SureTemps – A Better Provisional

Today’s technology allows dentists to use laboratory-fabricated provisionals for long-term treatment and diagnostic use. SureTemp provisionals, presently fabricated at ROE, are a significant improvement over pro-visionals made just a few years ago. These provisionals are either CAD-engineered, or designed from a template such as a wax-up or approved study model (by way of laser-scanning) and are milled using an industrially processed and cured acrylic called PEEK (Polymethylmethacrylate). PEEK is tooth-shaded to classic Vita shades, and can be stained or layered with pink acrylic to simulate gingiva. SureTemps are superior in every way to conventional acrylic temporaries. They are dense and durable, have improved morphology, and can be adjusted or added to with acrylic or composite. Because they are made with CAD/CAM, a replacement can be fabricated within 24 hours, should the need arise!

Prophylaxis Pitfalls with All-Ceramic Restorations Submitted by Dr. Damon Adams

Routine polishing of high-gloss ceramic surfaces, using abrasive prophylaxis pastes, should be avoided; their overuse will abrade the ceramic glaze on porcelains. The American Dental Hygienists’ Association (ADHA) takes the following position regarding polishing procedures. Polishing should not be considered simply a routine procedure. In addition, it should be offered only when a dental hygienist or dentist determines a specific need for it (Jan. 2003; 17(1):20-21). ADHA justifies its position on the “little therapeutic benefit” produced by polishing. A true prophylaxis (with prevention of disease) is achievable in the vast majority of cases without polishing.

Prophy pastes will eventually lead to breakdown of resin-luting cements at the margin of ceramic veneers and onlays, and cause surface roughness. In addition, it is important to educate your patients on the use of abrasive toothpastes that contain silica particles.

Ultrasonic scalers are often employed to make hygiene procedures faster and easier, but realize that this technology can damage certain all-ceramic restorations. Take great care when using an ultrasonic scaler around the fragile margins and bonded porcelain-cement-tooth interfaces of any all-ceramic restoration, especially bonded veneers (leucite reinforced / lithium disilicate / feldspathic porcelains). Settings that are too high (aggressive) or unltrasonic energy left in contact too long in any one area can be highly destructive to the long-term integrity of the restoration.

Another area of concern is when using acidulated fluoride rinses or pastes. Acidulated fluoride (unlike sodium fluoride) can cause surface etching/roughness on glazed ceramic surfaces, resulting in increased staining and decreased luster. Only neutral fluorides should be used in patients with glazed all-ceramic restorations, with the exception of polished unglazed all-zirconia restorations.

Dr. Adams is the current Editor in Chief of Dentistry Today, and member of the ADA, AGD, AACD, SCAD, and the National Association of Dental Laboratories.

SureTemps – A Better Provisional

Year - end tax deductions for business equipment purchases

You can deduct up to $500,000 of business equipment that is purchased AND placed in service by the end of 2013.  Additionally, new equipment purchased is eligible for a  50% bonus depreciation deduction.  These increased deductions are set to expire at the end of 2013.  There will likely be an extension, however, the Federal government has not made any decisions regarding depreciation at this time.  Plan now to maximize this opportunity! 

Lisa Matuszny CPA

Shareholder

Hobe& Lucas

 4807 Rockside Road Suite 510

 Independence, Ohio 44131

216-750-9660

 

BlueSkyPlan is now Touchless

https://blueskybio.com/pages/touchless-blue-sky-plan?play=1#prettyPhoto/0/

Reviewing a guided plan during surgery can now be accomplished in a sterile fashion, just point to the screen and control the software. Watch the above video to learn more!

Join Dr. Rella Christensen & ROE for an "Zirconia and Emax Materials Testing Update"

Dr. Rella Christensen is coming to Cleveland to share her / TRAC Research's latest results from their materials testing. This is a 3-year study conducted on wear and durability of monolithic zirconia and CAD emax restorations invivo! Sign up by printing and faxing our CE Registration form.

Visit our website for all CE updates

Join Dr. Rella Christensen & ROE for an "Zirconia and Emax Materials Testing Update"

Dr. Rella Christensen is coming to Cleveland to share her / TRAC Research's latest results from their materials testing. This is a 3-year study conducted on wear and durability of monolithic zirconia and CAD emax restorations invivo! Sign up by printing and faxing our CE Registration form.

Visit our website for all CE updates

Sub G Pink Implant Abutments

Most of the anterior custom implant abutments we create are zirconia, with a metal interface. We typically place the labial margin about 2mm subgingivally to decrease the chance for show-through or exposure. We have recently started to shade the area of zirconia below the margin a subtle pink color to improve the esthetics of the final restoration, and to decrease the prominence of the zirconia color, in the event of thin biotype or recession. We believe you will like this improvement.

Photography Support

ROE wants your photographs, particularly for anterior restorations, ClearMatch processing, smile design, smile imaging, stick bites, denture resets, etc. Photographs turn stone models into patients. Sadly, many offices we serve have digital cameras that output pictures that are

less-than-desirable, and camera settings are the usual culprit. We’d like to help you improve your photography. This can be accomplished with an office visit, or an emailed image for evaluation. Call our lab or email a photograph to alan@roedentallab.com, and we will be happy to offer suggestions to dial in your settings.

ClearMatch Shade Service

Tired of Placing Cord - Introducing Dentsply digit power

DENTSPLY has developed the Aquasil Ultra Cordless Tissue Managing Impression Material and digit power™ Dispenser as a means for dentists to precisely place subgingival material for improved crown and bridge impressions without the need for retraction cord or retraction paste. The dispenser is a pneumatic impression device that is compatible with most dental units. It connects to an air line at the dental chair and allows the dentists to simply step on the rheostat to express material while holding the impression device in a pen-grip.  The small diameter intraoral tip on the impression cartridge allows placement directly into the sulcus or around a dental implant. It is designed for use with a single-step dual-viscosity impression technique.  For the complete news flash, see our web site blog, linked on our home page.