DT Canada No. 1+2, 2014

News / Natural dentition: Risk of extinction? / Today’s successful practice has a chief operations officer. Do you? / Meetings / LVI Core I three-day course enables dentist and team to learn together / Digital radiography system takes clarity - ease to new level / CS Solutions: New reality in CAD/CAM restorations / Barrier protection is critical in dental professionals’ gloves / Industry: Doing well by doing good / Industry / Adjunctive devices ser ve critical role in compr ehensive oral c ancer e xams / Tra i n ing i nst it utes usi ng Piezosurger y by Metron for osseous sur ger y courses / To ensure you can keep working - use pain-free seating / SciCan’s air-driven - high-speed handpiece collects accolades / The Canary System one of ‘top products’ for 2013 / Implant Tribune

Open PDF View E-paper Edit Epaper Edit Epaper ads save

Table of contents

Pa
cif
ic
DE
NT
AL
CO
NF
ER
EN
CE

DENTAL TRIBUNE
The World’s Dental Newspaper · Canada Edition

January/FEBRUARY 2014 — Vol. 8 No. 1

Early CHILDHOOD Caries No. 1 reason
for kids’ day surgery

www.dental-tribune.com

Implant Tribune

Doing well by doing good

Recent study shows ‘bottle
mouth’ is driving Canadian
preschoolers into day
surgery more than any
other cause.

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 A16–A17

If it’s Vancouver,
it’s Pacific Dental
Conference time

novel post/crown
Create an esthetic,
predictable moderate-term
provisional to preserve site
for future implant.
” page B1

Pacific Dental
Conference
March 6–8

• Natural dentition: Risk of
extinction?

Practice matterS	A4
• Today’s successful practice has a
chief operations officer: Do you?

T

Publications Mail Agreement No. 42225022

Event includes University of British
Columbia Speakers Series
With the University of British Columbia Faculty
of Dentistry celebrating its 50th anniversary,
the PDC will present the “UBC Speakers Series,”
with UBC alumni addressing a variety of topics.
The Live Dentistry Stage is back in the exhibit
hall, with demonstrations on Thursday and Friday. On Saturday, the “So You Think You Can
Speak?” program features 50-minute presentations by speakers who responded to a call for
presentations and were accepted by the meeting’s scientific committee. A number of timely
dentistry topics will be covered.

Dental Technicians Association of BC
Also combined with the Pacific Dental Conference this year is the 32nd annual meeting of the
Dental Technicians Association of British Col” See VANCOUVER, page A4

• Caries accounts for one-third of day
surgeries for preschoolers
• 50 countries to celebrate World Oral
Health Day

FROM THE EDITOR IN CHIEF	A3

British Columbia backdrop to major dental meeting
he latest count on the number of speakers presenting sessions at the Pacific
Dental Conference is 148. That’s quite a bit of choice, especially considering
the fact that because of the conference’s continued commitment to its onefee registration strategy, attendees have the option of attending any of the
sessions they want — with no preselection required for open sessions.
Just be sure to arrive early enough for your sessions of choice to ensure you get
a seat. The speaker roster represents some of the top names in the industry, so all
of the sessions tend to attract strong turnouts.
Among the 2014 speakers: John Granham, Hardy Limeback, Tieraona Low Dog,
Jo-Anne Jones, Anne Guignon, Howard Glazer, John Kois, Kristy Menage Bernie,
Ray Padilla, Edwin T. Parks, Gail Williamson, John Cranham, Sergio Kuttler, Greg
Psaltis, Ross Nash, Derek Mahony, Rob Roda, Louis Malcmacher, Bart Johnson,
Jesse Miller, Rhonda Savage and Nancy Andrews.
The sessions comprise a wide selection of
open C.E. lectures, hands-on courses — and the
“Live Dentistry Stage.”
The 2014 Pacific Dental Conference runs from
March 6–8 (Thursday, Friday and Saturday) in
Vancouver, British Columbia, at the Vancouver
Convention Centre, West Building.
The variety of topics covered means the entire
dental team can access the latest information
on dental technology, techniques and materials.

NEWS	A2

meetings/education	 a6–a9
• PDC: Two days of live dentistry
• JDIQ, Toronto Winter Clinic and
Greater New York Dental Meeting
•LVI Core I three-day course

Industry

The 137-metre-long and 70-metre-high
Capilano Suspension Bridge — and
surrounding coastal rainforest park
featuring smaller suspension bridges linking
old-growth trees — is a seabus and city bus
ride away from the Vancouver Convention
Centre, host site of the Pacific Dental
Conference. Photo/Dental Tribune file photo

” See page A6

a10–a25

• Digital radiography at new level
• New reality in CAD/CAM
• Barrier protection critical in gloves
• Dentists doing well by doing good
• ‘Most powerful’ air-drive handpiece
• Bulletproof root canal system
• Adjunctive devices critical to oral
cancer screening
• Piezosurgery Touch used by many
institutes teaching bone surgery
• Protect your career with pain-free,
ergonomic seating
• Air-driven handpiece is top product
Ad

[2] =>

NEWS

Dental Tribune Canada Edition | January/February 2014

Caries accounts for one-third of
day surgeries for preschoolers
Although most Canadian children are
treated for caries in community-based
dental offices or clinics, a significant
number of young children who do not
benefit from prevention strategies develop serious dental diseases such as
early childhood caries. According to a
new report, this condition accounts for
about one-third of all day surgeries for
preschoolers.
Overall, an estimated 19,000 day operations are performed to treat cavities
caused by dental caries among children
younger than 6 each year.
According to the report, surgery for
ECC accounted for 31 percent of all day
surgeries for children aged 1–5 during the
two-year period 2010/2011 to 2011/2012,
rendering ECC the most common reason
for day surgeries among young children.
More than 99 percent of the children
in the study needed anesthesia owing to
the severity of the condition and spent
an average of 82 minutes in the operating room.
However, the investigators cautioned
that this report represents only the tip
of the iceberg because only day procedures at hospitals were included. Children
who had undergone surgery in dentists’

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
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

One of the risk factors for early childhood caries, also known as baby bottle tooth decay, is
frequent and prolonged exposure of a baby’s teeth to high sugar content liquids such as fruit
juice, milk or formula. Photo/Razief Adlie, www.sxc.hu

offices or community clinics were not
included. The researchers also found that
rates of ECC day surgeries were almost
nine times higher among children who
lived in a neighborhood with a high proportion of Aboriginal residents. In addition, rates were more than three times as
high for kids from rural neighborhoods
as from urban neighborhoods.
The hospital costs totaled $21.2 million
each year, but the report highlighted
that these day operations may have cost

more, as the costs of care providers, such
as dentists and anesthesiologists, and
travel were not included.
The full report, titled “Treatment of
Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Anesthesia,” can be downloaded
from the Canadian Institute for Health
Information’s website.
(Source: Canadian Institute
for Health Information)

Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka
a.kataoka@dental-tribune.com
Accounting Assistant
Nirmala Singh n.singh@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com

Tribune America, LLC
Phone (212) 244-7181
Fax (212) 244-7185

Published by Tribune America
© 2014 Tribune America LLC
All rights reserved.

50 countries to
celebrate World
Oral Health Day

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.

World Oral Health Day 2014 — March 20
— will focus on the importance of healthy
mouths and teeth in everyday activities.
The day celebrates the benefits of a healthy
mouth and promotes worldwide awareness
of the issues around oral health.
With 90 percent of the world’s population projected to suffer from oral diseases
at some point, global interest in World Oral
Health Day is growing rapidly — with more
than 5o countries to date planning to organize activities.
FDI helps its member states lobby their
governments to support prevention, detection and treatment programmes.
Among the highlights from 2013 were a
“Free Oral Health Camp” in Pakistan, which
provided a free dental checkup to more
than 2,600 patients; citizens in Nigeria
achieving a new world record with 300,000
children simultaneously brushing their
teeth; and the opening of the NASDAQ by
FDI representatives and members of the
American Dental Association.
Activities planned this year include: in
Asia, a world-record attempt for the number of people brushing their teeth at the
same time; in the Baltic region, a competition for children to interpret the campaign
slogan “celebrating healthy smiles”in an art
competition; in India, a planned national
educational tour visiting schools across the
country; and, in Ukraine, the building of a

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

” See WORLD, page A3

The World’s Dental Newspaper · Canada Edition

Group Editor
Kristine Colker k.colker@dental-tribune.com

DENTAL TRIBUNE

Editorial Board

Tell us what you think!
Do you have general comments or
criticism you would like to share? Is
there a particular topic you would like
to see articles about in Dental Tribune?
Let us know by e-mailing feedback@
dental-tribune.com. We look forward to
hearing from you! If you would like to
make any change to your subscription
(name, address or to opt out) please
send us an e-mail at database@dentaltribune.com and be sure to include
which publication you are referring
to. Also, please note that subscription
changes can take up to six weeks to
process.

[3] =>

Dental Tribune Canada Edition | January/February 2014

FROM THE EDITOR IN CHIEF

Natural dentition: Risk of extinction?
Are we doing enough to teach dentists how to diagnose and prognose the ailing dentition?
By Sebastian Saba DDS, Cert. Pros.,
FADI, FICD, Editor in Chief

uring the past few years,
there appears to be an increase in continuing education. Many of the courses
are about implant dentistry. The conventional courses that form the basis
of learning the skills of saving teeth
have been fewer in number. Everybody
wants to learn how to surgically place
a dental implant. It appears that some
apparent “need” of patients has driven
clinicians to subscribe to these weekend courses in surgery so they can respond to these patient “needs.” Patients
see their dentist regularly to save their
teeth, not to have their teeth sacrificed
for implant dentistry. Are we sending
the wrong message here?

Better for the patient?
Once the courses are finished, most
clinicians receive the golden label of
approval, a dental certificate of completion that they can hang on their
dental mantel at the office. On Monday morning, they become changed
and charged individuals. They have
been pre-programmed to now look
at patients as potential implant patients. Their approach to dentistry has
changed overnight. In the past, they
spent four to five years in dental school
learning most of the skills to save teeth.
These skills involve different forms of
dentistry, not limited to periodontics,
operative dentistry or endodontics.
They spent countless hours learning
about how to negotiate root surfaces in
debridement, root canal curvatures in
endodontics and multiple techniques
in operative dentistry to save teeth.
But overnight, all that has changed.
Why spend so much time saving teeth,
when you can remove them and place a
dental implant at half the time? Is this
really better for the patient?
Why burden the patient with multiple periodontal procedures to save

“ WORLD, page A2
giant photo montage of healthy smiles.
WOHD 2014 campaign posters are now
available to all national dental associations
and other specialized groups for use in
their local communities. And slots in radio
shows are being booked and newspaper
articles are being written to promote the
upcoming activities and spread awareness.
Dental students around the world, organized under the umbrella of the International Association of Dental Students, also are
participating, going into schools and other
community centers to inform and help improve oral health. Based on respone to date,
the number of Dental Student Associations
participating in 2014 will likely double the
amount seen in 2013.
(Source: World Oral Health Day)

teeth when the alternative is here? This
approach seems to be contagious in the
thinking of clinicians today. Many are
concerned that dentists are not promoting the right approach to saving the integrity of the natural dentition. This attitude is so contagious that even some
endodontists are learning to place dental implants. Is this not a clear conflict
of interest? What is their motivation?
Are we doing enough to teach dentists how to diagnose and prognose
the ailing dentition? When does the
ailing dentition become a failing dentition? When is it appropriate to choose

implant
dentistry
over conventional,
time-proven
and
predictable conventional dentistry? The
removal of key aspects of dental training creates dentists
who are not confident to diagnose or
render the necessary procedures to save
teeth adequately. Their clinical skills in
recognizing and managing ailing dentitions are limited. Their ability to recognize when and where dental implants
may be used can be influencing their

Sebastian Saba, DDS, Cert. Pros., FADI, FICD, is a
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.

ability or motivation to save teeth. Are
we not creating a conflict of interest for
our patients? The true “need” should be
to go back to basics and learn how to
save teeth first, so patients are able to
keep the most natural dental implant
of them all.
Ad

[4] =>

PRACTICE MATTERS

Dental Tribune Canada Edition | January/February 2014

Today’s successful practice has a
chief operations officer. Do you?
Running a dental practice isn’t hard, the challenge is running a successful one
By Roxanne Moulden
Founder and Executive Director,
DOMACAN

In today’s world, dentists have to be
savvy businesspeople as well as excellent clinicians. Organizing a successful
dental practice has become more time
consuming and definitely more complex
as each year passes.
The list seems endless: ever-changing
human resource issues, complex government/provincial/dental regulations, the
need to train new team members, promoting the practice in a highly competitive marketplace, meeting patient needs
and expectations, mastering new technology — all while keeping the schedule
full. This is just a sampling of what a 21st
century office manager (or, as the position is now called, “practice administrator”) deals with on a weekly basis.
Why the name change from “office
manager” to “practice administrator”?
It’s because most people do not like to
be “managed,” which is something we
learned a long time ago.
The question is: Should you have an
“office manager” or hire a “chief operations officer”? By definition, a COO is
responsible for the corporation’s operations. This individual looks after issues
related to marketing, sales, production
and personnel. More hands-on than the
CEO, the COO looks after day-to-day activities while providing feedback to the
CEO (the dentist/owner). Doesn’t this
sound like what every modern dental office needs today?

‘I just want to do dentistry’
I hear over and over again from dentists
across the country: “I just want to do
dentistry and let someone else handle
the rest.” Easier said than done!
A dentist in the 21st century office is
working harder than ever before trying
to balance office hours and family life.
He or she is often working evening hours
and Saturdays, bringing charts home to
treatment plan — and staying on call
24/7 for emergencies — to provide exceptional care to patients and remain
competitive.
A COO may be just what your office
needs to relieve you of the many tasks

“ VANCOUVER, page A1
umbia. The bulk of sessions oriented
specifically toward dental technicians
will be concentrated on Saturday,
March 8. There also will be a DTABC
exhibit hall on that day, from 9 a.m. to
3 p.m., with more than 20 exhibitors
participating.

that could be delegated to someone else.
Most effective practice administrators or COOs are not born that way. You
may have a very skilled team member with many years of experience,
but that person most likely doesn’t
possess the necessary leadership
skills and abilities to be your COO.

There is a new organization to help you train
and continually guide your future COO: The
Dental Office Managers and Administrators
of Canada (DOMACAN), created to bridge
the gap between the clinical and
business sides of dentistry.

What makes a good COO?
Let’s examine the qualities of a
good COO. An effective COO must:
• Possess an attitude of gratitude.
• Have a high dental IQ and be
emotionally intelligent.
• Demonstrate strong communication skills.
• Excel at motivating and leading
others.
• Lead by example so others will
follow.
• Take initiative and think “outside
of the box.”
• Think quickly and solve problems.
• Understand all software reports.
• Be the most positive person you
know.
• Be the liaison between the office and
accountant, bank, sales reps, marketing
companies, etc.
• Share your practice vision.
In a nutshell: Your COO must be everything you are not!
If you already have this person on your
team, remember to thank them daily.
If you need someone like this to join
your team, where do you start to look?
Whether you promote someone from
within your office or hire someone from
outside, the key to success is in the training of this individual.
Did you know there is a new organization to help you train and continually
guide your future COO?
This organization is the Dental Office
Managers and Administrators of Canada (DOMACAN), which was created to
bridge the gap between the clinical and
business sides of dentistry.
DOMACAN is the official Canadian
education and networking association
created for all dental professionals: office
managers, administrators, treatment coordinators, patient coordinators, hygienists, assistants, spouses and dentists.
The organization’s goal is to be the

The Pacific Dental Conference typically attracts around 12,000 attendees, seeing consistent growth in recent years — and reaching a new record
of 12,200 participants in attendance at
the 2013 meeting.
For the majority of attendees, C.E.
credit is given for general attendance
(maximum of five hours) and hour-

Photo/Provided by DOMACAN

‘DOMACAN is the official Canadian education
and networking association created for all dental
professionals: office managers, administrators,
treatment coordinators, patient coordinators,
hygienists, assistants, spouses and dentists.’
trusted daily, weekly and monthly news
and information resource with tools,
tips and inspiration for dental practice success and profitability. Each year
DOMACAN strives to bring the best and
most relevant speakers to our annual
conference and provide members with
networking opportunities year-round
through forums, articles, webinars and
“Ask-the-Expert” resources.

complimentary membership courtesy of
Henry Schein.
If you want to take your practice to
the next level, you first need to understand that you need to take your team
to the next level. To take a first step, join
DOMACAN and start training the right
person to be your COO to maximize the
potential in your team and your office
today.

For entire dental team

About the author

DOMACAN has something for everyone
on the dental team.
I invite you to become a member today by visiting www.domacan.org. For a
limited time, you will be able to enjoy a

for-hour credit for individually attended courses. It is the responsibility
of each individual to submit his or her
own C.E. to the applicable provincial
authority. Be sure you are scanned in
and out of every session.

Two-day exhibit hall
The exhibit hall promises to be busy,

Roxanne Moulden is the founder and executive
director of DOMACAN, the Dental Office Managers
and Administrators of Canada. She can be contacted at info@domacan.org or through the
DOMACAN website, www.domacan.org.

with more than 300 companies projected to fill approximately 600
booths. Exhibition hours are 8:30 a.m.
to 5:30 p.m. on Thursday and Friday,
March 6 and 7.
Special hotel rates are available to
attendees, with early booking recom” See VANCOUVER, page A6

[5] =>

[6] =>

MEETINGS

Dental Tribune Canada Edition | January/February 2014

PDC features two days of live dentistry
The Live Dentistry Stage returns to the
Pacific Dental Conference exhibit hall
with procedures on Thursday and Friday,
March 6 and 7. Each sesion is eligible for
C.E. credits. Here is the schedule (subject
to change).

Thursday, March 6
11 a.m.–12:30 p.m., Glenn van As, DMD, BSc,
with “Laser Dentistry: Removing Porcelain
Veneers, Crown Lengthening, Tissue Management,” co-sponsored by BIOLASE.
1–2 p.m., Shannon Pace Brinker, CDA,
CDD, with “Complete Records Visit.”
2:30–4 p.m., Peter Walford, DDS, FCARDP,
with “Restoring Incisal Attrition with
Composite Resins,” co-sponsored by 3M
ESPE Dental Products.

Dr. Mark Kwon
performs
‘Implant with
Sinus Surgery’
as Dr. Bernard
Jin (standing at
left and inset
on the giant
video screen)
provides
commentary on
the Live
Dentistry Stage
at the 2013
Pacific Dental
Conference.

Friday, March 7
8:30–10:30 a.m., Mark Kwon, DMD, FICOI,
and Mark Lin, BSc, DDS, MSc (Prosthodontics), FRCD (C) with “Teeth in a Day: Implant Dentistry,” co-sponsored by Hiossen
Implant Canada Inc.
11:30 a.m.–1:30 p.m., Elliot Mechanic, BSc,
DDS, with “Anterior Tooth Wear – Restoration,” co-sponsored by Canadian Academy
for Esthetic Dentistry.
2:30–4 p.m., Alex Touchstone, DDS,
with “CAD/CAM,” co-sponsored by Henry
Schein.
The Live Dentistry Stage is sponsored by
A-dec and Sinclair Dental.

Photo/Dental
Tribune file photo

(Source: Pacific Dental Conference)

“ VANCOUVER, page A4
mended to ensure availability. Reservations can be made directly with conference hotels via the links on www.
pdconf.com.
Among the social events at the conference is “Life is Too Short to Drink
Bad Wine, Australia Versus New Zealand.” Scheduled from 6–7:30 p.m.
on Thursday, the wine tasting event
features a selection of wines from
New Zealand and Australia. You get to
decide which country deserves bragging rights for the best expression of
a variety of families of wine. Information will be provided about each of the
wines, and David Lancelot, known as
“The Wine Whisperer,” will be available
to answer wine-related questions. Tickets cost $40.
The “Saturday Morning Breakfast
Session” will feature stand-up comic
Meg Soper, who has a background in
health care. She helps health-care professionals improve their ability to find
humour in situations to reduce stress.
The continental breakfast and Soper’s
presentation is from 8:30 to 9 a.m.
Tickets are $15.
The “14th Annual Toothfairy Gala
and British Columbia Dental Association Awards” is Saturday, March 8, in
the signature ballroom of the Vancouver Convention Centre, overlooking
Vancouver Harbour. The evening’s activities begin at 6 p.m. and include a
champagne reception, silent auction,
four-course dinner and the awards
presentations. A “Cake Auction” will
feature designer cakes being auctioned
off in the presence of the toothfairy.
Dress is black tie (or 1960s chic) optional. All proceeds from the event benefit
the University of British Columbia
Faculty of Dentistry Community Outreach Programs.

On-site registration
Online registration closes at midnight,
Friday, Feb. 21. On-site registration will
be open on Tuesday, March 4, 2–6 p.m.;
Wednesday, March 5, 7 a.m. to 7 p.m.;
Thursday, March 6, 7:30 a.m. to 6 p.m.;
Friday, March 7, 7:30 a.m. to 6 p.m.; and
Saturday, March 8, 7:30 a.m. to 4 p.m.
(Source: Pacific Dental Conference)

[7] =>

[8] =>

MEETINGS

Dental Tribune Canada Edition | January/February 2014

JDIQ in Montreal, May 23–27
The 44th edition of the Journées dentaires internationales du Québec will take
place from May 23–27 at the Palais des congrès de Montréal.

Hosting the Association of
Prosthodontists of Canada
One of the biggest changes with the 2014
edition of the meeting is that the JDIQ will
host the Association of Prosthodontists
of Canada. Among the benefits expected
from this joint venture, which also involves
the Association of Prosthodontists of Quebec, will be a larger number of top speakers

in implant and restorative dentistry — and
a presence at the meeting of a larger number of prosthodontists from across Canada.
The annual meeting of the Ordre des
dentistes du Québec continues to be one
of the highest-attended dental meetings in
North America. In 2014, meeting organizers expect to host more than 12,000 delegates from around the world.

More than 100 lectures and
workshops in English and French
The meeting will feature a scientific program with more than 100 lectures and

workshops presented in English and
French. The JDIQ meeting is described by
organizers as being Canada’s most highly
attended bilingual convention.
More than 225 exhibitors will occupy
approximately 500 booths in the exhibit
hall, making it one of the largest in Canada.
The exhibition will be open Monday and
Tuesday, May 26 and 27, and it will feature a
continental breakfast on both days for the
early risers as well as a wine and cheese reception to close out both afternoons.
Featured 2014 speakers already in the
lineup include Drs. Dale Miles, Robert Lan-

glais, Steven Olmos, Stephen Niemczyk,
Manor Hass, Jonathan Bregman, Michael
Di Tolla, Gerry Kugel, Karl Koerner, Joe
Blaes, Jason Smithson, Brian Novy, Ken
Hargreaves, Thomas Dudney, Robert Gutneck, Tieraona Low-Dog and James Mah, to
name just a few.
For more information about the meeting, you can call (800) 361-4887, visit online
at www.odq.qc.ca — or you can send an
email to congres@odq.qc.ca.
(Source: Ordre des dentistes
du Québec)

Toronto Academy of Dentistry Winter
Clinic packs big meeting into one day
There is a new host venue
for the Toronto Academy of
Dentistry Winter Clinic: The
single-day Friday, Nov. 14,
meeting will be held at the
Toronto Sheraton Centre in
the heart of downtown
Toronto. Photo/Provided by

The 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,
world-class dining and major Toronto
museums are steps away.

Starwood Hotels & Resorts
Worldwide Inc.

Many major Toronto attractions
close to venue
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.
The Winter Clinic is the largest oneday dental convention in North Amer-

ica, 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:
an examination of the way digital technology is transforming the workflow
in the dental office; demonstrations

of cutting-edge tools and equipment;
specialized techniques for prosthetic
tooth repositioning; the use of lasers
in periodontal therapy; a discussion of
current views on the use of X-rays as
a diagnostic tool; advice on the latest
legal requirements for health and safety in the dental office; and how to meet
the demands of your modern dental

practice through healthy habits and
humour.
You can bring the whole team to
share the knowledge. The single-day
event features 24 separate programs
in contemporary dentistry, offering
something for all.
(Source: Toronto Academy of Dentistry)

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, Col-

LABoration 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
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 Den-

tal Society and Second District Dental
Societies, will remain free of any registration fee.

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)

[9] =>

Dental Tribune Canada Edition | January/February 2014

EDUCATION

LVI Core I three-day course enables
dentist and team to learn together
By Mark Duncan, DDS, FAGD, LVIF,
DICOI, FICCMO
Clinical Director, LVI

As a patient, I expect the best care I
can find. As a doctor, I want to deliver
the best care possible. That takes us
to the power of continuing education,
and as doctors we are faced with many
choices in continuing education.
As a way to introduce you to the Las
Vegas Institute for Advanced Dental
Studies, or LVI, I want to outline what
LVI is about and what void it fills in
your practice. The alumni who have
completed programs at LVI were given
an independent survey, and unlike the
typical surveys, 99.7 percent said they
love practicing dentistry, and of those
surveyed, 92 percent said they enjoy
their profession more since they started their training at LVI. That alone is
reason enough to go to LVI and find
out more.
While the programs at LVI cover the
breadth of dentistry, the most powerful and life-changing program is generally reported as Core I, “Advanced
Functional Dentistry: The Power of
Physiologic-Based Occlusion.”
This program is a three-day course
that is designed for doctors and their
teams to learn together about the
power of getting their patients’ physiology on their side. In this program,
doctors can learn how to start the process of taking control of their practice
and start to enjoy the full benefits of
owning their practice and providing
high-quality dentistry.
Whether he or she works in a solo
practice or in a group setting, every
doctor can start the process of creating comprehensive care experiences
for his or her patients.
We will discuss why some cases that
doctors are asked by their patients
to do are actually dangerous cases to
restore cosmetically. We will discover
the developmental science behind
how unattractive smiles evolve and
what cases may need the help of auxiliary health care professionals to get
the patient feeling better.
The impact of musculoskeletal signs
and symptoms will be explored and
how the supporting soft tissue is the
most important diagnostic tool you
have — not simply the gingiva, but the
entire soft-tissue support of the structures not just in the mouth but also in
the rest of the body.

Comprehensive care
A successful restorative practice
doesn’t need to be built on insurance
reimbursement schedules.
An independent business should
stand not on the whims and distractions of a fee schedule but rather on
the ideal benefits of comprehensive
care balanced by the patients’ needs
and desires.

Dentistry is a challenging and thankless business, but it doesn’t have to be.
Through complete and comprehensive
diagnosis, there is an amazing world
of thank-yous and hugs and tears that
our patients bring to us, but only when
we can change their lives. The Core I
program at LVI is the first step on that
journey.
That’s why when you call, we will answer the phone, “LVI, where lives are
changing daily!”

Las Vegas
Institute for
Advanced Dental
Studies offers
Core I, a threeday course for
doctors and their
teams. Photo/
Provided by Las
Vegas Institute for
Advanced Dental
Studies

[10] =>

INDUSTRY

A10

Dental Tribune Canada Edition | January/February 2014

Digital radiography system
takes clarity, ease to new level
Dentist ‘blown away’ by Schick 33 intraoral digital sensor and image management system
By Dr. Neal Patel

PDC
BOOTH
NO. 419

I have a passion
for technology, because it bridges the gap
of communication between clinician
and patient. This year, I decided to give
myself something that would make my
experience as a dentist more enjoyable
— appropriately, on my 33rd birthday. I
write this article to express my enthusiasm for that “gift” to myself, a product
that has honestly blown me away: the
Schick 33 intraoral digital sensor.
I thought 2-D imaging had plateaued.
Schick 33 by Sirona has completely
changed my opinion; it’s a huge step
forward in providing
clarity and significant
improvement in diagnostic imaging. The
images provided by
Schick 33 are unlike
any 2-D images that I
have seen.
As a general dentist,
it is my responsibility
to be the best diagnostician for every patient. Schick 33 opens
the door for comprehensive dental care. It
improves diagnostic
acumen for general
dentistry, endodontics, periodontics, and
restorative dentistry.

Sirona Dental’s Schick 33, a new, high-resolution
intraoral digital sensor and image management system,
is available exclusively through Patterson Dental.
Photos/Provided by Patterson Dental

Quality images
As a beta tester for
Sirona, I realize the
complexity in design
and engineering that
is overcome in product
development.
Sirona spared no expense with R&D on
the Schick 33, and it
continues to make
giant leaps in technology — the theoretical resolution limit
of 33 line pairs per millimeter, updated
imaging software with expanded capabilities for enhancement and customization — and the fact that it meshes
seamlessly with existing Schick Elite
platforms.

Ease of use
I particularly like — and so does my staff
— the replaceable cable, which lets us
quickly and easily change cables with a
simple one-step procedure.
I also like Schick 33’s presets. Sirona calls
it clinical-task-specific mapping. I can
click on a preset and images automatically default to the setting I need — general dentistry, endodontics, periodontics
or restorative dentistry. Immediately

The Schick 33 system includes three sensor sizes (0, 1 and 2) and three cable lengths (3, 6 and 9 feet), enabling quick,
easy change with a simple one-step procedure to address patients or cases that have special positioning needs.

after the image is captured, I can instantly adjust
the
image’s
sharpness by
moving
my
cursor left or
right over the graphical slider.

Versatility
We use all three sensor sizes (0, 1 and 2)
in my practice. If we have a patient with
special positioning needs, we also can
take advantage of the different cable
lengths (3, 6 and 9 feet) and switch them
out quickly.
Schick 33 has opened my eyes to newfound pathology and restorative needs
for all of my patients. My experience
has been enlightening, and I treat all
existing patients as new patients during
their routine exam and cleaning.
Perhaps most importantly, support
and training are essential, and both Patterson Dental and Sirona rolled out the
red carpet with support.

You owe It to yourself
If you want to be a progressive dentist,
you owe it to yourself and your patients
to look into Schick 33. In the daily grind
of wanting to grow our practices through
new patients, we often forget about our
most valued customers — our current
and active patients. I am finding that I
am more confident in my interpretation of 2-D images from Schick 33, and
this is directly affecting my
patients’ acceptance of

their treatment needs. My staff is blown
away by our ability to see consistently
crisp and detailed digital images.
(Source: Patterson Dental)

Dr. Neal Patel
is a graduate of
Ohio State
University, where
he served as the
implant prosthodontic fellow from 2006-2007. Before opening his private
practice in Powell, Ohio, Patel served as a consultant educating surgeons
in 3-D imaging, computer-generated guided implant surgery and the art
of stereolithography in dental applications. Patel is known for establishing many of the techniques and protocols for digital implantology and
prosthetics. He speaks internationally on advanced digitization in dentistry, CBCT and its applications and dental practice management. He has published numerous
clinical articles on advanced treatment techniques and procedures.

[11] =>

.

.

[12] =>

A12

INDUSTRY

Dental Tribune Canada Edition | January/February 2014

CS Solutions: New reality
in CAD/CAM restorations
Carestream Dental’s portfolio includes digital imaging systems,
imaging software and dental practice management software
CAD/CAM (computer-aided design/
computer-aided manufacturing) restorations are gaining popularity in the dental
industry — and for good reason. When
performing traditional restorations,
a dental practitioner must
take an impression of the
patient’s teeth, send it
off to a lab and wait for
the materials to come
back before placing
tion.
This
the permanent
permanentrestorarestoration. This
procedprocedure
is nottedious
only tedious
for patients,
ure
is not only
for patients,
but it
but italso
canlead
alsoto
lead
to a of
lossrevenue
of revenue
for
can
a loss
for the
the practice
if the
patient
never
returns
for
practice
if the
patient
never
returns
for the
the follow-up
appointment.
follow-up
appointment.
After soliciting input from doctors
across the globe, Carestream Dental decided to enter the CAD/CAM restoration
market with CS Solutions. Taking a simple
approach to one-appointment crowns, the
company built each product in the portfolio with the user in mind. The end result
is a line of intuitive solutions that makes
the restoration process easier and more
convenient for dental professionals and
patients alike.
“Our No. 1 goal was to ensure that our
products will ultimately fit your needs,”
said Ed Shellard, DMD, chief marketing officer and director of business development
for Carestream Dental. “From sending data
sets generated by our CBCT units to the
in-office milling machine to asking dentists to use the intraoral scanner to send
information to the lab, practicing dentists
have helped us test every possible configuration to ensure we developed a solution
that is conducive to the way you practice.”

CS Solutions product portfolio
Unlike many other CAD/CAM systems,
CS Solutions is a completely open, STL(stereolithography) based system. This
means that dentists can choose to scan,
design and mill the restoration entirely
in house or electronically send the data to
the lab for design and milling. With such
an open system, the choice is truly up to
the doctor.
The following products are part of the CS
Solutions product portfolio:
CBCT Impression Scanning Systems:
Using either the CS 9300 or CS 9000 3D,
dentists can scan conventional impressions to create accurate 3-D models. This
innovative technique digitizes impressions so crowns can be quickly scanned
and milled. In addition, the application offers practices a smooth transition to digital with a familiar impression workflow, so
current CBCT owners receive added value
to their existing units.
CS 3500: With the CS 3500 intraoral scan-

PDC
BOOTH
NO. 928

Scan, design, mill, and if you have a
question, you need only one phone
number. By building all of its imaging
products and designing software in-house,
Carestream Dental ensures its systems
work seamlessly together. Above left is the
CS 3500 intraoral scanner. Left is the The CS
3000 milling machine. Below is an example
scan. Photos/Provided by Carestream Dental

ner, dental practitioners can easily acquire
true-color, 2-D and 3-D images to design
crowns, inlays and onlays within their
practice. Requiring no external heater,
powder or trolley system, the CS 3500 features high-angulation scanning of up to 45
degrees and a depth of 16 mm. Additionally, the scanner includes a light guidance
system that provides feedback on image
acquisition so practitioners can focus more
on their patient — and less on the monitor.
CS Restore: Designed with users in mind,
CS Restore software radically simplifies
and automates the restoration design process, enabling dental practitioners to create
natural and functional single-tooth restorations in fewer steps and with fewer clicks.
This software uses a sophisticated algorithm to automatically define and trace
the preparation margin on the model and
ensure custom-fit and highly functional
restorations that look and feel like natural
teeth.
CS 3000: The CS 3000 milling machine
gives practitioners the ability to mill and
place a crown in one appointment. With a
milling accuracy of +/- 25 µm, the system

produces high-quality, anatomically
accurate shapes without undercuts.
In addition, the CS 3000’s compact
design and vibration-free milling allows practitioners to use the machine anywhere in the practice, even chairside.

One-appointment restorations
Dentists who have already incorporated
CS Solutions into their practice report a
number of benefits in terms of patient care
and time savings. Because the entire restoration can be performed in one appointment, patients no longer have to come in
for multiple appointments — improving
the practice’s case acceptance rate as well
as patient satisfaction.
CS Solutions also allows doctors greater
control over the entire restorative process.
And, because computer-aided design provides immediate feedback on preparation,
the results are always consistent.
One final reason to consider performing
restorations in house is to take advantage
of the many financial benefits that the
service provides. Dentists not only reduce
their lab bill by milling crowns onsite, but

they also eliminate the need for costly impressions and/or temporary crowns. Doctors who advertise one-appointment procedures can also stand apart from other
practice in their local area.

About Carestream Dental
Carestream Dental provides oral health
professionals with industry-leading imaging, CAD/CAM, software and practice
management solutions. Backed by more
than 100 years of experience, Carestream
Dental products are used by seven out of
10 practitioners globally to deliver more
precise diagnoses, improve workflows and
provide superior patient care, according to
the company.
To learn more about CS Solutions or
Carestream Dental’s portfolio of imaging
products and software, call (800) 933-8031,
or visit www.carestreamdental.com.
(Source: Carestream Dental)

[13] =>

.

.

[14] =>

A14

INDUSTRY

Dental Tribune Canada Edition | January/February 2014

Barrier protection is critical
in dental professionals’ gloves
Main purpose is enhanced safety of both patients and users
While caring for their patients, dental and health care professionals are
constantly exposed to bodily fluids
that may carry viruses and other infectious agents.
It is therefore critical that the gloves
these professionals use provide the

best possible barrier protection.
Many types of gloves are available
today, but it is important to know that
not all gloves have the same barrier
capability, depending on the type of
material used. For example, natural
rubber latex gloves have long been

acknowledged for their very effective
barrier properties, while non-latex
gloves, such as vinyl (polyvinyl chloride), have inferior barrier capability as
shown by numerous studies.
Other synthetic gloves, such as nitrile and polyisoprene, perform much

14, 2014

better than vinyl but are more costly,
especially polyisoprene gloves. Using
gloves with inferior barrier capability could expose both the patient and
user to harmful infections.

Quality, safety top priorities
Malaysia is the world’s largest medical gloves exporter (latex and nitrile).
Both quality and users’ safety are of
top priority to the nation’s glove industry. To this end, a quality certification program (the Standard Malaysian
Gloves, or the SMG) has currently been
formulated for latex examination
gloves.
All SMG-certified gloves must comply with stringent technical specifications to ensure the gloves are high in
barrier effectiveness, low in protein
and low in allergy risks, in addition to
having excellent comfort, fit and durability — qualities that manufacturers
of many synthetic gloves are trying to
replicate.

Natural, sustainable resource
Latex gloves are green products, derived from a natural and sustainable
resource, and are environmentally
friendly. (You can learn more online
by visiting www.smg-gloves.com or
www.latexglove.info).
The use of low-protein, powder-free
gloves has been demonstrated by
many independent hospital studies
to vastly reduce the incidence of latex
sensitization and allergic reactions in
workplaces.
More importantly, latex allergic individuals donning non-latex gloves
can now work alongside their coworkers wearing the improved low-protein
gloves without any heightened allergy
concern.
However, for latex-allergic individuals, it is still important they use
appropriate non-latex gloves, such
as quality nitrile and polyisoprene
gloves, that provide them with effective barrier protection.

Extensive array of brand, prices
Selecting the right gloves should be
an educated consideration to enhance
safety of both patients and users. For
decades, gloves made in Malaysia have
been synonymous with quality and
excellence, and they are widely available in an extensive array of brands,
features and prices.
They can be sourced either factory
direct (www.mrepc.com/trade and
click “medical devices”) or from established dental product distributors in
the United States.
(Source: Malaysian Rubber Export
Promotion Council)

[15] =>

.

.

[16] =>

INDUSTRY

A16

Dental Tribune Canada Edition | January/February 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-

Rob Austin, DDS, and staff at Moosomin Dental Centre

Children await exams and treatment at a Kindness in Action dental clinic in Guatemala at which
Moosomin Dental Centre provided five of the team’s 20 volunteers. Photo/Provided by Dr. Rob Austin

After Betsy Case read a dental assistant’s compelling article about volunteering with Kindness in Action, Case knew
her employer, Rob Austin, DDS, would
support her own interest in such work.
Austin was involved in similar outreach,
traveling a number of times to Ghana
through his church to help children.
Case, a dental assistant, showed Austin
the article in the Canadian Dental Assistants Association magazine. Austin
said he’d sign on, too, if Case organized
it for all interested staff members. A few
months later, five people from the office were in Peru providing dental care
in a remote town high in the Andes. The
trip was such a success that a year later
the practice had five staff members in
Guatemala on a 20-person Kindness in

Action team that included six dentists.
They treated more than 700 patients in
four days, with clinics at three schools
per day. “It was a pile of work,” Case said.
“They were very long days. … But you
don’t go for ‘easy.’”
This year Case and Jennifer Gray, RDH
(also on her third trip), are returning to
Peru, this time to a remote jungle area. “I
thought about taking a year off, but I just
couldn’t,” Case said. “It’s kind of addictive. Once you start doing it, you want to
keep going.” The challenge, she acknowledged, is the cost and time away from
family — especially for those with young
children or other family obligations.
The time away from work, though, is
covered. “Dr. Austin is very supportive.
He’s happy that we’re doing it,” Case said.

Marco Fazari, DDS
Marco Fazari, DDS, is heading to Ecuador in February on a Kindness in Action trip organized by Kevin Davis, DDS, an orthodontist down the road in Richmond Hill, Ontario. It will be Fazari’s
second Kindness in Action trip with Davis, after going to Guatemala in 2011 with his wife, Daniela, who is a hygienist with Fazari
at his Village Dental Centre practice in Woodbridge.
But when you ask Fazari about his charity work, South America
isn’t mentioned first. Fazari would rather talk about bicycling. He’s
a serious racer, always in training for the next “gran fondo” (rough
translation from Italian: “Big Ride”). And he’s linked his cycling to
community support by joining Team Revolution, a group of dedicated local cyclists supporting numerous Toronto-area charities.
Team Revolution is raising $1 million to help build the Humber
River Hospital, “North America’s first fully digital hospital.” Its

Dr. George Dagg works on
a patient in a remote
village in Honduras while
on a volunteer trip with the
Peterborough Medical
Brigade, which is based in
Peterborough, Ontario.
Photo/Provided
by Dr. George Dagg

next big fundraiser is in September in Italy — the Granfondo
Scott Piacenza — 140 kilometres of winding country roads and
four towering mountain passes. Participating Team Revolution
members want to raise $600,000 for the hospital to add to the
more than $400,000 ($15,000 from Fazari’s efforts) already
raised with a 2013 ride.
“If participants aren’t on their bikes now and training, they’ll
be in trouble,” Fazari said. “It’s going to be quite a challenging
ride.” How do you put in 6,000 kilometres of training before
September with Ontario’s winters? Mostly indoors, with Team
Revolution members putting in the miles at area PowerWatts
cycling training facilities.
“It’s fun,” said Fazari, of his cycling-for-charity activities. “And
you stay active.”

Dr. Marco Fazari uses a love of cycling to help raise funds
for Toronto’s newest hospital (the first to be built in years),
on track to open in 2015. Photo/Provided by Dr. Marco Fazari

George Dagg, DDS
After a friend from dental-school spoke highly of
volunteering with the Peterborough Medical Brigade,
Dr. George Dagg, who has a general practice in Ajax,
Ontario, signed up.
Six years later, Dagg is planning his fourth trip —
after one to Honduras and two to Indonesia. “It’s very
rewarding,” he said. “It’s a change from the office,
which is kind of good. There’s a bit of a selfish motive
in there, too. It gives you a little different perspective
on life and practicing dentistry. And you help people.
That is very satisfying.”
Dagg’s first trip was two weeks in Honduras in
2008 — serving eight remote villages with two dentists, four physicians and support volunteers.
A team of about 20 typically sets up at a school or
church. If indoors, floors typically are earthen and

windows are open to the elements. Dagg’s clinical
day is filled with extractions. Each specialty gets a
station: dentistry, obstetrics, optometry, deworming
and basic health and hygiene lessons. Local doctors
also participate. “We learn from each other,” Dagg
said. “We help them. They help us. We all learn. It’s
good all around.”
The hardest part is cutting off the line as dusk
nears. “We start early, take 10 minutes for lunch
and then just keep going. I’ll see 30 to 40 people in
a day,” Dagg said. “But my day is good. We’re offering
people some hope. We’re helping.”
At press time in February, Dagg was preparing
for two weeks in Uganda. He was packing oversized
hockey-gear bags with supplies and had his portable
dental chair ready to go.

[17] =>

INDUSTRY

Dental Tribune Canada Edition | January/February 2014

A17

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

Dale Schisler, DDS, and staff at Hopedale Dental Care

Dr. Dale Schisler helps a patient in the Dominican Republic as part of a dentalhealth outreach effort coordinated by the Crown Council and Smiles for Hope.

As a lifetime qualified member of the Crown
Council, a global group of approximately 1,000
dentists and their teams, Dale Schisler, DDS, is
committed to the organization’s mandate: participation in local and international projects helping
children.
Each year he and his dental team at Hopedale
Dental Center in Oakville, Ontario, raise money by
whitening teeth through the Smiles for Life Foundation program, donating all proceeds to children’s charities.
Schisler also supports the ErinoakKids Centre
for Treatment and Development, serving special
needs children and their parents in Ontario.
In 2008, Schisler and his team began making
annual trips to the Dominican Republic to treat
children and young adults. The Crown Council,
through the Smiles for Life Foundation and Smiles

for Hope, in cooperation with Esperanza International, organizes three trips every year to help
some of the Dominican Republic’s poorest families.
During a typical nine-day trip, a group of 30–45
volunteers (including six to seven dentists) serve
remote villages, hauling in their own generators,
compressors and other equipment. Local residents
are trained to help with basic dental hygiene, pain
management and other oral health needs. The program trains Dominican hygiene therapists and also
works with local dental students.
“At times the heat can be severe; however, after
treating about 100 patients each day, we all feel
tired but happy,” Schisler said. “These missions are
life-changing. We have all been filled with gratitude
and purpose. Living in North America and being
able to visit a developing country has given us all a
wonderful new perspective.”

Photo/Provided by Dr. Dale Schisler

David Miller, DDS
When David Miller, DDS, started looking for something
to do outside of his general practice in Oshawa, Ontario, “to
give back,” he had one key condition: “It was important for
me to work with a Christian group,” he said. “God gave me a
gift to work with my hands. He gave me the gift to do this.”
And like an answer to a prayer, days later a new patient
mentioned her volunteer work assisting dentists with Medical Ministry International. Miller looked it up, liked what
he saw and applied for a mission to Honduras, one of many
developing nations the organization serves across the globe.
Miller, who wears his sense of humor as openly as his
Christianity, said, “Unfortunately, their standards aren’t
too high, so I’ve never been rejected for a trip.” That adds up
to nine visits to Honduras, with his next in May. “After my

Working on a
patient in Ecuador,
Dr. Daniel Van
Berkel in
foreground on left
is assisted by his
son-in-law Matt
Guay, while in the
background his
daughter Christina
Van Berkel-Guay, a
dental hygienist,
assists another
patient. Photo/
Provided by Dr. Dan
Van Berkel

first trip, I made a promise to the people down there — and
a promise to myself. And more importantly, I promised the
Lord to keep doing this.”
A rookie with extractions, Miller learned fast, with guidance from a veteran volunteer. A typical group of 15 to 40
includes two dentists, two physicians and other health
professionals. A growing commitment to repeat visits is
enabling more restorative work to be provided, too. Clinic
sites have included schoolyards, a truck repair shop — and
even a public-square band shell.
“I’ve been blessed there,” Miller said. “It’s an absolutely
awesome experience. It’s a mess of fun — and extremely
hard work. At the end of the day, I’m beat, but feel really
good because I was able to help.”

David Miller, DDS, performs one of the countless extractions
he has done for patients on his nine trips to Honduras with
Medical Ministry International. Photo/Provided by Dr. David Miller

Dan Van Berkel, DDS, and staff
For years, Dr. Tom Greidanus, a surgeon and member
of the same church as Dan Van Berkel, DDS, had been
telling Van Berkel about the orthopaedic surgery he
provides to disadvantaged patients in Ecuador through
the charity Operation Esperanza, under the auspices of
Education, Medical Aid & Service (EMAS) Canada. Greidanus wanted Van Berkel, who has a general dentistry
practice in Edmonton, Alberta, to join him because of
the great need for dental care he was seeing.
Greidanus started annual trips to Cuenca, Ecuador, in
1997. But Van Berkel, with young children at home, was
hesitant to sign on for the 10-day trips until 10 years
ago, once his four children were older. He hasn’t missed
a trip since.
Van Berkel (now with two other dentists) treats the
adult preoperative patients, most of whom have never

seen a dentist. The dental teams also set up mobile clinics in outlying rural areas that lack access to dental care
— primarily treating children.
Van Berkel typically brings a hygienist and an assistant from his staff. The office accepts donations
throughout the year to offset costs. Van Berkel’s wife
and each of his four children also have made the trip —
including a daughter who is a hygienist with the practice. The outreach trips are so popular among the staff
the practice has a waiting list.
Many of the dental supplies are donated. “Our Henry
Schein sales representative Bev Fredsberg also has
made many personal donations,” Van Berkel said.
“We’ve really become part of the community,” he
said. “We feel very attached to it. It really has become a
project for the entire office. It’s very gratifying.”

[18] =>

INDUSTRY

A18

Dental Tribune Canada Edition | January/February 2014

NSK Dental introduces ‘dentistry’s
most powerful air-driven handpiece’
New cartridge design improves durability; smaller head sizes enhance operational visibility
Both the Ti-Max Z900L (pictured) and Z800L series feature ergonomic, solid titanium bodies and NSK’s new
Dental equipment manuDURAGRIP coating, which makes the handpieces easy to hold even when wet. The handpiece body also
facturer NSK Dental LLC has
features a notch for resting the thumb and index finger for maximum leverage.
launched what it describes
Photo/Provided by NSK Dental
as the dental industry’s most
powerful air-driven handpiece, the 26-watt, standard
head Ti-Max® Z900L series.
The company is also launching
the 23-watt, miniature-head
head handTi-Max Z800L series.
PDC
pieces that are
“This is our biggest new
BOOTH
on the market today.”
product launch ever, as the TiAccording to the company,
Max Z900L is the first air-driven
NO. 1105
both the Ti-Max Z900L and
handpiece in the history of the
handpiece body feaZ800L series feature a new
dental industry that delivers 26
tures a notch for resting the thumb and
cartridge design to dramatically
watts of power,” said Rob Gochoel, sales
in Kanuma, Japan, to ensure quality and
index finger for maximum leverage. A
improve durability — and have smaller
and marketing director for NSK Dental.
reliability.
Quattro (4 port) water spray and 2.5-year
head sizes to enhance operational visi“This unprecedented torque reduces
NSK Dental is the North American subwarranty — NSK’s longest ever — combility. They also feature cartridges that
treatment time and provides remarksidiary of Kanuma, Japan-based Nakanplete the offering. Multiple back-end
can be replaced chairside to save time
ably smooth handling because of the
ishi Inc. and is located in Hoffman Estypes are available to fit most competiand maintain practice productivity.
high power output and a unique new
tates, Ill. Additional information about
tive couplers, including Kavo and W&H.
Both series feature ergonomic, solturbine design,” Gochoel said. “Equally
the Ti-Max Z900L and Z800L series, as
As with NSK’s other air-driven and
id titanium bodies and NSK’s new
impressive, the unprecedented 23 watts
well as other NSK Dental products, can
electric handpieces, 100 percent of the
DURAGRIP® coating, which makes the
of power delivered by our new Ti-Max
be found at www.nskdental.com.
Ti-Max Z900L and Z800L series’ comhandpieces easy to hold even when wet.
Z800L miniature head series exceeds
ponents are engineered, manufactured
To further enhance ergonomics, the
the power delivered by most standard(Source: NSK)
and assembled in house at NSK’s factory

Bulletproof root canal system
PDC
BOOTH
NO. 1520

The purpose of obturating a
root canal is to fill the space threedimensionally to eliminate any gateways through which bacteria might enter.
Thanks to DiaDent, dentists can now have
a bulletproof way to seal root canals to help
ensure treatment success. Studies indicate
that using the warm compaction technique
increases the chance that no voids will be left
behind in the obturation process.
Together, the Dia-Pen cordless warm vertical compaction device and Dia-Gun cordless
backfill system enable you to obdurate with
confidence and precision. While countless
methods and techniques are available for
root canal, perhaps none is as easy and timesaving as DiaDent’s complete obturation system, according to the company.
Dia-Pen is a cordless warm vertical compaction device. It effectively and tightly compacts
and seals all canals, including lateral canals.
After a canal has been shaped and cleaned, a
master cone is selected for a snug fit and tug
back. Dia-Pen is then used to soften, spread,
cut and compact root canal filling material.
Color-coded pen tips are available in five different sizes, including XF, F, FM, M and ML.
Dia-Pen is ergonomic and one of the lightest
compaction devices on the market, weighing
only 65 grams. Its quick-heating tip reaches its
highest level of temperature of 2,20o C within
one second to save treatment time. Three
temperature settings of low, medium and
high give you full control of any procedure.

DiaDent
Dia-Pen

DiaDent Dia-Pen and Dia-Gun support treatment success
Dia-Gun is then followed. Dia-Gun is a cordless obturation system that extrudes warm
gutta-percha to backfill the yet unfilled portion of the canal. Dia-Gun comes with two
types of disposable tips (23 G or 25 G). The tips
can be bent to the desired shape and angle
using the multipurpose wrench provided.
Using the gutta-percha pellet included in the
kit, load one into the loading slot and push it
into the heat chamber with the hand plunger.
Dia-Gun has three variable temperature settings (1,60o C, 1,80o C and 2,00o C) to enable
precise control of obturation flow. Temperature reaches 200o C in just 25 seconds. The
ergonomically designed 360-degree swivel tip
provides improved access, while the thin tip
eases narrow canal filling. Another benefit is a
lid for the heat chamber that offers protection
from dirt and debris. Dia-Gun is designed to
provide reliability and precision while delivering a fast, continuous flow of canal-sealing
gutta-percha.
Both Dia-Pen and Dia-Gun are easy to clean
and easy to use, according to the company.
Ergonomically designed features reduce
hand fatigue while offering tactile feedback.
Instructional and introductory videos can be
viewed at www.diadent.com.
Purchase Dia-Gun and Dia-Pen from your
trusted dental dealers such as Henry Schein,
Patterson and Bisco Dental. For more product
information, you can call (877) 342-3368.
(Source: DiaDent)

DiaDent
Dia-Gun
Together, the
DiaDent Dia-Gun
and Dia-Pen enable
you to obdurate
with confidence
and precision.
Photos/Provided
by DiaDent

[19] =>

.

.

[20] =>

A20

INDUSTRY

Dental Tribune Canada Edition | January/February 2014

Adjunctive devices serve critical role
in comprehensive oral cancer exams
Visual and palpation exam crucial in early detection of oral mucosal diseases
By LED Dental staff

he conventional intraoral and
extraoral head and neck examination is taught in dental and
hygiene schools to screen patients for oral cancer and other oral mucosal disease. It normally consists of a
visual inspection of oral tissue, or oral
mucosa, under incandescent or halogen
light using the unassisted eye to look for
suspicious lesions, as well as extraoral
palpation of the face and neck to feel for
suspicious lumps and intraoral palpation
of the mucosa.
So why is it important? A three- to fourminute visual and palpation exam is crucial in the early detection of oral mucosal
diseases, especially oral cancer. It is quick
to perform, painless for the patient and
enhances the patient experience with the
dental practice.
According to the Oral Cancer Foundation, nearly 42,000 Americans will be
diagnosed with oral or pharyngeal cancer
this year. The percentage of oral cancer
patients who ultimately die of the disease
is higher than that of many other cancers.
The key to reducing the number of lives
lost to oral cancer is earlier detection of
the disease, and the key to earlier detection is more frequent and more thorough
intraoral and extraoral head and neck
exams. Currently, the majority of oral
cancers are detected in the later stages,
when the five-year survival rate is only
about 50 percent. What’s the good news?
When discovered early, the survival rate
leaps to around 82 percent.
Independent surveys have indicated
that the majority of patients say they
have never had an oral cancer exam. A
recent UK survey found that “92 percent
of respondents would like their dentist to
tell them if they were being screened for
signs of oral cancer and 97 percent would
like help from their dentist to reduce
their risk.”1
What can you do? Although many practices offer the conventional intraoral and
extraoral head and neck examination
as part of their normal standard of care,
often patients may not be aware that
they are receiving this examination, or
even why you insist on performing it. It is
best practice to inform patients that this
simple exam may help in the discovery
of abnormalities including precancerous
and cancerous tissue and also assist with
expediting a treatment plan to help get
them back on the road to recovery in the
event that problems occur. With that said,
public awareness of adjunctive examination devices is even more limited despite
the benefits of exams that includes the
use of adjunctive products such as the
VELscope® Vx.
Why do you need an adjunctive oral
examination device in your practice?
An adjunctive device picks up where the
conventional clinical exam leaves off be-

Above, salivary gland tumor is difficult to see with the unassisted
eye. Below, the tumor is now visible because the distinctive
blue-spectrum light of the hand-held device causes soft tissues of
the mouth to naturally fluoresce. Healthy tissues fluoresce in
distinct patterns that are visibly disrupted by trauma or disease,
such as neoplastic lesions and fungal, viral or bacterial infections .

Adding an adjunctive device such as the VELscope Vx, above, to your
normal head and neck examination protocol helps to differentiate your
practice, and attract and retain patients. The added benefit of seeing
what your unaided eyes cannot means that your exams are more
thorough and any suspicions can be quickly investigated for confirmation
of disease. Photos/Provided by Dr. Samson Ng

cause tissue fluorescence visualization
detects more than the unassisted eye
alone. Adding an adjunctive device to
your normal head and neck examination
protocol helps to differentiate your practice, and attract and retain patients. The
added benefit of seeing what your unaided eyes cannot means that your exams
are more thorough and any suspicions
can be quickly investigated for confirmation of disease.
The Journal of the American Dental
Association has published relevant research which stated that: “On the basis
of the available literature, the authors
determined that a clinical oral examination (COE) of mucosal lesions generally
is not predictive of histologic diagnosis.
The fact that OSCCs often are diagnosed
at an advanced stage of disease indicates
the need for improving the COE and for
developing adjuncts to help detect and
diagnose oral mucosal lesions.”2

Research confirms effectiveness
A recent study involved oral cancer
screenings for 85 male and female patients considered to be at risk for oral cancer. Patients were examined in two ways:
a conventional clinical examination, consisting of palpation of the face and neck
and an unassisted visual inspection of
the oral cavity; and an examination of
the oral cavity using a tissue fluorescence
visualization technology (VELscope Vx)
to help detect abnormal oral tissue.3

The combination of the conventional
and VELscope Vx exams detected 13 lesions that were biopsy-confirmed to be
either malignant or premalignant, five of
which were missed by the conventional
exam. The tissue fluorescence exam increased the number of cancerous or precancerous lesions detected by 62.5 percent.
The distinctive blue-spectrum light of
the hand-held device causes the soft tissues of the mouth to naturally fluoresce.
Healthy tissues fluoresce in distinct patterns that are visibly disrupted by trauma
or disease, such as neoplastic lesions, and
fungal, viral or bacterial infections.
Chair and Professor of Oral Medicine at
the University of Washington’s School of
Dentistry, Edmond Truelove DMD, MSD,
recently offered his comments about
the VELscope system: “I have found
VELscope to be a very useful addition to
the diagnostic methods used for the detection and management of oral dysplastic and malignant lesions. In the year that
I have used the VELscope there have been
several occasions where its use allowed
detection of malignant or dysplastic oral
lesions when clinical suspicion of the lesion was very low or nonexistent.”
According to the Oral Cancer Foundation, the high death rate associated with
oral cancer (52 percent mortality within
five years) is due to the cancer being routinely discovered late in its development
when it has already metastasized to other

parts of the body. Based on this data
alone, performing an intraoral and extraoral head and neck exam augmented by
adjunctive examination devices such as
the VELscope Vx should be a part of every
dental hygiene appointment. Adjunctive
devices help to support the current initiatives to impact the mortality rates associated with oral cancer and provide patients with increased confidence in their
dental health care providers.

References
1.

Oluwatunmise Awojobi*, Suzanne E Scott
and Tim Newton, ‘Patients’ Perceptions of
Oral Cancer Screening in Dental Practice: a
Cross-sectional Study’, (BMC Oral Health
2012),
http://www.biomedcentral.com/
1472-6831/12/55.
Joel Epstein, Pelin Guneri, Hayal Boyacioglu, Elliot Abt, Suzanne E Scott and Tim Newton, ‘The limitations of the clinical oral
examination in detecting dysplastic oral
lesions and oral squamous cell carcinoma’,
(JADA December 20012, ADA Publishing
Division, Chicago, IL), http://jada.ada.org/
content/143/12/1332.abstract.
HZ Marzouki, Vi Vu T Tuong, R Ywakim, P
Chauvin, J Hanley,KM Kost. ‘Use of Fluorescent Light in Detecting Malignant and
Premalignant Lesions in the Oral Cavity: A
Prospective, Single-Blind Study - Journal of
Otolaryngology-Head & Neck Surgery,
June 2012’, (Department of Otolaryngology-Head and Neck Surgery, McGill University, Montreal, QC, USA).

[21] =>

.

.

[22] =>

A22

INDUSTRY

Dental Tribune Canada Edition | January/February 2014

Training institutes using Piezosurgery
by Metron for osseous surgery courses
Patented technology specifically designed to be precise, powerful and safe
By Mectron Medical Technologies staff
Piezosurgery Touch is the latest generation of the original piezoelectric
technology for bone surgery developed by Mectron Medical Technologies
and Dr. Tomaso Vercellotti. To use the Touch, you just touch the application,
then touch the desired irrigation level and setting for the light. Finally, touch
the foot pedal to start your surgery. That’s it: ‘You’ve got the touch.’

Piezosurgery Inc. has recently released
the Piezosurgery® Touch™ by Mectron.
The Piezosurgery Touch is the latest
generation of the original piezoelectric
technology for bone surgery developed
by Mectron Medical Technologies and
Dr. Tomaso Vercellotti.
The patented Piezosurgery technology
was specifically designed to be precise,
powerful and safe. It is the only piezoelectric technology for bone surgery that
is supported by more than 100 published
studies. In spite of the proliferation of
low-cost imitations, the Piezosurgery
technology has no rivals in performance, safety and precision, according to
the company.
Piezosurgery Touch’s micrometric cutting action provides ultimate surgical
precision and intra-operative sensitivity, while the selective cutting action allows surgeons to cut bone tissue while
minimizing trauma to the soft tissue.
All of this is possible while operating
with high intra-operative visibility and
a blood-free surgical site. Furthermore,
research shows that Piezosurgery is not
only less invasive, but also promotes
faster tissue healing.
Because Piezosurgery by Mectron is
seen by many as being the standard
for osseous surgery, virtually every top
training institution has chosen to utilize
Piezosurgery by Mectron, according to
the company. Here is what a few of them
have to say:
“The incorporation of Piezosurgery
into both my private practice and institute over the past four years has indeed
resulted in a distinct paradigm shift with
all of my bone grafting protocols. This
exciting technology has afforded me the
ability to fine tune and finesse all bone related surgery including donor and recipient site preparation for bone grafting and
implant placement, as well as extraction
site management and implant removal.”
— Dr. Michael A. Pikos,
Pikos Implant Institute
“A friend’s daughter recently came to
me to have an impacted super numeral
tooth removed. Upon taking a panorex
radiograph, I discovered it was below
the apex of the premolar and below the
mandibular inferior alveolar canal. To my
surprise, the CT showed it was against the
lingual plate. I had to reflect the lingual
tissue and mylohyoid muscle to gain access to the site.
“Without my Piezosurgery machine
the uncovery and extraction of this bony
impaction could have been potentially
life threatening. It gave me great peace
of mind that I could work in the floor of
the mouth without risk of cutting the lingual artery or inferior alveolar nerve. The
Piezosurgery unit paid for itself 100 times

Photo/Provided by Mectron Medical Technologies

over that day. It’s also great for osteotomies when preparing bone blocks. No
longer do I have to green stick fracture a
thick cortical plate to harvest the bone.
Instead, a very predictable volume of
bone and a more atraumatic procedure
for the patient is found when using this
device.”
— Dr. Carl E. Misch,
Misch International Implant Institute

of cutting efficiency, minimal trauma to
the bone (especially in deep cutting), and
I use it every day for my bone augmentation/ridge splitting techniques!”
— Dr. Samuel Lee,
International Academy
of Dental Implantology

“The Piezosurgery unit has allowed me
to perform very precise and minimally invasive procedures for my patients and it
out-performs any of the other piezo units.
This is the standard and original with
substantial documentation and research
behind it.”
— Dr. Sascha A. Jovanovic,
gIDE Global Institute
for Dental Education

“I have been using Piezosurgery in my
OMS practice for five years. Piezosurgery
provides a new level of precision, efficiency and safety in surgical treatment.
Complicated procedures — including
sinus grafting, ridge expansion and nerve
repositioning — can be performed with
less stress and have an expanded role in
my practice. The speed of the unit is impressive, reducing operative time and patient discomfort.”
— Dr. Daniel Cullum,
Implants Northwest Live

“I have used four different brands of
piezo surgical units. Piezosurgery by Mectron offers the highest quality in terms

Piezosurgery Touch is based on the
proven Piezosurgery 3 platform — with
a number of enhancements of its own:

• Sleek new look and style befitting of
its Italian heritage.
• State-of-the-art glass touch-screen,
making buttons obsolete.
• Bright LED light that swivels to shine
perfectly on every surgery.
• Sophisticated computerized feedback system to automatically adjust to
the individual surgeon’s touch.
To use the new Piezosurgery Touch,
you simply touch the application, then
touch the desired irrigation level and
then touch your preferred setting for the
light. Touch the foot pedal to start your
surgery.
That’s it: You’ve got the touch.
The Piezosurgery Touch and the Piezosurgery 3 are available exclusively from
Piezosurgery Inc., based in Columbus,
Ohio.
To order or find out more, you can contact Piezosurgery at (614) 459-4922, (888)
877-4396 (PIEZO), or visit the company
online at www.piezosurgery.us.

[23] =>

.

.

[24] =>

A24

INDUSTRY

Dental Tribune Canada Edition | January/February 2014

To ensure you can
keep working, use
pain-free seating
Protect your income with Posiflex Free Motion Elbow supports

Quebec dentist Claude Martel, DMD, is one of many dental professionals benefiting from the
use of Free Motion Elbow Supports by Posiflex Design. Photo/Provided by Posiflex Design

The list is disturbing: fatigue; injury
problems; serious neck, upper-back and
shoulder pain; and posture so poor that
it affects general physical performance.
All are alarmingly common symptoms
experienced by practitioners across the
dental profession. The result: Forced early retirement caused by neck, shoulder

and back problems is a frequent occurrence for dental professionals.
Studies demonstrate that the two major factors that help dental professionals
keep a good posture and reduce muscle
tension are the position of the patient
chair and the use of an upper-body support mechanism, such as elbow supports.
The main cause of physical problems
(muscle tension, musculoskeletal disorders and disk herniation) is the constant
contraction of muscles, which in turn
can cause an impairment of blood flow
of up to 90 percent.
This situation leads to lactic acid buildup (lactate) in muscles to the extent
that people begin to suffer from hypercontraction. That means that even when
an individual is not working, his or her
muscles are never truly at rest.
According to the product developers
at Posiflex Design, understanding the
proper positioning of the patient chair
and using upper-body supports such as
Posiflex Free Motion Elbow Supports can
significantly diminish contraction of the
muscles and restore proper blood flow.
Furthermore, according to the company, independent research results have
confirmed that Free Motion Elbow supports help people maintain a straight
posture, which enables users to benefit
from properly designed lumbar support.
Less stress on the upper body (shoulders, neck and back), proper blood flow
and a straight posture position create
correct support of the spinal structure
and the lumbar area. According to the
company, these adjustments will also
ensure that body functions are working
properly. For the majority of dental-stool
users, keeping a straight position and
reducing muscle tension while focused
on precision tasks in dentistry is nearly
impossible without lumbar support and
upper-body support.
If your neck, shoulder and back pain
and/or fatigue are so bad that you find
it necessary to spend money and time
on temporary treatments, the people
at Posiflex Design encourage you to try
their Free Motion Elbow Supports.
All of your years of training, skill acquisition and capital investment could
end up being worth little if you can't
hold up to the physical demands of a
dental practice and retire healthy.
If you love what you are doing and
want to continue in your profession safely and comfortably, Posiflex invites you
to visit www.posiflexdesign.com to learn
more. With a product that is clinically
proven to reduce muscle tension and
prevent musculoskeletal disorders, the
company is confident it can help ensure
you’ll be able to continue enjoyng your
livelihood for many years to come.
(Source: Posiflex Design)

[25] =>

Dental Tribune Canada Edition | January/February 2014

INDUSTRY

A25

SciCan’s air-driven, high-speed
handpiece collects accolades
Withstands high sterilization temperatures and produces low friction coefficient
By SciCan Staff

PDC
BOOTH
NO. 1029

handling. The smaller
head size provides greater freedom of movement
and improved accessor four
ibility. The pre-stressed
years in
ceramic ball bearings
a row, THE
offer low vibration perDENTAL ADVISOR
formance to improve
awarded SciCan’s STATIS®
the tactile feel of the inML air-driven high-speed
strument and the high
handpiece the Top Airquality material and indriven Handpiece! Upon
novative design delivcompletion of the cliners extremely quiet perical evaluation in 2011, the
formance and increased
STATIS received a 5+ and a
lateral cutting efficiency.
96 percent clinical rating.
‘The STATIS ML is the
SciCan offers two highAmong the observations
handpiece of choice for
speed air-driven handand comments made by
crown preparation, as it
pieces to cover all clinconsultants:
produces high torque
ical situations.
“Routine procedures, inwith four-port water
The ML 201.1 with stancluding crown preparation
spray’ — THE DENTAL
dard
head provides the
were performed efficiently
ADVISOR.
power and durability
without the handpieces
Photo/Provided by SciCan
slowing or stalling.”
you need for precise restorative and crown and
“The STATIS ML is the
bridge procedures.
handpiece of choice for
The SL 101.1 offers a smaller head
crown preparation, as it produces high
torque with four-port water spray.”
size that provides improved intraoral
access, making it ideal for working on
“I liked the weight, balance and small
children and difficult-to-reach areas of
head size.”
the mouth.
“Great all-around handpieces.”
According to the company, both
—THE DENTAL ADVISOR, May 2011, Vol. 28, No. 04.
high-speed model handpieces offer
(www.dentaladvisor.com)
many features that enhance their performance and reliability. The advanced
Consistent, quiet, powerful
design offers better handling while the
high-quality stainless-steel materials
State-of-the-art, STATIS high-speed
and PVD coating offer improved grip
handpieces combine consistent power,
and less scratching. The unique patsuperb handling and quiet performented push-button chuck mechanism
ance. The result is ergonomic handprovides greater precision, improved
pieces that equip you with everything
centric running, reduced operating
you need to deliver the highest level of
noise and less chattering.
dental care.
The innovative spray system creates
Powerful and durable, STATIS highefficient cooling of the entire area and
speed handpieces not only look good,
the enhanced head design eliminates
according to the company, they also
suck-back — preventing contaminprovide the highest level of precision

ated particles and dirt from entering
the head housing. Plus the Connex™ L
quick connect system, SciCan’s alternative to MULTIflex® couplers, fits most
modern treatment units.
One of the most important features
of STATIS high-speed handpieces is
the advanced turbine system. Hightech ceramic bearings and a new cage,
composed of synthetic fiber and a reinforced composite resin, are designed
to better withstand high sterilization
temperatures and produce a lower
friction coefficient — key factors in
preserving the bearings and maintaining high performance and longevity of the handpiece.

Solid, comfortable grip
With STATIS high speeds, not only
do you get a quieter, more powerful
handpiece, you also get fewer failures
and lower repair costs for a lower cost
of ownership over the lifetime of the
instrument. For state-of-the-art handpieces that are built without compromise, choose STATIS high speeds
from SciCan.
As a result of extensive product
development, field-testing and research, the SANAO™ series of electric handpieces have been designed
with ergonomics in mind. The SANAO
electric handpieces have been ergonomically designed with a narrow,
non-cylindrical shaped neck that ensures a solid, comfortable grip that delivers enhanced precision and control,
and they are perfectly balanced for less
hand fatigue.

Reduced tension, fatigue
Partnered with SciCan’s E-Statis™ Advantage and SLM motor, the centre of
gravity is shifted to the fulcrum of the
hand, producing optimal balance and

reducing wrist tension and fatigue.
The flat surface on the SANAO’s
shoulder provides enhanced stability
and access when working on the upper
areas of the mouth.

Marvel of miniaturization
A marvel of miniaturization, with
a head height as tiny as 13 mm, the
SANAO line can access the hardest
to reach places. The small head size
(SANAO models 40L, 40, 10L, 10) increases the freedom of movement inside the oral cavity.
SciCan’s innovative HPS (Hygiene
Protection System) resin prevents
build-up of debris in the inner cavities
of the instrument. The HPS eliminates
this notoriously difficult to clean area.
The SANAO electric handpiece series
includes eight different models for a
variety of applications. These applications include handpieces for highspeed procedures (crown and bridge),
low-speed procedures (finishing and
polishing), and even prophylaxis.

Disinfector and autoclave
For optimal reprocessing of the
STATIS and SANAO handpieces, the
SciCan reprocessing system with the
STATMATIC™ handpiece maintenance
unit, HYDRIM® G4 washer-disinfector
and STATIM® G4 cassette autoclaves
are highly recommended.
To experience the benefits of the
STATIS and SANAO handpieces, you
can visit booth No. 1029 in the exhibit
hall at the 2014 Pacific Dental Conference.
STATIS, STATIM, HYDRIM, SANAO,
E-Statis, Statmatic and “Your Infection
Control Specialist,” are trademarks of
SciCan Ltd. MULTIflex is a registered
trademark of Kaltenbach & Voigt
GmbH.

The Canary System one of ‘top products’ for 2013
Low-powered laser-based device uses novel combination of heat and light to detect early tooth decay
Quantum Dental Technologies Inc.
received two awards from leading dental publications recently for The Canary System®.
In November 2013, Dentistry Today
selected The Canary System as one of
the “Top 50 Dental Technology Products” in 2013. And in December 2013,
Dentalcompare.com recognized The
Canary System for being one of the
“Top 10 New Dental Products of 2013.”
“We’re very pleased with this industry recognition,” said William Fitzpat-

rick, CEO of Quantum Dental Technologies. “Because The Canary System can
detect the breakdown of crystal structure in teeth before it is discernible on
an X-ray or visible to the naked eye,
dental practitioners now have the perfect tool to aid in early intervention
and minimally invasive treatment.”
Dr. Stephen Abrams, president of
Quantum Dental Technologies, said,
“In dental practices that have already
purchased the unit, The Canary System has become an integral tool for the

treatment of tooth decay as well as the
cornerstone of their in-office preventive programs. Patients love the verbal
and visual feedback they receive from
the Canary, which in turn prompts
them to become more involved in the
management of their own oral health.
The Canary System has moved dental
diagnostics into the 21st century.”

About The Canary System
The Canary System is a low-powered
laser-based device that uses a novel

combination of heat and light to directly examine the crystal structure of
teeth. The Canary System can detect,
map and monitor changes in the crystal structure of the tooth, including
cracks and decay, earlier and more accurately than other existing modalities. For more information on The
Canary System®, you can visit www.
thecanarysystem.com.
(Source: Quantum Dental
Technologies.)

[26] =>

[27] =>

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

January/FEBRUARY 2014 — Vol. 2, No. 1

www.dental-tribune.com

Industry Clinical, Part 1

Implant site preservation
with novel post and crown
With IPS e.max and in-office CAD/CAM, you can create an esthetic, predictable
moderate-term provisional to preserve the site for future implant placement
By Les Kalman, DDS, BSc (Hon)

Abstract
Implant site preservation is an important
component of diagnosis and treatment
planning. Through computer-aided design
(CAD), prosthesis can be designed with
ideal characteristics. By utilizing computeraided manufacturing (CAM), the clinician
has the ability to mill the designed prosthesis with great accuracy.
IPS e.max has been selected as the material for this investigation because of its
strength and esthetics. The combination of
IPS e.max and in-office CAD/CAM technology allows the clinician the ability to create
an esthetic and predictable moderate-term
provisional to preserve a site for future implant placement.

Fig. 1: Preparation of tooth #11.

Fig. 2: Use of paper clip.

Fig. 3: Q-tray loaded with VPS material.

Fig. 5: Detail of Q-tray impression.

Fig. 6: Bite registration for CAD/CAM prosthesis.

Photos/Provided by Dr. Les Kalman

Introduction
Implant placement in the esthetic zone is
the ideal treatment option when diagnostic criteria are satisfied.1 Finances, however,
can act as a barrier to treatment.
A moderate-term, esthetic provisional
would allow the patient the opportunity
to overcome barriers. In-office CAD/CAM
technology would allow for immediate
prosthesis fabrication.
CAD allows the clinician to digitally capture an image of a preparation and then design an indirect (out of the mouth) restoration by using software.2
After the ideal restoration has been produced, the design is then fabricated out of
a material by a milling machine. E4D is an
in-office dental unit (E4D Technologies). IPS
e.max is a metal-free, esthetic dental material used in indirect restorations.
IPS e.max is composed of lithium disilicate, and its ideal physical and esthetic
properties allow it to be the first choice for
CAD/CAM restorations.3 IPS e.max has the
ability of detailed CAM production and has
strength second only to gold.3

Clinical case presentation
A 28-year-old male patient presented with
a failed post and core and porcelain-fusedto-metal (PFM) crown. His chief complaint
was that the “fake tooth” had become dislodged several times and he requested a

Fig. 4: Segmental Q-tray impression.

long-term solution.
Medical history was non-contributory.
Clinical and radiographic examination
indicated an endodontically treated central incisor with no apical pathology and a
failed post and core/crown restoration. The
PFM crown was still cemented to the post
and core and lacked a ferrule effect. The
post and core/crown had been recemented
several times in the past.
Diagnosis indicated endodontic treatment, failed post and core, and caries on
tooth #11. Treatment options to replace the
missing tooth included an implant supported crown, a bridge, a removable partial denture or no treatment. The patient
had interest in the implant option but requested that the old unit be re-cemented.
He had several professional and personal
obligations that required an esthetic provisional. Finances were a limiting factor. The

existing post and core/crown was deemed
poor and could not be used.
Based on the situation, an alternative
option was presented to the patient: an indirect IPS e.max CAD/CAM post and core/
crown moderate-term provisional that
would be fabricated using an in-office E4D
unit. Treatment-specific informed consent
was given, and the patient agreed. It was
decided to generate an indirect CAD/CAM
prosthesis because of the investigative nature of the clinical case.

Preparation
Tooth #11: The canal space was cleaned of
cement and the remaining tooth structure was prepared as per full porcelain
coverage specifications (Fig. 1). A paper
clip was inserted into the canal space
(Fig. 2). A final PVS impression (Ivoclar)
was taken using a Q-Trays (Research

Les Kalman, DDS, BSc (hon), has served as the chief of dentistry at the Strathroy-

Driven) segmental tray (Figs. 3–5). A bite
registration was taken for the CAD/CAM
scan (Fig. 6). The patient was dismissed
to the waiting room while the prosthesis
was fabricated.
Editor’s Notes: In Part 2, Kalman covers,
the indirect CAD/CAM component, discussion and conclusions.
This article is reprinted from Implants
C.E. magazine, Volume 2, Issue 2, 2013.
Disclosure: Dr. Les Kalman is the coowner of Research Driven and the developer of the Q-Tray.

References
1.

Middlesex General Hospital. In 2011, he transitioned to full-time academics as an assistant professor of restorative dentistry at the Schulich School of Medicine and
Dentistry, University of Western Ontario. Kalman is also the coordinator of the Dental Outreach Community Services (DOCS) program, which provides free dentistry
within the community. Contact him at (519) 661-2111, ext. 86097 or lkalman@uwo.ca.

Martin, W.C., Morton, D. and Buser, D. Preoperative analysis and prosthetic treatment
planning in esthetic implant dentistry. In
Buser, D., Belser, U. and Wismeijer, D. editors:
Implant Therapy In The Esthetic Zone-Single
Tooth Replacements (Volume 1) p11–19, Berlin, 2007, Quintessence.
Berlin, M. Wowing The Patient With Chairside CAD/ CAM. Dental Economics: 2008;
98(4): 92–96.
Ivoclar Vivadent: IPS e.max lithium disilicate
— The Future of All-Ceramic Dentistry. 2009;
1–15.

[28] =>

XXXXX
INDUSTRY

Implant Tribune Canada Edition | January/February 2014

More than 2 million
SEVEN implants sold
Created in 2004 by MIS Implants, the SEVEN is backed by
clinical studies documenting long-term predictable results
By MIS Implants staff

PDC
BOOTH
NOs. 1047,
1146

When MIS developed
the SEVEN in 2004, it focused on trying to understand
the requirements of doctors placing implants and to design the
implant of the future. As a result, according to the company,
the research and development
team at MIS Implants developed
a unique implant that differentiated itself within the industry.
According to the company, the
SEVEN implant has achieved great
success throughout the evolution of
implants in the past decade. Numerous
clinical studies have documented the
SEVEN’s long-term predictable results.
MIS Implants celebrates an international milestone having now sold
more than 2 million SEVEN implants
since its launch. According to the company, feedback from doctors is that
they love using the SEVEN implant
not only because of its superb design
but also because each implant comes
with a unique sterile final drill, which
enables simpler and safer surgical procedure.
The MIS self-tapping SEVEN implant
was specially designed for use in a
wide range of bone types and surgical
protocols.
The implant’s geometric design includes the following advantageous
characteristics:
• Machined with grade 23 titanium alloy
• Internal hex connection for simple
restoration
• Tapered bone compressive implant
design
• Micro rings at the implant neck
• Dual thread and a self-tapping
thread design
• Sandblasted and acid-etched surface
treatment
• Three apical cutting channels with a
domed apex
• Tapered implant design with DSM
(dual stability mechanism)
• Cover screw, and final drill packaged
with every implant
• Platforms: 3.30, 3.75, 4.20, 5.0, 6.0 and
in lengths of 6, 8, 10, 11.5, 13 and 16 mm

The MIS self-tapping SEVEN implant was
specially designed for use in a wide range
of bone types and surgical protocols.
Photos/Provided by MIS Implants

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

Tribune America, LLC
Phone (212) 244-7181
Fax (212) 244-7185

Following MIS Implants’ ‘Make It Simple’ philosophy in the fields of research and
development, the C1 implant was developed to offer a rapid osseointegration with
its dual stability mechanism thread design and improved esthetics.

MIS continues to dedicate itself to the development of innovative products and technologies. MIS
Implant’s scientists and engineers conduct continuous
laboratory and field studies in collaboration with prestigious universities
and dental research institutes.
Following
MIS
Implants’
“Make It Simple” philosophy
in the fields of research
and development, the C1
implant was developed
to offer a rapid osseointegration with its
dual stability mechanism thread design and
improved esthetics with
a built in conical hex connection and
platform switching prosthetic platform. The C1 incorporates many advantageous characteristics:
• Fabricated with grade 23 titanium alloy
• Conical connection with an interlocking hex index
• Platform switching prosthetic profile
• Three micro rings at implant neck
• Dual thread and a self-tapping
thread design
• Sandblasted and acid-etched surface
treatment
• Two apical cutting channels with a
domed apex

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

• Color-coded components and implant
connection
• Tapered implant design
with DSM (dual stability
mechanism)
• Cover screw, temporary
abutment, and final drill included
• Platforms: 3.30, 3.75, 4.20, 5.0 and in
lengths of 8, 10, 11.5, 13 and 16 mm

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

Corrections

In honor of selling more than 2 million SEVEN implants, MIS Implants
is offering special tradeshow promotions. Visit MIS Implants at one of the
following Canadian dental tradeshows:
• PDC (Vancouver) booth No.
1047/1146;
• ASM (Toronto) No. 530/532;
• DIQ (Montreal) No. 1621.

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.

(Source: MIS Implants Canada)

Do you have general comments or criticism
you would like to share? Is there a particular
topic you would like to see articles about in
Implant Tribune? Let us know by emailing
feedback@dentaltribune. com. If you would
like to make any change to your subscription
(name, address or to opt out) please send us
an e-mail at database@dental-tribune.com
and be sure to include which publication you
are referring to.

‘MIS Implants’ scientists and engineers conduct continuous
laboratory and field studies in collaboration with prestigious
universities and dental research institutes.’

Tell us what you think!

[29] =>

[30] =>

XXXXX
INDUSTRY

Implant Tribune Canada Edition | January/February 2014

Implant Direct’s Dr. Gerald Niznick announces
retirement, Stratton appointed president
By Implant Direct staff

erald A. Niznick, DMD, MSD,
president and founder of
Implant Direct, recently announced his retirement.
Niznick is succeeded by Tom Stratton as
president of Implant Direct.
Niznick has a 32-year successful history in the dental implant industry. He
started his first implant venture with
Core-Vent Corp. in 1982, which, after a
change in go-to-market strategy, became Paragon Implant Co. Paragon

Dr. Gerald
Niznick

was later sold to what is now
Zimmer Dental.
PDC
He started Implant Direct
BOOTH
in 2004 and created a new
NO. 1303
implant “value segment,”
which generated a substantial and permanent positive
increased the predictability and affordchange in the industry.
ability of dental implant procedures.
In late 2010, Sybron International
Implant Direct in 2013 was the fast(now part of the KaVo Kerr Group) acest growing major implant company
quired a majority stake in Implant Dirin the industry, according to the comect. Under Niznick’s leadership, Implant
Direct has nearly doubled its sales in pany. Niznick will remain a significant
part of Implant Direct as a shareholder,
the last three years and launched many
board member and as a consultant for
new products that have significantly

product development and marketing.
“On behalf of the board and the management team at Implant Direct, I want
to congratulate Dr. Niznick on the wonderful, exciting company he has built
and the dedicated, skilled team he has
assembled. Implant Direct has become
an incredibly successful part of the
KaVo Kerr Group of Danaher under
Dr. Niznick’s leadership, and we believe the company is well-positioned to
continue that success as Tom Stratton
takes the helm,” said Henk van Duijnhoven, chairman of the board of managers, Implant Direct, and senior vice
president, KaVo Kerr Group.
Stratton joined Implant Direct in
January 2013 as the executive vice
president, global sales and business
development, and under his leadership, the business accelerated in North
America and globally to high teens
growth and captured significant market share. He has more than 20 years of
dental industry experience, and prior
to Implant Direct, he was the president
of DEKA Laser Technologies Inc.
Earlier in his career, Stratton was the
general manger at DENTSPLY Implants
(formerly DENTSPLY Friadent CeraMed)
and vice president of global sales and
marketing at Zimmer Dental (formerly
Sulzer Dental). He received his bachelor’s degree in public relations from
the University of St. Thomas.

About Implant Direct
Implant Direct, one of the fastest growing major dental implant companies, offers a broad range of surgical,
prosthetic and regenerative solutions.
Founded by implantology pioneer Dr.
Gerald Niznick and a member of the
KaVo Kerr Group, Implant Direct continues a rich tradition of innovation.
The company asserts it provides highquality products with simplified procedures at value-added prices in more
than 40 countries worldwide.

Tell us what you think!
Is there a particular topic you would like to see
articles about in Implant Tribune? Let us know
by emailing feedback@dental-tribune. com. If you
would like to make any change to your subscription (name, address or to opt out) please send
an email to database@dental-tribune.com and be
sure to name the publication you are referencing.

[31] =>

[32] =>

) [page_count] => 32 [pdf_ping_data] => Array ( [page_count] => 32 [format] => PDF [width] => 765 [height] => 1080 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT Canada No. 1+2, 2014

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => Natural dentition: Risk of extinction? [page] => 03 ) [2] => Array ( [title] => Today’s successful practice has a chief operations officer. Do you? [page] => 04 ) [3] => Array ( [title] => Meetings [page] => 06 ) [4] => Array ( [title] => LVI Core I three-day course enables dentist and team to learn together [page] => 09 ) [5] => Array ( [title] => Digital radiography system takes clarity - ease to new level [page] => 10 ) [6] => Array ( [title] => CS Solutions: New reality in CAD/CAM restorations [page] => 12 ) [7] => Array ( [title] => Barrier protection is critical in dental professionals’ gloves [page] => 14 ) [8] => Array ( [title] => Industry: Doing well by doing good [page] => 16 ) [9] => Array ( [title] => Industry [page] => 18 ) [10] => Array ( [title] => Adjunctive devices ser ve critical role in compr ehensive oral c ancer e xams [page] => 20 ) [11] => Array ( [title] => Tra i n ing i nst it utes usi ng Piezosurger y by Metron for osseous sur ger y courses [page] => 22 ) [12] => Array ( [title] => To ensure you can keep working - use pain-free seating [page] => 24 ) [13] => Array ( [title] => SciCan’s air-driven - high-speed handpiece collects accolades [page] => 25 ) [14] => Array ( [title] => The Canary System one of ‘top products’ for 2013 [page] => 25 ) [15] => Array ( [title] => Implant Tribune [page] => 27 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

[cached] => true )