Onset™ is the name of a new buffering agent created by Onpharma™ Inc. that will be available as soon as the final FDA review is complete. If you can answer yes to these questions, read on:

Do you want to eliminate the sting that can be caused by the acidity of local anesthetic? Would you like to be able to give an injection and go to work immediately? Are you interested in a product that will help you get your patients profoundly numb, even when infection is present? What about tissue necrosis? Would you like to prevent it if possible?

The idea behind the pH buffering isn’t novel, but the patented device is. Onpharma™ has created a simple system that can be used with all anesthetics and also solves the problems of shelf life and proper dosing. Product previews aren’t yet available on the internet so all images and details will be withheld here at DentalBuzz until further notice (it’s so hard to hold a secret, though!).

If your curiosity is now piqued, make sure to click over to the Onpharma™ website and sign up so that the company can let you know when you can purchase Onset™.

Just don’t expect it to be rapid.  

⣿

]]> http://www.dentalbuzz.com/2010/07/15/onset/feed/ 3 http://www.dentalbuzz.com/2010/05/20/lightwhiten/ http://www.dentalbuzz.com/2010/05/20/lightwhiten/#comments Thu, 20 May 2010 19:52:27 +0000 admin http://www.dentalbuzz.com/?p=297

This company knows better than to show what a person looks like wearing cheek retractors. But the bald dude in the tradeshow booth just couldn’t keep his mouth shut, and so has inadvertently revealed the eerie side of DIY whitening treatments.

If the silly little LED lights aren’t bad enough, the company has solved the apparent problem of “what to do” for the hour-long treatment process: built-in music headphones for your MP3 player.

Ahh, the fringes of the ZOOM-persuaded target audience make one smile and wince at the same time.  Thanks to Engadget for the help with next year’s Halloween costume.

Until yesterday. Instead of getting your soup in a bowl at the counter,  you complainers will be able to get it in a to-go container, from the “Concession Stand”:

Align Technology Eliminates Annual Case Requirement for Invisalign(R) Providers

SANTA CLARA, Calif., Apr 22, 2010 (GlobeNewswire via COMTEX News Network) — Align Technology, Inc. (Nasdaq:ALGN) today announced a strategic change to the Invisalign proficiency program the Company launched last June to help ensure Invisalign providers build a baseline of Invisalign product experience and knowledge through minimum annual case and continuing education (CE) goals. Effective immediately, doctors will no longer be required to start a minimum of ten shipped cases per year to maintain their active provider status. Doctors are still required to complete a minimum of ten Invisalign continuing education (CE) hours per year.

“Despite continued strong efforts by our customers to meet the annual proficiency requirements, many customers remain frustrated with the program, particularly the case requirement,” said Dan S. Ellis, vice president, North American Sales. “While we remain deeply committed to ensuring great treatment results for Invisalign doctors and patients, we are equally committed to listening to our customers and responding to their needs.”

Align will continue to emphasize the importance of Invisalign professional education in treatment success by maintaining the annual ten Invisalign CE hour requirements. In addition, Align will focus on continued product innovation and performance improvements and customer loyalty and rewards programs to help drive great treatment experiences and results. As part of this focus, Align will continue to promote the benefits of Invisalign Preferred Provider status for doctors who start ten or more cases each year.

Doctors who do not complete a minimum of ten Invisalign CE hours in a calendar year will have their Invisalign accounts temporarily suspended until they complete the minimum CE hours. With more than 200 hours of lecture-based and online learning opportunities, Align’s robust educational curriculum makes it convenient for doctors of every Invisalign experience level to stay current with product and clinical advancements.

Doctors whose customer accounts were deactivated or changed to limited status for failing to meet the 2009 proficiency requirements can reactivate their account and start using Invisalign again at any time by completing a Clear Essentials I or Clear Principles training course and thereafter meeting the annual ten CE hour requirement. More information on the proficiency program and related changes are available at http://vip.invisalign.com/proficiency.

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Also worthy of reading are the frustrations aired at Jim DuMolin’s great website: http://www.thewealthydentist.com/SurveyResults/162-Invisalign-Dentists.htm.

Nice product presentation on the left, don’t you think?

Now what exactly are they? The latest in clear maxillary molar implants?

Wrong. You stick them in your ears. You. The dental professional.  Yes, you, the person who is losing their hearing and doesn’t mind spending about a grand to protect what’s left of your stereocilia.

Not losing your hearing? Then prove it to yourself. Take the test below in a quiet place. Naturally you need to have speakers turned up to about medium to hear all the frequencies. The higher ranges are what are known as the “mosquito” ringtones, which are outside the audible range of people over 30, and often used by the young-uns to send stealth text messages to each other.

There have been a few inconclusive studies published in the dental journals this decade about the concern that high decibel-level noise is an occupational hazard in dental practices. We thought that now would be a good time to gather a little of our own anecdotal evidence, and see how dentists’ hearing stacks up to the general population.

Play each of these tones to yourself and then please fill out the anonymous survey below so that we can publish the results in a future post.  

Play	Frequency	Age Range
	8 kHz	Everyone
	10 kHz	60 & Younger
	12 kHz	50 & Younger
	14 kHz	45 & Younger
	15 kHz	39 & Younger
	16 kHz	30 & Younger
	17 kHz	24 & Younger
	18 kHz	22 & Younger
	19 kHz	20 & Younger
	20 kHz	18 & Younger
	21 kHz	17 & Younger
	22 kHz	16 & Younger

Be sure to use your browser’s “back” button to come back to this page each time until you’ve figured out which frequency is your upper limit.

cforms contact form by delicious:days

The University of New South Wales in Australia has posted this test if you’d like a more comprehensive hearing exam. And if it looks like your future may be one of geriatric deafness, you might want to give thought to the benefits of a pair of DentalEars.

You’ve watched way too many movies.

If you’ve got images of Star Trek’s Geordi LaForge, nerdy sidekicks in 80′s new-wave glasses a la John Hughes’ teen films, or the horrors of Total Recall memory augmentation burned into your retinas, then please, let those prejudiced views slide gently outside of your peripheral vision and consider that Virtual Reality glasses may actually be good and cheap enough these days to make them part of your patient comfort collection.

We want to heavily discourage dentists from spending thousands of dollars in wall or ceiling-mounted screens just so that patients can have something to look at besides your ugly mug while you’re fixing their teeth.

We’re not kidding.

The problem with screens like that, during dentistry, is that your head keeps getting in the way while your patient is trying to remain distracted.

There’s lots of other details that can end up complicating the whole thing, so instead of making this a gripe session about overbloated dental amenities, we’ve created a few tracks that will make it inexpensive and easy for you to start using VR glasses in your practice.

Track One: I want it all (hey yeah) and I want it now.

Bank commercials and Queen music aside, you want to have this up and running in your practice immediately.  Here’s the easiest way to get everything you need. Tonight.

1. Find your nearest Brookstone store and call them to make sure that they have a pair of these Vuzix™ iWear® AV230 XL Video Glasses ($200, plus tax) in stock. Go get ‘em, tiger.
2. Look through your home collection of DVDs for those with the most appeal over a wide variety of patients. Don’t forget to grab a few of those TV series’ episodes for those shorter appointments as well.
3. Steal your children’s portable DVD player that they don’t watch in the car anymore because they all have video iPods now.
4. Buy a bunch of AA rechargable batteries and a recharger, plus alcohol wipes for infection control, and some sort of basket or nice box to keep it all together when moving it from room to room.
5. Hand over the box of video goodies to your assistant, who will take it all from there.

Cost: Less than $300, unless you have to purchase your own DVD player (around $100) and videos.

Track Two: Keep it simple.

Efficiency is key to this next setup. You want something simple for your team to implement, that will work consistently, and appeal to the broadest spectrum of patients possible, from the 30 minute appointment to the full-mouth rehab. Everything can be purchased online and delivered to your office within the next week.

1. Purchase these 3.5 ounce i-Theater Glasses ($179) direct from the manufacturer, i-O Display Systems. Be sure to add a set of hygienic earbud covers ($20 for 25 pairs) to your shopping cart. The rechargeable batteries are included, as is an AC power adapter.
2. Get the right kind of DVDs. This is so important. Nothing with a plot because your patients won’t ever want to leave, or worse yet, you’re such a generous dentist that you’ll let everyone take the movies home to finish and then it’s a pain to keep up a decent office library. We recommend instead that you purchase some relaxing, endlessly looping DVD videos. Our favorites are the Waves Virtual Vacations™ ($10-20), but you may love the music and nature videos at TV Artscapes ($16 and up) just as much. Your patients will want to be in your chair just for the ambience. Seriously.
3. Oh yeah, you’ll need something to actually play those DVDs, and the ones with the their own screens make it easy for the assistant to get the system set up and running properly. Best Buy has the reliable Dynex® Portable DVD Player ($90) that seems to hold up to abuse and also holds a charge well. You can also simply keep it plugged in with its own AC adapter.
4. The Box. It is a bit unprofessional to drag the gear and their cords and from operatory to operatory, so we like the Faux Leather Milk Cartons ($34 for two) from Target. They will stay looking good for many years, and are easy to keep clean.

Cost: $400-$500, shipping and tax included.

Track 3: That’s what I pay you for.

Many of the virtual reality companies directly appeal to dentists to buy their products for patient relaxation and entertainment. MedPED Media has gone several steps further and created an entire package called InChair TV that allows you to relax instead, and leave everything to them.

They’ve taken the exact same Vusix™ glasses seen in Track One above and added a Walkman-type portable DVD player.

But then comes the cool part.

InChair TV has gone all Netflix over dentists and not only are they offering a monthly mail-in “rental” system, but inserted between the shows on each DVD are these cute little dental cartoons that advertise services you provide, like teeth whitening and veneers. Each monthly package comes with three 90-minute disks (Kids, Teens, Adults) and all content has been licensed for use in a place of business.

Cost: $518 for the first year (includes all hardware, shipping, and handling), $120 each year thereafter. 10% off when purchasing 3 or more.

_____________

The VR glasses can take a little getting used to if a clinician normally works from the 12:00 position, but otherwise they don’t seem to get in the way much at all. We recommend starting out with one set for the entire practice for a month or so, and if patients and assistants alike rave about your latest high-tech gadget, then go out and get a boatload of them.

This is real proof that slapping an extra zero at the end of a price doesn’t always happen just because a product is branded for the dental market. When there’s a will to make a good product at a fair price, there’s a way.

By the way, did you mean Will & Grace? Good Will Hunting? Or perhaps you’re more into There Will Be Blood?

Maybe you need a pair of VR glasses just for yourself.

In so many ways, the BrytonPick is the best all-around new product in patient oral health care. 

It’s Green: One pick is reusable for up to 30 days.

It’s Cute: The BrytonPick looks like a little boomerang.

It’s Practical: Patients who absolutely will not use dental floss will be thrilled that a new option is available for food removal. This means they can stop using paper clips, business cards, matches, and fingernails.

It’s Portable: the BrytonPick comes with a credit card-sized carrying case.

It’s Brandable: the back of the carrying case can be printed with the name of your dental practice.

It’s Affordable: BrytonPicks each cost less than $2.

There’s only one problem: It’s made of metal, which makes it hard to watch the video on the BrytonPick website without getting that watery-mouth, galvanic shock sympathy shudder.

Seriously tweaked patients are bringing their iPhone accessories to dentists nationwide.

The newest iPhone almost fits in the original iPhone dock. Almost, but… no.  And MobileMe still doesn’t sync iTunes remotely, so users are either stuck with purchasing the 3G dock for $29 or sticking it to Apple by creatively finding ways to carve out the plastic edges of their old ones.

Desperate for something to drill on, dentists affected by the recent economic downturn have begun aiming their burs outside of their patients’ mouths and are now the prime facilitators of this dock modding craze.

The unnamed dentist pictured above performed the service as part of a “teeth fixin” deal. He is now questioning his decision to allow photography during the modification due to the large number of geeks currently hanging out in his reception area.

However, with the increase in new patients he has had to turn away a few of his older clients, mostly iPhone detractors. Instead of leaving them uninformed, the dentist has been able to engage these patients with phones more suited to their needs: iPhone’s biggest competition.

For a moment, imagine that this is one of the forms your patients fill out at an initial visit:

Anesthesia Options

We understand that each person has unique concerns when it comes to pain management, and would like to give our patients the opportunity to explore all of the anesthetic techniques available in our modern practice. Please read the following paragraphs and make a checkmark next to the one that best describes and addresses your needs:

No matter which method you prefer, the best way to administer anesthesia is always with a caring touch.

So for all you dentists who mail out postcards to potential patients, please don’t advertise that you’re gentle if you’re not. With all the options available, painful dentistry is pretty much inexcusable.

Run your mouse over the product images to get a sense of their origins.

Unfortunately, the Luxatemp guns do not fire over long distances. That and they’re kind of runny.

Make sure that you’ve placed the right kind of suction tip in your patient’s mouth.

Laser dentistry. So easy, even a toddler could do it.

Enamel Pro paste appeals to hygienists who never grew up. Oh, the colors that end up in our children’s stomachs! Thankfully patients aren’t supposed to swallow this.

Who says you have to sit still while doing dentistry? The Evolution Chair also provides for good spinal alignment.

Hey, with an LCD screen, you can find the bottom of anything! At least the Vector Root Apex Locator comes with its own hook.

Never mind.

The Oral-B Pulsar disposable electric toothbrush is the discreet answer to better pleasure, vitality, and all-around good vibes.

Once found only in the oral care department of superstores, the Oral-B Pulsar has now been endorsed by a pioneering gynecologist and may soon be the first product on the market to simultaneously receive the ADA Seal of Acceptance and the ABOG Standard of Therapy Seal. “Never before have we realized that a single product can fulfill two needs – perhaps even at the same time if the spouse is an enthusiastic brusher,” said one dental hygienist who wishes to remain anonymous.

Furthermore, the low cost of the Oral-B Pulsar opens the door to many more users who could not otherwise afford a vibrating device or who would stoop so low as to think of handling a toothbrush in this manner.

Readers of this blog who want to be further humored are highly encouraged to first read this actual news article from the Palm Beach Post, then to go play with the Pulsar Flash Video on Oral-B’s website. It will definitely change the way you look at power toothbrushes forever.

In our last episode, we left as the two camps bickered over what they were going to do once they had actually tracked down the elusive Maxillus mandibularis. The leader of Camp NeuroMuscular had leaned toward the fire, cradling the bowl of his pipe in his fingers and clenching its stem in his teeth like an NTI device. Removing the pipe, he suggested that the solution was to deprogram this infernal beast. 

“Nonsense!” replied Sir Centric Relation from under his handlebar moustache. “Everyone knows that you must guide the cuspid. It is the only way to stop the nightly rampage.”

As we return to the scene, Sir Centric stands up and peers into the encroaching darkness.

“But ho, what is this?” Out of the shadows steps a keen-eyed gentleman in a light blue seersucker suit and an obvious combover.

The man approaches the fire and begins his spiel. “You know what is the real problem, right? You just want to keep the Maxillus mandibularis from crashing in here and destroying everything. Do you think all those villagers care about why? They want this problem fixed, and they want it fixed today.”

The gentleman swiftly rolls out a sheet of something, squishes it around the beast’s water-hole, and waits for it to harden.

“There ya go. Problem solved. And it’ll cost you less than having those timberlogs dragged in from the forest. Besides, who has two weeks?”

“Certainly that shouldn’t be a problem. The villagers have been living with this for years.” says the leader of Camp Neuromuscular.

“Yes, but they came to you today for an immediate solution.”

“It’s only a stopgap. It doesn’t correct the underlying problem. And eventually the barrier will fail,” chime in the leaders of both camps.

The gentleman brings his fist up to his chin in thought. “Well, even if you can kill the beast, you do realize that it’s a protected species.”

“But no way is it in danger of going extinct. It must be laid to rest!”

“Yet, still so hard to kill quickly. Goodnight gentlemen. If you change your mind, just ask around. Everyone in these parts knows where to find me.”

The man in the suit slinks back off into the darkness, leaving the two leaders alone in silence, once again glaring at each other from across the campfire.

*********

When it comes to parafunction that eventually will whittle your patients’ teeth down to stumps at night, it only makes sense to fabricate some sort of cushion to soften the blow. Dentsply-Caulk has recently been advertising the inTerra iNoffice Nightguard. This product appears to break down some of the obstacles that come up as the dental profession seeks to eradicate bruxing from the planet.

The iNterra Nightguard’s VLC (visible light cure) material is packaged in three arch sizes. This soft tray is formed directly on the patient’s teeth while in the chair, tack cured in the mouth for a few minutes, and then completed in the lab in another 20 minutes, which makes same-day delivery a snap.

With an existing light-curing oven in your lab, the cost to begin fabricating nightguards in-office makes the iNterra system a decent value, cutting the usual lab fees for nightguards at least in half. Otherwise, be prepared to spend a few thousand dollars on a curing unit before you insert your first case.

Look at the iNterra Nightguard from an efficiency standpoint. Single appointment, no lab transportation issues, minimal doctor chairtime. You may also be able to improve case acceptance when passing on the reduced overhead costs to patients.

Is it the best way to prevent occlusal wear? Who’s to say? But the inTerra Nightguard is much better than doing nothing about parafunction.