today daily ADA Annual Session San Francisco Oct. 18, 2012
ADA News / LVI regional events: the future of dentistry / The evolution of sinus lift techniques / Exhibitors
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[1] =>
th
e ADA
!
DAIL
Y AT
DENTAL TRIBUNE
The World’s Dental Newspaper · U.S. Edition
THURSday, october 18, 2012 — Vol. 6, No. 1
www.dental-tribune.com
Go regional
A case of photos
Powder time
Forget having to travel
across the country to get
educated. LVI brings its
courses to you.
One dentist puts his
camera where his words
are and details his quest
for anterior esthetics.
Take a break from
dentistry and go hit the
slopes of British Columbia
for a few days.
” page 4
” page 10
” page 22
Meet the future
Hundreds of continuing
education courses
and more than 600
exhibiting companies
are waiting for you
T
he American Dental Association’s 153rd Annual Session and
World Marketplace Exhibition
may just be getting started, but
already there is a lot happening.
First thing this morning, political pundits Robert Reich and George F. Will will
take the stage as part of the 2012 Distinguished Speakers series. Reich is one of
the world’s leading thinkers about work
and the economy. Now professor of public policy at the University of California
at Berkeley, he has served under three national administrations, most recently as
secretary of labor under Bill Clinton. He
also served on President Barack Obama’s
economic transition board.
Will is one of the country’s most widely read political columnists, as well as a
foremost conservative voice. His twiceweekly column for The Washington Post
” See FUTURE, Page 2
The North and South Moscone Center at night. Photo/Provided by The Moscone Center
2,000 smiling children and counting
ADA’s Give Kids A Smile
three-day screening program
helps kids in San Francisco
More than 2,000 San Francisco children benefitted from three days of free
oral-health screenings, education and
treatment at two schools and a hospital
earlier this week.
About 150 dentists, hygienists, dental
students, dental staffs and other volunteers participated in the Give Kids A
Smile program to help underserved chil-
dren receive needed oral-health education and services.
The American Dental Association
(ADA) collaborated with the San Francisco Dental Society, the San Francisco
Department of Public Health, Colgate’s
Bright Smiles Bright Futures and the National Children’s Oral Health Foundation
for the local events.
“The San Francisco Dental Society has
a long history of partnering with the San
Francisco Department of Public Health
and San Francisco Unified School District
to provide oral health services and education to San Francisco’s children,” said
Dr. Courtney Fitzpatrick, president, San
Francisco Dental Society. “We are delighted to expand this year’s efforts as part of
the ADA’s GKAS program.”
Program activities were held at Gordon
J. Lau Elementary School, E.R. Taylor Elementary School and San Francisco General Hospital.
All children took home backpacks of
donated materials, including a toothbrush and toothpaste from Colgate’s
Bright Smiles Bright Futures program as
well as a Sesame Street’s Healthy Teeth,
Healthy Me outreach kit.
“More than 16 million children have
untreated tooth decay, which gets worse
over time, resulting in persistent pain,
infection and embarrassment,” said ADA
President Dr. William R. Calnon. “Give
Kids A Smile is the ADA’s signature oral
health access program designed to encourage parents, health professionals
and policymakers to address the yearround need for oral health care for all
children.”
Celebrating its 10th year, the ADA’s
National Give Kids A Smile volunteers
provide free oral health care services to
more than 400,000 underserved children across the country each year.
[2] =>
2
“ FUTURE, Page 1
syndicate reaches nearly 500 newspapers throughout the United States and
Europe, and he appears regularly on
ABC’s This Week. In 1976, he became a
regular contributing editor of Newsweek
magazine, for which he provided a bimonthly essay until 2011.
Both Reich and Will will sit with ADA
leadership for a candid Q&A session following their introductory presentations.
Educational offerings
The ADA Annual Session offers attendees
the choice of more than 280 continuing
education courses, with more than half
of the lecture courses offered complimentary with registration. More than 60
hands-on workshops will be held, including a new hands-on cadaver workshop
offered at the University of the Pacific,
Arthur A. Dugoni School of Dentistry.
Ad
ADA news
Here at the ADA
For more information on any part of the ADA Annual
Session, download the mobile app by searching for
“ADA Annual Session 2012” in the app store.
Attendees can also choose from unique
learning opportunities, such as six livepatient courses in the “Education in the
Round” learning format and a variety of
high-tech courses in the ADA C.E. Hub
featuring dental lasers, CAD/CAM systems, 3-D imaging systems and more.
Options for new dentists
If you graduated from dental school less
than 10 years ago, there are a number of
offerings you might find of interest, including a “New Dentist Track.” Courses
include “The Psychology of Pediatric
Dentistry,” “Diagnosis-Based Pain and
Infection Management,” “Full-Arch Implant Restorations,” “The Top 20 Game
Dental Tribune Daily U.S. Edition | October 18, 2012
Changers of 2012,” “Advanced Social
Media Marketing Strategies,” “Dental
Implant Restorative Workshop,” “New
Dentist Fast Track” and “Perinatal Oral
Health and Dental Practice.”
There will also be a New Dentist Reception on Friday night from 5:30–7 at
ROE Restaurant, just a half-block from
Moscone Center. Tickets are $15 and include light fare and two beverage tickets.
Exhibit hall
The World Marketplace Exhibition will
feature more than 600 leading suppliers
of dental products and services. It is open
each day from 9:30 a.m. to 5:30 p.m. In
addition to checking out the booths, you
can also enjoy a New Orleans-themed
reception on Saturday from 4–5:30 p.m.,
enter to win contests and drawings and
visit the Product Showcase.
(Source: American Dental Association)
DENTAL TRIBUNE
The World’s Dental Newspaper · US Edition
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Robin Goodman r.goodman@dental-tribune.com
Editor in Chief Dental Tribune
Dr. David L. Hoexter d.hoexter@dental-tribune.com
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Managing Editor
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
Gina Davison g.davison@dental-tribune.com
Product & Account Manager
Mara Zimmerman
m.zimmerman@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
Project and Events Coordinator
Sergio Cardoso l.young@dental-tribune.com
C.E. Manager
Christiane Ferret c.ferret@dtstudyclub.com
Tribune America, LLC
116 West 23rd St., Ste. #500
New York, N.Y. 10011
(212) 244-7181
Published by Tribune America
© 2012 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 Managing Editor Robert Selleck at r.selleck@
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 Tribune America.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
Tell us what you think!
Do you have general comments or
criticism you would like to share? Is
there a particular topic you would like
to see articles about in Dental Tribune?
Let us know by e-mailing feedback@
dental-tribune.com. We look forward to
hearing from you! If you would like to
make any change to your subscription
(name, address or to opt out), 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
six weeks to process.
[3] =>
[4] =>
education
4
Dental Tribune Daily U.S. Edition | October 18, 2012
LVI regional events:
the future of dentistry
By LVI Staff
Feel like you’re stuck in a rut? Need
a change? Having a hard time getting
things going with the worry about the
economy? This is your golden opportunity to regain control of your practice
and recapture your passion for dentistry.
Think about attending a Las Vegas Institute for Advanced Dental Studies LVI Regional Event. You have the opportunity
to discover the path that will lead to both
personal and professional satisfaction.
As a dentist, you may have heard about
LVI and even considered taking a course,
but you simply cannot justify spending
the money or going through the trouble
to bring a patient all the way to Las Vegas to find out what LVI is all about. That
makes this the best time to attend one of
our regional events, especially if you are
feeling bored with the same thing every
Ad
Contact
You don‘t have to
make a trip to LVI
headquarters in
Las Vegas to learn
what the program
is all about. Attend a
regional event close
to you instead.
For more information, go to www.LVIGlobal.com,
like LVI on Facebook at www.facebook.com/LVI
Global or follow LVI on Twitter at @LVIGlobal.
day or feel stuck with the old way of doing things and just can’t seem to get out
of the rut you are in.
LVI one- and two-day regional events
are designed to share with the participants a more professionally satisfying
and profitable way to practice dentistry.
You will receive valuable information
about LVI’s esthetic and occulsal philosophies that are revolutionizing our profession.
Among the several things you will
learn during the course of the meeting
are how to create a golden age of dentistry
in your own office, how to take a T.E.N.S.
bite for optimal position to restore your
cases and how to turn your patients into
Photo/Provided by LVI
guests and make it easier for them to accept comprehensive treatment. Finally,
hear from our experienced LVI regional
directors about their personal journey
and how you can create one, too.
By attending a regional event, you will
take the first step toward boundless opportunities for you and for your patients’,
whose lives will change for the better.
Regional events are held throughout
the year in different locations throughout the United States and Canada. Visit
www.lviglobal.com/regional-events for a
schedule and more information.
Attending a regional event will give
you tools to make a better income and
afford better equipment, but while that
is great, the most important thing it will
do is allow you to deliver better quality
of care and a higher quality of living for
your patients. It is time for you to learn
firsthand what LVI is all about — and
once you have experienced it, enjoy the
benefits of your education and training.
[5] =>
[6] =>
6
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Dental Tribune Daily U.S. Edition | October 18, 2012
The evolution
of sinus lift
techniques
By Andrew Kelly, DDS
When Dr. O. Hilt Tatum performed his sinus lift
technique in 1975, I wonder if he had any idea of how
it would evolve or the controversies that would surround this procedure. I can say there exist as many
techniques as there are opinions on how the procedure should be performed and who should perform
it.
A sinus lift is a surgery that adds bone to the maxilla in the area of the molars and premolars. It’s sometimes called a sinus augmentation. The bone is added
between the floor of the maxillary sinus and the Schneiderian membrane. To make room for the bone, the
sinus membrane has to be moved upward, or “lifted.”
Any dentist who is trained to do it can do a sinus lift.
Tatum, the originator of the procedure, is a general
dentist.
There are two basic methods for performing the sinus lift technique. The first method is the lateral window technique, which was described by Boyne in 1960.
The procedure was used by Boyne to achieve an optimal intercrestal distance needed for denture making.
The sinus lift techniques have undergone numerous modifications through the years. In 1975, Tatum
was the first to perform the lateral window technique
in conjunction with autogenous bone grafting for
the purpose of placing dental implants in the newly
formed bone. Although the lateral window technique
is highly invasive, it is a necessary procedure. In 1994,
Summers, who was in pursuit of a less invasive sinus
lift method, made the surgical protocol easier by offering the crestal approach or osteotome technique.
Initially, the osteotome technique was used for compressing the soft maxillary bone to improve primary
stability of implants and to increase success rates of
implants placed in the posterior maxilla. After a period of success using the technique for bone compression, Summers started floor dilatation of the sinus,
thus increasing the length of his implants. When the
technique was first introduced, there were two significant disadvantages that limited this technique’s indications.
The first disadvantage was the limited heath that the
sinus could be raised. Initially, Summers was able to
successfully lift the membrane 1–3 mms. The second
limitation was the inability to directly visualize the
membrane. The technique was initially performed
with convex osteotomes by using the sinus floor to
lift the membrane. After the membrane is lifted, bone
grafting material is the used to hydraulically lift the
Schneiderian membrane. Today, using modern technologies such as piezoelectric units and balloons as
well as crestal approach kits, which use saline, we are
now able to achieve height gains that rival those of the
lateral window technique, with little concern for membrane perforation.
So where are we today? Very few practitioners, including Tatum, routinely use autogenous bone for si-
Photo/Provided by Dr. Andrew Kelly
About the author
Andrew Kelly, DDS, is a graduate of California State University,
Long Beach, and received his DDS degree from Howard University.
He received his advanced implant training from the Core-Vent Institute in Encino, Calif., and the Medical College of Georgia in Augusta,
Ga. He is a diplomate of The American Board of Oral Implantology/
Implant Dentistry, a fellow of the AAID, a fellow of the AGD and a
member of the ICOI, the AACD and the AO. Kelly owns and operates
Dental Center of the Carolinas, a private cosmetic and implant dental practice. He is also co-owner of Dental Office Solutions, a dental
staffing, consulting and training center for cosmetic and implant
education.
Contact
To attend one of Dr. Andrew Kelly’s educational seminars, visit
www.dentalofficesolutions.com.
nus augmentation. One of the main reasons is there
are several excellent alternative bone-grafting materials available that don’t require a secondary surgical
site and provide very similar results to autogenous
bone. So one question that is being asked a lot lately
is: Is autogenous bone the “gold standard”? The jury is
still out, but there is a lot of evidence out there that
suggest it is not. Only time will tell.
The lateral window technique is being used more
sparingly these days. There are several methods available that have allowed us to effectively raise the Schneiderian membrane 5–7 mms or more routinely and
place the implant simultaneously, as long as we have
enough crestal bone to get primary stability. This technique is safer for the patient, and it reduces the chance
that an infection will occur.
Lastly, with the evolution of safer and more predictable sinus lift methods, more dentists are able to successfully perform the procedure, which allow more
patients to have implants in the posterior maxilla.
Implant dentistry is a discipline that requires the
practitioner to possess a wide range of skills. As the
technology improves, it will open the door to a wider
dissemination of implant dentistry into our society
and help to increase the quality of life for many patients that need our help.
Technology will never replace knowledge and skill;
however, it can and will lower the learning curve and
help more practitioners provide state-of-the-art services to their patients.
[7] =>
[8] =>
8
exhibitors
Dental Tribune Daily U.S. Edition | October 18, 2012
Does your implant training
meet the proposed guidelines?
Recommendations catch up to legal standard-of-care
expectations for general dentists placing implants
By Ken Hebel, BSc, DDS, MS, Certified
Prosthodontist, and Reena Gajjar, DDS,
Certified Prosthodontist
Ad
Until recently, implant dentistry was
considered to be a therapy that was primarily provided by dental specialists,
and as such, training regulations were
not an issue because most specialties
incorporate implant therapy into their
Here at the ADA
For more information on implant training, stop by
the Hands On Training booth, No. 5369.
residency programs. With implant dentistry becoming more mainstream and
being incorporated into general practices, educators and licensing bodies are
starting to set training guidelines and
parameters for practice.
Background
Several years ago, the Institute for Dental Implant Awareness (IDIA) released a
document, “Recommended C.E. Training
Protocols to Meet the Legal Standard of
Care for Implant Placement.” Although
not legally enforceable, this document
provided some guidelines for continuing education programs to meet the
standard of care for implant therapy.
These guidelines were based on existing
guidelines in the United Kingdom and
reviewed by many dentists, both general
dentists and specialists.
The release of such a document indicates the awareness by the profession for
guidelines to be established, both for the
protection of patients and the profession.
Many undergraduate dental schools
do not offer a full curriculum in implant
dentistry. As such, many dentists are required to obtain their implant education
through post-graduate continuing education programs.
With the proliferation of implant
courses, it is critical to be aware of the
training that is considered adequate by
the profession in order to embark on
implant therapy in your practice. It has
been established that short-duration
programs (one to three days in length)
cannot fulfill the minimum standard
that the profession considers appropriate
for training in implant dentistry.
Standard of care
Did you know that although a licensed
dentist can perform any dental procedure, if a general dentist chooses to perform treatments that are not routinely
performed by general dentists, the law
holds all practitioners to the same standard of care that would be provided by
specialists providing similar treatments?
As such, it is imperative that dentists
who are not formally trained in implant
therapy pursue educational programs
that meet and exceed the minimum
guidelines that are proposed by not only
the profession but by their licensing
body.
Recently, the Royal College of Dental
Surgeons of Ontario (Canada), the licens-
[9] =>
Dental Tribune Daily U.S. Edition | October 18, 2012
ing body for dentists in Ontario, released
a draft document proposing minimum
standards of educational requirements
for any dentist performing implant therapy. Although this document applies
only to dentists in Ontario, it is suggestive of the direction of the profession in
establishing standards and indicative of
what current practitioners of implant
therapy consider the minimum educational requirements.
In addition, although these requirements are not legal requirements, when
a licensing body takes these steps to provide recommendations regarding training, it can be assumed that should an issue arise for a dentist providing implant
therapy, the college and other involved
parties will defer to these recommendations regarding the type and scope of
training that dentist received.
Cross-training
One interesting aspect of these proposed
guidelines is that regardless of what
phase of implant therapy you choose to
provide to your patients, you should be
trained in all phases. Dentists providing only the surgical phase need to be
trained in implant prosthetics, and those
providing prosthetics need to be trained
in surgical considerations. This crosstraining is indicative of the complex, integrated nature of implant therapy and
the suggestion that one is not competent
in one aspect of implant therapy without
understanding all aspects.
Another interesting aspect is the requirement for continued education and
training. Implant dentistry is such a new
and exciting area within dentistry that
techniques and products are still changing and advancing. The need for frequent
continuing education is more critical in
this field than in other areas of dentistry.
So what does this all mean for you?
If you are considering incorporating implant dentistry into your practice, or if
you already provide one or both phases
of implant dentistry, we recommend you
follow these steps:
• Review the RCDSO proposed guidelines and review the IDIA training protocols. Both these articles can be found on
our website, www.handsontraining.com,
under the “Downloads” tab.
• Research your licensing body and determine if it has set any minimum standards or guidelines.
• Make sure the training you are considering, or have already taken, fulfills
those minimum standards (or refer to
the existing guidelines if your licensing
body has not yet set any guidelines).
• Make sure the training institution
that you choose provides not only a comprehensive training program but also
provides tools and resources that allow
you to review, refresh and continue to
learn.
It is critical to emphasize that even
with continued education, a general den-
‘The establishment of
educational recommendations
will serve to raise the standard
of implant therapy provided
and improve treatment
outcomes to protect both the
public and the profession.’
exhibitors
tist should only practice in accordance
with his or her training and experience.
As such, patients who present with complex treatment situations — or a level
of difficulty beyond the practitioner’s
training and skill set — should be referred to a specialist.
In any profession, guidelines are set
to not only protect the providers within
that profession but to protect the interests of the public. Without proper guidelines, the standard of care is diminished,
and in many situations, a low standard
of care not only affects treatment outcomes but also establishes a damaging
reputation for that particular therapy.
Guidelines within implant dentistry
are long overdue, and the establishment
of educational recommendations will
serve to raise the standard of implant
therapy provided and improve treatment outcomes to protect both the public and the profession.
9
About the authors
Ken Hebel, BSc, DDS, MS, Certified Prosthodontist, earned his undergraduate degree at the University of Western Ontario in 1979 and then completed a surgical internship program. He completed the prosthodontic graduate program at the Eastman Dental
Center in 1983, along with his master’s degree in anatomy. His career in implant dentistry
started early on, both in the surgical and prosthetic phases of implant therapy. He is a
diplomate of the International Congress of Oral Implantology and a fellow of the American Academy of Implant Dentistry. He holds membership in most implant and prosthodontic organizations. He is an assistant clinical professor at the University of Western
Ontario and has provided hundreds of lectures worldwide, training thousands of dentists
in the profession. He is one of the founders of the Hands On Training Institute, started in 1991, where he
provides hands-on mini-residency training programs. He continues to maintain a private practice in London, Ontario.
As a specialist in prosthodontics with an extensive background in computer graphics and
imaging, Reena Gajjar, DDS, Certified Prosthodontist, is a co-founder of the Hands
On Training Institute. Gajjar earned her undergraduate dental degree at the University of
Western Ontario in 1988. After practicing as a general dentist for six years, she returned
to the Eastman Dental Center to complete her specialty certificate in prosthodontics in
1996. Her practice in prosthodontics focused on reconstructive and implant dentistry. She
is a member of several prosthodontic and implant organizations, and has taught at the
University of Western Ontario, Faculty of Dentistry. She also has lectured nationally and
internationally on technology within dentistry. Gajjar is the director of the Hands On
Training Institute and chief creative officer of My Dental Hub.
Hebel and Gajjar can be reached through the Hands On Training Institute at www.handsontraining.com or
info@handsontraining.com or by calling (888) 806-4442.
Ad
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exhibitors
10
Dental Tribune Daily U.S. Edition | October 18, 2012
The pursuit of BruxZir
anterior esthetics: part 1
By Michael C. DiTolla, DDS, FAGD
Glidewell Laboratories continues to
test what the dental laboratory can do
with BruxZir® Solid Zirconia crowns and
bridges as it works to improve the esthetic nature of this zirconia material.
As BruxZir crowns now account for 15
percent of the anterior crowns fabricated
at the lab, the lab’s research and development department is committed to working to increase the material’s ability to be
predictably prescribed in anterior situations.
This photo essay illustrates a recent
case where a patient’s tooth #8 and #9
were prepped for BruxZir crowns.
Fig. 1 Photos/Provided by Glidewell Laboratories
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 1
The patient presented with a PFM crown
on #9 that he wanted replaced, and #8
had a fractured incisal edge with a failing
composite and recurrent decay. We decided to place BruxZir crowns on #8 and #9,
taking advantage of this high-strength,
cementable, all-ceramic material while
avoiding possible metal margins.
Fig. 2
Before I do anything else, I take the shade
to keep the teeth from dehydrating and
appearing higher in value than they
actually are. I use the VITA Easyshade®
Compact (Vident) to determine the
shades of the adjacent teeth. I try to position the tip of the device in the middle
third of the tooth, avoiding the increased
chroma in the gingival third and the increased translucency in the incisal third.
Fig. 3
Then I place the PFG gel (Steven’s Pharmacy), an important first step in giving
a pain-free injection. Placing the gel with
an Ultradent syringe makes it easier to
“sneak” some of the anesthetic into the
sulcus, so that the patient does not feel
the insertion of the needle through the
attachment. After 60 seconds, we wash
the PFG gel off #8 and #9 and begin the
injection.
Fig. 4
The STA Single Tooth Anesthesia System® device (Milestone Scientific) allows
me to predictably get pulpal anesthesia
with a pain-free PDL injection. I slide
the 30-gauge extra short needle into the
sulcus without going through the attachment. I step on the STA foot pedal
and give a few drops of Septocaine into
the sulcus prior to going through the attachment. I continue to express the Septocaine while the needle tip is advanced
through the attachment until it reaches
the crest of the bone.
Fig. 5
After removing the existing PFM crown
using the Razor® Carbide bur (Axis Den-
Here at the ADA
For more information on BruxZir Solid Zirconia
crowns and bridges, stop by the Glidewell Laboratories booth, No. 1002. Be sure to pick up a copy of
the Dental Tribune ADA Daily on Saturday to read
Part 2.
tal) and a Christensen Crown Remover
(Hu-Friedy), I start prepping #8. Because
this tooth has not yet been prepared,
I am able to take advantage of the reverse preparation technique. The mesial
contact is already broken from when I
removed the adjacent crown, so I now
break the distal contact with a #55 bur.
The reason we break the contacts first is
because this technique requires the first
retraction cord to be placed immediately.
Fig. 6
The first cord I use is an Ultrapak cord
#00 (Ultradent). This is a plain cord that
has not been soaked in any medicaments,
and I floss it into place on the mesial and
distal. With the two interproximal portions of the cord locked into place, I pack
the facial segment subgingivally.
This bottom cord provides about 0.5
mm of vertical retraction of the tissue.
This allows me to prep the gingival margin right at the free margin of the gingiva.
About the author
Michael DiTolla, DDS, FAGD,
graduated from the University of
the Pacific School of Dentistry
and was awarded his fellowship
in the Academy of General Dentistry in 1995. In 2001, he became
director of clinical research and
education at Glidewell Laboratory. DiTolla is editor in chief for
Chairside Magazine, has a monthly column on restorative dentistry in Dental Economics and has
been lecturing on restorative dentistry topics since
1995. As a self-proclaimed “average dentist,” he has
created techniques that give him great restorative
results with a very average set of hands. His mission is to share these techniques with dentists to
help them improve their preps, impressions and
restorations.
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exhibitors
14
Dental Tribune Daily U.S. Edition | October 18, 2012
A faster way to seal
For decades, dentists and hygienists
have had no alternative but to use harsh
phosphoric acid etching to improve the
bondability of dental sealants to enamel. In doing so, they have lost countless
hours to applying acids, waiting, rinsing
and drying.
With all these added steps, perhaps the
greater issue is how many failures have
resulted from trying to shortcut procedures? Indeed, working with phosphoric
acid is always a double-edged sword. If
not left on long enough, one risks failure;
leave it on too long and healthy enamel
is eroded.
Thanks to advances in adhesive technology and a new pit and fissure sealant
from Shofu, dental professionals don’t
have to choose between a secure bond
and lost time and preservation of tooth
structure anymore.
BeautiSealant from Shofu is a faster,
easier and gentler pit and fissure sealant
system that completely eliminates the
need for phosphoric acid etch and rinse
steps, while still maintaining equivalent
bond strengths to acid etched competitors. Considering these steps represent
a 40 percent to 60 percent reduction in
working time, that extra productivity
can go a long way toward keeping a practice profitable. In these difficult economic times, every liberated minute counts.
Capture the QR code to view
an acid neutralization video.
BeautiSealant from Shofu. Photos/Provided by Shofu
Special offers here at the ADA
The first 10 dentists or hygienists to mention this
special at Shofu’s booth will receive a free BeautiSealant Kit ($81.12 retail value). In addition, the first
100 attendees who mention this special will receive a full-size sample of lip gloss. For more information, contact Shofu at (800) 827-4638, visit
www.shofu.com or stop by booth No. 2032.
that meet or exceed market-leading sealants at 19.5MPa.
Fast application
Smooth application
The instructions for BeautiSealant are
simple:
• Apply the primer to a clean tooth and
leave for five seconds.
• Air-dry five seconds.
• Apply the sealant.
• Light-cure 10 seconds LED (20 seconds halogen).
BeautiSealant Sealant is an easy-to-apply
sealant, optimized for smooth, bubblefree consistency. Achieve precise delivery without the common issue of overfilling with a specially designed no-ooze
syringe and a tiny 0.27 gauge needle tip.
This improved control over the flowability of the sealant allows placement of just
the right amount of material, reducing
the common occurrence of overfilling.
Secure bond, gentle on enamel
BeautiSealant Primer contains dualadhesive monomers (carboxylic and
phosphonic acid) that thoroughly penetrate and prepare pits and fissures for
bonding to the sealant, forming a chemical bond to calcium in the enamel. Unlike traditional sealants, which require
phosphoric acid etching, severely demineralizing and dehydrating healthy teeth,
Shofu’s self-etching primer is significantly less acidic, helping to preserve healthy
tooth structure.
Despite this lack of acid etch and rinse
steps and a HEMA-free composition,
shear bond strengths remain at levels
BeautiSealant Primer contains dual-adhesive monomers
(carboxylic and phosphonic acid) that thoroughly penetrate From top, healthy enamel,
and prepare pits and fissures for bonding to the sealant,
BeautiSealant primed enamel
forming a chemical bond to calcium in the enamel.
and phosphoric acid etched
Photo/Provided by Dr. Satoshi Fukumoto, Tohoku University, Japan
enamel.
Sustained remineralization from
giomer fillers
Shofu’s
proprietary
Surface
PreReacted Glass (S-PRG) filler particles are
not only pre-charged with fluoride during manufacturing, they also recharge
when fluoride concentrations in the
mouth are high.
Simply put, household dental hygiene
products, such as fluoridated toothpaste,
allow BeautiSealant to provide sustained
remineralization benefits to adjacent
tooth structure over the life of the sealant.
Shear bond strength to enamel from Shofu’s internal data.
In addition to fluoride, S-PRG filler also
releases five other ions: sodium, strontium, aluminum, silicate and borate, all
with known bioactive properties.
When exposed to concentrations of lactic acid, these ions contribute to an acid
neutralization effect that demonstrates
the healing benefits of giomers.
Place BeautiSealant in four steps: Apply the primer to a clean tooth and leave for five seconds, air-dry five seconds, apply the sealant and then light-cure 10 seconds LED.
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16
exhibitors
Dental Tribune Daily U.S. Edition | October 18, 2012
Patterson Dental and RevenueWell
get serious about practice marketing
Patterson Dental comes to this year’s
ADA Annual Session with a new product
and a renewed focus on helping its customers succeed in the Internet age.
Its new partner, Chicago-based RevenueWell Systems, developed an online
service that helps dental offices cut costs,
attract new patients and engage existing
patients with very little effort from the
clinician and staff.
RevenueWell is an online system that
uses information from the office’s existing practice management software
Ad
(e.g. Eaglesoft, Dentrix) to automatically
communicate with patients, let them access their accounts online and help practices send out highly targeted marketing
campaigns to the patient base.
One of RevenueWell’s main value propositions is its ability to completely automate more than 20 types of common
patient communications. RevenueWell
does this by analyzing each patient’s appointment, procedure and account data
and sending him or her timely emails,
postcards, letters, text messages and au-
Here at the ADA
For more information on Patterson Dental or
RevenueWell, stop by the Patterson Dental booth,
Nos. 716/725/727.
tomated voice calls based on the practice’s settings.
Some of these communications, such
as appointment confirmations, birthday cards, welcome packets and post-op
instructions, are focused on improving
the practice’s operations and delivering
better patient care. Others are geared at
bringing patients back into the office for
recommended treatment and maintenance. This includes:
• Recall and reactivation communications that use a combination of email,
text and direct mail messages to ensure
that patients stay current with their hygiene appointments
• Expiring insurance benefits reminders that remind patients to use their insurance benefits before the end of the
year
• Video treatment plan follow-ups, an
industry-first feature that automatically
follows-up with patients who have had
a treatment plan created for them but
didn’t yet make an appointment to start
treatment
RevenueWell takes a similarly comprehensive and automated approach to solving its customers’ other marketing and
patient management challenges. From
automatically collecting online patient
reviews to asking patients for referrals
to establishing and maintaining a practice’s profile across 150-plus online destinations, the system makes the best out
of today’s online technologies to make
practice marketing easy.
“RevenueWell is the first company that
we saw in the marketplace that not only
gets the technology aspects of online
marketing but was willing to invest into
applying these concepts uniquely to the
dental field,” said Tim Rogan, vice president, marketing.
Patterson Dental is the only nationwide distributor of the RevenueWell
Suite and offers professional installation
and support for the product through its
Patterson Technology Center.
RevenueWell can help you communicate
with patients by more than 20 different
means, including text messaging.
Photo/Provided by www.sxu.hu
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exhibitors
18
Dental Tribune Daily U.S. Edition | October 18, 2012
Atraumatic extractions
with Luxator Periotome
Instrument can help the
dentist divide and conquer
the forces retaining a tooth
By Dr. Simon Jones
The extraction of a tooth is probably
the most traumatic event a patient can
experience in the dental office, and if the
extraction doesn’t go smoothly, things
can become quite stressful for the dentist as well.
When the use of a simple surgical instrument can make the extraction process infinitely easier for both patient and
dentist, I find it surprising not all dentists reach for a Directa Dental Luxator
as their first instrument of choice.
To understand how best to remove a
tooth, it helps to appreciate the structures and forces that are holding the
tooth in position. It is only by overcoming these forces that the tooth can be
removed.
First, consider the bone structure surrounding the roots. As the bone sits intimately against the root surface, any
irregularities, undercuts or curvatures
of the root will provide mechanical retention. To overcome this retention, the
socket must be dilated until the path
of removal of the root is unimpeded by
bone.
The second factor resisting the removal of the tooth is the periodontal ligament, composed of collagen fibers. Like
millions of little ropes, the cumulative
strength of these fibers resists the strongest of biting forces. Imagine how much
force would be required to overcome this
combined strength in an attempt to simply pull out a tooth.
The third force to overcome is that of
atmospheric pressure. Withdrawing a
tooth from its socket will create a void
or vacuum at the apex of the socket, and
until this void is filled with blood or an
ingress of air, then atmospheric pressure
will effectively push on the tooth to keep
it in position. Anyone who can remember back to the Magdeburg Hemisphere
experiment in school physics will know
that simple atmospheric pressure resisted the force of two teams of horses pulling in opposite directions.
Little wonder then that simply using a
combination of forceps and brute force
can lead to unnecessary loss of alveolar
bone, root fracture and a subsequently
more stressful experience for both patient and dentist. Dealing with the fracture of a maxillary tuberosity can certainly ruin your day!
The careful and considered use of a
Luxator helps the dentist to divide and
conquer the forces retaining a tooth,
making the extraction process an infi-
Fig. 1: Luxator Periotome
Photos/Provided by Directa AB
Fig. 2: Luxator severs the periodontal fibers and dilates the socket.
Fig. 3: Correct handling of Luxator
Periotome.
Here at the ADA
For more information, stop by the Directa AB
booth, No. 5513. More information about Directa
Products may be found at www.directadental.com
or by contacting U.S. Sales Manager Frank Cortes at
(203) 788-4224 or by e-mail at frank.cortes@directa
dental.com.
nitely more predictable and stress-free
process.
The appropriate size of Luxator is chosen to match the diameter of the root,
and the angle of the blade is chosen to
give the best access. The tip of the Luxator is gently inserted into the gingival
margin, with the blade angled slightly
toward the root surface. This ensures
that the Luxator enters the periodontal
ligament between the crestal bone and
the root.
Once in the periodontal ligament, the
Luxator is worked down the length of the
root with a side-to-side rocking motion
and steady axial pressure (Fig. 2). This
motion first severs the periodontal fibers, and then as the blade is introduced
further, the socket is dilated to allow an
easier path of removal. Finally, as the
periodontal ligament is severed and the
socket dilated, bleeding and air ingress
overcome the vacuum that resists tooth
removal.
The Luxator should be inserted around
as much of the circumference of the root
as possible to evenly dilate the socket.
Fig. 4: Luxator Periotome vs.
Luxator Forte
Once this has been achieved, the final
delivery of the tooth may be performed
with forceps, although this is often not
required with single-rooted teeth.
When using a Luxator, the uniquely
designed handle should sit neatly in
the palm of your hand, cradled by your
fingers and thumb, with the index finger extended toward the tip of the instrument (Fig. 3). This allows for precise
control of the tip and prevents the risk
of slipping. Excessive force should be
avoided; the Luxator is a surgical instrument and should be used as such, not as
an elevator.
To complement its range of Luxators,
Directa now produces an elevator called
the Luxator Forte. Having dilated the
socket using a Luxator, if it is felt that
greater dilating and elevation forces
are required, then the stronger Luxator
Forte should be used. The Luxator Forte
is easily recognizable by its black handle
(Fig. 4). This sequence of luxation, followed by elevation, generally means that
forceps are only ever used for the final
easy delivery of the tooth.
The Swedish dental company Directa
not only invented the name Luxator but
has developed this range of instruments
to perfection. The use of high-grade,
surgical-steel blades and a two-part
moulding technique for the uniquely
ergonomic polymer handle combine to
provide a high-quality instrument that
Fig. 5: An atraumatic extraction is performed.
About the author
Dr. Simon Jones is a leading U.K. dentist with a
practice in Middlesbrough, northeast of England.
He qualified in 1985 and has worked mainly in the
British National Health Service since then. For the
past six years, he also served as a vocational trainer
for the Northern Deanery of Newcastle University
Dental School.
will give years of reliable service and will
endure countless cycles of washing disinfection and autoclaving.
Having used Luxators for more than
20 years, I cannot imagine undertaking
the extraction of any tooth without first
severing the periodontal fibers with my
trusty friend. It would be the equivalent
of struggling to remove my boots without first undoing the laces.
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exhibitors
20
Dental Tribune Daily U.S. Edition | October 18, 2012
Aquasil Ultra Super Fast Set
DENTSPLY Caulk’s Aquasil Ultra Smart
Wetting® Impression Material portfolio
has expanded to include Aquasil Ultra
Super Fast Set. Aquasil Ultra Super Fast
Set material is available in all viscosities and packaged in a convenient twocartridge 50 ml or DECA™ 380 ml refill.
Aquasil Ultra Super Fast Set formula
is optimized to offer an intraoral work
time of 35 seconds and super fast mouth
Photo/Provided by
Mydent International
DEFEND Dental Needles
Photo/Provided by
DENTSPLY Caulk
Mydent International introduces
DEFEND Dental Needles, the latest in
its line of procedural products. To protect dental professionals, these needles
specify lot number, size and sterile seal
on each individual casing.
DEFEND Dental Needles are triplebeveled and feature an arrow indicator
to help orient the bevel position during injections.
Constructed of a stainless-steel,
polypropylene hub with aluminum insert, the needles are siliconized to help
ensure a gentle insertion into tissue
for minimal discomfort. In addition,
the pre-threaded plastic hub facilitates
Ad
a straight attachment to the syringe,
creating a secure fit.
DEFEND Dental Needles are designed
for use on standard 1.8 mL dental syringes and are color-coded for easy
diameter identification. Available
through most dental dealers, DEFEND
Dental Needles are packaged 100 units
per box.
For more information on Mydent
International and the DEFEND brand
of products, call (800) 275-0020, visit
www.defend.com or stop by the booth,
No. 1541, here at the ADA. To request
samples, email samples@defend.com.
removal time of two minutes and 30
seconds. Aquasil Ultra Smart Wetting
Material is indicated for all dental impression techniques.
For more information, please contact
DENTSPLY Caulk at (800) LD-CAULK, visit www.aquasilultra.com or stop by the
DENTSPLY Caulk booth, No. 5944, here at
the ADA.
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exhibitors
22
Dental Tribune Daily U.S. Edition | October 18, 2012
Smiles guaranteed
By Ian Ralph, Director of Sales and
Marketing, Eagle Pass Heliskiing
Eagle Pass Heliskiing flies out of Revelstoke, British Columbia, and visitors
enjoy some of the most beautiful terrain
in all of Canada. I can honestly say this
as I have skied at every major resort in
Canada, and nothing else comes close.
The terrain is amazing, and the guides
are professional and friendly.
Imagine waking up in a place called
Echo Bay on the shore of the beautiful Ar-
Ad
Contact
With Eagle Pass
Heliskiing, you
can experience
skiing, a
helicopter ride
and a stay at a
resort called Echo
Bay. Photo/
For more information on Eagle Pass Heliskiing, call
(877) WAY-DEEP, e-mail info@eaglepassheliskiing.
com or go online to www.eaglepassheliskiing.com.
row Lakes in a private wilderness lodge.
Imagine enjoying a delicious homemade
breakfast with stunning views of the
Rocky Mountains in the background.
While you sip your coffee and dream
about the day ahead, a helicopter lands
softly in the yard. You get your first goose
bumps of the day.
Eagle Pass
Heliskiing
Along with the excitement in the air,
it’s a great comfort to know you are in
the hands of seasoned professionals who
treat your safety as paramount. After
breakfast, the certified guides lead the
orientation on helicopter and snow safety to prepare you for the day ahead.
You can feel the power of the rotor
blades as the bird begins to lift off. And
you can feel the jet turbine pulsing
through every fiber of your body. Excitement and anticipation are etched on everyone’s faces.
Eagle Pass Heliskiing operates in the fabled Monashee Mountains. It’s where the
term “champagne powder” originated to
describe snowflakes lighter, fluffier, drier
and larger than anything you’ve seen before.
There’s powder, and then there’s champagne powder. They’re different. It’s
something you can’t fully appreciate until you’ve experienced the unbelievable
lightness for yourself.
It’s a short helicopter ride from the secluded lodge past the majestic granite
peaks of the Gold Range. The views are
endless and breathtaking. As the Columbia River fades in the valley below, you
think, “Where are we going to land?”
Every direction features towering
spires, snow-covered bowls, open glades
and frozen glaciers.
Then it happens. The helicopter lands
gently on a mountain pinnacle. You and
three other guests get out and kneel beside the bird. The helicopter peels back
down the mountain.
Silence. Stillness. Serenity.
You realize you are on top of the world.
The whoops of excitement begin. Below
you is some of the deepest and lightest
powder snow you will ever experience.
There are no bad runs. No lift lines. No
tracks to spoil your view. With runs in
the 3,000- to 4,000-foot range, you may
wonder if the bottom even exists. And
when you get there, your helicopter is already waiting.
Eagle Pass Heliskiing has unlimited
vertical. This means you ski or ride as
much as you want until the day is done.
No extra vertical charges. Ever. That’s a
very good thing.
When you’ve had your fill for the day, a
short ride whisks you back to the lodge.
There are two full-size hot tubs waiting,
along with a massage therapist. There
is also a chef with your gourmet dinner
and a bartender with your favorite après
ski drinks. The only thing left to do is relive each line with your friends.
Call Eagle Pass Heliskiing today and experience your own piece of paradise. It’s
a life-changing experience with a guaranteed smile.
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