today daily Yankee Dental Congress Jan. 27, 2012
Meeting News / Scenes from Thursday / Learn the best endo tricks and techniques / Have LVI bring its educational program to you / Exhibitors
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[1] =>
!
DAI
LY
AT
YANKEE
DENTAL TRIBUNE
The World’s Dental Newspaper · U.S. Edition
FRIday, January 27, 2012 — Vol. 3, No. 2
www.dental-tribune.com
Scenes from yankee
Tips & tricks
Education on the move
New products, new
slogans, new groups of
attendees (hi, students!)
and more.
Dr. L Stephen Buchanan is
ready to share his best —
and readily implemented
— endo advice.
LVI packs up its courses
and its speakers and leaves
Las Vegas for a town
near you.
” page 4
” page 6
” page 8
Options galore
By Robin Goodman, Dental Tribune
I
t was a quiet start in the exhibit hall
on Thursday when the doors opened
at 9:30 a.m. Where was everyone?
Well, at the morning lectures, of
course! And as expected, after the lectures concluded around 11 a.m., the exhibit hall began to fill up with attendees
seeking new products, equipment and
some lunch.
Of the first two, there was certainly
no shortage as some 450-plus exhibitors were ready to answer questions and
demonstrate their wares, all of which are
good places to check out today.
A good place to start one’s peregrination through the exhibit is at H&O Dental Laboratory. Take a minute to fill out a
questionnaire about the laboratories you
currently use and your experience with
them and receive a $5 Starbucks gift card.
Next, slide over to the DentalSubs.com
A bird’s eye view of the exhibit hall on Thursday afternoon. Photos/Robin Goodman, Dental Tribune
” See OPTIONS, page 2
Ad
High Tech Playground
equals no sales pressure
Dr. Paul Feuerstein is the force behind the High Tech Playground booth
(No. 2634), which is a “no sales zone” for
those who wish to learn more about the
65 products that are found in the booth.
Feuerstein will deliver nine lectures over
three days, with Scott Benjamin delivering two focused on lasers. The playground is a larger version of the one that
occurred at last year’s meeting.
Visit the playground today for an introduction to PhotoOral, a new handheld
consumer device that combats plaque
to improve oral health. The device uses
BlueLight™ to combat gum disease.
Dr. Paul Feurstein, left, and Dr. Louis
Malcmacher at the High Tech Playground
(booth No. 2634) Photo/Robin Goodman, Dental
Tribune
[2] =>
2
meeting news
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
DENTAL TRIBUNE
The World’s Dental Newspaper · US Edition
Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Robin Goodman r.goodman@dental-tribune.com
Editor in Chief Dental Tribune
Dr. David L. Hoexter d.hoexter@dental-tribune.com
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Managing Editor
Robert Selleck r.selleck@dental-tribune.com
Product & Account Manager
Mark Eisen m.eisen@dental-tribune.com
Marketing Manager
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
Sales & Marketing Assistant
Lorrie Young l.young@dental-tribune.com
C.E. Manager
Christiane Ferret c.ferret@dtstudyclub.com
Need a job? Need an employee? Check out www.dentalsubs.com to find either. You can also stop by the booth (No. 1040) where Richard
Garofolo and Lindsey Sadler will be happy to explain all.
Published by Dental Tribune America
© 2012 Dental Tribune America, LLC
All rights reserved.
“ OPTIONS, Page 1
booth, where you can find a temporary
or permanent job or employee.
If you are looking for a job, you can
search by a number of criteria, such as
availability, pay rate, distance and even
software familiarity. Job seekers can
create a profile to highlight their skills
so hiring managers can find them. Such
profiles are appropriate for recent graduates as well as dentists, hygienists, dental assistants, front desk staff and office
managers.
Happy feet are an important part of a
successful workday. If you want some of
the best daylong comfort shoes, skip over
to the Dansko by Alexander’s Uniforms
booth (No. 1284) and pick out one of the
many pairs to try on.
Sizing is European, but any member
of the booth staff can help you convert
from your American size. With a variety of styles and colors, you’ll likely find
more than one pair that finds favor in
your site. And given the 20 percent discount for the Yankee show, your pocketbook won’t feel so light but we guarantee
your feet will.
If you are already placing implants
or just getting started, swing by the BTI
Implants booth (No. 2319) to learn more
about the company’s grafting system
and its biotech approach for implants.
The BTI brand hails from Spain, and its
Biotechnology Institute focuses on research, development and innovation,
which are implemented from a biological focus of medicine that enables the
provision of new and personalized therapeutic solutions with a clear clinical application.
The exhibit hall is open until 5:30 p.m.
today and 4:30 p.m. on Saturday, Be sure
to set aside extra time for a leisurely
stroll through the aisles to find the new
products and companies you may not
yet be aware of; you’ll be glad you did.
Dental Tribune America, LLC
116 West 23rd St., Ste. #500
New York, N.Y. 10011
(212) 244-7181
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
Comfy feet are happy feet, and if you need a pair of shoes, swing by the Dansko booth
(No. 1248) to find a style that suits you.
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!
Tony Huertas, from left, Jocelyn Jacques and
Mark Tetreault, CDT, at the H&O Dental
Laboratory booth (No. 812) are interested in
learning about which dental labs you use
and your experiences there. If you take a few
moments to fill out a questionnaire, you’ll
get a $5 Starbucks gift card.
At the BTI Implants booth (No. 2319),
Stephanie Correal and Geraldine Duffy can
tell you about the company’s grafting system
as well as its biotech approach for implants.
Duffy teaches residents about bone and
tissue grafts at Tufts and Boston Universities.
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) please
send us an e-mail at database@
dental-tribune.com and be sure to
include which publication you are
referring to. Also, please note that
subscription changes can take up to six
weeks to process.
[3] =>
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scr apbook
4
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
Scenes from Thursday
Dental assistant Marilyn Zayas, from left, dental hygienist Danielle
Collins and dental assistant Sonia Mclean outside the high-tech
playground.
Christian Villarroel, left, and Chris Johnson and their snappy pink ties
at the Keystone Dental booth (No. 2410).
Dr. Brian Cullen, from left, Ryan Harte,
Summer Flavell and Tracy Nigro during a
quiet moment at the DENTSPLY Caulk booth
(No. 2412).
Dr. Andrew Levine, left, and Don Zogby
at the Instrumentarium/Soredex booth
(No. 1623).
Lindsey Hirzel, from left, Pam Zachman, April Campbell, Morgan Essert, Dawn Baiko and Cindy Hughes at the Triodent booth (No. 3525) before
the masses descended upon them.
William Mandell, Esq., at the Pierce &
Mandell booth (No. 817) can help you with all
the important details involved with dental
practice transitions.
Lee Mergentime,
from left, Bill
Rimmer, Joseph
Hui and Mark
Cartwright at the
Flight Dental
Systems booth
(No. 2041).
Rock Larock at the Perio Protect booth (No. 1644) explains Perio Tray
to an attendee. At the booth, you may register for a free C.E. course
on the exhibit hall floor on Saturday, from 10 a.m.–noon, to learn the
science and research behind Perio Tray usage as an adjunct to SRP.
Heather Franklin, left, at the Glidewell
Laboratories booth (No. 819).
[5] =>
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
5
scr apbook
Lenny Sulkis,
from left, Mark
Schwer and
Dr. Trong-Qui Dao
at the Shofu booth
(No. 1228) discuss
Beautifil Flow Plus.
At the P&G booth (No. 1005), Crest Oral B offers oral solution kits for the six most common concerns patients bring to
the dental practice. These kits help you and your practice Go Beyond ‘Open Wide’.
Rex Koskela at the PhotoMed booth (No.2105) can help you make
sense of all the technical details that might befuddle you when it
comes to deciding which camera to purchase for your practice.
Lauren Carroll, from
left, Katherine Do
and Violaine Gillot
can tell you all about
better toothbrushes
for better health at
the MouthWatchers
booth (No. 936).
Dyan Jayjack of Schein ProScore (booth No. 2140) talks to a customer
about handpiece maintenance.
Instructor Lori Hicks
and her dental
assisting students
from Porter and
Chester School
in Canton, Mass.,
stop for a photo in
the exhibit hall on
Thursday.
Catalina Vacio
at the Dr. Fresh
booth (No. 2040)
explains one of the
company’s offerings
to attendees.
Kerry Strain during his all-day Thursday
lecture on ‘Practice Ownership 101 —
Develop the Entrepreneur Within You.’
Candace Fike, left, and Barbie McAnallely at the Sock It! Gel booth
(No. 1632). Sock It! Gel is an oral hydrogel wound dressing.
Photos by Robin Goodman,
Dental Tribune
[6] =>
6
speakers
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
Learn the best endo
tricks and techniques
By L . Stephen Buchanan,
DDS, FICD, FACD
Welcome to Friday at the Yankee Dental Congress. Today is a fun day for me
because I will be lecturing this morning
and again in the afternoon. I’ll begin by
Ad
covering how to get your patients profoundly numb — in every case, in very
little time. I’ll also discuss a long overdue
trend I started years ago: making more
conservative access cavities without
forsaking convenience form. The loss of
structural integrity is the No. 1 complaint
prosthodontists have about using endodontically treated teeth as abutments
for complex full-mouth restorative cases.
The morning will finish with another
exciting trend in root canal therapy
(RCT): rotary instruments for initial
negotiation — often the only files you
Here at Yankee
L. Stephen Buchanan, DDS, FICD, FACD, will present
“The Art of Endodontics: Anesthesia, Access and
Negotiation” from 8–11 a.m. today in room 107B. He
will then present “The Art of Endodontics: Shaping,
Cleaning and Obturation” from 1–4 p.m. in room
107B. Each course costs $90.
will use before shaping the canal. I’ll
discuss what you should use and when
you should go back to standard K-files
or a combination of the two. I will cover
all the challenges you will face in negotiating root canals and teach you all the
tricks to assure you never block yourself
from getting to full length. I will also
go over how to manage all the different
types of impediments you may encounter in clinical practice.
This afternoon, I will continue on topics of conventional RCT, including creating smaller coronal shapes, cleaning
efficacy and what should be the new
standard in obturation. You will learn
proper file selection for all root forms
and learn to carve very efficient, predictable and reproducible shapes using
safe but rapid cutting files, often with
only one to three files. The goal of shaping is to make room for the irrigants to
kill the bugs, and if you cheat this aspect
of RCT, you will cheat your patients and
your success rate. There are many new
methods for doing this, and I will review
my cleaning protocol. Finally, I will discuss the importance of warm, centered
condensation filling techniques that are
truly state-of-art.
My objective is to share all my best
endo tricks and techniques in a manner
that will allow their application next
week in your practices.
I’ll see you at the apex!
About the
author
L. Stephen Buchanan, DDS, FICD,
FACD, completed the endodontic
graduate program at Temple University in Philadelphia in 1980. In 1989, he established Dental Education Laboratories, through which he has lectured
and conducted participation courses around the
world, published numerous articles and produced a
video series, “The Art of Endodontics.” He is a diplomate of the American Board of Endodontics and a
fellow of the International and American Colleges
of Dentistry. He also serves as an assistant clinical
professor at the University of Southern California
School of Dentistry and at the University of California, Los Angeles School of Dentistry. He maintains a
private practice limited to endodontics and implant surgery in Santa Barbara, Calif. Buchanan can
be reached through his company, Dental Education
Laboratories, at www.endobuchanan.com, info@
endobuchanan.com or by calling (805) 899-4529.
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[8] =>
8
education
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
Have LVI bring
its educational
program to you
By LVI Staff
Contact
For even more information, visit www.LVIRegional
An LVI regional event will be held in New Orleans on March 9 and 10.
Photo/Provided by www.sxc.hu
Ad
Feel like you are stuck in a rut? Need
a change? Having a hard time getting
things going with all the worry about
the economy? This could be your golden
Events.com.
opportunity to “regain control” of your
practice and recapture your passion for
dentistry.
Think about attending a Las Vegas Institute for Advanced Dental Studies (LVI)
Regional Event. You have the opportunity to discover a path that will lead you to
both personal and professional satisfaction.
As a dentist, you have probably heard
about LVI and considered taking a course
but simply cannot justify spending the
money or taking the trouble to bring a
patient all the way to Las Vegas to find
out what LVI is all about.
This is the best time to attend one of
our regional events, especially if you are
feeling bored with the same thing every
day or feel stuck with the old way of doing things and just can’t seem to get out
of the rut you are in.
LVI’s one- and two-day regional events
are designed to share with the participants a more professionally satisfying
and profitable way to practice dentistry.
You will receive valuable information
about LVI’s esthetic and occulsal philosophies, which are revolutionizing our profession.
Among the many exciting things you
will learn during the course of the meeting is how to create a golden age of dentistry in your own office, how to take a
T.E.N.S. Bite for optimal position to restore your cases and how to turn your
patients into guests and make it easier
for them to accept comprehensive treatment.
You will also hear from one of our experienced LVI regional directors about
his or her personal journey and how you
can create one, too.
By attending a regional event, you will
have taken the first step where you will
find the opportunities boundless for
you and your patients, whose lives will
change for the better. Regional events
are held throughout the year in different locations throughout the United
States and Canada, so go to www.lvi
regionalevents.com to find your opportunity to attend.
This experience will give you tools to
make a better income and afford better
equipment, and while that is great, the
most important thing it will do is allow
you to deliver a better quality of care
and a higher quality of living for your
patients.
It is time for you to learn first-hand
what LVI is all about and, once you have
experienced it, enjoy the benefits of your
education and training.
[9] =>
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
9
exhibitors
No interface
degradation? It
must be Ceramir
Crown & Bridge
By Robin Goodman, Dental Tribune
Permanent and stable are words that
bring peace of mind to many. Now, Doxa
Dental brings this peace of mind to the
dental office with Ceramir Crown &
Bridge, a new bioceramic luting cement.
You might wonder, “How can a new luting cement be any different than what is
already out there?”
One difference is that Ceramir® has the
unique ability to make tight and impermeable contact with tooth tissue that is
stable over the long term. In fact, no cement is closer to natural tooth structure
than Ceramir. This is because Ceramir
fosters a build-up of nano-crystals that
integrate with dentin and enamel, forming a biomimetic material that the company calls “nanostructurally integrating
bioceramics” (NIB). The transmission
electron microscope images, showing
how at 20 nm (the molecular level) Ceramir integrates with enamel in vivo, are
quite compelling and can be seen at the
booth (No. 1938).
Another dramatic difference in comparison to other cements is that Ceramir
creates an alkaline environment (high
pH) that resists acid and bacterial decay.
Thus, the product remains chemically
stable in the oral environment over time.
Because it was designed to be stable in an
oral environment, Ceramic does not require optimal conditions for a good seal.
The questions on everyone’s mind
when discussing dental cement usually revolve around working time, setting time, film thickness and mechanical strength. Ceramir’s working time
is two minutes while its setting time is
approximately five minutes. In addition, Ceramir meets the film thickness
for well-fitting restorations by coming
in at around 15 µm. Finally, Ceramir’s
mechanical strength was measured in
terms of compression strength and, after
24 hours, was measured at 170 MPa.
Recall data from a two-year clinical
study confirms that Ceramir Crown &
Bridge demonstrates outstanding effectiveness with 0 percent sensitivity, 100
percent retention, 100 percent marginal
integrity, 0 percent marginal discoloration and 0 percent secondary caries.
Ceramir Crown & Bridge is now available as Ceramir Crown & Bridge Singlecap and Ceramir Crown & Bridge
Doublecap. Ceramir Crown & Bridge Singlecap is specifically designed for single
unit restorations and eliminates waste
while the original doublecap is still available for multiple unit restorations.
Ceramir Crown & Bridge cement is
backed by 25 years of research and development by Swedish Professor Leif
Emil
Abrahamsson,
president of
Doxa Dental,
at the booth,
No. 1938. Photo/
Robin Goodman,
Dental Tribune
Hermansson and his wife, Irmeli, founders of Doxa Dental. Stop by the booth,
No. 1938, to learn more about this unique
bioceramic luting cement.
Here at Yankee
For more information or to check out Ceramir
Crown & Bridge for yourself, stop by the Doxa
Dental booth, No. 1938.
Ad
[10] =>
exhibitors
10
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
Let patients take their
new smiles for a test drive
Before and
after the
PreNew
PreView.
Photos/
Provided by
Jason J. Kim
Dental
Aesthetics
Ad
Are you looking for that one new product that can make an immediate impact
on your dental practice’s bottom line?
Then look for detailed information
being distributed here at Yankee about
PreNew PreView®, an innovative dental
technology from Jason J. Kim Dental Aesthetics.
Built from a simple study model,
PreNew PreView is a “smile preview” that
fits over patients’ existing teeth to show
them just how great they are going to
look. Before PreNew PreView, dentists
had to rely on digitally manipulated
before-and-after photos.
Today, dentists have PreNew PreView,
which can create a very realistic image of
what a patient’s new smile will look like
once his or her final dental restoration is
completed.
PreNew PreView was launched during the Greater New York Dental Meeting (GNYDM) at the Jason J. Kim Dental
Aesthetics booth where master ceramist
Jason J. Kim presented this new dental
technology, which is an exclusive, realistic approach to attracting current and
potential clients who may be considering
dental restoration. It may also be used as
a marketing tool to help dentists increase
revenue.
During the GNYDM, dozens of dentists attended the PreNew PreView presentations.
In addition, many New York metro area
dentists have also attended workshops at
Jason J. Kim’s labs.
Here at Yankee
For more information about PreNew PreView and
to learn about upcoming PreNew PreView workshops from Jason J. Kim Dental Aesthetics, visit
www.jjkda.com or stop by booth No. 2039 to pick up
more information.
How does PreNew PreView work?
PreNew PreView is a simple two-step process. Step one: During the patient’s first
visit to the dentist, a study model is taken
along with two photos (smile with lips/
full-facial smile). These are sent to the lab
at Jason J. Kim Dental Aesthetics.
Step two: During the second visit, the
dentist applies the new look over the patient’s existing teeth. There’s no drilling
and no pain. The patient will get to experience a realistic preview of his or her
new smile.
This first-hand look can boost the patient’s confidence about the dental restoration process and add certainty to his
or her decision to proceed, according to
Jason J. Kim Dental Aesthetics. The company says PreNew PreView is customtailored to intrigue current and potential
clients who may be considering dental
restoration and is a tool designed to impact your bottom line.
[11] =>
[12] =>
exhibitors
12
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
From intraoral scan to final
custom implant restoration
Here at Yankee
By Perry E. Jones, DDS, FAGD
For more information about the Inclusive Scanning
This case demonstrates the optical
scanning of Inclusive® Scanning Abutments (Glidewell Laboratories; Newport
Beach, Calif.) utilizing the iTero™ digital
scanning system (Align Technology; San
Jose, Calif.) with software version 4.0.
Digital data was used with laboratory
CAD/CAM planning to fabricate custom
all-ceramic implant abutments and a
four-unit fixed prosthesis. The abutments and fixed prosthesis were fabricated using advanced computer-aided
milling technology.
Abutments, stop by the Glidewell Laboratories
booth, No. 819.
•
Fig. 1: Inclusive Scanning Abutments
attached to implants. Photos/Provided by Perry
E. Jones, DDS, FAGD
Fig. 2: Abutment planning (labial view) with
3Shape’s DentalDesigner software and
Prismatik CZ™ add-on module (Glidewell
Laboratories).
•
Dental history
The patient was a 52-year-old healthy
Hispanic male who sustained a traumatic avulsion and lost his maxillary
incisors in an automobile accident. Following healing, a four-tooth transitional
removable partial denture was constructed. He was seen by the oral and
maxillofacial surgery service of Virginia
Commonwealth University for dental
implant therapy.
Treatment plan
The patient was informed of the alternatives, benefits and potential complications of various treatment options
before deciding to pursue implant restoration of his missing teeth.
The treatment plan included placement of two Replace® Select Straight RP
4.3 x 13 mm implants (Nobel Biocare; Yorba Linda, Calif.) with 5 mm healing abutments, followed by a six-month healing
period and restoration with all-ceramic
custom abutments and a four-unit, allceramic fixed prosthesis to restore the
anterior incisors to form and function.
Surgical procedure
Using local anesthesia, two Replace Select Straight RP implant fixtures were
placed in the area of teeth #7 and #10,
using standard Nobel implant placement protocol. Placement angulation
and depth were verified and deemed
satisfactory. Standard RP 5 mm healing
abutments were placed, and the fully reflected tissue flap was closed with interrupted sutures.
Restorative procedure
Following six months of healing post-implant placement, intraoral photos were
taken to record and confirm the healthy
remaining dentition. Osseous integration was confirmed with a panoramic
X-ray, followed by resonance frequency
analysis (RFA) using an Osstell® ISQ implant stability meter with SmartPeg™ attachment (Osstell USA; Linthicum, Md.),
which displayed an implant stability
quotient (ISQ) of 78 on a minimum-tomaximum scale of 1–100.
Counter rotation with a torque wrench
confirmed no rotation to 35 Ncm. The
•
•
•
Fig. 3: Inclusive All-Zirconia Custom
Abutments #7 and #10.
Fig. 4: Four-unit BruxZir Solid Zirconia fixed
bridge cemented in place.
implant fixtures were considered acceptable for restoration.
The 5 mm healing abutments were removed, Inclusive Scanning Abutments
were placed on the implants, and the accompanying titanium screws were tightened (Fig. 1).
Using the iTero scanner with updated
software (version 4.0), a full maxillary
arch scan, full mandibular arch scan and
centric bite in maximum intercuspation
were completed. A three-dimensional
digital record of the patient’s anatomy
was created from these scans and electronically submitted to Glidewell Laboratories to be used in the CAD/CAM restoration process.
At Glidewell Laboratories, the virtual
scan was registered to the scanning abutments, providing the dental technicians
with the implant system, size, axis, position relative to the adjacent anatomy
and locking feature orientation. A virtual zirconia abutment was designed using 3Shape’s DentalDesigner™ software
(3Shape Inc.; New Providence, N.J.) and
the Glidewell Digital Abutment Library
(Fig. 2).
From this, the corresponding physical Inclusive All-Zirconia Custom Abutments (Glidewell Laboratories) were
milled. Similarly, a BruxZir® Solid Zirconia four-unit fixed bridge (Glidewell Laboratories) was designed and milled using
state-of-the-art CAD/CAM technology.
The custom zirconia abutments were
trial-fitted in the patient’s mouth with
some slight tissue blanching noted (Fig.
3).
In the same visit, the final four-unit
all-ceramic milled BruxZir Solid Zirconia bridge was tried-in and examined for
proper occlusion. There was “tight” anterior coupling for this case as evidenced
by the history of provisional denture
fracture. The occlusion was checked and
presented as so precise that no adjustment was required.
The anterior view of the final prosthesis demonstrates optimal mesial-distal
width proportion, incisal edge proportion, pontic-tissue contact and excellent shade/esthetics (Fig. 4). Further, the
occlusal view demonstrates an optimal
incisal edge arch form. The soft-tissue lip
position and speech phonetics appeared
to be optimal.
Following the trial seating, the fixed
bridge was removed, the zirconia abutment retention screws torqued to 35
Ncm, the abutment screws covered with
cotton/Cavit™ Temporary Filling Material (3M™ ESPE™; St. Paul, Minn.), and
the prosthesis cemented with GC Fuji
PLUSTM (GC America; Alsip, Ill.).
•
•
•
•
•
•
* Note: Cadent (Carlstadt, N.J.) was acquired by Align Technology (San Jose, Calif.) in May 2011.
•
References
•
•
Baldissara P, Llukacej A, Ciocca L, Valandro
FL, Scotti R. Translucency of zirconia copings made with different CAD/CAM systems. J Prosthet Dent. 2010 Jul;104(1):6–12.
Birnbaum NS, Aaronson HB. Dental impressions using 3D digital scanners: virtual
becomes reality. Compend Contin Educ
Dent. 2008 Oct;29(8): 494, 496, 498–505.
•
•
Chang YB, Xia JJ, Gateno J, Xiong X, Zhou X,
Wong ST. An automatic and robust algorithm of reestablishment of digital dental
occlusion. IEEE Trans Med Imaging. 2010
Sep;29(9):1652–63.
Christensen GJ. Will digital impressions
eliminate the current problem with conventional impressions? J Am Dent Assoc.
2008 Jun;139(6):761–3.
Drago C, Saldarriaga RL, Domagala D, Almasri R. Volumetric determination of the
amount of misfit in CAD/CAM and cast implant frameworks: a multicenter laboratory study. Int J Oral Maxillofac Implants.
2010 Sep-Oct;25(5):920–9.
Ender A, Mehl A. Full arch scans: conventional versus digital impressions — an invitro study. Int J Comput Dent. 2011;14(1):11–
21.
Fasbinder DJ. Digital dentistry: innovation
for restorative treatment. Compend Contin Educ Dent. 2010;31(4):2–11.
Garg AK. Cadent iTero’s digital system for
dental impressions: the end of trays and
putty? Dent Implantol Update. 2008
Jan;19(1): 1–4.
Henderson, S. Align Technology Completes
Acquisition of Intra-Oral Scanning Leader
Cadent. 2011 May 2 [cited 2011 Oct 17].
Available from: http://investor.aligntech.
com/releasedetail.cfm?releaseid=573469.
Jones PE. Cadent iTero digital impression
case study: full-arch fixed provisional
bridge. DC Dentalcompare. 2009 Jul 8 [cited 2011 Jul 28]. Available from: http://
www.dentalcompare.com/FeaturedArticles/2082-Cadent-iTero-DigitalImpression-Case-Study-Full-Arch-FixedProvisional-Bridge/.
Jones PE. Cadent iTero optical scanning
digital impressions for restorative and invisalign. Dental Product Shopper. 2011 Jun
28 [cited 2011 Jul 29]. Available from: http://
dentalproductshopper.reachlocal.net/
articles/cadent-itero-optical-scanningdigital-impressions-restorative-andinvisalign.
Kurbad A. Impression-free production
techniques. Int J Comput Dent.
2011;14(1):59-66.
Priest G. Virtual-designed and computermilled implant abutments. J Oral Maxillofac Surg. 2005 Sep;63(9 Suppl 2):22–32.
Smith R. Creating well-fitting restorations
with a digital impression system. Compend
Contin
Educ
Dent.
2010
Oct;31(8):640–4.
Touchstone A, Nieting T, Ulmer N. Digital
transition: the collaboration between dentists and laboratory technicians on CAD/
CAM restorations. J Am Dent Assoc.
2010;141 Suppl 2:15S-9S.
Zweig A. Improving impressions: go digital! Dent Today. 2009 Nov;28(11):100, 102,
104.
[13] =>
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
13
exhibitors
SuperCurve: the super
snug, non-stick matrix
Sectional matrices have revolutionized
Class IIs, but the matrices themselves
can be a pain. They can be awkward to
place, they can be unstable and fall out
of the embrasure before you’ve even gotten started, they can crumple when you
go to place the retainer ring, and they
can be a pig to remove — and even then,
the final anatomy is disappointing and
needs more work.
Triodent eliminates all of these frustrations in one product: SuperCurve.
Let’s run through the problems:
Difficult to place
• Problem: Most sectional matrices are
a simple piece of metal, simply shaped.
They can be held and placed using pliers or tweezers but they’re quite easy to
drop, and the angle of positioning often
leaves something to be desired.
• Solution: SuperCurve has a tab on the
Here at Yankee
For more information or to see the SuperCurve for
yourself, stop by the Triodent booth, No. 2426.
top that acts as a handle. By engaging the
hole in the tab with Triodent pin-tweezers, you immediately have a secure and
reliable grip on the matrix, even in the
tweezers’ passive mode. Moreover, when
the tab is bent 90 degrees, you create a
contra-angle that allows you to place the
matrix easily in an apical direction between the teeth.
Unstable and too easily crumpled
• Problem: A matrix slides down easily
beside a Class II prep — sometimes too
easily. It flops around and refuses to sit
in a level position, even with the aid of a
wedge. It might even fall out completely.
• Solution: As the name suggests,
SuperCurve has a very tight radius, so it
hugs the tooth and holds its position. The
added benefit with the SuperCurve closely fitting to the buccal and lingual walls
of the tooth is that the matrix wings are
well out of the way when the ring is being placed, so there is no chance that the
ring tines will catch the matrix wings
and crumple it.
Difficult to remove
• Problem: One of the major aims
of a Class II is a tight contact. Having achieved that, the matrix band is
clamped between the teeth. To make
matters more tricky, adhesives and composites may have stuck to the inside of
the band. Many dentists will have experienced the frustration of torn matrices
and awkward maneuvers removing the
remainder.
• Solution: SuperCurve has a non-stick
plastic coating that ensures the matrix
slides out easily and cleanly.
Too much time finishing
• Problem: Most matrices are a simple
kidney shape. When the matrix is removed, there is often plenty still to be
done on smoothing and shaping, including paying particular attention to the
marginal ridge.
• Solution: With SuperCurve, a lot of
thought has gone into replicating tooth
anatomy. SuperCurve has an S-shaped
vertical contour, from a rolled marginal
ridge right down to a sub-gingival extension on the larger matrices. With these
features, less time will be spent finishing
the restoration. This benefit is augmented
by the quality of the seals on the gingival
and vertical margins with the Triodent
Wave-Wedge and V3 Ring, which prevent
overhangs and keep flash to a minimum.
Ad
[14] =>
exhibitors
14
Dental Tribune Daily U.S. Edition | Jan. 27, 2012
canon rebel t3i
The Canon Rebel T3i is the first Rebel
model to include the ability to work
with wireless flashes. This feature was
previously reserved for higher end, professional cameras and allows the T3i to
work with modern wireless macro
flashes.
Doing away with the flash power pack
and cord results in a lighter, more balanced camera.
The Rebel T3i is an 18-megapixel digital camera that features an articulat-
Photo/Provided by PhotoMed
Photo/Provided by DENTSPLY Caulk
PALODENT PLUS
Palodent® Plus is the newest sectional
matrix system from DENTSPLY Caulk.
It offers wide applications for sectional
matrix system use and delivers predictable, accurate contacts consistently.
This new system includes a molar and pre-molar ring, four different size matrices and new wedges and
WedgeGuards.
The rings offer consistent separation
force and are made of nickel titanium,
Ad
which ensures they will last longer
than traditional stainless-steel rings.
The tines on the rings help to provide
retention on the tooth, and the system
seals the restoration to minimize the
amount of finishing required.
For more information, call (800) 5322855, visit www.palodentplus.com or stop
by the DENTSPLY Caulk booth, No. 2412,
here during the Yankee Dental Meeting.
ing LCD screen and a 1080p HD video
mode.
PhotoMed offers two wireless flash
options for the T3i as well as two traditional macro flashes and four macro
lens options.
For more information or to see the
Canon Rebel T3i for yourself, visit www.
photomed.net, call (800) 998-7765 or
stop by the PhotoMed booth, No. 2105,
here during the Yankee Dental Meeting.
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