORT.COM

115

byte-by-byte

Building a practice fROM ThE gROUND UP.

Your dEsIgn PlAn A dental ofﬁce design expert offers his advice on creating the best space possible. by r e n e e

knight

doesn’t matter if you’re starting from scratch or re-doing an existing oﬃce, when you’re ready to add operatory furniture and cabinetry to your practice, you need a plan. You need to think about everything from the types of hinges you’re going to use to the colors your cabinets should be. This is a project with hundreds of options and decisions to make. It’s a confusing time, yet a rewarding time knowing you’re designing a space that will make you, your team and your patients happy. And you don’t have to do it alone. There are experts like Patrick Crowley, author of Dental Office Design: 1001 Practical Tips for Creating Your Ideal Dental Office,

who can help. He’s worked with dentists for 25 years, designing and building more than 650 dental offices nationwide. Here, he offers advice to help get you to that office you’ve always wanted. Q: What do you talk about with clients at the beginning of the process? A: We go through a series of questions, starting with the delivery system, who’s using the computer and what type of equipment will be in the room. This is the time we can make a large impact on the practice and can design the room exactly how the dentist wants to use the room. We ask them what equipment they’re going to store to find out what power requirements they’ll need inside the cabinetry. We’d rather not have the client say ‘Oh by the way I need xyz’ at the end because that’s when the budget can get out of whack. We also look at the budget for cabinetry. It can be expensive, so we need to find out what best fits the needs for the doctor and the practice. We also determine how much they need. Do they want them on the doctor’s side, on the assistant’s side, and do they need cabinetry at 12 o’clock or the rear position? And then we start looking at the sink location. This gives us a great framework to design the cabinetry. It really needs to be designed to the inch. We want all treatment rooms designed equally for maximum efficiency. Q: What are some common recommendations that you make to clients? A: One thing we tell all of our clients is to avoid cabinets purchased from local lumber yards. They are not designed for the daily wear and tear of a dental office. They’re also not the correct height or depth for the operator, and it’s important for cabinets to match the equipment and

be designed for the treatment room’s height and depth. We also want to make sure we use quality hinges. The cabinets are going to be opened and closed continually throughout the day. We tell our clients to avoid touch latch doors. They’re always the largest source of complaints in service calls. If the budget allows, we also recommend solid surface counter tops such as Corian. Corian gives you a seamless sink and backsplash, which means it’s easy to clean. And don’t use a really dark color because it will show scratches. There are so many small details to take into consideration. We like to use under cabinet lighting when we can. Everyone should install through the counter waste drops. If there’s equipment in the cabinetry we recommend a pullout shelf for easy access. If there’s a computer in the cabinetry we want to make sure it’s well ventilated. We like to use glass or Plexiglas panels in the door and we want to make sure cabinets have adjustable shelving inside. We want as much flexibility as possible. Q: What does this mean for ergonomics? A: We design the room for maximum production and efficiency, which means we don’t want cabinetry too far away from the doctor. He shouldn’t have to stop, roll in the chair and reach for supplies. That’s why pull out shelves work so well, or movable tops for work surfaces for the assistant. We want to make sure it works ergonomically for the doctor and try to keep everything within arm’s length. Q: What’s the biggest mistake doctors make during this process? A: Following a false budget based on a wellintentioned but inaccurate budget number from a real estate broker, dental supply company rep, an inexperienced designer or builder, even from a fellow dentist. The other one is working with incomplete drawings and incomplete specifications. Q: How much time should doctors put into the planning process? A: The planning process should take longer than the construction process. It should be all encompassing. Decisions need to be made prior to construction, because that’s how you get the best construction process.

Visit dentaloﬃcedesignbook.com for more tips. For a Web Exclusive on common design mistakes, as well as an exclusive Q&A with Pelton & Crane, visit dentalproductsreport.com. Photo courtesy of Patrick Crowley

116

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April 2011

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