today daily CDA May 4, 2012
Put your thinking cap on / A lot to explore / Renew your passion for dentistry at LVI / Scrapbook: Scenes from Thursday / Exhibitors
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[1] =>
CDA
!
DAI
LY
AT
DENTAL TRIBUNE
The World’s Dental Newspaper · U.S. Edition
FRIday, MAY 4, 2012 — Vol. 5, No. 2
www.dental-tribune.com
Scenes from thursday
change of direction
save more than teeth
Giant penguins, basketball
games, new products,
presentations and more
await you at the CDA.
SS White unveils a new
booth, a new website
and a new focus on
consultation and training.
Take a minute to learn
about oral cancer detection,
and you might just save
your patient‘s life.
” pages 4–6
” page 8
” page 26
A lot to explore
CDA exhibitors
offer newest and
most innovative
products, services
By Fred Michmershuizen
Dental Tribune
A
n impressive 600 companies
are showcasing today’s latest
products and services in the
exhibit hall here at CDA Presents the Art and Science of Dentistry.
With so much to choose from, there is
no doubt that just about any dental professional will easily find something here
that can be of great benefit back home.
Take the following, for example:
Shofu (booth No. 1128) is introducing
BeautiSealant, a tooth-colored, fluoride
recharging, pit and fissure sealant with
a self-etching primer that speeds treat-
Attendees enter the exhibit hall at opening bell Thursday morning. Photo/Robert Selleck, Dental Tribune
” See EXPLORE, page 30
Ad
Put your thinking cap on
By Fred Michmershuizen
Dental Tribune
Whether you are fresh out of dental
school or a seasoned pro, a general practitioner or a specialist, one thing is clear
here in Anaheim: There’s a lot to learn
during CDA Presents the Art and Science
of Dentistry.
Up the escalators, there are literally
hundreds of lectures and workshops to
choose from, delivered by some of the
leading names in dentistry.
But the learning does not stop there. On
the exhibit hall floor, many companies
are offering educational presentations
right in their booths.
Attendees sit down at The Spot for an
educational presentation Thursday morning.
Photo/ Fred Michmershuizen, Dental Tribune
There’s also the Smart Dentist Series,
offered for free in the educational theater
located at The Spot.
[2] =>
2
education
Dental Tribune Daily U.S. Edition | May 4, 2012
Renew your passion
for dentistry at LVI
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
By LVI Staff
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Welcome to the California Dental
Association Meeting, and congratulations on actively moving your understanding and professional success
forward. It is only through excellent education that we individually grow and develop as dental health professionals and,
through that, build a practice that is not
just successful but delivers comprehensive and high-quality care.
As a way to introduce you to the Las Vegas Institute for Advanced Dental Studies,
or LVI, I want to outline what LVI is about
and what void it fills in your practice. The
alumni who have completed programs
at LVI were given an independent survey
and, unlike the typical surveys of dentists,
99.7 percent love being a dentist and, of
those surveyed, 92 percent enjoy their
profession more since they started training at LVI. That alone is reason enough to
go to LVI and find out more!
Ad
DENTAL TRIBUNE
The World’s Dental Newspaper · US Edition
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
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Robert Selleck r.selleck@dental-tribune.com
Product & Account Manager
Gina Davison g.davison@dental-tribune.com
Product & Account Manager
Humberto Estrada h.estrada@dental-tribune.com
Marketing Manager
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
Dr. Mark Duncan teaches a Core I class at LVI. Photo/Provided by LVI
While the programs at LVI cover the full
breadth of dentistry, the most powerful
and life-changing program is generally reported as being Core I, or “Advanced Functional Dentistry — The Power of Physiologic Based Occlusion.” This program is a
For more information
To learn more about the Las Vegas Institute for Advanced Dental Studies, visit www.lviglobal.com.
three-day course that is designed for clinicians and their teams to learn together
about the power of getting their patients’
physiology on their side.
In this program, clinicians can learn
how to start the process of taking control of their practice and start to enjoy
the full benefits of owning a practice and
providing high-quality dentistry. Regardless of whether it is a solo practice or
a group setting, every clinician can start
the process of creating comprehensive
care experiences for their patients!
We will discuss why some cases that
dentists are asked to do by their patients
are actually dangerous cases to restore
cosmetically. We will discover the developmental science behind how unattractive smiles evolve and which cases may
need the help of auxiliary health-care
professionals to get the patient feeling
better.
The impact of musculoskeletal signs
and symptoms will be explored and how
the supporting soft tissue is the most
important diagnostic tool you have; not
simply the gingiva, but the entire softtissue support of the structures, not just
in the mouth but also in the rest of the
body!
A successful restorative practice
should not be built on insurance reimbursement schedules. An independent
business should stand not on the whims
and distractions of a fee schedule but
rather on the ideal benefits of comprehensive care balanced by the patients’
needs and desires.
Dentistry can be a challenging and
thankless business, but it doesn’t have
to be. Through complete and comprehensive diagnosis, there is an amazing
world of thank-yous and hugs and tears
that our patients bring to us when we
change their lives. The Core I program at
LVI is the first step on that journey. That’s
why when you call, we answer the phone:
“LVI, where lives are changing daily!”
Sales & Marketing Assistant
Lorrie Young l.young@dental-tribune.com
C.E. Manager
Christiane Ferret c.ferret@dtstudyclub.com
Dental Tribune America, LLC
116 West 23rd St., Ste. #500
New York, N.Y. 10011
(212) 244-7181
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.
Dental Tribune strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please
contact Managing Editor Robert Selleck at r.selleck@
dental-tribune.com.
Dental Tribune cannot assume responsibility for the
validity of product claims or for typographical errors.
The publisher also does not assume responsibility for
product names or statements made by advertisers.
Opinions expressed by authors are their own and may
not reflect those of Dental Tribune America.
Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward
Tell us what you think!
Do you have general comments or
criticism you would like to share? Is
there a particular topic you would like
to see articles about in Dental Tribune?
Let us know by e-mailing feedback@
dental-tribune.com. We look forward to
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] =>
4
scr apbook
Dental Tribune Daily U.S. Edition | May 4, 2012
Scenes from Thursday
Meeting attendees walk to and from their educational lectures and workshops on Thursday
morning.
CDA attendees listen to a presentation at the Sunstar Americas booth (No. 1134).
Faye Sconce, left, and Mike Johnstone
of InfoStar (booth No. 1226).
Deanna Borden, left, and Dr. Ross Fraker of R&D Services Amalgam Separators (booth No. 1740).
Take a basketball shot at the Suni booth
(No. 2552) to win an iPad.
Photos by Fred
Michmershuizen,
Dental Tribune
Marvin Terrell, left, and Dr. Eugene Casagrande of Milestone Scientific (booth No. 1652).
John Hall, left, and Erik Aguayo of SockIt! Gel
(booth No. 1672).
[5] =>
Dental Tribune Daily U.S. Edition | May 4, 2012
5
scr apbook
Ryan Kenyon of DENTSPLY Caulk (booth
No. 1406).
Representing the Second Medical Brigade of the United States Army Reserve are, from left, Sgt. Willie Bell, Maj. Leonardo Pascual, Capt. Shawn
A. Sheets and Maj. Bruce J. Britson.
You can learn about D4D technology at the
Henry Schein booth (Nos. 2018/2318).
From left, Carl Horrocks, Nancy Jain and Kostas Zarras at the 3Shape booth (No. 781).
Paris Davis of Essential Dental Systems
(booth No. 658).
Meeting attendees shop for hand
instruments at DoWell’s booth (No. 224).
Joe Schartung of Henry Schein ProScore (booth Nos. 2018/2318) tells
meeting attendees about convenient handpiece repair.
A view from above at the Anaheim
Convention Center.
Jessica Williams, left, and Gretchen Gaither of Dux Dental (booth
No. 1216) with Bib-Eze disposable bib holders.
[6] =>
6
scr apbook
Dental Tribune Daily U.S. Edition | May 4, 2012
Al Dubé of SolmeteX (booth No. 850).
Joby Svec, left, and Dan Veile of Denticator (booth No. 1560) hold Penelope the Penguin, one of many mascots who help kids get excited about
proper care of their teeth.
Don Rickert, left, and Bill Orr of Sultan
Healthcare (booth No. 1116).
From left: Karl Hus, Jeffrey Devoll and Adam
Shipp of StudentReach (booth No 2643), a
group that organizes volunteer humanitarian
relief operations.
Cynthia Chatham, left, and James Ortman of Hager Worldwide
(booth No. 1674).
The gang at AMD LASERS (booth No. 1506).
Tracy Glenn, left, and Paula Elliott of Total
Care (booth No. 1206) with the new CaviCide
surface disinfectant.
Bisco Dental Products (booth No. 1334) ... at your service!
Dr. William Paveletx, left, and Marni Stone-Walsh of VOCO America
(booth No. 2434).
Meeting attendees learn about Crest and
Oral-B products at booth No. 1350.
[7] =>
[8] =>
exhibitors
8
Dental Tribune Daily U.S. Edition | May 4, 2012
Learn the science that shows there’s
no need for numbing before drilling
SS White is ready to be
with you chairside when
you first use its patented
cavity prep system
Here at the CDA
By Robert Selleck, Dental Tribune
ment to not just provide dental professionals with high-value products and
services, but to also do everything it can
to make practitioners immediately comfortable with and confident about using
the products.
A prime example is its Comfortable
Cavity Preps™, which remove the need
for anesthesia when treating most dental
caries cases.
“The prevailing mindset is that all patients must be numbed up before any
drilling,” Durrbeck said. “It’s important
for us to show the science behind this
alternative approach and be available to
guide dental professionals through firsttime use of it and our other products.”
A general dentist or endodontist can request that an SS White representative visit the practice to provide a thorough clinical presentation on the science behind
A brand-new convention booth isn’t
the only big change going on with SS
White this year. Even more important
is the company’s new, highly interactive
website, www.sswhiteburs.com, and its increased focus on providing consultation
and training to dental professionals interested in its products.
The changes are attracting lots of attention at CDA Presents, SS White Director of Domestic Sales Jeff Durrbeck said
from the exhibit hall Thursday. “The new
website was just launched, and it’s worth
a visit. It’s far more than the industry’s
standard online catalogue concept. You’ll
find lots of high-def photos and videos
and comprehensive technique guides.”
It’s all part of the company’s commitAd
Visit SS White in its new booth (No. 1180) to learn
more about its efforts to make less-invasive dentistry as easy as possible. You also can contact the
company at (800) 535-2877 or visit it online at www.
sswhiteburs.com.
The SS White sales and marketing team
shows off its new booth (No. 1180), which is
making its general dentistry conference
debut at CDA Presents. Photo/Robert Selleck,
Dental Tribune
any of its products and also be chairside
with the dentist during first-time use to
immediately answer question that might
come up.
“It’s really exciting to see a dentist use
something like the Comfortable Cavity
Preps for the first time,” Durrbeck said.
When patients are surprised at how
quickly the work is performed, especially when there’s no needle needed at
the outset, the dentist quickly sees the
value.
“The pattern is that every time you do
a Comfortable Cavity Prep, you get a referral because the patient is so pleased.
That can mean another $40,000 in annual revenue for the practice; and there’s
also an 80-hour reduction in chairtime,”
Durrbeck said.
Other news from the company includes its shift to now serve the full
spectrum of endodontics and restorations. It’s using its 160-plus year history
to bring a broadened focus to its product
line, focusing on identifying and cleaning all the canals, while also leaving as
much healthy tissue as possible to help
ensure the success of restorative work on
the crown.
“We understand both sides of the equation,” Durrbeck said, “from the top of the
crown to the apex.”
[9] =>
[10] =>
10
exhibitors
Dental Tribune Daily U.S. Edition | May 4, 2012
Handheld X-ray
device frees dentists
to expand work with
underserved patients
By Robert Selleck, Dental Tribune
Mike Heyn, Shiela Wake and Tom Batz demonstrate the ultra-portability of the NOMAD
handheld X-ray device in the Aribex booth (No. 2534). Photo/Robert Selleck, Dental Tribune
AD
An unintended benefit seen by dental professionals across the world after
they bring the Aribex NOMAD handheld
X-ray device into their practices: They
experience an increased willingness to
Here at the CDA
Learn more about the Aribex NOMAD in booth No.
2534. Contact Aribex at (801) 226-5522 or visit at
www.aribex.com.
go out into the local community and beyond to serve difficult-to-reach patients.
The phenomenon so far has been documented only anecdotally, but Aribex
President and CFO Ken Kaufman said a
formal study is in the works to measure
the trend.
“We have found that dentists are often
hesitant to engage in ‘access-to-care’ efforts when they are not equipped with
X-ray capabilities,” Kaufman said. “They
don’t have the tools they need to properly diagnose the patients — yet that’s
what is being expected of them.”
Kaufman, speaking from the exhibit
hall Thursday at CDA Presents, said dentists are bringing the Aribex NOMAD
into their practices for bottom-line reasons, such as being able to remove multiple wall-mount X-ray units and achieving substantial reductions in the amount
of time needed to complete X-rays.
But once the NOMAD is fully incorporated into the practice, an unanticipated
bonus has been that when opportunities are presented for the dentist to take
his or her services out into the community or perhaps even on an overseas humanitarian effort, there is less hesitancy
about pursuing such opportunity. That’s
because the dentist now has the ability to
bring along his or her primary diagnostic
tool.
“A big focus in the industry today is ‘access to care,’” Kaufman said. “I can’t think
of a device that epitomizes that concept
more than the NOMAD.”
Kaufman continues to chip away at
regulatory hurdles in a few remaining
U.S. states and Canada. In such locations,
dental professionals are not able to fully benefit from the NOMAD’s safe and
proven technology. Toward that effort,
Kaufman is planning to use his formal
research on access-to-care benefits to
connect with regulators on a new level.
One vast market where lack of regulatory vision is not an issue for the NOMAD
is China. Just last week, the company received approval to sell the NOMAD there.
Getting the device into the hands of
Chinese dental professionals is still many
months away, Kaufman said, but he’s excited about the prospects. Currently, all
dental X-rays at Chinese practices must
be taken in a room dedicated to that sole
function. So the NOMAD won’t just be
the first handheld X-ray device in China,
it will be the first chairside device period.
With China’s massive population and
rapidly growing middle and upper classes, Kaufman anticipates a promising future for his company in that market.
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[12] =>
exhibitors
12
Dental Tribune Daily U.S. Edition | May 4, 2012
Global handpiece manufacturer
expands North American presence
NSK Dental invests in support, service and distribution to serve more practices
For years, NSK handpieces have had a
strong base of devoted users in the United States and Canada, attracted to the
reliable, user-friendly performance and
reputation for quality. A word-of-mouth
advertising strategy combined with
highly targeted customer relationships
has worked well for the organization. But
the strategy has also meant that there
are many dental professionals who still
aren’t sure about what makes NSK so different in the handpiece market.
That’s about to change.
The dental equipment manufacturer,
founded in 1930 in Japan, is raising its
U.S. and Canadian profile in a big way,
perhaps most tangibly to date by the May
2011 opening of its newly constructed
North American headquarters in Illinois.
The facility includes a showroom, training facility, expanded warehouse space
and a larger parts and service center.
“The company made the decision last
year to increase its investment in North
America in 2011,” said NSK Dental Marketing Manager Rob Gochoel. “We’ve also
added office and technical-service staff
— and an internal team of representatives who will be able to work directly
with a greater number of dental practices.”
The company is expanding its distributor relationships as well. As a whole, the
efforts should enable NSK to provide
information about its unique business
model to most of the dental practices in
North America.
The company’s efforts also include an
expanded dental convention presence,
which began with the Greater New York
Dental Meeting, so practitioners are
more easily able to hold an NSK handpiece and experience firsthand what has
enabled the company to become one of
the top handpiece manufacturers in the
world.
“We’re making the investment in an
opportunity to connect with more customers,” Gochoel said. “Not only will we
be able to handle customer questions
and inquiries much faster, but we also
will be able to further develop a sense of
loyalty by developing even more personal relationships with doctors.”
Innovation based on input
Close relationships with its customers
are critical to the company, because that
is what has driven its global growth for
more than eight decades.
“Everybody is pretty excited,” said NSK
The S-Max Pico from NSK, with
the world’s smallest head and
neck size, owes its existence to
dentists asking NSK for a better
device to use with patients with
smaller mouths. Now, the
handpiece is also netting praise
from pediatric dentists.
Here at the CDA
For more information on NSK handpieces, e-mail
info@nskamericacorp.com, visit www.nskamerica.
com or stop by booth No. 140.
NSK quality is achieved primarily through uncompromising process control, which enabled it
to acquire ISO9001 certification in 1997. Its factory has more than 100 state-of-the-art
Computerized Numerical Control machines running non-stop. Photos/Provided by NSK
Dental President Mirco Stiehle. “We have
very good feedback from the market so
far. I am looking forward to working with
dental professionals and learning more
about what they want from us — because
that’s where we’re coming from. We need
to understand what we need to be doing
to be successful in the United States. And
that means providing products that fit
customer demands.”
NSK is able to respond quickly and
specifically to localized needs because
it maintains complete in-house control
of the manufacturing process. An example of how such a philosophy translates
into real products is the NSK S-Max Pico,
which has the smallest head and neck
size of any handpiece on the market.
NSK built it in response to requests from
practices in Asian markets with higher
numbers of patients with smaller-thanaverage mouths. Interestingly, a bonus
realized by the company’s willingness to
address this need is that the S-Max Pico
has gone on to also receive high interest
from pediatric practitioners throughout
the world.
“We know there are other needs out
there that aren’t being met,” Gochoel
said. “We want to provide options based
on what customers are asking for. We
love to solicit feedback through our office at (888) 675-1675 and through our microsite, www.nskdental.us.”
Key to the company’s ability to develop equipment in direct response to
customer need is its commitment to
controlling the entire manufacturing
process. Nearly 90 percent of the 17,000plus parts that go into the creation of its
handpieces are manufactured in house.
Focus on quality starts at the top
In addition to supporting its market responsiveness, NSK’s keep-it-in-house philosophy enables it to relentlessly control
quality at every step of the development,
testing and manufacturing process.
“Quality is really the top priority for
us,” Stiehle said, “especially for Eiichi Nakanishi [NSK president and CEO].”
Nakanishi, confirmed that statement:
“Since the founding of the company,”
he said, “we have adhered to very strict
quality controls to make sure our products earn dentists’ satisfaction. We have
strong policies on manufacturing almost
all components in-house. Currently,
about 90 percent of the mechanical components, including electric micromotors
and high-speed ball bearings, are manufactured in-house. No other competitors
can make ball bearings and micromotors
in-house like we do now. This is one of
our biggest strengths and competitive
advantages.”
Based out of Japan, but frequently traveling the world, Nakanishi described his
core role at NSK as being able to ensure
the global organization has a strong, motivated team in place with a clear under-
standing of what it takes to delight customers.
“We have the engineering excellence
needed to enable dental professionals to
make their dream products real,” Nakanishi said. “We want to listen to the voices
of dentists in order to develop very useful and wonderful products.”
Stiehle said responding to specific customer demand isn’t limited to a product‘s purpose and function.
“It’s not just that we offer a product in
every category of dentistry from a clinical point of view,” Stiehle said. “It also
means offering a range of price points.”
Cost sensitivity drives the company’s
focus on providing one of the largest selections of coupler adapters available —
to make it easier for practitioners to testdrive and purchase an NSK handpiece.
“Our intent is to make it as easy as possible to integrate an NSK handpiece into
the practice,” Gochoel said. “By being
compatible with virtually all competitor
coupler systems, we eliminate the need
to buy a lot of additional couplers or incur the expense of retrofitting all the operatories. It’s just one more example of a
smart, customer-centric focus.”
Rounding out the commitment to
quality assurance, pricing options and
responsiveness, is awareness that the ultimate customer is the patient.
“I am a strong believer in the need to be
aware that we are a medical device company and that, with that, comes a huge
responsibility not just in terms of quality, but also comfort and safety of the patient,” Stiehle said.
“When I am sitting in the dentist chair,
I want to make sure that I am worked on
with the best product out there. That’s
what is most important to us: the safety
and comfort of the patient.”
At NSK, innovative engineering starts where the
product is being used: in the dental office. In response
to demand for vibration-free, accurate, stable cutting,
NSK answered with Integrated Shaft Bearings (ISB), in
which the shaft itself forms an inner race for holding
the outer race, ensuring all three needs are met
efficiently, compactly and reliably.
(Source: NSK)
[13] =>
[14] =>
exhibitors
14
Dental Tribune Daily U.S. Edition | May 4, 2012
Keystone shows off its new
medal-winning mouthguard
By Fred Michmershuizen
Dental Tribune
Ever see them play water polo? Well,
let’s just say it can get a little rough. Just
ask Brittany Hayes, who won a silver
medal at the 2008 Summer Olympics in
Beijing as a member of the U.S. women’s
water polo team.
“Getting my teeth knocked out was my
Ad
Here at the CDA
To learn more, visit Keystone Industries at booth
No. 460 or visit the company online at www.
keystoneind.com.
biggest fear,” Hayes said. With her at the
Keystone booth was Rick Merlo, who also
won silver in Beijing as part of the men’s
water polo team.
Hayes and Merlo, who also won silver
in Beijing as part of the men’s water polo
team, both extol the virtues of the Proform Patriot Mouthguard by Keystone
Industries.
Hayes, who has beautiful teeth and a
beaming smile, told Dental Tribune that
an uncle who is a dentist had impressed
on her from an early age the importance
of protecting her mouth while playing a
sport with so much physical contact. She
said she likes the Patriot mouthguard
because it is easy to break in, is not extremely thick and, perhaps most importantly, it is easy to breathe through
— which is obviously important for any
physically demanding sport.
And it’s not just water polo players who
have benefited from mouthguards supplied by Keystone. The mouthguards are
also popular with players in the National
Football League, the National Hockey
League and the National Basketball Association as well as with many college
football players.
Each mouthguard is custom fit for
the wearer. According to Keystone,
the important physical characteristics
of mouthguard materials are tensile
strength, softness and uniform density.
The Pro-form laminate maintains these
characteristics best because of its laminating process, which combines heat and
pressure. Strength is enhanced because
of the laminate’s multiple layers.
Features of the mouthguards include
an anterior brace for extra protection,
custom fitting for great oxygen intake,
an easy-to-attach breakaway strap, a
custom-made shock absorbing surface,
excellent abrasion resistance and more.
Pro-form mouthguards are designed to
protect both professional and amateur
athletes from orofacial injuries, tooth
fracture and concussions.
Recently, some new tie-dye designs
have been added to the extensive line of
Pro-form laminated mouthguards. They
are all made using the same laminating procedure to insure the same Proform quality. They are also available in
round.
Rick Merlo, left, and Brittany Hayes are
medal-winning Olympic athletes. Both won
silver in Beijing in water polo. They credit
part of their success to the Pro-form Patriot
mouthguards by Keystone Industries they
wore during competition.
Photo/Fred Michmershuizen, Dental Tribune
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exhibitors
Dental Tribune Daily U.S. Edition | May 4, 2012
New wipe eases cleaning,
disinfecting of operatory
VOLO disinfecting/deodorizing/cleaning wipes are bigger and disinfect faster
Volo wipes are sized to fit the human hand
and disinfect surfaces in two minues instead
of the three to five minutes required by other
wipes. Photo/Provided by Sultan Healthcare
Ad
Did you know the average dental procedure generates airborne aerosols and
droplets of saliva, blood and other materials from an open mouth? These droplets
may contain potentially harmful germs
that can land on almost any surface in the
dental operatory. If these surfaces are not
cleaned and disinfected properly, they can
become a source of contamination for staff
and patients.
Here at the CDA
Check out the VOLO disinfecting/deodorizing/
cleaning wipes at the Sultan booth, No. 1116.
That’s why Sultan Healthcare offers
VOLO™ disinfecting/deodorizing/cleaning wipes, the latest tool to help you decontaminate hard, non-porous surfaces in
your dental office.
When cleaning and disinfecting blood
spills or surfaces that may have come into
contact with blood or body fluids, the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard requires the use of an intermediate
level, Environmental Protection Agencyregistered disinfectant. A disinfectant with
a tuberculocidal kill claim is considered
an intermediate level disinfectant. These
types of products are not typically found
in grocery stores; therefore, a significant
amount of surface disinfectant products
are purchased through dental dealers.
VOLO wipes are an EPA-registered intermediate-level disinfectant available only
through your dental dealer.
Cleaning and disinfecting the dental operatory is typically a mundane, time-consuming task performed many times a day.
The person responsible for this, usually a
dental assistant, is under pressure to turn
over the operatory quickly in preparation
for the next patient. It is important to follow the label instructions for appropriate
contact time to ensure proper germ kill.
While many products offer a three-to-fiveminute contact time, VOLO wipes are tuberculocidal, virucidal and bactericidal in
two minutes. The two-minute contact time
helps minimize the wait for proper disinfection of the above-mentioned organisms.
The average human hand is approximately seven inches long. While most
wipes sold in the dental market are sized
smaller, at 6 by 6.75 inches. VOLO wipes,
however, are 6 by 8 inches, sized to fit the
human hand. The larger design aids in preventing cross contamination by helping to
ensure the gloved hand does not contact
the disinfected surface.
VOLO wipes are packaged in an easy-tohold, tapered canister with a feeder tab on
the lid. The feeder tab is a distinctive feature to help prevent fingers from getting
stuck when initially dispensing the first
wipe in the canister.
“We looked to differentiate ourselves
from the marketplace by offering unique
touches with our VOLO disinfecting wipes
that help meet the needs of our customers,”
said Tim Lorencovitz, marketing manager
at Sultan Healthcare. “The two-minute contact time satisfies the ‘need for speed’ in
preparing for the next patient. The larger
6-by-8-inch size is a more practical fit to the
average hand. In addition, the larger size
can potentially result in customer savings
by using only one wipe — versus two of the
smaller 6-by-6.75-inch wipes”.
VOLO disinfecting/deodorizing/cleaning wipes are offered in a 150-count canister available through your dental dealer.
Learn more at www.volowipes.com.
VOLO is just one of Sultan Healthcare’s
brands of a complete cycle of infectionprevention products, designed to hit all the
touch points of a practice that could potentially spread disease. Learn more at www.
sultanhc.com.
(Source: Sultan Healthcare)
[17] =>
[18] =>
exhibitors
18
Fig. 1 Photos/Provided by Glidewell Laboratories
Fig. 2
Fig. 3
Fig. 4
Dental Tribune Daily U.S. Edition | May 4, 2012
Photo essay: BruxZir Solid Zirconia
meets an anterior esthetic challenge
By Michael C. DiTolla, DDS, FAGD
This article illustrates advancements by
Glidewell Laboratories to improve the esthetic properties of BruxZir® Solid Zirconia restorations. As the lab’s research and
development department refines its processes, improving the material’s translucency, the esthetics continue to improve.
First appointment
Our goal is to replace the PFM crowns
on teeth #8 and #9 (Fig. 1) with BruxZir
Solid Zirconia crowns.
First, we take the shade before the teeth
become dehydrated. I use the VITA Easyshade® Compact (Vident; Brea, Calif.),
which displays the shade in both VITA
Classical and VITA 3D-Master® shades.
After taking the shade, I hold the selected 2M1 3D-Master shade tab to the tooth,
along with the 1M1 3D-Master shade tab
for contrast. Next, we photograph the
shade tabs in the mouth. This is probably
the most important part of communicating shade to the technician.
I use an Ultradent syringe to place PFG
gel (Steven’s Pharmacy; Costa Mesa, Calif.)
into the sulcus of teeth #8 and #9. Next,
I use a STA Single Tooth Anesthesia System® device (Milestone Scientific; Livingston, N.J.) to anesthetize teeth #8 and #9.
The Razor® Carbide bur (Axis Den-
Here at the CDA
For more information on BruxZir crowns or to
see them for yourself, stop by the Glidewell
Laboratories booth, No. 1444.
and loupes to inspect around the temps
and gingival embrasures for excess cement.
Second appointment
tal; Coppell, Texas) easily cuts through
porcelain and metal substructures, and
when used in combination with my KaVo
ELECTROtorque handpiece (KaVo Dental;
Charlotte, N.C.), it is simple to cut through
the existing PFM. I torque the crown with
a Christensen Crown Remover (Hu-Friedy;
Chicago). After using a periodontal probe
to sound to bone to ensure I have enough
biologic width to safely remove some
tissue (Fig. 2), I use my NV MicroLaser™
(Discus Dental) to remove 1.5 mm of tissue.
With the margins exposed, I use an
856-025 bur (Axis Dental) and KaVo
ELECTROtorque handpiece to drop the
margins to the new gingival level. My
assistant then relines BioTemps® Provisionals (Glidewell Laboratories) on teeth
#8 and #9 with Luxatemp provisional
material (DMG America; Englewood, N.J.).
Using a thin, perforated diamond disc
(Axis Dental), we open the gingival embrasures to avoid blunting the interproximal papilla, and we make sure the gingival margins aren’t overextended and the
emergence profile is flat.
We use TempBond® Clear™ (Kerr Corp.;
Orange, Calif.) to cement the BioTemps
After two weeks, we remove the temps
and clean the preps with a KaVo
SONICflex scaler. After trimming the
gingival margin with the diode laser, I
place an Ultrapak® cord #00 (Ultradent;
South Jordan, Utah), cutting the cord
intraorally on the lingual to avoid any
overlap. To make the margin visually obvious, I place a second cord (Ultrapak cord
#2E) before refining the preparation.
As I pack the top #2E cord on tooth #8,
you can see how the top cord on tooth #9
exposes the margin (Fig. 3). Now we can
begin finishing the preps using a fine grit
856-025 bur.
Two moistened ROEKO Comprecap
Anatomic compression caps (Coltène/
Whaledent; Cuyahoga Falls, Ohio) are
placed on the preps, and the patient is
asked to bite with medium pressure for
eight to 10 minutes. The Comprecaps are
then removed and the top cords pulled.
We syringe medium body impression
material around the preparations for the
impression and then take a bite registration. The temporaries are then replaced.
Third appointment
After two weeks, the temps are off, the
BruxZir crowns are approved, and we
place a layer of desensitizer on the teeth
(G5™ All-Purpose Desensitizer [Clinician’s Choice; New Milford, Conn.]).
I use a Warm Air Tooth Dryer (A-dec;
Newberg, Ore.) after applying both coats
of the G5, while my assistant places ZPRIME™ Plus (Bisco; Schaumburg, Ill.) inside the crowns. We then load the crowns
with a resin-modified glass ionomer cement (RelyX™ Luting Plus Automix [3M/
ESPE]) and seat them, using a pinewood
stick (Almore International; Portland,
Ore.) to ensure they are fully seated and
the same length.
In this “after” picture (Fig. 4), the amazing thing is there isn’t any porcelain on
these BruxZir crowns; they are solid zirconia. This is why they are stronger than
all other restorative materials, except
cast gold.
Also, the facial anatomy on the crowns
makes them look like real teeth. Because
that anatomy is built into the CAD/CAM
database, Glidewell Laboratories can deliver it every time — provided the clinician gives the lab enough reduction.
While I’m not suggesting you suddenly
switch all of your anterior restorations
to BruxZir crowns, you may want to
consider using it for patients with parafunctional habits or old PFMs, where
an esthetic improvement is essentially
guaranteed.
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exhibitors
Dental Tribune Daily U.S. Edition | May 4, 2012
Cure through or not to cure through?
Now you have the choice with posterior Class II restorations to cure through
or not cure through.
A completely new sectional matrix system from the one of the biggest names
in matrices, Garrison Dental Solutions
of Spring Lake, Mich., it is designed with
transparent and translucent materials.
This allows the clinician to apply his or
her curing light from any direction.
Composi-Tight 3D Clear is the most
recent addition to 15 years of matrix system innovation from Garrison. It is being
shown here at the CDA for the first time.
“We sell direct here in the United
States, which provides us a huge opportunity to talk directly with our customers,” said Tom Garrison, managing partner and co-founder.
“Having a cure-through option in
a sectional matrix is something that
they’ve been asking for. We borrowed
heavily from our hugely successful
Composi-Tight 3D to create the separator
ring, created a translucent version of our
most popular wedge and then created totally unique cure-through matrix bands.
“It’s a complete system — bands, rings
and wedges,” Garrison said. “Designed to
produce the tight, anatomical contacts
doctors expect from Composi-Tight, yet
give them complete control over polymerization.”
Ad
Here at the CDA
You can see the new Composi-Tight 3D Clear and
all Garrison’s products at either booth No. 751 or
booth No. 1552. Garrison Dental Solutions is on the
web at www.garrison dental.com.
Composi-Tight 3D Clear. Photo/Provided by Garrison Dental Solutions
Buccal and lingual flash is reduced by
soft silicone on the tips of the rings. The
silicone adapts to the tooth surface and
tightly seals the matrix band.
“The Soft Face technology we pioneered for the original Composi-Tight
3D was easily adapted into the new Clear
system,” he said. “Our customers said
this was a ‘must-have’ feature of any
cure-through system. They also wanted
some new things with the bands themselves.
“It wasn’t enough to make them curethrough. They wanted an enhanced
marginal ridge to make it easier to recreate this part of the anatomy, and they
wanted the bands to be easier to place.
The Clear system bands have placement
tabs that you can grab to actually ‘floss’
them into position.”
When asked how clinicians could try
the system, Garrison said: “As I mentioned, we’re a direct company. Another
advantage to that is we can offer something I don’t think anyone else in the industry offers: a six-month, money-back
satisfaction guarantee. Ask all dentists,
and they’ll tell you they’ve got a drawer
full of stuff they bought, tried once and
never used again. We don’t want them to
feel the same about our products.
“If it ends up not being what they
wanted, they can send it back, and we’ll
give them their money back. It’s simple,
hassle-free, and I think it’s a great way to
operate our business. It builds trust.”
Garrison was founded in 1997 by Drs.
Edgar and John Garrison, Tom Garrison
and Rob Anderson and remains an independent privately owned company.
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exhibitors
22
Dental Tribune Daily U.S. Edition | May 4, 2012
Do it all with Double Graceys
By Lory Laughter, RDH, BS
Here at the CDA
To learn more about American Eagle Instruments,
stop by booth No. 846.
Every RDH has a favorite hand instrument. Some prefer a universal-type,
enabling access to most surfaces but limited in furcations, proximal surfaces or
deeper pocket area. Others steer toward
a Gracey-style, allowing greater access to
difficult-to-reach surfaces but requiring
more instruments to cover all surfaces.
Imagine an ideal hand instrument
with the convenience of a universal
scaler and the access abilities of a Gracey
curette. One instrument allowing for distal, mesial, buccal and lingual treatment,
as well as excellent line angle adaptation
almost seems like too much to ask, yet
American Eagle Instruments® has delivered on this lofty dream.
Double Graceys™ are a line of instruments combining the best features of
universal and gracey scalers. Each end
of a Double Gracey has a rounded toe
and two cutting edges with a shank
bend modeled after Gracey curettes. In
addition, surface engineering with XP
Technology™ makes these instruments
sharpen-free. These are truly the most
innovative hand instruments I have
tried in the last 15 years.
I have been test-driving the Double
AdS
Double Gracey Posterior. Photos/Provided by American Eagle
Graceys since early March, and I admit
I am hooked on the ease of use, as well
as the XP sharpen-free technology. The
instruments come in posterior and anterior as well as standard and mini.
The instruments have colored handles
making it even easier to grab the right
instrument quickly without needing to
look for numbers or blade angle to determine which instrument to use:
• Double Gracey Posterior: gold
• Double Gracey Anterior: purple
• Double Gracey Mini Posterior: red
• Double Gracey Mini Anterior: green
In addition, because you can use the
same end for mesial and distal, there is
no need to constantly “flip” the handle
or change operator position, further improving ergonomics.
I did not experience a learning curve
when beginning to use the Double Graceys. As with any other Gracey, keeping
the terminal shank parallel to the tooth
surface engages the precise blade angle
for deposit removal.
The shank is rigid enough to remove
even the most stubborn deposits, with-
out being so inflexible to limit access.
Tactile sensitivity is excellent even in the
most difficult distal fluting areas.
During my first day of trying the
Double Graceys, I felt deposits in prominent concavities that would usually require an extra step with the explorer to
detect.
I find myself using the anterior mini
version during routine prophy appointments for the direct lingual of the lower
anteriors as well as the lingual and facial
line angles of all anterior teeth. The instrument adapts easily and the blade fits
well into the tight spaces without causing tissue trauma and without changing
my operator position.
While I usually prefer a metal handle
for hand instruments, the EagleLite™ resin handle with the double blade design is
great at reducing hand fatigue. Even after a long appointment of non-surgical
treatment, my fingers and wrist are not
sore or tired. Not a subtle difference, but
rather a big improvement I noticed after
the first use.
Double Gracey Mini Posterior.
You no longer have to imagine your
ideal hygiene instrument. The concept
of a sharpen-free instrument combining
the best features of a universal scaler and
a Gracey curette is here — no more flipping instruments, searching for the right
blade edge or hand fatigue at the end of
the clinical day. You will no longer waste
time sharpening instruments with the
possibility of damaging the blade integrity and shortening the life of the instrument.
The four amazing Double Graceys from
American Eagle answer the call of the
ideal scaling and root planing hand-instrument system.
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[24] =>
exhibitors
24
Dental Tribune Daily U.S. Edition | May 4, 2012
Giomer materials: essential
ingredients for a healthy smile
In recent years, a new type of restorative known as giomer has been receiving attention in clinical papers and on
the lecture circuit. Although widely accepted in Japan during the past 15 years,
is has only recently caught on in the
United States. Among the newest and the
most innovative filler material on the
market, giomers are also the most misunderstood.
So what are giomers?
Although frequently used to describe the
new category of restoratives, the term
giomer is less of a category and more an
ingredient. Succinctly, a giomer refers to
any product that contains surface prereacted glass (S-PRG).
These special fillers are nano-sized,
multi-functional glass particles that undergo an acid/base reaction, receiving
a surface-modified layer to help block
moisture prior to incorporation into the
resin.
This process differs greatly from GI or
compomers, which only achieve an acid/
base reaction after placement, following
a light cure and after they absorb water.
Following water sorption, fillers in GIs
and compomers swell over time, causing
a rapid breakdown in both strength and
esthetics.
Through pre-reaction and the addition
of a surface-modified layer, giomers offer
stable fluoride rechargability similar to
GIs but with vast improvements to handling, strength, durability and esthetics.
BEAUTIFIL II, BEAUTIFIL Flow Plus and BeautiSealant. Photos/Provided by Shofu
Here at the CDA
For more information, or product demonstrations,
visit Shofu at booth No. 1128. You can also contact
Shofu at (800) 827-4638 or by visiting www.shofu.
com.
Sustained remineralization
from S-PRG fillers
Shofu’s S-PRG filler particles are not
only pre-charged with fluoride during
manufacturing, they also recharge when
fluoride concentrations in the mouth
are high. Simply put, household dental
hygiene products, such as fluoridated
toothpaste, allow giomers to provide
sustained remineralization benefits to
adjacent tooth structure during the life
of the restoration.
In addition to fluoride, S-PRG filler also
releases five other ions: sodium, stron-
tium, 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.
Clinical success of BEAUTIFIL,
a giomer composite material
Independent evaluation of a giomer
bonding agent and composite material
(FL-Bond and Beautifil), conducted by the
University of Florida and later published
in JADA, translates this benefit to clinical relevance. At eight years, none of the
restorations failed, no sensitivity was reported, anatomical form was well maintained and no secondary caries were
present in any of the patients. A 13-year
recall of this group is under way.
Capture the
QR code to
view an acid
neutralization
video.
Application of giomers
Dental applications for giomer products
are limited only by the imagination. In
addition to Shofu’s existing composite,
Beautifil II, and the injectable restorative
BEAUTIFIL Flow Plus, indicated for all
classes, Shofu is constantly looking to
expand the applications for giomers.
Currently launching at the CDA is
BeautiSealant, the first giomer pit and
fissure sealant. In addition to the unique
giomer healing properties, this material contains a self-etching primer that
eliminates harsh phosphoric acid steps
completely, saving both time and unnecessary enamel erosion.
‘Your Choice, Your Laser’ this week at CDA
AMD LASERS, a global leader in dental
lasers and dental laser education, has
announced the availability of its “Your
Choice, Your Laser” promotion at CDA in
booth No. 1506. The promotion enables
new laser purchasers to choose three different added-value items at no charge.
The items are designed to streamline the
implementation of a diode soft-tissue
laser and provide extreme value to new
laser owners.
With the purchase of Picasso laser technology at the CDA, clinicians are able to
Here are the CDA
To learn about AMD LASERS’ promotion, visit booth
No. 1506 at the CDA.
choose up to two items from the wide
variety of award-winning educational
solutions offered by AMD LASERS to
enhance laser-learning experience.
These options include a “Masters of
Laser Dentistry Live” C.E. course, fullpractice certification, “Diode Laser SoftTissue Surgery for Laser Dentist: Vol-
umes 1–3” written by long-time dental
laser educator Dr. Philip Hudson, the
world’s first dental laser iPad app or even
the option to get free shipping on the laser purchase.
“More and more clinicians are migrating away from the traditional method
of soft-tissue surgery and getting into
laser technology. These new laser dentists need to be given different options
on how to implement Picasso laser technology into their practice that works for
them, and we are here to give it to them,”
said Alan Miller, president and founder
of AMD LASERS.
“We offer a customized laser-learning
experience so that each practice that
implements Picasso laser technology
feels comfortable and confident providing this state-of-the-art treatment to its
patients.”
This promotional program is just another way AMD LASERS provides added
value to a clinician’s practice. To learn
more, stop by AMD LASERS booth No.
1506 at the CDA.
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exhibitors
26
Dental Tribune Daily U.S. Edition | May 4, 2012
Oral cancer detection:
your chance to save a life
By Lorne Lavine, DMD
When you decided to be a dentist, you
probably never expected to be in a position to save lives. But the fact of the matter is that all dental professionals today
are being counted on to be the first line
of defense against oral cancer and other
oral diseases.
While medical science and healthier
lifestyles have succeeded in reducing the
number of deaths from most types of
cancer, the number of people dying from
oral cancer is at an all-time high.
How can this be, given the significant
reduction in the number of smokers and
tobacco users during the past several decades? The primary explanation is the
alarming growth in the number of cases
of oral cancer caused by the sexuallytransmitted human papilloma virus, or
HPV.
In fact, the day will soon be here — if
it is not already — when HPV surpasses
tobacco as the No. 1 cause of oral cancer.
Compounding the situation is the fact
that more often than not, oral cancer is
detected in late stages, when the fiveyear survival rate is less than 50 percent.
When discovered in early stages, however, the survival rate leaps to approximately 82 pecent. Earlier detection is
clearly the key to reduced mortality and
morbidity rates, and the key to earlier detection is the dental practice.
After all, who spends more time looking inside the oral cavity — and who
knows more about the oral cavity — than
you?
Most experts advise that all patients
aged 18 and older receive a comprehensive oral cancer screening at least once
a year. (Some would go so far as to have
the screenings start at age 14.) At a minimum, the screening should include the
conventional exam featuring palpation
of the face and neck and visual inspection under white light. This should ideally be a part of every hygiene check-up,
yet surveys show that most patients say
they have never experienced this kind of
exam.
In addition, there are several adjunctive tools that now make it possible to detect cancerous and pre-cancerous lesions
that cannot be seen by the naked eye and
are not causing any pain or discomfort to
the patient. The most popular detection
technology in use today is tissue fluorescence visualization.
Over the years, this technology has
been supported by more than $50 million in clinical research funded by the
National Institutes of Health and other
respected institutions. Its use in the oral
cavity was pioneered by a collaboration
between the world-renowned BC Cancer
Agency and BC-based LED Dental.
A recent 620-patient study by Dr. Edmund Truelove of the University of
Al Simon and Jen McGuire with Henry Schein Dental, exclusive distributors of the VELscope oral mucosal screening device, display the tissue
fluorescence visualization technology in the VELscope — LED Dental booth (No. 2430). Photo/Robert Selleck, Dental Tribune
Here at the CDA
To learn more about oral cancer detection and to
see the new VELscope Vx, stop by booth No. 2430.
Washington found that LED Dental’s
VELscope system detected all 28 lesions
that were missed by the naked eye. More
than 10,000 VELscope devices are in use
worldwide, and the latest generation of
this technology — the VELscope Vx —
features a lightweight, cordless design
and a price tag that is roughly half the
price of prior generations.
Exams involving adjunctive devices
can add as little as two minutes to the
hygiene check up. The devices are usually quite easy to incorporate into the
practice and can be administered by hygienists as well as dentists. Fluorescence
visualization devices are completely
noninvasive and involve no distasteful
rinses or messy dyes. The cost to the patient is generally quite reasonable, yet
the revenues generated by the screenings can pay for the cost of the device in
a matter of months and be a significant
contributor to the practice’s bottom line
from that point forward.
More important, as public awareness
of the threat posed by oral cancer grows,
offering exams involving adjunctive devices can be a powerful way to set your
practice apart and attract new patients.
Despite these benefits, there appear
to be four main reasons why most dentists have still not adopted an adjunctive
screening device:
1) No perceived need. Many dentists
simply feel they don’t need any help in
detecting early stage lesions. If they are
correct, then why is oral cancer normally
detected in late stages?
2) Insufficient clinical evidence. Many
defend their failure to use an adjunctive
device by saying they want to wait until
enough clinical evidence has accumulated documenting the devices’ efficacy.
While you can never have enough clinical evidence, studies such as the University of Washington study cited earlier
seem to suggest that these devices can in
fact help see what the naked eye cannot.
3) False positives. Some non-users will
tell you that adjunctive devices result
in too many “false positives.” However,
I very rarely hear adjunctive device users make this complaint. Moreover, one
must remember that just because a lesion turns out to be non-cancerous does
not mean a false positive has occurred.
These exams are also intended to turn up
a variety of diseases beyond oral cancer,
such as bacterial, viral and fungal infections.
4) The “C” word. Some dentists will ad-
mit that they simply do not want to have
to give a patient the bad news of a cancer diagnosis. This argument ignores the
fact that the diagnosis — which can only
be made based on a surgical biopsy — is
almost always communicated to the patient by an oral surgeon, a general physician or a pathologist.
We have every reason to believe that an
increased focus on early detection will
lead to a meaningful reduction in the
mortality and morbidity of oral cancer.
Early detection is a key reason virtually
every other kind of cancer is now experiencing reduced mortality rates. In fact,
the advent and widespread use of the Pap
smear is generally credited with reducing the mortality rate of cervical cancer
by roughly 70 percent. There is no reason
to believe that enhanced early detection
cannot have the same impact on oral
cancer.
Treating teeth and gums has always
been, and will always be, a noble and important calling. But the dental practice
of today and tomorrow is being looked
upon to do more; specifically, to be the
guardian of its patients’ oral and systemic health. In my view, there has never
been a more exciting time to be a dental
professional. After all, if it feels good to
save a tooth, imagine how it must feel to
save a life!
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28
Dental Tribune Daily U.S. Edition | May 4, 2012
Selecting an amalgam
separator: what to look for
By Ross Fraker, DDS, PhD, President,
R&D Services Amalgam Separators
The impending dental rule soon to be
released by the U. S. Environmental Protection Agency (EPA) will require that all
dentists removing or placing amalgam
restorations install an amalgam separator. The separator is to remove amalgam
from the wastewater being released
through the suction system.
Currently, there are several choices of
Ad
Here at the CDA
To learn more about the variety of separators on
the market, stop by R&D Services booth, No. 1740.
amalgam separator brands for dentists
to choose from, but it is a “buyer beware”
market, not only when considering the
initial costs but also for the ongoing or
repetitive costs.
Try to be informed about the maintenance requirements in terms of parts or
actions before you purchase.
First decision
The first decision to make is the location
of your separator.
Placing the amalgam separator in the
equipment room with the suction generator is the logical choice in most cases.
Almost all separator companies have
models for central locations. However, if
the practice has only one or two restorative chairs and that number or more
hygiene chairs, or if the practice is a part
of a condominium office group, then an
operatory installation may be the best
Photo/Provided by R&D Services
and least expensive choice. Two separator companies make units for placement
beside the chair or in the operatory cabinetry.
Second decision
The second decision is in regard to what
size or model to buy. The most important
factor in determining which size separator to buy from any company is the
amount of dental wastewater generated
that ends up in the suction lines and the
rate at which it is generated.
Most separators have a flow rate, the
rate at which the wastewater is treated.
At least one company has a capacity consideration instead. With very few exceptions, all dentists and hygienists must be
considered if all are on the same trunk
line to the vacuum.
Third decision
The third decision regard the cost of the
separator apparatus.
Initial costs are only one consideration.
For most separators the real expense is
the recurring costs of periodically replacing filter cartridges, canisters or entire
units, in some cases. This replacement
necessity occurs either on a required
schedule, when the apparatus appears
full of sludge or when your suction power
begins to be adversely affected.
This replacement need can happen as
often as monthly for larger offices or for
smaller separators but is usually necessary either biannually or annually. The
replacement need can be unpredictable and cause an extreme loss of suction power. A company might require a
signed contract for purchasing their separators and the required replacements
and other applied costs.
On the opposite side of the scale,
another U.S. company’s separators require no ongoing expenses for replacement parts of any kind.
The requirement for installation of an
ISO certified amalgam separator is not
new for several areas of the United States.
Dentists in Seattle, for example, had a
mandate for installation by 2003. There
are at least 12 states, in addition to cities
or water districts in other states, where
dentists placing or removing amalgam
have already been required to install and
properly maintain their separators.
Research data for at least two cities has
shown a large decline in mercury arriving in the sludge at their wastewater
treatment facilities.
Remember, you have alternatives when
considering how to meet the expected
EPA requirements. Choose wisely!
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30
exhibitors
Dental Tribune Daily U.S. Edition | May 4, 2012
“ EXPLORE, Page 1
ment time by eliminating the need for
phosphoric acid etching.
According to the company, the product helps preserve healthy enamel that
is easily demineralized with harsh acidetchants, while still maintaining superior bond strength. Seeping deeply into
pits and fissures, the HEMA-free primer
bonds equally to enamel or dentin, preparing the tooth surface for a secure and
long-lasting bond.
The folks at American Eagle Instruments (booth No. 846) are telling meeting attendees about XP curettes, which
are treated with a patented process that
hardens the stainless steel and then encapsulates the steel with a diamond-like
layer. According to the company, this
makes an edge that will last months
without sharpening. The thin design of
the XP curettes allows for easy access
into periodontal pockets and interproximal areas for enhanced patient comfort.
A rounded opposing edge reduces tissue
trauma.
At Keystone Industries (booth No.
460), Olympic athletes Brittany Hayes
and Rick Merlo, who both won silver
medals in water polo at the 2008 games
in Beijing, China, are on hand to tell
meeting attendees about the Pro-form
Patriot Mouthguard.
Each mouthguard offers a custom fit
for the wearer. According to Keystone,
the important physical characteristics
of mouthguard materials are tensile
strength, softness and uniform density.
The Pro-form laminate maintains these
characteristics best because of its laminating process, which combines heat
and pressure.
Both Hayes and Merlo, who are signing
autographs at the Keystone booth, wore
the mouthguard during Olympic competitions.
For kids, there’s the DINO dental chair,
designed by Ossi Dental (booth No. 680).
The chair, which helps make going to
the dentist fun instead of frightening,
comes complete with a digital LED monitor with audio and video playback, detached tool tray, high-speed handpiece
tubing, an operation light, an instrument tray and even a fox head that rotates from side to side — all seamlessly
incorporated into colorful, animated
characters.
Those who are enthralled by iPhones
and iPads might want to stop by Ultimate Business Apps (booth No. 443). The
geeks there can design a custom app for
your practice. Your app can include your
bio, an office tour, before-and-after pictures, testimonials and much more. You
can even have your app configured to
allow your patients to fill out forms on
an iPhone or iPad, rather than with pen
and paper.
For those who want to grow their practices, Viva Concepts (booth No. 2360) has
a novel idea: you can hand out gift cards
to your existing patients, which they can
pass along to friends and family members.
With a selection of more than 20 card
templates and the option of custom designs, you can pick your design and create a specialized offer. A magnetic stripe
on the back of the card is a swiper that
is used when the card is redeemed and
makes patient referrals easy to track.
The gang at American Eagle Instruments (booth No. 846), from left: Cherie Borer, Lewis Meyers, Sheila Wake and Nichol Schreiber.
Photos/Fred Michmershuizen, Dental Tribune
Ken Daniells of Ultimate Business Apps
(booth No. 443).
Brittany Hayes, left, and Rick Merlo, Olympic silver medalists in water polo at the 2008
games, were on hand Thursday afternoon at the booth of Keystone Industries (No. 460) to
sign autographs and tell meeting attendees about mouthguards.
The DINO chair from Ossi Dental (booth
No. 680) is designed to make kids feel
comfortable when visiting the dentist.
The fox head swivels.
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