UNIVET LOUPES big is better 3-5

Transcription

technologyplus
ph: 1800 025 300
fax: 1800 025 202
www.gunz.com.au
march 2012
FUTUREPROOF YOUR PRACTICE The latest in Dental Materials & Equipment
UNIVET
LOUPES
big is better
3-5
The Science behind Valo® Curing Lights
3 Critical Factors for Successful Bonding
Case Study - Using Traxodent® for
Haemostasis in Crown & Bridge work
7
8-10
User Report: The Technology behind Beautiful
Temporaries with Luxatemp Star
11-12
Reciproc® One File Endo System:
A detailed study by Dr Ghassan Yared
14-19
For up-to-the-minute prices and special promotional offers, contact your Gunz Representative or Customer Service Team
member on 1800 025 300. All Gunz orders over $150 are delivered FREE OF HANDLING FEE!
Anyone who has watched reality TV shows such as "Extreme Makeover" has
witnessed some of the miracles of modern dentistry. Technological advances in dentistry are
happening so fast that what couldn't be done during your last check up might be possible when you return
6 months to a year later. When it comes to dentistry, the term "space-age technology" is literally true. For
instance, one of the adhesives used by NASA on the exterior of the space shuttle is now being applied as a
dental bonding material to make repairs that used to be impossible. Gunz Dental takes pride in being able
to source and work with the world’s leading dental manufacturers to bring these new technologies to you.
In this issue you will revisit, or discover some state of the art devices, technologies and materials which
make Gunz Dental’s product range world class.
Magnifying systems for every need
Univet Loupes ..................................................3
Lining has never been easier
DMG Ionosit Baseliner......................................6
3 Critical factors for successful bonding
Valo ® Corded and NEW Cordless........................7
A Case Study by Dr Michael N. Mandikos
Premier Traxodent ............................................8
Showing the effective combination of Luxatemp product family
DMG Luxaform/Luxatemp Star ..........................11
No more loose dentures
Ultrasuction ...................................................13
Reciproc® system: detailed study by Dr Ghassan Yared
VDW Reciproc ® ..............................................14
Answers to tooth whitening FAQs
Opalescence ® Whitening Range ......................20
Specialist orthodontist Dr Geoffrey Wexler chooses Belmont & Beaverstate
Practice Redevelopment..................................22
Belmont Chairs & Lights, Beaverstate Carts .....24
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Univet LOUPES: big is better
Univet specialises in the design and manufacture of industrial,
medical, and laser eyewear with magnification systems
devised for the surgical and dental sector. 100% made in Italy,
the designs are developed through constant attention to detail
throughout the production chain. The in-depth study of materials and forms is reflected in the sophisticated and functional
models that combine the perfect fit with typical Italian style.
Technology takes form in optical designs designed and developed
exclusively by Univet. Achromatic lenses and a special high-tech
anti-relective treatment offer crisp, clear pictures without distortion. A constant and superior quality due to qualiied personnel
and technologically advanced equipment for the in-line control of
binocular devices’ assembly. The Galilean and Prismatic systems
are available in TTL or Flip-Up version, making a complete array
of solutions to implement the best performance in every job.
• TTL. Totally customised. As your eyes are unique. All
parameters such as interpupillary distance, declination angle and
working distance are unique to each professional. Univet accurately combines these variables in the creation of binoculars for
every single customer.
• FLIP-UP. Easy and versatile. A solution for any demand.
Multiple adjustments and ease of use for a universal and intuitive
product. A single device that provides precision and comfort to
any user.
• QUALITY OF WORK. More precision in your operations.
Because big is better. Greater precision and accuracy during
treatments observing details that are not visible to the naked eye.
More effective operations, professionalism and customer service
for an improved quality of work.
• ERGONOMICS. Improve your position. For working in
comfort. Postural relief of pain in the muscles and spine, concrete reduced eyestrain. A new concept of ergonomics to work
in total comfort.
UNIVET QUICK LOUPES 546 GALILEAN STANDARD TTL
The distinctive features of Univet’s Galilean optical
system allows immediate access, you can use the TTL binoculars with a default interpupillary distance. Excellent value for
money, this product is ideal for those approaching the use of a
magnifying system for the first time, while getting all the advantages and comfort of a TTL device.
The following table lists the range of acceptability of the product.
S
M
L
(56)
(60)
(64)
54/58
58/62
62/66
Measurements show the interpupillary distance to the work distance (mm).
MODEL
TGU20
MAGNIFICATION
2,0X PRO
WORKING
DISTANCE
[MM]
300
350
400
450
500
FIELD OF
VISION
[MM]
105
120
135
150
165
DEPTH OF
FIELD
[MM]
138
169
195
220
241
• Great value for money
• Perfect for new or first time loupe users
Vision
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Univet LOUPES - big is better
TTL GALILEAN TELESCOPES THROUGH THE LENS
TECHNE 46g NEW
UNIVET-01 59g
- Sporty and wraparound design
for a perfect fit
- Metal insert on the front for
implemented resistance
- Adjustable nose piece
- Integrated coverage of the lateral areas
- Frame sturdy and comfortable,
with classic lines
- Adjustable nose piece, flex hinges
- Adjustable temple tips made of
hypoallergenic rubber
- Possibility to install corrective lenses
(calibre 58 c 16)
- Side shields supplied
ASH 40g NEW
MAGNIFICATION
TGU20
2,0X PRO
TGU25
2,5X PRO
TGU30
IRIS 44g
- Elegant and essential with carbon
fibre temples
- Available in two sizes
S: 53 c 17
L: 55 c 17
MODEL
- Stylish frame with refined finish
S: 51 c 18
L: 54 c 18
3,0X PRO
TGU35
3,5X PRO
WORKING
DISTANCE
[MM]
300
350
400
450
500
FIELD OF
VISION
[MM]
105
120
135
150
165
DEPTH OF
FIELD
[MM]
138
169
195
220
241
300
350
400
450
500
90
104
122
135
148
78
105
135
160
200
300
350
400
450
500
59
68
82
89
98
52
73
90
110
131
300
350
400
450
500
45
50
55
62
68
42
57
73
88
105
WORKING
DISTANCE
[MM]
300
350
400
450
500
300
350
400
450
500
300
350
400
450
500
FIELD OF
VISION
[MM]
58
70
80
94
107
57
71
85,5
89
102
44,5
57
63
74
85,5
DEPTH OF
FIELD
[MM]
42
63
89
96
123
38
58
83
90
115
25
38
47
65
85
TTL PRISMATIC TELESCOPES THROUGH THE LENS
High magnification to
observe even the smallest detail in the surgical
field, perfect high-resolution images. The highquality of the optics creates a sharp, distortionfree vision and avoids eye
strain during long procedures. The Prismatic TTL is
fully customised according
to the user’s parameters.
UNIVET-01 72g
- Frame sturdy and comfortable,
with classic lines
- Adjustable nose piece, flex hinges
- Adjustable temple tips made of
hypoallergenic rubber
(calibre 58 c 16)
phone: 1800 025 300
MODEL
MAGNIFICATION
TKU30
3,0X PRO
TKU35
3,5X PRO
TKU45
4,5X PRO
ASH 53g
- Elegant and essential with carbon
fibre temples
S: 53 c 17
L: 55 c 17
fax: 1800 025 202
IRIS 57g
- Stylish frame with refined finish
(calibre: 51 c 18)
www.gunz.com.au
Univet LOUPES - big is better
FLIP-UP EVO™ GALILEAN FLIP-UP
Innovative materials and design solutions featuring a cuttingedge high-tech system. Intuitive and versatile, Flip-Up EVO™ provides an exceptional range of adjustments for the best fit of each
user. Independent adjustment of the interpupillary distance, adjustment of the vertical axis and the declination angle in one movement, the locking mechanism Fliplock™ immediately restores the
custom configuration of the system.
FLIP-UP EVO™ 89g
- A mix of high-tech materials for an
ultra-lightweight system
- 100% Made in Italy
- New locking system Fliplock™
- Interpupillary distance adjustable
independently
- Can be worn over prescription eyewear
- Interchangeable frontal sweatband
MODEL
MAGNIFICATION
MGU25
2,5X PRO
WORKING
DISTANCE
[MM]
300
350
400
450
500
FIELD OF
VISION
[MM]
54
62
75
81
89
DEPTH OF
FIELD
[MM]
52
72
93
111
132
LED ILLUMINATION SYSTEMS
Portable and compact light sources, high technology to
display every detail. Only a good magnifying system combined
with proper lighting can help reduce eye fatigue and postural
pain. All of Univet’s systems support LED devices in coaxial position for a homogeneous view without shadows. These products
offer different technical characteristics to meet any line of work.
• Each LED light source is compatible with the full range
• High colour temperature for authentic colour rendering
• Practical and functional, leave you with a high ease of use
• The battery power system provides maximum portability
UNIVET LED 50g
- Luminous Intensity:
28000 LUX at 350 mm
- Battery life: 2.5 hours at full power
- Colour temperature: 6000 K
- Spot size: 180 mm at 350 mm distance
UNIVET LITE LED™ 6g
- Luminous Intensity:
40000 at LUX 350 mm
- Battery life: 7 hours at full power
- Colour temperature: 6000 K
- Spot size: 74 mm at 350 mm distance
YR WARRANTY
All of Univet’s magnifying
systems are covered by a
3-year warranty
Call Gunz Dental for more
information on Univet loupes
and to organise your
personal fitting.
Vision
phone: 1800 025 300
fax: 1800 025 202
www.gunz.com.au
Ionosit
Baseliner:
A “must have” technology for your surgery
Ionosit-Baseliner is the »stress breaker« among the dental materials. This light-curing active baseliner is the ideal one-component
underfilling material for composite, ceramic and amalgam
restorations. Its active chemistry compensates for the shrinkage
typical with composite fillings, prevents crack formations, and,
with that, post-operative sensitivities, and minimizes microfractures and secondary caries.
The material is radiopaque, provides long-term fluoride release,
and, due to its zinc content and special monomers, has antibacterial properties.
Ionosit-Baseliner – for stress-free restorations. Indicated for use
as a base material for composite, amalgam and ceramic restorations. Ionosit Baseliner can also be used for blocking out undercuts and pulp capping.
Lining has never been easier or more reliable
Ionosit Baseliner is applied in a thin layer between the dentine
and composite. It reacts with the dentine and forms a tight marginal seal between the dentine and the Ionosit, preventing post
operative sensitivity.
Stress Free Restorations
Tooth with Class II-cavity
(state after excavation).
Ionosit-Baseliner is applied in
a thin layer between dentine
and composite.
Want more great Reasons for using Ionosit Baseliner?
• Unique controlled expansion helps compensate for
composite polymerisation shrinkage
• Continuous fluoride release due to glass ionomer component
• Zinc oxide helps to protect the pulp and has anti-bacterial
qualities
• No complicated hand mixing
• Prevents post-operative sensitivities by sealing the dentinal
tubules
Click here to download Ionosit Baseliner User Report
Ionosit-Baseliner
seals the dentinal
tubule and thus
prevents
postoperative
sensibilities
Restorative
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VALO®:
3 Critical Factors for
Successful Bonding
VALO Cordless®, VALO®.
Many variables can affect the final outcome of a resin restoration: the technical difficulty
of the restoration, the quality of the preparation, and the resin composite materials
chosen, to name a few. The impact on the longevity of the restoration that a curing light
can have is often overlooked, but choosing the correct curing light is essential.
In a recent study1, the following factors were identified as
the most critical factors affecting direct restorative success:
1. Proximity to the restoration
Direct access to the restoration allows the maximum amount of the curing
light’s energy (emitted light) to better reach and polymerize light-cured
materials. VALO’s 5°, slender head design ensures complete and direct
access to achieve this maximum cure.
VALO
Competitor’s contraangle light guide.
2. The type of light emitted from the curing light
Science has supported the use of curing lights with broad spectrum wavelengths that cure
all light-cured dental materials. Numerous curing lights on the market fail to include multiple
wavelengths or simply don’t achieve uniform irradiance of their multiple wavelength LEDs.
VALO’s proprietary, 4-color LED pack offers even dispersion and the most uniform, multiwavelength light available in an LED curing light, to ensure a complete final cure.
3. The amount of energy actually delivered to the resin
Manufacturer’s claims give us a general idea of what different curing lights may be capable of, but in
most cases technique, proximity, true clinical environments, and even the type of resin being used
can affect the amount of energy that is effectively delivered to cure the resin. VALO’s accessibility,
along with its efficiently delivered high power modes result in the required amount of energy delivered to the resin for complete curing, within the shortest amount of time.
“Undercuring the resin adversely affects its physical properties, reduces bond strength, increases marginal wear and
breakdown, decreases biocompatibility, potentially increases DNA damage resulting from leachates and increases
bacterial colonization of the resin. Equally undesirable is the delivery of too much energy to the tooth, which may
cause thermal damage to the pulp and exposed oral tissues. Therefore, it is essential to establish a method for accurately quantifying the energy delivered by a curing light to a dental restoration under clinically relevant conditions. It
would then be possible to determine the effects of operator technique, choice of curing light and position of the
estoration on the amount of energy that the resin actually receives.”1
1. Price RBT, Felix CM, Whalen JM. Factors affecting the energy delivered to simulated Class I and Class V preparations. J Can Dent Assoc. 2010; 76: a94. Read the study - http://www.jcda.ca/article/a94
Restorative
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Traxodent®
- Simple and Effective
Haemostasis in
Crown & Bridgework
by Michael N. Mandikos
BDSc, MS, Cert Pros, FRACDS, FICD
Preparing crown margins that are defined,
continuous and of the proper depth and position is a significant daily challenge in fixed
Prosthodontics. However, once these margins have been formed, capturing the margins with high fidelity in an elastomeric
impression can be just as challenging.
A survey conducted by Gordon Christensen which was published
in the Journal of the American Dental Association1 reported that
the most frequently reported problem encountered by Laboratory
Technicians doing fixed Prosthodontics, was the poor quality of
the impressions. Subsequent studies have reported that the
prevalence of poor quality impressions for fixed Prosthodontic
procedures is widespread and of significant concern.2,3. There are
many factors that contribute to inaccurate impressions; however
the most observable problem would appear to relate to accuracy
of capture of the margin finish line.4
The margins of a crown preparation can be difficult to capture in
an impression due to inadequate soft tissue retraction, or due to
moisture or poor control of bleeding. Retraction cords have traditionally been the preferred means of achieving both tissue retraction and haemostasis. A survey of over 1200 members of the
American College of Prosthodontists (all specialist
Prosthodontists) revealed that 98% used retraction cord. Of those
using cord, 81% soaked it first in a haemostatic solution, and of
those who soaked their cord, 55% used Aluminium Chloride.5
place, and similarly fine placement instruments are required. The
cord should horizontally retract the tissue, not displace it vertically. Practice is needed to allow the clinician to rotate and roll the
cord as it goes into the sulcus and the cord must remain in the
sulcus for in excess of 10 minutes to achieve effective retraction
and haemostatic control.
This complicated and time consuming process has allowed the
introduction and adoption of alternative, cord-less retraction
techniques. Expanding polyvinyl siloxane and Kaolin based paste
materials have been introduced to the market with claim of
faster, easier and more effective retraction. A recent study has
even hinted that these materials may be more efficient to use, as
they were much less likely to stimulate bleeding in the gingival
sulcus either during placement, or immediately after removal,
when compared to retraction cord.6
The following case report describes the use of a new material
“Traxodent®” from Premier®. Traxodent is a clay-based paste
which contains 15% Aluminium Chloride. The paste is delivered
to the sulcus directly from its syringe as an alternative to use of
a separate haemostatic solution and retraction cord. It can be
used alone for haemostasis, or in combination with Premier’s
“Retraction Caps” if greater retraction is desired. It is recommended to leave the paste in place for 2 minutes prior to rinsing
it away.
Placing a retraction cord is a deliberate procedure with the aim
being to place it at the level of the preparation, and within the
confines of the gingival sulcus. Finer, braided cords are easier to
Traxodent’s ergonomic
disposable syringe and
bendable syringe tip
provides excellent reach.
Prosthodontics
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Traxodent®- Simple and Effective Haemostasis in Crown & Bridgework
The patient presented with symptoms associated with gross caries in the distal of the lower
right second premolar (#45). The patient was referred to an Endodontic colleague and the #45
was subsequently root canal treated. (Figures 1 to 3).
Author
Michael N. Mandikos
BDSc, Cert Pros, FRACDS, FICD
Dr. Mandikos is a registered specialist
in Prosthodontics. He received his
1.
2.
3.
After root canal treatment, the tooth was restored with a direct post and core, and then
prepared for a Lava zirconia crown. The extent of the caries meant that the distal margin was
located very deep and in a subgingival position. This resulted in significant bleeding as “gingival
curettage” was performed by the preparation bur. (Figures 4 and 5).
Bachelor of Dental Science Degree
with honours, from the University of
2 mins
only!
Queensland and completed a threeyear residency program at the State
University of New York at Buffalo,
(USA) graduating with a Certificate in
Prosthodontics and Masters Degree in
Biomaterials. His research was in
composite resin materials and he
4.
5.
Significant haemostasis was needed and so Traxodent was syringed directly into the gingival
sulcus and left in place for 2 minutes. (Figures 6 to 8).
published several papers in Australian
and international journals on clinical
and dental materials topics.
Dr Mandikos is a Fellow of The Royal
Australasian College of Dental
Surgeons and a Visiting
Prosthodontist to the University of
Queensland Dental School and the
Royal Australian Air Force. He is a
6.
7.
8.
The Traxodent was then rinsed away, and the bleeding was observed to have stopped. (Figures
9 and 10). Retraction cord was then placed and the impression made.
Reviewer for the Australian Dental
Bleeding
stopped!
Journal, Quintessence International
and Clinica as well as a product
evaluator for several dental
companies.
9.
10.
Approximately 4 weeks later, the patient returned for insertion of the definitive crown. At this
appointment, the soft tissues were observed to have healed very nicely, with no residual inflammation and no recession. The crown was adjusted and seated, and the procedure was performed in a healthy gingival environment. (Figures 11 and 12.).
4 weeks
later!
Vision
11.
12.
Prosthodontics
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Traxodent®- Simple and Effective Haemostasis in Crown & Bridgework
The author has found this material to be invaluable in situations where there is excessive gingival bleeding. In particular, when necessity has meant margins are placed very subgingivally or electrosurgery has been performed, I have observed Traxodent to work very
quickly and effectively in controlling the bleeding in these instances.
The six images below demonstrate an upper right first premolar (#14) that lost its palatal cusp through fracture, nearly 3mm subgingivally. A combination of electrosurgery and tooth preparation created a significant amount of bleeding, which was then arrested
by the application of Traxodent for 2 minutes. After rinsing the Traxodent away, the clean, dry tissue surface then facilitated an accurate impression, for the fabrication of a gold post and core. The final crown was subsequently made and cemented to place.
Acknowledgement:
I would like to thank the Teams at Prestige Milling Services and Slater Dental Studio, for their excellent technical skills to allow successful restoration of these two
challenging cases.
References:
1. Christensen GJ. Improving the quality of fixed prosthodontic services. J Am Dent Assoc. 2000;131(11):1631-2.
2. Samet N, Shohat M, Livny A, Weiss EI. A clinical evaluation of fixed partial denture impressions. J Prosthet Dent. 2005;94(2):112-7.
3. Christensen GJ. The state of fixed prosthodontic impressions: room for improvement. J Am Dent Assoc. 2005;136(3):343-6.
4. Albashaireh ZS, Alnegrish AS. Assessing the quality of clinical procedures and technical standards of dental laboratories in fixed partial denture therapy. Int J Prosthodont. 1999;12(3):236-41.
5. Hansen PA, Tira DE, Barlow J. Current methods of finish?line exposure by practicing prosthodontists. J Prosthodont. 1999 Sep;8(3):163-70.
6. Al Hamad KQ, Azar WZ, Alwaeli HA, Said KN. A clinical study on the effects of cordless and conventional retraction techniques on the gingival and periodontal health. J Clin Periodontol. 2008
Dec;35(12):1053-8.
Prosthodontics
phone: 1800 025 300
fax: 1800 025 202
www.gunz.com.au
User Report
The Technology Behind
Beautiful Temporaries
Luxatemp Star is an auto-mix two-component material based on multi-functional
methacrylates. Just like the original, reliable Luxatemp the remarkable features of the
material are its very easy handling and a consistency in quality. Important material properties are; minimal shrinkage, high flexural strength, and good abrasion resistance (most
important for temporary bridges), biocompatibility and a maximum setting temperature
of 38ºC. This effectively excludes an iatrogenic irritation of the pulp (hyperaemia at 39ºC,
necrosis at 42.5ºC).
A 46-year-old patient: After periodontal
treatment with complete curettage, a
prosthetic treatment plan for the mandibular is made. Among other things, an 8year-old difficient bridge (35-37) has to be
restored. 35 shows a well preserved root
filling and can be used as an abutment
because of its healthy periodontal situation.
The improved safety cartridge system with
separate outlet-openings for base and catalyst guarantees that these pastes only
come into contact inside the mixing tip.
With this, premature setting and inhomogeneous mixing of the material are avoided.
The colour stable and highly polishable
Luxatemp Star is available in six shades
(A1, A2, A3, A3.5, B1 and Bleach Light).
Procedure
An impression is taken with LuxaForm, a
thermo-plastic impression polymer that is
quick and easy to use. One disk per tooth
is put into ~ 70ºC warm water. The material reaches its workable state after only
one minute. The transition can be easily
monitored by the colour change of the
material from blue to transparent.
In combination with Luxatemp Glaze & Bond,
which can also be used for repairing an older
provisional, the surface can be sealed fast
and effectively; small irregularaties can be compensated for and at the same time the surface is provided with a smooth and very shiny appearance. High gloss polishing is no
longer necessary. The result is a highly aesthetic temporary restoration with reduced possibilities of plaque accumulation and an increased protection against straining.
LuxaForm is a thermoplastic impression polymer delivered in the form of small disks.
The easy and time saving handling of this innovative and smart product concept is
impressive, an important advantage with regards to impression materials for provisionals, especially as compared with the normally used alginates are, for example, the long
term dimensional stability. Therefore the re-making of a new provisional in case of
breakage or loss is very easy.
Patients are more comfortable with a quick impression using LuxaForm. LuxaForm is limited to the immediate preparation area rather than having to have a full impression
made. Also the shorter time period in the mouth is more patient-friendly.
Vision
In the meantime, undercuts, in this case
the pontic area, can be blocked out with
wax after the gingiva is blown dry.
A small cube is formed out of the soft
thermoplastic material and modeled
around the teeth to be reproduced (recommended not to use gloves). In a few
seconds, the material will regain its original opacity and can be easily removed
from the mouth.
After removing the existing bridge, excavation of caries, placement of build-ups
and final preparation, retraction aids are
placed. A two-viscosity impression is
taken with Silagum as heavy body and
Prosthodontics
phone: 1800 025 300
fax: 1800 025 202
www.gunz.com.au
The technology behind beautiful temporaries
Fig 1: Status
Fig 2: LuxaForm in its plastic state
Fig 3: Solidified LuxaForm
Fig 4: Filling of LuxaForm impression
Fig 5: Cured temporary
Fig 6: Final temporary in place
Honigum-Automix Light as wash material.
Like no other A-silicone, HonigumAutomix Light has an extremely good penetration into the sulcus and reproduces
precisely even the finest details. Now the
temporary restoration is made. The wax
blockout can be removed very easily from
the impression. The LuxaForm impression
is isolated slightly with Vaseline before filling it with Luxatemp Star. Luxatemp Star
application is made with the mixing tip
touching the occlusal surface of the
matrix and allowing Luxatemp Star to
flow up to the top of the LuxaForm
impression. The mixing tip has to stay
immersed in the material, to avoid inclusion of air bubbles. 45 seconds is available for this procedure. Impression is
reseated onto the dried abutments and
allowed to set. No longer than 2 to 3 minutes after beginning of mixing, the impression is removed from the mouth. At this
moment Luxatemp Star is in its rubbery
phase. Because the material bonds to
itself in this state, you may now, if necessary, reinforce the walls or extend the
margins by adding additional Luxatemp
Star.
Three minutes after removal from the
mouth the temporary restoration has set
and can be finished with slow-speed
acrylic burs and disks.
Finally, the surface is sealed with
Luxatemp Glaze & Bond. Luxatemp Glaze
& Bond is applied unit-by-unit in thin layers
and light-cured for 20 to 40 seconds. The
finished temporary restoration can now
be seated using a temporary cement, in
this case TempoCem us used After a 45
second setting time excess cement can
be easily removed.
Luxatemp Star & Luxaform:
Advantages
• Reliable dimensional stability
• Time saving with tray less, local impression
Benefits
• Increased patient comfort especially in small
mouth or gag sensitive patients
The application of Luxatemp Star Plus in combination
with Luxaform demonstrates that a shorter working
time and the fabrication of a temporary restoration of
superior quality are absolutely compatible.
Conclusion
This report describes an effective combination of a whole product family. Luxatemp
Star guarantees consistently high quality
and reproducible working results with
Luxatemp Glaze & Bond, a conventional
polishing procedure is eliminated.
Prosthodontics
phone: 1800 025 300
fax: 1800 025 202
www.gunz.com.au
Loose Dentures
a Problem?
‘Denture retention will be a subject perplexing and
perpetual until its troubles find their logical solution in
understanding its physics’
Hall R E Retention of full dentures; Dent. Rev. 1918; 32: 175-191.
Let’s face it - How many times have you felt like “pulling your hair out”
because of a stubborn lower denture problem? You’ve checked the base
adaptation, the border seal, neutral zone and the frenum attachment and all
are fine, yet the denture keeps lifting up!
Even worse, the resorbption of the alveolar process can be so severe as to
make virtually impossible the construction of stable, satisfactory dentures.
There are many ways to approach each of these problems: Alveolar ridge
augmentation, Vestibuloplasty, Implant supported overdenture to name a
few. Often these recommendations are dismissed by patients due to the
fact they fear having the procedure done or just plain can’t afford it.
Service
Key
(Gauge)
Valve
Processing
Cap
How do we define denture retention?
Denture retention is, by definition, resistance of a denture to vertical movement away from the tissues. In light of current developments and the understanding of material science and physics, there is a general acceptance
among clinicians that denture retention is dependent on the control of the
flow of interposed fluid and its viscosity and film thickness. Surface action
tension forces at the periphery, contribute to retention, but most important
are a good base adaptation and a border seal. However, at the first displacement, which is inevitable at some point, a gap opens along the border seal,
consequently reducing the resistance to vertical movement and subsequently lifting up the denture.
Introducing NEW Ultra Suction
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Diaphragms
Features at a Glance
• Offers patients an affordable solution to
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• Together with the physical mechanisms of
denture retention, will improve considerably
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• When mounted on an upper denture will
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• Ultra Suction Kit contains everything you
need to fit 1 denture – no inventory issues
Ultra Suction is a specially designed set of unidirectional valves and profile
bar capable of remodelling the alveolar ridge, thus creating and maintaining
a seal around this area. Once the denture is in place and in tight occlusion
(firm bite), the gingival tissues penetrate the suction chamber. The air is
expelled through the valves. The diaphragms prevent its re-introduction. The
pressure difference (lower pressure beneath the denture), exerts a pull and
seals off the new alveolar ridge periphery. At the first attempt to swallow,
the vacuum created in the mouth eliminates any air left in the suction chamber. The result - a better fit to the tissues and an improved resistance to dislodging forces. Ultra Suction can be easily incorporated into new dentures
and relines by dentists and dental technicians alike. Each Ultra Suction kit
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One File Endo: A New Concept
Canal preparation with only one
reciprocating instrument without
prior hand filing
by Ghassan Yared DDS MSc, Endodontist
ffective cleaning and shaping of the root canal system is
essential for achieving the biological and mechanical objectives of root canal treatment (Sjögren et al. 1997). The
objectives are to remove all the pulp tissue, bacteria and their byproducts while providing adequate canal shape to fill the canal.
E
Traditionally, the shaping of root canals was achieved by the use
of stainless steel hand files. However, techniques using stainless
steel hand files have several drawbacks:
1. They require the use of numerous hand files and drills to
adequately prepare the canals (Schilder 1974).
2. Hand instrumentation with stainless steel files is time
consuming (Ferraz et al. 2001).
3. The stainless steel hand instrumentation techniques have an
incidence of canal transportation (Kuhn et al. 1997, Reddy &
Hicks 1998, Ferraz et al. 2001, Pettiette et al. 2001).
4. Finally, from a clinical standpoint, the use of hand
instruments in narrow canals can be very frustrating
especially in teeth with difficult access.
2001). However, as these techniques also require the use of
numerous instruments to enlarge the canal to an adequate size
and taper, they are relatively time consum-ing. Also, the use of
hand instruments (for example to create a glide path prior to
using a rotary instrument), which can be very frustrating in narrow canals in teeth with a limited access, is required.
The purpose of this article is to introduce a new concept for canal
preparation, a paradigm shift. The canal preparation is accomplished using only one specifically designed nickel-titanium
engine-driven instrument used in reciprocation and without prior
hand filing, which means hand files are not used to enlarge the
canal prior to using the reciprocating file.
This new concept is a paradigm shift because it goes completely against the current teaching standard, which requires the gradual enlargement of the canal with different files/instruments until
the desired shape is obtained. Only one instrument, the reciprocating instrument, is needed to enlarge the canal, even a narrow
and curved canal, to an adequate size and taper. However, there
are some exceptions that will be discussed later in this article.
Nickel-titanium (NiTi) hand or rotary instruments are also used to
achieve the mechanical objectives of the canal preparation. NiTi
instruments offer many advantages over conventional stainless
steel files. They are flexible (Walia et al. 1988), have increased
cutting efficiency (Kazemi et al. 1996) and have improved time
efficiency (Ferraz et al. 2001). Furthermore, NiTi instruments
maintain the original canal shape during preparation and have a
reduced tendency to transport the apical foramen (Kuhn et al.
1997, Reddy & Hicks 1998, Ferraz et al. 2001, Pettiette et al.
This new concept is also a paradigm shift because it goes completely against the current teaching standard, which requires the
creation of a glide path with smaller instruments prior to using a
shaping instrument to minimize the incidence of fracture. A glide
path is no longer a pre-requisite with this new concept of canal
preparation. This article also introduces the notion of the “path of
least resistance”. The shaping instrument will follow the existing
and natural path of least resistance, which is the canal. This is
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not only time-saving but also particularly
convenient in teeth with limited access.
Additionally, errors associated with the use
of hand filing prior to using mechanically
driven instruments can be avoided.
Fig.1 R25
R40
R50
Fig. 2 RECIPROC® Paper Points
The first and only paper on the use of only
one engine-driven instrument in reciprocation to prepare a root canal was published in
the International Endodontic Journal (Yared
2008). The article described the use of an F2
ProTaper instrument. However, the use of
that instrument in reciprocation presented
two drawbacks:
1. Instrument fracture by cyclic fatigue in
relation to the relative rigidity of the
instrument due to its size, taper and
cross-section (Pruett 1997).
2. The necessity of creating a glide path
with additional hand files prior to using
the F2 instrument in reciprocation. The
clinical impression was that the F2
instrument does not cut efficiently
enough into a narrow and uninstrument
ed canal. Frequently, it did not advance
in the canal without a glide path.
Other rotary instruments were also tested in
a single file preparation technique. Issues
similar to those encountered with the use of
the F2 were observed (unpublished results).
An ATR Vision motor (ATR, Pistoia, Italy) was
used with the F2. This motor is no longer
manufactured.
Fig. 3 RECIPROC® Gutta-Percha
For these reasons, a new system for single
file reciprocation without prior use of hand
files was developed (VDW GmbH, Munich,
Germany). The system includes three instruments, the RECIPROC® instruments (R25,
R40 and R50) (Fig.1), a motor (VDW.SILVER®
RECIPROC®) (Fig. 5), matching paper points
(Fig. 2) and gutta-percha cones (Fig. 3). Only
one RECIPROC® instrument is used for the
canal preparation depending on the initial
size of the canal.
The instruments are made from an M-Wire
nickel-titanium that offers greater flexibility
and resistance to cyclic fatigue than traditional nickel-titanium. They have an Sshaped cross-section (Fig. 4). The three
instruments have a regressive taper.
Fig. 4 RECIPROC® cross-section
• The R25 has a diameter of 0.25 mm at
the tip and an 8% (0.08 mm / mm) taper
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Fig. 5 VDW.SILVER® RECIPROC®
over the first 3 mm from the tip. The diameter at D16 is 1.05 mm.
the tip and a 6% (0.06 mm / mm) taper over
the first 3 mm from the tip. The diameter at
D16 is 1.10 mm.
the tip and a 5% (0.05 mm / mm) taper over
the first 3 mm from the tip. The diameter at
D16 is 1.17 mm.
The motor is battery operated. The battery is
rechargeable and the motor can be used
while the battery is charging. The instruments are used at 10 cycles of reciprocation
per second, the equivalent of approximately
300 rpm. The motor is programmed with the
angles of reciprocation and speed for the
three instruments. The values of the CW and
CCW rotations are different. When the
instrument rotates in the cutting direction it
will advance in the canal and engage dentine to cut it. When it rotates in the opposite
direction (smaller rotation) the instrument
will be immediately disengaged. The end
result, related to the degree of CW and CCW
rotations, is an advancement of the instrument in the canal. Consequently, only very
light apical pressure should be applied on
the instrument, as its advancement would
be almost automatic. These angles are specific to the RECIPROC® instruments. They
were determined using the torsional properties of the instruments and are influenced by
specific features related to the motor such
as torque.
The technique is extremely simple. In the
majority of canals, only one RECIPROC®
instrument is used in reciprocation to complete the canal preparation and there is no
need for hand filing.
The access cavity requirements, the
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straight-line access to the canals and the irrigation protocol are the same as for standard preparation techniques. It is not necessary to widen the root canal orifice with a
Gates Glidden drill or an orifice opener.
• Selection of the appropriate RECIPROC® instrument (Fig. 6)
Selection of the RECIPROC® instrument is based on an adequate pre-operative radiograph. If the canal is partially or completely invisible on the radiograph, the canal is considered narrow and the R25 is selected (Fig. 7). In the other cases, where the radiograph
shows the canal clearly from the access cavity to the apex, the canal is considered medium or wide (Fig. 8). A size 30 hand instrument is inserted passively (with a gentle watch
winding movement but without filing action) to the working length. If it reaches the working length, the canal is considered large; the R50 is selected for the canal preparation. If
the size 30 hand file does not passively reach working length, a size 20 hand file is inserted passively to the working length. If it reaches working length, the canal is considered
medium; the R40 is then selected for the canal preparation. If the size 20 hand instrument does not reach the working length passively, the R25 is selected.
Fig. 7 Canal is considered narrow: R25
Fig. 6 Selection of the appropriate RECIPROC® instrument
Fig. 8 Canal clearly visible from access cavity to apex:
considered medium or wide (R50 was used for the canal
preparation; an increased apical enlargement was
obtained with a size 70 hand file)
• Preparation step by step (without creating a glide path)
In reciprocation, clockwise and counterclockwise angles determine the amplitude of
reciprocation, the right and left rotations. These angles are lower than the angles at
which the RECIPROC® instrument would usually fracture (if bound). When a reciprocating file binds in the canal, it will not rotate past its specific angle of fracture. Therefore,
the creation of a glide path to minimize binding is not required for the RECIPROC® instruments. The cutting efficiency of the RECIPROC® instruments and the centring abil-ity
associated with reciprocation (Hata et al. 2002, Song et al. 2004) allow the instruments
to enlarge uninstrumented and narrow canals in a safe manner.
Before commencing preparation, the length of the root canal is estimated with the help
of an adequately exposed and angulated pre-operative radiograph. The silicone stopper
is set on the RECIPROC® instrument at 2/3 of that length. The RECIPROC® instrument is
introduced in the canal with a slow in-and-out pecking motion without pulling the instrument completely out of the canal. The amplitude of the in- and out-movements should
not exceed 3-4 mm. Only very light pressure should be applied. The instrument will
advance easily in the canal in an apical direction. After three in- and out- movements,
or when more pressure is needed to make the instrument advance further in the canal,
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or when resistance is encountered, the instrument is pulled out of the canal to clean
the flutes. A #10 file is used to check patency to 2/3 of the estimated working length.
The canal is copiously irrigated.
The RECIPROC® instrument is used until it has reached 2/3 of the estimated working
length as indicated by the stopper on the instrument. The instrument is then removed
from the canal, the canal is irrigated and a #10 file is used to determine the length. The
RECIPROC® instrument is then re-used in the same manner until the working length has
been reached. As soon as the working length has been reached, the RECIPROC® instrument is withdrawn from the canal. The RECIPROC® instrument can also be used in a
brushing motion against the lateral walls of wide canals.
Fig. 9 Glide path was created in the DB canal
• Creating a glide path during the use of the RECIPROC® instruments:
indication and management (Fig. 9)
With continuous rotary NiTi systems it is necessary to create a glide path in order to
minimize the risk of fracture (Peters et al. 2003, Yared et al. 2004, Patino et al. 2005).
During the use of a rotary instrument, the tip of the in-strument may bind in the canal.
The motor will keep rotating the instrument while the tip of the instrument is bound.
The instrument will rotate past its plastic limit and will eventually fracture at a specific
angle of rotation. For this reason, it is necessary to create an initial glide path, or a minimal canal enlargement, before using continuous rotary instruments. The glide path will
minimize the incidence of instrument binding and, therefore, minimize the risk of fracture.
Just as with any continuous rotary NiTi system, it is also possible to use the RECIPROC®
reciprocating file after creating an initial glide path with hand instruments to a size 10 or
15.
A glide path may also have to be created in some canals when the RECIPROC® instrument stops advancing in the canal or if advancement becomes difficult. In this case,
pressure should not be exerted on the RECIPROC® instrument. The instrument should
be removed from the canal, and the canal irrigated. If the RECIPROC® instrument still
advances with difficulty or if it does not advance, it should be removed from the canal
and the canal irrigated once again. At this point, hand files #10 and 15 should be used
to create a glide path to the working length. The RECIPROC® instrument would then be
used until the working length has been reached. If, however, the progress of the RECIPROC® instrument is still difficult or not possible, the canal preparation would need to
be completed with hand files.
Fig. 10 Abrupt apical curvature
• Using hand files to finish the apical canal preparation
In some canals, the #10 file used for the working length determination (after the RECIPROC® instrument has reached 2/3 of the estimated working length) has to be precurved, otherwise it cannot reach working length. This indicates the presence of an
abrupt apical curvature (Fig. 10). The use of the RECIPROC® instruments is contra-indicated in this instance. The canal preparation has to be finished with hand files.
However, in most of the cases, the size 10 file used for the working length determination will reach that length without being pre-curved (indicating the presence of a gradual curvature) (Fig. 11). The RECIPROC® instrument will be used to working length to
complete the preparation.
Fig. 11 Gradual curvature. Size 10 file used for the working length determination will reach working length without being pre-curved
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• Increased apical enlargement (Fig. 8)
In some canals an increased apical enlargement (based on gauging the canal, for example) may be required. A larger RECIPROC® instrument or a hand instrument may be used
for this purpose following the R25 and the R40, and a hand instrument is used following the R50.
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Additional advantages of the RECIPROC®
concept and instruments
• Centring ability
Preliminary evidence has demonstrated the centring ability of the reciprocating instruments used according to this concept (unpublished results). Figures 12 and 13 show
severely curved canals prepared with the R25 without the creation of a glide path. The
radiographs show that the canal curvature was maintained despite the severity of the
curvature.
• Safety
A rotary instrument can also fracture if it binds in the canal, especially at its tip. When
using a rotary system the tip of the instrument may bind in the canal; the motor will
keep rotating the instrument while its tip is bound and the instrument will eventually
fracture at a specific angle of rotation. In reciprocation, clockwise and counterclockwise
angles determine the amplitude of reciprocation, the right and left rotations. These
angles, stored in the motor, are significantly lower than the angles at which the instrument would usually fracture. If the instrument binds in the canal, it will not fracture
because it will never reach the angle at fracture. In this respect, single file reciprocation
is safer than rotary techniques because fracture by binding (fracture by taper lock or torsional fracture) is eliminated.
Fig. 12
One RECIPROC® instrument replaces several hand and/or rotary instru-ments for a canal
preparation procedure. Therefore, the RECIPROC® instrument is subjected to cyclic
fatigue and should be discarded after the completion of a case. The plastic band on the
handle of the instrument deforms if the instrument is autoclaved; this safety feature
eliminates fatigue fracture due to repeated use in more than one case.
• Shorter working time
Working time was four times faster with the single file reciprocation in comparison with
a NiTi rotary preparation technique (unpublished results).
• Faster learning
92% of RECIPROC® users were able to prepare three canals consecutively without
errors compared to 30% of the continuous rotary NiTi system users (unpublished
results).
• Less procedural errors
A lower incidence of complications such as canal transportation, ledging and blockage
was observed with the single reciprocation technique than with a major rotary technique (unpublished results).
Fig. 13
Severely curved canals prepared with
the R25 without the creation of a glide
path
• Elimination of cross-contamination between patients
The clinician is faced with a major concern when considering the useof NiTi rotary
instruments: the possibility of cross-contamination as-sociated with the inability to adequately clean and sterilize endodonticinstruments (Spongiform Encephalopathy
Advisory Committee 2006).A recent study found prions in human pulp tissue (Schneider
et al. 2007). Tooth structure and organic debris were observed on the surface of NiTi
rotary instruments, and appeared to adhere in the surface cracks despite meticulous
ultrasonic cleaning and decontamination (Alapati et al. 2003, 2004, Sonntag & Peters
2007). Therefore, the single use of endodontic instruments was recommended to
reduce instrument fatigue and possible cross-contamination. However, the single use
of endodontic instruments and, mainly the more expensive NiTi rotary instruments, may
become an economical burden on the endodontist and the general dentist especially as
the available techniques involve the use of at least three to four NiTi rotary instruments.
Consequently, the introduction of this new concept for the canal preparation technique,
which reduces the number of instruments required to achieve the mechanical and bio-
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logical objectives, is beneficial. The instrument is discarded after each case; cross-contamination among patients is eliminated and cross-contamination involving the staff is
mini-mized because the assistant(s) will discard the instrument immediately after completing the case instead of manipulating the instrument to clean it.
Gutta-percha filling material can be easily removed from the canal with the R25. First of
all, the bulk of the gutta-percha in the coronal third of the canal should be removed with
an appropriate instrument (e.g. electric heat carrier, ultrasonic tip). A solvent (e.g. eucalyptus oil) is used as required and the R25 is used as described above until working
length has been reached. If resistance is encountered, pressure should not be applied.
The instrument should be removed from the canal, the solvent replaced and the R25
used again.
Fig. 14
After reaching working length with the R25, the R40 or R50 can be used for an
increased apical enlargement, as necessary. RECIPROC® instruments can also be used
in a brushing motion against the lateral walls of the canal to remove any residual filling
material.
Carrier-based obturators can be removed in the same manner as gutta-percha filling
material. The carrier may be removed in one piece during the use of the RECIPROC®
instrument; otherwise, it will be removed in small pieces with the gutta-percha.
Fig. 15
Retreatment of gutta-percha obturations
(Fig. 14 and 15)
About the Author:
Dr. Ghassan Yared is an endodontist practicing in Ontario, Canada. He completed his
endodontic specialty training at University Paris VII (Paris, France) in 1987 and
obtained his MSc from the Lebanese University (Beirut, Lebanon) in 1994.
Dr. Yared has supervised the research projects of graduate endodontic students at the
University of Toronto and has published extensively in peer-reviewed international
endodontic journals. He has also given numerous lectures and continuous education
courses worldwide.
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Opalescence®:
The Whiter Smile ...
Many factors, including dietary habits (drinking coffee, tea,
soda, and red wine) and certain medications, affect the
whiteness of your smile. Tooth whitening is an affordable
and effective way to combat common causes of tooth
discoloration, while boosting your self-confidence
and improving your appearance.
You already know that whitening works, but do you know how?
Stains on teeth can be classified in one of two ways: extrinsic or intrinsic. Extrinsic stains can be removed with whitening toothpaste or a good
prophylactic dental cleaning. Intrinsic stains live between the micro-cracks
in your enamel and deep within your dentin; only tooth whitening agents can
remove those.
Tooth whitening agents, like carbamide peroxide or hydrogen peroxide, penetrate the prisms in your enamel to get to discoloured molecules. Oxygen molecules from the bleaching agents react with the discoloured molecules, breaking the bonds that hold them together. By changing their chemical make-up, the oxygen molecules affect the way the discoloured molecules reflect light and display
colour. The once discoloured molecules now reflect a brighter, whiter appearance.1
Hydrogen Peroxide vs. Carbamide Peroxide: What’s the Difference?
Some whitening products contain hydrogen peroxide and others contain carbamide peroxide. So what’s the difference?
What is the difference between hydrogen peroxide and carbamide peroxide?
Carbamide peroxide is composed of hydrogen peroxide and urea, with the hydrogen peroxide constituting 1/3 of the total peroxide
concentration. For example, a product with 30% carbamide peroxide has about
10% hydrogen peroxide.
Does one work better than the other?
No! The good news is that hydrogen peroxide and carbamide peroxide both produce the same outstanding results. A study published in JADA showed that while
carbamide peroxide appeared to produce slightly more dramatic results at first, ultimately, products containing equivalent amounts of carbamide peroxide and hydrogen peroxide produced exactly the same results.2
Does one work faster than the other?
Yes and No. Hydrogen peroxide breaks down faster than carbamide peroxide. It
releases most of its peroxide within 30–60 minutes. Carbamide peroxide, on the
other hand, releases about 50% of its peroxide in the first two hours and can
remain active for up to 6 additional hours.3
This means that products using hydrogen peroxide have shorter wear times.
However, the number of days the patient will need to wear each depends not on
Tooth Whitening
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Opalescence®: The Whiter Smile ...
BEFORE
Both Hydrogen Peroxide and Carbamide Peroxide Produce
Excellent Results
AFTER
hydrogen peroxide vs. carbamide peroxide, but on the individual’s
unique needs and rate of tooth colour change.
Does one cause more sensitivity?
No. There is no noticeable difference in sensitivity, regardless of
whether you are using a hydrogen peroxide or carbamide peroxide product. This was also noted in the same JADA study that
showed hydrogen peroxide and carbamide peroxide produced
equally brilliant results.
You can feel great about recommending either a hydrogen peroxide or a carbamide peroxide product to your patients. Both will
produce the same high quality results, with no difference in sensitivity or rebound. Opalescence has developed a complete line
of carbamide peroxide and hydrogen peroxide whitening product
to fit every patient with any lifestyle.
Does one cause more rebound?
No. Rebound has more to do with dehydration than peroxide levels. Whitening gels like Opalescence that contain higher water
content help to prevent rebound caused by dehydration.
Does one have a longer shelf life?
Yes. Products with carbamide peroxide have a slightly longer
shelf life than those with hydrogen peroxide, although when
refrigerated, all peroxide products have an increased shelf life.
This chart lists the Opalescence products, the amount of hydrogen peroxide or
carbamide peroxide in each, and their respective wear times and shelf life.
Product
Concentration
Recommended Daily Wear Time
Shelf Life
Opalescence Trèswhite
Supreme, 10%
10% Hydrogen Peroxide
30–60 minutes/day
Refrigerated: 18 months
Unrefrigerated: 9 months
Opalescence Trèswhite
Supreme, 15%
15–20 minutes/day
Opalescence PF Gels, 10%
10% Carbamide Peroxide
8–10 hours or overnight
4–6 hours
2–4 hours
30 minutes
Opalescence Boost, 40%
Two 20-minute, in-office treatments performed
by the doctor (40 minutes total). Do not exceed
3 applications per visit. May require multiple
office visits.
Opalescence offers a diverse menu of products to brighten your smile. With take home, on-the-go, and in-office
options, Opalescence Tooth Whitening Systems accommodate all lifestyles and budgets.
1. For more information on how whitening works, visit vanhaywood.com/articles.
2 - Mokhlis GR, Matis BA, Cochran MA, and Eckert GJ. A clinical evaluation of carbamide peroxide and hydrogen peroxide whitening agents during daytime use. JADA. 2000;131(9):1269–1277.
3 - Haywood VB. Nightguard vital bleaching: indications and limitations. US Dentistry. 2006;October:2–8.
Vision
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Practice Redevelopment:
Creating a Specialist’s Dream
Following the purchase of new premises, as a solo practitioner,
Dr Geoffrey Wexler was free to design the practice to the way he
likes to work and as part of that, massively increase the facilities
to enhance patient service and treatment efficiency.
“My practice is quite specialised within the
orthodontic specialty and we attract adult
patients from across Melbourne and the state
for linguals, SureSmile and other niche treatments,” Dr Wexler said.
“Because of that, I wanted a really premium
quality fit-out for the premises and I immediately thought of Levitch Design Associates
[LDA] as I’d seen many of their practices fea-
Excerpt from Surgery Design
article by Joseph Allbeury,
featured in Australasian
Dental Practice Magazine,
January/February 2012
tured in Australasian Dental Practice.”
“I had definite requirements in the clinical
areas of the practice,” Dr Wexler said. “I knew
precisely what I was after and where all the
equipment and cabinetry needed to be placed
down to the millimetre in order to ensure
maximum efficiency and ergonomics.
Dr Geoffrey Wexler
“There are three different treatment areas in
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Practice Redevelopment:
Creating a Specialist’s Dream
all. We have open plan space with three
chairs and a lot of family seating for treating
younger patients; two private treatment
rooms for adults that are separated by the
sterilisation area; and a third private area set
up for new patient examinations and photography.”
Dr Wexler purchased all new equipment for
the practice from Gunz Dental including six
Belmont dental chairs. “We bought five
Belmont Clesta II dental chairs for the open
plan area and the private rooms and a
Belmont Clair Clesta II ‘knee break’ chair for
the new patient area, plus ceiling mountedlights,” he said. “We then chose Beaverstate
equipment, also from Gunz, for the delivery
systems which are concealed in the cabinetry and slide out when required.
“I was a paediatric dentist before I was an
orthodontist and I’ve never liked over-thechair delivery systems as it is very intrusive
on the patient’s space. So the idea was to
conceal all the equipment as much as possible and eliminate clutter.” Dr Wexler said
that the increase from two to six chairs hasmade the work environment far less stressfull. “Stress often comes from keeping people waiting so I now work with two oral
health therapists which has increased our
clinical capacity and we have more chairs to
use which allows us to meet our promise of
keeping to schedule. This arrangement also
maximises the use of the orthodontist’s most
valuable asset - time.”
Design & Construction:
Levitch Design Associates
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Surgery Systems & Essentials:
Your equipment checklist
Whether you’re planning on upgrading your
chair or your whole surgery, Gunz Dental have
a complete suite of products to suit your every
need. Also call us for information about Capital
Equipment Finance packages exclusive to
Gunz Dental.
Belmont Clair Chair with Clesta II Pedestal Mount Unit
• Clair chair is the latest knee break chair from Belmont.
• Clesta II pedestal mounted cuspidor allows easy installation over
side-mounted services
• designed for face to face consultation, providing openness and
space to any surgery
• Belmont’s smooth, quiet and robust chair hydraulics
• 4 handpiece lines (2 Optic);
• Joystick foot control for chair movements;
• 180º swing arms for easy patient access; and
• Seamless, soft-touch upholstery.
Belmont Clair knee
break chair
Belmont Clesta II
Belmont Clesta II Chair and Clesta II Chair Mount Unit
• Clesta II’s new styling & contoured lines
• Totally aseptic, modern environment and optional extras
• Adjustable cuspidor bowl position with removable glass bowl
• Clean membrane switches with an additional Assistant control
internal service centre with no external umbilical hoses
• Easy access service outlet panel
• Belmont’s smooth, quiet and robust chair hydraulics
• 4 handpiece lines (2 Optic); and
• Seamless, asceptic upholstery
Belmont IO5000 Light
• Sensor switched light allows touchless operation of the light
• Approximating the ideal white of natural daylight
• Colour shade matching at 5000 K range
• Three position controller
• Light outputs of 28,000, 22,000 and 15,000 lux
• Light pattern of 70 x 190mm at 750mm
Belmont IO5000 Light
Beaverstate Delivery System
Beaverstate Delivery Systems
• Panel Mounted control for 3 handpieces
• Automatic handpiece selection
• 3 way syringe
• Includes control and instrument holder
• Pressure adjustments on handpieces & soft-touch speed foot control
Ask your Gunz representative about
Capital Equipment Finance Packages
exclusive to Gunz Dental!
Reliability, Think Ahead.
Equipment
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fax: 1800 025 202
www.gunz.com.au

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