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Dental Product News
If the Crown Doesn't Fit ...Adjust It
by Mitchell Parke
One of the longest-standing issues in dentistry is crowns that do not fit. Making a crown fit perfectly between adjacent teeth is hard work. The problem has been knowing exactly where the contact point is located to make the adjustment. Guessing or eyeballing to adjust the crown is time consuming and does not guarantee a good, let alone perfect fit. A poorly fitting crown could be problematic for the patient, it’s very uncomfortable. And an unsatisfied patient could be problematic for you.
Certain methods have been developed to combat poorly fitting crowns, by means of marking the interproximal surface to determine where to adjust. For example, fitting a piece of articulation film in between metal forceps (or just holding it with fingers) is a pretty popular way to mark the interproximal surface. Marking floss and contact paint are also tools used to mark the interproximal surface for adjustments. All these methods described are difficult to see when positioning the product, plus they are messy and inaccurate. Again, getting a crown to fit perfectly is hard work.
It was out of necessity that a dentist from Boston came up with an idea. His solution presented to Microcopy could very much eliminate the problems caused by guessing and checking and other methods of marking the interproximal surface. That solution has been developed into Proxi-ChekTM. The basic design of Proxi-Chek was inspired by another product of ours, Bite-Chek® Articulation Film. Essentially, the idea behind both products is articulation film with an easy-grip handle. The initial concept of Proxi-Chek was presented to us in the form of a coffee stirrer. This dentist had finally created a way to ensure a perfect fitting crown. He had created a marking device that was designed to be simple. We now had an opportunity to completely change the way dentists thought about marking along the interproximal surface. Now, it could be quick, easy, and significantly cut the time to adjust crowns. Based on the results, we decided to pursue this project.
Removing the Guesswork for Properly Fitting a Crown – eBook
Adjusting tight interproximal contacts when seating a restoration such as a crown, bridge, implant, inlay, onlay, or almost any other prosthesis, can be difficult and time consuming. In the past, there was really no good way to mark contacts, leaving dentists to play the guess and check game. Microcopy’s PROXI-CHEKTM offers a new way for dentists to accurately mark contacts for adjustment, ensuring complete marginal seating, maximizing efficiency and leading to more predictable results.
Download this FREE EBOOK to learn how Proxi-Chek improves these three areas:
- Decrease chair time with a precise adjustment.
- Aids in proper seating of the crown for tight margins.
- Reduce the risk of over adjusting the crown.
Sometimes the "Old-Ways" are the Best Ways
Dental Product Shopper Case Study -August 2018
I love Amazon. It has been the answer to my aversion and distaste for the shopping scene. Yet, there are still times where online shopping shows limitations. For instance, it is hard to judge the comfort and feel of a mattress without a visit to an old-school brick and mortar establishment. So, despite the convenience of one-click purchasing, sometimes the old ways really are the best ways.
It is no different in dentistry. With the incredible pace at which technologies and materials continue to develop, I feel it has become common place to abandon tried-and-true methods that still can get the job done. It is my belief that, at times, we overcomplicate treatment and anguish over which plan is best. We need keep in mind that no matter the challenge, one cannot replace “old school” fundamentals: a good prep paired with a plan that is uniquely designed and executed for that patient equals a good chance for long-term success.
NeoBurr Product Spotlight
Dental Product Shopper Spotlight- July 2018
Strong and durable single-patient-use carbides feature a blended neck design that minimizes breakage and offers sharp, consistent cutting.
For some dental products, the magic is in the design. And any design that can eliminate a product’s weakest link is a win for clinicians. That’s certainly the case for Microcopy’s NeoBurr carbide burs. When it comes to dental burs, which aid clinicians in some of the most rigorous procedures, the neck is a prime place for weak points that can lead to bur breakage. But NeoBurr carbides feature a new blended neck design for enhanced durability and strength, effectively eliminating the weakest point on the bur and offering clinicians a break-resistant carbide for even the most demanding of procedures.
“THE QUALITY THAT GOES INTO MICROCOPY PRODUCTS IS THE BIGGEST ADVANTAGE OF USING NEOBURR.” John Horn, DDS
Microcopy Names New President and CEO
Current Marketing VP Named to New Post
Kennesaw, Georgia, October 26, 2017—Microcopy, a leader in the design and development of innovative products for the dental industry, announced that Paul Tucker, former VP of Sales and Marketing, has been named the President and Chief Executive Officer. This decision follows the announcement by current President and CEO, Perry L. Parke, of his choice to step down after more than 15 years of prestigious achievements. Parke will continue to work with Microcopy in an advisory role to ensure a smooth transition.
Polishing – A Critical Step in Making Restorations Last
Not polishing composite when placing a restoration has immediate and long-term repercussions. This can have a serious affect on your relationship with your patient and the life of the composite. It only takes a few minutes, but some dentists skip this important last step in restoration placement. Not polishing composite when placing a restoration has immediate and long-term repercussions. This can have a serious affect on your relationship with your patient and the life of the composite. It only takes a few minutes, but some dentists skip this important last step in restoration placement.
Download this eBook to learn more about polishing:How it affects patient satisfactionThe affects it has on the longevity of the restorationWhy staining and plaque accumulation occurHow a simple polishing a system to reduces steps.
Crisis averted thanks to NeoDiamond
It’s Thursday afternoon, and ALL dental professionals know what that means. A mere three hours stand between you and your precious weekend. This particular day, three hours and an extremely difficult procedure stood in my way. I had to remove a 3 unit zirconia bridge promptly without damaging the remaining tooth structures.
NeoDrys to the rescue!
A patient with some medical issues presented in my office for some posterior composite restorations. He’d been on steroids for some time and still had severe swelling of his cheeks. Posterior fillings plus swollen cheeks equal a very difficult time for the patient and me. When he opened his mouth, his occlusal surfaces were completely covered by the inside of his cheeks.
Are you swimming in saliva?
It is nice to have a break in your schedule and get the occasional sealant patient. They are definitely a change of pace from the routine cleanings. Some sealant placements go quickly and some become very challenging. When you are tight on time and want to adhere to your schedule, making sure you have the perfect products for the procedure will help not only yourself but your patient as well. There are so many products on the market that can save you money but making sure that you are also utilizing the right product to get the job done efficiently may be worth its weight in gold. If you are using products just because they are a cheap replacement to the more efficient method, it may just end up costing you more in the long-run.
NeoDrys-A True Game-Changer in the Field of Dentistry
All dental clinicians dream of a dry field. It’s the one thing we must have for a procedure to be successful. How in the world do we maintain a site without saliva? Thankfully, this has become much easier since the ingenious development of Microcopy’s NeoDrys. This simple addition to my tray has revolutionized my most difficult patient situations.
Being a dental hygienist, I don’t have the luxury of having an assistant. Neodrys have allowed me to triumphantly and comfortably finish the procedure without repetition. However, they aren’t just for hygienists. Dentists and assistants also love Neodrys because they make the most challenging patient easier to handle. Let me tell you how we accomplish the impossible with the aid of NeoDrys.
Applying Microcopy’s NeoBurr 557 in your practice
This new blended neck design is described as the new definition of strength.
You see it all too often. You’re in the middle of a complex restorative case and your 557 carbide bur breaks. It’s common and it happens all the time. Well, now you can put that frustration aside by using the new 5572 carbide bur from Microcopy. The
5572 easily lives up to its reputation of being the strongest carbide bur on the market today.
NeoBurr Eliminated the Weak Link
The Story of the No Neck Carbide
Twelve long years ago, back in 2004, I remember reading a report from the CRA, (now CR) that polled the main frustrations dentists had with carbides. The two that were nearly tied for first were a lack of aggressive cutting and breakage. Then it dawned on me that every single carbide manufacturer, including us, was out there in the trade magazines bragging how fast their carbides cut. I saw the phrase “cuts like butter” misused more times than I can count. “Does butter really cut?” But, amazingly, nobody was talking about reducing breakage!
Can a Stronger Carbide Bur Reduce Breakage?
New Carbide Design Enhances Bur Strength
Carbide dental burs are subject to rigorous and strenuous forces. These forces are applied when cutting natural teeth and metal crowns, making the burs prone to breakage. Tungsten carbide burs are very hard but they are brittle. Broken burs are not just an interruption to the procedure but present a patient risk. When a bur breaks, there is the potential for the patient to aspirate the broken bur piece. Therefore, minimizing carbide bur breakage is important to me.
Gazelle Resists Crumbling
Developed for use with nanocomposites, Microcopy’s durable, single-patient-use polishers resist crumbling and retain their shape.
Find out why Parag R. Kachalia, DDS, believes that Gazelle nanocomposite polishers
- Simplify restoration polishing with choice of a 1- or 2-step process with no polishing paste needed.
- Withstand anatomic variations for effective and efficient polishing of all areas of a restoration.
While the polishing system we were using at the UOP was adequate, we were always looking for something that would give us a better result with fewer steps. Additionally, we wanted something that performed consistently and would not leave debris on the restoration because it was easily breaking down. Gazelle was an easy choice to address these needs.
Wood working and Dental Instruments
What Woodworking has Taught me About Dental Instruments
As is typical for many independent minded dentist types, I completely ignored his advice and decided to try my hand at making custom pens. It has become a wonderful hobby for me and I love the opportunity to clear my mind as I work on beautiful woods, acrylics, and even Corian (yes the same material they use to make kitchen counters).
Working with these materials has taught me a few things about using tools on a rapidly rotating object (which ironically is exactly opposite of what we do in dentistry).
1) The tool must be very sharp in order to be effective.
2) A clean tool is a more efficient tool.
3) Too much heat can ruin the object.
4) Proper protection is essential.
5) Sometimes, it costs less to pay more for something.
6) If you don’t know where you’re going, you’re liable to end up somewhere else!
Extract Teeth as Atraumatically as Possible
NeoDiamond burs provide multiuse quality with a single-use price to permit advanced and effective extraction techniques that won’t break the bank.
With the preponderance of published data demonstrating compelling reasons to remove teeth as minimally invasively as possible, the burden of finding and utilizing effective methods of traumatic exodontia falls upon the clinician as never before. Clinicians often work in regions with thin plates of bone and thin overlying soft tissue, and a shift in thinking has developed to promote tooth removal procedures that demonstrate a remarkable concern for maintaining perfectly intact facial plates with minimal disruption of papillae or the midfacial zenith of soft tissue.
The Simple Polishing System
Choose the 1- or 2-Step Composite Polishing System
Direct composite resins are usually the most common procedure in an average restorative practice. In a busy practice, it’s important to streamline your procedures to make them efficient and predictable. Having a systematic approach with complementary materials is a great way to accomplish consistent results. Many clinicians are focused only on the composite and matrix system and take for granted the importance of having a nicely polished restoration that will be less plaque retentive and last longer.
Simplicity is very important and having a polishing system you can depend on with as few steps as possible is quite desirable. Fortunately, Microcopy, a Georgia based company near Atlanta, has a track record of creating high-quality burs and polishers for all your restorative needs. Their Gazelle nanocomposite polishing system is unique in that it offers clinicians the option of a 1- or 2-step system depending on your preferences. They are also available in 3 convenient shapes – points, cups and discs – to polish whatever anatomy is treated.
There are many composite polishers on the market with varying properties and steps. The Gazelle polishers are specially formulated for nanocomposites using a patented SiltecTM process during development which infuses the polisher with strength to retain its shape and not crumble. This is a common problem with some of the other competitive systems. This durability also allows the polishers to stand up to multiple restorations during the same procedure, making it more convenient and cost effective. The fact that they are sterile wrapped in single-use packages allows clinicians to use and simply toss them out after all procedures are completed.
Restoration of a Fractured Mandibular Incisor
Dr Jablow’s procedure is a minimally invasive solution to repair a fractured tooth. The tooth was not symptomatic so the patient did not need local anesthesia. Read more about this effective time saving technique.
Read the full article at:
Dr. Mary Jablow is an active memver of the ADA, NJDA, Middlesedx County Dental Association, and has achieved fellowships in the AGD and International Academy of Dental Facial Esthetics.
Clinical Articulation Techniques
Getting a Simple Handle on Articulation
Occlusal management is a foundational pillar of dental care excellence. The stability of natural oral structures (pulpal tissues; periodontal margins; enamel integrity) and implants (bone loading effects on density) are greatly impacted by force vectors and intensity on teeth. Since occlusal conditions can be fluid and change due to natural conditions or trauma, at any time, dental professionals must be able to efficiently gather data, diagnose, and fine-tune bite changes to teeth, restorative materials, and bite appliances. When practices are already dealing with the challenges of time management and overhead costs, reaching into drawers for instrumentation and materials like bite forceps and articulating paper presents an interruption in the flow of the appointment and infection control protocols.
Fortunately, there are innovative companies in dentistry like Microcopy, a Kennesaw, GA based firm (just north of Atlanta) that has a long history of creating streamlined simplifications that have benefitted dental practices (including my own) for many years. A new product called Bite-Chek has been designed and manufactured at Microcopy’s state-of-the-art production facility. It represents the high point of Microcopy’s commitment to developing easy-to-use products that simplify dentistry.
New Bite-Chek Articulation Film
Clinical Tips for Adjusting the Occlusion
It sure would be nice if every crown sent to you not only dropped into place, but also never needed any occlusal adjustment. And while the occlusion should always be perfect on the model, it’s clearly not always like that when the crown is tried in the mouth. I have proven to myself that this is nearly always due to the temporary crown being in place for two weeks rather than for two days (we all know how much occlusal adjustment is necessary if the temp has been in for two months or two years; it’s not pretty).
Until the day when all of us can cement crowns in two days (you’ll need a digital impression device), we are going to have to adjust our restorations. Microcopy recently introduced BITE-CHEK®, an articulation paper with a built-in handle that lets you avoid dirtying another instrument. It’s a 19-micron-thick, double-sided black film that marks both arches simultaneously. The built-in handle gets thicker at the anterior to keep your gloves from getting marked. BITE-CHE performs well in both wet and dry situations, and I have found that it marks everything from solid zirconia to cast-gold well.