Worst Tasting Top Ten
Aug. 30th | Posted by Trish Walraven
4 comments
The next time your patient makes a yuck face at you with the accusation that the stuff that just hit their tongue has the most awful flavor EVER, you need to be sure and come back to this blog to share your experience so that your offending dental material can be rated accordingly.
For now, you’ll have to settle for this Top Ten, which was created by someone who is so meticulous about isolation that they never (!) get complaints about the taste of the following products:
The Top Ten Worst-Tasting Dental Materials
10. Air polishing powder
Some people like the taste of baking soda, which is why this is at the high end of the list. Others, you’d think that you’d hit them with the entire Pacific Ocean with the way they wretch from the spray. Young Dental has one of the better products in this category. And most patients actually do prefer it to the grit of pumice prophy paste if an operator is good at managing an air polisher.
9. Impregum Penta impression material
Fortunately the second generation flavor is much better than the first. But what is with the aftertaste? It’s not like you can use a rubber dam when taking a full mouth impression.
8. Vizilite rinse
Sour flavors seem to go over worse than salty ones. And because this cancer-screening pre-rinse is essentially vinegar, you may get a dirty look right before you start checking for the dirty bombs that are cancer cells.
7. Jeltrate Plus
Yum. Unflavored alginate with a splash of antimicrobial quaternary ammonium compounds to give it a little bit of awkward je ne sais quoi.
6. Compounded tricaine topicals
This is like benzocaine on steroids. Because it is not available in a commercial formulation, you’ll have to have a pharmacy compound the gel for you. John Hollis Pharmacy whips up a pretty mean cocktail of lidocaine, prilocaine and tetracaine at a decent price. It tastes pretty bad, but when patients rave about your painless injections afterwards, you’ll want a tube of it in every operatory.
5. Parkell Mucohard relining material
Not only does it taste foul, it gets bonus points for heating up while it’s curing in your patient’s mouth. This PDF from Parkell even cautions against leaving the patient alone for fear of spontaneous combustion.
4. Septocaine
Even a few drops of the local anesthetic inadvertently dripped onto the back of the tongue will make your patient want to chew through the stainless steel of your syringe. Be careful or else you will be switching back to lidocaine.
3. Viscostat hemostasis gel
Great for getting a lot of bleeding under control. Unless that bleeding is on the tongue. Then, not so great. Ultradent has addressed this notoriety by bathing their latest Viscostat with mint flavor ribbons. But I’m sure you can still taste the caustic astringency that would make bleeding to death not seem so bad.
2. The goo under a loose crown that you just removed
Can we all gross out at this one for a moment? And hahahahaha, they can’t blame this flavor on you. Which brings us to:
1. RelyX Unicem cement
Stag-nasty payback for that loose crown you just had to smell. RelyX gives you the ultimate in sourness and bitterness that lasts and lasts (but so does the bond).
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Why more dental product manufacturers don’t try to mask the noxious flavors inherent in their materials is a question that can’t be easily answered with chemistry or economics. If you’re not one to wait on this development, let your patients choose the flavor of their next crown seat or impression tray instead by carefully slipping them a few drops of one of these flavoring agents that are especially created for that purpose.
Pearson Dental Supply Flavorings
Practicon Flavorings for Alginates
American Dental Supply Flavor Kit
And when you ask your patient how everything tasted, they can honestly tell you it was just peachy. Or grapey, their choice.
Now it’s your turn. Which materials taste the worst to your patients? Leave a comment below to cast your vote.
Anesthesia buffering: Onpharma’s Onset
Jul. 15th | Posted by Trish Walraven
11 comments
After all the buzz in the past two years about a new type of carpule that also starts with an “O,” you may think you’ve seen this product before. In one sense it’s similar: it must be used in conjunction with your regular anesthetic instead of as an anesthesia alternative. What’s more exciting is that this just may change the way we prepare syringes for every single patient from now on.
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:
What music goes with teeth whitening?
May. 20th | Posted by Trish Walraven
0 comments

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.
Tags: Engadget, Teeth Whitening, ZOOM whitening
Slackers win against Invisalign SoupNazis
Apr. 23rd, 2010 | Posted by Trish Walraven
0 comments
The idea of dozens of dentists lined up, hoping to have their bowls filled with a ladle of delicious….CLEAR PLASTIC IMPRESSIONS….is weird. “NO INVISALIGN FOR YOU!” screamed the white-coats at Align Technology. Dentists completing less than 10 cases per year were suspended from their accounts, and sent away, bowls empty, furious with the scare-tactic attempt to boost sales and case acceptance.
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.
Tags: invisalign, orthodontics, scandals
How’s your hearing?
Oct. 9th | Posted by Trish Walraven
2 comments

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.
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.
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.



