DT Canada No. 3, 2014

Editor in Chief / Time for Montréal and JDIQ - C’est l’heure des JDIQ et Montréal / Meetings / LVI Core I three-day course teaches comprehensive patient care process / InfoSign Media launches new version of ServDentist TV InfoSign Media lance le ServDentist TV / Vidéos éducatives vouées aux patients de la salle d’attente des cliniques dentaires / Design with ergonomics in mind / Industry / Implant Tribune

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

Table of contents

Open Link

) [10] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/2000/page-9.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/1000/page-9.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/200/page-9.jpg ) [key] => Array ( [2000] => 62469-1dc7c61d/2000/page-9.jpg [1000] => 62469-1dc7c61d/1000/page-9.jpg [200] => 62469-1dc7c61d/200/page-9.jpg ) [ads] => Array ( [0] => Array ( [post_data] => WP_Post Object ( [ID] => 62472 [post_author] => 0 [post_date] => 2024-10-22 16:26:13 [post_date_gmt] => 2024-10-22 16:26:13 [post_content] => [post_title] => epaper-62469-page-10-ad-62472 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => epaper-62469-page-10-ad-62472 [to_ping] => [pinged] => [post_modified] => 2024-10-22 16:26:13 [post_modified_gmt] => 2024-10-22 16:26:13 [post_content_filtered] => [post_parent] => 0 [guid] => https://e.dental-tribune.com/ad/epaper-62469-page-10-ad/ [menu_order] => 0 [post_type] => ad [post_mime_type] => [comment_count] => 0 [filter] => raw ) [id] => 62472 [id_hash] => b15e9fa6c7cf8d01d768faa0d6e27c7c163648a0a49e2112062993b427e4dd6e [post_type] => ad [post_date] => 2024-10-22 16:26:13 [fields] => Array ( [url] => http://www.dental-tribune.com/companies_3578_age_solutions_srl.html [link] => URL ) [permalink] => https://e.dental-tribune.com/ad/epaper-62469-page-10-ad-62472/ [post_title] => epaper-62469-page-10-ad-62472 [post_status] => publish [position] => 6.58,34.43,64.47,60.11 [belongs_to_epaper] => 62469 [page] => 10 [cached] => false ) ) [html_content] =>

Open Link

) [11] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/2000/page-10.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/1000/page-10.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/200/page-10.jpg ) [key] => Array ( [2000] => 62469-1dc7c61d/2000/page-10.jpg [1000] => 62469-1dc7c61d/1000/page-10.jpg [200] => 62469-1dc7c61d/200/page-10.jpg ) [ads] => Array ( [0] => Array ( [post_data] => WP_Post Object ( [ID] => 62473 [post_author] => 0 [post_date] => 2024-10-22 16:26:13 [post_date_gmt] => 2024-10-22 16:26:13 [post_content] => [post_title] => epaper-62469-page-11-ad-62473 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => epaper-62469-page-11-ad-62473 [to_ping] => [pinged] => [post_modified] => 2024-10-22 16:26:13 [post_modified_gmt] => 2024-10-22 16:26:13 [post_content_filtered] => [post_parent] => 0 [guid] => https://e.dental-tribune.com/ad/epaper-62469-page-11-ad/ [menu_order] => 0 [post_type] => ad [post_mime_type] => [comment_count] => 0 [filter] => raw ) [id] => 62473 [id_hash] => a53e45b1441b1bf1a6b93635db086faae66db138ac15164823e5b7da2b04e964 [post_type] => ad [post_date] => 2024-10-22 16:26:13 [fields] => Array ( [url] => http://www.dental-tribune.com/companies/content/id/1967 [link] => URL ) [permalink] => https://e.dental-tribune.com/ad/epaper-62469-page-11-ad-62473/ [post_title] => epaper-62469-page-11-ad-62473 [post_status] => publish [position] => 0.41,0.27,95.72,99.18 [belongs_to_epaper] => 62469 [page] => 11 [cached] => false ) ) [html_content] =>

Open Link

Open Link

) [24] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/2000/page-23.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/1000/page-23.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/200/page-23.jpg ) [key] => Array ( [2000] => 62469-1dc7c61d/2000/page-23.jpg [1000] => 62469-1dc7c61d/1000/page-23.jpg [200] => 62469-1dc7c61d/200/page-23.jpg ) [ads] => Array ( ) [html_content] => ) ) [pdf_filetime] => 1729614373 [s3_key] => 62469-1dc7c61d [pdf] => DTCAN0314.pdf [pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/62469/DTCAN0314.pdf [pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/62469/DTCAN0314.pdf [should_regen_pages] => 1 [pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/62469-1dc7c61d/epaper.pdf [pages_text] => Array ( [1] =>

/JD
IQ

CO
NG
RÈ
S

The World’s Dental Newspaper · Canada Edition

JD
IQ

Meeting

DENTAL TRIBUNE

May/MAI 2014 — Vol. 8, No. 3

www.dental-tribune.com

EDITOR IN CHIEF

Scanned ortho models

Implant Tribune

Dr. Sabastian Saba on ‘Natural
dentition: Risk of extinction?’

3-D scans make models more
versatile.

novel post/crown

RÉDACTEUR EN CHEF
Dr Sabastian Saba sur ‘La

Modèles d’ortho
numérisés

dentition naturelle : En voie de

Le balayage 3D rend les modèles

disparition?’

plus polyvalents.

” Page A2

” Page A12

Time for Montréal and JDIQ

he Journées dentaires internationales du Québec, Canada’s largest bilingual
dental meeting, according to organizers, is from May 23–27 (Friday through
Tuesday) in Montréal. Online registration is available at www.odq.qc.ca.
New this year is a free application for Apple and Android phones and tablets.
It can be downloaded through www.odq.qc.ca, the APP store or the Play Store. Onsite at
the meeting, free WiFi will be available to all delegates and exhibitors at the venue, the
Palais des congrès de Montréal.
A free continental breakfast will be available in the exhibit hall on Monday and Tuesday from 8–9 a.m., and wine and cheese will be available from 4–5 p.m.
The meeting’s educational program has more than 125 prominent speakers from Canada, the United States and Europe presenting approximately 175 educational sessions in
English and French during the five-day convention.
New this year, on Sunday Dr. Joseph E Blaes will present a workshop on “Great New
Products for the Office in 2014.” On Friday, Saturday and Sunday there will be an innovative, 30-hour presentation on CAD/CAM by leading global manufacturers — chaired by
Dr. André Prévost, who teaches at the Université de Montréal.
Those interested in the future of 3-D modeling and imaging as it applies to implantology may want to attend a lecture and demonstration on Friday by Drs. Mathieu Beaudoin, Pierre Boudrias and Matthieu Schmittbuhl. The team responsible for identifying

Create an esthetic provisional.

une couronne/pilier
hybridE
Créer une esthétique provisoire.

” Page B1

Journées
dentaires
internationales
du Québec,
May/Mai 23–27

V
Publications Mail Agreement No. 42225022

ous vous devez d’assister aux JDIQ, le plus
grand congrès dentaire bilingue au Canada, qui se tiendra du 23 au 27 mai 2014 à
Montréal (Québec). L’inscription en ligne
est disponible au www.odq.qc.ca.
Nouveau cette année; une appli gratuite pour les
tablettes et téléphones Apple et Androïde, est disponible sur notre site web, au APP store ou au Play
store. Sur le site, une connexion WiFi sera offerte
pour tous les délégués et les exposants. Les lundi 26
et mardi 27 mai, un petit-déjeuner continental de 8h
à 9h de même qu’une dégustation vin et fromages
de 16h à 17h vous seront offerts gratuitement dans la
salle d’exposition.
Cette année, les JDIQ vous offrent un programme
d’éducation continue inégalé avec plus de 125 conférenciers renommés du Canada, des États-Unis
et d’Europe qui présenteront pas moins de 175 conférences en français et en anglais réparties sur les 5
jours du congrès.
Nouveau cette année: le docteur Joseph E. Blaes
présentera un atelier intitulé Great new Products for
the office in 2014” le dimanche 25 mai.
Les vendredi 23, samedi 24 et dimanche 25 mai, une
présentation innovatrice de 30 heures sur les CAD/
CAM par les principaux fabricants dans le monde
dentaire sera également offerte et sera présidée par
le docteur André Prévost, professeur renommé de
l’Université de Montréal.
” Voir JDIQ, page A8

• Natural dentition: Risk of
extinction?

MEETINGS CONGRÈS

• Toronto Academy of Dentistry
Winter Clinic changes venue
• Destination Vancouver: Pacific
Dental Conference

EDUCATION ÉDUCATION

• LVI Core I three-day course teaches
comprehensive patient care

INDUSTRY L‘INDUSTRIE A8–A18

” See JDIQ, page A8

C’est l’heure des JDIQ et Montréal

EDITOR IN CHIEF
RÉDACTEUR EN CHEF

• Saint-Paul Street in Old Montréal is one of
endless nearby attractions awaiting
attendees of the 2014 Journées dentaires
internationales du Québec, May 23–27.
Photo/MTTQ/André Rider, Tourism Montréal

• La rue Saint-Paul dans le Vieux-Montréal fait
partie du vaste choix d’attractions qui s’offre aux
congressistes des Journées dentaires internationales du Québec 2014, du 23 au 27 mai.
Photo/MTTQ/André Rider, Tourism Montréal

• InfoSign Media launches new
version of ServDentist
• SciCan SANAO electric handpiece:
Design with ergonomics in mind
• Dentistry’s future is digital: Don’t
be left behind
• Storing ortho models digitally
saves space, dollars
• Prospère et en santé ? Protéger
votre investissement avec Posiflex
• CS 9300, CS Solutions open window
to wider variety of patient services
• NSK introduces ‘dentistry’s most
powerful air-driven handpiece’
• Schick 33: Eye-opening experience
• Barrier protection critical in gloves
Ad

[2] =>

EDITOR IN CHIEF/RÉDACTEUR EN CHEF

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

uring the past few years, there
appears to be an increase in
continuing education. Many
of the courses are about implant dentistry. The conventional courses
that form the basis of learning the skills
of saving teeth have been fewer in number. Everybody wants to learn how to surgically place a dental implant. It appears
that some apparent “need” of patients
has driven clinicians to subscribe to
these weekend courses in surgery so they
can respond to these patient “needs.” Patients see their dentist regularly to save
their teeth, not to have their teeth sacrificed for implant dentistry. Are we sending the wrong message here?
Once the courses are finished, most
clinicians receive the golden label of approval, a dental certificate of completion
that they can hang on their dental mantel
at the office. On Monday morning, they
become changed and charged individuals. They have been pre-programmed to
now look at patients as potential implant
patients. Their approach to dentistry
has changed overnight. In the past, they

spent four to five years in dental school
learning most of the skills to save teeth.
These skills involve different forms of
dentistry, not limited to periodontics,
operative dentistry or endodontics.
They spent countless hours learning
about how to negotiate root surfaces in
debridement, root canal curvatures in
endodontics and multiple techniques
in operative dentistry to save teeth. But
overnight, all that has changed. Why
spend so much time saving teeth, when
you can remove them and place a dental
implant at half the time? Is this really
better for the patient?
Why burden the patient with multiple
periodontal procedures to save teeth
when the alternative is here? This approach seems to be contagious in the thinking
of clinicians today. Many
are concerned that dentists are not promoting
the right approach to
saving the integrity of
the natural dentition.
This attitude is so contagious that even some
endodontists are learning to place dental implants. Is this not a clear

conflict of interest? What is their motivation?
Are we doing enough to teach dentists
how to diagnose and prognose the ailing
dentition? When does the ailing dentition become a failing dentition? When
is it appropriate to choose implant dentistry over conventional, time-proven and
predictable conventional dentistry? The
removal of key aspects of dental training
creates dentists who are not confident to
diagnose or render the necessary procedures to save teeth adequately. Their clinical skills in recognizing and managing
ailing dentitions are limited. Their ability to recognize when and where dental
implants may be used can be influencing
their ability or motivation to save teeth.
Are we not creating a conflict of interest
for our patients? The true “need” should
be to go back to basics and learn how to
save teeth first, so patients are able to
keep the most natural dental implant of
them all.

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

Boston University. Il a publié considérablement sur

approche de la dentisterie s’est métamorphosée. Dans le passé, ils ont étudié
de 4 à 5 ans dans une faculté de médecine
dentaire pour apprendre la grande partie
des compétences requises pour préserver
les dents. Ces compétences impliquent
plusieurs facettes de la dentisterie, sans
se limiter à la parodontie, la dentisterie
opératoire, ou l’endodontie. Ils passent
d’innombrables heures pour comprendre
comment négocier les surfaces de la racine dans un débridement, les courbes
du canal radiculaire en endodontie, ainsi
que plusieurs techniques pour préserver
les dents en dentisterie opératoire. Mais
en une nuit, tout cela est maintenant
changé. Pourquoi passer tant de temps
pour sauver les dents quand vous pouvez
les enlever et placer un implant dentaire
pour la moitié du temps ? Est-ce vraiment
meilleur pour le patient ?
Pourquoi accabler le patient de multiples procédures parodontales pour sauver les dents quand l’alternative est ici ?
Cette approche semble être contagieuse
parmi les cliniciens actuellement. Plusieurs sont préoccupés par cette question
et pensent que les dentistes n’encouragent
pas la bonne approche de préserver
l’intégrité de la denture naturelle. Cette

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
Drew Thornley d.thornley@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka
a.kataoka@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com

Projects & Events Coordinator
Robert Alvarez r.alvarez@dental-tribune.com

graduate of the Goldman

Sébastian Saba, DDS, Cert. Pros., FADI, FICD, est

u cours des dernières années, il
semble y avoir eu une augmentation de formations en éducation permanente. Plusieurs de
ces cours portent sur l’implantologie. Les
cours plus traditionnels qui forment la
base de l’apprentissage des compétences
pour préserver les dents ont diminué en
nombre. Tout le monde veut apprendre
la technique chirurgicale pour positionner un implant dentaire. Il semble qu’un
“besoin” apparent de la part des patients
dirige les cliniciens à souscrire à ces weekends de formation en chirurgie afin de
répondre à ce “besoin” de leurs patients.
Les patients visitent leur dentiste de façon régulière pour préserver leurs dents,
non pas pour sacrifier leurs dents pour
l’implantologie. Est-ce le bon message que
nous envoyons ici ?
Lorsque les cours sont terminés, la majorité des cliniciens reçoivent le sceau
doré d’approbation, soit un certificat de
réussite qu’ils peuvent accrocher dans
la galerie des diplômes de la clinique.
Le lundi matin, ils deviennent des individus changés et motivés. Ils ont été
préprogrammés maintenant à regarder
les patients comme des sujets potentiels
pour l’implantologie. En une nuit, leur

DENTAL TRIBUNE

Accounting Coordinator
Nirmala Singh n.singh@dental-tribune.com

gradué du Goldman School of Dental Medicine,

L’enseignement aux dentistes pour
diagnostiquer et établir un pronostic d’une
denture malade est-il suffisant ?

Dental Tribune Canada Edition | May 2014

des sujets de prothétique et d’implantologie
dentaire et possède une pratique privée à
Montréal qui se limite à la prothétique et
l’implantologie dentaire

attitude est si répandue que même des
endodontistes apprennent à placer des
implants. N’est-ce pas là un réel conflit
d’intérêts ? Quelle est leur motivation ?
Faisons-nous assez pour enseigner aux
dentistes comment diagnostiquer et établir un pronostic d’une denture malade ? À
quel stade une denture malade devientelle une denture déficiente ? Quand estil préférable de choisir une chirurgie
avec implant au lieu d’une intervention
éprouvée et prévisible de dentisterie conventionnelle ? Exclure les aspects dominants de la formation dentaire donne des
dentistes qui ne sont pas confiants, autant
dans leur diagnostique que la façon de
suivre les procédures nécessaires pour
sauver les dents adéquatement. Leurs
compétences cliniques pour reconnaître
et gérer des dentures malades sont limitées. Leur aptitude à reconnaître quand et
où utiliser un implant dentaire peut influencer leur capacité ou leur motivation
pour sauver la dent. Sommes-nous à créer
un conflit d’intérêts pour nos patients ? Le
vrai “besoin” devrait être de retourner à
l’essentiel et apprendre comment sauver
les dents en premier, de cette façon, les patients seront en mesure de garder les implants les plus naturels d’entre tous.

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

Tell us what you think!
Do you have general comments, criticism
or a story idea you would like to share? Let
us know by e-mailing feedback@dentaltribune.com.

[3] =>

.

.

[4] =>

MEETINGS/CONGRÈS

Dental Tribune Canada Edition | May/Mai 2014

TAD Winter Clinic relocates
to new downtown location
The Toronto Academy of Dentistry
77th Annual Winter Clinic is on the
move, with the 2014 meeting day scheduled for Friday Nov. 14, at the Toronto
Sheraton Centre. The Winter Clinic is
the largest one-day dental convention
in North America.

Broad spectrum of topics
This year’s clinical program covers a
broad spectrum of topics, including an
examination of the way digital technology is transforming workflow; demonstrations of tools and equipment; specialized techniques for prosthetic tooth
repositioning; the use of lasers in peri-

odontal therapy; a discussion of X-rays
as a diagnostic tool; advice on the latest
legal requirements for health and safety
in the dental office; and how to meet the
demands of your modern dental practice through healthy habits and humor.

For entire dental team
You can bring the whole team to share
the knowledge. The single-day event features 24 separate programs in contemporary dentistry, offering something
for all. Learn more and register at www.
tordent.com.
(Source: Toronto Academy of Dentistry)

• You can bring the whole team to share the knowledge. The single-day event features 24
separate programs in contemporary dentistry, offering something for all. The 2014 meeting
day is scheduled for Friday Nov. 14, at the Toronto Sheraton Centre (above) in downtown
Toronto. Photo/Provided by TAD • Vous pouvez emmener toute l’équipe pour partager ces
connaissances. Cette activité d’une journée met en valeur 24 différents programmes en dentisterie
contemporaine, qui s’adresse à tous. La date de la rencontre de 2014 est fixée pour le vendredi 14
novembre au Centre Sheraton du centre-ville de Toronto (ci-haut). Photo/Gracieuseté de ADT

La Winter Clinic de l’ADT se relocalise au centre-ville
La 77e édition annuelle du Winter Clinic
est en route, avec la journée de rencontre
fixée le vendredi 14 novembre au Centre
Sheraton de Toronto. Le Winter Clinic est le
plus grand congrès dentaire d’une journée
en Amérique du Nord.

Une grande variété de sujets
Le programme clinique de cette année
couvre une panoplie de sujets, incluant

une évaluation sur la façon dont la
radiographie numérique transforme le
déroulement du travail ; des démonstrations d’équipements et d’outils de premier
ordre ; des techniques spécialisées pour le
repositionnement de dents prothétiques ;
l’utilisation de laser pour le traitement des
affections parodontales; une discussion
portant sur les radiographies comme
outil diagnostic ; des conseils sur les plus

récentes exigences légales en santé et
sécurité du travail en clinique dentaire
et comment répondre aux demandes de
votre clinique dentaire moderne avec des
habitudes saines et de l’humour.
Le Winter Clinic continue d’attirer des
dentistes, hygiénistes, assistantes et des
gestionnaires de cliniques de Toronto,
mais aussi du reste du Canada et des
États-Unis.

Pour l’équipe dentaire au grand
complet
Vous pouvez emmener toute l’équipe pour
partager ces connaissances. Cette activité
d’une journée met en valeur 24 différents
programmes en dentisterie contemporaine, qui s’adresse à tous.
(Source: Toronto Academy
of Dentistry)

Destination Vancouver:
Pacific Dental Conference

• Vancouver is host city to the Pacific Dental Conference, March 5-7, with more than 130
presenters, 150 open sessions and hands-on courses. Photo/Provided by Pacific Dental Conference
• Vancouver est la ville hôte du Pacific Dental Conference, du 5 au 7 mars, avec plus de 130
conférenciers ainsi que 150 sessions de travaux pratiques. Photo/Gracieuseté de Pacific Dental
Conference

Join your colleagues in Vancouver,
March 5-7, 2015, for the Pacific Dental
Conference.
Experience the true flavour of the West
Coast and earn C.E. credits at the same
time. The PDC has an expert lineup of
local, North American and international
speakers. With more than 130 presenters,
150 open sessions and hands-on courses covering a variety of topics, there is
something for every member of your
dental team.
Explore the largest two-day dental
tradeshow in Canada and have the year’s
first opportunity to see the newest equipment. The spacious exhibit hall invites

attendees to see innovative new techniques demonstrated on the live dentistry stage, and examine products and
services from more than 300 exhibiting
companies with representatives who are
ready to engage attendees in discussions
on creating practice solutions. At the conclusion of the conference, you can take a
day to relax and revitalize by exploring
some of the great tourist attractions in
Vancouver. The ocean is just steps from
the Vancouver Convention Centre, and
the pristine snow-capped mountains offer up choice late-season skiing.
(Source: Pacific Dental Conference)

Destination Vancouver: Conférence Dentaire du Pacifique
Joignez-vous à vos collègues à Vancouver pour la Conférence Dentaire du
Pacifique du 5 au 7 mars 2015. Recevez
des crédits CE et découvrez les vrais
atouts de la côte Ouest en même temps.
Vous trouverez au PDC un alignement de conférenciers de niveau international, de la région ainsi que de toute
l’Amérique du Nord. Il y a quelque chose

pour tous les membres de l’équipe dentaire avec plus de 130 présentateurs, 150
sessions ouvertes et ateliers pratiques
couvrant une variété de sujets..
Explorez la plus grande foire commerciale dentaire de deux jours au Canada
et profitez de la première opportunité
de l’année pour voir les nouveautés.
Le hall d’exposition spacieux per-

met aux congressistes d’observer les
nouvelles techniques de traitement en
direct sur la scène dédiée à cet effet,
de découvrir les produits et services de
plus de 300 compagnies et leurs représentants qui sont prêts à discuter avec
vous de différentes solutions pour votre
pratique.
À la fin de la conférence, vous pou-

vez prendre une journée pour explorer
les attraits touristiques de Vancouver.
L’océan est à quelques pas du Centre des
Conventions de Vancouver et les montagnes aux sommets neigeux et vierges,
offrent de superbes conditions de ski de
printemps.
(Source: Pacific Dental Conference)

[5] =>

[6] =>

EDUCATION/ÉDUCATION

Dental Tribune Canada Edition | May/Mai 2014

LVI Core I three-day course teaches
comprehensive patient care process
• Las Vegas
Institute for
Advanced Dental
Studies offers
Core I, a threeday course for
doctors and their
teams. Photo/
Provided by Las
Vegas Institute for
Advanced Dental
Studies

By Mark Duncan, DDS, FAGD, LVIF,
DICOI, FICCMO, Clinical Director, LVI

As a patient, I expect the best care I
can find. As a doctor, I want to deliver
the best care possible. That takes us
to the power of continuing education,
and as doctors we are faced with many
choices in continuing education.
As a way to introduce you to the Las
Vegas Institute for Advanced Dental

Studies, or LVI, I want to outline what
LVI is about and what void it fills in
your practice. The alumni who have
completed programs at LVI were given
an independent survey, and unlike the
typical surveys, 99.7 percent said they
love practicing dentistry, and of those
surveyed, 92 percent said they enjoy
their profession more since they started their training at LVI. That alone is
reason enough to go to LVI and find
out more.
While the programs at LVI cover the
breadth of dentistry, the most powerful and life-changing program is generally reported as Core I, “Advanced
Functional Dentistry: The Power of
Physiologic-Based Occlusion.”

Take control of your practice
This program is a three-day course
that is designed for doctors and their
teams to learn together about the
power of getting their patients’ physiology on their side. In this program,
doctors can learn how to start the process of taking control of their practice
and start to enjoy the full benefits of
owning their practice and providing
high-quality dentistry.
Whether he or she works in a solo
practice or in a group setting, every
doctor can start the process of creating comprehensive care experiences
for his or her patients.
We will discuss why some cases that
doctors are asked by their patients
to do are actually dangerous cases to
restore cosmetically. We will discover
the developmental science behind
how unattractive smiles evolve and
what cases may need the help of auxiliary health care professionals to get
the patient feeling better.
The impact of musculoskeletal signs
and symptoms will be explored and
how the supporting soft tissue is the
most important diagnostic tool you
have — not simply the gingiva, but the
entire soft-tissue support of the structures not just in the mouth but also in
the rest of the body.

Comprehensive care
A successful restorative practice
doesn’t need to be built on insurance
reimbursement schedules.
An independent business should
stand not on the whims and distractions of a fee schedule but rather on
the ideal benefits of comprehensive
care balanced by the patients’ needs
and desires. Dentistry is a challenging
and thankless business, but it doesn’t
have to be. Through complete and
comprehensive diagnosis, there is an
amazing world of thank-yous and hugs
and tears that our patients bring to
us, but only when we can change their
lives. The Core I program at LVI is the
first step on that journey.
That’s why when you call, we will answer the phone, “LVI, where lives are
changing daily!”

[7] =>

.

.

[8] =>

MEETINGS/CONGRÈS

Dental Tribune Canada Edition | May/Mai 2014

InfoSign Media launches new version of ServDentist
TV InfoSign Media lance le ServDentist TV
Educational, animated clips for patients in the waiting room
InfoSign Media, a leading provider
of networked digital television content
for dental offices, recently released
ServDentist™ TV version 5.0.
With the new-generation 5.0 ServDentist TV, you can now edit and
choose personalized content to show
on your private TV network. According
to the company, the web-management
interface offers new, intuitive and
flexible features:

• Choose from more than 150 animated 2-D/3-D clips on treatments,
services and technologies (as well as
entertainment).
• Personalize your before/after pictures and clips that present your team.
• Add up to 50 personalized messages.
• Present your “Nicest Smile Club”
and welcome patients of the day.
• Choose from more than 35

Vidéos éducatives vouées aux patients
de la salle d’attente des cliniques dentaires
InfoSign Média, chef de file dans le
développement de solutions de communication innovantes d’affichage numérique
pour professionnels dentaires lance sa version 5.0 du ServDentist™ TV.
La nouvelle génération 5.0 apporte plusieurs changements importants au ServDentist TV, vous pouvez, entre autre, éditer et faire le choix de votre contenu pour
le personnaliser comme votre réseau de
télévision privé.
Cette nouvelle version inclut une nouvelle interface de gestion Web plus flexible
et intuitive permettant :
• de choisir parmi plus de 150 clips animés 2-D/3-D sur les traitements, services,
technologies, divertissement ou InfoDivers
(écolo, nutrition, santé).
• la personnalisation de clips pour présenter votre équipe et vos cas avant/après
• d’ajouter jusqu’à 50 messages personnalisés.
• de présenter le club des plus beaux

background display themes.
• Add YouTube videos, RSS newsfeeds,
QR codes and promote your social
media presence (Facebook, Google+,
etc.).
With dimensions, 9.5 x 7.2 x 2.7 cm
(4 x 3 x 1 inches), the controller can be
installed easily behind the display, according to the company. The
controller has no mechanJDIQ
ical parts, such as ventila-

BOOTH
NOs.
311/410

(Source: InfoSign Média)

Photo/Gracieuseté de InfoSign Média

victims of the tragedy at Lac Mégantic, Quebec, will present a
ticketed lecture on Saturday, benefiting the Red Cross to help
victims of the train disaster. Many other lectures and workshops are scheduled, with details in the program online.
The exhibition hall will feature more than 225 companies in
500 booths in the 133,563 square-foot space. More than 2,000
company representatives will be on hand to help you see, com-

“ JDIQ, page A1

Gracieuseté de JDIQ

(Source: InfoSign Media)

sourires, pensée du jour, etc.
• De choisir parmi plus de 35 thèmes de
fond d’écran.
• l’ajout de vidéos YouTube, nouvelles
RSS, code QR et la promotion de vos médias sociaux (Facebook, Google+, etc.).
De plus le contrôleur de dimension
compacte (9.5 x 7.2 x 2.7 cm / 4 x 3 x 1 po),
s’installe facilement derrière l’écran. Celuici n’a pas de composantes mécaniques
telles que ventilation et disque dur, ce qui
élimine le bruit et augmente sa durée de
vie.
Une nouvelle série de clips dentaires est
également disponible avec des animations
3-D et du contenu optimisé pour augmenter le QI dentaires de vos patients.
Pour plus de détails sur le ServDentist
TV, le Showplan ou nos solutions Web avec
clips animés pour professionnels dentaires,
veuillez visiter le www.servdentist.ca .

“ JDIQ, page A1

• The JDIQ educational program has more
than 125 speakers presenting approximately
175 educational sessions in English and
French. Photo/Provided by JDIQ
• Le programme éducatif JDIQ a plus de 125
conférenciers présentant environ 175 sessions
de formation en anglais et en français. Photo/

tion or hard drive, so it is quiet and has
a long life cycle. Also available is a new
series of dental clips with 3-D animation and content optimized to improve
your patients’ dental IQ.
For more details on ServDentist TV,
SHOWPLAN and web animated services and solutions for dental professionals, please visit www.servdentist.com.

Pour ceux et celles qui sont intéressé(e)s par l’imagerie et le
modelage 3-D, souhaitables en implantologie, assurez-vous de
ne pas manquer la conférence et la démonstration, vendredi le 23
mai, des docteurs Mathieu Beaudoin, Pierre Boudrias et Matthieu
Schmittbuhl.
Une présentation sur les techniques utilisées par l’équipe responsable de l’identification des victimes de la tragédie du Lac
Mégantic (Québec) aura lieu le samedi 24 mai. Les sommes
amassées pour cette conférence (séance réservée) seront remises
à la Croix Rouge afin d’aider les personnes souffrant encore du
traumatisme de ce terrible accident. Plusieurs autres conférences,
panels et ateliers seront disponibles; veuillez consulter le programme préliminaire sur notre site Web.
Vous aurez de plus l’avantage de visiter une exposition tech-

pare and make decisions on new furniture, equipment, instruments, techniques and other products and services — all under
one roof. One C.E. hour per day can be earned by visiting the
exhibit hall. Just be sure to have your badge scanned at the entrance. The organizers invite you to join the more than 12,000
expected delegates to meet, learn, share and enjoy this gathering
of friends and colleagues.
(Source: JDIQ)

nique sur 133 563 pieds carrés comportant 500 kiosques occupés
par quelque 225 compagnies et plus de 2 000 représentants des
ventes qui pourront vous aider à faire votre choix sur les nouveaux
produits, instruments et techniques. C’est une chance unique de
voir et de comparer tout le mobilier et l’équipement dentaire disponible sur le marché sous un même toit; et tout cela, dans le hall
d’exposition du Palais des Congrès de Montréal. Un crédit d’ÉC
par jour est alloué pour visiter le hall d’exposition. N’oubliez pas
de passer votre insigne au scanner à l’entrée. Nous croyons fermement que le programme de cette année répondra assurément aux
attentes les plus exigeantes des dentistes et de l’équipe dentaire.
Rejoignez plus de 12 000 participants pour apprendre, partager
et faire de ce moment une réunion exceptionnelle de collègues et
d’amis.
(Source : JDIQ)

[9] =>

.

.

[10] =>

INDUSTRY/L‘INDUSTRIE

A10

Dental Tribune Canada Edition | May/Mai 2014

Design with ergonomics in mind
SciCan SANAO electric handpieces put centre of gravity to fulcrum of hand for precise balance
By SciCan Staff

JDIQ
BOOTH NO.
1010

Based on extensive research, product development and
field-testing, the SANAO™
series of electric handpieces have been
created with ergonomics in mind.

The SANAO electric handpieces have
been designed with a narrow, noncylindrical shaped neck to ensure a
solid, comfortable grip; enhanced precision and control; and perfect balance
for less hand fatigue.

Reduced wrist tension, fatigue
Using SciCan’s E-Statis™ Advantage

and SLM motor, the handpiece’s centre
of gravity is shifted to the fulcrum
of the hand, producing optimal balance and reducing wrist tension and
fatigue.
The flat surface on the SANAO’s
shoulder provides enhanced stability
and access when working on the upper
areas of the mouth.

‘The flat surface on the SANAO’s shoulder provides enhanced stability
and access when working on the upper areas of the mouth.’
Ad

Marvel of miniaturization
A marvel of miniaturization, with
a head height as tiny as 13 mm, the
SANAO line can access the hardest-toreach places. The small head size (SANAO models 40L, 40, 10L, 10) increases
the freedom of movement in the oral
cavity.

‘Hygiene Protection System’
SciCan’s innovative Hygiene Protection System (HPS) resin prevents
build-up of debris in inner cavities of
the instrument, eliminating a notoriously difficult-to-clean area.
The SANAO electric handpiece series includes eight different models for
a variety of applications. These applications include handpieces for high
-speed procedures (crown and bridge),
low-speed procedures (finishing and
polishing), and even prophylaxis.
For optimal reprocessing of the
STATIS and SANAO handpieces, the
SciCan reprocessing system with the
STATMATIC™ handpiece maintenance
unit, HYDRIM® G4 washer-disinfector
and STATIM® G4 cassette autoclaves
are highly recommended.
To experience the benefits of the
SANAO handpieces, you can visit
booth No. 1010 in the exhibit hall at
the Journée Dentaires Internationales
du Québec 2014.
STATIS, STATIM, HYDRIM, SANAO,
E-Statis, Statmatic and “Your Infection
Control Specialist” are trademarks of
SciCan Ltd. MULTIflex is a registered
trademark of Kaltenbach & Voigt
GmbH.

Tell us what you think!
Do you have general comments or criticism
you would like to share? Is there a particular topic you would like to see articles about
in Dental Tribune? Let us know by e-mailing
feedback@dental-tribune.com.
We look forward to hearing from you! If you
would like to make any change to your subscription (name, address or to opt out) please
e-mail us at c.maragh@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.

Dites-nous ce que vous en
pensez!
Avez-vous une opinion ou une critique que
vous aimeriez partager? Vous aimeriez voir
plus d’articles sur un sujet en particulier?
Laissez-nous le savoir par courriel au
feedback@dental-tribune.com.
Si vous désirez effectuer des changements à
votre abonnement (nom, adresse, ou pour
arrêter l’abonnement), bien vouloir nous
écrire au c.maragh@dental-tribune.com et
mentionner de quelle publication il s’agit.
Prendre note qu’un délai allant jusqu’à six
semaines peut être nécessaire pour effectuer un changement.

[11] =>

[12] =>

INDUSTRY/L‘INDUSTRIE

A12

Dental Tribune Canada Edition | May/Mai 2014

Dentistry’s future is digital:
Don’t be left behind
By Peter M. Virga, DDS,
Watertown Dental Health Group P.C.

I regretted one thing when our practice switched from film X-rays to digital
X-rays: I wish we had done it sooner.
To say that we gained return on our
investment is an understatement. It
has greatly improved our practice management, the patient experience and
overall communication. Our investment has paid off exponentially. More
importantly, it is a value-added service
that patients may not have experienced
previously at other dental offices.
There is simply no way to compare
film-based X-rays to digital; it’s like
comparing a Honda to a Porsche. If
you’re considering the switch to digital

for your practice, just take your foot off
of the brake and make a leap of faith.
Otherwise, you’re likely to be left behind.

Embracing digital
We built our 10,000-square-foot facility, in Watertown, N.Y., in 2000, and
shortly after we grew tired of the dip
tanks, darkroom and inferior quality of
film X-rays. It was time for a change.
While we had computers in all 14
operatories, we had not been utilizing
the digital aspect of our practice to its
full capacity. We were three-quarters of
the way there; we had the back-end systems in place, but were still using film.
We selected Sirona Dental’s intraoral
sensors because they offered outstanding images, are easy to use and are

JDIQ

durable. These qualities
BOOTH
were top of mind for us,
as we wanted technology
NO. 2006
that would enhance the
patient experience and be
easy for staff to use.
The transition was effortless. The
sensors are truly intuitive — simply
position and expose — and radiographs
are instantly available and stored in
dental records. I look back today and
wonder why we hadn’t fully embraced
digital sooner.
We transformed our darkroom into
another operatory and hired a full-time
hygienist. The positive effect all this has
made on our practice is tremendous.

Helping it click for patients
Switching to digital radiography has

Dr. Peter M. Virga has been practicing at Watertown Dental Health Group for more than 20 years.
He earned his DDS from Georgetown University
School of Dentistry and has trained with some of
the finest minds in dentistry. He has completed
more than 400 hours of continuing education
since 2008 and is a visiting faculty member at
Spear Education.

truly enhanced our staff’s ability to
communicate with patients.
We’re able to show them what’s specif” See FUTURE, page A16

Storing ortho models digitally saves space, dollars
Maestro Scanner 3-D
system scans, stores,
enables sharing with
anybody, anywhere

Terry Whitty lectures nationally and internationally on a variety of dental
technology and material science subjects and runs a busy laboratory in Sydney’s Eastern Suburbs, specialising in high-tech dental manufacturing. Using
the latest advances in intra- and extraoral scanning, CAD/CAM and 3-D printing technologies, most specialties are covered, including fixed and removable
prosthetics, orthodontics and computer implant planning and guidance. He
also specialises in the latest injection systems for traditional and CAD designed
removable prosthetics and various associated dental appliances. His articles
appear in various international journals. He can be contacted at www.

By Terry Whitty

The concept of digital study models has
often been talked about — particularly in
orthodontic circles — as a solution to the
considerable physical space required to
store plaster models. If a model could be
scanned in three dimensions to a high degree of accuracy, stored electronically and
then reconstituted (should the need arise),
then the need for physical storage of models could potentially be eliminated.
While there has been talk of this, little
in the way of real solutions has been available. Study-model scanning services exist,
but often if you look at the fine print in
their terms and conditions, you may not
even own the scans of your own models.
A more practical alternative is to be able
to scan study models in your own laboratory rather than sending them out to be
scanned by a third party.
Digital models have many advantages.
They are easy to make, inexpensive, accurate, cost little to store, and transportation
is a breeze. You can store more than 800
sets of models on one DVD-R disc. An average 500 Gb hard drive could hold 100,000
sets of models, which is much better than
rooms and rooms full of study models.
I have been working with digital models
for some time and have examined several
systems on the market. I have recently
found a great new digital study-model sys-

trulinedental.com.au.

tem with a host of “very useable” features,
and the best news of all is that it is very affordable.
The Maestro Scanner system consists of
a digital 3-D scanner and various software
programs, so you can scan dental models, manipulate the data in various ways
and then easily share this data so anyone
anywhere with the viewing software can
visualise the digital models.
The system uses patterns of light and
two digital cameras to measure the surface of the model in three dimensions.
Projecting a narrow band of light onto a
three-dimensional surface produces a
line of illumination that appears distorted
from other perspectives than that of the
projector and can be used for an exact
geometric reconstruction of the surface
shape. This is the basis of structured light
scanning, which in this case uses no lasers,
so it’s completely safe for anyone to use. It
also has great accuracy and is quite speedy
in operation. This type of scanning is used
by many dental CAD/CAM manufacturers, so the technology is well proven for
our market.
With the Maestro Easy Dental Scan program, you simply put your model into the
scanner, click a button or two and you are
on your way to a scanned model. Diving
deeper into the program uncovers more

complex optional features. You can
scan crown and bridge models and acquire up to eight dies in one scan. Remember, digital storage isn’t just for
orthodontics but can be used for diagnoses, discussion and storage with any
dental model.
Once you scan the upper and lower models and do an occlusal scan, the registering
of the scanned models into the correct bite
relationship is completely automatic. You
can also register the models in various relationships, such as centric relation, centric
occlusion, protrusive or construction bite.
With Easy Dental Scan you can batch
scan. In many systems, immediately after
the scan is completed, it is processed,
which can take quite a bit of time. With the
batch scan, you can quickly scan several
models and then complete the processing
of the scans at a later time. You simply walk
away and the computer does all the work.
With the OrthoStudio program, when a
set of models are loaded, all the information from the database accompanies it, so
you know exactly what you are looking at.
Tools let you add virtual orthodontic bases
using various popular angles, including ABO 2013, measuring tooth and arch
width, occlusal mapping, multiple views,
snapshot, printing and much more.
The latest version of OrthoStudio has

• The latest version of OrthoStudio, a feature of
the Maestro System, can perform complex
digital diagnostic setups and create files ready
for aligner therapy or orthodontic bracket
placement. Photos/Provided by Age Solutions

the ability to perform complex digital
diagnostic setups and create files ready
for aligner therapy or orthodontic bracket
placement.
OrthoStudio Viewer is an abridged version of OrthoStudio but is still feature rich
enough for using digital models for diagnosis on an everyday basis. The viewer includes tools for measuring tooth and arch
width, occlusal mapping, multiple views,
snapshot, printing and more. Of course
it’s very easy to use so people will actually
use it. That makes OrthoStudio Viewer a
great program to give away to people you
want to share your digital files with. For
example, a lab that is scanning models
for various clients can distribute the free
viewer to those clients, who can then use
the viewer to view and diagnose directly
from the scans.

[13] =>

.

.

[14] =>

A14

INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | May/Mai 2014

Prospère et en santé ?
Protéger votre investissement avec Posiflex
Plusieurs intervenants dentaires ressentent des douleurs intenses qui peuvent les
obliger à prendre une retraite précoce. Une
étude réalisée en 2003-20041 a révélé que le
tiers des dentistes femmes, dans les 12 derniers mois, avaient expérimenté des douleurs importantes au cou, aux épaules ou
au haut du dos, qui les avaient dérangées
dans leurs activités “assez souvent” ou
“tout le temps”. 15% des dentistes hommes
avaient ressenti des douleurs similaires aux

mêmes régions. Pour le bas du dos, la fréquence était de 25% pour les deux groupes.
D’après Rose-Ange Proteau, ergonome
à l’Association pour la Santé et la Sécurité
du Travail du Secteur des Affaires Sociales
(ASSTSAS), ce sont les muscles qui restent
contractés à la fois pour retenir le poids
de la tête vers l’avant et pour assurer la
précision des gestes des deux bras, qui, à
la longue, génèrent des niveaux élevés de
douleurs au haut du corps.

Une étude scientifique réalJDIQ
isée par l’Université du Québec à
BOOTH
Montréal (UQAM) a démontré que
l’utilisation d’appuis-coudes moNO. 1817
biles permet de réduire de façon significative les contractions statiques
dans le haut du corps.2
Depuis 12 ans, les appuie-coudes mobiles ont aidé des milliers de dentistes et
d’hygiénistes à demeurer ou à retourner au
travail. Si les douleurs dans votre cou, vos

• Dr Joée Boudreault est parmi les milliers de

professionnels dentaires qui bénéficient de
l’utilisation des Appuis-Coudes Mobiles
Posiflex. Photo/Gracieuseté du Posiflex Design

épaules et votre dos sont assez prononcées
pour que vous deviez dépenser argent et
temps en traitements divers, la compagnie
Posiflex Design vous encourage à essayer
les appuis-coudes mobiles. Il serait très
dommage que malgré toutes vos années
de formation, d’apprentissage de compétences et d’investissement dans votre profession, vous ne puissiez tenir le coup physiquement et deviez prendre votre retraite
plus tôt que vous ne le souhaiteriez.
Si vous aimez votre profession et désirez
continuer à la pratiquer de façon sécuritaire et confortable, les gens de Posiflex Design vous attendent au kiosque #1817 ou encore visitez notre site : www.posiflexdesign.
com . Avec un produit fabriqué au Québec
et cliniquement éprouvé pour prévenir et
réduire les troubles musculosquelettiques,
l’entreprise est persuadée que “vous serez
sur la bonne voie pour profiter pleinement
d’une vie active et d’une longue carrière
prospère”.
˙

Références

Proteau, Rose-Ange, “Impact du travail dentaire sur les douleurs musculo-squelettiques,
leur traitement et la réduction des heures de
travail”, Le point de contact, Janvier/Février
2005, p. 14–20.

Proteau, Rose-Ange, Guide de prévention des
troubles musculo-squelettiques (TMS) en
clinique dentaire, 2007, p. 253–268, Gratuit
sur internet : www.asstsas.qc.ca.

(Source: Posiflex Design)

[15] =>

INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | May/Mai 2014

A15

CS 9300, CS Solutions open window
to wider variety of patient services
Carestream Dental’s portfolio includes
digital imaging systems, imaging software
and practice management software
By Carestream Dental Staff

• Scan, design, mill and, if you have a question, you need only one phone
number. By building all of its imaging products and designing software
in-house, Carestream Dental ensures its systems work seamlessly together.
Clockwise from right is the CS 9300 scanner, an example scan and the
CS 3000 milling machine. Photos/Provided by Carestream Dental

The benefits of 3-D imaging are
becoming more widely known
in the dental field — and for
JDIQ
good reason. With 3-D imaging
BOOTH
technology, dental professionNO. 1115
als are better able to see pathologies that may go undetected
with 2-D imaging alone. Having
the ability to see more not only improves diagnoses but patient care as
well.
Three-dimensional imaging can also
aid in streamlining the treatment
planning process; rather than using
exploratory surgery or other more
invasive procedures, the entire treatment plan can be conducted virtually.
Additionally, from a communications perspective, 3-D imaging can be
used to help patients better visualize
their proposed treatment plan — compared with what might be achieved
with 2-D images. This can lead to increased case acceptance.

CS 9300
Having a cone-beam computed tomography (CBCT) imaging system within
the practice enables dental professionals to enjoy the many advantages
of 3-D imaging. This, in turn, can improve the patient experience because
patients no longer have to take additional time to travel to an imaging
center or other third-party site.
Carestream Dental’s CS 9300 CBCT
and panoramic imaging system combines the best of both worlds, enabling
users to capture both 2-D and 3-D images. Dental professionals can choose
from up to seven selectable fields of
view (ranging from 5 cm x 5 cm to 17
cm x 13.5 cm), giving them the ability
to collimate the field of view based on
the patients’ diagnostic needs.
Image quality is critical during diagnosis and treatment planning. With
an image resolution up to 90 μm, the
CS 9300 delivers a superb level of details, so users can collect valuable
diagnostic information for a range
of clinical applications, including
focused-field, single jaw, dual jaw, single and double TMJ, sinus and maxillofacial examinations.
In addition, the system’s state-ofthe-art flat panel detector produces
highly detailed and contrasted images
with no distortion, while the fast scan
times minimize patient motion for
optimum image quality and reduced
risk of retakes.

‘Because CS Solutions is an open system, users can incorporate
it as a whole or use each product as a standalone solution’
Patient safety was at the forefront
when developing the CS 9300. By incorporating Intelligent Dose Management into the system, Carestream
Dental has given dental practitioners a
greater degree of control when it comes
to limiting patient radiation exposure.
Multiple fields of view allow users to
collimate the imaging area based on
clinical needs, and the kV and mA can
be lowered for task-specific scans.
To further reduce patient exposure, images can be taken in as little
as 12 seconds, with only six seconds
of pulsed exposure (depending on the
field of view selected). The unit even
features preview image “scout” technology so users can evaluate patient
positioning before acquisition. When
combined, these features enable dentists to adhere to the ALARA (as low as
reasonably achievable) principle.

CS Solutions
The CS 9300 system can be used for
more than 2-D and 3-D imaging: It’s
also the first step in Carestream Dental’s CS Solutions CAD/CAM workflow.
When used as a part of this workflow

system, the CS 9300 can be used to
digitize patient impressions in order
to send data to the lab for fabrication
or to design and mill the restoration in
the practice.
The other components of the CS Solutions product portfolio include:
CS Restore: Designed with users in
mind, CS Restore software radically
simplifies and automates the restoration design process, enabling dental
practitioners to create natural and
functional single-tooth restorations
in fewer steps and with fewer clicks.
This software uses a sophisticated algorithm to automatically define and
trace the preparation margin on the
model and ensure custom-fit and highly functional restorations that look
and feel like natural teeth.
CS 3000: The CS 3000 milling machine gives practitioners the ability
to mill and place a crown in one appointment. With a milling accuracy of
+/- 25 µm, the system produces highquality, anatomically accurate shapes
without undercuts. In addition, the CS
3000’s compact design and vibrationfree milling allows practitioners to use

the machine anywhere in the practice,
even chairside.
Because CS Solutions is designed as
an open system, users can choose to incorporate the entire system as a whole
or use each product as a standalone
solution. Because all files are in STLformat, files can easily be shared with
any lab of the practice’s choosing. And,
unlike many CAD/CAM systems on the
market, there are no click fees for submitting the case to the dental lab.

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

[16] =>

INDUSTRY/L‘INDUSTRIE

A16

Dental Tribune Canada Edition | May/Mai 2014

NSK Dental introduces ‘dentistry’s most powerful
air-driven handpiece’ NSK Dental présente la
turbine la plus puissante en dentisterie

JDIQ
BOOTH NO.
2115

New cartridge design improves durability; smaller head sizes enhance operational visibility
Dental equipment manufacturer NSK
Dental LLC has launched what it describes
as the dental industry’s most powerful
air-driven handpiece, the 26-watt, standard head Ti-Max® Z900L series. The
company is also launching the 23-watt,
miniature-head Ti-Max Z800L series.
“This is our biggest new product launch
ever, as the Ti-Max Z900L is the first airdriven handpiece in the history of the
dental industry that delivers 26 watts of
power,” said Rob Gochoel, sales and marketing director for NSK Dental.
“This unprecedented torque reduces
treatment time and provides remarkably smooth handling because of the

high power output and a unique new
turbine design,” Gochoel said. “Equally
impressive, the unprecedented 23 watts
of power delivered by our new Ti-Max
Z800L miniature head series exceeds the
power delivered by most standard-head
handpieces that are on the market today.”
According to the company, both the TiMax Z900L and Z800L series feature a
new cartridge design to dramatically improve durability — and have smaller head
sizes to enhance operational visibility.
They also feature cartridges that
can be replaced chairside
to save time and

maintain practice productivity. Both
series feature ergonomic, solid titanium
bodies and NSK’s new DURAGRIP® coating, which makes the handpieces easy to
hold even when wet. To further enhance
ergonomics, the handpiece body features
a notch for resting the thumb and index
finger for maximum leverage. A Quattro
(4 port) water spray and 2.5-year warranty
— NSK’s longest ever — complete the offering. Multiple back-end
types are available
to fit most competitive couplers,
including Kavo
and W&H.

As with NSK’s other air-driven and
electric handpieces, 100 percent of the
Ti-Max Z900L and Z800L series’ components are engineered, manufactured
and assembled in house at NSK’s factory
in Kanuma, Japan, to ensure quality and
reliability.
NSK Dental is the North American subsidiary of Kanuma, Japan-based Nakanishi Inc. and is located in Hoffman Estates, Ill. Additional information about
the Ti-Max Z900L and Z800L series, as
well as other NSK Dental products, can be
found at www.nskdental.com.
(Source: NSK)

• Both the Ti-Max Z900L (pictured) and Z800L series feature ergonomic,
solid titanium bodies and NSK’s new DURAGRIP coating, which makes the
handpieces easy to hold even when wet. The handpiece body also features a notch for
resting the thumb and index finger for maximum leverage. Photo/Provided by NSK • Les deux séries
mettent en valeur l’ergonomie, une construction de titane solide et le nouveau recouvrement DURAGRIP® de NSK,
qui rend les pièces à mains faciles à tenir même lorsqu’elles sont trempes. Des encoches comme points d’appui pour le pouce et
l’index sur le corps de la pièce à main rehaussent l’ergonomie encore plus, ainsi que l’effet de levier de l’instrument. Photo/Gracieuseté de NSK

Le nouveau design du roulement améliore la durabilité; la petite tête augmente la visibilité
Le fabricant d’équipement Dentaire NSK
Dental LLC a présenté ce qu’il décrit comme la turbine pneumatique la plus puissante de l’industrie dentaire, la série TiMax® Z900L à tête standard de 26 watts.
La compagnie présente aussi la série TiMax Z800L à tête miniature de 23 watts.
Rob Gochoel, directeur des ventes et du
marketing pour NSK Dental, affirme que
ceci est notre plus gros lancement à ce
jour, car la Ti-Max Z900L est la première
turbine pneumatique de l’industrie dentaire à donner 26 watts de puissance.
D’après Gochoel, cette force de couple
sans précédent réduit le temps de traitement. Le nouveau design des roulements

• According to Dr. Peter Virga of Watertown
Dental Health Group P.C., digital radiography has
improved his staff’s ability to communicate with
patients. They show patients what is specifically
going on so patients better understand the
practice’s recommendations and options for
treatment. Images are displayed on a 32-inch LCD
flat-screen TV, enabling patients to clearly and
quickly see their teeth in a way they likely never
have before. The images’ contrast and brightness can be enhanced, and color or other effects
can be added to highlight problem areas. Virga
says digital radiography is used to provide
patients as much information as possible, so
they feel empowered to make an informed
decision for a course of action. Photos/Provided by
Dr. Peter M. Virga and Sirona Dental Inc.

à billes et sa grande puissance fournissent
un fonctionnement en douceur remarquable. Tout aussi impressionnante, la
force de 23 watts sans précédent, fournie
par notre nouvelle Ti-Max Z800L à tête
miniature, dépasse la force de couple de la
plupart des pièces à mains disponibles sur
le marché d’aujourd’hui.
D’après l’entreprise, à la fois les séries Ti-Max Z900L et Z800L, mettent en
valeur un nouveau design de cartouches
qui améliorent énormément la durabilité
et possèdent une tête plus petite qui rehausse la visibilité opérationnelle. De plus,
les cartouches peuvent être remplacées à
la chaise, ce qui sauve du temps et assure

la productivité de la clinique.
Les deux séries mettent en valeur
l’ergonomie, une construction de titane
solide et le nouveau recouvrement DURAGRIP® de NSK, qui rend les pièces à mains
faciles à tenir même lorsqu’elles sont trempes. Des encoches comme points d’appui
pour le pouce et l’index sur le corps de
la pièce à main, rehaussent l’ergonomie
encore plus, ainsi que l’effet de levier de
l’instrument. Le jet d’eau Quattro (4 orifices), avec une garantie de 2.5 ans- la plus
longue jamais offerte par NSK- complète
l’offre. Plusieurs branchements sont disponibles pour s’adapter à la majorité des
compétiteurs, incluant Kavo et W&H.

“ FUTURE, page A12
ically going on so they better understand our recommendations and options for treatment.
We link a computer monitor to an
LCD 32-inch flat-screen TV, so patients can clearly and quickly see
their teeth like they never have before. I’m able to enhance images’ contrast and brightness, and add color
or other effects to highlight problem
areas.
It’s my job to give patients as much
information as possible so they feel
empowered to make an informed decision for a course of action. Digital
radiography helps me do that.
Another benefit of digital radiography is it helps significantly lower
radiation exposure. You simply do
not need to expose patients to previ-

Pour ce qui est des autres turbines pneumatiques et des moteurs électriques NSK,
tels que dans les séries Ti-Max Z900L et
Z800L, 100% des composantes sont conçues, fabriquées et assemblées dans notre
usine de Kanuma au Japon pour en assurer la qualité et la fiabilité.
Située à Hoffman Estates, Ill., NSK Dental est la filiale pour l’Amérique du Nord
de Nakanishi Inc de Kanuma au Japon.
Pour plus d’informations sur les séries TiMax Z900L et Z800L, ainsi que sur les autres produits de NSK Dental, visitez : www.
nskdental.com
(Source: NSK)

ous levels of radiation to take an adequate image.

Don’t be left behind
For years, our practice had been using
film-based X-rays with the typical
darkroom setup. The time required
to take and process X-rays was oppressive. The time savings digital
radiography offers has paid back very
quickly because time is not something you can buy; it is intangible.
It also comes down to being better
able to share with patients what I’m
seeing and educate them on treatment options. Ultimately, I want
to help patients clarify their dental goals in a way that creates total
understanding.
A digital platform, highlighted by
Sirona’s digital intraoral sensors,
helps me do that.

[17] =>

Dental Tribune Canada Edition | May/Mai 2014

INDUSTRY/L‘INDUSTRIE

A17

Schick 33: An eye-opening experience
By Dr. Neal Patel

I have a passion for technology, because it bridges the gap of communication between clinician and patient.
This year, I decided to give myself something that would make my experience
as a dentist more enjoyable — appropriately, on my 33rd birthday. I write this
article to express my enthusiasm for
that “gift” to myself, a product that has
honestly blown me away: the Schick 33
intraoral digital sensor.
I thought 2-D imaging had plateaued.
Schick 33 by Sirona has completely
changed my opinion; it’s a huge step
forward in providing clarity and significant improvement in diagnostic imaging. The images provided by Schick
33 are unlike any 2-D images that I have
seen.
As a general dentist,
JDIQ
it is my responsibilBOOTH
ity to be the best
NOs.
diagnostician
for
1201/1400
every patient. Schick
33 opens the door for
comprehensive dental
care. It improves diagnostic acumen
for general dentistry, endodontics, periodontics, and restorative dentistry.

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

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

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

You owe It to yourself
If you want to be a progressive dentist,
you owe it to yourself and your patients to look into Schick 33. In the daily
grind of wanting to grow our practices
through new patients, we often forget
about our most valued customers — our
current and active patients.
I am finding that I am more confident
in my interpretation of 2-D images from
Schick 33, and this is directly affecting
my patients’ acceptance of their treatment needs.
My staff is blown away by our ability
to see consistently crisp and detailed
digital images.
• Sirona Dental’s Schick 33, a
high-resolution intraoral
digital sensor and image management system, is available exclusively through Patterson
Dental. Photos/Provided by Patterson Dental • Schick 33 de Sirona Dental, un capteur
intrabuccal numérique haute résolution doublé d’un système de gestion d’image, est
offert en exclusivité par Patterson Dentaire. Photos/Fournies par Patterson Dentaire

Schick 33:
Une expérience révélatrice
La technologie me passionne parce
qu’elle permet de jeter un pont dans
les communications entre le praticien
et le patient. Cette année, j’ai décidé de
m’offrir quelque chose qui rendrait mon
expérience de dentiste plus agréable.
Par le plus grand des hasards, j’écris cet
article le jour de mon 33e anniversaire
pour exprimer mon enthousiasme face
à un produit qui m’a complètement renversé : le capteur numérique intrabuccal
Schick 33.
Je croyais l’imagerie 2-D plafonnée.
Schick 33 par Sirona m’a fait changer
d’avis; il s’agit d’un immense pas en
avant en ce qui concerne la clarté et
l’amélioration de l’imagerie de diagnostic. Les images fournies par Schick 33
n’ont rien en commun avec toutes les images 2-D qu’il m’ait été donné de voir.
Comme dentiste généraliste, j’ai le
devoir d’être le meilleur diagnostician
possible avec chacun de mes patients.
Schick 33 ouvre la porte à des soins dentaires intégrés.
Il améliore l’acuité de diagnostic
en matière de dentisterie générale,
d’endodontie, de parodontie et de dentisterie restauratrice.

plaçable qui nous permet de changer le
câble en une étape simple.
J’apprécie également les réglages préétablis de Schick 33. Sirona appelle cette
fonction Clinical-task-specific mapping
(ou transposition propre aux tâches
cliniques). Elle me permet de cliquer sur
un réglage préétabli pour que les images
soient automatiquement prises en fonction des réglages dont j’ai besoin : dentisterie générale, endodontie, parodontie
ou dentisterie restauratrice. Une fois
l’image saisie, je peux ajuster la netteté
de façon instantanée en déplaçant mon
curseur vers la gauche ou vers la droite
sur la barre de défilement graphique.

Polyvalence
Dans ma clinique, nous utilisons les trois
tailles de capteur (0, 1 et 2). En présence
d’un patient nécessitant un positionnement particulier, nous pouvons profiter
des différentes longueurs de câble (3, 6 et
9 pieds) et les changer rapidement.
Schick 33 m’a ouvert les yeux sur de
nouvelles pathologies et de nouveaux
besoins en matière de restauration chez
tous mes patients. Mon expérience s’est
avérée très instructive et me permet de

traiter tous mes patients existants comme de nouveaux patients lors de leur
examen de routine et de leur nettoyage.
Plus important encore, le soutien
et la formation sont essentiels et tant
Patterson Dentaire que Sirona se sont
avérées à la hauteur à cet effet.

Vous le méritez
Si vous voulez être un dentiste avec une
approche progressiste, vous vous devez
à vous même ainsi qu’à vos patients
d’envisager l’acquisition des capteurs
Schick 33.
Dans notre quête quotidienne de
développement de notre pratique par
l’entremise de nouveaux patients, nous
négligeons souvent nos clients les plus
précieux, nos patients actuels et actifs.
Je trouve que je suis beaucoup plus confiant de mon interprétation des images
2-D obtenues à l’aide des capteurs Schick
33 et cela affecte directement le consentement aux traitements qui sont requis par
mes patients.
Les membres de mon équipe sont ébahis par notre capacité d’obtenir de manière constante des images numériques
nettes et détaillées.

Images de qualité
Le fait d’être testeur bêta pour Sirona
m’a permis de réaliser toute la complexité du design et de l’ingénierie liée au
développement d’un produit. Sirona n’a
épargné aucun effort en matière de recherche et développement pour le Schick
33 et elle continue de faire d’immenses
progrès au plan de la technologie : la
limite de résolution théorique de 33
paires de lignes par millimètre, le logiciel
d’imagerie mis à jour avec fonctionnalités étendues pour l’amélioration et la
personnalisation de même que son intégration transparente aux plateformes
Schick Elite existantes.

Simplicité d’utilisation
J’aime particulièrement, à l’instar des
membres de mon équipe, le câble rem-

Neal Patel, DDS, is a graduate of Ohio State University, where he served as
the implant prosthodontic fellow from 2006-2007. Before opening his private practice in Powell, Ohio, Patel served as a consultant educating surgeons
in 3-D imaging, computer-generated guided implant surgery and the art of
stereolithography in dental applications. Patel is known for establishing
many of the techniques and protocols for digital implantology and prosthetics. He speaks internationally on advanced digitization in dentistry, CBCT and
its applications and dental practice management. He has published numerous clinical articles on advanced treatment techniques and procedures.
NEAL PATEL, DDS, est diplômé de l’Université d’état de l’Ohio où il a été boursier en prosthodontie implantaire

de 2006-2007. Avant d’ouvrir sa clinique privée à Powell, il a oeuvré comme consultant en formation auprès
de chirurgiens dans le domaine de l’imagerie 3-D, de la chirurgie implantée guidée par ordinateur de même
que dans le domaine de l’art de la stéréolithographie dans les applications dentaires. Le Dr Patel est reconnu
pour le développement de plusieurs techniques et protocoles pour l’implantologie et la prosthodontie numérique. Il travaille présentement comme conférencier sur la scène internationale dans le domaine de la numérisation de pointe appliquée à la dentisterie, de la tomographie à faisceau conique et de ses applications
ainsi que de la gestion de clinique dentaire. Enfin, il a publié de nombreux articles cliniques sur les techniques
de traitement et les procédures avancées.

[18] =>

A18

INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | May/Mai 2014

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

best possible barrier protection.

Not all gloves have comparable
barrier capabilities
Many types of gloves are available today, but it is important to know that
not all gloves have the same barrier

capability, depending on the type of
material used. For example, natural
rubber latex gloves have long been
acknowledged for their very effective
barrier properties, while non-latex
gloves, such as vinyl (polyvinyl chloride), have inferior barrier capability as

shown by numerous studies.
Other synthetic gloves, such as nitrile and polyisoprene, perform much
better than vinyl but are more costly,
especially polyisoprene gloves. Using
gloves with inferior barrier capability could expose both the patient and
user to harmful infections.

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

Natural, sustainable resource
Furthermore, latex gloves are green
products, derived from a natural and
sustainable resource, and are environmentally friendly. (Learn more online
at www.smg-gloves.com and at www.
latexglove.info).
The use of low-protein powder-free
gloves has been demonstrated by
many independent hospital studies
to vastly reduce the incidence of latex
sensitization and allergic reactions in
workplaces.
More important, latex allergic individuals donning non-latex gloves can
now work alongside their co-workers
wearing the improved low-protein
gloves without any heightened allergy
concern. However, for latex-allergic
individuals, it is still important they
use appropriate non-latex gloves that
provide them with effective barrier
protection, such as quality nitrile and
polyisoprene gloves.
Selecting the right gloves should be
an educated consideration to enhance
safety of both patients and users. For
decades, gloves made in Malaysia have
been synonymous with quality and
excellence, and they are widely available in an extensive array of brands,
features and prices.
They can be sourced either factory
direct (www.mrepc.com/trade and
click “medical devices”) or from established dental product distributors in
the United States.
(Source: Malaysian Rubber Export
Promotion Council)

[19] =>

.
.

[20] =>

.
.

[21] =>

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

MAY/Mai 2014 — Vol. 2, No. 3

www.dental-tribune.com

Industry Clinical, Part 1 / Clinique de l’industrie, Partie 1

Implant site preservation using
novel post and crown
By Les Kalman, DDS, BSc (Hon)

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

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

Clinical case presentation
A 28-year-old male patient presented with
a failed post and core and porcelain-fusedto-metal (PFM) crown. His chief complaint
was that the “fake tooth” had become dislodged several times and he requested a
long-term solution.
Medical history was non-contributory.
Clinical and radiographic examination
indicated an endodontically treated central incisor with no apical pathology and a
failed post and core/crown restoration. The
PFM crown was still cemented to the post
and core and lacked a ferrule effect. The
post and core/crown had been recemented
several times in the past.

Diagnosis indicated endodontic treatment, failed post and core, and caries on
tooth #11. Treatment options to replace the
missing tooth included an implant supported crown, a bridge, a removable partial denture or no treatment. The patient
had interest in the implant option but requested that the old unit be re-cemented.
He had several professional and personal
obligations that required an esthetic provisional. Finances were a limiting factor. The
existing post and core/crown was deemed

poor and could not be used.
Based on the situation, an alternative
option was presented to the patient: an indirect IPS e.max CAD/CAM post and core/
crown moderate-term provisional that
would be fabricated using an in-office E4D
unit. Treatment-specific informed consent
was given, and the patient agreed. It was
decided to generate an indirect CAD/CAM
prosthesis because of the investigative nature of the clinical case.
” See NOVEL, page B2

• Fig. 1: Preparation of tooth #11 and use of
paper clip. Photos/Provided by Dr. Les Kalman
• Fig. 1: Préparation de la dent #11 et
l’utilisation d’un trombone Photos/Fournies
par Dr. Les Kalman

• Fig. 2: Segmental Q-tray impression.
• Fig. 2: Empreinte avec Q-tray segmenté.

Préservation du site implantaire
avec une couronne/pilier hybride
Par Les Kalman , DDS , BSc ( Hon)

Résumé
La préservation du site post-extractif est
une composante importante du diagnostic et de la planification du traitement. Des
prothèses aux caractéristiques idéales peuvent être conçues par la Conception Assistée
par Ordinateur (CAO). De plus, en utilisant le
procédé de Fabrication Assistée par Ordinateur (FAO), le clinicien possède la capacité
de meuler la prothèse avec grande exactitude. Le IPS e.max a été choisi pour cette
investigation à cause de sa force et de son
esthétisme. La combinaison du IPS e.max
et l’utilisation de la technologie CFAO en
bureau donnent au clinicien la capacité de
réaliser de façon prévisible une restauration
temporaire de moyen terme afin de préserver le site post-extractif.

Introduction
Placer des implants dans la zone dite esthétique est le traitement idéal lorsque les

critères diagnostics sont satisfaits.1 Cependant, le budget peut être un empêchement
aux traitements. Une restauration esthétique temporaire de moyen terme peut
permettre au patient de passer outre cette
barrière. La technologie en bureau CFAO
permettrait une fabrication immédiate de
la prothèse.
La CAO permet la capture numérique
d’une image de la préparation pour ensuite
concevoir à l’aide d’un logiciel une restauration indirecte (en dehors de la bouche).2
Après que la restauration idéale est conçue,
la fabrication est complétée en vitrocéramique par un appareil de meulage. E4D
est un appareil dentaire pour le bureau (E4D
Technologies).
IPS e.max est un produit dentaire esthétique sans métal utilisé pour les restaurations indirectes. Le IPS e.max est composé
de disilicate de lithium et ses propriétés physiques et esthétiques idéales en font le premier choix pour les restaurations par CFAO.3
Avec une résistance juste en dessous de celle
de l’or, le IPS e.max possède la capacité de

Les Kalman, DDS, BSc (hon), has served as the chief of dentistry at the StrathroyMiddlesex General Hospital. In 2011, he transitioned to full-time academics as an assistant professor of restorative dentistry at the Schulich School of Medicine and
Dentistry, University of Western Ontario. Kalman is also the coordinator of the Dental Outreach Community Services (DOCS) program, which provides free dentistry
within the community. Contact him at (519) 661-2111, ext. 86097 or lkalman@uwo.ca.
Les Kalman, DDS, BSc (Hon), occupait le poste de chef de la dentisterie au Strathroy-Middlesex General
Hospital. En 2011, il se dirigea dans le milieu universitaire à plein temps en tant qu’aide-professeur à la Schulich
School of Medicine and Dentistry. Kalman est aussi le coordinateur du programme pour les Services de Dentisterie Communautaires (DOCS) qui fournit de la dentisterie gratuitement dans la communauté. Vous pouvez le

détail requise pour la production par FAO.3

Présentation d’un cas clinique
Un patient mâle de 28 ans présentant un
tenon radiculaire coulé défectueux avec
une restauration céramo-métallique (PFM).
Sa plainte principale était que la fausse dent
s’était déplacée à plusieurs reprises et qu’il
désirait une solution à long terme. Nous
n’avons pas tenu compte de l’historique médical. L’examen clinique et radiologique ont
indiqué un traitement d’endodontie sur une
incisive centrale sans pathologie apicale,
ainsi qu’une rupture au niveau de la restauration couronne/tenon radiculaire coulé.
La restauration céramo-métallique était
toujours cimentée au tenon radiculaire
coulé, mais sans l’effet de fer désiré. La restauration céramo-métallique et le tenon
radiculaire coulé avaient été cimentés à plusieurs reprises dans le passé. Le diagnostic
indiquait un traitement d’endodontie, une
rupture du tenon radiculaire coulé et une
carie sur la dent #11. Les options de traitement pour remplacer la dent manquante
étaient soit une couronne sur implant, soit
un pont fixe, soit une prothèse amovible
ou aucun traitement. Le patient avait de
l’intérêt pour la pose d’un implant, mais
demanda que la vieille restauration soit cimentée de nouveau.
Le budget était une restriction au traitement et ayant plusieurs obligations personnelles et professionnelles, ce cas nécessitait
un traitement provisoire. Le tenon radiculaire coulé fut jugé inutilisable et ne pouvait
servir de nouveau. Basé sur la situation du
patient, une alternative lui a été présentée

contacter à la Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON N6A 5C1,
(519) 661-2111, ext. 86097, lkalman@uwo.ca.

” Voir HYBRIDE, page B2

[22] =>

B2
“ NOVEL, page B1

Preparation
Tooth #11: The canal space was cleaned of
cement and the remaining tooth structure was prepared as per full porcelain
coverage specifications. A paper clip was
inserted into the canal space (Fig. 1). A

XXXXX
INDUSTRY CLINICAL/CLINIQUE
DE L’INDUSTRIE

final PVS impression (Ivoclar) was taken
using a Q-Trays (Research Driven) segmental tray (Fig. 2). A bite registration
was taken for the CAD/CAM scan. The patient was dismissed to the waiting room
while the prosthesis was fabricated.
Editor’s Notes: In Part 2, Kalman covers
the indirect CAD/CAM component, discus-

“ HYBRIDE, page B1

Préparation

: une restauration couronne/pilier hybride
esthétique temporaire de moyen terme,
utilisant le IPS e.max et la CFAO qui pourrait
être fabriquée en bureau avec l’unité E4D.
Afin d’obtenir un consentement éclairé, les
données particulières au traitement ont été
données au patient. Une fois cette option
acceptée, on créa une prothèse indirecte par
CFAO due à la nature de l’enquête du cas
clinique.

Dent #11: L’espace du canal a été nettoyé des
résidus de ciment et la structure restante de
la dent a été préparée d’après les spécifications pour une couverture complète avec
de la porcelaine (Fig. 1). Un trombone a été
inséré dans le canal (Fig. 2). Une impression
finale VPS (Ivoclar) a été prise utilisant un
porte empreinte Q-Tray segmenté (Research
Driven) (Figs. 3–5). L’enregistrement occlusal
a été pris pour le scanneur de la CFAO (Fig.
6). Le patient retourna à la salle d’attente

Implant Tribune Canada Edition | May/Mai 2014

sion and conclusions.
This article is reprinted from Implants
C.E. magazine, Volume 2, Issue 2, 2013.
Disclosure: Dr. Les Kalman is the coowner of Research Driven and the developer of the Q-Tray.
References available from the publisher
on request.

IMPLANT TRIBUNE
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Kristine Colker k.colker@dental-tribune.com

pendant la fabrication de la prothèse.
Notes du rédacteur : Dans la partie 2, Kalman traite des composantes indirectes de la
CFAO, discussions et conclusions.
Cet article est une réimpression de : Implants C.E. magazine, Volume 2, Issue 2,
2013.
Divulgation : Dr Les Kalman est copropriétaire de Research Driven et le développeur du Q-Tray.
Références disponibles de l’éditeur sur
demande.

Managing Editor Implant Tribune Canada
Robert Selleck, r.selleck@dental-tribune.com
Managing Editor Implant Tribune U.S.
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product/Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Product/Account Manager
Humberto Estrada h.estrada@dental-tribune.com
PRODUCT/ACCOUNT MANAGER
Drew Thornley d.thornley@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka
a.kataoka@dental-tribune.com
Education Director
Christiane Ferret c.ferret@dtstudyclub.com
Accounting Coordinator
Nirmala Singh n.singh@dental-tribune.com
Projects & Events Coordinator
Robert Alvarez r.alvarez@dental-tribune.com

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

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 c.maragh@dental-tribune.com
and be sure to include which publication you
are referring to.

[23] =>

[24] =>

) [page_count] => 24 [pdf_ping_data] => Array ( [page_count] => 24 [format] => PDF [width] => 765 [height] => 1080 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT Canada No. 3, 2014

[toc] => Array ( [0] => Array ( [title] => Editor in Chief [page] => 01 ) [1] => Array ( [title] => Time for Montréal and JDIQ - C’est l’heure des JDIQ et Montréal [page] => 01 ) [2] => Array ( [title] => Meetings [page] => 04 ) [3] => Array ( [title] => LVI Core I three-day course teaches comprehensive patient care process [page] => 06 ) [4] => Array ( [title] => InfoSign Media launches new version of ServDentist TV InfoSign Media lance le ServDentist TV [page] => 08 ) [5] => Array ( [title] => Vidéos éducatives vouées aux patients de la salle d’attente des cliniques dentaires [page] => 08 ) [6] => Array ( [title] => Design with ergonomics in mind [page] => 10 ) [7] => Array ( [title] => Industry [page] => 12 ) [8] => Array ( [title] => Implant Tribune [page] => 21 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

[cached] => true )