Thursday, December 14, 2017

Garrison Composi-Tight® 3D Fusion® Evaluation Complete

Garrison Compositite 3D.jpg
 
For over a month now, I’ve been working with the newest sectional matrix system from Garrison.
 
The system, which Garrison calls the Composi-Tight® 3D Fusion® is a complete and well thought out restorative system.  It has performed extremely well in a variety of clinical situations.
 
Rings
It consists of different rings (Short, Tall, and Wide Prep).  The rings, as pictured above, have strong gripping silicone covers over the tines.  These silicone grippers (Garrison calls them Ultra-Grip™ retention extensions) are pointed, which allows the ring to better conform the band to the prep as well as providing good pressure to open the contact area.  There is also a notch on the gingival surface that allows the ring to “straddle” the wedge so that the wedge stays in place and does the job it is designed to do.  They also are curved in an occlusal-cervical direction to better engage the anatomical curvature of the tooth.  This allows them to truly lock into place and grip the tooth and band with firm and stable pressure.  You can see this curvature in the photo below.
 
FXR01.jpg
Wedges
Companies have tried several different versions of silicone wedges over the years and all the designs have worked better than the original wooden wedge, but Garrison has come up with a unique and well thought out idea, the “feather wedge”.  I have to admit that when I first saw them, I thought they would perform poorly… but I was wrong.  The small projections on these wedges allow them to effectively seal the band against the cervical of the prep.  They are also remarkably easy to place and, once placed, stay firmly between the teeth.  They come in four sizes as shown below:
 
 
 
 
 
3D Fusion Wedges.jpg
 
Forceps
The system also comes with Ring Placement Forceps which are extremely sturdy and feature a Garrison logo open stop.  These forceps are made of stainless steel, which makes them incredibly strong and able to provide a significant amount of strength when opening rings.  Many of the forceps I’ve used over the years are not made of stainless steel and flex when opening the ring.  The flexure means less pressure is applied to the ring which translates into a ring that will not open as far.  These forceps might just be the best ones I’ve ever used in restorative dentistry.  They are designed to work with other types of rings so if you happen to use more than one system in your office the assistant is not forced to find the exact forceps that works with whatever ring system is being laid out.  This “one size fits all” design helps streamline organization and operative setups.
 
My hands require a large glove and both of my assistants wear small gloves.  However, we all felt that the forceps fit our hands well.  I can say with confidence that no matter your hand size, you will find these forceps comfortable and easy to use.
FXP01 full with ring.jpg
Conclusion
After a month of usage, I’ve found the Composi-Tight® 3D Fusion® to be reliable for any Class II restoration.  I have had NO open contacts, minimal flash, and very nice contours.  I’ve had no rings slip off teeth and the rings are easy to place.  I’m especially impressed with the wedges, especially since at first glance I was not sure how well they would work.
 
My overall impressions are that this is a first rate product for anyone looking to improve their Class II restorations.  This product is highly recommended!!!
 
For more information or to order the kit, here is a link to the product page on the Garrison website.  

Wednesday, December 13, 2017

Periodontitis Appears to be Linked to Breast Cancer

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We’re continuing to see more and more links between diseases of the oral cavity and different types of cancers is several parts of the body.  Pathogens found in the mouth have easy access to the rest of the body.  Lately there have been studies showing links to esophageal cancer.
 
A recent study done at the State University of New York at Buffalo examined data pertaining to periodontal disease and the incidence of cancer in postmenopausal women.  The results are intriguing, to say the least:
 

Abstract
Background: Periodontal pathogens have been isolated from precancerous and cancerous lesions and also shown to promote a procarcinogenic microenvironment. Few studies have examined periodontal disease as a risk factor for total cancer, and none have focused on older women. We examined whether periodontal disease is associated with incident cancer among postmenopausal women in the Women's Health Initiative Observational Study.

Methods: Our prospective cohort study comprised 65,869 women, ages 54 to 86 years. Periodontal disease information was obtained via self-report questionnaires administered between 1999 and 2003, whereas ascertainment of cancer outcomes occurred through September 2013, with a maximum follow-up period of 15 years. Physician-adjudicated incident total cancers were the main outcomes and site-specific cancers were secondary outcomes. HRs and 95% confidence intervals (CI) were calculated using Cox proportional hazards regression. All analyses were conducted two-sided.

Results: During a mean follow-up of 8.32 years, 7,149 cancers were identified. Periodontal disease history was associated with increased total cancer risk (multivariable-adjusted HR, 1.14; 95% CI, 1.08–1.20); findings were similar in analyses limited to 34,097 never-smokers (HR, 1.12; 95% CI, 1.04–1.22). Associations were observed for breast (HR, 1.13; 95% CI, 1.03–1.23), lung (HR, 1.31; 95% CI, 1.14–1.51), esophagus (HR, 3.28; 95% CI, 1.64–6.53), gallbladder (HR, 1.73; 95% CI, 1.01–2.95), and melanoma skin (HR, 1.23; 95% CI, 1.02–1.48) cancers. Stomach cancer was borderline (HR, 1.58; 95% CI, 0.94–2.67).

Conclusions: Periodontal disease increases risk of total cancer among older women, irrespective of smoking, and certain anatomic sites appear to be vulnerable.

Impact: Our findings support the need for further understanding of the effect of periodontal disease on cancer outcomes. Cancer Epidemiol Biomarkers Prev; 26(8); 1255–65. ©2017 AACR.

Tuesday, December 12, 2017

Make Your Restorative Dentistry Easier & Better with Addent's Calset

 
 
Calset 1.jpg
When it comes to restorative dentistry, most of us are always on the hunt for ways to improve our techniques and to also improve our clinical results.
 
Every once in a while, we get lucky and something comes along that helps with both of those things.  However, when that “something” is also super affordable, that’s the dental win-win-win trifecta.  The Calset composite warmer from Addent is one of those products.
 
The Calset is a device that warms the composite.  It plugs into an AC outlet and gently warms the composite to one of three temperatures.  The user selects whether the temperature is 98°F, 130°F, or (my preferred setting) 155°F.  The device can hold a composite dispenser with a compule loaded in it as well as 4 other compules, composite syringes & instruments.
 
There have been plenty of studies done over the years that show warm composite provides a better cure with better polymerization for stronger restorations & even better depth of cure.  Warm composite also has a more workable consistency which means easier placement and easier adaptation to the preparation.
 
Here is what the company has to say:
 
The Calset Composite Warmer increases the flow of composites up to 68%. The reason this is so important is that it makes the composite so much easier to work with. Now a heavily filled material can be used on posterior teeth with no compromise to the strength of the restoration.
 
By warming composite, the properties change in a positive way. Once the composite has been warmed to 130°F or 140°F, and the composite is cured immediately after placement, a greater depth of cure is experienced in the same amount of curing time, hence a much stronger restoration.
 
When the composite is warmed, it becomes more flowable. By becoming more flowable, the composite has much better adaptation to the tooth structure, which decreases microleakage significantly. When a flowable is used prior to composite placement, the shrinkage is much greater since the resin is very thin and there is very little filler. When composite is warmed, you are still using a heavily filled material, therefore the shrinkage is much less.
The price?  The unit pictured above is $520.  There are also several different variations and models to choose from.  I’ve been using the Calset in my office for about 10 years and absolutely love it.  It’s one of those devices that just makes you life easier and your clinical results better.
 
 
Addent also makes other great products which I’ll review from time to time.
 
 
 

Monday, December 11, 2017

ADA Working to Help Dentists Meet End of Year CE Requirements

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Sometimes life just gets too busy.  You know how it is.  Suddenly the end of the year approaches and you realize that for whatever reason, you’re lacking on the number of hours of continuing education you need to fulfill licensure requirements.  
 
If that is something that is causing you angst as we head into the holiday season, fear not!  The ADA is coming to your rescue.
 
That rescue consists of an awesome discount on online CE that you can watch at your leisure and earn those needed CE credits.  You can take any course between now and December 31, 2017 and get a 30 percent discount!  That’s a heck of a deal for CE from people like Dr. Stanley Malamed, Dr. Ray Padilla, Dr. Steve Carsten and others.  Heck you might just find a couple of courses by me in there.
 
  

Thursday, December 7, 2017

Oral Microbiome Composition Reflects Prospective Risk for Esophageal Cancers

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As more and more links are beginning to be found between the bugs found causing disease in the oral cavity and the bugs that cause disease in the rest of the body, more and more we’re beginning to understand the interconnection of the body.
 
Now comes word of a potential link between periodontal pathogen Tannerella forsythia and a higher risk of esophageal adenocarcinoma.  The abstract from the American Association for Cancer Research is as follows:
 

   Abstract

Bacteria may play a role in esophageal adenocarcinoma (EAC) and esophageal squamous cell carcinoma (ESCC), although evidence is limited to cross-sectional studies. In this study, we examined the relationship of oral microbiota with EAC and ESCC risk in a prospective study nested in two cohorts. Oral bacteria were assessed using 16S rRNA gene sequencing in prediagnostic mouthwash samples from n = 81/160 EAC and n = 25/50 ESCC cases/matched controls. Findings were largely consistent across both cohorts. Metagenome content was predicted using PiCRUST. We examined associations between centered log-ratio transformed taxon or functional pathway abundances and risk using conditional logistic regression adjusting for BMI, smoking, and alcohol. We found the periodontal pathogen Tannerella forsythia to be associated with higher risk of EAC. Furthermore, we found that depletion of the commensal genus Neisseria and the species Streptococcus pneumoniae was associated with lower EAC risk. Bacterial biosynthesis of carotenoids was also associated with protection against EAC. Finally, the abundance of the periodontal pathogen Porphyromonas gingivalis trended with higher risk of ESCC. Overall, our findings have potential implications for the early detection and prevention of EAC and ESCC. Cancer Res; 77(23); 6777–87. ©2017 AACR.

 
 

Wednesday, December 6, 2017

TIO Networks Announces Data Breach Exposing Records of 1.6 Million Customers

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PayPal recently acquired the company TIO Networks to use as their payment processor.  The purchase price was $238 million and now it looks like that purchase may have come with an expected surprise… a data breach. 
 
The good news is that PayPal has not done any type of integration between their data and that of TIO which means that if you have a PayPal account, that info was not involved.
 
As I continue to stress, if this can happen to companies that are working constantly to prevent these types of breaches, everyone needs to be as vigilant as possible to keep their data and the data of their business secure.
 
Here is what the company has to say:
 

TIO Networks Provides Update on Suspension of Operations

SAN JOSE, Calif. – December 1, 2017 – PayPal Holdings, Inc. (Nasdaq: PYPL) today announced an update on the suspension of operations of TIO Networks (TIO), a publicly traded payment processor PayPal acquired in July 2017. A review of TIO’s network has identified a potential compromise of personally identifiable information for approximately 1.6 million customers. The PayPal platform is not impacted in any way, as the TIO systems are completely separate from the PayPal network, and PayPal’s customers’ data remains secure.

As announced on November 10, PayPal suspended the operations of TIO to protect customer data as part of an ongoing investigation of security vulnerabilities of the TIO platform. This ongoing investigation has identified evidence of unauthorized access to TIO’s network, including locations that stored personal information of some of TIO’s customers and customers of TIO billers. As a result, PayPal is taking steps to protect affected customers.

TIO has also begun working with the companies it services to notify potentially affected individuals, and PayPal is working with a consumer credit reporting agency to provide free credit monitoring memberships. Individuals who are affected will be contacted directly and receive instructions to sign up for monitoring.

More information has been posted at www.tio.com.

About PayPal

Fueled by a fundamental belief that having access to financial services creates opportunity, PayPal (Nasdaq: PYPL) is committed to democratizing financial services and empowering people and businesses to join and thrive in the global economy. Our open digital payments platform gives PayPal’s 218 million active account holders the confidence to connect and transact in new and powerful ways, whether they are online, on a mobile device, in an app, or in person. Through a combination of technological innovation and strategic partnerships, PayPal creates better ways to manage and move money, and offers choice and flexibility when sending payments, paying or getting paid. Available in more than 200 markets around the world, the PayPal platform, including Braintree, Venmo and Xoom, enables consumers and merchants to receive money in more than 100 currencies, withdraw funds in 56 currencies and hold balances in their PayPal accounts in 25 currencies. For more information on PayPal, visit https://www.paypal.com/about. For PayPal financial information, visit https://investor.paypalcorp.com.

Tuesday, December 5, 2017

AliveCor Merges the EKG with the Apple Watch Through KardiaBand

Apple Watch.jpg
 
 
Here’s an interesting bit of info from the healthcare sector.  As FitBit & other platforms begin to see sales level off, the idea of portable healthcare updates are still popular with consumers.
 
To that end, AliveCor has announced the KardiaBand.  The company had previously released the Kardia which is an EKG monitor that connects wirelessly to your smartphone.  The KardaBand moves that same technology to the band of your Apple Watch for even easier access.
 
497923-kardia-band.jpeg           KardiaBand.jpg
 
 
Both devices are pictured above.  They are FDA approved and have show some serious benefits for patients suffering with AFib.  To learn about the devices, check out the company website.  
 
The press release on the Kardia platform gives a pretty good indication of the benefits it provides:
 

New Research Confirms Significance of AliveCor’s 30 Second EKG

App Based, FDA-cleared, EKG technology substantiated by top researchers to detect possible Atrial Fibrillation (AFib), including those in previously undiagnosed cases; Breakthrough for population suffering from AFib without knowing it.

September 6, 2017 – Mountain View, CA – AliveCor, the leader in FDA-cleared personal electrocardiogram (EKG) technology, today announced the results of four clinical research presentations that demonstrate AliveCor’s hyper-fast, 30 second, digital EKG can positively impact and potentially even save the lives of millions of people around the world who suffer from Atrial Fibrillation (AFib). As a medtech leader, AliveCor uses advanced artificial intelligence, mobile, cloud, and micro-electrode technology to change the dynamic in cardiac care. AliveCor empowers patients worldwide to proactively manage heart health and provide the potential to vastly improve the quality of care in the fight against heart disease. AliveCor’s Kardia Mobile enables patients and their care teams to easily, quickly, and inexpensively detect and manage possible AFib, the single leading cause of stroke and heart failure. “Over 35 million people around the world unknowingly suffer from Atrial Fibrillation,” said AliveCor CEO Vic Gundotra. “AFib is widely understood to be the leading predictor of stroke and heart failure. AliveCor’s app based digital EKG enables patients to conveniently and precisely detect AFib and to deliver clinical grade EKGs to their health care providers.”
Key Kardia Mobile-focused findings from the 2017 European Society of Cardiology Congress In Barcelona include:

  • Patients using Kardia Mobile had a 4X increase in AFib Detection: Professor Julian Halcox of Swansea University Hospital in Wales presented The REHEARSE-AF Study at ESC with simultaneous publication in Circulation, The Journal of the American Heart Association. This randomized study provided AliveCor Kardia units to 500 seniors, who used them to record two EKGs per week for a year and compared the results to 500 seniors who received conventional care from their General Practitioner. At the end of the year, the Kardia group had a 4-fold increase in AFib diagnosis compared to the control group, thereby enabling the initiation of potentially life-saving anticoagulant therapy.
  • Cleveland clinic study shows Kardia Mobile AFib detection accuracy similar to that of physicians. Dr. Khaldoun Tarakji from the Cleveland Clinic presented the iREAD Study which evaluated the accuracy of the AliveCor automatic AFib algorithm versus expert cardiology over-read of both the Kardia recordings and 12-lead EKGs. Dr. Tarakji found that the Kardia algorithm in 52 patients had a 96.6% sensitivity and a 94% specificity compared to a cardiology over-read of the simultaneous 12-lead EKGs for the diagnosis of AFib. Additionally, over 93% of the patients found the Kardia to be easy to use and that it “lessened AFib-diagnosis anxiety.”
  • Kardia Mobile is able to detect more patients with AFib that were previously undiagnosed: Dr. Bryan Yan of The Chinese University of Hong Kong presented research of over 12,000 patients 65 and older. He found that at each 30-second EKG using Kardia Mobile, his team was able to identify more and more patients with previously undiagnosed AFib. This result demonstrates the empirical value of convenient, inexpensive self-screening using Kardia Mobile.
  • Patients find Kardia Mobile easy to use: Dr. Ngai Yin Chan of Princess Margaret Hospital in Hong Kong presented the AFinder Study which used community volunteers to perform opportunistic screening for AFib using AliveCor’s Kardia Mobile in over 10,000 Hong Kong citizens age 50 and older. 244 participants were found to have AFib, with 74 of those previously undiagnosed. This study validates, that using Kardia Mobile, that volunteer senior citizens who were not medical professionals could perform medical screening of their peers with successful identification of a serious medical condition.

AliveCor’s FDA-cleared Kardia Mobile continues to be the most clinically-validated EKG solution on the market and is currently recommended by physicians at top cardiovascular health systems in the U.S. For more information: https://www.alivecor.com/.

About AliveCor
AliveCor, Inc. is pioneering the creation of FDA-cleared machine learning techniques to enable proactive heart care and is recognized around the world for transforming cardiac care. The FDA-cleared Kardia Mobile is the most clinically validated mobile EKG solution on the market and is recommended by leading cardiologists and used by people worldwide for accurate EKG recordings. This simple-to-use mobile device and app-based service provides instant analysis for detecting atrial fibrillation (AF) and normal sinus rhythm in an EKG. Kardia Pro is the first AI-enabled platform for doctors to monitor patients for the early detection of atrial fibrillation, the most common cardiac arrhythmia that leads to a five times greater risk of stroke. AliveCor was recognized by Fast Company as one of 2017’s most innovative companies in health (#3). AliveCor is a privately-held company headquartered in Mountain View, Calif. For more information, please visit alivecor.com.

Monday, December 4, 2017

An Interesting Case of Wasted Healthcare Dollars

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Recently I was reading an article on Propublica.com.  The article stated a mother was offered the chance to have her 5 year old daughter’s ears pierced while she was under general anesthesia for another procedure.  The mom thought that was a nice offer by the surgeon and agreed, only to receive a bill for $1877 from the hospital for the procedure which was not covered by insurance.
 
From the article:
 

Only months later did O’Neill discover her cost for this extracurricular work: $1,877.86 for “operating room services” related to the ear piercing — a fee her insurer was unwilling to pay.

At first, O’Neill assumed the bill was a mistake. Her daughter hadn’t needed her ears pierced, and O’Neill would never have agreed to it if she’d known the cost. She complained in phone calls and in writing.

The hospital wouldn’t budge. In fact, O’Neill said it dug in, telling her to pay up or it would send the bill to collections. The situation was “absurd,” she said.

“There are a lot of things we’d pay extra for a doctor to do,” she said. “This is not one of them.”

Kelley and the hospital declined to comment to ProPublica about the ear piercing.

Surgical ear piercings are rare, according to the Health Care Cost Institute, a nonprofit that maintains a database of commercial health insurance claims. The institute could only find a few dozen possible cases a year in its vast cache of billing data. But O’Neill’s case is a vivid example of health care waste known as overuse.

Now I will be the first to admit that overcharges occur in hospitals routinely.  The part of the whole article that I found mildly amusing is… the procedure the 5 year old was in for?  A simple lingual frenectomy.  Now perhaps there is more to the story as far as management goes.  Perhaps the child is very frightened & difficult to control without general.  Perhaps there is more to this than meets the eye.  However, if this was a routine lingual frenectomy, that could have been done in my office with a few drops of local, no bleeding, no scalpel, no sutures, no post-op pain.  I would have done this with a laser.  I do it all the time.  So, in my opinion, the entire reason the child was in the hospital could have potentially been not necessary… potentially.  I don’t know all the facts.

However, if you are considering a similar procedure for your child, consult a dentist before going to a hospital.






Thursday, November 30, 2017

Ease In Shields - Distributed by Orascoptic

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As a laser user for 20 years and an advocate of magnification for about that long, I’m frequently asked about laser eye safety.
 
Current stats are that about 89% of dentists are using some type of magnification.  When you become adjusted to working with magnification, it is almost impossible to work without it.  So… how does one protect their eyes from damage by clinical lasers while still being able to work at your desired level of magnification?  
 
There are a few different options, but today’s post is about a nice “better mousetrap” idea that is being distributed by Orascoptic.  The product is called Ease in Shields.  As you can see in the photo above, the EIS is placed between your surgical telescopes and your face.  They are made of a lightweight plastic that makes them barely noticeable while wearing.
 
Another nice feature is the “arms” that extend from the EIS out over the top of the glasses frame.  These “arms” keep the shield from sliding down and also does double duty as a handle.  The good thing about the handle function is that it enables the user to put the shield in when it’s needed but then can be removed when laser usage is done.
 
The disadvantage of products that actually attach to the frame is that they aren’t easily removed during a procedure.  That leaves the operator with a choice.  You can either put the inserts in before starting the procedure and leave them in the whole time or you can stop in the middle, de-glove, put in the inserts, use the laser, de-glove, remove the inserts, and then continue.  Either way was not terribly efficient.  However, the EIS removes all of that.  You can, quite simply, protect your eyes when you need to and at no other time.
 
The EIS currently comes in 3 varieties
  • Soft tissue
  • Hard tissue
  • Curing - to protect the user’s eyes from our high powered curing lights

The shields will fit on any brand of glasses including normal prescription frames and all magnification frames.

I’ve been using all 3 types in my practice for about 6 months and have been very happy with their performance.  If you are a laser user, you should definitely give them a look.

For more info check out the company website.  

Wednesday, November 29, 2017

Uber Security Breach Affected 57 Million Accounts... Then Uber Paid the Hackers $100,000 to Keep it Quiet

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In another massive security breach Uber data for 57 million accounts was accessed.  That included 600,000 driver accounts.
 
The truly sad AND scary part of the story is that it happened in October of 2016, but no one found out about it until November 2017.  How does that much data get stolen and no knows about it?
 
In this case, it’s because Uber paid for the silence.  That’s right… Uber knew about the hack and covered it up by giving the individuals that performed the theft $100,000 to keep quiet.
 
The data was stored in the cloud on a third party storage system.  Customer data stolen included names, email addresses as well as their mobile number.  Driver data lifted was names and driver’s license numbers.
 
There are laws, both state and federal, that dictate what a company should do when it discovers a data breach.  However, in this case what Uber chose to do was to ignore the laws and paid a ransom demanded by the hackers.  The company paid the $100,000 not just for silence, but for the thieves to delete the data.  Interestingly enough, it has been reported that Uber tracked down those responsible and had them sign a nondisclosure agreement.
 
The question is since they found the hackers, why didn’t they prosecute them?  Was the concern about the bad PR from the breach or something else?  Also will their be legal repercussions from the authorities or will this slide into obscurity?  There seems a lot more to this than has come out so far…

Tuesday, November 28, 2017

Enterprise Introduces New Anesthesia Injection Technology - EZ Flow

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Over the years we’ve seen a lot of advances in dentistry and the way we perform procedures.  However, one thing has remained pretty much the same for most doctors and that is the injection.  Most offices are still using the standard stainless steel syringe that has been around since local anesthetic delivery was invented.
 
In the early 2000’s there were some attempts at improving the injection process.  It involved using chip driven tech to control the speed of the delivery and became known as CCLAD (Computer Controlled Local Anesthetic Delivery).  Two companies created devices, Milestone Scientific had The Wand and Dentsply had the CCS (Controlled Comfort Syringe).  Of the 2, only Milestone’s device is still available.  It is called STA for Single Tooth Anesthesia, although the device can be used for any type of local delivery.
 
Now Denterprise is entering the market with EZ Flow.  It is the first cordless system in the CCLAD category.
 
While I have no hands-on experience… yet, I still think the device looks interesting.
 
 Here is info from the company:
 

When it comes to fear of going to the dentist, it is a well-known fact that the phobia is directly related to the anticipated pain especially the one arising from the ugly and intimidating syringe and needle.

Surveys have revealed that the number 1 reason patients like or do not like their dentist is the anticipated or real pain from the anesthesia.

Our firm is proud to introduce EZ Flow, the newest state of the art anesthetic delivery system.  Unlike other devices using expensive disposable tubing and handpieces, or bulky units with corded handpiece base module, and foot pedals,  EZ Flow is an “all in one” slick portable handpiece.  Among other features, EZ Flow is ergonomic, has fingertip controls, offer 5 programmable modes and uses your standard cartridges, ampule and needles.   For your review, please click here for the EZ Flow presentation detailing significant technical improvement.

Denterprise owns the exclusive distribution rights for EZ Flow and has cleared FDA for this product.  EZ Flow and Acu Flow its sister model are pending evaluation by Clinicians Research (formerly CRA) to show the exciting  but very pragmatic differences compared to any other CCLAD models on the market.

Monday, November 27, 2017

Ultradent Products, Inc. Proudly Introduces Jiffy Natural Universal System

Jiffy Naturals.jpg
 

I am a big fan of the Jiffy Polishing System from Ultradent which is a universal system that allows you to polish any ceramic material on the market including zirconia.  Now don’t get me wrong, there are *a lot of good polishing systems out there* and I’m a big proponent of advising people that when it comes to polishing, use what you are comfortable with.  Good systems are available from Coltene, Dentsply, and many other companies.  However, for me I’ve always liked the Jiffy System.  I’ve found that it gives me a really great shine that lasts.  Yet, if there was one thing I would change about Jiffy, it would be the access it provides to grooves as well as small nooks & crannies.  The Jiffy Brush provides access to these areas, but as a final polish only and it works much better with composite than porcelain.


So the Ultradent choices have been the ones below which consist of an intraoral kit that works with a latch grip and an extra oral kit that works with a straight nose cone:

Jiffy Porcelain Intraoral.jpegJIffy Porcelain.jpeg



In the past couple of years dentistry has seen the development of what I call “saw shape” polishers which are the wheels on the right side in the top picture in this post.  The little “tines” in the wheels flex and go into all of those hard to read areas.  They are available in several different grits and work really well.  


Now Ultradent has brought this style of polisher to the Jiffy line.  Here is the link to order, otherwise read on for the details:


Ultradent Products, Inc., proudly introduces the Jiffy® Natural Universal Finishing System—a complement to Ultradent’s renowned Jiffy® Universal Finishing System. The polishers in the Jiffy Natural Universal Finishing System are designed to efficiently and easily reach all tooth surface areas to give a natural finish on all ceramic materials, including zirconia. They can also be used to temper super high-gloss finishes to create the look of natural enamel.

 

The Jiffy Natural Universal System consists of malleable spiral-shaped wheels that are designed to easily conform to tooth anatomy. Their pliable, finger-like extensions easily reach where cups and points can’t, including occlusal anatomy. The system is designed to be used in conjunction with the Jiffy Universal Finishing System to give clinicians options and versatility to achieve the right esthetic look for their patient. The efficient two-step process allows clinicians to easily get the most natural finish they desire on any ceramic material, including zirconia, lithium disilicate, and porcelain. 

 

To learn more about the Jiffy Natural Universal System, please call 800.552.5512, or visit ultradent.com.

Wednesday, November 22, 2017

American Academy of Periodontology and European Federation of Periodontology Host 
World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions


AAP_WorldWorkshop.jpg
 
 

More than 100 periodontal thought leaders convene to establish up-to-date diagnosis guidelines 

 

 

In conjunction with the European Federation of Periodontology (EFP), the American Academy of Periodontology (AAP) hosted the World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions Nov. 9 -11 at the Gleacher Center in Chicago. More than 100 international researchers, educators, and clinicians gathered to review the latest literature and come to consensus on up-to-date guidelines for periodontal and peri-implant disease diagnosis and definition. 

Participants conducted literature reviews, established case definitions, and deliberated diagnostic considerations for the following topic areas: periodontal health and gingival diseases and conditions; periodontitis; developmental and acquired conditions and periodontal manifestations of systemic conditions; and peri-implant diseases and conditions. The inclusion of peri-implant diseases and conditions within periodontal disease classifications is a first, accommodating for what scientists and practitioners have come to understand about implant dentistry. 


“Since the last World Workshop was held in 1999, periodontics has made notable advancements in the treatment and diagnosis of periodontal disease. The 2017 workshop intended to account for what we’ve learned in the last 18 years and help standardize the specialty’s definition of disease,” says Dr. Steven R. Daniel, president of the AAP. “Our collaboration with the EFP and periodontists from all over the world will work to positively shape the quality of patient care globally.” 

The 2017 World Workshop is the second recent collaboration of the EFP and AAP. The groups’ joint workshop on periodontitis and systemic disease in 2012 was a major milestone in the specialty’s understanding of the perio-systemic link. 



“After three years of preparation, it was rewarding to see many of the best and brightest in periodontics convene to accomplish the important task of updating and standardizing the definitions of periodontal and peri-implant diseases that will be used by dental professionals around the world. The contributions of the Workshop’s expert participants will set the stage for periodontics’ expansive future,” says Dr. Jack Caton, co-chair of the event’s organizing committee.


Proceedings from the 2017 World Workshop on Periodontal Disease Classification will be published in both the AAP’s Journal of Periodontology and the EFP’s Journal of Clinical Periodontology in 2018. The Workshop was presented with support from the AAP Foundation, Colgate, Johnson and Johnson, Geistlich Biomaterials, SUNSTAR, and Procter and Gamble. 


About the American Academy of Periodontology
The American Academy of Periodontology (AAP) represents over 8,000 periodontists—specialists in the prevention, diagnosis, and treatment of inflammatory diseases affecting the gums and supporting structures of the teeth, and in the placement of dental implants. Periodontics is one of the nine dental specialties recognized by the American Dental Association. 

Tuesday, November 21, 2017

Convergent Dental Ranked Number 77th Fastest Growing Company in North America on Deloitte’s 2017 Technology Fast 500™

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Attributes 2002% Percent Revenue Growth to product performance and a strong commitment to customer success

Convergent Dental today announced it ranked 77th on Deloitte’s Technology Fast 500™, a ranking of the 500 fastest growing technology, media, telecommunications, life sciences and energy tech companies in North America. Convergent Dental grew 2002% percent during this period.

 

Convergent Dental’s chief executive officer, Michael Cataldo, credits product performance and a strong commitment to customer success with the company’s 2002% revenue growth. He said, "We’re thrilled to be ranked as one of the top 100 growing technology companies in North America and ranked 2nd in the medical device category. There is no doubt that the Solea laser is revolutionizing dentistry by taking the shot, the drill and the scalpel out of the patient experience. The real engine behind our growth is our commitment to customer success with Solea. Today’s customer satisfaction is the best indicator of future sales, so by making sure that every customer sees the practice growth and patient experience we promise with Solea, we enable the kind of growth we are experiencing today and into the future." 

 

“The Deloitte 2017 North America Technology Fast 500 winners underscore the impact of technological innovation and world class customer service in driving growth, in a fiercely competitive environment,” said Sandra Shirai, vice chairman, Deloitte Consulting LLP and U.S. technology, media and telecommunications leader. “These companies are on the cutting edge and are transforming the way we do business. We extend our sincere congratulations to all the winners for achieving remarkable growth while delivering new services and experiences for their customers.”

“Emerging growth companies are powering innovation in the broader economy. The growth rates delivered by the companies on this year’s North America Technology Fast 500 ranking are a bright spot for the capital markets and a strong indicator that the emerging growth technology sector will continue to deliver a strong return on investment,” said Heather Gates, national managing director of Deloitte & Touche LLP’s emerging growth company practice. “Deloitte is dedicated to supporting the best and brightest companies of the future in the emerging growth company sector. We are proud to acknowledge the significant accomplishments of this year’s Fast 500 winners.” 

 

Overall, 2017 Technology Fast 500™ companies achieved revenue growth ranging from 135 percent to 59,093 percent from 2013 to 2016, with median growth of 380 percent.


About Deloitte’s 2017 Technology Fast 500™

Deloitte’s Technology Fast 500 provides a ranking of the fastest growing technology, media, telecommunications, life sciences and energy tech companies — both public and private — in North America. Technology Fast 500 award winners are selected based on percentage fiscal year revenue growth from 2013 to 2016.

In order to be eligible for Technology Fast 500 recognition, companies must own proprietary intellectual property or technology that is sold to customers in products that contribute to a majority of the company's operating revenues. Companies must have base-year operating revenues of at least $50,000 USD, and current-year operating revenues of at least $5 million USD. Additionally, companies must be in business for a minimum of four years and be headquartered within North America.

Deloitte refers to one or more of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee (“DTTL”), its network of member firms, and their related entities. DTTL and each of its member firms are legally separate and independent entities. DTTL (also referred to as “Deloitte Global”) does not provide services to clients. In the United States, Deloitte refers to one or more of the US member firms of DTTL, their related entities that operate using the “Deloitte” name in the United States and their respective affiliates. Certain services may not be available to attest clients under the rules and regulations of public accounting. Please see www.deloitte.com/about to learn more about our global network of member firms.

Monday, November 20, 2017

Owandy Radiology’s I-Max 2D Wall-Mounted, Panoramic Digital Radiography Unit Receives FDA 510 (k) Clearance

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The Lightest, Smallest and Most Comprehensive Panoramic System on the Market Will be Featured During GNYDM

 

Owandy Radiology Inc., a global leader in the manufacture of dental radiology hardware and imaging software recently received FDA 510 (k) Clearance for its game-changing I-Max 2-D wall-mounted panoramic digital radiography unit.  The company will be showcasing the I-Max 2D during the upcoming Greater New York Dental Meeting in booth #4419. 

 

According to Owandy Radiology spokesperson Boris Loyez, “We did a complete re-thinking of what a panoramic unit of the future should be, and came up with the 

I-Max wall-mounted concept, which is setting the pace in tomorrow’s pan units.” 

 

The I-Max 2D provides the perfect balance of value and functionality. For example: 

 

  • The lightest wall-mounted digital panoramic unit on the market comes fully-assembled and can be easily installed in tight, previously underutilized spaces.

 

  • Automatic Layers Integration System (ALI-S) ensures exceptional image quality and automatically selects the best images.

 

  • 24 programs (including adult and child versions) enable a full range of examinations required by today’s dental practice.

 

  • Includes an intuitive, user-friendly program interface.

 

According to Owandy company spokesperson Boris Loyez, “We’re excited about receiving FDA clearance and look forward to demonstrating the affordable, high-performance I-Max 2D during the Greater New York Dental Meeting.”

 

Since GNYDM is the final major dental meeting of the year, this may be the last chance for dental practice owners to take advantage of the Section 179 tax deduction when they purchase any Owandy Radiology unit.  Owandy is also offering the following promotions:

 

  • Free Apple Watch Series 3 with the purchase of any Owandy I-Max or I-Max Touch 2D.
  • Free iPhone X with the purchase of any Owandy 3D unit

 

For more information about the I-Max 2-D wall-mounted panoramic digital radiography unit, visit www.Owandy.com , call 203-745-0575 or e-mail at Sales@OwandyUs.com. Dealer and distributor inquiries welcome.

 

About Owandy Radiology, Inc.: 

 

Headquartered in Croissy-Beaubourg France, and serving North America from Middlebury, Connecticut, Owandy Radiology is a global leader in the manufacture of dental radiology hardware and imaging software.  A wide range of Owandy’s digital radiology solutions are used by dentists in 50 countries, on every continent. 

Thursday, November 16, 2017

Academy of Laser Dentistry Hosts Three Educational Sessions at GNYDM

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The Academy of Laser Dentistry (ALD) the only independent and unbiased non-profit association dedicated to improving patient care with the proper use of laser technology, will carry on its mission with three hands-on sessions during the upcoming Greater New York Dental Meeting.

 

According to ALD president, Dr. Charles Hoopingarner, “I’m very excited to be co-presenting three valuable courses with my friend and colleague, Dr. Edward Kusek. As always, the ALD will provide hands on clinical training on many different lasers for both the new laser user as well as the more experienced clinician.”  

 

The ALD-hosted courses are as follows:

 

  • Hands-On Introduction to Lasers – Tech Talk / 3 CEUs

Monday, 11/27/17 l 9:45 – 12:00 l Exhibit Floor # 6216

 

Laser Tech Talk” provides an overview of clinical applications of lasers in contemporary dental practice. Interactive discussions will provide a balanced view of dental laser wavelengths, techniques and applications. Various laser manufacturers are present during the workshop to demonstrate the best of their products in a workshop forum. Attendees listen to each 10-minute “Tech Talk”; then rotate to demonstrate hands-on exercises specific to different lasers led by course faculty. Click here to register. Attendees will learn the following:

  • A basic understanding of dental laser wavelengths for hard and soft tissue procedures, diagnosis and treatment
  • Laser tissue interaction, its effects and results
  • Basic laser physics, how lasers work and brief laser safety considerations
  • Get the Most out of Diode Lasers / 3 CEUs

Monday, 11/27/17 l 2:00 – 5:00 l Exhibit Floor # 6216

 

Appropriate for the entire clinical team, this hands-on program covers safety protocol with the diode laser.  Attendees will gain confidence by practicing procedures which can be applied as soon as they return to their office. Click here to register. Attendees will learn the following:

 

  • How to perform: biopsies, create ovate pontic space, lAPT, removal of venous lake, aesthetic gingival recontouring, tissue troughing and implant uncovering
  • The correct energy levels when using a diode laser to perform previous listed procedures safely

 

  • Diode Laser Basic Competency Course - Laser Workshop / 6CEUs

Tuesday, 11/28/17 l 9:45 – 12:45 & 2:00 – 5:00 l Exhibit Floor #107

 

This 6-hour program includes both a lecture and hands-on portion covering a comprehensive overview and basic understanding of the diode dental laser. This program focuses on laser tissue interactions as well as the safety and operation of a variety of diode lasers that are provided by numerous companies. Attendees will be given a list of procedures to complete during this workshop. This program satisfies the ALD’s basic competency course. Click here to register. Here’s what will be covered:

 

    • Popular diode laser procedures such as tissue troughing, frenectomies, laser sculpting in smile design, photo biomodulation to aid in wound healing, removable of redundant tissue for orthodontics and non-invasive periodontal procedures
    • Correct safety procedures for staff, clinician and patient
    • How diode lasers interact with soft tissue dental tissues

 

“The programs hosted by the ALD at the Greater New York Dental Meeting are just a snapshot of the in-depth laser dentistry curriculum we provide during our annual scientific sessions,” explained ALD executive director Gail Siminovsky. “Our upcoming scientific session in April will be our biggest annual event to date. Our theme is Innovation, Illumination, Imagination – Celebrating Laser Dentistry 25 Years and Beyond.”

 

ALD2018 will take place from April 26-28th at the Caribe Royale Orlando, Florida. For more information and to register, visit http://www.laserdentistry.org/index.cfm/conference

 

About the Academy of Laser Dentistry

The Academy of Laser Dentistry (ALD) is the only independent and unbiased non-profit association devoted to laser dentistry and includes clinicians, academicians and researchers in all laser wavelengths. The Academy is devoted to clinical education, research, and the development of standards and guidelines for the safe and effective use of dental laser technology. ALD was founded in 1993, with the merging of the International Academy of Laser Dentistry, the North American Academy of Laser Dentistry and the American Academy of Laser Dentistry. For more information, visit www.LaserDentistry.org.

Wednesday, November 15, 2017

Dentsply Sirona Reintroduces the CEREC MC Milling Unit to the U.S. Market

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After being unavailable for a while, Dentsply Sirona has announced that the MC Milling Unit for CEREC is again available.  Here are the details:
 

The entry-level milling solution is available again as part of the U.S. CEREC product portfolio, offering an attractive and affordable path to digital dentistry and single-visit restorations

CHARLOTTE, N.C., Nov. 14, 2017- Dentsply Sirona announced today the reintroduction of the CEREC MC Milling Unit to the U.S. dental market.  

CEREC MC is ideal for practitioners who are interested in single-visit chairside inlays, onlays, and single-unit veneers and crowns. With the ability to wet grind and dry mill, dentists can use a vast array of chairside materials to produce single-unit restorations in one office visit. 

Used in conjunction with CEREC Omnicam, CEREC MC: 

  • Provides fully-anatomical single-unit restorations
  • Supports block sizes up to 20 mm
  • Can produce ceramics, glass ceramics, lithium discilicate blocks and more
  • Mills zirconium oxide and polymers
  • Is dry-mill ready
  • Offers an ideal entry option into digital dentistry and single-visit restorations

The milling unit is part of the plug-and-play CEREC workflow. Simply scan, design and produce for strong, beautiful restorations in just a single patient visit. 

“We used to say CAD/CAM was the future of dentistry, and as we enter 2018, it’s become clear that it is now the present,” said Director of Marketing, Clinical CAD/CAM Lou Vodopivec. “CEREC MC offers a cost-effective option to incorporate efficient workflows, improving productivity and patient satisfaction. We are excited to reintroduce this high-quality product with a flexible upgrade path that grows with the needs of the practice.” 

Providing an avenue for future development, Dentsply Sirona is offering an upgrade path for anyone who purchases a CEREC MC Milling Unit between now and June 1, 2018. All MC units purchased between the aforementioned dates are eligible for an upgrade to the CEREC MC XL Practice Lab Milling Unit within 24 months of ownership*. 

To learn more, visit www.cerecforeveryone.com or contact your local Dentsply Sirona representative. 

Tuesday, November 14, 2017

Shade Matching of Dentsply Sirona TPH Spectra ST Universal Composite

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Most composites today do a nice job of shade matching.  To show that as well as to avoid confusion, almost every manufacturer defaults to using the Vita Classic Shade Guide as a reference.
 
The idea, of course, is that the A-2 button on the Vita Classic guide should be the same color as a composite that is marked A-2 on the compule.  This “universal definition” or “universal translation” should make communication between all aspects of the profession simple.  I mean A-2, is A-2, which looks like A-2 and when shade matching the tooth, if the tooth is A-2, then you should be able to reach for any composite marked A-2 and when you are done everything should appear A-2?  Right?  Right?
 
Now in the paragraph above, the reason I mentioned A-2 so many times is to make a simple point.  That point is simply that just because the composite is labeled A-2 doesn’t mean that the composite will actually appear to be A-2.  That’s where the confusion and frustration of shade matching lies.
 
However, as you can see in the 2 pictures above, Dentsply Sirona has done a pretty nice job of matching the shades in TPH Spectra ST to the Vita guide.
 
The first picture is a standard Vita Classic Shade Guide that we are all used to seeing & using.  However, it really isn’t the standard Vita Shade Guide!  In the second photo, you see the same shade guide under UV light.  Notice that to the distal of every tooth there is an area that is lighter.  That’s because someone at Dentsply Sirona prepped each tooth in the shade guide for a class 3 resin and then filled those preps with the corresponding Vita Shade of TPH Spectra ST.  Personally I’m impressed with this shading.
 
It’s especially impressive when you realize that all of this is accomplished using only 5 shades.  That’s right, the entire Vita shade guide is matched using only shades A-1, A-2, A-3, A 3.5, and A4.  I’m not aware of any other composite that is capable of that.
 
I’ve also examined the shade guide with 5x magnification and I still find it difficult, although not impossible, to see the restorations.  I’ve got to give credit to the Dentsply folks.  Not only is this a nice way to truly show how well the shades match the guide, it’s also a great piece of marketing.
 
 

Monday, November 13, 2017

How IoT Can Make Cattle Farming Easier

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The illustration above is not science fiction.  The IoT (Internet of Things) is changing our world in a lot of ways, and one of those ways is in cattle farming.
 
Using technology similar to what can be found in your FitBit or even more advanced, cows can wear sensors that wirelessly transfer information to the farmer/rancher.
 
While it can be used to find a lot animal, the sensors can do a lot more than that.  They can measure vital signs (indicating a sick animal way before they begin to show noticeable symptoms), scare away predators, and tell how long an animal has been idle.
 
The software these sensors communicate with can be setup to notify humans when their intervention is needed.
 
A lost or sick animal can cost farmers money and this is just one more way to help prevent that.
 
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Thursday, November 9, 2017

MouthWatch, LLC Showcasing Teledentistry for Urban and Suburban Private Practices During the Greater New York Dental Meeting

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I’ve been working with the MouthWatch system for a few weeks now and am very impressed.  It does a great job of allowing communication between my office, other offices, and my lab.  Also the cameras provide very nice clinical images and are very affordable.  If you are looking for new cameras and a way to increase communication, give MouthWatch a look!

 

Here’s info from the company about the upcoming Greater New York Meeting:

 

 

MouthWatch, LLC a leader in intraoral imaging, digital case presentation and teledentistry solutions, will be showcasing private practice applications of its TeleDent™ teledentistry platform at booth #3430 during the Greater New York Dental Meeting.

 

According to MouthWatch CEO Brant Herman, “For the past few years, our TeleDent™ all-in-one teledentistry platform has been proving itself on the front lines of public health and other innovative care delivery models of dentistry.  The Greater New York meeting is an ideal place to introduce TeleDent™ to private practice specialists and GP dentists from both urban and suburban areas. We’re looking forward to demonstrating the benefits of virtual collaboration and secure case data sharing.”

 

Herman says the cost-effectiveness and ease-of-use his company’s TeleDent™ platform make it well-suited for the following teledentistry applications:

 

  • Specialist/GP Collaboration – Teledentistry is a catalyst for collaborative care and increased referrals. The results include positive patient outcomes and reduced risk of failure in complex cases.

 

  • Dentist-Owned Hygiene Clinics –A full service dental office can be linked to remote hygiene clinics that the dentist also owns and operates. 

 

  • DSO Resource Sharing – Teledentistry enables DSOs and groups to offer live or asynchronous consults with a rotating specialist no matter which location they are currently working in. 

 

  • Dentist / Dental Lab Collaboration –  Dentists and dental lab operators can 

share CBCT images, digital impression files and patient photos to increase case accuracy and ultimately ensure patient satisfaction. This capability can be especially valuable in treatment planning and completing complex restorative cases.

 

“Of course, we will continue to serve the public health sector and assist with improving access to and equity of care,” explained Herman. “At the same time, TeleDent™ provides unique business and clinical opportunities for private practices and DSOs in urban and suburban settings. It’s is an ideal way for these practices to implement teledentistry. Our mission is to transform and enhance the delivery of care throughout dentistry.”

 

For more information about MouthWatch, visit www.MyMouthWatch.com, call 877-544-4342 or send an email to Info@MouthWatch.com.

 

About MouthWatch, LLC:  

Headquartered in Metuchen, New Jersey, MouthWatch, LLC is a leader in intraoral imaging devices, digital case presentation tools and teledentistry solutions. The company is dedicated to finding new ways to constantly improve the dental health experience for both patient and provider

 

The founders and management team of MouthWatch have relevant backgrounds and successful track records in dentistry, consumer products and communications. Since 2012, this team has pioneered the integration of digital imagery and communications technology in the field of dentistry. Their cumulative experience makes it possible for the company to take the lead in introducing the benefits of telemedicine to the world of dentistry.