today daily AGD Annual Meeting June 21, 2012
AGD News / Exhibitors
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DA
ILY
AT
th
eA
GD
!
DENTAL TRIBUNE
The World’s Dental Newspaper · U.S. Edition
THURSday, june 21, 2012 — Vol. 3, No. 1
www.dental-tribune.com
DO IT ALL YOURSELF
A small start
special offer
How one solution gives
you the ability to place,
provisionalize and restore
an implant.
Sometimes a meeting
in a hotel can form the
basis of products that
are available today.
Go check out the new
BeautiSealant Kit and
take home a free sample
of that, plus some lip gloss.
” page 4
” page 5
” page 6
Time to get started
I
An evening sky view of Philadelphia highlights the contrast of new and old standing side by side. In the photo’s center is the bronze statue of
the city’s founder, William Penn, sitting on top of the 511-foot-tall City Hall Tower with its lighted clock. The newest addition to the skyline, the
Comcast Center on the right, is the tallest building between New York and Chicago. Photo/B. Krist, provided by GPTMC.
s social media making your head
spin? Do you scratch your head and
ponder the differences between the
younger and not-so-younger generations? Luckily, the answers to these
questions, and many more, await you
here at the AGD Annual Meeting, taking
place today through Saturday.
Not only is there a myriad of educational courses just waiting to provide you
with answers, but there is also an exhibit
hall full of companies willing to show
you the latest and greatest products and
technology in the industry today.
Here are some can’t-miss events and
courses to check out during the next few
days.
• Welcome Reception, 5:30–6:30 p.m.
today, Exhibit Hall A. Come and celebrate
the opening of the exhibit hall as well as
AGD’s 60th anniversary. Enjoy foods that
reflect Philadelphia culture while taking
a first look at the new technologies and
products available to general dentists
today. The Welcome Reception will feature cash bars and hors d’oeuvres, along
with the opportunity to browse products
” See STARTED, page 2
Help provide free oral care to some
of Philadelphia’s underserved residents
On Saturday, the Academy of General
Dentistry (AGD) and the AGD Foundation will partner with the University of
Pennsylvania School of Dental Medicine to hold its third annual community
outreach project, “Nation of Smiles, One
Smile at a Time.”
Already, hundreds of volunteer dentists, hygienists, dental assistants and
University of Pennsylvania dental students and faculty anticipate providing
free dental care to more than 500 Philadelphia residents. Patients have been
pre-selected from a variety of local shelters, clinics and charities.
“For the past three years, we have offered an outreach project to coincide
with the location of our annual meeting
in order to give back to the community,”
says AGD President Howard Gamble,
DMD, FAGD.
“It is an honor for our association to
serve residents of Philadelphia by providing the oral care that these individuals so desperately need. AGD volunteers
are committed to ensuring that these pa-
tients receive the high level of care that is
consistent with AGD members’ commitment to oral and overall health.”
Notable guests from the community,
including Councilwoman Jannie Blackwell, have committed to attend the AGD
outreach project in order to show their
support for this effort.
“Penn Dental Medicine plays a vital
role in the delivery of oral health care at
reduced costs to the West Philadelphia
community. Unfortunately, our capacity
to deliver this care is limited, and many
of our neighbors do not have the resources necessary or any access to oral health
care,” says Heywood Kotch, DMD, MAGD,
assistant dean of clinical operations at
Penn Dental Medicine.
“This day of outreach will allow Penn
to join forces with the AGD to highlight
this dire need and to provide free care to
a portion of our most needy neighbors.”
The event will take place from 8 a.m. to
4 p.m. at the University of Pennsylvania
School of Dental Medicine at 240 S. 40th
St. in Philadelphia.
[2] =>
2
“ STARTED, Page 1
from dental manufacturers, suppliers,
labs and service providers.
• “Social Media for Dentists,” 8–8:30
a.m. today. Jason Lipscomb, DDS, author
of “Social Media for Dentists,” will set
it straight with a little perspective and
advice on how to grow your practice by
implementing a few simple social media
strategies.
• “Generation Talk,” 8–8:30 a.m., Friday.
Do you ever look at people of a different
generation and ask yourself why they
think and act the way they do? Join international speaker Kathy Metaxas for the
answers and learn how to better communicate with all of the generations within
— and outside — your practice.
• Networking Reception, 5–6 p.m. Friday, Exhibit Hall A. Enjoy a complimentary beer or glass of wine while showing
your support to the AGD exhibitors who
Ad
agd news
support your profession. Full registered
attendees will receive a drink ticket in
their registration packet.
• “Advanced: Cardiovascular Disease in
Dental Patients — The Art of Understanding the Heart” with Harold V. Cohen, DDS,
9 a.m.–noon Friday. Medical care is continually providing patients with new cardiac treatments that will improve their
quality of life and extend their lifespan.
This increasing population of patients
will be seen in the dental office, mandating that a dentist possess an up-to-date
understanding of the treatments and
medications for cardiovascular disease,
as well as a patient’s cardiac status and
ability to undergo dental procedures.
• “The Successful Management of Tooth
Trauma in Young Children: If It’s Broke …
Fix It!” with Marvin H. Berman, DDS, and
Kirk B. Kollmann, DMD, 9 a.m.–4 p.m.
Friday. The frequent occurrence of dental trauma in young patients demands
Dental Tribune Daily U.S. Edition | June 21, 2012
the attention of general practitioners as
well as pediatric specialists. The emergency nature of these accidents involves
a working knowledge of pulp dynamics
in maturing teeth, soft-tissue injuries,
the broad spectrum of tooth-fracture
patterns, the ramifications of tooth luxation and avulsion plus the challenges of
managing child behavior.
• “BOTOX and Dermal Fillers for Every
Dental Practice: A Two-Day Course” with
Louis J. Malcmacher, DDS, MAGD, 8 a.m.–
4:30 p.m. Friday and Saturday. This seminar will teach dentists the background,
development, types and use of botulinum toxin and dermal fillers as well as
how to easily integrate these therapies
into their dental practice. Attendees will
participate in a hands-on practice session to become proficient in these techniques.
For more information on courses offered, pick up the official AGD guide.
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 Manager
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
Sales & Marketing Assistant
Lorrie Young l.young@dental-tribune.com
C.E. Manager
Christiane Ferret c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd St., Ste. #500
New York, N.Y. 10011
(212) 244-7181
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.
Dental Tribune strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please
contact 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 Dental Tribune America.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
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
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you are referring to. Also, please note
that subscription changes can take up to
six weeks to process.
[3] =>
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exhibitors
4
Dental Tribune Daily U.S. Edition | June 21, 2012
Clinical benefits of the Inclusive
Tooth Replacement Solution
By Darrin W. Wiederhold, DMD, MS,
and Bradley C. Bockhorst, DMD
A hallmark of the most successful
modern clinicians is the ability to strike
a balance between a daily load of 12 to 16
patients and maintaining the same high
standard of care. No easy task when it
comes to implant cases.
Currently, the manufacturer is responsible for the components, the laboratory
for the restoration — after receiving the
impressions. Restoratively, that’s like
erecting a house on an existing foundation, limiting the builder. Proper esthetics requires soft-tissue contouring that
begins at implant placement, making
stock components less than ideal.
With the new Inclusive® Tooth Replacement Solution from Glidewell Laboratories, custom-designed temporary
components allow for immediate provisionalization specific to each patient,
and a matching custom impression
coping communicates the final gingival architecture to the laboratory. Add
the implant, surgical drills, prosthetic
guide, final custom abutment and final BruxZir® Solid Zirconia restoration
(Glidewell), and the clinician receives all
the components necessary to place, provisionalize and restore the implant.
The Inclusive Tooth Replacement Solution supports a streamlined workflow
that ensures predictability and longterm success. Armed with the endgame
in mind and the tools and road map to
get there, experienced and novice clinicians can place and restore dental implants with more confidence than before.
Implant treatment workflow
• Consultation and data collection
• Day of surgery protocol
• Healing phase
• Restorative phase: final impressions
• Delivery of final prosthesis
Fig. 1: Inclusive Tooth Replacement Solution
Photos/Provided by Glidewell Laboratories
Fig. 2b: Inclusive Tapered Implant and disposable surgical drills
Here at the AGD
For more information about the Inclusive Tooth Replacement Solution, stop by the Glidewell Laboratories booth, Nos. 527/529.
Consultation and data collection
For single-tooth replacement or fullmouth rehabilitation, comprehensive
treatment planning is paramount. You’ll
need:
• Full-arch upper/lower impressions
(PVS)
• Bite registration
• Full-mouth radiographs (panoramic
and CBCT scan, as needed. Note: If you do
not have a CBCT scanner, refer patient to
an imaging center.)
• Shade match of existing dentition
• Preoperative photos
Once you’ve selected a diameter and
length of implant, forward the diagnostic materials (impressions, models,
bite registration, shade, implant size) to
Glidewell for fabrication of the custom
components. The laboratory will pour
and articulate the models and assemble
the components, delivered to you in an
all-inclusive box (Fig. 1):
• Prosthetic guide (Fig. 2a)
• Custom temporary abutment (Fig.2a)
Fig. 2a: Prosthetic guide, custom temporary abutment, BioTemps provisional
crown, custom healing abutment and custom impression coping
• BioTemps® provisional crown (Glidewell) (Fig. 2a)
• Custom healing abutment (Fig.2a)
• Custom impression coping (Fig. 2a)
• Surgical drills (Fig.2b)
• Inclusive Tapered Implant (Glidewell)
(Fig.2b)
Day of surgery protocol
Place the box contents alongside your
usual surgical armamentarium. Confirm
the prosthetic guide fits snugly around
the teeth. Visually confirm the proposed
location of the implant osteotomy correlates with your planned location.
After placing the implant, decide based
on the level of primary stability whether
to place the custom healing abutment or
the custom temporary abutment and accompanying BioTemps crown. Either option will begin sculpting the soft-tissue
architecture around the implant to develop the future emergence profile.
Fig. 3: Final Inclusive custom abutment and final BruxZir or
IPS e.max crown
If there is adequate attached tissue, use
a tissue punch to remove the soft tissue
over the osteotomy site; otherwise, reflect a flap. Note that the margin of the
custom temporary abutment is set at approximately 2 mm.
Depending on the thickness of the soft
tissue, the abutment can be adjusted and
BioTemps crown relined. The custom
healing abutment or BioTemps crown
must be 1 mm to 1.5 mm out of occlusion
to avoid occlusal stress.
Store custom impression coping with
patient chart for the restorative phase.
Healing phase
Schedule monthly follow-up appointments to ensure osseointegration is progressing and to adjust the provisional
restoration.
Restorative phase: final impressions
Upon successful osseointegration, the
restorative phase begins. Contours of the
custom impression coping match those
of the custom healing abutment or custom temporary abutment, so it’s simple
to remove the custom abutment, seat the
impression coping and take an accurate
full-arch final impression using a closedtray or open-tray.
Complete a simple prescription form
included with the original box, select
your final custom abutment and final
shade for your BruxZir or IPS e.max®
(Ivoclar Vivadent; Amherst, N.Y.) restoration, and simply forward these items to
Glidewell. There are no additional laboratory fees.
Delivery of final prosthesis
On the day of delivery, remove the custom temporary abutment and clean all
debris from inside and around the implant. Try in the final Inclusive® Custom
Abutment (Glidewell) and BruxZir or IPS
e.max crown (Fig. 3). Check the contours,
contacts and occlusion and adjust as
needed.
The final occlusion should be light on
the implant-retained crown, with forces
directed along the long axis to minimize lateral forces. The abutment screw
is tightened to 35 Ncm, head of the abutment screw covered and crown cemented. All excess cement must be removed.
Instruct your patient about home care,
and set a recall schedule.
[5] =>
Dental Tribune Daily U.S. Edition | June 21, 2012
exhibitors
5
A small
beginning
Directa CEO Olle Larsson
and Directa consultant
Dr. Jan Johansson talk about
the origins and history of
FenderWedge and FenderMate
On Jan. 8, 2003, the Directa KUSP Group
of reference dentists met in the Strand
Hotel in Stockholm where Prof. Dan Ericsson proposed his idea for a combined
wedge and matrix in response to a need
in the market.
A number of prototypes were made
and trials undertaken, and by autumn
2004, when the KUSP Group met in Uppsala, Ericsson had his prototype solution — a thin steel plate attached to a
wooden wedge.
The stainless-steel plate could not be
glued onto the wooden wedge satisfactorily, but engineering consultants presented a solution with a plastic wedge
that could be fused with the metal plate.
A manufacturer in Huddinge, south of
Stockholm, took the idea onboard, and in
2006, FenderWedge® was born: a combined wedge and protective matrix for
use in protecting the adjacent tooth during preparation. “Fender” is a protector
on a car or boat.
Encouraged by the technical solution
and successful acceptance of FenderWedge in the market, Directa returned
to the task of finding a solution to the
original concept of a combined wedge
and sectional matrix for use with composite fillings. Many trials and clinical
tests were made, and the first version of
FenderMate® was released at IDS in Cologne in 2007.
At that time, FenderMate needed a retentive ring to hold the stainless-steel
plate in position. It was made of deadsoft metal and needed to be burnished
to create a contact point. It did not satisfactorily fulfill the high expectations
required, and further work and developments were made, under the guidance of
Dr. Jan Johansson.
Many further trials, tests and modifications were made to fulfill Directa’s
goals of a combined wedge and sectional
matrix system that was simple to use, required no retention ring or burnishing,
made a good contact point, adapted to
the shape of the patient’s tooth and created no cervical overhang.
At IDS in 2009, FenderMate as we know
it now was launched. FenderMate accommodates around 60 percent of Class II
fillings and is used for molars and premolars.
Because of the success of this unique
product, Directa continues today to
make further developments to expand
its “Fender” line.
Here at the AGD
See a FenderWedge for full crown preparations and
a FenderMate for primary teeth at booth No. 433.
More information about Directa products and distributors may be found at www.directadental.com
or by contacting U.S. Sales Manager Frank Cortes at
(203) 788-4224 or frank.cortes@directa dental.com.
CEO Olle Larsson and Jan Johansson, DDS. Photo/Provided by Directa
Ad
[6] =>
exhibitors
6
Dental Tribune Daily U.S. Edition | June 21, 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 AGD
The first 10 dentists or hygienists to mention this
special at Shofu’s booth, No. 517, 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. 517.
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 Pre-Reacted 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.
[7] =>
Dental Tribune Daily U.S. Edition | June 21, 2012
7
exhibitors
Integrity Multi·Cure
Temporary Crown
and Bridge Material
New Integrity® Multi·Cure Temporary Crown and Bridge Material is
a dual-cure 10:1 bis-acrylic material
with improved flexural strength.
Integrity Multi·Cure Temporary
Crown and Bridge Material can be
used as a self-cure material, but it also
provides the option to eliminate wait
time by light curing each unit for 20
seconds. Integrity Multi·Cure has the
fastest cure-time range among leading competitive products.
Integrity Multi·Cure is available in
a 76-gram cartridge delivery system
with five refill shades — A1, A2, A3.5, B1
and BW — and in an introductory kit
including Integrity Multi·Cure material, Integrity TempGrip cement and
cartridge dispenser.
For more information, visit www.
integritymulticure.com, call (800)
532-2855 or visit the DENTSPLY Caulk
booth, No. 702, here during the AGD.
Photos/Provided by DENTSPLY Caulk
Ad
Photo/Provided by GC America
mi varnish
with recaldent
GC America has launched MI Varnish™, a 5-percent sodium fluoride
varnish with RECALDENT™. MI Varnish is unique compared with other
fluoride varnishes, bringing bioavailable calcium, phosphate and fluoride to the tooth surface.
MI Varnish releases high levels of
fluoride and works in concert with the
sodium fluoride.
MI Varnish is indicated for the treatment of hypersensitive teeth. It is well
known that fluoride is an important
tool in the fight against caries. Fluoride’s benefits are boosted by calcium
and phosphate supplements, helping
to maintain a healthy oral environment. MI Varnish with RECALDENT
provides these essential minerals to
reduce hypersensitivity.
RECALDENT is a milk-derived protein that strengthens teeth by releasing calcium, phosphate and fluoride.
MI Varnish is a new addition to the
RECALDENT family.
MI Varnish is available in a 50 unitdose box. The unique unit-dose containers are easy to open and contain
enough material for any full-mouth
application.
An application of MI Varnish is
smooth and dries clear. It comes in a
fresh strawberry flavor.
For more information on GC America and its complete product line, visit
www.gcamerica.com or stop by the
booth, No. 617, here at the AGD.
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