Yankee Dental Show Report: Dental practice market heats up

Yankee Dental Show Report: Dental practice market heats up

February 6, 2008 -- BOSTON - Buying a dental practice these days is a lot like buying a house was a few years ago. The sale prices are high. There are lots of competing bidders. And it doesn’t seem like you can go wrong with your investment.

Unlike the housing market, though, the good times seem like they’re in no danger of going away. "It’s a seller’s market," Arthur Gordon, a practice broker with Northeast Dental Counseling, told dentists attending Yankee Dental Congress 33 here on Saturday. There are so many more buyers than sellers in some areas, he says, "you’ll have them knocking down the door to buy your property."

Gordon was one of five experts on a panel who shared key tips about buying and selling practices and entering into new partnerships.

Advice for sellers

With dental office revenues rising sharply in the last five years, dentists are finding that their practices are worth more than ever these days, Gordon says.

It’s not uncommon for dentists to gross more than $1 million a year these days. One Massachusetts practice went from $700,000 in gross revenues seven years ago to $1.7 million last year.

And nowadays, it’s not unusual for practices selling in big cities like Boston to fetch 80 percent to 90 percent of their gross revenues. In California, some practices are bringing in more than 105 percent, Gordon says.

Still, the panelists warn, sellers should think carefully before leaving their practice. "Don’t sell too early," Gordon says. "You don’t need to be pressured."

Even though the market is now bringing in great prices for dental practices, retired dentists may not be able to live off the proceeds of the sale. "You’ll always make more if you keep your practice," he says.

Once they've decided for certain that they want to sell, dentists should closely scrutinize the buyers' resume, clinical references, tax returns, credit reports, and academic records.

Also, just as in real estate, sellers will get the most out of their properties if they spend the time sprucing them up - even with just a fresh coat of paint.

Advice for buyers

Despite the high prices, there are good deals for buyers as well. Almost all dentists who buy out others’ practices wind up with successful businesses, Gordon says. Most dentists retain 95 percent of the practice’s patients, and many bring in lots of new patients, too.

To assess the value of a dental practice, buyers need to ask themselves three critical questions. Where do they want to practice? Are they clinically prepared for the practice? Are they emotionally ready to handle the responsibility of the practice?

Potential buyers should closely examine patient records, not just take a tally of how many patients are in the dentists’ computer files. Gordon suggested that buyers go so far as to determine what the dentists’ most common procedures are and how many of them they have performed.

The seller may say that the practice had 1,000 patients last year, but were half of them denture patients? If so, then repeat business will probably not be nearly as high as other potential practices.

If dentists want to start a practice with a partner, there are even more factors to consider. It’s almost like a marriage, says Jean Fallago, an attorney who specializes in dental practice sales. She advises dentists to look for more than clinical competence in a potential partner. "Make sure there’s compatibility," she says. For example, she urges dentists entering a partnership to make sure that a potential partner will take on some of the management responsibilities.

When buyers have decided that they are ready to purchase a property, they need to be prepared to give the seller a wide variety of information, says Kathleen Ells, who helps arrange financing for these dental deals. She suggests that buyers put together a portfolio with all the credentials and credit information the seller might want to see. That way, if a seller is inundated with offers, the buyer’s offer package will stand out.

Once the deal is made, buyer and seller need to work together to create a transition plan.

Ells and other panelists suggest that the departing dentist notify all his or her patients, and perhaps remain in the office for a short time to personally introduce the new dentist to some patients.

But Gordon warns that often, the shorter transition, the better. "That causes less confusion for patients and staff," he says.

Patients may be nostalgic for the old dentist, but they usually get over that pretty quickly, the panel agreed.


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Yankee,Dental,Show,Report:,Dental,practice,market,heats,up

Inside the global dental market

Inside the global dental market

February 7, 2008 -- Looking for a current overview of the global dental market? Research and Markets' report "2007 Dental Industry Review" could be the answer. This 255-page document provides information on key business transactions of 2007.

"This is one reference document, with dozens of color charts and graphs that you will use all year long," claims Research and Markets.

Some of the topics covered include acquisitions, bankruptcies and corporate restructurings, five-year market growth, estimates for equipment, consumables, OTC products and implants, dental stock winners and losers, management changes including new presidents and CEOs, and lists of new product launches.

And how much will all this information set you back? $150.

If you want to buy dental equipment,such asultrasonic scaler dental, welding machines please visit the dental website zeta-dental.com.au.
Inside,the,global,dental,market

Yankee Dental Show Report: Dental practice market heats up

Yankee Dental Show Report: Dental practice market heats up

February 6, 2008 -- BOSTON - Buying a dental practice these days is a lot like buying a house was a few years ago. The sale prices are high. There are lots of competing bidders. And it doesn’t seem like you can go wrong with your investment.

Unlike the housing market, though, the good times seem like they’re in no danger of going away. "It’s a seller’s market," Arthur Gordon, a practice broker with Northeast Dental Counseling, told dentists attending Yankee Dental Congress 33 here on Saturday. There are so many more buyers than sellers in some areas, he says, "you’ll have them knocking down the door to buy your property."

Gordon was one of five experts on a panel who shared key tips about buying and selling practices and entering into new partnerships.

Advice for sellers

With dental office revenues rising sharply in the last five years, dentists are finding that their practices are worth more than ever these days, Gordon says.

It’s not uncommon for dentists to gross more than $1 million a year these days. One Massachusetts practice went from $700,000 in gross revenues seven years ago to $1.7 million last year.

And nowadays, it’s not unusual for practices selling in big cities like Boston to fetch 80 percent to 90 percent of their gross revenues. In California, some practices are bringing in more than 105 percent, Gordon says.

Still, the panelists warn, sellers should think carefully before leaving their practice. "Don’t sell too early," Gordon says. "You don’t need to be pressured."

Even though the market is now bringing in great prices for dental practices, retired dentists may not be able to live off the proceeds of the sale. "You’ll always make more if you keep your practice," he says.

Once they've decided for certain that they want to sell, dentists should closely scrutinize the buyers' resume, clinical references, tax returns, credit reports, and academic records.

Also, just as in real estate, sellers will get the most out of their properties if they spend the time sprucing them up - even with just a fresh coat of paint.

Advice for buyers

Despite the high prices, there are good deals for buyers as well. Almost all dentists who buy out others’ practices wind up with successful businesses, Gordon says. Most dentists retain 95 percent of the practice’s patients, and many bring in lots of new patients, too.

To assess the value of a dental practice, buyers need to ask themselves three critical questions. Where do they want to practice? Are they clinically prepared for the practice? Are they emotionally ready to handle the responsibility of the practice?

Potential buyers should closely examine patient records, not just take a tally of how many patients are in the dentists’ computer files. Gordon suggested that buyers go so far as to determine what the dentists’ most common procedures are and how many of them they have performed.

The seller may say that the practice had 1,000 patients last year, but were half of them denture patients? If so, then repeat business will probably not be nearly as high as other potential practices.

If dentists want to start a practice with a partner, there are even more factors to consider. It’s almost like a marriage, says Jean Fallago, an attorney who specializes in dental practice sales. She advises dentists to look for more than clinical competence in a potential partner. "Make sure there’s compatibility," she says. For example, she urges dentists entering a partnership to make sure that a potential partner will take on some of the management responsibilities.

When buyers have decided that they are ready to purchase a property, they need to be prepared to give the seller a wide variety of information, says Kathleen Ells, who helps arrange financing for these dental deals. She suggests that buyers put together a portfolio with all the credentials and credit information the seller might want to see. That way, if a seller is inundated with offers, the buyer’s offer package will stand out.

Once the deal is made, buyer and seller need to work together to create a transition plan.

Ells and other panelists suggest that the departing dentist notify all his or her patients, and perhaps remain in the office for a short time to personally introduce the new dentist to some patients.

But Gordon warns that often, the shorter transition, the better. "That causes less confusion for patients and staff," he says.

Patients may be nostalgic for the old dentist, but they usually get over that pretty quickly, the panel agreed.


If you want to buy dental equipment,such asElectric Toothbrush, ultrasonic scaler dental please visit the dental website zeta-dental.com.au.
Yankee,Dental,Show,Report:,Dental,practice,market,heats,up

Yankee Dental Show Report: Incisive tips on cosmetics

Yankee Dental Show Report: Incisive tips on cosmetics

February 4, 2008 -- BOSTON - Karen was trying on a bridal gown when disaster struck. With all that loose material flowing to the ground, she tripped and broke off half a maxillary central incisor. By the time she showed up at the Restorative Dental Group of Cambridge, MA, she was desperate. "I want it perfect for the wedding photos."

"No problem," responded Alan Sulikowski, D.M.D. "I can make it just like it was before."

"I don't want it like it was before," Karen said. "It was sticking out." That posed the kind of real-world aesthetics problem that Dr. Sulikowski, a Harvard University clinical instructor in prosthodontics, came to discuss at Yankee Dental Congress 33. In a three-hour presentation, he and his colleague, Elliot Kronstein, D.D.S., shared their tips for creating beautiful smiles in complicated situations.

Tip No. 1, the two presenters emphasized over and over, is teamwork. The Restorative Dental Group includes prosthodontists, an orthodontist, an endodontist, and general dentists all under the same roof. And Karen's case was a perfect example of this expertise brought to bear. There wasn't enough space to put Karen's tooth back in the correctly aligned position. And from working with the orthodontist in the practice, Dr. Sulikowski knew that there wasn't enough time before the wedding to make space by moving teeth. Just trimming down the lateral incisor wouldn't provide quite enough room either. And the other incisor already had perfect proportions.

The solution? "We had to apply the rule of frame of reference," Dr. Sulikowski said. By reducing all the incisors, including the height of the mandibular incisors, he created a set of smaller teeth so that the broken one -- with its crown -- fit attractively. The midline of the smile wasn't exactly in the midline of Karen's face, but research has shown that few people notice an off-center midline as long as it's not a crooked midline.

Teamwork and frame of reference were just the beginning of the pearls the two esthetics experts had to share.

Perfect impressions

Making exact impressions is essential to both aesthetics and functionality, said Dr. Kronstein, a prosthodontist. "It's all about the integrity of the luting gap. We're talking about beyond what you can see with the eye. We're talking about trying to finish the luting gap so it's in the range of 20 microns. How many times have we heard people say, 'Don't worry. If it doesn't fit, the resin will take up the space.' Uh, uh. I try to make sure when I take an impression of this tooth, it's 100% or it doesn't leave my office."

Papilla formation

The key to creating a pleasing papilla is that the contact point between two adjacent teeth has to be less than 5 mm from the osseous crest, according to Dr. Kronstein. The percentage of teeth with papillas drops dramatically as the contact area gets farther from the crest. "So as I prepare a tooth, I think about why I'm moving my margins where I am," he said. (When placing an implant, the distance measured should be between the contact point and the osseous crest of the adjacent tooth -- not the contact point and the implant's bone level, Dr. Kronstein said.)

Type 1 patients have long contact areas extending almost the whole length of the two teeth. "If I had a magic wand that I could wave over each patient, I would create type 1 long contact areas. With type 1, you are always guaranteed to have papilla formation," Dr. Kronstein said. Type 2 patients, in which the contact area is in the incisal third, have poor chances of papilla formation. Type 3 patients, in which the contact area is in the middle third are a little better off. "Here you have a shot, but the minute you have some inflammation, you lose the papilla," he said.

Cementation protocols

"How many times have you made a beautiful crown, and the patient says, 'My tooth looks great, it works great, but every time I touch it, it hurts.'?" Dr. Kronstein asked.

Dr. Kronstein used to experience this problem regularly -- until he began using sixth-generation adhesives, which combine self-etching primer with adhesive. "Less than 1% of my teeth now have postoperative sensitivity," he said. "The reason for that is I do not put etch directly on teeth." He now only applies etch to the luting margin. (Seventh-generation adhesives are not ready for prime time, in his opinion.)

When bonding to zirconium, you should use an agent with MDP molecule (10-methacryloyloxydecyldihydrogenphosphate), which you can find in Panavia F and Clearfil's ceramic primer, Dr. Kronstein said. MDP is also in Ivolclar, but in this product you'll need to add silane.

Dr. Kronstein also plugged Premier implant cement, a resin cement that never fully cures. "The restorations stay in place, but when you want to remove them, you can get them right off because the resin never sets. This cement has been a godsend for us in our office."

Crown materials

But Dr. Kronstein uses mostly zirconium for custom abutments in aesthetic areas. In general, he prefers all-ceramic for crowns. "I've been using all-ceramic materials throughout the mouth for the last 15 years," he said. The only exception is second molars, where he uses Empress. On first molars he uses E.Max. "So, do you need to compromise and go to zirconium which tends to impair the health of the tooth to have more strength than you need?" he asked. Not in his experience.

Likewise, the research shows there is no evidence to show that ceramometal is any better than all ceramic, he said.

Color management

Many dentists consider only the color of a restoration, not the translucency. "Any color we are trying to do will be a combination of the substrate and what's on top," Dr. Sulikowski said. Porcelain veneers are particularly sensitive to the substrate. So when preparing a veneer, consider how much light you want to show through it, a factor governed by the thickness of the veneer.

Restorative Dental Group of Cambridge uses a TD 931 transmission densitometer (Macbeth) to measure the density of veneers. The more Dr. Sulikowski wants to change the color of a tooth, the thicker the veneer he uses. With a reduction of 0.3 mm, he can take advantage of a good existing color. With a reduction of 0.67 mm, he can change the color up to two shades. And with a reduction of 0.8 mm, he can change the color more than two shades.


If you want to buy dental equipment,such asteeth whitening kit, Electric Toothbrush please visit the dental website zeta-dental.com.au.
Yankee,Dental,Show,Report:,Incisive,tips,on,cosmetics

Keep kids entertained in the chair

Keep kids entertained in the chair

February 4, 2008 -- Looking for new ways to keep your munchkin patients relaxed in the chair? The ADA now offers booklets, videos, and other fun materials designed to do just that.

According to the ADA Web site the product line,"helps entertain and educate young patients with a variety of valuable resources such as the "Happiness is a Healthy Smile" brochure, Dental Fun Book, Tough Tooth Team Bag, and the National Children's Dental Health Month poster."

View the entire collection here.(In the top left corner of page click on "Coloring Books" and "Tote Bags," and for videos click "Patient Education Videos and DVDs").To place an order call 1-800-947-4746.

The ADA also offers a range of free resources such as coloring and activity sheets, and ideas for the classroom to promote oral health among children.


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Keep,kids,entertained,in,the,chair

Symmetry Medical acquires DePuy's orthopaedic instrument facility

Symmetry Medical acquires DePuy's orthopaedic instrument facility

February 4, 2008 -- Symmetry Medical Inc., which provides implants, instruments, and cases to the dental market has completed its acquisition of DePuy Orthopaedics's facility for orthopaedic instrument manufacturing in New Bedford, MA for $45 million.

"The strategic acquisition of DePuy's orthopaedic instrument facility will strengthen our position as a leading provider to the orthopaedic industry," said Brian Moore, President and Chief Executive Officer of Symmetry Medical. "We believe this acquisition provides additional manufacturing capacity to service our broader customer base, builds on our relationship with DePuy, expands our East Coast presence, and allows us to move forward with an existing skilled workforce to service our growing market."

If you want to buy dental equipment australia,such asWater Filter, air polisher please visit the dental website zeta-dental.com.au.

Symmetry,Medical,acquires,DePuy's,orthopaedic,instrument,facility

Yankee Dental Show Report: Tax tips for dentists

Yankee Dental Show Report: Tax tips for dentists


February 2, 2008 -- Good news, dentists. The feds are making it easier for you to pay less in taxes and save more money when you file your tax return.

"There’s some changes in the tax law for 2007 that are really good for dentists," says Andrew Schwartz, a certified public accountant and co-owner of tax firm Schwartz & Schwartz, P.C. in Woburn, Massachusetts. "And the new tax law, the one with the rebates, currently in Congress also has extra benefits for dentists in 2008."

Schwartz spoke about tax issues affecting dentists and associates on Thursday at the 33rd Annual Yankee Dental Congress in Boston. His firm handles 2,000 tax returns, with two-thirds filed by dental practices.

But with every piece of good tax news comes a bit of bad. The Internal Revenue Service estimates a $345 billion gap between taxes owed and taxes paid, and three-quarters of that gap is due to small businesses and self-employed taxpayers who are overzealous with itemized deductions. As a result, the IRS will be scrutinizing this group, with penalty flags in hand. Schwartz estimates that one out of 20 people earning over $1 million and one of every 33 self-employed business owners will get audited.

Don’t wave the red flags

"Everything is deductible -- until you get audited," says Schwartz, who advises clients to be careful about what they deduct. To be deductible, an expenditure must be both "ordinary" and "necessary" for business. So a Blackberry used for managing business affairs meets those terms, but an expensive leather carrying case probably won’t.

Computers are deductible if you bought one for the convenience of the employer (your office manager does a lot of admin work at home so she needs a computer there, for example) or it’s a requirement for employment (all the computers in your office). Beepers and pagers for work are deductible, as are the business portion of your cell phone and Internet access costs.

Automobile expenses are deductible if you drive between job sites and to conferences, interviews, or other business meetings (so are parking and tolls). They’re not deductible for drives between home and your regular office. The standard deduction rate for 2007 is 48.5 cents per mile. Even though oil is at $100 a barrel, the 2008 rate will only increase by two cents. If you put a lot of business miles on your car, Schwartz recommends adding up all expenditures for gas, insurance, repairs, maintenance, figuring the depreciation value, and multiplying it all by the percentage of business-related miles you drove. The figure could be more than the standard mileage deduction.

Big investments in your office pay off

Dental equipment and insurance are big write-offs. The IRS made it easy to skip calculating the depreciation value with Section 179, which lets you immediately write off up to $125,000 of equipment you buy annually. If passed, President Bush’s new tax proposal would bump up Section 179 to $250,000. "Between now and 2010 is a good time to invest in equipment," says Schwartz. "After that, the rules may revert back to the less favorable rates." A caveat: If you borrow money to pay for equipment, you’ll get the upfront tax break and be able to deduct up to $125,000 from your tax bill -- but that could be overshadowed by taxes you’ll pay on the loan afterwards.

Don’t forget money spent on offices supplies, reference books, professional journals and dues, and costs for purchasing and cleaning uniforms like lab coats and scrubs, are deductible. Malpractice and business insurance are deductible, too, but life and disability insurance are not.

You can deduct money spent on education, exams, and licenses that improve your skills in your current line of work. Unfortunately, dental school tuition can’t be deducted since it qualifies you for a new line of work. However, tuition for a specialty dental program -- be it continuing education, or going back to get a specialty (such as implantology) -- is deductible since it's considered skills-improvement. Schwartz says many dentists forget this because they’re often not making money in their new specialty at first -- but they could get money back from the IRS. "If you’re operating at a net loss, you could get a refund on back taxes you paid from two years prior." For example, say you paid $50,000 in tuition but only made $20,000 in income, leaving you with a $30,000 net loss. If you earned $150,000 in one of the prior two years, which pushed you into the 30 percent tax bracket, the IRS will refund you $9,000 (30 percent of $30,000).

For U.S. business travel, you can deduct 50 percent of meals and incidentals. Instead of keeping every receipt, you can just use a daily rate based on the city or region you were in. (For example, New York City’s per diem is $64; Omaha’s is $49). You can find the rates in IRS Publication 1542 and online here.

Home office deductions have always been a red flag but Schwartz says the IRS has made it easier this year. "It’s super lenient right now, although it might tighten up again next year, so take advantage." A home office must be a portion of your home used "regularly and exclusively" in connection with your business, including administrative and managerial tasks. Divide your home’s total square footage by your home office’s square footage and you can deduct that percentage in utilities, home mortgage, maintenance, and repairs.

The "Independent" Associate

Many young associates are hired as independent contractors, meaning their dental employers don’t withhold taxes. That requires associates -- and all self-employed dentists -- to keep a sharper eye on their receipts and spending, but Schwartz believes the positives of being your own boss outweigh the negatives. "You can deduct all your professional expenses directly from your income. So if you earned $50,000 and spent $10,000 in expenses, you’re only taxed on $40,000 of income." Another plus: your health-insurance premiums (if you pay them yourself) are 100 percent deductible.

You can also stash higher amounts of income for retirement compared to the typical 401(k) accountholder. A SEP IRA lets you invest 20 percent of net self-employed income. A SIMPLE IRA allows $10,500 plus three percent of net income. A Solo 401(k) specifically for the self-employed allows $15,500 plus 20 percent of net income. "If one spouse earns a lot of money, this type of IRA lets you shield most of the other spouse’s income in a retirement plan, which really saves on taxes," says Schwartz. You can still open a SEP IRA for tax year 2007 until April 15, but SIMPLE and Solo 401ks can now only be opened for tax year 2008.

The major disadvantage of being an independent contractor is the "self-employment" tax. While employers pay half of their employees’ 15.3 percent Social Security tax, the self-employed are responsible for all of that amount. "That’s why it’s important to keep track of every business-related expense so you can deduct it straight from your income," says Schwarz. "For every $100 of expenses you lose track of, you're giving $45 to the Feds." But the more you earn, the less you actually will pay in this tax. You’ll only pay Social Security on the first $97,500 you earned in 2007. (This will increase to $102,000 in 2008.)

Another self-employed downer: quarterly estimated taxes. Having an accountant is helpful for this; Schwartz estimates his clients’ quarterly taxes and sends them reminders when it’s time to pay.

To keep track of business-related expenses dentists typically incur, Schwartz advises entering financial info into a software program like Quicken or Microsoft Money, which can create regular reports on how much you spend and save. Use a separate credit card for all business expenses and ask the card company for an end-of-the-year report that separates expenses into different categories. Another reporting system, albeit one that's most error prone, is setting up a filing system for receipts and cancelled checks.

Because taxes aren't withheld during the year, don't be forgetful. Schwarz recommends you put away at least one-third of your total income for taxes. Set up a separate account and deposit a third percent of every paycheck there. "That'll save you from shock and audits," he says.


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Yankee,Dental,Show,Report:,Tax,tips,for,dentists

Yankee Dental Show Report: Cerec takes on quadrants

Yankee Dental Show Report: Cerec takes on quadrants

February 1, 2008 -- BOSTON - In real estate, it's all about location, location, location. When it comes to crafting CAD/CAM restorations with Cerec, it's all about planning, planning, planning. That's especially true if you're taking your Cerec work to the next level -- namely, working with an entire quadrant, not just a single crown or inlay.

That's according to Richard Short, D.M.D. and Lisa Horne, CDA, who gave the equivalent of a two-day course in Cerec quadrant dentistry in the space of three hours. "The Future of Quadrant Dentistry Using Cerec" at the Yankee Dental show in Boston gave participants a blitzkrieg introduction (and hands-on practice) to quadrant dentistry using Cerec 3. Bottom line was showing users how to efficiently and predictably coordinate, manage, prepare, powder, scan, design, align, and insert multiple restorations in one sitting.

A quick survey of the audience revealed that everyone had a Cerec system -- and that very few had done multiple restorations on a patient in a single session. "That's no surprise" says Dr. Short. "80 percent of the crowns fabricated by Cerec users are single crowns." But the rewards of quadrant dentistry -- in time saved by the patient and in your billings -- can be significant. If things go right (that means the Cerec software doesn't crash or you don't make a mistake and have to redo something), you can do three to four restorations (crowns, inlays, bridges) in two and a half hours. And hand the patient a bill for $4400.

The catch, of course, is coordinating multiple processes at once (for example, polishing and bonding one onlay while milling another), not pushing the Cerec system too hard (lest it crash), and avoiding operator errors.

"Be careful how you book these appointments," says Dr. Short. "Things can go wrong. For a two and a half hour procedure, we schedule three hours. For a crown, one to one and a half hours. And don't forget Murphy's Law! Always take an impression so you can create temps, just in case." Another bit of advice? Don't over engineer. A patient may want something far less than you're imagining.

The whole process, from seating the patient to milling and placing the restoration, is too complicated to relay here (and to a certain extent, even in a three hour session.) But when it comes to managing the process, Dr. Short and Lisa Horn have some telling advice.

For starters, know what the patient wants and doesn't want. Use an intraoral camera to show them the current state of things and give them any relevant patient education materials (such as materials from Caesy). Determine what shade pleases the patient. Make sure financial arrangements have been made, so you can get paid on the same day.

Next, lay out a schedule that maximizes your efficiency, that juggles one job with another (milling one crown while designing another, for example.) A sample schedule:

PROCEDURE

TIME

ELAPSED TIME

(minutes)

(minutes)

Seat patient, anesthetize and preparation (three-four teeth)

60

0

Powder and scan

10

70

Design 1st tooth (inlay)

3

73

Virtual seat and mill inlay

12

85

Design 2nd tooth (crown) while inlay is milling

8

93

Virtual seat the crown and mill the 2nd crown

17

110

Design the 3rd tooth (onlay)

6

116

Close 2nd window after crown finishes milling

11

127

Doctor polishes and bonds 1st inlay and 2nd crown with assistant

15

142

Virtual seat the 3rd onlay and mill onlay

15

157

Design the 4th tooth (inlay)

6

163

Doctor adjusts the bite of the cemented restorations

9

172

Mill the 4th inlay

12

184

Polish and bond 3rd onlay. Adjust occlusion and polish last inlay

20

204

Total visit

3.4 hours

Other tips:

Make sure that all the necessary supplies are on hand, from blocks to burrs. The less your assistant has to leave the operatory to get supplies, the faster the appointment will go.
Review diagnostic casts in occlusion to spot problems with cusp-fossa relationships.
Occlusion is key in any restoration, so pay attention to the horizontal and vertical relationships between the maxillary and mandibular teeth in question. Your first picture should be of the occlusal surface -- in case you want to change from database to replication.
The must haves? Intraoral camera, electric handpiece, Septocaine, 1.5mL prep check, rubber dam ("we use these for everything"), C-Stat scanner covers (distal and mesial), magnification, and air abrasion (for cleaning off the tooth).
Once these pieces are in place, you are ready to dig in --remove old restorations, clean up the area in question, check margins, take impressions, do test scans and working scans, adjust, redo what's necessary, and ultimately mill and place the restoration. These steps are largely the same, whether you're creating one restoration or four in one sitting. But to make quadrant restorations pay off, stick with Dr. Short's mantra of plan, plan, plan -- and then, plan some more.


If you want to buy dental equipment australia,such asroot canal, Wax Pot please visit the dental website zeta-dental.com.au.
Yankee,Dental,Show,Report:,Cerec,takes,on,quadrants

Americans go to Mexico for a cheaper perfect smile

Americans go to Mexico for a cheaper perfect smile

February 1, 2008 -- CIUDAD JUAREZ, Mexico (Reuters) Feb. 2 It was fear of the hefty bill as much as fear of the drill that kept American musician Don Clay away from U.S. dental clinics for 30 years.

When a sorely infected tooth eventually drove him to the dentist last month, it was to a clinic in a Mexican border city better known for violent crime and drug cartels.

Shrugging off concerns about hygiene and Mexico's brutal drug war, thousands of Americans are heading to Ciudad Juarez and other Mexican border cities for cheap dental treatment.

"I had to get my teeth fixed. I need a perfect smile to make a successful career in music. Treatment in the United States is so pricey," said Clay, a Texan trying to get a record deal as a hip-hop artist.

U.S. dental treatment costs up to four times as much as in Mexico, making it tough for uninsured Americans to treat common problems such as abscessed teeth or pay for dentures.

A dental crown in the United States costs upward of $600 per tooth, compared to $190 or less in Mexico.

Aspiring Mexican dentists are moving to border cities in droves and are luring American patients away from farther flung discount destinations such as Hungary and Thailand.

Americans have long crossed the border for cheap medicines, flu vaccines, eye surgery or specialist doctors, but dentists are now in highest demand.

Dental clinics are on almost every block in central Ciudad Juarez, ranging from dingy dives to clinics that look more like posh hair salons. Getting there involves dodging prostitutes, drug pushers, and cowboy-boot sellers.

BARGAIN-HUNTING

"We've gone from a handful of patients when we started 2.5 years ago to 150 new patients a month," said Joe Andel, an American who owns the Rio Dental clinic in Ciudad Juarez with his Mexican dentist wife, Jessica.

Rio Dental, which uses U.S. labs to make its crowns, picks patients up at the airport in El Paso, Texas, across the border and has treated people from as far away as Alaska and Hawaii.

"The Internet makes this possible. It allows patients to find us and research us and shows we can do dental work of equal or superior quality to the United States," Andel said.

Internet bloggers swap stories and compare notes about Mexican dentists, but it always comes down to money.

Dentistry in the United States has become prohibitively expensive for some patients, with bills that can run to tens of thousands of dollars. Malpractice insurance premiums, operating costs that are much higher than in Mexico and dentists seeking to claw back the rising cost of their tuition all weigh.

Even among Americans who have medical insurance, many find they are not covered for treatment other than the basics, and paying on credit means high interest payments.

"I did $4,000 of dental work in the United States and put it on my credit card. Because of the interest, I only paid off $400 in three years," said a U.S. teacher from New Mexico getting treatment in Ciudad Juarez who gave his name as Bill.

Cosmetic dentistry, which insurers do not cover and which can be paid in dollars in many Mexican border clinics, is also popular, Ciudad Juarez dentist Luis Garza said.

"If you want a perfect smile, you have to pay for it, and we can do it cheaper, that's all," he grinned.

Copyright ? 2008 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content, including by framing or similar means, is expressly prohibited without the prior written consent of Reuters. Reuters shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon. Reuters and the Reuters sphere logo are registered trademarks and trademarks of the Reuters group of companies around the world.


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Americans,go,to,Mexico,for,a,cheaper,perfect,smile

Yankee Dental Show Report: Product roundup

Yankee Dental Show Report: Product roundup


February 1, 2008 -- If a giant blood vessel, Irish step dancing, steel drums, and bargain basement deals on toothbrushes weren't enough to attract conventioneers to the exhibit floor at the Yankee Dental Congress 33, there was Thursday's free lunch. But none of these are the true reason that God created dental product exhibits, so DrBicuspid took a stroll down the colorful aisles to see what was new this year.

CAD/CAM

You couldn't go too far on the black-carpeted floor before learning about some big potential disruption in the CAD/CAM market. For 22 years Sirona's Cerec has stood alone as the only machine for three-dimensional modeling and milling restorations in a dentist's office. Now it no longer has the field to itself. Upstart D4D Technologies was on the floor flogging its rival machine, the E4D. D4D has attracted investors including such established players as Henry Schein, which hosted the D4D booth.

So how do the two machines stack up? D4D rep Mark Eversold claims the E4D can photograph teeth from more angles and offers a simpler interface than Cerec. Most dentists won't trust the modeling to their assistants because the Cerec is too hard to use, he says. Compared to the E4D, "there is a lot more to horse around with," he says. (Cerec reps had no retort, saying they have yet to see the E4D in action.) But Ebersold confesses that the E4D is perhaps 10 percent slower in milling time; Cerec's latest model, the MC XL, can spit out a restoration in as few as four minutes, according to the company Web site. The Cerec is also cheaper -- $103,000 versus $116,000 for the E4D.

Invisalign

At the Align booth, we heard about the coming Invisalign Teen aimed at the teenage market. While standard Invisalign products are already used in teenagers, the teen product comes with an aligner wear indicator so dentists can tell whether the patients are using them as directed. The deal also includes three free replacement aligners in case the expensive hardware goes missing during a wild teen escapade. Further details weren't available as the product has yet to hit the market, although the company expects to roll it out sometime this year.

DayWhite

Further on down the aisle, we found Discus Dental touting its new DayWhite ACP 38 percent bleach. That "38 percent" refers to the concentration of carbamide peroxide, quite possibly the highest concentration of any home use bleaching product by a major manufacturer.

The advantage is that it's faster. Used twice a day for half an hour, good results can be had in as few as four days, says company rep Eric Relyea. Will all that peroxide dissolve your teeth? Relyea shakes his head vigorously. The "ACP" in the product's name refers to amorphous calcium phosphate (the formula developed by the American Dental Association) which has been shown in some applications to restore enamel.

Cost to the consumer is about $150, he says, and the cost to the dentist varies widely depending on the package purchased. Discus was also showing off its new Zoom whitening pen, which can be used to touch up small spots that have lost color.

Technology Learning Center

Formerly known as the Dental Chair Potato, Seltzer Institute's setup features a video monitor and lights on the same fixture. The fixture slides on a track so it can be positioned over the patient's face. It will display Shrek, the National Football League, Desperate Housewives, or anything else that will distract your patients from what you're doing in their mouths. Alternatively, you can show them an X-ray or photograph on the same screen if there's something you'd like to explain. It's yours for $6,700.

Office decor

Technology alone won't bring in the dental patients, of course, and so Ed Littell, the Sky Man, was promoting his Sky-Scapes. For just $38.95 you can cover up your ugly fluorescent ceiling fixtures with transparent sheets of plastic painted with bright scenes of puffy clouds against a blue sky. Multiple variations include birds, planes, and other aerial scenery -- as well as fish for those who prefer a submarine fantasy. How long do these Sky-Scapes last? As few as four years, Littell admitted. That's when he pulled out his latest product -- Durastrong sheets made from the same material used in bullet proof glass. These should last a decade or more. So far, Durastrong is only available in a Simpsons cartoon character design, but the full line of Sky-Scapes designs is coming soon on this material.

Stem cells

DrBicuspid.com's Most Futuristic Technology award of the year goes to Babytooth Technologies which is selling a product that can't be used this year. Or next year. Or, most likely, for a few years after that. For $1,200 the company will give you a vial of specially prepared fluid into which you can put a deciduous tooth. Ship the tooth overnight to this Vermont company and it will set about culturing the mesenchymal stem cells in the pulp. Soon your patient can call on a store of some three million such cells available for repair of periodontal defects (maybe), cleft palates (perhaps), or such diverse conditions as Parkinson's disease and myocardial infarction (possibly). None of this has been proven to work -- all the experiments have been in animals so far. Still, it will appeal to the same folks who have had stem cells from umbilical cords preserved, says Nicholas Perotta, D.M.D., director of dental science.

What will they think of next? We don't know, but we'll be there to find out!


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Yankee,Dental,Show,Report:,Product,roundup

Yankee Dental Show Report: Microscopes Make the Difference

Yankee Dental Show Report: Microscopes Make the Difference

January 31, 2008 -- BOSTON - You're a master of the perfect porcelain veneer, the artful crown, the smooth-as-silk filling. Think again. Look at your work under a microscope and you'll find holes in your restoration you could drive a truck through. You'll also see things your naked eye -- and even X-rays -- will miss, from cracks to fissures to fractures.

That's the word from Roger Lacoste, D.M.D., clinical assistant professor of endodontics at Boston University School of Dental Medicine, who ran a hands-on workshop Thursday on "Microscopes in Modern Dentistry" at the Yankee Dental Congress 33 held in Boston this week. Lacoste should know -- he's an endodontist and microscopes are part and parcel of his surgical trade. But they can also reap huge benefits for general dentists.

To drive home his point, Lacoste put session attendees through a series of hands-on restorations -- first done the usual way (with the unaided eye or 2x loupes) and then using Global dental microscopes, which can magnify objects from 2.1 to 19.2x. The oohs, ahhhs, and dohs were audible, as the assembled discovered just how rough their first restorations were and how they radically improved using a microscope. "Look at this restoration," said one dentist, dropping a tooth in my hand. "Clinically, it looks fine. But under the microscope? You can see a star pattern of cracks."

"You'll see things with a microscope that won't necessarily show up in an X-ray," says Lacoste. Cracks, fissures, fractures, and more. And a microscope is a must if you're looking for elusive canals. "During one restoration, I not only discovered defects in my gutta-percha application, but I found a fifth canal -- something you wouldn't discover otherwise." Of course, a microscope does more than reveal flaws -- it lets you refine your work, be it polishing that amalgam, more carefully positioning membranes, or getting the margins right.

Some tips from Lacoste on getting started and getting the most out of a dental microscope:

Your initial setup -- microscope and armature-cum-stand -- can run $30,000 for a top of the line model with video camera. But you can get a perfectly good setup for as little as $15,000.
The more "steps" a microscope offers -- magnifications from 2 to 20x -- the better. "But you can get by with a three step scope that offers 4x, 10x, and 20x" says Lacoste. "For 2x, use a loupe."
Choose the right mag for the job. For finding canals, Lacoste uses a high (15x or higher) setting; for surgery, medium magnification; for regular work with handpieces, low to medium magnification.
Likewise, pick a microscope that lets you control the level of illumination. "Lighting is everything", says Lacoste. That includes angulation of your mirrors to properly illuminate the tooth. Getting that right, says Lacoste, is a pretty steep learning curve.
The armature is key, says Lacoste, since it lets you adjust the microscope and properly focus without moving the patient around. "Look for a microscope with an inclinable binocular -- a flexible, fully adjustable eyepiece for your comfort."
The many ways of mounting. Dental microscope vendors can mount the scope and armature from the ceiling, on the wall, or on a mobile, rollable stand.
Think sturdy. "If you can't afford a microscope in every operatory, get a mobile unit and roll it from room to room. Just make sure it's built tough, like a Global unit."
And what about the patients? Will they be unnerved by yet another hunk of equipment hovering over them? "Not really," says Lacoste. "Patients don't seem to have a problem with the microscope. In fact, it boosts their confidence in you. 'Look at all this high tech equipment my dentist has!'"

Is a dental microscope up your alley? The best way to find out, says Lacoste, is to get a loaner for a couple of weeks. Most vendors will be happy to accommodate you.


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Yankee,Dental,Show,Report:,Microscopes,Make,the,Difference

BioHorizons to purchase Implant Logic Systems

BioHorizons to purchase Implant Logic Systems

January 31, 2008 -- BioHorizons Implant Systems, Inc., a dental implants manufacturer has announced that its parent company has entered into an agreement to purchase Implant Logic Systems, Ltd. (ILS), which provides technology solutions for the dental implants market.

"We are thrilled to add the technology and expertise of ILS to BioHorizons," said R. Steven Boggan, president and CEO of BioHorizons in a press release. "Our customers have expressed great interest in computer assisted implant treatment planning software and surgical guides. ILS perfectly addresses this customer need"

"We are excited about the opportunity to join with BioHorizons," said Dr. Michael Klein, president and CEO of ILS in a press release."ILS is already well known for its implant planning software and innovative computer guided surgical tools, but our customers will now get the expanded benefits of working with BioHorizons, one of the most progressive and customer-centric companies in the industry."


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BioHorizons,to,purchase,Implant,Logic,Systems

New report profiles Nobel Biocare

New report profiles Nobel Biocare

January 31, 2008 -- Want to know what makes Nobel Biocare tick? Pick up a copy of Research and Markets' Nobel Biocare Holding AG Strategic Analysis Profile report.

"This profile is an essential source for data, analysis, and strategic insight into this company," according to Research and Markets. It gives information about Nobel Biocare's business structure and operations, history, products, and more. The report also provides an analysis of key revenue lines.

Align Technology, Astra Tech AB, Biolase Technology, Biomet, Dentsply International , Lifecore Biomedical, Straumann Holding AG, Sybron Dental Specialties, and Zimmer Holdings are some of the companies mentioned in the report.


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New,report,profiles,Nobel,Biocare

Yankee Dental Show Report: Fix your posture!

Yankee Dental Show Report: Fix your posture!

January 31, 2008 -- BOSTON -- You're feeling fine, just a little soreness in the lower back. Then one day after work you reach down to pick the soap off the floor of the shower and suddenly something freezes. Now you can't straighten your back. At all. Ever again.

It could be your future if you don't pay attention to your posture, Timothy J. Caruso, P.T., M.B.A., M.S., told an audience at the Yankee Dental Congress here Thursday.

Half of all dentists, a quarter of all hygienists and one in five dental assistants suffer from low back pain, according to Caruso. The problem is that they spend too much time hunched over their patients, peering downward.

Staying in that position collapses tissues and can actually change the shape of ligaments, making it difficult and painful to extend them normally. Reaching forward too much, or bending wrists at awkward angles can result in similar discomfort in wrists and arms.

And sometimes the pain from one location can be felt in another -- as in the case of sciatica, where a bulging spinal disk pushes on a nerve and causes numbness or pain in the leg.

Most people who work in dental offices don't give their bodies the 24 hours they need to recover from these awkward positions. "You see ten patients, then you drive home and then you eat dinner, then you watch TV on the sofa and then you go to sleep with two pillows." All this time, your neck is bent. After a few years of this, "you try to sit up straight and you don't get as far as you used to," Caruso says.

Instead, Caruso advises dental workers to keep the patient's mouth as close as possible to their stomachs so that they are not leaning forward. To get a good balanced position, he recommended sitting as straight up as possible then relaxing 15 to 20 percent.

Your hips should be a little higher than your knees (in contrast to the previous recommendation that they be on the same level.) You should use the whole seat, not the front right corner.

So how can the operatory become ergonomic? Start by rearranging what you've got, says Caruso. Make sure you have everything within easy reach. Instrument trays should be low enough that you don't have to reach up into them.

Lefties may have to change the operatory set-up to the mirror image of the set-up used by right-handed people.

Next, make sure you have the right equipment. In many operatories, this can mean buying new furniture. It may sound expensive, but it's better than losing productivity when pain forces someone to stop working.

Chairs and stools

The dental chair should have a narrow or tapered back so you can sit close to the patient's head. It should be thin enough that you can get your legs under it.

Caruso listed several criteria for stools:

The seat pan should be rounded so it doesn't dig into back of legs, and contoured and tapered in the front to support the buttocks and thighs. Its tilt should be adjustable.
The back should provide lumbar support, and its height should be adjustable
The height of the whole stool should be adjustable
There should be five casters for stability
Armrests should support your arms in a neutral position, comfortably at your side, and allow movement in all directions. Caruso demonstrated a stool made by Brewer with armrests that swivel forward and back. And he mentioned attachable armrests by Posiflex.
Caruso doesn't like the kind with stomach bars. On the other hand, he knows dentists who like a stomach support that attaches to the chair.

"Try the stool before you buy it," says Caruso. "Most companies will let you do that. There is not one that's good for everyone." Among the options are saddle stools, modeled after the seats on tractors, and "dynamic" stools that are like inflatable exercise balls on wheels.

Loupes and lighting

Loupes and lighting can help avoid slouching as well. "Sometimes loupes help, sometimes they hurt because you end up leaning forward," says Caruso.

One new innovation is Varioscopy -- adjustable focusing loupes. If you lean forward, it refocuses. "They've been using it for vascular surgery, and now they're coming to dentistry," says Caruso.

A new lighting option comes from Isolite Systems. It features suction and lighting in the same place. "The folks that use them kind of like them. If you can see better, I think that's a good thing."

Microscopes can make a difference too, by allowing the dentist to sit upright and look indirectly into the oral cavity. "I have a dear friend who uses a microscope for everything," says Caruso. "He got there because he had back pain and was going to have to stop practicing. He does all his procedures with his microscope. It saved his career."

Another alternative are video cameras that display the mouth on a screen. This allows you to sit in almost any position you want. Among the vendors are Camsight and MagnaVu. "The future of dentistry in my opinion, as far as posture, is some version of this," says Caruso. "You're using good indirect visualization so you can sit anywhere."

Instruments

The right sort of instruments can save your arms and wrists, says Caruso. Among his tips:

Get instruments that can bend so your wrists don't have to.
Larger diameter instruments are nicer to use, and so are rounded and textured ones.
Look for evenly weighted hand pieces.
Use new, sharp instruments
Your body

Even the best furniture and tools won't prevent all aches and pains. Dental workers must also listen to their bodies. Caruso advises changing positions frequently, taking short breaks, and stopping to stretch. "Instead of having a donut at your break, go for a walk in the park."

Scheduling can also help. Particularly difficult patients, such as those who say, "Oh, honey, I can't lean that far back," should be scheduled as far apart as possible and either in the morning, when you're fresh, or just before lunch, when you can take a break.

Another tip: offer to place a rolled towel under these patients' necks. Sometimes this will ease their fear of leaning too far backward.

Finally, Caruso advises dental workers to build up their core strength. "Think about working out," he says.


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Yankee,Dental,Show,Report:,Fix,your,posture!

Sirona announces financial results

Sirona announces financial results

January 29, 2008 -- Sirona Dental will announce its financial results for the quarter that ended on Dec. 31, 2007 on Friday, Feb. 8, 2008 before the market opens, and hold a conference call at 9:00 a.m. EST.

The domestic dial-in number for the conference is 1-888-680-0860 and the passcode number is 70967201. International callers can dial 1-617-213-4852.

An audio replay of the conference will be available till Feb. 15th, 2008.


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Sirona,announces,financial,results

ADPI faces civil suit

ADPI faces civil suit

January 29, 2008 -- Abbey Spanier Rodd & Abrams has filed a class-action lawsuit in the U.S. District Court for the District of Massachusetts on behalf of people who purchased or acquired securities of American Dental Partners (ADPI) from August 10, 2005, to December 13, 2007.

ADPI lost a $130 million lawsuit to the PDG dental group in December, after which its stock fell from $19.70 a share on December 11, 2007, to $14.34 on December 12, 2007, to $4.62 on December 13, 2007.

"The complaint charges ADPI and certain of its officers and directors with violations of the federal securities laws by issuing a series of material misrepresentations to the market during the class period thereby artificially inflating the price of ADPI shares," the law firm stated in a press release.

The law firm is accepting motions for lead plaintiff till March 31, 2008. For further information, contact Nancy Kaboolian at 800-889-3701, or by e-mail to nkaboolian@abbeyspanier.com.


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ADPI,faces,civil,suit

Goodbye, lidocaine!

Goodbye, lidocaine!

January 29, 2008 -- A local anesthetic is a boon -- until your patient no longer needs it. Then it's a bother, the patient suffering with numb cheeks, lips, and tongue, hours after a procedure is over.

But relief may be at hand. San Diego-based Novalar Pharmaceuticals' NV-101 could be the first local anesthetic reversal agent to hit the market. Under development since 2002, the drug is being reviewed by the FDA and news of its approval could come as soon as next month. (And when U.S. Food and Drug Administration approval comes, Novalar's clinical studies on the product may appear shortly thereafter in JADA.) NV-101 has been tested with lidocaine, prilocaine, articaine, and mepivacaine, all with a vasoconstrictor.

With NV-101, serendipity and ironies abound. The product got its start around 2000, when a dentist was talking to Dr. Eckard Weber, a patient who happened to be a pharmacologist. The dentist asked Weber why there wasn't a way to reverse the effects of local anesthetics. "Why not indeed?" thought Weber, who ended up cofounding Novalar to answer that question.

The other bit of kismet? The key component of NV-101 -- a modified version of phentolamine mesylate -- has been around for nearly 50 years as an anti-hypertensive drug, and has a good safety track record.

How does NV-101 flush local anesthetics like lidocaine out of your body? Novalar isn't quite sure. "We think it's a vasodilation mechanism," says Bruce Rutherford, D.D.S., Ph.D., and vice president for clinical development at Novalar, in an interview with DrBicuspid.com. When injected, the drug apparently expands the blood vessels, increasing blood flow, which results in "faster diffusion of anesthetic into the cardiovascular system and away from the site."

How fast does NV-101 work? "In our soft-tissue tests, doing deep scaling and standard restorations, 50 percent of the NV-101 subjects recovered in an hour -- versus 10 percent in the untreated control group," according to Dr. Rutherford. After 90 minutes, almost all the NV-101 subjects were no longer numb (versus the two to five hours it normally takes soft tissue to "recover" from local anesthesia). According to Rutherford, NV-101 itself is out of your system in a little over two hours.

Using NV-101 is a snap, the company claims. It will come in a standard dental cartridge and you inject it just like lidocaine -- and in the same place.

Will NV-101 work as claimed? "Maybe" says Gary Strichartz, Ph.D., professor of anesthesia (pharmacology) at Harvard Medical School. "But we'd really like to see Novalar's research. Have they done double blind, placebo-controlled studies? Using lidocaine alone and lidocaine with epinephrine?"

The answer, says Novalar's Dr. Rutherford, is mixed. The studies weren't strictly double blind. "We couldn't blind the dentist administering the anesthesia and NV-101," says Dr. Rutherford. But the subject was blind-folded during the administration of NV-101 or a control "sham" injection. (The latter mimicked an NV-101 injection -- instruments used, patient handling, etc., but the needle remained covered and did not penetrate tissue.) "Those observing the subject and assisting with the measures of recovery were blinded as to the study design and study drug administered," says Rutherford.

Contraindications? In the company's clinical trials, one or two cartridges of NV-101 were administered to adult subjects. Except for those allergic to phentolamine, there are few adverse effects according to Dr. Rutherford. "If you qualify for dental treatment and can receive a local anesthetic, you can take NV-101."

Novalar claims it has tested NV-101 on a range of patients, from 3 to 92 years old, from asthmatic kids to hypertensive adults. "Remember -- this drug has been on the market for 50 years," says Rutherford. "And we're using a tenth of the traditional dosage of the drug." A single 1.7-mL cartridge of NV-101 contains 0.4 mg of phentolamine.

So who wants NV-101? Based on its focus groups, Novalar says just about everyone -- dentists (especially pediatric dentists) and their patients. The market for anesthetic reversal could be huge, says Novalar. "Three hundred million capules of local anesthetic are sold in the U.S. every year; 600 million worldwide," says Rutherford. "If we get even 10 percent of that market, we're talking $100 million and up."

At this juncture, the company hasn't announced pricing, much less the ultimate trade name for NV-101. And further details about the drug are still under wraps, pending FDA approval and the drug's ultimate release. To get additional details about NV-101, go to Novalar's site. To get a lot of details, sneak a peak at the company's patent application.

If you want to buy Dental Supplies,such asDental Burs, Bunsen Burner please visit the dental website zeta-dental.com.au. Goodbye,,lidocaine!

Yankee Dental Show preview

Yankee Dental Show preview

January 28, 2008 -- The Yankee Dental Congress kicks off this Thursday at the Boston Convention Center, offering three days of lectures and hands-on sessions on the latest trends, technologies, and techniques. As you'd expect, the show will feature 500-plus vendor exhibits on the show floor. And as you'd expect, the DrBicuspid editorial team will be there from day one, filing reports throughout the week.

Presented by the Massachusetts Dental Society in cooperation with the dental societies of Connecticut, Maine, New Hampshire, Rhode Island, and Vermont, the Yankee Dental show is the largest dental conference in New England and the fifth largest in the United States.

Over 275 clinicians will deliver sessions on a broad range of topics, from efficient scheduling techniques, infection control, and periodontal trends, to esthetic dentistry, occlusion, and oral conscious sedation. In short, hundreds of meetings with useful information for every dentist. Click here for a complete schedule.

Lectures and hands-on workshops typically run about three hours and in case you can’t make it to that infection control seminar, don’t fret. Check for a repeat session at another time or on another day. For those truly pressed for time, there are the Minuteman lectures -- sixty minute sessions on a variety of clinical and business topics. And then there are all-day seminars like Team Development Day -- which is specifically designed for hygienists, dental assistants, and office personnel -- and specialty symposia on oral & maxillofacial surgery, pediatrics, endodontics, orthodontics, and periodontics.In keeping with tradition, most of the sessions offer CE credits. Some sessions will be recorded (audio only) and available on CD for $149. Check this site for details.

"Improving scientific and allied scientific programs will continue as we are working to bring in the 'best of the best' lecturers, new and innovative courses, and comprehensive hands-on courses", claims the show's official Web site. "As always, it is our goal at Yankee to offer you top-notch scientific programs, as well as programs that will benefit your practice management and your team." The DrBicuspid team will bring you daily updates on the latest and greatest from the show, including such hot topics as:

Current trends in managing periodontal disease
Improving practice profitability
Posture pain and productivity in dentistry
Picture-perfect quality radiographs
Local anesthesia and sedation in 2008
What's new in dental pharmacotherapy
Rejuvenating your practice
The role of dentistry in treating sleep apnea
Anesthesia: Risks versus bad judgment ad how to stay out of trouble
Microscopes in modern dentistry
To keep the approximately 28,000 attendees entertained, the show will also include a performance by Sheryl Crow, a luncheon with Geena Davis, and a kick-off party on Thursday.


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Yankee,Dental,Show,preview

ADA sponsors Give Kids A Smile day

ADA sponsors Give Kids A Smile day

January 25, 2008 -- Big companies are making big donations to put smiles on little faces for the ADA's sixth annual Give Kids A Smile day. On February 1 more than 50,000 dental professionals around the country will provide free dental treatment to kids from low income families.

"The ADA and dentists across the nation are engaged in creating public awareness of this critical need and trying to extend access to dental care to more low income children," said Mark Feldman, D.M.D., president of the ADA in a press release. "To this end we are celebrating February 1 with our sixth annual Give Kids A Smile program, to help put children on the road to a lifetime of good oral health."

Depending on location, kids can get screenings and in some cases free dental cleaning, fluoride treatments, fillings, and even more intensive care. For this purpose Colgate is donating 300,000 toothbrushes and tubes of toothpaste. Henry Schein will provide 2,500 professional dental product kits, and Dexis will donate the use of 50 digital X-ray systems to each participating dental school

Most events require children to be registered in advance. For a list and contact information of events in your state, go here and click on your state on the map.

"A one-day event like Give Kids A Smile isn't a cure-all; it's a wake-up call. People shouldn't have to depend on charity for basic dental care. It's time for politicians, parents, and others who care to work together toward a solution," the ADA states on its Web site.


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ADA,sponsors,Give,Kids,A,Smile,day

New report covers size, trends, and future of dental industry

New report covers size, trends, and future of dental industry

January 25, 2008 -- Looking for a comprehensive scoop on the dental industry? Want the 411 on the size and disposition of the industry, or what the future has in store?

Pick up a copy of Research and Markets' new report "Offices of Dentists in the US" for the details. The company claims the report has great information for "practitioners having a degree of D.M.D., D.D.S., or D.D.Sc. primarily engaged in the independent practice of general or specialized dentistry or dental surgery."

Content includes topics like industry definition, industry volatility, key sensitivities, key success factors, major players market share, and so on.


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New,report,covers,size,,trends,,and,future,of,dental,industry

DentalPlans.com offers discount plans in Spanish

DentalPlans.com offers discount plans in Spanish

January 24, 2008 -- If your patients aren't coming in because of money or language problems, you can now refer them (at least some of them) to a one-stop solution. A Web site that offers discount dental plans in Spanish.

Launched by DentalPlans.com, the new site aims to make discount dental plans more accessible to Hispanic individuals, families, and businesses.

"PlanesDentales.com was created to offer Spanish speakers an online experience that is virtually identical to DentalPlans.com," said Josh Babyak, CEO of DentalPlans.com, in a press release. "We've always given consumers the freedom to choose the discount dental plans that best suit their needs; now, they can compare and choose plans in Spanish and English."

PlanesDentales.com has information that lets you compare discount dental plans and dental insurance, and access testimonials, frequently asked questions, and other details. You can find participating dentists in your area by entering your ZIP code into the search tool. Businesses can request free discount dental plan quotes.

To visit the site, simply go to www.PlanesDentales.com or click the "En Espanol" link on www.DentalPlans.com.



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