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Retired orthodontist gives $4 million to East Carolina University School of Dentistry / News / Diagnose this: white lesions / Looking for ‘love’ in all the wrong places / Crown or same-day onlay? / Diagnose this: white lesions (the answer) / Dental Organizations / Education / Industry News

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DENTAL TRIBUNE
The World’s Dental Newspaper · U.S. Edition

April 2010

www.dental-tribune.com

Vol. 5, No. 11

HYGIENE TRIBUNE
The World’s Dental Hygiene Newspaper · U.S. Edition

Diagnose this: white lesions

The first in a series on the different types of
mucosal and soft-tissue pathologies. u page 6A

How to reach practice goals?

Learn what has the most impact when it comes
u page 7A
to achieving your practice’s goals.

New products and more

Take a peek at some products that might be
unfamiliar to you.
upages 19A–22A

Retired orthodontist gives $4 million to
East Carolina University School of Dentistry
By Fred Michmershuizen, Online Editor

Dr. Ledyard E. Ross, an 84-yearold retired orthodontist, has pledged
$4 million to East Carolina University (ECU) School of Dentistry.
The gift, one of the largest in the
history of the university, will be
used for student scholarships, faculty research and other academic
enterprises.
Ross is a 1951 graduate of ECU
(then called East Carolina College).
He has been a supporter of several
academic and athletic initiatives at
the university since establishing his
dental practice in Greenville. He is a

member of the Leo Jenkins Society
and Order of the Cupola.
Ross attended Greenville High
School and Hardbarger Business
College before being admitted to
East Carolina College.
He graduated from Northwestern University Dental School with
a DDS in 1953, and he received a
master of science degree in orthodontics in 1959 from UNC-Chapel
Hill. He served in the U.S. Marine
Corps First Marine Division from
1943 to 1946.
His financial gift comes at a wel-

Dr. Ledyard E. Ross,
a retired orthodontist, stands before an
artist’s rendering of
the new building that
will house the School
of Dentistry at East
Carolina University.
The building will bear
his name. (Photo/Cliff
Hollis, ECU News &
Communication)

g DT page 2A, “Orthodontist …”

Crown or same-day onlay?

5 ways dental practices can
reduce waste and pollution

Patients want to replace
their old amalgam fillings,
but they want to do it conservatively, consistently, efficiently, predictably and economically — and they want
to do it in one visit. Review
the advantages associated
with indirect laboratoryprocessed composite resin
posterior restorations and
see the case study presented
by Dr. Lorin Berland.

In honor of the 40th annual Earth
Day, the Eco-Dentistry Association
(EDA) — an international association
promoting environmentally sound
practices in dentistry — is encouraging dentists to do their part to help
save the environment.
To help dentists be more environmentally conscious, the EDA has
issued a checklist of standards for
green dental offices. Specifically, the

EDA is recommending that dental
professionals make the following
Earth Day resolutions to reduce waste
and pollution.

Use an amalgam separator
Even if you don’t place amalgams,
you still need an amalgam separator,
according to the EDA. In a typical
g DT page 2A
AD

g See pages 10A–13A

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News

Dental Tribune | April 2010
Cloth sterilization wraps and
pouches and reusable cloth patient
bibs and barriers, popular in hightech and spa practices, help dentists
significantly reduce their environmental footprint. When a paper-plastic pouch is the best solution, separate
the paper from the plastic and recycle
each appropriately, the EDA says.

The unofficial Earth Day flag,
designed by John McConnell.
(Photo/Wikimedia Commons)

f DT page 1A
one-dentist office that only removes
amalgam fillings, an amalgam separator can capture three pounds of
mercury-containing waste material in
one year. Every restorative practice
should have this important piece of
equipment, the EDA says.

Practice litter-free infection
control
It is estimated that 1.7 billion plasticpaper sterilization pouches and 680
million barriers from U.S. dental offices will end up in landfills this year,
according to the EDA.
The EDA offers “Best Practices
for Waste-Reducing Sterilization and
Infection Control” to help dental professionals become litter-free while
maintaining the highest infection control standards.

f DT page 1A, “Orthodontist …”
come time for his alma mater. Just
two years ago, state and university
leaders broke ground for the new
East Carolina University School of
Dentistry. A new building that will
house the new school of dentistry
will be named Ledyard E. Ross Hall.
“This generous gift comes at a
time when we are starting a new

Detoxify your infection control processes
Using the right non-toxic, biodegradable cleaner and disinfectant is an
important component of pollutionpreventing infection control, according to the EDA.
Line cleaners and cold sterile solutions such as glutaraldahyde are a
significant source of pollution from
the dental industry and contribute to
poor indoor air quality.
Modern dentistry has eliminated
the need for cold sterilization, and
there are several environmentally
safe line cleaners on the market.
Making a switch to the non-toxic
option will keep your office in compliance with hospital infection control
standards while eliminating the “dental office smell” that patients hate, the
EDA says.

Take digital images
Dental radiographs are an important
part of preventive dentistry, but traditional dental X-rays will contribute
as much as 4.8 million lead foils and

Promote your practice
paperlessly
Dental practitioners are always looking for ways to build rapport with
patients. You may not realize how
much your patients will appreciate
your office’s eco-friendly initiatives,
especially when they are delivered
paper-free.
Use a digital marketing and communications provider that offers Web
optimization and appointment confirmation by e-mail or text message, the
EDA recommends.
Provide your patients with regular updates about your eco-friendly
initiatives in electronic newsletters
and e-mail blasts. Once or twice a
year send a special newsletter using
earth-friendly papers, inks and printing processes. DT
(By Fred Michmershuizen,
Online Editor)

DENTAL
ENTAL T
TRIBUNE
RIBUNE
D
The
World’s
Dental
Newspaper
· US
Edition
The
World’s
Dental
Newspaper
· US
Edition

Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
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Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief Dental Tribune
Dr. David L. Hoexter
d.hoexter@dental-tribune.com
Managing Editor/Designer
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school and puts us in a position
to support faculty and students at
its inception,” said ECU Chancellor
Steve Ballard.
“Dr. Ross’ gift to the university
reinforces that the N.C. General
Assembly saw the wisdom of establishing a school of dentistry at ECU
and reinforces the vision they had
and we have for this school.”
Ledyard E. Ross Hall, on the ECU

Tell us what you think!
g DT

page 3A
Do you have general comments or criticism you would like to share?
Is
there a particular topic you would like to see more articles about? Let us
know by e-mailing us at feedback@dental-tribune.com. If you would like
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subscription changes can take up to 6 weeks to process.

28 million liters of toxic X-ray fixer to
local ecosystems this year, according
to the EDA.
Conserve resources and help cool
the planet by switching to digital
patient charting.
The EDA says patients will appreciate the significant reduction in radiation digital imaging provides and will
benefit from an up-to-date approach
to their health-care records. Going
digital will also save a practice more
than $8,500 a year, the EDA says.

Health Sciences campus, will have
more than 100,000 square feet. The
North Carolina General Assembly
has provided about $90 million for
construction.
That appropriation covers both
the dental school building in Greenville and 10 community-service
learning centers in rural and underserved areas of North Carolina.
The
first
three
locations
announced for those centers are
Sylva, Ahoskie and Elizabeth City.
Dental school faculty members
will be based in the centers, along
with advanced dental residents and
senior students who will receive
enhanced dental education in real
practice settings.
The students and faculty will
offer much-needed dental care to
citizens in the areas surrounding
the centers.
“The difference between being a
good dental school and a great dental school hinges on private giving,”
said Dr. James Hupp, dean of the
school of dentistry.
“Dr. Ross’ very generous philanthropic gift will propel us toward
greatness, allowing us to accomplish our grand vision of improving
the health and quality of life of North
Carolinians by leading the nation in
community-based, service-learning
dental education. We cannot thank
him enough.”
The ECU dental school plans
to admit its first students for the
fall semester of 2011. About 50
students will enter the program
every year. DT

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Published by Dental Tribune America
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All rights reserved.
Dental Tribune strives to maintain the
utmost accuracy in its news and clinical reports. If you find a factual error or
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r.goodman@dental-tribune.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 Dental Tribune America.

Editorial Board
Board
Editorial
Dr.
Dr. Joel
Joel Berg
Berg
Dr.
L.
Dr. L. Stephen
Stephen Buchanan
Buchanan
Dr.
Dr. Arnaldo
Arnaldo Castellucci
Castellucci
Dr.
Dr. Gorden
Gorden Christensen
Christensen
Dr.
Rella
Dr. Rella Christensen
Christensen
Dr.
Dr. William
William Dickerson
Dickerson
Hugh
Hugh Doherty
Doherty
Dr.
Dr. James
James Doundoulakis
Doundoulakis
Dr.
Dr. David
David Garber
Garber
Dr.
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Fay Goldstep
Goldstep
Dr.
Howard
Dr. Howard Glazer
Glazer
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Jon Suzuki
Suzuki
Dr.
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Dr. Dennis Tartakow
Tartakow
Dr.
Dr. Dan
Dan Ward
Ward

[3] =>

News

Dental Tribune | April 2010

Dental museum adds exhibit
By Fred Michmershuizen, Online Editor

The National Museum of Dentistry,
located in Baltimore, has added a new
exhibit that will help teach the public
about the American College of Dentists, the oldest national honorary organization for dentists.
The gold-plated mace and torch
that have been used in American College of Dentists membership ceremonies for nearly 70 years are among the
highlights of the new exhibit. The display also features an American ollege
of Dentists’ Fellowship pin, key and
rosette. Also on view is the William J.
Gies Award, which recognizes college
fellows who have made outstanding
contributions to the advancement of
the profession.
“The National Museum of Dentistry
preserves and celebrates the history
of the dental profession,” said Jonathan Landers, executive director of
the museum. “This is the perfect place
to showcase these fragile and magnificent historic symbols of such a
respected organization in dentistry.”
The American College of Dentists
is the oldest national honorary organization for dentists. It was founded
to elevate the standards of dentistry,
encourage graduate study, and grant
fellowship to those who have done
meritorious work. Membership in the
American College of Dentists is by
invitation only.
There are more than 7,400 fellows,
who are selected based on their contributions to organized dentistry, oral
health care, dental research, dental
education, the profession and society.
Long regarded as the “conscience of
dentistry,” its mission is to advance
excellence, ethics, professionalism and
leadership in dentistry.
“We are honored to have the mace
and torch on view at the National
Museum of Dentistry,” said Dr. Stephen Ralls, executive director of the
American College of Dentists. “They
represent an important historical link
to key leaders of dentistry from the
early 20th century onward.”

About the mace and torch
When the American College of Dentists was founded in 1920, a symbolic
light —the torch — was designated
to signify the role of the college as a
source of enlightenment and guidance. The torch was crafted in 1939 by
the Gorham Silver Co. of Providence,
R.I., to serve as a symbol of office.
The fluted staff, more than two feet
long, is made of gold-plated bronze
and decorated with ribbons engraved
with the names of the founders of the
American College of Dentists.
The mace was also made in 1939
by Gorham. It is more than two feet
long and made of gold-plated bronze
and silver. The base is adorned with
faux amethysts, diamonds and emeralds. Crafted in the form of a caduceus
symbolizing the medical professions,
it includes the engraved names of 20
of the most eminent contributors to
dentistry. The dome, with figures of

two Egyptians holding the ends of an
open scroll, is supported by depictions
of 11 Egyptian scholars and a modern
graduate.

To visit the museum
The National Museum of Dentistry is
an affiliate of the Smithsonian Institution. Other exhibits include George
Washington’s false teeth, vintage
toothpaste commercials and handson displays that are meant to educate
visitors of all ages about the power of a
healthy smile.
The museum is located at 31 S.
Greene St., not far from Baltimore’s
Inner Harbor. Admission is $7 for
adults, $5 for seniors and students

with ID, $3 for children age 3–19; and
free for ages 2 and younger. It is open
Wednesday through Saturday from 10
a.m. to 4 p.m. and Sunday from 1 to 4
p.m. The museum is closed Mondays,
Tuesdays and major holidays.
More information about the museum is available by phone, at (410)
706-0600 or online, at www.smileexperience.org. DT
(Source: National Museum
of Dentistry)
The gold-plated mace of the American
College of Dentists, at right, is now
on display at the National Museum of
Dentistry in Baltimore. (Photo/National Museum of Dentistry)
AD

[4] =>

News

Dental Tribune | April 2010

CareCredit: fourth donation
to Give Kids A Smile fund
CareCredit®, a patient payment
program, continued its support as
founding donor of the American
Dental Association Foundation Give
Kids A Smile® expansion fund with
its fourth consecutive $100,000
donation. The donation was made
at the Give Kids A Smile National
Advisory Board meeting, Feb. 24 in
Chicago.
The American Dental Association’s Give Kids A Smile program
has two objectives: first, to enable
dental teams to provide free dental care, screening and education
to underserved children; and second, to raise public awareness that
the children of this country deserve
a better health-care system that
addresses their dental needs.
In 2009, with the help of CareCredit’s contribution, grants were
awarded to the Hispanic Dental
Association (HDA), the National
Dental Association (NDA) and Oral
Health America. The HDA is using
its grant to fund local dental student-led oral-health programs in
Los Angeles, Dallas and Boston.
The NDA is enhancing the Deamonte Driver Dental Project and
has assembled its Dentists in Action
resource directory. Oral Health
America’s grant funds have been
distributed to Smiles Across America sites in California, Minnesota and

Nevada.
“Dental disease among children
is a serious issue in the United
States. When a child has disease and
pain, it makes it difficult for them to
eat, sleep and learn,” stated CareCredit board member and Senior Vice
President of Marketing Cindy Hearn.
“CareCredit became the founding donor of the American Dental
Association Foundation Give Kids
A Smile expansion fund to help
increase children’s access to treatment throughout the year.”
“Each year we are so impressed
with how the grant recipients use
the funds to reach out in their community, state and even across the
country,” added Hearn.
“CareCredit continues to give
benevolently to the Give Kids A
Smile fund. Through its generosity,
we have truly been able to make a
difference in the lives of children
who have little to no access to quality dental care,” said Dr. Arthur A.
Dugoni, president, ADA Foundation.
Today, CareCredit is at work in
more than 80,000 dental practices.
CareCredit is exclusively selected
for their members by most state and
national dental associations, including ADA Business ResourcesSM, AGD,
AAOMS and AAP, and is also recommended by leading practice management consultants.

Cindy Hearn, senior vice president of marketing, CareCredit and member of
the Give Kids A Smile National Advisory Board (right), presents a $100,000
donation to the ADA Foundation GKAS Fund during the advisory board
meeting Feb. 24 in Chicago. Accepting the check are (from left) Steve Kess,
board chair and vice president of Global Professional Relations, Henry
Schein Inc.; Dr. Jeff Stasch, board member and member of the ADA Council
on Access, Prevention and Interprofessional Relations; Dr. Ron Tankersley,
ADA president; and Robert C. Henderson, PhD, board member and member
of the ADA Foundation Board of Directors. (Photo/ADA News)
For more information on CareCredit, call (800) 300-3046, ext. 4519,
or visit www.carecredit.com/dental.
Information on Give Kids A Smile
can be found at www.givekidsa
smile.ada.org. DT

American Dental Association. ADA Business Resources is a service mark of the
American Dental Association. ADA Business Resources is a program brought to
you by ADA Business Enterprises, Inc., a
wholly owned subsidiary of the American
Dental Association.

(Source/ADA News)
SM

ADA is a registered trademark of the

Global lab revenues to exceed $14.5 billion by 2015
By Fred Michmershuizen, Online Editor

Increasing numbers of elderly
people and more demand for highquality dental esthetics are cited
AD

among the reasons for an increase
in global demand for the services
of dental laboratories.
According to a new report, the
world market for dental laborato-

ries is projected to exceed $14.5
billion by the year 2015.
The report, by Global Industry
Analysts, a publisher of market
research, states that dental laboratories are witnessing a significant increase in demand for dental
prosthetics as well as other restoratives.
The report also cites the
increasing purchasing power of
the baby boomer generation as
another factor driving the dental
laboratory market.
The United States represents
the largest market for dental laboratories worldwide, according to
the report.
The scarcity of technicians and
availability of modern restorative
technologies and systems are driving dental laboratories to deliver
quality dental restorations to dentists on time.
Outsourcing is a key element in
the U.S. dental laboratory industry.
The report, “Dental Laboratories: A Global Strategic Business
Report,” provides a comprehen-

sive review of dental laboratories,
market trends, recent industry
activity and focus on market participants.
The study analyzes market data
and analytics in terms of value
sales for regions, including the
United States, Canada, Japan,
Europe, Asia-Pacific, Latin America and the rest of the world.
Key players profiled in the
report include 1st Dental Laboratories, Attenborough Dental,
Champlain Dental Laboratory,
Dental Services Group, iDent
Dental Lab, Lord’s Dental Studio,
Knight Dental Design, National
Dentex Corp., Southern Craft Dental Laboratory, Utah Valley Dental
Lab and others.
The report is available for purchase from Global Industry Analysts.
More information is available at
www.strategyr.com/Dental_Labo
ratories_Market_Report.asp. DT
(Source: Global Industry
Analysts)

[5] =>

[6] =>

6A

Oral Pathology

Dental Tribune | April 2010

Diagnose this: white lesions
By Monica Malhotra, India

The purpose of this quiz,
and the ones to follow, is to
assist you in understanding
the different types of mucosal
and soft-tissue pathologies
with different colors (red,
white, mixed red/white) and
other pigmented lesions seen
in the oral cavity.
There has been a trend to
ignore the overall examination of the oral-cavity and
concentrate more upon the
chief complaint a patient
presents.
In this process we often
don’t take advantage of the
so-called “mirror of general
health.” We can always take
a little more time to overview the entire oral cavity,
including the oral mucosa.
Please feel free to contact me with any feedback or
questions you may have.

AD

Part 1: case study

A 45-year-old, healthy man
visited his dentist for tooth
pain and was informed that his
mouth contained “disease in
disguise.”
Upon oral examination, buccal-mucosa showed hyperkeratotic white, slightly elevated,
diffuse patchy lesion extending
toward the commissures of the
mouth on the left side.
The lesion was non-scrapable in nature.
The patient had a habit of
smoking five to six bidis (a
crude form of cigarette used in
India) a day for the past four
years.
1) What provisional diagnosis
would you make of this lesion?
a. Leukoplakia
b. Linea alba
c. Lichen planus
d. Leukoedema
e. Candidiasis

(Photo/Monica Malhotra)

See page 15A for the answer.

[7] =>

Practice Matters

Dental Tribune | April 2010

7A
AD

Looking for ‘love’ in
all the wrong places
Which aspect of your practice has the most impact on your bottom line?
By Louis Malcmacher, DDS, MAGD

As a practicing dentist and a dental consultant,
I know exactly where dentists are coming from
when they describe their daily challenges to me.
I hear routinely from dentists about all kinds of
problems they are experiencing.
Every dentist that I talk to wants to know how
to get more new patients, how to properly market
the practice, how to be faster and more efficient
clinically, how to reduce overhead, how to motivate more patients to bigger and bigger treatment
plans and a whole host of other issues that are
constantly on a general dentist’s mind.
Dentists will spend all kinds of money on
books, tapes, consultants, marketing programs,
newsletters and all sorts of other things that they
think may improve a particular part of their practice. Most dentists who are looking for these solutions are always, as I like to say, “looking for love
in all the wrong places.”
Dentists often overlook the most obvious and
impactful part of their practice: the dental team
that they work with every
single day.

Do you want to reduce your overhead? A great
dental team will certainly help you accomplish
this by streamlining so many of the inefficient
processes that occur in daily dental practice and
will help the dentist accomplish dental treatment
much faster, easier and better.
Do you want to improve your cash flow and
account receivables? A great dental team is the
road to success in every dental office in every
single aspect you could possibly imagine.

Valued partners in success

I see dentists wasting their time and money buying into all kinds of gadgets, toys, scams and supposed “systems for success” when they should be
spending their time, energy and effort developing
and motivating their valued staff members.
Every week when I am giving a lecture, for the
most part, I can see immediately who the more
successful dentists are just by looking at the audience in the first two minutes of the lecture. The
most successful dentists I know and that I see
at my lectures are the ones who have their dental team members sitting right
next to them at the events they
attend.
Look at your
The team
If you, as a dentist, go to
dental team members a lecture and want to learn
Having a great dental team
about something new or want
will significantly improve
all aspects of your dental as the valued partners to institute a new system in
your office and you attend the
practice immediately and
lecture alone and then return
in success that
for the long term. Having
to the office, your staff mema great dental team solves
bers will not have the same
they really are.
so many of the issues and
enthusiasm that you develthe challenges that dentists
oped or the same initial level
face every single day.
of interest.
Do you want more patients? Your dental team
You must then force this new idea down their
should be out there asking everybody they know if
throats, to which they become resentful. Success
they need a dentist as well as every single patient
in this scenario is going to be limited, but more
that comes through the door about referring their
likely will not happen. It frustrates me because I
own families and friends as new patients to the
know the solution is really so simple.
practice.
Look at your dental team members as the
Do you want to market your practice better and
valued partners in success that they really are.
more efficiently? Having great dental team memStaff appreciation is one of the most overlooked,
bers who will carry your message with them into
inexpensive and easiest ways to begin to develop
every single treatment room will accomplish that.
a great dental team.
Do you want to motivate patients to more
It may surprise you to know that in many major
comprehensive dentistry and more elective denstudies in employee relations, money is not the
tal procedures such as Aurum Ceramics Cristal
most important factor to employees. No. 1 is staff
Veneers? A great dental team will take the time
appreciation and No. 2 is having a pleasant place
to plant seeds in patients’ minds about what dento work in.
tistry can accomplish, and these staff members
If your dental team members also realize they
are the most effective communication team you
are fulfilling a mission of improving peoples’ lives
could possibly have.
through excellent oral health that also gives them
It always amazes me that a dentist will spend
a great sense of purpose.
thousands of dollars on a computerized education
You could pay a dental assistant $100 per hour,
system that will describe dental procedures when
but if she is miserable in the work environment,
a talented dental assistant can do the same thing
your office will never be successful. You could pay
with that human and personal touch. By the way,
your front desk team member $100 per hour, but
that doesn’t mean that digital education materials
if you have never invested in having him develop
aren’t useful.
the necessary skills to talk to patients, your office
If your dental team members are poor commuwill not be successful.
nicators and you buy them an educational piece
If you pay your dental hygienist $100 per hour
of equipment, then what you now have is a dental
and she is just a housekeeper with no communiteam with poor communication skills but with an
cation skills, your office will never reach its full
expensive computer.
potential.
Why not spend that money to first go ahead
to motivate and improve the morale and comBeing in the ‘people’ business
munication skills in your office so that everybody
can talk to patients more easily and with more
g DT page 8A
leadership?

[8] =>

Practice Matters

Dental Tribune | April 2010

Ultimately, dentistry is a people
business. To be successful in this
field, you have to love people and
hire people who love people. If you
hire people who love people, your
office will become a different place.
Stress in dentistry is caused by the
people who work in your office who
are stressing themselves, you and
your patients. Once your patients
are stressed, they will stress you
even more.
Hiring the right staff is the first
step along the road to a happy office.
The next steps include working with
your team members and constantly
training them and yourself in how
to do better clinical dentistry, how
to be better communicators, how to
serve and how to achieve all of your
goals together.
This has so frustrated me as I
lecture to thousands of dentists a
year that I have some resources on
my Web site, www.commonsense
dentistry.com, about building the
best dental team ever.
You need to know how to hire,
evaluate and give a bonus to great
team members. You must lead and
motivate team members with your
vision of what you want your practice to be. It really is this simple: if
you have a great dental team, you
AD

(Photo/Gelpi, Dreamstime.com)

f DT page 7A

A great dental team can …
• help market your practice more efficiently.
• help motivate patients to accept treatment recommendations and elective procedures.
• help improve cash flow and account receivables.

will have a great office!

The simple road to success
Stop wasting your time and money
on all the schemes and supposed
shortcuts out there that you think
may improve your office from the
outside in.
Hire, develop and motivate a
great dental team by learning lead-

ership skills and build your office
from the inside out.
It doesn’t help you at all to get 100
new patients per month if your team
members do not have the capability
or the interest to properly build relationships with your patients.
You, as a dentist, typically spend
30, 40 or 50 hours per week in your
dental practice — it is equally as
easy to be happy there as it is to be
miserable. Life is too short to spend
your time in a miserable situation.
In addition, what does your office
team look like? Do they have great
smiles, are they well groomed, do
they dress nicely and cleanly? This
says a lot about your practice.
If you are looking to build an
esthetic practice, patients are more
apt to accept treatment plans from
team members (and dentists!) who
have a great looking smile and great
facial esthetics.
Now that nearly 10 percent of
dentists are providing Botox and
dermal fillers, it is not just about the
teeth anymore in the dental office
and the same is to be said about
facial esthetics.

I often joke that Botox is the
secret to staff retention — once you
provide this to your team, they will
never leave you because this is a
repeat procedure.
Yet the street here runs both ways
— it helps build your practice when
everyone looks their best — they
feel better about themselves from a
self-esteem perspective, they transmit a more positive image and treatment acceptance will go up.
If your dental office is a place
that loves to work with people, that
attitude alone will solve so many of
the issues that have frustrated you
throughout your career.
When we consult with dental
offices and turn their team members around, and make them great
and sincere communicators, the
office becomes a stress-free, highproducing, low-overhead, fun place
to work for everyone.
It is amazing what a little appreciation and respect will do in motivating and building a great dental
team.
It is the quickest and straightest
road to dental practice success. DT

About the author
Dr. Louis Malcmacher is a practicing general dentist in Bay Village, Ohio, and an internationally
known lecturer and author known
for his comprehensive and entertaining style.
An evaluator for Clinicians
Reports, Malcmacher has served
as a spokesman for the AGD and
is president of the American Academy of Facial Esthetics.
You may contact him at (440)
892-1810 or e-mail dryowza@mail.
com.
You can also see his lecture
schedule at www.commonsense
dentistry.com where you will find
information about his Botox and
dermal filler live patient hands-on
training, practice-building audio
CDs and free monthly e-newsletter.

[9] =>

[10] =>

10A Clinical

Dental Tribune | April 2010

Crown or same-day onlay?
Take a look at the advantages of indirect laboratory-processed composite resin posterior restorations
By Lorin Berland, FAACD

“The trend in dentistry today is clearly toward
more esthetic and less invasive. Indirect resin
and ceramic inlays and onlays are not only compatible with this trend, but fulfill very nicely the
restorative void between fillings and crowns,”
wrote Ronald D. Jackson, DDS, FAGD, FAACD
(Cosmetic Tribune, Dec. 2008).
Regarding durability, esthetic inlays and
onlays are not new anymore. They have a track
record and it is good. With today’s materials,
longevity is mainly a matter of diagnosis, correct treatment planning and proper execution
of technique.
The problem with replacing old amalgams
with tooth-colored composites is they are difficult, inconsistent and unpredictable.
Yet, the warranty on these 30-, 40-, 50-yearold silver fillings is running out. We have to
remember that amalgam technology is more
than 150 years old.
At that time, people lost their teeth a lot earlier and died a lot earlier, too. Now, however,
we have a large segment of the population that
is more older than 50 and growing — and they
want to keep their teeth feeling good and looking good.
AD

Let’s think like our patients. Our patients
want to replace these old amalgams, but they
want to do it conservatively, consistently, efficiently, predictably and economically — and
they want to do it in one visit.
So, what are the advantages of indirect laboratory-processed composite resin posterior restorations?
Restorations fabricated in this manner look
better, undergo less shrinkage, help restore the
strength of the tooth, have minimal porosity
and excellent marginal integrity, and they have
smoother surfaces that are kinder to the gums
and result in less plaque accumulation. They
are very durable and can be done in one visit.
Patients appreciate avoiding the inconvenient, uncomfortable and expensive second
appointment. No second appointment means no
temporaries, no emergency visits, and best of
all, healthy tooth structure is preserved.
By contrast, replacing amalgam restorations
with direct posterior composites, especially ones
involving an interproximal surface, are difficult
for the patient as well as the dentist.
For many reasons, these direct composite
replacements frequently prove to be inadequate,
especially over time.
The inherent problems of isolation, the large
bulk of composite
required and the layered curing of the
composite, as well as
the effects of shrinkage, all affect contacts, occlusion, margins and postoperative
tooth sensitivity.
Gold will always
be an excellent restoration for posterior teeth, but due
to appearance, mass
and an increasing
price, it is becoming
more
unacceptable
in today’s image-conscious society.

Fig. 1: #30 pre-op.

The prep
This patient came in
with a dental emergency. The filling had
fallen out of his broken, lower right molar
the day before he was
going overseas for
three weeks on business. He wanted a
“quick and permanent
solution” (Fig. 1).
The
tooth
was
anesthetized. Next, a
FenderWedge (Directa Dental) was used
to further isolate the
involved tooth, protect
the adjacent interproximal surface and
pre-wedge the teeth
for optimal contacts
(Fig. 2).
The Isolite (Isolite
Systems) was placed
to obtain a dry and
illuminated field. We

Fig. 2: FenderWedge in place.
used caries detector to ensure complete decay
removal (Fig. 3). The tooth was then microetched, etched and desensitized with HemaSeal
and Cide (Advantage Dental Products, Inc.).
Two layers of self-etching bonding agent
(OptiBond All-In-One Unidose, Kerr Dental)
were applied to provide reduced postoperative
sensitivity and high dentin bond strength. This
was then air-thinned and light-cured.
Flowable composite (Premise Flowable, Kerr
Dental) was added to the internal walls and

[11] =>

Clinical 11A

Dental Tribune | April 2010

Fig. 5: Identic hydrocolloid impression.
Fig. 4: Prep with liner.
Fig. 3: Caries detector.

impressions (Dux Dental) were taken to make
the onlay in the lab (Fig. 5).

floor, creating an even floor and filling in
undercuts that were originally prepared for caries removal and amalgam retention (Fig. 4).
After the tooth was insulated, the prep was
refined with a flat-end cylinder, fine-grit, short
shank diamond. Two Identic hydrocolloid

Lab work
After disinfecting the impressions, the assistant immediately poured them with MACH-SLO
(Parkell) and based them with a rigid, fastsetting bite registration material such as BluMousse (Parkell) (Fig. 6).

Within two minutes, we had a silicone working model on which to build the onlay (Fig. 7).
The undercuts were then blocked out with
a waxer, paying special attention to avoid the
margins (Fig. 8).
Starting with the Premise Indirect (Kerr
Dental) dentinal shades and ending with incisal
shades, the onlay was incrementally fabricated
g DT page 13A
AD

[12] =>

12A Clinical

Dental Tribune | April 2010

Fig. 8: Model with undercuts waxed.

Fig. 6: Basting the poured impression.

Fig. 7: Silicone model.

Fig. 11: Expasyl prior to seat.

Fig. 9: Finishing the onlay.

Fig. 10: Onlay finished and polished.

Fig. 14: Seating onlay.

Fig. 12: Expasyl and FenderMate prior to seat.

Fig. 13: Adapting FenderMate.

AD

(Photos/Provided by
Dr. Lorin Berland)

Fig. 15: Final onlay.

[13] =>

Clinical 13A

Dental Tribune | April 2010
f DT page 2A
in layers.
The onlay was then placed in the
Premise curing oven (Kerr Dental).
In approximately 10 minutes,
the onlay was ready to be finished
with various finishing burs (Fig. 9).
The onlay was polished for a
high shine and then checked on
the model to verify accurate interproximal contacts and margins
(Fig. 10).

Seating the onlay
When seating the onlays, the Isolite (Isolite Systems) was reapplied
for isolation, ease of placement
and patient comfort during cementation of the onlay.
Prior to cementation, Expasyl
(Kerr Dental) was gently packed
into the sulcus, creating a dry
space between the tooth and tissue
without any risk of rupturing the
epithelial attachment (Fig. 11).
The aluminum chloride dries
the tissue, reducing the risk of sulcal seepage and contamination.
The FenderMate (Directa Dental) was then inserted beneath the
interproximal floor to slightly separate and isolate the adjacent teeth
and to help facilitate seating the
onlay (Fig. 12).

About the author

Dr. Lorin Berland, a fellow of the AACD, pioneered
the Dental Spa concept in his
multi-doctor practice in the
Dallas Arts District.
His unique approach to
dentistry has been featured
on television (“20/20”) and
in national publications and
major dental journals, including Time magazine.
In 2008, he was honored
by the AACD for his contributions to the art and science of
cosmetic dentistry.
For more information on
The Lorin Library Smile Style
Guide, www.denturewearers.
com, and Biomimetic Same
Day Inlay/Onlay 8 AGD Credits CD-ROM, call (214) 9990110 or visit www.berland
dentalarts.com.

The Expasyl (Kerr Dental) was
rinsed off thoroughly and FenderMate (Directa Dental) was adapted
to the adjacent interproximal surface with a condenser (Fig. 13).
The enamel and composite core
were then etched for 15–30 seconds.
A single component fifth generation adhesive (OptiBond Solo Plus
Unidose, Kerr Dental) was applied
in two coats and air-thinned until
there was no more movement.
Flowable composite (Premise Flowable, Kerr Dental) was
dispensed into the prepped tooth
prior to inserting the onlay into the
tooth.
The FenderMate (Directa) was
removed and the onlay was further seated using a condenser with

gentle pressure.
Complete seating was facilitated using the contra-angle packer/
condenser (Fig. 14).
An explorer is helpful in removing excess flowable before curing.
The restoration was cured from
all angles, starting at the interproximal gingival floors where
leakage is most likely to occur.
Occlusal flash and excess flowable composite was “buffed” with a
short flame carbide while the interproximal margins were adjusted
with bullet or needle carbides.
A Bard Parker #12 scalpel was
used to remove interproximal
cement.
Once the proper occlusion was
established, a diamond-impregnated point and/or cup was used

to polish the restoration (Fig. 15).

Conclusion

There are certainly clear advantages for both the patient and the
dentist when doing indirect composite resin restorations.
These restorations have helped
me save my patients’ teeth, time and
money.
Over the last 20 years, I have
tweaked, updated and modified
these restorations in terms of techniques, materials and equipment.
These restorations not only save
time and conserve healthy tooth
structure, they are a valuable service to provide to your patients.
Wherever you practice, however you practice, these restorations
are durable, esthetic, economical
and very much appreciated! DT
AD

[14] =>

[15] =>

Oral Pathology 15A

Dental Tribune | April 2010

Diagnose this:
white lesions
(the answer)
Part 1: case study

A 45-year-old, healthy man
visited his dentist for tooth
pain and was informed that his
mouth contained a “disease in
disguise.”
Upon oral examination, buccal-mucosa showed hyperkeratotic white, slightly elevated,
diffuse patchy lesion extending
toward the commissures of the
mouth on the left side.
The lesion was non-scrapable in nature.
The patient had a habit of
smoking five to six bidis (a
crude form of cigarette used in
India) a day for the past four
years.
1) What provisional diagnosis
would you make of this lesion?
a. Leukoplakia
b. Linea alba
c. Lichen planus
d. Leukoedema
e. Candidiasis
Answer: A provisional diagnosis of homogenous type of
oral leukoplakia was made.
Now let’s explore step-bystep given the patient’s information and assemble all the
clues together to arrive at a
diagnosis.

Clue No. 1

Age/sex/general health = 45year-old healthy man
2) Each of the lesions below
is found in a patient that falls
into this age/sex category.
Match the lesion to the appropriate sex/general health category.
Lesion
a. Candidiasis
b. Lichen Planus
c. Leukoedema
Sex/general health
1. Male predilection
2. Female predilection
3. Commonly seen in a
debilitating and malnourished
group of society

Clue No. 2

Pattern = Hyperkeratotic white,
slightly elevated, diffuse patchy
lesion extending toward the
commissures of the mouth.

3) Match the pattern to the
appropriate lesion.
g DT page 16A

(Photo/Monica Malhotra)
AD

[16] =>

16A Oral Pathology

5) Mark smoking (SK) or nonsmoking (NSK) next to each
lesion.
a) Leukoplakia
b) Linea alba
c) Lichen planus
d) Leukoedema
e) Candidiasis
Thus, we now have four D/
Ds to work upon (excluding
linea alba). Other features
that help in reaching a diagnosis:
Stretch: Leucoedema will
fade away.
Antifungal treatment: Candidiasis will be cured.
Site: Plaque type of lichen

Histology assessment
7) Mark true (T) or false (F)
next to the following state-

t

Answers

Clue 4
Smoking five to six bidis per day
for the last four years.

2) 1 = c; 2 = b; 3 =a

4) Mark scrapable (S) or nonscrapable (NS) next to each
lesion.
a. Leukoplakia
b. Linea alba
c. Lichen planus
d. Leukoedema
e. Candidiasis

3) 1= b; 2 = a; 3 = c; 4 = e; 5 = d

Is the lesion scrapable (S) or
non-scrapable (NS)?

6) Mark true (T) or false (F)
next to the following statements.
a) A predominantly white
lesion of the oral mucosa that
cannot be characterized as
any other definable lesion.
b) It is a pure clinical term
and has nothing to do with
some specific histology.
c) The etiology proposed
includes tobacco, alcohol, candidiasis, electrogalvanic reactions and (possibly) herpes
simplex and papillomaviruse
have been implicated.
d) True leukoplakia is most
often related to alcohol usage
e) Oral hairy leukoplakia
is a type of leukoplakia with
hair-like projections on the
buccal mucosa.
f) It has two main clinical
types. Homogeneous type:
lesions are white, uniformly
flat and thin and exhibit shallow cracks of the surface
keratin. Non-homogeneous
type: lesions are mixed, i.e.,
red and white with nodular or
verrucous type of growth.

4) Letters a–d are NS; letter e
is S.

Clue No. 3

Let’s explore your knowledge
of oral leukoplakia.

8) Mark true (T) or false (F)
next to the following questions.
a) For the persistent lesion,
definitive diagnosis is established by tissue biopsy.
b) Definitive treatment
involves surgical excision or
cryosurgery and laser ablation. Total excision is aggressively recommended when
microscopic dysplasia is identified, particularly if the dysplasia is classified as severe or
moderate.
c) Non-homogeneous
lesions carry a lesser risk of
malignant transformation than
homogenous lesions.
d) It has a variable behavioral pattern but with an
assessable tendency to malignant transformation. DT

5) a = SK; b = NSK; c = SK
(cases have been reported but
not proven); d = NSK (studies
done in the early ’70s found
some association); e = SK.

We can narrow down the
various specific clinical types
of the lesions and exclude
linea alba from the differential
diagnosis (D/D):
a. Leukoplakia (homogenous type)
b. Lichen planus (plaque
type)
c. Leukoedema
d. Candidiasis (hypertrophic/pseudomembranous
type)

Part II: Digging deeper

Treatment and prognosis

6) a = True; b = True; c = True;
d = False; e = False; f = True

Lesions
1. Leukoplakia
2. Linea alba
3. Candidiasis
4. Lichen planus
5. Leukoedema

ments.
a) It may show atrophy or
hyperplasia (acanthosis) and
may or may not demonstrate
epithelial dysplasia.
b) The majority of leukoplakias will not show dysplasia
and correspond to the hyperplasia category.
c) The dysplastic changes
typically begin in the superficial zones of the epithelium.
d) The higher the extent of
epithelial involvement, the
higher the grade of dysplasia.

7) a = True; b = True; c = False;
d = True

Pattern
a. Thin elevated white line
at the occlusal plane
b. White patch or plaque
(homogenous type)/mixed red
and white lesion (non-homogenous type)
c. White “milk curd” (pseudomembranous type)/white
patch or plaque (hypertrophic
type)/red (atrophic type)
d. Milky white alterations of
the buccal mucosa, bilateral
e. Raised thin white lines
in arcuate pattern (reticular
type)/white elevated plaque
(plaque type)/red (erythematous) areas with thin striae at
the periphery (atrophic and
erosive type).

planus is most often seen on
the dorsum surface of the
tongue.
It is generally nodular in
nature with or without areas
of reticular type of lichen planus around it.
Most clinicians can easily distinguish lichen planus
from leukoplakia; however, if
you have difficulty in doing so
or are in doubt, please do a
biopsy.
Foremost, the biopsy is done
to diagnose. It is also completed to discover any dysplastic features associated with
lichen planus.
In this case, a biopsy was
done for the lesion and the
histopathological diagnosis
made was moderate epithelial
dysplasia.

8) a = True; b = True; c = False;
d = True

f DT page 15A

Dental Tribune | April 2010

About the author
Dr. Monica Malhotra is an assistant professor
at the Sudha Rustagi Dental College in India and
also maintains a private practice.
In 2008 she was presented with a national
award for the best scientific study presentation by
the Indian Association of Oral and Maxillofacial
Pathology.
Malhotra completed her master’s in oral
pathology at the Manipal Institute, India, in 2009.
You may contact her at drmonicamalhotra@
yahoo.com.

[17] =>

Dental Tribune | April 2010

Dental Organizations 17A

AACD logo gets a makeover
After more than a year in the making, the American Academy of Cosmetic Dentistry (AACD) is pleased
to release its new logo and identity
package to dental professionals and
patients worldwide.
The new AACD brand is the culmination of a comprehensive organizational assessment in order to solidify the academy as the pre-eminent
resource in cosmetic dental education and information.
“It is an exciting time at the AACD.
The academy is continually growing
and adjusting to advance excellence
in our profession through responsible esthetics,” said Michael R. Sesemann, DDS, AACD president.
“The new AACD brand represents
a combination of the scientific foundation of the organization with an
eye toward the future of cosmetic
dentistry.”

Responsible esthetics
In 2009, AACD established a new
mantra of Responsible Esthetics,
which forms the foundation for the

the long-term health and needs of
the patient. AACD will encourage the
utilization of innovation in technology and materials to deliver dentistry
that is predictable and long lasting.”

About the AACD

Join the AACD in Dallas April 27–May 1
for the 26th Annual Scientific Session!
new AACD.
“AACD will demonstrate that we
unequivocally stand for the practice of responsible esthetics. The
academy will be the primary dental
resource for patients as they strive to
maintain their health, function and
appearance for their lifetime.
“The academy will clearly state
and acknowledge that esthetic dentistry must complement the overall general and oral health of the
patient, and do no harm.
“Our members will strongly

encourage that treatment decisions
are based on the foundation of evidence-based protocols combined
with sound clinical judgment. The
academy will strongly encourage
that cosmetic dentistry integrates
interdisciplinary medical and dental
treatment to enhance outcomes and
minimize the loss of healthy human
tissue.
“Our members will champion and
provide minimally invasive treatment protocols, when and where
appropriate, that are consistent with

The AACD is the world’s largest
non-profit membership organization
dedicated to advancing excellence in
comprehensive oral care that combines art and science to optimally
improve dental health, esthetics and
function.
Composed of nearly 7,000 cosmetic dental professionals in 70 countries around the globe, the AACD
fulfills its mission by offering superior educational opportunities, promoting and supporting a respected
accreditation credential, serving as a
user-friendly and inviting forum for
the creative exchange of knowledge
and ideas, and providing accurate
and useful information to the public
and the profession. DT
(Source/AACD)

ADA unveils new Web site design
Enhanced for easier access to
comprehensive, online oral
health information
After a year and a half of extensive research, planning and design,
the American Dental Association
announced the unveiling of its new,
enhanced Web site, ADA.org, encompassing the latest elements of Webdevelopment technology.
“The new ADA.org represents the
collective input from our members
and provides enhanced navigation
tools for easier access to the wealth
of oral health information we have
online ,” said Dr. Ronald L. Tankersley, ADA president.
“This information includes tools
needed for practice management and
continuing education as well as news
about the latest developments in oral
health care.”

Source for professional
information and enhanced
Find-a-Dentist feature
ADA.org is the dentist’s source for
professional oral health information.
For example, under the following
tabs: “Professional Resources,” members will find an updated Member
Center with a dental practice hub
that includes tips and tools to thrive
in challenging economic times.
An enhanced Find-a-Dentist feature, with updated profile information and photos, will also enable colleagues and patients greater oppor-

making it more
effective
and
easier for consumers to obtain
needed
oral
health information.
“Refinements
to ADA.org will
continue as we
build on our
efforts to make
our general and
proprietary oral
health
information
easily attainable for
(Photo/www.ADA.org)
ADA members,”
said Tankersley. “This will assist
tunities to connect with each other.
members in offering the highest
“Education and Careers” includes
level of patient care and maintaining
information about licensure and eduthriving practices.”
cation and online C.E. opportunities.
“Science and Research” features
About the ADA
evidence-based dentistry resources
and dental standards.
The not-for-profit ADA is the nation’s
“Advocacy” addresses the ADA’s
advocacy efforts on behalf of the
dental profession on Capitol Hill and
in state capitols across the country.
Many ADA members refer patients
to ADA.org for oral health information. Housed under “Public Resources,” the redeveloped site will continue to offer news and extensive information on hundreds of dental topics,
ranging from basic dental care to
baby’s first tooth to gum disease to
tooth whitening.
These topics also include an
extensive video collection of various
oral health subjects. The public also
will find the site easier to navigate,

largest dental association, representing more than 157,000 dentist
members. The premier source of
oral health information, the ADA has
advocated for the public’s health and
promoted the art and science of dentistry since 1859.
The
ADA’s
state-of-the-art
research facilities develop and test
dental products and materials that
have advanced the practice of dentistry and made the patient experience more positive.
The ADA Seal of Acceptance has
long been a valuable and respected
guide to consumer dental care products.
The monthly Journal of the American Dental Association (JADA) is the
ADA’s flagship publication and one
of the best-read scientific journal in
dentistry.
For more information about the
ADA, visit the association’s Web site
at www.ada.org. DT
AD

[18] =>

18A Education

Dental Tribune | April 2010

Heraeus C.E. schedule for the 26th
annual AACD Scientific Session
Hands-on workshops encourage deeper learning and enable attendees to explore new clinical techniques and materials
Heraeus will host a number of
educational sessions during the
upcoming 26th annual AACD Scientific Session, which takes place
from April 27 to May 1, in Grapevine, Texas.
The AACD meeting convenes
world-class clinical leaders, dental
professionals and journalists to discuss and showcase the latest and
most progressive advancements in
cosmetic dentistry.
“Once again, Heraeus has
designed an impressive breadth of
programs and hands-on workshops
that will allow attendees to explore
new clinical techniques, test-drive
innovative materials and interact
directly with leading clinicians and
educators.
“The AACD applauds its ongoing dedication to education,” said
Dr. Michael Sesemann, 2009–2010
AACD president.
“All of our programs and handson workshops feature cutting-edge
content, techniques and materials,”
said Sonny Serreno, director of program and product development for
Heraeus.

“We hope that these programs
both inspire and enable dental professionals to provide an even higher level of patient care.”
Heraeus supported program presenters and topics include:

Tuesday, April 27
• Drs. John Cranham and Albert
Konikoff
Interdisciplinary Solutions to Functional-Esthetic Problems
• Dr. John Cranham and Shannon
Pace, DA, II
Diagnosis and Case Presentation:
The New Patient Experience
• Pinhas Adar, MDT, Dr. Steve Chu,
Adam Mieleszko and Bradford Patrick, BSc
Perfection in Dental Restorations …
Is It Achievable?
Understanding Light Dynamics and
Translucency with Fully Synthetic
Ceramics
• Dr. Jimmy Eubanks
Composite or Porcelain for Superior
Esthetics

• Dr. Mike Miyasaki
Using Composites to Build Your
Practice (hands-on workshop)
• Dr. Gary Radz
Achieving the Ultimate Veneer Result
to Meet Your Custom Patient’s Needs
(hands-on workshop)

Wednesday, April 28
• Dr. Robert Marcus
Smile Design with Composite: An
Aid to AACD Accreditation (handson workshop)
• Dr. Brian LeSage
Minimally Invasive Dentistry: Mimic
Nature with Composites (hands-on
workshop)

Thursday, April 29
• Dr. Joyce Bassett
Maximize Your Esthetic Results
through New Concepts in Preparation Design (hands-on workshop)
• Dr. John Weston
Anterior Composite Bonding: Creating Esthetic Success (hands-on
workshop)

Friday, April 30
• Dr. Michael Koczarski
Anterior Direct Composite Restorations — Exquisite Beauty from
a Practical Approach (hands-on
workshop)
• Dr. Susan Hollar
Optimal Provisional Techniques for
Thin, Conservative Veneers (handson workshop)
• Dr. Corky Willhite
Transitional Bonding: Major Esthetic and Occlusal Changes in One Visit
Using Composite (hands-on workshop)
• David Little, DDS
Esthetic Implant Retained Overdentures (hands-on workshop)
For more information on the
AACD Scientific Session or any of
these programs visit www.aacd.
org. For more information on Heraeus, visit www.heraeus-kulzer.com
or call (800) 431-1785. DT
(Source: Heraeus)

DTSC symposia on world tour
Earn C.E. credits online
The Dental Tribune Study Club
is an educational-based online
community that inspires new possibilities while creating greater
expectations in online learning.
Dental Tribune has scoured the
world to find dental meetings with
a proven platform for education,
communication and development.
The following are premier
attractions for the international
dental community at large and
will each feature a Dental Tribune
Study Club C.E. Symposia in 2010.
AD

• April 16–18: IDEM — International Dental Exhibition in Singapore
• April 26 and 27: Dental Salon,
Moscow, Russia
• June 9–12: Sino-Dental, Beijing,
China
• Sept. 2–5: FDI World Congress,
Salvador da Bahia, Brazil
• Sept. 23–25: CEDE Poznan
Exhibition, Poland
• Oct. 28–31: DenTech, Shanghai,
China
• Nov. 28–Dec. 1: Greater New
York Dental Meeting, New York
City

During each meeting, a leading
panel of specialists will offer ADA
C.E.-accredited lectures covering
various dental specialties. Participation is free for show attendees,
but pre-registration is recommended for preferred seating.

‘Getting started in ...’ Webinars
Each “Getting started in …” program includes up to five successive
Webinars that provide a thorough
introduction to the techniques,
products and practice management
impact in that field of dentistry.
Each Webinar will include a
one-hour presentation followed by
a live Q&A session between the
online audience and the speaker.
Participants receive up to five
C.E. credits and attendance is free
for the first 100 registrants.
The 2010 schedule is as follows:
• May 22: Getting Started in
CAD/CAM
• May 29: Getting Started in
Implants
• July 24: Getting Started in Digital Imaging
• Aug. 14: Getting Started in Endodontics
• Aug. 27: Getting Started in

Lasers
• Oct. 9: Getting Started in Cosmetic Dentistry
• Nov. 6: Getting Started in Magnified Dentistry

Discussion forums
DTSC offers discussion forums
focused on helping today’s practitioners stay up to date.
With the ability to share
resource material from colleagues,
networking possibilities are created that go beyond borders to create a truly “Global Dental Village.”
Further, the site offers a growing database of case studies and
articles featuring topics that are
important to today’s dental practitioners.
We encourage you to share your
cases for review with like-minded
practitioners with the chance to
win free tuition for C.E.-accredited
Webinars.
Registering as a Study Club member is free and easy. We encourage
you to visit www.DTStudyClub.
com and join the community.
For additional details, please
contact
Julia
Wehkamp
at
j.wehkamp@dtstudyclub.com or
(416) 907-9836. DT

[19] =>

Dental Tribune | April 2010

Industry News 19A

Directa CoForm

Matrix system provides transparent corner matrices, convenience and versatility
“Sealed surfaces and surfaces finished solely by a matrix were approximately 10 times less rough than after
other finishing procedures.
“The sealer failed to cover the
whole composite surface. The unfinished and sealed surfaces lost their
shine three to seven days after placement in the mouth.”*
Directa’s CoForm matrix system
is a unique set of pre-formed transparent matrixes made of celluloid
plastic that are specifically designed
to deal with composite restorations
around difficult incisal edges and
tooth fractures.
The matrices conform easily to
the patient’s dentition to provide
a natural-looking restoration. They
are applied over the cavity after
etching and bonding with a slight
movement to avoid air bubbles.
When securely in place, excessive composite material should be
removed.
A prime benefit of utilizing

CoForm is that the device aids pressure to force composite material
into cavities and etched tubes.
There is little waste involved
when using CoForm compared to
using disposable matrices.
Light curing is carried out
through the transparent surface of
the CoForm matrix.
CoForm’s convenient ready-cut
mesial and distal corners do not
adhere to composite so that they are
very easy to remove without causing
any drag after the restoration has
been light-cured.
The product is available in four
sizes to accommodate almost any
clinical application: canine, anterior
and first molars.
Packaging is a handy clinical dispenser with a simple size selection
system to find a suitable form, thus
providing ease of use for the clinician.
Directa is a privately owned
Swedish dental manufacturer that
was founded in 1916. It is one of

Pulpdent Embrace Pit
and Fissure Sealant
A recent study published in
the Journal of Dentistry concluded that Pulpdent Corporation’s
Embrace™ Pit and Fissure Sealant
had the longest lasting antibacterial activity of those studied.
The study, “Antibacterial surface properties of fluoride-containing resin-based sealants,”
was conducted at The University
of North Carolina at Chapel Hill
School of Dentistry.
The aim of the study was to
determine the antibacterial properties of three resin-based pit and
fissure sealant products.
The sealants were tested in
both an agar diffusion assay and
a planktonic growth inhibition
assay using Streptococcus mutans
and Lactobacillus acidophilus.

www.dental-tribune.com

Embrace retained antibacterial
activity against both bacteria over
time.
While all the materials tested
were capable of contact inhibition
of L. acidophilus and S. mutans
growth, the authors concluded
that Embrace had the longer lasting antibacterial activity when
in solution, especially against S.
mutans.
Pulpdent manufactures highquality products for the dental
profession, including adhesives,
composites, sealants, cements,
etching gels, calcium hydroxide
products, endodontic specialties
and bonding accessories.
For more information call
(800) 343-4342 or visit www.pulp
dent.com. DT

Light curing a
CoForm (left).

Applying a
CoForm
(below).

(Photos/Directa)
the fastest growing manufacturers of
dental products.
Other Directa products include
FenderMate, FenderWedge, Luxator Extraction Instruments, PractiPal Tray System and ProphyPaste
CCS. DT

The
VibraJect
Retrofit
Kit
The VJR3RK model is the VibraJect® retrofit kit that comes with two
rechargeable batteries, power cord,
recharging unit and control knob.
This kit will convert the standard
Model VJ2002 (with replaceable
batteries) to a rechargeable kit.
Upgrading to the rechargeable
kit is recommended for clinicians
administering more than 50 injections per week to save the cost of
purchasing replacement batteries.
FormoreinformationontheVibraJect product line, please address
your e-mail inquiries to jbadham@

Directa AB, Sweden
www.directadental.com
Tel. (203) 788-4224

*Pollard MA, Curzon JA, Fenion WL.
Dent Update. 1991 May;18(4):150–152.

(Photo/ITL Dental)
itldental.com or visit the new ITL
DENTAL Web site at www.itl
dental.com.
For
instant
Web
access
to this product, use the following
link:
www.itldental.
com/front/showcontent.
aspx?fileid=19&p=VibraJect-SyringeAttachment. DT
ITL DENTAL
31 Peters Canyon
Irvine, Calif. 92606
(800) 277-0073
sales@itldental.com

Have you read an ePaper yet?

You can access the most recent edition of Dental Tribune, Cosmetic Tribune, Hygiene Tribune, Implant Tribune and Ortho Tribune as ePaper.
In addition, regular online content includes dental news, politics, business and events, as well as clinical content from all the dental specialities.
Do you speak a language other than English? If so, you can also access foreign language ePapers of all our international editions (Croatian, Bulgarian,
French, German, Greek, Hungarian, Italian, Korean, Polish, Russian, Spanish and more!). Drop in for a “read” anytime!

[20] =>

20A Industry News

Dental Tribune | April 2010

J. Morita USA partners
with TDO
J. Morita USA, world leader in 3-D
imaging, has announced a strategic
partnership with TDO, a quality-centered endodontics organization, for
complete 3-D imaging and software
integration.
TDO’s practice management software is one of the most comprehensive and widely used endodontic software in the world. TDO users can now
seamlessly incorporate any Morita 3-D
AD

unit into their practice with full compatibility.
Morita’s i-Dixel software, standard
with all Morita 3-D units, has been
programmed for a direct connection to
the TDO environment.
Patient files are comprehensively
integrated, allowing for easy access
between programs in one window to
maximize productivity. Selected slice
images can be transferred to TDO with

a single click of the
export icon.
This highly efficient, interlinked
system
eliminates the need
for duplicate files,
simplifies
data
entry and reduces
training time — all of which decrease
administrative costs.

(Photo/J. Morita)
“Morita is committed to enhancing
our customers’ 3-D capabilities,” said
Kei Mori, vice president of technical
Eengineering.
“Our industry-leading hardware,
combined with this sophisticated software program, offers a powerful, digital solution to manage 3-D data and
improve return on investment.”
Morita’s 3-D imaging units have
been demonstrated in clinical studies
to offer the highest clarity available in
the industry, coupled with the lowest
dosage.
TDO users can choose from a
wide range of 3-D models from three
product lines including Veraviewepocs 3-D, Veraviewepocs 3-De and
3-D Accuitomo. All units come standard with i-Dixel software and offer
complete, automatic TDO integration.
Morita has a long history of innovative solutions for the endodontic market with products such as Root ZX, one
of the world’s best selling apex locator
since the early 1990s.
“Partnering with a high-level, quality-focused organization like TDO fits
very well into our core competencies,”
commented Steven White, senior vice
president of sales and marketing.
“Our commitment to TDO further
demonstrates Morita’s ability to understand and respond to the evolving
needs of endodontists worldwide.
“TDO users will now be in a position to bring class-leading, 3-D images
into their system with the click of a
button.”
For more information, contact J.
Morita USA at (877) JMORITA (5667482). Visit www.jmoritausa.com to
learn more about Morita 3-D units
and to view video of key opinion leaders’ comments and sample clinical
images.

About J. Morita USA
J. Morita USA services North American dental professionals on behalf
of one of the world’s largest manufacturers and distributors of dental equipment and supplies, Japanbased J. Morita Corp. The North
American office was established in
1964 and is headquartered in Irvine,
Calif. J. Morita USA is one of the
leading companies in the dental
market offering innovative and high
quality 3-D/pan/ceph imaging units,
delivery systems, small equipment
and consumable dental supplies. DT

[21] =>

Dental Tribune | April 2010

Industry News 21A

R.E. Morrison Equipment, the manufacturer of BaseVac Dental Dry Suction Systems,
announces its compact C-VAC dry suction system for small dental offices.
Traditional dry-vac systems require large air flows to cool the pumps, meaning a two
operatory office is often too small for a dry vac pump.
The BaseVac C-VAC 4.10 has been engineered to provide strong suction (up to 25 Hg)
without the need for oil or water.
Compact, powerful and quiet, this two operatory dry vac will provide two dentists or a
single dentist and hygienist with dependable suction.
The unique design integrates the rotary vane pump into the air water separator creating
a remarkably small footprint.
BaseVac designers took care to position all piping connections at the back of the system
for easy tight-to-wall installation.
The C-VAC 4.10 is powerful enough to be installed on systems with all sizes of pipe.
Based on feedback from practicing dentists, the high-efficiency air/water separator was
designed to drain captured liquids every time the pump is turned off, eliminating the need
for messy and difficult cleaning.
BaseVac Dental Systems offers a full range of dental suction equipment.
For more information, visit www.basevacdental.com or contact R.E. Morrison directly at
info@remequip.com and (800) 668-8736. DT

Fight oral cancer!
D

id you know that dentists are one of the most trusted professionals to give advice? Thus, no other medical professionals are in a
better position to show patients that they are committed to detecting
and treating oral cancer.
Prove to your patients just how committed you are to fighting this
disease by signing up to be listed at www.oralcancerselfexam.com.
This new Web site was developed for consumers in order to show
them how to do self-examinations for oral cancer.
Self-examination can help your patients to detect abnormalities or
incipient oral cancer lesions early. Early detection in the fight against
cancer is crucial and a primary benefit in encouraging your patients
to engage in self-examinations. Secondly, as dental patients become
more familiar with their oral cavity, it will stimulate them to receive
treatment much faster.
Conducting your own inspection of patients’ oral cavities provides
the perfect opportunity to mention that this is something they can easily do themselves as well. You can explain the procedure in brief and
then let them know about the Web site, www.oralcancerselfexam.com,
that can provide them with all the details they need.
If dental professionals do not take the lead in the fight against oral
cancer, who will? And in the eyes of our patients, they likely would not
expect anyone else to do so — would you?

(Photos/R.E. Morrison)

C-VAC dry suction system

[22] =>

22A Industry News

Dental Tribune | April 2010

Kank-A launches soothing beads
Mouth pain can occur at anytime
throughout the day, and treating
the problem while away from home
isn’t always convenient. The best
products provide a tailored solution
to localized pain, but can be difficult
to use on the go.
Kank-A® Soothing Beads™ provide
two benefits: effective, comfortable
relief for all-over-mouth pain and
a form that is easy to carry and discreet to use.
Kank-A Soothing Beads are comfortable, smooth balls that melt in
the mouth to deliver maximum
strength medication (15 mg benzocaine per five-bead dose). Kank-A

Soothing Beads can be rolled around
the mouth for all over relief or held
in one spot for concentrated treatment.
Each five-bead dose is individually packaged on a perforated
card (like many over-the-counter
caplets), making it easy to leave
some at home, work or in any other
location that’s handy throughout the
day.
The beads are designed to deliver
effective relief without excessive
numbing and are ideal for use on
gum irritations, mouth burns, canker sores, orthodontic appliances
and dentures.

With a suggested retail price of
$5.49–$7.99 for each 15-dose pack,
Kank-A Soothing Beads will be available in May at food and drug stores
nationwide.
Kank-A offers a full line of products designed to provide solutions tailored to specific oral pain
needs. Each product offers maximum strength benzocaine to ease
pain, other beneficial ingredients
and unique application systems that
deliver relief to sore spots.
Kank-A SoftBrush® is a supereffective treatment for toothaches
and gum pain. It offers a dual-relief
formula combining the maximum

(Photo/Zeno Group)

level of benzocaine (20 percent)
with an active oral astringent, zinc
chloride, for fast, deep pain relief. Its
unique, pen-shaped applicator and
soft brush tip make it easy to apply
gently and comfortably anywhere in
the mouth, especially between teeth
and around braces. Kank-A Softbrush retails for $5.49–$7.99.
Professional Strength Kank-A
Mouth Pain Liquid has received the
ADA Seal of Acceptance for its effectiveness in the relief of canker sores
and has long been the ideal treatment for pain caused by canker
sores and other mouth sores.
Kank-A Liquid provides maximum strength medication for a liquid or gel (20 percent benzocaine),
while forming a long-lasting film
that protects sores from further irritation.
The protective coating holds the
anesthetic in contact with the sore
and acts as a barrier against further
irritation. Designed for precise, convenient dispensing, Kank-A Mouth
Pain Liquid has a built-in applicator, allowing consumers to easily place the medication where it’s
needed. Kank-A Liquid retails for
$5.49–$7.99.
For additional information about
Kank-A products, visit www.Blistex.
com. DT

[23] =>

[24] =>

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[cover] => DT U.S.

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