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CDA
!
AT
DAILY

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

THURSday, MAY 3, 2012 — Vol. 5, No. 1

www.dental-tribune.com

Save a life today

From good to great

Fighting breast cancer

The treatment for your
patients’ obstructive sleep
apnea is closer than you
think.

How to use the Internet
and social media to take
your practice to the
next level.

Trade in your old bib
holders and chains here
at CDA and support a good
cause at the same time.

” page 6

” page 22

” page 23

Ready,
set, go!
CDA Presents The Art
and Science of Dentistry
features cutting-edge
technology, new products and
educational opportunities

ore than 27,000 dental professionals from across the
United States are on hand
here in sunny Anaheim
for CDA Presents The Art and Science of
Dentistry.
The meeting, running today through
Saturday, offers educational courses
plus 135,000 square feet of exhibit space,
where approximately 600 exhibitors are
demonstrating new techniques as well
as showing off innovative products and
services.
Let’s take a look at some of the many
highlights of the meeting.

The Anaheim Convention Center is the site of the CDA Presents The Art and Science of Dentistry. Photo/Sierra Rendon, Dental Tribune

” See READY, page 2
Ad

Flash your badge and save
That badge hanging around your neck
is worth much more than just entrance
to a variety of seminars, workshops and
the exhibit hall. It is also worth money —
in the form of discounts at a myriad of
restaurants and shops around the area.
To make sure you make the most of
your badge, check out our list, then go hit
the town.

Attractions
• Aquarium of the Pacific: 100 Aquarium
Way, Long Beach, (562) 590-3100. Get $10
off admission at the aquarium’s ticket
window.
• Flightdeck Air Combat Center: 1601 S.
Sunkist, Suite A, Anaheim, (714) 937-1511.
Save $10 off of a $69 “Delta Mission”

— 60 minutes in an authentic F-16 Jet
Fighter flight simulator. The offer is good
for up to seven pilots. Reservations are
required.
• Bowers Museum: 2002 N. Main St.,
Santa Ana, (714) 567-3600. Show badge
and receive 10 percent off at gift shop.
• Knott’s Berry Farm: 8039 Beach Blvd.,
Buena Park, (714) 220-5130. Adults get
tickets for the discounted rate of $46.99.
Children ages 3–11 and senior citizens
older than 62 get tickets for $24.99.
• Pirate’s Dinner Adventure: 7600 Beach
Blvd., Buena Park, (866) 439-2469. Get 50
percent off general admission price. Reservations required.
” See BADGE, page 2

[2] =>

meeting news

Dental Tribune Daily U.S. Edition | May 3, 2012

DENTAL TRIBUNE

“ READY, Page 1

The World’s Dental Newspaper · US Edition

Pediatric Dentistry Symposium
The Pediatric Dentistry Symposium, to
be presented today from 9 a.m. to noon,
is designed to give an overview of traditional dentistry techniques as well as
present some clinically sound alternatives. Attendees of this lecture, presented by Joseph Renzi Jr., MA, DDS; Daniela
Rodriguez Silva, DDS, MS; and Richard
D. Udin, DDS, will learn various aspects
of the infant oral exam and understand
the importance of establishing a dental
home early in a child’s life.

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

Stay current on periodontal trends
“Emerging Periodontal Therapies —
Partnering for Optimum Patient Outcomes ” will be offered today from 8:30
to 11 a.m. This course, presented by Debra
S. Finney, MS, DDS; Paulo M. Camargo,
DDS; Donald S. Clem III, DDS; and Perry R.
Klokkevold, DDS, MS, FACD, will feature
the shared potentials for the restorative
dental team and the periodontal specialist. It will bring together the essentials
of periodontics as they influence restorative outcomes along with current periodontal trends for continued success.

How to treat ‘meth mouth’
“Methamphetamines — Destruction of
Mouths, Lives and Communities” will be
presented on Saturday from 8:30 to 11 a.m
and again from 12:30 to 3 p.m. Through
this workshop, moderated by Brett H.
Kessler, DDS, FACD, attendees will learn
trends in drug addiction and abuse and
how to identify and treat “meth mouth.”
Participants will leave this lecture with
a few intervention techniques that can
positively impact patients’ overall wellbeing and an understanding of why professional addiction treatment is far more
effective than trying to manage it alone.

Learn powerful words
“Some Days You’re the Pigeon, Some

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
Humberto Estrada h.estrada@dental-tribune.com
Marketing Manager
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com

A view of the Anaheim Convention Center. Photo/Sierra Rendon, Dental Tribune

Sales & Marketing Assistant
Lorrie Young l.young@dental-tribune.com

Days the Statue” will be presented on
Saturday from 8:30 to 11 a.m. Lecture attendees can expect to laugh and learn as
one of the country’s funniest and most
sought-after dental speakers, Dave Weber, discusses what many clinicians and
staff feel is the most challenging part of
their practices — the people.
This course will teach participants the
six most powerful words in the English
language and when to use them.

Get your app
A free app for CDA Presents is available
for smartphones and tablets. The app
contains up-to-date show news and allows easy access to schedules, speaker
information, exhibitor listings, social
media and real-time alerts. It is available

in the iTunes App Store, Android Marketplace and at www.cdapresents.com.

New products
Some of the cool products available in
Anaheim include Carestream Dental’s
CS 1600 intraoral camera, MIS Implants
Technologies’ PerioPatch and Air Techniques’ Mojave Dry Vacuum. Plus, CDA
Presents has the West Coast premiere of
140 must-see new products.
The trade show schedule is as follows:
• Today: 9:30 a.m. to 5:30 p.m.
• Friday: 9:30 a.m. to 5:30 p.m.
• Saturday: 9:30 a.m. to 4:30 p.m.
• Family hours: 9:30 a.m. to noon each
day.
(Source: CDA)

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

“ BADGE, Page 1

• UltraLuxe Cinemas: 321 W. Katella
Ave., Ste. 337, Anaheim, (714) 399-0300.
Receive adult admission at children’s admission price. Excludes special engagements.
• Heat Ultra Lounge. 321 W. Katella Ave.,
Ste. 214 (at The Shops at Anaheim GardenWalk), (714) 776-4328. Complimentary entrance before 11 p.m. Tuesday, Thursday,
Friday and Saturday.

Sports and recreation
• Dana Wharf Sportfishing at Dana Point
Harbor. 34675 Golden Lantern, Dana
Point, (949) 496-5794. Show your badge
and receive two tickets for the price of
one on any open party (public), two-hour
whale-watching or ocean adventure trip.
Not valid on Tuesdays.
• Capt. Dave’s Dolphin & Whale Safari:
24440 Dana Point Harbor Drive, Dana
Point, (949) 488-2828. 20 percent off
Monday-Friday, 10 percent off on weekends. Reservations required.
• OC Wildlife and Beach Tour: P.O. Box
3249, Laguna Hills, (949) 500-6981. $5 off
per person on any tour. Reservations required.

• Sunset Flying: 2801 E. Spring St., Suite
110, Long Beach, (866) 759-3672. $100 off
and a free first-class upgrade ($200 value)
on any Dream Flight Sightseeing Flight.

Retail
• The Outlets at Orange: 20 City Blvd.,
West Suite C-5, Orange, (714) 769-4001.
Show your convention badge at guest services to receive a coupon book with $500
in savings.
• Desert Hills Premium Outlets: 48400
Seminole Drive, Suite 601, Cabazon, (951)
849-5018. Receive a complimentary VIP
coupon book (value $5) with discount
offers for many of the 130 designer and
name-brand stores. Mention the “Show
Your Anaheim Badge & Save” offer at the
management office (West Wing, Suite
601).
• Anaheim GardenWalk: 321 W. Katella
Ave., Suite 191, Anaheim, (714) 635-7410.
Complimentary VIP Shopping Pass for
discounts at most GardenWalk stores and
restaurants.
• Disneyland Resort, Downtown Disney District: 1565 S. Disneyland Drive,
Anaheim, (714) 781-3463. 10 percent off
any regularly priced item costing $50 or
more at Island Charters or 10 percent off
entire purchase at Palace 4 Paws.

• O’Neill: 321 W. Katella Ave., Ste. 164,
Anaheim, (714) 635-0424. 25 percent off
entire purchase, excluding clearance
items, surfboards, skateboards, wetsuits
and sunglasses.

Restaurants
• 21 Oceanfront: 2100 W. Oceanfront,
Newport Beach, (949) 673-2100. 20 percent off food on final bill.
• Agio Ristorante: 2085 S. Harbor Blvd.,
Anaheim, (714) 383-7032. 20 percent off
food on total bill. Kids eat free for lunch
and dinner, per paying adult. Validated
parking.
• Buca di Beppo Anaheim: 11757 Harbor
Blvd., Garden Grove, (714) 740-2822. 10
percent off.
• Downtown Disney District, House of
Blues: 1530 S. Disneyland Dr., Anaheim,
(714) 778-2583. 20 percent off restaurant
and retail items.
• Mama Cozza’s Italian Inn: 2170 W. Ball
Road, Anaheim, (714) 635-0063. 10 percent off your food portion of the bill.
• Ruby’s Diner Anaheim: 1128 W. Lincoln
Ave., Anaheim, (714) 635-7829. 15 percent
off purchase.
(Source: Anaheim/Orange County
Visitor’s & Convention Bureau)

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] =>

meeting news

Dental Tribune Daily U.S. Edition | May 3, 2012

Here at CDA: what to know
Where

Information

• Exhibition hall: 9:30 a.m.–5:30 p.m.
today, 9:30 a.m.–5:30 p.m. Friday, 9:30
a.m.–4:30 p.m. Saturday
• Table clinics: noon–2 p.m. Friday and
Saturday

(800) 232-7645 or www.cdapresents.com/
Anaheim2012.aspx

Traffic and parking

Anaheim Convention Center,
800 W. Katella

Hours
• Registration, ticket sales and tote bag
pick up at the Anaheim Convention Center: 6:30 a.m.–5:30 p.m. today, 6:30 a.m.–
5:30 p.m. Friday, 6:30 a.m.–4:30 p.m. Saturday
• Tote bag and lanyard pick up at the Hilton Anaheim Hotel: 7 a.m.–3 p.m. today,

Attendeees spend some time at The Spot
during last year’s CDA. Photo/Robin Goodman,
Dental Tribune

7 a.m.-3 p.m. Friday and 8 a.m.–noon Saturday

Parking is available at the convention
center and off-site locations. If you have
a pre-paid parking voucher, you must
arrive before 8:30 a.m. for it to be valid.
Shuttles to the convention center are
available from off-site parking lots.

Shuttles
Shuttles between official show hotels

(Disneyland Hotel, Disney’s Paradise
Pier, Disney’s Grand Californian, Howard
Johnson Plaza Hotel, Desert Palm Hotel
& Suites, Doubletree, Embassy Suites and
the Hyatt Regency) and the convention
center run about every 20 minutes from
6:30 a.m.–7:30 p.m. today and Friday and
from 7 a.m.–6 p.m. on Saturday.

Dinner reservations
There is a restaurant desk in the convention center lobby to answer your questions and assist you with making reservations.

Food options
A variety of food is available in the convention center concession areas. Menu
options include specialty coffee and
breakfast items, Grab ’n’ Go for lunch,
Mexican taqueria, made-to-order sandwiches, all-American grill, barbecue, rice
bowls and pizza.

Coat/baggage check
A coat/baggage/stroller check is available
near the registration area in the convention center for $2 per item.

Children’s services
Children younger than 10 are permitted
daily in the exhibit hall from 9:30 a.m.–
noon only. The CDA provides a KiddieCorp child-care program at the Hilton
Anaheim Hotel. The cost ranges from
$20 for a half day to $40 for a full day per
child ages 6 months to 6 years.
Another program for children ages 7–12
will keep your kids entertained while you
attend lectures or visit the exhibit floor.
Activities, games and movies will be provided in a structured environment. Fees
for this program are $15 for half day and
$30 for the full day.
Children are not permitted in the lectures or workshops, and strollers are not
permitted on the exhibit floor. Questions
regarding the children’s program can be
directed to KiddieCorp at (858) 455-1718 or
info@kiddiecorp.com.

C.E. credits
Arrival and departure times are used to
issue C.E. credits. You will need to scan
upon entry and exit, and must remain
in the course for the entire time. Partial
credit cannot be granted. Go to the C.E.
Pavilion after attending class. There you
will verify your C.E. units as well as take a
brief survey for each course attended. For
your convenience, you can wait until you
have attended all of your courses, or you
can visit the CDA’s website up to five days
after the show.

The Spot
The Spot is a lounge that offers attendees activity areas and a place to relax,
check e-mail or have a cup of coffee with
a friend. The contemporary lounge features a Cool Product display, Net Café
and charging station, a C.E. Pavilion and
an educational theater that is the venue
for the Smart Dentist Series of free, onehour lectures. A Wine FUNdamentals
Seminar and Reception will take place
there from 4-5:30 p.m. Friday for $30 and
includes wine activities and trivia.

[5] =>

[6] =>

education

Dental Tribune Daily U.S. Edition | May 3, 2012

Saving lives every day
By Bill Dickerson, DDS, LVIM
Founder and CEO of LVI

It’s well known that we in dentistry can
change people’s lives through cosmetic
or neuromuscular dentistry, building
their self-esteem or eliminating a lifetime of CMD pain. I’ve always said we
are blessed to be in a profession that is so
important, where we can change people’s
lives for the better. There are not many
occupations out there than can say that.
But what is less known is dentistry’s
ability to save people’s lives. What could
be more powerful than that? Of course,
I’m talking about treating obstructive
sleep apnea (OSA), which takes the lives
of so many people every year.
Most patients who suffer from OSA are
unaware of this condition. To make matters worse, their physicians focus on the
co-morbidities they present with, such
as high blood pressure, GERD, etc. The
physician then prescribes cures for such
co-morbidities without looking for a root
cause. Also, statistics show that nearly 85
percent of physicians who are not sleep
specialists do not even “screen” for OSA.
I would like to share a very personal exAd

More information

The Las Vegas
Institute for
Advanced
Dental Studies
headquarters in
Las Vegas.

For more information on LVI and its “Physiologic
Approach to Dental Sleep Medicine,” go online to
www.lviglobal.com.

perience with this aspect of dentistry. My
brother was OSA positive. He had gone to
a sleep physician who sent him for a PSG
and found he had an AHI of 36.4, which
became 53.3 during REM sleep.
For those of you unfamiliar with these
terms, that indicated my brother had severe obstructive sleep apnea. His lowest
O2 saturation was 71 percent. He was in
the risk category for an early death.
He was prescribed a CPAP, which he
hated and wasn’t wearing regularly, but
it got his AHI down to 10. However, it
was pretty much worthless because he
wouldn’t use it during sleep.
I made my brother an LVI Somnomed
(lingualless), which he loved. But I had
him do both CPAP and the appliance for
a while. This was all done last February (a
year ago), and he reported he felt great.
Recently, he informed me he was no longer using the CPAP, just the appliance I
made him, and we scheduled him to be
retested.

Photo/Provided
by LVI

His AHI was 4.8! That’s right — normal! His average O2 saturation was 95.3
percent with the lowest being 87 percent.
Making it even better is that he slept on
his back only 6.7 percent of the time,
but that amounted to an AHI of 18 percent during these times compared with
his 3.9 percent for non-supine positions
(most of the time he slept on his left side).
If he can prevent himself from sleeping
on his back, he would be even better off.
It should be noted we took the bite in
his LVI neuromuscular position, and he
titrated the appliance only 0.8 mm forward from that position.

For those of you who treat OSA, you will
realize that is amazing. He has no trouble
getting his teeth together after using the
appliance and is totally comfortable using it with no adverse symptoms.
I would encourage every dentist out
there to get involved in this area of treatment for your patients and would encourage all of you to take the “Physiologic Approach to Dental Sleep Medicine” at
LVI to learn how to do this properly. All
sleep programs are not the same.
Many of you know that our tagline at
LVI is “Changing lives daily.” We should
add, “Saving lives daily!”

[7] =>

[8] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Special pricing and services offered
on preventative dentistry products
The landing page for
www.oralcarepro.com

offers dental
practices special
pricing on Arm
& Hammer
Spinbrush power
toothbrushes,
Arm & Hammer
toothpastes and
Orajel products.

Visit oralcarepro.com for more
information on the full line of products
from Arm & Hammer, Orajel and Spinbrush
The Church & Dwight Oral Care website for dental professionals, www.oral
carepro.com, provides Information on
a wide variety of top-brand dentifrice,
toothbrushes and other preventative
dentistry products.

Here at the CDA
To check out the wide variety of Arm & Hammer
toothpastes for yourself, stop by the Arm & Hammer booth, No. 360.

Professionals can purchase at discounted prices by calling (800) 447-6666.
There are no contracts or minimum purchases required.
Flexible payment options are available.
You also receive automatic shipment of
your choice of products based on the frequency you select: quarterly, bimonthly
or monthly.
Whenever your purchases hit at least
$250 total in a quarter, you receive a free
case of Arm & Hammer® toothpaste.
The three main brands represented
are Arm & Hammer, Orajel® and Arm &
Hammer Spinbrush®. A wide selection of
products is available within each brand
family.
For example, the Arm & Hammer
toothpaste selection includes Sensitive
Multi Protection, Sensitive Whitening,
Sensitive Freshening and Complete Care
Plus Enamel Strengthening as well as the
Whitening Booster product.
The Arm and Hammer Spinbrush
Battery-Powered Toothbrush choices include Pro Sensitive, Pro Clean, Pro Whitening, Pro Clean Sonic, Pro Clean Sonic
Recharge, Kids My Way for boys or girls,
Swirl and Globrush as well as replacement heads for all of the applicable products.
Orajel products include My Way Fluoride-Free Toddler Toothpaste, My Way
Anticavity Fluoride Toothpaste, Tooth &
Gum Cleanser, Toddler Training Toothpaste, Teething Pain Relief Single Use
Swabs, Baby Orajel Naturals Teething
Pain Relief Gel and Baby Orajel Naturals
Teething Pain Relief Tablets.
You can call (800) 447-6666 to place
an order or ask questions, 9 a.m. to 5 p.m.
(EDT), Monday through Friday.
The website, the 800 phone number
and the special professional pricing are
intended for use by only licensed dentists, registered dental hygienists, licensed medical professionals and their
staff.
(Source: Church & Dwight Oral Care)

Corrections
Dental Tribune Show Dailies 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 Kristine
Colker at k.colker@dental-tribune .com.

[9] =>

[10] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Quality control achieved
by controlling everything
At NSK, it’s all in-house:
researching, developing,
manufacturing, testing,
improving
NSK uses more than 17,000 precision
parts to build its high-speed rotary cutting instruments and accessories, which
include handpieces and tips used by dental professionals for restorations, prosthetics, endodontics, oral hygiene, lab
work and surgery.
Considering the market’s ongoing demand for ever-more precise, strong and
compact instruments, that’s not really
surprising.
The surprising part is this: Out of those
17,000-plus parts, NSK manufactures
more than 85 percent of them in-house.
The company even designs and builds
the equipment it uses to manufacture
and test those parts — so it can ensure
micron-order accuracy. It’s all part of an
obsessive focus on quality control that
dates back to the company’s founding in
Japan in 1930.
Today, NSK products have proven their
worth in more than 130 countries —
including the United States, which in
1984 saw the company’s first overseas
expansion with establishment of NSK
America, now called NSK Dental.
The philosophy of building the machines to build the parts to build the
product has followed the company into
every market it enters. The organization’s overall management structure
puts control at regional levels to ensure
prompt product delivery and responsive
after-sales servicing. Just as important,
it’s within the various regions that the
company constantly solicits feedback
from users of its products. The goal is to
be able to swiftly respond to local needs.
This ability to quickly respond to local demand trends goes directly back to
NSK’s in-house control over every step of
the research, development and manufacturing process. As an example, because
of growing interest in products that combine mechanics and electronics, NSK has
formed a specialized group of engineers
looking specifically at such applications.
Also supporting the company’s quickto-respond product-development efforts
are its in-house electro magnetic compatibility (EMC) standard test facilities.
EMC standards for medical equipment
are stricter than those for general consumer appliances. Ensuring EMC compliance at the earliest stages of research
and development helps NSK shorten the
overall product-development process.

It’s all about the hand
Control of all aspects of the development
process helps NSK ensure timely regulatory compliance, improve reliability and

NSK President and COO Eiichi Nakanishi

to completion. Every worker involved
with any part bears responsibility for
quality in all processes. If any defect is
spotted, the part must be brought into
micro-order tolerance or removed from
the process. State-of-the-art processing
machinery further protects the company’s goal of guaranteeing 100 percent
quality.
NSK production workers are constantly improving their skills, with moreexperienced workers providing colleagues comprehensive training.

Again, control of product development comes into play, with the company
modifying processes to save energy and
minimize waste at every step of research,
development, manufacturing, sales, delivery and support.
The company does not use environmental load chemicals such as chlorofluorocarbons. It has a recycling system
that achieves a 97 percent recycling rate
for cutting oil, used primarily in metal
cutting.
Again, control of its entire manufacturing process enables the company to focus
on environmentally friendly materials at
the earliest stages of design and development in complement with a focus on durability and energy efficiency.

Quality focus includes environment

A tradition of innovation

Looking at its mission from a broader
perspective, NSK also demonstrates a
strong commitment to minimizing environmental impacts of its manufacturing,
distribution, sales and support systems.
The company has achieved the ISO 14001
environmental management standard,
with the certification earned from what
is considered one of the strictest certificate authorities, TUV CERT in Germany.
Achieving the ISO 14001 standard required the design of a comprehensive
environmental management system and
an environmental plan encompassing
the company’s future vision.
Other certifications NSK has earned
include: EN 46001 (stricter guarantee of
quality for medical apparatus in Europe;
ISO 13485 (an international standard);
MDD (93/42/EEC) (European accreditation); and ISO 9001 (the international
standard of a guarantee of quality).

NSK’s total quality control, end-user
focus and track record have earned it
a global reputation for innovative advancements in dentistry products.
Recently, these advancements include
an ultrasonic scaler and tooth polisher;
bone-cutting instruments that employ ultrasonic technologies; a massproduced all-titanium handpiece body;
air turbines with a unified inner race and
rotor shaft to achieve vibration-free and
silent operation; and the S-Max pico, an
ultra-miniature-head handpiece (currently the world’s smallest) for better access and patient comfort.
It adds up to a strong reputation for
reliability, responsiveness and highvalue contributions to advancements
in patient care across all dental sectors,
including implant treatment, laboratory
techniques, general dentistry and endodontic treatment.

U.S. headquarters in Hoffman Estates, Ill. Photos/Provided by NSK

Here at the CDA
For more information, contact NSK at (800) 5854675, e-mail info@nskamericacorp.com, go online
to www.nskamerica.com or stop by the NSK booth,
No. 140.

speed up development time. But even
more critical to NSK is the direct channel
its processes create between end users
and product developers. With its dental
instruments in particular, much of the
focus goes directly to the hand of the end
user.
“Handpieces and the Human Hand —
Powerful Partners” is the company’s core
branding message. A guiding philosophy
is that a medical apparatus must work in
the dental professional’s hand first, or it’s
not worth expending all of the quality
control efforts that go into its creation.
NSK defines another of its trademarked
messages, “Expect Perfection,” also from
the perspective of the product’s users.
The phrase is meant to reflect the company’s dedication to “close consultation
with dental professionals” as central to
any product-development effort.
NSK has precise measurement standards for achieving quality control with
its ultra-fine parts processing techniques. But it takes more than numbers
to measure performance of a complete
apparatus and operating system. That’s
where a user-oriented design philosophy
becomes critical. The ultimate goal is an
ergonomic design that becomes an extension of the dental professional’s hand,
transmitting intentions of delicate hand
movements promptly and precisely to
the target.
Only after the need or concept expressed by the end user is in place does
creation and manufacturing of the instrument (and its individual parts) begin.
It’s at this phase that each part typically
goes through six to eight processes prior

The S-Max pico from NSK, with the world’s smallest head
and neck size, was developed based on dentist feedback
expressing an unmet need for a smaller-head handpiece.

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[12] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 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 CDA
For more information about the Inclusive Tooth Replacement Solution, stop by the Glidewell Laboratories booth, No. 1444.

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.

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[14] =>

14

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Put a curve in
those anterior
restorations
The Blue View VariStrip
Photo/Provided by Garrison
Dental Solutions

Ad

The Blue View VariStrip contoured anterior matrix, which was first introduced
in February in Chicago, is here in Anaheim this week.
Produced by Garrison Dental Solutions
of Spring Lake, Mich., the VariStrip is pre-

Here at the CDA
To see the new Blue View VariStrip, stop by either
of the Garrison Dental Solutions booths, No. 751 or
No. 1552. Garrison Dental Solutions is also online at
www.garrisondental.com.

contoured and tapered end to end to allow the clinician to exactly match the
height of any anterior tooth.
Said to be ideal for all anterior restorations, you can see VariStrip at either of
Garrison’s booths, No. 751 or No. 1552, on
the exhibit hall floor.
“We walked across the parking lot to
get this concept,” said Tom Garrison,
managing partner and co-founder of
Garrison Dental Solutions.
“My brother John’s practice is directly
across the parking lot from our facility.
He and I were talking about other anterior matrix options we have, and he came
up with the VariStrip concept. It was a
sketch on a sticky note that we turned
into a great little device.”
The problem, as Dr. John Garrison
described it, was that standard matrix
tape is flat, and it needed to be curved to
match tooth anatomy.
However, if you simply produced it in a
curve, you wouldn’t account for the significant differences in occluso-gingival
tooth height. If it could be tapered and
curved, a clinician could slide it forward
or back interproximally, until it was positioned for an ideal match.
Sounds simple enough.
While the VariStrip is the epitome of
simple — a polyester strip with some
curves built in — the machine to make
them is anything but simple.
“We thought this would be a slam-dunk
to produce,” said Tom Garrison. “Wrong!”
He explained: “The prototypes weren’t
too hard. We hand-stretched the film over
a curved metal form, heated it with a hair
dryer and then cut it out with scissors.
Trying to scale that up to a commercially
viable production machine was tough!
But our engineers were tenacious, and in
the end, they got it.”
You can see the new Blue View VariStrip and all Garrison’s matrix products
here at the CDA at either booth No. 751 or
booth No. 1552.

‘[My brother] came up with
the VariStrip concept. It was
a sketch on a sticky note
that we turned into a great
little device.’
— Tom Garrison

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[16] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Size doesn’t matter

About the
author
Amy Reynolds has been a
registered dental assistant
in the state of Texas for
more than 10 years.

Whether a big or small practice, CAD/CAM will make a difference
By Amy Reynolds, RDA, CDD, CIS

For 14 years, I assisted chairside in a
small rural town in Texas (population
6,000 or so), in a single GP office with
four operatories. I went through the everyday motions of comforting my patients, taking radiographs, preparing my
operatory, pouring up models, disinfecting and sterilizing.
Day in and day out, things stayed the
same, until about two years ago when we
came across the E4D Dentist™ System.
On first impression (no pun intended),
we had to ask each other many of the
questions that I’m sure all dental professionals have when they first come across
digital dentistry: Could this really work
in our office? Would our existing patients be interested and receptive to this
change? Could we attract new patients
with the system? Could we handle the
actual fabrication of the restorations?
And could we get the same quality restorations we expected and our patients
deserved?
The answer to all of these questions is
and was: Yes!
We even made the decision to incorporate chairside CAD/CAM dentistry with

Using the E4D Dentist. Photo/Provided by E4D

Here at the CDA
For more information, or to see the E4D Dentist for
yourself, stop by the booth, Nos. 2018/2318 .

the E4D before we invested in other technology such as digital radiography.
What we found was that the ROI and
savings with the E4D allowed us to then
invest in other technology opportunities
in our office.
After the system was integrated into
our office by a very knowledgeable and
friendly member of the E4D training
team, the system took off in our office
like a rocket. My dentist trusted me to
take the restoration from start to finish. This gave him the opportunity to do

other procedures, after which he would
come back to seat the restoration when it
was completed.
I started out with three same-day restorations per day — scanning only intraorally, designing in front of the patient,
milling out the restoration, then characterizing for esthetics with a simplified
stain and glaze technique.
The results were amazing; my dentist
was more than pleased — top line and
bottom line.
The nice part was there were no temporaries, no impression material, but there
was an immediate gratification for the
office and the patient. Our patients were
more than eager to have a same-day restoration.
Soon after the word spread that our office could provide a final restoration in
one visit, we started getting calls and new
patients who wanted more efficiency
in their care, and we even had a unique
group of patients who were about to be
deployed to Iraq and could not serve our
country until restorative care was finalized — all in one day.
My favorite was the very busy corporate sales patient who traveled quite a
bit: He had broken a tooth at the most
inopportune time. He came into our of-

fice and took not one but two conference
calls while I was designing and finishing
his restoration.
Some people are “afraid of the learning curve.” Well, after about two months,
there was not a posterior case I was hesitant to tackle, including quadrants. From
there, it was a quick step to the anterior
cases and implant restorations. The sky
was the limit with the E4D system.
So often, we as dental assistants sit
chairside assisting the case, using creative efforts to make temporary restorations that are simply cut off in a couple
weeks and thrown away. What a thrill it
is to know I’m creating final restorations,
and my patients are using my creation
every day for function and esthetics.
I’m now part of the restorative cycle —
a big part and an even greater contribution to my practice.
Don’t hesitate to dream what “could
be” in dentistry or in your practice.
Chairside digital dentistry works — no
matter how big or how small your practice is. The time is now — challenge your
capabilities and engage what is best for
your patients, team and office.
Take a close look at the E4D Dentist
system and see how great the change can
be.

The truth about mercury and amalgam separators
By Al Dubé, National Sales Manager
SolmeteX

Dental amalgam is composed of 50
percent mercury by weight. A debate lies
in the statement, “Because dental amalgam is amalgamated, the mercury is no
longer accessible and, therefore, not an
environmental issue.”
While it is true the mercury is bound
in amalgam, it is also true that mercury
leaches from the amalgam in the first
minute of contact with tap water, distilled water or oxidizers such as bleach1
and completely breaks down if it’s incinerated or retorted.
Dental mercury’s contribution to the
environment is more significant than
mercury thermometers were. Now, it
is almost impossible to find a mercury
thermometer anywhere.2
If compact florescent light bulbs (CFLs),
based on the 272 million CFLs sold in
2009, were sent to landfills, they would
contribute 0.12 metric tons of mercury.2
As such, commercial and industrial facilities are required by law to recycle
CFLs. A single amalgam filling contains
350 milligrams of mercury, equivalent
to 87.5 CFLs.
Mercury button batteries contributed
approximately 2.1 metric tons of mercury to the environment in 2007.3 Restricted from use in several states, and
with pressure from the U.S. Environ-

Here at the CDA
To learn more about the proposed EPA dental rule,
stop by the SolmeteX booth, No. 850.

mental Protection Agency (EPA), use of
button batteries are largely no longer in
business.
Dental mercury contributions to the
environment have been noted by the
American Dental Association (ADA) and
state associations as being at 0.7 metric
tons. 4 The report document acknowledges funding by the ADA, with the 0.7 ton
conclusion relying heavily on one major
assumption regarding the removal efficiency of chairside traps and vacuum
pump filters. “A weighted average was
utilized to estimate an industry-wide
capture efficiency for dental facilities in
the United States of approximately 78
percent,” the report said.
This is often rounded to 80 percent in
conversation, but in the report, the very
next line states, “This capture efficiency
assumes that dentists manage chairside
traps and vacuum pump filters appropriately, as has been emphasized by the
ADA in recent years through education
and outreach efforts and recently updated ADA best management practices for
amalgam waste (ADA 2004).”4
This statement seems to suggest 100
percent of the dentists in the United
States practice BMPs. Is this an honest assumption?

Surveys requesting data on dental
wastes were conducted in Seattle and in
Dane County, Wis., with similar results:
33 percent of dentists recycled chairside
traps but only 18 percent recycled the
vacuum pump filter.5
The surveys showed the non-recycled wastes were tossed in the trash,
flushed down the drain or placed in biohazardous wastes.
These facts demonstrate dental mercury contributions are much higher than
has been suggested in recent years. Requirements for thermometers, CFLs and
button batteries with much less environmental mercury contributions have
been enacted. It could soon be the dental
community that is next affected.
Dental amalgam discharge is currently
regulated in 10 states and several counties and municipalities within the United States. However, this leaves the vast
majority of states under what would be
loosely called a voluntary program.
The U.S. EPA has in draft form a “Dental
Rule” to require the collection and proper disposal of mercury wastes from dental facilities, which includes the mandatory installation of an ISO 11143 amalgam
separator. This “Dental Rule,” if enacted,
would apply to all dental facilities that
place or remove amalgam fillings. It is
expected to also have reporting requirements for dental facilities that install and
maintain these mercury-bearing wastes,
i.e. amalgam.

Installing an amalgam separator will
help minimize dental mercury discharges now and into the future. Amalgam
separators come in a variety of sizes and
cost profiles. It is important to understand the total costs of the separator.
Watch out for contracts and hidden
fees, such as additional costs for materials and installation time if mounting brackets are not provided. Be wary
of promises of extended life beyond 12
months, as the proposed dental rule will
require annual replacements of collection containers.
The dental community discharges larger quantities of mercury than most have
been led to believe. However, there are
some simple steps to minimize the environmental impact of dental mercury.
Follow the ADA’s Best Management Practices and install an amalgam separator.

References
1.
2.

3.
4.

“Amalgam Solubility Study,” Shields,
SolmeteX Inc., June, 2001.
Energy Star, “Frequently Asked Questions,”
Information on Compact Fluorescent Light
Bulbs and Mercury. Nov. 2010.
NEMOA, IMERC Fact Sheet, “Mercury use
in Batteries,” Update, Jan. 2010.
“An Assessment of Mercury in the Form of
Amalgam in Dental Wastewater in the
United States,” VanDevin/McGinnis, 2005.
US EPA, “Update on Mercury Regulations,”
US EPA Randy Case, PowerPoint 2005.

[17] =>

[18] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Witnessing the evolution
of digital impression solutions
Here at the CDA

An interview with
dentist Svend W. Carlsen

To learn more about the 3Shape TRIOS digital impression system or to see it for yourself, stop by the
3Shape booth, No. 781.

By 3Shape staff

Since 1982, dentist Svend Carlsen has
used various differing intra-oral scanners for taking impressions digitally.
3Shape spoke with Carlsen about developments in digital impression systems
and how technology can help dentists in
their daily work.
“It all started with a digital chairside
solution, where we had both the technology to digitally record the tooth and the
milling equipment to manufacture the
crown,” Carlsen said. “In the beginning,
we were all very enthusiastic about the
new technology, but we discovered that
results lacked the required accuracy.
We were forced to regard our ceramic
inserts only as well-functioning megafillers. Since then, I have been constantly
searching for a digital system that could
meet the accuracy challenge.”
Carlsen said a little more than a year
ago, he attended an event that included
a demonstration of 3Shape’s TRIOS system. “This experience renewed my belief
that digital imprint technologies could,
in fact, fulfill our needs,” he said. “Today, we use the 3Shape TRIOS system for
most of our impressions in the clinic for
single-tooth crowns and bridges.”
What do you demand of a reliable digital system?

trol that dentists can demonstrate with
the technology creates a greater sense
of security for patients. Patients can follow their own treatment’s details on the
screen and thus better understand what
it entails.”

Dr. Svend Carlsen works with a patient.
Photo/Provided by 3Shape

Carlsen: “With most of the digital impression systems that I have used, there has
been a need to make small corrections
before the final crown could be placed in
the patient’s mouth. This should not be
necessary. It is also now a great benefit to
be able to view an enlarged image of the
prepared tooth, with every detail clearly
displayed. This enables you to identify
and immediately correct areas where
the tooth preparation is not sufficiently
smooth or sharp. This level of control
means that only correct information is
sent to the laboratory. It also provides effective control of our own work.
“Patients are rather impressed that we
can take an impression so quickly and
so easily. I think the high degree of con-

How does the new system compare to
the earlier devices you have tried?
“Previously, you had to apply spray or
powder on the teeth before you could
scan. This was very annoying because it’s
hard to put an even layer of coating on
the teeth — and an uneven layer would
ruin scan precision. With previous systems, it was also necessary to maintain a
completely steady hand while scanning.
The slightest movement of the patient or
of the operator’s hand was enough to create a useless image.
“The new scanners allow a high degree
of movement freedom, and this makes it
much easier to get a good picture. Here at
our clinic, assistants scan as often as dentists. The system is very intuitive.”
You started with a chairside milling
system, but the TRIOS system you use today builds on cooperation with the lab.
How do you see these two different approaches?
“I know from my own experience that
chairside milling systems are tempting
for many dentists. But in reality, at least

as the technologies stand today, chairside milling is not worth the investment
because dentists need to spend too much
time perfecting the esthetic details.
“In relation to my business, I have no
doubt that it’s better for me to outsource
my milling needs. More importantly,
skilled dental technicians will usually
provide better restorations than dentists
can. They are simply better artists and
have more practice.”
Have digital impression solutions come
to stay?
“I think the existence of digital impression solutions in all clinics will soon be
taken for granted. Even in a little town
such as ours, all four dental clinics are
equipped with their own digital impression system.
“Actually, we find that our area’s hightech profile affects competition because
it helps us attract patients from other
cities. We also see a clear trend among
laboratories. More and more labs are
working with advanced digital systems
that allow them to mill crowns directly
from our digital impressions — without
first manufacturing a model. This means
that we can get our crowns back from the
lab even faster.”

About the dentist
Svend Carlsen has been a dentist for more than 50
years and has always actively taken interest in the
most advanced technologies within the dental profession. Today, Carlsen runs his Herregaard Center
Dental Clinic in Faaborg, Denmark. The clinic uses
the 3Shape TRIOS digital impression system on a
daily basis.

Aribex NOMAD goes anywhere — almost
Agency restrictions
present barriers to care

Here at the CDA

Thousands of dental offices in the
United States and in countries around
the world have experienced the quality, proven safety and convenience of
the Aribex NOMAD handheld X-ray system (booth No. 2534). Because it is lightweight and rechargeable, the device has
also been used to diagnose thousands of
individuals in remote areas far from a
regular dental operatory.
NOMAD has helped dental professionals in treating special needs patients,
such as the elderly, the handicapped and
those under sedation. Thanks to countless volunteer professionals, it has been
proven to be of significant value for dental missions in clinics, orphanages and
schools, both throughout the United
States and in isolated villages in developing nations.

Even after the FDA clears an X-ray device as safe and effective, each state radiation control section must approve the
device for use in their state. While most
states have approved handheld X-ray devices, some still have not, which means
the same NOMAD X-ray device used to
help a child in Mozambique is not available in states such as New Hampshire,
Kentucky, Maryland, Minnesota, Michigan and Delaware or in Canada. In addition, there are a few states that restrict
the use of handheld X-rays to specific circumstances or apply requirements that
ultimately discourage use.
“Dentists in restrictive states and in
Canada need to let regulators know they
want to provide the higher level of care
available through handheld X-rays,” said
Ken Kaufman, president of Aribex.

A volunteer uses a NOMAD
handheld X-ray in a
Guatemala clinic. Despite
the device’s use around the
world, regulators in several
U.S. state governments have
still not approved the
NOMAD for providing access
to care for their citizens.

For more information on the NOMAD handheld
X-ray, stop by the Aribex booth, No. 2534.

Photo/Provided by Aribex

“NOMAD has been tested extensively
and found to be as safe as or even safer
than the conventional units dentists are
using now.
“State dental associations acknowledge
that access to care is a major issue in their
state, and the American Dental Association has worked to raise awareness. Still,
some state regulators haven’t gotten the
message that the NOMAD handheld Xray is a huge part of the solution. Dentists need to let regulators know what
they want.”

The FDA recently announced an investigation into foreign-made handheld
X-ray devices being sold into the United
States over the Internet. None of these
units have been approved for use in any
state.
“Aribex has spent years in painstakingly obtaining state approvals,” Kaufman
said. “We’re concerned that inferior units
being sold illegally will muddy the waters for regulators considering our device in their state. And that will mean
additional roadblocks for access to care.”

[19] =>

Dental Tribune Daily U.S. Edition | May 3, 2012

exhibitors

Advances in dental implant impressions
By Gregori M. Kurtzman, DDS, MAGD,
FACD, FPFA, FADI, DICOI, DADIA

The Miratray Implant Advanced Tray
simplifies the process of taking open
tray implant impressions. The tray is
provided in three maxillary- and three
mandibular-sized trays, and the trays are
unique in their design.
The occlusal surface is covered by a
transparent foil. This allows identification of the heads of the pins easily intraorally. Retention slots and an internal
rim provide mechanical retention to retain the impression material within the
tray.
Should the practitioner choose to supplement the retention with a PVS adhesive, it is recommended it not be applied
to the foil surface, as this may obscure
visualization of the pins when inserting
the tray to proper depth.
The technique involves filling the tray
with an appropriate impression material. The tray is then inserted over the open
tray impression heads intraorally and
pressed down crestally until the top of
the impression pins are visible through
the transparent foil.
The practitioner then presses the tray
further until the pins puncture the foil
and are visible protruding through the

Here at the CDA

pression, and the prosthetics were completed and returned for insertion.

For more information or to see the Miratray
Implant Advanced Tray for yourself, stop by the
Hager Worldwide booth, No. 1674.

References
1.

foil. This contains the impression material within the tray, eliminating the potential problem often seen when using
custom or modified stock trays where
the impression material obscures the
tops of the pins.
Upon setting, the pins are rotated in a
counterclockwise fashion and removed
from the impression, and the impression
is removed intraorally. Because of the design of the tray, it can be used in all-implant impression situations, whether the
arch is partially dentate or fully edentulous.

Case example
A patient presented ready for the prosthetic phase of a single implant in the
maxillary second premolar and an adjacent crown on a natural molar. The treatment plan would restore the implant at
the second molar with a custom abutment and restore the site with a cemented bridge with a cantilever pontic at the
first premolar.
Following preparation of the molar,
an open tray impression abutment was

The Miratray Implant Advanced Tray.
Photo/Provided by Hager Worldwide

placed on the implant fixture. The Miratray was tried in to verify that it was large
enough to capture all of the teeth in the
arch without impingement on teeth or
soft tissue.
An impression material was injected
around the gingival aspect of the open
tray impression abutment and the sulcus
of the molar preparation. The Miratray
was filled with additional impression
material and inserted intraorally.
As the tray was pressed gingivally, the
long pin was allowed to perforate the
clear foil on the occlusal aspect of the
Miratray. Upon setting, the long pin was
removed, and the Miratray impression
was removed intraorally and sent to the
laboratory for prosthetic fabrication.
A master cast was created from the im-

Samet N, Shofat M, Livny A, Weiss EI. A
clinical evaluation of fixed partial denture
impressions. J Prosthet Dent 2005; 94:112–
117.
Silverstein LH, Kurtzman GM, et al.: The
utilization of a preprosthetic extraoral verification stent for dental implant-supported reconstructions. Dent Today. 2002
Jan;21(1):88–91.
Kwon JH, Son YH, Han CH, Kim S.: Accuracy
of implant impressions without impression copings: a three-dimensional analysis.
J Prosthet Dent. 2011 Jun;105(6):367–73.

About the author
Gregori M. Kurtzman, DDS, MAGD, FACD, FPFA,
FADI, DICOI, DADIA, is in private general practice
in Silver Spring, Md., and is a former assistant
clinical professor at the University of Maryland.
He has lectured both nationally and internationally and has more than 200 published articles. He
is on the editorial board of numerous dental publications, is a consultant for multiple dental companies and has earned fellowship in the AGD,
AAIP, ACD, ICOI, Pierre Fauchard and Academy of
Dentistry International, mastership in the AGD
and ICOI and diplomat status in the ICOI and
American Dental Implant Association. He can be
contacted at dr_kurtzman@maryland-implants.
com.

[20] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

A revolution in oral care
SockIt! Gel helps to manage and heal oral wounds
Here at the CDA

By SockIt! Gel staff

For more information about SockIt! Gel or to see it
for yourself, stop by booth No. 1672.

Dentistry has seen dramatic developments in materials and techniques,
especially in the past 20 years. Dentists
provide care to patients as a matter of
course that was unthinkable just a few
years ago. However, dentistry finds itself
still woefully lacking in one area — that
of oral wound care.
Various procedures that result in injured tissues are performed every day.
Patients may receive a prescription for
pain medication, sometimes coupled
with instructions to use a rinse to help
reduce oral microbial counts, and that is
about all.
However, we still do not provide patients with the one thing that is considered the standard of care in treatment
of almost any other exposed part of the
body: a wound dressing. This is not surprising because current wound dressings
are not practical in dentistry.
Wound dressings are hallmarks of
proper wound care. Wound dressings
perform functions that are requisites for
optimal healing: they protect wounds
from irritation (and pain) and help reduce microbial contamination.1 But because of the impracticality of standard
oral wound dressings, dental patients
have been denied ideal care.
We prescribe narcotics, but these drugs
come with their own set of issues. In addition to their toxicities and potential
for abuse, they don’t always provide sufficient pain relief or the relief doesn’t last
until patients can safely take another
dose.2 These concerns apply even to overthe-counter drugs such as acetaminophen.3
A plethora of bacterial, fungal, protozoal and viral species reside in the human mouth. Many of these are potential
pathogens that can delay healing.
In an attempt to address this issue,
many dentists resort to various antimicrobial rinses to help prevent infection. However, almost all of these are
toxic to some extent and should not be
swallowed.
In addition, many of these products
contain ingredients such as chlorhexidine, povidone-iodine, etc., that, while
effective against bacteria, are toxic to the
cells of wound healing. 4–8
Wouldn’t it be nice to be able to provide
patients with a safe and effective means
to achieve constant pain relief, to protect
oral wounds from contamination and to
promote optimal healing?
SockIt! Oral Hydrogel Wound Dressing
is the answer to this pressing need.
SockIt! is a hydrogel wound dressing
approved by the FDA for management of
any and all oral wounds. SockIt! is ideal
for tooth extractions, with periodontal,
implant, graft and other procedures, as
well as mucosal ulcers, lesions and all injuries to the mouth.
SockIt! signals a revolution in oral
wound care because of the benefits it

Use SockIt! with various procedures, including extractions, immediate dentures, laser
procedures, implants, hygiene procedures, grafts and more. Photos/Provided by SockIt! Gel
8.

‘Wouldn’t it be nice to be able
to provide patients with a
safe and effective means to
achieve constant pain relief,
to protect oral wounds from
contamination and to promote
optimal healing?’
provides and the safety it possesses.
SockIt! is unique in composition. It is
drug-free. But more than that, SockIt!
is composed entirely of all-natural food
ingredients.
The specific combination of ingredients is extremely effective in providing the desired benefits, is completely
non-toxic and is safe when swallowed.9-17
SockIt! has no medical, pharmacological
or age restrictions associated with its use.
SockIt! provides three important benefits to the patient:
• Fast pain relief without a numb sensation. The patient may apply SockIt!
as often as needed for pain relief (true
patient-controlled analgesia).
• Protection of wounds from contamination.
• Optimal wound healing.
SockIt! is easy to use. Apply SockIt! in
the office. Dressing wounds as soon as
possible to protect them from contamination is a major tenet in wound care.
Send the syringe with the remainder of
the gel home with the patient. Patients
should apply SockIt! to the affected
area(s) at least four times each day until
the syringe is empty. They may apply
it more often if needed for pain relief.
There are no restrictions to its use.
Dentistry provides a multitude of opportunities to care for oral wounds. Ac-

cording to the ADA, the following numbers of procedures are performed each
year in the United States (and for which
SockIt! is ideal):
• 46 million tooth extractions
• 569,000 gingivectomy or gingivoplasty procedures
• 834,000 osseous surgeries
• 500,000 bone-replacement grafts
• Hundreds of thousands of other periodontal procedures
• 2 million surgical implant placements
• 13 million scaling and root planing
procedures
• 5 million complete denture deliveries, many of which are immediate dentures18
That’s a lot of discomfort that should
be managed and healing that must occur. SockIt! safely and effectively addresses both needs. Patients report immediate pain relief with reduced (or no)
need for prescription narcotics. Dental
professionals report a significant reduction in postoperative complications and
faster healing.
Join the revolution in oral care with
SockIt! Oral Hydrogel Wound Dressing.
Your patients will love you for it!

10.

11.

12.

13.

14.

15.

References
1.

Wiseman DM et al. Wound dressings: design and use. Cohen IK, Diegelmann RF,
Lindblad WJ; Wound Healing: Biochemical
and Clinical Aspects. Philadelphia, WB
Saunders Company; 1992:562.
Fricke JR et al. A double-blind, single-dose
comparison of the analgesic efficacy of tramadol/acetaminophen combination tablets, hydrocodone/acetaminophen combination tablets, and placebo after oral
surgery. Clin Ther 2002;24(6):953–968.
Mort JR et al. Opioid-paracetamol pre-

16.

17.

18.

scription patterns and liver dysfunction: a
retrospective cohort study in a population
served by a US health benefits organization. Drug Saf 2011;34(11):1079–1088.
Pucher JJ, Daniel JC. The effects of
chlorhexidine digluconate on human fibroblasts in vitro. J Periodontol 1992;63(6):526–
532.
Chang YC et al. The effect of sodium hypochlorite and chlorhexidine on cultured human periodontal ligament cells. Oral Surg
Oral Med Oral Pathol Oral Radiol Endod
2001;92(4):446–450.
Wilken R et al. In vitro cytotoxicity of
chlorhexidine gluconate, benzydamineHCl and povidone iodine mouthrinses on
human
gingival
fibroblasts.
SADJ
2001;56(10):455–460.
Cabral CT, Fernandes MH. In vitro comparison of chlorhexidine and povidone-iodine
on the long-term proliferation and functional activity of human alveolar bone
cells. Clin Oral Investig 2007;11(2):155–164.
Giannelli M et al. Effect of chlorhexidine
digluconate on different cell types: a molecular and ultrastructural investigation.
Toxicol In Vitro 2008;22(2):308–317.
Kennedy TJ, Hall, JE. A drug-free oral hydrogel wound dressing for pain management
in immediate denture patients. Gen Dent
2009;57(4):420–427.
Lambert et al. A study of the minimum inhibitory concentration and mode of action
of oregano essential oil, thymol and carvacrol. J Appl Microbiol 2001;91(3):453–462.
Chaieb K et al. The chemical composition
and biological activity of clove essential
oil, Eugenia caryophyllata (Syzigium aromaticum L. Myrtaceae): a short review.
Phytother Res 2007;21(6):501–506.
Burt S. Essential oils: their antibacterial
properties and potential applications in
foods — a review. Int J Food Micobiol
2004;94(3):223–253.
Oussaiah M et al. Mechanism of action of
Spanish oregano, Chinese cinnamon, and
savory essentail oils against cell membranes and walls of Escherichia coli
O157:H7 and Listeria monocytogenes. J
Food Prot 2006;69(5):1046–1055.
Schepetkin IA et al. Botanical polysaccharides: Macrophage immunomodulation
and therapeutic potential. Int Immunopharmacol 2006;6:317–333.
Jettanacheawchankit S et al. Acemannan
stimulates gingival fibroblast proliferation, expressions of keratinocyte growth
factor-1, vascular endothelial growth factor, and type I collagen; and wound healing. J Pharmacol Sci 2009;109(4):525–531.
Tizard IR et al. The biological activities of
mannans and related complex carbohydrates. Mol Biother 1989;1(6):290–296.
Plemons JM et al. Evaluation of acemannan
in the treatment of recurrent aphthous
stomatitis. Wounds 1994;6(2):4.
American Dental Association: 2005-06
survey of dental services rendered. www.
ada.org 2007;34–40.

[21] =>

[22] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

The difference between a
good practice and a great one
By Greg Sconce, InfoStar President

There are a lot of variables to be considered when it comes to distinguishing between a good practice and a great
one. To begin with, every dentist, every
dental practice, every market and every
community is unique. We could fill this
publication with opinions, suggestions
and theories.
What I want to focus on is what I believe should be at the top of the list: 1) attracting new patients and 2) an increase
in per patient revenue.
Let’s assume for a moment that everything else in a practice is perfect: a great
facility, high-tech equipment throughout, a well-trained, experienced team
and a nice patient base — a formula for a
good dental practice.
What separate a good practice from
a great practice are a consistent flow of
new patients and a high percentage in
fee-for-service revenue. An aging practice will eventually die. The factors are
aging patients, and if a dentist is doing
his/her job correctly, patients will eventually need less dental work.
More fee-for-service revenue is necessary because of the decline in insurance
payouts and the increasing cost of doing
business. You have to make more per
hour, which means you have to find a
way to increase you per patient revenue.

How to attract new patients
Become more involved with Internet
marketing in order to put new patients
into your chairs. The vast majority of
dentists across the county are redirecting their marketing dollars from paper
advertising (yellow pages, post cards,
etc.) to the Internet and are experiencing a much greater return on investment
(ROI).
Anyone can make a website, but most
don’t make a properly developed website,
which is extremely important. A website
alone does not constitute an Internet
marketing program; you may need more.

It’s an easy process if a dentist will take
two to three minutes per patient to visually show a procedure illustration and
then explain the alternatives and options. The results are amazing!

A perfect tool
But be careful. The industry is full of
those who will promise you the world.
Decisions should not be based upon
price, but on the website developer’s history, results and testimonials. Do some
research to ensure you select the right
website developer.
At InfoStar, we develop websites that
will eventually be listed on page one or
two of search engines. During the past 18
months, we have developed a very successful program. For those clients who
have been on our SEO and Social Media
marketing plan for six months or longer,
approximately 91 percent of all of their
search terms (1,600-plus terms) listed on
page one or two in a Google search. We
would be happy to show you the results.
InfoStar offers an SEO and Social Media
marketing package that includes, among
other things, a language translator, page
titling, YouTube videos, blogs, a patient
review module, Inter-linking, back-links,
content criteria, searchable page titling,
individual page IP addresses, call-toaction advertising, a business Facebook,
Twitter, a Google+ account, an Internet
video commercial, a smart-phone application and more. The best part is we
do everything for you daily, weekly and
monthly, and we provide performance
reports.
Dr. Michael Erickson of Castro Valley
and San Leandro, Calif., uses the SEO and
Social Media marketing package.
“We market our practices through our
dental website and a social media marketing program with InfoStar, Comcast
television ads and the Yellow Pages,”
Erickson said. “In our annual analysis
of the effectiveness of each, the ROI for
web/social media was 11.67 percent, while

Here at the CDA
To learn more about how social media can help
your practice grow, contact InfoStar at (916) 9882323, go online to www.infostarproductions.com or
stop by the booth, No. 1226.

the best from the others was 2.3 percent.
We are seeing an increasing number of
patients from our expansion into the social media format. The good news is that
InfoStar does all the work.”

Increase per patient revenue
Generally, patients resist a procedure
upgrade when it is not covered by their
insurance. The fact of the matter is that
when a patient has a clear, visual understanding of their procedure alternatives,
they will often elect a fee-for-service procedure.

Having a great practice also means having the right tools. The SideKick MP,
which was developed by InfoStar with
the dentist in mind, is a robust, userfriendly program that is compatible with
both PC and Mac, network servers, the
Cloud, tablets and smart phones.
In addition to an already dynamic load
of procedure images and movies, the
new SideKick MP allows its users to easily
add their own images anywhere within
the program. The program is audible in
English and Spanish. Users can edit text
on the fly and translate text into any of
35 languages.
The SideKick MP includes many new
and enhanced features, such as a continuous play “looping” movie module,
a smart menu, an e-mail module that
addresses your own images and clear
audio/video operation instructions. The
SideKick MP comes with a site license,
and there are no ongoing fees.

The SideKick MP
from InfoStar.
Photo/Provided
by InfoStar

AMD LASERS shows off its new booth
AMD LASERS, a global leader in affordable dental lasers and dental laser education, has announced a new booth presence at the CDA Presents The Art and
Science of Dentistry. AMD LASERS can
be found in booth No. 1506, near one of
the main entryways of the exhibition
hall and across from its parent company,
DENTSPLY International.
The booth will feature three interactive workstations mounted near AMD
LASERS’ white wall, with three plasma
displays showcasing clinical applications
that can be performed with Picasso laser

technology. The booth will also feature
product display cases, a lounge and end
cap kiosks with media displays showcasing promotional and clinical media.
“This is the first major dental
trade show where AMD LASERS and
DENTSPLY will be in close proximity,” said
Alan Miller, president and founder, AMD
LASERS. “We look forward to being close
to its iconic village, which will help us
share the amazing benefits of laser dentistry with more dental professionals.”
Along with a new booth presence, prospective and current laser owners will

Here at the CDA
Check out AMD LASERS’ new booth (No. 1506),
where you can also see the Picasso laser technology
for yourself.

have the opportunity to see Picasso laser technology in use in lecture topics
ranging from esthetics to implants to
interdisciplinary care and presented by
notable laser clinicians Drs. Paresh Shah
and David Little. Lectures will take place
both today and on Friday (see the official
program for details).

Clinicians will also have the opportunity to experience Picasso laser technology in an interactive, hands-on environment at the “Wonderful World of Lasers
in Dentistry,” moderated by Dr. Don
Coluzzi, taking place from 10 a.m.–12:30
p.m. and from 2:30–5:30 p.m. today and
Friday.
Experience AMD LASERS in booth No.
1506, and also join the community on
Facebook at www.facebook.com/official.
amdlasers, Twitter at www.twitter.com/
amdlasers and YouTube at www.youtube.
com/amdlasers.

[23] =>

Dental Tribune Daily U.S. Edition | May 3, 2012

exhibitors

DUX Dental kicks off annual Bib-Eze for
Boob-Eze charitable campaign at CDA
DUX Dental is launching its fourth annual “Bib-Eze for Boob-Eze” campaign
today here at CDA. The campaign raises
money to fight breast cancer while also
honoring dental professionals for their
day-to-day patient care.
“Dentists, dental assistants and hygienists take good care of their patients,
and we want to honor them for the work
they do,” said Paul Porteous, CEO and
president of DUX Dental. “The Bib-Eze
for Boob-Eze campaign does that in two
ways. We give dental offices the opportunity to try a great product for free, and
second, we make a charitable donation in
their name.”
To participate, dental professionals are
invited to bring their old, used bib holders to the DUX Dental booth, No. 1216, in
exchange for a free box of 250-count BibEze disposable bib holders. DUX will donate $5 to the fight against breast cancer
for each bib holder or chain turned in at
the booth.
Forgot to bring your bib holders? Offices can send their old bib holders directly
to DUX Dental headquarters to participate. Simply download an exchange
form at www.bibezeforboobeze.com and

Here at the CDA
Bring your old bib holders or chains to the Dux
Dental booth, No. 1216, and receive a free box of
250-count Bib-Eze disposable bib holders. DUX
Dental will donate $5 to the fight against breast
cancer for each bib holder or chain turned in at
the booth.

Image/Provided by DUX Dental

send the form and the used bib holders
to: “Bib-Eze Exchange,” DUX Dental, 600
E. Hueneme Road, Oxnard, Calif. 93033.
DUX will accept bib holder exchanges up
until Oct. 31.
“The holders we collect at CDA this

week are just the beginning,” said Stacey Williams, marketing director at DUX
Dental. “We will be collecting holders until October in hopes of reaching our goal
of donating $5,000 to the fight during
Breast Cancer Awareness month.”

Peggy Lee, a registered dental hygienist
for the past 32 years, participated in last
year’s Bib-Eze for Boob-Eze program and
expressed appreciation for DUX’s support of breast cancer causes.
“As a 12-year breast cancer survivor, I’m
always appreciative of the public’s support of breast cancer research and treatment,” Lee said.
“It’s even more special when a member
of the dental community — and one as
respected as DUX Dental — devotes its
time and resources to ensure breast cancer causes remain a priority and receive
continual support.”
DUX says it gives a portion of the annual sales of Bib-Eze to support breast
cancer research or treatment efforts. The
company has contributed thousands of
dollars to the cause since introducing the
Bib-Eze product.
Ad

[24] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

BeautiSealant: 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.

Fast 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).

Secure bond, gentle on enamel
BeautiSealant Primer contains dual-adhesive monomers (carboxylic and phosphonic acid) that thoroughly penetrate
and prepare pits and fissures for bonding
to the sealant, forming a chemical bond

Place BeautiSealant in four steps

BeautiSealant from Shofu.
Photos/Provided by Shofu

Here at the CDA
For a limited time, purchase the BeautiSealant Kit
(PN1798) for $81.12 and receive a OneGloss PS Assortment kit (PN0175) free. For more information,
contact Shofu at (800) 827-4638, visit www.shofu.
com or stop by the booth, No. 1128.

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.

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 that meet or exceed market-leading sealants at 19.5MPa.

Capture the
QR code to
view an acid
neutralization
video.

Smooth application
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.

Sustained remineralization from
giomer fillers
Shofu’s proprietary Surface Pre-Reacted Glass (S-PRG) filler particles are not
only pre-charged with fluoride during

Shear bond strength to enamel from Shofu’s internal data.

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.

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.

Crest Oral-B names Kasha Lower, RDH, as a
recipient of the ‘Pros in the Profession’ award
Crest Oral-B congratulates, at left,
Kasha Lower, RDH, of
New Port Richey, Fla.,
as the fourth winner of the brands’
second “Pros in the
Profession”
award
program, which honors registered dental
hygienists who go above and beyond the
call of duty every day. Lower has been
practicing dental hygiene for more than
14 years, holding an associate of science
degree from Pasco-Hernando Community College.
After careful consideration of a pool of

Here at the CDA
To learn more about Kasha Lower and the other
winners and the “Pros in the Profession” program,
visit www.prosintheprofession.com. To learn more
about Crest Oral-B, stop by the booth, No. 1350.

qualified candidates, a panel of judges selected Lower for the award based on her

passion for community service and giving back to those in need.
Lower is an active volunteer for the
Great American Teach-In, a program in
which she visits local schools and teaches children about the importance of oral
health. She also regularly works with the
Smile Faith Foundation, an organization
that helps physically damaged patients
restore their smiles, regain their confidence, discover their personal growth
and venture into new career opportunities through major dental care and lifecoach counseling.
Lower said one of her most memorable
experiences in her career occurred while
performing a routine head and neck

exam, during which she detected a cancerous lump in a patient’s neck. Lower
said she considers this experience a testament to the importance of thorough
patient examinations and the crucial
role dental hygienists can play not only
in oral care but in overall health.
Throughout 2012, a total of six professionals will be named this year’s Crest
Oral-B “Pros in the Profession” winners.
Winners will receive a $1,000 monetary
prize, recognition at a special award
cocktail reception at RDH’s Under One
Roof 2012 in Las Vegas, a plaque, a tribute
in dental trade media news announcements and on www.dentalcare.com and
an exclusive trip to P&G headquarters.

[25] =>

Dental Tribune Daily U.S. Edition | May 3, 2012

exhibitors

Add a touch of
sparkle to your
mouth guard
Keystone Industries
adds Glitter Guard
to its Pro-form line
Keystone Industries announces the
addition of Pro-form Glitter Guard to its
line of athletic mouth guards.
The Glitter Guard material adds a bit
of sparkle to the Pro-form line, which
delivers protection, affordability and
style. The mouth guard line offers numerous colors and styles to match any
athlete’s preferences, but now athletes
can choose shimmering glitter material
that matches their star performances on
the field.
Pro-form mouth guards are used by
professional and amateur athletes alike
because they provide a high level of protection, retention, comfort and fit without hindering speech or breathing.
The custom-fit mouth guard goes
above and beyond typical boil-and-bite
mouth guards, according to the company, which cites its superior fit and retention.
In addition, Keystone Industries states
that Pro-form mouth guards are thin
and comfortable while still maintaining
shape and protection long after other
mouth guards have worn out.
These custom-made athletic mouth
guards are proven to reduce the number
of tooth breakage by properly distributing the stress of a hard impact to the entire length of the tooth.
The durability is enabled thanks to a
double layer of laminated sheet vinyl
and a lingual plate imbedded behind the
incisors.
The mouth guard maintains its form
because of the heat and pressure laminating process.
The tensile strength is because of the
two layers of laminate while the density
is maintained during the pressure laminated process for controlled, uniformed
shape.
Used at all levels of competition,
Pro-from has proved itself a top performer on the field when athletes need
it the most. Advantages of Pro-form include:
• Increased oxygen intake for maximum performance and endurance during competition
• Improved speech for clear communication on the field of competition
• Natural comfort with a secure fit
• Maximum impact dispersion and
protection against tooth damage
• Custom fit for any size mouth
• Myriad color options to meet the
needs of patients, including new glitter
form.

Here at the CDA

For more information on Pro-form’s Glitter Guard or
any Keystone product, contact Keystone Industries
toll-free at (800) 333-3131, fax (856) 663-0381, go online to www.keystoneind.com or stop by the booth,
No. 460.

Keystone Industries Pro-form athletic mouth guard line gets a little more flash with Glitter
Guards but still provides needed protection. Photo/Provided by Keystone Industries

[26] =>

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Solving one of dentistry’s
most challenging problems
References

By Mark Hochman, DDS

Of all the procedures performed on a
routine basis, the one procedure that is
universally perceived by patients as the
most fearful and anxiety provoking is
the dental injection. In spite of the significant advances made during the past 100
years, our profession has yet to conquer
one of the greatest challenges of dentistry — or has it? Milestone Scientific, after
spending the past decade responsibly
and methodically studying this problem,
now believes that with the introduction
of its new instrument, The Wand®/STA
Single Tooth Anesthesia System, this ageold problem has finally been conquered.
The Wand/STA Single Tooth Anesthesia System represents the world’s
first and only technology that uses the
patented Dynamic Pressure Sensing®
(DPS®) technology, which accurately and
safely performs a pressure-regulated
intra-ligamentary dental injection. The
new Wand/STA Single Tooth Anesthesia
System can also perform all traditional
dental injection techniques, i.e., inferior
alveolar block, supra-periosteal infiltration, etc. All techniques are performed
more efficiently, more effectively and
virtually painlessly.
Milestone’s new technology incorporates visual and audible real-time
feedback, giving clinicians an unprecedented level of control and information when performing a dental injection.
The Wand/STA Single Tooth Anesthesia
System replaces the antiquated heavy
metal dental syringe with an ultralightweight disposable handpiece weighing less then 10 grams for superior ergonomics and tactile control. The experience for both patient and dentist is one
that is significantly less stressful.
Milestone Scientific created and
defined a new category of dental instruments called C-CLAD® (computercontrolled local anesthetic delivery) systems. These are the only dental injection
instruments that have the published scientific data that substantiate the claim of
eliminating or reducing pain perception
when performing a dental injection.
This technology has undergone the
rigors of clinical testing that has been
performed in numerous universities and
research centers throughout the world
for more than a decade. These studies
are published in some of the most highly
respected dental journals in our profession. No other instrument, technology or
device developed specifically to reduce
pain and anxiety while performing a
dental injection can currently make that
statement.
With the introduction of C-CLAD technology, several newly defined injections
were also introduced to dentistry. The
Wand/STA Single Tooth Anesthesia System has been optimized to perform
these new dental injections. The first of

The STA Single Tooth
Anesthesia System.

Photos/Provided
by Milestone Scientific

The Wand.

Here at the CDA
To see The Wand/STA Single Tooth Anesthesia System for yourself, stop by the Milestone Scientific
booth, No. 1652.

these techniques, the anterior middle
superior alveolar (AMSA) nerve block,
published in 1997 by Friedman and Hochman, is a contemporary technique to
achieve maxillary pulpal anesthesia of
multiple maxillary teeth from a single
palatal injection without producing the
undesired collateral anesthesia to the lip
and face.
Subsequently, Friedman and Hochman
introduced a second injection, named
the palatal-approach anterior superior
alveolar (P-ASA) nerve block, in which
pulpal and soft tissue anesthesia of the
central and lateral incisors are achieved
by a single palatal injection. The general
reduction in pain perception for all injections has lead to innovative ways to produce more efficient and effective dental
anesthesia.
In addition to the new dental injections
discussed above, The Wand/STA Single
Tooth Anesthesia System improves the
success rate of traditional injections such
as the inferior alveolar nerve block. Holding The Wand handpiece with its unique
pen-like grasp allows the clinician to eas-

ily rotate while simultaneously moving
the needle forward, increasing accuracy
by decreasing needle deflection. Advancing the ability to use the new multi-cartridge injection feature, The Wand/STA
Single Tooth Anesthesia System provides
numerous advantages when performing
traditional injection techniques.
The introduction of The Wand/STA
Single Tooth Anesthesia System represents a material improvement over previous versions of this exciting technology. Numerous innovative new features
are available in the Wand/STA Single
Tooth Anesthesia System, including automatic purging of anesthetic solution
that primes the handpiece prior to use,
automatic plunger retraction after completion of use, a multi-cartridge feature
allowing multi-cartridge injections and
reduction of anesthetic waste.
Milestone Scientific has developed a
novel training feature in the Wand/STA
Single Tooth Anesthesia System, providing clinicians with spoken instructional
guidance on the use of the instrument
and thereby substantially reducing the
initial learning curve. The Wand/STA
Single Tooth Anesthesia System is today’s most advanced C-CLAD technology
and represents the next generation of
computer-controlled drug delivery instruments for dentistry.

10.
11.

12.

13.

14.

15.

Hochman MN. Single-Tooth Anesthesia:
Pressure sensing technology provides innovative advancement in the field of dental local anesthesia. Compendium
2007;28(4):186–193.
Ferrari M, Cagidiaco MC, Vichi A, Goracci C.
Efficacy of the Computer-Controlled Injection System STA, the Ligamaject, and the
dental syringe for Intraligamentary anesthesia in restorative patients. Intern. Dent
SA 2010;11:4–12.
Ashkenazi M, Blumer S, Eli I. Effect of computerized delivery intraligamental injection in primary molars on their corresponding permanent tooth buds. Intern. J
of Paed Dent 2010;20:270–275.
Murphy D. Ergonomics and the Dental
Care Worker. ISBN: 0-87553-0233-0. Washington D.C., American Public Health Association. 1998.
Kudo M. Initial injection pressure for dental local anesthesia: effects on pain and
anxiety. Anesth Prog 2005;52:95–101.
Ashkenazi M, Blumer S, Eli I. Effective of
Computerized Delivery of Intrasulcular
Anesthetic in Primary Molars. JADA,
2005;136:1418–1425.
Allen KD, Kotil D, Larzelere RE, Hutfless S,
Beiraghi S. Comparison of a computerized
anesthesia device with a traditional syringe in preschool children. Pediatr Dent.
2002;24:315–320.
Ram D, Kassirer J. Assessment of a palatal
approach-anterior superior alveolar (PASA) nerve block with The Wand in paediatric dental patients. Intern J of Paediatr
Dent 2006;16:348–351.
Jalevik B, Klingberg G. Sensation of pain
when using computerized injection technique, The Wand. IADR Pan Federation,
Sept. 13, 2006. Abstract # 0070.
Malamed SF. Handbook of Local Anesthesia. 5th Ed. St. Louis: ElsevierMosby, 2004.
Friedman MJ, Hochman MN. The AMSA
injection: A new concept for local anesthesia of maxillary teeth using a computercontrolled injection system. Quintessence
Int. 1998:29;297–303.
Palm AM, Kirkegaard U, Paulsen S. The
Wand versus traditional injection for mandibular nerve block in children and adolescents: perceived pain and time of onset.
Pediatric Dent 2004;26:481–484.
Friedman MJ, Hochman MN. P-ASA block
injection: A new palatal technique to anesthetize maxillary anterior teeth. J of Esthetic Dentistry. 1999;11:63–71.
Aboushala A, Kugel G, Efthimiadis N, Korchak M. Efficacy of a computer-controlled
injection system of local anesthesia in
vivo. IADR Abstract. 2000;Abst#2775.
Hochman MN, Friedman MJ. In vitro study
of needle deflection: A linear insertion
technique versus a bidirectional rotation
insertion technique. Quintessence Int.
2000;31:33–39.

About the author
Mark Hochman, DDS, is director of clinical affairs at
Milestone Scientific.

[27] =>

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exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

Helping you do it yourself
The EZ Care™ Handpiece Maintenance
Kit is the latest addition to the ProScore
line of products. These maintenance kits
are customized to your handpiece and
include everything needed to keep the
handpiece in optimal running condition:
an XTend™ Ceramic turbine, Smart Cleaner, gaskets, coupler o-ring sets, handpiece
cleaner/lubricant, detailed maintenance
instructions and other products.
The EZ Care Handpiece Maintenance
Kit complements both ProScore’s inoffice repair product line and the ProRepair/ProService Handpiece and small
equipment maintenance courses presented at various dental shows.

Here at the CDA
For more information, visit ProScore at booth
Nos. 2018/2318, call (800) 726-7365 or visit www.
scoredental.com. You can also follow the company
on Facebook at facebook.com/ProScore.

XTend Ceramic kits and turbines
for high-speed handpieces
With the XTend Ceramic line of turbines
and kits, ProScore offers dentists the best
quality do-it-yourself products for highspeed handpieces in the market, according to the company. Not only are XTend
Ceramic products backed with one of the
best warranties in the business — one

year for turbines and six months for rebuild kits — but XTend products have
been known to outperform steel bearings, last longer and produce less noise
and vibration.
The ceramic bearing technology incorporated in XTend Ceramic products
provides many handpiece performance
benefits:
• Reduced wear: Ceramic balls are twice
as hard as steel balls.
• Increased durability: Ceramic balls are
40 percent lighter than steel balls, which
reduces the internal forces and loads
caused by high-speed rotation.
• Longer life: Ceramic bearings perform

Photo/Provided by ProScore

better than steel under marginal lubrication.
• Quieter and smoother operation:
Noise and vibration are reduced as a result of lower loads.

Other EZ Solutions
ProScore’s other EZ Solutions offer dentists various do-it-yourself repair and
maintenance options.
• EZ Press III™ and EZ Rebuild™ Kits: The
EZ Press III Repair System is the answer
to the high costs and downtime associated with sending high-speed handpieces
out to be repaired. Allowing the dentist
to easily change those parts that have
worn out, the EZ Press III utilizes simple
procedures, requires no guesswork and
ensures precision placement of the bearings on the spindle.
• EZ Install™ Turbines: For an instant
repair, dentists can replace cartridges
chairside with EZ Install Turbines, which
are manufactured with high-quality
parts and quality assurance procedures,
including dynamic balancing. The result is a high-performance, long-lasting
turbine that often outlasts others in the
market, according to ProScore.
• Smart Cleaner: The Smart Cleaner is
a one-of-a-kind maintenance tool that
not only helps prevent residue build-up
in handpieces and coupler waterlines
but also clears away obstructions if they
occur. Simply connect the handpiece or
coupler to the Smart Cleaner and activate
the hand pump to clear obstructions and
debris.
• EZ Care™ Cleaner and EZ Care Lubricant: EZ Care Cleaner was formulated to
flush debris and remove build-up from
the handpiece’s internal rotating parts,
improving long-term handpiece performance and sterilization efficacy. EZ Care
Lubricant has been designed to minimize bearing wear and to resist corrosion. When used together, EZ Care Cleaner and EZ Care Lubricant ensure that
handpieces and accessories will achieve
maximum longevity and maintain optimum performance.
ProScore has been dedicated to do-ityourself handpiece repair and maintenance since entering the dental market
more than 15 years ago as Score International.
Now, ProScore is part of Henry Schein’s
“Family of PROs,” including ProRepair
and ProService, which aims to offer you
the best fit for your repair needs.

[29] =>

[30] =>

30

exhibitors

Dental Tribune Daily U.S. Edition | May 3, 2012

FlashTips Disposable
Air Water Syringe Tips

Photo/Provided by DENTSPLY Caulk

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 can be used as a self-cure
material but 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

Ad

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) 5322855 or visit the DENTSPLY Caulk booth,
No. 1406, here during the CDA Presents
The Art and Science of Dentistry.

New FlashTips™ Disposable Air Water
Syringe Tips from Sultan Healthcare
provide the performance you expect
from an air water syringe tip while reducing the risk of cross contamination
that can occur with metal tips.
“To prove the point, we took 20 metal tips in use from a dental office, cut
them in half and took pictures to show
there was something inside,” said Sultan Healthcare Product Manager Tim
Lorencovitz. “We uncovered that it is
very difficult to keep the inside of a
metal tip clean.”
FlashTips are fast because they directly replace metal air/water syringe
tips. No adaptors or converters are necessary, and there is no need to spend
additional time reprocessing metal tips.

Photo/Provided by Sultan

FlashTips provide safety with a double-grooved, deep-locking mechanism
to ensure the tip remains secure in the
syringe. Its edges are smooth, so they’re
comfortable for your patient and gentle
on equipment.
FlashTips offer a solid construction
with an inner water tube that will not
shift under pressure. They are strong
enough for cheek retraction.
FlashTips come in five colors: blue,
green, pink, orange and purple.
FlashTips are available exclusively
through dental dealers. For more product details, images of the inside of metal
tips and a special purchase offer, visit
www.flashtips.net or stop by the Sultan
booth, No. 1116, here at the CDA.

[31] =>

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[cover] => today daily CDA May 3, 2012

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