Henry Schein NZ - Dental Solutions | Sep - Nov 2024

DENTAL SOLUTIONS

WE ASPIRE TO A CARBON NEUTRAL SUPPLY CHAIN BY 2050

Through Practice Green, Henry Schein aims to encourage communities to become more eco-friendly by providing solutions to support, educate, and enhance the environmental sustainability efforts of our customers.

HENRY SCHEIN'S ENVIRONMENTAL FOCUS AREAS

Mitigating our impact on climate and addressing climate risks and opportunities for our business

Smart and efficient use of electricity, fuel, water and raw materials

Striving for circularity in our operations and continually reducing waste, recycling, and reusing materials

Driving action and innovation in the supply chain together with partners and suppliers

WANT TO LEARN MORE ABOUT PRACTICE GREEN?

HENRY SCHEIN CARES

Ronald McDonald House –Henry Schein Sponsored Room

We at Henry Schein NZ entered into a 3 year room sponsorship with Ronald McDonald House starting late 2022.

Since supporting this initiative, the room has hosted 40 families, had 320 overnight stays and saved $74,880 in accommodation and food costs for families, had they not stayed at the house.

Ronald McDonald House Cook Night

In addition to our sponsored room at Ronald McDonald House, our TSM’s get involved in volunteering at the House for Cook Nights, whereby the team prepares a dinner for 120 people who are staying at the house.

For our June Cook Night, our team cooked a winter warmer meal consisting of butter chicken, lentil curry, turmeric cauliflower, roti and rice. The families were hugely appreciative. We all had a humbling time meeting all the staff, families and children that were currently staying at the house whilst undergoing treatment at Starship.

Henry Schein

Pink Shirt Day

In May our TSM’s got involved In Pink Shirt Day - a campaign that has been run since 2012 by the Mental Health Foundation of New Zealand which promotes working together to stop bullying by celebrating diversity and promoting kindness and inclusiveness.

We provided a donation to the Mental Health Foundation as well as hosting a ‘Pink’ morning tea for our staff at Head Office. Everyone came together dressed in pink to support this important initiative.

Park Clean Up for Earth Day

In April as part of Earth Day. our TSM’s got stuck in to protect our environment by collecting rubbish across our local park.

The teams collected 10 large bags of rubbish diverting this waste from entering our reserves and waterways, which affects our natural wildlife and can cause health & safety hazards for our communities that frequent these public spaces.

Green Team Schein

NEW PRODUCTS

Endo Cold Spray

Henry Schein

This new Henry Schein chilling spray is suitable for icing pellets of cotton wool for testing vitality of teeth and can also used for quick cooling of impression materials. Temperature to -45 celsius. Available in mint and orange flavours.

GC

NEW Milkshake Flavour - a creamy, vanilla thickshake flavour that your patients will love.

GC Tooth Mousse is a delicious tasting crème that contains calcium and phosphate; the major minerals teeth are made from. Because calcium and phosphate are carried in a special milk-derived protein called RECALDENT ® (CPP-ACP), they are available in a soluble form. This means GC Tooth Mousse provides extra protection for teeth, buffers dental plaque acid from bacteria in the mouth and also protects teeth from acidic foods and drinks.

Tooth Mousse Milkshake

SIMPLISHADE ™ BULK FILL KERR

ONE SHADE IS ALL IT TAKES

Streamline your restoration workflow with SimpliShade Bulk Fill, requiring just one shade to match all 16 VITA® Classical shades to help you reduce time spent on selecting shades and managing inventory. Save even more time by eliminating the need for a capping layer; with SimpliShade™ Bulk Fill’s enhanced curing mechanism, achieve polymerization depths of up to 5mm in one SingleFill™

Savacol Gum Care Toothbrush COLGATE

CanalPro X Move Motor COLTENE

The wireless CanalPro X-Move endomotor provides two movement modes, a full rotating and a reciprocation motion for all common file systems and an integrated apex locator for safe and efficient treatments. The motor stands for simple handling and great flexibility.

The new Savacol manual toothbrush has microfine tapered bristles for thorough and gentle cleaning along the gum line and between teeth. Developed in collaboration with experts and scientifically tested, this toothbrush features a combination of microfine tapered bristles and a compact head to help prevent plaque build-up and maintain healthy gums, with regular brushing.

KATANA Cleaner KURARAY

During trial fitting your restoration might become contaminated with proteins reducing the bond strength. New KATANA™ Cleaner has a high cleaning effect due to the surface active characteristic of MDP Salt. In contrast to other cleaners, KATANA™ Cleaner has a pH value of 4.51 which allows usage not only extra-orally but also intra-orally. It is the easy way to optimise your bondings including cementation procedures.

PACIFIC DENTAL SPECIALTIES NOW PARTNERED WITH HENRY SCHEIN

Henry Schein is pleased to announce a new partnering relationship with Pacific Dental Specialties as part of our increased focus on Intraoral Scanning and Digital 3D Printing. The rate of innovation and the availability of cost-effective solutions has transformed clinical and laboratory workflows. Our partnership with Pacific Dental Specialties provides customers with access to industry leading expertise, a comprehensive suite of digital solutions (for any workflow) and the reassurance that local technical expertise and support is close at hand.

Pacific Dental Specialties (PDS) stands at the forefront of digital dentistry as a distinguished market leader, renowned for its comprehensive expertise in intraoral scanners, CAD software, 3D printers, and milling machines. We provide holistic solutions that seamlessly integrate these advanced technologies. By offering the latest products, extensive training, and reliable support, PDS enables dental professionals to achieve unparalleled efficiency with streamlined workflows. Our commitment to innovation and continuous improvement ensures that we remain a leader in the digital dental industry; empowering clinicians, and technicians to deliver superior results and elevate standards of oral healthcare and patient satisfaction. PDS was established in 2007, with locations in Australia and New Zealand, to ensure customers receive prompt local service and support.

The PDS New Zealand team is based in the Hawkes Bay and led by Hyll Coraj (Managing Director). After completing his BSc, Hyll began his career as a digital imaging product manager for Scientific Microscopes, a role that involved extensive professional development and training in Germany, Switzerland, and the United Kingdom. Hyll then took this valuable experience in imaging software and on-site training to the dental industry, where he worked for Nobel Biocare as their NobelGuide product specialist, followed by co-founding PDS. Hyll has been in the dental industry for over 18 years. Thinking of implementing a digital solution at your Practice or Lab? Call us today and find out more about our compelling range of IOS, CAD Software, Milling and 3D printing solutions.

HYLL CORAJ Managing Director, PDS

Choose the Medit Intraoral Scanner that best suits the needs of your practice.

With four variations to choose from, Medit offers a solution for every practice.

Medit i600

Scan with confidence using the smart and versatile Medit i600. Smart scanning with ease of use for any procedure, consistently offering accurate and cost-effective results.

Medit i700

Lightweight ergonomic scanning that’s comfortable in the hand, easy to handle and built to last. Experience high-speeds and precise results without sacrificing accuracy when you choose the Medit i700.

Medit i700 wireless

Discover the freedom of seamless wireless scanning and experience the magic Medit i700 brings to your practice. Elegantly compact and designed to perform.

Medit i900

ALL IN on your scanning experience. Medits premium scanner that redefines the scanning experience. Meticulously crafted, engineered for excellence, and dedicated to bringing seamless efficiency to every user.

Starting from $16,000 Includes laptop, freight, installation, onsite training & 1-year warranty

FROM $35,000

The VHF Chairside Family CHAIRSIDE MILLING

E4

For easy entry into same-day dentistry.

Impress your patients with a quick and comfortable treatment and produce perfect restorations – easily and in just one session. Your patients won’t thank you enough.

• No compressed air required with AIRTOOL technology

• Plug and Mill! Can be combined with any scanner

• Wet and (optional) Dry processing of block materials

• Modular machine design to optimize servicing and maintenance

N4+

The wet milling powerhouse.

The N4+ is a wet processing machine for grinding glass ceramic, composite and zirconia blocks as well as titanium abutments. This machine combines the high precision and fast drives in an extremely compact housing.

• Mill up to 3 blocks with 45mm length at the same time

• PUREWATER: no grinding additives necessary, except for titanium processing

• Easy milling of implant screw channels – saves costs on pre-drilled blocks

• Automatic changer for 8 tools

Z4

Same-day dentistry. Unparalleled perfection.

The Z4 is a wet processing machine for grinding glass ceramic, composite and zirconia blocks as well as titanium abutments. This machine combines the high precision and fast drives in an extremely compact housing.

• Restorations in under 10 minutes

• Wet grinding of glass ceramic, composite and zirconia blocks as well as titanium abutments

• Integrated CAM PC with touchscreen and Wi-Fi module

• Built-in compressed air - no compressor needed

INITIAL LISI BLOCK NEW & REVISED MILLING PARAMETERS

GC Initial LiSi Block is a fully crystallized lithium disilicate block, offering optimal physical and aesthetic properties without the need for firing. 1-6 The processing time is significantly reduced as it comes fully crystallized eliminating the firing step.9 Just mill, polish, and place!

GC's proprietary HDM technology optimizes crystal size and glass matrix stiffness, ensuring good machinability, precise margins, excellent polishability, high wear resistance and aesthetic durable restorations are produced with or without firing.7,8 This makes it an ideal time saving solution for single visit chairside treatments.

Initial LiSi Block

Preparation guidelines

The introduction of the revised preparation guidelines for Initial LiSi Block is aimed at enhancing efficiency and maintaining workflow consistency. Take a look at the updated milling parameters for Initial LiSi Block provided below.

Inlays / Onlays

Inlays / Overlays

• Cavity wall angle: 6° with long axis

• Cavity wall angle: 6° with long axis

Full Crowns

• Shoulder preparation Full crowns

• Shoulder preparation

• Wall angle: 6~10°taper

• Wall angle: 6~10° taper

Untitled-11 1 28/06/2021 17:07

• Deep chamfer or round chamfer preparation

16:39

Deep chamfer or round chamfer preparation

Untitled-11 1 28/06/2021 17:08

New milling parameters require CEREC Software Version 5.2.8 on your milling machine.

Cement recommendation

References

Adhesive luting is recommended for Initial LiSi Block. Both G-CEM ONE and G-CEM LinkForce from GC can be used for any type of indications using Initial LiSi Block.

1. Hoshino T, Matsudate Y, Sasaki K (2020). Wear resistance of CAD/CAM glass ceramic blocks. J Dent Res 99 (Spec Iss A):1823, (https://iadr.abstractarchives.com/abstract/20iags-3294486/wear-resistance-of-cadcam-glass-ceramic-blocks).

2. Kato K et al. (2020). Edge Chipping Resistance of Glass Ceramic Block for CAD/CAM. J Dent Res 99 (Spec Iss A):0083, (https://iadr.abstractarchives.com/abstract/20iags-3315704/edge-chipping-resistance-of-glass-ceramic-block-for-cadcam).

3. Kariya S, Azuma T, Fusejima F (2020). Wear Resistance of Novel Machinable Glass Ceramics. J Dent Res 99 (Spec Iss B):1 (https://iadr.abstractarchives.com/abstract/jadr2020-3000018/wear-resistance-of-novel-machinable-glass-ceramics)

4. Hoshino T, Matsudate Y, Sasaki K (2019). Chemical durability of CAD/CAM glass-ceramic blocks. J Dent Res 98 (Spec Iss A):0100, (https://iadr.abstractarchives.com/abstract/19iags-3168964/chemical-durability-of-cadcam-glass-ceramic-blocks).

5. Kojima K et al. (2019). Wear properties of lithium silicate glass ceramic block for CAD/CAM. J Dent Res 98 (Spec Iss A): 1259, (https://iadr.abstractarchives.com/abstract/19iags-3178759/wear-properties-of-lithium-silicate-glass-ceramic-block-for-cadcam).

6. Akiyama S et al. (2019). Edge-Stability of the Novel Lithium Disilicate Glass-Ceramic Block for CAD/CAM. J Dent Res 98 (Spec Iss A): 0097, (https://iadr.abstractarchives.com/abstract/ced-iadr2019-3223282/edge-stability-of-the-novel-lithium-disilicate-glass-ceramic-block-for-cadcam).

7. Cagidiaco EF, Sorrentino R, Pontoriero D, Ferrari M (2020). A randomized controlled clinical trial on two types of lithium disilicate partial crowns. Am J Dent. 33(6):291-295. https://pubmed.ncbi.nlm.nih.gov/33439557/

8. GC R&D, Japan, Data on file [marginal gap was quantified by μ-X ray CT system] available from info.australasia@gc.dental

9. GC R&D, Japan, Data on file [in-house test] available from info.australasia@gc.dental. Under testing conditions based on IFU.

G-CEM ONE™ with Adhesive Enhancing Primer and G-Multi PRIMER G-CEM LinkForce®

ONE™ with G-Premio BOND and G-Multi PRIMER

G-ÆNIAL A’CHORD COMPOSITE

THE WINNING FORMULA

G-ænial A’CHORD brings together 10 years of clinical success from the G-ænial range, delivering aesthetics and strength for anterior and posterior restorations in one straightforward, streamline package. The winning features of our latest universal shade composite: Superior handling and aesthetic results. Dental Advisor 2024 awards G-ænial™ A’CHORD as a top winner in the direct restorative category.

G-ÆNIAL A’CHORD

SIMPLICITY, AESTHETICS AND PERFORMANCE IN YOUR HANDS

COMPOSITE VENEERS WITH SIMPLE LAYERING.

Beautiful polishability to achieve natural aesthetics using G-ÆNIAL A’CHORD

Dentine layer using chromatic G-aenial A’CHORD shade AO2 to mask the tooth shade. A thin AE layer was placed as the final layer.

2-week review demonstrating G-aenial A’CHORD’s beautiful optical properties

Line angles drawn in with pencil to create anatomy.

Final polishing shows G-aenial A’CHORD’s high polishability.

Pre-operative view. Cracks and chipped incisal edges.

Retracted labial pre-operative view.

Palatal shelf built using a palatal key using G-aenial A’CHORD shade AE.

Clinical images courtesy of Dr Po Yang, Brisbane, Australia

G-ÆNIAL UNIVERSAL INJECTABLE

CLEAR ALIGNER PARTNER

G-ænial Universal Injectable is a high strength injectable composite resin. This is ideal for creating clear aligner attachments with excellent clinical outcomes (exceptional aesthetics, no flash, ideal flow without being runny, high strength and no porosities) and most importantly a significant reduction in application time helping further improve the cost effectiveness of the aligner treatment procedure.

Initial presentation, prior to aligner attachment placement.

Attachments in position after template removal.

After applying resin adhesive, the template is placed in the mouth and the G-aenial Universal Injectable is light cured for 20 seconds and the template is removed.

Completed clear aligner attachments after final polishing.

Images courtesy of Dr Bharat Agrawal, Gold Coast.

G-aenial Universal Injectable enamel shade JE (Junior Enamel), used to fill the attachment space.

DR BHARAT AGRAWAL Gold Coast

GC BONDS

G-PREMIO BOND

Premium in a bottle

One component light cured universal adhesive.

• No rubbing or complex application procedures

• Visible during application

• 3µm film thickness

• No patient discomfort

• Up to 300 applications per bottle

G2-BOND UNIVERSAL

Research Award 2024 – Bonding Agent

Two component light cured universal adhesive.

"G2-BOND Universal was tested in Dental Advisor Laboratories for a 12-month thermocycling protocol.

The purpose was to determine if the bond would be viable. Results of the study were excellent as it proved that the bond was not only strong, it was durable when subjected to repeated thermocycling.

G2-BOND Universal performed better than competitor products tested in their respective etching modes to dentin and enamel in immediate 24 hour shear bond strength and after accelerated aging and 12 month storage."

- Dental Advisor 2024

EFFECTIVENESS OF TEMPORARY CEMENT REMOVAL

SCIENTIFIC REPORT WITH

Cleaning the Residues & Optimizing your Cementations

After the removal of the temporary crown before cementing a restoration, traditional cleaning methods of the abutment may not be enough for removing residual temporary cement which will reduce the bond strength.

KATANA™ Cleaner has a high cleaning effect due to the surface active characteristic of MDP Salt, which is formed from the phosphate monomer "MDP" and an alkaline compound. It is a simple way to optimize your cementation procedures and recover the bond strength.

Source: Kuraray Noritake Dental Inc.

Improving the Bond Strength

As shown on the graphs below, removal of the residual cement either with an ultrasonic scaler or pumice paste & prophylaxis cup may not be enough. After cleaning with KATANA™ Cleaner, its high cleaning effectiveness contributes for an optimized bonding surface.

Temporary cement removed with: Ultrasonic scaler

No contamination

After removing the temporary cement (polycaboxylate type) with an ultrasonic scaler

After removing the temporary cement (polycaboxylate type) with ultrasonic scaler and treatment with KATANA Cleaner

Pumice paste and prophylaxis cup

No contamination

After removing the temporary cement (resin-based type) with prophylaxis paste & cup

After attaching the temporary cement (resin-based type), removal with prophylaxis paste & cup, and treatment with KATANA Cleaner

V5

V5

PANAVIA™ SA Cement Universal CLEARFIL™ Universal Bond Quick PANAVIA™ SA Cement Universal

Test conditions

Adhesion surface treatment: 1 ) Polishing #1000 human teeth, 2 ) Temporary Crown (acrylic self-curing resin) was cemented with temporary cement ( polycarboxylate type, resin-based), 3 ) Stored at 37oC 95% RH for 1 week, 4 ) Temporary Crown was removed and the temporary cement was removed with an ultrasonic scaler or pumice paste and prophylaxis cup at low revolution ( 5000 rpm, 10 s), 5 ) Cleaning with KATANA™ Cleaner.

Bonding strength measurement: 1 ) SUS chip (3mmφ) was bonded by each bonding operation (PANAVIA™ SA Cement Universal, CLEARFIL™ Universal Bond Quick /PANAVIA™ SA Cement Universal, PANAVIA™ V5), 2 ) Measured after storage in water at 37oC for 1 day.

How it Works

schematic illustration

Stimulation by rubbing 0 s

Surface activity effect

Source: Kuraray Noritake Dental Inc.

MDP salt approaches to the residues as a surfactant

Weakening temporary cement & temporary filling material

Hydrophobic group of MDP salt attaches to residue

Residue surrounded by MDP salt floats from the adherent

Weakening of temporary cement and temporary filling material

Temporary bonding materials and temporary filling material become brittle due to the action of water rubbing and MDP salt

Rinse ( with water until the color disappears ) & Dry

Conclusion

Appropriate cleaning of the residual temporary cement before cementing a restoration is crucial for adequate cementation. KATANA™ Cleaner’s high cleaning effect removes contamination to optimize your cementation procedures.

PANAVIA™

PANAVIA™

Abutment tooth, core, etc

3M Health Care is now Solventum

On 1st April 2024, 3M Health Care became Solventum, an independent healthcare company dedicated to finding breakthrough solutions to your toughest challenges. Solventum originates from two words: “solving” and “momentum”. “Solving” captures the company’s dedication to finding breakthrough solutions. “Momentum” symbolises swifter, nimbler innovation.

Beautiful, healthy smiles: That’s our focus as we partner with oral care providers to improve patient outcomes and transform practices. Our experts in dentistry and orthodontics understand the unique challenges of your business and share your deep passion for oral health.

Enabling better, smarter, safer healthcare to improve lives

MARGINAL ENAMEL CHIPPING

AN EASY FIX USING FLOWABLE COMPOSITE

About the Case

A ten-year-old patient chipped his right central incisor while playing with the family cat. The case was treated during an emergency visit.

Challenge

When a child is involved, and only a small repair is needed, it is important to have a restorative delivery system that is fast, easy to use, and dispenses a controlled volume of material.

While flowable composites provide many desirable features, the materials themselves often contain air bubbles. If these bubbles go undetected, and the composite is cured, a time-consuming repair may be needed to achieve an aesthetic and colour stable final restoration.

Outcome

In a 10 minute procedure it was possible to aesthetically integrate the 3M™ Filtek™ Supreme Flowable Restorative into the patient’s natural tooth structure making this an effective and efficient

LEARN MORE

View Product

1: A fracture on the upper-right central incisor is evident on this pre-operative facial view.

Fig 4: 3M™ Scotchbond™ Universal Adhesive was applied, rubbed for 20 seconds, treated with a gentle stream of air for solvent evaporation, and light cured for 10 seconds.

Fig 7: After the first layer of flowable is cured for 10 seconds with a 3M™ Elipar™ S10 LED Curing Light, the second layer of flowable is applied and also light cured. A 3M™ Sof-Lex™ Extra-Thin Contouring and Polishing Disc (Course Grit) is used to create the general form of the tooth.

and

for

3M Oral Care

3M Australia Pty Limited Building A, 1 Rivett Road North Ryde, NSW 2113 1300 363 454 3M.com.au

About Dr Walter Devoto

and

Fig 2: The palatal pre-operative view reveals how little tooth structure is missing and, conversely, now little composite will be required for the restorative procedure.

5: 3M™ Filtek™ Flowable Restorative was applied directly from the needle tip delivery system to the incisal edge in need of repair.

Fig 8: A slow speed coarse bur (Styleitaliano Finishing Bur Kit) recreates the original texture of the tooth.

Fig 3: After cleaning delicately with a 3M™ Sof-Lex™ Extra-Thin Contouring and Polishing Disc (Course Grit) the tooth is etched for 15 seconds using 3M™ Scotchbond™ Universal Etchant and rinsed for 20 seconds.

6: The first layer of 3M™ Filtek Flowable Restorative prior to light curing. Notice that the material is stable on the tooth (no running or dripping).

3M New Zealand Limited 94 Apollo Drive Rosedale, Auckland 0632 0800 808 182 3M.co.nz

Please always refer to the 3M Product Instructions For Use. Published by 3M Oral Care. 3M, “3M Science. Applied to Life.” Filtek, Scotchbond and Sof-Lex are trademarks of 3M. 3M Health Care Academy is a service mark of 3M. Please recycle. © 3M 2020. All rights reserved.

Dr. Walter Devoto graduated with honours in dentistry and dental prosthesis in 1991 at the University of Genoa, Italy. He is particularly interested in the fields of conservative dentistry and aesthetic dentistry and runs his o wn private practices in Sestri Le vante and Portofino. In addition, he is collaborating with diverse prestigious dental offices throughout Europe, which specialise in aesthetic dentistry. He has worked as a teacher and demonstrator at the University of Genoa and as a lecturer at the universities of Siena and Madrid.Currently, he’s a lecturer at the International University of Catalonia, Barcelona, Spain, and visiting professor at the Aix-Marseille University in Marseille, France. Dr Devoto is also the founder of the Styleitaliano group www.Styleitaliano.org

3M Health Care Academy Dental Continuing Education

Fig

Fig

Fig

Fig 9: The 3M™ Sof-Lex™ Diamond Polishing System was used to obtain the final restorative luster.

Fig 10: The final aesthetic result reveals an excellent match in both color

form. The 3M™ Filtek™ Supreme Flowable restorative was easy to dispense, allowed

precise placement,

the final restoration was free of voids or defects.

Fig 11: Notice that the margin of the restoration is undetectable, even without having prepared the tooth, thanks to the excellent adaptation of the 3M™ Filtek Flowable Restorative to the natural tooth structure.

LEARN MORE

REEL MATRIX AND DEEP MARGIN ELEVATION KITS

Predictably relocate deep margins for conservative deep margin elevation procedure allows for while helping to avoid more invasive procedures such as facilitate easier scanning/impressions and proper isolation final restorations.

Predictably relocate deep margins for better final restorations.

The conservative deep margin elevation procedure allows for the maximum conservation of natural tooth structure while helping to avoid more invasive procedures such as crown lengthening. Relocated supragingival margins facilitate easier scanning/impressions and proper isolation for improved bonding of inlays, onlays and direct final restorations.

Reel Tight

Reel Tight:

Extra-narrow enhanced conical design slides subgingivally to properly seal deep margins.

Reel Easy

Lightweight retainerless delivery system makes placement and tightening simple.

The NEW Deep Margin Elevation Kit

Extra-narrow enhanced conical design slides subgingivally to properly seal deep margins.

allows proper isolation and margins for better final restorations. The procedure allows for the maximum conservation of natural tooth structure procedures such as crown lengthening. Relocated supragingival margins proper isolation for improved bonding of inlays, onlays and direct

Reel Fast

Pre-loaded reels and removable application handle mean rapid deployment and maximum access.

Reel Easy:

Reel Easy: Lightweight delivery makes placement tightening

Predictably relocate deep margins conservative deep margin elevation procedure while helping to avoid more invasive procedures facilitate easier scanning/impressions and proper final restorations.

Reel Fast:

Pre-loaded mean rapid

Clinical Case: The margin elevation technique allows proper an indirect partial coverage restoration (inlay or onlay). The use of adaptation and seal of these deep areas so that a composite margin

Lightweight retainerless delivery system makes placement and tightening simple.

Reel Fast:

Pre-loaded reels and removable application handle mean rapid deployment and maximum access.

Pre-op X-ray shows the margin location for #2 subgingivally prior to elevation.

The margin elevation technique allows an indirect partial coverage restoration (inlay or onlay). adaptation and seal of these deep areas so that a composite

Seat the margin elevation band subgingivally. The narrowness of the matrix will allow it to slide

Seal the dentin elevate the with restorative

Figure 1 DME

Deep Margin Elevation Kit

delivery system makes placement and tightening simple.

Clinical Case

Reel Easy:

The margin elevation technique allows proper isolation and elevation of deep margin areas prior to restoring with an indirect partial coverage restoration (inlay or onlay).

and proper isolation for improved bonding of inlays, onlays

The use of the Garrison® Reel Matrix™ margin elevation band allows proper adaptation and seal of these deep areas so that a composite margin elevation can be performed.

retainerless system placement and simple.

GA1-DME-01

Contains:

Lightweight retainerless delivery system makes placement and tightening simple.

Deep Margin Elevation Kit Firm Bands Reels & Wedges

35x Composi-Tight 3D Fusion™ assorted Firm bands

50x Reel Matrix Margin Elevation Matrices

1x Reel Matrix™ Tensioning Handle

80x Assorted Composi-Tight 3D Fusion™ Wedges

Clinical Case: The margin elevation technique allows an indirect partial coverage restoration (inlay or onlay). The adaptation and seal of these deep areas so that a composite

Case: The margin elevation technique allows proper isolation and elevation partial coverage restoration (inlay or onlay). The use of the Garrison Reel Matrix seal of these deep areas so that a composite margin elevation can be

reels and removable application handle deployment and maximum access.

shows the for #2 prior to

subgingivally and seal the margin efficiently.

Reel Matrix System Kit with Margin Elevation Bands

GA1-RMK05

Contains:

20x Margin Elevation Matrices

60x Assorted Matrices

1x Reel Matrix™ Tensioning Handle

1x Perform Instruments Kit

elevation subgingivally. the to slide seal efficiently.

Hills, CA

enhanced slides to properly margins. DME-01 contains:

Photos courtesy of Matthew A.

Seat the margin elevation band subgingivally. The narrowness of the matrix will allow it to slide subgingivally and seal the margin efficiently.

Seal elevate with

technique allows proper isolation and elevation of deep margin areas prior (inlay or onlay). The use of the Garrison Reel Matrix™ margin elevation band that a composite margin elevation can be performed.

Remove the matrix and finish with a #12 blade to remove any flash. The deep margin has been relocated 1–2 mm supragingival for predictable isolation and delivery of an indirect bonded restoration.

Seal the dentin and elevate the deep margin with restorative composite. Remove finish remove margin 1–2 for and bonded Matthew A. Nejad DDS, Beverly Hills, CA

Seal the dentin and elevate the deep margin with restorative composite.

DME-01 Kit isolation and elevation of deep margin areas prior to restoring with Garrison® Reel Matrix margin elevation band allows proper elevation can be performed. and margin composite.

Remove the matrix and finish with a #12 blade to remove any flash. The deep margin has been relocated Post-op X-ray shows the completed margin elevation prior to final restoration being better final restorations. The the maximum conservation of natural tooth structure crown lengthening. Relocated supragingival margins for improved bonding of inlays, onlays and direct

Remove the matrix and finish with a #12 blade to remove any flash. The deep margin has been relocated 1–2 mm supragingival for predictable isolation and delivery of an indirect bonded restoration.

Post-op the completed elevation restoration completed.

Photos courtesy of Matthew A. Nejad DDS,

Nejad DDS, Beverly Hills, CA Figure

Pre-op X-ray shows the margin location for #2 subgingivally prior to elevation.

Seat the margin elevation band subgingivally.

The narrowness of the matrix will allow it to slide subgingivally and seal the margin efficiently.

Seal the dentin and elevate the deep margin with restorative composite.

Post-op X-ray shows the completed margin elevation prior to final restoration being completed.

PERFORM RESTORATIONS WITH JUST ONE SHADE

Transcend composite is designed with Ultradent’s Resin Particle Match™ technology which allows the Universal Body shade to blend with almost any tooth color anywhere in the mouth, no blocker needed. If you prefer a layering technique, or for more complex anterior cases, Transcend composite also includes four dentin shades and two enamel shades.

Deep staining from amalgam tattooing presents one of the most difficult restoration situations to clinicians. In this case only the Transcend composite Universal Body shade was used to replace the amalgam, no blocker needed. Note the excellent color blending of the preserved oblique ridge.

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.

PERFORM RESTORATIONS WITH JUST ONE SHADE

Previous restoration failed and fell out of patient’s mouth.

Tooth is isolated using a rubber dam, tooth is prepared, Halo™ sectional matrix band is placed, and Halo™ disposable anatomical large wedge is placed.

Ultra-Etch™ 35% phosphoric acid etchant is used with a selective etch technique for 15 seconds on cut enamel. Peak™ SE Primer is used to etch dentin for 20 seconds.

Tooth is restored in 2 mm layers using Transcend™ composite Universal Body shade

Application of universal adhesive.

Before removal of rubber dam, finishing and polishing completed with Jiffy™ points and Jiffy™ Natural composite

Halo™ universal matrix ring is placed.

Adhesive is cured for 10 seconds with VALO™ Grand curing light.

Final results after polishing.

Dr. Garófalo is a specialist in restorative and esthetic dentistry and has a master’s of science in dentistry from the University of São Paulo FOUSP. He is the former Director of the Department of Dentistry of the School of Professional Development of the São Paulo Association of Dental Surgeons, and Dr. Garófalo has also lectured as a professor at International Congresses and Symposiums in Brazil and Latin AmericaPreviously the Scientific Editor of the Revista Estética-APCD of São Paulo, he has also written articles, co-authored books, and contributed chapters in publications such as: Laminated Veneers, Inlays Onlays, Atlas of Laminated Veneers, and Dental Sculpture Using the Geometric Method.

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8.

DR. JOSÉ CARLOS GARÓFALO DDS, PhD, Brazil

RECIPROCATION SIMPLIFIED WITH EDGEONE R UTOPIA

Simplified Technique Guide

R25 Technique For Most Canals

1. Ensure you have achieved a straight line access to the root canal entrance.

2. Estimate the working length from a preoperative radiograph.

3. Place irrigant in the access cavity.

4. Introduce the R25 into the access cavity. Press the motor foot pedal when the orifice is reached.

5. Move the R25 in a slow in-and-out pecking motion.

• The amplitude of the in-and-out movements should not exceed 3 mm. Only very light pressure should be applied.

• The instrument will advance easily in the canal. One in-and- out movement = 1 peck. Remove the instrument from the canal after 3 pecks.

6. Clean the debris from the flutes.

7. Irrigate the canal.

8. Take an ISO size 10 hand file 3 mm past the last length of the R25 to make sure the canal is free and open.

• Repeat Steps 4 to 8 with the R25 until approximately 2/3 of the working length has been reached.

9. Next using an apex locator and/or radiograph confirmation, take the ISO 10 hand file to working length.

• If the ISO size 10 does not go easily to length take a size 6 or size 8 to length until the size 10 does go to working length.

10. Now the R25 should easily go to working length by repeating steps 3 to 7.

• In cases with complex canal anatomy or if R25 stops from advancing or its advancement becomes difficult during preparation, either use the R20 and take it to length or enlarge the glide path by taking an ISO size 15 to working length. The preparation with the R25 can then be taken to working length according to the protocol described in Steps 3-7. In some complex cases, the R20 may be the largest file used. Scan QR Code to learn more

CANALPRO X-MOVE ENDOMOTOR

ROOT CANAL TREATMENTS FROM A TO X

COLTENE expands product range with practical CanalPro X-Move endomotor.

The wireless CanalPro X-Move endo motor provides two movement modes, a full rotating and a reciprocation motion for all common file systems. The motor includes an integrated apex locator for safe and fast treatments.

Features & Benefits

• Continuous rotation and a reciprocation motion for all common file systems

• Wireless endo motor for easy and flexible operation

• Integrated apex locator for safe and efficient treatments

• Insulated contra angle with super mini-head and slim neck provides convenient usage and free field of view

• No protective sleeve required while using the integrated apex locator

• Intuitive control display for ease of use

• Pre-programmed settings for COLTENE file systems saves preparation time

• Ten custom settings to manually set parameters (RPM, torque, angles) for other file systems

NEW

Normal contra angle head & neck

CanalPro X-Move contra angle super mini-head & slim neck

VISO G3 & G5

THE PINNACLE OF IMAGING

Viso® is Planmeca's flagship line of world-class CBCT imaging units. It is an ideal combination of premium image quality and high-end usability. The units represent an impressive step forward in the evolution of head and neck imaging.

Three units – same great features

The Planmeca Viso product family consists of three fantastic CBCT imaging units, all offering outstanding image quality to dental professionals. The main difference between the units is in the available volume sizes. The G5 supports volume sizes from 3 x 3 to 20 x 17 cm and Planmeca Viso® G3 from 3 x 3 to 20 x 10 cm.

Imaging for all clinical needs

Planmeca Viso offers a wide selection of volumes to cover all clinical needs – from a single tooth to a full skull. The sensor of the 3D units is also fully capable of 2D imaging.

Live virtual FOV positioning

Patient positioning is done directly from the unit’s control panel utilising integrated cameras and a live patient view, which allows seeing the patient live from the control panel for flexible and exact FOV positioning. The volume size can also be adjusted freely.

Detailed Planmeca ProFace® photos

Planmeca Viso 3D imaging units come with a unique way of capturing face photos with the Planmeca ProFace® option. The sensor of the units has four built-in cameras and LED light strips for capturing highly detailed 3D photographs. These can be combined with intraoral scans and CBCT images of your patient to enrich 3D treatment plans – creating a virtual patient.

Intelligent patient support

Planmeca Viso’s head support provides stability without compromising patient comfort. The clever support design of Planmeca Viso G5 and Planmeca Viso G7 does not cover the patient’s ears in a 3D

face photograph and can also be used without the chin cup thanks to the Planmeca CALM® movement artifact correction algorithm.

Movement artifact correction

The intelligent Planmeca CALM movement correction algorithm for Planmeca 3D imaging units is excellent for imaging patients who have a difficult time remaining completely still. It eliminates the need for retakes by cancelling the effects of patient movement.

Ultra low dose imaging

All our CBCT units offer the unique and scientifically proven Planmeca Ultra Low Dose™ imaging protocol. It allows clinicians to acquire 3D images at significantly lower effective patient doses without a statistical reduction in image quality.

Cutting-edge endodontic imaging

Noise is often inherent to endodontic imaging due to the high resolution required to capture small details. The AI-based 3D endodontic imaging mode for Planmeca Viso 3D units combats this issue and allows capturing clear and smooth CBCT images that are perfect for endodontics. In addition to new unit deliveries, the imaging mode is available for existing units with a software update.

Cutting edge endodontic imaging

Planmeca Viso’s 120 kV tube voltage enables optimised quality for challenging imaging cases –reducing artifacts and ensuring great image quality also when imaging patients with larger heads.

Cephalostat option

Planmeca Viso can be equipped with a Planmeca ProCeph™ one-shot cephalostat. One-shot ceph acquisition takes less than a second and eliminates the risk of patient movement. It is particularly beneficial when imaging young children and other patients that have a tendency to move during imaging.

SIGNO T100

TECHNOLOGY MEETS AESTHETICS

The new Signo T100 is based on a clear architectural structure evolving from the Signo T500 premium model with an individual pantograph lifting mechanism seat design. The Signo T100 represents an uncompromised result of the Morita DNA.

• Timeless design

• Sophisticated manufacturing quality

• Solidity, reliability and longevity

The new Signo T100 encompasses ideally the general design philosophy of Studio F. A. Porsche with the professional standards of Morita. It offers simple functionality and ease of maintenance, and its pure white body color blends in with the space and brings a sense of calmness.

Simplicity & Performance

• Pantograph Lift Mechanism

• Minimum 400 mm Height for Enhanced Safety

• Easy-to-Clean Holders

• Easy-to-Use Foot Controller

• Headrest : Simple Design for Ease of Operability

• Table Moves Effortlessly

• Easy Maintenance

AEROSOL DRAWBACK IN HANDPIECES

CAN IT BE ELIMINATED?

The COVID-19 pandemic has awoken a sense of urgency and concern in the dental world. Dental practices and schools are changing the way they operate by enhancing their cross-contamination response. Many dental equipment manufacturers are moving to provide their customers with effective solutions to assist them respond to this new normal.

One of those solutions has been to reduce the propagation of aerosols during dental procedures. Consideration of contamination from retraction and suck back into the handpiece lines has also been a topic of heightened interest.

Here we discuss this with J Morita Manufacturing Corporation engineer, Mr David Sleeman to seek clarification on the difference between anti-retraction and Zero-Drawback.

Retraction versus drawback. What is the difference?

There has been a lot of talk about anti-retraction and anti-suckback features but little clarification about what they are and how they work” Mr Sleeman said.

Mr Sleeman further clarified that “Retraction is essentially related to water being pulled back into the system through the water lines. So, retraction is strictly related to fluids and debris within those fluids”

“Many manufacturers, including Morita, have already solved this problem by introducing anti-retraction valves throughout the system.

One common type is called a duckbill valve which is held open by water pressure and clamps shut when the water stops which blocks any fluids from travelling back into the water lines.

These can be present in your treatment unit and even in your handpiece or coupling. Usually, you will find multiple anti-retraction valves as fail-safes.

Most major manufacturers, including Morita, include them within handpieces, couplings and the treatment unit. This technology has been around for a while and the ISO 7494-2 standard requires your treatment unit to include it” Mr Sleeman explained.

According to “Transmission routes of 2019-nCoV and controls in dental practice”, “high-speed dental handpieces without anti-retraction valves may aspirate and expel debris and fluids during the dental procedures.

More importantly, the microbes, including bacteria and virus, may further contaminate the air and water tubes within the dental unit, and thus can potentially cause cross-infection.”

“Should retraction occur, you can still flush and disinfect your waterlines as needed, so we can say that the potential for cross-contamination here is relatively low” Mr Sleeman said.

Top tier brand with anti-retraction and drawback reduction technology. Reduction is not enough.

What is drawback and can we eliminate it?

Zero-Drawback is the solution.

When asked to explain what the term Zero-Drawback means (or zero-suckback as it is sometimes known), Mr Sleeman said, “Unlike retraction, drawback is related to the air lines. Aerosols, created during dental treatment, can be drawn back into the handpiece, your air lines and eventually into your treatment unit.

When the drive air stops, the turbine continues to spin. This creates negative pressure in the system and begins to draw aerosols back into the system, kind of like a vacuum.

This is also known as suck back. This effect is cumulative. Each time you activate the drive air, the draw back forces any contaminates further into the handpiece, past the coupling and eventually into your air lines and your treatment unit.

Keep in mind that you cannot disinfect and flush the air or exhaust lines of your treatment unit.

Many manufacturers will include a braking system to reduce the spinning motion of the turbine once the drive air stops.

Terminology for these types of braking systems may vary but at Morita, we call it Quick Stop.”

“A quick stop braking system can help reduce draw back but not eliminate it. The turbine continues to rotate after the drive air stops and, like any braking system, we cannot force the turbine to stop instantaneously.

It takes time and during that time, draw back is occurring. In addition, smaller handpiece head sizes create less inertial force which also contributes to reducing stopping times.” Mr Sleeman said.

Smaller head sizes or quick stop braking mechanisms will help stop the turbine faster and reduce the number of possible contaminants from being drawn back into the system.

But reduction is not enough as the effect is cumulative, and even minor draw back can be pushed back into the exhaust lines and contaminate your system” Mr Sleeman emphasised.

According to “In vitro study of anti-suck-back ability by themselves on new high-speed air turbine handpieces”, some manufacturers will introduce a labyrinth system to reduce draw back, but these will not eliminate the drawback effect.

Only the Morita Zero-Drawback system was found to eliminate draw back through this study *

Morita TwinPower Highspeed handpieces available in 5 models

References

1. Ozawa T, Nakano M, Arai T. In vitro study of anti-suck-back ability by themselves on new high-speed air turbine handpieces. Dent Mater J. 2010;29(6):649-654. doi:10.4012/dmj.2010-008

2. Peng, X., Xu, X., Li, Y. et al. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci 12, 9 (2020). https://doi. org/10.1038/s41368-020-0075-9

3. Quan, Yingjun & Lim, Joong-Yeon & Kim, Kyoung-Nam & Kim, Yang-Soo. (2015). A testing methodology for suck-back behavior of high-speed air-turbine dental handpiece. Korean Journal of Dental Materials. 42. 10.14815/kjdm.2015.42.1.29.

Morita TwinPower Highspeed Handpiece with Zero-Drawback and anti-retraction

FUTURA & CLASSIC STERILISERS

While the Futura has been the top seller in the Mocom range of Sterilisers, we’ll also take a closer look at the Classic and what this range has to offer. The Mocom Futura and classic have been a mainstay in the industry since 2013 with the Gen 1 range, and then the Gen 2 range more recently since 2019. Let’s look at some of the key features that set these units apart and make them one of the leaders in the New Zealand Sterilisation market.

The Classic is a more cost-effective unit with slightly less features then the Futura. We’ll talk through these features and differences between the two models.

The Futura has a colour touchscreen for ease of use when navigating through the menu. The Classic has a more simplified LCD screen. Still simple to use but with a different function navigation system than the Futura.

Water quality is a vital part of a Steriliser functioning correctly. While traditional sterilisers rely on demineralised water to operate, the Futura comes standard with a built-in demineralising filter meaning that tap water can be poured directly into the Futura. This saves the need to buy and store demineralised water bottles, saves on plastic waste, or the need to produce your own demineralised water via a slow desktop water distiller. This feature is unique to the Futura while the Classic range is more of a traditional

steriliser where demineralised water needs to be added to the water reservoir tank.

Cycle time is important for busy Dental practices and both the Futura & Classic offer some of the fastest cycles in the market, including quick cycles for unwrapped hollow type A instruments. The Futura offers a heavy-duty vacuum pump for the quickest cycles, while the Classic has a performance vacuum pump for slightly slower cycles while still giving reliability.

Both units include the delayed cycle start feature. All brands of Sterilisers that utilise a vacuum pump to remove air are required to run a Vacuum test and either a bowie dick or helix test (test type dependant on porous of hollow instruments being sterilised) to be performed once a day. The beauty of having this delayed start feature means that this Vacuum and Helix test can be programmed to start at any time of the day.

With Mocoms the Vacuum and Helix test can be run consecutively so no manual intervention is required between the two cycles.

Simply program the machine at the end of day to start the next morning prior to the practice opening. Place the helix device inside the chamber and press start. The two tests will then be complete when you arrive, allowing you to start Sterilising as soon as you arrive. This is a real time saver!

The Classic & Futura also have the user management system which allows users to be tracked digitally to the cycle data via personal PIN codes. Cycle data is saved as PDF records on the memory of the units. By utilising the user management system, the users name is then attached to this record showing compliance with Australian standards and proving who released the steriliser load.

The vital parameters are displayed on screen before the unit asks the user to enter their unique PIN code. By utilising this feature there is no longer a requirement for a printer and keeping paper records in folders for seven years.

These cycle records can then be transferred simply via the included USB key on both models as a PDF record to a PC. Both the Classic & Futura also offer a free software allowing these cycle records to be transferred automatically to a PC, removing another manual process. This is done by utilising the included Wi-Fi or ethernet point and connecting the Sterilisers to the local network.

With these simple but intuitive features, Mocom offers a well rounded and reliable solution to your Sterilisation requirements, making the process seamless and efficient. Mocom also offers a market leading 3 year or 3000 cycle warranty backing up their claim of being one of the most reliable Sterilisers on the market!

Manager

JIM OWEN Sales Relationship

Mocom Australia

View Mocom Steriliser online

STATIM 6000B G4+

STERILISATION AND MONITORING DOCUMENTATION

The compact vacuum autoclave, STATIM 6000B G4+ optimises sterilisation processes. Sterilisation is usually the last step in reprocessing, and in the case of instruments needed for critical applications, it is even mandatory. Therefore, correct execution as well as reliable performance of the autoclave and documentation storage is crucial.

Smart features for improved automation and workflow

Designed with usability in mind, the Statim 6000B G4+ offers a number of smart features that can help improve automation in the sterilisation process.

Thanks to the online User Portal, you have the full overview. Cycle data storage, advanced reporting, manuals, video tutorials and user interface software updates are displayed on the screen of the unit. Dental staff can easily perform regular maintenance tasks, check the possibilities of loading and a lot more by watching video tutorials on the unit’s screen.

G4+ Technology

Easy cycle data and handling

The STATIM B G4+ offers both dual band WiFi connectivity that includes 5 GHz and an integrated 1GB Ethernet port, allowing the units to connect to the office network and send cycle data to smart devices or a computer, providing easily accessible cycle data, and maintenance information.

To help optimise office processes, the STATIM B G4+ can be configured to email cycle information or error messages directly to office staff and/or service technicians. The intelligent G4+ Technology also lets you integrate with other G4 and G4+ units.

Cycle data is automatically saved internally and can also be stored online on SciCan’s Customer Portal or downloaded onto a USB. This is a unique feature to G4+ units that has been specifically designed for meeting the growing legal demand of physical filing of cycle data.

Sterilisation Monitoring Documentation

G4+ Technology offers a dental office several advanced features that can help improve automation in the sterilisation process. Enhanced documentation mode adds more detail to your record keeping including indicator test results. Sterilisation monitoring test reporting helps minimize the time required to manually document these results.

WiFi-enabled G4+ Technology allows for traceable load release requiring a user code when releasing.

CHAIRSIDE IMPACT

CRYSTAL HD MOUTH MIRRORS BY ZIRC

I’m not sure if there’s anything more frustrating than attempting to perform meticulous hygiene instrumentation on a patient while battling an obstructed view.

Many of us use magnification loupes, bright overhead lights, and are conscious of our patient and operator positions to optimize our visualization, but none of those things matter if one small thing is below standard: our mouth mirror. For many years, I had the unfortunate experience of using mirrors that were badly scratched, cloudy, and dim on the reflective surface with prophy paste and disclosing solution caked around the edges. I always made sure to keep replacement heads close to my working area so that I could change out my mirror when I couldn’t stand the hazy view any longer, but that seemed to happen often. A few months ago, my hygiene mentor gave me some Zirc mirrors, and they have become the exam tool I didn’t know I needed.

Zirc’s Crystal HD mirrors have several characteristics that set them apart from the ordinary. Unlike traditional rhodium-coated mirrors, the Crystal HD mirror is made with multiple layers of metal oxides that provide a much higher reflective value, allowing for a significantly clearer, brighter image. This technology enables the mirror to illuminate your visual field in a way that other mirrors simply cannot.

Now that I’ve experienced the difference, rhodium mirrors remind me of the view I get when I look out my window on a foggy, overcast day, versus the clear, sunny display I get when I use my Crystal HD mirror. The difference is truly astounding.

Another feature I like about the Crystal HD mirror is how easy it is to keep clean while I’m using it intraorally. With most other mirrors, once I notice too much debris or saliva on its reflective face, I have to turn away from my patient, grab a 2x2 gauze, and thoroughly rub it clean before I can continue.

In contrast, I’ve noticed that a simple swipe with my gloved thumb removes any accumulation on the Crystal HD mirror without leaving streaks or smudges.

It’s a small time-saver that makes me that much more efficient. The face of the mirror is also perfectly flush around the edges, so I never have to worry about debris accumulating with continued use.

The last thing I’d like to spotlight with the Crystal HD mirror is its resin casing. When comparing it to most mirrors with stainless steel components, the resin material provides a few advantages for both patients and clinicians. Aside from its lightweight feel and easy-to-grip handle, I don’t have to worry about patient injury if their teeth happen to contact the resin during examination.

It’s much softer on enamel, and there is no chance of galvanic shock when using around metal restorations. All mouth mirrors are not created equally. I have come to love and expect the quality, clarity, and brilliance of Zirc’s Crystal HD mirror and know that my assessment and instrumentation has improved with enhanced visualization. This product has become something I simply must have when I’m providing clinical care, and I would recommend it to any clinician who is looking for the best tools to have in their hygiene armamentarium.

May your mirror—and your future—be clear and bright.

BETHANY MONTOYA RDH is a practicing dental hygienist with nearly 10 years of experience.

She has advanced knowledge and training in complex cosmetic dentistry, sleep-disordered breathing, TMJ disorders, and implant dentistry. She has achieved success in hygiene diagnosis and acceptance that far exceeds the industry standard.

Montoya has devoted her most recent years to focusing on the personal and relationship aspects of dentistry through her latest project, Human RDH. She can be reached at humanrdh@outlook.com

ERGONOMICS & WELLNESS FOR HYGIENISTS

From body positioning to ergonomic instrumentation, here are a few options to help relieve pain.

Dental hygiene has always been a taxing profession both on the mind and the body. And hygienists who scale by hand instead of using ultrasonics may be noticing a few more physical aches and pains, especially if hand scaling.

That pain is also not just in the hands, wrists, and arms; hand scaling can also take a toll on the back, neck, shoulders, and legs. Dental hygienists are at risk for conditions such as carpal tunnel syndrome, repetitive motion injuries, and even chronic headaches. This pain can strike at any point during a hygienist's career: Between 64% and 93% of dental professionals experience general musculoskeletal pain. In fact, musculoskeletal disorders are the leading reason for early retirement among dentists.

Musculoskeletal Pain: Cause

Average everyday hand scaling leads to repetitive motions, often in awkward positions, a recipe for pain and physical disorders that can derail a career.

Musculoskeletal Pain: Prevention

Dental hygienists can avoid pain and repetitive stress injuries with the following tips:

Better Positioning (for hygienists AND patients)

The less bending, hunching, twisting, craning, leaning, or reaching a hygienist does, the less tension they'll put on their muscles, joints, and bones.

The proper position for working with a patient is seated, with the spine in a neutral position and shoulders relaxed. Working as close to the patient as possible avoids overextending the arms or back and always facing the patient.

Hygienists should also keep their feet flat on the floor and adjust the stool's height so the thighs slope slightly downward. Weight should be evenly distributed between each foot and your buttocks, similar to a tripod.

If the procedure calls for a better view of the patient's oral cavity, hygienists can ask the patient to turn their head and use HD mirrors to improve visibility. Keeping instruments at roughly arm's height and within a 21-inch radius is ideal.

The patient's body position also has a tremendous impact on ergonomics. According to RDH Magazine, the patient should ideally be positioned supine for treating the upper arch and semi-supine for the lower arch, but this practice is often impractical due to time constraints.

Instead, they recommend positioning the back of the patient's chair at a 10- to 15-degree angle from the floor. Then, use a contoured dental neck cushion to achieve the proper orientation of the occlusal plane.

Hygienists should be sure to ask their patients to position their heads at the end of the headrest to eliminate the need to reach over the empty space on the headrest.

Ergonomic Instruments and Equipment

Ergonomics should be a key consideration when choosing dental instruments and equipment.

The Operator Stool

From an ergonomic perspective, the operator stool is the most important chair in the treatment room. Proper positioning begins by adjusting the stool first and the patient second.

A stool should be adjustable, with adequate lumbar, thoracic, and arm support. It should allow for a space of three finger-widths behind the knee. If the stool has a tilting feature, tilt the seat forward between 5 and 15 degrees. (If not, use an ergonomic wedge cushion.)

Saddle-seat stools may be the ideal option for dental hygienists – especially shorter people. This type of stool maintains the pelvis in a neutral position and allows the optimal curve of the spine.

Lighting

Another helpful piece of ergonomic equipment is a loupe with a built-in headlight. Loupes provide magnification, so hygienists don't have to bend to see the patient's oral cavity better. Headlights move with the head, eliminating the need (and annoyance) to continually readjust the overhead light

Instrumentation

Instruments can also make a significant difference. Hygienists should look for an instrument with an ideal weight and large diameter that provides a textured grip surface. These instruments will be easier to manoeuvre and cause less hand fatigue while probing, scaling, and root planing.

The science behind ergonomic design matters too. The new Harmony™ Ergonomic Scalers and Curettes are a good example.

The result of a cutting-edge iterative research and development process that analysed over 2.8 million data points, the Harmony™ Scalers and Curettes reduce pinch force up to 65% and pressure on the tooth by 37%. The handle features a recessed double-helix texture for optimal tactile sensitivity with less tactile fatigue. The silicone grips are extended by 30% to provide a secure and nimble grasp.

Another essential factor in instrument ergonomics is the sharpness of the blade. Sharp scalers require less force to do the same amount of work, which can help both clinician and patient be more comfortable.

Harmony™ Scalers and Curettes feature EverEdge™ 2.0 Technology with working ends that are 72% sharper out-of-the-box than the next leading competitor and remain 50% sharper after 500 strokes.

Musculoskeletal pain is not rare nor even uncommon. There's no shame in feeling pain as a dental hygienist, as it is fairly common for hygienists to experience this. The good news is that a few changes to a hygienists' routine, posture, instruments, or fitness regimen can do wonders for the body and can potentially extend their careers by years of injury-free practice

BONE CUTS: MEDIUM, FINE, SUPERFINE

AN INTERVIEW WITH DR BULATOVIC

The material, size and geometry of bone drills is adapted to the requirements of different indications. Sonic instruments are also an option in this context. Oral and maxillofacial surgeon Djuza Bulatovic tested various models from the range of Komet instruments and described his experience in an interview.

Dr Bulatovic, for which indications do you choose bone drills from your drawer?

Our dental clinic focuses on implantology, prosthetics, aesthetic dentistry, children’s dentistry, endodontics as well as plastic and aesthetic oral and maxillofacial surgery. We cover the entire range of applications in dentoalveolar surgery. Generally speaking, I use a bone cutter when I need space. For example, this might be necessary when it comes to removing impacted teeth, exposing teeth during the removal of root fragments from the extraction alveolus, or as part of special techniques for alveolar ridge extension or for bone window preparation during an external sinus lift. Depending on the indication, large or small-dimensioned drills are required.

Let us focus on fine bone drills. What effect do fine bone drills have?

A small/fine drill will naturally produce fine incisions. This can reduce trauma to such an extent that healing can take place quickly, without complications and with a good prognosis. The benefit of fine or small instruments is best explained in a bone structure where the bone bed must be preserved. In other words, my primary goal is to prevent damage to the vestibular lamella during the procedure and to preserve the width of the bone ridge. To illustrate this, let’s imagine the cross section of bone. Only if I manage to penetrate the area between the tooth and the bone with a fine/slender instrument, the outer bone wall can be preserved, and I can create optimal conditions for subsequent implant insertion. Likewise, I also perform a sinus lift or apicoectomy only with small- dimensioned bone drills in accordance with state-of-the-art requirements.

You tested the smallest bone drills from the Komet range, i.e., the H254E and the H255E. What was your impression?

The H254E is a small, tapered bone drill with a blue ring marking (length 6 mm, size 1.2 mm at full insertion depth). The penetration depth is only 3 mm and the working part has a diameter of only 0.9 mm. It penetrates the bone gap quickly under optimal control. I have the impression that, thanks to its tapered shape, it adapts to the tooth root more easily than the cylindrical H255E with with black ring. But the latter is also good: thanks to its cylindrical shape, the rotational speed at the tip is higher. The instrument is able to continuously remove 1.2 mm of bone substance, no matter how deep it works.

Dr. Bulatovic, please give your opinion regarding the aspect "view"

The advantage of bone drills with small dimensions is the fact that I do not necessarily have to open the operating field with a flap to ensure clear view. Let me explain this with the example of a tooth that has broken off at bone level and needs to be extracted. In such a case, no forceps will help me. With the H245E or H255E, however, I can carefully penetrate and enlarge the gap, palpate the tooth fragment easily and work precisely, even though I don't have an unobstructed view at that moment. Then I use a luxation elevator in the cavity I have created. The mucosa and the vestibular lamella will remain intact. This procedure fully complies with the requirements of minimally invasive surgery.

Easy to identify: cylindrical H255E with flat tip and black ring marking

How stable did you find the two bone drills H254E and H255E despite their small dimensions?

I was amazed at how stable both instruments are. Neither instrument broke during use. However, it has to be made sure that under no circumstances they are used as a lever.

Now let's talk about a medium-size model, the H162ST.

The H162ST (working length 9 mm, size 1.6 mm) impressed me very much due to its ST toothing. The special toothing geometry ensures smooth operation without vibrations. The bone drill has no tendency to “jump”. This allows me to work safely under optimal control, and the treatment is also much more comfortable for the patient who can keep calm.

Any vibration of the instrument would mean a highly unpleasant sound conduction for the patient. I use the H162ST when I'm working on hard bones, when I want to create space effectively and when I want to work quickly.

What influence do instruments with high cutting efficiency have on the handpieces and contraangles including the motor?

Instruments with high cutting efficiency are gentle on the handpieces and contra-angles and the motor. Therefore, the practitioner and the practice team are obliged to check the bone drills for damage/wear after reprocessing and, if necessary, replace them by new ones in due time.

All mentioned bone drills can be used in the handpiece as well as in the red or green contraangle. What does that mean for you in terms of practical use?

As a specialist in dental, oral and maxillofacial surgery, my background is in medicine. Therefore, I am used to working with the handpiece. Dentists, on the other hand, usually prefer working with the contra-angle. It is therefore good to have both options at hand.

Sonosurgery sonic saw SFS101 axial – for minimally invasive bone cuts under optimal control

Do you also have experience with sonic instruments in surgery?

Bone cuts with sonic instruments create incredibly thin bone cuts of only 0.25 mm, such as the sonic tip SFS100/101/102 from the range SonicLine developed by Dr. Ivo Agabiti (Komet Dental).

They are particularly gentle on the neighbouring structures due to their oscillating mode of operation. There is no risk of any soft tissue unintentionally wrapping itself around the instrument. They also do not make the typical drilling sound and are used without exerting contact pressure, which is particularly helpful for patients with dental anxiety. However, the treatment takes longer. I always have to consider which patients are eligible for this kind of treatment.

I would also like to point to the learning curve: The use of sonic instruments needs to be practiced! Given that sonic instruments used in surgery work better on angled structures than on straight structures, a combination of sonic instruments and bone cutters is probably the best option for chairside treatment!

Thank you very much for the interview.

Djuza Bulatovic

2000 State examination Dentistry at the Johann Wolfgang von Goethe Universität, Frankfurt

2006 State examination Medicine at the Johannes GutenbergUniversität

2007-2012 Advanced training assistant at the central German army hospital, Koblenz

2012-2015 Senior physician at the central German army hospital, department of oral and maxillofacial surgery; further training in the field of plastic surgery

Responsible for hygiene, transfusion and DRG in the department of oral/maxillofacial surgery

Many years of activity in the training of oral surgical assistants in the field of implantology, dental alveolar surgery, traumatology and dysgnathia surgery

2015 Locum doctor at the Marienhausklinikum St. Elisabeth Neuwied and in different practices in the region of Koblenz

2015 Registered doctor in the joint practice Dr. Milinko Bulatovic and Djuza Bulatovic in Ebhausen

Since 1st January 2019 Registered doctor in the practice Dr. Dortmann & Bulatovic, Mühlheim-Kärlich

Tapered bone drill H254E – fine working part with high cutting efficiency, also suitable for extremely thin cuts.

Bone drill type Lindemann H162ST with innovative Komet ST toothing. The instrument is also available as enhanced version with ZrN coating.

Easy to identify: H254E with staggered toothing and blue ring marking.

WORK WITH YOUR LOUPES, UNINTERRUPTED

You don’t need to hold protective glasses in front of your loupes anymore. Ease-In-Shields protective inserts easily slide behind your loupes and fit close to the eyes to provide comfortable, hands-free eye protection. They are available in a variety of options for different laser wavelengths and curing lights.

• ALLOW YOU TO WEAR LOUPES DURING LASER OR CURING PROCEDURES

• PROVIDE HANDS-FREE EYE PROTECTION SO YOU CAN USE BOTH HANDS FOR PROCEDURES

• EASY INSTALLATION: DROP-IN AND GO

• LIGHTWEIGHT POLYCARBONATE CONSTRUCTION

CARIES MANAGEMENT TOOLS

Evidence based caries risk management

Implement these Caries Management Tools in your practice today!

Assisting our patients to manage their caries risk is a core task for dental practitioners. It is important that we understand each patient’s risk factors and help them to manage these so that they can enjoy good oral health.

Colgate has created a suite of evidence based caries management tools, based on the International Caries Classification and Management System (ICCMSTM).

GuideforPractitionersandEducators,December2014,NigelB.Pitts,Amid,I.Ismail,StefaniaMartignon,KimEkstrand,GailV.A.Douglas,ChristopherLongbottom.Note:Gotowww.icdas.orgtofindtheICCMSTMGuidebooks

These tools have been developed to assist dental professionals implement a personalised caries risk management plan for their patients.

These are the tools available for you:

Chairside Risk Assessment

ORAL HEALTH CARE FOR THE ELDERLY AND MODIFYING APPROACHES

Oral health not only refers to the absence of dental diseases but its contribution to general well-being and quality of life (QoL), which is more difficult to achieve with advancing age (Lamster and Northridge, 2008). Learning about the characteristics of this population can give helpful insights into oral health care for the elderly and how to modify approaches to suit individual needs.

Demography of Aging: Australia and New Zealand

Due to medical advances, socioeconomic development and improved public health measures, the average lifespan has improved and mortality/ fertility rates have reduced. In New Zealand (NZ) the number of people aged 65+ doubled between 1991 and 2020, to reach 790,000. This number is projected to double again by 2056 with a significant increase in the 85+ age group, which will be approximately 320,000 in 2048 (Stats NZ, 2021). In Australia, from 1999 to 2019, the population of those aged 65+, increased from 12.3% to 15.9%, with a 2.5% increase in the age group 85+ in the same period (Australian Bureau of Statistics, 2019).

The New Zealand 2018 census results show that the changing demography consists of a more diverse cultural makeup (Statistics NZ, 2021). Furthermore, poor oral health statistics are represented disproportionally in both countries by the indigenous population and minority groups. Collectively, these statistics highlight the burden on oral health services because more people are living longer and are more likely to retain natural teeth. However, the elderly population is made up of distinct groups and this can affect the way a treatment plan is formulated. Below are the estimated age groups and their different characteristics:

• 65-74 are considered as young elderly who are relatively healthy and active.

• 75-84 are mid-elderly who could vary from being healthy and active to being dependent with chronic diseases.

• 85+ are the frail group with one or more medical conditions. (Razak, Jose Richard, Thankachan, Abdul Hafiz, Nanda Kumar, Sameer, 2014).

Senior Living Spectrum

All elderly are not subject to the same living circumstances. We must appreciate the wide spectrum of senior living and levels of senior care (National Caregivers Library, 2019). At one end of the spectrum are individuals who are more independent, perhaps requiring some form of home assistance, but who are able to carry out dental homecare themselves. Even so, there may be opportunities for oral health practitioners to make suggestions for an improved homecare routine with a focus on preventative strategies. On the other end of the spectrum individuals may live in aged-care facilities in which healthcare assistants and/or nurses provide the necessary care. Moreover, in institutionalised facilities care resistant behaviours may be more common and add further complications. Evidence reveals that institutionalised individuals are at greater risk of developing dental diseases than the non-institutionalised, as reported in a study of several rest homes in Adelaide in 2005 (Lamster and Northridge, 2008).

Determinants of Oral Health in Elderly

Treating the elderly population poses many challenges for oral health professionals especially when implementing preventative strategies. Clinicians have to consider deterioration of physical and mental health, medical condition(s) and polypharmacy when managing this cohort. The elderly population is a unique group of vulnerable individuals who become the main consumers of primary health care services and are more likely to access multiple services such as medical clinics, outpatient hospital services, pharmacies, dental care and supportive care (Lamster and Northridge, 2008). Oral health practitioners in collaboration with allied health services can achieve better oral health outcomes and continuation of care.

With individuals keeping their natural teeth further into life there is a greater need for support, preventative dental treatment, and restorative work. The oral-health concerns during ageing can include one or more of the following:

• Reduced chewing efficiency

• Poor nutritional status

• Denture-related issues - such as ill fitting, damaged/cracked dentures

• Edentulism or tooth loss

• Reduced sensitivity to pain

• Tooth Sensitivity

• Reduced salivary function or xerostomia

• Changes in teeth such as erosion, attrition, and recession

• Changes in oral mucosa - less regenerative capacity

• Coronal Dental caries - higher rate

• Root caries - higher rate

• Periodontal disease - more prevalent

• Oral cancer

• Complications by comorbid conditions such as hypertension, heart disease, cancer, and diabetes mellitus

• Age-related physiologic changes

(Razak et al., 2014; Gil-Montoya, Ferreira de Melli, Barrios, Gonzalez-Moles, Bravo, 2015)

Other factors that can affect oral health in the elderly are barriers to accessing dental care resulting in irregular dental visits due to cultural views, ethnic background, inability to travel, fear and anxiety, and financial strain.

Recommendations for oral health interventions and other suggestions:

• Diet and nutrition counselling should be considered as an integral part of the oral health assessment. Refer to GP, nutritionist, or dietician if necessary.

• Toothbrushing: Use an electric toothbrush with an ergonomic handle. This makes it easier to grip and move around. Alternatively, the way you hold a toothbrush can be changed (refer to resource below) as well as the shape and size of the handle to suit individual needs. Soft or extra soft bristled toothbrushes with bass or modified bass brushing technique using light pressure are best.

• Mouth rinses: either fluoride rinses or chlorhexidine rinses can help control plaque and prevent decay - important for those with physical or mental disability. A small bottle spray can help if the individual is unable to swish around the liquid.

• Adaptive dental aids: special handles for floss, toothbrush or interdental aids.

• Water flossing - not a replacement to flossing but helps those with reduced dexterity.

• Use high fluoride toothpaste.

• Apply fluoride varnish regularly.

• Communicate: Keep oral health instructions simple, use easy to understand language and visual aids. Speak at a volume they can hear clearly but not raising your voice.

• Counsel and educate caregivers or families to support with homecare.

• Provide denture care instructions.

• Use tell-show-do method.

• Employ preventative counselling.

• Make referrals to other health care professionals as required.

• Work with allied health professionals. (Razak et al., 2014; Lamster and Northridge, 2008).

Resources

1. Modifying toothbrush: https://www.mytoothbetold.com/modifytoothbrush-arthritis/

2. Better oral health in residential care - A toolkit: https:// www.sahealth.sa.gov.au/wps/wcm/connect/77fd7a004b332 3958834ade79043faf0 BOHRC_Professional_Portfolio_Full_ Version%5B1%5D.pdf?MOD=AJPERES&CACHEID=ROOTW ORKSPACE-77fd7a004b3323958834ade79043faf0-nKKIuxl

References

Australian Bureau of Statistics. (2019). Australian Demographic Statistics: Twenty years of population change. Retrieved September, 2021, from https://www.abs.gov.au/ausstats/abs@. nsf/0/1cd2b1952afc5e7aca257298000f2e76.

Gil-Montoya, J. A., Ferreira de Melli, A. L., Barrios, R., GonzalezMoles, M. A., & Bravo, M. (2015). Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clinical Interventions in Aging,10, 461–467.

Lamster, I. B., & Northridge, M. E. (2008). Improving oral health for the elderly: An interdisciplinary approach. Springer Science + Business Media.

Lauritano, D., Moreo, G., Della Vella, F., Stasio, D., Carinci, F., Lucchese, A., & Petruzzi, M. (2019) Oral Health status and need for oral care in an aging population: A systematic review. International Journal of Environmental Research and Public Health, 16(22), 4558. https:// doi.org/10.3390/ijerph16224558

National Caregivers Library. (2019).The long-term care spectrum. Retrieved September, 2021, from http://www.caregiverslibrary. org/Caregivers-Resources/GRP-Care-Facilities/The-LongTerm-Care-Spectrum-Article Razak, P. A., Jose Richard, K. M., Thankachan, R. P., Abdul Hafiz, K. A., Nanda Kumar, K., Sameer, K. M. (2014). Geriatric oral health: A review article. Journal of International Oral Health, 6(6),110-116.

Stats NZ (2021). National population projections: 2020(base)–2073. Retrieved September, 2021, from https://www.stats. govt.nz/information-releases/national-population-projections2020base2073

Author:

Christine Murthi is an Oral Health Therapist based in New Zealand. She is currently studying for a Masters in Health Science at Auckland University of Technology. Prior to this she had secondary teaching/tutoring experience spanning more than ten years. Through this teaching experience combined with her diverse cultural background she has developed a passion for promoting diversity in clinical practice, overcoming communication barriers, and connecting with the community. As a member of the Colgate Advocates for Oral Health: Content Community, her contributions to the dental community aim to promote good oral health for all and keeping a healthy smile for life. Learn more

LEARN MORE

CHRISTINE MURTHI New Zealand

#1 PROFESSIONAL TEETH WHITENING BRAND ON THE PLANET

The Most Studied & Tested Whitening Brand

More clinical studies, articles, and reviews have been published on Opalescence whitening than any other professional whitening brand. It is part of the reason why it is so highly trusted.

Most Innovative Whitening Brand

Opalescence holds more patents than any other professional teeth whitening brand. A pH-balanced water-based gel improves patient comfort by reducing sensitivity during whitening.

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Since 1990, over 100 million people have whitened their smiles with Opalescence whitening products, which are currently sold in more than 130 countries.

Recognized, Awarded, and Trusted Whitening Brand

Opalescence whitening products have earned 50+ industry awards from highly respected dental organizations.

safe (3) and customized.

EFFICIENCY:

There are many types of OTC products for dental bleaching in the market such as toothpastes, strips, gels, mouthwash rinses, tray-based systems. Depending on the product, they will have a mechanical or chemical action. Dental professional bleaching treatments works by chemical means with a direct action against the pigments responsible for tooth coloration. The usage of hydrogen peroxide or carbamide peroxide will provide a deep, efficient, and lasting bleaching of teeth. The result is directly related to the known concentration of active solution and the time of application. Manufacturers have guidelines to keep the balance between a pleasant experience and an efficient result for the patient. OTC products may not deliver the same level of whitening due to lower concentrations of bleaching agents. This can result in less noticeable or slower results, especially for tougher

to make teeth look whiter. They contain mild abrasives or chemicals to help remove surface stains. Enamel is a major protective tissue, and a regular use of such abrasive products will also lead to damaging it, making the tooth weaker and increasing its sensitivity over time.

CUSTOMIZATION:

A specificity of professional dental bleaching is customization. Each patient would have a procedure specific to their need that would consider individual variability and make sure all teeth or properly treated (Figure 4). OTC products might not cater to individual oral health conditions or different types of stains, leading to varied results among users. In addition the whitening might not be properly delivered resulting in less noticeable, slower and/or uneven results. OTC products are generally designed for mass use, lacking the customization that professional treatments offer to address specific dental needs.

ceramics and cementation procedures (Restaurations esthétiques encéramique collée - O. Etienne, L. Anckenmann - 2016). He has also been teaching for the master of smile aesthetics of the Strasbourg University until 2021 and has been involved with many companies such as Ivoclar, GC, DMG, 3M, SDI on different educational projects. He has also been teaching about direct and indirect restorations, cementation procedures, dental bleaching, dental photography and smile design analysis in various countries such as Germany, Switzerland, Belgium, North Africa, Vietnam, etc.

PROFESSIONAL WHITENING PRODUCTS FOR YOUR PATIENTS

Since 2023, Dr Salehi is an Advanced Standing Student at NYU college of dentistry in the process of getting his DDS in order to get licensed to practice in the United States and be able to accomplish what he was doing back in Europe but this time on this side of the pond.

Over-the-counter (OTC) dental bleaching products have undergone a fascinating evolution, reflecting both advancements in dental science and the changing demands of consumers seeking brighter smiles. This evolution has also been highly impacted by social media and influencers presenting and promoting those products intended to reflect consumer preferences: faster, cheaper, more effective, and with minimal adverse effects on oral health. However, being able to keep a proper ideal balance between those four pillars is not possible even if the OTC products available today give the illusion that it is. An ideal aesthetic treatment should be (1) efficient (2) safe (3) and customized.

Efficiency

There are many types of OTC products for dental bleaching in the market such as toothpastes, strips, gels, mouthwash rinses, tray-based systems. Depending on the product, they will have a mechanical or chemical action. Dental professional bleaching treatments works by chemical means with a direct action against the pigments responsible for tooth coloration. The usage of hydrogen peroxide or carbamide peroxide will provide a deep, efficient, and lasting bleaching of teeth. The result is directly related to the known concentration of active solution and the time of application. Manufacturers have guidelines to keep the balance between a pleasant experience and an efficient result for the patient. OTC products may not deliver the same level of whitening due to lower concentrations of bleaching agents. This can result in less noticeable or slower results, especially for tougher stains (Figure 1). Therefore, this could lead to overuse or misuse in order to compensate the lack of result which would in turn increase tooth sensitivity.

Safety

In the case of professional treatment, whether in office or at home, a lot of care is taken to make sure that the gum is properly protected (Figure 2 and 3). This is not the case with OTC products that can lead to gum irritation or even chemical burns when bleaching agents come into contact with the gums for an extended period of time. Other OTC products use a mechanical approach to make teeth look whiter.

They contain mild abrasives or chemicals to help remove surface stains. Enamel is a major protective tissue, and a regular use of such abrasive products will also lead to damaging it, making the tooth weaker and increasing its sensitivity over time.

Customisation

A specificity of professional dental bleaching is customization. Each patient would have a procedure specific to their need that would consider individual variability and make sure all teeth or properly treated (Figure 4). OTC products might not cater to individual oral health conditions or different types of stains, leading to varied results among users. In addition the whitening might not be properly delivered resulting in less noticeable, slower and/or uneven results. OTC products are generally designed for mass use, lacking the customization that professional treatments offer to address specific dental needs. Even if the use of OTC products can be appealing for all sorts of reasons, and mainly financial, when compared to professional dental bleaching, it is not as efficient and safe and without professional guidance, there’s a risk of improper use, leading to potential problems.

Professional dental bleaching can be considered as a comprehensive way of bleaching teeth as it takes in consideration all aspects of the patient ’s oral health condition. That is why the term medicalized dental bleaching is sometimes used.

The ideal aesthetic approach should always be as harmless as possible and in order to ensure this for our patients, our responsibility as professional oral health care provider requires that we care about the differences between professional dental bleaching and OTC products to help individuals make well-informed decisions based on their specific oral health needs.

View products online

Example of a tougher disscolouration that would be hard to manage with simple OTC products.

2

To prevent gingival irritation due to hydrogen peroxide, the tray needs to be trimmed appropriately with a line of cut that will depend on whether reservoirs have been placed or not.

3

In case of in office procedure, a combination of liquid dam, gauze and cotton rolls are placed to protect the gum before applying the bleaching product.

4

Before and after result obtained with Pola Night 10% Carbamide Peroxide 2-3h per night during 3 weeks with a customised tray specifically designed for this patient.

Figure 1

Figure

Figure

Figure

DR. ALI SALEHI France / USA

A unique 38% hydrogen peroxide formulation that releases active ingredients immediately.

In only one visit, Pola Rapid initiates a powerful whitening treatment that is designed to whiten teeth in 24 minutes. No pre-desensitizer step needed.

Key features

• In-office whitening system 38% Hydrogen Peroxide

• Dual-barrel syringe dispenser with brush-tip appl icator

Description

Pola Rapid is an advanced in-office tooth whitening system:

• Features built-in desensitisers and fluoride.

• Uses a 38% hydrogen peroxide formulation.

• Simple and precise application.

Indication

• In-office teeth whitening.

Unique Attributes

• Blue gel makes for easy application and visibility.

• Faster system - this material only requires 24 minutes of treatment, significantly reducing patient time in the chair.

• The brush tip allows you to place very easily.

• Light is not necessary; however, the Radii Xpert light can be used with the whitening attachment and the Pola Stand.

Clinical Tips

• Use a surgical suction to remove the whitening gel between applications for fast and precise removal.

• Double check the barrier between each application and make sure there are no areas of leakage.

• Make the time to take before and after photos. It really shows the patient the difference. Even I did not realise there was such a big difference for a couple of patients until I looked at the photos later

CLINICAL EVALUATION

19 CLINICAL EVALUATORS

TOTAL USES 56

CLINICAL RATING 92%

Key features: In-office whitening system l 38% Hydrogen Peroxide

l Dual-barrel syringe dispenser with brush-tip applicato

Description

Pola Rapid is an advanced in-office tooth whitening system:

• Whitens teeth with an incredibly fast 24-minute application time.

• Features built-in desensitizers and fluoride.

Clinical Case Studies

CLINICAL EVALUATION

Dr. Sam Koh

Pola Rapid

SDI sdi.com/au/au

BDSc Melb (Hons) Melbourne, Australia

"I find Pola Rapid a beautiful, easy-to-use product. It is simple to apply and remove with its non-stick and enhanced blue gel formula. A great product to use by clinicians for in-chair whitening with minimal chair time and patient sensitivity, but reliable and immediate results.”

19 CLINICAL EVALUATORS TOTAL USES 56

CLINICAL RATING 92%

Key features: In-office whitening system l 38% Hydrogen Peroxide l Dual-barrel syringe dispenser with brush-tip applicato

Description

Dr. Miles Cone

Fellow American College of Prosthodontists Diplomate American Board of Prosthodontics Nuance Dental Specialist Portland, Maine, USA

“Pola Rapid has exceptional colour saturation for enhanced visibility during intraoral application. The new non-stick bleaching gel stays where you apply it, and easily wipes away clean with no mess. I found the new system fast, reliable to use with minimal sensitivity for patients”

Clinical Tips

Pola Rapid is an advanced in-office tooth whitening system:

• Whitens teeth with an incredibly fast 24-minute application time.

• Features built-in desensitizers and fluoride.

Evaluator’s comments

• Uses a 38% hydrogen peroxide formulation.

• Simple and precise application. Indication

“Instructions were easy to follow and time for the procedure was excellent.”

• In-office teeth whitening.

“I really liked the brush tip and simplicity of the packaging.”

Unique Attributes

“Easy application.”

• Blue gel makes for easy application and visibility.

• Faster system - this material only requires 24 minutes of treatment, significantly reducing patient time in the chair.

“The quick chair time is amazing. I had patients who have had other brand name in-office whitening comment they this was so much faster and they got better results.”

• The brush tip allows you to place very easily.

“Color of the gel allowed easy visibility in placing.”

• Light is not necessary; however, the light can be used with the whitening attachment and the Pola Stand.

Use a surgical suction to remove the whitening gel between applications for fast and precise removal.

Double check the barrier between each application and make sure there are no areas of leakage.

Make the time to take before and after photos. It really shows the patient the difference. Even I did not realize there was such a big difference for a couple of patients until I looked at the photos later.

Evaluators’ Comments

“GOOD RESULTS, EASY TO USE, AND NO LIGHT NEEDED.”

“Instructions were easy to follow and time for the procedure was excellent.”

“Easy application.”

“I feel that it worked well both with and without the Radii Xpert light.”

“The brush applicator takes a little getting used to. It makes the applicator tip overall wider than you may be used to.”

“Worked nicely and didn’t drive sensitivity on root exposure patient - able to control application.”

“When dispensing the first amount, it was difficult to get the mixing of material just right - seems like a lot wasted.”

Consultants who would:

72% Recommend to a colleague

Consultants who would want to stock in their office:

33% Yes, instead of current product

28% Yes, in addition to current product

28% I might want to order this product for certain cases

“I really liked the brush tip and simplicity of the packaging.”

“The quick chair time is amazing. I had patients who have had other brand name in-office whitening comment they this was so much faster and they got better results.”

“Color of the gel allowed easy visibility in placing.”

“I feel that it worked well both with and without the Radii Xpert

“The brush applicator takes a little getting used to. It makes the applicator tip overall wider than you may be used to.”

“Worked nicely and didn’t drive sensitivity on root exposure patient - able to control application.”

When dispensing the first amount, it was difficult to get the mixing of material just right - seems like a lot wasted.”

Try Tooth Mousse Milkshake Today!

This creamy, vanilla thickshake flavour contains calcium and phosphate; the major minerals teeth are made from. Because calcium and phosphate are carried in a special milk-derived protein called RECALDENT® (CPP-ACP), they are available in a soluble form. This means GC Tooth Mousse provides extra protection for teeth, buffers dental plaque acid from bacteria in the mouth and protects teeth from acidic foods and drinks. View flyer online