DT U.S. 3109

An interview with Dr. David Wong / Consumer group warns against zinc in denture cream / Suffering from the mid-career squeeze? / The ‘next big thing’ in dentistry / Protecting yourself from employee theft - fraud and embezzlement (part 2) / California Dental Association meets in San Francisco / ADA Review / Westerners have plenty to look forward to at DTSC Symposia / ‘The Best Seminar Ever’ / Milestone Scientific receives notice of allowance from U.S. Patent and Trademark Office / Industry News / Industry News / Cosmetic Tribune 8/2009 / Hygiene Tribune 8/2009

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

Table of contents

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

October 2009

www.dental-tribune.com

CosmetiC tRiBUNe
the World’s Cosmetic Dentistry Newspaper · U.s. edition

Mid-career squeeze?

If you’re not where you want to be, read this.

u Page 4A

Tooth whitening

A conservative approach to a beautiful smile.

u Page 1B

‘Salivary biomarkers for
systemic disease is one
of the final frontiers’

Vol. 4, Nos. 31 & 32

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

Smoking cessation

Hygienists have opportunities to broach this subject.

u Page 1C

DTSC at the Greater N.Y. Dental Meeting

An interview with Dr. David Wong
In the past six years, saliva has
risen to center stage for disease
detection, monitoring and even
health surveillance.
In cooperation with FDI Worldental Daily, Dental Tribune Asia Pacific
spoke with UCLA’s Dr. David Wong,
director of the Dental Research
Institute, at this year’s World Dental
Congress in Singapore about salivary diagnostic toolboxes and how
they could be utilized for detecting
systematic diseases.

of saliva to detect and monitor diseases at the dental practice.
How exactly does saliva work as a
biomarker?
Biomarkers are defined as cellular,
biochemical and molecular characteristics by which normal and/or
abnormal processes can be recognized and/or monitored.
The salivary glands — major and
minor — secrete approximately 1.5
liters of saliva into the oral cavity
daily, carrying with it health/disease
information, biomarker information.
The sources of these biomarkers can be disease sites or the salig DT page 2A

Dental Tribune America
213 West 35th Street
Suite #801
New York, NY 10001

In recent years, the role of saliva
for the detection and monitoring of diseases has risen to center
stage. Can you summarize the latest findings for us?
Seven years ago, the National Institute of Dental and Craniofacial
Research [NIDCR], one of the 27
institutes at the U.S. National Institute of Health [NIH], made a visionary investment to turn salivary diagnostics into a clinical reality.
The outcomes of this scientific
investment are what constitute
the recent excitement and clinical
potential for salivary diagnostics.
We now know there are multiple diagnostic alphabets in saliva
to define the diagnostic coordinates
of oral and systemic diseases. Pointof-care diagnostic technologies are
soon to be in place to permit a drop

Dr. Dan McEowen presented at last year’s Dental Tribune Study Club
Symposia during the Greater N.Y. Dental Meeting, and he is scheduled to
speak this year too.
gSee page 12A

ADA’s 150th Annual Session
By Fred Michmershuizen, Online Editor
& Kristine Colker, Managing Editor Ortho
Tribune & Show Dailies

When it comes to continuing
education and innovative products,
dental professionals who traveled to
Hawaii for the ADA’s 150th Annual
Session were in the right place. The
meeting, held Sept. 30 through Oct. 3
at the Hawaii Convention Center in
Honolulu, had C.E. courses and technology for all practitioners, no matter

what specialty area they practice in.
The focus was on finding better and
more efficient ways of providing care
to patients.
Courses were divided into five
separate tracks — dental assistant,
preventive, team building, esthetic
dentistry and new dentist. Of particular interest at this year’s meeting
was the popular Education in the
Round series, in which live patient
g DT page 2A
AD

PRSRT STD
U.S. Postage
PAID
Permit # 306
Mechanicsburg, PA

[2] =>

News

Dental Tribune | October 2009

DENTAL TRIBUNE

f DT page 1A
procedures were performed in a fully
functional dental operatory.
Dr. Samuel Low offered a demonstration of periodontal treatment,
and Dr. Jon Suzuki demonstrated
crown lengthening. Dr. Steve Ratcliff
and Dr. Jorge Ramirez demonstrated
implants for terminal dentition, and
Dr. Lee Ann Brady and Dr. Peter Fay
demonstrated impression technique
for multiple implants. Dr. Terry
Tanaka demonstrated TMD treatment, and Dr. Wynn Okuda demonstrated esthetic restorative treatment
using composite resin.
At the ADA’s Live Operatory Center (LOC), meeting attendees were
able to receive free C.E. right on the
exhibit hall floor. The focus was on
the latest in high-tech innovation.
Meeting attendees interested in
CAD/CAM technology were able to
learn from clinicians offering stepby-step instruction on live patients
using the CEREC system from Sirona
and the E4D system from Henry
Schein Dental. Questions from audience members helped keep the proceedings moving along at a nice
pace.
Another presentation offered at
the LOC, “150 High-Tech Products

It was people
everywhere in
the front lobby
of the Hawaii
Convention
Center during
the ADA Annual
Session. (Photo
by Kristine
Colker/Dental
Tribune)

Dr. Lee Ann
Brady and Dr.
Peter Fay demonstrate impression technique
for multiple
implants during
an Education
in the Round
session at the
recent ADA meeting in Hawaii.
(Photo by Fred
Michmershuizen/
Dental Tribune)

f DT page 1A
vary glands themselves can produce
disease-informative surrogate biomarkers. The salivary gland system
AD

The World’s Dental Newspaper · US Edition

g DT page 11A

can be viewed as a local anatomical
organ that is poised to monitor local
and systemic diseases.
The good news is that the biofluid
secreted, saliva, can be obtained

non-invasively, painlessly and without embarrassment to the patient —
no needles and no cringing.
Which salivary diagnostic toolboxes are at hand or currently in
development and how could these
be incorporated into the clinical
practice?
Current salivary diagnostic toolboxes include the diagnostic alphabets
— proteome, transcriptome, microRNA and microbial — and pointof-care diagnostic technologies.
Integration into clinical practice
requires identification of effective
clinical application and approval by
the Federal Drug Administration in
the U.S.
With the exception of the salivary
HIV-antibody test, no other salivary
biomarker test has reached the FDAlevel evaluation. We anticipate that
our point-of-care device and biomarkers for oral cancer detection
will be evaluated by the FDA in the
next two years.
Do oral diseases have any impact
on the diagnostic value of saliva?
A number of oral diseases have
been evaluated for salivary diagnostic applications, including caries
assessment, oral cancer and periodontal disease.
Proper control of oral diseases
in the study population to control
the effect of periodontal disease
and inflammation, in particular, is
important. DT
(This interview is published with
permission from the FDI World
Dental Federation, Switzerland.)

Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witteczek@dental-tribune.com
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
Implant Tribune & Endo Tribune
Sierra Rendon
s.rendon@dental-tribune.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product & Account Manager
Mark Eisen
m.eisen@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Sales & Marketing Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia E. Wehkamp
E-mail: j.wehkamp@dental-tribune.com

Dental Tribune America, LLC
213 West 35th Street, Suite 801
New York, NY 10001
Tel.: (212) 244-7181
Fax: (212) 244-7185
Published by Dental Tribune America
© 2009 Dental Tribune America, LLC
All rights reserved.
Dental Tribune strives to maintain the
utmost accuracy in its news and clinical
reports.
If you find a factual error or content
that requires clarification, please contact Group Editor Robin Goodman,
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
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

[3] =>

0A
Dental TRubric
ribune | October 2009

Dental Tribune
| Month 2009
3A
News

Consumer
group warns against zinc in denture cream
Headline
The Consumer Healthcare Products Association counters that zinc-containing denture adhesive products are safe

Deck

By Fred Michmershuizen, Online Editor
By line

A consumer advocacy group has
issued an “urgent national alert”
to tk
consumers against the use of
denture creams containing zinc,
but manufacturers of the denture
adhesives insist their products are
safe.
“Because of inadequate or nonexistent warnings, the zinc poisoning from denture creams has the
potential to become a major public health disaster,” reported U.S.
Drug Watchdog, in a statement
issued Oct 12.
According to the Washington,
D.C.-based organization, “exposure to excess zinc can lead to
unexplained weakness, numbness,
loss of sensation or other nerve
symptoms.”
“Approximately 35 million Americans wear dentures, most of whom
are elderly,” a statement by U.S.
Drug Watchdog said. “Severe zinc
poisoning can lead to neuropathy,
a condition that affects the nerves.”
Meanwhile,
manufacturers
maintain that the products are
harmless when used according to
directions.
“Zinc-containing denture adhesive products are safe and effective when used according to the
labeled directions,” said Elizabeth
Funderburk, spokesperson for the
Consumer Healthcare Products
Association (CHPA).
The CHPA is a Washington, D.C.based, not-for-profit association
representing the makers of overthe-counter medicines and nutritional supplements and the consumers who rely on these health
care products.
“Zinc-containing denture adhesives made by CHPA member companies have explicit label directions to both explain in words —
and demonstrate in pictures — the
appropriate use of the creams,”
Funderburk said.

“In all cases, consumers are
advised to use a small amount
on well-fitting denture appliances.
Too much product is being used if
oozing occurs when dentures are
put in place.”
A statement from Procter &
Gamble, manufacturer of Fixodent, reads, “All Fixodent products
undergo rigorous scientific evaluations and safety testing. We continually monitor the safety of our
products once in market.
“We are not aware of any case
where denture cream has been
definitively linked to a health effect
from zinc.
“Fixodent contains ingredients
that are generally recognized as
safe in the amounts used. All Fixodent products are made, packaged
and labeled in accord with FDA
manufacturing practices.
“Still, we are doing all we can
to make sure our consumers know
how to use Fixodent properly.
“Furthermore, we are monitoring and updating our Web site, our
packaging and our communication
to dental professionals when necessary.
“Our Web site has been updated,
and our packaging will soon provide detailed information to our
consumers.”
A number of lawsuits have been
filed against Procter & Gamble and
GlaxoSmithKline, manufacturer of
Super PoliGrip, on behalf of consumers who claim to have suffered
negative health consequences due
to zinc poisoning resulting from
use of the products.
Consumer law firm Parker
Waichman Alonso filed a federal
lawsuit in the U.S. District Court
of the Eastern District of Tennessee related to Super PoliGrip (Case
#09-cv-22670).
Additional lawsuits have been
filed against the manufacturers of
Fixodent and Super PoliGrip on
behalf of individuals who claim

Fixodent and many other denture adhesives contain zinc.
to have suffered neuropathy and
other serious injuries from denture
cream poisoning.
Many of the lawsuits have been
consolidated. On June 9, the U.S.
Judicial Panel on Multidistrict
Litigation consolidated 12 cases,
including two Fixodent cases and
10 against SuperPoliGrip, into a
multidistrict litigation (MDL)
for coordinated pretrial litigation in the U.S. District Court for
the Southern District of Florida,
according to AboutLawsuits.com,
a Web site offering information
about personal injury litigation.
AboutLawsuits.com reported that
the lawsuits involve similar allegations that manufacturers failed to
warn that high amounts of zinc are
contained in the denture adhesive
creams, which can be absorbed by
the body when a large amount of
the product is used or if it is used
over a long period of time.
Increased levels of zinc in the
body can also deplete copper levels, causing a condition known as
hypocupremia, which is known to
increase the risk of significant neurological problems that can leave
users with permanent and debilitating physical injuries.
Although the recommended
daily allowance of zinc is 11 mg for

men and 8 mg for women, with 40
mg being the maximum amount of
zinc that can be safely tolerated,
some denture creams have been
found to expose users to levels as
high as 330 mg per day, AboutLaw
suits.com reported.
According to the CHPA, denture
adhesives containing zinc are safe
when used properly.
“First cleared for marketing
in the United States by the FDA
roughly 15 years ago, these products are very safe when used as
directed, and adverse events are
extremely rare,” Funderburk said.
The statement from Procter &
Gamble reads, “A small amount of
zinc is used in Fixodent to help the
denture stay in place securely so
our consumers can eat, chew and
talk more confidently.
“Zinc is a common ingredient in
many over-the-counter products, a
variety of foods and is a vital part of
our daily diet. In fact, zinc supplements are commonly sold.
“Fixodent users may ingest a
small amount of the product. However, we estimate the amount of
zinc a consumer would ingest from
daily usage of Fixodent is less than
the amount of zinc in most daily
multi-vitamins and comparable to
six ounces of ground beef.” DT
AD

Dental signage for Halloween
A few weeks ago I wandered into a
store called Big Lots! for the very first
time and found this sign for sale among
its Halloween decorations.
It’s made of very thin metal with
heavy plastic and uses replaceable,
miniature, push-in type lights.
After laughing so hard I am certain the other customers thought I was
mentally unstable, I picked it up for
immediate purchase.
At a mere $15, it was a small price
to pay for some dental humor that I
suspect you, the readers of Dental Tribune, can also appreciate.
The picture you see is the sign hanging in my kitchen. I added the skeleton lights, which I think will be the only things I will remove from the wall
after the holiday.
(Text & Photo/Robin Goodman, Group Editor)

AD
1/4 Page
9 1/4 x 3 3/8

[4] =>

Practice Matters

Dental Tribune | October 2009

Suffering from the mid-career squeeze?
By Sally McKenzie, CMC

Mid-career, mid-life, mid-term.
You’ve reached the middle, the halfway point. It can be a time of great
prosperity and satisfaction or one of
significant anxiety.
For some dentists it means they
are hitting their stride and are right
in the middle of the excitement, the
challenge and the thrill of their chosen profession. They are at the top
of their game, enjoying the fruits of
their labors and looking forward to
what the future holds.
For others, mid-career feels more
like being stuck in midstream, floundering somewhere in between the
beginning and the end. It’s too late
to turn back, but there’s not much
promise in what lies ahead.
Behind them is the first 15–20
years of their dental career. They’ve
invested a fortune in time and
money in both dental and continuing education.
They should be reaping the
rewards, but they’re not. They are
burdened by the monetary pressures. The lean months are growing
more frequent, and it feels as if the
financial tightrope they are tiptoeing
across could snap at any time.
AD

They are supposed to be the leaders of their practices, yet the personnel struggles, the revolving door,
the sheer challenge of just keeping
a group of people together, let alone
building a team, is wearing them
down.
Is it any wonder that they find
themselves asking, “Is this all there
is?” Where’s the excitement, the
enthusiasm, the career satisfaction?
Consider your position on this
mid-career path. Are you enjoying
the view from the pinnacle of success? Or are you frozen in place,
stuck somewhere between merely
average and truly excellent?
In addition, if you’re not where
you want and feel you should be,
are you willing to take the necessary
steps to change it?
Look at it this way: if the roof
were leaking, you would have it
repaired. If your car weren’t running properly, you would take it to
the mechanic.
It stands to reason that if the area
of your life that has the greatest
impact on your personal and professional happiness and satisfaction
isn’t delivering what you expected,
you wouldn’t hesitate to fix it. Right?
The question then becomes:

Where to start?
You’ll need to look at key systems,
starting with the two critical areas
that are most likely to be sending your practice, and consequently
you, into a mid-term slump: patient
retention and poor customer service.

Patient retention: ‘The Deception
of Perception’
We see this routinely in mid-career
practices, everyone is busy. The
schedule appears to be bursting at
the seams.
Hygiene is typically booked out six
months. A couple thousand patient
records are on file. Therefore, the
clinician is convinced that patient
retention is perfectly fine.
“Busy” is as “busy” does, and busy
is one of the great illusions of the
dental practice, a perception that is
not only deceiving but also costly. In
fact, most dental teams are stunned
to learn that 80 percent of dental
practices are losing more patients
than they are bringing in new.
However, upon hearing such statistics, the crew will simply turn
and tell each other that they must
be in that select 20 percent group
because, well, you know, they are

crazy with work. Just how crazy?
Find out.
How many inactive patient
records are taking up space in
your files or stored away? Have you
increased the number of hygiene
days per week in the last year?
Is your hygienist’s salary more
than 33 percent of what she/he produces? Finally, have you converted 85 percent of your emergency
patients to comprehensive exams?
If the number of inactive records
is enough to open a second practice,
you have patient retention problems.
If you have not increased hygiene
days, you have patient retention
concerns. If your hygienist’s salary is more than a third of what
she produces and if you haven’t
converted 85 percent of your emergency patients to loyal patients, you
have more patients leaving your
practice than you have new patients
coming in.
While misery loves company, it
doesn’t require you to hang around
this pity party indefinitely. Patient
retention is an area in which you
can take prompt steps to improve
g continued

[5] =>

0A
Dental TRubric
ribune | October 2009

Dental Tribune
| Month 2009
5A
Practice
Matters

Headline

f continued

and see immediate results.
In most cases, patients have simply drifted away because the recall
system, if it exists, is weak. Put recall
to work and patients in the chair.

Deck

By line

Patient recall task force
Generate a report from your computer
tk of all patients past due for
recall appointments in the last 12
months. Your objective is to reconnect with these patients using a
defined strategy that will enable you
to set goals and track the results of
your efforts.
First, assign a member of the
business team, typically the patient
coordinator, to take the following
steps:
1) Contact a certain number of
past-due patients each day. The
coordinator should use a specific
script that she/he uses as a guide in
making the calls.
In addition, she/he should check
the patient records to identify a treatment concern noted in the patient’s
chart that could be mentioned during the phone call.
2) Everyone needs goals, and
beyond just making calls, the coordinator should be expected to schedule a specific number of appointments, and follow-up with patients
to ensure that a specific number of
patients complete treatment.
3) The coordinator also assists
the hygienist in meeting production
objectives by scheduling the hygienist to achieve daily or monthly goals
as well as managing a specific number of unscheduled time units in the
hygiene schedule per day.
4) Finally, the patient coordinator monitors and reports on recall
monthly at the staff meeting.
You will find many patients who
are more than willing to schedule
an appointment. They do so because
you’ve demonstrated to them that
you value this patient relationship
and want them to return.

Be our ‘guest,’ not just our ‘patient’
A few years ago, the Harvard Business Review reported that between
65 to 85 percent of people who leave
one business for another do so even
AD
though they are satisfied.
What does that mean for dentists?
Many of your patients stay with your
practice only until they find a reason
to leave.
And most dental teams are often
more than a little surprised by what
AD

some of those reasons are:
• The practice hours are not convenient.
• There’s no place to park.
• The doctor hurts me.
• I don’t understand the bills.
• They don’t accept my insurance
• They changed a practice policy.
• They don’t answer the phone.
• I can’t leave a message.
• They charged me for a missed
appointment.
• They are always trying to sell me
something.
• The fees are too high.
• They can’t keep staff.
• They told me I have to go to a
specialist.
• They don’t listen to me.
What dental teams might consider insignificant issues or minor
patient problems are costing practices a fortune in lost loyalty. Obviously, it doesn’t take much to motivate patients to take their dental
needs and wants elsewhere.
So how do you turn patients waiting for a reason to leave into longterm loyal partners? Take a close
look at systems and service.
While surveys indicate 70 percent
of customers/patients cite service
as the No. 1 reason they defect,
too often employees view managing patient service as a distraction
from what they consider to be more
important tasks, such as ensuring
the schedule is full, collecting from
insurance companies, confirming
appointments, etc.
Ironically, the success of each of
these goes hand-in-hand with providing excellent service.
First, find out what your patients

think. Survey patients to assess if
seemingly minor concerns raised by
a few patients are a bigger problem
than you may have realized.
Invest in a statistically valid survey instrument that is designed to
ask questions that will elicit the
most valuable and revealing information.
Next, engage in “action listening,” which is different from “active
listening.” With action listening, the
dental team commits to bring concerns and issues voiced by patients
to the staff meetings for discussion
and action.
For example, if patients are commenting that practice hours are
inconvenient, the team develops a
plan to address the issue, such as
adjusting the practice hours for 60
days, marketing the change, and
monitoring patient reaction and subsequent patient retention. The team
can then assess if the change should
be made permanent.
Look at practice systems and
evaluate if they are best serving the
patients, and thereby best serving
the practice.
If the schedule is booked out
weeks for the dentist and months
for hygiene, if patients are routinely
declining treatment, if collections
are low and holes in the schedule
are frequent, these are all system
indicators that patient service is

deficient.
While you’re at it, pay attention to
the obvious:
1) Welcome each “guest.” Treat
each patient as the most important person in your office from the
moment she/he walks in the door
until she/he leaves the parking lot.
2) Have the answers. Patients
expect you to have immediate
answers to basic questions. Track
the common questions that patients
ask. Take steps to ensure that every
member of the team is prepared to
answer them.
3) Acknowledge patients immediately. Under no circumstances
should a patient be ignored when he
or she is standing at the reception
desk. It takes five seconds to look
over at the patient and let her/him
know you will be right with her/him.
If you pretend the patients are not
there, you tell patients that they are
an annoyance and unworthy of your
time.
Providing excellent service means
building a strong emotional connection with the patient — not just running on time and delivering good
dentistry.
It means that every member of
the team makes it clear that she/he
cares about that specific patient, is
willing to listen to the patient and
shows genuine interest and concern
for the patient. DT

About the author
Sally McKenzie is CEO of McKenzie Management, which provides succes proven management
services to dentists nationwide.
In addition, the company offers
a vast array of practice enrichment
programs and team training.
McKenzie is also the editor of
an e-Management newsletter and
The Dentist’s Network newsletter,
sent complimentary to practices
nationwide.
To subscribe, visit www.mcken
ziemgmt.com and www.thedentistsnetwork.net. She is also the publisher
of the New Dentist™ magazine, www.thenewdentist.net.
McKenzie welcomes specific practice questions and can be reached
toll free at (877) 777-6151 or at sallymck@mckenziemgmt.com.

AD
1/4 Page
9 1/4 x 3 3/8

[6] =>

Practice Matters

Dental Tribune | October 2009

The ‘next big thing’ in dentistry
By Louis Malcmacher, DDS, MAGD,
FIADFE

I am asked all of the time what
the next big thing is going to be in
dentistry. What new technique or
technology is going to change dental practice?
We certainly have made huge
advancements in a number of
areas, such as restorative therapy,
implants and esthetics.
I believe the direction of the next
great thing in dentistry is actually going to take place in the oralsystemic connection. Most dentists
are familiar with this connection
as being how oral health affects
systemic health.
I’m going to look at the oral-systemic connection from a completely different angle: the oral-systemic
esthetic perspective.
We all can do a magnificent job
of making teeth look great and giving people a healthy and beautiful
smile.
Esthetic dentistry has been an
absolute boom over the last 30
years when it comes to such innovative techniques as teeth whitening
AD

and minimally invasive veneers,
such as Aurum Ceramics’ Cristal
Veneers, Denmat’s Lumineers and
many others.
Once the teeth look good, what
about the peri-oral areas around
the mouth? If the teeth look good
but we ignore the rest of the face,
then we have really limited what
we have done in esthetic dentistry.
It is time to give serious consideration to extending the oralsystemic connection to the esthetic
realms of the face, which dentists
are more familiar with than any
other health-care practitioner.
Botox is used for smoothing
facial wrinkles by eliminating
dynamic wrinkles caused by muscles in motion. Dermal fillers are
commonly used to add volume to
the face in the nasolabial folds, lip
augmentations, oral commissures
and marionette lines.
As we age, collagen is lost in
these facial areas and these lines
start to deepen.
These dermal fillers are injected right under the skin to plump
up these areas so that these lines
are much less noticeable. The face

looks more youthful and esthetic, and Botox and dermal fillers
are the perfect complement to any
esthetic dentistry.
I have been trained and have
had experience with Botox and
dermal fillers for a while, and these
are very easy procedures to accomplish once dentists have been properly trained.
As dentists, we give injections all
the time. This is just learning how
to give another kind of injection
that is outside the mouth, but is in
the same area of the face that we
inject all the time.
We also have a distinct advantage over dermatologists, plastic
surgeons, medical estheticians
and nurses who commonly provide these procedures in that we
can deliver profound anesthesia in
these areas before accomplishing
these filler procedures.
I will never forget that during
my training, my patients were completely comfortable during dermal
filler and lip augmentation therapy
because of my ability to deliver
proper anesthesia to these areas.
The patients treated by other
health practitioners were quite
uncomfortable and indeed this is
one of the biggest patient complaints about dermal fillers.
Many state boards are allowing
general dentists to provide botulinum toxin and dermal fillers to
patients. Is there a market for these
services?
In 2008, close to $5 billion was
spent on botulinum toxin and dermal filler therapy in the United
States. Think about this — that
was money spent on non-surgical
elective esthetic procedures that
could have been spent on esthetic
dentistry, and the patient made a
choice.
Interestingly, these procedures
become more popular in an uncertain economy because patients
want to do something to look better
that is more affordable than surgical esthetic options.

Botox and dermal fillers are the
perfect complement to your esthetic
dental practice.
Like anything else you do, this
requires some training and the
learning curve is incredibly short
because you already know how to
give comfortable injections and are
familiar with facial anatomy.
I often give training sessions in
botulinum toxin and dermal fillers
and dentists are amazed how easy
these procedures are compared to
everything else we do.
Finding practice models is easy:
start asking family and friends,
who will fight to have you practice
on them.
If you want further proof, ask
women in your practice if they
have had or would like Botox and
dermal filler therapy.
You will be overwhelmed at the
positive response.
What’s the next big thing in
dentistry? It may come as we start
expanding beyond the teeth and
gums into the oral and maxillofacial areas, which is within every
dentist’s skill set.
All you need is knowledge and
practice. Then, you will be able to
deliver these new services to your
patients and truly complement
your esthetic dental practice. DT

About the author
Dr. Louis Malcmacher is a practicing general dentist and an internationally recognized lecturer,
author and dental consultant known
for his comprehensive and entertaining style.
An evaluator for Clinicians
Reports, Malcmacher is a consultant
to the Council on Dental Practice of
the ADA.
You may contact him at (440) 8921810 or e-mail dryowza@mail.com.
His Web site is www.common
sensedentistry.com, where you can
find information about his lecture schedule, Botox and dermal filler
hands-on workshops, audio CDs, download his resource list and sign up
for a free monthly e-newsletter.

[7] =>

AD

[8] =>

Financial Matters

Dental Tribune | October 2009

Protecting yourself from employee
theft, fraud and embezzlement (part 2)
By Eugene W. Heller, DDS

Other preventative areas
Each office should use a time clock,
and the dentist must initial manual
entries. Petty cash should be counted
and balanced daily. The amount of
receipts plus cash on hand should
equal the same balance every day.
The outside of the envelope containing the petty cash should be used
to monitor the daily balance.
Each day, the date, the receipt
total, the cash total and the sum of
receipts and cash should be listed
along with the initials of the person
reconciling the petty cash.
When the age of computerization
came to dentistry, one of the selling
points was that computers would
make it more difficult to embezzle.
Nothing could be further from the
truth.
Whether computer-related, computer-enabled or computer-camouflaged, the use of computers has
made embezzlement easier than
ever unless the proper safeguards
are instituted.
AD

Preventing theft by computer
requires a thorough understanding
by the dentist of the security features built into the office’s software.
This information must be carefully
reviewed with the software vendor’s
support team to ascertain that access
to various features of the system is
correctly restricted.
No system should allow the deletion or erasing of accounts or charges by staff or allow deletion/disabling
of the entire system.
The statement generator should
never be turned off. Any patient complaints relative to payments and balances must be carefully investigated.
Computer reports are designed to
assist in avoiding theft problems. But
to work, someone (i.e., the dentist)
must review them. These will only
take a few minutes to review, but this
must be done.
Adjustment, refund and write-off
reports should be read by the dentist
daily. The dentist should scan posting reports daily. The dentist can
quickly spot incorrect charges posted
for procedures he/she has just per-

6 SALÓN DENTAL

st THE PREMIER DENTAL EVENT IN CHILE

dentalchile

CHILE 2009

Aviso Grande2Eng.indd 1

Santiago May 28, 29, and 30
• COMPREHENSIVE SCIENTIFIC PROGRAM
• HANDS-ON WORKSHOPS
• OVER 200 EXHIBITORS
• CLINICAL PRESENTATIONS
• ATTENDED BY OVER 5,000 DENTISTS
SPECIAL SERVICES FOR INTERNATIONAL EXHIBITORS:
OVERVIEW OF THE CHILEAN MARKET
MEETINGS WITH DISTRIBUTORS, DENTAL SCHOOLS, AND RESEARCHERS
EXPOCHILE SPONSORED VISITS TO UNIVERSITIES

www.salondentalchile.cl

PLUS EXCURSIONS TO CHILE’S FAMOUS WINE COUNTRY

SPONSORED BY:

GOBIERNO DE CHILE
MINISTERIO DE SALUD

CONTACT:
Miami 1-305-876-3221
Chile +(56-2) 2331263
consultas@salondentalchile.cl

10/07/2008 14:44:26

formed.
The accounts receivable (A/R)
aging report should be checked
monthly and discussed monthly with
the financial coordinator. The financial coordinator should be prepared
to respond to each account over 90
days old with why, what has been
done and when payment is expected.
In addition to demonstrating that
the dentist is monitoring things, this
also greatly assists in making certain
that collection procedures are being
followed, thereby keeping accounts
receivable under control.

Dealing with embezzlement
Dealing with embezzlement, fraud
and theft involves four steps. Discovery is the first step. It is the dentist’s
responsibility to diligently observe
what is going on in his/her office
relative to the handling of money.
If theft is suspected or discovered,
the next step is investigation. Before
making any accusations, the dentist
must make certain that the evidence
supports the alleged crime.
This means reviewing entries,
reports, patient account records, etc.,
to gather the hard evidence necessary to confront the thief.
Prosecution is the next step. This
is sometimes harder for the dentist
than the realization that his/her trust
has been betrayed. However, it is
a necessary step. If not, the theft
will continue, either from you or
another dentist. This means calling
the police.

Reasons dentists do not prosecute
Why do some dentists elect to forgo
prosecution? Topping the list is the
fear of a slander suit. Avoiding this
allegation is the purpose of the investigation stage.
If you have the evidence, you are
not guilty of nor can you be accused
of slander. Involving the police once
you are certain you have become a
victim will aid in protection against
these false allegations.
In addition, many dentists fear
to prosecute because of fear of the
IRS. After all, they have unreported
income. If one fails to report and
prosecute the theft, the IRS takes
the position that income has been
fraudulently under-reported.
If one reports the loss to the
authorities, the IRS views this as
proof that a loss by theft has occurred
and therefore the under-reported
income is offset by the theft loss and
no charges by the IRS will be levied.
Non-reporting of employee theft
can also be the fear of blackmail.
Some of the dentists suffering losses
from theft are themselves involved in
insurance fraud, unreported income
and/or income tax evasion. They
know the offending staff member is
aware of this and, out of fear of retaliation, they elect to terminate the
employee but not prosecute.

Recovery
The last of the four steps of dealing
with employee theft is recovery. Total
recovery is usually not possible.
Even if successfully prosecuted involving a judgment requiring
repayment, most staff members
involved in theft no longer have the
money nor do they possess the ability to repay, even if spread over a
lifetime.
Actual judgments issued such as
$50 per month until the amount
embezzled has been repaid would
require 100 years of monthly payments to recover a $60,000 loss (that
does not even include interest).
The best chance of partial recovery comes from the office insurance
policy. Limits of $10,000 to $25,000
are common. The policy will pay the
actual amount of loss or the policy
limit, whichever is lower.
However, most policies require
the reporting of the loss to police and
prosecution if advised by the local
district attorney.

Conclusion
Most theft, fraud and embezzlement
is avoidable if minimal safeguards
are instituted.
However, the dentist must take an
active role. Dentists who blindly trust
their employees are the easiest targets
and may suffer the greatest losses.
Many new dentists who acquire
their dental practice by purchasing
an existing practice face the same
problem relative to implementing
safeguards as older dentists in practice for many years face.
How can you solve this dilemma?
Blame it on your accountant.
Tell your staff that your accountant has recommended certain
changes be made in how things are
done because this represents better
compliance with GAAP (generally
accepted accounting principles).
In this manner, these changes will
barely be questioned, except perhaps by a staff person who is guilty
of theft. DT

About the author
Dr. Eugene W. Heller is a 1976
graduate
of
the
Marquette
University School of Dentistry. He
has been involved in transition
consulting since 1985 and left
private practice in 1990 to pursue
practice management and practice
transition consulting on a full-time
basis. He has lectured extensively
to both state dental associations and
numerous dental schools. Heller is
presently the national director of
Transition Services for Henry Schein
Professional Practice Transitions.
For further information, please call
(800) 730-8883 or send an e-mail to
ppt@henryschein.com.

[9] =>

[10] =>

10A Editor’s Desk

Dental Tribune | October 2009

California Dental Association meets in San Francisco
By David L. Hoexter, DMD, FACD, FICD,
Editor in Chief

The California Dental Association (CDA) held its biannual convention in San Francisco and it was
a wonderful congress. The spacious Mosconi Center allowed for
a constant flow of participants at
the booths as well as record attendance at the educational rooms.
The CDA cleverly staggers the
ending of its educational presentations so that the commercial floor
is never inundated or overcrowded
at the same time.
Rather, participants have room
to converse with knowledgeable

CDA Officer Dr. Dan Davidson and Chairman of the
Board of Managers Jeff Brucia.

Dr. and Mrs. Dan Miyasaki and Dr. David L. Hoexter.

2009
Greater New York Dental Meeting
85th
Annual Session

The
Largest Dental
Convention/
Exhibition/Congress
in the United States

Pre-Registration
Fee!

MEETING DATES:
NOVEMBER 27th - DECEMBER 2nd
EXHIBIT DATES:
NOVEMBER 29th - DECEMBER 2nd

For More Information:
Greater New York Dental Meeting™
570 Seventh Avenue - Suite 800
New York, NY 10018 USA
Tel: +1 (212) 398-6922
Fax: +1 (212) 398-6934
E-mail: info@gnydm.com
Website: www.gnydm.com

Please send me more information about...
Attending the Greater New York Dental Meeting
Participating as a guest host and receiving free CE
I speak _____________and am willing to assist international guests

Name

enter language

Address
City, State, Zip/Country Code
Telephone

E-mail

Fax or mail this to:
Greater New York Dental Meeting or
visit our website: www.gnydm.com for more information.

personnel at the booths before
making a purchase.
This appeared to be more efficient for both the purchaser and
the commercial booths.
As I was a presenter in this
meeting, the attentiveness of the
participants in my auditorium was
so positive that questions continued after the completion for more
than 45 minutes.
My hands-on course participants had enthusiastic questions
and comments. Other presenting colleagues relayed the same
response.
They included David Garber,
Joseph Blasé, James Dunn, Ron
Jackson, Tieraona Low Dog and
Joseph Massad, to list just a few.
The CDA worked throughout
the year — volunteers working
along with regular staff — to produce this crescendo of a smoothly
orchestrated meeting. Yet, on Saturday evening, it took the time to
honor and say thank you to one of
their own — Dr. Dan Miyasaki.
Miyasaki was honored for all
his years of hard work toward the
goal of a successful, enlightened
meeting and for all the tireless
years he spent making it easier for
the committee members to achieve
their goals.
This is the first time that this
award has been presented. In
attendance and glowing with pride
were his wife, his children and
their spouses and, of course, his
grandchildren.
Dr. Jeff Brucia, a fellow of the
International Academy for Dental
Facial Esthetics, and this year’s
chairman of the Board of Managers, was doubly proud.
Not only did the CDA have a
wonderful, productive meeting,
but his father, Dr. Frank Brucia,
was responsible for creating the
Legacy Committee, a watering
hole for retired dentists to meet,
reminisce and offer experienced
advice to those bright enough to
request it.
The beautiful city of San Francisco indeed enhanced all that
the CDA meeting had to offer its
attendees. DT

[11] =>

0A
Dental TRubric
ribune | October 2009

Headline

f DT page 2A

on One Stage,” demonstrated in an
insightful manner how technology
could enhance a dental professional’s ability to provide optimal patient
care. Tips on how to make intelliBy line
gent purchasing decisions were also
offered.
At the ADA’s World Marketplace
Exhibition,
consisting of more than
tk
350 exhibitors occupying more than
200,000 square feet of floor space,
meeting participants were able to
learn about the latest in products and
technology.
At the Smile Reminder booth, a
new program called ZubuMail was
launched. With ZubuMail, dentists
have the ability to narrow their
direct-mail campaigns to those people with the most potential to become
patients.
By incorporating data-driven analytics, including everything from a
person’s age to where he or she
shops for groceries, ZubuMail helps
dentists identify the people most
likely to need specific products and
procedures, such as orthodontics,
veneers or implants, and then allows
the clinicians to tailor a direct-mail
campaign especially for those people.
“It’s time for dentists to stop spending money trying to cover everyone
when they could just be spending
money specifying a few,” said Mark

Deck

Olson, vice president of marketing
and business development for Smile
Reminder.
Procter & Gamble showcased a
trio of products — the Oral-B Professional Care SmartSeries 5000 with
SmartGuide, Crest PRO-HEALTH
Toothpaste and Crest PRO-HEALTH
Rinse — that are designed to help
patients stay virtually plaque-free.
At the booth, participants were able
to take in a presentation, use the
convenient brushing station and participate in a study to measure plaque
on the teeth of dental professionals.
“Plaque and the oral health issues
surrounding it are a constant battle
for oral health care professionals,”
said Dr. Robert Gerlach, research
fellow with P&G Worldwide Clinical
Investigations, who met with staff
members of Dental Tribune during
the ADA meeting. “P&G Oral Health
understands these issues and has
developed a regimen with proven
results that contains brands oral
health care professionals know and
trust.”
Other offerings on display at the
ADA meeting included the following:
• The DMG America booth was
crowded with dental professionals
interested in learning about the company’s new Icon drill-free treatment
for incipient caries and white spots.
• Representatives from DENTSPLY Professional said interest was

Dental
Tribune
| Month11A
2009
ADA
Review
Dental professionals line up
to talk with
representatives
at the DMG
America booth
about the new
Icon infiltrant
for incipient caries during the
ADA meeting in
Honolulu. Many
companies were
busy during the
show’s exhibit
hall hours.
(Photo by Fred
Michmershuizen/
Dental Tribune)
high for products such as the Stylus
ATC (adaptive torque control) handpiece, the Cavitron THINsert ultrasonic insert and NUPRO NUSolutions
remineralizing toothpaste with calcium phosphate technology.
• DENTSPLY Caulk had several
new offerings, including Enhance
flex NST finishing and polishing
discs and the SureFil SDR posterior
bulk fill flowable base. Both products utilize the latest technology to
help dentists improve patient care.
• Reps at the Gendex booth were
busy telling meeting attendees about
cone-beam 3–D imaging, panoramic
systems, intraoral X-rays and digital
oral sensors.
• At the Colgate booth, meet-

ing attendees were lining up to
learn about the new Sensitive ProRelief. The new toothpaste, which
is designed for patients with dentin
hypersensitivity, utilizes Pro-Argin
technology.
• Isolite Systems was displaying
Isolite, a dryfield illuminator that
converges light, suction and retraction in one streamlined tool.
• At the Pentron Clinical Technologies booth, attendees could learn
about Mojo veneer cement.
• At the booth of American Tooth
Industries, attendees could get a
copy of the new DentureMart catalog.
Next year, the ADA will hold its
annual session in Orlando. DT
AD

AD
1/4 Page
9 1/4 x 3 3/8

[12] =>

12A Greater N.Y. Dental Meeting

Dental Tribune | October 2009

Westerners have plenty to look
forward to at DTSC Symposia
People from around the world flock
to the annual Greater New York Dental Meeting, and with very good reasons beyond the fact that there is no
registration fee.
There’s something for everybody
— even for those who might make the
trip from the West Coast.
Again this year, Dental Tribune
America has partnered with the meeting’s organizers to offer four days of
symposia in the areas of endodontics,
implantology, cosmetic and digital
dentistry.
The meeting is scheduled for Nov.
29 to Dec 2. Each day will feature four
individual one-hour lectures on various topics led by experts in their fields.
Participants not only earn C.E.
credits, but also gain an invaluable
opportunity to learn diverse aspects
of dentistry and how to integrate a
variety of treatment options into their
practice.

DTSC Symposia at the GNYDM —
C.E. Program 2009

• Nov. 29, 10–11 a.m.
One-step Adhesion, One-step Cementation
George Freedman, DDS
Seventh generation adhesive materials have simplified the process of
dental bonding and made esthetic procedures very predictable. These new

products etch, bond and desensitize
in a single step, and virtually eliminate postoperative sensitivity while
decreasing the potential for marginal
breakdown.
• Nov. 29, 11:30 a.m.–12:30 p.m.
High-resolution Cone Beam with PreXion 3-D
Dan McEowen, DDS
Cone-beam computed tomography
(CBCT) offers a whole new paradigm
to dental radiography. From what has
been conventional 2-D images, dentists now have the ability to look at the
maxillo-facial region in any direction
and any thickness as well as in 3-D.
With the introduction of CBCT, the
specialist and general dentist alike
can now afford to own and enjoy the
benefits of this fantastic diagnostic
tool.
• Nov. 29, 1:30–2:30 p.m.
Simplify Esthetic Dentistry
Steven Weinberg, DDS
Dr. Weinberg’s presentation is a
comprehensive, clinically-oriented
program addressing the constant state
of evolution in esthetic materials and
restorative techniques.
Participants will learn about a variety of materials, techniques and philosophies to create beautiful, longlasting anterior esthetic restorations

in an exciting educational environment.
• Nov. 29, 3–4 p.m.
The Beauty of Bonding
Howard Glazer, DDS
This presentation will encompass
the science of adhesion, the art of
composite restoration and the finesse
of finishing and polishing.
Using the most state-of-the-art
materials, Dr. Glazer will explain
the advantages and methods used to
achieve the maximum esthetic and
functional results for patients.
• Nov. 30, 10–11 a.m.
E4D Sky: Dentistry’s Destination
Gary Severance, DDS and Lee Culp,
DDS
Demonstrating everything that dental professionals need for the design
and fabrication of single-unit glass
ceramic restorations, either chairside
or benchtop, the program will be an
interactive, entertaining and amazing
display of all that modern dentistry
offers for comprehensive care.
• Nov. 30, 11:30 a.m.–12:30 p.m.
Know Your Products & Tools for
Today’s Healing Dentistry
Fay Goldstep, DDS
g continued

Dental Tribune Study Club schedule at-a-glance
Date/Time

Speaker

Title

10–11 a.m.

George Freedman

One-step Adhesion, One-step Cementation

11:30 a.m.–12:30 p.m.

Dan McEowen

High-resolution Cone-beam with PreXion 3-D

1:30–2:30 p.m.

Steven Weinberg

Simplify Esthetic Dentistry

3–4 p.m.

Howard Glazer

The Beauty of Bonding

November 29

November 30
10–11 a.m.

Gary Severance & Lee Culp E4D Sky: Dentistry’s Destination

11:30 a.m.–12:30 p.m.

Fay Goldstep

Know Your Products and Tools for Today’s Healing Dentistry

1:30–2:30 p.m.

Steven Glassman

OraVerse: In Practice

3–4 p.m.

Dan McEowen

The Advantage of Small FoV High-resolution CBCT Imaging

10–11 a.m.

Renato Leonardo

Technological Resources and Biological Concepts in
Minimally Invasive Endodontics

11:30 a.m.–12:30 p.m.

TBA

Affordable Soft-tissue Diode Lasers

1:30–2:30 p.m.

David Hoexter

Esthetics Using Cosmetic Periodontal Surgery

3–4 p.m.

Lynn Mortila

You’ve Taken Implant Training ... What Do You Do Next?

10–11 a.m.

George Freedman

Restoration of the Endodontically Treated Tooth: A Step-bystep Discussion of Clinical Innovations

11:30 a.m.–12:30 p.m.

Barry Levin

Immediate Tooth Replacement in the Esthetic Zone

1:30–2:30 p.m.

Ron Schefdore

More Than Just Teeth and Gums

3–4 p.m.

Marius Steigmann

My First Esthetic Implant Case: Why, How and When?

December 1

December 2

[13] =>

0A
Dental TRubric
ribune | October 2009

Headline

f continued

This program focuses on the new
technological advances that have
made healing possible: scientific,
accurate, reproducible and clinically
significant caries detection; the potBy line
pourri of the ingredients and tools that
the dentist needs for healing therapies;
giomers, the new healing composite
resin;
tk photo-activated disinfection to
promote remineralization and healing; and user-friendly laser technology
to keep perio treatment in your office.

Deck

• Nov. 30, 1:30–2:30 p.m.
OraVerse: In Practice
Steven Glassman, DDS
OraVerse is a local anesthesia
reversal agent that accelerates the
return to normal sensation after routine dental procedures. Clinical documentation showing the safety and efficacy of the drug in clinical trials will
be highlighted.

Dental TMeeting
ribune | Month13A
2009
Greater N.Y. Dental

cal techniques, Dr. Hoexter will show
how changing the background of
the desired image will enhance it to
appear brighter, cleaner, healthier, yet
physiological, as well.
• Dec. 1, 3–4 p.m.
You’ve Taken Implant Training ...
What Do You Do Next?
Lynn D. Mortilla, RDH
This course will discuss integrating implants into your practice. Staff
education, auxiliaries’ responsibilities,
identifying implant patients, case presentation skills, documentation and
record keeping will be discussed.
Focus will also be given to the
tools that can aid the implant focused
practice.
• Dec. 2, 10–11 a.m.
Restoration of the Endodontically

Treated Tooth: A Step-by-step Discussion of Clinical Innovations
Dr. George Freedman, DDS
The restoration of the endodontically treated tooth is one of the most
common procedures in dentistry
today.
This program examines numerous
recent advances that facilitate the
dentist in restoring the endodontically treated tooth: bonded, toothcolored fiber-reinforced posts and
cores; faster, better and more accurate impression techniques; one-step
predictable temporization.
In this multi-focal hands-on program, participants will have an
opportunity to rehabilitate a flared
canal and then to cement posts while
creating resin cores suitable for
ceramic or ceramo-metal restorations.

• Dec. 1, 10 – 11 a.m.
Technological Resources and Biological Concepts in Minimally Invasive
Endodontics
Renato Leonardo, DDS
This course is ideal for the progressive general practitioner with a
minimally-invasive practice.
Along with hands-on training, clear
demonstrations and an educational
presentation, lecture participants can
expect information about vital and
non-vital pulp therapy, the Anatomic
Endodontic Technology (A.E.T.) System and the Apical Delivered ObturaAD
tion (A.D.O.) System.

• Dec. 1, 1:30–2:30 p.m.
Esthetics Using Cosmetic Periodontal
Surgery
David Hoexter, DMD
A beautiful smile — the desired
image — must be healthy and maintainable. In today’s society this goal
is subjective and influenced by our
interpretation of esthetics.
Using periodontal techniques, specifically cosmetic periodontal surgi-

• Dec. 2, 1:30–2:30 p.m.
More Than Just Teeth and Gums
Ron Schefdore, DDS
Dental professionals are now incorporating blood screening, evidenceg DT page 14A
AD

• Nov. 30, 3–4 p.m.
The Advantage of Small FoV Highresolution CBCT Imaging
Dan McEowen, DDS
This presentation will instruct you
on how to take a 360 degree rotation
with either 512 or 1,024 projections
during the scanning time. You will
learn how to produce ready-to-go 3-D,
saggital and coronal images within 30
seconds after the scan axial.
Dr. McEowen will introduce PreXion 3-D, the only CBCT scanning unit
using its own built-in graphic cards, as
well as 3-D rendering boards, which
result in the highest resolution when
considering all smaller FoV CBCT
scanning devices.

• Dec. 1, 11:30 a.m.–12:30 p.m.
Affordable Soft-tissue Diode Lasers
Speaker TBA
The newest diode lasers cover the
widest range of clinical indications.
They’re easy to use and incorporate
into every practice. In fact, they’re
so easy to afford that they should be
installed in every operatory.

• Dec. 2, 11:30 a.m.–12:30 p.m.
Immediate Tooth Replacement in the
Esthetic Zone
Barry Levin, DDS
The time frame of three to six
months of unloaded healing is not
always mandatory any longer.
With osteoconductive implant surfaces, newer implant materials and
proper diagnoses, patients can often
experience implant therapy without
the inconvenience of removable temporary appliances and bonded provisional restorations.

AD
1/4 Page
9 1/4 x 3 3/8

[14] =>

14A Greater N.Y. Dental Meeting

Dental Tribune | October 2009

Dr. George
Freedman

Dr. Steven
Weinberg

Dr. Howard
Glazer

Dr. Gary
Severance

Dr. Steven
Glassman

Dr. Barry
Levine

Dr. David
Hoexter

Dr. Lynn
Mortilla

Marius Steigmann, DDS
Esthetic dental implants are of
increasing importance in today’s dentistry. Success from the esthetic aspect
requires bone height and width, softtissue architecture and prosthetic restorations close to nature.
Out of these three elements, it is
the soft-tissue frame that can be maintained or reconstructed not only using
surgery, but also with the right prosthetic elements.
The DTSC program is made avail-

able through educational grants provided by:
• SHOFU
• PreXion
• VOCO
• D4D
• Novolar Pharmaceuticals
• Ultradent
• Chase
• AMD Lasers
• DMG
• Straumann
The symposia are free for regis-

tered Greater N.Y. Dental Meeting
attendees, but pre-registration is recommended. Also, due to limited seating, register early to ensure preferred
seating.
For registration please visit www.
gnydm.com or send an e-mail to info@
gnydm.com. International attendees
requiring visas should e-mail customerservice@gnydm.com.
For more program details, please
check the schedule at www.DTStudy
Club.com. DT

f DT page 13A
based supplementation, laser therapy,
DNA testing and physician referrals
into their office protocol to improve
dental treatment outcomes and
improve the overall health of dental
patients. Amazing patient testimonials
and treatment outcomes discussed.
• Dec. 2, 3–4 p.m.
My First Esthetic Implant Case: Why,
How and When?
AD

[15] =>

[16] =>

16A Meeting Preview

Dental Tribune | October 2009

‘The Best Seminar Ever’
The place for dentists and their
teams to be on Nov. 12–14 will definitely be Las Vegas. However, they’re
not necessarily going for the gambling or the shopping. The fact that
Vegas boasts more restaurants and
entertainment per capita than anywhere else in the world does not particularly exhilarate them.
Sure, all of those things are great.
And as everyone knows, “What happens in Vegas stays in Vegas.”
However, the real reason dental
offices will be heading to Vegas in
November is to be a part of The
Madow Group’s famous dental event
known as “The Best Seminar Ever,”

or TBSE 2009 for short.
In case you are not familiar with
TBSE, it has been going on for 15
years and used to be called “The
Richards Report Super Fall Seminar.”
After years of attendees calling it
“The Best Seminar Ever,” the producers, Drs. David and Richard Madow,
co-founders of The Madow Group,
decided to simply change the name to
reflect that feeling.
The event consists of three days of
fun and learning with some of the biggest names in dental continuing education, and many other world-class
presenters you will not find anywhere
else in dentistry.

Back in 1995, the Madows came up with an idea
and formula to put on a
multi-day dental seminar
that would be different
from all of the ordinary ones out
there. The first one sold out within
days of the event’s announcement,
and the event has been packing the
house every year since.
In 2009, for their 15-year anniversary, Rich and Dave have promised Dental Tribune that they
intend to crank it up a few notches
and give dental offices something
they have never before experienced in their lives.

Drs. Richard and David Madow
“Our goal is to have dentists and
their teams feel that this was the
most incredible event they have ever
attended. Better than any rock concert
or Broadway show,” says Rich Madow.
“We will have the best lineup of
speakers we have ever had at TBSE.
And we will have an expanded exhibit
hall and learning area where doctors
will be able to discover brand new
products and other cool things that
can help them practice better.”
“Rich and I are proud of the fact
that we produce the very best dental
show in the world,” says Dave Madow.
“We have been studying the art of
dental seminar production for many
years. TBSE is somewhat like the realtime Facebook of dental seminars —
there is a lot of product out there, but
the people know — and always come
back to — the one that is the best.”
Rich and Dave have figured out how
to make a dental seminar feel more
like a rock concert. Many offices dress
up in crazy costumes and clothes.
They get in line early to assure front
row seats. They stand, they cheer,
they laugh and they cry. When it’s all
over, they leave with the best success,
team building and motivational ideas
that they can put into use in their
practices as well as their lives.
The Madows always work with
a production team that promises a
sound and vision experience unheard
of at other dental seminars, let alone
many concert or theatrical productions. “We will be bringing in all of
our staging, lighting, audio and video
equipment, as well as our own stage
crew,” says Jason Reppenhagen of LV
Productions.
“It will take several 18-wheelers
to get everything there and the result
makes TBSE unlike any other production I have worked — the Madows are
a lot of fun!”
“TBSE 2009 will be held at the
Las Vegas Hilton from Nov. 12–14,
and at this point there are almost no
rooms left in our room block, so people should call us, quick!” says Dave.
“Every year we do more things to
make TBSE the most talked about
event in the history of dental seminars,” says Rich.
“Our regular attendees know we
have always put our hearts and souls
into it. The only thing they don’t know
is that they haven’t seen anything yet!
Just wait.”
For questions or comments, Drs.
David and Richard Madow can be
reached at (888) 88-MADOW or direct
at (410) 526-4780.
They can be e-mailed at info@
madow.com, and are available on
the Web at www.madow.com. The
Madow Group has been in business
since 1989 and is located in Reisterstown, Md. DT

PNDC
AD

paciﬁc northwest dental conference · june 17-18, 2010

SAVE THE DATES!
Join us for the 123rd

Paciﬁc Northwest Dental Conference
Seattle, Washington · Washington State Convention & Trade Center

Featuring:
• More than 90 educational lectures and workshops
• Continuing education tacks for the dental team
• More than 300 commercial exhibits
• Hands-On displays and demonstrations
For details on attending or exhibiting, please contact the
Washington State Dental Association at 800-448-3368 or
visit www.wsda.org.

EXHIBITORS:

Call today to reserve your booth and
secure sponsorship opportunities!

Sponsored by:

Certiﬁed by:

[17] =>

0A
Dental TRubric
ribune | October 2009

Dental Tribune
| Month17A
2009
Industry
News

Milestone
Scientific receives notice of allowance from
Headline
U.S. Patent and Trademark Office
Deck
Protects
core intellectual property underlying award-winning STA Single Tooth Anesthesia System
By line

Milestone Scientific (OTCBB:MLSS), recognized as a leader in advanced injection technologies, announced on Sept. 16 that the United States
Patent
tk and Trademark Office has issued a Notice
of Allowance for Milestone’s U.S. patent application, titled “Computer Controlled Drug Delivery
System with Dynamic Pressure Sensing.”
Dynamic pressure sensing provides visual and
audible in-tissue pressure feedback, identifying
tissue types to the health care provider.
This feedback allows a health care provider to
know when certain types of tissue have been penetrated, allowing for the injection of medicaments
at a precise location.
This is particularly beneficial when making
subcutaneous and intramuscular
injections.
Dr. Mark Hochman, director of
clinical affairs at Milestone Scientific, stated, “This Notice of Allowance is of profound significance to
our company in that the noted intellectual property represents one of
the key technological components
that will afford Milestone Scientific
the opportunity to enter the medical
drug delivery market.
“Intra-articular epidurals along
with numerous other injections
should undergo a revolutionary
change in the areas of efficacy,
safety and cost benefits.”
A Notice of Allowance generally
completes the substantive examination of a patent application. The
normal process, which results in
a final issuance of a U.S. patent,
involves several administrative
steps that are typically completed in
due course following the issuance
of such a notice.
The new patent will provide
protection for a key element of
Milestone’s technology until Dec.
21, 2026 and thus will extend and
strengthen Milestone’s leadership
position in the growing field of
advanced injection and drug delivery systems.
To date, Milestone has been
awarded a total of 22 U.S. utility
and design patents relating to its
C-CLAD technologies.
AD
In August of this year, the company received a Notice of Allowance
for the bonded disposable handpiece
for fluid administration used by the
company’s commercially available
C-CLAD systems, including the STA
Single Tooth Anesthesia System™,
CompuDent® and CompuMed®.
“We are very proud of our company’s technological achievements
and expect that the protection
afforded by these patents will give
Milestone a key competitive advantage in the drug delivery market,”
added Leonard Osser, Milestone’s
CEO.
In June 2008, Business Insights
reported that over the last decade,
the drug delivery industry has
evolved to become a key area in the
development of value-added pharmaceutical products.
The global market grew from $15

billion to $40 billion between 2000 and 2006 as
companies increasingly turned to innovative new
drug delivery technologies as a means of expanding product lifecycles, enhancing drug efficacy
and maximizing revenues.

About Milestone Scientific
Headquartered in Piscataway, N.J., Milestone
Scientific is engaged in pioneering proprietary,
highly innovative technological solutions for the
medical and dental markets.
For more information on the STA System and
other innovative Milestone products, please
visit www.milestonescientific.com and www.
STAis4U.com. DT

AD
1/4 Page
9 1/4 x 3 3/8

[18] =>

18A Industry News

Dental Tribune | October 2009

1,340,000 reasons to pursue sedation dentistry training
By Heather Victorn

Have you ever done a Google™
search for “dental anxiety”? If not,
go ahead and try it.
In less than a second, you’ll discover more than 1,340,000 unique
hits on the term. Two simple words
open the doors to the vast world of
dental fear. It exists. It’s real. And
it’s not going away.
You can be the most gentle dentist in the world. You can have a
compassionate, caring, reassuring
team. You can be decorated with
every credential in the book. However, none of that matters in the
mind of a person who has had a
prior traumatic dental experience.
Whether it was a negative
encounter with a dentist as a child
or a pain-riddled appointment as an
adult, the associations patients have
stay with them. They prevent them

from seeking care later in life.
So how do you treat these
patients? How do you get them to
call your office, nonetheless make
and keep an appointment?
The answer is more simple than
you’d think. You offer them sedation
dentistry. In other words, you provide them with a solution to their
fears and an opportunity to redefine
their experiences at the dentist.
Relaxation is a powerful tool.
Relaxed patients sit more comfortably in your dental chair, offer less
jaw resistance, have reduced gag
reflexes, don’t notice time passing
and, overall, are more pleasant to
treat.
In other words — they’re anxiety
free and more receptive to receiving your care. You and your patients
alike can enjoy the benefits of utilizing sedation dentistry.
Whether you choose to offer oral

sedation, IV sedation or both, each
is effective at managing dental anxiety. With the proper training and
necessary equipment, your office
becomes more than just a place
that treats patients; it becomes a
vehicle for positive change.
Fearful patients seek sedation.
All of the message boards, forums
and searches online are evidence of
that. Most of these people are willing to drive further and pay more
in order to receive sedation. They
want to be comfortable, feel safe
and be healthy.
It’s a topic of intense discussion.
People who find qualified, compassionate sedation dentists don’t keep
that information to themselves,
they share it. They generate referrals. They pass it on by word-ofmouth.
You’ll quickly discover that sedation patients are the most gracious

and grateful patients you will ever
treat. The fact that you can provide
them with the much-needed care
they require — trauma and anxietyfree — means they will be your
patients for life.
Organizations such as DOCS
Education offer continuing education programs in both oral and
IV sedation, along with essential
emergency preparedness courses
to equip you with the skills and
knowledge to safely and effectively
administer sedation in your office.
To learn more about offering
sedation dentistry, go to DOCSedu
cation.org or call (866) 592-9617.
If you’ve ever considered offering sedation dentistry at your practice, now is the time to do it.
There are more than 1,340,000
good reasons to pursue the training
— and patients waiting in the wings
to receive your care. DT

The Internet has changed,
but have you changed with it?
USA Today and the Wall Street
Journal report that the Internet is
now America’s No. 1 vertical marketing channel. Dentistry is a vertical market. Internet marketing is
more effective and less costly than
any form of print, media or broadcast advertising.
Patients expect their dentist to
have a Web site. Today’s dentist
needs to pay attention to the Internet. It can produce big results.
If you have a Web page presence
on the Internet, you need to ask
yourself, “Is it the right Web page?”
A successful Web page requires four
ingredients: 1) immediate appeal, 2)
ease of use, 3) entertaining content,
and 4) it has to be found.
Just like in baking, leave out a
necessary ingredient and your cake
will taste funny.
Well, if your Web page isn’t competitive with immediate appeal or
it’s difficult to navigate or the content is boring, it will not matter if
your Web site can be found because
people will leave the site and go on
to the next site.
On the other hand, if you have all
of the ingredients for a great Web
AD

site, but no one can find it, your Web
site will not produce the desired
results.

How is a Web site found?
Every Web page has thousands, if
not tens of thousands, of constantly
changing algorithm values connected to it. For the sake of simplicity,
think of an algorithm value like a
credit score.
Everything connected with your
Web page has an algorithm value. It
is the aggregation of these algorithm
values that ranks a Web site when
searched.
Keywords, meta-tags and matching content are important and contribute to the site algorithm value.
For example, if someone types
in a search for “Chicago dentist,”
every dental Web site in Chicago
with those same common keywords
is recognized; however, each site
is ranked based on its overall algorithm value.
Assuming that every Web site is
created correctly, which they are
not, how does a site climb over the
Web sites listed above it to eventually be listed on page one?

There is no
scientific
answer
The Internet
changes
so
often in an
effort to create
a level playing field that
it is impossible
to pinpoint a
constant solution.
You
need
a Web page
design
and
SEO (search engine optimization)
company that understands how to do
everything possible within the framework of the actual Web page design as
well as how to work outside of the box
to create additional site value.

Who can help?
InfoStar, a 16-year-old company located in Fair Oaks, Calif., administrates
more than 500 dental Web sites. The
company provides SEO for the Web
sites that it administrates, ensuring
security, no third-party involvement
and immediate service.
InfoStar applies high-value algorithm factors such as time-on-site,
reciprocal link networking, social
Web site links and bookmarks, and
some magic of its own, with results
being Web pages steadily climbing to
page one.
InfoStar sets up a Google Analytics
account for each of its SEO accounts.
Google Analytics is the Internet report
card — and it’s free.
It reports the keywords that were
searched to access a Web page,
number of site hits, which pages
were reviewed, how long someone was on a specific page, etc. It’s

necessary information to properly
manage a Web site’s performance.
InfoStar provides each client direct
access to the same information it uses
to manage the Web page. InfoStar
thinks SEO should be a service center rather than a profit center and its
monthly SEO fees reflect that philosophy.
There is no guarantee on how fast
a Web site will climb the ladder to
reach page one. There are only 20
spots on page one, and competition
is becoming fierce for positive search
results.
InfoStar’s expertise in Web page
design and exclusive entertaining
content, along with its professional
SEO participation, does achieve costeffective positive results.
As an example, there are more
than 10,000 dental Web sites in the
greater Los Angeles area. It took InfoStar almost three months to get one
of its clients listed on page one with a
search of “Los Angeles Implant Dentist.”
That client is now listed in position
No. 2 from the top on page one.
Please visit www.infostarproduc
tions.com for more information. DT

[19] =>

0A
Dental TRubric
ribune | October 2009

Dental Tribune
| Month19A
2009
Industry
News

Headline Directa helps make restorations
Deck
By line

tk
DMG America President George
Wolfe says Icon allows practitioners the ability to treat
incipient lesions upon discovery, without letting the problem
get worse. (Photo/Fred Michmershuizen)

DMG
introduces
Icon

quicker, easier and more efficient
By Fred Michmershuizen, Online Editor

Directa, a Swedish supply and
manufacturing company that dedicates itself to introducing innovative,
high-quality and cost-effective products into the dental marketplace, is
perhaps best known around the world
for its Luxator extraction instruments,
which allow dentists to remove teeth
without damaging the surrounding
bone tissue.
But at the recent California Dental
Association meeting, it was the company’s products for restorations that
P&F Ad-DTA

1/14/09

2:45 PM

had many people buzzing.
Many are already familiar with the
FenderWedge tooth protector, which
separates and protects adjacent teeth
during preparation for a restoration.
A combination of a wedge and a
protective stainless steel plate, the
FenderWedge pre-separates teeth by
a few tenths of a millimeter, protecting the adjacent tooth during preparation and aiding in the final building
of the contact point.
Now, the FenderWedge has a companion — the FenderMate. The onepiece matrix is designed to allow

dentists to quickly and efficiently fill
a cavity and get a restoration with
a tight contact and a tight cervical
margin.
“We’ve taken a 15-minute procedure down to about five seconds,”
Frank Cortes, U.S. sales manager for
Directa, told Dental Tribune during
an interview at the CDA meeting.
As Cortes explained, the FenderMate combines a wedge and a matrix
in its design so that dentists no longer
have to fumble with multiple pieces.
g DT page 20A

Page 1

By Fred Michmershuizen, Online
Editor

DMG America, a company
specializing in dental restorative
products, has introduced Icon, a
product for the treatment of incipient caries and white spots that
involves no drilling. Designed to
bridge the gap between prevention and restoration, Icon takes
the ‘wait’ out of ‘wait and see.’
Icon is a caries infiltrant that
uses micro-invasive technology
to fill and reinforce demineralized enamel without drilling or
anesthesia.
“We feel we are doing something positive for the industry,”
said DMG America President
George Wolfe, during an interview with Dental Tribune at the
ADA Annual Session, held recently in Honolulu. “Our new Icon
product is what all the buzz is
about. It allows doctors to treat
incipient lesions while preserving
natural tooth structure.”
As Wolfe explained, Icon
works by blocking infusion paths
of cariogenic acids that cause
demineralization of tooth enamAD
el. It allows patients with poor
compliance to be treated earlier,
and it prolongs the life expectancy of a tooth.
“It gives doctors the ability to
treat upon discovery — without
letting the problem get worse,”
Wolfe said.
Icon can be used for both
smooth and proximal surfaces,
and it can also be used for the cosmetic treatment of carious white
spot lesions. Treatment time per
lesion is about 15 minutes.
More information about Icon
is available online from DMG.
Visit www.drilling-no-thanks.
com, where you can get even
more information, view product
demonstration videos and even
request an in-office demonstration. DT

™

Contains no
Bisphenol A
If you’re one of the 1,000s of dental professionals who know
EMBRACE™ WetBond Pit & Fissure Sealant is easier to apply
because it bonds to moist tooth surfaces, provides a better seal and
is long lasting, you’re on top of your profession.
Now after six years of clinical use,
EMBRACE Sealant sets a new standard
of success – intact margins, no leakage,
no staining, caries-free.

AD
1/4 Page
9 1/4 x 3 3/8

Six-year followup photo
photo courtesy of Joseph P. O’Donnell, DMD

For technical information
contact Pulpdent at

800-343-4342
Order through your dental dealer.

One call can bring a smile to your face and your patients:

✔ Long lasting
■
✔ Easy to apply – only sealant that bonds in a moist field
■
✔ Margin-free seal
■
✔ Fast light cure
■
✔ Fluoride releasing
■
*Contact Pulpdent for study.

PULPDENT

Corporation

80 Oakland Street • Watertown, MA 02471-0780 • USA

pulpdent@pulpdent.com • www.pulpdent.com

[20] =>

20A Industry News

Dental Tribune | October 2009

Danaher acquires PaloDEx
Imaging company joins Gendex, DEXIS and ISI under corporate umbrella
Danaher Corp. announced Oct.
12 that it has entered into a definitive agreement to acquire PaloDEx Holding Oy (“PaloDEx”), a
manufacturer of dental imaging
products with revenues of more
than $100 million with products
under the Instrumentarium Dental and SOREDEX brands.
Instrumentarium Dental and
SOREDEX will join Gendex,
DEXIS, ISI, KaVo and Pelton &
Crane as part of Danaher’s group
of dental equipment companies.
Instrumentarium Dental and

SOREDEX and their products have
been highly regarded by dental
professionals since their inception
45 years ago, according to a press
release from Danaher announcing the acquisition. PaloDEx’s
product range includes 3-D CBCT,
panoramic X-ray (including the
OP200), PSP (including the Optime
IO PSP) and other intra-oral and
extra-oral X-ray imaging systems.
“We believe this acquisition
will be a game-changer for both
of our companies, and we are
excited about the opportunity to

acquire two of the leading imaging brands,” said Henk van Duijnhoven, group executive of Danaher’s KaVo Group. “Instrumentarium Dental and Soredex’s excellent digital imaging products and
technology will be a great fit with
our existing Gendex, DEXIS and
i-CAT business.”
“I am thrilled to join Danaher’s
dental business,” said Henrik
Roos, president of PaloDEx, who
will remain in his position. “The
combined business will create
a unique opportunity to provide

new and innovative technologies
in digital dentistry with focus on
diagnostics and treatment planning for general practitioners and
specialists.”
“PaloDEx has a very experienced team, and we look forward
to working with Henrik Roos and
his team as we continue to build
the business,” van Duijnhoven
said.
Danaher’s
transaction
to
acquire PaloDEx is subject to regulatory approval and customary
closing conditions. DT

f DT page 19A

Frank Cortes, U.S. sales manager
for Directa AB, says the FenderMate
is making a ‘big impact’ across the
globe. (Photo/Fred Michmershuizen)
A flexible wing separates the teeth
and firmly seals the cervical margin,
avoiding overhang.
It features optimal matrix curvature and a pre-shaped contact. No
ring is needed, and when it is inserted
as a wedge, the tooth is ready for
immediate restoration.
“FenderMate is making a big
impact worldwide,” said Cortes, who
told Dental Tribune that the new
product has already received lots of
positive feedback.
According to Cortes, dentists are
pleased not only with FenderMate’s
ease of use but also with its ability to
help them provide better patient care.
The FenderMate is available in
packs of 18 for left and right regular
and narrow restorations. An assorted
kit of 72 pieces is also available.
As with all products by Directa, the
FenderWedge and the FenderMate
are designed by dentists, not engineers.
Products manufactured by Directa AB from Sweden are distributed
by JS Dental Manufacturing in the
United States.
To learn more, visit www.jsdental.com. DT

[21] =>

0A
Dental TRubric
ribune | October 2009

Dental Tribune
| Month21A
2009
Industry
News

Headline recognizes Breast
Heraeus
Deck
Cancer Awareness Month
By line

ADS

October is National Breast Cancer
Awareness
Month (NBCAM). Since
tk
the program began in 1985, mammography rates have more than doubled for women age 50 and older and
breast cancer deaths have declined.
Heraeus, recognized as a worldwide leader in dental esthetics,
applauds the diligent efforts of
NBCAM to raise awareness of breast
cancer issues, not just during the
month of October, but year-round.
The company also continues to
help fund breast cancer research by
donating a potion of proceeds from
the sale of Venus White, its popular
take-home teeth whitening gel, to
breast cancer research.
The philanthropic initiative is a
key part of Heraeus’ larger global
citizenship program and reflects
the company’s commitment to use
its resources to impact the greater
community — and to transform lives
in a positive way.
“Philanthropy is a vital pillar in
our business and we are committed to being a responsible global
leader,” says Christopher Holden,
president of Heraeus Kulzer. “We
are inspired by the tireless work
of those seeking a cure for breast
cancer.”
Although breast cancer deaths
have declined, it remains the second
leading cause of cancer death in
women.
“There is exciting progress, but
there are still women who do not
take advantage of early detection
and others who do not get screening
mammograms and clinical breast
exams at regular intervals,” explains
Nicole Turner, director of marketing
for Heraeus Kulzer.
“If all women age 40 and older
took advantage of early detection
methods — mammography plus
clinical breast exam — breast cancer death rates would drop much
further, up to 30 percent,” says a
AD
spokesperson from NBCAM.
The key to mammography screening is that it be done routinely – once
is not enough. Findings published by
NBCAM include:
• Women age 65 and older are
less likely to get mammograms than
younger women, even though breast
cancer risk increases with age.
• Hispanic women have fewer
mammograms than Caucasian
women and African-American
women.
• Women below poverty level are
less likely than women at higher
incomes to have had a mammogram
within the past two years.
• Mammography use has increased
for all groups except American Indians and Alaska Natives.
For more information about
NBCAM, please visit www.nbcam.
org.

For additional information, please
call one of the following toll-free
numbers: American Cancer Society, (800) 227-2345, National Cancer
Institute (NCI), (800) 4-CANCER,
Breast Cancer Network of Strength,
(800) 221-2141.
For more information on Venus
White or to make a donation to the
Breast Cancer Research Foundation,
please visit www.MyVenusSmile.
com (consumers) or www.Smile
ByVenus.com (professionals). DT

AD
1/4 Page
9 1/4 x 3 3/8

[22] =>

[23] =>

0A
Dental TRubric
ribune | October 2009

Headline

DentalEZ Group
introduces the everLight
The first true, direct LED light in the U.S.

Deck

By line

DentalEZ® Group, a supplier of innovative
products and services for dental health professionals worldwide, is pleased to introduce an
alternative to halogen-based operatory lights.
The new everLight™ LED operatory light provides color-corrected lighting, precise light pattern and energy efficient features.
The LED everLight provides energy-efficient
features simply not possible using traditional
halogen lighting. The everLight encompasses a
long life of 30,000-plus hours, 10 times longer
than halogen, reducing the need for regular
replacement of lightbulbs.
Moreover, dental professionals will enjoy substantial savings on monthly energy expenses, as
the everLight uses less than 35 watts of energy,
70 percent less than halogen-based systems.
No reflector or fan is required for the ultraquiet everLight because it is 100 percent true
direct LED lighting and remains at a consistent
cool temperature.
everLight is equipped with nine temperature/
intensity settings to meet all your operative
needs. Its superior LED technology provides
natural daylight illumination and a precise light
pattern, which results in clear oral cavity visibility and exact color matching.
Furthermore, the everLight’s LED composite
setting will not cause pre-maturing on composite
materials.
The new innovative design of the everLight is
ergonomically equipped with a standard thirdaxis rotation, allowing limitless positioning for
AD
optimal illumination. Moreover, the everLight is
easily installed in six mounting configurations.
The everLight has an extended life expectancy
and comes with a best in its class three-year warranty combined with a six-year warranty on the
unit’s engine components (switches, LED driver,
and lens).
For more information about everLight, please
call (866) DTE-INFO or visit www.dentalEZ.com.

About DentalEZ Group

AD
1/4 Page
9 1/4 x 3 3/8

DentalEZ Group is committed to advancing the
practice of dentistry through innovative products and services.
Encompassing six distinct product brands
— StarDental®, DentalEZ, CustomAir®, RAMVAC®, NevinLabs™ and Columbia Dentoform®
— DentalEZ Group manufactures everything
in the operatory from handpieces to chairs to
vacuum systems to dental simulation models,
creating a complete line of products to elevate
the health, comfort and efficiency of the dental
operatory. DT

Dental Tribune
| Month23A
2009
Industry
News
AD

[24] =>

[25] =>

Cosmetic TRIBUNE
The World’s Cosmetic Dentistry Newspaper · U.S. Edition

October 2009

www.dental-tribune.com

Vol. 2, No. 8

Tooth whitening: A conservative approach
By So-Ran Kwon, Korea

A beautiful smile tends to be associated with health, selfconfidence and happiness, and because of this, it influences
a person’s self-esteem and even social perception by others.
Among many other treatment options for obtaining a
beautiful smile, tooth whitening is a relatively cost-effective,
minimally invasive and highly effective treatment method.
The success rate, which depends mainly on the type of
discoloration, ranges from 90 to 97 percent. Satisfactory
retention of the color can be expected for one to three years
and may last up to 10 years post-treatment.
Sensitivity of the teeth and irritation of the gingiva are
common during tooth whitening; however, all side effects
cease upon completion of treatment.
Nevertheless, a comprehensive examination followed by
proper consultation is required to meet the patient’s esthetic
expectations with an emphasis on maximum conservation of
healthy dental tissue.

Case report

In many cases, patients are well aware of their dental problems and request specific dental treatment. In this case, a
33-year-old female patient wished for tooth whitening and
re-contouring of her prominent upper canines.
A comprehensive examination and smile analysis using
a spectrophotometer (Spectroshade, MHT) revealed healthy
dentition with a shade range between D4 and A4 (Fig. 1).
The upper right first premolar presented a cervical abfraction area with moderate sensitivity to cold. The left first premolar had a Class V composite resin filling with slightly worn
margins. Localized white decalcification areas were visible
on the upper lateral incisors (Fig. 2).
Tooth whitening, esthetic recontouring of the upper cuspids and a Class V composite resin filling on the right first
premolar were proposed to the patient. The possibility of
additional treatment of the upper lateral incisors was given
in case the white decalcification areas would not blend in
naturally with the whitened teeth.
Tooth whitening can be performed either at home with
the use of a relatively low concentration of whitening agent
delivered in a custom fabricated tray or in the office with
higher concentrations of hydrogen peroxide and a resin barrier to prevent the gel from irritating the soft tissue. Generally, the use of light activation to accelerate the procedure is
optional.
In order to obtain a favorable result in a relatively short
time, the patient preferred a combination of home and power
whitening. An alginate impression was taken before the
first in-office whitening session (Fig. 3). While the patient
received whitening of the upper arch for 40 minutes, a model
was poured and a customized tray was fabricated. Thus, it was
possible to deliver the upper tray and the home-whitening kit
on the day of treatment.
Routine explanations on the possibility of sensitivity to cold,
irritation to the gingiva and the limitations of whitening in the
cervical area were given to the patient. The patient was scheduled for her second in-office whitening session with an interval
of three to four days. During that time, home whitening was
performed for maximum efficacy of the treatment.
After the third in-office whitening session, a remarkable difference was observed between the upper and lower teeth (Fig.
4). Although the decalcification area on the left lateral incisor
was slightly more noticeable at this stage, the patient was very
happy about the distinct color difference between the upper
and lower teeth.
Treatment on the lower teeth was conducted in the same
manner as the upper teeth. She received three in-office whitening sessions on the lower arch with an interval of three to four

Fig. 1:
Smile
analysis
before
whitening.

days combined with home whitening.
Esthetic recontouring was cautiously
performed with 12 fluted carbide burs to
reduce the tips of the cuspids. The Class
V composite resin filling was placed two
weeks after whitening to allow for color
stability and recovery of bond strength of
the enamel.
At this stage, the decalcification area
finally blended in naturally with the whitened teeth (Fig. 5).
A smile analysis after treatment revealed
the efficacy of tooth whitening and confirmed that the treatment had been completed successfully (Fig. 6).
Shade changes can be measured as
shade guide units on a value-oriented,
classic Vita Shade Guide or as DE values

defined by the Commission Internationale
de l’Éclairage (CIE) L*a*b* color system.
DE is the shortest distance in the CIE
L*a*b* color space between the colors being
compared and is determined using the
equation: DE = (DL*2 + Da*2 + Db*2)1/2,
where L* represents lightness, a* corresponds to the red-green axis (positive value
indicates red, negative indicates green),
and b* corresponds to the yellow-blue axis
(positive value indicates yellow, negative
value indicates blue).
The shade change as indicated by DE
was obtained by overlapping the image of
the same tooth before and after tooth whitening (Fig. 7), using Spectroshade analysis
g CT page 2B

[26] =>

2B

Clinical

Cosmetic Tribune | October 2009

COSMETIC TRIBUNE

f CT page 1C

The World’s Dental Newspaper · US Edition

Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witteczek@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief Cosmetic Tribune
Dr. Lorin Berland
l.berland@dental-tribune.com

Fig. 2: Intra-oral view before whitening.

Managing Editor/Designer
Implant & Endo Tribune
Sierra Rendon
s.rendon@dental-tribune.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product & Account Manager
Mark Eisen
m.eisen@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com

Fig. 3: Power
whitening with
a light-activating device.

Sales & Marketing Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia E. Wehkamp
E-mail: j.wehkamp@dental-tribune.com

Dental Tribune America, LLC
213 West 35th Street, Suite 801
New York, NY 10001
Tel.: (212) 244-7181
Fax: (212) 244-7185

Published by Dental Tribune America
© 2009 Dental Tribune America, LLC
All rights reserved.

Cosmetic Tribune strives to maintain utmost
accuracy in its news and clinical reports.
If you find a factual error or content that
requires clarification, please contact Group
Editor Robin Goodman, at r.goodman@
dtamerica.com. Cosmetic 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.

Fig. 4: Distinct color difference between the upper and lower teeth.

Tell us what
you think!
Fig. 5: Intra-oral view after whitening.
g continued

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 Cosmetic Tribune?
Let us know by e-mailing feedback@
dtamerica.com. We look forward to
hearing from you!

[27] =>

Clinical

Cosmetic Tribune | October 2009
Tooth Number

#13

#12

#11

#21

#22

#23

Shade Guide Units

16.32

9.05

13.68

14.64

10.19

16.01

About the author

Summary of the shade changes of the six anterior teeth in terms of shade guide units and DE values.

Dr. So-Ran Kwon, founder and
president of the Korean Bleaching Society, lectures internationally on tooth whitening. She has
written many articles and books
on tooth whitening, including
the article Tooth Whitening in
Esthetic Dentistry, published by
Quintessence. She is currently a
visiting professor at Yonsei University and maintains a private
practice in Seoul, Korea. Kwon
can be contacted at smileksr@
hotmail.com.
software (Version 2.41).
An increase in DE after tooth
whitening is usually attributed to an
increase in L* values and a decrease
in b* values.
It is interesting to note that DE
values varied according to the tooth
although all teeth were treated with
the same concentration and same
exposure time.
This suggests that each tooth has
its own degree of whitening, which
is a very important factor that influences the efficacy of tooth whitening.
A combination of home and power
whitening gives the advantage of
faster whitening with the benefit
of monitoring and motivating the
patient throughout the treatment.

Conclusion

Fig. 6: Smile analysis after whitening.

Tooth whitening is a non-invasive,
economical and highly effective
esthetic treatment for creating a
bright smile.
It should always be considered in
esthetic treatment planning to provide patients with a beautiful smile,
giving them self-assurance and
bringing them happiness. CT

References
1.
2.
3.

4.
Fig. 7: Synchronization of the same tooth before and after whitening to measure the
shade change.

Chu SJ et al. Fundamentals of
color. Quintessence Publishing
Co. Inc., 2004.
Goldstein RE, Garber DA. Complete Dental Bleaching. Quintessence Publishing Co. Inc., 1995.
Haywood VB. Tooth Whitening Indications and Outcomes
of Nightguard Vital Bleaching.
Quintessence Publishing Co.
Inc., 2007.
Kwon SR, Ko SH, Greenwall L.
Tooth Whitening in Esthetic
Dentistry. Quintessence Publishing Co. Inc., 2009.

[28] =>

[29] =>

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

October 2009

www.dental-tribune.com

Vol. 2, No. 8

The global tobacco epidemic
Dental hygienists use tobacco ‘quitlines’ to help reduce its deadly toll
By C. Austin Risbeck, RDH, MS

Tobacco is the single most preventable cause of death in the world
today. In the 20th century, the tobacco epidemic killed 100 million people worldwide.
If current trends continue, during the 21st century, tobacco could
kill up to one billion people.1 Dental
hygienists are helping to change the
future of this devastating and preventable epidemic.

Why dental hygienists?

In the summer of 2003, I had the
pleasure of meeting Steven Schroeder, MD, former president of the
Robert Wood Johnson Foundation
AD

(RWJF). Schroeder set up the Smoking Cessation Leadership Center
(SCLC) at the University of California San Francisco.
Before leaving the RWJF he was
given a piece of advice: “Try working with dental hygienists.” It makes
sense because as dental hygienists,
we have more interaction time with
patients than many other clinicians,
and we can integrate prevention,
education and intervention into clinical practice.
The SCLC invited me, along with
13 other dental hygienists, to attend
a special workshop to develop a plan
for increasing the number of dental
hygienists who intervene with their
tobacco using patients.

Fig. 1: Adult
Prevalence of
Tobacco use
(Source: World
Health Organization)

Fig. 2: Hygienists give this Gold
Card with the California Smokers’
Helpline on it directly to patients.
As a task force, we addressed
two main barriers preventing dental hygienists from intervening with
patients who use tobacco — lack of
time and lack of training in tobacco
cessation.
To address these barriers, we
committed to an action plan that
would use as a core of its program
a quick, easy, three-step process:
ask about tobacco use; advise those
who use tobacco to quit; refer to a
tobacco quitline.
Referring tobacco users to a quitline tears down the barriers of not
having enough time or knowledge to
help tobacco users quit.
This brief tobacco cessation intervention model is now being used
by nurses, pharmacists, emergency
physicians, hospitals, family physicians, the Veterans Health Administration and diabetes educators, all
focused on the same goal — to save
lives by increasing cessation rates
and treatment interventions.

Why tobacco quitlines?

Tobacco quitlines, or behavior
change programs conducted over
the telephone, are in a position to
reduce the prevalence of tobacco
use. While tobacco use in the United
States and some industrialized countries is declining, it is growing in
countries like China and Ukraine
(Fig. 1).
Quitlines are best known for
providing behavioral counseling
to help callers develop a quit plan
and coach callers through the entire

Fig. 3: The grand prize for the
‘Log in to win!’ competition
was awarded to Jan Brooks,
RDH, who gave out 1,582
Gold Cards. She won a oneyear ADHA membership, a trip
to Washington D.C., roundtrip
airfare and hotel accommodations for four nights.

quitting process. Telephone quitline
counseling is effective with diverse
populations and has a broad reach.2
Unfortunately, quitlines reach
only 1 to 3 percent of the tobaccousing population per year.3
In the mid to late 1980s, Australia
and England were the first countries to establish broadly accessible
tobacco quitlines dedicated to helping tobacco users quit.
In 1992, the California Department of Health Services established
the first publicly funded quitline
using an evidence-based counseling
protocol.4
The California Smokers’ Helpline
has played a role in the adoption of
quitlines throughout most of North
America, Europe, Australia and in
many other locations around the
world.

The New California Gold Rush

California dental hygienists are rock
stars in tobacco intervention. No, we
haven’t received any gold records,
but we are giving away gold — Gold
Cards, that is.
The Gold Card (Fig. 2) is a tool
that dental hygienists use to promote
the California Smokers’ Helpline.
The Gold Card, made of thick,
durable plastic with the toll-free
helpline numbers on the front, is
designed to urge tobacco users to
call the helpline. The New California Gold Rush was developed as a
creative way to increase awareness
g HT page 2C

[30] =>

Editor’s Letter

Dear Reader,
It is time discuss the next step
toward possible publication of the
article you have been working on.
By now, several people should have
read the article and you have incorporated the necessary revisions.
In short, the article should answer
three important questions: Is the
main idea of the article apparent? Is
the article concise and to the point?
Does the article teach readers something or give them something to
think about?
Once you feel the article is a
good read, research which publications might be interested in printing
your article. Every publication typically has an author’s kit that will give
you the guidelines that need to be
followed for submission.
These guidelines will usually let
you know how long the article must
be, how to note references, and the
format they would like it submitted
in. You may be able to find these
requirements on the publications
Web site or request them from the

managing editor. Once you know the
requirements, make the necessary
changes to the article.
Most article submissions should
be sent to the managing editor, and
you should follow the submission
guidelines exactly. The contact information for the managing editor is
typically placed within what is called
an imprint, such as the one you see
to the right on this page. The imprint
can be at the front or back of a publication.
Once the article is submitted, it
may take the editor a while to notify
you of acceptance. If you decide to
submit the article to more than one
publication, as soon as it has been
accepted somewhere, be certain to
inform the editors of the other publications so they can remove it from
their consideration. In addition, it
is common courtesy to let an editor
know from the beginning that the
article you are submitting is also
being considered elsewhere.
Just because you submit the arti-

Hygiene Tribune | October 2009
cle does not mean it will be accepted,
but the managing editor will generally notify you within a reasonable
time period of his or her decision.
If the answer is yes, then congratulations! Please be certain you
understand the copyright rules if you
get this yes. Many publications will
hold the copyright to the article if
they publish it. This means you may
not publish the same article in any
other publication.
If the answer is no, take heart.
Submitting an article for consideration is a great learning experience.
If getting your work published is your
ultimate goal, then brush yourself off
and try again.
I am interested in hearing about
your progress so please do not hesitate to contact me about your adventures in publishing.
Best Regards,

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

Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witeczek@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Editor in Chief Hygiene Tribune
Angie Stone RDH, BS
a.stone@dental-tribune.com
Managing Editor/Designer
Implant Tribunes & Endo Tribune
Sierra Rendon
s.rendon@dental-tribune.com
Managing Editor/Designer
Ortho Tribune & Show Dailies
Kristine Colker
k.colker@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Product & Account Manager
Mark Eisen
m.eisen@dental-tribune.com

Angie Stone, RDH, BS
Editor in Chief

Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Sales & Marketing Assistant
Lorrie Young
l.young@dental-tribune.com

f HT page 1C
and utilization of helpline services.
The New California Gold Rush is
based on the research that demonstrates population-based promotion
increases quitline utilization.
When quitlines are continually
promoted, tobacco users utilize
them more often, thereby increasing chances more people will quit
using tobacco.5
The Gold Rush campaign first
began in 2004 and was re-launched
in 2008 when I was asked by the
SCLC to be the leader of a new campaign and bring together partners
that were interested in promoting
the helpline and who were interested in using dental hygienists to
help tobacco users quit.
The first goal of the campaign
was to increase the number of dental hygienists who ask about tobacco
use and refer tobacco users to the
helpline.
The second goal was to increase
the number of calls to the helpline
from dental hygienists and dental
offices. We used the Four Questions
Model to help us focus on the goals
and to implement an action plan.
Where are we now? According
to a baseline survey, 55.9 percent
of hygienists ask about tobacco
use. Fifty percent of hygienists
refer tobacco users to the helpline.
Helpline referrals from dental offices average about 10 calls per month.
Where do we want to be? The partnership agreed that we can increase
these percentages to 75 percent by
the year 2010, and to increase the
number of referrals from dental
hygienists and dental offices to 18
calls per month by 2010.
How will we get there? To reach
our target goals, the partnership

HYGIENE TRIBUNE

C.E. Manager
Julia E. Wehkamp
E-mail: j.wehkamp@dental-tribune.com

Fig. 4: If current trends continue, during the 21st century, tobacco could
kill up to one billion people.
agreed to participate in a wide
array of strategies to include a
partnered mailer, electronic communications with hygienists, a
Web site dedicated to the campaign and a yearlong incentivebased competition.
How will we know we are getting there? The partnership meets
every month by means of conference calls. During each conference
call we discuss our progress and
what it will take to reach our target
goals.
The helpline keeps track of
the calls from dental hygienists
and dental offices. We will survey
hygienists at the end of the competition (Nov.) and again in 2010.

‘Log in to win!’ competition

This was a year-long incentivebased competition to encourage
dental hygienists to intervene with
their tobacco-using patients. Participants kept track of how many
tobacco users they referred to the
helpline and received a Gold Card
from them.

Participants reported the number
of Gold Cards they gave out to tobacco users on a registration Web page
dedicated to the competition. Once
participants registered and reported
their referrals, they were eligible to
receive great prizes along the way.
A prize was awarded to the hygienist
with the highest number of referrals
at the end of each month.
Monthly participants were eligible
to receive a prize through a random
drawing. All registered participants
were eligible to compete for the
grand prize. The grand prize would
be awarded to the dental hygienist
who made the greatest number of
referrals to the helpline by the end
of the competition.
The grand prize was awarded to
Jan Brooks, RDH, who gave out
1,582 Gold Cards throughout the
course of the competition (Fig. 3).
The prize included a one-year ADHA
membership, trip to Washington,
D.C., roundtrip airfare, four nights
hotel accommodation and a crystal
g continued

Hygiene Tribune strives to maintain
utmost accuracy in its news and clinical
reports. If you find a factual error
or content that requires clarification,
please contact Group Editor Robin
Goodman, at r.goodman@dtamerica.
com. Hygiene 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.

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 Hygiene Tribune? Let us
know by e-mailing feedback@dtamerica.
com. We look forward to hearing from
you!
If you would like to make any change
to your subscription (name, address or
to opt out) please send us an e-mail at
database@dtamerica.com and be sure to
include which publication you are referring to. Also, please note that subscription changes can take up to 6 weeks to
process.

[31] =>

Hygiene Tribune | October 2009
f continued
award.
The grand prize was sponsored by
Philips Sonicare, makers of the Sonicare FlexCare. Philips Sonicare not
only offered to cover the expenses of
the grand prize, but also contributed
funds for some of the other prizes
being awarded.
Jan told me, “If I can educate
patients about the harmful effects of
smoking and help them quit, I feel I
have done my job.”

Conclusion

Recent studies have shown that
telephone quitline counseling has a
positive effect on tobacco cessation.
The use of a quitline offers a
unique supplement to dental hygienists that could enhance the likelihood of their patients’ quitting.
The New California Gold Rush
partnership believes referral to a
quitline may be an innovative way of
enabling dental hygienists to encourage and support their patients to quit
tobacco.
Schroeder once wrote: “One hundred years from now, people may
look back on the early 21st century
as the time when smoking started on
the path to extinction, and dental
hygienists will be rightly credited as
some of the genuine heroines and
heroes behind that triumph.” HT

References
1.

World Health Organization.
WHO Report on the Global
Tobacco Epidemic, 2008–The
MPOWER Package. Accessed on
October 1, 2008 at www.who.
int/tobacco/mpower/en.
Fiore MC, Jaén CR, Baker TB,
et al. Treating Tobacco Use

About the author
C. Austin
Risbeck, RDH,
served as
a consultant to the
Smoking
Cessation
Leadership Center at the
University of California San
Francisco, and he has been
involved in tobacco treatment
since 2003.
He assisted the state of New
York in creating a statewide
tobacco intervention program
and was the lead in The New
California Gold Rush. Risbeck
was a member of the ADHA
Tobacco Intervention Initiative
(TII) Advisory Committee for
six years.
Risbeck is a full-time dental
hygienist at the San Francisco
VA Medical Center. He can be
reached at:
Austin_RDH@comcast.net.

and Dependence: 2008 Update.
Clinical Practice Guideline.
Rockville, MD: U.S. Department
of Health and Human Services. Public Health Service. May
2008.
Zhu SH, Anderson CM, Tedeschi G, et al. Evidence of realworld effectiveness of a telephone quitline for smokers. N
Engl J Med 2002;347:1087–1093.
Anderson CM, Zhu SH. Tobacco Quitlines: looking back and
looking forward. Tobacco Control 2007;16(Supplement 1):i81–
i86.
Ossip-Klein DJ, McIntosh S.
Quitlines in North America: evidence base and applications. Am
J Med Sci 2003; 326(4):201–205.

Clinical

Fight oral cancer!
Hygienists have more interaction with patients than many other clinicians.
Prove to your patients just how committed you are to fighting this
disease by signing up to be listed at www.oralcancerselfexam.com.
This 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 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.
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?

[32] =>

This interactive DVD
is written, directed,
and narrated
by Dr. Stanley
Malamed, dentistry’s
leading expert in
the management
of medical
emergencies.

Dr. Stanley Malamed
Dentist Anesthesiologist

“You don’t get a chance to save a life
you’ve lost. So get it right...the first time.”

Contains 14 different situations that can and do arise in the dental office
Including Cardiac Arrest, Seizure, Allergic Reaction and many others...
Dr. Malamed breaks down these scenarios using high definition 3D
animations and stunning dramatizations.
Great for in-office training sessions or individual training.
7 Continuing dental education credits available.

Visit us at the 2009 Greater New York Dental Meeting
For Better Dentistry, booth no. 1801.

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

[cover] => DT U.S. 3109

[toc] => Array ( [0] => Array ( [title] => An interview with Dr. David Wong [page] => 01 ) [1] => Array ( [title] => Consumer group warns against zinc in denture cream [page] => 03 ) [2] => Array ( [title] => Suffering from the mid-career squeeze? [page] => 04 ) [3] => Array ( [title] => The ‘next big thing’ in dentistry [page] => 06 ) [4] => Array ( [title] => Protecting yourself from employee theft - fraud and embezzlement (part 2) [page] => 08 ) [5] => Array ( [title] => California Dental Association meets in San Francisco [page] => 10 ) [6] => Array ( [title] => ADA Review [page] => 11 ) [7] => Array ( [title] => Westerners have plenty to look forward to at DTSC Symposia [page] => 12 ) [8] => Array ( [title] => ‘The Best Seminar Ever’ [page] => 16 ) [9] => Array ( [title] => Milestone Scientific receives notice of allowance from U.S. Patent and Trademark Office [page] => 17 ) [10] => Array ( [title] => Industry News [page] => 18 ) [11] => Array ( [title] => Industry News [page] => 23 ) [12] => Array ( [title] => Cosmetic Tribune 8/2009 [page] => Supplement1 ) [13] => Array ( [title] => Hygiene Tribune 8/2009 [page] => Supplement2 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

[cached] => true )