Endo Tribune U.S. No. 11, 2013
Interview: ‘The practice of endodontics is exciting’ / Mineral trioxide aggregate revisited: A cement for all seasons / New AAE site accessible from all devices / Education / Industry
Interview: ‘The practice of endodontics is exciting’ / Mineral trioxide aggregate revisited: A cement for all seasons / New AAE site accessible from all devices / Education / Industry
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https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/61126-b6511f4e/epaper.pdf [pages_text] => Array ( [1] => ENDO TRIBUNE The World’s Endodontic Newspaper · U.S. Edition november 2013 — Vol. 8, No. 8 www.dental-tribune.com Interview ‘The practice of endodontics is exciting’ Edgar D. Coolidge Award recipient Dr. Samuel O. Dorn speaks about his career By Fred Weinstein, DMD, MRCD(C), FICD, FACD, Editor in Chief, Roots Magazine S amuel O. Dorn, DDS, received the American Association of Endodontists’ highest honor, the Edgar D. Coolidge Award, given for leadership and exemplary dedication to dentistry and endodontics, during the AAE Annual Session, held earlier this year in Honolulu. Dorn has given much of his time to the AAE and various other dentistry associations while also dedicating his career to education. Since 2009, he has served as professor and chair of the department of endodontics and director of the advanced specialty education program in endodontics at the University of Texas Health Science Center at Houston. Previously, he was a professor of endodontics at the University of Florida while also maintaining a private practice in Fort Lauderdale, Fla. He is also the founding director of postgraduate endodontics at Nova Southeastern University. During his career he has received many awards honoring his dedication to the dental community, has written numerous articles and textbook chapters and has lectured extensively throughout the United States, Europe and Latin America while representing and supporting endodontics. In addition to serving as president of the AAE from 2002 to 2003, Dorn served as director and treasurer of the American Board of Endodontics and is a past president of several local endodontic organizations. Dr. Samuel O. Dorn with his wife, Lindy, at the AAE meeting in Honolulu. Photos/Provided by AAE After the AAE meeting, Dorn answered some questions. What are your thoughts on receiving the Coolidge Award? I feel very honored and humbled to receive an award for doing what I loved to do and for giving back to the profession that has given me and my family a good life. Our patients are the recipients of the AAE’s striving to save teeth. Our aim is to improve the health of the patients we serve. I am very humble to be listed with many of the giants of the endodontic profession as we continue to have forward-thinking leaders who are future recipients of this award. ” See ENDODONTICS, page D2 Mineral trioxide aggregate revisited: A cement for all seasons By Gary Glassman, DDS, FRCD(C) Pulpal and periradicular pathology develop when the dental pulp and periradicular tissues become exposed to microorganisms. In experimental, germfree conditions, pulpal and periradicular tissues do not show the development of pathosis and associated lesions when exposed to bacteria.1,2 The conclusion: Microorganisms are the main irritants of the dental pulp and periodontium, and sealing the pathways of communication between the root canal system and the periradicular tissues is imperative if bacterial leakage is to be Fig. 1: MTA Angelus (Angelus, Londrina, Brazil), available in resealable vials. Photos/Provided by Gary Glassman, DDS, FRCD(C) prevented. An ideal orthograde or retrograde fill- Fig. 2: Radiograph of a necrotic lower left second premolar with large periradicular radiolucency with an incompletely formed root, both longitudinally and laterally. ing material that seals the pathways of communication between the root ca- nal system and its surrounding tissues should be non-toxic, non-carcinogenic, biocompatible, insoluble in tissue fluids and dimensionally stable.3,4 Furthermore, the presence of moisture should not affect its sealing ability; it should be easy to use and be radiopaque for recognition on radiographs. 4 Because existing restorative materials used in endodontics did not possess these “ideal” characteristics, 4 mineral trioxide aggregate (MTA) was developed and recommended initially as a root-end filling material and subsequently has been used for pulp capping, pulpotomy, ” See MTA, page D4[2] => interview d2 Endo Tribune U.S. Edition | November 2013 “ ENDODONTICS, Page D1 ENDO TRIBUNE What made you decide to go into endodontics? When I graduated from dental school I wanted to be a general dentist, because I truly enjoyed every facet of dentistry. When I was in the Air Force at Bolling Air Force Base, three of us were selected to rotate through the different specialties. My first rotation was endodontics, and it turned out to be just what I liked. I was able to help people by relieving their pain, and I found that working in small spaces suited my personality because I liked constructing model cars and planes as a kid. Is there one thing you like best about the specialty? I am very proud of the specialty of endodontics and what we have done to help our patients save their teeth. Since we first became a specialty in 1963, endodontists have been in the forefront of education for the general dentists, as evidenced by the fact that more than 80 percent of the endodontic treatments in the United States are done by the GPs. The practice of endodontics is exciting in that we are constantly evolving with new instruments and techniques, whether it’s the use of rotary NiTi files, microscopes, cone-beam computed tomography or regeneration of the pulp. I am also excited about new advances yet to be discovered. Looking back on your career, who influenced you the most? There are actually two people who influenced me the most. The first was Dr. Louis Glatt, chair of endodontics at Fairleigh Dickinson University, who instilled in me a love for, and the importance of, endodontics as a future career path. He helped me to decide where to apply and, Publisher & Chairman Torsten Oemus t.oemus@dental-tribune.com President/CEO Eric Seid e.seid@dental-tribune.com Group Editor Kristine Colker k.colker@dental-tribune.com Editor in Chief ENDO Tribune Frederic Barnett, DMD barnettF@einstein.edu Managing Editor ENDO Tribune Fred Michmershuizen f.michmershuizen@dental-tribune.com Managing Editor Sierra Rendon s.rendon@dental-tribune.com Managing Editor Robert Selleck, r.selleck@dental-tribune.com Product/Account Manager Jan Agostaro j.agostaro@dental-tribune.com Dr. Samuel O. Dorn with his family. once I was accepted, encouraged me to volunteer as faculty at the school. He had me teach in the clinic my first semester and then gave me the assignment of developing a syllabus for the senior honors course in endodontics, which I truly enjoyed. His enthusiasm for teaching stayed with me during my graduate program and into my private practice days. The second person to influence me was Dr. Richard Moodnik, my program director. He taught me that I could teach and become board certified even while operating a private practice. His knowledge and enthusiasm stayed with me for the rest of my career. On a personal note, is there something that people might be surprised to know about you? I have worked since I was 12 years old, when I had a job delivering newspapers. In order to get through dental school I Product/Account Manager Humberto Estrada h.estrada@dental-tribune.com drove a taxicab in New York City. I still keep my taxi driver’s license over my desk to remind myself how far I have come since those days. Do you have anything you would like to add? Endodontic treatment, when done correctly, yields extremely high success and survivability rates, which our profession is always striving to increase. We have an AAE Foundation to help support endodontic research and education with an endowment of more than $20 million contributed mostly by members and industry, and that allows us to use more than $1.5 million per year for these research and education endeavors. This endowment benefits our patients, as well as the future of our profession. I therefore would like to encourage everyone who reads this interview to donate or to increase their donation. New AAE site accessible from all devices A new website from the American Association of Endodontists is designed to make it easy for dental professionals and patients to get the information they need. At www.aae.org, visitors can navigate to clinical information about treatment planning and regenerative endodontics, or patient education on dental symptoms and a step-by-step explanation of a root canal procedure. The AAE’s goal with the new website is to get visitors where they need to be with a simple click of a button or tap of a finger. “More frequently, people are accessing information on the go, and in the first six months of the year more than onequarter of visitors to the AAE website used a mobile device,” said AAE President Dr. Gary R. Hartwell. “Responsive design gives our visitors the best possible user experience whether they’re using a desktop computer, tablet or smartphone.” The new www.aae.org now features a simplified, topic-based menu, with content reorganized for quick, intuitive searching. AAE members have access to exclusive, members-only content in the new Member Center, a broad collection of practice management resources and a customizable experience in their “my AAE membership” portal. The newly designed www.aae.org offers easy access to information from anywhere. Photo/Provided by AAE Marketing director Anna Kataoka-Wlodarczyk a.wlodarczyk@dental-tribune.com Education DIRECTOR Christiane Ferret c.ferret@dtstudyclub.com Tribune America, LLC 116 West 23rd Street, Suite 500 New York, NY 10011 Phone (212) 244-7181 Fax (212) 244-7185 Published by Tribune America © 2013 Tribune America, LLC All rights reserved. Tribune America strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please contact Managing Editor Fred Michmershuizen at f.michmershuizen@dental-tribune.com. Tribune America cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Tribune America. Editorial Board Frederic Barnett, Editor in Chief Dr. Roman Borczyk Dr. L. Stephen Buchanan Dr. Gary B. Carr Prof. Dr. Arnaldo Castellucci Dr. Joseph S. Dovgan Dr. Unni Endal Dr. Frnando Goldberg Dr. Vladimir Gorokhovsky Dr. Fabio G.M. Gorni Dr. James L. Gutmann Dr. William “Ben” Johnson Dr. Kenneth 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 Tell us what you think! “The AAE’s vision is to exceed expectations and strive for perfection in our services to all dental professionals and the public,” Hartwell said. “The new www.aae. org will connect visitors with authoritative endodontic resources using the best available website technologies. Through the AAE website and other digital communications channels, we hope to educate and support the dental community, as well as patients, with access to clinical newsletters, treatment planning information, patient education and much more.” Any outlets with an interest in endodontics, including clinical and patient information, are encouraged to link to AAE web pages to educate a wider audience about the importance of saving teeth. (Source: AAE) 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 Endo Tribune? Let us know by e-mailing feedback@dental-tribune.com. We look forward to hearing from you! If you would like to make changes to your subscription (name, address or to opt out) please send us an e-mail at database@dental-tribune.com and be sure to include which publication you are referring to. Also, please note that subscription changes can take up to 6 weeks to process.[3] => [4] => clinical D4 “ MTA, Page D1 apexogenesis, apical barrier formation in teeth with open apices, repair of root perforations and, most recently, in revascularization cases. MTA has been recognized as a bioactive material.5,6 MTA has been shown to seal off the pathways of communication between the root canal system and surrounding tissues, significantly reducing bacterial migration.7 It is made up of fine hydrophilic particles that set in the presence of water, and it is composed of tricalcium silicate, dicalcium silicate, tricalcium aluminate, tetracalcium aluminoferrite, calcium sulfate dihydrate (gypsum) and bismuth oxide, which provides it with radiopacity.8 Portland cement is the most common type of cement in general use around the world, used as a basic ingredient of concrete, mortar, stucco and most nonspecialty grout. It usually originates from limestone. MTA is available as gray MTA and white MTA. The crystalline structure and chemical composition of gray and white MTA are similar, except for the presence of iron in gray MTA. Both contain bismuth oxide and calcium silicate oxide. Portland cement is composed mainly of calcium silicate oxide and does not contain bismuth oxide but does contain potassium. Calcium oxide is added in both Angelus white and gray MTA (Angelus, Londrina, Brazil) to reduce the setting time, which is too long in MTA cements of other brands (Fig. 1). MTA has a similar mechanism of action to calcium hydroxide9 in that the main component of the material, calcium oxide, when in contact with a humid environment, is converted into calcium hydroxide.10 This results in a high pH of 12.5, making its surroundings inhospitable for bacterial growth and producing an antibacterial effect for a long period of time. But unlike calcium hydroxide products, such as Dycal® and MTA Angelus, it has very low solubility, so it maintains a hard, excellent marginal seal. Finally, unlike most dental materials, MTA actually needs moisture to set, so it thrives in a moist environment. Of the commercially available MTA products, MTA Angelus is well suited for most of the indicated endodontic procedures because of its setting time of 10 minutes, compared with the four-hour setting time of the other commercially available MTA. It is also packaged in air-tight bottles, allowing the practitioner to use only what is exactly needed, without introducing undue moisture into the remainder and without waste.11 Endodontic revascularization Treatment of the immature, non-vital tooth with apical pathology presents several challenges. The mechanical cleaning and shaping of such a tooth with a blunderbuss canal is difficult, if not impos- Endo Tribune U.S. Edition | November 2013 the undifferentiated mesenchymal cells at the periapex, leading to the deposition of a calcific material at the apex as well as on the lateral dentinal walls.12 A case of mistaken identity Fig. 3: EndoVac apical negative pressure delivery system (Axis/SybronEndo, Coppel, Texas). Fig. 4: After the triple antibiotic paste is inserted into the canal, a temporary restoration is placed. Fig. 5: Blood clot is induced and MTA Angelus (Angelus, Londrina, Brazil) is placed over top, and then the tooth is restored with bonded composite. Fig. 6: Three-month recall reveals excellent longitudinal apical and lateral dentin development. Fig. 7: One-year recall radiograph reveals that definitive endodontics had been completed by the patient’s new dentist. sible, to achieve predictably. The thin, fragile lateral dentinal walls can fracture during mechanical filing, and the large volume of necrotic debris contained in a wide root canal is difficult to completely disinfect.12 A new technique is presented to revascularize immature permanent teeth with apical periodontitis. The canal is disinfected with copious irrigation and a combination of three antibiotics. After the disinfection protocol is complete, the apex is mechanically irritated to initiate bleeding into the canal to produce a blood clot to the level of the cementoenamel junction. A double seal of the coronal access is then made, first with MTA over the blood clot and then a bonded composite. The combination of a disinfected canal, a matrix into which new tissue could grow, and an effective coronal seal appears to have the ability to produce an environment necessary for successful revascularization.13 The development of normal, sterile granulation tissue within the root canal is thought to aid in revascularization and stimulation of cementoblasts or A 15-year-old girl of Asian descent was referred to the author’s private endodontic clinic for evaluation on the lower left second premolar. The healthy young patient with an unremarkable medical history presented with a history of buccal swelling of the left mandibular area and discomfort to direct pressure on the tooth. On clinical examination, the patient was asymptomatic, and the tooth appeared intact, without caries. The presence of an enamel pearl on tooth #45 suggested that one may have been present on this tooth, which was fractured during function, resulting in a microexposure and necrosis of the pulp. The tooth had an open apex associated with a large radiolucency (Fig. 2). Periodontal probings were within normal limits for all teeth in the lower left region. Diagnostic testing was negative to cold and electric pulp testing, with mild sensitivity on percussion and palpation. Because of the presence of a wider than 4 mm open apex and thin dentinal walls prone to possible future fracture,14 it was felt that an attempt to achieve regeneration of the pulp should be made by a technique similar to that described by Rule and Winter 15 and Iwaya et al.16 An access cavity was made, purulent hemorrhagic drainage obtained, and the necrotic nature of the pulp confirmed. The root canal was slowly flushed with 20 ml of 5.25 percent NaOCl for 15 minutes. It was delivered with the master delivery tip and the macro canulae of the EndoVac apical negative pressure delivery system (Axis/SybronEndo, Coppel, Texas) (Fig. 3). The canal was dried with paper points, and a mixture of ciprofloxacin, metronidazole and minocycline paste as described by Hoshino et al.17 was prepared into a creamy consistency and spun down the canal with a lentulo spiral instrument to a depth of 8 mm into the canal. The access cavity was closed with a sterile cotton pellet placed in the chamber and blue Cosmecore (Cosmedent, Chicago) (Fig. 4). The patient returned three weeks later and was asymptomatic. The access was opened and the canal again flushed with 20 ml of 5.25 percent NaOCl for 15 minutes. It was delivered in the same manner as in the first visit with the master delivery tip and the macro canulae of the EndoVac apical negative pressure delivery system. The canal appeared clean and dry, with no signs of inflammatory exudate. A #30 K-file was introduced into the canal until vital tissue was felt at a depth of 10 mm into the canal space. It was used to irritate the tissue gently to create some bleeding into the canal. The bleeding was stopped at a level of 5 mm below the level of the CEJ and left for 30 minutes, so that the blood would clot at that level. ‘MTA has been shown to seal off the pathways of communication between the root canal system and surrounding tissues, significantly reducing bacterial migration.’[5] => clinical Endo Tribune U.S. Edition | November 2013 After 30 minutes, the presence of the blood clot to approximately 5 mm apical of the CEJ was confirmed. White mineral trioxide aggregate, MTA Angelus, was carefully placed over the blood clot and allowed to set for 20 minutes. After confirmation was achieved of its set, a bonded composite was placed and the patient was scheduled for follow-up in three months. Unfortunately, the MTA was placed further apically then would have been preferred (Fig. 5). At the three-month follow-up appointment, the patient was totally asymptomatic, and the radiograph showed complete resolution of the radiolucency, with closure of the apex and thickening of the dentinal walls. Pulp testing was inconclusive (Fig. 6). At the one-year follow-up appointment, the radiograph revealed that treatment had been performed on this tooth by another dentist, different from her original dentist who made the initial referral. The new dentist, not familiar with revascularization treatment performed, had entered the root canal space, cleaned it out and obturated it with gutta-percha and sealer. Fortunately, the treatment was successful (Fig. 7). Conclusion The future of endodontics is bright as we continue to develop new techniques and technologies that will allow us to perform treatment painlessly and predictably and continue to satisfy one of the main objectives in dentistry — to retain the natural dentition wherever possible and wherever practical. References 1. 2. 3. 4. 5. 6. Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol 1965; 20; 340–349. Moller AJR, Fabricius L Dahlen G, Ohman A, Heyden G. Influence of periapical tissues of indigenous oral bacterial and necrotic pulp tissue in monkeys. Scand J Dent Res 1981; 89; 475–484. Torabinejad M, Pitt Ford TR. Root end filling materials: a review. Endod Dent Traumatol1996;12:161–178. Ribeiro DA. Do endodontic compounds induce genetic damage? A comprehensive review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:251–256. Enkel B, Dupas C, Armengol V, et al. Bioactive materials in endodontics. Expert Rev Med Devices 2008;5:475–494. that is hard tissue conductive (7). Moretton TR, Brown CE Jr, Legan JJ, Kafrawy AH. Tissue reactions after subcutaneous and intraosseous implantation of 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. 7. 8. 9. 10. 11. 12. mineral trioxide aggregate and ethoxybenzoic acid cement, hard tissue inductive, and biocompatible. J Biomed Mater Res 2000;52:528–533. Torabinejad M, Hong OU, Pitt Ford TR. Physical properties of a new root end filling material. J Endodon 1995; 21; 349–353. Dentsply Tulsa Dental. ProRootTM MTA Root canal repair material; Material safety data sheet (MSDS). Arnaldo Castellucci, MD, DDS. The Use of Mineral Trioxide Aggregate in Clinical and Surgical Endodontics. Dentistry Today, March 2003. Duarte MA, Demarchi AC, Yamashita JC, Kuga MC, Fraga Sde C. pH and calcium ion release of 2 root-end filling materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003 Mar;95(3):345–347. Boksman L, DDS, Friedman M, MTA: The New Material of Choice for Pulp Capping, Oral Health Dental Journal August 2011. Shah N, Logani A, Bhaskar U, Aggarwal V, Efficacy of Revascularization to Induce 13. 14. 15. 16. 17. Apexification/Apexogensis in Infected, Nonvital, Immature Teeth: A Pilot Clinical Study JEndo, Volume 34, Number 8, August 2008 pp 919–924. Banchs F, Trope M, Revascularization of Immature Permanent Teeth With Apical Periodontitis: New Treatment Protocol? J EndoVol. 30, No. 4, April 2004 pp 196–200. Cvek M. Prognosis of luxated non-vital maxillary incisors treated with Endod Dent Traumatol 1992;8:45–55. Rule DC, Winter GB. Root growth and apical repair subsequent to pulpal necrosis in children. Br Dent J 1966;120:586–590. Iwaya S, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent Traumatol 2001;17:185–187. Hoshino E, Kurihara-Ando N, Sato I, et al. In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996;29:125–130. D5 Gary Glassman, DDS, FRCD(C), graduated from the University of Toronto, Faculty of Dentistry in 1984 and graduated from the endodontology program at Temple University in 1987, where he received the Louis I. Grossman Study Club Award for academic and clinical proficiency in endodontics. The author of numerous publications, Glassman lectures globally on endodontics, is on staff at the University of Toronto, Faculty of Dentistry, in the graduate department of endodontics, and is adjunct professor of dentistry and director of endodontic programming for the University of Technology, Jamaica. He is a fellow of the Royal College of Dentists of Canada and the endodontic editor for Oral Health dental journal. He maintains a private practice, Endodontic Specialists, in Toronto, Ontario, Canada. He can be reached through his website, www.rootcanals.ca. AD[6] => D6 education Endo Tribune U.S. Edition | November 2013 New endo program is established at University of Tennessee D From left: Dr. David J. Clement, program director for the Department of Endodontics at UTHSC; John Voskuil of DENTSPLY Tulsa; Ken Brown, executive vice chancellor for University of Tennessee Health Science Center (UTHSC); and Dr. Adam Lloyd, chair, Department of Endodontics, UTHSC. ENTSPLY Tulsa Dental Specialties recently made a significant donation to help establish the University of Tennessee’s new Advanced Specialty Education Program in Endodontics. The university used the funds to purchase endodontic equipment featuring the latest technology that is housed in a newly renovated, state-of-the-art teaching facility located on the university’s Health Science Center (UTHSC) campus in Memphis, Tenn. The new clinic is named after the company in honor of its contribution. “Ultimately, we are driving better dentistry practices by helping to fund endodontic programs like the one at the University of Tennessee,” said John Voskuil, vice president and general manager of DENTSPLY Tulsa Dental Specialties. “Offering an enhanced education to these students provides health benefits to the entire community because they train on the latest equipment and technologies.” Previously, UTHSC College of Dentistry students had to leave the state to receive endodontic training. The addition of the Advanced Specialty Education Program in Endodontics was a long-time goal at the College of Dentistry and a demonstration of its commitment to giving patients in the community more options when a higher level of endodontic care is necessary. With the new clinic, students are immersed in Photo/ Provided by DENTSPLY Tulsa Dental Specialties a total digital operatory with custom endodontic carts, digital radiography, conebeam tomography, practice management software and microscopes connected to high-definition plasma screens. “We would not have been able to launch this program without the support and collaboration of partners like DENTSPLY,” said Adam Lloyd, BDS, MS, chair of the department of endodontics at the College of Dentistry. “As a teaching program for the endodontic specialty, our goal is to provide a clinical setting that comes as close to a real-life practice as possible. DENTSPLY is a recognized leader in endodontic best practices and our partnership with them is a tremendous asset in training our residents using the best available technology.” University of Tennessee officials and representatives from DENTSPLY unveiled the new facility by holding a ribbon cutting and community open house on Sept. 6. (Source: DENTSPLY Tulsa Dental Specialties) Essential Dental Seminars expands curriculum E ssential Dental Seminars, a division of Essential Dental Systems, has announced the 2014 dates for its award-winning, two-day courses at its Hands-on Dental Education Center in South Hackensack, N.J., just six miles outside New York City. Educational topics include access, instrumentation, obturation, posts, core buildup material, overdenture, equipment, practice building and management. The upcoming expanded course syllabus includes “How to Gain New Patients and Grow Your Practice,” to be presented Feb. 7 by dental marketing specialist Carolyn Azan, and “Achieving Predictability Through Simplicity in Implant Treatment,” to be presented March 28 by periodontist Dr. Robert Jaffin. The Hands-on Dental Education Center is a 2,000-square-foot research facility that is outfitted with state-of-the-art equipment. For the past 15 years, Essential Dental Seminars has been recognized worldwide as a leader in the field of endodontics. Essential Dental Seminars is now expanding its C.E. curriculum to include the latest research, studies, practice management techniques and tools dentists need to succeed. Essential Dental Seminars has secured an exclusive relationship with the Marri- Courses are offered at the Hands-on Dental Education Center, located in South Hackensack, N.J. Photo/Provided by Essential Dental Systems ott at Glenpointe, located minutes away from the Hands-On Dental Education Center, and provides a complimentary shuttle service for two-day lectures. In addition to a discounted room rate, seminar guests receive complimentary highspeed Internet access. More information about the courses and a schedule for 2014 is available at www.essentialseminars.org. (Source: Essential Dental Seminars)[7] => Endo Tribune U.S. Edition | November 2013 industry D7 Wykle Research offers Calasept Endo line W ykle Research offers Calasept Endo products, which it distributes for Nordiska Dental of Sweden, the manufacturer of Calasept and Calasept Plus. Calasept Irrigation Needles are highquality, double-side-vented, luer-lock irrigation needles that optimize the cleansing of canals, creating a “swirl effect.” The needles are available in 27 g or 31 g, in packs of 40 needles. Features include the following: • Bendability • Luer-lock hub • Sterile and disposable • Designed for ease in cleaning roots • High-quality stainless steel Calasept Irrigation Syringes are 3 ml luer-lock, single-use syringes. They are color coded to eliminate risk when using multiple irrigation liquids. They are available in packs of 20 syringes, 10 white and 10 green. Features include the following: • High-quality, three-part syringe • Color coded • Luer lock These products complement Wykle’s popular Calasept line, which includes Calasept and Calasept Plus calcium hydroxide paste for temporary filling of root canals, sold in packages of four syringes with 20 needles. Calasept EDTA is Evolution XR6 The Evolution XR6, available from Seiler, offers six levels of magnification, ranging from 2X to 19X, all apochromatic lenses for superior optics, an ultra-bright LED illumination system and a smooth, functional design, according to the company. Specs include a six-step turret magnification system (2.3x, 3.2x, 5x, 8.2x, 12.8x, 19x); 250 mm objective lens (175 mm to 400 mm available); and a standard counterbalance system. Live video and digital camera accessories are available. Also available for Seiler microscopes is a new pantographic arm with an additional 8 inches of reach and a completely redesigned carrier, designed for a faultless, smooth movement. Contact Seiler at (800) 489-2282 to schedule a free demonstration, or visit www. seilermicro.com for more information. (Source: Seiler) The Evolution XR6 Photo/Seiler From left: Calasept Irrigation Needles and Calasept Irrigation Syringes. Photos/Provided by Wykle Research 17 percent EDTA solution. Calasept CHX is 2 percent chlorhexidine solution for irrigation. Both solutions are packaged with a luer adaptor for easy filling of syringes. For more information, contact Wykle Research at (800) 859-6641 or visit www. wykleresearch.com. (Source: Wykle Research) AD[8] => ) [page_count] => 8 [pdf_ping_data] => Array ( [page_count] => 8 [format] => PDF [width] => 765 [height] => 1080 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] => [cover] => [toc] => Array ( [0] => Array ( [title] => Interview: ‘The practice of endodontics is exciting’ [page] => 01 ) [1] => Array ( [title] => Mineral trioxide aggregate revisited: A cement for all seasons [page] => 01 ) [2] => Array ( [title] => New AAE site accessible from all devices [page] => 02 ) [3] => Array ( [title] => Education [page] => 06 ) [4] => Array ( [title] => Industry [page] => 07 ) ) [toc_html] =>[toc_titles] =>Table of contentsInterview: ‘The practice of endodontics is exciting’ / Mineral trioxide aggregate revisited: A cement for all seasons / New AAE site accessible from all devices / Education / Industry
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