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Contents 42 Is It Time to Do Routine Adult Pulpotomies? Due to the current dampened state of the economy, a growing number of patients are unable to afford traditional endodontic treatment, yet the need for root canal therapy continues to rise. Dr. Ellis Neiburger discusses the oftenoverlooked pulpotomy as an alternative to traditional endo, its long history and how it fits into today’s dental practice in this must-read article. 52 In Praise of Electric Handpieces As Dr. Elliot Mechanic explains, dentists have come a long way from being regarded as “drillers, fillers and billers,” to now increasingly being seen as artists and healers. With the advent of “smart” technologies such as the electric handpiece, dentists can treat their once-fearful patients with a greater level of ease and increased efficiency. Dr. Mechanic outlines the use and benefits of electric handpieces, including the important role they play in crown preparation. 56 The Remake Debate How do you handle remake cases? Maribeth Marsico, senior editor at LMT Communications, explores the remake process, the biggest remake culprit and what can be done to cut down on these “cases-gone-wrong.” There will always be remakes in dentistry, but as this report shows, it is the duty of the lab, the technicians and the dentists to work together to ensure the patient gets their final desired result. Glidewell Publications for iPad iPAD APP Chairside is now available on your iPad. Search “Glidewell” in the iTunes Store and download the free app. 60 Digital Impressions for an Immediate Denture Versatility, accuracy and ease of use are just some of the benefits digital impression technology offers over conventional impression techniques. This case study from Dr. Dean Saiki illustrates how digital impressions are not only equal to conventional impressions, but are in some instances the only appropriate option. ALSO IN THIS ISSUE 8 By the Numbers 64 The Chairside Photo Hunt 2 www.chairsidemagazine.com
Publisher Jim Glidewell, CDT Editor-in-Chief and Clinical Editor Michael C. DiTolla, DDS, FAGD Managing Editors Jim Shuck; Mike Cash, CDT Creative Director Rachel Pacillas Copy Editors Jennifer Holstein, Megan Affleck, David Frickman Statistical Editor Darryl Withrow Digital Marketing Manager Kevin Keithley Graphic Designers/Web Designers Jamie Austin, Deb Evans, Joel Guerra, Audrey Kame, Lindsey Lauria, Phil Nguyen, Kelley Pelton, Melanie Solis, Ty Tran, Makara You Photographer Sharon Dowd Clinical Videographer James Kwasniewski Illustrator Wolfgang Friebauer, MDT Coordinator and Ad Representative Teri Arthur (teri.arthur@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: www.chairsidemagazine.com. © 2012 Glidewell Laboratories Neither Chairside magazine nor any employees involved in its publication (“publisher”), makes any warranty, express or implied, or assumes any Neither liability Chairside or responsibility Magazine for nor the any accuracy, employees completeness, involved in its or publication usefulness of (“publisher”), any information, makes apparatus, any warranty, product, express or or process implied, disclosed, or assumes or represents any liability that or its responsibility use would for not the infringe accuracy, proprietary completeness, rights. Reference or usefulness herein to of any any information, specific commercial apparatus, products, product, process, or process or disclosed, services by or trade represents name, trademark, that its use manufacturer would not infringe or otherwise proprietary does rights. not Reference necessarily herein constitute to any or specific imply its commercial endorsement, products, recommendation, process, or services or favoring by by trade the name, publisher. trademark, The views manufacturer and opinions or otherwise of authors does not expressed necessarily constitute herein do not necessarily or imply its state endorsement, or reflect recommendation, those of the publisher or favoring and shall by not the be publisher. used for The advertising views and or product opinions endorsement of authors expressed purposes. CAUTION: herein do When not necessarily viewing the state techniques, or reflect procedures, those of the theories publisher and materials and shall that not are be used presented, for advertising you must or make product your endorsement own decisions purposes. about specific CAUTION: treatment When for viewing patients the and techniques, exercise procedures, personal professional theories and judgment materials regarding that are the presented, need for you further must clinical make your testing own or decisions education about and your specific own treatment clinical expertise for patients before and trying exercise to implement personal new professional procedures. judgment regarding the need for further clinical testing or education 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 Ahh, the Internet. Like many of you, I grew up in an era where most arguments were never really settled. Unless one of the arguing parties actually owned an Encyclopedia Britannica and the argument was about which bird can hover (answer: the hummingbird), most $20 bets entered a permanent state of limbo. In 2012, this is no longer true. I was recently marveling at how nearly any fact can be pulled up on the Web in less than 10 seconds. (Wikipedia should be getting a cut of all the bets it’s helping to settle!) While the power of the Internet to transform our everyday lives is undeniable and largely positive, as dentists we are faced with something dentists in the “golden age of dentistry” never had to deal with. Do you remember the “golden age”? Dentistry was great back then! The golden age is loosely defined as the time period 10 years before you graduated from dental school — for me that’s 1978. Back then, all patients were independently wealthy, and they lusted after full-mouth rehabilitations. When they were happy, they said “thank you.” When they were unhappy, they told six to eight people. Today’s patients — happy or unhappy — are increasingly Internet savvy, and with the increase in social media platforms and participants, managing these communication channels becomes necessary. We can’t please every patient, and we are going to disappoint some. Unless we learn how to manage social media, we just have to hope that the ones we disappoint are blood relatives or in-laws. It’s inevitable that you will eventually have a bad review or two on Yelp or another social media site that doesn’t even exist today. Read my recent interview with Glenn Lombardi to find out how you can use this new form of communication to your advantage. I know the dentists back in the “golden age” didn’t have to deal with this, and you never signed up for this, but it’s here. Appoint a staff member to lead your team’s social media efforts and follow Glenn’s well-reasoned advice! Yours in quality dentistry, Dr. Michael C. DiTolla Editor-in-Chief, Clinical Editor mditolla@glidewelldental.com Editor’s Letter 3
Page 1: Chairside® A Publication of Glidew
Page 6 and 7: Letters to the Editor Dear Dr. DiTo
Page 8 and 9: Contributors Michael C. DiTolla, DD
Page 10 and 11: Numbers by the 143 CEREC Number of
Page 12 and 13: Dr. DiTolla’s CLINICAL TIPS PRODU
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Page 17 and 18: Tooth Preparation The amount of too
Page 19 and 20: Case Report Placement of the Initia
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Page 23: Conclusion Figure 21: A retracted f
Page 26 and 27: Figure 1: First Appointment — We
Page 28 and 29: Figure 13: I use my NV MicroLaser
Page 30 and 31: Figure 24: Now that I can finally s
Page 32: Before After Figure 34: A retracted
Page 35 and 36: Interview with Glenn Lombardi - INT
Page 37 and 38: technology because it made my iPad
Page 39 and 40: appointments instead of texting her
Page 41 and 42: control of this, but they’re prob
Page 44 and 45: Is It Time to Do Routine Adult Pulp
Page 46 and 47: Figure 3: Earliest pulpotomy discov
Page 48 and 49: Figure 7: Two Sargenti (N2) pulpoto
Page 50 and 51: There are theoretical concerns over
Page 52: expensive endodontics. If the pulpo
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Figure 1: Electric handpiece units
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THE REMAKE DEBATE - ARTICLE by Mari
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lenging, difficult patients, and th
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Digital Impressions for an Immediat
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Once the digital files were receive
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The Chairside® PHOT Hunt Once agai
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