Joseph A. Blaes, DDS
Pearl #1 - Ionosit MicroSpand from Zenith. This is a new product from the folks at Zenith that can serve as the liner that a lot of you have been looking for. This patented new chemistry is more than a liner; it is a single-component, no-mix, light-cured resin ionomer that adheres to both composite and dentin. We all know that when a composite shrinks, it can tear the bonding agent away from the dentin, causing a void and subsequent sensitivity. To prevent this tearing, MicroSpand continues to react with the dentin after the initial light-curing, causing a hybrid dentin interface. This secondary reaction also causes MicroSpand to expand slightly, which compensates for the composite shrinkage. This prevents microleakage, sensitivity and recurrent decay. The material is bacteriostatic, it leaches fluoride and is radiopaque. So much for the chemistry; now comes the best part. It is easy to use. Since MicroSpand is a single component, there is no mixing, no mess, no waste and no mistakes. We dispense a small amount onto a small spatula and place the material using your old Dycal instrument. Since it is light-cured, you can get it just where you want it and eliminate any excess. So here is a new material that is quick and easy to use that will eliminate microleakage, recurrent decay and sensitivity with either amalgam or composite restorations. Order a trial pack from your dealer or call Zenith for more information at (800) 662-6383.
Pearl #2 - Bioplant HTR by Septodont, Inc. How many times have you had to compromise the esthetics of a fixed bridge due to tissue and bone shrinkage in the pontic area? I know that I have wished for more bone and tissue many times. Bioplant HTR has been on the market many years, but until now was not commonly used, especially by general practitioners. It is time to get involved since tooth removal causes unavoidable shrinkage of bone and soft tissue if left to heal on its own. Since you ultimately are responsible for the appearance of the case, why not do the treatment yourself and control the outcome? Bioplant HTR not only prevents bone loss, but its innovative osteopromotive properties actually promote the growth of new bone. The quality of the bone resulting from the therapy is a dense lamina bone which is suitable for all types of advanced reconstruction techniques. The material is biologically compatible and is radiopaque so you can see where you put it. Bioplant HTR is hydrophilic, which helps to hold the clot and reduces the risk of a "dry socket." There are over 100 research papers available upon request to the manufacturer. Best of all, the technique is easy. Since it is hydrophilic, it literally is drawn into the socket and, unlike other bone-substitute products, it stays where you put it. This is a simple procedure that offers a lifetime of benefits for you and your patients-a true win/win. Remember, if you take something out, you should put something back. So, if you can`t preserve the past, take care of the future. For more information or to order Bioplant HTR, contact your dealer or call Septodont, Inc., at (800) 872-8305.
Pearl #3 - Neo Diamond by Microcopy. Are you still using the expensive reusable diamonds? There are a lot of great reasons to use disposable diamonds. Infection prevention is guaranteed because sterilization before and after use no longer is a problem. How do you know if your reusable diamond is still sharp? With disposable diamonds, you have a new sharp one every time, which makes for easy cutting with light pressure. This means your preps go faster, and there is less trauma for the patient. Dull diamonds need more pressure to cut and are much more likely to slip off the tooth and cut tissue. You save on treatment time, which means you save dollars! Cleanup is easy, too, because you just throw them away at the end of the procedure. No more cleaning the diamonds and then sterilizing them and then hoping that the shanks don`t rust. We do the same with our burs. When you can buy them for less than a dollar, it just does not make sense to spend the time to sterilize them. I like the Neo Diamond because there is a good selection of sizes and grits, each diamond is individually packaged, and they are unconditionally guaranteed. Call Microcopy at (800) 235-1863 for samples or to order.
Dr. Blaes practices in the St. Louis area and has developed every type of dental practice from solo to a 10-man group. He is known for his expertise in dental techniques and his innovative systems designs. He lectures, writes and conducts "in-house" seminars. He may be reached at (314) 843-3300.
