Paciﬁc Dental Conference · Friday, March 6, 2020 Ofﬁcial Meeting News · Vol. 11, No. 2 DENTAL TRIBUNE Now boarding for ‘FlyOver Canada’ Your PDC badge gets you a discounted boarding pass to an immersive flight experience. Scenes from the PDC Exhibit Hall Fresh popcorn, championship smiles and endless deals on dental tools and supplies. Dentistry revealed in a whole new light New headlight, loupes and filters deliver hands-free fluorescence-enhanced diagnosis and therapy. »Page 4 »Pages 6 and 8 »Page 10 Record breaker More than 14,000 here in Vancouver By Sierra Rendon, today Staff n Pacific Dental Conference organizers are excited to reveal that this year’s attendance broke its record, with more than 14,000 attend- ees in Vancouver for this week’s meeting. And it’s no wonder when you consider the transformative education options, the ever- expanding Exhibit Hall, the fourth PDC Lab Expo and the Live Dentistry Stage on tap for attendees. 5 Attendees make a beeline Thursday morning for the aisles of products, technology, samples and much more in the Exhibit Hall of the Pacific Dental Conference. (Photos/Sierra Rendon, today Staff) 8see RECORD, page 2 Lab Expo tomorrow See the latest equipment, materials and methods n Tomorrow, Saturday, March 7, the PDC Lab Expo brings together dental technicians and dentists to spend time with a selection of top-tier companies to exchange information and forge new business relationships. The com- panies will be displaying the latest technologies, equipment, materials and methods. All registered PDC attendees have access to PDC Lab Expo. That means everyone is welcome to attend the expo’s sessions and exhibits. A lunch will be served to all attendees of the PDC and the PDC Lab Expo on Saturday from 11 a.m. to 12:30 p.m. in Ballroom A/B. You can learn more about PDC Lab Expo co-sponsor, the Dental Tech- nicians Association of BC, by visiting www.dentaltechniciansofbc.com, call- ing (604) 789-4077 or emailing ofﬁce@ dentaltechniciansofbc.com. (Source: Paciﬁc Dental Conference) PDC mobile app Search your app store for ‘Pacific Dental Conference’ to download the PDC mobile app. If you’re uncertain of which exhibitor carries the product you’re looking for, you can search with the app’s new Product Locator. Also, through April 16, you can go to the PDC website, www. pdconf.com, to download PDFs of speaker handouts of your choice or view them on the PDC App.
4 fun next door Paciﬁc Dental Conference — March 6, 2020 AD 5 A rainbow at Niagara Falls is among the many spectacular scenes in FlyOver Canada, a fully immersive flight-simulation attraction at Canada Place (under the ‘white sails’ next door to the Vancouver Convention Centre). (Photo/Provided by FlyOver Canada) FlyOver Canada Paciﬁc Dental Conference name badge gets you discounted tickets n Billed as more than a just a movie experience, the FlyOver Canada attraction is described by its creators as feeling more like a “ride” than a movie. Indeed, your “chair” ends up being suspended, leaving your feet to dan- gle, as you’re enveloped by the giant 20-metre spherical screen for an eight- minute journey flying at low altitude across Canada, all while encountering special effects of wind, mist and scents. The total experience lasts 30 min- utes, comprising three 10-minute parts. Part 1 is the preshow “Uplift,” a fully immersive audio- visual instal- lation designed to build anticipation prior to the main ride. Part 2 is the preboarding zone, with an entertain- ing preflight safety video. Part 3 is the feature ride where you soar across Canada feeling the grandeur of the nation and the exhilaration of flight. The FlyOver Canada film was shot during the four seasons in all corners of Canada, including Niagara Falls, Ontario’s Muskokas and iceberg alley off the coast of Newfoundland, to name just a few of the locations. Brit- ish Columbia is well-represented, too, with scenes from: Lake Magog in Mt. Assiniboine Provincial Park; helisk- ing near Bella Coola; Blue Mountain Winery and vineyards near Okanagan Falls; Canada Place in Vancouver; a seaplane in the lower mainland; and First Nations water travel in Tofino. (Source: FlyOver Canada) Here at the PDC Through March 7, your Pacific Dental Conference badge is worth 20 percent off at FlyOver Canada, next door at Can- ada Place (www.ﬂyovercanada.com). The 30-minute experience, which in- cludes the immersive-film, starts every 15-20 minutes, 10 a.m. to 9 p.m. daily.
6 scrapbook Paciﬁc Dental Conference — March 6, 2020 Scenes from Thursday 5 Visit Altima Dental at booth No. 351 to grab some popcorn and spin the prize wheel. 5 Follow the dentalcorp tooth fairies to booth No. 1109 to enter the 50/50 raffle benefiting BC Cancer fundraising efforts. 5 Be sure to visit the team at Planmeca, booth No. 1431, to experience ‘digital perfection.’ 5 The team at BioHorizons, booth No. 1511, stands ready to help attendees. 5 Romeo Fermin of Hu-Friedy helps Dr. Oxana Korj pick out equipment at the Hu-Friedy booth, No. 845 Photos by Sierra Rendon, today Staff 5 Attendees Michelle Verdon, Mary Dechene, Lindsay McKinley and Kandice Moun- tain, all of Nanaimo, British Columbia, get ready Thursday morning to check out all the offerings at the Pacific Dental Conference. 5 Winnie Co of Hiossen Implant Canada, booth No. 411, offers a product demon- stration.
8 scrapbook Paciﬁc Dental Conference — March 6, 2020 5 Check out ClearDent, booth No. 921, for the candy bar, and stay for the digi- tal practice-management solutions 5 Marty O’Rourke of Designs for Vision, booth No. 1745, helps an attendee pick out the best loupes to fit her individual needs. 5 Dens ’N Dente was created and is oper- ated by dentists to provide innovative solutions in the dental industry. Stop by the booth, No. 1230, to learn more. 5 Sports fans may want to take a picture in the Invisalign iTero photo booth, No. 311, like these attendees did, for a chance to win a signed jersey from Kyle Lowry of the Toronto Raptors. 5 Suzanne Bourque of Septodont, booth No. 1824, helps an attendee pick out new products. 5 Alex Earnshaw of SciCan, booth No. 1013, is excited to explain the many benefits of OPTIM 33TB to PDC attend- ees. Yes, this cleaning and disinfecting wipe does kill coronavirus. 5 Head to the Dentsply Sirona booth, Nos. 430/445, to take your first step toward joining the New Orthophos Society. 5 Visit Henry Schein, booth No. 711, to see why so many clinicians rely on them to fill all their practice’s needs. 5 Visit the team at DiaDent, booth No. 1151, to check out new products like DiaTemp, DiaEetch and Dia-ProSeal and ask about show specials 5 David Goldshaw and Sarah Bermel of Shofu, in booth No. 1547, show off the company’s newest equipment.
10 exhibitors Paciﬁc Dental Conference — March 6, 2020 Here in Vancouver: See the big ‘Reveal’ Using endogenous ﬂuorescence, ‘Reveal’ identiﬁes enamel demineralization and bacterial contamination Here at the PDC by visiting Designs You can see the Visible Difference® yourself for Vision’s booth (No. 1745), and you also can contact the company to arrange a visit in your office by calling (800) 345-4009 or emailing email@example.com. By Designs for Vision Staff n Stop by Designs for Vision at booth No. 1745 to see the introduction of the RevealTM head- light and loupes (US pat. 10215977B1), which deliver hands-free fluorescence enhanced theragnosisTM (FETTM) — combining diagnosis and fluorescence enhanced therapy. Designs for vision describes the technol- ogy as “groundbreaking.” Reveal treatment options Reveal supplies visual information that can support decision making and facilitate proper treatment options in cariology, oral hygiene, periodontology/implantology and restorative dentistry. Reveal enamel demineralization and bacterial contamination Using endogenous fluorescence of teeth and certain bacteria, Reveal enables identifica- tion of enamel demineralization and bacter- ial contamination, clearly differentiating between infected and affected dentin. 5 The Reveal headlight, loupes and filters provide hands-free fluorescence-enhanced theragnosis (FET) combining diag- nosis and fluorescence-enhanced therapy. The visual information that is revealed can support decision making and facilitate proper treatment options in cariology, oral hygiene, periodontology-implantology and restorative dentistry. (Photo/Provided by Designs for Vision) Reveal also enables clinicians to perform guided caries removal, preserving more tooth structure and avoiding post-operative com- plications. early treatment. Reveal also easily distinguishes between tooth structure and dental restorations. enhance the emitted fluoresced light and protect the clinician from any damaging wavelengths. Reveal clear visual difference between natural dentin and dental restorations Reveal illuminates during prophylaxis, supporting detection of supra and subgingival infected cal- culus. Reveal identifies the accumulation of perio-active bacteria, enabling identification and Filters safely enhance ﬂuoresced light The Reveal headlight produces wavelengths of light that stimulate structures. These excited struc- tures in turn emit light in a longer wavelength. This is known as the Stokes shift. The Reveal loupes use special filters that both See the ‘Visible Difference’ today You can see the Visible Difference® yourself by visiting Designs for Vision’s booth (No. 1745) here at the Pacific Dental Conference, or contact Designs for Vision to arrange a visit in your office by calling (800) 345-4009 or emailing firstname.lastname@example.org.
12 exhibitors Paciﬁc Dental Conference — March 6, 2020 5 (Photos/Provided by Septodont) 5 Injury 5 Isolation 5 Cvek prep 5 Fx 5 Prep complete 5 Fragment 5 Biodentine in place 5 Fragment bonded 5 Among the many uses of Biodentine in front-line dentistry: Restoration in deep caries excavation as a direct or indirect pulp capping material. (Photo/ Provided by Septodont) Biodentine saving teeth on dentistry’s front line Hospitals and community health centers frequently see patients who present with advanced dental needs By Mark Roettger, DDS, Chief of Dental Service, University of Minnesota Medical Center 5 Dr. Mark Roettger n Hospitals, special needs and community health centers often see patients who present with advanced dental needs and complications without insurance or public-program dental coverage. Especially problematic with children and adolescents Our goal as dentists should always be to optimize oral health for all our patients. Most patients want to save as many teeth as possible, but the expense of endodontic treatment and proper restorative care are beyond their ability to pay. This is true for adults and children alike, but these problems can be especially problem- atic in children and adolescents. Often these patients present with multiple large carious lesions. Some Here at the PDC Visit Septodont in booth No. 1824 to learn more about Biodentine. are non-restorable, but others are. The best option for restoring a tooth with a large carious lesion, is to maintain pulp vitality. Biodentine® is in a new class of materials that have high biocompatibility and bioactive prop- erties, both important in saving pulp vitality while treating large carious lesions. Dentin-pulp complex forms dentin bridge over areas where caries have breached the dentin Biodentine’s bioactivity allows it to assist the dentin-pulp complex to form a dentin bridge over areas where den- tal caries have breached the dentin and invaded the pulp. In our hospital dental department, we have replaced Mineral Trioxide Aggregate (MTA) products with Bio- dentine. We have done this because of Biodentine’s superior handling prop- erties combined with outcomes simi- lar or superior to MTA. Providing exceptional care in shortest time possible Properties that are important to our hospital practice are set time, sealing capability, compressive strength and non-staining formula. Set times are important in the hospital practice as patients are often in the operating room or emergency department and require exceptional care in the shortest time possible. Unique setting reaction Biodentine has a significant shorter set time (10-12 mins) than MTA (175 mins), allowing you to accomplish your procedure in a shorter period of time. The unique setting reaction of Bio- dentine allows for more complete sealing of the material at the margins. Formulation’s opaciﬁer does not contribute to staining Another superior property of Bio- dentine over MTA is compressive strength. The mechanical strength of Biodentine at final set is more than two times greater than MTA, which allows us greater flexibility in applications. Finally, the opacifier used in the formulation of Biodentine does not contribute to staining as the formula- tion of MTA. Conclusions Septodont has brought to dentistry a high-tech dental material that is very biocompatible and can be placed dir- ectly on pulp tissue without toxicity. Biodentine can be used whenever dentin is damaged. Its bioactivity allows Biodentine to interact with den- tal tissues to promote osteo and angio- genic activity which promotes pulp and tissue healing. These properties make Biodentine ideal for use in restorative dentistry in deep caries excavation as a direct or indirect pulp capping material. The same properties make Biodentine use- ful in pediatric dentistry when doing primary tooth pulpotomies and perma- nent tooth apexification procedures. In endodontics, its bioactivity makes Biodentine a material of choice in repairing perforations, treating resorp- tions, as a retrograde filling material and in new endodontic regeneration procedures. (Source: Septodont)
14 exhibitors Paciﬁc Dental Conference — March 6, 2020 Interview: Academy of Osseointegration President Dr. Jay Malmquist n Jay Malmquist, DMD, FACD, FICD, FAO, shares his experience with using the Osstell technology, which helps clinicians objectively determine implant stabil- ity. He is an oral and maxillofacial surgeon with a pri- vate practice in Portland, Ore. He is the 33rd president of the Academy of Osseointegration. He is a diplomat, past treasurer and past president of the American Association of Oral and Maxillofacial Surgeons. Could you please introduce yourself? I have placed osseointegrated implants for more than 30 years. I was originally trained by Professor Brånemark and his team in 1984. I have used implant therapy for more than 30 years and have done exten- sive work in bone grafting, guided tissue and bone regeneration and protein therapy to enhance implant outcomes, therapies and the implant platform. Hav- ing a noninvasive method for implant outcome evalu- ation is paramount to long-term success. How do you use Osstell in your clinic and which are the main clinical beneﬁts that you have experienced? My primary use of the Osstell instrument in my clinic is to evaluate each implant at the time of placement and again at the second stage abutment connection. This allows for an objective way to evaluate the implant healing and gives some indication of the short- term and long-term success. Progression of numbers will allow for an under- standing of the bone quality and stability of the implant during all phases of treatment. Specially, I use the Osstell at immediate load or early loading depend- ing on what these definitions mean to the clinician. We have certain ISQ numbers that help determine the indications for immediate temporization of the implant. Usually using a number of 65 ISQ as the cutoff of the implant stability will allow for excellent short- term and long-term results. We generally use the ISQ of 65 or 35-45 ncm as the low point for immediate loading or temporization. Prior to the final restoration, and returning the patient to his/her restorative clinician, we again meas- ure the implant in four quadrants to determine the improved numbers and continued healing. A reversal of the numbers indicates a problem, and we will delay the final restoration or remove the implant fixture. In this way, the Osstell instrument is very valuable — avoiding a long-term failure of the final restoration. It gives the restorative clinician a great deal of confi- dence in progressing forward. We look for the continued increase in the numbers from placement to final stage and use this as a primary way to determine outcome success. Each clinician is appraised of the progress with reporting of the ISQ readings in follow-up letters. What changes are ahead in implant dentistry? Implant therapy is changing. Implants as a product have become a commodity as more are now on the market. Techniques for placement and techniques for evaluation will become even more important moving into the future to ensure good outcomes. Digitalization will become even more encompassed into the practice of placement and res- toration; and noninvasive ways to evaluate the implant will become even more important. Incorporating the placement of the implant with devices that immediately give a stability number will be the treatment of choice. More clinicians will prac- tice implant therapy, and there- fore, it is imperative to have tools that measure success. The place- ment protocols will continue to be pushed, and more will try to give the patient imme- diate satisfaction. We must be careful not to lose the patient’s trust with increased protocols in the future. 5 Dr. Jay P. Malmquist. (Photo/W&H) Finally, the future will allow for the incorporation of tissue protein on the implant surface to further enhance outcomes and improve the platform for more patient treatments. Thank you for allowing me to comment on the Osstell instrument. It is a wonderful advance to implant therapy. This full interview, with supporting content, can be viewed on the Osstell website, https://www.osstell.com/ news/non-invasive-method-implant-outcome-evaluation- paramount-long-term-success-implant-therapy/ (Source: W&H) AD
Paciﬁc Dental Conference — March 6, 2020 exhibitors 15 Questions about surface disinfectant and coronavirus surface disinfectant drugs. Retrieved from https://www.canada.ca/en/health- canada/services/drugs-health-products/ drug-products/applications-submissions/ guidance- documents/disinfectants/ safety-efficacy-requirements-hard-surface- disinfectant-drugs.html#b5 United States Environmental Protection Agency 3.(EPA). (2016, August 19). Guid- ance to Registrants: Process for Making Claims Against Emerging Viral Pathogens Not On EPA-Registered Disinfectant Labels. Retrieved from https://www.epa.gov/sites/ production/files/2016- 09/documents/ emerging_viral_pathogen_program_guid- ance_final_8_19_16_001_0.pdf Virox Technologies. (2020, January 23). Virox Corp News. Retrieved from https://virox.com/making- news/category/virox-corp- news/. 3. 4. enveloped viruses (poliovirus, noro- virus or adenovirus). OPTIM disin- fectants inactivate poliovirus, which belongs to that list. Because they can inactivate polio, then they can also inactivate coronavirus, which belongs to a less robust class of envel- oped viruses. Have Health Canada and the EPA ever used those guiding principles before? Yes. In fact, due to OPTIM’s ability to inactivate poliovirus, Accelerated Hydrogen Peroxide® (the main ingre- dient in OPTIM) was named the chemi- cal surface disinfectant of choice dur- ing the SARS outbreak of 2003. It was used across Canada for disinfection within all health-care facilities. * OPTIM 33TB is available in Can- ada, the U.S. and Europe. OPTIM 1 is available in the U.S. and Europe. OPTIM Blue is available in Europe. (Source: SciCan) Additional sources 1. - European Committee for Standardiza- tion (CEN). (2018, November). BS EN 14885:2018 Chemical disinfectants and antiseptics - Application of European Standards for chemical disinfectants and antiseptics. Health Canada. (2014, January). Guidance document Safety and efficacy requirements for hard Here at the PDC To learn more about OPTIM 33TB and other SciCan products, you can visit the company in booth No. 1013. How do you know OPTIM is effective against an emerging virus like coronavirus if it wasn’t tested? OPTIM has been proven to inactivate poliovirus, a non-enveloped virus that is much tougher to destroy than the coronavirus, an enveloped virus. Here’s how it works: Because it is both impractical and impossible to test disinfectants against all known and emerging viruses quickly enough to address urgent infection control needs, particularly during an out- break, regulators such as the EPA, Health Canada and Europe’s CEN use a set of guiding principles or standards. the requirements of the EPA’s emerging viral pathogens claim, Health Cana- da’s Broad Spectrum Virucide claim for emerging pathogens or the disin- fectant testing guidelines stated in the CEN overview standard EN 14885 and virucidal standard EN 14476. Disinfectants must meet 2. What do these guiding principles or standards deﬁne? According to these guiding principles, a disinfectant may be considered effective against an emerging virus as long as it is capable of destroying or irreversibly inactivating at least one virus on a list of hard-to-kill non- By SciCan Staff n OPTIM disinfectants are proven effective against viruses much tougher to inactivate than coronavirus, such as poliovirus and norovirus. This means the OPTIM disinfectants can be used against 2019-nCoV on hard, nonpo- rous surfaces and noninvasive medical devices. What should I look for in a surface disinfectant? In a viral outbreak, such as the one we are experiencing, use a hospi- tal disinfectant that has a virucidal claim against poliovirus, norovirus or adenovirus. The disinfectant must be registered (look for the DIN, EPA, or CE mark on the label) and have some- thing called a broad-spectrum claim. What is a broad-spectrum claim? There are different classes of patho- gens, (i.e. bacteria, virus, etc.), and each class has been assigned specific microorganisms which are reflective of the gold standard or more-difficult- to-kill pathogen in that class. A disinfectant that can deactivate the gold standard in each of the classes, can claim to be a broad- spec- trum disinfectant. Wha is OPTIM’s contact time for coronavirus. What does that mean? The contact time is the length of time a disinfectant must be wet on a surface to achieve the desired efficacy result. OPTIM Blue and OPTIM 33TB have a one-minute virucidal contact time. OPTIM 1 has a 30-second virucidal contact time. That means that the surface must remain wet for only 1 minute to inactivate viruses including coronavirus.* 5 Buy OPTIM 33TB in Canada, the U.S. and Europe. (Photo/ Provided by SciCan)