DT Canada No. 4, 2014

Editor in Chief / Meetings / Industry / Implant Tribune Canada Edition

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DENTAL TRIBUNE
The World’s Dental Newspaper · Canada Edition

November 2014 — Vol. 8, No. 4

www.dental-tribune.com

PATIENT BEHAVIOUR AND TREATMENT

Doing well by doing good

Dr. Sebastian Saba: Dental
care should not be provided
without awareness of the
psychological makeup and
social background of the
person receiving the care.

Henry Schein Canada, as
part of its Calendar of
Caring program, shines the
spotlight on various ways
that its customers are
‘giving back.’

” page A2

” pages A8–A9

Winter Clinic: Same
time, different place

Implant Tribune
new WAY TO GRAFT
Innovative approach to
immediate bone grafting
and implantation when
infection is present.
” page B1

Toronto Academy
of Dentistry
Winter Clinic,
Friday, Nov. 14

Single-day meeting moves to new venue

T

he 77th Annual Winter Clinic is on the move, with its 2014 meeting day
scheduled for Friday, Nov. 14, at the Toronto Sheraton Centre.
The new venue presents a great opportunity to add an evening or even
the rest of the weekend in downtown Toronto to the end of the single-day
conference. The Sheraton Centre is connected to the financial and entertainment
districts by way of the PATH, a 16-mile underground network of shops and services.
A wide selection of shopping destinations, the Mirvish Toronto theatres, worldclass dining and major Toronto museums are steps away.
Among the attractions: Art Gallery of Ontario, Royal Ontario Museum, Hockey
Hall of Fame, Harbourfront, Casa Loma, Ontario Science Centre, Niagara Falls, Casino Niagara, Casino Rama, Ontario Place, Air Canada Centre, Rogers Centre (formerly SkyDome), Eaton Centre, Holt Renfrew and Yorkville Shopping District.

Publications Mail Agreement No. 42225022

(Source: Toronto Academy of Dentistry)

• Patient behaviour and dental
treatment: ‘Meeting of the minds’

MEETINGS

A4

• Greater New York Dental Meeting
adds new events, Nov. 30–Dec. 3
• Expert lineup at Pacific Dental
Conference, March 5–7, Vancouver

Industry	a6–a11
• Endodontic Photon Induced
Photoacoustic Streaming (PIPS):
Lightwalker AT laser with contact
H14-C handpiece and PIPS fiber tip
• Single-use MTA capsules extend
shelf life, ensure consistent results
• Doing well by doing good: Henry
Schein Calendar of Caring honors
dentists’ humanitarian work
• Have you been waiting to
implement 3-D technology?
• Canadian Dental Hygienists
Association honours excellence

Broad spectrum of topics
The Winter Clinic is the largest one-day dental convention in North America, attracting dental professionals who come to learn from world-class speakers and
explore and save on products and services.
This year’s clinical program covers a broad spectrum of topics and includes:
“Fighting Dental Disease: Drugs, Bugs and
Prescription Drugs” (also a course on over-the
counter drugs); “Interceptive Orthodontics;”
“Diagnosis and Management of Impacted 3rd
Molars;” “The Role Of Dentists In A Sleepy
World;” “Oral Appliance Therapy: The Good and
Bad News About It;” “From Great Expectations
to Evidence-Based Endodontics: Re-Defining
Your Clinical Protocols;” “Botulinum Toxins
& Dermal Fillers: A Practical Approach for the
Dental Team;” “Dealing Effectively With Difficult Patients;” “Porcelain Crowns and Veneers
— An Update;” “Relaxed, But Not Asleep: How to
use Nitrous Oxide or Oral Benzodiazepines for
Effective Minimal Sedation in your Dental Practice;” and “Enhancing the Patient-Professional
Interaction Across Differences. Closing the Dental Gap: The Patient Perspective.”
This year’s meeting also includes courses for
the professional development of the entire dental team, with a special focus on dental hygiene.
Among the offerings: “Seven Strategies for Xerostomia Management and the Future of Saliva
Testing;” “Maintain Your Edge: An Instrument
Maintenance and Sharpening Workshop;” and
“Oral Cancer Screening for Today’s Population:
The Need for Change.”
You can bring the whole team to share the
knowledge. The single-day event features 24
separate programmes in contemporary dentistry, offering something for all.

FROM THE EDITOR IN CHIEF A2

In a new location this year — at the Toronto
Sheraton Centre — the Toronto Academy of
Dentistry Winter Clinic is the largest one-day
dental convention in North America. Dental
professionals representing all sectors of the
profession attend to learn from world-class
speakers and explore and save on products
and services on display in a comprehensive
exhibit hall. Photo/Provided by Tourism Toronto

Implant tribune	

B1–B3

• New grafting procedure for oral
implantation
• Nobel Biocare joining Danaher
Dental Platform
•Archaeologists discover early
example of dental implant
• Prosper ... and be healthy with
Posiflex free motion elbow supports

Ad

[2] =>

FROM THE EDITOR IN CHIEF

Dental Tribune Canada Edition | November 2014

Patient behaviour and dental
treatment: ‘Meeting of the minds’
By Sebastian Saba, DDS, Cert. Pros., FADI, FICD

entistry is a highly skilled professional service. Its success is
based on a multitude of clinical variables that need to be
recognized, managed and coordinated
in an appropriate way to achieve the end
product of treatment. It is increasingly
recognized that the provision of dental
care should not be viewed in isolation
from the psychological makeup and social background of the person receiving
the care. Understanding your patients’
behavioural characteristics and moving
beyond the narrowly conceived concept
of biology and mechanics that can turn
the patient into “just a mouth” will help
you treat patients more successfully. The
following list describes certain patient
behavioural characteristics that may influence dental treatment success.

Inconsistency of dental treatment
It’s not unusual for people to see several
dentists during the course of a lifetime.
People move from area to area, thus requiring a new local dentist. Patients who
see different dentists will exhibit a wide
variety of dental history. The majority
will demonstrate consistency in care and
decision-making. But a certain percentage of individuals will change dentists
on a regular basis for a multitude of reasons.
Some patients in mid-treatment will
opt to terminate their commitment to
completion, not realizing the significant
risk they assume. Many of these reasons
will lead to compromised care. Some
will not see a dentist for long periods of
time, others will move from dentist office to dentist office. A study by Steele et
al., 1996, listed the following as the main
reasons for lack of dental follow-up: lack
of perceived need; fear; costs; couldn’t be
bothered; and distance.
The lack of continuing care, especially
during comprehensive phases of treatment with the diversity of today’s complex dental services, may compromise
the patient’s health. We need to inform
patients that continuity of their dental
care will minimize risks, misdiagnoses
and mistreatments.

Fear and anxiety
Nervous patients are the most challenging type of patients to manage. Nervous patients need more time for all procedures, and constant communication is
critical. In some instances, mild sedation
has proven very helpful. In certain cases,
treatment-plan options are designed
to shorten the chair time to minimize
traumatizing patients.
Coping strategies do exist and have
been studied extensively. Stress is “a
condition that results when the person/
environment transaction leads the individual to perceive a discrepancy between
the demands of the situation and the
coping resources available” (Lazarus &
Folkman, 1984).
Dentists can explain treatments in
two ways for fearful patients:

.
.

Sebastian Saba, DDS, Cert.

• Procedural, problemfocused approach — information about the procedure
(frequently used by dentists).
•
Sensory,
emotionfocused approach — information about the sensations
that may be experienced
(less frequently used by dentists).
The sensory approach
was more successful in reducing stress,
especially in children. How much information is necessary? Thrash et al., 1982,
found that more information provided a
sense of control for the patients and reduced anxiety for the dental procedure.
The unfortunate reality is that fearful
patients visit the dentist less regularly
and come only when in severe pain or
dysfunction. At this stage, the dentition is usually compromised. The care
required is more extensive and serves
to perpetuate the negative cycle of fear.
Unless you see the patient regularly and
use this opportunity to support, encourage and motivate, this cycle will continue
until most teeth are deemed unrestorable and extracted. In fact, this anxiety
will continue even in the absence of
teeth, in the edentulous state.

Parafunction and smoking
The physiology of the mouth is highly
influenced by extrinsic and intrinsic factors. Parafunction contributes to tighter
oral musculature through clenching and
grinding, leading to dental breakdown.
The cause of parafunction is debatable.
Some believe it is stress related, others
believe it’s an imbalance in neurotransmitters in the central nervous system.
Parafunction and stress can reduce salivary flow rates and alter salivary content,
thus reducing the protective mechanism
available in saliva and increasing rates of
decay. The combination of mechanical
breakdown and reduced protection can
lead to rapid dental destruction. Early
diagnoses and treatment is critical to
minimize damages.
Smoking also creates an environment
that can lead to dental failure. Smoking
creates an oral autoimmune disorder by
indirectly creating a vasoconstriction of
oral blood vessels. This leads to less blood
flow and reduced immunity and defense.
The lack of blood flow creates tissue ischemia (lack of oxygen), which leads to
tissue death. Reduced success rates with
periodontal gum surgery and implant
surgery have been documented in smokers. If a patient is serious about improved
oral health, he or she must quit smoking.

Patient satisfaction
Some patients have realistic expectations and others do not. We have all seen
patients who want their teeth very white.
And unfortunately, in some cases, white
is never white enough.
Some patients feel overly qualified to
guide and direct any dental work. But
patients are not dentists. They can contribute to — but not control — dental

Pros., FADI, FICD, is a
prosthodontist and graduate of
the Goldman School of Dental
Medicine, Boston University. He
has published extensively on
the topics of prosthetic and
implant dentistry and has a
private practice in Montreal
limited to prosthetic and
implant dentistry.

treatment. An overly critical patient may
never be satisfied. The key is to have what
I consider a “meeting of the minds“ with
your patient before treatment is started.
If you don’t understand or agree with
the demands and observations of the patient, if you cannot find common grounds
to proceed with treatment, if the patient
refuses to accept the diagnosis, if the patient has a tendency to dictate treatment:
Do not proceed with treatment.
It’s best to refer such patients because
you will never be successful treating
them.

Compliance with treatment
The success of complicated dental treatment is based on several broad variables:
accuracy of the diagnosis, quality of the
treatment and the patient’s compliance.
Studies have shown multiple determinants influencing compliance:
• Health beliefs: perceived necessity of
treatment
• Comprehension: ability to understand
the need for treatment
• Temperament: tendency toward compliant or noncompliant behaviour
• Dentist/patient relationship
• Patient satisfaction
• Clinical setting
A five-year study (Holt & McHugh,
1977) of more than 1,000 patients across
England showed that 33 percent changed
dentists for reasons other than location.
Of those who changed their dentist, the
most common reason was “unhappiness
with previous dentist.” The most important factors for patients when visiting
their dentist:
Highest rated:
1) Dentist care and attention.
2) Pain control by dentist.
3) Dentist putting patient at ease.
Lowest rated:
16) Waiting time.
17) Opening hours.
18) Practice décor.
Compliance is critical to successful
dental care. Understanding how to manage the determinates of compliance and
focusing on the higher priority factors
rather than the lower priority ones will
lead to greater success.

Dental IQ
Dental IQ is the easiest variable to improve. An environment for positive reinforcement is critical to enhance a patient’s education and willingness to fully
understand all aspects of treatment.
” See BEHAVIOUR, page A6

DENTAL TRIBUNE
The World’s Dental Newspaper · Canada Edition

Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President/Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Editor in Chief
Dr. Sebastian Saba feedback@dental-tribune.com
Managing Editor
Robert Selleck r.selleck@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka
a.kataoka@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com
Accounting Coordinator
Nirmala Singh n.singh@dental-tribune.com

Tribune America, LLC
Phone (212) 244-7181
Fax (212) 244-7185
Published by Tribune America
© 2014 Tribune America LLC
All rights reserved.
Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please
contact Managing Editor Robert Selleck at r.selleck@
dental-tribune.com.
Tribune America cannot assume responsibility for the
validity of product claims or for typographical errors.
The publisher also does not assume responsibility for
product names or statements made by advertisers.
Opinions expressed by authors are their own and may
not reflect those of Tribune America.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward

Tell us what you think!
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a particular topic you would like to see
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know by emailing feedback@dentaltribune.com. We look forward to hearing from you!
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subscription changes can take up to six
weeks to process.

[3] =>

[4] =>

MEETINGS

Dental Tribune Canada Edition | November 2014

Greater New York Dental Meeting adds new events
A number of new events are already on
the schedule for the 2014 Greater New
York Dental Meeting. Some highlights:
• The World Implant Expo, four days of
innovations in implantology.
• An expanded exhibit floor with more
than 1,700 exhibit booths filled by more
than 700 companies.
• An expanded ColLABoration Dental
Laboratory Meeting, bringing together
dentists and tab techs in a highly interactive environment.
Presented with Aegis Publishing,
ColLABoration is expected to surpass
its inaugural 2013 numbers: 1,183 technicians and technician students, 50 exhibitor booths and two classrooms for
seminars and workshops.
The new World Implant Expo will be

An expanded exhibit
floor at the 2014
Greater New York
Dental Meeting will
feature more than 1,700
exhibit booths with
more than 700 companies. The 2014 exhibit
hall dates are Nov. 30
through Dec. 3. Photo/

held simultaneously with the main
Greater New York Dental Meeting, from
Nov. 28 through Dec. 3.
The 2014 GNYDM exhibit hall dates
will be from Nov. 30 through Dec. 3.
Again for 2014, the GNYDM, which is
sponsored by the New York County Dental Society and Second District Dental
Societies, will remain free of any registration fee.

Dental Tribune File Photo

Four days of exhibits
Other distinctions that help make the
GNYDM stand out include:
• Only event with four-day exhibit hall
• More than 300 educational programs
• One C.E. unit for exploring the exhibit floor

• Eight “Live Patient Demonstrations”
• Multilingual programs (in Spanish,
Russian, Portuguese, French and Italian)
Three major airports — Newark Liberty (EWR), Kennedy (JFK) and La Guardia (LGA) — and hotel discounts make

it easy for professionals to attend the
meeting and enjoy all that New York
City has to offer during the holiday season. Learn more at www.gnydm.com.
(Source: Greater New York
Dental Meeting)

Expert
lineup at
Pacific
Dental
Conference
More than 130 presenters,
150 open sessions and
hands-on courses,
March 5-7, in Vancouver
You can experience the true flavour of
the West Coast — and earn C.E. credits at
the same time — at the Pacific Dental
Conference, March 5-7, in Vancouver.
The PDC has an expert lineup of local, North American and international
speakers. With more than 130 presenters,
150 open sessions and hands-on courses
covering a variety of topics, the meeting should be able to offer something for
every member of your dental team.
According to meeting organizers, you
will be able to explore the largest two-day
dental trade show in Canada and have the
year’s first opportunity to see the newest
equipment. The exhibit hall features innovative new techniques demonstrated
on the live dentistry stage, and attendees
will be able to examine products and
services from more than 300 exhibiting
companies with representatives who are
ready to engage attendees in discussions
on creating practice solutions.
At the conclusion of the conference,
you can take a day to relax and revitalize
by exploring some of Vancouver’s tourist
attractions. The ocean is just steps from
the Vancouver Convention Centre, and
nearby pristine snow-capped mountains
offer up choice late-season skiing.
(Source: Pacific Dental Conference)

[5] =>

[6] =>

INDUSTRY

Dental Tribune Canada Edition | November 2014

Endodontic Photon Induced Photoacoustic Streaming (PIPS)
Treatment uses Lightwalker
AT laser with contact H14-C
handpiece and PIPS fiber tip
By Prof. Giovanni Olivi, MD, DDS
University of Genoa, Italy
Fig. 1: Pre–op, before the PIPS.

Fig. 2: Post–op, after PIPS.

Fig. 3: One month post–op

Fig. 4: Four months post–op

Photos/Provided by Dr. Giovanni Olivi

A patient asked for the option to save
her teeth that were scheduled for extraction by another dentist. The lower left first
and second molars had high mobility
(grade 2), were necrotic, with significant
probing depths in the buccal aspect.
The teeth were diagnosed for endo/
perio treatment. Difficulties with this
case included complex radicular anatomy, long anatomical measurements (26
and 27 mm respectively for #36 and 37)
and the presence of a deep vertical bone
loss in the buccal aspect. After scaling and
root planning, the teeth were scheduled
for root–canal therapy.

Before treatment: PIPs
Before each treatment the PIPS™ technique was applied into the periodontal
pockets of each tooth for refining the de-

bridement, removal of biofilm from the
root surfaces and pocket disinfection. The
root canal treatments were performed
using PIPS–specific irrigation protocols
with 5 percent NaOCl and 17 percent
EDTA.

Obturation with resin sealer
The canals were obturated with a flowable
resin sealer (Endoreze Ultradent, South
Jordan, Utah) and gutta–percha points. A
final treatment of the pockets using PIPS
for disinfection was performed after completing each root canal therapy to remove
any extruded sealer or residual biofilm.
No post–op symptoms were reported
and the mobility of the teeth progressively disappeared up to grade 0.

The follow up X–rays performed after
one and four months showed healing in
progress for both the teeth. Lightwalker
AT laser device with contact H14–C handpiece and PIPS fiber tip was used for the
treatment.

Lightwalker parameters:
• Laser source: Er:YAG;
• Wavelength: 2940 nm;
• Pulse duration: SSP;
• Energy: 15 mJ; Frequency: 15 Hz.

About the author
Dr. Giovanni Olivi is an adjunct professor of endodontics at the University
of Genoa School of Dentistry and a board member
and professor in its master course in laser dentistry. He completed the postgraduate laser course
at the University of Firenze and earned laser certification from the International Society for
Lasers in Dentistry. He has advanced proficiency
mastership from the Academy of Laser Dentistry

Disclosure: Dr. Olivi has relationships
with several laser companies (including
AMD-DENTSPLY, Biolase, and Fotona) but
receives no financial compensation for his
research or for writing articles.

and is the 2007 recipient of ALD’s Leon Goldman
Award for Clinical Excellence. His private practice
in endodontics, restorative and pediatric dentistry is in Rome. Contact at olivilaser@gmail.com.

Isolite Systems delivers dental-isolation technology
By Isolite Systems Staff

Dental isolation is one of the bedrock challenges in
dentistry. The mouth is a difficult environment in
which to work. It is wet, dark, the tongue is in the way,
and there is the added humidity of breath, which all
make dentistry more difficult. Proper dental isolation
and moisture control are two often overlooked factors
that can affect the longevity of dental work — especially with today’s advanced techniques and materials.
Leading dental isolation methods have long been the
rubber dam — or manual suction and retraction with
the aid of cotton rolls and dry angles. Both of these
methods are time and labor intensive — and not particularly pleasant for the patient.
Enter Isolite Systems: Its dental isolation technology delivers an isolated, humidity- and moisture-free
working field as dry as the rubber dam, but with significant advantages, including better visibility, greater
access, improved patient safety and a leap forward in
comfort. Plus, it can do it all two quadrants at a time.
The keys to the technology are the “Isolation Mouthpieces.” Compatible with Isolite’s full line of products,
the mouthpieces are the heart of the system. They are
specifically designed and engineered around the anatomy and morphology of the mouth to accommodate
every patient, from children to the elderly.
The single-use Isolation Mouthpieces are available in

five sizes and position in seconds to provide complete, comfortable tongue and cheek retraction
while also shielding the airway to prevent inadvertent foreign body aspiration. Constructed out of a
polymeric material that is softer than gingival
tissue, the mouthpieces provide significant safety
advantages, and ease-of-use can boost your practice’s efficiency, results and patient satisfaction,
according to the company.

Faster, safer, more comfortable
Isolite Systems provides three state-of-the-art
product solutions: Isolite, illuminated dental isolation system; Isodry, a non-illuminated dental isoIsolite mouthlation; and the new Isovac, dental isolation adaptpieces are
er. Whether you use the Isolite, Isodry or our new
available in five
Isovac, our mouthpieces keep the working field as
sizes.
dry as a rubber dam, but are easier, faster, safer and
Photos/Provided by
more comfortable for the patient.
Isolite Systems
Using the Isolation Mouthpieces, all three dental
isolation products comfortably isolate upper and
lower quadrants simultaneously while providing
continuous hands-free suction. This allows a positive experience where the patient no longer has the senand dental isolation in the working field is desired. It
sation of drowning in saliva/water during a procedure
has been favorably reviewed by leading independent
and the practitioner can precisely control the amount
evaluators and is recommended for procedures where
of suction/humidity in the patient’s mouth.
good isolation is critical to quality dental outcomes.
Isolite Systems dental isolation is recommended for
Visit the Isolite booth at the Toronto Academy of
the majority of dental procedures where oral control
Dentistry Winter Clinic, or go to www.isolitesystem.com.

“ BEHAVIOUR, page A2

Financial commitments

Outdated dental philosophies are common, and patients need to be informed
of the newer, more conservative and successful treatment options.
Distribution of information pamphlets, extended times for patient discussion, and effective use of the Internet
have been useful mechanisms to communicate up-to-date dental theories to
patients. But not all patients are willing
to improve awareness.

The greatest dilemma faced by patients
in need of dental treatment is the lack of
funds to pay for necessary care. The need
for unexpected root canal treatment or
prosthetic dentistry, and/or the need for
dental implant therapy, can be costly.
Patients who have extensive dental problems need to understand that easy fixes
don’t exist. Multiple stages of treatment
may be required, each one dependant on
the next. The successful completion of
one stage of treatment helps determine

the prognosis of the following stage of
treatment.
It is recommended that prior to initiating treatment, you inform the patient of
all possible clinical scenarios and costs
— along with the likelihood of each occurring. Record and document this discussion clearly in the file or in a patient
contract. Patients frequently have difficulty recalling informed discussions
about questionable prognoses especially
when it comes to risks and costs. Patients
must understand the issues and poten-

tial consequences. They have a responsibility to themselves and to you. If you
don’t have a “meeting of the minds” on
these issues, they will resurface at a most
unfortunate time.
Do not proceed with treatment until all
is clear.
In conclusion: Dentists treat patients.
Patients have input. Management of that
input allows for success in dentistry. And
management starts with a “meeting of
the minds.” Sometimes no treatment is
the best treatment.

[7] =>

Dental Tribune Canada Edition | November 2014

INDUSTRY

Single-use MTA
capsules extend
shelf life, help
ensure consistent
clinical results
Ideal concept
for clinicians
who use MTA
infrequently
By Dr. Barry H. Korzen,
Founder, Zendo Direct AG

In the March 2014 issue of the Journal
of Endodontics (Vol. 40, Issue 3, pages
423–426) Ha et al. wrote, “Because MTA
powder is hygroscopic, when it is left exposed to atmospheric moisture, it will
react in a similar way as MTA powder
mixed with water.” Based on their findings, the authors conclude, “MTA undergoes an increase in particle size once the
manufactured seal has been broken.”
And that, “(a) larger particle would … be
less reactive, which could have implications for setting time, compressive
strength, and alkalinity.”
The authors also noted that contrary to
manufacturers’ instructions, clinicians
who purchase MTA in commonly available 1-gram bottles will use the material
over multiple applications. Based on
these findings, after the initial use, and
over a prolonged period of time, the MTA
likely will not perform with the same
characteristics as intended by the manufacturer.

Capsule use seems most effective
Even though this paper did not reference
the use of MTA in single-use capsules,
we can extrapolate that for the clinician,
capsule use seems to be the most effective way to insure the most consistent
clinical result with the added benefit of
a longer shelf life, which is especially important to the clinician who uses MTA
infrequently.
Zendo Direct (www.zendodirect.com)
is committed to delivering quality and
value to the practitioner by ensuring
that all its products, such as its Zendo
MTA Capsules, are developed using evidence-based information. All of Zendo’s
products are manufactured in Europe
to the highest standards and are made
available to the profession at highly competitive prices.

According to the
company, all Zendo
Direct products,
such as its Zendo
MTA Capsules, are
developed using
evidence-based
information. The
products are
manufactured in
Europe to the
highest standards.
Photo/Provided by
Zendo Direct

[8] =>

INDUSTRY

Dental Tribune Canada Edition | November 2014

Doing well by d
By Robert Selleck, Managing Editor

The people at Henry Schein Canada are
driven by the philosophy of “doing well by
doing good.” And it’s in that spirit that the
company has created its Calendar of Caring

to spotlight the many charitable programs
it supports. The initiative also gives Henry
Schein customers the opportunity to contribute a portion of their purchases to help
the charitable causes that Henry Schein
supports.
This extra support expands the help the

company provides and, in appreciation, participating customers receive a plaque that
can be displayed in the office.
In recent efforts, Henry Schein distributed 325 backpacks filled with school supplies
and clothing to underprivileged children
and provided winter holiday gifts to fam-

ilies in need across Canada. It supplied more
than $240,000 of health care products to
underserved people across the globe, planted more than 1,200 trees as part of its Go
Green program and backed charitable causes fighting breast cancer and oral cancer.
At Henry Schein, according to the com-

Izchak Barzilay, DDS, Cert. Prostho., MS, FRCD(C), and Mariela Gonzalez, DPM

Dr. Izchak Barzilay helps one of the 5,000 patients seen by the Bridge to Health team in
Western Uganda earlier this year. Barzilay’s business manager, Mariela Gonzalez, is the
team’s overall logistics coordinator. Photo/Provided by Dr. Izchak Barzilay

As an educator at multiple dental schools, and
with a Toronto-based practice in prosthodontics
and implant dentistry, Dr. Izchak Barzilay is used
to receiving lots of referrals. His skills, chairside
manner and devotion to education result in a
nonstop workflow. But earlier this year, those
traits delivered even greater rewards.
One of his former students, Dr. Ira Sankiewicz,
is a founder of Bridge to Health (formerly “To the
World”), a non-governmental organization providing dental and medical care in the world’s most
impoverished areas. Impressed with the successes
and efficiencies of Barzilay’s 30-person practice,
Dr. Sankiewicz asked Barzilay to bring his skills —
and the logistical genius of his business manager
— to one of the world’s most underserved areas:
Kabale, Uganda.
In February, Barzilay and business manager
Mariela Gonzalez spent two weeks in Western

Ugandan villages providing care to approximately 5,000 patients, working with two other
dentists, three hygienists, three physicians, three
resident physicians, three medical students, two
nurses, two pharmacists and three research associates.
“There were many people in a lot of pain,” Gonzalez said. “Some of the children were very ill.
There were many orphans. But it truly was rewarding — not just for the people receiving help,
but for us — being able to give back.”
The two are planning to return in February
2015, and they also want to add a Central American mission. “It immediately became part of who
we are,” Gonzalez said, recounting how inspiring
it was at day’s end when she would need to tell
100-plus people still in line that only the 10 most
in need could be seen — and without fail everybody would point to somebody else.

Veronique Benhamou, DDS, BSc, cert. Perio
Nine years ago, periodontist Veronique Benhamou decided to “tag
along” with a friend going to Peru on a dental mission. “It was fantastic,” Benhamou said. “I was hooked.”
So hooked, in fact, Benhamou has taken trips every year since,
with one big difference: Underwhelmed by the organizing on that
first trip, Benhamou puts together her own. Under the auspices of
Alberta-based Kindness in Action, for eight years Benhamou and
fellow dentists Gérard Melki and Bob Clark have brought the latest in
dental care to remote, underserved populations in Peru and Mexico.
Each year the effort grows, in part because as an associate professor
at McGill University Faculty of Dentistry (and former director of the
department of periodontology), Benhamou has a constant source of
enthusiastic volunteers: third- and fourth-year dental students. The
most recent trip totaled 20 people, and the next trip is adding hy-

giene students from John Abbott College. Everybody pays their own
way, and many of the students return as residents and dentists.
“When people come once, they often get hooked,” Benhamou
said. That, despite the fact that many of the students succumb to
heat exhaustion or other effects of overexertion. “It’s not a touristy
trip,” Benhamou said. “It’s intense. It’s a lot of work. We come back
exhausted.”
The two-week trips include eight to 10 treatment days, during
which up to 900 patients are seen. Repeat trips to Espita and Holca,
Mexico, combined with strong local relationships, have enabled the
group to open a small dental hospital. The goal is to become a trusted presence, seeing repeat patients and training local professionals.
“It targets a small area of the world,” Benhamou acknowledged. “But
there are lots of people doing this in lots of places.”

Dr. Corinne
D’Anjou treats a
patient in a
militarized zone
in the Democratic
Republic of
Congo, where the
population still
feels threatened
by the Lord’s
Resistance Army
rebel group.

Corinne D’Anjou, DMD

Photo/Provided
by Dr. Corinne
D’Anjou

In 2001, after her third year of dental school at Laval University in Quebec City, Dr. Corinne D’Anjou participated in
a dental mission to Paraguay, dealing with various levels of
the Paraguayan government and coordinating supply deliveries to treat children at a school in Coronel Oviedo.
The experience came in handy in 2010, when D’Anjou
led a trip to the Democratic Republic of Congo, focusing on
multiple goals: Set up a dental clinic with supplies sent in
advance from Montréal; effectively manage the clinic in a
challenging setting; treat as many patients as possible; and
train local caregivers to ensure sustainable care.
That last objective quickly emerged as top priority, and
D’Anjou spent countless hours providing comprehensive
training on asepsis, sterilization and treatment strategies.
She helped local care providers establish an asepsis protocol to reduce contamination in a part of the world known

Dr. Veronique Benhamou, standing, far left, with
the team she took to Peru in 2010. Photo/Provided by
Dr. Veronique Benhamou

as the cradle of HIV-1. Because the trip was to a militarized zone, where the population remains deeply aware
of threats from the Lord’s Resistance Army, D’Anjou had
to meet several times with DRC-government and United
Nations officials to evaluate security. (Indeed, future DRC
trips are now on hold for D’Anjou until security stabilizes.)
D’Anjou, co-owner of Centre de Santé Dentaire Candiac
(Quebec), wants to give back in other ways, too. In August
she graduated from the forensic dentistry program at
McGill University, where she studied under renowned forensic odontologist Dr. Robert B. J. Dorion. In April she started a fellowship in forensic odontology at the University of
Texas Health Science Center, San Antonio, learning from
Dr. David Senn, another renowned forensic odontologist.
D’Anjou wants to use her new skills to help in police investigations and disaster response.

[9] =>

INDUSTRY

Dental Tribune Canada Edition | November 2014

doing good
pany, “giving back” happens 365 days a year,
and the Calendar of Caring initiative opens
the door to expanding the help the company is able to provide.
Displayed here are just a few examples
of charitable and community service work
by Henry Schein customers across Canada,

with many of them receiving assistance
from Henry Schein through the donation of
dental supplies to support the noble work.
For more information or to get involved
with Henry Schein in these areas, please
contact Peter Jugoon, vice president, marketing, at peter.jugoon@henryschein.ca.

Sponsored by

Matt Karavos, DDS, and staff at Crescent Heights Dental Clinic

Dr. Matt Karavos and his Crescent Heights Dental team use the Alex Dental Health Bus to
deliver dental care to Calgary’s most at-risk young people. Photo/Provided by Dr. Matt Karavos

The Alex Dental Health Bus is impressive: a
full-sized luxury coach customized with two
complete dental operatories, a digital X-ray
unit and an automated wheelchair lift. But to
the team at Crescent Heights Dental Clinic, led
by owner Dr. Matt Karavos, what’s really impressive is the vehicle’s ability to deliver oral
health care to Calgary’s most at-risk young
people.
“When I heard about the Alex Dental Health
Bus and the incredible need that its school
program had uncovered, I knew we had to be
involved in the solution,” Karavos said. That’s
why Karavos and his team at Crescent Heights
Dental partnered with the Alex Community
Health Centre to provide SMILE Clinics.
SMILE Clinics see children who are in need of
dental treatment and are referred through the
Alex Dental Health Bus school program. All

treatment is provided at no additional cost to
the parents, and Crescent Heights Dental Clinic
donates time and supplies. A recent clinic, in
April, was made possible by donations from the
dental community, including a generous donation of supplies from Henry Schein.
Since June 2013, Karavos and his team have
partnered with the Alex to provide six SMILE
Clinics, delivering treatment to more than 100
young people most in need.
And there are no plans to stop.
“What we saw at our first clinic brought tears
to the eyes of my team, many of whom are
veterans in the dental industry,” Karavos said.
“We were prepared to perform a lot of minor
care, but the levels of advanced decay in some
of these kids is beyond what you want to see as
dental professionals. We simply can’t let kids
live with this kind of risk and pain.”

Rolf Kreher, DDS (with Drs. Brian Eckert, Ramon Humeres and Frank Yung)
Love of the wilderness brought Drs. Rolf Kreher, Brian Eckert,
Ramon Humeres and Frank Yung together as classmates at the
University of Toronto Faculty of Dentistry, from which they
graduated in 1980. The friendship was still strong 20 years
later, when, during a canoe trip in Ontario’s Temagami backcountry, conversation turned to the doctors’ varied histories
with humanitarian work. Individually, they had served remote
areas in Canada, South America, Africa and Asia. The idea that
followed seemed inevitable: “Why not organize our own trips?”
Within the year, Canadian Dental Relief International was in
place, and the four Toronto-area dentists were planning a 2003
mission to Nuevo Horizontes, a cooperative community of 125
families of former rebel fighters building new lives in northern
Guatemala after the peace accords. Other trips followed, as the

Michelle
McFarlane assists
her father, Dr. R.
Bruce McFarlane,
with a Haitian
patient
undergoing a
surgical
extraction.
Photo/By Renee
Morcom
Photography,
provided by
Dr. Bruce McFarlane

team expanded dental care at the “Dr. Ernesto ‘Che’ Guevara”
medical clinic, a six-room, concrete-block building serving the
region. Other two- to three-week trips have put the team in
remote areas of Bolivia, the Dominican Republic and Ecuador.
Beyond providing preventive teaching and free clinical care,
the main goal is to equip and teach emergency dental care
(diagnosis, sterilization, etc.) to local health workers to meet
basic needs in the future. Broader oral health education focuses on endemic sugar/soda pop consumption — with skits
making lessons more memorable, especially for the kids.
Today, they are three — after the loss of Yung to lymphoma
in January 2013. “It was like losing our right arm,” Kreher said.
But assisted by spouses, their children, assistants and colleagues, the friends will continue in their efforts, Kreher said.

Canadian Dental Relief International founders, Drs. Brian Eckert,
from left, Ramon Humeres, Frank Yung and Rolf Kreher, in Nuevo
Horizontes, Guatamala. Photo/Provided by Dr. Rolf Kreher

R. Bruce McFarlane, DMD
Like most practitioners involved in dental missions,
Dr. Bruce McFarlane has gained much from the many
trips he has made to provide emergency dental care and
preventive education to some of the world’s most underserved populations.
But the standard comparisons end when the Winnipeg, Manitoba, orthodontist reveals what he gained
from a trip a few years back: the love of his life. On a mission to a border area between Haiti and the Dominican
Republic, he met the woman who would become his
wife, Jintana Weerapan, a pediatric nurse practitioner
from Chicago, serving as the mission’s medical director.
The couple clearly captured each others’ attention. But
even bigger chemistry was being generated. Here’s how
the sponsoring organization’s regional medical director,
Dr. Jose Garcia, took special note of the group’s efforts in

a letter of gratitude: “I want to highlight this last team
from March: Tremendous. Excellent. Marvellous. The
doctors, the nurses, the students, those blessed dentists
and their personnel. Very good people. Healthy, caring,
hardworking and with a great sense of humanity.”
The couple married in the midst of planning and fundraising for a return trip, this time joining a Florida group
that goes to the same area two to three times per year.
Prior to an earlier trip, McFarlane told a Winnipeg Free
Press reporter: “Many children and adults go to bed there
hungry, sick, and with dental pain and infections. A recent medical mission into Cite Soleil (Haiti) saw 1,300 patients in two and a half days. We plan to make a difference
in the six days that we will be (in Haiti), and leave behind
a legacy of equipment and supplies for future volunteers
to provide care.”

[10] =>

A10

INDUSTRY

Dental Tribune Canada Edition | November 2014

Have you been waiting
to implement 3-D
technology?

Because it’s designed
with the space restrictions of many practices in
mind, the CS 8100 3D is
compact enough to fit in
even the tightest locations
so offices don’t have to give
up precious real estate.

Generalists, too, are adding new dimension in accuracy
Dental technology has grown exponentially over the past few decades — paving
the way for enhanced diagnoses, treatment planning and patient care. With this
growth comes a new range of accessibility,
and while certain technologies, such as
cone-beam computed tomography (CBCT),

may have been reserved for specialists in
the past, as 3-D imaging becomes more
widespread, it has become more affordable
for general practitioners.
But why would a general practitioner
want CBCT in his or her office? Truthfully,
there are a number of reasons — the first

Photo/Provided by Carestream

being the technology’s diagnostic benefits. Making confident diagnosis should
not be restricted to specialists; every practitioner should have the tools to provide accurate diagnoses to their patients.
Of course, it’s important to remember
that patients are three-dimensional, so the

images used for their
diagnosis should be
as well. With CBCT imaging, users can look at
any anatomical structure from every angle,
with 1:1 accuracy and
without the risk of
distortion or superimposition.
Threedimensional imaging
also allows practitioners to uncover information — such as the
presence of a fractured
tooth — that would be
missed with 2-D alone.
As an added benefit,
CBCT also improves
patient care and case
acceptance. When patients are able to see
their mouths in 3-D,
they’re not only impressed by the technology, but they also
better
understand
their diagnosis or
treatment plan. In
addition,
taking
the 3-D image right in
the office — rather than sending the patient to a specialist or third-party
imaging center — eliminates the risk that
the patient won’t return for treatment.

The CS 8100 makes 3-D imaging
accessible to practitioners
For dentists who have been waiting to implement 3-D imaging in their practice, the
CS 8100 3D is an attractive option, according to the company. Built on the CS 8100’s
award-winning 2-D platform, this system
combines panoramic imaging with CBCT
for versatility — while at the same time, remaining affordable. And, because the unit
was designed with the space restrictions of
many practices in mind, the CS 8100 3D is
compact enough to fit in even the tightest
locations — so offices don’t have to give up
precious real estate.
According to the company, with the
CS 8100 3D, the complexity of earlier 3-D
imaging systems is a thing of the past,
making 3-D exams even easier than taking
a panoramic image. In addition, the intuitive software allows users to take advantage of 3-D technology from the very first
day the unit is installed.
Consistent image capture is crucial to
practice productivity. To this end, the
CS 8100 3D eliminates lasers in favor of a
smart bite block that includes letter landmarks to help users intuitively capture the
” See 3-D, page A11

[11] =>

Dental Tribune Canada Edition | November 2014

INDUSTRY

A11

CDHA honours excellence in oral health, dental hygiene
Program awards dental hygienists for their scholarship, leadership, community involvement, research
The Canadian Dental Hygienists Association (CDHA) recently recognized 18
leaders in oral health for their outstanding contributions to the profession of
dental hygiene, the association and to
the overall health and well-being of the
Canadian public.
Since 1975, CDHA’s Dental Hygiene Recognition Program (DHRP) has honoured
more than 120 dental hygienists in 14
categories for their excellence in scholarship, leadership, community involvement and research.
These award winners have set high
goals and achieved much in their professional and personal lives.

dustry sponsors TD Insurance Meloche
Monnex, SUNSTAR G•U•M, DENTSPLY,
and Crest Oral-B.
In addition to its Dental Hygiene Recognition Program, CDHA also offers three
awards to members whose volunteer service at either the local or national level
is deemed outstanding. The recipients
of this year’s CDHA board of directors’
awards are: Salme Lavigne (Life Membership); Jacki Blatz (Distinguished Service
Award); and Bev Woods, Carole Whitmer
and Anne Caissie (Awards of Merit).
See photos and more details on award
winners at www.dentalhygienecanada.ca
Serving the profession since 1963,

CDHA is the collective national voice
of more than 26,800 registered dental
hygienists working in Canada, directly
representing 17,000 individual members including dental hygienists and students. Dental hygiene is the sixth largest
registered health profession in Canada
with professionals working in a variety
of settings — including independent
practice — with people of all ages, addressing issues related to oral health.
For more information on oral health,
visit www.dentalhygienecanada.ca.
(Source: Canadian Dental
Hygienists Association)

“ 3-D, page A1o
region of interest. With the bite block, it is
virtually impossible to miss the area of
concern, eliminating the risk of retakes.
For enhanced flexibility, the CS 8100 3D
also enables users to capture images based
on specific needs. Selectable 3-D programs
let users control image size, resolution and
the dosage of each examination:
• Universal field of view (5 x 5 cm) is an
ideal size for most local dental exams (local pathology, single implant, endodontic,
etc.).
• EndoHD mode (5 x 5 cm) delivers extremely high-resolution scans (75 µm) to
show even the smallest details of root and
canal morphology.
• Single (8 x 5 cm) and dual (8 x 9 cm) jaw
modes (maximum field of view is 8 x 8 cm
instead of 8 x 9 cm for Ontario) capture
one or both dental arches in one scan —
particularly useful for cases that involve a
larger area, such as implant planning with
surgical guide creation, oral surgery or larger disorder.
• Pediatric program (4 x 4 cm) confines
the exposure to a smaller area, making it
ideal for children or for exams that don’t
require the highest image quality.
Patient safety is always a concern when
it comes to radiographs and CBCT imaging.
To address this, the CS 8100 3D allows
users to collimate the imaging area based
on clinical needs to limit radiation exposure and align with the ALARA (as low as
reasonable achievable) principle — without sacrificing image quality. Depending
on the selected field of view, images can
be taken in as little as 15 seconds, while the
Flash Scan mode scans patients in seven
seconds to minimize patient movement
and delivers a dose reduction up to 50 percent less than a standard scan.
For practitioners thinking about moving to a digital workflow for impressions,
or bringing the restoration process in
house, the CS 8100 3D is compatible with
Carestream Dental’s CS Solutions product
line for restorations. In fact, adding CS Restore software and the CS 3000 milling
machine gives practices everything needed to scan, design and mill crowns, inlays
and onlays in one appointment.
To learn more about the CS 8100 3D or
Carestream Dental’s portfolio of imaging
products and software, call (800) 933-8031
or visit www.carestreamdental.com.
(Source: Carestream)

After reviewing 34 submissions to its
2014 program, CDHA is delighted to announce the winners of this year’s DHRP
awards: Airra Custodio, Julie Farmer, Zul
Kanji, Joyce Kwok, Pauline Leroux, Sue
Lighthall, Niagara College, Oxford County Public Health’s Oral Health Team and
Susan Young.
Honourable mentions are given in
the oral health promotion category to
Leslie Battersby and the College of New
Caledonia’s dental hygiene and dental
assisting students, Olu Brown, Melissa
Holmes and Vancouver Community
College. CDHA’s recognition program
is made possible by the support of in-

[12] =>

[13] =>

IMPLANT TRIBUNE
The World’s Dental Implant Newspaper · Canada Edition

NOVEMBER 2014 — Vol. 2, No. 4

www.dental-tribune.com

Case study in Journal of Oral Implantology

New grafting procedure
for oral implantation
Innovative approach to
immediate treatment
and implantation
when infection present

goal of current oral surgery is
not merely to replace a problematic tooth, but also to keep
the supporting tissue structure of the mouth and jawline intact.
This helps in maintaining the long-term
effectiveness of the surgery and the oral
cavity and jawline esthetics. However,
if infection is present, surgery is usually delayed, which may compromise the
supporting tissues.
An innovative procedure, utilizing a
single incision for access and localized
antibiotics to treat infection, is being
introduced that will enable immediate implantation with a bone graft harvested from a portion of the patient’s
own lower jaw. A case study in the Journal of Oral Implantology provides an indepth analysis of this new approach for
immediate treatment and implantation
of an infected area.
In oral implant surgery, immediate
implantation of the area of interest is
preferred, as delaying the procedure can
have a negative effect on the structure
of hard and soft tissues. Frequently, required surgeries coincide with oral infection and surgeons prefer to wait until the
infection is resolved before performing
” See NEW, page B2

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Fig. 6
Fig. 1: Periapical radiograph of tooth #10, January.
Fig. 2: Periapical radiograph of tooth #10, August.
Fig. 3: Pretreatment frontal view.
Fig. 4: Tetracycline antibiotic application.
Fig. 5: Traumatic extraction of tooth #10.
Fig. 6: L-shaped fracture of tooth #10.
Fig. 7: Outline of symphysis block graft.
Fig. 8: Anterior maxillary recipient site defect after
complete debridement of the lesion and surgical
procedure of implant placement with guide. Photos/

Fig. 7

Fig. 8

Provided by American Academy of Implant Dentistry

Nobel Biocare joining Danaher Dental Platform
Danaher Corp., a global health care
conglomerate of brands from various
industries, and Swiss dental manufacturer Nobel Biocare recently announced that the two companies have
entered into a definitive transaction
agreement.
To expand its global dental business,
Danaher has offered to buy Nobel Bio-

care, described as the second-largest
supplier of dental implants worldwide,
for $2.1 billion.
As reported by Dental Tribune online
earlier this year, Nobel Biocare confirmed that it had been approached at
the end of July by third parties with
a potential interest in acquiring the
business. Now, the company’s board

of directors has unanimously decided
to recommend that Nobel Biocare’s
shareholders accept the Danaher offer,
which includes the acquisition of at
least 67 per cent of all shares.
Danaher reports that it already reaches about 99 per cent of dental practices
worldwide through an extensive network of dealers and direct sales. With

the acquisition of Nobel Biocare, the
company would become one of the largest consumable and equipment competitors in dentistry, with expected
sales of $3 billion. Danaher also stated
that it is planning more investments.
Both companies disclosed that the
” See DANAHER, page B2

[14] =>

XNEWS
XXXX

Implant Tribune Canada Edition | November 2014

Archaeologists discover early dental implant
By Dental Tribune International

placed. In that case, the implant may have
been placed to improve the appearance
of the corpse for the funeral service, The
Guardian reported on its website.
Implantation would not only have been
very painful but also have led to an infection. “Iron is not biocompatible and the
absence of sterile conditions would have
provoked an unfavourable host response,”
the archaeologists stated.
As reported by The Guardian, the corroded piece of metal is the same size
and shape as the other incisors from the
woman’s upper jaw, which was destroyed,
however, when the timber tomb collapsed
and crushed her skull. The appearance of
the implant may originally have been im-

Archaeologists have discovered a
2,300-year-old iron pin in place of an upper
incisor at a La Tène burial site in Le Chêne
in northern France. The body belonged to
a young woman who had been buried in a
richly furnished timber chamber. The pin
could be one of the earliest examples of a
dental implant in Western Europe.
The iron pin may have been inserted during life to replace a lost tooth; however, as it
was placed very deeply into the pulp canal
of nerves and blood vessels, the archaeologists have suggested that the woman may
already have been dead when the pin was

proved by a wooden or ivory covering.
The implant, found in the Celtic grave in
Le Chêne, is 400 years older than one from
another grave in France, found in Essonne
in the 1990s.
According to the archaeologists, the
finding was unexpected. The concept of
the dental prosthesis may have been taken
from the Etruscans by returning Celtic
mercenaries, although dental implants of
this specific kind have not been found in
Etruscan contexts.
The study, titled “The earliest dental
prosthesis in Celtic Gaul? The case of an
Iron Age burial at Le Chêne, France”, was
published in the June issue of the Antiquity journal.

IMPLANT TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President/Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Editor in Chief
Dr. Sebastian Saba feedback@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Managing Editor Implant Tribune Canada
Robert Selleck, r.selleck@dental-tribune.com
Managing Editor Implant Tribune U.S.
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com

“ DANAHER, Page B1
transaction is scheduled for completion by late 2014 or early 2015. Once the
acquisition has been completed, Nobel
Biocare will operate as a stand-alone
company within Danaher’s dental platform, maintaining its own brand and
identity.
Since 1984, Danaher has acquired
more than 400 companies. KaVo Kerr
Group, which unites leading dental

consumable, equipment, high-tech
and specialty brands under one platform, was formed at the beginning
of this year. The group includes KaVo,
Kerr, Axis|SybronEndo, Instrumentarium Dental, SOREDEX, i-CAT and Implant Direct.
According to a Danaher news release,
the $3.5 billion dental implants market
is primed for strong growth because of
factors such as an aging population,
growing income in high-growth mar-

kets and low penetration in many geographic regions. With Nobel Biocare in
the premium sector and its Implant
Direct joint venture in the value segment, Danaher plans to further invest
in both markets.
As it has announced with regard to
Nobel Biocare, Danaher has reported
that Implant Direct, too, will remain
as a stand-alone joint venture with no
change in market strategy.

Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Accounting Department Coordinator
Nirmala Singh n.singh@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka
a.kataoka@dental-tribune.com
Education DIRECTOR
Christiane Ferret c.ferret@dtstudyclub.com

“ NEW, Page B1
the reconstructive implant surgery. This timelapse in placement of reconstructive bone grafts
reduces the success rate of the implantation from
100 percent with immediate implantation, to 92
percent.
In the case study, a 43-year-old female presenting with a front-tooth infection of seven
months duration underwent a root canal and
antibiotics. When symptoms persisted, tooth
removal was recommended. Despite the presence of infection, the patient was able to receive
a bone graft harvested from the symphysis of
her mandible. Application of localized antibiotics
was used to treat the infection. Three years postoperatively, the patient presented with no negative effects.
Regarding recovery from oral surgery, immediate implantation is critical to:
• Preserving the structure of the soft and hard
tissue.
• Shortening the recovery period.
• Prevention of future corrective surgeries.
Grafting procedures using bone from the patient’s own body has been the gold standard for
years; therefore, it is a natural progression for oral
implantation to follow suit.
Full text of the article, “3 Year Follow Up of a
Single Immediate Implant Placed in an Infected
Area: A Clinical Report of a Novel Approach for
the Harvesting Autogenous Symphysis Graft,”
Journal of Oral Implantology, Vol. 40, No. 2, 2014,
is available at www.joionline.org/doi/full/10.1563/
AAID-JOI-D-13-00202.

Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Robert Selleck at
r.selleck@dental-tribune.com.

Fig. 9

Fig. 10

Editorial Board

Fig. 11

Dr. Pankaj Singh
Dr. Bernard Touati
Dr. Jack T. Krauser
Dr. Andre Saadoun
Dr. Gary Henkel
Dr. Doug Deporter
Dr. Michael Norton
Dr. Ken Serota
Dr. Axel Zoellner
Dr. Glen Liddelow
Dr. Marius Steigmann

Fig. 12

Corrections
Fig. 13

Fig. 14

About the Journal of Oral Implantology
The Journal of Oral Implantology is the official
publication of the American Academy of Implant
Dentistry. It is dedicated to providing valuable information to general dentists, oral surgeons, prosthodontists, periodontists, scientists, clinicians,
laboratory owners and technicians, manufacturers and educators. The JOI distinguishes itself as
the first and oldest journal in the world devoted
exclusively to implant dentistry. For more infor-

Tribune America cannot assume responsibility for
the validity of product claims or for typographical
errors. The publisher also does not assume responsibility for product names or statements made by
advertisers. Opinions expressed by authors are their
own and may not reflect those of Tribune America.

Fig. 15

mation about the journal or society,
please visit: www.joionline.org.
(Source: Journal
of Oral Implantology)

Fig. 9: Autogenous bone graft placed
on the labial side to cover the exposed
threads and repair the bone defect.
Fig. 10: The temporary abutment and
crown seated on the implant.
Fig. 11: Soft tissue healing three
months after the implant placement.
Fig. 12: Posttreatment bone sounding,
midbuccal side of tooth #10.
Fig. 13: The final restoration, six
months after implant placement of
tooth #10.
Fig. 14: Periapical radiograph three
years after the implant placement of
tooth #10.
Fig. 15: The final restoration, three
years after implant placement of
tooth #10.

Implant Tribune strives to maintain the
utmost accuracy in its news and clinical
reports. If you find a factual error or
content that requires clarification, report
the details to managing editor Robert
Selleck, r.selleck@dental-tribune .com.

Tell us what you think!
Do you have general comments or criticism
you would like to share? Is there a particular
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INDUSTRY

Cosmetic Tribune U.S. Edition | November 2014

Prosper ... and be healthy

To learn more on ergonomics in the dental clinic, visit
entists, hygienists and dental assistants face
www.posiflexdesign.com. The source for some of the staon a daily basis all of the top conditions needtistics in this article is “Prevention of Work-Related Mused to develop musculoskeletal disorders.
culoskeletal Disorders in Dental Clinics,” by Rose-Ange
Dental work requires precision and control
Proteau. It is available free at www.asstsas.qc.ca.
in movement — so static positions can result in fatigue
in the muscles of the neck, the back and the shoulders.
(Source: Posiflex Design)
After a few years or even months, the muscle fatigue may
cause ailments, pain or even more severe
conditions, such as tendinitis, bursitis,
Factors contributing to development of musculoskeletal disorders:
neck pain, disk herniation and others.
If I work with my arms close to my body, can
I avoid muscle tension?
Even when your arms seem relaxed along
your body, the shoulder and upper back
muscles have to be contracted to keep the
stability required for the precise work of
your hands. These muscle contractions can
reduce the blood flow up to 90 percent,
which causes fatigue to accumulate and
weaken your muscles and articulations.
Why use mobile elbow supports?
The Posiflex mobile elbow support system
was developed to diminish the charge to
the upper body in order to favor a good
bloodstream. A scientific study demonstrated that using the Posiflex system
contributes to achieving a more secure
and comfortable work posture while significantly reducing muscle contractions in
the shoulders, neck and upper body. This
unique concept follows body movements.
The elbow rests offer an appropriate support of the arms while preserving the freedom of movement.
Precision work requires concentration
and effort. We forget ourselves when we are
concentrated on a task. The elbow supports
enable practitioners to keep a good posture
as they keep you in line.
Do I have to always be on the supports to get
the benefit?
It is not possible to be on the supports 100
percent of the time. The studies demonstrated that with 50 percent of the time on
the support, bloodstream is sufficient to
prevent and diminish tension. After a short
learning curve, the majority of users are on
the supports 80 to 90 percent of the time.
Why invest in a dental stool?
Dental professionals can easily spend eight
to 12 hours a day on a stool. In fact, it is the
piece of equipment you use the most and,
generally, it is also the most neglected. You
pay attention to your patient comfort, so
what about your comfort and that of your
employees?
The investment is modest and quickly
profitable compared to costs created by
medical treatments or leave from work. Do
you have to plan long procedures early in
the week because your body can’t do it on
Thursdays?
How should the patient chair be adjusted to
keep the practitioner in good posture?
Eyes-to-task distance is the key for good
posture. When the patient chair is placed
low, it forces you to bend your neck, even
with loupes, creating tensions. Furthermore, because of lack of leg room, the operator must straddle the chair or, worse, sit on
the tip of the seat. This position does not
provide lumbar support or a safe position.
Many speakers and authors favor a higher
position of the patient chair with the patient laying flat. The arms stay close to the
body and the forearms are flexed.

Repetition.

Tempo.

Force.

Michelle Fontaine, RDH, demonstrates the ergonomic improvement in her work position enabled in part by her use of Posiflex
free motion elbow supports. Photos/Posiflex Design

Awkward movements
and posture.

Inadequate rest.
Ad

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[cover] => DT Canada No. 4, 2014

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Table of contents

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Editor in Chief / Meetings / Industry / Implant Tribune Canada Edition

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