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

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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:

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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


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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. 

 

 


Wednesday, November 8, 2017

Ortek Therapeutics, Inc. Announces FDA Clearance For Breakthrough Electronic Cavity Detection Device

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Recently Ortek announced the ECD system has received FDA 510 (k) clearance from the Food and Drug Administration.  The device is a caries detection system that uses a probe that is traced through the pits and fissures and gives off a numeric score to indicate the presence and estimate the extent of carious lesions.
 
Here is the press release on the device:
 
Ortek Therapeutics, Inc. today announced that the Ortek ECD received 510(k) clearance from the U.S. Food and Drug Administration. The ECD is a patented lightweight tabletop device designed as an aid for dental professionals to diagnose and monitor dental cavities in the biting surfaces of molars and premolars. In clinical trials, the ECD system detected the earliest forms of mineral loss in enamel well before an actual cavity was formed. These pre-cavity lesions were discovered without exposure to radiation from x-rays. The ECD was developed in the Division of Translational Oral Biology at Stony Brook University and exclusively licensed to Ortek from The Research Foundation of State University of New York.

In two clinical trials conducted through Stony Brook University Department of Oral Biology and Pathology, the ECD was up to 96% accurate in detecting microscopic pre-cavity enamel lesions in the biting surfaces of molars and premolars. There were no false negative readings in either study.

The ECD was developed by a team of researchers led by Israel Kleinberg, DDS, PhD, DSc, Distinguished Professor in the Department of Oral Biology and Pathology, and Director of the Division of Translational Oral Biology at Stony Brook. "We believe the ECD is a new paradigm in oral care," said Dr. Kleinberg. "This device will help dental professionals diagnose and monitor pre-cavitated lesions in enamel that cannot be detected by x-rays. This will enable the dental practitioner to design an appropriate treatment plan that could include minimally invasive care."

A battery-powered device, the ECD uses electrical conductance to accurately diagnose and monitor enamel lesions. Tooth enamel is electrically non-conductive unless breached by fracture or demineralization. When teeth begin to lose minerals, dentinal fluid from within the tooth percolates through the breached enamel site and enables the ECD to complete its electrical circuit. The ECD features a handpiece with a novel probe tip and can precisely measure the amount of dentinal fluid in the pits and fissures of molars and premolars. The more fluid the ECD detects, the greater the severity or extent of the cavity or pre-cavity enamel lesion. This data is numerically displayed on the ECD base unit.

"The FDA clearance for the ECD is a significant milestone for Ortek and a new, important tool for dental professionals," said Mitchell Goldberg, President of Ortek. Dental cavities are the most prevalent chronic disease globally. Throughout the world, 60–90% of school-age children are affected by tooth decay and approximately 2.5 billion people suffer from untreated dental cavities. "The ECD is a safe pain-free system and is designed to rapidly aid dental professionals to diagnose and monitor enamel lesions in the grooves of the back teeth. These tooth surfaces have the highest rates of decay, especially in children," continued Goldberg.

Ortek anticipates the ECD will be commercially available next year. Patents covering the ECD have been awarded throughout the world and in the United States. 

Tuesday, November 7, 2017

Protecting Your Portable Data

usb-gorilla-drive-32gb-ruggedized-flash-thumb-drive-new-4fcf5ade57e5cc38fdc8da7f91d93bd5.jpgSurvivor_Stealth_256GB.png
 
 
 
 
I will admit to having a crazy fascination with data safety.  Way before HIPAA ruled the lives of those of us in healthcare, I was always mesmerized by things that kept files from getting lost.
 
Back in the day, it was all about keeping hard drives safe when traveling and that meant that I had to have at least 2 portable hard drives with me.  That was the only way I could be almost 100% sure of not having a data loss disaster while on the road.  That meant I usually was carrying a couple of Western Digital My Passport drives  in my computer bag.  That way if there was a disaster with either my computer or my slide deck, I could plug one of the drives into either my computer or someone else’s and run the presentation from the portable hard drive.  Of course, being a “belt & suspenders” guy, I had to have two portable USB drives just in case one didn’t work.
 
Then I discovered the awesomeness that is ioSafe Rugged Portable.  This piece of genius hardware is a portable USB drive, but with the incredible durability that ioSafe builds into their products.  I’m talking about things like:
 
  • Crush protection up to 2,500 lbs.
  • Drop protection up to 10’
  • Immersion protection up to 30’ for 3 days
 
If you need a true hard drive that can handle the rigors of the road, the latest Rugged Portable from ioSafe is available with SSD’s of either 500GB or 1TB capacity.
 
Recently my mind got to thinking about these kinds of things again.  At the American Dental Association meeting that was held last month in Atlanta I was meeting with a company about a new product they have in development.  In order to bring me up to speed on the project quickly, they had put a big bunch of files on a jump drive for me to take with me and review when I had the chance.  The jump drive I received was a Gorilla Drive (they wanted to make sure nothing happened to the files) and I was suddenly salivating all over a really rugged piece of hardware.
 
Now that memory has evolved to point that we no longer *need* to use true hard drives any more, valuable data can be backed up and stored on a variety of jump drives built specifically with the idea of durability in mind.
 
Since I received that drive in mid-October, I’ve been spending some of my free time checking out rugged portable options.  With the memory options we now have available, it may behoove off site backups to be done on a durable low cost jump drive instead of a USB drive with moving platters which I am currently using as ONE of my offsite options.
 
For this post, let’s look at the 32GB Gorilla Drive and the 32GB Corsair Survivor.
 
 Gorilla Drive
Since this was the one that started me thinking of this whole post, let’s start with it.  The Gorilla Drive is, in appearance, a fairly standard USB jump drive.  Notice I said “in appearance” because it pretty much changes after that.  The body of the drive and the cap are made of a very durable and thick rubberized material that feels incredibly durable.  The manufacturer calls it TPU material.  The USB part of the drive is protected by a cap made of theTPU material and it fits snugly.  It sort of “pops” into place and you have to give it a strong tug to remove it.  On the end opposite the USB connection there is an attachment loop made out of a strong metal that allows for the drive to be connected to a key ring, carabiner, etc.
 
It can withstand 250 PSI, temperatures from 32F to 225F, and it is water resistant up to 65’.
 
Corsair Survivor Stealth
Coming at things from a bit of a different angle, Corsair offers the Survivor Stealth.  The Survivor Stealth is a cylinder of aircraft-grade aluminum.  A cap on one end has a very solid & sturdy plastic connector for attaching to something.  The other end unscrews to reveal a USB jump drive:
stealth_open_a_1_1.png
 
The nice thing about the the threaded cap is that it provides serious protection to the drive underneath.  The Survivor Stealth  is water proof to 200M as well as being being protected from vibration or impact damage through the use of a molded shock damping collar.
 
If you are looking for some drives with serious thrill issues I think either one of these would be just fine.  If you are going to put a drive through insanity, the Survivor Stealth might be a little bit better, but if you need a drive with that much durability, you need help.
 
Seriously, for the person like me who travels a ton and wants to make sure their data is safe.  Gorilla Drive or Survivor Stealth provide a lot of piece of mind for a very low price. 
 
 
 
 
 
 
 

Monday, November 6, 2017

Garrison FitStrip Interproximal Finishers - Review

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Adding the post from last Thursday, here is something else from Garrison Dental.  In this case, however, rather than starting an evaluation, I’m glad to report on a completed eval of Garrison’s FitStrip system.
 
As the logo above states, the word “FIT” stands for “Flexible Interproximal Twistable”, which is a good description.  Let me explain why.
 
For interproximal finishing, most of us are used to having 2 size/shape choices:
  • Finishing strips:  These are long strips made of either plastic or thin metal and coated with different grits of abrasives.  Once they are placed interproximally, they are gently pulled side to side to smooth the restoration.  The biggest problem with these products is the placement.  The plastic strips tend to buckle or fold up as you try to slide them between the teeth.  Once in place they can occasionally be difficult to move.  The metal strips are stronger and hence easier to slide between the teeth, however they have a nasty problem of slicing the lips right at the commissure.  Leaving someone with the equivalent of a “paper cut” at the corner of the mouth is never a good thing.
  • C-shaped bands:  These are abrasive strips placed between the ends of a plastic “arch” with finger grips placed on the arch.  The idea is that the grips & arch allow for a small band and leverage to get them between the teeth.  The problem with these is that sometimes the shortness of the band (which is usually an advantage) does provide enough movement to get the band to slide between the teeth.  Also, because the strip is short, it can be difficult to get adequate smoothing as you can only move a few millimeters in either direction.

To correct the problems inherent in both of these systems, Garrison got smart and decided to approach the problem from 2 different ways.

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Notice in the image above that the FitStrip has a handle.  This allows for really good leverage when placing the strip and/or when moving it back and forth.  The handle lets the operator gain a good mechanical advantage to place and move the strip while maintaining good control.  The leverage of the handle is similar to the leverage of a metal finishing strip, but without the potential for cutting the patient.  However, I know many of you are thinking “what about using this device on the molars?  The handle is going to make it difficult if not impossible to use.”  That’s a great thought and one that the smart people at Garrison had as well.  The remedy?  In areas where you don’t need the handle or it would be an impediment, simply unscrew the handle from the rest of the assembly.
 
The result is the image below:
 
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Removing the handle creates the small saw-like device above.  Impressive isn’t it?  One of the other really nice features that Garrison thought to include was the ability to curve the band.  A band that better matches the natural curve of the natural tooth will provide a much better finish.  The blue roller can be rotated in either direction and as it is rotated it causes the band to curve forward or back.  This lets the band be contoured for the proper tooth or from one tooth to another if you are dealing with a MO on one tooth and a DO on the other.  That is where the “twist” in the name comes from.
 
They come in a variety of grits, serrated,  and also a variety of “holes” for finishing. They can also be purchased in single or double sided.
  • Super fine 15 micron
  • Fine 30 micron
  • Medium 46 micron
  • Coarse 90 micron
  • Serrated

The FitStrip has performed extremely well in my hands.  It has allowed me to get into difficult areas with relative ease and has provided incredibly smooth finishes for my restorations.

Garrison has hit a home run with this product.  My ranking is my highest.  The Garrison FitStrips are Highly Recommended!!!  

Thursday, November 2, 2017

Two Great Ways to Remove Moisture from Cleansed Root Canals

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The past ten years have seen some incredible advances in the field of endodontics.  One of the greatest, in my opinion, has been advances in obturation.
 
We no longer have the singular option of mixing up some type of “glue” and then placing multiple fibers of gutta percha in it.  Instead we have things that range from gutta percha and sealer, to obturators (gutta percha on a stick), to bondable resin sealers and obturating fibers.
 
I have chosen to utilize bondable obturation for a variety of reasons.  When the first possibilities of bonded obturation became available in the early 2000’s I was fascinated by the possibilities.  As a general dentist I immediately understood & appreciated the logic & science behind the bonded concept.

Many studies, going back over 20-30 years have shown that root canal systems can be contaminated by bacteria in as little as 30 days.  Placing a temporary material in the access over a non-bonded obturation is not sufficient.  Bacteria can quickly penetrate the temporary material down to the pulpal floor and than navigate the root canal system to the apex in a month or so.  The unfortunate reality of this all too common clinical situation is that the spaces previously occupied by infected pulp that have been meticulously cleansed can return to their uncleaned state quickly and without symptoms.  Unfortunately, without that knowledge a dentist can, with the best of intentions, then place a permanently cemented or bonded crown on this tooth.  This means that the bacteria are now sealed from the occlusal side, but the bacteria is still within the canal system and has the possibility of causing a recurrent infection at any time.

The reason for this is because the most commonly used access prep temporary materials such as IRM and Cavit are porous and offer no resistance to bacterial penetration.  However, what if you could make the root canal system impervious to this bacterial penetration?  By using a bondable point and a resin based duel cure sealer that bonds to the canal walls, this is exactly what bonded obturation does.

However, the bonded obturation process is a bit different than the standard sealer and gutta percha process.  The main difference being that traditional sealers require a dry canal while any type of a bonded process requires a bit of moisture remains in the canal system.  Frequently ethyl alcohol (ETOH) is the last irrigant used in standard obturation as it evaporates extremely fast and takes any remnants of moisture with it, leaving a dry canal to place the sealer in.

For bonded obturation it’s required to do “wet bonding” and in my protocol the last irrigant is chlorhexidine because of its residual bactericidal effects.  The main question in bonded obturation becomes “how to remove the chlorhexidine without over drying the canal?”  The easiest way I have found to do this is by using some type of capillary tip that can be introduced into the canals and then removed before over drying can occur.

The  photos above are the 2 best products I’ve found to accomplish this.  The first tip is from Coltene (the ROEKO Surgitip-endo) and available through your current dental supply company.  The second tip is from Ultradent (Luer Vacuum Adapter & Capillary Tips) and can be purchased directly from the company.  They are both highly flexible and easy to place.  The technique involves bending the tips to provide straight line access and then sliding the tip into the prepared canal until it binds against the prepared canal wall.  At that point, the tip is quickly withdrawn and removes the majority of the moisture with it.  However, by quickly removing the tip and not allowing air to circulate around it, it does leave the canal walls with adequate moisture to facilitate bonding of the hydrophilic EndoRez Sealer which is purchased from Ultradent.  Cones are then placed in the manner which is most comfortable for the operator.  

My one complaint on the Coltene tip is that it is opaque and you cannot see the chlorhexidine moving through it.  Instead you need a quiet environment where one can *hear* the process.  The Ultradent capillary tip is translucent which allows for the operator to actually see fluid movement through it.

Both products are *highly* recommended.


Wednesday, November 1, 2017

Garrison Dental Solutions Composi-Tight® 3D Fusion™ Sectional Matrix System

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Starting today, I’ll be putting the Composi-Tight 3D Fusion system through clinical testing.  I’m pretty excited about this new product from Garrison as it appears well thought out & very well designed.  I’ll be reporting back here to let you know how it performs & what I thought about it.  In the meantime, here’s info on the system from Garrison:
 
 

Garrison’s new Composi-Tight® 3D Fusion™ Sectional Matrix is engineered to successfully complete a wider variety of Class II composite restorations.  This comprehensive kit includes three varieties of separator rings, five sizes of matrix bands, four sizes of interproximal wedges and a ring placement forceps.  Composi-Tight® 3D Fusion™ is indicated for use in posterior Class II MO/DO, MOD and wide preparation restorations.

The new Composi-Tight® 3D Fusion™ system draws on Garrison’s more than 20 years of sectional matrix leadership to produce their most comprehensive and easy to use system.  The three-ring system consists of a short (blue), tall (orange) and dentistry’s first wide preparation (green) separator rings.  All three incorporate Garrison’s exclusive Soft-Face™ silicone tips for flash reduction and Ultra-Grip™ retention extensions that eliminate ring “spring-off”.

 

Five sizes of ultra-thin, dead-soft non-stick sectional matrix bands have the addition of a Grab-Tab™ on the occlusal edge to simplify band placement and removal.  These are coupled with four sizes of Garrison’s award winning Composi-Tight® 3D Fusion™ Ultra-Adaptive wedges.  These wedges feature soft “fins” that smoothly adapt matrix bands to tooth irregularities and prevent wedge back out.  In another industry first, Garrison has engineered a drop-forged stainless steel ring placement forceps that make ring placement significantly easier over the largest of molars regardless of hand size or strength.

 

Color coded and conveniently organized, the Composi-Tight® 3D Fusion™ Sectional Matrix System also has a complete selection of refills available.  Contact Garrison Dental Solutions at 888-437-0032 or visit garrisondental.com for more information.

 

For more information call 1-888-437-0032 or visit www.garrisondental.com. 

 

About Garrison Dental Solutions 

 

Garrison Dental Solutions, established in 1996, is a privately held company specializing in the design, development and manufacturing of product solutions to improve the quality and efficiency of dentistry.  The Company is the industry leader in sectional matrix systems and its products are sold globally.  Please visit www.garrisondental.com for more information.