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We have witnessed an explosion in technology that continues to increase in both the scope and the depth at which it reaches the world population. With seemingly no end to the advances, technology continues to feed new scientific research and breakthroughs. A relatively short time ago, many our readers may recall using the first generation of cell phones that were “simple” instruments too large to fit into a pocket and sporting an unwieldy telescopic external antenna. Now, we carry around a much smaller “smart” (thanks in part to quantum physics) phone capable of amazing computing power and speed far exceeding what we once had in our much larger desktop computers. Fortunately, many of these same technological advances have been adapted and merged into dental and medical applications. This past March at the IDS meeting in Cologne, Germany, our team saw many different companies introducing 3-D printers into the dental marketplace. What many practitioners and dental technicians would have once said was impossible (“printers are for paper!”) is suddenly a reality, with printers that now fabricate material objects for clinical and dental laboratory applications.

Most of our articles focus on technology this month: Drs. Tarun Arguwal, Gerard Kugel, and Scott Ganz participate in an informative roundtable discussion led by our own technology editor, Dr. Paul Feuerstein; Dr. Sabiha Bunek talks about new in-office technologies for the GP; and other clinical case experiences, shared by a number of our esteemed clinician-authors, revolve around modern technologies such as implants, CBCT and laser technology, and newly introduced high-tech dental materials and instrumentation.

In our peer-reviewed selection (available for 2 FAGD/MAGD CEUs), Dr. Todd Schoenbaum, with Drs. Richard Stevenson and Alireza Moshaverinia, presents scientific evidence supporting the placement of single-unit cement-retained implant crowns along with tips to minimize clinical complications.

We sincerely hope that you enjoy and benefit from reading this issue of Dentistry Today!

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Desktop 3-D Printing Democratizes Implant Dentistry 

Focus On: Oral Cancer Screening Devices

Show Me the Way

Aesthetic outcomes, having always been heavily dependent upon the materials, techniques, and options available to any given generation of clinicians, have been improving dramatically with an exponential climb in the observed results during the past 25 years. Nowadays, astute and well-trained clinicians can provide amazing results to their patients, delivering clinical work that also keeps aesthetics in proper harmony with function. Both direct and indirect material options have arrived at a point that permit the artist within the clinician and/or the doctor-lab team to achieve what is required to create teeth that can often masquerade as the incredible work of mother nature. However, even as dental professionals (depending upon our practice circumstances), we may not fully realize what a life-changing event it is to have an undesirable smile—or a smile that has been devastated by a traumatic event—artfully restored. Furthermore, beauty is one thing, but the ability to establish, enhance, or restore the self-confidence and positive feelings of self-worth for a patient is a huge responsibility requiring a serious commitment to knowledge and excellence that should never be taken for granted.

We proudly present 3 articles that serve as real-world testimonies for the important role that aesthetics plays in dentistry. In our cover-featured article, Dr. Michael Apa shares how he expertly took an interdisciplinary approach to treating serious trauma-based dental injuries, allowing his patient to look and to feel great again; Drs. Tyler and William Wynne showcase how they thoughtfully gave the gift of a more youthful smile to their patient; and, in an excellent article by Dr. Hal Stewart, we see the minimally invasive use of direct composites to rehabilitate both stable function and very good aesthetics for his patient.

In addition to our lineup of other informative clinical articles, our peer-reviewed selection (available for 2 FAGD/MAGD CEUs) by Dr. John Hardeman covers diabetes mellitus classification, medications, and the dental management of these patients.

Please enjoy this exciting issue of Dentistry Today!

April, Oral Cancer Awareness Month, presents us with the opportunity to self-reflect on our profound responsibilities as dental professionals. Are you doing everything possible to reduce the deaths and the lifetime effects that this disease has on its survivors and loved ones? Do you perform regular and thorough oral cancer screenings? Do you regularly use adjunctive technologies to maximize the effectiveness and accuracy of oral cancer screenings; eg, (1) devices that help identify and better visualize oral mucosal abnormalities, and/or (2) brush biopsy technology, and/or (3) the latest risk stratification testing using discriminatory salivary biomarkers? Hopefully, all our readers can answer “Yes!” to these important questions.

Please consider taking 5 minutes to go online to read “When an Oral Cancer Diagnosis Hits Home” by Magdelena Groza, RDH. In this heart-wrenching story, she shares her experience with oral cancer. Magdelena is a dental hygienist who was diagnosed with a stage IV oral tumor after being misdiagnosed by 9 dentists and 2 oral surgeons, who all said in so many words that it was “just a cyst.” Her story hit me squarely in the gut and the heart, begging the following question: What must the human toll of oral cancer be to motivate all dental professionals to take all possible necessary and timely steps required to prevent, detect, diagnose, and, when found, properly treat this dreaded and devastating disease at the earliest possible stage?

This month, we have an exciting lineup of clinicians who are presenting case report articles dealing with a variety of clinical topics. We truly appreciate the fact that we have dedicated professionals who are willing to share their own work so that others can learn and benefit from their experiences.

We hope that you will consider partaking in the CE offerings that we proudly present every month, including our formally peer-reviewed selection for 2 FAGD/MAGD CEUs. This month, that article, authored by Dr. Richard Miron et al, presents the history, status, and clinical uses for platelet-rich fibrin therapy.

Please enjoy this exciting issue of Dentistry Today!

According to the American Academy of Implant Dentistry, the dental implant and prosthetic market in the United States is projected to reach $6.4 billion in 2018, with 30 million-plus Americans missing all their teeth in one or both jaws requiring implant procedures. Therefore, Dr. Michael Tischler (our implant editor) and I firmly believe that more general practitioners (GPs) need to get involved in the placement of implants and seek proper training in order to participate in this exciting arena of dentistry. This is exactly why we started the Implants Today section and have focused on content with our GP colleagues in mind.

In our full-cover featured article this month, Dr. Jack Piermatti, one of our Implants Today advisory board members, presents a discussion on implant fixtures and abutment considerations. Jack’s private practice is limited to prosthodontics and implant dentistry, so he is obviously well-suited to bring a wealth of clinical experience to the table.

In other articles this month, Dr. David Beach discusses a few of the latest endodontic technologies that can help ensure case success; Dr. Daniel Drake focuses on what the GP should use and learn to optimize patient outcomes; Dr. Lou Graham talks about a recently introduced modern glass ionomer restorative material; Dr. Jack Griffin shows why excellent doctor-patient collaboration leads to the best results; Dr. Gary Kaye shares his final installment in an informative 3-part series on restorative digital dentistry; Dr. Ara Nazarian presents a case report that emphasizes factors that produce consistent patient success; Dr. Sam Simos centers his paper on the comparison of selected impression materials; and in our Viewpoint, Debra Seidel-Bittke talks about a variety of common challenges and how they can be addressed to enhance the dental practice.

In our formally peer-reviewed selection, available for 2 FAGD/MAGD CEUs, Dr. Plinio Mendes Senna et al present a case demonstrating the successful aesthetic restoration of a maxillary lateral incisor malformed by dens invaginatus.

Please enjoy this exciting issue of Dentistry Today!

In February, we mark an editorial tradition by placing an emphasis on new directions in dentistry. In the lineup of clinical articles and other interesting content presented in this edition of Dentistry Today, we are showcasing new materials, technologies, innovations, and treatment concepts that are already making an impact or will soon be influential in dental practices across North America.

We are extremely proud to have Dr. Chiann Gibson, president of the American Academy of Cosmetic Dentistry (AACD), as our full cover-featured clinical author. She brings her diagnostic insight, clinical expertise, and experience as a private practitioner and accredited member of the AACD, to the table. In her article, Dr. Gibson clearly demonstrates why it is so important to take a thoughtful interdisciplinary approach to the treatment of patients who present with complex aesthetic and functional needs.

In other informative articles this month, Dr. Rella Christensen, in our Focus On, discusses trauma-free caries arrest; Dr. Peter Evans clarifies the steps and products that can enhance patient compliance for better soft-tissue health; Dr. Howard Glazer, in a detailed interview, shares the latest information on recently introduced dental products and what he expects to see in the future of the profession; Dr. Timothy Kosinski discusses implant overdenture design; Dr. Robert Lowe showcases a new one-visit chairside restorative option and discusses its indications; Dr. Mark Pitel introduces a recently improved glass ionomer that can be used in situations wherein strength of the material may be an issue; and Dr. Cliff Ruddle presents practical and proven clinical tips for finding canals.

In our Viewpoint selection, Dr. Richard Mounce opines on politically driven issues that can pose real threats to dentistry. And last but not least, in our formally peer-reviewed article, available for 2 FAGD/MAGD CEUs, Dr. Ronald Brown et al discuss the management of dental patients on anticholinergic drug therapy.

Please enjoy this exciting issue of Dentistry Today!

The end of the year brought us another opportunity to reflect on the many learning experiences, challenges, and successes of 2016. Even more importantly, we can now look forward to another year of creating and achieving our highest personal and professional goals. Most of us, if lucky enough to be have had a holiday breather with friends and family, come out on the other side renewed in spirit. I must confess that I am carrying a big dose of optimism into 2017! And, having joined together with the Dentistry Today editorial, production, and sales teams to assemble what is now my 10th January issue as editor-in-chief (35th anniversary for Dentistry Today!), we are ready to take on 2017 with renewed energy and enthusiasm, not only in our work for this top clinical news magazine, but also for our noble profession. As a profession, let’s combine the best of all that we have learned in the past and the present and dedicate our collective future to all the positive personal and professional growth that we can imagine.

This month, we have an excellent lineup of articles written by dedicated and optimistic clinical authors: Dr. David Clark shares solutions to some of the challenges faced when placing Class II Composite resin restorations; Dr. Manor Haas presents a number of questions and criteria to consider before root canal treatment; Dr. Dino Javaheri presents a simplified chairside technique for provisionals and impressions; Dr. Gary Kaye shares part 2 of a 3-part series on restorative digital dentistry; Drs. Gregori Kurtzman and Tarun Agarwal make a case for the increased use of the diode laser to maximize impressions and restorative accuracy; Dr. Mike Malone talks about the importance of material choice in achieving predictable outcomes; Drs. Todd Schoenbaum and Chandur Wadhwani discuss screw-retained versus cement-retained restorative options in the aesthetic zone; and Dr. Michael Sonick et al outline protocols for implant placement in the aesthetic zone. In a candid Viewpoint article, Dr. Michael Davis opines on potential contract risks for doctors who are, or might be soon, involved in corporate dentistry. In our formally peer-reviewed selection, available for 2 FAGD/MAGD CEUs, Dr. John Hardeman discusses antihypertensive medications, mechanisms of action, and the management of the hypertensive dental patient.

With warm and optimistic wishes, please enjoy this of Dentistry Today!

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Hats Off to Our Leaders

Spotlight on Technology

Anti-Aging Movement Drives Aesthetic Care


We are very proud to present our 19th Annual Leaders in Continuing Education in this edition of Dentistry Today. As we have mentioned previously, this listing is not intended to be an exhaustive listing of leaders in North America, but it certainly includes many of the top professionals involved in teaching and consulting within the profession. As a leading clinical and news source in dentistry, we strive to be the “clinicians’ magazine,” so it is no accident that we focus the spotlight on those who teach and mentor others in the field as a major part of their professional commitment. Many of the Leaders included have taken precious time in their busy schedules to write and submit articles for publication in Dentistry Today, and we sincerely thank them for their contributions!

As the editor-in-chief, I would also like to thank and commend our editorial and graphics teams at Dentistry Today who create this important annual section. They work on this project throughout the year, and their attention to detail and efforts required to make contact with so many Leaders is much appreciated. Our digital team has seen to it that the Leaders section is also available online (, and for quite a few of the lecturers listed, the digital version includes a sampling of their upcoming lectures for review. We hope that this annual section helps you, our clinical practitioners, as well as the manufacturers and meeting planners, stay informed as to who is currently involved in CE activities in dentistry.

Also in this month’s issue of Dentistry Today, Dr. Stephen Buchanan, as a very well-known and highly respected endodontist, demonstrates his support of general practitioners who want to learn how to start placing and restoring dental implants in their own office; Dr. Ted Croll, a practicing pediatric dentist, discusses the use of a recently introduced thermoplastic tooth protector and impact deflector as an efficient and less costly alternative to custom mouthguards for young athletes; Patti DiGangi, in our Viewpoint selection, talks about a new insurance code for gingivitis and its potential impact for patients; Dr. Randy Resnik, highlighted in our popular Implants Today section, shares a case involving a guided implant surgical application; Dr. Edward Schubert et al describe how they combined modern restorative materials and techniques for excellent results with posterior composite resin restorations; and Dr. John West makes a case for a single file use protocol to increase efficiency and decrease stress for the clinician.

In our formally peer-reviewed selection, available for 2 FAGD/MAGD CEUs, Dr. Jason Flores covers the importance of our patients’ vital signs in the dental setting.

Please enjoy this exciting issue of Dentistry Today!

This issue of Dentistry Today focuses on a number of authors who have their roots in advances in science and technology. One important arena of technology, CAD/CAM, was introduced to the field in the mid-1980s. The implementation and then subsequent improvements in this still-evolving technology has had a profound impact on clinicians, dental technicians, and patients. Anyone with at least a keen interest in CAD/CAM throughout the years, even if a non-participant clinician at the chair, has certainly been made aware of the tremendous advances in the strength of and aesthetics of restorative options, ease and efficiency of design, material options and manufacturing methods, available prosthetic options, and so on. There is no question that the future will bring even more positive changes to this already advanced realm of technology.

While in-office CAD/CAM dentistry may not be for everyone for a variety of reasons, the majority of dentists practicing today are benefiting from this technology as the nation’s dental laboratories increasingly implement it. In our labs, we have witnessed nothing short of a revolution with CAD/CAM technology. Fewer people can now more efficiently design and fabricate restorations and prostheses at lower costs. And, it has done away with many tasks that formerly required labor-intensive hands-on procedures by highly trained and skilled technicians. However, all this advancement has not been done without considerable angst and growing pains, and technology has still not replaced the need for certain high-skilled technical positions...yet!

This month’s cover-featured article focuses on CAD/CAM dentistry. Dr. Jack Griffin, who has designed and placed thousands of chairside CAD/CAM restorations, deals with matters related to efficiency, aesthetics, and longevity of the work placed.

In other articles this month, Dr. Lorin Berland and Mr. Sami Yared share ways to ensure predictability when matching the shade of a single central incisor; Dr. Barry McArdle looks at ways to make the delivery of local anesthesia more comfortable; Dr. Craig Misch discusses bone grafting concepts and procedures; Dr. Hideki Okumura covers some important factors to consider when treating complex endodontic cases; Drs. William and Tyler Wynne share the case of a young patient with amelogenesis imperfecta; and, in our Viewpoint selection, Dr. Joe Zuaro talks about expanded function dental assistants.

In our formally peer-reviewed selection, available for 2 FAGD/MAGD CEUs, Dr. Ahmad Soolari and Mr. Amin Soolari describe the management of a nontreatable mandibular tooth using ridge augmentation and an implant.

Please enjoy this exciting issue of Dentistry Today!

According to a 2015 report (GlobeNewswire) on research done by Transparency Market Research, “the anti-aging market is poised for a healthy compounded annual growth rate of 7.8% between 2013 and 2019 and is projected to be worth $191.7 billion by 2019.” The report also states this: “The global anti-aging market was estimated to be worth $122.3 billion in 2013 and is likely to record a strong growth over the forecast period.” Individuals in the baby boomer generation are the single largest growth driver of the anti-aging movement, and these people are showing an increased interest in anti-aging products and services. More patients are are seeking expert aesthetic care relating to signs of aging in their body, face, and smile.

In our exciting cover-featured article this month, Dr. Tom Dudney presents a case that exemplifies the interest from older patients in restoring their teeth and smile while optimizing facial aesthetics in an effort to reverse the obvious signs of aging. Utilizing a coordinated multidisciplinary approach, Dr. Dudney demonstrates how he and his team of specialists and laboratory technicians masterfully created a life-changing outcome that not only exceeded the patient’s expectations but will also take your professional breath away!

In other articles relating to aesthetics, Dr. Sarah Winter shares a modern and minimally invasive technique used to treat post-orthodontic white spots; Dr. Ross Nash presents a case that features minimally invasive preparations for elective porcelain veneers; and Dr. Rick Winter et al present a multidisciplinary case that demonstrates how they treated a patient with a severely atrophied mandible.

Also in this issue, Dr. Gregori Kurtzman demonstrates how he efficiently replaced a defective filling using a modern composite resin system; Drs. Dennis Brave and Bradley Trattner look at ways to take advantage of the full potential of NiTi instruments; Dr. James Brosnihan provides an update on the inferior alveolar nerve block technique; Dr. Javier Cremades et al talk about the latest application of fiber-reinforced polymers used to replace a single anterior tooth; Dr. Scott Ganz discusses long-term clinical success with implant dentistry via thorough treatment planning; Dr. Gary Kaye presents the first of a 3-part series on digital dentistry for the restorative doctor; and in our Viewpoint, Dr. Lance Kisby discusses changes to come in pediatric dentistry.

In our formally peer-reviewed selection, available for 2 FAGD/MAGD CEUs, Dr. Amit Patel discusses peri-implant disease, supportive maintenance of healthy peri-implant tissues, and treatment of peri-implantitis. Please enjoy this exciting issue of Dentistry Today!

In this issue of Dentistry Today, we are focusing on technology as it relates to the delivery of clinical dentistry. Technology advancements are being made at a pace that continues to move the needle as to how dentistry is delivered. Behind the scenes, research to meet practice and business demands drives the development of better and more cost-effective delivery concepts.

Our exciting article lineup in this issue showcases new technologies that are available today for the practitioner to put into immediate use: Dr. Robert Ritter, in our full-cover selection, demonstrates how he, as a GP in private practice, implements recently introduced technologies and proven dental restorative materials to give his patients the best in conservative interdisciplinary care; Dr. Brian McCormack gives the reader a perspective into how the implementation of 3-D imaging can positively affect the success of rate of endodontic retreatment; Dr. Paul Schnitman et al focus on how the quality of care in implant dentistry is being positively impacted by digital technologies; Dr. Natalie Wong discusses the impact of digitally guided surgery and prosthetics via mini case reports while centering the discussion on future trends in implant dentistry; and in a timely Focus On selection, Dr. Rella Christensen gives us a clinically relevant update on the very recently introduced class of high-tech restorative materials, translucent zirconia.

Also this month, Drs. Paul Belvedere and Douglas Lambert share a technique-specific look at the steps required to predictably deliver quality Class III restorations that involve deep subgingival margins; Drs. Won-suk Oh and Ju-mi Park present a clinical technique that they used to place successful mechanical post dams when relining maxillary complete dentures; Dr. Cliff Ruddle eloquently shares why and how system-based endo­dontics is a current clinical reality; Dr. Sam Simos outlines a conservative direct composite technique that he used to replace congenitally missing lateral incisors; Drs. Tyler and William Wynne show how they dramatically improved their patient’s smile and self-worth; and, in our Viewpoint selection, Dr. Louis Malcmacher, a frequent contributor to Dentistry Today, proposes that evaluating occlusion is a vital first step in the course of dental treatment planning.

In our formally peer-reviewed selection, available for 2 FAGD/MAGD CEUs, Dr. John Hardeman writes about chemotherapy agents used to treat cancer and other diseases, their side effects, and the dental management of patients undergoing chemotherapy.

I hope that you will benefit from this exciting issue of Dentistry Today!