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Pearls for your practice

July 28, 2014
Adhese® Universal from Ivoclar Vivadent is a new single-component, light-cured, universal adhesive for direct and indirect bonding procedures.

Joe Blaes, DDS

Adhese® Universal

from Ivoclar Vivadent
is a new single-component, light-cured, universal adhesive for direct and indirect bonding procedures. I know what you are thinking … another bonding agent. I say, wait, this one is different. What sets this universal adhesive apart from others? It is the only universal adhesive available in the VivaPen® delivery form, as well as in the traditional bottle delivery form. Adhese Universal is compatible with all etching techniques: self-etch, selective enamel-etch, and total-etch. The ergonomically designed VivaPen enables the adhesive to be delivered with just the touch of a button directly to the preparation in a fast and convenient manner with virtually no waste. This delivery platform will deliver up to 190 single-tooth applications. This is significantly more than a traditional adhesive bottle delivers. When you do the math, this drastically reduces the cost per application, and makes your bonding procedures more cost-effective treatments. We know that many studies by various manufacturers, as well as independent research studies, have shown that the bond strength of adhesive materials decreases over time. This is caused by the evaporation of solvent in the adhesive. This is why the adhesive gets thicker as the bottle empties. Most adhesive bottles should be discarded when they are one-third full. The VivaPen, on the other hand, delivers consistently high bond strength over time because it "locks in" the material to ensure fresh material every time. If I need one drop or four drops during a restorative procedure, all I have to do is push the button on the VivaPen. Another advantage you will find is that you do not have to go back and forth to the well to get sufficient adhesive to cover the preparation. Not only that, but there is no wasted adhesive left in the well and no well to clean up. Your assistants will also love the VivaPen. So you and your team reduce waste and save time. When you stop and think about it, maybe that last patient who complained of postop sensitivity was the result of adhesive from the bottom of the bottle. Get a VivaPen and try Adhese Universal in your practice. I think you and your team will love the convenience.

Visit www.ivoclarvivadent.com for more information.

CariVu™

from DEXIS (KaVo Kerr Group)
is a new approach to caries detection. It is a compact, portable caries detection device that uses patented transillumination technology to support the identification of occlusal, interproximal, and recurrent carious lesions and cracks. DEXIS has a long history of providing us with intuitive, easy-to-use diagnostic tools to discover carious lesions. CariVu continues this tradition. By hugging the tooth and bathing it in safe, near-infrared light, CariVu's transillumination technology makes the enamel appear transparent while porous lesions trap and absorb the light. This allows the clinician to see through the tooth, exposing its structure and the actual structure of any carious lesions with high accuracy. Since they are similar in appearance, CariVu images read like familiar X-ray images; lesions will appear as dark areas. This provides an edge as compared to fluorescent imaging technologies since there is no need to clean the tooth of bacteria or calibrate the device. Think of the DEXIS digital X-ray sensor and CariVu as ultimate companion tools for caries detection. If you identify a suspicious area on a radiograph, especially possible interproximal decay that can be more difficult to detect, your "second opinion" can be a transilluminated image that reveals the extent of the condition. This also helps you confidently determine whether the area needs monitoring over time or requires immediate treatment. Since transillumination can show lesions in the beginning stages, using CariVu during routine prophylaxis can aid the hygienist in identifying questionable areas early in order to decide on a course of preventive care. When used together, a radiograph, a transilluminated image, and an intraoral photo provide a comprehensive picture of the health of a patient's tooth. Integration with the DEXIS software simplifies the work flow. It is easy to compare the CariVu image in the current session with its historical and intraoral X-ray and camera counterparts. A simple squeeze of the capture ring on the handpiece freezes the image; a tap and hold saves it. The device powers off automatically when set in its holder. Finally, for those patients who refuse to have X-rays taken, CariVu is an alternative diagnostic method with which they can be comfortable. I have found the CariVu to be a valuable caries detection tool in my practice. Patients understand and accept the information. This allows me and my team to treat problems early.

Visit http://www.dexis.com/carivu or call (888) 883-3947 for more information.

High Definition Mirrors

from Hu-Friedy
Since everything we do in dentistry is visual, I always get excited when I see a new product that will make it easier and better for me to see what I am doing. So when I saw that Hu-Friedy had a new mirror, I had to try it. According to an article in the August 2006 issue of Dental Economics, 99% of diagnostics in dentistry is visual. In order for clinicians to deliver accurate diagnoses, the mouth mirror needs to provide the highest degree of clarity and visibility in every procedure. I thought I was using a superior grade of mirrors until I started using the new Hu-Friedy HD Mirrors. The difference was unbelievable. Standard rhodium-coated mirrors offer average clarity and visibility, keeping the clinician from reaching the highest level of performance. I told my dental assistants to take a couple of the new HD Mirrors and run them through the autoclave a number of times. So for the next week, they kept them in the autoclave constantly. When we looked at them, they were still clear and bright. Hu-Friedy's new High Definition Mirrors feature a proprietary coating that provides superior brilliance and color for increased visibility in all dental procedures. As compared to rhodium-coated mirrors, HD Mirrors are 38.5% brighter. They are also 50% brighter than other front surface mirrors, carrying a 113% reflection factor for exceptional image clarity. HD mirrors are compatible with all of Hu-Friedy's ergonomic handle options so you can choose what works best for you. Since they are also scratch-resistant, the new HD mirrors are the clear choice for optimal patient treatment. My team has tried to trick me a couple of times by handing me an old mirror attached to one of my new handles. But when I look into the mirror, I know immediately it is not an HD Mirror. Try one yourself, and you will never go back.

Visit www.HuFriedy.com for more information.

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