today GNYDM Dez. 1, 2010
Last chance! / News / Scrapbook / Speakers / Exhibitors
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4
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Official Meeting News
Vo
Greater New York Dental Meeting · Nov. 28–Dec. 1, 2010
DEC.
1
2010
Sessions, sessions
everywhere
Scenes from
the show
Putting their
hearts into it
»page 2
»starting on page 6
»page 22
Live Dentistry arenas
and the Dental Tribune
Study Club symposia
line up speakers
on topics from esthetics
to imaging.
Funny face paint,
snack breaks and furry
creatures designed to
get kids excited for
brushing are the
highlights of Tuesday.
Companies help kick off
Oral Health America’s
‘Seal Two Million
Campaign’ in support of
at-risk children across the
United States.
Where ideas go to develop
For more on Dentcubator, see story on Page 4.
Dental Tribune International Publisher and Chairman Torsten Oemus, left, Dr. L.
Stephen Buchanan, Dr. Marc L. Nevins, Mark Ferber, Barbro K. Brånemark of the
Brånemark Osseointegration Center in Gothenburg, Sweden, Dr. Richard Meissen,
Dr. Thomas J. McGarry and Dental Tribune China General Manager Huang Huan
were among many attendees on hand Tuesday morning for the Dentcubator
meeting. (Photo/Fred Michmershuizen, Dental Tribune)
5
AD
Attendees scour the exhibit hall Tuesday afternoon. (Photos/Fred Michmershuizen, Dental Tribune)
5
Last chance!
By Fred Michmershuizen, Dental
Tribune
n You only have until 5 p.m. today.
That’s when the exhibit hall here at
the 86th Greater New York Dental
Meeting (GNYDM) will close. That
means now is your last chance to scour
the aisles for the latest in dental supplies, equipment and technology.
The good news is that whether you
are a first-year dentist or a seasoned
veteran, a general practitioner, specialist or hygienist, there are products
and services here to meet your needs.
So be sure to visit the show floor one
last time before you go back to your
practice. You’ll be glad you did.
Here are some other last-minute
see CHANCE, page 22
8
An attendee views an informational
video inside a bubble at U.S. Navy Recruiting Command, booth No. 1112.
5
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xxx xxx
news
xx
2
Greater New York Dental Meeting — Dec. 1, 2010
Lectures heighten interest,
awareness in products
Dental Tribune America, LLC
116 W. 23rd St., Suite 500
New York, N.Y. 10011
Phone: (212) 244-7181
Fax: (212) 244-7185
E-mail: info@dental-tribune.com
www.dental-tribune.com
Vice President Global Sales
Peter Witteczek
p.witteczek@dental-tribune.com
Chief Operating Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor & Designer
Robin Goodman
r.goodman@dental-tribune.com
Dr. Joseph Massad during his hands-on workshop Tuesday morning about ‘Impressioning and Securing Implant-retained Complete Dentures.’ (Photos/Robin Goodman, Dental Tribune)
5
Managing Editor/Designer
Show Dailies & Ortho Tribune
Kristine Colker
k.colker@dental-tribune.com
Managing Editor/Designer
Implant & Endo Tribunes
Sierra Rendon
s.rendon@dental-tribune.com
Online Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Account Manager
Gina Davison
g.davison@dental-tribune.com
Dr. Michael Miyasaki during his morning presentation.
Drs. Edward Lynch (left), Fay Goldstep
and George Freedman before their DTSC
Symposia on ‘Soft-tissue Lasers and Caries Diagnosis.’
The DT Study Club Symposia will
offer more courses today, starting at 10
a.m., so stop by for some free C.E. credits.
A select few among the lectures will be
posted online at www.DTStudyClub.com
after the event; however, there will be an
access fee.
Various seminars and programs are,
of course, free. For instance, Karen
Raposa, RDH, MBA, provided three free
C.E. credits during the dental hygienists’
association program Tuesday morning.
Finally, there are the glass classrooms, and although they are not free,
they do provide an intimate and handson setting to try out new products, equipment and techniques.
Dr. Joseph Massad guided attendees
in two separate session on the topic of
“Impressioning and Securing Implantretained Complete Dentures” in the
glass classroom on Aisle 4200/4300.
5
5
Do-it-yourself equipment maintenance and repairs
By Robin Goodman, Dental Tribune
n Is your Cavitron unit acting a bit
quirky? Do you need to change the
gasket on your sterilizer? Basic preventive equipment maintenance
and repairs are easier than you
think and doing it yourself will save
you money.
Indeed, this is likely the reason
why some 46 attendees participated
in the hands-on workshop on this
topic on Tuesday afternoon in the
glass classroom at the end of Aisle
1200/1300.
The classroom was divided
into four stations: Cavitron/curing lights, handpieces, sterilizers
and dental chairs. Eleven technical
specialists from Henry Schein Pro
Score as well as Sales and Category
About
the Publisher
Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
By Robin Goodman, Dental Tribune
There’s no such thing as a free lunch.
But there is such a thing as free C.E. during the Greater New York Dental Meeting (GNYDM).
For example, take the meeting’s two
Live Dentistry Arenas. On Tuesday, Dr.
Ara Nazarian discussed “Simple Implant
Placement in a Complex Economy” on
one side of the exhibition floor at the Live
Dentistry Arena. Dr. Michael Miyasaki
held the stage at the other arena with a
morning session on “Minimally Invasive
Aesthetic Indirect Restorative Procedures,” and after lunch continued with
“Advanced Imaging for the New and
Retreatment Endodontic Patient.”
Around the corner and down the
aisle from Live Dentistry Arena No. 1 is
the DTSC Symposia C.E. lecture series.
Tuesday’s morning schedule began
with Drs. David Lynch, Fay Goldstep
and George Freedman discussing “Softtissue Lasers and Caries Diagnosis.”
Dr. Mayer Sinensky from New York,
N.Y., stopped on his way out of the lecture by Freedman, Goldstep and Lynch
to say what he thought of the program:
“I think the format is great. It’s a small
room so you feel like you are in a classroom, and the lecturers are very good
speakers as well as knowledgeable in
their field.
“The lecture made me want to visit
some of the booths to look at the products. This is my first time at a DTSC lecture, but now I will look closely at the rest
of the schedule to see if there are others I
might want to attend.”
There were seven lectures Tuesday
and other speakers included Drs. Lou
Chmura, Marc Gottlieb, Dov Almog,
Bettina Basrani, Dwayne Karateew and
Dirk Gieselmann.
Sales and Category
Manager Dyan M.
Jayjack instructs a
portion of the handson workshop about
preventive maintenance and equipment
repair on Tuesday.
The course takes place
again today at 2 p.m.
and earns attendees
three C.E. units.
(Photo/Robin Goodman, Dental Tribune)
Account Manager
Mark Eisen
m.eisen@dental-tribune.com
Account Manager
Humberto Estrada
h.estrada@dental-tribune.com
Marketing Manager
Anna Wlodarczyk
a.wlodarczyk@dental-tribune.com
Marketing & Sales Assistant
Lorrie Young
l.young@dental-tribune.com
C.E. Manager
Julia Wehkamp
jwehkamp@dental-tribune.com
International C.E. Sales Manager
Christiane Ferret
c.ferret@dtstudyclub.com
5
Manager Dyan M. Jayjack were divvied up among the four stations.
If you want to learn how to
perform basic preventative maintenance and repairs, you are in luck
because this $25 course (worth
three C.E. credits) will be repeated
from 2 to 4 p.m. today in the glass
classroom on the exhibit floor at the
end of Aisle 1200/1300.
Published by Dental Tribune America
© 2010 Dental Tribune America, LLC
All rights reserved.
today Greater New York Dental Meeting
Show Preview appears in advance of the
Greater New York Dental Meeting in New York
City, N.Y., Nov. 28–Dec. 1, 2010.
Dental Tribune America makes every
effort to report clinical information and
manufacturers’ product news accurately,
but cannot assume responsibility for the
validity of product claims, or for typographical errors. The publishers also do not
assume responsibility for product names or
claims, or statements made by advertisers.
Opinions expressed by authors are their
own and may not reflect those of Dental
Tribune America or Dental Tribune
International.
[3] =>
[4] =>
news
4
Greater New York Dental Meeting — Dec. 1, 2010
Dentcubator is poised to hatch
promising new dental technology
By Fred Michmershuizen,
Dental Tribune
n Historically, the best advances
in dental technology have sprung
not from geeks in corporate R&D
departments but rather from regular
dentists working in their practices.
That’s perhaps because most dentists are thinkers and tinkerers. They
are constantly coming up with innovative ways of improving upon procedures, increasing efficiency or doing
something in a manner that hasn’t
been tried before.
Until now, one obstacle entrepreneuring dentists have encountered,
once they have built a better mousetrap, is coming up with the necessary
financial and logistical resources to
make their vision a reality. That’s
where Dentcubator comes in.
Now in its third year, Dentcubator is
a group of investors and shareholders
from 15 countries and 26 states. Their
goal is to seek out the most promising
AD
Attendees listen to a presentation during the annual meeting of Dentcubator.
(Photo/Fred Michmershuizen, Dental
Tribune)
5
advances in dental technology and
bring these ideas to fruition.
This is an elite group. Among many
others, it counts among its members
such notables as Dr. William Arnett,
Dr. Paul Feuerstein, Dr. Ron Jackson,
Dr. Sonia Leziy, Dr. Ken Malament,
Dr. Joerg Strub, Dr. Mauro Fradeani,
Dr. Paul Seid, Dr. Bill Dickerson, Dr.
Hoy Maier, Dr. Manfred Pfeiffer, Dr.
Brahm Miller, Dr. Gianluca Gambar-
ini, Dr. Marco Martignoni, and Drs.
Pedro, Leandro and Rogerio Velasco
of The Velasco Group in Brazil.
Dentcubator has 10 standing committees that receive proposals and
evaluate them. This year alone, Dentcubator fielded 70 proposals. Not
only does the organization have the
brains, they also have the muchneeded financial capital and managerial expertise to bring new products
to fruition.
Dentcubator is currently in the prototyping and testing phase for several
new products, ranging from a new
endodontic file system to advanced
periodontal technology, and even
new software. A bit further back in
the pipeline are a new obturation system, a bur made of a completely new
material and number of biomarkers.
During this year’s Greater New
York Dental Meeting (GNYDM), Dentcubator is holding its third annual
meeting. In attendance, among many
others, are Dr. L. Stephen Buchanan,
Dr. Marc L. Nevins, Dr. John T. McSpadden, Dr. Richard Meissen, Dr.
Lorne Lavine, Dr. Thomas J. McGarry
and Barbro K. Brånemark of the
Brånemark Osseointegration Center
in Gothenburg, Sweden.
Dentcubator members said that
New York is a fitting location for the
group, given the GNYDM’s position
as the premier international dental
meeting in the United States. The
group’s leaders expressed gratitude
to organizers of GNYDM for helping
spread the word about what it does.
“Dentcubator received an enormous number of submissions this
year, thanks to publicity we received
through the e-mail blast GNYDM
sends to its members,” the chairman
of Dentcubator said. “To our delight,
we received responses from a number
of countries as far away as India.”
Dentists who would like to submit proposals to Dentcubator are
invited to contact the group at ideas@
dentcubator.com.
[5] =>
[6] =>
scrapbook
6
Greater New York Dental Meeting — Dec. 1, 2010
Scenes from the show
Do you need new, innovative wall
art for your dental office? If so, stop by
booth No. 3023 and ask about the signed
prints.
5
5
Eamon Knitel, left, and Ken Bishara of KAVO Dental (booth No. 5615).
To hear more about Ultradent products, stop by booth No. 417.
5
GNYDM attendees break for lunch and
conversation.
5
Get your face painted creatively for free at the Valplast booth (No. 4637) like Stephanie Hernandez, from left, Robinson Cercets
and Yeimmy Fernandez.
5
Shane McElroy shows an attendee
Meisinger’s high-quality rotary instruments at booth No. 2829.
Got a craving for something sweet? Stop by Freshens Frozen Treats (outside Aisle 2700/2800 in the
exhibit hall) for an afternoon delight.
5
5
Michael Semmel, right, and Andrew Brown can tell you about the kit
promotions at Axis Dental (booth No. 4632).
5
[7] =>
Greater New York Dental Meeting — Dec. 1, 2010
scrapbook
7
CAMLOG’s Justine Cutler speaks to an
attendee about the benefits of the company’s product line.
5
5
Bob Gannon of SybronEndo (booth No. 4427) teaches meeting attendees about endodontic files.
Photos by DT Editors
Robin Goodman,
Fred Michmershuizen
and Sierra Rendon
Henry Schein Chairman and CEO
Stanley M. Bergman welcomes attendees at the 2010 FOLA leadership breakfast on Monday morning.
5
Snap-On Smile inventor Marc Liechtung speaks to attendees about the
benefits of the device he created.
5
Behind on your Christmas shopping? Beautiful, artistic jewelry is available at A
Fashion Hayvin (No. 3022), and if you buy two pieces, you get one free!
5
Would you be interested in free Dental
GPS software for three months? Stop by
the booth (No. 1513) to find out more.
5
Dr. Fresh’s Christy Hubbard, right, and
Alexi Trujillo introduce attendees to
the new kits that include a Hello Kitty
or Spiderman toothbrush, flossers,
toothbrush cap, toothpaste and stickers
in a handy to-go bag for only $1!
5
Sharon Crisman of Practicon (booth
No. 5122) holds Magi Dragon, one of the
company’s many furry creatures
designed to get kids excited about
brushing and flossing.
5
Henry Schein ProScore gives you the
ability to repair your own handpieces.
You can learn more from Dyan Jayjack
in booth Nos. 1015/1023/1417/1820.
5
Roy Shu, left, and Michael Bayer of Shu
Dental Laboratory (booth No. 2006).
5
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8
speakers
Greater New York Dental Meeting — Dec. 1, 2010
Proper waste management: how to go about it
By Kristine Colker, Managing Editor
n From 10 to 11 a.m. today, Al Dubé
will present “Mercury Amalgam
Waste, OSHA and Regulatory Issues
Affecting Dentists.” This course
walks clinicians through aspects of
waste from dental offices.
Your DTSC Symposia session is
“Mercury Amalgam Waste and OSHA
and Regulatory Issues Affecting Dentists.” Please tell us about what participants can hope to get out of it.
Most dental practices are not aware of
the procedures necessary or required
relative to mercury issues and certainly OSHA issues. My goal is to
AD
present information for participants
to better understand their responsibilities and give them some direction into working to compliance with
requirements.
Could you go into a little more detail
about clinicians’ legal liabilities when
it comes to waste management?
What are some of the most important
things clinicians should be aware of
in regards to waste management?
Waste management is critical for dental practices, as there are legal liabilities associated with the disposal of
waste. As an example, in a recent
case in Massachusetts, some dental
offices were giving and, in some
cases, selling some of their waste to
a local company they believed would
dispose of the material in a proper
manner. However, some of this waste
was mercury bearing.
The local company, as a part of
their process, dumped excess water
from some of the collected waste
down the drain. The discharged water
contained large enough concentrations of mercury that local and state
authorities (who monitor such things)
noticed a spike in mercury in the
waste-water stream at the treatment
plant.
The regulators were able to trace
the source back to the waste hauling
company. State environmental police
About the speaker
Al Dubé is national
sales
manager,
dental division,
of SolmeteX, a
division of Layne
Christensen. Dubé
was one of the
founding
members of SolmeteX
in 1994 and was
involved in several aspects of the development of the
company. He has been working in the
water treatment industry for 17 years.
showed up at the business one day to
inspect the operation. When shown
the process, the owner was arrested
in violation of state and federal environmental laws.
Now the facility needs to be cleaned
up. The owner has no money for the
clean-up, so the state and federal
government will be collecting from
the dental office whose waste was
used at the facility. In a similar case
in Connecticut, the resulting fee was
$10,000 per dentist.
Would you say your presentation is
geared toward a specific audience or
is it more general? Is there anything
attendees need to know about ahead
of time in order to understand it?
The presentation is more of a general
conversation to help dental offices
understand their liabilities and
responsibilities for both waste and
OSHA compliance requirements
What role does PureLife play in helping clinicians manage waste responsibly? What are some of the products
or services the company can provide
to interested practices?
PureLife provides a service for dental
offices by monitoring waste streams
in the dental office. The service is
to manage the waste streams in a
timely manner, lightening the load for
waste management from the office by
providing replacement buckets when
due, providing red bag service and a
do-it-yourself OSHA kit.
If there is one thing you could say
to attendees to encourage them to
attend your presentation, what would
it be?
Waste management and OSHA can
seem like a small part of the dental practice operation; however, the
liabilities and exposures can have a
dramatic effect on the practices’ ability to operate. This conversation is
designed to remind and assist in the
proper management to minimize or
eliminate liabilities.
Is there anything else you would like
to add?
Being responsible does not have to be
expensive. Having a company assist
in servicing these waste streams
provides an easy and cost-effective
solution to managing the waste from
dental offices.
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10
speakers
Greater New York Dental Meeting — Dec. 1, 2010
Improve your denture service
By Kristine Colker, Managing Editor
n From 4:15 to 4:55 p.m. today, Jeffrey Hoos, DMD, will present “Balancing the Art, Science and Business of
Dentistry.”
The challenge for the dentist is to
provide the patient with a functional,
comfortable prosthesis. The dental
failure of losing all a person’s teeth
can be the ultimate challenge. How
can we take this challenge and make
it a positive and productive experience?
Innovative denture methods and
implant dentistry can change the
denture patient into a dental patient.
Your DTSC/Osseo University Summit session is “Balancing the Art,
Science and Business of Dentistry.”
Please tell us a little about what participants can hope to get out of it.
I want the participants to understand
that success in private practice is
really quite simple to understand …
but difficult sometimes to implement.
The implementation is the important
thing to understand. I hope the message will be clear and understandable.
AD
Could you go into a little more detail
about why dentures are so important
to an implant-“supported” practice?
Patients who have lost their teeth
have had a terrible dental history. Patients do not take out their
own teeth; we do that for them or to
them.
These are the patients who
are in the most need and, fortunately
for the dentist, the easiest to satisfy
with the most simple implant procedures. These patients are usually
the most grateful and, therefore, the
most rewarding for the treating dentist.
Would you say your presentation is
geared toward a specific audience or
is it more general? Is there anything
attendees need to know about ahead
of time in order to understand it?
My presentation is geared toward any
dentist who would like to improve
his or her communication skills with
patients and their technical skills
to provide a higher quality denture
service. I want attendees to come with
an open mind and a love of learning.
I do this presentation not as an
expert, just as someone who is doing
this type of dentistry every day with
a degree of success. If someone picks
up one thing that helps them, it is a
success.
How did you get involved in implant
dentistry? What made you decide to
work in that specialty?
My involvement with implant dentistry started when I got a chance to
hear and study with one of the early
implant adopters: Dr. Paul Schnitman.
When I saw the incredible improvement in patients’ lives, I knew this
was something I needed to become
involved with.
It was the personal satisfaction I
gained from patients’ improvement
in the quality of their dental lives that
made me expand my implant knowledge and skills.
Your session is part of the Osseo University Summit. How did you begin
working with Osseo University and
what do you like about it?
I was introduced to Osseo University
by Dr. Ken Serota. It is his dedication to e-learning that has made me
excited and made me recognize its
great reach.
Here at GNYDM
Dr. Jeffrey Hoos has
been in a private group
practice for 30 years.
He has been actively
involved with implant
dentistry for 20 years.
If there is one thing you could say
to attendees to encourage them to
attend your presentation, what would
it be?
If you want to improve your denture service and provide more dental
services for your patients, I believe
you will leave my session with some
worthwhile information that will
help.
Is there anything else you would like
to add?
Dental practice is a real challenge on
so many levels. Coming together in
any forum and sharing information
will make it easier to find the “Balance: The Art, Science and Business
of Dentistry.”
Thanks for this honor of being part
of Osseo University.
[11] =>
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speakers
12
Greater New York Dental Meeting — Dec. 1, 2010
Diode lasers in cosmetic dentistry
By Glenn A. van As, BSc, DMD
n The role of the diode laser within
the discipline of cosmetic dentistry
is typically reserved for the minor
alteration of soft-tissue gingival symmetry around the maxillary incisors.
Gingival zeniths can be made to
be more symmetrical, as long as the
biologic width is not affected, and this
can lead to an improved harmony in
the final esthetic result of the “white”
teeth and the “pink” framework of
soft tissue that surrounds the new
porcelain restorations.
The diode laser can be used,
though, for more than just minor
gingival recontouring by clinicians
whose focus is in esthetics. Other
clinical situations where a diode laser
may be integral to the success of a
case include diode tissue troughing
instead of packing cord, frenectomies, fibroma removals and in the
treatment of oral lesions such as
aphthous ulcers, herpetic lesions and
Venous Lakes (oral hemangiomas).
Recent studies in the literature
have suggested that diode lasers can
be used effectively, safely and with
almost 100 percent success in the
treatment of Venous Lakes.
Venous Lake is a common lesion
of vascular origin that is caused by
a dilatation of venules and appears
as a dark blue to violet papule that is
soft and compressible. These lesions
occur more commonly on elderly
patients and most often are seen on
the lips, cheeks or soft palate.
Once these are formed, they persist throughout life, and they may
hemorrhage with trauma. They are
considered by many patients to be
an esthetic issue and they are traditionally seen as a challenge to treat
surgically.
Diode lasers that fall in the 810-980
nanometer range are absorbed poorly
in water but well in hemoglobin. A
diode laser, when used with an uninitiated tip, can penetrate tissue to a
depth of 4-5 mm.
The diode laser is able to coagulate
the Venous Lake by photocoagulation and recent research* has shown
the diode to be an effective, safe and
versatile instrument when treating
these lesions. There is an almost
universal healing which occurs with
usually just one irradiation exposure
and is completed over a period of two
to three weeks with no scarring and
minimal postoperative discomfort.
The Venous Lake lesion can be
treated at times with topical anesthetic only, other times patients may
prefer local anesthetic. The lesion is
first treated in non contact with a noninitiated tip at a setting of around 1
watt in a defocussed manner progressively getting closer to the lesion until
it starts to turn white in color.
The lesion is “painted” until the
purple color is almost completely
disappeared. Close examination may
show a “drying” out of the overlying tissue. The author prefers then
to “puncture” the lesion once with
an initiated tip to confirm complete
coagulation of the lesion.
Cases 1 (Figs. 1–6) and 2 (Figs. 7–11)
below show examples of the diode
laser photocoagulation of Venous
Lakes.
Fig. 1: Case 1: Preop of Venous Lake on
right lower lip.
Fig. 2: High magnification view.
(Photos/Provided by Dr. Glenn A. van As)
Fig. 3: Diode laser in non-contact coagulating lesion.
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5
See Dr. van As
Dr. Glenn van As will present “The
Role of the Diode Laser in Restorative
Cosmetic Dentistry” today from 11:20
a.m. to 12:20 p.m. Using case studies,
this lecture will focus on crown troughing, smile design, oral lesions, gingivectomy, tissue troughing, frenectomy
and more!
References
• Sarver DM. Principles of cosmetic
dentistry in orthodontics: part 1.
Shape and proportionality of anterior teeth. Am J Orthod Dentofacial
Orthop 2004;126:749–53.
• Chartrand A. Integrating Laser
Dentistry into Esthetic Dentistry.
Oral Health. April 2005.
• Adams TC, Pang PK, Lasers in Aesthetic Dentistry, Dent Clin North
Am, 2004 Oct; 48(4): 833–60, vi.
• Desiate A, Cantore S, Tullo D, Profeta G, Grassi FR, Ballini A. 980
nm diode lasers in oral and facial
practice:current state of the science and art. Int J Med Sci. 2009; 6
(6): 358–364.
• Angiero F, Benedicenti S, Romanos
GE, Crippa R. Treatment of Hemangioma of the Head and Neck with
Diode Laser and Forced Dehydration with Induced Photocoagulation. Photomedicine and Laser Surgery. April 2008, 26 (2): 113–118.
• Azevedo LH, Galletta VC, Eduardo
CP, Migliari DA. Venous Lake of the
Lips Treated Using Photocoagulation with High-Intensity Diode
Laser. Photomedicine and Laser
Surgery, April 2010, 28 (2): 263-265.
About the author
Dr. Glenn A. van As graduated from the
faculty of dentistry at the University
of British Columbia in Vancouver in
1987. He immediately went into private practice in Lynn Valley with his
father, Dr. A.W.H. van As, in June of
that year. In October 1988, they moved
together into their new office, Canyon
Dental Centre. Since that time, van
As has built a high-tech, high-touch
dental practice where the entire dental
team is committed to using the latest
technologies available to provide the
highest level of clinical excellence
in dentistry. In addition to being in
full-time private practice, van As has
served as an assistant clinical professor at U.B.C. from 1989-1999.
5
Fig. 6: Two-week postoperative view.
Fig. 7: Case 2: Venous Lake under an
upper complete denture. Preoperative
appearance of lesion. Initial surgical
removal by an oral surgeon was unsuccessful.
Fig.10: One-week appearance of lesion
(around one-third of original size).
Fig. 11: Complete healing at six weeks
of the Venous Lake.
5
5
Fig. 4: Immediate postoperative view.
5
Fig. 8: High magnification view.
5
Fig. 5: One-week postoperative view.
Fig. 9: Immediate postoperative
appearance of lesion.
5
5
5
5
[13] =>
[14] =>
14
exhibitors
Greater New York Dental Meeting — Dec. 1, 2010
Crest Oral-B hits the seas
n While in New York for the Greater
New York Dental Meeting, Crest OralB hosted a spectacular evening Tuesday on the Circle Line Sightseeing
Cruise, taking an intimate group
of oral-health professionals around
Manhattan Island, allowing them to
see the lights that inspire so many.
“Crest Oral-B is happy to have
taken time away from the exciting
convention floor to provide our guests
with a unique view of New York City,”
said Ann Hochman, marketing director for Crest Oral-B.
“We are also pleased to have had
AD
the opportunity to share the inspiration for our latest patient-based solution, the Clinical Pro-Health System
for Gingivitis, stemming from the
fact that one out of two American
adults continues to suffer from this
disease, which we can now virtually
eliminate.”
Both Dr. Robert Gerlach, DDS, MPH,
research fellow, P&G Worldwide Clinical Investigations, and Dr. Leslie
Winston, DDS, PhD, P&G director of
professional and scientific relations
for North America, were on board to
discuss the recent launch of the Clini-
Attendees
stream out
of the P&G
Oral Health
presentation
at booth,
No. 1225.
(Photo/Sierra
Rendon,
Dental
Tribune)
5
cal Pro-Health System for Gingivitis.
The new Clinical Pro-Health System for Gingivitis helps break the
cycle of gingival inflammation and
gingival bleeding for improved oral
health in patients with mild to moderate, persistent gingivitis and includes
the following products:
• Oral-B ProfessionalCare SmartSeries 5000 electric toothbrush
with oscillating-rotating technology, and SmartGuide, which
encourages compliance.
• Oral-B Glide PRO-HEALTH Clinical
Protection for Professionals floss,
the most advanced Glide floss.
• Crest PRO-HEALTH Clinical Gum
Protection toothpaste with the
highest level of protection against
plaque bacteria that cause gingivitis.
• Crest PRO-HEALTH Multi-Protection rinse with CPC that kills 99
percent of germs.1
This new system has been clinically proven to help reverse gingivitis
within four weeks and virtually eliminate the disease within six weeks.2
To learn more about the system,
please visit www.dentalcare.com/
clinical.
Also, check online at www.dental
-tribune.com later this week and the
December issue of Dental Tribune to
view images from this special event.
References
1. In laboratory tests
2. Six-week clinical results with
NEW Crest PRO-HEALTH Clinical Gum Protection Toothpaste,
NEW Oral-B Glide PRO-HEALTH
Clinical Protection for Professionals Floss, and Oral-B ProfessionalCare SmartSeries 5000 Electric
Toothbrush with SmartGuide — not
included is the Crest PRO-HEALTH
Multi-Protection Rinse.
The new Clinical Pro-Health System
for Gingivitis (Photo/Provided by Crest
Oral-B)
5
[15] =>
[16] =>
exhibitors
16
Greater New York Dental Meeting — Dec. 1, 2010
Diode lasers for periodontal treatment
By Fay Goldstep, DDS, FACD, FADFE, &
George Freedman, DDS, FAACD, FACD
n Two types of diode lasers have
been studied for their effects in laserassisted periodontal therapy: the
diode laser (which emits high levels of
light energy) and the low-level diode
laser (which emits low-intensity light
energy).
There is very compelling evidence
in dental literature that the addition
of diode laser treatment to scaling
and root planing (SRP) will produce
significantly improved and longer
lasting results. SRP is the gold standard in non-surgical periodontal treatment.
Low-level lasers for biostimulation
have been used in medicine since the
1980s. The therapeutic effect is noncutting and low intensity and covers a
much wider area than the traditional
laser.
Low-level laser therapy (LLLT) is
treatment where the light energy
emitted by the laser elicits beneficial cellular and biological responses.
On a cellular level, metabolism is
increased, stimulating the production of ATP (adenosine triphosphate),
the fuel that powers the cell. This
increase in energy is available to
normalize cell function and promote
tissue healing.
The functions of the diode and
low-level diode laser have remained
separate until recently. With the
introduction of the biostimulation
delivery tip, the diode laser is able to
provide both cutting and therapeutic
effects. When the low-level tip is used,
the laser energy is delivered over a
wider area, decreasing the energy
level and producing the low-level
therapeutic effect. Two laser companies have made these auxiliary tips
available. (See Figs. 1–4).
Used together, these two laser treatment modalities provide benefits that
help to heal the chronic inflammatory
response in the periodontal pocket.
This works well in treating mild to
moderate periodontitis. Patients can
be treated in a minimally invasive
way, without surgery, in the general
practice. There is time to try the surgical approach, if needed, at a later date.
Here at the GNYDM
For more information on the Picasso,
stop by the AMD LASERS booth, No.
4431.
About the authors
5
Fig. 1
5
Fig. 2
Dr. George Freedman is a founder
and past president of the American
Academy of Cosmetic Dentistry, a cofounder of the Canadian Academy for
Esthetic Dentistry and a diplomate
of the American Board of Aesthetic
Dentistry. He is the author or co-author
of 11 textbooks, more than 600 dental
articles and numerous webinars and
CDs and is a team member of REALITY. He lectures internationally on
dental esthetics, adhesion, desensitization, composites, impression materials
and porcelain veneers. A graduate of
McGill University in Montreal, Freedman maintains a private practice limited to esthetic dentistry in Toronto,
Canada.
5
Fig. 3
5
Fig. 4
5
Fig. 5
5
Fig. 6
5
Fig. 7
The power settings and duration
are determined by the particular
laser used. The manufacturers should
be consulted for the proper parameters to achieve the best results. With
experience, the user will feel comfortable enough to adapt the protocol to
his or her particular practice.
This protocol may be performed by
the dentist and/or hygienist as determined by the regulating organization
in the geographic location of the dental practice.
The diode laser and periodontal
treatment: The story is clear
The protocol so far
The protocol must incorporate the
four steps discussed above to create
the ideal environment for periodontal
healing to occur: a clean, calculusfree hard-tissue surface, no pathogenic bacteria, a smooth, clean, softtissue surface and biostimulation.
Biostimulation tips are at present
only available for two diode lasers:
the Picasso by AMD LASERS and the
EZLase by Biolase.
Individual
parameters
vary
depending on the clinician and the
particular diode laser used. However, most protocols follow a simple
formula:
• The hard tissue side of the pocket is
first debrided with ultrasonic scal-
Dr. Fay Goldstep has served on the
teaching faculties of the post-graduate
programs in esthetic dentistry at SUNY
Buffalo and the Universities of Florida
(Gainesville) and Minnesota (Minneapolis) and has been an ADA Seminar
Series speaker. She has lectured nationally and internationally on softtissue lasers, electronic caries detection, healing dentistry and innovations
in hygiene and has published numerous textbook chapters and articles on
these topics. Goldstep is a consultant
to a number of dental companies and
maintains a private practice in Toronto,
Canada.
5
Fig. 8
ers and hand instruments (Fig. 5)
• This is followed by laser bacterial
reduction and coagulation of the
soft-tissue side of the pocket (Figs.
6, 7). The laser fiber is measured
to a distance of 1 mm short of the
depth of the pocket. The fiber is
used in light contact with a sweeping motion that covers the entire
epithelial lining, starting from the
base of the pocket and moving
upward. The fiber tip is cleaned
5
Fig. 9
frequently with a damp gauze to
prevent debris build up.
• The low-level laser tip is applied at
right angles and with direct contact to the external surface of the
pocket (Fig. 8) for biostimulation.
• Re-probing of the treated sites
should be performed no earlier
than three months after treatment
to allow for adequate healing (Fig.
9). The tissue remains fragile for
this period of time.
Many of our patients have periodontal
disease, but they want to be treated in
a minimally invasive way. They are
not rushing out to the periodontist to
have “gum surgery.” We need to treat
their disease before it spirals out of
control, especially when considering the periodontal health/systemic
health link.
There is significant proof that the
addition of laser-assisted periodontal
therapy to scaling and root planing
improves outcomes in mild to moderate periodontitis. The treatment is not
invasive. It is not uncomfortable.
We now have the tools and protocol
to treat our periodontal patients with
an effective procedure that they are
ready to accept. What are we waiting
for?
[17] =>
Greater New York Dental Meeting — Dec. 1, 2010
exhibitors
BEAUTIFIL Flow
Plus attracts
global attention
By Robin Goodman, Dental Tribune
n BEAUTIFIL Flow Plus is an injectable hybrid restorative material for
all indications that is making its
debut here at the Greater New York
Dental Meeting (GNYDM).
However, this launch is a global
one that brought senior members of
Shofu Inc. from Europe and Japan all
the way to New York.
Dental Tribune stopped by the
Shofu booth (No. 4025) to speak with
Shofu Dental Corp. President and CEO
Brian Melanokos and Director of Marketing Lynne Calliott to learn more
about this new material.
What more can you tell us about
BEAUTIFIL Flow Plus?
Melonakos: Well, for one, it’s FDAapproved for all indications. The
predicate device was a leading hybrid
composite, not a flowable, but it is still
flowable.
It has wonderful opportunities for
reducing time and making procedures much easier.
We also feel like the pedodontists
are going to have an excellent opportunity to do the entire restoration
using only flowables. I say flowables
because we have two viscosities: a 03
and a 00, which means zero flow for
the latter.
Calliott: Essentially, this is all of
the attributes that people like or
choose a flowable for, and they are
now available to them with the performance and strength attributes you
would expect from a traditional nanohybrid composite. And they can use
it in all indications because with the
00 flow, some practitioners have been
commenting that it is a remarkable
material.
They mention particularly the use
in restorations where access is difficult, and sometimes a flowable wants
to slump or move before they have the
opportunity to cure it. The 00 material just stays put.
While you can still use this material as a base and a liner, and additional things you would think of in a
flowable, you can also use it as a final
restorative material for all classes of
indications.
Are there any special offers available
during the GNYDM?
Calliott: We are launching introductory trial kits. One is designed for the
general dentists and includes the A2
and A3.5 shades.
Then we also have a trial kit that
is more focused for the pedo market
with a bleach white and an A1 shade.
In the trial kits, they receive both viscosities along with an assortment of
17
Arriving for the global
launch of BEAUTIFIL
Flow Plus are Shofu
Europe Sales Manager
Martin Hesselmann,
left, General Manager
of Shofu Dental GmbH
(Germany) Wolfgang van
Hall, President of Shofu
Inc. Noriyuki Negoro,
Vice President of Shofu
Inc. Oshikazu Wakino
and Shofu International
Marketing Manager
Takashi Wakayama.
(Photo/Robin Goodman,
Dental Tribune)
5
other Shofu products for the bonding
agent and the traditional BEAUTIFIL
II Composite and some finishing and
polishing materials.
Basically the kit gives them $160
worth of materials for the cost of $99.
AD
[18] =>
exhibitors
18
Greater New York Dental Meeting — Dec. 1, 2010
Digital implant treatment planning:
the importance of the scan appliance
By Bradley C. Bockhorst, DMD
n One of the fastest-growing segments of implant dentistry is the utilization of CT scan data and treatment
planning software in conjunction with
guided surgery for implant reconstruction cases. The scan appliance is
critical to the process and success of
these cases.
The primary purpose of the scan appliance is to show the ideal prosthetic positions of the teeth to be replaced in the digital plan.1 By utilizing a scan appliance, the
case can be planned from both a prosthetic
and surgical perspective, making implantology a truly restoratively driven process.
There are several excellent implant
treatment planning and guided surgery
systems available. We will focus on two of
the most popular programs on the market:
NobelGuide™ from Nobel Biocare and SimPlant® from Materialise.
While the names of their scan appliances are different, their purpose is the
same. Which system you choose is typically driven by the implant system you
are utilizing. NobelGuide is designed for
use with Nobel Biocare implants. SimPlant has an open architecture, so most
available implants can be planned with
its software.
Role of the scan appliance
The scan appliance provides an invaluable diagnostic tool to relate the tooth-tobone relationship.2 This is critical for the
planning process. While the SimPlant
“virtual teeth” function is useful for short
spans such as single-tooth replacement,
an appliance in which the teeth have been
set in the ideal position(s) provides the
most accuracy.
Both NobelGuide and SimPlant advo-
Here at the GNYDM
For more information on scan appliances, stop by the Glidewell booth, No.
2203.
Conclusion
cate a dual-scan protocol. In these cases,
the surgical guide is literally fabricated
from the CT scan of the scan appliance.
Restoratively driven treatment
planning
The whole point of the diagnostic workup and utilization of the scan appliance
is to show the ideal positions of the tooth
or teeth to be replaced. While digital
treatment planning guided surgery protocol was initially developed for the fully
edentulous patient, it has advantages for
partially edentulous patients as well.3
Whether you are replacing one tooth,
multiple teeth or a full arch, digital treatment planning allows you to virtually
plan the case from both a surgical and
prosthetic perspective in a 3-D environment. This allows you to make almost all
of the clinical decisions up front. The result
is implants that are more ideally placed
and, therefore, simpler prosthetics and
superior restorations.
In appropriate cases, the prosthesis
can be prefabricated for an immediately
loaded restoration.4 If you plan to immediately load the case, we recommend you
Photos/Provided by Dr. Bradley C.
Bockhorst
5
deliver a provisional restoration at the
time of surgery and then proceed to the
definitive prosthesis at a later date.
Fabrication of the surgical guide
Once completed, the virtual plan can
be transferred to the clinical setting
through the use of a surgical guide.
The guide produced for NobelGuide is
referred to as a surgical template. The
guide from Materialise (SimPlant) is
called SurgiGuide. Using the surgical
guides allows the surgeon to place the
implants according to a restoratively
driven treatment plan.5
Digital treatment planning and guided
surgery is rapidly gaining popularity and
is becoming a standard of care. A key benefit to this approach is that the case can be
planned from the beginning with the final
restoration in mind. The scan appliance
can be utilized to its fullest by:
• working with an experienced lab to
ensure it is properly fabricated
• verifying clinically that it and the
scan index fit well and are completely seated for the CT scan
• ensuring the radiologist is familiar
with the scan protocol.
By understanding the role and proper
use of the scan appliance in the digital
implant treatment planning and guided
surgery process, the clinician can take full
advantage of this technology.
References
1. Kosinski T. Optimizing implant placement and aesthetics: technology to the
rescue! Dentistry Today August 2009.
2. Ganz S. CT scan technology; an evolving tool for avoiding complications and
achieving predictable implant placement and restoration. Int Mag of Oral
Implantology. 1/2001.
3. Balshi T, Balshi S. CT-generated surgical guides and flapless surgery. Int J
Oral Maxillofac Implants 2008; Vol. 23,
No. 2.
4. Marchack C. An immediately loaded
CAD/CAM-guided definitive prosthesis: A clinical report. J Prosthetic Dent
2005; 93:8–12.
5. Orentlicher G, Goldsmith D, Horowitz A.
Compendium April 2009, Vol. 30.
Stop by Burbank booth for free Patient Education Model
n Burbank Dental Laboratory is
very excited about its show special
offer of a free Patient Education
Model. Come to the company’s booth
(No. 3737) to receive your model.
This valuable tool is designed
to help clinicians educate patients
and promote metal-free restorations,
such as IPS e.max and Burbank’s own
full-zirconia restoration, Zir-MAX.
In today’s economy, it is important to have options that patients
can afford and a way to educate
them regarding the results they can
expect. Burbank’s acrylic metal-free
replica crown allows the clinician to
have a tool that Burbank provides
on a complimentary basis, and the
impact on a dental practice could be
invaluable.
Lisa Pereyra of Burbank Dental Laboratory, booth No. 3737. (Photo/Fred
Michmershuizen)
5
There are two Burbank products
that are positioned best for today’s
patient demands for esthetics, dura-
bility and value; both IPS e.max fullcontour pressed monolithic lithiumdisilicate and Zir-MAX restorations
meet the clinician’s needs for esthetically driven quadrant dentistry.
Many of the dental practices that
work with Burbank have expressed
they are doing more need-based
quadrant type dentistry.
This translates into a focus on
more posterior restorations, but the
patient’s desire for cosmetics has not
diminished … even if their budget
has.
Today, Burbank Dental Laboratory can offer these two products
that are strong, esthetic and provide
great values.
• Strength: e.max monolithic at
400 MPa, and Zir-MAX at over 800
MPa
• Esthetics: e.max has four levels
of translucency and the full spectrum of shade to choose from, and
Zir-MAX is the most translucent full
zirconia available.
• Value: e.max monolithic (Press
and Glaze) is on an introductory fee
of $154 per unit through the end of
December, and Burbank’s Zir-MAX
is on an introductory offer of $99
through January 2011.
Come by Burbank’s booth (No.
3737) at the Greater New York Meeting to receive your free Patient
Education Model and request more
information about Burbank Dental
Laboratory, especially ips e.max and
Burbank Zir-MAX full zirconia restorations.
[19] =>
[20] =>
20
exhibitors
Greater New York Dental Meeting — Dec. 1, 2010
Dentatus makes implants
attainable to new populations
By Fred Michmershuizen, Dental
Tribune
n
Many companies here at the
Greater New York Dental Meeting
(GNYDM) have products that can dramatically improve a patient’s life and
overall well-being.
One such company is Dentatus,
whose innovative designs are making dental implants attainable to
large segments of the population, peoAD
Here at the GNYDM
To learn more about Anew implants
and the Atlas Denture Comfort system,
stop by the Dentatus booth, No. 2401,
where educational presentations are
being offered throughout the day. You
may also visit the company online at
www.dentatus.com.
ple for whom implants have — until
now — been considered beyond reach.
With its systems — Anew narrow
body implants, which are ideally
suited for patients with a compromised implant site, and Atlas Denture
Comfort, which use the narrow-body
implants to secure new or existing dentures — Dentatus, a company
based in New York City, is making
implants available to patients who
might be lacking in bone or those
who find themselves short on time or
money.
Spyridon Xynogalas, a student at the
New York University College of Dentistry, tells attendees at the Greater
New York Dental Meeting about narrow
diameter implants during an educational presentation at the Dentatus
booth (No. 2401). (Photo/Fred Michmershuizen, Dental Tribune)
5
“Dentatus is a trailblazer,” Nita
Weissman, executive vice president,
told Dental Tribune during an interview here at GNYDM. “We have taken
the elitism out of dental implant
technology.”
Thanks to their narrow body
design, Dentatus implants — which
come in 1.8, 2.2 and 2.4 mm — are ideally suited for patients with resorbed
bone, thin bone or knifelike ridges.
The implants allow for all sorts of flexibility and are ideal for the elderly,
young people whose bones are still
growing or even patients who might
want a provisional solution while
undergoing a bone-augmentation procedure.
Anew implants, made of Grade 5
Ti-alloy, have a blasted surface for
improved stability and osseointegration and are packaged pre-sterilized.
In 2004, they were granted FDA
approval. The restorative protocol
was developed in conjunction with
the Department of Implant Dentistry
at New York University College of
Dentistry. Numerous published clinical and histological studies of the
Anew Implant report excellent bone
adaptation and high survival levels,
in addition to 100 percent patient
survival.
Atlas Denture Comfort eliminates
the hardware typically associated
with over dentures. The system uses
no O-rings, no housings and no adhesives. The unique Tuf-Link silicone
reline provides the retention to the
implants for a stress-free denture,
easy insertion, retention and removal.
Technical speak aside, Weissman
told Dental Tribune she finds it personally gratifying to be associated
with a company whose products have
the potential to make such a big difference in people’s lives.
“I’m very passionate about what I
do,” she said. “I’ve seen patients who
have gotten their life back.
“I mean, think about it,” Weissman
said. “If you don’t have your lower
teeth, how do you go on a job interview? To your daughter’s wedding?
Or on a date? With Dentatus, dental
implants are affordable and attainable, even for patients who in these
financial times are not able to spend
the kind of money required for traditional implants.”
[21] =>
[22] =>
exhibitors
22
Greater New York Dental Meeting — Dec. 1, 2010
Chance from page 1
An attendee
stops by
PhotoMed
International
(booth No. 200)
to learn more
about
photographic
equipment.
5
7
suggestions, courtesy of the editors
at Dental Tribune:
• PhotoMed International (booth
No. 200) has a wide range of
cameras and other photographic
equipment. What’s more, the folks
at PhotoMed have the technical
expertise to guide you to the equipment you might require to meet
your specific needs.
• At Zirc Co. (booth No. 3823) you can
check out a wide range of instrument cassettes and holders, tubs,
accessories, mirrors, dams and
many other supplies.
• Theta Corp. (booth No. 1608) is
offering a wide selection of nonverbal intra-office communication
tools, including a Multi-Channel
Five-Lite System and a Col-R-Lite
Ten-Lite System.
• At Axis Dental (booth No. 4632) you
can learn about the All-Inclusive
IPR Set, which is designed to allow
you to begin to conservatively and
quickly progress to an efficient,
precise and painless technique for
interproximal reduction.
• At L&R Ultrasonics (booth No.
1509), you can check out the SweepZone ultrasonic cleaning system
and other ultrasonic cleaners.
• If you are interested in furthering your education while serving
your country at the same time, you
might want to stop by U.S. Navy
Recruiting Command, located in
booth No. 1112. HM1 Lawrence
Laranang can give you information, and you can also sit inside a
special bubble chamber to view an
informative video.
There is also plenty of education
to be had right on the show floor. For
example, Dr. David Clark is offering
presentations at 3M ESPE (booth Nos.
4407/4609), and at Dentatus (booth
No. 2401) students from the New
York University College of Dentistry
Lesa Rigenhagen of Zirc Co. (booth No.
3823).
5
are discussing narrow body implants
with meeting attendees.
There are, of course, many others.
And today is your last chance to check
out these exhibitors — and those in
approximately 1,500 other booths.
Otherwise, you will have to wait until
the fall of 2011 for the next GNYDM.
Remember, you only have until 5
p.m.!
Dr. David Clark offers an educational presentation at the 3M ESPE booth (Nos.
4407/4609).
5
DENTSPLY and other companies support Oral Health America
By Fred Michmershuizen, Dental Tribune
n When it comes to helping those who are most
in need, some companies have their heart in the
right place. That was apparent Monday afternoon
at the Greater New York Dental Meeting, when
DENTSPLY International helped kick off Oral
Health America’s “Seal Two Million Campaign,”
which aims to seal 2 million teeth for more than
half a million at-risk children by 2020.
DENTSPLY is a 55-year supporter of Oral Health
America, a national, non-profit organization dedicated to changing lives by connecting communities with resources to increase access to oral
health care, education and advocacy.
“DENTSPLY International is a proud supporter
of Oral Health America’s programs and is honored to help raise awareness among the dental
industry and profession of the ‘Seal Two Million
Campaign,’” said Dr. Linda Niessen, chief clinical
officer of DENTSPLY International. “We know that
a gift to Oral Health America, whether it’s funding
or donated dental product, is truly making a dif-
Among those on hand Monday afternoon
at a reception for Oral Health America were,
from left, Bret Wise, DENTSPLY International chairman and CEO; Beth Truett, Oral
Health America president and CEO; Cheryl
Janssen, executive director of Kids Smiles;
Dr. Amr Moursi, associate professor and
chair, Department of Pediatric Dentistry,
New York University College of Dentistry;
and Jean-Michel Blanchard, vice president
for corporate planning and development,
DENTSPLY International. (Photo/Fred Michmereshuizen, Dental Tribune)
5
ference keeping children and adults healthy, in
school and at work.”
This year, Oral Health America reached its previous goal, a commitment made to America’s Promise Alliance in 2000, to provide 1 million dental
sealants for more than 225,000 children by 2010.
“The Seal Two Million Campaign reflects our
intention to expand the impact of our programs,
and it represents our commitment to ensuring that
all children and families get the dental care they
need,” said Beth Truett, president and CEO of Oral
Health America.
In addition to DENTSPLY, many other companies, including 3M ESPE, Pulpdent Corp., Harry J.
Bosworth Co., and Ivoclar Vivadent, have donated
over 1 million dental sealants.
More information about Oral Health America is
available at www.oralhealthamerica.org.
[23] =>
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