DT Canada No. 2, 2016

Ontario Dental Association adds to exhibit hall features / Events / Industry / Implant Tribune Canada Edition

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DENTAL TRIBUNE
The World’s Dental Newspaper · Canada Edition

April 2016 — Vol. 10, No. 2

www.dental-tribune.com

Elbow your way to better health

Non-surgical laser TREATS sleep ISSUES

Here’s a way to achieve a
more secure, comfortable
work posture that reduces
muscle contractions in the
shoulders, neck and upper
body — for a longer career.

Dr. Harvey S. Shiffman
explains how non-invasive
use of the Er:YAG/Nd:YAG
dental laser can relieve
sleep-disordered breathing
and snoring for up to a year.

” page A10

” page A12

Implant Tribune
10 RULES OF ORDER
Editor in Chief Dr. Sebastian
Saba offers common sense
to live by if you practice
implant dentistry.
” page B2

Ontario Dental
Association adds to
exhibit hall features

EVENTS A4–A6
• Cosmetic dentists heading to
Toronto annual AACD meeting
• JDIQ courses in French and English
• Pediatric dentists set sights on San
Antonio’s River Walk
• Academy of General Dentistry
features many exhibit-hall-based
education options
• Pacific Dental Conference returns to
early March schedule
• Education-rights activist to speak at
American Dental Association 2016
annual meeting in Denver

Publications Mail Agreement No. 42225022

he exhibit hall at this year’s Ontario Dental Association’s Annual Spring
Meeting, May 5–7 in Toronto, will include a number of new features. With
more than 75,000 square feet and 600 booths, the exhibit hall is always
filled with the latest innovations in dentistry. At the 2016 ASM, the 149th
edition of the meeting, there will be more than 300 exhibiting companies displaying
and demonstrating new products, services and technology from across the globe. Attendees will be able to touch, try out and compare the newest materials and technologies virtually side by side. In addition to the latest products, among the exhibit hall’s
new offerings this year are a Sports Simulator Zone and a Wellness Zone.
A virtual sports zone will be set up in booth No. 2215, where attendees will be able
to stop by to test their skills in golf, baseball, hockey and soccer in an interactive,
simulated environment.
A new, complimentary wellness lounge will enable attendees to explore improved
wellness through breathing, meditation and hands-on exercises designed to help
with neck, shoulder and lower-back pain. The lounge will feature a variety of opportunities for attendees to check out various sensory experiences. You will be able to
learn from experts about five stretches for the neck, shoulders, carpal tunnel and
upper and lower back that can relax your body and help you feel revived. Guided
meditation will be available to help you achieve a calm state. You can reserve your
spot at the registration desk onsite at booth No.
138 at the end of aisle 600.
Another option will be to spend some time at
the Oxygen Bar for a rejuvenating pick-me-up.
Along the same line, also returning this year will
be the Relaxation Zone, where attendees will be
able to enjoy a complimentary 10-minute neck/
shoulder or foot massage from a registered chairmassage practitioner. The Relaxation Zone will be
located at the end of aisles 1900.
And once again at ASM16 for those who sign
up, the meeting will include two complimentary
cocktail receptions on the exhibits floor on Thursday, May 5, from 5–6 p.m. and on Friday, May 6,
from 4:30–5:30 p.m.
Meeting organizers expect nearly 12,000 attendees at the ASM’s host location, the Metro Toronto
Convention Centre, South Building. Again this
year, the Ontario Dental Association will structure the meeting around three guiding concepts:
“Connect. Learn. Excel.” Meeting organizers have
created an agenda of wide-ranging and topical
sessions presented by national and internationally renowned speakers in a variety of formats. Lectures, hands-on workshops and other interactive
presentations are designed to deliver high-value
knowledge — and C.E. credit.
The meeting presents an opportunity to explore
one of Canada’s most popular cities during one of
the most appealing times of the year: Toronto in
spring. The trees are leafing out, the cafes are in” See EXHIBIT, page A2

Industry

ODA Annual
Spring Meeting,
May 5–7, Toronto
Downtown Toronto (seen across Lake
Ontario from the Toronto Islands) and the
Metro Toronto Convention Centre South
Building host the the Ontario Dental
Association Annual Spring Meeting. Photo/
Provided by www.Dreamstime.com

a8–a12

• Game changer: American Eagle
Instruments XP Technology
• Isolite Systems: Dental isolation
technique unlike any other
• Posiflex: Elbow your way to better
health with better posture at work
• SciCan SALUS: Rack-and-sleeve
system eliminates sterilization
paper and pouches
• Non-surgical laser treats sleep issues

Implant TRIBUNE B1–B4
• Graft lets surgeon improve gums’
support for existing implants
• 10 rules of order in implantology
• Designs for Vision: Headlight
transfers across loupes, frames

[2] =>

EVENTS

A2
“ EXHIBIT, page A1
viting, a variety of shows are in town and
the galleries and shopping provide endless opportunity for exploration.
Among your choices: international
cuisine, unique shopping venues, diverse cultural facilities and events,
trails, parks, distinctive architecture and
nonstop top-caliber entertainment.

Quick break: No cars, lots of artists
For a break from the downtown bustle,
Toronto Islands might offer some respite, a 10-minute (each way) ferry ride
away. Catch the ferry at the Toronto Ferry
Docks west of the Westin Harbour Castle
Hotel, between Yonge and Bay streets.
Ferries travel to each of the three main
islands, which are connected by bridges.
Many of the other smaller islands are accessible only by boat. There are plenty of
ways to spend money on the main island,

including children’s amusement park,
children’s garden, cafes, food vendors,
canoe rentals and weekend bike rentals.
The islands are home to about 800
people (comprising Canada’s highest per
capita population of artists). The islands
are considered to be North America’s largest urban community that is car free.
Worth consideration this time of year
is the self-guided Toronto Island Tree
Tour, part of the Canadian Tree Tours
program. You can download a sheet listing the tour’s 54 trees or pick up a tour
sheet at a tourism-brochure display rack.

Dental Tribune Canada Edition | April 2016

The trees have identification plaques
and the tour sheets include GPS coordinates for each tree. So you can pick
out a few that you’d like to hone in on,
consult your smart phone, and make a
beeline from tree to tree on your own
self-guided mini-tour. Among the possible candidates: Kentucky coffee-tree,
Swedish whitebeam, Japanese zelkova,
London plane-tree, European larch and a
Schubert cherry.
(Sources: Ontario Dental Association
and www.torontoharbour.com.)

Ontario Dental Association ASM16 exhibit hall hours
Thursday, May 5

Friday, May 6

Please note:

Hall opens: 9 a.m.
Social: 5–6 p.m.
Hall closes: 6:30 p.m.

Hall opens: 9 a.m.
Social: 4:30–5:30 p.m.
Hall closes: 5:30 p.m.

There are
no exhibits
on Saturday, May 7

DENTAL TRIBUNE
The World’s Dental Newspaper · Canada Edition

Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
President/Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com
Editor in Chief
Dr. Sebastian Saba feedback@dental-tribune.com
Managing Editor
Robert Selleck r.selleck@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Product/Account Manager
Maria Kaiser m.kaiser@dental-tribune.com
BUSINESS DEVELOPMENT MANAGER
Travis Gittens t.gittens@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com
Accounting Coordinator
Nirmala Singh n.singh@dental-tribune.com
Tribune America, LLC
Phone (212) 244-7181
Fax (212) 244-7185
Published by Tribune America
© 2016 Tribune America LLC
All rights reserved.
Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please
contact Managing Editor Robert Selleck at r.selleck@
dental-tribune.com.
Tribune America cannot assume responsibility for the
validity of product claims or for typographical errors.
The publisher also does not assume responsibility for
product names or statements made by advertisers.
Opinions expressed by authors are their own and may
not reflect those of Tribune America.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward

Tell us what you think!
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 emailing feedback@dentaltribune.com. We look forward to hearing from you!
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sure to include which publication you
are referring to. Also, please note that
subscription changes can take up to six
weeks to process.

.
.

[3] =>

[4] =>

EVENTS

Dental Tribune Canada Edition | April 2016

Cosmetic dentists heading to Toronto
American Academy of Cosmetic Dentistry’s annual scientific session will be from April 28–30
Dental professionals from across the
globe will be able to see the latest in dental products and services at the American
Academy of Cosmetic Dentistry’s annual
scientific session, AACD 2016, which will
be held in Toronto from April 28–30.
AACD 2016 is considered by many to
be cosmetic dentistry’s premier education event, with its hands-on workshops,
lectures and social events catering specifically to professionals involved with cosmetic dentistry.
The AACD exhibit hall will be open all
three days, featuring breakfasts, lunches
and several cocktail receptions.
More than 1,500 dental professionals

are expected to attend the event, which
will take place at the Metro Toronto Convention Center in downtown Toronto.
While the exhibit hall is open to attendees
of AACD 2016, those who aren’t attending
the meeting can still purchase products
and services with daily passes.
Jeff Roach, director of strategic partnerships at AACD, said, “Our attendees look
forward to the amazing products and
services our exhibitors offer, and with
several cocktail receptions and other activities planned, we anticipate plenty of
foot traffic.”
A new meeting structure is in place to
deliver this year’s educational offerings.

The conference will feature separate
themes on each of the three days: design,
implementation and realization.
Organizers describe the themes as being
a scaffolding on which the entire conference will be structured. The three themes
are designed as a sequential and cumulative process, with each day building on
knowledge gained the previous day.
Billed as AACD Triple Plays, some of the
themes will track as rapid-fire morning
and afternoon sessions delivered by topname speakers. Thursday’s rapid-fire sessions will focus on treatment planning.
Friday’s “implementation” theme includes rapid-fire sessions on orthodontic

and surgical options. The “revitalization”
theme on Saturday features rapid-fire sessions on restorative implementation.
In addition to the rapid-fire offerings, all
of the courses at AACD 2016 are designed
with the intent to elevate clinical skills of
the entire dental team. The AACD event
also will include a lineup of accreditation
courses for attendees who seek to differentiate themselves at a level of excellence
achieved by only the most dedicated and
passionate dental professionals.
For more information and to register,
you can visit www.aacdconference.com.
(Source: AACD)

JDIQ courses in French and English
both English and French.
The Journées Dentaires InterODA
Featured speakers for this
nationales du Québec, the anBOOTH
46th edition of the meeting
nual meeting of the Ordre des
NO. 122
include Drs. Véronique BenDentists du Québec, will be held
hamou, Philippe Martineau,
in Montréal from Friday, May 27,
Marina Braniste, Matthieu Schmitthrough Tuesday, May 31.
tbuhl, Gordon J. Christensen, MarieThe meeting typically attracts more
Andrée Houle, Samer Abi Nader, Maude
than 12,000 delegates from around the
Albert and Nadia Rizkallah.
world. Organizers describe the event as
Session topics include cone-beam combeing the “world’s most highly attended
puted tomography, endodontics, lasers,
bilingual convention.” The JDIQ offers a
dental photography, dentures, composscientific program with more than 125
ites, challenging implant cases, advanced
lectures and workshops presented in

local anesthesia, dento-alveolar surgery,
conservative dentistry, sleep apnea and
embezzlement protection for practices.
More than 225 exhibitors will span 500
booths in the exhibit hall, which will be
open on Monday and Tuesday, May 30
and 31.
A continental breakfast will be available to early risers on both days, and a
wine and cheese reception will close out
each of the two days.
Many of the workshop courses have
already sold out. Prospective attendees

are encouraged to register as soon as possible at www.odq.qc.ca/convention.
You can download the free mobile app,
JDIQ 2016, to your smart phone or tablet
via the App Store or Google Play. Or you
can access the app via the QR codes on
the meeting website.
The meeting organizers look forward
to seeing attendees in Montreal at the
end of May, with their usual promise of
beautiful summer weather.
(Source: JDIQ)

Pediatric dentists set sights on San Antonio
American Academy of Pediatric Dentistry scientific session will be from May 26–29 in Texas
The American
Academy of
Pediatric Dentistry
annual session
will be from May
26–29 at the
Henry B. Gonzalez
Convention
Center on San
Antonio’s highly
popular River
Walk. Photo/Stuart

The fun and history of Alamo City combine with top
speakers and high-value C.E. at the American Academy
of Pediatric Dentistry (AAPD) 2016 annual session. The
event will be held from May 26–29 at the Henry B. Gonzalez Convention Center in San Antonio, Texas.
Online registration is open via www.aapd.org. You
can use AAPD’s online itinerary planner to find details on the scientific program, social events and other
events in San Antonio.

Barbecue, hoedown, carnival rides
The welcome reception on Friday, May 27, will feature a
family-friendly fiesta San Antonio style, with barbecue,
southern hoedown and carnival rides for the kids.
The keynote speaker on Friday, May 27, will be Erik
Wahl, an internationally recognized graffiti artist
known for his high-energy, inspirational live performances. The best-selling author of the business book
“UNThink” uses his on-stage painting as a visual metaphor to communicate his core message: encouraging
organizations to achieve greater profitability through
innovations and superior levels of performance.
Because attendees must register for the meeting prior
to making meeting-block hotel reservations, attendees
are encouraged to register early. There are a number of
hotels in the AAPD block, including the Marriott Rivercenter (headquarters hotel), the Marriott Riverwalk, the
Grand Hyatt San Antonio, the Hilton Palacio del Rio, the
Residence Inn Alamo Plaza and the Westin Riverwalk.
As you can tell from the hotel names, the convention
center and hotels string the city’s famed River Walk and

Dee, provided by the
San Antonio
Convention &
Visitors Bureau

its many restaurants, bars, shopping and entertainment venues.
A wide variety of other popular destinations are just
blocks away in the heart of downtown San Antonio. All
of the meeting’s scientific sessions will take place at the
Henry B. Gonzalez Convention Center.

Preconference course on esthetic restorations
The preconference course “Esthetic Pediatric Restorative Dentistry” will be presented by Kevin J. Donly,

DDS, MS; William F. Waggoner, DDS, MS; Theodore P.
Croll, DDS, MS; and Nasser Barghi, DDS on Thursday,
May 26. The course will offer the most current esthetic
pediatric restorative dentistry techniques with data
available to support restorative regimens. Indications
and contraindications will be presented. You can learn
more about this course and the complete scientific program with the AAPD 2016 Online Itinerary Planner.
(Source: AAPD)

[5] =>

[6] =>

EVENTS

Dental Tribune Canada Edition | April 2016

AGD features many exhibit-hall-based education options
Reflecting its host location, the theme of
this year’s Academy of General Dentistry
annual meeting is “Revolutionary changes
in dentistry.” AGD 2016 will be from Thursday, July 14, through Sunday, July 17, in Boston at the Hynes Veterans Memorial Convention Center and Sheraton Boston Hotel.
The meeting features four days of continuing education for dentists and dental

team members, highlighted by clinical and
practice management lectures, hands-on
courses and live-patient demonstrations.
In the exhibit hall, dental professionals,
students and service providers will have
numerous ways to connect at daily networking events and demonstrations of new
dental products and services.
Educational opportunities in the ex-

hibit hall include the “Transitions Program
Learning Labs,” designed to assist attendees in transitioning through various career stages, whether you just graduated or
you’re preparing to open you own practice.
Learning Labs also will cover a range of
topics such as marketing, CAD/CAM and
dental photography — of benefit to the
entire dental team. Early sign-up early is

encouraged because these complimentary
courses tend to sell out quickly.
Advanced registration deadline is 7 p.m.
CDT, May 19. Online registration ends at
5 p.m. CDT, June 30. Onsite registration
opens at 3 p.m., July 13. Learn more and
register at www.agd2016.org.
(Source: AGD)

Pacific Dental Conference returns to early March schedule
After this year’s St. Patrick’s Day overlap,
Vancouver’s Pacific Dental Conference returns to its traditional early March schedule in 2017, with the conference scheduled
to run from March 9–11.
The conference has become one of the
most popular in North America, with 2016
attendance pushing the 13,000 mark. The
meeting organizers have earned a strong

reputation for putting together compelling lineups of local, North American and
international speakers.
With more than 130 presenters, 150 open
sessions and 36 hands-on courses covering
a variety of topics, the conference is able to
offer something for every member of the
dental team.
A two-day dental trade show provides

the year’s first opportunity in Canada to
see the newest equipment. The Vancouver
Convention Centre’s exhibit hall includes
multiple opportunities for attendees to
see innovative new techniques in use on
the Live Dentistry Stage (there were six sessions in 2016). Products and services from
more than 300 exhibiting companies will
be on display in more than 600 booths.

Educational sessions are designed to engage attendees in discussions on creating
real-practice solutions. Lunches and highly
popular exhibit hall receptions are included as part of the regular registration.
Monitor www.pdconf.com for registration information and meeting details.
(Source: Pacific Dental Conference)

Education-rights activist to speak at ADA 2016, Oct. 20–25 in Denver
The annual meeting of the American
Dental Association, ADA 2016: America’s
Dental Meeting, will be in Denver from
Oct. 20–25. One of the largest dental meetings in the U.S., the event features more
than 300 C.E. courses and 550 exhibits.
Ad

Various offerings are tailored to international attendees, including a designated
registration area, networking reception
and courses in multiple languages. The
ADA offers an international membership
that qualifies for registration discounts.

2014 Nobel Peace Prize winner Malala
Yousafzai is scheduled as a keynote. She is
a vocal advocate for female education in
her native country of Pakistan. In 2012, at
age 15, the Taliban shot her on her school
bus. Undeterred, after her recovery she has

continued to campaign globally for equaleducation rights.
Learn more about ADA 2016 at www.ada.
org/meeting.
(Source: ADA)

[7] =>

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INDUSTRY

Dental Tribune Canada Edition | April 2016

Game changer: American Eagle
Instruments XP Technology
ODA
BOOTH
NO. 1645

XP Technology is a
metallurgical
advancement that
eliminates the task
of sharpening.
Photo/Provided by
American Eagle
Instruments

By American Eagle Instruments Staff

Do you ever feel like practice efficiency
and quality care can’t coexist? Are you
frustrated by time spent on tasks that
should be solved by technological advancements?
Here’s some good news: Times have
changed, and hand-instrument technology has advanced, making it possible to
deliver higher quality patient care within
an efficient practice. Recently named “The
Practice Game Changer of 2015” by readers of RDH Magazine, American Eagle
Instruments has developed XP Technol-

ogy, a metallurgical advancement that
eliminates the task of sharpening, which
is viewed by many as tedious and is often
imperfect. Clinicians chose XP Technology
by writing in the product or service they
felt has made the biggest impact on their
practice, a testament to the positive effect
XP Technology sharpen-free instruments
have had for thousands of clinicians.
A proprietary manufacturing process,
XP Technology is behind the market’s only
line of sharpen-free scalers and curettes.
The process enhances metallurgic composition of the instrument’s surface, giving it properties of a much more durable
material. It is not a coating that will flake
or peel off over time, but an embedded
surface akin to a stained piece of wood,
unable to flake or be removed. Because
XP Technology’s durability renders it
sharpen-free, the instruments are manufactured with thinner working ends for
greater access to calculus and previously
inaccessible pockets. Working ends retain
the factory blade angulation that assures
proper calculus removal and eliminates
the risk of burnished calculus.
A sharpen-free metal brings another,
less-quantifiable benefit. Metallurgic durability of this magnitude allows a modified scaling technique. For the first time
ever, clinicians have a hand instrument
made with an alloy that is harder than the
calculus being removed. Calculus removal
with XP Technology is accomplished with
a much lighter grasp and shaving stroke vs.
the heavy lateral pressure and “popping
off” of calculus used with stainless-steel
instruments. Hygienists describe XP Technology in action as “melting” calculus off
the tooth surface. According to the company, it is a smooth, painless technique
that can reduce physical stress for clinicians and promote improved ergonomics and hand health, both big concerns for
most clinicians during their careers.
The return on investment with XP Technology is not only evident for the practice,
but for the patient as well. The practice
wins when team members are spending
time with patients rather than wasting
time sharpening instruments. That extra
patient-contact time can lead to accepted
treatment and better overall patient
health. Patients win when clinicians use
the modified scaling technique, experiencing comfortable appointments that make
them want to return.
American Eagle Instruments understands that these are medical devices that
require a precise fabrication process to
achieve a consistent, reliable product. AEI
is an American manufacturer based in
Missoula, Mont. It takes 36 steps to fabricate an XP Technology instrument, and
each step takes place within the factory
under strict quality control standards.
This attention to detail has helped AEI
earn a reputation for creating some of the
world’s most precise and long-lasting instruments, according to the company.
You can check out XP Technology in
booth No. 1645 at the Ontario Dental Association Annual Spring Meeting, and you
can visit www.am-eagle.com to see why XP
Technology scalers and curettes belong in
your practice — and in your hands.
Then you can change your game, too.

[9] =>

[10] =>

A10

INDUSTRY

Dental Tribune Canada Edition | April 2016

Dental isolation technique unlike any other
By Isolite Systems Staff

Dental isolation is one of the most
common and ongoing challenges in
dentistry. The mouth is a difficult
environment in which to work. It is
wet and dark, the tongue is in the
way, and there is the added humidity of breath, which all make dentistry more difficult.
Proper dental isolation and moisture control are two often overlooked factors that can affect the
longevity of dental work — especially with today’s advanced techniques and materials.
Leading dental isolation methods
Above, Isolite mouthpieces are now available in six patient-friendly sizes. Below, the Isovac and the Isodry. Photos/Provided by Isolite Systems
have long been the rubber dam — or
manual suction and retraction with
foreign body aspiration.
the aid of cotton rolls and dry angles. Both of these
Constructed out of a polymeric material that
methods are time and labor intensive, and not particuis softer than gingival tissue, the mouthpieces
larly pleasant for the patient.
provide significant safety advantages, and their
Enter Isolite Systems. Its dental isolation systems deease-of-use can boost your practice’s efficiency,
liver an isolated, humidity- and moisture-free workresults and patient satisfaction.
ing field as dry as the rubber dam but with significant
Isolite
Systems
provides
three
advantages, including better visibility, greater access,
state-of-the-art
product
solutions
improved patient safety and a leap forward in comfort.
for
every
practice,
every
operatory:
Plus, it allows dentists to work in two quadrants at a
Isolite, illuminated dental isolation system;
time.
Isodry, a non-illuminated dental isolation; and
The key to the technology is the “Isolation Mouththe new Isovac, dental isolation adapter.
piece.” Compatible with Isolite’s full line of products,
Using the Isolation Mouthpieces, all three
the mouthpiece is the heart of the system. It is specificIsolite Systems’ dental isolation is recommended for
dental isolation products isolate upper and lower
ally designed and engineered around the anatomy and
the majority of dental procedures where oral control
quadrants simultaneously while providing continumorphology of the mouth to accommodate every paand dental isolation in the working field is desired. It
ous hands-free suction. This allows a positive experitient, from children to the elderly.
has been favorably reviewed by leading independent
ence where the patient no longer has the sensation of
The single-use Isolation Mouthpieces are now availevaluators and is recommended for procedures where
drowning in saliva/water during a procedure, and the
able in six sizes and position in seconds to provide
good isolation is critical to quality dental outcomes.
practitioner can precisely control the amount of succomplete, comfortable tongue and cheek retraction
You can visit Isolite online at www.isolitesystem.com.
tion/humidity in the patient’s mouth.
while also shielding the airway to prevent inadvertent

Elbow your way to better health

entists, hygienists and dental assistants
face on a daily basis all of the top conditions needed to develop musculoskeletal
disorders. Dental work requires precision
and control in movement — so static positions can result in fatigue in the muscles of the neck, the back and
the shoulders. After a few years or even months, the
muscle fatigue may cause ailments, pain or even more
severe conditions, such as tendinitis, bursitis, neck
pain, disk herniation and others.
If I work with my arms close to my body, can I avoid
muscle tension?
Even when your arms seem relaxed along your body,
the shoulder and upper back muscles have to be contracted to keep the stability required for the precise
work of your hands. These muscle contractions can
reduce the blood flow up to 90 percent, which causes
fatigue to accumulate and weaken your muscles and
articulations.
Why use mobile elbow supports?
The Posiflex mobile elbow support system was developed to diminish the charge to the upper body in order to favor a good bloodstream. A scientific study demonstrated that using the Posiflex system contributes to
achieving a more secure and comfortable work posture
while significantly reducing muscle contractions in the
shoulders, neck and upper body. This unique concept
follows body movements. The elbow rests offer an appropriate support of the arms while preserving the
freedom of movement.
Precision work requires concentration and effort. We

forget ourselves when we are concentrated on a task. The elbow supports
enable practitioners to keep a good
posture as they keep you in line.

ODA
BOOTH
No. 246

Do I have to always be on the supports
to get the benefit?
It is not possible to be on the supports 100
percent of the time. The studies demonstrated that with 50 percent of the time on
the support, bloodstream is sufficient to
prevent and diminish tension. After a short
learning curve, the majority of users are on
the supports 80 to 90 percent of the time.
Michelle Fontaine, RDH, demonstrates the ergonomic improvement in
Why invest in a dental stool?
Dental professionals can easily spend eight
her work position enabled in part by her use of Posiflex free motion
to 12 hours a day on a stool. In fact, it is the
elbow supports. Photos/Posiflex Design
piece of equipment you use the most and,
generally, it is also the most neglected. You
pay attention to your patient comfort, so what about
the chair or, worse, sit on the tip of the seat. This position
your comfort and that of your employees?
does not provide lumbar support or a safe position. Many
The investment is modest and quickly profitable comspeakers and authors favor a higher position of the patient
pared to costs created by medical treatments or leave
chair with the patient lying flat. The arms stay close to the
from work. Do you have to plan long procedures early
body and the forearms are flexed.
in the week because your body can’t do it on Thursdays?
To learn more on ergonomics in the dental clinic, visit
www.posiflexdesign.com.
How should the patient chair be adjusted to keep the
At the Ontario Dental Association ASM16, you can try out
practitioner in good posture?
Posiflex ergonomic products in the Apex (Occupational
Eyes-to-task distance is the key for good posture. When
Health and Wellness) booth, No. 246. Apex is a new Torontothe patient chair is placed low it forces you to bend your
area distributor for Posiflex.
neck, even with loupes, creating tensions. Furthermore,
because of lack of leg room, the operator must straddle
(Source: Posiflex Design)

[11] =>

Dental Tribune Canada Edition | April 2016

INDUSTRY

A11
Rack portion
of the SALUS.

Sleeve portion
of the SALUS.

The SALUS hygiene sterility maintenance container from SciCan eliminates the need for sterilization paper and pouches. It can save hours and dollars spent wrapping instruments in
sterilization paper. With the SALUS, instruments are transportable — using a secure, rack-and-sleeve design. Photos Provided by SciCan

Rack-and-sleeve eliminates
sterilization paper, pouches
This enables clinicians to save
ODA
hours that otherwise would be
spent wrapping hundreds of
BOOTHs
1111, 1203 dollars worth of sterilization
paper. Another benefit is the
reduction in the amount of waste
Save hours, dollars
being generated by your practice.
According to the company, SALUS elimInstruments safe, transportable
inates the costly and time-consuming
use of sterilization paper and pouches.
With SALUS, instruments are kept safe

SciCan has recently introduced
SALUS, which it refers to as “the
world’s first paperless, rack-andsleeve, hygiene sterility maintenance container.”

and are easily transportable using a secure rack-and-sleeve technology.

Lockable safety knob
The rack has handles designed to hold
instruments in place. There is also a
safety knob that locks the container for
safe and secure transportation.
Additionally, a tamper-evident latch
is activated when the container is pro-

cessed through a steam sterilizer.
The transparent container enables instant identification of instruments and
chemical indicators, according to the
company.
Visit SciCan at the Ontario Dental Association Annual Spring Meeting exhibit hall in booth Nos. 1111 and 1203.
(Source: SciCan)
Ad

[12] =>

A12

INDUSTRY

Dental Tribune Canada Edition | April 2016

Non-surgical laser has sleep applications
Lightwalker Er:YAG/Nd:YAG
dental laser treats snoring,
sleep-disordered breathing

Fig. 1: NIGHTLASE Snoring and
Sleep Apnea Reduction Therapy
elevates the soft palate and
uvula and tightens oropharyngeal tissues to improve upper
airway volume. Photos and chart/

By Harvey S. Shiffman, DDS

Provided by Dr. Harvey Shiffman

Of the commercially available
ODA
hard- and soft-tissue lasers, only
BOOTH
the LightWalker (Fotona, San
516
Clemente, Calif.) combines two
proven wavelengths, Nd:YAG and
Er:YAG, with unrivaled power and
precise pulse control resulting in high
levels of efficacy for a wide range of procedures.
With this advanced level of performance comes significant patient comfort.
The procedure described here has been
developed to take advantage of these attributes. Snoring and sleep disordered
breathing affect millions of Americans,
both adults and children.1,2 The signs
and symptoms are the result of partial
or complete collapse of the upper airway
during sleep.3 The structures involved
in our protocol include the soft palate,
uvula and the base of the tongue. 4 The
goal of the treatment is to decrease the
amount of blockage of the upper airway.5
Dentists are in a great position to help
screen and in many cases treat these
problems with airway management.
Helping patients improve their sleep can
co-therapy with those devices, allowing
profoundly improve their health, quality
for lower CPAP pressures and less MAD
of life and well-being of their loved ones.
advancement. NIGHTLASE represents a
The “Gold Standard” for the treatless-invasive alternative to current surment of sleep disordered breathing is
gical, chemical or radiosurgical options
the CPAP type device. Following that in
that may require hospitalization, general
1981 was the introduction of Mandibular
anesthesia or soft-tissue removal.
Advancement Devices (MAD). CompliNIGHTLASE has a significant success
ance with both of these treatment morate in producing a positive change in
dalities shows a reduction in compliance
sleep patterns. Research published by
over time and significant side effects.
Miracki and Visintin7 has shown that it
However, the “NIGHTLASE™ Snoring
and Sleep Apnea Reduction Therapy”
can reduce and attenuate snoring, and
protocol is a unique approach to treatprovides an effective non-invasive moment using the Fotona LightWalker dendality to lessen the effects of obstructtal laser with a proprietary protocol and
ive sleep apnea. As with any treatment,
handpiece. Another positive benefit is
there are potential risks with laser treatthe 24-hour-a-day improvement in airment. However, the risks are minimal
way vs. CPAP and MAD.
and certainly less then alternative therNIGHTLASE uses the photothermal
apies if the protocol is followed correctly.
capabilities of the LightWalker laser to
NIGHTLASE therapy is not a permanent
convert and initiate the formation of
alteration and lasts anywhere from six
new and more elastic collagen.6 The tarto 12 months and is easily touched up at
follow-up appointments.2
get mucosal tissues are the oropharynx,
soft palate and uvula. The proprietary
In 2013 we completed a pilot study that
“Smooth Mode” pulse characteristics
addressed only snoring with 12 patients.
create a non-ablative heat generation or
Twelve-month follow-up showed a 30–
“Heat Shock” that initiates the conver90 percent reduction in snoring tone and
sion of existing collagen to more elastic
volume (Fig. 2). The lower percentages
and organized forms and also initiates
were smokers, obese patients and those
“neocollagenesis,” the creation of new
with severe OSA. Follow-up studies with
collagen.
polysonography using HST are in proThis process results in a visible elevacess, as are pharyngometer studies, both
tion of the soft palate and uvula and
of which have recorded significant positightening of the oropharyngeal tissues,
tive changes.
resulting in an improvement in the upA recently published pilot research
per airway volume. The results can be
study by Lee and Lee8 has shown through
seen in Figure 1.
3-D CT imaging the volumetric positive
NIGHTLASE therapy is indicated for
changes after NIGHTLASE treatment to
cases when the patient has been diaghelp support the clinical results, and the
nosed with chronic snoring, UARS or
authors have follow up studies with 3-D
mild to moderate sleep apnea and either
CT, polysonography and a larger group of
cannot or chooses not to wear an applipatients in process.
ance or CPAP device. It can also be used in
We are excited to present these mod-

Fig. 1

Fig. 2: Research also documents a
30–90 percent reduction in
snoring tone and volume.

Fig. 2

ern, minimally invasive and more natural treatment modalities to the dental
community. Using the LightWalker laser,
we can now have another tool in our dental toolbox and offer our patients health
improvements that reach beyond restorative and rehabilitative dentistry.
If the reader is curious about using
the NIGHTLASE protocol or about laser
dentistry in general, you can contact the
manufacturer for more information. As
always, we recommend a good variety of
advanced educational programs in dental sleep medicine to see where NIGHTLASE might fit into your patients’ treatment protocols.
Financial disclosure: The author has no
financial interest in the products mentioned in this article.

References
1.

A report of the National Commission on
Sleep Disorders Research (1995) Wake Up
America: A National Sleep Alert. Washington,
D.C.: U. S. Government Printing Office.
Young T, Peppard PE, Gottlieb DJ (2002) Epidemiology of obstructive sleep apnea: a
population health perspective. Am J Respir
Crit Care Med 165: 1217-1239.
Lattimore JD, Celermajer DS, Wilcox I (2003)
Obstructive sleep apnea and cardiovascular
disease. J Am Coll Cardiol 41: 1429-1437.
Courey MS, Fomin D, Smith T, Huang S, Sanders D, et al. (1999) Histologic and physiologic
effects of electrocautery, CO2 laser and
radiofrequency injury in the porcine soft palate. Laryngoscope 109:1316-1319.
Fomin D, Nicola E, Oliver C, Farci M, Dibbern
R, et al. (2007) Collagen type analysis in the
soft palate after surgical intervention with
CO(2) laser and radiofrequency ablation.
Photomed Laser Surg 25: 449-454.

Liu H, Dang Y, Wang Z, Chai X, Ren Q (2008)
Laser induced collagen remodeling: a comparative study in vivo on mouse model.
Lasers Surg Med 40: 13-19.
Miracki K, Vizintin Z (2013) Nonsurgical minimally invasive Er:YAG laser snoring treatment. J Laser and Health Academy 1:36-41.
Cameron Y. S. Lee and Cameron C. Y. Lee;
Evaluation of a non-ablative Er:YAG laser procedure to increase the oropharyngeal airway
volume: A pilot study. Dent Oral Craniofac
Res, 2015, Volume 1(3): 56-59.

About the author
Harvey Shiffman,
DDS, is in general
practice at the Laser
Dental Center in
Boynton Beach, Fla.
He is a graduate of
Georgetown University School of Dentistry and completed
a general practice residency at Georgetown University Medical Center, with
an emphasis on treating medically
compromised patients. Shiffman completed certification with the Academy
of Laser Dentistry (ALD) in three laser
systems and recently earned ALD
fellowship. He uses and helps develop cutting-edge technology and has
performed thousands of laser dental
procedures. Shiffman is an instructor
for the Academy of Clinical Technology and recently lectured on advances
in laser dentistry at the Yankee Dental
Congress and the Greater New York
Dental Meeting. He is an adjunct professor in the prosthodontics department of Nova Southeastern College
of Dental Medicine and is responsible
for the development of a dental laser
educational program for undergrads
and dental grad students.

[13] =>

[14] =>

[15] =>

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

APRIL 2016 — Vol. 4, No. 2

www.dental-tribune.com

From the Journal of Oral Implantology

Graft lets surgeon improve gums’
support for existing implants
Dental implants are usually needed
when teeth are lost because of gum disease or injury to the soft tissues that support and protect the teeth. These same
problems can affect the soft tissue that
protects dental implants. These clinical
soft-tissue issues can make it a challenge
to place fixed dentures or crowns.
An article in a recent issue of the Journal
of Oral Implantology explains how a newer type of xenograft can help improve the
existing soft-tissue support for existing
dental implants. A stent helps the oral
surgeon properly place a soft-tissue graft
that ensures the soft tissue stays in its desired position during the first few days of
healing.
It’s best to augment soft tissue before
placing dental implants, but this is not
always possible. The oral surgeon may
discover after the implant surgery that
additional soft tissue is required. Several
types of soft-tissue grafts made of tissue
from humans or another species, such as
domestic pig, can be used. The author of
this article used a porcine collagen xenograft to augment the existing soft tissue.
Other researchers have studied the collagen xenograft and found it to be as effective as other graft materials. However,
previous studies typically used porcine
collagen xenograft with natural teeth, not
dental implants.
The article outlines the process used
to augment the gingival soft tissue of 11
patients who had fixed partial dentures
or splinted crowns. All patients underwent the same procedure. The surgeon
removed the stents five to seven days
post-surgery and checked for healing. In
the subsequent four to 12 weeks, the surgeon evaluated how well the soft tissue
had healed.
In all cases, the surgeon controlled
bleeding early-on to avoid the collection of blood under the stent. The author
placed the xenograft to cover the surgical
wound, and then strategically placed a
stent made of a bis-acryl material and
quickly shaped the material before it
hardened. The author noted the importance of using a piece of collagen that is
8 to 10 mm wide and as long as needed to
fill the surgical wound. Narrower collagen
pieces did not create enough supporting
tissue for the implants.
All patients healed uneventfully. However, the new soft tissue was not the thick,
protective type of keratinized tissue that
” See GRAFT, page B2

Photos and chart/Provided by Dr. Dennis Flanagan and the Journal of Oral Implantology

Fig. 1: Implant-supported crowns with inadequate facial immobile tissue (Patient TW). Fig. 2: The facial mucosa is demonstrated with
compression using a probe. Fig. 3: A partial-thickness surgical wound is created to accept the porcine collagen.

Fig. 4: Bleeding is controlled with a saturated
aqueous tranexamic acid tamponade. Fig. 5:
Festooned segment of porcine collagen fits into
the wound and is covered with the bis-acryl
before the collagen becomes saturated with
blood. Fig. 6: The bis-acryl is gingerly placed over
the site directly from the mixing gun. The tip is
cut and flattened to produce a ribbon of material
to cover the site without significant creases or
surface cavities.Fig. 7: Site at the first post-op
week. Fig. 8: Site at eight post-op months.

Fig. 9: A maxillary left posterior site at one postoperative week (Patient JK).

Fig. 1o: The maxillary left posterior site at 19 postoperative
months. The tissue appears to be and seems to function as
attached gingiva.

[16] =>

X X X X IN CHIEF
FROM THEXEDITOR

Implant Tribune Canada Edition | April 2016

10 rules of order
in implantology
Common sense to live by if you practice implant dentistry

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

Photos/Dr. Sebastian Saba

Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com

By Sebastian Saba DDS, Cert. Pros.,
FADI, FICD, Editor in Chief

1. Choose one well-documented, scientifically supported implant system. Any
dental implant system demonstrating
ongoing research and design will achieve
high success rates and be adequately
equipped to deal with most clinical challenges. Surprisingly most successful
implant systems are similarly designed,
making the thought of owning different
implant systems in the office redundant.
Implant macro- and micro-topography
may vary, but similar success rates are
seen. Prosthetic connections and abutment designs appear very similar.
2. Not all dental implant companies are
created equal; warranties, customer service, availability of representatives and
technical support may be highly variable.
Companies that tend to merge may have
a transition stage where customer support may vary.
3. If you pursue both the surgical and
prosthetic phases of treatment, be ready
to assume twice the responsibility for
diagnoses and clinical execution. As a
prosthodontic specialist, keeping up
with the prosthodontic and laboratory
literature alone is complicated enough. I
rely on my surgical team to provide the
most up-to-date surgical information to
guide my prosthetic objective.
4. If you fiddle with any implant, restored or not, you just bought it. On a
larger scale, this involves the topic of
informed consent. It’s common to see
patients with prosthetic complications
relating to implant dentistry. Make sure
you have a full disclaimer regarding
any proposed intervention; otherwise,

Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Product/Account Manager
Maria Kaiser m.kaiser@dental-tribune.com
BUSINESS DEVELOPMENT MANAGER
Travis Gittens t.gittens@dental-tribune.com
Education DIRECTOR
Christiane Ferret c.ferret@dtstudyclub.com
Accounting Department Coordinator
Nirmala Singh n.singh@dental-tribune.com

you may be held responsible for a preexisting condition.
5. All screws loosen with time; its not if,
but when. Properly supported prosthetic
designs and proper torque execution
will minimize such complications. Remember one screw loose per week is too
many.
6. Most insurance companies don’t recognize implant prosthetics. Properly inform your patients of this reality.
7. Even good implant systems can have
complications and failures. Poor surgical
execution, patient selection or management and/or poor prosthetic design can all create problems with the
best of systems.
8. Some single-implant
cases are quite difficult,
and
some
multipleimplant cases are quite
simple. Not all singleimplant cases are pre-

dictable (i.e., matching a central incisor);
while multiple, implant-supported, posterior bridges can be quite predictable.
9. Implant prosthodontics is not simple.
In general, any prosthodontics case is not
simple, regardless of what a salesperson
might tell you. Prosthetic components
can be technique sensitive, and they
can be difficult to select. Step-by-step
instructions can oversimplify and misrepresent the clinical challenges.
10. The likelihood that an implant is
malpositioned is directly related to the
surgeon’s resistance to a surgical guide.
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

Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a
factual error or content that requires clarification,
please contact Managing Editor Robert Selleck at
r.selleck@dental-tribune.com.
Tribune America cannot assume responsibility for
the validity of product claims or for typographical
errors. The publisher also does not assume responsibility for product names or statements made by
advertisers. Opinions expressed by authors are their
own and may not reflect those of Tribune America.

Editorial Board
Dr. 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

and has a private practice in
Montreal limited to prosthetic and
implant dentistry.

Corrections
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.

“ GRAFT, Page B2
typically surrounds teeth. Instead, it appeared to be an immobile
form of a softer, elastic tissue similar to that lining the floor of
the mouth and cheeks. Not withstanding this variation, the new
tissue created protection for the dental implants from distortion
that is frequently caused by the pull of facial muscles.
The author concluded that the graft was effective in providing
the intended support for the existing dental implants. “This work
may provide a quicker way for implant dentists to provide the necessary protective soft tissue for atrophic edentulous sites with
fewer morbidities,” said Dr. Dennis Flanagan, author of the article.
“However, as with previous and concurrent work, the resulting
type and amount of keratinized tissue is not predictable.”
Full text of the article, “Stented Porcine Collagen Matrix to
Treat Inadequate Facial Attached Tissue of Dental Implant Supported Fixed Partial Dentures,” Journal of Oral Implantology,
Vol. 42, No. 2, 2016, is available at: http://www.joionline.org/doi/
full/10.1563/aaid-joi-D-15-00050.

Tell us what you think!

Table: Patients treated with porcine collagen graft with an acryl stent
at various postoperative measurements; measurements were taken
from the crest of the gingival margin to the junction of the immobile
mucosa or perceived attached gingiva and the flaccid mucosa.

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@dental-tribune. 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.

[17] =>

[18] =>

XXXXX
INDUSTRY

Implant Tribune Canada Edition | April 2016

Headlight transfers
across loupes, frames

ODA
BOOTH
530

Go wireless: Cut the cord without sacrificing light
Designs for Vision’s new LED DayLite®
WireLess™ not only frees you from being tethered to a battery pack, but the
simple modular design also uncouples
the “WireLess” light from a specific
frame or single pair of loupes. Prior
technology married a cordless light to
one pair of loupes via a cumbersome in-

tegration of the batteries and electronics into the frame. The compact design
of the DayLite WireLess is independent
of any frame/loupes.
The patent-pending design of the LED
DayLite WireLess is a new concept: a selfcontained headlight that can integrate
with various platforms, including your

existing loupes, safety eyewear,
lightweight headbands and
future loupes or eyewear
purchases.
The LED DayLite WireLess is not limited to
just one pair of loupes or
built into a single, specific

The LED DayLite WireLess
headlight can integrate with
various platforms, including
your existing loupes, safety
eyewear, lightweight headbands and future
loupes or eyewear purchases. Photo/Provided
by Designs for Vision

eyeglass frame. The LED DayLite WireLess can be transferred from one platform to another, expanding your “WireLess” illumination possibilities across
all of your eyewear options.

1.4 ounces
The LED DayLite WireLess weighs only
1.4 ounces and, when attached to a pair
of loupes, the combined weight is half
the weight of integrated cordless lights/
loupes.
The LED DayLite WireLess produces
up to three times the light intensity of
other cordless lights, according to the
comapny. The spot size of the LED DayLite WireLess will illuminate the entire
oral cavity. The function of the headlight is controlled via capacitive touch.
The LED DayLite WireLess is powered
by a compact, rechargeable lithium-ion
power pod. It comes with three power
pods. The charging cradle enables you to
independently recharge two power pods
at the same time and it clearly displays
the progress of each charge cycle.
Designs for Vision also has been showing the Micro Series this year. The Micro
3.5EF Scopes use a revolutionary optical
design that reduces the size of the prismatic telescope by 50 percent and reduces the weight by 40 percent, while
providing an expanded-field full-oralcavity view at 3.5x magnification.
The new Micro 2.5x Scopes are 23 percent smaller and 36 percent lighter than
traditional 2.5x telescopes, and enlarge
the entire oral cavity at true 2.5x magnification.
The Micro Series is fully customized
and uses the proprietary lens coatings
for the greatest light transmission.
You can “See the Visible Difference®”
yourself by visiting the Designs for Vision booth, No. 530 at Ontario Dental
Association Annual Spring Meeting in
Toronto. Or arrange a visit in your office
by telephoning (800) 345-4009 or emailing info@dvimail.com.
(Source: Designs for Vision)

[19] =>

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[cover] => DT Canada No. 2, 2016

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Table of contents

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Ontario Dental Association adds to exhibit hall features / Events / Industry / Implant Tribune Canada Edition

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