DT Canada No. 2+3, 2013
Getting closer: building natural teeth in the lab / It's only two crowns a month! / Meetings / Industry News / Implant Tribune Canada Edition
Getting closer: building natural teeth in the lab / It's only two crowns a month! / Meetings / Industry News / Implant Tribune Canada Edition
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Dental Newspaper · Canada Edition April 2013 — Vol. 7 No. 2/3 www.dental-tribune.com It’s only two crowns a month! WITH KIDS: NO DRILL MAY MEAN LESS FEAR Before you add another product or service, Louis Malcmacher wants you to know exactly how that ‘little’ monthly payment fits into your total budget. Study of 200 children with tooth decay shows new caries treatment using no drill or anesthetics is widely preferred by the majority of young patients. ” page A3 ” page A22 Getting closer: building natural teeth in the lab Bioengineered teeth have dentin, enamel and viable roots Implant Tribune Updating standards Top clinicians gather in Bern, Switzerland, to update implant dentistry's ‘golden standards.’ ” page B1 ODA Annual Spring Meeting, Toronto, May 2–4 Publications Mail Agreement No. 42225022 ” See NATURAL, page A4 • Enjoy new products; but be sure to keep revenue higher than expenses Meetings A5–A6 • Review: Pacific Dental Conference • JDIQ courses filling fast • Winter Clinic: 2,572 attendees • New technology pavilions at 2013 Greater New York Dental Meeting R esearchers at the Dental Institute at King’s College London say they’re a step closer to growing human teeth in the lab using cells from the individual who would ultimately receive the tooth as a natural implant. Led by Professor Paul Sharpe, the research team isolated adult human gingival tissue from dental patients at the institute, grew more of the tissue in the lab, and then combined the tissue with mesenchyme (tooth-forming) cells from mice. The combination of cells were transplanted into mice renal tissue, where they grew into hybrid human/mouse teeth that contained dentin and enamel — and formed viable roots. The root formation is seen as a key breakthrough, because bioengineered teeth with natural root structure could eliminate one of the challenges sometimes seen with tooth-implant technology to date: a risk of bone loss in the area of the jaw that anchors an artificial implant. Such bone loss has been attributed to friction that occurs when eating or because of other jaw movement. The goal is creation of a viable root that would be integrated into the jaw as if it was the recipient’s natural tooth. There’s no need for the crown of the tooth to match the bite, because technology exists to create a man-made alternative that integrates appropriately into the bite and appearance — and functions comparably to a natural crown. The King’s College London Dental Institute reports that previous efforts to produce bioengineered teeth (bioteeth) have focused primarily on the generation of immature teeth (teeth primordia) that mimic those in the embryo. Such teeth could be transplanted as small cell “pellets” into the adult jaw to develop into functional teeth. It has been demonstrated that embryonic teeth primordia can develop normally in the adult mouth, so if suitable cells can be identified and combined in such a way to produce an immature tooth, there is a realistic prospect that bioteeth can become a clinical reality. Subsequent studies have largely focused on the use of embryonic cells; and although it is clear that embryonic tooth primordia cells can readily form immature teeth following dissociation into single cell populations and subsequent recombination, such cell sources are considered impractical to use in a general therapy. Sharpe, an expert in craniofacial development and stem cell biology, said: “What is required is the identification of adult sources of human epithelial and mesenchymal cells that can be obtained in sufficient numbers to make biotooth formation a viable alternative to dental implants. … Epithelial cells derived from Practice Matters A3–A4 Industry News A8–A23 ‘Pathways to Excellence’ is the theme of the Ontario Dental Association Annual Spring Meeting in Toronto, May 2–4. More than 10,000 dental professionals are expected, ready to take advantage of the more than 40 education sessions, opportunities to earn C.E. credits — and a trade show with more than 580 booths. Photo/Provided by www.dreamstime.com • Heaven Can Wait: Learn CPR, AED • BEAUTIFIL Flow Plus now available in B1, B2 and C2 • 3Shape releases Dental System 2013 • The marketing landscape is changing; Demandforce can help • Itsoclear clasp now in Canada • Laser dentistry: solution for faster treatments, better outcomes • Handpiece manufacturer aims for global leadership • How to earn $10 million in 10 years • New imager has 3-in-1 functionality • No-drill technique may reduce kids’ dental fears • Innovative visualization solutions AD[2] => [3] => Dental Tribune Canada Edition | April 2013 DENTAL TRIBUNE The World’s Dental Newspaper · Canada Edition Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com Chief Operating Officer Eric Seid e.seid@dental-tribune.com Group Editor Robin Goodman r.goodman@dental-tribune.com Managing Editor U.S. and Canada editions 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 Managing Editor Show Dailies Kristine Colker k.colker@dental-tribune.com Pr actice Matters A3 It's only two crowns a month! Be aware of how one more 'little check' fits into your total payments By Louis Malcmacher, DDS, MAGD “It's only two crowns a month!” If I hear these words again from any dental salesperson, I think I am going to get sick. We hear statements like this all of the time or something similar as to which investments we should make in our office in terms of technology, equipment, products or anything else anyone is trying to sell us. It often comes in the form of something like this: “Doctor, this new piece of dental equipment will pay for itself — the lease payment is only the cost of two crowns per month and then after that it is all profit.” Well, that doesn’t sound like much — if I do 20 to 25 crowns per month and for only two crowns per month (in other words a lease payment of about $2,000), I can have this piece of new technology in my office and it will certainly pay for itself. ” See CROWNS, page A4 Louis Malcmacher, DDS, MAGD, is a practicing general dentist and an internationally known lecturer, author and clinician. He is the president of the American Academy of Facial Esthetics. Contact him at (800) 952-0521 or at drlouis@FacialEsthetics.org. You can learn about Botox and dermal filler training and other resources by visiting his website at www.commonsensedentistry.com. Product/Account Manager Will Kenyon w.kenyon@dental-tribune.com Marketing DIRECTOR Anna Kataoka-Wlodarczyk a.wlodarczyk@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 © 2013 Tribune America, LLC All rights reserved. Dental Tribune 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@dentaltribune.com. Dental Tribune 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 e-mailing us at 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@ dental-tribune.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. Ad[4] => A4 “ CROWNS, Page A3 It is this kind of thinking that has caused an underlying problem for many dental practices and one that you may not even know exists in your practice: What is your debt service? How much are you paying each month on leases or loans to finance new dental equipment, technology, office build-out, hardware/ software systems and the like? Because you write a number of different checks every month, have you ever sat down to try to figure this out? I first heard about this issue from my good friend, Sally McKenzie of McKenzie Management. Sally has been one of dentistry’s premier dental consultants for many years, as she herself started her career as a dental office manager Ad Pr actice Matters in Columbus, Ohio. Sally says that one of the biggest problems she sees with many of her clients is that they have no idea how much they are paying out every month. I have confirmed this with a number of other dental consultants. Many dentists have fallen into this trap of, “It’s only one or two crowns a month,” or “After your first six restorations, the rest is profit,” or, one of my personal favorites: “You will lose money if you don’t buy this.” How do you solve this problem? First, get to know the facts. Sit down and really find out how much you are paying in lease and loan payments for everything in your office. Because you are probably writing checks to a number of different financial institutions, it may not seem like a lot to you, but you might be Dental Tribune Canada Edition | April 2013 ‘My rule for investing: Will it change the patients’ experience in providing faster, easier and better dentistry?’ shocked when you total it all together. Please seriously consider consolidating your debt. Sally McKenzie describes a situation with a client of hers in the Midwest for whom McKenzie Management was able to arrange an $850 per month debt reduction by consolidating the client’s payments into a single financial institution. If consolidating your debt can save you even $100 per month, then it is worth doing. My rule for investing in anything, whether it is equipment, technology, practice management systems or anything else in dentistry, is simply this: Will it change the patients’ experience in providing faster, easier and better dentistry? Clinically, it comes down to efficiency that will result in better patient treatment outcomes. For me, investments such as lasers (soft tissue Picasso Lite (AMD Lasers), injection comfort systems (DentalVibe), bulk fill composites (Gaenial, GC America), fast composite matrix systems (V3 Ring, Triodent), patient financing (Carecredit) and anything else that fits into this kind of category is worth the investment. Don’t relate any of these investments to how many restorations or crowns it will take to pay for what you bought, because that by itself has absolutely no limit. In other words, you will keep investing and investing into everything because it is only two crowns per month. At the end of the month, you will have done only 30 crowns while paying leases totaling 50 crowns per month. That is when your office begins to go under, and that can be nearly impossible to reverse. Always think before you buy and carefully consider your options. Always fight to get the best deal possible and understand carefully whether what you are investing in will really make you more profitable and give you a great return on investment. “ NATURAL, Page A1 adult human gum tissue are capable of responding to tooth-inducing signals from embryonic tooth mesenchyme in an appropriate way to contribute to tooth crown and root formation and give rise to relevant differentiated cell types, following in vitro culture. These easily accessible epithelial cells are thus considered a realistic source for consideration in human biotooth formation. The next major challenge is to identify a way to culture adult human mesenchymal cells to be tooth-inducing, as at the moment we can only make embryonic mesenchymal cells do this.” Sharpe’s findings were published in the Journal of Dental Research. The team’s efforts were funded by the National Institute for Health Research (NIHR) Biomedical Research Centre at Guy’s and St. Thomas’ National Health Service Foundation Trust and King's College London, United Kingdom. The research report became available online in early March at jdr.sagepub. com. Categorized under “Research Reports — Biological,” the article is titled, “Adult Human Gingival Epithelial Cells as a Source for Whole-tooth Bioengineering.” (Source: Dental Institute at King’s College London)[5] => Dental Tribune Canada Edition | April 2013 Meetings A5 Meeting review: Pacific Dental Conference Live Dentistry Stage, packed educational sessions and bustling booths in the Exhibit Hall attract enthusiastic crowd By Robin Goodman, Group Editor Overcast skies could not dampen the enthusiasm among those exploring the more than 570 booths in the Pacific Dental Conference Exhibit Hall. The sessions on the Exhibit Hall’s Live Dentistry Stage attracted standingroom crowds, offering a “big screen movie theatre” experience. Microphones were scattered throughout the aisles so lecturers could answer ques- ODA Spring Meeting expects 10,000 Speakers to cover broad and diverse range of clinical, practice-management and personal-development topics The exhibit floor at the Ontario Dental Association Annual Spring Meeting, May 2–4, will feature more than 580 booths and 300 exhibiting companies showcasing the latest products and services in the dental industry. But that's just the beginning. The Annual Spring Meeting will feature a lineup of diverse sessions for the entire dental team. The keynote speaker, Friday, May 3, is Dr. Michael Roizen speaking on "RealAge and You: The Cleveland Clinic Experience on Controlling Your Genes and What it Means for You." This is a ticketed event, so meeting organizers encourage you to sign up early to reserve a seat. A few other highlights include: Dr. Gordon Christensen with "The Bottom Line — 2013 Controversies," the Madow Brothers with "How to Love Dentistry, Have Fun and Prosper," Dr. Marie Fluent with the timely "Emerging Infection Control Issues," Chris Scappatura with "Mechanics of Happiness — 10 Ways to Create Happiness in the Dental Office" and Dr. Anita Jupp with "How to Work Smarter Not Harder" and "How to Build a Powerful Team." (Source: Ontario Dental Association) tions from attendees after each session. Among the educational highlights, Dr. Ron Zokol presented “Guided Full Arch Implant Placement,” co-sponsored by Pacific Implant Institute and Nobel Biocare Canada; Vancouver dentist Dr. Ernst “Ernie” Schmidt presented “CAD/CAM Ceramic Restoration,” cosponsored by Patterson Dental; and Dr. Haneef Alibhai presented “Botox Demonstration,” co-sponsored by md cosmetic & laser training. Exhibit Hall highlights included: • For a blast of pseudo sunshine in the form of some bright yellow buttondown shirts, there was Sinclair Dental, a company that offered free tooth-whitening treatments. The company's representatives were also passing out yellow roses. • Beutlich Pharmaceuticals offered HurriPak, a starter kit of periodontal anaesthetic featuring HurriCaine. The topical anaesthesia liquid comes in two flavours — wild cherry and Piña Colada. • Citagenix offered its line of bone grafting products, membranes, specialized dental instruments and more. • Cleardent’s booth featured a large low table, and many big-screen monitors were used by attendees to test out software that can enable an office to go paperless. • The new Cinemizer OLED by Zeiss could be found at the National Dental Inc. booth. Some 75 percent of adult patients suffer from varying degrees of anxiety at the dentist, and Cinemizer OLED multimedia video glasses can help reduce patient anxiety with 2-D or 3-D movies, TV shows or other relaxing videos. Ad[6] => MEETINGS A6 Dental Tribune Canada Edition | April 2013 Dental Tribune Canada Edition | February 2012 JDIQ courses filling fast Journées dentaires internationales du Québec, May 24–28 Courses are filling fast for the Journées dentaires internationales du Québec, May 24–28, at the Palais des congrès de Montréal. As of late February, six courses were already sold out, meeting organizers reported. The annual meeting of the Ordre des dentistes du Québec continues to be Canada’s largest dental meeting and expects to host more than 12,000 delegates from around the world. With a scientific program with more than 100 lectures and workshops in English and French, JDIQ maintains its status as one of the world’s most highly attended bilingual (English/ French) conventions. More than 225 exhibitors will span 500 booths in the exhibit hall, Monday and Tuesday, May 27 and 28. The exhibit hall will feature a continental breakfast from 8–8:30 a.m. on both days for the early risers — and a wine-and-cheese reception closing out both days. Featured speakers include Drs. Dan Nathanson, Gerard Kugel, David Clark, Gérard Chiche, Mark Piper, George Freedman, Paresh Shah and Rhonda Savage. For more information, call (800) 3614887, or visit www.odq.qc.ca and email congres@odq.qc.ca. (Source: JDIQ) The Montréal skyline on a summer evening. Photo/Provided by MTOQ/Perry Mastrovito Winter Clinic: 2,572 attendees The 2012 Toronto Academy of Dentistry Winter Clinic offered more than 20 programmes, representing a wide spectrum of dental interests. The 12 hours of COREapproved courses and packed exhibit hall attracted 2,572 attendees. The Canadian Armed Forces presented a programme on nation building and a display of a mobile dental suite. Many lecture rooms were at capacity or overflowing. The acad- emy launched an initiative with the Mikey Network to place automatic external defibrillators (AEDs) in public places, earn recognition for the dental profession and give dental practices a chance to purchase a quality AED at significant savings. The Winter Clinic continues to attract dentists, hygienists, assistants and office administrators from not only the Toronto area but across Canada and the United States. Congratulations to the winners of the photography contest. Dr. Juris Michelsons of Cambridge, Ontario, won the trip for two donated by Sandals. Mark your calendar for Friday, Nov. 8, for the 76th Winter Clinic. Plans are already under way and include Dr. Raymond Bertolotti as a featured clinician. (Source: Toronto Academy of Dentistry) New technology pavilions featured at 2013 Greater New York Dental Meeting Registration is now open for the 2013 Greater New York Dental Meeting (GNYDM). Organizers of the 89th annual meeting anticipate the largest attendance yet. New for the 2013 meeting will be a redesign of the exhibit floor — with the addition of new technology pavilions and a unique dental laboratory exhibition. The exhibit floor and the diverse continuing education programs are the centerpiece of the expansive annual meeting. Attendees are able to walk the exhibit floor for free (no preregistration fee) and meet with more than 600 companies selling the newest products and advanced technologies. The education program will include 300 full- and half-day seminars, essays and hands-on workshops. Among the specialty programs are topics including orthodontics, endodontics, cosmetic dentistry, pediatric dentistry and implant dentistry. The GNYDM is introducing three new hands-on educational pavilions, including lasers, CAD/CAMs and cone-beam/ CT/X-rays. Each of these pavilions will house multiple companies providing information on the latest technologies that can be used in the dental office. Attendees will be able to instantly compare all the products in one location, while also becoming more familiar with the state-of-the-art technology by attending morning and afternoon educational programs presented at each pavilion. The Greater New York Dental Meeting and Aegis Publishing, Inside Dental Technology, have announced a partnership in laboratory technology. Collaboration 2013 will provide a designated laboratory exhibit area on the GNYDM exhibit floor, specialized education, demonstrations, digital dentistry and technology that will engage technicians and dentists side-by-side in an integrated, hands-on experience. The Greater New York Dental Meeting continues to offer a modern, high-tech, free “live dentistry” arena daily from Sunday through Wednesday. The interactive “live” program features top clinicians performing dental procedures on Changes for the 2013 Greater New York Dental Meeting include a redesigned exhibit floor that includes new technology pavilions and a dental laboratory exhibition. Photo/Provided by GNYDM actual patients on stage, in front of 600 attendees. It all takes place right on the exhibit floor. Attendees are encouraged to arrive early because seats fill quickly. The GNYDM is the largest dental congress and exhibition in the United States, registering 53,481 attendees from all 50 states and 130 countries in 2012. There is never a pre-registration fee at the GNYDM. Dental professionals are invited to be part of the 2013 meeting to experience the energy of an event that draws top dental professionals from around the world. Attendees also get to see all that New York City has to offer during one of its most beautiful times of the year, Nov. 29 through Dec. 4, right at the beginning of the holiday season. Free registration is now open for the 2013 meeting at www.gnydm.com. (Source: Greater New York Dental Meeting)[7] => [8] => A8 Industry News Dental Tribune Canada Edition | April 2013 Protect your patients, protect your practice Your investment in an AED and dental medical emergencies training can save lives ensure the safety of your paAre you prepared? In OnODA tients, your staff and yourtario, anywhere from 1,406 BOOTH self? to 3,265 dentists will experiTreating medical emergenence an in-office medical NO. 946 cies can be anxiety-provoking emergency in any given year, and overwhelming for any denaccording to the Canadian Dentist because of the shear breadth tal Association. of different medical emergencies that It’s not a question of “if” a life-threatcan occur. Additionally, because lifeening medical emergency will strike at threatening emergencies do not genyour dental practice, it’s a question of erally occur on a daily or even weekly “when.” Are you doing everything to Ad basis, it’s not unusual for dental professionals facing emergency medical challenges to feel a lack of confidence in their assessment skills and up-to-date knowledge of treatment modalities. But regardless of the challenges such emergencies present, it is vitally important to be ready to jump into action at a moment's notice when these situations arise. Picture for a moment that you are performing a routine procedure when all of a sudden you notice your patient’s tongue has become profoundly swollen. The patient is gasping for air — suffocating right in front of you. Or, in another scenario, your office manager yells out in a panic that a child has collapsed in your waiting room and nobody can tell if the child is breathing or not. Are you prepared to handle these emergencies? Is your staff prepared to handle these emergencies? Seconds count, and in such situations it’s critical to act immediately. Help is available to help get you prepared Heaven Can Wait, which is run by paramedics, provides training in cardiopulmonary resuscitation, automated external defibrillation and responses to other dental medical emergencies. It provides dental-specific certification programs geared toward the entire dental team. In addition to providing an in-office certification program on CPR and defibrillation protocols and procedures, the company’s paramedic instructors also focus on common and life-threatening medical emergencies in the dental office. They also review the storage, availability and use of the medications in the mandated emergency drug kit. Toronto Academy of Dentistry preferred provider Heaven Can Wait is recognized as the Toronto Academy of Dentistry’s preferred provider for AEDs and CPR/AED/ dental medical emergencies training. It is also a member of the Dental Industry Association of Canada (DIAC). To sum up the value of its service, the company uses the phrase: “It’s better to lose a minute of your life, than to lose a life in a minute.” Your emergency response skills can mean the difference between life and death. Because of that, Heaven Can Wait is available to help you and your staff learn what you need to know so you're always prepared. The company invites you to stop by its exhibitor booth (No. 946) at the Ontario Dental Association Annual Spring Meeting in Toronto. (Source: Heaven Can Wait) Corrections Dental Tribune strives to maintain the utmost accuracy in its news, clinical and industry content. If you find a factual error or information that requires clarification, please report the details to Dental Tribune Canada Managing Editor Robert Selleck at r.selleck@dental-tribune .com.[9] => [10] => A10 Industry News Dental Tribune Canada Edition | April 2013 BEAUTIFIL Flow Plus now available in B1, B2 and C2 ODA BOOTH NO. 1620 BEAUTIFIL Flow Plus restorative is ‘changing dentistry for the better’ Shofu will be demonstrating its revolutionary product BEAUTIFIL Flow Plus during the Ontario Dental Association Annual Spring Meeting at booth No. 1620 this year. This radiopaque injectable hybrid restorative is now available in three new shades — B1, B2, and C2 in both viscosities, giving dentists even more esthetic treatment options at their fingertips. The product combines mechanical properties that rival leading hybrids, with the superior adaptation that can be achieved only with a flowable delivery. Approved for all indications (Class I–V), this new concept avails new clinical techniques that promise to revolutionize how restorations are performed, while at the same time, provide a host of benefits and advantages over traditional hybrid layering techniques. All-in-one base, liner and restorative Traditional methods of filling and packing hybrids can be time consuming, presenting technique-sensitive issues that may result in post-op sensitivity and/or failure of the restoration. With BEAUTIFIL Flow Plus, material can be syringe-delivered where needed and cured in 2-mm increments all the way up to the occlusal surface. See Figure 2 and Figure 3, Class I restoration, before and after. Using a single material not only simplifies the steps to perform restorations, it also reduces inventory needs and helps facilitate both setup and cleanup — making for a more productive office. Flowable adaptation with the strength of a hybrid The flowable consistency of BEAUTIFIL Flow Plus provides superior adaptation to tooth structure when compared with hybrids, according to the company. Because the material is flowed into the preparation, rather than being packed as with hybrids, dentists can achieve a tight marginal seal with minimal instrumentation. This helps reduce the occurrence of voids inherent in traditional hybrid packing techniques. Unlike other flowables, BEAUTIFIL Flow Plus is approved for all indications, making it perfectly suited for difficult to reach Class IIs. In addition to superior adaptation, BEAUTIFIL Flow Plus was specifically designed to stand up to the rigors of the occlusal surface and marginal ridge, according to the company. High filler content and unique chemical properties ensure that clinicians have all of the material strength found in leading hybrids. Internal studies confirm that compressive strength, flexural strength, toothbrush wear and other mechanical properties are clinically equivalent to leading hybrids on the market. Using this new approach, dentists can achieve better adaptation, with a stronger material and fewer, less-complicated steps. It just stays put One of the many distinguishing features of BEAUTIFIL Flow Plus is that it stays where you put it. Older-generation flowables tend to spill out of the prep; BEAUTIFIL Flow Plus provides precision stacking capabilities with no slump. This is particularly impor-tant when working at awkward angles or with fidgety patients. Two distinct viscosities add to dentists’ treatment options. See Figure 4, FØØ/FØ3 material. “FØØ” Zero Flow (0.0 mm of flow held vertically for one minute) is ideal for stacking, especially in the marginal ridge. “FØ3” Low Flow (3 mm of flow held vertically for one minute) handles more like a traditional base or liner. That said, the mechanical properties for both viscosities are similar and can be used interchangeably. Both FØØ and FØ3 display self-leveling characteristics that make polishing easier than ever. Clinically proven benefits Shofu’s proprietary GIOMER technology utilizes “Surface Pre-Reacted Glass” (S-PRG) filler, providing a wealth of benefits for high-caries-index patients, according to the company. Simply put, SPRG filler is composed of a glass core with a surface-modified layer that protects the durability and esthetics of the glass from moisture, while still allowing beneficial ions to travel freely between the S-PRG filler and the oral environment. Many competitive restoratives release fluoride initially, but deplete their charge within a matter of weeks. With S-PRG technology, fluoridated products, such as toothpaste and mouthwash, recharge the filler material, providing sustained preventative benefits over the life of the restoration. Numerous independent clinical studies show S-PRG fillers to display biomimetic properties that help protect the restoration and surrounding tooth structure from harmful bacteria. Studies on BEAUTIFIL Flow Plus’s sister product, BEAUTIFIL II, a hybrid restorative, highlight these results. As published in JADA, a University of Florida study found Fig. 1: BEAUTIFIL Flow Plus radiopaque, an injectable hybrid restorative with mechanical properties rivaling leading hybrids, adds more shade choices. Photos/Provided by Shofu Fig. 2 Fig. 3 Figs. 2, 3: Before (Fig. 2) and after (Fig. 3) Class I restoration shows BEAUTIFIL Flow Plus can be syringe-delivered where needed and cured in two-mm increments all the way up to the occlusal surface. Fig. 4: ‘FØØ’ Zero Flow (0.0 mm of flow held vertically for one minute), left, is ideal for stacking, especially in the marginal ridge. ‘FØ3’ Low Flow (3 mm of flow held vertically for one minute), right, handles more like a traditional base or liner. that restorations containing S-PRG filler showed no failures, no secondary caries and no post-op sensitivity during an eight-year period. A 13-year recall of these patients is currently under way. Quality and durability For decades, Shofu’s “Brownies,” “Greenie” and other polishers have been synonymous with quality and durability in dentistry. While many companies would be complacent as the “go-to” polishing company, Shofu has been on a mission to change dentistry for the better with innovative chemical restoratives such as BEAUTIFIL Flow Plus. Exceptional strength, handling and unique bioactive filler technology make it a product worth seeing for yourself. (Source: Shofu) Fig. 5: Radiopacity of FØØ and FØ3.[11] => Dental Tribune Canada Edition | April 2013 Industry News A11 3Shape releases Dental System 2013 System has new major indications, powerful design tools, optimized order creation, stronger scan and design workflows and new, highly intuitive user interface On Dec. 21, 2012, 3Shape, a user-acclaimed worldwide leader in 3-D scanners and CAD/ CAM software solutions, released its next generation Dental System™ 2013 to the market. “We are keenly focused on helping labs stay competitive in an industry driven by technology changes, escalating globalization and increasing regulatory demands,” said 3Shape President and CEO Flemming Thorup. “By enhancing ease-of-use in our Dental System 2013, and adding even more major indications that can be provided digitally, we believe that we have significantly increased the productivity and range of services labs can offer at competitive prices.” New features in Dental System 2013 include: • New user interface for maximum easeof-use and simplified design workflows. A new intuitive workflow progress bar guides users through each design step. The new interface introduces a full-screen design window that maximizes 3-D design space. • Advanced implant bridges with gingiva (“Prettau style”). Design advanced bridges — complete with gingiva, teeth and implant interfaces in a single smooth workflow. Designs can be milled directly in zirconia, titanium, PMMA or other materials. • New post-and-core design software. Completely new post-and-core solution with unique scanning and design workflows. Specially designed scan-posts capture post positions and depth from the model. All layers are designed in a single workflow — starting with the anatomy layer first. Uses scans from both TRIOS® and 3Shape desktop scanners. • New Abutment Designer™ workflow for screw-retained crowns and anatomical abutments. 3Shape introduces a new workflow for designing screw-retained restorations in Abutment Designer™. All types of abutments — standard customized abutments, screw-retained crowns and anatomical abutments — are selected directly in the order form, followed by the new “anatomyfirst” workflow. • Digital Denture Design™. 3Shape’s new Denture Design software brings digital precision and efficiency to a traditionally technique-demanding process. Technicians use 3Shape’s Smile Composer™ and unique Gingiva Creation Tool to efficiently model highly esthetic and functional dentures. • TRIOS Inbox. Labs can connect to any open TRIOS digital impression system in the world. The new TRIOS Inbox enables labs to receive scans from TRIOS Digital Impression Systems in dental clinics and discuss cases with dentists online. Incoming cases are accepted or rejected with a one click, and notification is immediately sent to the dentist. All Dental System subscriptions include 3Shape LABcare™ — 3Shape’s customer- centric business model that gives users new technologies through annual releases such as this Dental System 2013 software. In addition to upgrades, 3Shape LABcare gives labs access to an support net- 3Shape’s new Dental System 2013 is packed with new features. Photo/Provided by 3Shape work with multiple language assistance, and access to training and learning channels such as webinars, videos, etc. Dental System 2013 will be available through 3Shape resellers. The actual availability of the system for end-users will de- pend on the specific system configuration. Contact your local 3Shape supplier, or visit www.3shapedental.com for information regarding reseller details. (Source: 3Shape) Ad[12] => A12 Industry News Dental Tribune Canada Edition | April 2013 Early adopters share their secret: automated online marketing The marketing landscape is changing; but Demandforce can help Demandforce is an automated, online marketing and communications system that integrates itself with your practice management system. You set it up once and it runs itself to keep patients coming back while attracting new ones — then it measures and analyzes the results for you. “The Demandforce system was able to generate 43 appointments just through the initial ‘Welcome’ communication to our patients. This alone is proof that this is how patients prefer to communicate today. Demandforce allows my practice to effectively reach patients and provide them with an easy online system to request an appointment.“ — Dr. Jeff Barrera, DDS, Arbous Aesthetic Dentistry It’s the high-tech hybrid on your wish list of best practices: confirmation emails and texts, online referral system, patient surveys, Facebook appointment requests, online review multiplier/manager and search engine stimulus. And a whole lot more. The new word of mouth As consumers become more comfortable with posting and reading online reviews, word of mouth is more rampant than ever. Demandforce can help with creating positive PR of your own — with a “Write a Review” button on all outgoing patient communications, Demandforce increases reviews from existing patients then feeds these reviews to the office’s website, Google, Facebook and Citysearch. “We have used Demandforce in our practice fromday one, and patients love filling out the surveys and reviews. Thanks to Demandforce and our patients, we are in the top position on Google Local. While our patients do all the talking for us, Demandforce provides them with the platform to be able do so.” — Carliza Marcos, DDS, Marcos and Marcos Instead of staying in the dark, dentists not only see all their practice’s reviews from their Demandforce Dashboard, but they can reply straight from there, publicly, for the potential patient to see. ODA BOOTH NO. 231 In addition to automated appointment confirmations by email and text, the Demandforce system enables you to automatically send custom educational emails on services, products, specials and more. Another feature lets you evaluate and respond to client feedback generated through automated reviews and surveys. More reviews: more appointments There’s also a strategically placed “Request Appointment” button near all Demandforce-fed reviews, ready to tip a potential patient’s research into booked appointments. High-tech gets personal The system also automatically sends patients a follow-up email 24 hours after each appointment, asking about their experience. From there they can refer a friend, take a survey, post a review or book another appointment. “With 27 years in practice, my office has never run so smoothly. Demandforce enables my practice to give patients the same attention I give them while in the chair. With automated appointment reminders and patient surveys, our office can effortlessly maintain a life-long relationship with patients we serve.” — Bill Dorfman DDS, Century City Aesthetic Dentistry Do less, make more Demandforce has enabled dentists to slash expenses from their marketing budget. The Demandforce system and Photo/Provided by Demandforce customizable email templates have made it easy to send communications to patients because the system works directly with the office practice management system — no lists to import, just create an email and hit send. Emails can be created months ahead; schedule the emails out and they’re ready to go out to the right person at the right time. The Demandforce system also eliminates mailings, birthday postcards, appointment reminder postcards and phone calls and “we miss you” postcards. Demandforce sums it up like this: “Less work. More money. Welcome to automated marketing.” Going to the ODA Annual Spring Meeting? Visit Demandforce at booth No. 231. To learn more now, visit online at www.demandforce.com or call (800) 210-0355. (Source: Demandforce)[13] => [14] => A14 Industry News Dental Tribune Canada Edition | April 2013 Keystone Industries’ Itsoclear clasp now available in Canada ODA BOOTH NO. 333 Clear denture clasp designed to be esthetically pleasing, better fitting Keystone Industries recently announced that its new product, Itsoclear, which it describes as being a “high-quality, clear clasp,” is now available in the Canadian dental lab market. Itsoclear is a thermoplastic nylon material that is molded into a formed clasp. According to the company, the Ad product enables repair of a clasp in less than four minutes — with a cosmetic appeal unlike any other clasp on the market. Keystone Industries reports that Itsoclear saves bench time while producing a higher quality esthetic dental clasp that customers will appreciate. Because of its clear properties, there are no more noticeable metal clasps — instead there’s just a nearly invisible clear piece. The company also describes the clasp as being easy to work with. According With Keystone Industries' Itsoclear clasp, there’s no longer a highly noticeable metal clasp, just nearly invisible clear ones. Photos/Provided by Keystone Industries to the company, it takes less than a day to learn how to work with the product. Then, once the steps are perfected, it takes less than four minutes to process, saving significant bench time to help yield more profits. The product is available in packages of six universal clasps or six molar clasps. For more information, call (800) 333-3131 or visit www.keystoneind.com/ en/home. Other Itsoclear features listed by the company include: • Crystal clear (will not lose clarity) • Easy adaption • Non-abrasive, tooth-bearing • Easily adjustable (dentists can even adjust chairside if needed) • No injection machines or hand-held injectors required • Works for new partial dentures as well as repairs and replacing metal clasp • Can create anterior clasp • Process takes less than four minutes To get more information on products, such as Itsoclear, or any Keystone products, contact Keystone Industries at (800) 333-3131 or fax (856) 663-0381. Keystone Industries is located at 616 Hollywood Ave. in Cherry Hill, N.J. (Source: Keystone Industries)[15] => [16] => A16 Industry News Dental Tribune Canada Edition | April 2013 Laser dentistry: solution for faster treatments and better outcomes Nd:YAG and Er:YAG digital pulsed lasers called indispensable for the modern, expanding practice ODA Many dentists are conBOOTH sidering how they can inNO. 726 crease practice revenues. Differentiating yourself from your competitors through advanced technology and treating more patients per day is an effective strategy. The latest in dental laser systems may well be the answer for many practices. Most often offering superior treatment speed, increased clinical quality and a positive experience for patients, many dental lasers have evolved dramatically from Ideally, laser pulses should be squarethe days when they were slower to use shaped, without a slow rise and prolonged decrease in laser pulse power. This ensures than a high-speed handpiece. that laser power remains constant within It may be true that some laser systhe pulse, eliminating inefficiency and tems, which deliver laser energy unwanted thermal effects to surrounding through an optical fibre, have limtissues. Photos/Provided by National Dental Inc. itations because of the relatively low speed at which the treatment can be carried out. Why? To protect the expenOptical laser drilling leaves no smear layer sive fibre, laser energy levels must be around the opening of the lateral canal, kept low, often at the expense of treatshown here after PIPS endo. ment speed and efficiency. However, today’s “next generation” laser systems, utilizing an articulated arm with ures. To best ensure the comfort of the reflecting mirrors and further suppatient experience during hard-tissue ported by advanced digital technology, laser treatments, it’s essential that as can deliver laser energy much more eflittle heat as possible created by the ficiently, without compromising treatlaser energy is diffused into the surment speed. Such lasers achieve optical rounding tissue. The determining facdrilling speeds of up to 1.6 times faster tor for this is the laser pulse duration. 1 than conventional high-speed burs . If the laser energy can be delivered to the target tissue in a very short time Which laser source span, then the energy cannot escape from the ablated tissue and cold opticWhen considering enhancing a dental al drilling is achieved. This is not only practice with an investment in a dental required to maintain patient comfort, laser system, the right choice for the but also determines maximum optical best treatment outcomes is essential. drilling speed. In this respect Er:YAG Erbium lasers have long been recoglasers with advanced digital pulse connized as the optimal dental lasers for trol VSP are at a distinct advantage effective, precise and minimally in2 because they can generate very short, vasive hard dental tissue treatments . 50-microsecond pulse durations. Of all infrared lasers, they exhibit the A final consideration that contributes highest absorption in water and hyto faster optical drilling speeds is the droxyapatite, and are ideally suited for shape of the laser pulse. Ideally, laser cold optical drilling in enamel, dentine pulses should be square-shaped, withand composite fillings. out a slow rise and prolonged decrease A recent study published in the Jourin laser pulse power. This ensures that nal of Oral Laser Applications3 states ® laser power remains constant within that an Er:YAG (LightWalker ) laser the pulse, eliminating inefficiency delivered through an articulated arm and unwanted thermal effects to surcuts three times faster through denrounding tissues. tine and 4.2 times faster through enThe Er:YAG laser system used in the amel than an Er,Cr:YSGG laser delivstudy provided virtually square pulses, ered through an optical fibre. while the Er,Cr:YSGG system produced According to the authors of the study, pulses with a longer decline in laser the measured differences in treatment power throughout the pulse. Accordspeed result from the differences in the ingly, this difference in pulse shape laser wavelengths, pulse duration and also contributed to the measured difshape of the laser pulses. Laser physics ference in optical drilling speeds. For is an exact science. The Er:YAG waveprocedures such as caries removal, it’s length is absorbed three times better clear that the ability to perform the in hard dental tissue than Er,Cr:YSGG. procedure faster and better provides This means that the Er:YAG removes for the capacity to treat more patients more hard tissue at the same laser effectively daily. power settings, enabling faster proced- The LightWalker system from National Dental Inc. (NDI) enables you to choose between two laser sources. Advantages for patients In 90 percent of the cases, patients feel no discomfort at all during Er:YAG laser treatments 4 . Procedures can frequently be performed without anesthesia, eliminating considerable waiting time for patient numbing. With improved patient comfort and reduced anxiety (no needles, no noise, no vibration, no numbness), the stress for both dentist and supporting personnel is also minimized. Reduced need for anesthesia allows greater opportunity to treat patients in all four quadrants during the same appointment. Fewer follow-up appointments and faster treatments enable increased free chair time and much happier patients. A satisfied patient is more likely to spread the word about comfortable and quick treatments, providing for organic practice referral growth. Furthermore, optical laser drilling does not leave a smear layer on the prepared tooth surface in the way mechanical burs do5 . There are dental laser systems on the market, such as the LightWalker from NDI, that combine two laser sources to provide a comprehensive dental treatment platform. These laser systems allow the dentist to perform both hard and soft dental tissue procedures, often in one session. They also allow dentists to perform procedures that would otherwise have been referred elsewhere. After relevant clinical training, these systems will allow dentists to expand their services to include treatment options for periodontal disease, osseous surgery and many other procedures. The provision of additional procedures allows practices to populate the patient schedule with new, high revenue-generating procedures. By optimizing treatment speed and comfort, building patient referrals and marketing exposure, the new advanced dual-frequency Nd:YAG and Er:YAG digital pulsed lasers are indispensable for the modern, expanding practice. ˙ 1. 2. 3. 4. 5. References Miletic I, Baraba A, Krmek S, Bozec Z, Anic I. Comparison between Er:YAG laser and high speed hand- piece: prepared cavity volumes and ablation speed rate in enamel and dentin in vitro. Temperature changes and SEM observations associated with Er:YAG preparations Laser Surg Med 2008. R. Hibst. Lasers for Caries Removal and Cavity Preparation: State of the Art and Future Directions. J Oral Laser Appl 2002; 2: 203-211. Perhavec T, Diaci J. Comparison of Er:YAG and Er,Cr:YSGG Dental Lasers. J. Oral Laser Appl 2008; 8: 87–94. Matsumoto K, Nakamura Y, Mazeki K, Kimura Y. Clinical dental applica- tion of Er:YAG laser for Class V cavity preparation. J Clin Laser Med Surg 1996; 14: 123–127. Bader C, Krejci I. Indications and limitations of Er:YAG laser applica- tions in dentistry. Am J Dent 2006; 19: 178–186. (Source: National Dental Inc.)[17] => [18] => A18 Industry News Dental Tribune Canada Edition | April 2013 Handpiece maker sets its sights on global leadership ODA BOOTH NO. 1810 80 percent of NSK revenue generated outside of Japan By Dental Tribune Asia Pacific Dental Tribune International Publisher and CEO Torsten Oemus, left, meets with NSK CEO Eiichi Nakanishi. Photo/Lutz Hiller, DTI It is no secret that the years since the global financial crisis have not been kind to companies in Japan. First, the recession slowed business investments significantly, then that was compounded by the effects of the 2011 tsunami and the massive destruction it wrought, which almost brought the ” See HANDPIECE, page A19 Here's how to ensure you can earn a million dollars in the next 10 years The list is disturbing: fatigue; injury problems; serious neck, shoulder and upper-back 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 upperbody 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 build-up (lactate) in muscles to the extent that people begin to suffer from hyper-contraction. 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 earn those millions of dollars in the decade ahead.” Henry Chang, DDS, is one of many dental professionals benefitting from the use of Free Motion Elbow Supports by Posiflex Design. Photo/Provided by Posiflex Design (Source: Posiflex Design)[19] => Dental Tribune Canada Edition | April 2013 “ HANDPIECE, Page A18 world’s third largest economy to a halt. For NSK, one of the country’s largest dental manufacturers, troubles in the home market are its least concern because the company conducts most of its business elsewhere. According to president and CEO Eiichi Nakanishi, with whom Dental Tribune International recently had the opportunity to speak at the company’s headquarters in Tochigi, more than 80 percent of the company’s revenues are now generated by its operations outside of Japan. Strong in Europe, North America In the last three years, NSK has been performing particularly well in mature markets such as Europe and North America, where it boosted its presence with the opening of its new headquarters near Chicago in 2011, despite unfavorable conditions such as high market saturation and the ongoing decline of the yen against the dollar. Since 2009, Nakanishi has seen his company regaining market share in Asia through centralized distribution and after-the-sale support offered through its new subsidiary in Singapore. Another significant contributor has been NSK’s European office in Germany, which accounted for almost one third of the 22.2 billion yen ($US278 million) in sales the company reported in 2011.“That is why economic conditions in our home market have little or no impact on our overall business. We really think globally,” Nakanishi explains. According to the 48-year-old, who has run the company since 2000, one of the major reasons for NSK’s strong market position, even in established markets, is its dedication to innovation and quality, combined with the excellent after-sales service it is able to provide to customers in almost every country except North Korea. But this hasn’t always been the case. Founded in the 1930s, the company had a rough start, and operations were completely halted during World War II. The production of dental handpieces resumed in 1951; and the company has grown extensively, today employing more than 700 people in its offices in Tochigi and Tokyo. NSK continues to produce the vast majority of its products’ precision parts inhouse, which, according to Nakanishi, is one of the main reasons that dentists now identify the company with high-quality products. “We employ many good engineers and marketing people who help us to constantly improve our brand and make it more attractive to dentists,” he says. One of NSK’s recent innovations, launched at the 2011 IDS in Cologne, Germany, for example, is the Ti-Max Z series, a durable premium handpiece that is claimed to have the smallest heads and necks in the sector, as well as an exceptionally low noise level and virtually no vibration. The Surgic Pro surgical micromotor has also received much interest, particularly by dental implant surgeons, and is now distributed alongside systems by major implant manufacturers. NSK asserts it pays close attention to the needs of its Industry News customers, a philosophy that has resulted in products such as the S-max pico, which was developed solely for the treatment of patients with smaller mouths, such as children. Moving into other markets is conceivable but unlikely to happen anytime soon, Nakanishi says. Even though his company has begun to enter new areas in the past decade with the launch of instruments such as ultrasonic scalers and polishers, its core business will remain dental handpieces and other small-motor equipment. “When it comes to handpieces, we have produced more innovations than our competitors,” he remarks. “Our goal is to become the No. 1 company worldwide in this segment.” A19 NSK headquarters in Tochigi, Japan. Photo/Provided by NSK Ad[20] => A20 XX Industry News xxxxx Dental Tribune Canada Edition | April 2013 Dental Tribune Canada Edition | February 2012 New imaging system features 3-in-1 functionality Villa Sistemi Medicali’s Rotograph Evo 3D handles panoramic, cephalometric and 3-D ODA BOOTH NO. 226 Villa Sistemi Medicali recently introduced its new Rotograph Evo 3D dental imaging system with 3-in-1 functionality: panoramic, cephalometric and 3-D. According to the company, the new machine is based on the highly regarded mechanical plat- form of the Rotograph Evo, now adapted mechanically and electronically to operate with the latest cone-beam tech- Ad The new Rotograph Evo 3D dental imaging system features 3-in-1 functionality: panoramic, cephalometric and 3-D. Photo/Provided by Villa Sistemi Medicali nology enabling 3-D reconstruction of the jaws. At the core of the Rotograph Evo 3D is what the company describes as being an “innovative flat-panel detector using amorphous silicon technology associated with cesium iodide (Csl) scintillator.” Because of the system’s ability to work in either a panoramic or 3-D modality, pan images are acquired directly and not reconstructed from a volume, thus they have the same layout usually visible on traditional pan units. Because of the unit’s 3-D field of view of 8.5 x 8.5 cm, the entire dental status of the patient can be visible at a glance, without the need to make different exposures to obtain it. Complete diagnostic tool According to the company, the result is a complete diagnostic tool featuring the most advanced technology; yet it’s easy to use just like a dedicated dental panoramic system. To provide system users maximum flexibility and safeguard the unit as an investment, the company reports that it designed the Rotograph Evo 3D with the capability of being integrated with a digital cephalometric arm or upgraded at a later stage if the need should arise. You can contact Villa Sistemi Medicali (Villa Radiology Systems) at (203) 2628836, or you can learn more online by visiting www.villaus.com. (Source: Villa Sistemi Medicali) Corrections Dental Tribune strives to maintain the utmost accuracy in its news, clinical and industry content. If you find a factual error or information that requires clarification, please report the details to Dental Tribune Canada Managing Editor Robert Selleck at r.selleck@dental-tribune .com.[21] => [22] => A22 Industry News Dental Tribune Canada Edition | April 2013 No-drill technique may reduce kids’ dental fears Researchers think that use of the ‘Hall Technique’ to treat caries in children might help prevent later development of dental phobias, which often are triggered by traumatic dental experiences during childhood. Photo/By Marzanna Syncerz, www. dreamstime.com Ad A recent study among almost 200 children with tooth decay has shown that a new technique for treating dental caries is widely preferred by the majority of young patients. In contrast to conventional restorative methods, the Hall technique does not involve anesthetics or drilling. In the study, Dr. Lyndie Foster Page, senior lecturer at the University of Otago’s Faculty of Dentistry, and Dorothy Boyd, a specialist pediatric dentist, trained ten dental practitioners to use the Hall Technique, in which a stainless-steel crown is capped over a carious baby tooth to seal the decay. Compared with conventional restorative methods, it does not involve local anaesthetic, caries removal with a drill or placement of a dental filling. Usually, the crown remains on the affected tooth until it falls out naturally at the age of ten approximately. 100 children in study The study involved about 100 children who were treated with the Hall Technique and almost 90 children who received conventional dental fillings. The participants were aged 5 to 8. About 50 per cent of the children were Maori and two-thirds were from low-income families. Most of them had six or seven fillings already. Overall, the researchers received a positive response from the children. Foster Page said that less children who were treated with the new method reported dental anxiety than those treated with conventional fillings. Almost 90 per cent of children in this group reported enjoying their dental visits, while only 52 per cent in the conventionally treated group reported likewise. The researchers think that the new technique may prevent the development of dental phobias, which are usually triggered by traumatic experiences during childhood. “If children don’t fear going to the dentist, we believe they’ll be more inclined to go regularly for dental check-ups when they are adolescents and adults, but there is more work to be done to understand why children said they preferred the new technique,” Foster Page said. Quicker, more successful The technique was developed by Dr. Norma Hall, a Scottish dentist. According to the researchers, it is up to 20 minutes quicker and has a much higher success rate. “After six months, children who had conventional treatment had twice as many dental abscesses and nearly three times as many replacement fillings,” Foster Page said. Although steel crowns cost more than conventional amalgam or composite filling materials, multiple replacements of fillings during a tooth’s life would exceed the cost of a steel crown in the long run, she suggested. At press time, the findings of the study were scheduled to be presented at the general session and exhibition of the International Association for Dental Research, March 20 through 23 in Seattle. (Source: University of Otago’s Faculty of Dentistry)[23] => Industry NEWS Dental Tribune Canada Edition | April 2013 A23 Innovating for life Carl Zeiss delivers innovative visualization solutions in dentistry ODA BOOTH NO. 221 By Carl Zeiss Meditec Staff Pioneering leading-edge performance For more than 150 years, Carl Zeiss has developed optical systems that make it possible to see things invisible to the naked eye. And for more than 50 years, the name Carl Zeiss has been unmistakably linked to achievements in microsurgery. This expertise enables the company to provide innovative visualization solutions in the field of dentistry. Optical systems from Carl Zeiss make even the most minute details and structures clearly visible, enabling you to enjoy brilliant, high-contrast and true-colour images. Better vision is the key to better diagnostics and treatment quality. ‘Having a highly magnified view of the operative field is not only impressive to your patients, it also gives you clinical detail that you never had before in performing dentistry.’ – Sameer Puri, DDS Tarzana, Calif. OPMI pico, OPMI PROergo, EyeMag Loupes • OPMI® pico: the world’s first microscope developed specifically for microdentistry. • OPMI pico: more unique innovations than other comparable systems, such as integrated video, MORA interface, integrated Xenon illumination as well as dedicated accessories such as FlexioStill™ and FlexioMotion™. • OPMI PROergo: the world’s first and only fully motorized dental microscope. • OPMI PROergo: the only dental microscope to incorporate ergonomic innovations such as Varioskop™, SpeedFokus™ and Free Float Magnetic Brakes. • EyeMag® Loupe: reliable performance of the loupe systems — attributed to constant innovation, that include advancements such as multilayer optical coatings, integrated protective lenses, expanded fields of view and portable LED headlight illumination. Unparalleled clinical experience with magnification • Within one year of apical surgery performed with a microscope, 98.8 percent of the cases were considered healed. The corresponding percentage of healed cases, treated without a microscope, yielded a success rate of only 44.1 percent.1 • Complete healing rate for the root-end resection and retrograde preparation is significantly higher (91.1 percent) when using microsurgical techniques than that for teeth treated using traditional techniques (44.2 percent). 2 Innovation • Carl Zeiss commitment to innovation is confirmed by its investment of more than 12 percent of its revenues in research and development: Innovation is the primary engine of growth for Carl Zeiss, dedicating high investments in research and development. • Nearly 15 percent of employees at Carl Zeiss work in research and development: An above-average percent of the workforce is active in research and development. • Carl Zeiss submits two patents every working day: A patent application was submitted for more than 400 inventions. Based on all patents submitted by Carl Zeiss, it is one of the 15 most active applicants at the German Patent Office. • Almost 60 percent of Carl Zeiss revenues are driven by products launched in the last five years: Innovation is a term that is often used, yet not always for what it is intended. Carl Zeiss is proudly a driver of innovation, generating almost 60 percent of its revenues with products introduced in the last five years. • Innovative service and online tools ensure immediate support and transparency: A "Self Help" online tool gives customers access to a huge knowledge base, including FAQs, all via the web. On request, the “My Product Profile” tool provides access to information such as warranty and service agreement coverage of all Carl Zeiss equipment. Carl Zeiss Canada has a dedicated sales and service team to support customers across the country. Figures as of fiscal year 2007/2008. Carl Zeiss Canada 45 Valleybrook Dr. Toronto, ON M3B 2S6 (800) 387-8037 www.zeiss.ca ˙ 1. Rubinstein R.A., Kim S. (1999): Shortterm observation of the results of endodontic surgery with the use of a surgical operation microscope and Super EBA as root-end filling material. Journal of Endodontics 25: 43–48/ Friedman A., Lustmann J., Shaharabany V. (1991): Treatment results of apical surgery in premolar and molar teeth. Journal of Endodontics 17: 30–33. 2. Tsesis I., Rosen E., Schwartz-Arad D., Fuss Z. (2006): Retrospective Evaluation of Surgical Endodontic Treatment: Traditional versus Modern Technique. Journal of Endodontics 32 (5): 412–416. Service • Factory-trained and certified Carl Zeiss field service engineers provide nationwide coverage: These professionals are all certified support engineers with an average of 11 years of experience at Carl Zeiss Meditec. References Carl Zeiss sums up its customer care philosophy with this statement: ‘The moment you realize we are there when you need us. This is the moment we work for.’ Photos/Carl Zeiss[24] => [25] => IMPLANT TRIBUNE The World’s Dental Implant Newspaper · Canada Edition April 2013 — Vol. 1, No. 2 www.dental-tribune.com Clinicians gather in Bern to update implant treatment ‘golden standard’ Findings from event, held every five years in Switzerland, to be presented at International Team for Implantology annual conference E very five years, more than 100 leading clinicians and academicians from across the world gather at the International Team for Implantology Consensus Conference for three days of debate. Participants identify and review in detail all of the clinically relevant issues in implant dentistry. The statements and guidelines that emerge from the debate are generally accepted as a golden standard in implant dentistry and are basis for the ITI’s “Treatment Guide” series of publications. It has been five years since the last conference. The upcoming 2013 gathering — the organization's fifth — is in Bern, Switzerland, from April 23–25. Updated guidelines presented at annual meeting Following the three-day conference, the resulting consensus statements, treatment guidelines and clinical recommendations will be presented at the 2013 ITI Annual Conference, Saturday, April 27, also in Bern. Meeting organizers describe the Saturday meeting as being an opportunity for implant dentistry professionals to combine networking with catching up on the latest information on best clinical practices in implant dentistry. The ITI 2013 annual meeting is formally titled, “Treatment Guidelines and Recommendations of the 5th ITI Consensus Conference.” With the rapid advances in clinical techniques and biomaterials in the field as well as new ideas and different approaches, the meeting organizers say that it is vital for clinicians to be able to access up-to-date information and clinical recommendations. To establish the series of consensus statements, the ITI Consensus Conference participants evaluate the latest developments in the field. At the Bern Consensus Conference, five working groups led by Michael Bornstein, Daniel Wismeijer, Dean The Kursaal Bern, site of the International Team for Implantology annual conference, is unique in Switzerland. It comprises one of the country's most modern congress and event venues, a hotel, numerous restaurants, a casino — and sweeping views of the capital city, Bern. This year's meeting features results and recommendations from the fifth ITI Consensus Conference. Photo/Provided by Congress Center of the Kursaal Morton, German Gallucci and Lisa Heitz-Mayfield will discuss topics in the following areas: 1) Contemporary surgical and radiographic techniques 2) Restorative materials and techniques for implant dentistry 3) Optimizing esthetic outcomes in implant dentistry 4) Loading protocols in implant dentistry 5) Prevention and management of technical and biological complications. At the annual conference on Saturday, scheduled topics cover such areas as “Horizontal Ridge Augmentation in Conjunction With, or Prior to, Implant Placement in the Anterior Maxilla: A Systematic Review,” “Screw vs. Cement Retention: The Evidence for Stable Outcomes,” “Prosthodontic Procedures to Optimize Esthetic Outcomes” and “Implant Loading Protocols for Fully Edentulous Patients With Fixed Prostheses: A Systematic Review.” Not just all work Following Saturday's clinical program, the organization hosts a gala dinner, inviting attendees to “enjoy an excellent meal while listening to the featured vocal artist and round off the evening with a couple of drinks at the bar and a turn on the dance floor while the live band plays at the Farewell Party for outgoing ITI President Daniel Buser.” The conference and associated events will take place in the newly renovated Congress Center of the Kursaal in the Swiss capital city, situated at the base of the Swiss Alps. Save the date for ‘Knowledge is Key’ in 2014 The next ITI Consensus Conference won't be for another five years, but you might want to start planning a trip to Switzerland for a less-distant event — the ITI World Symposium, April 24–26, 2014, in Geneva. “Knowledge is Key” is the theme, and the agenda includes some of the industry's top opinion leaders. Attendees will be able to participate in a scientific program described as “challenging, with a strong practice-oriented approach.” The organization describes the gathering as "the most important event in the implant dentistry calendar for 2014." For details on this and other ITI events, visit www.iti.org. (Source: International Team for Implantology)[26] => Industry News B2 Implant Tribune Canada Edition | April 2013 Implant Direct’s new online store has ‘All-in-1 Shopping’ Fig. 1: Right, Implant Direct’s new online store at www. implantdirect.com. Photos/Provided by Implant Direct Fig. 2: Below, implant system selection shown here is the Legacy System with Dr. Gerald Niznick’s orginal, internal conical connection interface. Fig. 3: Right, the implant diameter selections shown here are Legacy3 implants, packaged on a ‘transfer and final abutment’ carrier. ODA BOOTH NO. 1931 Implant Direct is described as the company that revolutionized the implant industry by creating the valuepriced segment in 2006. But with its new online store, it may soon be known as the company that dramatically simplified how implants and auxiliary items are ordered. Located at www.implantdirect.com, the online store introduces visitors to the latest products, resources and events with an ever-changing homepage display (Fig. 1). Visual selection charts lead clinicians or office staff through the implant selection process, first by identifying the implant system (Fig. 2) and then by choosing the correct diameter and prosthetic platform (Fig. 3). Once a site user is on the implant product page, the compatible components, abutments, instruments, biologics and literature are just a click away. According to the company, there’s no need to jump through different product categories or pages — with “All-in-1 Shopping,” everything can be found all in one spot. The “simply smarter” system even identifies the related items. In addition, Implant Direct’s online store enables visitors to: • View related 3-D graphic videos without interrupting shopping. • Easily switch between different product images or zoom-in for a close-up view. • Compare the features and benefits between different products of interest. • Move to different categories when desired via the global, top navigation bar. • Easily find Attachments International products and education opportunities in dedicated sections. • Quickly navigate to products by using improved search capabilities and a new advanced-search option. • Readily preview cart contents. • Keep track of potential future purchases with a “Wish List.” • Create and manage an account and easily track all recent activity from the “Account Dashboard.” This new online store, with its advanced technological capabilities, represents the latest progression in the Web-based business strategy Implant Direct was founded on. The company has long strived to augment the service and support available to dental professionals through customer service and field teams — with online assistance that includes services such as the extensive library of 3-D graphic videos detailing technical procedures and product features. Implant Direct’s implant systems offer surgical and prosthetic compatibility with premium-priced systems as well as significant design improvements for enhanced clinical performance. Unlike many other companies, Implant Direct offers a non-negotiable list price for each item in its broad product range. “All-in-1 Packaging” includes components such as cover screw, healing collar, transfer and final or temporary abutment with the implant for added value. About Implant Direct Implant Direct is a joint venture between implantology pioneer Dr. Gerald Niznick and Sybron Dental Specialties (SDS). The venture combines: SDS’s 100-year history of providing service, quality and innovation to dental professionals; the expansive expertise of SDS’s Fortune 500 parent company, Danaher Corp.; and Niznick’s 33-year history of innovation in the implant industry, with his more than 30 patents, including the internal, conical connection in 1986 — the cornerstone of modern dental design. Implant Direct furthers all of these traditions with its commitment to providing high-quality products with simplified surgical procedures and versatile prosthetic options at value-added prices.The company releases numerous new product lines and line extensions each year, while also continually improving its existing product designs, manufacturing processes and online support. Fig. 4: Above, implant product page with ‘All-in-1 Shopping.’ (Source: Implant Direct) IMPLANT TRIBUNE Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com Chief Operating Officer Eric Seid e.seid@dental-tribune.com Group Editor Robin Goodman r.goodman@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 Show Dailies Kristine Colker k.colker@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 Sales & Marketing Assistant Nirmala Singh n.singh@dental-tribune.com Marketing director Anna Wlodarczyk-Kataoka a.wlodarczyk@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 © 2013 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. 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 Implant Tribune strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, report the details to managing editor Robert Selleck, r.selleck@dental-tribune .com. Tell us what you think! Do you have general comments or criticism you would like to share? Is there a particular 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.[27] => [28] => B4 Industry News Implant Tribune Canada Edition | April 2013 Implant bar overdenture offers full range of removable/fixed solutions ODA NobelProcera system is designed BOOTH to enable clinicians to accomplish NO. 825/924 high-precision, fast, cost-efficient CAD/CAM dentistry The NobelProcera implant bar overdenture from Nobel Biocare provides you and your lab a complete range of fixed and removable solutions. With NobelProcera software, your laboratory is able to scan and design individualized implant bars for overdentures for all indications — fixed and removable — from low-cost to high-end, for a variety of attachment types and implant systems. According to the company, the NobelProcera system enables clinicians to accomplish high-precision, fast and costefficient CAD/CAM dentistry. All bars are milled from biocompatible surgical grade titanium monoblocs by a NobelProcera production facility, resulting in light, strong bars without welding seams or porosity issues. The company reports that the product can be used in confidence with the new Replace Select TC, a tissue-level implant for one-stage protocols and shorter treatment times. About Nobel Biocare Nobel Biocare is one of the world leaders in innovative and evidence-based dental solutions. For more information, contact a Nobel Biocare representative or visit its website, www.nobelbiocare.com. Nobel Biocare Canada is based in Richmond Hill, Ontario, and can be contacted at (905) 762-3500 or (800) 939-9394. Note: Some products may not be regulatory-agency cleared or released for sale in all markets. Contact your local Nobel Biocare sales office for product assortment and availability. (Source: Nobel Biocare) The NobelProcera production facility creates an inidividualized implant bar overdenture that features milling out of light and biocompatible surgical grade titanium; a wide variety of bars and attachments for fixed and removable solutions; precision fit for ideal load transfer and long-term stable screw joints; and treatment simplicity with Replace Select TC, a straightforward, one-stage protocol and platform access at tissue level. Photo/Provided by Nobel Biocare. Clinical study monitors dental implant patients to document 10-year outcomes University of Bern study follows 511 Straumann SLA tissue-level implants in 303 patients New research findings have still on the market. AccordODA recently been published following to Straumann Group, the BOOTH ing one of the largest long-term Straumann SLA tissue-level NO. 516 clinical studies on the survival implant is one of the most and success of dental implants. extensively studied dental imThe study, which was conducted plants on the market, and the at the University of Bern in Switz10-year study explains why it is one of erland, assessed the outcome of 511 the most widely used. Straumann SLA tissue-level implants The full study is titled, “Buser D, Janin 303 patients for 10 years. ner S, Wittneben J, Brägger U, Ramseier Its authors concluded: “The present A, Salvi G: 10-Year Survival and Success retrospective analysis resulted in a Rates of 511 Titanium Implants with a 10-year implant survival rate of 98.8 Sandblasted and Acid-Etched Surface: percent and a success rate of 97 perA Retrospective Study in 303 Partially cent. In addition, the prevalence of Edentulous Patients." peri-implantitis in this large cohort of You can access the publication orally healthy patients was low with 1.8 online at: Clinical Implant Dentpercent during the 10-year period.” No istry and Related Research, Volume implant fracture was noted. 14, Number 6, December 2012 DOI: The study is one of the first large 10.1111/j.1708-8208.2012.00456, www. 10-year clinical studies to document onlinelibrar y.wiley.com/doi/10.1111/ a dental implant of this kind that is j.1708-8208.2012.00456.x/full. About Straumann Group Headquartered in Basel, Switzerland, the Straumann Group is one of the industry's global leaders in implant and restorative dentistry and oral tissue regeneration. In collaboration with leading clinics, research institutes and universities, Straumann researches, develops and manufactures dental implants, instruments, prosthetics and tissue regeneration products for use in tooth replacement, restoration solutions and prevention of tooth loss. Straumann Group employs 2,575 people worldwide, and its products and services are available in more than 70 countries — including Canada, where it operates as Straumann Canada Limited — through its expansive network of distribution subsidiaries and partners. About the Bern School of Dental Medicine The Bern School of Dental Medicine in Bern, Switzerland, has been active in the area of dental implantology for approximately 40 years and today is considered to be one of the world's leading centers of competence in this rapidly expanding area of dental medicine. The school's activities are centered on preclinical and clinical research activity, but in addition to that focus, approximately 1,000 implant patients are treated at the school every year. In addition, the ZMK regularly organizes internationally advertised training courses and implant conferences that are attended by dental professionals from across the globe. (Sources: Straumann Group and Bern School of Dental Medicine)[29] => [30] => B6 Industry News Implant Tribune Canada Edition | April 2013 Expert Dental CE creates two new restorative and esthetic modules Courses address biggest reason for rejected insurance claims: poor, marginal fit In keeping with its mission to provide high-level online C.E. courses, Expert Dental CE (www.expertdentalce.com) has launched its first two modular programs in restorative and esthetic advances. Both modules are CERP approved. “Our mission,” said Expert Dental CE Co- Founder Dr. Frank Murphy, “is to provide in-depth modules that give the learner more than a superficial introduction to a technique, while at the same time offering material that is useful and practical.” Module One (cost is $199 and the module is worth six C.E. credits, ) consists of the following scholars and topics: • Dr. Charles Goodacre on “How to Achieve Excellent Marginal Fit & Cervical Contour with Crowns.” • Dr. Burney Croll on “Emergence Profiles in Natural Tooth Contour.” • Dr. Jim Fine on “Crown Lengthening: Dr. Charles Goodacre Dr. Jim Fine Dr. Graz Giglio Dr. Dennis Tarnow Dr. Mariano Polack Dr. Dean Vafiadis Ad A Powerful Tool for Healthier Gums” and Better Crowns.” • Dr. Dennis Tarnow on “Periodontal and Prosthetic Management of Furcated Teeth: Parts I, II, III.” “We created this module, in part, because one of the single biggest reasons insurance claims are rejected by carriers is poor marginal fit,” said Expert Dental CE’s other co-founder, Dr. Alan Winter. “But that’s not the only reason.” Winter also said that as dentists gain more clinical experiences through the years, they can become more removed from their dental school education, and there is a great benefit to gain from brushing up on the latest techniques for everyday procedures. “As a practicing periodontist,” he said, “I see greater value in learning how to reduce the incidence of periodontal disease and save dentitions than in taking a course that requires four surgeries and expensive biologics to grow a papilla or 1 millimeter of bone.” Newest theories in smile design Module Two ($239 and worth 10 C.E. credits) features the following scholars and topics: • Dr. Graz Giglio on “A Review of Smile Design Parameters” and “Achieving Aesthetic Laminate Veneers.” • Dr. Mariano Polack on ”Understanding Current All-Ceramic Systems.” • Dr. Dean Vafiadis on “Computerized Dentistry for Private Practice: Abutments, Ceramics and Occlusion.” Module Two carries Expert Dental CE’s agenda forward by combining four lectures into a cohesive grouping that explores the up-to-date theories in smile design, placing laminate veneers and understanding the differences in ceramics and the cements they require for the best performance and esthetics. Also covered in detail is the latest information available for chairside CAD/CAM technologies for single units and implants. For more information, contact Expert Dental CE at info@xpapce.com or visit: www.expertdentalce.com. (Source: Expert Dental CE)[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] => [toc] => Array ( [0] => Array ( [title] => Getting closer: building natural teeth in the lab [page] => 01 ) [1] => Array ( [title] => It's only two crowns a month! [page] => 02 ) [2] => Array ( [title] => Meetings [page] => 05 ) [3] => Array ( [title] => Industry News [page] => 08 ) [4] => Array ( [title] => Implant Tribune Canada Edition [page] => 25 ) ) [toc_html] =>[toc_titles] =>Table of contentsGetting closer: building natural teeth in the lab / It's only two crowns a month! / Meetings / Industry News / Implant Tribune Canada Edition
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