Endo Tribune U.S. Edition AAE22 Daily Edition
Four days of endo / Foundation for Endodontics announces $500,000 pledge to benefit residents and academic leaders / AAE NEWS / Exhibitors
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[1] =>
AA
E2
2D
AIL
YE
DIT
IO
N!
ENDO TRIBUNE
The World’s Endodontic Newspaper · U.S. Edition
APRIL 27–30, 2022 — VOL. 6, NO. 1
www.dental-tribune.com
3-D TOMO COMES
TO DENTISTRY
WHAT MIE MEANS
TO ONE DENTIST
INVENTION, INNOVATION, REVELATION,
REVOLUTION
New tool can lead to more
clinical information and
more actionable diagnoses.
Dr. L. Stephen Buchanan
talks about what is needed
to meet today’s challenges.
How dynamic navigation
is leading the way into
endodontics’ future.
” page 6
” page 10
” page 14
Four days of endo
By Fred Michmershuizen, Endo Tribune
H
ow wonderful it is to be here
in Phoenix for AAE22. From
now until Saturday, endodontists can learn from some
of the top experts in the specialty, visit
with company reps offering the latest
products and technology, and — perhaps
most importantly — rub shoulders with
each other, literally.
It’s the first time in three years that
those who save teeth have been able to
gather in person under one roof. Welcome home.
The American Association of Endodontists has organized plenty of action for
those who have come to its long-awaited
reunion taking place here at the Phoenix
Convention Center.
But first, the ground rules, as necessitated by the ongoing COVID-19 pandemic: Everyone (including service providers,
Colin O’Brady is the keynote speaker at AAE22 in Phoenix. The renowned endurance athlete is scheduled to speak Wednesday afternoon from
4:30 to 6 p.m. in the North Ballroom. Photo/Provided by Colin O’Brady, via Wikimedia Commons
” See ENDO, page 2
Foundation for Endodontics announces $500,000
pledge to benefit residents and academic leaders
The Foundation for Endodontics, the
philanthropic arm of the American Association of Endodontics, has announced
that Endo1 Partners has committed to a
$500,000 pledge.
This pledge will allow the foundation
to further its mission, benefiting postgraduate endodontic residents and educators. Specifically, the five-year pledge
will be applied each year to a new schol-
arship for residents, the Foundation for
Endodontics & Endo1 Partners Annual
Meeting Resident Development Scholarship, along with the Foundation for Endodontics & Endo1 Partners ADEA Scholar.
The goal of the Resident Development
Scholarship is to financially assist residents in their final year of training who
will present either oral research, poster
research or a table clinic presentation.
The scholarship reimburses AAE annual
meeting eligible expenses up to $500.
“It’s important to us to take part in the
educational support that prepares future
dental professionals. Our commitment
allows us to contribute to continued advancements in the industry while playing a role in their pending careers,” said
Dr. Matthew Haddad, co-CEO and cofounder, Endo1 Partners.
In partnership, the foundation and
Endo1 Partners will sponsor one endodontic educator’s participation in the
American Dental Education Association
Leadership Institute annually. The ADEA
Leadership Institute helps to further develop dental faculty and enables a grow-
” See FOUNDATION, page 2
[2] =>
FROM PAGE ONE
2
Endo Tribune U.S. Edition | April 27–30, 2022
ENDO TRIBUNE
PUBLISHER & CHAIRMAN
Torsten Oemus
t.oemus@dental-tribune.com
PRESIDENT & CHIEF EXECUTIVE OFFICER
Eric Seid
e.seid@dental-tribune.com
GROUP EDITOR
Kristine Colker
k.colker@dental-tribune.com
MANAGING EDITOR
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
PRODUCT/ACCOUNT MANAGER
Humberto Estrada
h.estrada@dental-tribune.com
PRODUCT/ACCOUNT MANAGER
Maria Kaiser
m.kaiser@dental-tribune.com
CLIENT RELATIONS COORDINATOR
Lee Colquhoun
l.colquhoun@dental-tribune.com
ACCOUNTING COORDINATOR
Nirmala Singh
n.singh@dental-tribune.com
Endodontists attend a lecture presented by Dr. John J. Stropko at a previous AAE annual session. At AAE22, meeting attendees can partake in
as many as 28.5 hours of C.E. offerings, which are divided into numerous educational tracks. Photo/Endo Tribune file photo
“ ENDO, Page 1
exhibitors, AAE staff and guests) is required to provide proof of vaccination or
proof of a negative test taken within 48
hours of arrival.
As of press time, it was not determined
whether masks would be required, but
AAE recommends all attendees carry
a face covering at all times during the
meeting, as masking requirements may
change. Onsite testing is available for a
fee.
Now that the vaxing and masking is
covered, let’s get back to the endo, shall
we? The centerpiece of any AAE event,
of course, is the education. Offerings include hands-on sessions, lectures, panel
discussions and presentations offered
right on the show floor.
This year, meeting attendees can partake in as many as 28.5 hours of C.E.
offerings. The educational tracks are
as follows: Clinical/Ethical Dilemmas
(“Prickly Situations”); Interdisciplinary;
Non-Surgical Root Canal Therapy; Pain;
Practice Management/Teamwork; Surgi-
“ FOUNDATION, Page 1
ing pool of outstanding academicians to
become academic leaders in dental institutions. Endodontic education drives
the specialty forward, and supporting
endodontists in leadership positions
raises the profile of endodontics within
institutions.
“An opportunity to influence education and research, combined with ADEA’s
dedication to providing the support and
resources of future specialists in our
field, serves as the foundation of our
pledge,” Dr. Daryl Dudum, co-CEO and
cal Root Canal Therapy; and Submitted
Presentations. Check your meeting guide
or visit aae.org/aae22 for a complete listing of course titles, speakers, times and
locations.
For those unable to attend in-person,
select session livestreams are available
virtually.
“The AAE provides its members with
the highest quality of continuing dental education programs and chances to
hear from industry experts about new
technologies, the latest in safety and
health measures around COVID-19, pain
management without the use of opioids
and more,” meeting organizers said in
a press release issued before the event
commenced.
Also not to be missed here at AAE is the
General Session with Keynote Speaker
Colin O’Brady, taking place Wednesday
from 4:30 to 6 p.m. in the North Ballroom, where all of the main events at
AAE22 will also take place.
O’Brady completed the world’s first
solo, unsupported and unaided crossing
of Antarctica and is regarded as one of
the world’s best endurance athletes and
an expert on mindset. O’Brady will share
his inspirational, thought-provoking story and will tell audience members what
he has learned about the human mind
and how to unlock human potential.
Other events of note include the President’s Breakfast, featuring AAE President
Dr. Alan S. Law, taking place from 8 to
9:30 a.m. Thursday. The General Assembly is from 8:30 to 9:45 a.m. Friday, and
the Edgar D. Coolidge Awards Brunch is
from 10:15 a.m. to noon Saturday.
Also not to be missed is the exhibit
hall, located on Level 3, where company
reps are eager to talk to you about their
offerings. Show hours are Wednesday
from 9:30 a.m. to 4:30 p.m., Thursday
from 9:30 a.m. to 6:30 p.m. and Friday
from 9:45 a.m. to 5:30 p.m.
All during the meeting, attendees can
participate in the Endo Wellness Challenge, sponsored by EdgeEndo. Simply
use your smartphone or fitness tracking
device to count your steps and earn prizes, not to mention bragging rights.
So now that you have your “marching
orders,” it’s time for you to go out and explore! Enjoy the meeting!
co-founder, Endo1 Partners, said.
According to the foundation, these
awards will enable a growing pool of outstanding residents and academicians to
achieve new heights.
and development. By focusing on these
four concentrations, the foundation assists members of AAE in the pursuit of
excellence in their field and furthers
the vision of supporting endodontists in
their efforts to save natural teeth whenever possible.
The foundation supports every accredited endodontic program in the United
States and Canada, and offers funding
to educators, residents and departments.
For more information, visit foundation.
aae.org.
About the Foundation for
Endodontics
Founded in 1966 as the philanthropic
arm of the AAE, the Foundation for Endodontics (a 501(c)3 charity) encourages
and raises capital investment necessary
to sustain and further develop the specialty. Over the years, both its mission
and activities have evolved into four areas: research, education, access to care
(Source: Foundation for Endodontics)
Tribune America LLC
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Published by Tribune America
© 2022 Tribune America, LLC
All rights reserved.
Endo 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 Kristine Colker at
k.colker@dental-tribune.com.
Endo 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 Endo
Tribune or Tribune America.
EDITORIAL BOARD
Dr. Frederic Barnett
Dr. Roman Borczyk
Dr. L. Stephen Buchanan
Dr. Gary B. Carr
Prof. Dr. Arnaldo Castellucci
Dr. Unni Endal
Dr. Frnando Goldberg
Dr. Vladimir Gorokhovsky
Dr. Fabio G.M. Gorni
Dr. James L. Gutmann
Dr. William “Ben” Johnson
Dr. Anne L. Koch
Dr. Sergio Kuttler
Dr. John T. McSpadden
Dr. Richard E. Mounce
Dr. John Nusstein
Dr. Ove A. Peters
Dr. David B. Rosenberg
Dr. Clifford J. Ruddle
Dr. William P. Saunders
Dr. Kenneth S. Serota
Dr. Asgeir Sigurdsson
Dr. Yoshitsugu Terauchi
Dr. John D. West
Corrections
Endo 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 report the details to Managing
Editor Fred Michmershuizen at
f.michmershuizen@dental-tribune.com.
[3] =>
[4] =>
4
A AE NEWS
Endo Tribune U.S. Edition | April 27–30, 2022
AAE survey reveals
Americans eating fewer
sweets, resolving to
prioritize oral health
Fifty-six percent of Americans plan to drink fewer sugary drinks, cut back on candy/sweets or
reduce coffee or tea consumption. Photo/@konarska, freeimages.com
AD
It’s no surprise that cases of cracked
teeth and dental-related injuries have
risen throughout the pandemic — and it
may be due in part to pandemic-related
stress wreaking havoc on oral health.
According to a November 2021 survey
fielded by the American Association of
Endodontists, 81 percent of American
adults wish they had taken better care
of their natural teeth. More than half
(55 percent) wish their parent(s) had instilled better oral hygiene habits when
they were younger, and 43 percent admit
tooth pain or oral health issues negatively affects their productivity or ability to
focus.
In other findings, more than a quarter
(26 percent) of Americans feel others
would find them more attractive and
about one in six (16 percent) feel they
would have a more active dating life if
they took better care of their teeth.
However, there is hope: 76 percent
intend to prioritize their oral health in
2022. And they’re not just thinking of
themselves, as nearly seven in 10 (69 percent) would consider giving a toothbrush
(electric or manual) to someone for a gift.
Other findings:
• 66 percent plan to brush or floss their
teeth more often.
• 56 percent plan to drink fewer sugary
drinks, cut back on candy/sweets or reduce coffee or tea consumption.
• 36 percent want to improve the appearance of their teeth.
• 19 percent will resolve to quit or reduce teeth grinding.
AAE President Dr. Alan S. Law said:
“Major tooth pain can strike at any time
or place, and it’s critically important that
patients seek treatment from a skilled
dental specialist right away when this
happens. AAE’s recently improved online directory can help patients more easily connect with an endodontist in their
area when they need relief from tooth
pain, want to save their natural teeth via
root canal treatment or need to receive
immediate care for other dental-related
emergencies.”
The AAE commissioned Atomik Research (a division of 4media group) to
conduct an online survey of 1,004 American adults. The makeup of the sample
is statistically representative of the U.S.
population based on the national census
data regarding gender, age and geographical regions.
The margin of error for the overall sample (N=1,004) fell within +/- 3 percentage
points with a confidence interval of 95
percent. Fieldwork took place between
October 14-18, 2021. Atomik Research is
an independent market research agency.
(Source: American Association
of Endodontists)
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[6] =>
6
EXHIBITORS
Endo Tribune U.S. Edition | April 27–30, 2022
Introducing Triton, the
all-in-one irrigation solution
By Brasseler USA Staff
Despite the introduction of several
unique devices to aid in endodontic irrigation, the fact remains that NaOCl is
buffered when it comes into contact with
inorganic dentinal debris.
EDTA aids in dentinal debris dissolution, but it also buffers NaOCl, so clinicians must use high volumes of multiple
irrigation solutions, which requires additional steps, irrigants, syringes and
needles.
But now there is a solution with Triton, according to Brasseler USA. Triton
is a patent pending all-in-one irrigation
solution that allows for synergistic and
simultaneous dissolution of organic and
inorganic debris.
According to the company, Triton permits the clinician to use lower volumes
of irrigation solution and ensures maximum clinical efficiency. Unlike traditional irrigants or other 2:1 solutions, Triton works differently by avoiding the use
of EDTA and CHX altogether.
By using a lower concentration of NaOCl and a patent-pending proprietary
Testimonial and images/Provided by Brasseler USA
blend of surfactants and gentle chelating
agents, Triton is the first irrigant to deliver all of the benefits of NaOCl, EDTA and
CHX in a single-step all-in-one irrigation
solution. The non-NaOCl components in
Triton proactively dissolve the dentinal
debris, allowing for a lower concentration of NaOCl (also included in Triton) to
be exposed to organic debris without as
Here in Phoenix
Visit booth No. 713 to learn more about Brasseler
USA’s latest innovations and to take advantage of
exclusive AAE22 show specials.
much buffering.
With Triton, the company asserts,
irrigation is no irritation at all.
PORTRAY brings 3-D tomo to intraoral imaging
Here in Phoenix
By Surround Medical Systems Staff
To learn more about 3-D tomo, the PORTRAY System and Surround Medical Systems, stop by the
Intraoral tomosynthesis is now
available to dentists nationwide. The
PORTRAY System is the first stationary
intraoral tomosynthesis X-ray imaging
device to receive 510K premarket clearance from the FDA and is the result of
two decades of discovery, innovation and
development.
With the power of 3-D tomo, dentists
can obtain more clinical information,
resulting in more actionable diagnoses.
The power of intraoral tomosynthesis
imaging has been optimized to give the
dentist more information about teeth,
root conditions and bony structures.
The PORTRAY System has been designed to fit into a space similar to that
of a conventional 2-D intraoral imaging
device. It deploys a faster sensor that
acquires images from an array of focal
spots.
The PORTRAY System uses a complex
algorithm to create a volume of images
that can be scrolled through in 0.5 mm
“slices,” revealing internal tooth condi-
booth, No. 124.
The PORTRAY System is the first stationary intraoral tomosynthesis X-ray imaging device to
receive 510K premarket clearance from the FDA. Photo/Provided by Surround Medical Systems
tions such as fractures and caries. With
the power of 2-D synthetic imaging, the
image can also be rotated to open interproximal contacts.
The dentist will not have difficulty
reading the 3-D tomo X-rays: If you can
read a 2-D X-ray, you can read a PORTRAY
System X-ray.
Workflows for technical staff are similar to conventional 2-D intraoral imaging. Tomosynthesis has been long used in
other fields, such as mammography, with
greater clinical effect than that of 2-D.
3-D tomo should not be confused with
CBCT, as it deploys an entirely different
imaging method and generates intraoral
images with greater resolution.
The PORTRAY System is offered by Surround Medical Systems.
Dr. Enrique Platin, retired professor
at The Adams School of Dentistry, University of North Carolina at Chapel Hill,
said in a statement: “In 70 years, this is
the first viable X-ray device that changes
how clinicians see dental structures on
intraoral images.”
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[8] =>
8
EXHIBITORS
Endo Tribune U.S. Edition | April 27–30, 2022
X-Guide is the first navigation
system approved by FDA for
navigated endodontics
By X-Nav Technologies Staff
The X-Guide® Dynamic Navigation
system has gained worldwide popularity for delivering surgeons the ability
to perform more accurate and precise
dental implant procedures compared
to freehand surgery, according to X-Nav
Technologies, the company behind the
technology.
In fact, more than 175,000 dental implants have been surgically placed using
the X-Guide system.
Now, patients and dentists can benefit
from achieving more precise and minimally invasive access to tooth structures
needing endodontic treatment — such as
calcified canals, apicoectomies and molar access of affected teeth.
“X-Guide dynamic navigation is an extremely accurate solution to a common
endodontic challenge: calcified root canal systems,” said L. Stephen Buchanan,
DDS, FICD, FACD, of Santa Barbara, Calif. “With X-Guide, I can perform minimally invasive root canal therapy (RCT)
with much more predictability and less
stress.”
Using the X-Guide’s patented X-Point
technology, the dentist gains a live view
of the patient’s 3-D anatomy to guide
drill movements during surgery to precisely navigate their drill to an exact access location for more effective endodontic procedures.
New tools in the X-Guide software
make navigation easy to integrate into
the endodontic workflow, such as the
virtual Prep feature for planning and
following an ideal drill path, integration
with high-speed handpieces and X-Mark
virtual registration for small, medium
and large field-of-view CBCTs.
Combining 3-D imaging with X-Guide
navigation allows dentists to locate and
access endodontic tooth structures more
precisely, which is useful to:
• achieve less invasive access and prep
of calcified and hidden canals.
• minimize damage to anatomical
structures.
• preserve tooth structure.
• reduce intra-operative imaging and
save time.
• perform minimally invasive apicoectomy and root-end access.
“The X-Guide Dynamic Navigation System has not only provided a solution to
Using the
X-Guide’s
patented
X-Point
technology,
dentists can
gain a live view
of a patient’s
3-D anatomy to
guide drill
movements
during surgery
to precisely
navigate their
drill to an exact
access location
for more
effective
endodontic
procedures.
Photos/Provided
by X-Nav
Technologies
Here in Phoenix
To learn more about the X-Guide Dynamic Surgical
Navigation for single implants, full arch reconstruction and endodontics, stop by the booth, No. 526, or
go online to www.X-NavTech.com.
A look at the X-Guide software’s new virtual
Prep path tool.
the calcified tooth, it may also be used
to reduce structural weakening of teeth
through minimally invasive endodontic
procedures,” said Dr. Charles Maupin,
DDS, of Lubbock, Texas.
Several studies have been published
showing the evidence-based clinical advantages of navigated endodontics using
the X-Guide system.
According to a study conducted by the
University of Maryland School of Den-
tistry: “The dynamic navigation system
was more accurate and more efficient
in root-end resection in a cadaver model
than the freehand technique. The dynamic navigation system has the potential to be a safe and reliable technological
addition to endodontic microsurgery.”1
Dr. Frederico Martinho, DDS, M.Sc.,
PhD, and clinical associate professor,
said: “Our recent studies with X-Guide
focused on minimally invasive access
cavity, post removal, locating calcified
canals and endodontic microsurgery. It
has the potential to improve accuracy
and reduce surgical time and operator
mishaps.
“Both the endodontic residents and I
were able to quickly master the technology — the learning curve was not steep
for novel or experienced endodontists.”
“As X-Guide surgical navigation became an integral part of dental implant
surgery, it was clear that expanding access to our technology could improve
provider capabilities and patient experiences with endodontic procedures. I’m
proud of our talented team of clinical
and engineering masterminds for being
able to deliver the benefits of surgical
navigation to more dental professionals,”
said Edward Marandola, president, CEO
and co-founder of X-Nav Technologies.
To read more about the benefits of XGuide Dynamic Surgical Navigation for
single implants, full arch reconstruction
and endodontics, visit www.X-NavTech.
com.
Reference
1. Accuracy and efficiency of guided root-end resection using a dynamic navigation system: a human
cadaver study. O Dianat, A Nosrat, B Mostoufi, J B
Price, S Gupta, F C Martinho. PMID: 33368371,
DOI: 10.1111/iej.13466.
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[10] =>
10
EXHIBITORS
Endo Tribune U.S. Edition | April 27–30, 2022
PlanB and MIE: The new look
of exceptional endodontics
By L . Stephen Buchanan, DDS, FACD,
FICD, Dipl. ABE
It has been interesting times lately in
the field of endodontics. In many ways,
our new materials, tools and techniques
have radically improved clinicians’ efficiency and efficacy — the best examples
being the introduction of rotary negotiation, single-file shaping and 3-D obturation of bioceramic sealers.
For me, the really intriguing aspects of
endodontics revolve around MIE (minimally invasive endodontics) and EIP
(enhancing irrigation performance). MIE
— because we can do better than simply
succeed in our RCT, only to lose the tooth
five to 15 years later because of structural
failure. EIP — because it’s one thing to
cut a smaller shape in a root canal, but
it’s an entirely different thing to kill all
the bacteria and digest all pulp remnants
while working through smaller passageways.
What is clearly needed are new concepts, tools and techniques specifically
designed to empower us to meet these
two complementary challenges. The
potential payoff is improving our longterm success while re-establishing RCT
as a single-visit procedure.
What is MIE? Minimally invasive endodontics means different things to different clinicians. Our most talented
endodontists have been competing
for some time to see who can do a perfect RCT through the smallest access
opening(s). However, all of us involved in
this MIE quest have experienced failures
because of the much, much greater difficulties attendant to this approach.
For me, MIE isn’t about doing root canals through impossible “Ninja” access
cavities, although I love a challenge as
much as the next endodontist.
My definition of MIE is saving as much
tooth structure as is practical without reducing the probabilities of success. MIE is
not saving so much tooth structure that
the tooth is lost because of inadequate
treatment.
How do we do this? MIE preparations
begin with the use of small, guided access burs and are completed with rotary
instruments having maximum flute diameter limitations (Figs. 1 and 2) to completely control cervical enlargement.
Holistically considered MIE treatment
requires this preparation be completely
disinfected and all pulp tissue remnants
be digested — preferably in a single visit.
Timing is the most critical variable influencing technological advancement,
Fig. 1 (far left). These two posterior teeth
with severe canal curvatures are treated
with miniKUT Rotary Files (PlanB Dental).
Note the multiple lateral portals of exit
cleaned and filled despite the minimalistic
shaping.
Case courtesy of Dr. Charles Maupin.
Fig. 2 (near left). This lower molar was
completely negotiated and shaped with just
a single 15-.03 and 15-.05 miniKUT Rotary File,
preserving dentin coronally as well as all the
abrupt canal curves.
Case courtesy of Dr. J.T. Crepps.
Figs. 3a-d (below left). This severely pulpitic
#18 was treated in a single visit, using a
miniKUT 15-.03 to negotiate and shape the
mesial canals and a 20-.05 miniKUT file to
accomplish the same in the distal canal.
After instrumentation was completed (in the
presence of EDTA), the tooth was staged and
catheterized for PulpSucker irrigation, after
which 75 ml of 8 percent NaOCl was
vacuum-drawn through the root canal
system during 18 minutes of hands-off PS
procedure time. Note the never-touched
7 mm long mid-mesial canal with its own
lateral portal of exit and the delta pattern of
filled lateral canals in the apical part of the
distal root. Most important: Note the
complete osseous regeneration of peri-radicular bone in less than a year.
Case by Dr. L. Stephen Buchanan
Here in Phoenix
To learn more about PlanB and such products as the
PulpSucker and the miniKUT Rotary Files, stop by
the booth, No. 125.
and this truism is evident in the rapid
strides being made in both MIE and irrigation procedures. These advances are
synergistic because MIE begs for better
irrigation methods while enhanced irrigation efficacy make cutting tooth structure less and less important.
To accomplish this in a cost-effective
manner, we have created a multi-cannular, negative pressure irrigation system
we named PulpSucker (by PlanB Dental).
Early clinical trials of PulpSucker, used
in single-visit treatment of severely inflamed pulpitis cases, are returning very
promising results as reported by patients
on the night of the procedure.
The coolest thing about PS irrigation?
PulpSucker’s elegant design optimizes
irrigation outcomes through established
scientific protocols. Instead of requiring
an $80K machine, PS irrigation continuously, simultaneously delivers effective
concentrations of NaOCl into all primary
canals, cleaning the smallest lateral recesses in less than 15 hands-off minutes
(Figs. 3a-d).
(Author’s note: PlanB Dental is a startup
dedicated to empowering clinicians to
achieve exceptional MIE RCT results.)
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EXHIBITORS
12
Endo Tribune U.S. Edition | April 27–30, 2022
Keep your chin up, neck straight,
eyes forward with Infinity VUE
By Designs for Vision Staff
Designs for Vision has several new and
innovative products, including the Infinity VUE, Panoramic Field and REVEAL.
Designed to provide a straightforward
approach to ergonomics, Infinity VUE
loupes are available from Designs for Vision in 3.0x and 3.5x magnification.
Infinity VUE (Vision Up Ergonomics)
keeps your chin up, your neck straight
and your eyes forward while viewing the
magnified oral cavity. You need to try
these loupes on to see (and feel) the difference in your posture.
The new patented Panoramic Field
Loupes (US pat. 8928975B2) represent
the most significant advancement in
telescope design in more than 100 years,
according to the company. The viewable
areas are twice as large as prismatic expanded field designed loupes and up to
five times greater than Galilean loupes.
Panoramic Field loupes provide
unprecedented field of view, clarity, definition and color, according to the company.
Designs for Vision is also offering
REVEAL (US pat. 10215977B1), which provides hands-free fluorescence enhanced
theragnosis (FET). REVEAL supplies the
visual information to support decision making and facilitate proper treatment options in cariology, oral hygiene,
periodontology-implantology and restorative dentistry.
Another Designs for Vision product
is the patented (US pat. 8,851,709 &
RE46,463) intuitive response technology
of the Micro IR HDi headlight. The patented IR feature allows you to operate
the headlight with hands-free operation.
Infinity VUE loupes, one of many new innovations available from Designs for Vision, are designed to help improve posture.
Photo/Provided by Designs for Vision
Onboard biometrics sense the position of
the headlight to turn the light on when
you are working and turn the light off
when you look up.
Designs for Vision’s WireLess headlights free you from being tethered to a
battery pack. The simple modular designs
uncouple the headlights from a specific
frame or single pair of loupes. The compact design of the LED DayLite WireLess
headlights is independent of any frame/
loupes.
Here in Phoenix
You can see the Visible Difference yourself by visiting Designs for Vision at booth No. 719, or you can
contact the company to arrange a visit in your office
by calling (800) 345-4009 or emailing info@dvimail.
com.
Products you trust at prices you like
Stop by booth No. 433
to learn more
Here in Phoenix
By Predictable Surgical Technologies
Staff
Predictable Surgical Technologies
wants you to know it looks forward to
serving you and your practice with a
wide range of quality products at reasonable prices.
You can give the company a call at (866)
586-1211, and staff will be happy to answer any questions, or you can go online
to pstshop.com.
Predictable Surgical Technologies is
dedicated to supplying high-quality supplies for professionals in the dental industry. The company’s goal is to provide
its customers with the products they desire while minimizing their costs.
To learn more about Predictable Surgical Technologies, stop by the booth, No. 433.
Predictable Surgical Technologies offers more than 500 manufacturers with
access to more than 600,000 products. It
has been in business for almost 20 years
and has established business relation-
ships with more than 220 manufacturers
throughout the world.
The company asserts that it works to
help you save money while using the
same products you know and trust.
[13] =>
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EXHIBITORS
14
Endo Tribune U.S. Edition | April 27–30, 2022
Dynamic navigation: Invention,
innovation, revelation, revolution
(Photo/Provided by ClaroNav)
By Dr Kenneth S. Serota, DDS, MMSc
Here in Phoenix
To learn more about ClaroNav’s dynamic navigation,
stop by the booth, No. 827.
Fifty years ago, Apollo 11, after a computer-guided voyage of 250,000 miles,
orbited the moon. Neil Armstrong,
avoiding house-sized boulders and dangerously steep inclines, was able to safely
fly the lunar lander onto Tranquility Base
assisted by AGC computers.
In the field of endodontics, the accuracy of dento-osseous freehand navigation has been heightened by the magnification and illumination capabilities
of microscopes and the spatial plane
coordinates of cone-beam computed
tomography. Minimally invasive access
penetration and osteotomies have mitigated unnecessary structural removal.
The preservation of the tooth framework
ensures its capacity to sustain adverse
functional stresses.
The fundamental concern with the use
of freehand navigation is that, at its best,
the axis angulation can be as off as much
as 2.0 mm, which is inconsistent with diminished structure removal.
3-D printers and intraoral scanners
have definitively altered the procedural
landscape of endodontics. Static navigation stents are used to enhance the accuracy of access preparation and trephine
dedicated microsurgery.
Although stents are an effective evolution in procedural protocols, there are
limitations to their use. Stents are cumbersome and bulky. Their use can be
restricted by insufficient interocclusal
space in posterior and anterior regions
and minimal space for microsurgical
access. Their fit can be compromised by
fabrication inadequacies, and of greatest
significance, the predetermined pathway
is unalterable.
Dynamic navigation is used extensively in neurosurgery, spinal and orthopedic surgery. Endodontics is embracing
this technology as an integral part of a
new triad: CBCT, dynamic navigation and
laser/sound/fluid dynamic irrigation.
Estimates place the global population
older than age 65 at 615 million. Years of
dentate and periodontal disease can have
an impact on the pulp, the periapex and
peri-radicular tissues. With longevity
will come the need for targeted accuracy
as increasing numbers of complex endodontic procedures occur.
Dynamic navigation facilitates realtime computer guidance technology using a CBCT dataset. This is analogous to
the use of GPS and satellite navigation.
Trace and Place (TaP), which has been
developed by the Canadian company
ClaroNav, eliminates the need for a fiducial stent, thus reducing the workflow
time as well as the need for an extra
registration scan. This also eliminates
the concern of needing the fiducial positioned in exactly the same position during the surgery as it was during the scan.
A stereoscopic camera tracks tags connected to the patient’s jaw and to the
instrument specific to the procedure.
A navigation screen shows the instrument’s movement on the CBCT as it fol-
lows the planned pathway.
Dynamic navigation is invaluable in
tracking MB2 canals, middle mesial canals and C-shaped canals. Removal of
fibre posts is simplified, the use of piezotomes facilitates guided cortical window
procedures, and 6mm trephines can create a minimal crypt and resect the apex.
It has been demonstrated in vitro that
dynamic navigation technology can be
used to track ultrasonic tips.
Innovation in dentistry occurs when
there is a willingness to explore and
improve both diagnosis and treatment.
The challenge is to cohesively marry the
equipment and materials to new software applications.
Safer and less invasive protocols are
the direction of dentistry’s future. Dynamic navigation is proving to be the
pilot. Improvement in stereoscopic cameras, the resolution of computer screens,
optical markers and the reference array
to the patient and the instrumentation
used will herald an unprecedented level
of accuracy in all patient-centric dental
procedures.
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