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Doctor's Favorites: Implant Dentistry

Doctor's Favorites: Implant Dentistry

What Are Your Favorite Surgical Products When Practicing Implant Dentistry?

After graduating from dental school in India, Ravichandra Juluri, DDS, MS, practiced general dentistry in Nepal before coming to the United States and specializing in Periodontics and Oral Implantology at Temple University. Now practicing periodontics in Dunlap, IL, Dr. Juluri is a Fellow and Diplomate with the International Congress of Oral Implantologists, a Fellow in the International College of Dentists, and an active member of the ADA. Here, he shares his favorite surgical products when practicing implant dentistry.

Ti-Max X-SG20L dental handpieceFor implantology, I like NSK’s Surgic Pro implant motor and Ti-Max X-SG20L implant handpiece with optics. I occasionally use the Ti-Max X-65L straight handpiece for osteoplasty and bone harvesting. These NSK products operate as a very dependable unit with less noise, ideal and consistent torque, and a bright and focused LED light in the handpiece. These high-quality products work great at high and low RPMs, and NSK offers great support for experienced and new users.

NobelActive implants from Nobel Biocare are my go-to implant in immediate implant cases. The 5.5 is ideal for posterior immediate implants for molar positions. BioHorizons’ tissue-friendly Laser-Lok implant and PEEK abutment are easy to use for immediate provisionals and can be used to make custom healing abutments, as well.

SafeGauze HemostatWhen performing surgical extractions I use Karl Schumacher’s Spade Proximators for luxating and elevating teeth or sectioning roots. The instruments have a good grip and are the ideal weight to ensure clinician comfort. When combined with the extraction kit, the Proximator helps with tissue elevation during perio surgery and grafting.

To assist in healing after extractions, I rely on a product that I evaluated for DPS. Medicom’s SafeGauze HemoStat is a topical hemostatic dressing that quickly turns to gel. It’s easy to pack in the socket, doesn’t stick to instruments, and rapidly stops bleeding.

During soft-tissue grafting for root coverage and tissue augmentation, I depend on Power Dental USA’s VT-Tunneling Kit, which is also useful for allografts and autografts. In 2017, I designed the VT-6 and VT-7 instruments for this kit, which Power Dental USA added to their product line.

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A Versatile Post System for Highly Esthetic, Metal-Free Restorations

A Versatile Post System for Highly Esthetic, Metal-Free Restorations

Versatile Post System: Coltene's ParaPost

Historically, the use of a cast metal post and core has been the standard for endodontically restoring teeth. Advancements in material technology, however, have permitted dentists to meet increasing demands for highly esthetic restorations and provide metal-free alternatives to traditional post systems.

Fiber Lux Parapost from COLTENECompared to metal endodontic posts, these newer, metal-free systems reportedly reduce the clinical frequency of root fractures and post decementation.

Additionally, metal-free posts improve restorative esthetics and can cut down on procedural time and cost.

Since its introduction in 1962[ST1] , COLTENE®’s ParaPost®, the first standardized post system, has become the most widely used post in dentistry. ParaPost’s success is backed by decades of clinical data and more than 500 studies. Over the years, COLTENE has continued to expand upon the original ParaPost design, employing the latest advances in dental material technology to offer a versatile range of post systems for direct and indirect restorations. COLTENE ParaPost Fiber Posts include Fiber Lux® and Taper Lux®, two innovative additions to the ParaPost line perfect for highly esthetic, metal-free restorations.

Both Fiber Lux and Taper Lux are made of translucent fiber resin materials that reflect natural tooth hues while eliminating shadows through all-ceramic crowns or composite restorations at the gingival/crown interface.

Taper Lux Parapost from COLTENEThis material allows for the use of light-curing cements and core material[ST2] s and permits fast, on-command cementation. A unique combination of cylindrical post design, retention ledges and unidirectional fiber clusters imbue ParaPost Fiber Posts with outstanding mechanical retention and superior strength without compromising flexibility. Fiber Posts’ elasticity rivals that of dentin, in turn, mitigating the risk of root fracture and offering less brittleness than ceramic posts.

With rounded, undercut multi-head designs, ParaPost Fiber Posts minimize core material stress due to polymerization shrinkage. The multi-head design also allows for easy post length adjustment[ST3] . Fiber Posts are made for use with resin-based cements such as COLTENE’s self-adhesive SoloCem® and DuoCem® and core build-up material such as COLTENE’s ParaCore®. Together, these materials create an optimal monoblock—a singular, cohesive restoration between the dentin, post and crown with exceptional durability and strengt

Taper Lux’s 4% tapered design is ideal for narrow canals where protection of sound tooth structure is key, while Fiber Lux supports universal post application.

Both posts are available in a range of sizes to suit every clinical situation.

To order a ParaPost Fiber Lux® or Taper Lux® sample for your practice, visit parapost.coltene.com or contact your local COLTENE Territory Representative to place an order.


 [ST1]COLTENE’s®
[ST2]Replace material with materials

[ST3]Fiber posts are made for use with resin-based cements such as COLTENE’s self adhesive SoloCem® and DuoCem®, and core build-up material such as COLTENE’s ParaCore®.

 

 

 

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Optimizing Occlusion for Predictable, Long-Lasting Restorations

Optimizing Occlusion for Predictable, Long-Lasting Restorations

How Do We Know What We Create Will Last: Optimizing Occlusion

Occlusion is one of the most important, and perhaps one of the most underappreciated, concepts in dentistry.

In a dental setting, occlusion refers to the contact between teeth or, simply, a patient’s bite. More specifically, occlusion is the way maxillary and mandibular teeth come together during mastication and at rest. Many factors influence occlusion, including, but not limited to, genetics, trauma, disease, and personal habits.

aacd virtual campus logoWhen occlusion is normal, teeth not only function optimally but also display the best esthetics. Proper occlusion can likewise help prevent disease and improve overall well-being. However, when bite misalignment, or malocclusion, occurs, patients are open to a host of problems. Among the issues caused by malocclusion are loosening, chipping, cracking, and fracture of teeth, gumline recession, bruxism, headaches, jaw pain, and dental restoration damage. Not only do these problems interrupt normal oral functions such as chewing and speech, but they can also result in undesirable esthetics and provide pathways to disease.

Cosmetic dental restorations such as veneers and bridges can work wonders when it comes to delivering highly esthetic outcomes. But American Academy of Cosmetic Dentistry (AACD) Member and course instructor, Dr. Nada Albatish, reminds dentists to remember the importance of function during diagnosis and treatment planning. Dr. Albatish owns and operates All Smiles Dental Centre, a multidisciplinary practice near Toronto, Canada, where she specializes in complex and rehabilitative dentistry. In her own words, “function is what creates some of the biggest successes and failures in dentistry.”

As a result, being mindful of occlusion is essential to creating esthetic and functional outcomes that will give patients the comfort and confidence they deserve.

video screenshot from 10 common occlusion trapsWhether restoring a single tooth or an entire quadrant, mitigating occlusal risk is key to cosmetic and restorative success. In her AACD Virtual Campus course, "Ten Common Occlusion Traps", Dr. Albatish lays out the most frequent occlusal challenges dentists encounter, and reasonable, actionable solutions for each. Over the course’s 11 lessons, Dr. Albatish shows you how to optimize occlusal forces to deliver predictable, long-lasting dentistry and help patients remain healthy, comfortable, and satisfied for years to come.

The first lesson of “Ten Common Occlusion Traps” is available here. If you enjoy this lesson, please visit the AACD website and become a member to access the remaining lessons and earn CE for viewing the course. As a member, you can explore the wealth of resources the Virtual Campus has to offer including courses, whitepapers, and on-demand content from AACD Scientific Sessions, with new content added every month.

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Patient-Care Savings for All Ages

Patient-Care Savings for All Ages

Quantum Labs Celebrates National Children's Dental Health Month with Affordable & Exciting Ways

Quantum Labs Children's ToothbrushesOral health is important at any age, but for children, taking care of teeth and gums holds special significance.

Dental caries, also known as cavities or tooth decay, is one of the most prevalent childhood diseases in the United States. If left untreated, caries can have a massive impact on a child’s development, affecting everything from speaking and eating to learning and play.

Thankfully, caries is wholly preventable, and the dental habits children learn when they’re young can set them on a path to a lifetime of good oral health.

February is National Children’s Dental Health Month and with it, Quantum Labs brings you new affordable and exciting ways to keep your youngest patients healthy and happy.

For a limited time, when you buy 3 boxes of Quantum Kids’ and Junior brushes, you’ll receive 1 box free. You can choose from a variety of colorful and creative designs your pediatric patients will be sure to love. Additionally, you’ll receive either 288 activity books or a 5-roll assortment of dental stickers absolutely free with your purchase. These items add value to every visit by making oral care fun, which encourages good habits at home and keeps kids looking forward to their next appointment.

Quantum is also offering a free headrest (a $44.99 value) with the purchase of a child booster seat. This comfy combo by MediPosture helps you better treat pediatric patients and features an anti-microbial cover to keep the operatory safe and free from infection. Both booster seat and headrest are available in beige and grey.

For patients of all ages, Quantum offers new patient supply bags for take-home care items. Choose from paper or plastic and a variety of vibrant designs for just 12 cents each. New customizable bags are also available for as low as 46 cents each—add your full-color logo and practice information to give patients a gift they’ll remember you by.

MediCom SafeMask Master Series from Quantum LabsUntil the end of February, Quantum also has great new deals on practice basics.

When you purchase 3 boxes of Medicom’s acclaimed SafeMask® Master Series, you’ll receive 1 box for free. Likewise, buy 3 cases of SafeBasics General Purpose Gauze Sponges to get 1 case free. Lastly, keep your staff safe, comfortable and stylish with Medicom’s new SafeWear Hipster Jackets and get a free bag when you purchase 4 bags.

All of these promotions last until February 28th, 2020, so order now and save big on practice basics and patient-care items for every age.

To sign up for emails about flash sales and specials, find a full product selection and discover even more ways to save, visit Quantum’s website or call 800-328-8213.

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Class V Restorations with Bioactive Materials

Class V Restorations with Bioactive Materials

Direct from the Operatory: Class V Restorations with Bioactive Materials

To place an effective Class V restoration, it is important to understand how teeth absorb and distribute stress. According to Milicich and Rainey, “stress distribution in human tooth structure can be visualized through the use of Moiré fringes,” which show the “peripheral rim of enamel transferring occlusal load directly to the root of the tooth.” The load on the incisal edge of a tooth moves vertically and then horizontally to the DEJ before transferring vertically and accumulating in the Class V area where the enamel is at its thinnest (approximately 0.3 millimeters). The cervical third of the tooth absorbs the greatest stress, which can cause adhesive delamination.

To ensure best outcomes in Class V restorations, I have started using ACTIVA BioACTIVE-RESTORATIVE, which contains a patented rubberized resin that is more fracture resistant than traditional composite materials. According to the manufacturer the toughness of ACTIVA, measured by deflection at break, is 2-3 times greater than composites and 5-10 times greater than GIs and RMGIs. The material exhibits high compressive and diametral tensile strength while also having very low wear. In addition, ACTIVA BioACTIVE is hydrophilic, making it ideal for Class V restorations and other instances where it is difficult to ensure a dry field.

1pre-op image of tooth with failing composite restoration and abfraction

The patient presented withpul several failing Class V restorations. The pre-operative image of tooth #8 indicates a cervical abfraction and failing composite restoration (Figure 1). The tooth was prepared using rotary abrasion with the goal of exposing prismatic enamel to promote micromechanical retention and leverage the bond strength of enamel. Figure 2 shows the preparation with a radius bevel.

2class v preparation using a radius bevel3adhesive seal being placed on top, bottom and sides of teeth

The peripheral rim of enamel around the Class V restoration can be considered a tension ring (Milicich G & Rainey J) which, when properly reinforced, can mitigate the occlusal forces accumulating in the Class V area. Similar to caulking a window, an adhesive seal was placed around the preparation (Figure 3). The adhesive was placed first on the gingival margin followed by a 10 second light cure, then the top of the “window” was “caulked” and sealed with a 10 second light cure, and finally each side was “caulked” and sealed before light curing for 10 seconds. After “caulking the window” the final restoration was placed using ACTIVA BioACTIVE-RESTORATIVE. The material was back filled into the preparation and placed slightly beyond the radius bevel, and then finished and polished. Figure 4 shows the final restoration.

4final restorated teeth after back filling, finishing and polishing

 

Dr. Frank J. Milnar

Dr. Frank J. MilnarFrank J. Milnar DDS, AAACD is a graduate from the University of Minnesota, School of Dentistry in 1976. He is an Accredited member of the American Academy of Cosmetic Dentistry, Board Examiner for Accreditation and Diplomat of the American Board of Cosmetic and Esthetic Dentistry. Dr. Milnar maintains a full-time practice in St. Paul, Minnesota emphasizing Minimally Invasive and appearance related dentistry. He has published over 50 peer reviewed articles about the direct placement of composites, shade selection and porcelain materials and is on editorial review boards for dental journals. Dr. Milnar is co-founder of the Minnesota Academy of Cosmetic Dentistry and has lectured extensively within the US Armed Forces as well as internationally on the subject of direct composite restorations, shade selection and porcelain materials. He has been voted “Top Dentist” and voted into the” Top Dentist Hall of Fame” for the last five years by his peers in the Minneapolis/St. Paul Magazine.He has been voted by Dentistry Today as one of the top 100 dentists contributing to dental education. Most recently, Dr.Milnar was nominated to the University Of Minnesota School Of Dentistry Continuing Education Advisory Board and is a Visiting Faculty Member for the BIOCLEAR Learning Center.

Reference
Milicich G, Rainey J. Clinical presentations of stress distribution in teeth and the significance in operative dentistry. PPAD 2000; 12 (7): 695-700.

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Say Cheese: Psychological Impacts of Social Smiles

Say Cheese: Psychological Impacts of Social Smiles

The Clinicians Role in Navigating Social Media Pressures on Cosmetic Care

The digital world is putting new pressures on the cosmetic dental industry. The desire for a dazzling smile is no longer just for face-to-face interactions—for many, their virtual grin is far more vital. Photogenic smiles get blasted across the globe on the seemingly endless supply of social media platforms. A picture becomes a post and that post gets viewed by our closest friends, family… and the internet at large. The ensuing digital judgement crosses back through the virtual matrix and skews our real-world perceptions. 

Dr. Susan McMahonDMD, AAACD, is exploring the intersections between cosmetic dentistry, social media, and the psychological impacts on her patients. She'll speak about her findings during Ultradent's upcoming Icons of Dentistry Summit, with her course titled Selfie Culture and Snapchat Dysmorphia: A New Generation of Cosmetic Dentistry.

Compare and Despair

"It used to be only famous people had to be perfect and beautiful. If you were an actress or royalty, then people expected you to look a certain way. Now, because of social media, everyone wants to look that way," says McMahon. "Have you ever gone to your Facebook feed and looked at someone you went to high school with and felt like your self-esteem took a hit because they look so great and you look schlumpy?" 

Creating an unrealistic representation of physical appearance is continually getting easier, thanks to technological advancements. "You can go on Facetune and lose 30 pounds in your face. You can whiten your teeth, you can get rid of the bags under your eyes… and then you put it out there on social media," McMahon says. 

Once the photo gets posted, the comparisons start. "It's a phenomenon called compare and despair. You compare yourself to altered images (of yourself and others) then despair about the shape you're in. Younger people are especially vulnerable to this," McMahon adds. 

Perception vs. Reality

People are seeking cosmetic dentistry in record numbers. Researchers say the market could reach nearly $28 billion globally by 2024. Dr. McMahon says social media plays a hefty role in this growth. "It's called Snapchat Dysmorphia." She says patients expect cosmetic dentists to replicate the virtual version of themselves or others portrayed on social media.

 "It's important to recognize and acknowledge what patients are looking for. I see lots of people—I'm talking teenagers, young adults—that have what I used to consider and what was normally considered a beautiful smile. Now it's not enough for them," McMahon says. "They want it to be perfect. They're showing me pictures of celebrities, and most of these celebrities have cosmetic smiles, all veneers, full sets of veneers, upper and lower."

Dr. McMahon

Smile Design

Rather than turning away young patients because there's nothing technically wrong with their teeth, Dr. McMahon takes what she calls a "Smile Design" approach to these consultations. "[Patients] will keep going until they find a clinician who's going to do what they want to do. And they could very easily end up with a doctor who's going to prep 12 veneers on a young person, on virgin teeth," she says. "They could end up being deep cut veneers, blowing through the contact areas, wrapping the incisal edges, traditional things like that. Even worse, I've seen full crowns cut on people like this." 

 Dr. McMahon says her lecture covers how to approach difficult conversations with healthy patients determined to change their smiles. "A lot of times I'll get patients, just out of their orthodontics, with their mothers and fathers. The patients have pretty nice-looking teeth. But they're just not happy at all. I don't want to work on their self-esteem negatively any more than they're already doing themselves. I want to help them and build them up and give them the confidence to be whatever it is they want to be and do whatever they want to do." 

kid worried about little space in teeth

A recent interaction between Dr. McMahon, a teenage patient, and the patient's mother illustrates the Smile Design approach. "His mom was convinced he wasn't taking care of his teeth because he wasn't smiling. He goes to the hygienist's chair and his teeth are not dirty at all, they're perfectly clean, he's doing a great job with them. We take some pictures and he's got a big Class IV composite that's breaking off a little bit. His natural, genetic color is pretty yellow. He's got a couple spots of hypocalcification and a little brown lesion too. Which is not dirt, just staining. But it's stopping this kid from smiling."

 Dr. McMahon says using a traditional approach, a dentist would schedule a visit to fix the Class IV, tell the patient his teeth are healthy, and send him on his way. "My office tries to slow it down and look at this through the eyes of Smile Design. We brought his mom back, put his pictures up on the monitor, showed the broken filling and said 'Here's what I think we can do for him. I think I can do some gum sculpting to make his teeth look more even; I'll use a laser and it will be easy and won't hurt or bleed at all. I'd like to whiten his teeth and I'll use Opalustre™ [hydrochloric acid slurry] to polish out that brown staining. When we're done with that I'm going to fix that broken filling. It's going to be easy on him and I think his smile will look great.' This boosts his confidence and boosts your bottom line too [ . . . ] It's not taking a lot more of your chair time and it's going to make a big difference to him." 

Trending Younger

Dr. McMahon sees the volume of young people seeking cosmetic work increasing while also noticing the age of those patients decreasing. While she wants to empower young people and boost their confidence through their smiles, she also has limits. 

 "The youngest I've ever had someone seeking out cosmetic care is 6 and 7 years old. Their parents brought them in, two beautiful little girls, and wanted composite veneers on the girls' primary teeth because they didn't think they were white enough. So it isn't just kids, it's the parents too. We told the girls they were perfect, and their smiles were wonderful. We didn't treat them, but who knows if another office did."  

kids taking a selfie

Dr. McMahon's lecture also dives into procedures that can satisfy the patient without life-long impacts. She says her Selfie Culture and Snapchat Dysmorphia course covers "[ . . .] very conservative cosmetic procedures, like using Uveneer® [templates], because you can do that without altering their teeth. It's completely reversible, they're keeping 100% of their enamel, and they look fantastic. It gives them the smile they want. This course is all techniques that every dentist can do. You don't need any special training, you just need to sort of look at things a little differently and have your team look at things a little differently."

Icons 2020

Dr. McMahonDr. McMahon and 12 other captivating industry leaders will be featured during Ultradent's Icons of Dentistry Summit.

Digital/social media is shaping many of the trends in dentistry—how practices market themselves, how reviews are given, and even what's motivating patients to seek treatment. Dr. McMahon is examining how these social media motivations are impacting her patients and you'll be able to hear her findings during Ultradent's Icons of Dentistry Summit, July 16–17 2020.  

Icons of Dentistry is a partnership between Ultradent and industry specialists to bring women in dentistry an exciting agenda. It encompasses social media trends, practice building, clinical techniques, and exciting networking opportunities with peers from around the world. Attendees can earn 14 CE credits.

Ultradent believes in the unique dimension women bring to dentistry. It's our mission to engage and inspire women in dentistry—by deepening the balance of work and life—through an educational endeavor that focuses on fulfillment, performance, relationships, and overall well-being. 

 

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The Magic is Here: ACTIVA Presto

The Magic is Here: ACTIVA Presto

The Magic is Here... ACTIVA Presto

ACTIVA Presto Banner

In January 2020, Pulpdent launched ACTIVA Presto, the first light cure composite designed to mimic the properties of natural teeth. Using the tooth as the standard, Pulpdent has developed a material that is esthetic, high strength, moisture-friendly and contains no Bis-GMA, no Bisphenol A and no BPA derivatives.

Learn more about ACTIVA Presto


The magic of ACTIVA Presto is in the resin, which is hydrophilic and facilitates the diffusion of bioavailable calcium, phosphate and fluoride ions. “It’s acting just like a tooth,” explains Larry Clark, Director of Clinical Affairs at Pulpdent, “it’s giving off and taking back ions.” This unique chemistry penetrates and integrates with tooth structure for margin-free adaptation. The material also contains a patented rubberized-resin that absorbs stress and resists wear, fracture, and chipping, even in thin areas on bevel margins.

ACTIVA Presto is a stackable composite that holds its shape and will not slump. This versatile material is indicated for all classes of cavities and comes in a variety of shades, including cervical shades A4 and A6, which are ideal for older patients. ACTIVA Presto is highly radiopaque (250%) and comes in easy to use 1.2 mL syringes.

ACTIVA Presto is available for purchase in the United States starting in January 2020. The magic is here!

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The Road Map to Success for Implant Dentistry

The Road Map to Success for Implant Dentistry

The Road Map to Success for Implant Dentistry

How could I lead my patients toward a successful treatment outcome when I was unsure of the treatment path myself?

map with three tacks along the route

During my initial phase of practicing implant dentistry, there were times when I felt like a tourist in my own practice—wandering around in a foreign land without a road map. Being a male, I would not ask for directions; I thought I could figure it out myself. Also, because it was a foreign land and I didn’t speak the language, what good would asking do?

Looking back at this point in my career, I can be honest and say that I did not enjoy implant dentistry. It was simply too much stress for me.

How could I lead my patients toward a successful treatment outcome when I was unsure of the treatment path myself?

While I knew that I had patients who required implants and patients who wanted implants, without having a clear road map and systems in place to provide successful implant treatment, I was unable to capitalize on this existing and lucrative practice need.

A key destination on my road map to implant dentistry was realizing the power of digital tools.

Converting a digital treatment plan into a precise reality can only be accomplished through the use of the latest technology—it doesn’t matter if the case involves one implant or a full-arch rehabilitation. There have been amazing advances over the past few years in 3D and CBCT imaging, digital impression-taking, bone regeneration materials, and 3D-printed surgical guides, which work together to direct us to the target with confidence and tight tolerances. Even implants themselves have transformed from simple metal screws into tiny powerhouses with surfaces and structures that mimic hard tissue and speed up the healing process significantly.

Although technology can often seem like the star of the show, meaningful communication with patients during the implant process is an important stop on the road map to success.

As clinicians, we think about the prosthetic vision and plan the implant appropriately. But uncertainty about the financial burden can be a significant roadblock for our patients. My implant case acceptance improves tremendously when I can inform the patient of their financial responsibility before the case starts, which allows them to budget for treatment.

By creating your own road map to successful implant dentistry, you will know the playing field early and be able to plan your attack with precision and, more importantly, with confidence.

Peter Gardell, DDS
Stamford, CT

A central focus of the January 2020 issue of Dental Product Shopper is on implant dentistry—the what and how. Gain an in-depth look at the innovative technologies available today that can help you accurately diagnose your patients’ needs and seamlessly plan your implant cases.

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Improving Accuracy, Reliability and Results with a High-Tech Apex Locator

Improving Accuracy, Reliability and Results with a High-Tech Apex Locator

Improving Accuracy, Reliability and Results with a High-Tech Apex Locator

Endometrics, the science of determining working length (WL), is an essential facet of successful endodontic therapy.

Modern endometrics employs electronic devices known as apex locators to determine WL. The latest generation of apex locators uses multi-frequency impedance measurement to gauge the distance from the device’s file tip to the apical foramen. This technology reportedly offers less sampling error and more consistent readings than previous instruments, meaning greater accuracy, reliability and, ultimately, better treatment outcomes.

CanalPro Aprex LocatorCOLTENE’s CanalPro® Apex Locator is among this latest generation of electronic length measurement devices and represents the pinnacle of modern endometric technology. With its precise measurement system, intelligent, user-friendly interface and slim, ergonomic design, the CanalPro Apex Locator improves operator comfort, clinical efficiency and reliably produces accurate, repeatable results.

Unlike conventional apex locators, the CanalPro Apex Locator uses two measuring frequencies that are alternated, not mixed, thus eliminating noise and the need for signal filtering.

The device likewise uses signal intensity to calculate the file tip position, making instrument measurements immune to electromagnetic interference.

In addition to its innovative measurement system, the CanalPro Apex Locator features a vibrant, 3D color interface. The high-resolution TFT-LCD color graphic display provides uninterrupted feedback by showing the movement of the file inside the canal from the beginning to the end of measurement. The CanalPro Apex Locator also offers a Virtual Apex Function which allows clinicians to mark a predetermined distance from the apex prior to measurement. When enabled, this unique feature delivers a clear visual and audio notification once the file tip reaches the selected mark.

To learn more about how the CanalPro Apex Locator can help simplify your root canal treatments and order the product for your practice, visit COLTENE’s website or contact your local COLTENE Territory Representative.

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Midmark Chooses 3D-in-Motion Video Scanning Over Laser—Should You, Too?

Midmark Chooses 3D-in-Motion Video Scanning Over Laser—Should You, Too?

Midmark Chooses 3D-in-Motion Video Scanning Over Laser—Should You, Too?

When you’re considering the right digital intraoral scanner for you, you’ll find no shortage of features to evaluate.

Regardless of the scanner you choose, you’ll likely save chair and lab time and significantly reduce your need for impression material.

But major differences exist between units. One of the largest differences is which type of scanning the unit uses to capture the image—3D-in-motion video scanning versus laser scanning. The Midmark True DefinitionTM Scanner , one of the most perennially popular scanners on the market today, uses video scanning. Midmark highlights three key areas where they have found that video scanning outperforms laser scanning.

1. 3D-in-Motion video scanning allows for a smaller design.

The electronic and optical components of a laser scanner wand give it its bulk. A video scanner wand doesn’t use these components, allowing for a more durable and compact design. The True Definition Scanner has the smallest wand currently available, similar to a handpiece, so it’s not only more comfortable for your patient during the image capture process, but it's also more comfortable for you to use throughout the day, patient after patient.

2. 3D-in-Motion video scanning can improve accuracy.

Video scanners use technology similar to motion capture in movies. Just like the dot grids applied to suits, faces and objects for motion capture, a light scanning spray creates a fixed pattern on the teeth for video scanning. The scanning wand then captures the impression as it moves over the teeth. This method allows dentists to create accurate images without having to perfectly position the wand or rely on patients to be still. This static pattern gives clinicians more consistently accurate results, according to Midmark research.

3. 3D-in-Motion video scanners are more affordable.

The True Definition Scanner leverages various common components found in today’s most advanced consumer electronics, such as cameras and mobile devices. This design keeps the price point of the scanner much more competitive. In fact, you may be able to get a more compact, more accurate unit for less money than you would spend on a laser model.

Learn more about how a Midmark True DefinitionTM Scanner can help you and your practice at midmark.com/TrueDef.

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Instrument Processing Designed for Simplicity, Reliability and Patient Safety

Instrument Processing Designed for Simplicity, Reliability and Patient Safety

MIDMARK OFFERS A VARIETY OF STERILIZER UNITS

Starting a new practice, upgrading an old office, or replacing an existing sterilizer? Midmark has got you covered.

Sterilizers are at the heart of any dental practice. Before procedures can begin, instruments must be cleaned and sterilized.Instrument sterilization is a simple process and Midmark is determined to keep it that way for you.

By focusing on the needs of dental practices and their teams, Midmark has designed equipment that is easy to learn, simple to use, and safe and effective for quickly sterilizing a broad range of instruments and handpieces.

Midmark sterilizers lead the market because of their elegantly simple design, unmatched simplicity and superior reliability. For decades, Midmark sterilizers have consistently delivered the quality, performance and cost effectiveness required to keep even the busiest dental practices operating at their full capacity.

Midmark Sterilizer Midmark sterilizers are also designed to deliver exceptional value each day through the low cost of operation and the minimal levels of training and maintenance needed to operate these units.

Designed not just to sterilize instruments, but to make the entire sterilization process more efficient and productive, Midmark sterilizers stand out as an exceptional choice for instrument processing.

Whether you are starting a new practice, upgrading an old office, or replacing an existing sterilizer, Midmark offers a variety of sterilizer units with capabilities to best match your needs. From quick turnaround to large capacity models, Midmark has an option for you. Trust Midmark to provide you with the certainty that your practice will be safe and compliant when it comes to practicing infection control and protecting the safety of your team and patients.

If you’d like to learn more about Midmark sterilizers and how they can make a difference in your practice, please visit www.midmark.com/dental/sterilizers.

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What You Should Know About Ultrasonic Scaling Inserts

What You Should Know About Ultrasonic Scaling Inserts

What You Should Know About Ultrasonic Scaling Inserts

Using the correct ultrasonic inserts helps hygienists work more efficiently, helps protect their musculoskeletal health, impacts clinical outcomes, and provides a higher level of comfort for patients. 

Inserts are not all designed alike: some are built for removing different levels of deposit and others are specially designed to be used around specific types of tooth anatomy. Here are the most important things to remember when choosing and monitoring the efficacy and efficiency of your ultrasonic scaling inserts.  

1. Deposit type. 

FitGrip Cavitron Inserts When choosing an insert, consider the type of deposits and the force it will require to remove them. The Dentsply Sirona Cavitron line of ultrasonic inserts offers a wide variety of tips that can handle whatever types of deposits you need to tackle throughout the day.

Thicker Cavitron inserts are designed with larger tips for removing heavier levels of calculus. Thinner Cavitron inserts have slimmer, adaptable tips that easily remove light-to-moderate deposits of biofilm.  

2. Treatment site. 

Different Cavitron inserts are designed to be used with certain types of tooth anatomy. Straight inserts are best for flat tooth anatomy and curved inserts offer the best results when working around furcations and concavities.

Cavitron Powerline inserts are best suited for removing heavy calculus. They feature Focused Spray technology that delivers targeted lavage, which increases site visibility and is comfortable for patients.

Cavitron Slimine inserts, designed for removing light-to-moderate deposits, are 30% slimmer than Powerline inserts and provide improved subgingival access.

Also designed for light-to-moderate deposits, Cavitron Thinsert inserts are 47% thinner than Slimline 10 inserts. These provide increased access to difficult-to-reach areas.

Cavitron Diamondcoat ultrasonic inserts have been shown in in vitro studies to remove moderate-to-heavy calculus three times faster than traditional ultrasonic inserts. They can also be used to remove overhangs and recontour dental restorations, as well as debride soft tissue and remove tissue tags in intrabony lesions.

The Cavitron Softip Implant insert is for gentle yet effective scaling around titanium abutment surfaces.

3. Tip Sharpness

Worn tips can cause the operator to use excessive pressure during scaling procedures. Putting more pressure on the insert can lessen the vibration as well as further dull the tip. This can be uncomfortable for patients and contribute to musculoskeletal pain for hygienists. It may also result in turning the power up, perhaps beyond the level at which the tip was designed to be used.

Worn tips also impact insert function. Ultrasonic inserts are designed to move from a fixed point in a sweeping motion. As tips become worn, their scaling area is reduced.

Taking into consideration the treatment site, and the grip type and insert design you prefer will help you determine which insert characteristic meets your needs the best.

To find out more about Dentsply Sirona ultrasonic insert selection, click here.

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