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EXACTA Dental Quick: Your Next Mobile App Download

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EXACTA Dental Quick: Your Next Mobile App Download

There are many reasons why dental healthcare professionals prefer to order supplies online, and most have to do with time savings and convenience. During a busy workday, it’s easier to search for and select the products you need online and to quickly place an order. If you forget something, modifying your order is just a simple click away.

Maximizing your time is now even easier with personalized applications on smartphones. Over the course of a busy day, it’s easier to just order on-the-go, even when you’re away from the office computer. Also, using an app is often more accessible than navigating a website’s ordering system. It’s easy to click the interface of your phone and be redirected to an ordering system within seconds. .

One-click shopping has revolutionized the way people order online, and now it’s doing the same in the dental profession. Years ago, dentists  might have referred to the latest edition of their  favorite dental product catalog to send away for essential items. Those magazines still exist as a resource, but most brands, like EXACTA, are ramping up their digital presence and selling products directly on their websites.

EXACTA Dental Direct is a company that is going an extra step by offering a convenient mobile app, EXACTA Dental Quick. Designed as a one-stop-shop, this app essentially serves as a direct connection from you, the practitioner, to the manufacturer,  so that you can easily restock frequently used items, including direct restorative materials, temporary materials, and impression materials.

Using the proprietary app of a reputable company like EXACTA has two key advantages: it streamlines the ordering process and saves valuable time. Dentists who manage a practice know the importance of efficiency and time management. Minimize the amount of time you and your staff spend on ordering and reordering supplies, and you’ll gain more time interacting with patients, whether in the operatory or in the waiting room.

Added value comes in the form of a guarantee. As discussed in a previous blog, the EXACTA Promise 100% Money Back Guarantee ensures that if you’re not satisfied with a dental product within 30 days of purchase, you can return it for a full refund.

If “time is money,” than the EXACTA Dental Quick app can give you more of both. Learn more about the app at www.exactadental.com/quick.

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GUIDOR Bioresorbable Matrix Barrier Provides Predictable Resorption and Performance

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GUIDOR Bioresorbable Matrix Barrier Provides Predictable Resorption and Performance

Sunstar’s GUIDOR Bioresorbable Matrix Barrier membranes have a unique, multi-layer composition that help stabilize wound sites and promote integration with periodontal tissues. The membranes have multiple layers, each with a different pattern of perforation, which controls the type of cell that can grow into the space within the membrane. The external layer allows for soft tissue cell proliferation. The space between the layers allows gingival connective tissue to integrate into the matrix. And the internal layer prevents epithelial downgrowth while allowing nutrients and oxygen to pass through. Also incorporated into the design is a patented “spacer” construction on the root surface of the material that maintains enough space for periodontal ligament cell proliferation and allows attachment to develop. This “selective cell ingrowth” aspect of the GUIDOR Barrier creates optimal conditions for tissue regeneration.

GUIDOR Bioresorbable Matrix Barriers are a 100% synthetic material, available in various shapes and sizes that can be further trimmed and shaped to fit a defect site precisely. Within just seconds of contact at body temperature, the material becomes malleable for easy handling and control. 

GUIDOR Bioresorbable Matrix Barriers are ideal to use with guided bone regeneration (GBR) cases because they maintain their barrier function for a minimum of 6 weeks and then resorb within a predictable amount of time as they are gradually replaced with new periodontal tissue. If a wound cannot be closed for some reason, the GUIDOR Matrix Barrier can be left exposed if it is tucked under the flap and adequately secured with sutures. Note that this may result in it resorbing more quickly than if it were fully submerged.

Indications for GBR use include bone regeneration and augmentation for extraction socket preservation, immediate implant placement either at time of extraction or for delayed placement, when additional bone is desired for ridge augmentation and sinus elevation, and for use as a stable barrier when bone grafting materials are placed.

GUIDOR Bioresorbable Matrix Barrier is clinically proven with more than 100 successful scientific studies and has been well documented in clinical research as well as thousands of private practice patients. Click here to watch a video and here to see a clinical case. Additional clinical application videos and recent publications are available here.

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Better Bonds with a Maximum Performance Adhesive

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Better Bonds with a Maximum Performance Adhesive

Out of the available etching and bonding techniques, clinicians often choose total-etch systems. Clear advantages of this technique include predictably high bond strengths to enamel and dentin and a lack of interference with polymerization of dual-cure resin products. However, this approach isn’t without its challenges. When total-etching, improper technique (such as over-etching and undesirable dentinal wetness) can lead to uncomfortable and costly after-effects—post-operative sensitivity is a possibility as is, paradoxically, decreased bond strengths.

Given the challenges associated with etching and bonding, manufacturers have sought to create ways to improve procedural outcomes. With the introduction of MPa™ MAX, industry innovator Clinician’s Choice® has developed a solution to common adhesive woes. MPa MAX is a total-etch adhesive system designed to maximize bond strength while preventing post-operative sensitivity. With MPa MAX, practitioners can expect better clinical outcomes alongside improved patient comfort and satisfaction.

MPa MAX is a fifth-generation total-etch adhesive that provides predictable quality, long-lasting bond strengths across an array of indications. The product produces the highest bond strength to dentin, enamel, zirconia and lithium disilicate.[1] With its viscous consistency, MPa MAX is easy to use and requires only one application on each adhesive wall to fully seal dentin and enamel. Due in large part to readily observable indicators at the solvent evaporation stage, MPa MAX resists over-thinning and no cases of post-operative sensitivity have been reported.[1]

In addition to reliably coating and sealing dentinal tubules, thus preventing intratubular fluid flow, MPa MAX combats post-operative sensitivity with the help of G5 All-Purpose Desensitizer. Included in the MPa MAX kit, G5 is a clinically-proven glutaraldehyde-based desensitizer placed after etching and before application of MPa MAX. G5 works in conjunction with MPa MAX to seal dentin by coagulating intratubular proteins. This critical step prevents stimulation of the odontoblastic processes along with any chance of post-operative sensitivity.

While research shows that most bonding agents lose up to 50% of their bond strength within the first six months, MPa MAX is formulated to deliver years of retention.1 Metalloproteinases (MMP) enzymes
 activated during the etching process can result in degradation of the adhesive bond. As one of the few adhesives to contain 0.2% Chlorhexidine (CHX), an antiseptic agent, MPa MAX counters MMP activation and helps retain bond strengths for years to come.

To learn more about MPa MAX and order the product for your practice, visit Clinician’s Choice’s website.


[1] https://www.clinicianschoice.com/marketing/CCI19_SS_MPaMax_Intl.pdf

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Selecting the Right Temporary Cement

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Selecting the Right Temporary Cement

NexTempTemporary cements play a critical role in retaining provisional restorations to the extent that preventing premature dislodgment of provisionals can directly impact the outcome of the restorative process. Not only do these materials protect prepared teeth from bacteria and thermal insults, they stabilize the provisional appliance, maintaining functionality and esthetics until final restoration placement. In some cases, “temporary” isn’t synonymous with “short-term.” For longer-lasting provisional restorations, it’s especially critical that a luting agent possesses certain properties to avoid issues such as cement washout, marginal leakage, bacterial infiltration and caries.

Much of cement selection depends upon clinical application—no one cement is perfect for every situation, but some qualities benefit all types of indications. Of high priority is balancing sufficient retention with easy removal of the temporary prosthesis so as not to damage or alter prepared surfaces. Likewise, good mechanical and adhesive properties, simplicity of excess clean-up, proper marginal seal (to mitigate sensitivity) and low solubility in oral fluids all promote restorative success. It’s also necessary to make sure temporary cements are compatible with other procedural materials such as provisional resin restorations, resin core materials, bonding agents and permanent cements.

Clinicians should be aware that not all temporary cements are created equally. Common commercially available temporary cements fall into four main composition types: polycarboxylate, zinc oxide eugenol (ZOE), zinc oxide noneugenol (ZONE) and resin-based. Polycarboxylate cements can reduce post-operative sensitivity while promoting easy clean-up and strong retention, though may be difficult to remove. ZOE cements are most often chosen for their proven sedative and antibacterial effect on teeth, but run the risk of negatively impacting bonds between resin materials and definitive restorations. In lieu of eugenol, ZONE cements contain carboxylic acids which do not interfere with definitive cementation. ZONE cements are highly compatible with both provisional and permanent resin materials and provide better retention than ZOE cements but at the cost of a sedative effect.

A newer class of materials, resin-based temporary cements offer multiple advantages over other options. These cements combine high strength and excellent retentive properties with easy clean-up and removability when needed. Premier Dental’s NexTemp® is a prime example of today’s advanced resin-based temporary cements and is designed for convenience and consistency. NexTemp’s unique eugenol-free formula contains potassium nitrate, chlorhexidine and fluoride which work to reduce post-op sensitivity. The formula also helps ensure long-lasting marginal seals, eliminating microleakage and washout. With minimal application and two-stage curing, NexTemp provides exceptional retention and makes clean-up quick and simple for the clinician, while providing the patient with comfort and confidence.  

To learn more about NexTemp and order the product for your practice, visit Premier’s website.

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The Pioneer of Single-Patient-Use Celebrates 30 Years

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The Pioneer of Single-Patient-Use Celebrates 30 Years

The Berlin Wall fell, Madonna released “Like a Prayer,” and Microcopy launched NeoDiamond, the pioneer and No. 1 single-patient-use diamond. The year was 1989, and Microcopy co-founder Thom Maas, Jr. successfully unveiled a high-quality, sterile and efficient dental diamond that would become a global market leader with remarkable staying power.

Thirty years later, NeoDiamond continues to shine, with key features such as 20 percent more cutting surface and faster cuts that reduce chairtime and increase efficiency.

In those 30 years, NeoDiamond has continued to grow its line to meet dentists’ varied needs.

“Much has changed since NeoDiamond launched in 1989,” said Paul Tucker, Microcopy CEO. The diamond originally came in 16 shapes, but is now available in 126 shapes in various grits. In May, Microcopy added six new pediatric short shank diamond burs.

Today, NeoDiamond continues to be the highest-rated, best performing single-patient-use diamond, and is just one of Microcopy’s products that enable dentists to fulfill a social responsibility to provide better, healthier patient care. Whether you’re new to NeoDiamond or a longtime user, you don’t need to worry about the product aging out any time soon; Microcopy plans to make the powerful yet economical choice available for the next 30 years—and beyond.

“NeoDiamond was developed with safety and performance in mind, which is still the driving force for the brand today,” said Heather Siler, Microcopy marketing manager. “Great products like NeoDiamond will never go out of style.”

Celebrate with Microcopy

It’s NeoDiamond’s anniversary, and you’re invited to celebrate. Have you had a great experience using NeoDiamond for fresh, fast cutting? Has a particular bur become your go-to for challenging extractions? Have you found you’re able to preserve more tissue during routine procedures?

If so, you can submit your “NeoDiamond Story” about why you started using or what you love about these diamonds, and be sure to include a photo. You’ll be entered to win a trip to the Microcopy headquarters and a few other exciting locations in Atlanta. Share your story at https://microcopydental.com/nd-30form

For more information about NeoDiamond visit NeoDiamond.com or call 800-235-1863.

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Is Your Steri-Center Up to SPECs?

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Is Your Steri-Center Up to SPECs?

If you had to identify the “heart” of your clinical practice, where would it be located? It’s easy to think about this on a more technical level, perhaps to the closet that houses the hard drive and servers for your practice network. However, that’s the “brain” of your practice, not necessarily the heart. Let’s rephrase the question: What is the area of your office that serves as the lifeblood of your clinical practice, by ensuring the health and well-being of your staff and patients? The answer becomes much clearer: the sterilization area.

If instruments do not efficiently flow into and out of your sterilization area, the rest of the practice suffers. As defined by the infection control specialists at SciCan, the purpose of your sterilization center is to improve safety, ensure predictable results, maximize efficiency, and maintain compliance. Each one of these steps is important and can’t be overlooked—they must be “kept up to spec.” In fact, SciCan developed the acronym SPEC, so that practices could easily remember the most important components. 

“S” is for Safe

Safety extends beyond preventing sharps exposure to containing biologically contaminated fluids and aerosols generated by open-lid ultrasonic cleaning and cold sterile solutions. Dental instruments should be processed in the safest and most efficient way possible to reduce the risk of staff injury and the costs associated with exposure incidents.

“P” is for Predictability

Having clean, sterile, and dry instruments ready to go when you need them helps to avoid delays and interruptions in your clinical workflow. Contaminated instruments should flow through the reprocessing steps in your sterilization area quickly and consistently every time. According to SciCan, automation, redundancy, and reliability are the 3 keys to ensuring this happens.

“E” is for Efficient

Speed applies to the way instruments flow through your office and sterilization area as well as the equipment used to reprocess instruments. Wherever possible, manual labor should be eliminated so that the staff can focus on tasks that can’t be automated, such as operatory cleanup and preparation.

“C” is for Compliant

It’s imperative that instrument reprocessing meets or exceeds federal and state infection control requirements. Infection-control violations can have a devastating impact on your practice’s reputation and finances. The easiest way to make sure you maintain compliance is to design your sterilization area with compliance in mind.

In the diagram below, SciCan presents a sterilization area that’s up to SPECs. Let’s discuss each area and some of SciCan's equipment and products that can help dental offices become more efficient while maintaining compliance. 

Instrument receiving, cleaning, and decontamination takes place in Step 1. SciCan’s STATMATIC automatic handpiece maintenance unit simplifies the maintenance process by properly cleaning, lubricating, and purging handpieces prior to sterilization. OPTIM 1 Wipes remove organic debris while disinfecting with the active ingredient hydrogen peroxide. StatClean is an ultrasonic cleaning unit with a 1.6-gallon tank and convenient self-docking lid that holds a variety of instruments. HYDRIM L110W G4 and HYDRIM  C61W G4 instrument washers ensure instruments are properly and consistently cleaned. 

After preparation and packaging, the BRAVO chamber autoclave balances speed and capacity. STATIM G4 is a fast cassette autoclave and its patented steam process makes it gentle on instruments.

Learn more about SciCan’s SPECs at www.scican.com/us/scicanspec

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Patients Want to Receive Your Text about Last-Minute Cancellations

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Patients Want to Receive Your Text about Last-Minute Cancellations

Last-minute cancellations are a frustrating aspect of front-office management, as empty chair time can greatly impact a dental practice’s bottom line. While many practices continue to debate the best way to fill in last-minute recall cancellations, patient communication software providers, like Lighthouse 360, are attempting to make it a “no-brainer” through the power of mobile technology.  

Many software providers already offer a feature that can text appointment confirmation requests and reminders to patients. However, Lighthouse 360 has taken the technology a step further. The company’s recently introduced Fill-In feature leverages automated technology to detect last-minute cancellations in the practice PMS. The software then notifies the office manager of the cancellation and offers to help find a patient to fill the spot. From there, Fill-in intelligently identifies a small, targeted group of patients who are most likely to want the opening based on a myriad of factors and past behaviors. If a contacted patient replies “yes” to the message, the staff member receives a notification and clicks to confirm the new appointment. It’s a game-changing approach to an old problem in dentistry—helping avoid costly holes in the schedule without causing a disruptive scramble at the front desk.

If automated technology and text messaging seems like a radically new approach for your practice’s recall efforts, you must consider the current state of mobile device ownership. According to the latest statistics from the Pew Research Center, the share of Americans who own smartphones is now 81%, up from just 35% in the organization’s first survey of smartphone ownership conducted in 2011. Smartphones aren’t just for “kids,” with adoption at nearly 80% for Americans in the 50-to-64-year-old age group and more than half for seniors in the 65-plus age group.

As for text messaging, specifically, studies showed that Americans sent 32 texts per day in 2014, a number that has likely risen in the past 5 years, given the increasing adoption of smartphones. In 2019, 39% of businesses are using some kind of texting to communicate with clients, according to Zipwhip’s 2019 State of Texting report. Among businesses that haven’t yet adopted texting, 64% still acknowledge that they see value in the approach. 

Meanwhile, more than half of consumers, 58%, said they tried to reply to a missed call via text, and 3 out of 4 said they feel frustrated when they can’t reply back to a company’s text messages. Coincidentally, the report used the example of a dental practice texting a patient, but an error prevents the patient from confirming, which results in a frustrating customer-service experience. 

“Unfortunately, not all texting tools are created equal, and we do expect to continue seeing adoption of one-way, automated text messaging tools like short codes,” the report stated. “As our research shows, this strategy eliminates the best quality of texting: its conversational nature. We hope this report will shed some light on why conversational texting is key in the business-customer relationship.”

In line with the report findings, Lighthouse 360’s Fill-In feature offers a distinct advantage—it leverages automated technology to initiate contact but is more conversational in nature, as it requires the human touch to confirm new appointments. And unlike other systems whose only option is to mass text their entire patient base for every opening (which is both annoying to patients and ineffective), Fill-In targets a small, curated list of patients who are more likley to accept. In other words, Fill-In offers the best of both worlds.

Watch the video below to learn more about Fill-In and to see if this feature could be valuable to your practice. 

 

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A New Temporary Material that Challenges the Status Quo

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A New Temporary Material that Challenges the Status Quo

“Am I getting the most from my temporary material?” Add this to a list of questions dental health care professionals probably don’t ask themselves on a regular basis.

It’s possible you’ve only used one material in recent history, and it seems to work well for you and your staff. That’s the thing about routines—you become married to the status quo. You rationalize that this is how you’ve always fabricated a temporary, so there’s really no need to change the material.

However, it’s important to keep in mind that while your personal routine stays the same, chemistry evolves. Manufacturers, such as BISCO, are actively working to improve restorative materials. With the introduction of Pro-V C&B, a temporary crown-and-bridge material, BISCO effectively challenges the status quo. 

BISCO has traditionally been recognized for its chemistry prowess in the development of direct and indirect restorative materials, with award-winning products such as ALL-BOND UNIVERSAL, TheraCal LC, TheraCem, DUO-LINK UNIVERSAL, CORE-FLO DC Lite, and others. Now with the recent introduction of Pro-V C&B, they’ve turned their attention to the step before the restoration, the temporary, creating a multifunctional acrylic composite that’s an excellent combination of strength, durability, flexibility, and esthetics to emulate natural tooth. 

The self-curing Pro-V C&B is indicated for fabrication of temporary crowns, partial crowns, bridges, inlays, onlays, and veneers; for customization of prefabricated acrylic and metal crowns; and for fabrication of long-term temporary restorations. It’s available in 4 essential shades—A1, A2, A3, and Bleach. It polishes beautifully and can be trimmed with minimal effort. 

In a recent evaluation, independent evaluators rated Pro-V C&B a “Best Product,” with a score of 4.6 out of 5 points. Evaluators awarded high marks to several criteria, including handling, working time, and esthetics of the final restoration. Among these criteria, “ease of dispensing/handling” and “consistency/flowability/viscosity” scored a nearly perfect 4.9 out of 5 points. Of course, these criteria are connected, as the ability to create a strong, esthetic temporary crown-and-bridge with efficiency and predictability proves to be a time-saver.

Dr. David Ventker was one of the evaluators who admitted that he hadn’t rethought his temporary material in a number of years. “I have used the same material for temporaries for many decades and thought I was pleased until we used [Pro-V C&B],” Dr. Ventker shared. He found the material was fast and easy to clean up with little or no adjustments needed, and he called the luster and translucency excellent.

Pro-V C&B’s excellent consistency was Dr. Ray Morse’s favorite quality. “It was very good and better than what we are currently using,” he said, adding that the “working time of 2:15 is great” and he was pleased with the “excellent consistent results.”

Dr. Bruce Howard also said Pro-V C&B is much easier to use than his previous material and praised it for just about all of its qualities, including “low shrinkage, good working time, smooth finish, excellent esthetics, and good setting time.” Paying the ultimate compliment, he added, “It makes temporaries enjoyable to fabricate.”

Learn more and read the full evaluation of Pro-V C&B here

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Staying Safe and Stylish with Premium Protective Apparel

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Staying Safe and Stylish with Premium Protective Apparel

When it comes to running a successful dental practice, safety is key. While rare, transmission of infectious pathogens in the dental space can pose a serious risk not only to your patients and staff but to the integrity of your practice. Thankfully, various agencies such as the Occupational Safety and Health Administration (OSHA) and the Organization for Safety, Asepsis and Prevention (OSAP) have established extensive guidelines and standards designed to keep practices and their patients safe. These helpful protocols include suggestions for the use of personal protective equipment (PPE).

An essential component of infection prevention, PPE minimizes exposure to a plethora of workplace hazards and helps keep everyone safe from the dangers of cross-contamination. Health care product manufacturers like Medicom® offer an array of premium protective apparel to guard the wearer and their clothes from contaminants. With the introduction of their full SafeWear™ line of jackets, lab coats and isolation gowns, Medicom delivers the latest in PPE technology and a perfect medium of function and fashion.

Engineered to meet OSHA and OSAP standards, SafeWear maximizes safety without sacrificing style. All SafeWear apparel satisfies AAMI Level 2 requirements for fluid-resistance while SafeWear High-Performance Lab Coats™ offer longer, knee-length coverage to adhere to OSAP recommendations.

SafeWear is made from top-quality, ultra-soft, light-weight fabrics to ensure that you stay comfortable and cool at all times. SafeWear Hipster Jackets™ and High-Performance Lab Coats™ feature detailed finishing including knitted collars and cuffs, handy 3-pocket design and a simple yet secure front snap closure. Likewise, SafeWear Form-Fit Isolation Gowns™ have knitted cuffs and a breathable, open-back construction while neck and waist ties allow you to adjust your gown to the ideal fit.

Available in an array of sizes (XS–3XL) and a spectrum of fresh and fashionable colors, with SafeWear you can be sure that your choice of apparel suits you in every way. Each bag of SafeWear apparel offers excellent value with 12 units in every pack. SafeWear Hipster Jackets and High-Performance Lab Coats now come in Jet Black for a sharp new way to stay safe.

To learn more about SafeWear premium protective apparel and order products for your practice, check out the Medicom website.

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Award-Winning Products Trust by Your Dental Colleagues

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Award-Winning Products Trust by Your Dental Colleagues

Braided RollsYou probably receive a lot of advice and suggestions about products you should bring into your practice. Some of it comes from trusted sales reps and some of it comes directly from manufacturers. But which recommendations do you place the most value on? Your fellow dental professionals, right? They’re the ones who really understand your day-to-day experience—providing excellent care, maintaining staff morale, running a business. So, when one of them says, “You really should try this product. It’s saving me time. My patients and staff like it and it’s affordable,” you’re going to listen. And those words will hold weight the next time you’re thinking about integrating a new product into your workflow.

Think about some of the products you use every day. They may be adequate, but maybe you’ve been wishing you could find something better. If a colleague told you about braided cotton rolls she just tried, you’d probably take the time to listen and learn more. Here’s an opportunity to do that right now.

Two Richmond Dental & Medical products have been reviewed by Dental Product Shopper evaluators and both received Best Product scores. That got your attention, right?

Some of the comments from your colleagues about Richmond’s Braided Cotton Rolls include:

“Excellent adaptability and great absorption, especially under the tongue.”

“Saved time, improved access.”

“Fewer cotton rolls can be used due to the greater absorbency and shape retention.”

In the evaluation of Richmond’s 100% Cotton Nonwoven Sponges, dentist evaluators had this to say:

“The…non-shredding or non-sticking aspect makes this a two thumb-ups product.”

“It is very soft and thick and absorbent. I loved it and would order it again.”

“Little to no fibers remained after wiping instruments during use.”

Dental Product Shopper evaluations aren’t the only places where Richmond Dental & Medical products shine. Their products also have received accolades from Dental Advisor and the Dentistry Today.

The bottom line? Put your trust in products that are trusted by your fellow professionals.

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3 Tooth Whitening Myths vs. the Facts

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3 Tooth Whitening Myths vs. the Facts

Facts. You’ll want to have those on hand when your patients approach you to talk about tooth whitening techniques they’ve heard about online or on TV. Keep this info in your back pocket the next time patients ask you about strawberries, coconut oil pulling, and baking soda.

Strawberries

The “technique”: Mash up strawberries and baking soda, apply to teeth for 5 minutes, brush teeth with toothpaste, and rinse.

The facts: Teeth will appear brighter because the acid in the strawberries and the abrasiveness of the baking soda, toothpaste, and toothbrush will remove stained surface tooth structure, but teeth aren’t whitened because there’s no penetration beneath the surface of the teeth. The acid combined with abrasiveness is damaging tooth structure with no benefit.

Coconut Oil Pulling

The “technique”: Rinsing with coconut oil removes bacteria from teeth by attaching to the lipid or fat (oil) in bacterial cells.

The facts: Removing bacteria will not necessarily remove stains and whiten teeth. Also, no scientific studies exist to show that coconut oil offers any benefit at all. In case you were wondering, that last sentence is the kicker.

Baking Soda

The “technique”: Brush teeth with a mixture of baking soda and a natural acid (lemon juice, apple cider vinegar).

The facts: Baking soda isn’t as abrasive as most people believe. In fact, it’s much less abrasive than most toothpastes. Any “stain removal” that occurs is caused by the acid in the mixture softening the tooth surface and then the baking soda and toothbrush removing that surface tooth structure. No actual whitening occurs.

The best way to whiten teeth is with a scientifically proven system that penetrates the tooth surface to remove stains. KöR Whitening systems, for example, whiten with no loss of, or damage to, tooth structure, and are backed by scientific research spearheaded by whitening science expert Dr. Rod Kurthy. You can help your patients make evidence-based choices by explaining the facts and pointing them to products and techniques proven by science.

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Recent Case Study Rethinks Retraction

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Recent Case Study Rethinks Retraction

Technological advancements in dentistry aren’t all about imaging and CAD/CAM. Much progress is being made in bonding systems and restorative materials, providing more choice and flexibility to dentists in everyday procedures. This was the topic of a recent peer-reviewed publication, “Leveraging Advances in Restorative Dentistry.” 

In this CE course from Dental Learning, Scott Coleman, DDS, MAGD, discussed modern materials and techniques at length. One case, in particular, seemed both challenging and timely, given the rise of an aging population here in the U.S. and abroad.1 The materials Dr. Coleman used helped him to treat an elderly patient with confidence and achieve an esthetic outcome. 

In this case, the elderly patient, suffering from an initial onset of dementia, presented with broken maxillary left cuspid #11. The tooth has an existing composite restoration with recurrent decay, and because of the extensive damage, Dr. Coleman recommended a full-coverage ceramic crown. However, the patient’s caregiver wanted a less expensive and quicker solution, at which point, a bonded anterior composite was recommended. Dr. Coleman used a CO2 laser to remove the decay and existing composite and followed it with gingival recontouring, without anesthesia and within a 5-minute timeframe. 

At this point, a low-viscosity, hemostatic retraction paste was used for isolation to help secure optimal bonding, and a universal bond was used for the restoration utilizing dentin shade A-3.5 with enamel shade A-3 as the final layer. Dr. Coleman used carbide finishing burs and a disk and cup to bring the restoration to a final luster. He concluded, “It shined like the grill on a low rider, and the patient was thrilled.” 

In this case, it was evident that the high-tech device, the CO2 laser, was not the only advanced technology at work. Although it was unspecified, a closer examination of the retraction technique revealed that the product was Take 1 Retraction Paste from KaVo Kerr

As described by the manufacturer, Take 1 Retraction Paste is available in thinner and thicker viscosities and is designed to deliver quick and easy tissue replacement to replace or enhance a cord technique. For Dr. Coleman, “quick” was an important factor in treating this patient, and he reached for the thinner viscosity, which was sufficient for retraction and hemostasis.

In his discussion of materials, Dr. Coleman cited a systematic review by Huang et al.2 that supports the notion that gingival retraction paste can more effectively assist in achieving a dry field, while being less injurious to the gingiva. However, the authors went on to state that cord was more effective in displacing gingival tissue. Thus, they recommend both practices depending on the situation and how much gingival displacement is needed.

It’s important to have options, and modern advancements in restorative materials are providing that. The fact that the materials in this case, particularly the retraction paste, worked optimally in a short amount of time is worth noting, given the patient’s condition of early onset dementia and the caretaker’s request for a faster solution. 

When KaVo Kerr says, “It’s Time to Rethink Retraction,” it’s an encouraging sign of future innovation from this manufacturer and others. As technology improves, so will restorative products and techniques. This will be important for challenging clinical scenarios, which may become more prevalent with the aging population. 

1. https://www.prb.org/insight/featured-graphic-many-countries-populations-are-aging/

2. Huang C, Somar M, Li K, Mohadeb JVN. Efficiency of cordless versus cord techniques of gingival retraction: A systematic review. J Prosthodont. 2017;26(3): 177-185.

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