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Spectra’s Digital Explorer Benefits Your Patients and Your Practice

The diagnosis of caries has been an inexact science for many years, and the vast majority of practitioners around the world have made this diagnosis by utilizing their eyes and explorers. The common perception has been that if an explorer sticks into a pit or groove then the tooth must have caries dental handpiece. Thankfully, the vast majority of time that an explorer sticks into a pit or fissure, clinical decay is present; however, studies have documented that explorer detection alone can miss early areas of decay. Unfortunately, when these areas are missed on clinical examination, patients are forced to have larger restorations placed at a later date. In today’s world, caries detection technology can identify caries non-invasively at an early stage and allow practitioners to actively manage the disease process through surgical or chemical intervention. One such technology is Spectra by Air Techniques vacuum forming machine dental.

Spectra is essentially the Doppler radar of dentistry. The technology emits has a high-energy blue violet light that stimulates the metabolites of cariogenic bacteria. Once the tooth is scanned an image appears showing both areas of health as well as areas in which caries may be present. The severity of the issue is depicted both in a numerical as well as a color scale. Areas of green and low numbers represent health, and areas that appear red to yellow and have a higher number represent areas where issues are present. This scale is simple, and patients easily understand that green is good and the color of fire means there is an issue. The technology offers an objective medium to aid in diagnosis and almost acts like a second opinion.

Patients today want tangible evidence that issues indeed exist, and the Spectra caries detection technology allows for this to occur.
Our practice began using Spectra nearly two years ago and this technology has had a clear return on investment. In a co-diagnosis model, our hygienist will scan our patients towards the end of a hygiene appointment when the surfaces are free of debris. Any images that show concern are placed on the monitor for the doctor to review with the patient, and a course of active management is presented. In the first 30 days we experienced roughly a 12% increase in treatment acceptance relative to traditional intraoral images. In a relatively small practice, this has translated to three additional direct restorations per week or roughly $2,500 a month in additional revenue. Equally important, when a patient chooses not to pursue treatment, the areas can be tracked and growth can be monitored digitally. Most recently, our practice has engaged in a customized recall program where the patient’s image(s) is/are e-mailed to them if they have not scheduled treatment within a reasonable time frame. This personalized message has been far more effective compared to traditional generic recall postcards dental scaling machine.

Patients today want tangible evidence that issues indeed exist, and the Spectra caries detection technology allows for this to occur. It allows the doctor to present conservative treatment options, yet maintain profitability for the practice.

Synergy With i-CAT in the Multispecialty Practice

A certain synergy takes place between clinicians in a multispecialty office. My practice, Naperville Dental Specialists, offers cosmetic and functional services for all ages, so my patients can stay with me and my team for all of their dental needs. My wife, Dr. Manal Ibrahim of Innovative Orthodontic Centers, and I can treat patients as single specialists or as a team dental equipment. It is important that we have dental equipment that helps us gain a more precise diagnosis for the best results. This is definitely the case with the i-CAT™ FLX™ Cone Beam 3D imaging system.

3D imaging—more precise diagnosis to plan for the best results
i-CAT scans can be used for a wide variety of procedures and shared with referring doctors. Patients can benefit from 3D scans as well as traditional 2D radiography. When an X-ray is needed, I can acquire a traditional pan or a low-radiation dose scan from the i-CAT FLX.

The pan view can be pulled from the 3D scan. The scan data is extremely valuable when planning for surgical extractions scian nebulizer. If we see a sign of caries, we can take an individual bitewing or periapical with our DEXIS™ Platinum sensor. This intraoral digital imaging is also useful intra-surgically when placing implants.

As a prosthodontist and an implantologist, I’ve found the anatomical information from a 3D scan helps me place implants more accurately and efficiently. With the 3D view, I can achieve a greater understanding of the shape, width, and height of the bone and surrounding structures prior to surgery. Tx STUDIO™ software that comes with an i-CAT system gives me access to integrated treatment tools for implant planning and the ability to integrate use of surgical guides. This reduces significantly the time it takes to place the implant and translates into less discomfort and healing time for the patient.

It is important that we have dental equipment that helps us gain a more precise diagnosis for the best results.
With orthodontist-prosthodontist Dr. Ibrahim, I can preplan potential implant sites during orthodontic treatment and capture all of our initial imaging needs in a single scan, with accurate 3D views of the teeth, roots, TMJ, airway, and sinuses dental file. Dr. Ibrahim can evaluate tooth position and see impacted teeth and supernumeraries while I explore the need for bone grafting. During the combination of implant and orthodontic treatment, she can move teeth to the appropriate position, and by the time orthodontic phase is complete, the bone graft is ready for the implant area. Once implants are placed, we can capture a low-dose QuickScan+, a setting that gives us a full-dentition 3D scan at a lower dose than a panoramic X-ray*, to check if the teeth have moved into proper position in the bone.

From a highly visual 3D scan, patients can see where the teeth must move, where we will position the implants, and how all the treatment will turn our plans into reality.

Quick and easy image comparison for patient education

Across the board, they noted that i-CAT provided the best, most consistent images, so, I decided to invest in an i-CAT® FLX. For implant patients, it is incredible to have the ability to incorporate a scan of the patient’s edentulous area, and then
use my digital impression system to decide exactly where to place the implant in relationship to the other teeth without taking traditional impressions. I can also generate surgical guides using the CBCT data dental curing light.

i-CAT helps my referring clinicians and me plan more exactly. One recent case that I shared with a periodontist involved an 18-year-old female who needed crown-lengthening surgery in the anterior. We took an i-CAT FLX scan and intra-oral 3D images of the dental models and superimposed the dental model over the scan to actually show the surgeon the soft tissue and hard tissue. With this information, he stated that he could make better decisions about whether to remove osseous structure or do a gingivectomy. This kind of planning with my colleagues is amazing.

In my opinion, what sets i-CAT FLX apart from the competition is its flexibility and control over radiation dose and scan size. For my younger patients who have been referred by other doctors to evaluate the airway, I have the control with my i-CAT to check their anatomy without exposing them to excess radiation. Since I find it helpful to check the patient’s airway opening with the appliance in place, I can take a QuickScan+ and know that I have full 3D information with less exposure than a 2D pan dental equipment.

Sleep dentistry is another big aspect of my practice. My imaging protocol typically includes using a 3D scan to check temporomandibular joints to assess any pre-existing disease. Sleep appliances advance the mandible, and this can result in pain for some of these patients. I want to know those details and educate them to the possible issues. Scans are also taken on pain and TMJ patients, as indicated, and can also be helpful in restorative cases and Invisalign® procedures.

I believe that digital imaging, when used responsibly, can help clinicians to become better diagnosticians and patient educators.

I believe that digital imaging, when used responsibly, can help clinicians to become better diagnosticians and patient educators. This improved diagnosis and subsequent treatment can lead to improved dental care, more compliance, and treatment plan acceptance portable dental unit. While I can’t change my patients’ whole world, I can strive to change a part of it for the better when I alleviate the pain of TMD or help them get a good night’s sleep with a new appliance. Knowing that I can offer that level of care helps me to sleep better at night, too.

CariVu™–It Makes Perfect Sense

As a fan of technology, I read dental journals and technology blogs for materials and equipment that can improve the way I approach dentistry. Recently, I discovered the DEXIS™ CariVu caries detection device that uses near-infrared (NIR) transillumination technology.

What you see is what is there contra angle handpiece!
CariVu takes transillumination to a higher level. The device detects carious lesions and cracks interproximally, occlusally, and around cracks and restorations through near-infrared light. Dense enamel reflects this light while the porous carious lesions trap and absorb the light Ultrasonic Scaler. As a result, CariVu produces an image where the healthy tooth appears light and the lesions dark. This results in accurate information without any ionizing radiation exposure.

Before CariVu, I tried a form of illumination using a penlight-like device that I would shine on the tooth in a darkened operatory while the patient viewed the area in a hand-held mirror. While patients were polite and said they saw what I was pointing to, I doubt they really saw the caries. With CariVu, I can move the device, pivot it to manually change the focal depth, and have an active visualization of the tooth. Even better, I can capture that image, put it on a big screen, enlarge it, explain to the patient that the area of decay is dark, and point out areas of concern. When seeing all of this in black and white, patients become interested, informed, and ready to accept treatment.

Besides educating the patients, I know the CariVu image will provide the information I need to treat caries efficiently. CariVu illuminates both sides of the tooth simultaneously so I can see the size, shape and scope of initial carious lesions and around margins of failing restorations and plan excavation and treatment more effectively. Since I have this information before beginning treatment, it allows for smaller accesses and less invasive treatment. I can view fractures and related caries better with NIR transillumination technology than on X-ray, which can be misleading due to issues like burnout or the wrong angle.

When using CariVu, each time I open a tooth, I know what I saw on the image is the same as I will encounter in the mouth. I’ve seen the (near-infrared) light, and the CariVu slogan is really true — the story of caries is all there in black and white dental supplies.

The Advantages of Using a Dental Microscope in Restorative Dentistry – A Practically Oriented Report

Over the past 15 years, there have been a number of fundamental technical changes in restorative dentistry. Restorative dentistry nowadays is no longer restricted to primary prosthetics-oriented treatment of a patient by providing appropriate work made in the dental laboratory. For colleagues practicing restorative, holistic dentistry, it is now possible to provide patients with both aesthetic and functional restorations from the periodontal and endodontic foundation onward, after undergoing further training in certain specific disciplines and investing in those areas. These special fields include all aspects of periodontology: a systematic adhesive bonding technique, high-quality root canal therapy, periodontal plastic surgery, implant dentistry, and ultimately–after a lengthy period of treatment–permanent, functional, and aesthetic restoration techniques.

Application of adhesive on enamel
Reasons for turning to a dental microscope
Further development of adhesive bonding techniques, plus an increasing desire over the past 10 years to preserve teeth, has resulted in endodontics becoming highly important in restorative dentistry tooth scaler australia. In addition to the adhesive stabilization of teeth subjected to endodontic therapy, the introduction of the dental microscope significantly increased success rates in primary and revised endodontic therapy as well as retrograde, apicoectomy surgery.

Endodontic revision therapy
Conservative, adhesive restorations after systematic caries excavation
In cases with extensive carious defects and deep cavities, and where caries excavation is performed systematically and followed by adhesive management with built-up resin fillings, onlays placed at a later date may function properly for many years.

If caries is to be excavated close to the pulp, I like to use the dental microscope. Due to its shadow-free light in conjunction with rhodium-plated mirrors, it is excellent for distinguishing even the tiniest of infected areas dental lab supplies australia. The closer to the pulp the operator needs to work while removing caries, the more this type of optimal vision enables great care to be exercised.

Caries excavation close to the pulp
Periodontal therapy in visually barely accessible (subgingival) root sections
In closed or open periodontitis therapy, based on the full mouth therapy concept, one often has the problem that the deep subgingival pockets or interdental recessions and furcations already affected by bone destruction are hardly accessible to the naked eye. Due to the optical benefits mentioned and the illumination of the surgical field, I like to use the dental microscope in these instances because it is possible to detect any clinging islands of biofilm and remove them precisely.

Canal visualization after excavating caries from tooth 36
Conclusion – the advantages of using a dental microscope
One advantage of using the dental microscope that should not be underestimated, especially in the physically and psychologically highly strenuous dental profession, is a healthy, namely upright, working posture. Due to its superior technological features, a convenient-to-use microscope can provide the dentist with considerable quality of life and good health micro motors australia.

Digital Impressioning Helps Me Be a Better Dentist

Dr. Simon Kold, from Herning Implant Center, has worked with the 3Shape TRIOS scanner since 2011, and for him, there can be no going back to traditional impression taking. Dr. Kold believes that his preparations and final results have improved significantly since he started working with TRIOS. The technology has taken his business to new heights. “Intraoral scanning helps me give patients better dental treatment.” says Dr. Kold dental instruments.

What made you move from traditional impression taking to digital impressioning?
Our clinic has been working with guided implant surgery since 2005. With the emergence of new technologies, we saw potential combining digital impressions with CBCT scans to ensure accurate and esthetic implant treatment implant machine.

What made TRIOS stand out for you?
With other intraoral scanners, I needed to keep my hand completely steady while scanning. TRIOS lets you move more naturally. You can stop and start scanning again, and even rescan selected areas and merge them into the complete impression picture.

What about digital impressions in terms of accuracy dental file?
Using the TRIOS system, I successfully completed an upper-jaw reconstruction using 14 new teeth – all based on digital impressions. Scanning and the workflow with the laboratory functioned smoothly, and during seating, all 14 teeth slid in without any adjustments.

Was it easy for your clinic to adapt to the new technology?
One thing that surprised me was how excited everybody was about working with the new technology. Installing and using the digital impression system has made us better and is still moving our business and careers in new directions. The technology catches the attention of patients, as well. I think they like the idea of being treated in a top-notch, modern facility
with the best equipment.

It’s About Time and About DEXIS

After 37 years of practicing dentistry, I decided to change my image. By that, I mean that I improved my radiographic images by switching from film to digital X-rays. I wanted to make the best choice, so I invited representatives from three different companies for demonstrations. One interesting aspect stood out in my mind. When discussing digital systems with my dental colleagues, many had switched from other brands to DEXIS™. But I didn’t hear of anyone who switched from DEXIS to another system dental equipment.

DEXIS™ Platinum sensor technology produces clear images at a wide range of exposure settings. And the ClearVu™ image enhancement tool provides even greater detail and depth. I use this tool everyday. I no longer have the worries that come with film like, “Will my X-rays be too light? Will they be too dark? Is the solution too cool, or is it getting too weak?” None of that occurs anymore. DEXIS images are very consistent.

With DEXIS, I can enlarge images as much as I need to without losing image quality. I can change the contrast or use other drawing tools to point out areas of concern. My patients can now look at the monitor displaying the enlarged image and actually understand what I am explaining. With film, they had to turn their heads to see the view box from a few feet away, or view the X-ray while held up to the light dental handpiece.

I couldn’t be any happier with my new DEXIS system. From image quality to support, I feel I have the best.
My DEXIS system is also great for communication with specialists since I can securely email images almost immediately. With film, we had to write a note, make a duplicate film, mount it, put it in an envelope, get the address, and mail it. They got it a few days later. DEXIS is a huge time saver. Another example is that retakes happen in seconds. With film, if a retake was needed, I could kiss another ten minutes goodbye taking the new X-ray and developing it.

According to the ADA, digital X-rays expose my patients to less radiation than film*. The DEXIS Platinum sensor, according to a laboratory study cited by DEXIS, provided higher diagnostic image quality results at lower radiation doses when compared to competitive sensors, and the Platinum sensor demonstrated more consistency across both low and high radiation doses.**

Our Henry Schein Dental consultant, Liz Talairco, is so sharp. She guided us through the process of choosing DEXIS. She followed up on every question and never once dropped the ball. On the DEXIS side, Representative Lisa Brooks was very helpful and so was the service department. As with any computer-based system, challenges can occur, and DEXIS support has been available and helpful Ultrasonic Scaler. They pull up our account and quickly get to business. In one instance, several team members from DEXIS support collaborated for an efficient solution. They even emailed instructions and a transcript of the discussion with information on what to do if it ever happens again. I know we can depend on them.

I couldn’t be any happier with my new DEXIS system. From image quality to support, I feel I have the best. This digital system saves time, money, and is so much easier. I should have switched years ago.

The “Nutrient” Issue

In Wichita, Kansas, the debate over water fluoridation continues. Fluoride Free Kansas, an opposition group, has made a variety of claims that are not backed by the scientific evidence. Consider this example. In a newspaper ad, the group declares: “Contrary to claims by fluoridation opponents, fluoride is not a nutrient …” This claim is false. Consider the following evidence:

1 micro motor. The Institute of Medicine’s Food and Nutrition Board issued a 1997 report that included fluoride and provided a recommended daily intake for fluoride. As the Centers for Disease Control and Prevention (CDC) explains, “These guidelines describe the dietary reference intakes for specific nutrients known to be beneficial to health including fluoride.”

2. Through the years, a number of highly respected health officials have identified fluoride as a nutrient. In the Surgeon General’s Report on Nutrition and Health (1988, pp. 368-369), former U mobile dental unit.S. Surgeon General C. Everett Koop wrote, “Although fluoride is present in foods, the most efficient source of this nutrient for the general public is community drinking water … to which fluoride is added to reach the optimal level.”

3. The National Institutes of Health classifies fluoride among the “minerals and essential trace elements.”

4. The U.S. Department of Agriculture’s Nutrient Data Laboratory includes fluoride in its database of nutrients.

So which organization should Wichita residents trust? An anti-fluoride group whose leaders have no known credentials in science and nutrition? Or the Institute of Medicine, the National Institutes of Health, a former Surgeon General, and the federal Nutrient Data Laboratory?

State Dental Budget Cuts Leave Low-Income Residents With Little To No Coverage

Dental coverage for Medicaid recipients is the first to go when budget cuts take place. Medicaid is required to retain dental coverage for children, however, coverage is “optional” for adults. One out of the five states has cut their dental care coverage by about 92%. Vincent Morales (Seattle Resident) states that his “rent is very high” and because of “budget cuts” his “oral needs are pushed aside”.

In addition, select states are only covering “emergency procedures” for adults. According to Shelly Gehshan from the Pew Children’s Dental Campaign, if parents don’t have access to dental care, they sometimes don’t ensure their kids go to the dentist regularly. portable dental unit

Misrepresenting the National Research Council Report

The former CEO of the Oregon chapter of the American Cancer Society has written this column opposing efforts to fluoridate drinking water in Portland. In his column, Rick North identified three “main sources” that led him to change his mind about fluoridation dental equipment. North claimed that these sources provide “an enormous amount of evidence that water fluoridation” can threaten human health.

So what are his three sources? Two of them are books written by leading anti-fluoride activists. These books float the theory that dentists, industry and government conspired in some way or another to promote fluoride implant machine.

The only reputable, independent source among the three that North cited was a National Research Council (NRC) report issued in 2006. Did this NRC report provide “an enormous amount of evidence” that the water fluoridated by public water systems can be harmful? No, it did not. In fact, North ignored or overlooked a very critical point. Read the NRC’s own summary of its 2006 report. In this summary, the NRC committee writes that

“… the committee’s conclusions regarding the potential for adverse effects from fluoride at 2 to 4 mg/L in drinking water do not apply at the lower water fluoride levels commonly experienced by most U.S. citizens.”

The NRC report focused on water in areas of the U.S. in which the natural fluoride levels were significantly higher than the level used to fluoridate community water systems. North’s statement is an example of how fluoridation opponents misrepresent scientific research.

The Spin Behind the IQ Fluoride Argument

As you know, opponents of water fluoridation circulated an article this summer from a reputable journal reviewing a number of fluoride-IQ studies that were done in China, Iran, and Mongolia. Their message was a simple one: fluoride causes lower IQs in kids. Opponents ignored the fact that the co-authors of this article raised several concerns about the quality of these studies.

Now, here’s another reason why this argument lacks credibility dental file. Between the 1940s and the 1990s, the average IQ scores of Americans improved 15 points. This gain (approximately 3 IQ points per decade) came during the same period when fluoridation steadily expanded to serve millions and millions of additional Americans.

Has Much Changed in 57 Years

Sure, a whole lot has changed since 1956. Today, we have cable TV and the internet. We also have Blue Ray discs, DVD technology and iPods. And we’ve lived through several economic recessions.

On the other hand, if you consider the rhetoric that is circulated by opponents of water fluoridation, it might seem as though we’ve been transported back in time. The May 19, 1956 issue of The Saturday Evening Post — one of the best-read magazines of that era — contained an article entitled “The Fight Over Fluoridation tooth scaler australia.” Here are some of the observations made in the article:

The opponents of water fluoridation have counterattacked on a nationwide front. The opposition cross-sections like poor bacon: The streaks of logic, responsibility and good will are almost lost among layers of irresponsible hollering. … [then there] are the chronic hatemongers, who package anti-fluoridation in with their other scurrilous campaigns.

We saw an example of this “package” approach last year when the leader of the Fluoride Action Network announced that he had formed an alliance with a group that criticizes childhood vaccines.

The Post article also shared this interesting tidbit:

A technique for deflating crank reactions (to fluoridation) has appeared in such forehanded towns as Charlotte, North Carolina, Martinsburg, West Virginia, and Newburgh (NY). City Hall announces that fluoridation will begin on a certain day . . dental air compressor. and lets the complaints roll in. “This water is ruining photographic negatives.” … “It killed my goldfish.” … “It brought grandma’s asthma back.” … The newspapers print much of this. Then City Hall announces that, regrettable as these things are, fluoride can’t be the cause — the actual start of fluoridation has been postponed for technical reasons to the first of next month.

In other words, whipping up unfounded fear can lead a lot of well-meaning people to draw the wrong conclusions. Ultrasonic Scaler


Please don’t hesitate to contact me for more information about my work. I am available Mon – Sat, Sunday is a day of rest.

Phone: 777.777.7777

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