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Evaluators Agree: Luxator P-Series Cut Cleanly, Easily

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Evaluators Agree: Luxator P-Series Cut Cleanly, Easily

A clean surgical cut can reduce trauma and the risk of bone fractures, and that’s why the Luxator P-Series from Directa Dental can improve the quality of your extractions. The series is comprised of four instruments—a straight blade, a curved blade, a contra angle and a dual-edged option—so you’re prepared for nearly any clinical situation.

Each instrument’s thin periotome tip, which is thinner and sharper than you’ll find in the original Luxator series, is coated with titanium nitride for durability so you can quickly and efficiently cut the periodontal ligament. No additional sharpening of the blades is required. You’ll get predictable results each time as you prepare to make the final extraction with a forceps or elevator.

The series is designed with both ergonomics and efficiency in mind—each lightweight tool has a pen-like grip to facilitate comfort, leverage and control, which makes each procedure easier for the patient and clinician alike. Plus, each tool in the set is color coded for easy identification during a procedure—no wasted chair time trying to find just the right blade.

The Luxator P-Series performed exceptionally well for Dental Product Shopper evaluators, who gave it an overall 4.7 in their recent evaluation; it also received the coveted title of Dental Product Shopper Best Product. The instrument set scored its highest marks in both sharpness of blade and cutting ability.

Dr. Thomas Gilbert, one of the evaluators, praised the P-Series for their ability to help him protect and retain bone during procedures. “The luxators had such thin tips that they literally slid down next to the root/tooth surface to get a good pivot point to luxate the tooth to loosen it,” he said. “It is the perfect solution to those tough extractions with broken roots or atraumatic extractions for implant placement.”

“The ergonomic grip of the handles is very comfortable and helpful when exerting apical pressure around the roots of hopeless teeth,” added Dr. Michael LaMarche.

Dr. Stuart Zaller had plenty of praise for the instrument set, calling them “phenomenal.” He added: “After removing teeth for 25 years, I never thought taking out teeth could be easier. But wow, [I will] never cut away bone again!

Learn more about the Luxator P-Series at directadental.com.

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Find What You Need When You Need It at HagerWorldwide.com

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Find What You Need When You Need It at HagerWorldwide.com

Hager Worldwide had a marketing problem: Its website wasn’t helping clinicians as well as it could. The site’s original intent was to guide dental professionals while they window-shopped. But the company did some research and found that visitors were coming to the site to look for specific products and details.

 “We realized users were mainly coming to our site to find specific product information, and not just to browse,” said Patrick Rouillard, marketing manager for Hager.

So the company, which is dedicated to “researching, developing and launching the brightest ideas from around the world,” had a bright idea for its website: a makeover. On the new HagerWorldwide.com, clinicians now can easily find information about the company’s more than 1,000 hygiene, evacuation, implantology and ergonomics products as soon as they arrive at the site.

“We put an emphasis on features like a robust search functionality and an easily accessible resource center,” Rouillard said. Now the main search bar sits front and center on the home page, and users can search by item number, product name or keyword. Relevant images, descriptions, videos and additional support materials are accessible right from each product page.

For example, on the DuraSyringe product page, you’ll find details about the tool, as well as the SKU numbers and descriptions for the full DuraSyringe line and a video on how to use it.

“It was important for us to not only design a strong search engine within the site, but also one that yielded clean and orderly search results,” said Jim Ortmann, Hager’s national sales manager. And I think we accomplished that.”

These website changes are more important than you might think. According to research from usability consulting firm Experience Dynamics, 79% of people who don’t like what they find on one website will go back and search for another site.

Check out Hager Worldwide’s new website for yourself at HagerWorldwide.com.

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Perfect Color Matching, Happier Patients

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Perfect Color Matching, Happier Patients

When it comes to choosing a restorative material, resin composites tend to win patients over with their attractive, tooth-mimicking esthetics. But just how indistinguishable are composite restorations from natural dentition? For most composites, the answer usually varies. The majority of composite materials obtain their color from dyes and pigments and are thus limited to a set range of VITA shades. Even in the hands of a skilled clinician, color matching can be a tedious exercise and sometimes produce less than ideal results.

With its latest universal composite, OMNICHROMA®, Tokuyama Dental America has revolutionized color matching and, in turn, the patient experience. OMNICHROMA utilizes the award-winning dental solutions provider’s Smart Chromatic Technology, an innovation 35 years in the making. Rather than adding chemical dyes or pigments to the composite, Tokuyama’s technology employs structural color to imbue OMNICHROMA with the ability to match any shade in the VITA classical family and beyond. OMNICHROMA empowers practitioners to exceed patient expectations and effortlessly deliver natural results with every restoration. 

Dr. Kevin Brown of Jensen & Brown, DDS in Bellevue, WA has used OMNICHROMA to consistently create exceptional restorations across a diverse range of indications. He states, “For posterior teeth, it is very convenient to not even think about color selection and get the filling(s) done quickly. For anterior teeth, I love watching OMNICHROMA blend in perfectly every time with a Class III or Class V restoration.” When combined with OMNICHROMA BLOCKER, a supplementary material, OMNICHROMA can also be used to great effect on more challenging Class IV restorations. As Dr. Brown explains, “The OMNICHROMA BLOCKER does a really good job masking the hard incisal edge and helps blend the top layer of OMNICHROMA in with the rest of the tooth.”

A product of its spherical filler composition, OMNICHROMA’s unique Smart Chromatic Technology perfects color matching, leading to more reliable restorations and increased patient satisfaction. Dr. Brown explains, “In both the posterior and anterior, OMNICHROMA is able to blend in with the tooth to which it is bonded and will continue to blend in over time, even if the patient decides to bleach their teeth later on. This aspect of long-term color matching is a huge hit with the patients, especially in the anterior segment.” The technology even makes patients rethink their existing restorations, as Dr. Brown reports, “Many patients are asking to have their old stained Class III anterior composites replaced with OMNICHROMA.”

With OMNICHROMA’s uncanny ability to produce long-lasting, precisely color-matched restorations, patients are sure to leave your office impressed and happy.

To learn more about OMNICHROMA and request a sample for your practice, visit omnichroma.com/us.

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Elevating Patient Care with Dental Photography

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Elevating Patient Care with Dental Photography

Clinical photography has long played a significant role in dentistry and advances in technology have made its implementation more possible and purposeful than ever. Many dentists, however, are still slow to adopt dental photography as a core element of their practice. Barriers to fully engaging with this technology include lack of knowledge of equipment and techniques and sometimes intimidation. Other times, practitioners are simply unaware of the numerous ways in which photography can be integrated into their workflow and the exceptional benefits of doing so.

The rise of social media has brought with it an influx of highly esthetic photography meant to represent the peak of dental artistry. While this marketing-centric approach certainly has its place in dental practice, undeniably the most important utilization of dental photography is more practical than artful. Dental photographs first and foremost serve as a means of documentation and communication—with patients and other dental professionals.

A key addition to patient records, photographs offer a static, detailed look at the oral and maxillofacial condition. High-quality digital intraoral and extraoral images can pave the way for more accurate diagnoses and treatment planning. Photographic case documentation likewise acts as a powerful communication tool, allowing you to present findings and treatment options to patients with clarity and confidence and help manage expectations. Both patients and practitioners can benefit from evaluating “before and after” sets of clinical images in order to measure progress and determine next steps.

When it comes to communicating with parties outside your practice, dental photography can be a critical asset. High-resolution images can facilitate an over-the-phone consultation or provide a referred specialist with a clearer understanding of patient history. Perhaps even more valuable is the information they offer dental laboratories for creating cosmetic and restorative prostheses. While physical or digital impressions provide laboratory technicians information on prosthetic form, tooth appearance is usually conveyed via a shade prescription. Dental photographs can be used in lieu of these prescriptions, delivering precise, true-to-life representations of color, chroma, opacity and overall character of dentition.

From better patient and professional communication to record-keeping, treatment planning and more, embracing the latest dental photographic technology, techniques and trends truly elevates patient care to new heights. By developing an understanding of camera operation and photography fundamentals like framing, angles and magnification, you can ensure the quality and consistency of your images for better clinical outcomes and healthier, happier patients.

To take your dental photography to the next level, register for the American Academy of Cosmetic Dentistry’s upcoming course, “Fundamentals of Dental Photography: A Focus on Accreditation” with Adamo Notarantonio, DDS, FAACD at https://aacd.com/continuum - Adamo.

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What’s Holding You Back from a Digital Implant Workflow?

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What’s Holding You Back from a Digital Implant Workflow?

Newsflash: we’re halfway through 2019. This was the year you were supposed to bring a digital workflow for implant planning into your practice, keeping more procedures in-house and improving your practice’s bottom line. Now that we’ve reached the end of June, it’s time for some honest self-assessment: what’s holding you back from this next phase of growth in your practice?

Incorporating a new digital workflow is like anything else: it’s not only an important investment decision, but also a commitment to growth. Growth requires a leap, where you leave “safe ground” and try something new. This leap is less scary if you have confidence in the devices and systems needed to execute.  

To see what’s really involved for you and your practice, let’s take a closer look at the complete digital workflow for implant planning, as presented by the experts at Planmeca

 

Setting Up

Step 1: Design the Smile

Many articles about digital workflow have referred in some way to, “It all starts with a scan.” However, Planmeca starts their workflow with a 2D photo for patient education and motivation. The photo is imported into Planmeca Romexis Smile Design software to create a quick simulation of the new smile. That design can be shared with the whole treatment group and exported to the CAD/CAM system for virtual crown designing.

Step 2: Capture the Cone Beam Image

The next step is to use any Planmeca CBCT system to acquire an image of the area of interest. You can learn more about the Planmeca ProMax 3D family of units on the company’s website. 

Planmeca also notes that you can import any DICOM file from other systems to Planmeca Romexis. However, the advantages of using a Planmeca CBCT unit are numerous, beginning with Planmeca Ultra Low-Dose technology and Planmeca CALM.

Planmeca Ultra Low-Dose can be used with all voxel sizes and imaging models, and is ideal for obtaining detailed anatomical information at a very low patient dose. This protocol is based on intelligent 3D algorithms that lower effective patient doses significantly without a statistical reduction in image quality. Clinicians should also understand that not all low dose is the same. For example, you could take a ø5x5cm FOV for a single implant site on a normal resolution setting and by enabling Planmeca Ultra Low Dose, acquire and image with the equivalent radiation dose of a single intraoral periapical and all the clarity you need to treatment plan your case. This helps clinicians adhere to the ALARA (As Low As Reasonably Achievable) principle.

Step 3: Take the Digital Impression

This is when you reach for your digital intraoral scanner to capture a digital impression. Planmeca Emerald may be used, but you can also scan conventional impressions with any Planmeca 3D imaging system, or import any digital model in standard .stl format. Wax-ups can additionally be scanned with a desktop scanner and imported in .stl format. 

Designing

Step 4: Virtual Crown Design

This is the point where Planmeca’s software really comes into play. Planmeca PlanCAD Easy software is used to virtually design a crown. The intraoral scan and crown will be immediately available in the Planmeca Romexis Implant Planning software module.

Step 5: Implant Planning

A complete virtual setup for the implant plan can be created when a patient’s CBCT image, digital impression, and crown are combined in Planmeca Romexis software. The user then selects their preferred implant from Planmeca’s comprehensive implant library and finds the optimal position for it with the software’s easy-to-use implant tools.

Dr. Walter Renne, an associate professor at the Medical University of South Carolina, describes his experience with Planmeca software: “Nothing is as simple to use yet so extremely powerful as Planmeca Romexis. You can capture intraoral digital impressions with any open scanner and wax using Planmeca PlanCAD Easy. Simply merge your virtual wax-up with DICOM data and design a custom surgical guide for worry-free restorative-driven implant placement. All in one seamless software."

Fabricating 

Step 6: The Implant Guide Design

Planmeca Romexis software allows users to be in full control of designing a surgical guide, from a single implant site to a fully edentulous patient. Additionally, if a tooth is removed prior to surgery, the software can remove that tooth, virtually eliminating the need to rescan the patient. The user can then proceed directly to 3D print the guide with Planmeca Creo C5, or they can export the design in an .stl file format and manufacture it with any other suitable printer.

Step 7: Guide Manufacturing

The guide can be printed using the Planmeca Creo C5 3D printer in under 15 minutes, making same-day implant evaluation and surgery a realistic goal for clinicians. Alternatively, the .stl file can be printed by any other 3D printer that has a suitable resin for surgical guides. Afterwards, the implant can be placed as planned with predictability and success.

Step 8: Final Restorations

After osseointegration of the implant, the Planmeca Emerald intraoral scanner can be used to register the implant position by scanning the scan body. Design the abutment and suprastructure with Planmeca PlanCAD Premium or Planmeca PlanCAD Easy software. The final restoration can be milled with Planmeca PlanMill 30 S, or the .stl files can be sent to the milling center of the user’s choice.

Eight steps: it may seem like a lot, but mindset is important. Unlike executing a restorative procedure, confidence in your digital abilities isn’t in your hands alone. As you see in the workflow described above, technology is here to help, if you know how best to leverage it.

You care about your patients, and you want the ability to ensure predictable outcomes. Manufacturers like Planmeca understand that basic need, and that’s why they design implant planning software for efficiency, integration, and success, delivering results you and your patients expect. 

Download “The Complete Implant Workflow” to learn more about Planmeca’s digital implant solution.  

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Automating Draining and Filling in Your Sterilization Center? There's a Better Way

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Automating Draining and Filling in Your Sterilization Center? There's a Better Way

In an age of prolific technology, everyone gravitates towards automation. There’s often an app for that—except when there’s not. Some processes in dentistry still rely on manual labor and maintenance, even when the technology is in place. Take, for instance, your sterilization center. Basic maintenance of these systems is essential to their proper function as well as to staff and patient safety. However, the phrase "work smarter, not harder" comes into play. There is definitely an opportunity for automation that can make sterilization routines easier.

Automation of steri-center operations is the topic of a new e-book by SciCan, a provider of infection control solutions. According to the manufacturer, using smarter products saves money by making practices more efficient, freeing your staff’s time to attend to more valuable tasks.

DOWNLOAD E-BOOK: TOP 5 WAYS TO AUTOMATE STERI-CENTER OPERATIONS

For instance, are you still buying and storing bottled distilled water for your steam sterilizers? There’s a better way, according to SciCan. The manufacturer’s VistaPure system connects to the city water supply to produce 2 grades of high-purity water for everywhere it’s needed in the steri-center. The autoclave-ready, zero-TDS (total dissolved solids) water eliminates the need to buy distilled water or to own a distiller, and the hyper-filtered water ensures high-purity water for filling dental bottles, for use in ultrasonic cleaners, and for the rinse cycle of instrument washers.

VistaPure’s patented AutoFill accessories replenish SciCan STATIM and BRAVO autoclaves with distilled-quality water, enabling hands-free convenience. AutoFill accessory kits work with all VistaPure systems and can be used with any new or older-model STATIM 2000 or STATIM 5000 or any BRAVO autoclave.

Using high-purity water for the final-rinse cycle of an instrument washer rinses away mineral content that could otherwise contribute to spotting and oxidation. The VistaPure Instrument Washer Adapter Kit protects expensive instruments by providing high-purity water for the final rinse cycle of instrument washers like SciCan’s HYDRIM. The staff saves time because instruments properly rinsed with high-purity water don’t need to be wiped down manually, eliminating the need for reprocessing. The use of cassettes in the instrument processing flow also reduces the possibility of injury. 

After a few sterilization cycles, the wastewater bottle would typically have to be emptied in a manual process. Those days are over with VistaCool, a patent-pending system that cools sterilizer wastewater and sends it directly down the drain automatically. Automating the handling of hot wastewater not only protects your staff, but also your cabinets and plumbing.

Of course, appliances like sterilizers, instrument washers, water purification systems, ultrasonic cleaners, and others require drain connections. SciCan’s Drain Hub is a patent-pending multi-port drain adapter that accepts up to 8 drain connections in a small hub.

So while there may not yet be "an app for that" to complete the entire sterilization process, there are definitely solutions to help make your routine easier.

For more information on products that can automate your steri-center, visit www.scican.com/us or contact your local SciCan Infection Control Specialist.

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ePrescribing for Controlled Substances: What Dentists Need to Know

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ePrescribing for Controlled Substances: What Dentists Need to Know

In 2019, you’d be hard-pressed to find a general dentist or specialist who’s not aware of the nation’s opioid crisis. Unfortunately, with more than 130 people in the U.S. dying each day after overdosing on opioids1, it’s likely you or someone you know has been personally impacted by this epidemic in some way. More than 90% of non-controlled substances were prescribed electronically nationwide in 2017, yet just 21% of controlled substances were.2 As one industry expert writes, “That’s too low when so many lives are at stake.”

The epidemic is gaining the national attention it needs. Last October, Congress passed and President Trump signed into law the bipartisan SUPPORT for Patients and Communities Act, which mandates the use of electronic prescribing of controlled substances (EPCS) under Medicare Part D by Jan. 1, 2021.

The elimination of paper prescriptions is intended to prevent fraud that’s common with handwritten prescriptions and also gives the prescriber access to a patient’s prescription history, which helps to identify potential overuse or abuse. Other benefits of EPCS are enhanced security and privacy as well as improved workflow efficiency for prescribers and pharmacists.

The bill requires3 that prescriptions for controlled substances that are covered drugs under Medicare must be transmitted through electronic prescription programs. Four states—Connecticut, Maine, Minnesota, and New York—already have mandates, and many states are following suit with laws set to take effect within the next year and a half. Surescripts offers a helpful map4 that provides an overview of all current and pending e-prescribing state regulations.

With mandates on the horizon in more than a dozen states, dentists must start giving thought to their electronic prescribing system. Thankfully, forward-thinking service providers in the dental industry have developed software to help dentists stay ahead of the curve. XLDent is the first dental practice management system to offer integrated ePrescribing services to help dentists complete the electronic dental health record. In fact, XLDent is a network partner of DoseSpot, a Surescripts-certified ePrescribing platform that integrates with the electronic dental record.

XLDent is certified to send EPCS, providing the ability to securely ePrescribe controlled substances in 49 states. The feature provides dental alerts to warn dentists of drug-drug and drug-allergy interactions. Another embedded feature is LexiComp’s Online for Dentistry product, which provides dental-specific information at the point of prescribing, such as vasoconstrictor/local anesthetic precautions and effects on bleeding.

ePrescribing also offers several practical benefits for dentists, including sending “cleaner,” more accurate prescriptions electronically and helping prevent prescription fraud. There is also a healthcare cost reduction benefit, as clinicians can select medications that are preferred by the patient’s health plans, meet therapeutic guidelines, and are cost-effective for the patient.

XLDent’s ePrescribing services also allow dentists to verify patient medication history and view up to a year’s worth of prescribed medications in one click. This helps in identifying drug seekers and preventing opioid abuse. It also provides confidence in knowing what other physicians have prescribed for the patient to improve treatment outcomes.

To more about XLDent’s ePrescribing service, visit the company’s website.  

1. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-overdose-crisis

2.https://surescripts.com/news-center/intelligence-in-action/opioids/laws-requiring-the-e-prescribing-of-opioids-have-gained-momentum-but-prescriber-adoption-is-playing-catch-up/

3. https://www.congress.gov/bill/115th-congress/house-bill/6

4. https://surescripts.com/enhance-prescribing/e-prescribing/e-prescribing-for-controlled-substances/

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An Opportunity for Endodontists to Fine-Tune Referrals

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An Opportunity for Endodontists to Fine-Tune Referrals

“Come check us out for your next root canal,” isn’t exactly an effective marketing pitch. It’s why endodontists rely greatly on referred cases.

I recently came across a TED Talks playlist called “the power of asking.” The description read, “These talks reveal that some things are more within your grasp than you may think, especially if you ask.” In dentistry, getting referrals, which is essentially asking for business, requires an existing relationship with general dentists. It also requires good rapport with new patients and your team. 

With the needs of endodontists and their teams in mind, Spear Education developed the 2.5-day “Mastering the Exceptional Specialist Practice – Endodontists” workshop, which is hosted at the Spear Campus in Scottsdale, AZ.

The workshop syllabus is comprised of 3 growth pillars:

1. Expanding and strengthening relationships with referring doctors.

Quantity matters but so does quality in referred cases. Spear instructors will help your practice implement a system to increase both, with a focus on building trust, aligning clinically, and improving communication. More informed patients means more case acceptance.

2. Developing your team for growth.

Whether your goal is to increase revenue, spend fewer days in the office, or both, team efficiency is crucial, yet not easy to obtain. If your goal is growth, it’s only possible when the right staff members focus on the right priorities. Spear faculty will teach participants how endodontists and their teams can work more efficiently in the practice.

3. Build leadership skills.

Leading your team to greater efficiency and growth is its own skill set. Spear faculty helps you create a clear vision for your practice and align your team to those goals. You’ll learn how to mentor peers to raise the standard of care and patient education in your local community.

To help attendees get the most from this workshop, Spear offers courses to watch before you arrive. They’ll become available as the workshop dates, Aug. 1-3 and Oct. 17-19, get closer. Workshop attendees have the opportunity to earn 17.5 CE credits, and tuition covers the dentist and one team member. Additional dentists from the same practice can attend at a reduced rate.

Spear also recognizes that sometimes it can be challenging to implement what you learned from a workshop. Post-course resources are available to help endodontists implement what they learned into their practice.

Don’t let this opportunity of a highly specialized master workshop pass you by. To learn more about the workshop schedule and instructors, visit Spear Education’s website

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Class II Restorations: When to Reach for a Disposable Band

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Class II Restorations: When to Reach for a Disposable Band

Class II restorations are challenging enough, and considering that they comprise about 50% of all cases performed by general practitioners, according to data from Ultradent, dentists have their work cut out for them. In these cases, it’s important to have a reliable matrix that can be used without complication. However, dentists should be aware that they have options at their disposal.

Ultradent is a manufacturer that makes both sectional matrix systems and disposable matrix bands. As the manufacturer explains, these systems can work in tandem, providing another great tool to supplement your Class II restorations, depending on the clinical scenario. Interproximal contacts are an important factor that may determine which system you choose.

In a previous blog, we explained the versatility of Ultradent’s Triodent V3 sectional matrix system, dubbing it “one ring to rule them all.” In a white paper about this product, Dr. Michael Miyasaki wrote, “The Triodent V3 sectional matrix system utilizes metal matrix bands that create a tight, anatomically contoured interproximal contact and a nice marginal ridge.”

However, there will be some Class II restorations where the interproximal contacts are unbroken. For the minimally invasive dentist, the Omni-Matrix disposable retainer and matrix comes in handy. “It’s in these cases that I just need something quick that can adapt to the shape of the tooth and re-create the tooth morphology,” said Dr. Todd Snyder. “The preparation design having not broken the contact allows me the convenience of using a retainer matrix to create the correct shape, as well as a good contact.”

With convenience in mind, Ultradent has made several improvements to the Omni-Matrix disposable band since it was first introduced more than 6 years ago. The biggest change is in Omni-Matrix’s new pivoting head and body design, which allows the retainer to customize to a wide variety of preparations in any quadrant of the mouth, without sacrificing quality or patient comfort and allowing for excellent clinician visibility. The band design still features everything clinicians loved about it before, Ultradent describes, including winged or wingless designs, disposability, and the option of using mylar or ultra-thin burnishable stainless steel bands in universal width or narrow width.

Omni-Matrix retainers are conveniently preloaded and disposable, eliminating the need to sterilize or disinfect them before or after use, while saving time and money. They’re also easy to remove without disturbing the restorative material.

“The Omni-Matrix retainer allows me to do quality and efficient work,” Dr. Snyder added. “In business and life in general, anything that provides quality and efficiency is, quite frankly, priceless.”

Get a closer look at the design and functionality of Omni-Matrix in the video below. To learn more about the product and about a promotion on your first order, visit Ultradent’s website.  

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Q&A: PrepStart H2O a Go-To for Dr. Lawson

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Q&A: PrepStart H2O a Go-To for Dr. Lawson

Nathaniel Lawson, DMD, Ph.D., started using the PrepStart H2O Hydro Abrasion System from Zest Dental Solutions to clean cavity preparations with air abrasion. Lawson found the system excelled not only with that process, but others as well.

Lawson, an assistant professor and director of the Division of Biomaterials at the University of Alabama School of Dentistry, shared his experience with PrepStart H2O, and some recommendations for clinicians considering the system.

 

DPS: How did you become interested in air abrasion of your preparations?

Lawson: I first became interested after seeing pictures of smooth and clean preparations in dental magazines and online publications. I researched the topic a little further and found positive reviews of the PrepStart H2O from colleagues and online.

I did additional research and found that air abrasion of preparations did not negatively affect the bond to tooth structure, and in some cases, it actually improved the bond. So I acquired a device and began to use it both clinically and to perform some laboratory tests.
 

DPS: How effective is the PrepStart H2O in cavity preparations?

Lawson: For me, the biggest advantage of using PrepStart H2O is in finishing cavity preparations. Direct composite restorations are extremely technique sensitive, and each detail of the procedure can have a big impact on the lifetime of the restoration.

As part of running clinical trials, I observe high-magnification intraoral pictures of composites over a several year period of time. I have noticed that any defect or gap at the margin of a restoration only worsens with time. As a believer in conservative dentistry and preservation of tooth structure, I hate having to remove a slice of tooth structure with a bur just to achieve a clean margin (extension for prevention). I have found that air abrasion can clean the margins and internal surface of my preparation by removing stain, remnant restorative materials, amalgam stain, infected/affected carious dentin and biofilm.
 

DPS: How were you cleaning your preparations before using PrepStart H2O?

Lawson: Prior to obtaining the PrepStart H2O, I had nothing similar in my armamentarium for cleaning preparations. I typically use a self-etch protocol, so I don’t use phosphoric acid to “clean” my dentin. After looking at high-resolution images of my preparations using the PrepStart H2O, I realized how many unwanted artifacts that I left in my preparations that I could not see with my loupes. For this reason alone, this device has made the practice of dentistry much more enjoyable—and I have also enjoyed finding new uses for this device.  

 

DPS: What additional uses have you found?

Lawson: Although my initial reason for getting the PrepStart H2O was for cleaning cavity preparations, I have found many supplemental uses for the device. Air abrasion is extremely efficient for cleaning temporary cement off of crown or onlay preparations prior to bonding. The device can also be used extraorally for cleaning cement out of temporary or debonded crowns.

In our research testing laboratory, we also tested the device’s ability to sandblast zirconia to create surface texture for bonding. The PrepStart H2O was able to create that texture and a resulting bond that was similar, if not better than, a texture and bond created by a laboratory sandblaster.

 

DPS: How have your patients responded to your use of the PrepStart H2O?

Lawson: One of my first concerns when using the device was if the patient would need to be anesthetized prior to use of the PrepStart H2O. However, when I have used this device on enamel, most of my patients have responded that it felt no different than spraying water on their tooth. I have never required anesthesia when using PrepStart H2O on enamel. 

When using this device to clean temporary cement off of dentin on a crown preparation, I have experienced the same level of sensitivity as would be expected with water and air on a tooth.  Some of my patients require anesthesia, and some do not.

Another concern was my patients’ perception of me “sandblasting” their tooth. I explain to them that air abrasion is an additional step that I use in my bonding procedure to make sure that their tooth is completely clean prior to bonding. I have even shown my patients before and after pictures of the preparation (although many patients do not want to see a large picture of the tooth with a hole in it). The responses from my patients have all been positive, with some even experiencing the “Wow!” effect. 

It also helps that I typically use a rubber dam to prevent sand particles from entering their mouth and creating a gritty feeling. But if I use it without a rubber dam, for example, to clean temporary cement off a preparation, I find that high volume evacuation, a 2v2 gauze in the throat, and a thorough rinse afterward keeps patients satisfied.      

 

DPS: What do you recommend for clinicians looking to increase their profitability with PrepStart H20?

Lawson: If you are purely looking at this device as something that will provide return on investment by allowing you to do new procedures, it will be a harder sell. But this device does allow increased efficiency and quality for most of my routine restorative procedures.  

 

To learn more about PrepStart H2O, visit zestdent.com.

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Tried and Trusted Hypersensitivity Relief

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Tried and Trusted Hypersensitivity Relief

Hypersensitivity is a problem that often plagues patients and puzzles dentists. In cases of cervical erosions, exposed dentine surfaces and gingival recession, patients may experience debilitating sensitivity to heat, cold and acidity. Similar symptoms may also occur in patients following fixed prosthesis and restorative procedures. Under any circumstance, these symptoms can greatly impact a patient’s quality of life and last anywhere from a few days to months on end.

One way to combat hypersensitivity is with the use of a desensitizing agent. For over 20 years, industry leader Kulzer’s award-winning GLUMA® Desensitizer has acted as the first line of defense against hypersensitivity. Used in over 50 million restorations worldwide, a single drop of GLUMA can quickly and effectively eliminate and prevent hypersensitivity. For cases requiring a higher degree of control and accuracy, Kulzer has introduced GLUMA® Desensitizer PowerGel. Together, these products work to meet all of your hypersensitivity needs, delivering instant, long-term relief for your patients.

Designed for simple and fast one-step placement, GLUMA Desensitizer requires no agitation or light curing. The product is universally compatible and suited for use with all bonding and restorative materials across all indications. GLUMA is the only desensitizer clinically proven to penetrate exposed dentinal tubules up to 200Related image. This results in the formation of multilayered protein walls which prevent osmotic fluid exchange with internal tubules—the primary mechanism behind hypersensitivity. GLUMA also creates a hermetic seal around bacteria, trapping it and inhibiting growth.  As an added bonus, the product offers re-wetting, resurrecting collapsed collagen fibers and improving the bond strength of many adhesives.

GLUMA Desensitizer PowerGel delivers the same proven efficacy that earned its predecessor industry-wide acclaim and made it the standard for desensitization with the addition of beneficial new properties. GLUMA Desensitizer PowerGel’s unique gel consistency allows for better handling and more precise placement. Likewise, the product’s no-drip formula ensures that it stays where it's placed, minimizing the risk of contact with soft tissue. GLUMA Desensitizer PowerGel also features a helpful green color indicator for easy visual placement and rinse-clean capability.

Both GLUMA Desensitizer and GLUMA Desensitizer PowerGel are suitable for treating hypersensitivity in both exposed cervical areas not requiring restorations and in dentine preparations for fixed prostheses or restorations. Whether placed under a direct or indirect restoration or used for spot treatment, GLUMA provides patients with the fast, effective and long-lasting comfort they deserve.

To learn more about the GLUMA Desensitizer product line and order for your practice, visit Kulzer’s website.

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5 Reasons Why You Shouldn't Wait to Leave Windows 7

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5 Reasons Why You Shouldn't Wait to Leave Windows 7

By now, you’ve heard the warning: After January 14, 2020, Microsoft will no longer support Windows 71, Windows Server 2008, and 2008 R22.

If you haven’t yet looked into how to upgrade your operating system, you’re not alone. However, this discussion must begin with an important question: are you willing to accept the risk of running your dental practice on an unsupported operating system (OS), knowing that cyber-attacks and crypto ransomware attacks are growing exponentially? If you’re not comfortable taking a risk like that, keep reading.

For practices who haven’t experienced a devastating cyber-attack, the warning that will be repeated over the next several weeks may seem like “white noise.” However, it’s important that you don’t tune it out. When Windows support ends, no updates will be released for these operating systems, and you can be assured that hackers will be waiting in the wings to exploit vulnerabilities in unprotected systems.

With this mind, here are 5 reasons why you shouldn’t wait to leave Windows 7 and Windows Server 2008:

1. Unsupported OS Increases Risk

Running unsupported operating systems is a data security risk that leaves your office network more vulnerable to attack. Unsupported operating systems are not updated with patches in response to new security threats.

Legacy Windows operating systems, in particular, act as a major vulnerability for connected medical devices, according to a recent report. Data from that study showed that a majority of vulnerable systems were running Windows versions that will expire by January 14, 2020, including Windows 7, Windows 2008, and Windows Mobile.3

The report added that despite the clear security risks, the cost and complication of updates make it likely that many offices will continue to have technology running on unsupported operating systems.

2. Cyber Attacks Are on the Rise

The healthcare industry, and in particular dental practices, can be attractive to cybercriminals because smaller practices often have outdated systems, lack experienced cyber personnel, and house highly valuable data that the practices are willing to pay ransom to recover. Cyber-attacks are on the rise, as evident in statistics from the Cybersecurity Almanac from Cybersecurity Ventures4:

-> Businesses will fall victim to a ransomware attack every 11 seconds by 2021. That’s up from every 14 seconds in 2019 and every 40 seconds in 2016.

-> Healthcare ranks No. 1 in the 5 most cyber-attacked industries. 

-> Ransomware attacks on healthcare organizations are predicted to quadruple between 2017 and 2020, and will grow to 5X by 2021.

Here’s another timely statistic from healthcare: Attacks that paralyze web networks at hospitals and physicians' offices, known as “distributed denial of service attacks” (DDoS) soared up to 1,400% in the past 12 months.5

3. Industry-Wide Intel/CP Shortage

Upgrading to the latest OS may not be possible because older hardware may not support it. That means you’ll have to upgrade your practice hardware as well.

January 2020 is several months away, which seems like a lot of time right now. However, the industry is already facing significant shortages in critical computer components. Substantial shortages in the availability of computers are predicted by the third quarter of the year and a summer rush on PC demand is expected.6

4. Annual Labor Shortage

Just because you get the equipment doesn’t mean the local IT company is going to have the labor force to do the installation in a timely manner.

Historically, a lot of the installations are completed in late Q4 or even Q1 of the following year because of the increased number of orders that are placed in Q4. Replacing large fleets of computers across entire companies may be easier to manage when more people than usual are on vacation. However, individuals and organizations that wait until summer to start planning these replacements may not be able to complete them before the end of Windows support.

5. Inability to Obtain or Retain Cyber Security Insurance

Not only are you exposing yourself to a higher potential for security attacks and risk, but your cyber security insurance policy may not cover you either. Your policy may not cover incidents involving hardware and software that has not been properly updated or is not supported by the manufacturer. You should read through your policy and ensure that you’re covered, but we recommend that you upgrade well in advance to ensure you don't have to worry about it.

If you are or become a TechCentral customer, we require workstations and servers to be running operating systems currently supported by the manufacturer.

Take Action Now

There’s a lot to consider when updating your network operating system, and as a dentist you shouldn’t have to worry about these issues; you should be focused on your patients.

TechCentral by Henry Schein One can help you stop wasting time and stressing out about trying to keep your network infrastructure and workstations up to date. Our latest offering, OmniCore, is an all-in-one network infrastructure solution, which provides all essential network hardware and services to make sure your office network is always up to date. In addition to removing the burden of choosing the right hardware, OmniCore minimizes your financial burden because technical support, hardware and software management, equipment upgrades, and even the replacement of failed hardware is included in one easy-to-budget monthly amount. 

Whether you need to upgrade your existing hardware, or replace your entire networking infrastructure in your practice, TechCentral has your back, so you can focus on your patients and offer excellent dental care rather than dealing with IT issues.

Start with a free technology assessment from TechCentral to find out if you need an upgrade. If it turns out that your network is at risk, we’ll work with you on an upgrade plan to ensure your practice is protected, sooner rather than later. Click here to learn more.

1. https://support.microsoft.com/en-us/help/4057281/windows-7-support-will-end-on-january-14-2020

2. https://azure.microsoft.com/en-us/blog/announcing-new-options-for-sql-server-2008-and-windows-server-2008-end-of-support/

3. https://www.techrepublic.com/article/71-of-medical-devices-still-run-on-windows-7-windows-2008-and-windows-mobile/

4. https://cybersecurityventures.com/cybersecurity-almanac-2019/

5. https://www.netscout.com/sites/default/files/2019-03/SECR_005_EN-1901%E2%80%93WISR.pdf

6. https://www.fosters.com/news/20190414/time-running-out-on-old-versions-of-windows

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