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Older Patients and Teeth Whitening: Explain the “Why” to Get to “Yes”

Older Patients and Teeth Whitening: Explain the “Why” to Get to “Yes”

Older Patients and Teeth Whitening: Explain the “Why” to Get to “Yes”

 

Teeth whitening in older patients requires a combination of longer whitening time, the right whitening gel chemistry, and properly designed trays. Most dentists would agree that elderly patients require a more involved whitening protocol than younger patients. But do they know how to explain the “why” when discussing treatment with elderly patients? If they can, they’re more likely to achieve treatment acceptance.

Dr. Rod Kurthy, whitening science expert and founder and CEO of KöR Whitening[JC1] , recently wrote about why older patients require a more involved whitening protocol [JC2] to achieve the best results. Here’s a summary:

  • Tooth structure is formed with different degrees of organic matter trapped inside the structure. Some types of matter are darker than others, and some people have more than other people.
  • Organic matter almost always gets darker over time when molecules attach to each other and get larger, forming more intramolecular bonds between atoms that become chromophore bonds. These chromophore bonds absorb visible light.
  • When extrinsic stain becomes intrinsic stain, the molecules move deeper and deeper into the areas between crystals—interprismatic, intraprismatic, and intercrystalline spaces. In other words, as we age, tooth structure becomes “plugged up” with a tightly packed, tightly woven mass of organic material throughout the tooth structure.
  • The result is a solid mass of organic material (stain) that hinders bleaching factors from entering the tooth structure to break apart molecules and convert the chromophore bonds.

To combat these challenges and achieve the best possible whitening outcome for elderly patients, teeth require extended constant contact with fresh, active peroxide to break up the dark organic matter into ultra-tiny molecules so they can be pushed out of the tooth structure via diffusion. But time isn’t the only factor. Treatment requires gel that stays active in the trays (including the cervical third) for and extended time. Whitening trays must be designed to prevent saliva and sulcular fluid from entering the trays and destroying the gel. Typical whitening gels lose their effectiveness after just 20 or 35 minutes, but KöR Whitening gels applied using specially designed KöR-Seal whitening trays remain active for 6+ hours, with some activity up to 10 hours.

Explaining the “why” behind treatment recommendations (in this case, KöR Whitening [JC3] using KöR-Seal Trays) helps to engage patients in their oral healthcare. Keep it simple, but don’t talk down to patients. Guide them with science so they can achieve the best possible treatment outcomes.


 [JC1]https://www.dentalproductshopper.com/manufacturer-home/evolve-dental-technologies-inc

 [JC2]https://www.korwhitening.com/qa-with-dr-k-episode-twenty-one/

 [JC3]https://www.korwhitening.com/how-does-kor-work/

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Which Comes First? Whitening or Caries Removal?

Which Comes First? Whitening or Caries Removal?

Which Comes First? Whitening or Caries Removal?

Similar to the question “Which came first? The chicken or the egg,” many dentists wonder, “What should I do first?

Whiten or treat caries?” Unfortunately, not a lot of research has been published on the subject. On the other hand, Dr. Rod Kurthy, CEO and founder of KöR Whitening, has years of experience (backed by science, logic, and feedback from thousands of KöR customers) to help provide some insight.

Let’s start with his bottom line: “Within reason, I recommend whitening prior to restorative treatment.”

Now, let’s look at his reasoning:

· If you restore teeth before whitening, what shade will you select for the restoration? Because you can’t know for sure what shade whitening will lead to, the restoration shade may not match the final whitening result. That certainly won’t end with a satisfied patient and you may need to eat the cost of placing new restorations to match the whitened shade.

· Another option is to place a temporary restoration, whiten, and then place the final restoration. That’s three treatment steps for your patient, two of which require anesthetic. Dr. Kurthy also points out that typical temporary/provisional materials simply don’t seal well, which could allow bleaching factors to seep under those provisional restorations, causing sensitivity during whitening.

· Also consider that carious tooth structure is a thermal insulator and the amount of time it takes to whiten wouldn’t result in significantly deeper caries. In fact, carbamide peroxide in custom-fitted trays has long been used to reduce caries.

Dr. Kurthy does offer a couple of caveats:

· If existing restorations are loose, whitening gel can get under them and lead to sensitivity. In that case, Dr. Kurthy recommends removing the old restorations first and then whitening.

· Deep caries may be accompanied by acute or chronic pulpal inflammation. Whitening before removing caries in this situation may result in painful pulpitis.

Other than situations that require immediate attention, Dr. Kurthy sees no reason why you can’t whiten and then restore. The result will be a satisfied patient and a streamlined workflow.

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Is Your Practice Up for the Perio Challenge?

Is Your Practice Up for the Perio Challenge?

Is Your Practice Up for the Perio Challenge?

 

Keeping patients on the path to good periodontal health can be a struggle, even for the most experienced and dedicated dental professionals. Gum disease is stubborn—research shows that standard treatments such as scaling and root planing (SRP) are inadequate at addressing the core causes of periodontitis. Couple this with the fact that patients often find it difficult to manage their condition at home between visits, and it’s easy to see how gum disease can be a source of ongoing frustration for both patient and provider.

Luckily, there is a better way to get gum disease under control. The Perio Protect® Method is an ideal solution for dental patients who experience any of the common symptoms of periodontal disease and serves as an effective, easy-to-use supplement to traditional homecare like brushing and flossing, as well as professional treatments such as SRP and surgery. Prescription Perio Trays™ can be used by patients to simply and successfully manage their oral health at home, delivering 1.7% hydrogen peroxide gel, a proven antibacterial, into gingival pockets as deep as 9mm. Held in place for just 10 to 15 minutes a day, Perio Tray delivery provides a powerful counter to biofilm, the root cause of gum disease, and can diminish the presence of the most damaging oral pathogens by up to 90%. In as little as two to four weeks, patients experience a significant reduction in symptoms including bleeding upon probing and pocket depths, not to mention bonuses like whiter teeth and fresher breath.

The Perio Challenge

If these benefits aren’t quite enough to encourage you to try Perio Protect with your patients, the Perio Challenge offers a few more exciting incentives. Reduce bleeding and inflammation with Rx Perio Tray™ therapy for at least 30 patients this summer and you can receive:

  1. Training in the science behind Perio Tray therapy from Dr. Lou Graham and Charissa Wood, RDH
  2. Training in case presentation and marketing from Dr. Anissa Holmes
  3. Weekly accountability check-ins
  4. A ready-to-launch marketing campaign to entice and educate new and existing patients
  5. $600/month retail value of free product for 3 months* and more productive hygiene departments

Perio Protect is perfect for even the most persistent cases and treatment-averse patients. As demonstrated in a controlled clinical trial, 100% of patients who used the Perio Protect Method say they would recommend it to someone else. Long-term study also reveals that patients who added Rx Perio Tray therapy to their home care regimen after scaling and surgery exhibited 75% less bleeding on probing for up to 5 years. Moreover, gum disease and associated inflammation have been linked to systemic inflammation and illnesses like cardiovascular disease and diabetes, so, in addition to improving oral health, using Perio Trays can support overall health.

The Perio Challenge runs from June 1 until August 31, 2021, so sign up today to discover the remarkable benefits Perio Protect can bring to your patients and your practice.

* When you receive 16 trays in a calendar month, you receive $600 in retail value PeriogelX.

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Exploring the Link Between Halitosis and Gum Disease

Exploring the Link Between Halitosis and Gum Disease

Exploring the Link Between Halitosis and Gum Disease

How an innovative and proven antibacterial solution can help to combat biofilm in subgingival pockets

 

Halitosis, commonly known as bad breath, is something that most people go to great lengths to avoid. It’s not hard to see why: persistent bad breath comes with significant social stigma and can cause anxiety, low self-esteem, and otherwise negatively affect a person’s quality of life. The condition is so dreaded that Americans spend nearly $1.5 billion on mouthwash every year. Not to mention, it comprises the third most common reason patients seek dental care.

While many patients may consider malodor just an unfortunate side effect of a garlic-heavy lunch, and many episodes can certainly be linked to diet and/or poor oral hygiene, dental professionals should be on the lookout for the other culprit: gum disease.

Gum disease, and its more severe form, periodontitis, are infections that stem from an accumulation of biofilm in the oral cavity, particularly in subgingival pockets. When these bacterial colonies come in contact with certain proteins and peptides, they begin to break them down. This process produces what’s known as volatile sulfur compounds, or VSCs, along with the malodor we associate with halitosis. According to one study, up to 80% of patients with some degree of gum disease also exhibited halitosis. For most people, good oral hygiene—daily brushing, flossing, and rinsing as well as routine professional cleanings—suffices to keep biofilm and “perio breath” at bay. Unfortunately for others, traditional approaches alone aren’t enough to get the job done; biofilm stubbornly sticks around and so does halitosis.

Enter the Perio Protect™ Method. Designed to supplement conventional periodontal maintenance at home, Perio Protect is an innovative, easy-to-use, and clinically tested system that uses custom Perio Trays™ to deliver 1.7% hydrogen peroxide into periodontal pockets as deep as 9mm. When held in place for just minutes a day, the proven antibacterial solution diminishes the presence of the most damaging oral pathogens by up to 90% and leaves behind an oxygen-rich subgingival environment that promotes host healing. In a matter of weeks, the majority of patients can expect relief from all common symptoms of gum disease including gingival inflammation, tenderness, and bleeding upon probing. You can also expect reductions in pocket depths. The good news for halitosis sufferers, in particular, is that Perio Trays support long-lasting fresh breath by tackling malodor at its source. As a bonus, the peroxide gel also provides prescription-strength whitening, adding even more value for patients.

The Perio Protect Method is safe, comfortable, and convenient. Treatment can be effortlessly integrated into existing home-care regimens, with clinicians who prescribed Perio Trays to their patients reporting high levels of compliance. In fact, Perio Protect is so revered by patients that, in a controlled clinical trial, 100% of participants said they would recommend it to someone else.

To learn more about how Perio Protect can help your patients regain the confidence that bad breath and gum disease take away, visit their website.

 

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Embrace Easier Treatments and Better Outcomes with a Pair of Moisture-Friendly Preventive Solutions

Embrace Easier Treatments and Better Outcomes with a Pair of Moisture-Friendly Preventive Solutions

Familiar Struggles

Most dental clinicians are all too acquainted with the challenges that come with working in the oral cavity. The mouth is an extremely moist environment: saliva is 98% water, dentin and enamel contain approximately 14% and 5% water respectively, and the overall humidity in this closed system is 100%. While these conditions are beneficial to both oral and overall health, they are far from favorable towards most dental procedures. For example, sealants, the preferred method for preventing pit and fissure caries on first molars, are most effective when placed during periods of early eruption. At that juncture, however, tooth isolation and the establishment of a clean, dry field—required for successful retention of traditional hydrophobic (moisture-repellant) resin-based sealants—can be difficult if not outright impossible, especially when dealing with antsy pediatric patients.

Unique Solutions

Inadequate isolation and saliva contamination are the leading causes of first-year sealant failure, while waiting until complete molar eruption before placement risks caries development. Thus, it’s easy to see how, when using conventional materials, the conditions of the oral cavity inherently present a dilemma for clinicians and can lead to negative treatment outcomes for patients. Thankfully, a duo of unique, moisture-friendly products offers a solution. Pulpdent’s preventive Embrace™ line includes Embrace™ WetBond™ Pit & Fissure Sealant, the first pit and fissure sealant that bonds to the moist tooth, along with Embrace™ Varnish, a sustained time-release varnish that delivers 10 times more fluoride than the leading brand. Embrace not only performs but excels in the moist environment of the oral cavity, promoting optimal outcomes and providing long-lasting health benefits for patients, while alleviating stress and frustration for clinicians.

Embrace WetBond Pit & Fissure Sealant

In contrast with most resin-based sealants, Embrace WetBond Pit & Fissure Sealant is hydrophilic, or moisture-tolerant, in nature. Its innovative wet-bond resin technology eliminates the task of isolating partially-erupted teeth and enables integration with wet tooth surfaces for a margin-free adaptation that prevents microleakage. Embrace WetBond also releases and recharges phosphate and fluoride—ions that support dental health—and offers longer-lasting antibacterial activity compared to other leading sealant brands, especially against S. mutans, one of the greatest contributors to tooth decay. Clinical evaluation proves Embrace’s long-term efficacy: in one practice-based study, out of 334 sealants placed, roughly 90% remained intact 4–6 years later. Of the remaining teeth, only 3 displayed occlusal caries.

Light-curable and radiopaque, Embrace WetBond Pit & Fissure Sealant contains no bisphenol A, no bis-GMA, and no BPA derivatives. Furthermore, as the product is less technique-sensitive and requires no drying or bonding agents, it saves clinicians time, money, and effort compared to alternatives. Embrace Pit & Fissure Sealant is available in both off-white and natural shades and, according to the manufacturer, will neither chip nor stain over time.

Embrace Varnish

The perfect complement to Embrace WetBond Pit & Fissure Sealant, Pulpdent’s Embrace Varnish also works in harmony with the natural conditions of the mouth to boost tooth health and caries resistance. Embrace Varnish is designed to fill superficial, non-carious enamel lesions and contains 5% sodium fluoride with cXp™—xylitol-coated calcium and phosphate. This unique composition is proven to deliver sustained fluoride release at levels far exceeding the leading varnish brands. Additionally, Embrace Varnish releases bioavailable calcium and phosphate ions, two essential building blocks of teeth. Because of the xylitol coating, calcium and phosphate salts only react once in contact with saliva. The xylitol is then dissolved, releasing the calcium and phosphate ions which, in turn, react with fluoride ions in saliva to form protective fluorapatite on the teeth. As a bonus, Embrace Varnish improves the patient experience and makes the clinician’s job easier: the product requires no mixing and comes in a predictable, uniform dosage, while its pleasant taste encourages compliance and treatment success in patients of all ages.

 

To learn more about Embrace and order these and other innovative solutions for your practice, visit Pulpdent’s website.

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An Integrated Electric Motor System Designed for Performance, Convenience, and Comfort

An Integrated Electric Motor System Designed for Performance, Convenience, and Comfort

An Integrated Electric Motor System Designed for Performance, Convenience, and Comfort

As one of the most critical components of the dental operatory, the right delivery system can save practitioners time, frustration, and help them achieve a higher standard of patient care. But one designed without the necessary technical and ergonomic considerations can cause a multitude of problems—these include everything from procedural inefficiencies and workspace clutter to more serious, long-term ramifications like musculoskeletal injuries. Thankfully, a new integrated electric motor system aims to help dental professionals avoid these common pitfalls and create an ideal treatment experience.

Co-engineered by DCI and NSK, the collaboration fully integrates the latter company’s NLZ E Electric Motor and its licensed differentiators, including Dentsply Sirona’s WaveOne® technology, into all DCI Edge delivery systems. The result is a best-in-class intuitive experience that delivers a wealth of advancements in terms of performance, convenience, and comfort. DCI Edge is the fastest growing dental equipment and furniture manufacturer, while NSK is the largest global manufacturer of dental rotary instruments and the #1 selling handpiece manufacturer in the United States. Collectively, the two companies bring to the table more than 120 years of combined experience in serving dentistry. Their new integration solution serves as a testament to what these industry innovators can accomplish together and opens the door to improved and expanded treatment possibilities.

With a custom touchpad interface that guides clinicians as they work, the seamlessly integrated electric motor system places total control at the user’s fingertips. This interface features an intuitive, ergonomic design that eliminates unnecessary movement and supports a more comfortable, streamlined workflow. The award-winning NLZ E Electric Motor from NSK performs at a speed of 100-40,000 min-1 and a max torque of 4.2 Ncm, ensuring optimal operability and versatility. Likewise, support for WaveOne technology means compatibility with rotary and reciprocating files and enhanced endodontic treatment capabilities. Also built-in is NSK’s proprietary Contra-Check Function—this feature detects abnormalities caused by deterioration of the electric attachment and insufficient maintenance to ensure safer, more efficient equipment operation.

Taking the burden off the clinician, DCI Edge installs the NSK NLZ E Electric Motor, touchpad, and a host of other available essential diagnostic and clinical devices at their factory in Newberg, Oregon. Additionally supported instrumentation includes intraoral cameras, piezoelectric scalers, curing lights, and caries detection devices. All options are designed to integrate across the entire DCI Edge Delivery Unit line and can be retrofitted to existing Series 5 Delivery Units. Furthermore, investments are protected by a five-year warranty from DCI Edge and a worry-free warranty from NSK.

To learn more about NLZ E and find other innovative solutions from NSK, visit their website. To get in touch with a local dealer and bring the benefits of integrated design to your practice, visit DCI Edge's website.

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Is the Perio Protect Method Right for Your Patients?

Is the Perio Protect Method Right for Your Patients?

Is the Perio Protect Method Right for Your Patients?

 

It’s a common frustration—both for dental professionals and their patients who battle gum disease—when symptoms persist despite procedures and regimens put in place to fight them. As clinicians know, there are many involved in this perpetual fight to achieve better oral health. According to recent reports from the Centers for Disease Control and Prevention (CDC), over half of adults in the United States age 30 or older suffer from periodontitis, the more advanced, chronic form of periodontal disease.[1]

 

This group is far from homogenous—among the approximately 65 million Americans affected by the disease, the severity and complexities of their condition vary greatly. Periodontist Dr. R. Bruce Cochrane, DDS, MS, estimates that, for approximately 50% of his patients, the standard combination of routine, professionally administered deep cleanings—scaling and root planing (SRP) and supplemental antibiotic therapy—and an at-home care regimen consisting of brushing, flossing, and rinsing are enough to keep periodontitis at bay.[2] For some patients, adding surgical intervention to this list can also prove effective. However, for the remainder, traditional approaches to management alone are inadequate at suppressing disease symptoms.

 

Some patients with advanced gum disease struggle with maintenance due to an inability to adhere to the recommended schedule of thrice-annual cleaning appointments and daily brushing and flossing. Barriers to compliance include care costs as well as patient age, lifestyle, physical mobility, education, and attitudes toward treatment. For others, the disease persists despite their best efforts, with evidence showing that mechanical intervention like SRP and brushing and flossing are often insufficient at removing the subgingival biofilm that causes periodontitis. In some cases, SRP can even stimulate bacterial regrowth.[3] Sometimes biofilm removal is further complicated by the presence of dental implants, which can result in the related conditions peri-implantitis or peri-implant mucositis. Another subset of challenges presents in immunocompromised patients, who face an increased risk of developing systemic illnesses as a result of the body’s inflammatory response to oral bacteria entering the bloodstream during repetitive mechanical debridement.

 

perio protect imageSo, what can dental practitioners offer patients plagued by persistent periodontal disease? Perio Protect® provides an answer. Whether it’s the dedicated patient who just can’t seem to improve their oral condition, the difficult patient who forgets or forgoes care, or someone in between, the Perio Protect Method is an ideal solution for patients experiencing any of the common symptoms of periodontal disease. Intended as an adjunctive therapy to SRP and traditional home care, prescription Perio Tray™ therapy can be used by patients to administer an antibacterial gel containing 1.7% hydrogen peroxide into gingival pockets as deep as 9mm. When held in place for just minutes a day, the gel battles biofilm at its source, reaching deeper than brushing, flossing, and rinsing can, even around implants. The Perio Protect Method ultimately minimizes the effects of periodontal disease, including gingival inflammation, tenderness, bleeding, and pocket depth exceeding 4mm, and leaves patients with whiter teeth, fresher breath, and healthier mouths.

 

The Perio Protect Method is safe, comfortable, and convenient—qualities that promote adherence and optimal outcomes in even the most treatment-averse patients. As testaments to its ease and efficacy, many dentists have prescribed the Perio Protect Method since its introduction over 15 years ago and, in a controlled clinical trial, 100% of patients who used Perio Protect said they would recommend it to someone else.[4] In fact, research shows that the use of Perio Tray™ therapy can diminish the presence of the most damaging oral pathogens by up to 90% and, in as little as three weeks, significantly reduce bleeding upon probing and pocket depth.[5]

 

Perio Trays serve as a potent complement to traditional methods of periodontal maintenance and mitigate the need for surgery and antibiotics—excellent news both for patients who historically require frequent care and those who would avoid or deny treatment. And, for immunocompromised patients with concerns about undergoing SRP because of bacteremia, using Perio Trays prior to mechanical therapy can cut inflammation and bleeding, thus minimizing the chances of oral bacteria migrating through the bloodstream and contributing to systemic illness.3

 

All in all, most patients grappling with chronic periodontal disease can benefit immensely from adding Perio Trays to their oral hygiene regimen. To learn more about the Perio Protect Method and find help in determining which of your patients are ideal candidates for treatment, visit Perio Protect’s website.

 

Selected References

 

[1] https://www.perio.org/newsroom/periodontal-disease-fact-sheet

[2] https://youtu.be/IQIXhh45Jdc?t=115

[3] https://providers.perioprotect.com/wp-content/uploads/2020/03/JCD-Subgingival-Delivery.pdf

[4] https://providers.perioprotect.com/

[5] https://www.perioprotect.com/wp-content/uploads/2019/01/Peroxide-in-Treatment-of-Periodontal-Disease.pdf

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DPS Evaluators Agree: G-ænial Universal Injectable Is Easy, Effective, and Esthetic

DPS Evaluators Agree: G-ænial Universal Injectable Is Easy, Effective, and Esthetic

DPS Evaluators Agree: G-ænial Universal Injectable Is Easy, Effective, and Esthetic

G-ænial Universal Injectable is a high-strength, ultra-fine particle composite described by GC America as its “strongest direct restorative ever” and a

“game-changer” in the field of restorative dentistry. Last year, Dental Product Shopper put those claims to the test when it had several clinicians review the product.

According to GC America, the versatile material offers optimal physical and esthetic properties for all classes of restorations, I–V, and features an R&D-developed filler technology from GC called FSC, or Full-coverage Silane Coating. FSC imbues G-ænial Universal Injectable with long-term wear resistance and an ideal viscosity for perfect cavity floor adaptation while allowing the user to simultaneously build, shape, and contour the material during injection.

Ideal Handling, Placement, and Adaptation

Like New Jersey-based dentist Teresa DeStefano, DMD, most clinicians surveyed found that G-ænial Universal Injectable represented an endpoint in their

search for “an easy-to-use flowable composite with good flow and density.” Dr. DeStefano said the product has excellent flow and “adapts well to the inner margins of the prep.” Drs. Scott Chanin and Glen Willis echoed these sentiments, with the former calling it “an excellent product; easy to use and stays where you put it.” DPS evaluators also frequently mentioned the product’s lack of air bubbles or porosities, which, according to Dr. DeStefano, “is a problem with most flowables.” James Cavanaugh, DMD, similarly remarked that it left “margins [with] no voids” and served as an “effective base under larger restorations.”

Simple and Safe Delivery

Another helpful feature of G-ænial Universal Injectable is that it can be administered via an easy-to-extrude syringe and, now, disposable unitips. Dr. Willis mentioned that the innovative syringe design, with bendable tips for effortless extrusion and precise delivery, was the first thing he noticed about the product. In his words, the syringe is “very ergonomic” and “easier to dispense and maneuver” compared to other injectable composites.

GC also reports that the material produces no stringing or slumping, and will not stick to instrument tips. Several evaluators noted that the combination of this delivery method, the product’s handling, and the fact that it requires fewer steps than conventional composites amounted to it being a “time saver.” Since the evaluation took place, GC America has also introduced G-ænial Universal Injectable in single-use unitip doses. This new delivery system reportedly contributes to the already significant time and cost savings the product offers by facilitating restorations in both the posterior and anterior regions—a capability that separates G-ænial Universal Injectable from other composites on the market and eliminates the need for excess inventory. Perhaps most importantly, disposal between patients means that unitips greatly reduce the risk of cross-transmission and maximize infection prevention in the operatory.

Improved Versatility, Durability, and Esthetics

G-ænial Universal Injectable’s impressive physical and esthetic properties are well-suited to diverse restorative indications, including as a liner in deep restorations, a filler for abfraction areas, a sealant, and more. Evaluators confirmed this, with Dr. Jason Nguyen stating that he found the material particularly helpful “as a base layer and for margins of Class II restorations” while Dr. Paul Bookman explained that, thanks to G-ænial Universal Injectable’s versatility, he now only needs to stock one brand of flowable.

Dr. Nguyen was also surprised to discover how durable the material seemed after curing compared to other flowables—a result of its dense FSC filler composition. Dr. Bookman predicted that this would, like the manufacturer claims, lead to increased restoration longevity. Lastly, most reviewers disclosed that they were pleased with the final restoration’s polishability and overall esthetics—Dr. Pooja Saroha was quick to comment on the “beautiful” glossy finish and ultimately called G-ænial Universal Injectable “one of the best flowables on the market.”

A Winner Across the Board
Taking into account positive responses from all evaluators with regard to every metric—delivery, handling, adaptation, and esthetics—and their inclination to recommend the material to fellow clinicians, G-ænial Universal Injectable received a rating of 4.7 out of 5 and the DPS Best Product award. Overall, the evaluation confirmed that G-ænial Universal Injectable is, indeed, a remarkable restorative—a versatile, easy-to-use composite that lets clinicians craft long-lasting, life-like restorations with minimal effort. GC’s recent introduction of unitip delivery broadens the product’s already sizeable range of applications while improving safety and convenience.
 
To learn more and order G-ænial Universal Injectable for your practice, visit GC America’s website.

 

 

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Remote Access or Virtual Private Network: What’s Better for Your Dental Practice?

Remote Access or Virtual Private Network: What’s Better for Your Dental Practice?

Remote Access or Virtual Private Network: What’s Better for Your Dental Practice?

by David Broom 

The COVID-19 pandemic has resulted in a marked shift in dentistry. Just over a year ago, the ADA recommended that dental practices postpone elective dental procedures and provide emergency-only dental care in order to help stop the spread of the coronavirus disease.1 Under this guidance, over 198,000 dental professionals were effectively shut down,2 resulting in extraordinary revenue declines across the sector. The drastic measure led many dental practices to reconsider the way they operate.

Working Remote on a laptopHere at TechCentral by Henry Schein One, we’ve worked with numerous dental practices that have provided flexible work accommodations,3 like staggering the number of patients and employees present in the office and allowing administrative staff, including office managers, to work from home. While it’s been the safe option for social distancing, remote work comes with an onslaught of cybersecurity concerns. Dental offices must take preemptive measures in order to ensure they’re protecting their practice and patient data.

One question that is frequently asked: What does my dental practice actually need in order for employees to work remotely while still observing HIPAA rules and regulations?

To help prevent security breaches and disruption in business operations, dental practices can set up remote work access to help safeguard sensitive patient health information and keep their practices HIPAA-compliant. In this article, we’ll explain what exactly remote access is, how it differs from a virtual private network (VPN), and why remote access may be a better option for your dental practice.

What Is Remote Access?

Remote access, also referred to as “remote control access,” is a tool that allows access to a device (like a workstation) from another device, from anywhere and at any time. Remote access enables dental employees to effortlessly access their work computers, and all of the applications and files stored on them, from their personal device. The employee’s location does not matter. As long as they have a web browser on a PC, they will be able to access their office computers via a secure remote access process.

Remote Access Benefits for Dental Practices

With remote access, dental practices don’t have to worry about a special setup, modifying their firewalls, or altering any of their connections. Remote access provides numerous benefits for dental practices, including:

Promoting better workflow – Administrative staff can efficiently fulfill their work obligations outside of the office, including billing, payroll, scheduling, and other aspects of the practice management software. Additionally, if a question arises in the patient chart, clinical staff can remotely access patient images if needed.

Boosting security – The best remote access processes have mandatory multi-factor authentication (MFA) that employees must complete in order to access their workstations, providing better security by default. MFA is a security enhancement that requires the user to present two pieces of evidence (credentials) when logging in to an account.

Securely Streamlining Network Access – TechCentral’s remote access avoids additional per-user fees by typically setting up two profiles, one for the dentist (or office manager) and one for employees. While the dentist’s profile normally allows them to access all network data, employee profiles are usually limited to a small set of computers or workstations.

A two-tiered access control system is important, especially when practices don’t want former employees to continue to have access to records. The employee profile can be shut down immediately, if needed.

Improving work-life balance – The pandemic has been an eye-opening reminder that time is limited and precious. It’s a lesson that’s bound to stay with employees post-pandemic. With easy access to their work files from home, some of your staff members may be able to avoid long commutes to the dental office Monday-Friday, and enjoy some more time with their families. That’s a nice perk to provide employees!

Remote Access vs. VPN

Girl Working RemoteMany dental practices have been using virtual private networks (VPN) for years. There are differences between VPNs and remote access, including security, levels of control, and flexibility. While VPNs are typically preferred among dentists who have multiple practices that want to communicate from office to office, remote access may provide advantages for a single dental office that is having employees work from home.

A VPN creates a small, private network on top of a larger public one (the internet). Once an employee logs into the VPN, they have access to resources shared on the network. Employees can also access the VPN without using MFA depending on how the VPN is set up; however, it’s always best to have mandatory MFA with a VPN.

A VPN usually runs site-to-site. For instance, dental office A may want to communicate with the computers at dental office B and vice versa. To do this, a VPN is installed on the practice workstations, providing a tunnel between the two practices. This allows for communication from one network to the other via the internet, and employees can access PCs from one location to another.

In contrast to a VPN, remote access can be set up and managed remotely. Remote access is also device-agnostic, whereas a VPN setup may not be well-suited for connecting an older device to a newer device, considering that device security standards evolve over time

At TechCentral, we frequently recommend that single-location practices seeking more flexibility and easier setup for their remote workers should opt for remote access.

How Can a Dental Practice Get Remote Access?

TechCentral makes it easy to get remote access. In fact, it’s now available from us in the following 3 ways:

• a standalone service as Remote Access
• with Endpoint Protection service
• included with Omnicore Lite, Omnicore Standard, or Omnicore HD

You may already be familiar with TechCentral’s Omnicore, an all-in-one dental office network that includes hardware and long-term maintenance. At no additional cost, the latest release of Omnicore offerings includes employee secure remote access and workstation (endpoint) protection for all workstations installed at the practice.

Ideal for practices that already have a practice network setup other than Omnicore, remote access is also available as a standalone service and as part of TechCentral’s workstation (endpoint) protection service.

With remote work quickly becoming the new norm, it’s more important than ever to ensure your practice staff and patients are protected from cybersecurity attacks and reduce the friction between network and device communication.

As we approach a post-pandemic era, it’s also more important than ever for dental practices to focus on ramping up business and doing what they do best — treating their patients. Leave cybersecurity and IT to TechCentral so you can focus on providing top-notch patient care.

Contact TechCentral today for a free on-site technology assessment.

Sources
1. https://www.ada.org/en/publications/ada-news/2020-archive/march/ada-recommending-dentists-postpone-elective-procedures
2. https://psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care

3. https://www.cda.org/Home/News-and-Events/Newsroom/Article-Details/tips-for-reducing-tension-among-dental-staff-members-who-are-uncomfortable-working-during-the-covid-19-pandemic

About David Broom

David Broom is Senior Director of Product and Business Development. David has a master’s degree in Information Technology (IT) from the University of Texas in Dallas and has more than 35 years of experience from many global companies such as Hitachi Vantara, Methode Electronics, and Keane Inc. In his current role, he is responsible for all aspects of the product management and field service teams at TechCentral by Henry Schein One, which identifies the ideal advanced technologies to meet the unique needs of the dental market and ensure that dental offices are using the right IT to be more efficient and effective.

This article is paid for by Henry Schein TechCentral. Certain components of the products or services described above are provided by third parties. Henry Schein One LLC and its affiliates are not responsible for, and expressly disclaim, all liability for damages of any kind arising out of the use of those third-party products or services.

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A 40-Year Legacy Begins

A 40-Year Legacy Begins

a 40-Year Legacy Begins

The man behind the magic (and BISCO’s name), Dr. Byoung I. Suh, has a unique story. As a young man, Dr. Suh wasn’t set on becoming an entrepreneur. For that matter, he hadn’t yet realized his vision for revolutionizing adhesive dentistry. However, he did have a better vision for his life than the one he had known while growing up on the Korean Peninsula, post-WWII.

A New Life in the U.S.

During this period of tension and poor conditions in Korea, Dr. Suh steadily pursued a bachelor’s degree in chemistry in Seoul, graduating in 1960. He landed a job that was funded by U.S. aid at a fertilizer factory in Chung-Ju, yet living conditions were still slow to improve.

Dr. Suh sought another path for his future, so he began applying for graduate program scholarships abroad. He eventually found acceptance at San Francisco State University, which offered low tuition rates. He left Korea in 1964 with just $60 in his pocket, $10 of which a friend had secretly wrapped in a cigarette. By law, Dr. Suh was only able to leave with $50, but that extra $10 would prove critical in starting his new life.

A Risk That Started a Business

After arriving in California, Dr. Suh worked as a bellhop, busboy, and teaching assistant. After receiving his master’s degree in 1968, he worked as a research chemist in Chicago, developing a restorative composite that became widely used by dentists. In discovering dental materials and chemistry, Dr. Suh found a calling to offer more to the industry through his own venture.

“I was motivated to find a solution in dentistry to bond to tooth structure and metals. I knew I could do this working for another company, or take the risk and start my own company,” Dr. Suh recalled. After consulting with his wife, he took the leap in 1981 and opened BISCO's doors.

 

Click here to learn more about Bisco

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Advancing Geriatric Dental Care with a Pair of Bioactive Restoratives

Advancing Geriatric Dental Care with a Pair of Bioactive Restoratives

Advancing Geriatric Dental Care with a Pair of Bioactive Restoratives

America is aging. According to a report from Oral Health America, 19% of the US population will be 65 years or older by 2030, a figure which represents a 46% increase from 2010. Taking this projection into account, it becomes clear that dentists will have to make a concerted effort to better understand and accommodate the unique needs of this growing age group. One significant trend worth noting among today’s elderly dental patients is that geriatric dental care no longer equates to “denture care.” Edentulism, or total adult tooth loss, has had a massive drop over the years, and, as of 2012, only 4.9% of adults are afflicted. This can, in large part, be attributed to advancements in preventive care and better workplace dental insurance.[1] With more patients 65 and up keeping their teeth and living active, social lifestyles, that means more demand for esthetic restorations. And, for older patients in particular, gingival recession and age-related teeth darkening are common restorative challenges in need of addressing.

 

Shofu Dental Corporation provides solutions to the problems facing geriatric patients with Beautifil II Gingiva and FIT SA, a pair of composite materials that feature the manufacturer’s clinically-proven bioactive Giomer Technology. Thanks to specially engineered filler particles that release and recharge six helpful ions, Giomer Technology delivers bioactive and therapeutic benefits including anti-bacterial/anti-plaque capabilities and acid neutralization. Giomer materials’ efficacy was proven via an independent eight-year clinical research study in which patient restorations displayed a 100% retention rate, intact esthetics, no secondary caries, no failures, and no post-operative sensitivity.[2] Beautifil II Gingiva and FIT SA not only facilitate effective and esthetic restorative treatments, but offer health benefits that will serve patients through their golden years.

 

Beautifil II Gingiva bioactive composites can predictably restore severe gingival recession and other defects in geriatric patients, biologically, structurally, and esthetically—without the need for surgery. Each of the available shades can be blended and layered to produce custom shade options that address virtually every patient’s clinical and cosmetic needs. As explained in a recent testimony, New Albany, Ohio dentist Andrew E. Skasko, DDS has used Beautifil II PINK and WHITE (complementary shade sets designed for gingiva and enamel repair respectively) to great effect in his private practice. He says that the products “far exceeded” his expectations in every regard, and calls them a “game-changer” for creating Class V restorations and treating previously underserved patients with Miller Class III and IV gingival recession. According to Dr. Skasko, gingival restorations using Beautifil II Gingiva shades still look “amazing” and show no signs of debonding two years after treatment. Patients also reported total satisfaction with their treatment outcomes. Moreover, Dr. Skasko praised the performance of Giomer Technology, noting reduced plaque accumulation, gingival inflammation, and the absence of root sensitivity.[3]

 

With ideal handling for precision placement alongside high bond strength for reliable adhesion, FIT SA makes technique-sensitive bonding a thing of the past. FIT SA is a nanohybrid bioactive self-adhesive flowable composite ideal for use in liner, small Class I (PRR), Class III, Class V, and other non-load-bearing restorations. The material offers superior strength, polishability, and esthetics thanks to a unique filler structure that combines the light transmission and diffusion properties of dentin and enamel. The result is an exceptionally realistic restoration that seamlessly blends in with surrounding dentition and simplifies shade-matching on darker-colored teeth common to geriatric patients. FIT SA also creates a chemical bond as well as resin tag infiltration, qualities that maximize adhesion and eliminate the need for a bonding agent, in turn, minimizing inventory and time spent chairside. FIT SA is available in 2.2g syringes in two viscosities: low flow (F03) and high flow (F10). Like Beautifil II Gingiva, FIT SA’s inclusion of Giomer Technology supplies bioactive benefits unavailable in other restorative materials, and helps ensure the health and satisfaction of your older patients. 

 

To learn more about Beautifil II Gingiva, FIT SA, and other restorative solutions for all of your patients, visit Shofu's website.

 

Selected References

 

[1] Moffett F. Taking care: how dentists should prepare for treating aging patients. Academy of General Dentistry website. August 2016. https://www.agd.org/docs/default-source/policies-and-white-papers/impact-and-gd-articles/taking-care-how-dentists-should-prepare-for-aging-patients.pdf?sfvrsn=2

 

[2] Gordan VV, et al. A clinical evaluation of a self-etching primer and a giomer restorative material: results at eight years. Journal of the American Dental Association (1939) vol. 138,5 (2007): 621-7. doi:10.14219/jada.archive.2007.0233

 

[3] Skasko AE. A conservative alternative for severe recession defects. Inside Dentistry, vol. 17, 2 (2021). https://www.aegisdentalnetwork.com/id/2021/02/a-conservative-alternative-for-severe-recession-defects


 

 

[1]https://www.gcamerica.com/products/operatory/G2-BOND/GCA_G2-BOND_Universal_Brochure-02-09-2021_Ver1-digital.pdf

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GC’s New Universal Bonding System Pairs Versatility with Strength

GC’s New Universal Bonding System Pairs Versatility with Strength

GC’s New Universal Bonding System Pairs Versatility with Strength

Advancements in dentin and enamel bonding agents—notably, the development of universal adhesives—have paved the way for treatment success in a host of restorative and cosmetic dental procedures. Named for their versatility, universal adhesives are hydrophobic and compatible with a variety of etching techniques, restorative materials, and surfaces. Relative to previous generations of bonding materials, universal adhesives offer major improvements with respect to bond strength, ease of use, and treatment outcomes, and support greater restoration longevity, minimal postoperative sensitivity, and procedural simplicity.  Collectively, these qualities equate to significant benefits for practitioners and patients alike.

Since 1921, GC Corporation has been a standard-setting force in the field of dental materials, delivering acclaimed solutions across a spectrum of applications. Now, with the latest addition to its adhesive lineup, G2-BOND Universal, GC is poised to continue this tradition. Newly available from GC America as of February 2021, G2-BOND Universal is a two-bottle universal bonding system designed for optimal strength and versatility. Featuring the manufacturer’s Dual-H Technology, G2-BOND Universal provides clinicians the flexibility to choose between self-etch (SE) and etch-and-rinse (ER) techniques with one simple system.

Where Versatility Meets Durability

Beyond the ability to select your preferred mode of etching, G2-BOND Universal ensures restorative excellence for a broad set of indications. The material can be effectively used for direct restorations, immediate dentin sealing (IDS), repair of indirect restorations, treatment of hypersensitivity, and more. With G2-BOND Universal, GC has improved upon its proprietary Dual-H Technology to strengthen the adhesive layer and significantly reduce the potential for water degradation. As a result, G2-BOND Universal delivers long-lasting durability and bond adhesion. Moreover, the material‘s optimal thickness allows it to serve as a shock-absorbing layer, discouraging gap formation and debonding, especially when used with high shrinkage and bulk-fill composites. Thanks to HEMA-free composition, it also offers outstanding margin stability, meaning anterior restorations will maintain invisible, esthetic margins over time.

The New Standard in Adhesion

Early reception of G2-BOND Universal from the dental community is overwhelmingly positive. One independent study confirmed remarkable sealing effectiveness with virtually no postoperative sensitivity—attributes that promote long-term patient comfort and satisfaction. Other groups surveyed report 98% satisfaction with both SE and ER etching modes. Likewise, almost all clinicians were pleased with the product’s handling and dispensability—qualities enabled, respectively, by ideal viscosity and an ergonomic bottle design that permits precise dropping, prevents dripping, and eliminates waste while leaving the bottle clean after use.[1] All in all, these results indicate that G2-BOND Universal promises to live up to the manufacturer’s claim that it sets a new standard for two-bottle universal bonding.

DPS evaluators have also weighed in, naming G2-Bond a Best Product. “It’s easy to use, compatible with all resins, and has a reliable bond,” said evaluator Dr. Sean Grady. “I feel confident when using this adhesive that the composite will have a strong bond. It performed beyond my expectations.” Check out the DPS product review here.

To learn more about G2-BOND Universal and order the product for your practice, visit GC America’s website.

 

Selected References

 

[1]https://www.gcamerica.com/products/operatory/G2-BOND/GCA_G2-BOND_Universal_Brochure-02-09-2021_Ver1-digital.pdf

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