Chairside Magazine Volume 2, Issue 1 - Glidewell Dental Labs

Dr.DiTolla’s
CLINICAL TIPS
Dr.DiTolla’s
CLINICAL TIPS
PRODUCT.............. Cyclone/Cyclone DS
CATEGORY........... Topical Anesthetic
SOURCE................ Steven’s Pharmacy, Costa Mesa, CA
1-800-352-DRUG
PRODUCT.................................Zir-Cut
CATEGORY..............................Carbide Bur
SOURCE...................................AXIS Dental, Coppell,
TX
Zir-Cut burs are absolutely necessary when replacing
zirconia-based restorations.
New from Axis Dental are Zir-Cut burs, filling a need just
recently created. It’s a huge time-saver, too. Zirconia-based
restorations entered the market a few years ago and are now
hitting their strides. Two of the newer systems (LAVA from
3M ESPE and Prismatik CZ from Glidewell Labs) are so strong
that nothing will cut efficiently through their zirconia substructures.
Enter the Zir-Cut burs, absolutely necessary when
replacing these all-ceramic, cementable restorations.
Even if you aren’t placing zirconia restorations (which I now
do routinely), one day you will have to take off a zirconia
crown placed by another dentist, and you’d better have some
Zir-Cut burs on hand!
PRODUCT.................................Razor
CATEGORY..............................Carbide Bur
SOURCE...................................AXIS Dental, Coppell,
TX
This amazing new bur will fly through both porcelain and
metal on any PFM with no problem.
The new Razor carbide bur from Axis Dental is a huge time
saver! This amazing bur will fly through porcelain and metal
on any PFM with no problem. I used to use an old diamond
to cut through the porcelain and then would switch to a 57 or
557 bur to cut through the coping. In addition to having these
burs snap far too often, the chatter they would make as they
cut through the metal was horrible!
In contrast, a new Razor will fly through the porcelain and
continue straight through the metal with no chatter at all. On
certain cases (usually those with semi-precious or high-noble
substructures), I have used the same Razor bur to remove 4 or
5 entire crowns. Just order a couple of them in the 57 size and
shape and you will see what I mean, especially if you have an
electric handpiece like I do.
We offer Cyclone DS to almost anyone having something
done who is not getting local anesthesia.
If you can remember about 10 years ago, there was a
product named Dyclone, which was a topical anesthetic in
liquid form that patients could swish with for one minute
to anesthetize gingival and palatal tissues. It was fantastic
for hygiene patients who need some anesthesia, but don’t
want local infiltrations or blocks. It also worked well for
needle-phobic sensitive hygiene patients, and for patients
who gag during impressions. I searched the FDA database
and found that the company decided to stop producing for
their own reasons. The FDA verified that it had nothing to
do with the safety or efficacy of the product.
Steven’s Pharmacy’s replacement product is called Cyclone
and it is available in the original strength that we used to
use, 0.5%, and also in a double-strength solution called
Cyclone DS that is a 1.0% solution. We have settled on
the Cyclone DS as our choice because we have noticed
no difference between the two solutions, except that the
Cyclone DS works better on most patients.
We use it on anyone who is worried about having impressions
taken, whether it is for Invisalign or bleaching trays
or even just study models. We use it on full arch crowns
and bridge impressions when we are worried about the
patient gagging while we try to capture the detail of multiple
preps. We will even use it prior to taking our digital
x-rays on patients who are worried about gagging.
On the hygiene side, we use it for periodontal probing for
patients with inflammation as well as for gross debridement
patients who are sensitive. We see a lot of patients
who are overdue for hygiene but do not need scaling and
root planing. Since we typically only use local anesthetic
for our root planing patients, Cyclone helps fill the gap by
being an easy-to-use topical that provides peace of mind
for the patients.
The bottom line is that we offer Cyclone to almost anyone
having something done who is not getting local anesthesia.
We do not charge for this service, although there are
dentists who have told me that they charge a small fee for
it (typically $5.00) and that patients are happy to pay it.
We don’t charge for local anesthetic, of course, and we feel
that this falls into the same category.
Dr. DiTolla’s Clinical Tips
Dr. DiTolla’s Clinical Tips