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Contents 50 Photo Essay: Your Questions Answered by Dr. Daniel Melker For this issue, Dr. Daniel Melker was kind enough to compose a list of the most frequently asked questions he receives as a specialist. The answers were compiled in photo essay format. From contouring after biologic shaping to why we barrel in furcations, this is a definite must read! 57 Alginate Substitutes: Rationale for Their Use Dr. Len Boksman discusses the shortcomings of alginate as an impression material and focuses on the shift of preferential use of alginate substitute. If you don’t already agree, perhaps you will after reading his argument for use of alginate substitutes thanks to their low-cost, high tear strength and stability, among other attributes. 62 Patient Product Review Educating patients can be challenging. After all, my drawings can only show so much and sometimes it’s hard to explain why I need to build up a tooth just to grind it down again. However, thanks to a great new patient-education tool by Dental Demo Suite for the iPad, engaging your patients and educating them into treatment has never been easier. 2 chairsidemagazine.com
Publisher Jim Glidewell, CDT Editor-in-Chief Michael DiTolla, DDS, FAGD Managing Editors Jim Shuck Mike Cash, CDT Creative Director Rachel Pacillas Clinical Editor Michael DiTolla, DDS, FAGD Senior Copy Editor Melissa Manna Copy Editors Kim Watkins, Jennifer Holstein Magazine Coordinators Lindsey Lauria, Sharon Dowd Graphic Designers Jamie Austin, Deb Evans, Joel Guerra, Phil Nguyen, Gary O’Connell Staff Photographers Sharon Dowd, Kevin Keithley Illustrators Wolfgang Friebauer, MDT; Phil Nguyen Ad Representative Lindsey Lauria (lindsey.lauria@glidewelldental.com) If you have questions, comments or complaints regarding this issue, we want to hear from you. Please e-mail us at chairside@glidewelldental.com. Your comments may be featured in an upcoming issue or on our website: chairsidemagazine.com. © 2010 Glidewell Laboratories Neither Chairside magazine nor any employees involved in its publication (“publisher”), Chairside makes Magazine any nor warranty, any employees express or involved implied, in or its assumes publica- Neither tion any liability (“publisher”), or responsibility makes any for warranty, the accuracy, express completeness, or implied, or or assumes usefulness liability of any or information, responsibility apparatus, for the accuracy, product, completeness, or process disclosed, or useful- or any ness represents of any that information, its use would apparatus, not infringe product, proprietary or process rights. disclosed, Reference or represents herein to any that specific its use would commercial not infringe products, proprietary process, rights. or services Reference by herein trade name, to any trademark, specific commercial manufacturer products, or otherwise process, does or not services necessarily constitute name, trademark, or imply its manufacturer endorsement, otherwise recommendation, does not or necessar- favoring by trade ily by constitute the publisher. or imply The its views endorsement, and opinions recommendation, of authors or expressed favoring by herein the do publisher. not necessarily The views state and or reflect opinions those of of authors the publisher expressed and herein shall not do be not used necessarily for advertising state or or reflect product those endorsement of the publisher purposes. and shall CAUTION: not be When used viewing for advertising the techniques, or product procedures, endorsement theories purposes. and materials that When are presented, viewing the you techniques, must make procedures, your own theories decisions and about ma- CAUTION: terials specific that treatment are presented, for patients you and must exercise make personal your own professional decisions about judgment regarding treatment the for need patients for further and exercise clinical personal testing professional or education judg- and specific ment your own regarding clinical the expertise need before further trying clinical to implement testing or new education procedures. and your own clinical expertise before trying to implement new procedures. Chairside is a registered trademark of Glidewell Laboratories. Chairside ® Magazine is a registered trademark of Glidewell Laboratories. Editor’s Letter It’s an interesting time here at the lab because we have a couple of products that doctors are prescribing in record numbers. That doesn’t always happen. In fact, there have been plenty of products we’ve released to the sound of crickets. As a lab that works with a large number of dentists in all 50 states, we can get a pretty good idea of what is going to be a popular product. However, products can’t be forced on dentists; they simply won’t buy. Every new product must pass the age-old Dr. Gordon Christensen test. That is, is the product faster, easier, higher quality and cheaper? In order for your product to be successful, it needs to exemplify three to four of these characteristics. The magic is in determining what faster, easier, higher quality and cheaper means to most dentists. Take our Silent Nite ® anti-snoring/sleep apnea device, for example. It works well and is comfortable, but in the beginning adjustment can be slightly confusing for the dentist. We have sold tens of thousands of Silent Nite devices, but most of them have been single sales to dentists, most likely for their own use. Three months ago we were introduced to aveoTSD ® , a simple anti-snoring device that attaches to the tongue via suction. It’s easy to use and there are no impressions or adjustments necessary. Because it can be given to the patient the same day he or she agrees to treatment, we now have dentists calling to order 10 at a time! The runaway success of aveoTSD is because of its ability to meet dentists’ desire for a product that is faster, easier, higher quality and cheaper. In this issue, you will also get a peek at the IOS FastScan , our answer to digital impressions. While not quite ready to be released, our guiding principles in developing this technology have been faster, easier, higher quality and cheaper. In fact, by using this technology you will be able to create some significant savings on your lab bill! Crowns sent digitally will cost 20 percent less than crowns sent with conventional impressions due to material, shipping and labor savings. We will keep you in the loop as to when this technology becomes commercially available. Yours in quality dentistry, Dr. Michael DiTolla Editor-in-Chief, Clinical Editor mditolla@glidewelldental.com Editor’s Letter 3
Page 3: Contents 9 Dr. DiTolla’s Clinical
Page 7 and 8: Dear Robert, Thanks for the kind wo
Page 9: Daniel J. Melker, DDS Dr. Daniel Me
Page 12 and 13: Dr. DiTolla’s CLINICAL TIPS PRODU
Page 15 and 16: 14 chairsidemagazine.com - ARTICLE
Page 17 and 18: Figure 1: The Rapid Anesthesia Tech
Page 19 and 20: Figure 9: You can clearly see the 2
Page 21 and 22: Figure 15: I can see that the BioTe
Page 23 and 24: The BruxZir bridge is solid zirconi
Page 25 and 26: Figure 29: Now that I am finished s
Page 27: Figure 37: A look at the bite regis
Page 30 and 31: Interview of Dr. James Dower - INTE
Page 32 and 33: from the solutions going to that cr
Page 34 and 35: get sort of comfortable doing one t
Page 36 and 37: penetration of the mandibular block
Page 38 and 39: of their lip back. So if you’re g
Page 40 and 41: dentist would reuse prophy cups and
Page 42 and 43: dental school about 10 years ago, s
Page 45 and 46: Rubber DaM Haz rds - Article and Cl
Page 47 and 48: The rubber dam is difficult to ster
Page 49: References 1. Francis CE. The rubbe
Page 52 and 53: When the furcation is removed and t
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Contours of shaped teeth are shown.
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Alginate Substitutes: Rationale for
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Figure 5: Alginate substitute (COUN
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Patient Product Review Dr. DiTolla
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“That damn lab — I wrote freest
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