Henry Schein NZ - Dental Solutions Q1 | Mar - May 2024

DENTAL SOLUTIONS

50% OFF CONSUMABLES

Whether you’re acquiring a practice, building a brand new one, revamping an existing location or just upgrading your equipment, technology or software - purchase your equipment through Henry Schein and we will give you your initial consumables package 1/2 Price PLUS FREE Delivery on the entire order.*

* Terms and Conditions Apply

DR. ASHLEIGH HOWLETT Ponsonby Teeth

“After approaching different companies, the choice to work with Henry Schein came down to the people. The expertise that each individual bought to the table and their ability to co-ordinate everything from the get-go, made the experience easy.

The other benefit in working with Henry Schein was being able to get everything I needed from the one company – a one stop shop for equipment, software and consumables.”

With top quality products from the world’s leading brands, your Henry Schein team will work with you to create the perfect solution, that’s tailored specifically to meet the unique needs of your practice.

NEW PRODUCT SPOTLIGHT

SDI STELA - The Future of Composites

Stela is an innovative high-performance self-cure composite, with unlimited depth of cure and low stress polymerisation for a gap-free interface, without the need for acid etching or light curing. Stela is offered in a universal shade, with two delivery systems: capsule and Automix syringe, and both systems have a very simple 2-step application; just Primer, then composite. Simplicity, efficiency, and long-lasting results with reduced postoperative sensitivity. Stela is the solution for most of your clinical needs.

MORITA

NEW Tri Auto ZX2+

Tri Auto ZX2+ is equipped with a new generation reciprocating drive, OGP2, that greatly reduces the chance of a file breaking in the canal. This innovative motor can be used for patency, glide path, and shaping, allowing you to finish treatment safely and in less time. Additionally, with no limits on file size or cutting direction, your current file system is compatible. The future of endodontic treatment is here. .. Tri Auto ZX2+.

BA INTERNATIONAL

Ulticlean 500L Scaler and Air Polisher Unit

The modern approach for prevention, cleaning and minimally invasive prophylaxis treatments. This complete unit comes with all the tools to allow for; air polishing, periodontal, endodontic, implant maintenance & plaque removal – at a fraction of the price of other units.

ADEC

300 Pro Delivery Systems

ADEC

500 Pro Delivery Systems

The future of dentistry is here, thanks to the A-dec 500 Pro. Featuring A-dec+ technology, this delivery system offers connectivity, accessibility, and flexibility that will change the way you work. A 7” glass touchscreen displays only the information you need when you need it.

Get everything you want in a dental delivery system—and more! More functionality. More versatility. More forward-thinking design. This enhanced control pad provides an intuitive, responsive, and dynamic user interface.

GC

ULTRADENT

Transcend Universal Composite

An innovative dental composite material suitable for direct and indirect restorations in both the anterior and posterior regions. It provides unprecedented shade matching with just one Universal Body shade due to its patented Resin Particle Match™ technology that eliminates the need for a blocker or opaquer to hide darker underlying colors.

EXA Advanced VPS Impression Material

Create accurate reproductions of the smallest details with EXA Advanced Hydrophilic Vinyl Polysiloxane Impression Material. EXA Advanced is a significantly advanced addition reaction (platinum catalysed) VPS impression material. It produces crisp, extraordinarily smooth and highly precise impressions for models, crowns, bridges and dentures.

KERR

Zenflex NiTi Shaping Files

Featuring an ideal balance of strength and flexibility, ZenFlex lets your reach the full working length with reduced risk of breakage while preserving more tooth integrity.

COMPLETE CART SYSTEM FOR ULTICLEAN 500L

With specially designed Complete Cart system allowing for greater hygiene & efficiency.

Compact and unique design

Very well-designed cable management system allows you to have an ultra-hygienic & professional working station.

Independent Bottles with Hot Water Feature

For super-comfortable treatment. 2 Bottles enables flexibility in treatment options. E.g: Chlorhexidine, Hydrogen Peroxide etc

With Robust Metallic Handpieces

4 handpieces included; metallic = longer-lasting life

Seamless movement – 360

With our high quality wheel system, our cart is designed to give you the best manoeuvrability around your working space.

Ergonomic

Effective space management with frontal storage slots allowing you easy access to your Ulticlean powders & dispenser.

Generous Complete 500L Package includes

• 3 Year warranty

• 4 handpieces (x2 ultrasonic & x2 Scaling/Perio)

• 14 titanium alloy tips & 2 Wrenches

• 2 water tanks (1500ml/600 ml)

• 2 Powder bottles & 1 box of 10 single use Perio tips

• 1 Travel Aluminium case

• 2 cleaning wires

• 3 sterilisation tip storage boxes

• Selection of compressor connectors

• Foot pedal & much more

ALL

FOR UNDER $10K

Modern approach for prevention, cleaning and minimally invasive prophylaxis treatments.

Dental Scaler + Air Polisher

SIMPLE & SOPHISTICATED

Ease of use, a complete unit that comes with all the tools to allow for many procedures:

AIR POLISHING + PERIODONTAL TREATMENT + ENDODONTIC TREATMENT

+ IMPLANT MAINTENANCE + EFFICIENT AND COMFORTABLE PLAQUE REMOVAL

AUTOMATIC IDENTIFICATION OF PROCEDURE MODE

Automatically recognizes which feature you require when you pick up either handpiece – scaling or air polishing.

AIR POLISHING

Compressed air precisely delivers powder and water effectively removing surface substances and polishes the tooth surface. It is less harsh on the tooth enamel with minimal abrasion. Delivers an efficient and comfortable treatment ensuring a pleasant experience for patients for supragingival and subgingival treatments.

One package with everything you need to have clinical confidence.

package FROM PERFORMANCE TO PEACE OF MIND...

NEW GC EXA ADVANCED IMPRESSION MATERIAL

Advancing 40 years of consistent impressions with GC Hydrophilic Vinyl Polysiloxane Impression Material

Create accurate reproductions of the smallest details with EXA Advanced Hydrophilic Vinyl Polysiloxane Impression Material.

• Rigidity and elasticity in balance for optimal results.*

• Resistant to tearing for an accurate reproduction of the finest preparation margins.*

• Hydrophilic to capture all details required for an accurate reproduction.

• Elasticity, together with a pleasant smell and taste for the best possible comfort for patients and predictability for the clinician.

• Recovers from the deformation that takes place upon removal from the patient’s mouth.

• Maintains its accuracy during storage and transportation, due to excellent dimensional stability.*

The EXA Advanced Normal & Fast Set range

Normal Set (each contain 2 x 48ml cartridges, 6 mixing tips)

EXA Advanced Regular Type Normal Set GC-139050

EXA Advanced Injection Type Normal Set GC-139070

EXA Advanced Heavy Body Normal Set GC-139040

Fast Set (each contain 2 x 48ml cartridges, 6 mixing tips)

EXA Advanced Regular Type Normal Set GC-139010

EXA Advanced Injection Type Fast Set GC-139030

EXA Advanced Heavy Body Fast Set GC-139000

Accurate impressions down to the last detail

Increased tear strength*

Crucial for reducing the risk of damage to the impression during removal from the mouth.

*Source GC R&D Data on file

Image courtesy of Dr David Geštakovski, Croatia

G-ÆNIAL A’CHORD

THE ADVANCED UNIVERSAL COMPOSITE WITH UNISHADE SIMPLICITY

G-ænial A’CHORD is a universal composite that delivers long lasting, invisible restorations.

Designed to save time and therefore costs, it brings together superior technology in a straightforward product. Now you can feel truly confident using a material with effortless handling even in challenging cases.

Used in conjunction with a short fibre reinforced composite, everX Flow as a dentine replacement for building a stronger foundation under posterior restorations, offers a biomimetic restorative approach.

Fig. 1 Initial presentation, two large posterior composite restorations requiring replacement.

Fig. 2 After caries removal process. Fig. 3 Internal stabilization utilizing short fibre reinforced composite, everX Flow. Marginal ridge build up using G-aenial A’CHORD Shade A2.

Fig. 4 Occlusal anatomy replicated using conventional paste composite resin G-aenial A’CHORD Shade A2.

Fig. 5 Final presentation, immediately post-operative.

Images courtesy of Dr Yo-Han Choi, Sydney

DR YO-HAN CHOI Sydney

G-CEM ONE UNIVERSAL

G-ÆNIAL A’CHORD

SIMPLICITY | AESTHETICS | PERFORMANCE

Winner of the Dental Advisor 2023 top award for Simplified Shade Composite.

Images courtesy of Dr Yo-Han Choi

G-aenial A’Chord: a simplified unishade universal composite. Five core shades to cover the spectrum of the 16 classic Vita shades.

Collect your Advantages Coupons until end of December 2024 and redeem until 31st of January 2025

G-CEM LINKFORCE UNIVERSAL RESIN CEMENT

Now you can secure all your indirect restorations with one aesthetic resin cement solution.

One primer for all substrates

G-Multi Primer uses three different chemical bonding agents to ensure perfect adhesion in all situations to all substrates. By adding silane to the primer (and not to the dentine adhesive), stability of adhesion is assured.

Featuring three functional monomers in a proven formulation, G-Premio BOND delivers a no-compromise adhesive performance to all prepared tooth surfaces including liners and composite or metal cores.

Strength, aesthetics and great handling

G-CEM LinkForce provides durable retention and long term margin aesthetics through enhanced dual cure polymerisation systems and incorporation of high density, single dispersion glass filler technology.

LINK 1: G-Multi PRIMER

LINK 3: G-CEM LinkForce™

LINK 2: G-Premio BOND

A premium chemical bonding formulation

PANAVIA™ WITH OVER 40 YEARS OF SUCCESS IN ADHESIVE LUTING

Did you ever wonder why the products of the PANAVIA™ brand offer an outstanding performance? You probably know that they all contain the original MDP monomer developed in the early 1980s. It has attracted much attention because it is such an excellent adhesive monomer. This phosphate ester monomer forms a very strong bond to tooth structure, zirconia, and dental metals. It has been used in every PANAVIA™ product. In reality, however, other catalytic technologies and ingredients alongside MDP are important technological contributors supporting the performance of our cementation solutions.

Ingredients affecting the polymerisation reaction

One of these decisive additional technologies and ingredients is the polymerization catalyst triggering the curing process. Different from the MDP monomer used in every PANAVIA™ product, the polymerization catalyst has been continuously improved since the introduction of PANAVIA™ EX in 1983. New versions have been developed for PANAVIA™ 21, PANAVIA™ Fluoro Cement and PANAVIA™ V5, for example.

Another important component also affecting the curing process is the Touch Cure Technology used in two of the three major products of the current PANAVIA™ Portfolio: PANAVIA™ V5 and PANAVIA™ Veneer LC. This technology was first used in PANAVIA™ 21, which was launched in 1993. The contact of the chemical polymerization activator contained in the self-etching primer with the resin cement paste accelerates the polymerization of the cement from the adhesive interface, thus providing better adhesion of the resin cement.

In developing PANAVIA™ V5, we reviewed the chemical composition of the existing PANAVIA™ products and updated it substantially. The Touch Cure technology has also been adopted for use in the case of PANAVIA™ V5 Tooth Primer and the concomitantly used PANAVIA™ V5 Paste. When cementing veneers with PANAVIA™ Veneer LC, we also use PANAVIA™ V5 Tooth Primer for conditioning teeth. This also involves the application of Touch Cure technology for achieving an adhesive connection with the tooth without compromising the working time of the cement paste.

Additional adhesive monomers

Even in the field of adhesive monomers, however, our development efforts did not come to a halt: We developed the LCSi monomer, a long carbon chain silane-coupling agent which made possible to integrate the function of a ceramic primer in our universal self-adhesive resin cement PANAVIA™ SA Cement Universal.

With its high level of hydrophobicity, this monomer provides stable, long-term bond strength. Generally speaking, it may be said that the reason bond durability may drop is a hydrolytic reaction damaging the chemical bond between the silica contained in the glass ceramics and the silanecoupling agent.

Three products covering virtually every need

By combining these technologies and ingredients in a smart way, we have succeeded in developing a resin cement portfolio that covers virtually every need. With PANAVIA™ V5, PANAVIA™ SA Cement Universal and PANAVIA™ Veneer LC, it is possible to treat a wide variety of cases. The products allow for the luting of various types of restorations, prosthetic appliances and for the placement of posts and produce great outcomes if used properly according to the instructions for use.

PANAVIA™ V5 is the resin cement that has the widest range of uses among the three cement systems just mentioned. It covers almost all the intended uses of the other two cements.

Therefore, it is possible for the dental practitioner to choose the right cement system for treatment, according to the cases arriving at the clinic and patient needs, from among these three major resin cement products: PANAVIA™ V5, a resin cement with a wide range of applications; PANAVIA™ SA Cement Universal, a simple and easy-handling self-adhesive resin cement; and PANAVIA™ Veneer LC when there is a need to bond laminate veneers.

Exploring new opportunities

The good thing about developing technologies in a company like Kuraray Noritake Dental is that their application is not limited to a certain product or product group. The R&D Department always carries out research on how to leverage the benefits of the technologies in other applications.

Take, for example, KATANA™ Cleaner, which was released in 2019. This cleaning agent can be used to remove saliva, blood, temporary cement, or other contaminants that can adhere to the surfaces of teeth or prosthetic devices during trial fitting and temporary cementation of a prosthetic device. This unique product has been developed by taking advantage of the surfactant function of the MDP monomer.

Conclusion

Hence, it is mainly our long-standing knowledge and experience in the development of dental resin cements and adhesive solutions that provides for the excellence of the current PANAVIA™ Portfolio. We know how to improve existing technologies, never stop developing new ones and continuously look for the best way to combine proven and new components to obtain the best possible outcomes.

In the steps of the product development procedure, clinical tests are conducted and feedback from dental practitioners is gathered to take into account the extreme conditions found in the oral environment. In the past 40 years, this strategy has proven successful, and we are sure it will help us develop many other innovative products that offer ideal support in your striving to improve the oral health of your patients.

STELA THE FUTURE OF COMPOSITES

When selecting a restorative, clinicians are often forced to compromise. Compromise is necessary as no product excels in every attribute. Most dentists evaluate a restorative based on its handling, mechanical properties, radiopacity and sensitivity risk. Some composites are clearly stronger, while others embody effortless handling. However, searching for a restorative that excels in all properties is like seeking a winged unicorn. SDI is proud to announce the launch of Stela, an innovative new composite that strives to be the perfect high-performance self-cure composite without compromises.

The Stela breakthrough technology is the result of a partnership between SDI scientists and engineers from three leading Australian universities; the University of New South Wales, the University of Sydney, and the University of Wollongong. Stela is not just a composite - it is a complete end-to-end system that is formulated to deliver stronger and more efficient restorations.

Stela is available in both capsule and syringe systems, both to be used with Stela Primer. The universal shade offers a chameleon effect that balances translucency and opacity. This superior effect blends in with surrounding tooth structures to produce a flawless finish and aesthetic results. Stela is indicated for a wide range of clinical uses, including Class I, II, III and V restorations, base or liner, core buildups, and sealing endodontic access cavities.

Unlike many self-cure composites, Stela has been formulated without tertiary amine. This additive can contribute to long term shade darkening and the yellowing of restorations over time.1,2 With Stela, clinicians can rest assured knowing their restorations have improved long term colour stability.

Stela is applied in a simplified two-step process; primer, then composite. While traditional composite systems can take up to 120 seconds to prepare, Stela restorations are ready for placement in just 15 seconds. This is achieved by eliminating traditional, time-consuming steps of etch, prime, bond, and light cure. With the two-step Stela system, clinicians can benefit from reduced in-chair time, high patient satisfaction rates, and long-lasting restorations.

In addition, Stela features innovative technology that enables a gap-free interface. When light curing a composite, polymerisation begins in the area closest to the light source with the resulting polymerisation shrinkage pulling the restorative away from the cavity walls, creating micro gaps. 3,4,5 Stela does not require light curing, and Stela Primer contains a catalyst that initiates the curing process at the restoration interface. This polymerisation sequence mitigates stress to enable a gap-free interface, reducing post operative sensitivity and the risk of premature failure.

The Stela initiator system starts a snap set fast cure to convert monomers into polymer chains. Simultaneously, these chains become rapidly and densely cross-linked to each other, forming a complex network. This network reliably binds fillers. The results? Impressive mechanical properties.

Images courtesy of Prof Dr Rocio Lazo Stela bonding interface (self etch) Source: sauro, salvator et al. 20226

COSMETIC & RESTORATIVE

BEST IN CLASS

BEST IN CLASS

BEST IN CLASS

BEST IN CLASS

Stela is the strongest self cure composite available.

Stela is the strongest self cure composite available.

Stela boasts a high compressive strength that protects teeth against strong occlusal forces, and a high flexural strength that reduces the likelihood of failures due to major stresses. The strength of a restorative should always be judged on its combination of compressive and flexural properties, and Stela has the perfect balance of both, outperforming most other composite products.

Stela is the strongest self cure composite available.

There are several posterior restoratives. However, when comparing their strength, many have weaker properties that are closer to glass ionomers than composites.

There are several posterior restoratives. However, when comparing their strength, many have weaker properties that are closer to glass ionomers than composites.

STELA BONDING INTERFACE

Stela is the strongest self cure composite available. There are several posterior restoratives. However, when comparing their strength, many have weaker properties that are closer to glass ionomers than composites.

There are several posterior restoratives. However, when comparing their strength, many have weaker properties that are closer to glass ionomers than composites.

(SELF ETCH)

A confocal micrograph of a gap-free Stela-dentine interface, using the self etch Stela Primer.

Note the penetration depth of Stela Primer (yellow) within the dentine tubules.

Pre-test failure rate: 0%

FILTEK ONE BULK FILL (SELF ETCH)

A confocal micrograph showing the dentine interface of Filtek One Bulk-Fill (3M ESPE), in self etch mode . The red arrow shows the presence of gaps

Pre-test failure rate: 75%

FILTEK ONE BULK FILL (ETCH & RINSE)

A confocal micrograph showing the dentine interface of Filtek One Bulk-Fill (3M ESPE) , in etch & rinse mode . The red arrow shows the presence of gaps

Pre-test failure rate: 10%

SOURCE: SAURO, Salvatore et al. 2022. Microtensile bond strength and interfacial adaptation of two bulk-fill composites compared to a conventional composite restorative system

» [Stela] performs as well as market-leading universal and bulk-fill composites bonded to dentine with universal adhesives. Moreover, in this study, [Stela] exhibited better interfacial adaptation and greater bonding performance compared to universal and bulk-fill composites. «

PAULA MACIEL PIRES & ALINE DE ALMEIDA NEVES (Federal University of Rio de Janeiro)

FILIPPO SEMENZA & SALVATORE SAURO (Cardenal Herrera CEU University)

IRINA MAKEEVA (Sechenov University)

International Association for Dental Research, Asia, 2022.

Standard etch-prime-bond-cure combinations are time-consuming and technique sensitive, introducing the potential for contamination and errors, leading to sensitivity and premature failure.

The Stela Primer was developed in tandem with Stela Capsule and Stela Automix syringe. Together, the formulations combine to deliver an increased bond strength compared to standard etch-prime-bond products

Both Stela Primer and Stela composite have the MDP monomer, ensuring a strong chemical bond, free of gaps, with better sealing for durability and no sensitivity. Stela is also BPA and HEMA free.

Stela Primer tags into the dentinal tubules, forming micromechanical retentions (secondary bond)

Stela users also benefit from outstanding radiopacity of 308% Aluminum. The formulation contains fluoride, calcium, and strontium, and is BPA and HEMA free for health-conscious clinicians and patients. What’s better, all of this is achieved without compromising bond strength, granted by a combination of the 10-MPD monomer in both Stela Primer and Stela composite, and low pull stress during polymerisation.

Stela Primer then chemically bonds to Stela paste (primary bond), forming a true adhesion between atoms or molecules of Primer and composite.

Stela is the ideal option for clinicians who are seeking a strong and reliable high-performance restorative, that is simple, fast and does not compromise aesthetics. Stela’s gap-free interface and simplified process reduces sensitivity and increases longevity, resulting in loyal patients and confident dentists. Stela is an Australian innovation, developed and manufactured in Australia and distributed to over 100 countries

Microtensile bond strength results

SOURCE: SAURO, Salvatore et al. 20226

REFERENCES

1. Andrea Kowalska et al. The Photoinitiators Used in Resin Based Dental Composite - A Review and Future Perspectives, 2021

2. Andrea Kowalska et al. Can TPO as Photoinitiator Replace “Golden Mean” Camphorquinone and Tertiary Amines in Dental Composites?, 2022

3. Hamdi Hosni Hamama. Recent advances in posterior resin composite restorations in Applications of Nanocomposite Materials in Dentistry, 2019.

4. S.R. Schricker. Composite resin polymerization and relevant parameters in Orthodontic Applications of Biomaterials, 2017.

5. Gary S. Berkowitz et al. Postoperative Hypersensitivity and Its Relationship to Preparation Variables in Class I Resin-Based Composite Restorations: Findings from the Practitioners Engaged in Applied Research and Learning (PEARL) Network. Part 1. Compend Contin Educ Dent. 2013 Mar; 34(3): e44–e52.

6. Salvatore Sauro et al.Microtensile bond strength and interfacial adaptation of two bulk-fill composites compared to a conventional composite restorative system, 2022.

Images courtesy of De Jose Cedillo

SELECTIVE-ETCH ADHESIVE

BONDING OF A GLASS CERAMIC ONLAY

A 57-year-old patient presented with a failed onlay on tooth 36. An IPS e.max® Press onlay was defined as the treatment plan. The onlay was primed with 3M™ Scotchbond™ Universal Plus Adhesive as the silane and cemented with 3M™ RelyX™ Universal Resin Cement and Scotchbond Universal Plus Adhesive in the selective-etch adhesive technique.

Preparation

Selective-etch adhesive bonding of a glass ceramic onlay

Application of 3M™ Scotchbond™ Universal Plus Adhesive

IPS e.max® Press onlay.

HF etching of bonding surface. External surface is protected with wax.

as a silane followed by air drying.

Dr. Akit Patel Bio

BDS MFDS RCS MClinDent (Pros) MRD RCS

Dr Akit Patel graduated from Guy’s Dental Institute in 2002. He completed a Master’s degree in clinical dentistry in fixed and removable prosthodontics from UCL Eastman Dental Hospital and Institute with distinction and an award for clinical and academic excellence in 2009.

Dr Akit Patel is an experienced prosthodontist with special interests in minimal intervention, adhesive dentistry, fixed and removable conventional, implant and cosmetic rehabilitation. He works at Perlan Specialist Dental Centre (part of Bupa) in Eastbourne, East Sussex. He is also a Clinical Senior Teaching Fellow in Restorative Dentistry at UCL Eastman Dental Institute, and a lecturer in Dental Implantology at Bristol University, where he teaches on their Master’s programmes. He is responsible for restorative courses, workshops and lectures for ITI and 3M.

United Kingdom

DR. AKIT PATEL

Selective enamel etch with 3M™ Scotchbond™ Etchant after cleaning of prep with 50 μm alumina.

Application of 3M™ RelyX™ Universal Resin Cement.

Final situation.

Prepped tooth.

Tooth prep with applied 3M™

Scotchbond™ Universal Plus Adhesive after air-drying. No light-cure.

Excess clean-up.

Scotchbond Universal Plus Adhesive

RelyX Universal Resin Cement

TRANSCEND INNOVATIVE DENTAL COMPOSITE TECHNOLOGY

Innovative Dental COMPOSITE TECHNOLOGY

Innovative Dental COMPOSITE TECHNOLOGY

Transcend composite has been designed with Ultradent’s Resin Particle Match technology. The balanced refractive indices between resin and filler particles from that technology, combined with a carefully optimized tuning between translucency and opacity, allow Transcend composite to blend with most surrounding dentition with just one shade and without the use of a blocker.

Transcend composite has been designed with Ultradent’s Resin Particle Match technology. The balanced refractive indices between resin and filler particles from that technology, combined with a carefully optimized tuning between translucency and opacity, allow Transcend composite to blend with most surrounding dentition with just one shade and without the use of a blocker.

Transcend composite has been designed with Ultradent’s Resin Particle Match technology. The balanced refractive indices between resin and filler particles from that technology, combined with a carefully optimized tuning between translucency and opacity, allow Transcend composite to blend with most surrounding dentition with just one shade and without the use of a blocker.

Before Restoration

10 Months After Restoration

Dr. Rafael Beolchi graduated from the University of São Paulo, Brazil, in 2000. He has maintained a private practice since 2001, working mainly in esthetic dentistry and oral rehabilitation. In 2009, he received a master’s degree in Biomaterials. He lectures around the world, mainly on the advanced handling of dental materials with an easy step-by-step approach. He now lives in Portugal where he is pursuing his second master’s degree. Dr. Beolchi serves as a member of the Editorial Board of Scientific Magazines and as an International Lecturer in Portuguese, English, and Spanish in more than 50 countries.

Dr. Rafael Beolchi graduated from the University of São Paulo, Brazil, in 2000. He has maintained a private practice since 2001, working mainly in aesthetic dentistry and oral rehabilitation. In 2009, he received a master’s degree in Biomaterials.He lectures around the world, mainly on the advanced handling of dental materials with an easy step-by-step approach. He now lives in Portugal where he is pursuing his second master’s degree.

He has maintained a private rehabilitation. In 2009, he received a advanced handling of dental pursuing Board of Spanish in

Dr. Beolchi serves as a member of the Editorial Board of Scientific Magazines and as an International Lecturer in Portuguese, English, and Spanish in more than 50 countries.

Dr. Rafael Beolchi graduated from the University of São Paulo, Brazil, in 2000. He has maintained a private practice since 2001, working mainly in esthetic dentistry and oral rehabilitation. In 2009, he received a master’s degree in Biomaterials. He lectures around the world, mainly on the advanced handling of dental materials with an easy step-by-step approach. He now lives in Portugal where he is pursuing his second master’s degree. Dr. Beolchi serves as a member of the Editorial Board of Scientific Magazines and as an International Lecturer in Portuguese, English, and Spanish in more than 50 countries.

DR. RAFAEL BEOLCHI DDS, MSc, Portugal

DR. RAFAEL BEOLCHI DDS, MSc, Portugal

DR. RAFAEL BEOLCHI DDS, MSc, Portugal

VALO X BROADBAND LED CURING LIGHT REIMAGINED

The

INNOVATIVE CURING LIGHT AVAILABLE

The VALO X curing light has been completely redesigned to give you the power, durability and accessibility you expect from a VALO light, but better

THE MOST

The VALO X curing light has been completely redesigned to give you the power, durability and accessibility you expect from a VALO light, but better.

The new simplified interface allows you to cycle through power modes and diagnostic light modes simple by tapping the VALO

light to the front or to the side.

The new simplified interface allows you to cycle through power modes and diagnostic light modes simple by tapping the VALO X light to the front or to the side.

The VALO X light also includes five accessory lenses: two curing lenses and three diagnostic lenses.

The VALO X light also includes five accessory lenses: two curing lenses and three diagnostic lenses.

PRESSING ENDODONTIC ISSUES

Sealing the root canal system with a durable and bacteria-tight material guarantees a successful endodontic treatment in the long run. Easier said than done, if you consider the complex nature of the given dental anatomy. The following case report demonstrates that a reliable obturation of the root canal system sometimes just needs a little unusual pressure, i.e. negative pressure.

After having shaped and cleaned the canal, the endo specialist seeks to obturate the prepared space effectively. For this purpose, a number of innovative fast flowing filling materials are already available on the market. However, multiple canals, hidden accessory canals or lateral branches make it difficult to create a permanent seal against bacteria and fluids that can just re-enter the root canal system. Irregularities like culs-de-sac or isthmi are not easy to spot, let alone to be filled properly. A new, simple technique using standard instruments can help practitioners to get the job done in no time. All you need is free-flow filling material and a new, special endodontic aspirating tip to create a bit of negative pressure, as my latest endodontic case shows.

Case Report

A 50-year-old male patient was referred to my endodontic practice for evaluation and possible treatment of his left maxillary second premolar. The tooth was percussion painful and a buccal swelling was evident. Endo-Ice cold vitality testing was negative. Radiographic examination, moreover, revealed a periapical lesion associated with a highly curved root (Figs. 1 & 2). The pulp was consequently diagnosed as necrotic and the periapical diagnosis was consistent with Symptomatic Apical Periodontitis (SAP). After placing the rubber dam, the pulp chamber was accessed with a diamond DiaDent bur under microscopic visualisation. Two confluent canals were identified and length determination radiograph revealed the highly curved canal anatomy (Fig. 3). Length was verified using the CanalPro Apex Locator. Instrumentation was then achieved with the Hyflex CM rotary files used in a single length protocol. After flaring with 25/0.8, the rotary file sequence followed consisted of 15/0.4, 20/0.4, 25/0.4, 20/0.6 and 30/0.4 to length. After the instrumentation procedure a radiograph confirmed that the original trajectory was maintained (Fig. 4). The angulation of the aforementioned periapical radiograph revealed two lateral lesions suggesting two lateral portals of exit (Fig. 5). The canals were rinsed after each change of instruments according to a strict irrigation protocol. Two corresponding 30/0.4 gutta-percha master cones were then fitted to the canals. The rinsing solution was activated by using dynamic manual agitation with the master gutta-percha cones (holding the cone with tweezers to gently move it up and down).

Fig. 1 Clinical situation. Fig. 2 Periapical lesion in highly curved root.

Fig. 3 Confluent canals. Fig. 4 Instrumentation with the HyFlex CM rotary files.

During this process, an endodontic aspirator tip was used to dry the root canals. The Swiss dental specialist Coltène/Whaledent introduced an aspirating tip specially developed for drying root canals. With an outer diameter corresponding to ISO 60, the Surgitip- endo can be inserted directly into the prepared canal where it removes rinsing solutions and other moisture quickly and effectively at the same time. Thanks to a special fully rotating ball joint, the suction tip is highly flexible and collapsing of the tip is therefore avoided (Fig. 6). You can easily fit it into root canals that are normally hard to reach without having to bend the canal tip. After drying the confluent canals, the Surgitip-endo was fitted to the buccal canal orifice and the irrigation solution was injected in the lingual canal. Simultaneous negative and positive pressure irrigation from different orifices created a continuous current of fresh irrigant washing out all debris.

In the next step the preparation for negative pressure filling of the root canal system was taking place.

This special filling system was created with the use of the Surgitip-endo and the tight seal material GuttaFlow 2 (Fig. 7). This filling material combines cold free-flow gutta-percha and a sealer creating an easy to handle, fast flowing filling material, which has been proven as a reliable barrier against bacteria and liquids re-entering the root canal. Its working time takes approximately ten to fifteen minutes. Before the actual procedure starts, it is necessary to fix both the Surgitip-endo front part as well as the CanalTip of the GuttaFlow capsules at the entrance of both canals. Both the front part of Surgitipendo and a canal tip are firmly fixed in the different orifices by a sealing material that is polymerised for

approximately 10 seconds (Fig. 8). The seal at the canal entrance works as a temporary cap to enable the establishment of negative pressure underneath it with the aid of the aspirating tip. With this special trick a negative pressure zone can be created, which allows literally to pull the gutta-percha filling material into smaller lateral canals and ramifications that were hardly detectable in the anamnesis before.

Fig. 5 Lateral lesions suggesting two lateral portals of exit.

Fig. 6 Surgitip-endo aspirator tip Fig. 7 Gutta Flow Introkit.

Fig. 8 Fixing both tips in the orifices by sealing material.

Fig. 9 Attaching the Surgitip-endo and GuttaFlow 2 FAST capsule.

Fig. 10 Visualisation of the technique in a plastic training block.

Fig. 11 Classic backfill after removal of temporary seal.

Fig. 12 Seating of pre-fitted master cones.

Now a GuttaFlow 2 FAST capsule was attached to the CanalTip as well as the Surgitip-endo to its front part (Fig. 9). While the air was sucked off with the Surgitip-endo above the filling, the guttapercha material was released into the canal system simultaneously and quickly spread into the prepared root canal system. In general, the innovative design of the suction tip ensures unrestricted high suction performance at all angles, therefore the gutta-percha was evenly distributed and filled the confluent canals within seconds. Complete control of the material extrusion was consequently achieved (Fig. 10). After the injected GuttaFlow 2 had reached the Surgitipendo, the temporary sealing material could be removed. The rest of the GuttaFlow 2 capsule was used for a classic backfill and the pre-fitted master cones were very slowly seated in place (Figs. 11–13).

The tooth was restored with a fiber post, a composite built up and a PFM crown. In the final radiographic image of the tooth right after the RCT, the lateral ports of exit could be visualised (Fig. 14). One year after the treatment, the follow-up radiograph revealed complete healing. The nonabsorbable GuttaFlow 2 could be detected unaltered in the lateral portals of exit (Fig. 15). The buccal and occlusal clinical view of the tooth and soft tissues can be seen in Figures 16 and 17.

Conclusion

Innovative filling systems nowadays come with excellent flow properties. They are easy to handle and help to speed up treatment sessions, even more so if dentists make good use of their endodontic instruments. Creating a negative pressure zone with a special endodontic aspiratory tip is easy to learn, but saves additional time in the process. No extra material or instruments are needed. The guttapercha is easily distributed to the root canal system, even in areas that are hardly detectable beforehand and often impossible to fill. The combination of modern equipment and individual craftsmanship thus guarantees a tight seal of the root canal for an optimum protection against re-infection. Negative pressure obturation with GuttaFlow 2 provides absolute material control and a fluid tight seal of the main root canal system and its lateral components.

DR ANTONIS CHANIOTIS, GREECE

Reference (2014) ROOTS

‘Industry Report _ Innovative Filling Systems’, Volume 3, Pgs 14-17.

Fig. 13 Position of the master cones.

Fig. 14 Visualisation of lateral ports of exit.

Fig. 15 Radiograph one year after treatment with non resorbable GuttaFlow 2.

Fig. 16 Occlusal clinical view.

Fig. 17 Buccal clinical view.

TRI AUTO ZX2+

BEYOND INGENUITY, INTELLIGENT ENDODONTIC MOTOR

Patency and Glide Path have never been easier. Tri Auto ZX2+ is equipped with a new generation reciprocating drive,OGP2, that greatly reduces the chance of a file breaking in the canal. This innovative motor can be used for patency, glide path and shaping, allowing your to finish treatment safely and in less time. Additionally, with no limits on file size or cutting direction, your current file system is compatible. The future of endodontic treatment is here ... Tri Auto ZX2+.

Minimally

Gutta Percha Points

Points designed to match canals shaped by ZenFlex NiTi Shaping Files

Zero natural rubber latex

Flexible matches to a wide range of canal depths

Reliable fill and seal with a seamless glide path

A-dec® 300 Pro: Fits today. Flexible tomorrow.

We took the modular, compact design of the A-dec 300 and made it even better. Now, with enhanced features—and the option of A-dec+ digital connectivity—you’ll have all the powerful performance you need for the way you practice today. With more functionality, more versatility, and even more possibilities for tomorrow.

Learn more at a-dec.com/300

EVERYTHING ABOUT ERGONOMICS

FOR PATIENTS AND PRACTITIONERS

There are many things to consider when selecting the right treatment unit: design, layout, quality, functionality, accessories and much more.

Yet there is one element that is often overlooked, even though it is crucial for successful treatment and for dentists’ health, and therefore for their career as a whole: ergonomics

In 1965, KaVo developed the 1025 patient chair which allowed dentists to ergonomically treat patients in the supine position: allowing for healthy and fatigue-free posture. On average, dentists carry out around 80,000 treatments over the course of their career and these are usually in a confined workspace with limited accessibility. It is hardly surprising that many dentists see the tensions they suffer in their back and neck, or the headaches they get, as a type of occupational disease. Yet it doesn’t need to be this way: Any dentist that carries out treatments in a relaxed and natural posture should be able to live a relaxed and healthy life – for their entire career.

The KaVo Primus™ 1058 Life provides maximum freedom for dentists to ensure a natural and healthy posture for either standing or seated treatments. The dentist can remain fully relaxed during any treatment thanks to features such as versatile high/low chair positioning, easy operation and the ergonomic multifunctional foot control. Whether you perform the treatment sitting down or standing up, the dentist element of your Primus 1058 Life supports you with its sophisticated ergonomics.

• The table version: Even more freedom of motion for an ergonomic work technique in any treatment position

• The swing-arm version: Better extension lengths as well as the hygienic hose guide which helps well-balanced handpieces rest perfectly in your hand.

• The cart version: More mobility combined with simple operation - just wheel your cart to the required position when needed.

The KaVo uniQa is as flexible as you are individual…and ergonomically correct from head to toe. Adjust your uniQa not only to your personal requirements and habits, but also to your height. The height of the patient chair can vary between 350 mm and 830 mm, ensuring optimal ergonomic conditions, regardless of whether you perform treatments while sitting or standing.

The patient positioning of the KaVo uniQa according to Trendelenburg is both comfortable and ergonomic in every treatment position: the footrest inclines and rises automatically to match the inclination of the backrest. This combined movement prevents compression or extension of the patient’s back while the backrest is being readjusted and the elevated leg position supports circulation.

Small differences in the design often make a big difference with daily treatments. The best example of this is the extremely slender Progress backrest- this is available for all treatment units and ensures a back-friendly working posture through optimum access to the patient, thanks to its slim shape.

The KaVo foot control pedal is a further highlight for ergonomic working with KaVo. This is also available as an optional flexible wireless foot control (uniQa only) that is operated with comfortable right/left movements. No strenuous up/down movements mean that the leg muscles remain free from tension, including during long seated sessions or standing treatments.

A healthy working posture starts with your seat.

Nothing affects our posture quite as much as the chair we sit on every day. The KaVo PHYSIO Evo work chair was specially designed to meet the requirements of a dental practice and is still the only work chair to have been awarded the coveted AGR e.V. seal of approval for its ergonomic concept.

The backrest and seat cushion of the KaVo PHYSIO Evo are ergonomically shaped. The central ridge in the seat cushion provides stable sitting and prevents any sliding even in case of short, quick rolling motions. The rounded thigh support allows for freedom of motion and thanks to the spring force-supported backrest, the back muscles - the lumbar region in particular - are permanently actively supported and thus continuously protected. An ergonomically healthy sitting posture may have a significant influence on the profitability of your practice. Because, in the long term, always working with a good posture without any health issues is priceless for you and your staff.

A-dec 500 Pro: Experience a new level of connection.

Everything you’ve come to appreciate about the A-dec 500 dental chair, is now available with a new delivery. Enabled with A-dec+ and an updatable software platform, the A-dec 500 Pro delivery system supports your dental team with a new level of connection.

a-dec.com/500

SKIN CARE FOR YOUR PROTECTION

With an area of about two square meters, our skin is the largest organ of the human body. Our skin is on constant display and forms an integral part of our overall physical appearance. It also performs several vital functions that are essential to our health and well-being, with protection being one of the most important.

The skin serves as a protective barrier between the body’s internal organs and the external environment. It shields the body from physical injury, penetration of harmful microorganisms (pathogens) that cause disease, and environmental pollutants. The outermost layer of the skin, known as the epidermis, is particularly responsible for providing this protective function.

Healthy intact skin is a natural defence against infection and proper skin care is crucial to help maintain this protective barrier. The most effective way of looking after the skin is by taking preventative approaches to promote skin health. In the workplace, this often means the regular use of a moisturiser which helps keep the skin hydrated and prevents dryness, flakiness, and irritation. Microshield Moisturising Lotion is enriched with Vitamin E and Aloe Gel. It absorbs quickly into the skin and is suitable for use with chlorhex gluconate and latex gloves.

Healthcare workers have a higher exposure to water and other aqueous solutions through frequent hand washing, the use of alcohol-based hand rubs and the wearing of gloves. All this exposure can impair the barrier properties of the skin, especially on the hands

Proper skin care, particularly for those in the healthcare industry is a critical step that can help strengthen this protective barrier, reducing the risk of infections and other skin issues.

Microshield Sensiva ® Protective Cream contains hamamelis extract (also known as witch hazel extract) which protects the skin from external effects and reduces inflammation. It also contains allantoin which has a soothing effect on the skin, moisturises and supports cell renewal. Sensiva ® Protective Cream can be used regularly throughout the day.

Octenicare Repair Crème is a unique combination formula for maintaining optimal skin integrity, particularly for those at an increased risk of skin breakdown. It contains Panthenol which promotes the regeneration of skin, ensuring smoothness and elasticity; Bisabolol, which has an anti-inflammatory effect and soothes the skin; and Octenidine, which inhibits odour-causing pathogens. To soothe dry skin including atopic dermatitis and psoriasis, apply a thin layer of Octenicare® Repair Crème to the affected areas and massage in. Use Octenicare® 1-3 times a day to support the natural regeneration of the skin.

Schülke is making it easier to care for your skin at work with a selection of skincare solutions developed specifically for health care use. And as an added advantage, all their skin care products are perfume-free and colour-free.

Sacn to view the Schulke hand hygiene range

BENEFITS OF IMS CASSETTES

NEW 10 YEAR WARRANTY

Instrument Management can have a big impact on any facility. Keeping instruments organized and managing them properly improves the flow of the facility, which allows the sterilization area to run more efficiently and clinicians to focus on providing the best level of care.

HuFriedy IMS™ Cassettes keep instruments organized and protected throughout the facility, allowing you to go from chairside to cleaning to sterilisation to storage without ever touching contaminated instruments. This helps to improve efficiency, safety, compliance, organisation, standardization, instrument protection, and more. Now, with the 10-year warranty of IMS™ Cassettes, you can feel confident in the long-lasting impact on efficiency, safety, organization, and compliance in your facility.

Features of HuFriedy IMS™ Cassettes

1. Ergonomic latch with positive locking mechanism is safe and easy-to-use, allows one-handed opening and visual confirmation if the cassette is locked /unlocked.

2. Revolutionary hole pattern design provides more access to instruments during cleaning and sterilization and increases compatibility with today’s cleaning equipment, including automated washers.

3. High quality, electropolished stainless steel provides more durability than plastic to keep your instruments safe inside while also protecting against corrosion.

4. Smooth round corners and slotted edges increase drainage and reduce drying time.

5. Beveled edge allows for a more ergonomic grasp.

6. Innovative color-coded silicone rail system, available in 11 color options, significantly reduces instrument contact, allowing for more water flow while protecting theinstruments during reprocessing.

The benefits of IMS™ Cassettes

Efficiency

IMS™ Cassettes eliminate time consuming steps to streamline reprocessing, which can save facilities an hour or more each day.

Safety & Compliance

IMS ™ Cassettes minimizes how often contaminated instruments are handled, improving compliance during transportation and reprocessing while also reducing the risk of a costly sharps injury.

Organisation

IMS™ Cassettes help facilities better organize their reprocessing flow, freeing up to seven linear feet of counter space, so they can maximize the space in their sterilisation area. When coupled with the use of organizational tubs for procedural disposables, efficiency and organization are greatly improved as procedure needs are easily identified for quick patient set up.

Instrument Protection

IMS™ Cassettes are made of durable, stainless steel to protect the integrity of your instruments. They also keep your instruments held in place and spaced out for an optimal environment for proper reprocessing.

Standardisation

IMS™ Cassettes help facilities create a system for managing their procedural setups. Each setup includes all of the instruments that are needed to help with onboarding and standardizing care throughout a single facility and even across multiple locations

IMS™ Cassettes can make an immediate impact on a facility’s bottom line, with the time saved allowing them to see new patients and bring in tens of thousands of dollars in new revenue.

IMS™ Cassettes can make an immediate impact on a facility’s bottom line, with the time saved allowing them to see new patients and bring in tens of thousands of dollars in new revenue.

Example: A facility billing $2.000 of revenue a day doing 20 procedures would be able to generate an additional $605.00 per day with the time saved using IMS™ $2,000 ÷ 480 minutes (8 hours) = $6.05 revenue/minute 20 procedures x 5 minutes saved/procedure x $4.17/minute = $650

A facility billing $2.000 of revenue a day doing 20 procedures would be able to generate an additional $605.00 per day with the time saved using IMS™

$2,000 ÷ 480 minutes (8 hours) = $6.05 revenue / minute

Contact your Henry Schein Relationship Manager to arrange an IMS consult for your needs

20 procedures x 5 minutes saved/procedure x $4.17 / minute = $650

Contact your Territory Manager for more information on the IMS Cassettes.

UNCOVERING THE TRUTH BEHIND BIODEGRADABLE NITRILE GLOVES

Many disposable glove manufacturers claim to sell biodegradable nitrile gloves, but those claims are often false. The first step to understanding why, is to clarify the difference between degradation, biodegradation and composting.

Understanding the difference:

Degradation is the breakdown of a material over time.

Biodegradation is degradation resulting in a significant change in the chemical structure of a material caused by biological activity.

Composting is biodegradation within a defined timeframe and specific disposal systems. It is measured by the metabolism of polymer carbon by microorganisms using international specification standards (ASTM D6400, ASTM D6868 and EN 13432).

Key takeaway:

Degradation is not the same as biodegradation. Materials that break down over time do not necessarily biodegrade. Furthermore, biodegradation is a natural process, whereas composting is a human-driven process.

The facts about nitrile glove biodegradablity claims:

Nitrile is a fossil-based polymer and is therefore not biodegradable. Many manufacturers claim that additives to their gloves cause accelerated biodegradation - but there is no scientific evidence to support that an additive can change the molecular structure of nitrile. In reality, accelerated degradation occurs, which can result in the creation of microplastics that are harmful to humans and the environment. Nitrile degrades, it does NOT biodegrade. While the sources and data used to support nitrile disposable glove biodegradability claims may look legitimate, they are often misleading.

Disposable nitrile gloves and the environment:

Life Cycle Assessments (LCAs) of disposable nitrile gloves reveal that most of their carbon footprint comes from manufacturing, NOT the waste generated after use.

DISPOSABLE NITRILE GLOVES’ SOURCES OF CARBON EMISSIONS*

ASSUMPTIONS

Raw Materials

(includes production of all chemicals consumed throughout the manufacturing process and the effluent treatment plant (ETP), packaging materials as well as the impact associated with all upstream transportation of raw materials to the factory)

Distribution / Transportation

(includes the transportation from the factory to Ansell’s warehouse)

Disposal /

(includes impact from disposal in landfills**)

ARE YOU RUNNING A SAFE S CYCLE STERILISER?

4 ANSWERS ABOUT USING INDICATORS AND MONITORING YOUR STATIM

Thousands of dental offices and dozens of jurisdictions means each dental team will have a variation on the process it follows to sterilise instruments in accordance with AS/NZS 4815. What they all have in common is a need to verify the process is working.

If you’re using a STATIM cassette steriliser, things are a little simpler. Since it’s an S Cycle steriliser using steam flush pressure pulses, you will only need to follow two simple steps: First, check cycle data to confirm that the unit is functioning correctly. Second, make sure to use chemical indicators to show a pass result. This will validate that your load has been exposed to the sterilisation temperature of the cycle you selected (either 121oC or 134oC, as per the instrument manufacturer’s instructions). It’s generally straight forward, but of course, the questions are in the details. Let’s start with physical monitoring.

If STATIM has sensors and software that precisely control each cycle, why do I need to check the cycle record?

Most modern autoclaves now have software using multiple sensors to govern every process. That means every parameter of temperature and pressure – from conditioning, to sterilising to drying – is tracked and recorded. In fact, if anything is even a bit off at any stage, the unit will stop the cycle to declare a faulty condition.

It can simply be that a door seal is leaking but whatever the cause, it’s important to note that if you have a modern steriliser like a STATIM, physical monitoring is done by the machine. In fact, on STATIMs, G4 technology stores the records to the unit, to a USB (if inserted) as well as to the MyColtene cloud service (if your unit is registered). Every dental office must maintain a sterilisation cycle logbook that states who checked the cycle parameters, unloaded the STATIM, and determined that the sterilised load was suitable for use. The process of checking and recording a steriliser’s cycle parameters to validate sterility before releasing the instruments for use is known as parametric release.

Which type of Chemical Indicator should I use?

You need a Class 1 chemical indicator (CI) on the outer surface of every individual pack of wrapped or pouched instruments or inside every unwrapped load. Type 1 CIs will change colour when they are exposed to the required sterilisation temperature. These can be found integrated on sterilisation pouches or applied to wrapped loads in the form of sterilisation tape. For unwrapped loads, you can use a Class 1 CI strip.

You may also find yourself needing to use Type 4, 5 or 6 CIs, all of which are used to measure not only temperature but also time of exposure at that temperature. Type 5 and 6 CIs also detect the presence of steam. Each has a different level of precision when it comes to measuring temperature and exposure time. Unlike Type 1 CIs that are placed on the outer area of wrapped packs, Type 4, 5 and 6 CIs must either be placed inside wrapped packs along with the instruments being sterilised or be loose in the chamber for unwrapped loads.

These last three chemical indicator types are important because you may need them in certain circumstances. For example, you may have a new unit, or a loaner and your technician hasn’t yet completed the full qualification process using biological indicators. If that’s the case, you can still run loads in the steriliser if you use a Type 4 or higher indicator in each pack (or a single test on the rack if running an unwrapped load). When changing to new packaging materials, you’ll also need to verify your steriliser, but here again you can use a Type 4 or higher with every load until a technician completes a qualification process using the new packaging materials.

How often do I need to use the Helix test that came with my STATIM?

In accordance with the 2006 European guidelines, STATIMs sold in Australia, New Zealand, Europe and other regions, come equipped with Helix PCD tests along with compatible Type 6 chemical indicators. This test checks the ability of your STATIM to penetrate hollow spaces.

STATIM doesn’t use a vacuum to reach the inside of handpieces. Instead, it achieves similar steam penetration using steam flush pressure pulses (SFPP) where the air is actively removed from the cassette through pressurisations and flushes with steam. Using a Helix PCD test can provide peace of mind that hollow instruments, such as handpieces, are being sterilised internally and externally.

What should I know about using biological indicators?

Biological indicators – those tiny vials in which bacterial spores are suspended in a growth medium –are not dangerous. They use a type of heat-resistant spore that is difficult to kill and not harmful to humans, two qualities that make it ideal for testing sterilisers. Used spore tests (including any that show growth) should be discarded with the sharps waste.

Once a year, after your technician has completed the annual maintenance and calibration, they must perform a validation of cycle parameters. For a STATIM, this involves placing three BI vials in a pouch, arranging them one on each end and one in the middle, then running a cycle. This is done two more times so that the technician finishes with 9 BIs. The 9 processed vials are incubated along with one control vial and checked for growth. A correctly calibrated and functioning STATIM will inactivate each of the 9 BIs that were processed so that there is no indication of spore germination.

Sterility assurance is easy with a steriliser that does all the monitoring for you. With the proper packaging, the appropriate chemical indicators, and the right office procedures, it’s easy to remain compliant and efficient. For superior record-keeping security, sign up to MyColtene.com to automatically back up all your STATIM’s cycle data, access product training videos and register your warranty. And to learn more about SciCan ENSURE products for your practice, contact your Henry Schein Territory Manager.

REFERENCES

Australian Dental Association, 2021, Guidelines for Infection Prevention and Control Fourth Edition, accessed 29 May 2023, { https://www.ada. org.au/Dental-Professionals/Publications/Infection-Control/GuidelinesforInfection-Control/Guidelines-for-Infection-Control-V4.aspx }

COLOUR METHOD

THE KEY TO ORGANISATION

What practice would say no to an additional $72,000 per year?

“As a dedicated dental professional, I’m sure you are always watching your bottom line and trying to find ways to reduce overhead and increase revenue. Let’s face it – that’s crucial to the success of the dental practice! But are you aware the day-to-day struggles your clinical team face each day that are wasting time and costing money?”

By Kay Hickey, LDA, Product & Efficiency Consultant for Zirc Dental Products

Colour Method has been proven to increase productivity while decreasing stress.

Zirc has done extensive research in the dental practice efficiencies, and we found, on average, whenever a clinician has to leave the treatment room during a procedure, three minutes are wasted. That doesn’t sound like a lot, but over the course of a day, it can really add up. If it happens just six times per day, that’s 18 minutes! Not to mention how that negatively affects the patient perception and creates stress and frustration for the dental team.

Check out the results from a case study (zirc.com/case-study) conducted by Dr. Tanya Brown from Chesapeake, Virginia. After implementing the Colour Method™, her practice saved one hour and forty nine minutes per day in the time it took for room turn-over and instrument reprocessing!

Add the eighteen minutes accrued by not having to leave the treatment room during a procedure to the to the time saved in room turn-over and sterilization process, and we have saved more than enough time to do an extra crown procedure every day! The best part is, this results in added revenue without having to shorten procedure times, double book patients, or feel stressed.

Added revenue without having to shorten procedure times, double book patients, or feel stressed.

Take your practice to its true potential. Earn the revenue you and your team are striving for with a system that will save time, increase productivity, decrease stress, and provide a positive patient experience. Introduce your team to Zirc’s Colour Method™, and you too can gain as much as an additional $72,000 in revenue, each year!

CRACKING THE CODE

See how saving just 5 minutes per patient can earn your practice an extra $72,000

COLGATE RECYCLABLE TOOTHPASTES TUBES FAQ

How do I recycle the tube?

If your Colgate toothpaste displays the recyclable tube symbol, then it can be recycled either through local council recycling (follow local council guidelines for recycling HDPE #2 plastics) or TerraCycle.

You can find out more about TerraCycle where you are, here: TerraCycle Australia, TerraCycle New Zealand. The tube is not currently recyclable kerbside anywhere in NZ so please use the TerraCycle link to find out where you can recycle your tubes.

When recycling your tube simply squeeze out as much of the toothpaste from the tube as possible and recycle with the cap removed

Are the caps recyclable?

Colgate toothpaste caps are made from polypropylene, which is not generally collected in yellow bins or kerbside recycling. Further, toothpaste tube caps are very small which makes it hard for the recycling stream to manage.

What are you doing to ensure these tubes are accepted by recycling facilities?

A lot, actually. We’re leading industry groups and working with industry partners globally and across Australia & New Zealand on education about recyclability and wider acceptance of recyclable tubes. We’re sharing our knowledge and technology with any other interested company.

We’re also verifying the sortability of tubes through testing in real facilities to make sure there is not too much mis-sorting. The more recyclable tubes are used in the market and as more recyclers are educated about recyclable tubes, the easier it will become for re-processors to recycle tubes coming their way.

Why are some of your toothpastes in the new recyclable tube while others aren’t?

The cap can be recycled with other non-recyclable oral care waste, such as plastic toothbrushes, through Terracycle. You can find out more about TerraCycle in your location, here: TerraCycle Australia & TerraCycle New Zealand

We are continuing with our research to convert all of our caps into a more compatible material within the HDPE stream.

The plan is for all of our toothpaste tubes to be recyclable by the end of 2025. It takes time to make the transition, and during this time some of our toothpastes will be in recyclable tubes while others won’t have transitioned yet.

For now, make sure your tube is marked with the recyclable tube symbol before placing it into a recycling bin. Follow local council guidelines for recycling HDPE #2 plastics or recycle with TerraCycle.

However, for tubes which are still making the transition, we’ve partnered with TerraCycle in Australia and New Zealand to give a second life to your used oral care packaging. Find out more about our Colgate Oral Care Recycling Program where you are here: TerraCycle Australia & TerraCycle New Zealand, and how you can help prevent eligible oral care packaging from ending up in landfill.

Is this tube biodegradable?

No, this tube (and plastics in general) is not designed to be biodegradable. The #2 HDPE plastic used in our tubes can be re-processed into new products and packaging.

This tube is still made of plastic, how will it help the environment?

Our recyclable tubes are made out of #2 HDPE plastic, which is one of the most recycled plastics. HDPE can be turned into all kinds of new things, from new packaging to fence posts! Switching to recyclable has the potential to keep millions of tubes out of landfills sites across Australia & New Zealand.

What is this tube made of?

The tube is primarily made of HDPE (High Density Polyethylene), #2 plastic. The cap is made of PP (Polypropylene), #5 plastic.

Why do we share our tube technology?

This project isn’t about us, it’s about something bigger. By sharing our technology hopefully, we can initiate a global shift to recyclable toothpaste tubes. Our dream is to have all tubes (not just toothpaste) be recycled in practice and at scale.

What happens after the tubes are recycled?

Once you have placed your recyclable tube into kerbside recycling or sent it to Terracycle, the tube enters the recycling process. It is sent to a Materials Recovery Facility (MRF) where it is sorted with other similar materials and then moves on to a reprocessor who cleans and processes the plastic into little plastic pellets. The pellets can then be turned into new products, packaging and more!

Reference www.colgate.com.au

ECO-CONSCIOUS OPTIONS FOR THE WHOLE FAMILY

Grin

Natural Adults and Kids 100% Recycled Toothbrushes

Grin makes the sustainable choice, an easy choice with their range of sustainable brushes and the best-selling floss picks made from 100% recycled plastic! Traditional oral care makes you brush, we make you Grin

Grin Natural toothbrushes are loved for their soft bristles and small rounded brush heads which produce an uncompromised clean. With a range of colours available for the whole family.

Grin

Natural 100% Recycled Floss Picks

Made from resilient UHMW PE floss thread material that doesn’t tear or shred easily and a 100% recycled handle, it’s easy to use and helps reach those “hard to reach” spaces between teeth. Also available for kids or smaller mouths.

We make it easy to take great care of your teeth and gums whilst caring for the environment. These brushes or floss pick handles can be disposed via your local upcycling scheme.

DENTAL PROBIOTICS PRODUCTS

ToothGuard™ Junior with BLIS M18®

ToothGuard™ with BLIS M18®

A new generation of advanced oral probiotics scientifically developed to support healthy teeth and gums for both adults and children. It works by crowding out the bad bacteria - leaving them nowhere to hide - and colonising the mouth with good, healthy bacteria.

How to Use:

• Best taken at night, after brushing and flossing teeth - directly before bed is ideal.

• Slowly suck (don’t chew) 1 lozenge to maximise colonisation.

Freshbreath™ Kit with BLIS K12®

A scientifically developed oral probiotic designed specifically for bad breath (halitosis). It supports fresh healthy breath, by crowding out the bad “smelly” bacteria in your mouth and repopulating it with good bacteria, so the oral microbiome becomes more balanced.

How to Use: 4-week Regime

• Everyday brush, floss and clean tongue, followed by sucking (don’t chew) 1 lozenge to maximise colonisation.

• Use mouthwash once a week on days 1, 8, 15 & 22.

• On mouthwash days, consume an additional lozenge every 2-3 hours until 4 lozenges have been consumed.

• Avoid food or drink for at least 30 mins after consumption.

ALL BLIS PROBIOTICS

DENTAL PRODUCTS ARE:

• Avoid food or drink for at least 30 mins after consumption.

• Continued use is recommended to maintain benefits

For more information on ToothGuard with BLIS M18 Dental Detailer

.

For more information on the Freshbreath Kit with BLIS K12 Dental Detailer

IN-CHAIR & TAKE-HOME WHITENING

IDENTIFYING THE BEST WHITENING SOLUTION FOR YOUR PATIENTS

Teeth whitening is one of the most commonly requested treatments by patients, and there are many reasons why patients will want to whiten their teeth1. Tooth whitening provides a conservative means to improve a patient’s smile, as well it can be used as an adjunct to an overall restorative treatment plan. Helping patients to understand the different whitening options available, and if they are a suitable candidate, are all important topics as you consider whitening.

Expectations of whitening

Prior to recommending any whitening products for your patient, it is important to have a conversation with your patient about their expectations after whitening. Patients should understand existing restorations will not whiten, and that certain teeth shades are a little more resistant to whitening2. The darker the teeth are at baseline, the longer the tooth whitening process becomes. Gray or blue staining is less amenable to bleaching than yellow staining.3 If your patient does have anterior teeth with restorations make sure you advise that after a whitening treatment these may appear darker and therefore will need to be replaced, as part of the overall treatment plan.

It is also important to talk with your patient about what to do after they whiten their teeth as part of the maintenance of their whitening treatment, as they can experience relapse over time. Discussing diet with your patient is also important, as high staining foods and drinks such as red wine and coffee are notorious for staining teeth.

Choosing the appropriate procedure

Some of the biggest deciding factors for our patients, when considering whitening treatments, are time and cost. More and more patients are time poor, and many are unable to implement a structured routine for take-home whitening in order to achieve the results. For these patients, in-chair whitening treatment is ideal, as it enables them to achieve faster results. The Colgate Optic White Light Up In-Chair system uses a unique 10% hydrogen peroxide serum and an Indigo LED device to achieve up to 5.9 shades whiter in just a thirty minute treatment*. This short treatment time is perfect for time poor patients, and it is also a plus for dental practitioners, as finding time in the dental schedule for traditional in-chair whitening treatments which can take up to two hours, can often be a challenge. In-chair whitening is, however, traditionally more expensive, so if cost is an issue for patients, at-home whitening is a great option to be able to offer your patients. The Optic White Light Up Take Home, is to be used for 10 minutes a day for ten days to provide up to 7 shades whiter teeth. Patients do need to be committed to implementing a structured routine, and use the whitening product for the indicated time to achieve the results.

Whitening Maintenance

After a whitening treatment, both in-chair and take home, patients will often ask how long their whitening results will last. This is always a difficult question to answer, as there are many factors that can influence whitening relapse such as diet, oral hygiene behaviour and habits, such as smoking. As general guidance, the literature does state that results can last up to 18 months to two-years, however some patients may see regression in their results sooner than this.3 There are different options you can offer your patients to assist with the maintenance of their whitening. There is a Refill Pen available for patients to use as part of their at home maintenance with both the Optic White In-Chair and Take Home kits. This is a great way for patients to touch up their whitening results after treatment. In addition to this, a whitening toothpaste such as Colgate Optic White Pro Series can assist with both intrinsic and extrinsic stain removal for patients.

Take away

Talking to your patient about the options available to them for whitening starts and ends with good conversation. Helping them to decide what to use and providing them with great resources to follow up with will ensure your patient is happy with their results.

*Refer to leaflet for full instructions

1. Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract. 2014 Jun;14 Suppl:70-6. doi: 10.1016/j.jebdp.2014.02.006. Epub 2014 Feb 13. PMID: 24929591; PMCID: PMC4058574.

2. Alqahtani MQ. Tooth-bleaching procedures and their controversial effects: A literature review. Saudi Dent J. 2014 Apr;26(2):33-46. doi: 10.1016/j. sdentj.2014.02.002. Epub 2014 Mar 12. PMID: 25408594; PMCID: PMC4229680.

3. Karina Irusa, Islam Abd Alrahaem, Caroline Nguyen Ngoc, Terence Donovan,Tooth whitening procedures: A narrative review,Dentistry Review, Volume 2, Issue 3, 2022,100055,ISSN 2772-5596, https://doi.org/10.1016/j.dentre.2022.100055.

@henryschein.co.nz

DANIEL ELS

021 750 609

daniel.els@henryschein.co.nz

MICHAEL FINDLAY

022 016 5898

0800

QUICK AND SIMPLE FINANCE

PAUL MACDOUGALL

022 342 4900

paul.macdougall@henryschein.co.nz

Five Reasons Why Henry Schein….

Henry Schein Financial Services are here to help you access the financial resources you need for any situation. Whether you’re acquiring a practice, building a brand new one, revamping an existing location or just upgrading your equipment, technology or software - we provide the assistance you need to achieve your business goals. We offer financing through external partners, who have worked alongside us for nearly 10 years, which means they fully understand the nature of our industry. In conjunction with these partners, we can provide finance packages tailored to meet your specific needs, and payment terms that make new investment accessible.

Henry Schein Financial Services offer packages tailored to meet your specific needs, and payment terms that make new investment achievable. With one of our flexible terms you’ll find a finance solution that works for you. With automatic approval of up to $500,000 for all New Zealand registered dentists with a clear credit history and same day approvals…it couldn’t be easier!

PAY NOTHING FOR 12 MONTHS

With our flexible terms, you’ll find a finance option that works for you. Investing in equipment and technology will not only enhance the revenue potential of your practice but also increase patient satisfaction, in turn making your business more productive. Allowing you to expand and grow, at a cost that is affordable to you, is our goal. We like to think we’ve built a great reputation for assisting dental practitioners in meeting their financing needs and our aim is to make it as easy and stress-free as possible for you.

ROUTE 66

COMPETITIVE RATES

• 9.2% Interest Rate

• Rate valid orders signed by 30th September 2023

FLEXIBLE TERMS

DEFERRED PAYMENTS

• 6 months deferred payment

• 6 months $99 payment

• Looking to build your practice?

• 36 months equal payments on balance

• Talk to us about deferred payment options

DEFERRED PAYMENTS

• Looking to build your practice?

• Talk to us about deferred payment options

STE P ONE

1

FLEXIBLE TERMS

• Flexibility to tailor package to your needs

• Terms, deferred payments, payment structures

• Flexibility to tailor package to your needs

• Terms, deferred payments, payment structures

COMPETITIVE RATES

• Obligation free quote

The Process is a Simple as 3 Easy Steps

The Process is as Simple as 3 Easy Steps*

STEP TWO

2

• Rate valid for 30 days from date of quote

3STEP T HREE

STEP ONE After discussing your needs, your Henry Schein Sales Specialist will supply you with a full detailed quote. This will include all aspects of your opportunity and 20% of your total finance can be spent on consumable items.

After discussing your needs, your Henry Schein Sales Specialist will supply you with a full detailed quote. This will include all aspects of your opportunity, whether it be a completely new design and build or a single piece of equipment. 20% of your

You will need to complete the Finance Application and return this to Henry Schein.

If you are a registered New Zealand dentist requiring less than $500,000 to be nanced, and you have a clear credit history, automatic approval applies.

STEP TWO You will need to complete the Finance Application and return this to Henry Schein. If you are a registered New Zealand dentist requiring less than $500,000 to be financed, and you have a clear credit history, automatic approval applies.

If outside of this, additional information may be requested by our 3rd party provider such as Financial Statements or Personal Guarantees.

Once approval is received our team will work with you on delivery time frames. Your loan documentation will be drawn up on delivery of your equipment, and funds are paid directly to HSNZ and your tout company once these are completed.

STEP THREE Once approval is received our team will work with you on delivery time frames. Your loan documentation will be drawn up on delivery of your equipment, and funds are paid directly to HSNZ and your fitout company.

For more information, or to request a quote, please contact your Henry Schein Equipment Specialist.

EDWARD HARRISON 021 796 069 edward.harrison@henryschein.co.nz

DANIEL ELS

021 750 609 daniel.els@henryschein.co.nz

MICHAEL FINDLAY 022 016 5898

022 342 4900 paul.macdougall@henryschein.co.nz

michael. ndlay@henryschein.co.nz