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True breakthroughs in dentistry in the last 10 years

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fmn

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Jul 8, 2003, 2:52:34 PM7/8/03
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Add to the list as you think:

1. Fuji IX reinforced, precapsulated glass ionomer to replace the use of IRM
in my use as well as good "bondo" material to patch up a lot, as well as
post cementation.

2. Flowable composite making microdentistry practical
3. Air Abrasion
4. NTI
5. Cad Cam (Cerec III not 1 and 2-essentially a software breakthrough to
complete the package) When it becomes more affordable up front, we will see
it's use or if they were to market it like Panoramic Corp where you start
paying per xray.
6. Cordless impression techniques
7. Pressable ceramics for esthetic beauty and metamerism


Notice I didn't put digital radiography and intraoral imaging, vinyl
impression materials, or


ares

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Jul 8, 2003, 10:12:03 PM7/8/03
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Was wondering, I heard that ketac could damage the pulp or cause
sensitivity, so I only used it on endo teeth for a long time, and durelon
for everything else. At this point I haven't been using ketac for some time
either. Was wondering if I should be on the watch for other glass ionomers
that can cause this. And on the other hand I had been using products like
Vitrebond that are supposed to be insulating and protective of the pulp.
Have they changed the formula of ketac so that it no longer causes this
problem?
ares

"fmn" <nels...@citlink.net> wrote in message
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fmn

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Jul 9, 2003, 5:13:56 PM7/9/03
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Ketac CEMENT for crown and bridge was a culprit for many years, but we found
out it was technique. We were seating them too hard (see "cementing and re
cementing above), we were drying the tooth too much or cement leaked out
from the margin and never set causing post op sensitivity. It is sort of
like the dycal story. When we all started doing composites, we carefully
covered all the dentin with dycal or something like the vitrebond so no acid
would get on the tubules. Then the Japanese and Kanca and Bertolloti showed
us direct etch was LESS post op sensitivity. Now we do direct pulp caps by
etching the exposure, placing a one step etch and prime and place flowable
composite RIGHT ON TOP of it and no post op sensitivity AND the research
shows clearly better results than dycal, in fact the dycal weakened the
restoration and turned to mush and, in my opinion , is responsible for many
failures of amalgams and composites.
So, no formula change, just an understanding of how the material really
works. Thanks why we "practice" dentistry. In my opinion the fact that the
old timers would have to face the fact they did mercury silver fillings on
so many people is the main reason we in America are so slow to just move
away from amalgam altogether whether or not you believe the mercury is at a
harmful level or not, in my opinion, any is harmful and since we have so
many good substitutes now, why even use it!
fmn
"ares" <ar...@verizon.net> wrote in message
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Joel M. Eichen D.D.S.

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Jul 9, 2003, 7:21:20 PM7/9/03
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On Wed, 09 Jul 2003 21:13:56 GMT, "fmn" <nels...@citlink.net> wrote:

>Ketac CEMENT for crown and bridge was a culprit for many years, but we found
>out it was technique. We were seating them too hard (see "cementing and re
>cementing above), we were drying the tooth too much or cement leaked out
>from the margin and never set causing post op sensitivity. It is sort of
>like the dycal story. When we all started doing composites, we carefully
>covered all the dentin with dycal or something like the vitrebond so no acid
>would get on the tubules.

Exactly!

Before we had "Total Etch" VitreBond was considered essential. Now,
like much other dogma in science, it has been disproven!


>Then the Japanese and Kanca and Bertolloti showed
>us direct etch was LESS post op sensitivity. Now we do direct pulp caps by
>etching the exposure, placing a one step etch and prime and place flowable
>composite RIGHT ON TOP of it and no post op sensitivity AND the research
>shows clearly better results than dycal,

Up to here I am with you. On the opposite side, there is much research
that confirms the opposite ........ the issue is calcium hydroxide, or
mineral trioxide aggregate versus adhesion dentistry for exposures
...... not settled yet!

--
Joel M. Eichen, D.D.S.
Philadelphia PA

www.phillyducks.com
We’re Just A Duck Call Away!


STANDARD DISCLAIMER applies ~
meaning no one IN PENNSYLVANIA
has seen the tooth or teeth in
question so take this advice in
proper context ~ its the internet!

We is guessin'!

WB

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Jul 9, 2003, 10:35:03 PM7/9/03
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Do you really advocate direct pulp capping ?

5 year survival rates available ?

Sorry docs, if I see the pulp it's time to get the endo kit.
Will probably get some differing opinions on this but am
willing to hear the rationale for capping a
*carious/pathologic* exposure.

I can agree if there is a very small mechanical exposure.
But I see many teeth that already are suffering from pulpal
constriction and pulpal atrophy that are on the verge of
complete necrosis with just one more trauma.

WB

On Wed, 09 Jul 2003 21:13:56 GMT, "fmn" <nels...@citlink.net> wrote:

fmn

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Jul 10, 2003, 1:15:55 AM7/10/03
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"Joel M. Eichen D.D.S." <joele...@yahoo.com> wrote > >Then the Japanese

and Kanca and Bertolloti showed
> >us direct etch was LESS post op sensitivity. Now we do direct pulp caps
by
> >etching the exposure, placing a one step etch and prime and place
flowable
> >composite RIGHT ON TOP of it and no post op sensitivity AND the research
> >shows clearly better results than dycal,
>
> Up to here I am with you. On the opposite side, there is much research
> that confirms the opposite ........ the issue is calcium hydroxide, or
> mineral trioxide aggregate versus adhesion dentistry for exposures
> ...... not settled yet!

If you just said calcium hydroxide vs adhesive dentistry would you still
disagree?
fmn
>
>
>
>


fmn

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Jul 10, 2003, 1:16:39 AM7/10/03
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I agree with you. I should have said mechanical exposure only.
fmn
"WB" <no_...@nowhere.net> wrote in message
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John Chewter

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Jul 10, 2003, 3:43:48 AM7/10/03
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Diagnodent
Laser method for finding Caries - Much better than the Mark I Eyeball.
Brilliant tool!

Digital X-Radiography
Faster (no film to develop), safer (lower doses) and environmentally better
(no chemicals). Digital inovative methodology to greatly highlight subtle
ditail invisible for film. Like the application I wrote; Plug Plug
www.keyneimage.fr.st ;)


"fmn" <nels...@citlink.net> wrote in message

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Joel M. Eichen D.D.S.

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Jul 10, 2003, 6:04:59 AM7/10/03
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Hi Frank,

I have seen studies supporting the preference of calcium hydroxide
over the bonding procedure for exposures. However, I am sure there are
studies supporting the reverse.


Time will tell ,,,, I am still awaiting the results of more studies
....

Joel

--

Joel M. Eichen D.D.S.

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Jul 10, 2003, 6:05:55 AM7/10/03
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This is my impression also ........

If its exposed, it will almost always require root canal therapy!


Joel

--

WB

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Jul 10, 2003, 9:55:42 AM7/10/03
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While you are waiting pulps are dying !
Meanwhile, I am already finished with the endo.

8^]]

ares

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Jul 10, 2003, 11:14:36 AM7/10/03
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That what gets me confused; I think I've seen articles that are still
avoiding etching the dentin; I took Bertollotti's course too, and heard the
most important thing is a good seal on the restoration. I don't have alot
of problems with restoration sensitivity that I know of; sometimes class V's
or deep restorations will have a problem, but rarely class III's.
ares


"Joel M. Eichen D.D.S." <joele...@yahoo.com> wrote in message
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fmn

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Jul 10, 2003, 4:11:39 PM7/10/03
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So how can we decide, oh my goodness, oh my goodness.....
fmn
"Joel M. Eichen D.D.S." <joele...@yahoo.com> wrote in message
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fmn

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Jul 10, 2003, 4:14:49 PM7/10/03
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My biggest worry has been class II's and believe it or not, class I's! Have
you heard of the "C" factor? the more walls, the more likely to have
shrinkage problem and ironically the way we stack class II, although more
time consuming, less walls to pull toward, therefore less shrinkage.
My current opinion seems to fit with the thoughts that hydrolic pressure of
cure at the exposed dentin floor without a liner is the usual culprit
especially if class I and you are surprised it is sensitive (not real
deep,etc)

fmn
"ares" <ar...@verizon.net> wrote in message
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fmn

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Jul 10, 2003, 4:20:03 PM7/10/03
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YES! I just bought one. I think we can all figure out with experience
which ones are really cavities, but it removed stress and mind space and, I
think perhaps more importantly, it is an ACCURATE, no hype tool that gives
some concrete to the patient rather than just trust. Since I have been
using it about 4 months or so, NOT ONE patient has wanted to delay fixing
the +30 cavities. I guess it wasn't my charming personality they came for.
I truly believe they trust me, but the Diagnodent becomes undeniable rather
than just a doc's opinion.

I personally believe it should be used in dental schools as a teaching tool
to show the pitfalls of explorer cavity diagnosis. For instance, heavily
flourosed (is that a word?) teeth get pretty decayed before it shows up on
the xray or sticks.

bottom line, the diagnodent has occasionally surprised me on the ones I was
going to "watch" how deep they actually were. Rarely did it surprise me the
other way.
fmn
"John Chewter" <HahaNo...@f9.co.uk> wrote in message
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fmn

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Jul 10, 2003, 4:21:02 PM7/10/03
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Now you age helps us all. Do you remember cases on a really long term
patient that you did a DPC on a mechanical exposure and it never needed endo
that you you recall?
fmn

"Joel M. Eichen D.D.S." <joele...@yahoo.com> wrote in message
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Dr. Steve

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Jul 10, 2003, 9:49:50 PM7/10/03
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1) digital dental records
**includes things like digital radiography, digital notes, voice
recognition software, digital imaging, electronic claims, electronic patient
statements, etc.
2) Cerec
3) NTI
4) Monodonts
5) Tie-bows
6) Non-etch bonding agents
7) being able to return to Patterson for credit all my old crown-prep
diamonds, para-posts, minim pin sets, impression materials, temporary crown
material, boxes of misc. cements
8) rotary endo
**Yeah, WB convinced me to order the kit next month.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`


"fmn" <nels...@citlink.net> wrote in message
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WB

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Jul 10, 2003, 9:46:35 PM7/10/03
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On Thu, 10 Jul 2003 21:49:50 -0400, "Dr. Steve"
<smancus...@home.msen.com> wrote:

>8) rotary endo
> **Yeah, WB convinced me to order the kit next month.


8^]]

How did I know that ?

Hmmmm....

Dr. Steve

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Jul 10, 2003, 10:22:14 PM7/10/03
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Don't be so smug. I may ask you to tutor me on it.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`

"WB" <no_...@nowhere.net> wrote in message

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WB

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Jul 10, 2003, 11:12:39 PM7/10/03
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On Thu, 10 Jul 2003 22:22:14 -0400, "Dr. Steve"
<smancus...@home.msen.com> wrote:

>Don't be so smug. I may ask you to tutor me on it.


I thought you'd never ask.

Glad to be of service to you.

Joel M. Eichen D.D.S.

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Jul 11, 2003, 6:28:31 AM7/11/03
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On Thu, 10 Jul 2003 21:49:50 -0400, "Dr. Steve"
<smancus...@home.msen.com> wrote:

>1) digital dental records
> **includes things like digital radiography, digital notes, voice
>recognition software, digital imaging, electronic claims, electronic patient
>statements, etc.
>2) Cerec
>3) NTI
>4) Monodonts
>5) Tie-bows

REPLY:

I thought Tie-Bow was an exercise program .....

I know Bow-Ties too ........ there are excellent with groats!


>6) Non-etch bonding agents
>7) being able to return to Patterson for credit all my old crown-prep
>diamonds, para-posts, minim pin sets, impression materials, temporary crown
>material, boxes of misc. cements
>8) rotary endo
> **Yeah, WB convinced me to order the kit next month.

--

Dr. Steve

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Jul 11, 2003, 11:16:02 AM7/11/03
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Expect to hear from me regarding this in the next 4-8 weeks.

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.
drs...@home.msen.com
Troy, Michigan USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................
Please remember to ignore j..d...
~~~~~~~~~`````````````########


"WB" <no_...@nowhere.net> wrote in message

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WB

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Jul 11, 2003, 2:24:15 PM7/11/03
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On Fri, 11 Jul 2003 11:16:02 -0400, "Dr. Steve"
<drs...@home.msen.com> wrote:

>Expect to hear from me regarding this in the next 4-8 weeks.


You betcha !

Are you considering attending Dr. Endo's course ?

Will advise you on any info you need.

WB

DrCnBseen

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Jul 11, 2003, 2:59:29 PM7/11/03
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<< Subject: True breakthroughs in dentistry in the last 10 years
From: "fmn" nels...@citlink.net
Date: Tue, Jul 8, 2003 2:52 PM
Message-id: <SpEOa.2$zQ...@news02.roc.ny>


I remember a instructor saying a breakthrough in dentistry can be claimed if
the technique or product is still around in a decade or two from now.

<<1. Fuji IX reinforced, precapsulated glass ionomer to replace the use of IRM
in my use as well as good "bondo" material to patch up a lot, as well as
post cementation.>>

Haven't tried it yet, still using fuji ii lc capsules (nice polish) although
Fuji tends to make real nice products.

<<2. Flowable composite making microdentistry practical>>

also probably one of the major reasons for decreased post op sensitivity with
composites

<<3. Air Abrasion>>

It may always have a small niche but with the advent of specialty burs like the
ssw fissurotomy burs, self limiting caries removal burs and the declining cost
of lasers, i'm not sure it will be around in great numbers 10 years from now.

<<4. NTI>>
No comment

<<5. Cad Cam (Cerec III not 1 and 2-essentially a software breakthrough to
complete the package) When it becomes more affordable up front, we will see
it's use or if they were to market it like Panoramic Corp where you start
paying per xray.>>

I agree if this happens. Certainly the equipment has improved. Cost continues
to be an impedment. Also how do you handle fixed partial prostheses?

<<6. Cordless impression techniques>>

?, please elaborate.

<<7. Pressable ceramics for esthetic beauty and metamerism>>

they just past the decade test. certainly what you say is true. however some
are not around anymore witness empress 2. also some limitations due to stump
shade color and high stress areas.


<<Notice I didn't put digital radiography and intraoral imaging, vinyl
impression materials, or>>

how come?

Stan

Joel M. Eichen D.D.S.

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Jul 11, 2003, 3:25:29 PM7/11/03
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Real breakthrough" Horseless carriage ........" or just a passing fad?

--

Dr. Steve

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Jul 11, 2003, 11:27:21 PM7/11/03
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I have been rather lacking in free time at the office. [Notice that most of
my SMD posts have been coming from this machine at home?] So,,,,,,, I have
not reviewed the dates yet. But, I am considering it. I am trying to
justify a trip to Washington, D.C. If I get 3 tickets, I know the family
will approve.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`

"WB" <no_...@nowhere.net> wrote in message

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Dr. Steve

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Jul 11, 2003, 11:31:30 PM7/11/03
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>
> <<5. Cad Cam (Cerec III not 1 and 2-essentially a software breakthrough to
> complete the package) When it becomes more affordable up front, we will
see
> it's use or if they were to market it like Panoramic Corp where you start
> paying per xray.>>
>
> I agree if this happens. Certainly the equipment has improved. Cost
continues
> to be an impedment. Also how do you handle fixed partial prostheses?
>
Sorry to sound like a broken record..... I had a close buddy and his
brother at the office this evening. One is a Chiropractor and the other an
electrical engineer. We were discussing why most dentists do NOT have Cerec
machines. I told them my monthly bill for the Cerec was $1,700 and the lab
bill it displaces is $3-4K. They instantly agreed that the machine did not
cost the office anything at all, it was better than free. It saved more
money each month than it cost to obtain.


WB

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Jul 11, 2003, 11:49:40 PM7/11/03
to
On Fri, 11 Jul 2003 23:27:21 -0400, "Dr. Steve"
<smancus...@home.msen.com> wrote:

>I have been rather lacking in free time at the office. [Notice that most of
>my SMD posts have been coming from this machine at home?] So,,,,,,, I have
>not reviewed the dates yet. But, I am considering it. I am trying to
>justify a trip to Washington, D.C. If I get 3 tickets, I know the family
>will approve.

Reckoned that you were 'catching up'.

Of course you could always opt for the private one-on-one seminar.
Can get Dr. E to oblige us.


WB

FMN

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Jul 12, 2003, 3:46:52 AM7/12/03
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You know, #7 is downright mean!
fmn
"Dr. Steve" <smancus...@home.msen.com> wrote in message
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FMN

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Jul 12, 2003, 3:48:51 AM7/12/03
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Yeah, but the operative words there were you were talking to a chiropractor
and an engineer.....

fmn
"Dr. Steve" <smancus...@home.msen.com> wrote in message
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FMN

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Jul 12, 2003, 4:04:10 AM7/12/03
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see comments in text::
"DrCnBseen" <drcn...@aol.com> wrote in message
news:20030711145929...@mb-m14.aol.com...

> << Subject: True breakthroughs in dentistry in the last 10 years
> From: "fmn" nels...@citlink.net
> Date: Tue, Jul 8, 2003 2:52 PM
> Message-id: <SpEOa.2$zQ...@news02.roc.ny>
>
>
> I remember a instructor saying a breakthrough in dentistry can be claimed
if
> the technique or product is still around in a decade or two from now.
Thats a good standard

>
> <<1. Fuji IX reinforced, precapsulated glass ionomer to replace the use of
IRM
> in my use as well as good "bondo" material to patch up a lot, as well as
> post cementation.>>
>
> Haven't tried it yet, still using fuji ii lc capsules (nice polish)
although
> Fuji tends to make real nice products.

Fuji IX is just a little thicker and I think tougher than fuji II and it
polishes quite nicely too


>
> <<2. Flowable composite making microdentistry practical>>
>
> also probably one of the major reasons for decreased post op sensitivity
with
> composites

Agreed, and I still don't fully understand how we can not lift it from the
bottom of the box form when curing, but if thin enough, it seems to work.

>
> <<3. Air Abrasion>>
>
> It may always have a small niche but with the advent of specialty burs
like the
> ssw fissurotomy burs, self limiting caries removal burs and the declining
cost
> of lasers, i'm not sure it will be around in great numbers 10 years from
now.

Yes, I just saw a different water/laser product at the Calif convention that
is dual hard and soft tissue laser and cheaer than the waterlase. The
problem still is the noise and violence of the water.
>
> <<4. NTI>>
> No comment
no use or don't agree??


>
> <<5. Cad Cam (Cerec III not 1 and 2-essentially a software breakthrough to
> complete the package) When it becomes more affordable up front, we will
see
> it's use or if they were to market it like Panoramic Corp where you start
> paying per xray.>>
>
> I agree if this happens. Certainly the equipment has improved. Cost
continues
> to be an impedment. Also how do you handle fixed partial prostheses?

by doing more and more implants and less and less bridges and partials


>
> <<6. Cordless impression techniques>>
>
> ?, please elaborate.

Moritas (and others) laminar technique of super hard prelim impression
(double bite) at least 90 hardness like blue mousse by parkell or vanilla
mousse splash. place light bodied vinyl material in the tooth prepped only
and reseat. A variation is take this impression, take it out, drill holes
in the buccal into the prep on both mesial and distal, place back in mouth
and inject into one of the holes until it comes out the other hole (with the
sulcular fluid, blood, etc also coming out the hole)
The new injectable paste with aluminum sulfate (I forgot the name of it)
works pretty well if you do currettage preps.
the first isn't really a breakthrough, just a different way to use new
materials. The 2nd might end up staying.

>
> <<7. Pressable ceramics for esthetic beauty and metamerism>>
>
> they just past the decade test. certainly what you say is true. however
some
> are not around anymore witness empress 2. also some limitations due to
stump
> shade color and high stress areas.

Really, like Cerec, we will still get our best results when we see the
pressable ceramic, procera, etc as a non metallic base that we place a low
fusing porcelain on for now so we can get the beauty we want. I just like
how Empress always has looked (layered with the porcelain) I agree that
Empress II was a bomb and some of the resins.


>
>
> <<Notice I didn't put digital radiography and intraoral imaging, vinyl
> impression materials, or>>
>
> how come?

Real answer? because I don't have digital radiography yet. It probably
deserves to be considered a breakthrough from film based xrays.
as far as intraoral imaging, It has limited uses in my mind when I have a
good digital camera, but admittedly, I haven't used mine as much as I
should,
the only reason I mentioned impression material is that I think hydrocolloid
is still the most accurate. As far as lab shipping, repourability and
convenience, it probably would classify as a breakthrough.
fmn
>
> Stan
>


Joel M. Eichen D.D.S.

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Jul 12, 2003, 6:49:30 AM7/12/03
to
It does not eliminate the monthly lab bill if you are doing anterior
restorations. Let's also note that the Cerec restorations are one
block of porcelain which is but one color.

What about firing the "ground or milled" porcelain?

Joel

Joel

--

John Chewter

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Jul 12, 2003, 9:09:13 AM7/12/03
to
Next generation Xray enhancements will knock your socks off.

"fmn" <nels...@citlink.net> wrote in message
news:SpEOa.2$zQ...@news02.roc.ny...
> Add to the list as you think:
>

> 1. Fuji IX reinforced, precapsulated glass ionomer to replace the use of
IRM
> in my use as well as good "bondo" material to patch up a lot, as well as
> post cementation.
>

> 2. Flowable composite making microdentistry practical

> 3. Air Abrasion
> 4. NTI

> 5. Cad Cam (Cerec III not 1 and 2-essentially a software breakthrough to
> complete the package) When it becomes more affordable up front, we will
see
> it's use or if they were to market it like Panoramic Corp where you start
> paying per xray.

> 6. Cordless impression techniques


> 7. Pressable ceramics for esthetic beauty and metamerism
>
>

WB

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Jul 12, 2003, 10:15:59 AM7/12/03
to

I despise doing business with Patterson.

On Sat, 12 Jul 2003 07:46:52 GMT, "FMN" <nels...@citlink.net> wrote:

>You know, #7 is downright mean!
>fmn
>"Dr. Steve" <smancus...@home.msen.com> wrote in message
>news:vgs5h16...@corp.supernews.com...

>> 7) being able to return to Patterson

WB

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Jul 12, 2003, 10:18:34 AM7/12/03
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On Sat, 12 Jul 2003 07:48:51 GMT, "FMN" <nels...@citlink.net> wrote:

>Yeah, but the operative words there were you were talking to a chiropractor
>and an engineer.....
>fmn


Hey! Engineers ain't so bad.

Dr. Steve

unread,
Jul 12, 2003, 11:47:48 AM7/12/03
to
My point was that, as businessmen, it only made sense to buy the machine.
We are talking about normal business decisions based on cost analysis.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`


"FMN" <nels...@citlink.net> wrote in message
news:D3PPa.340$w6...@news02.roc.ny...

Dr. Steve

unread,
Jul 12, 2003, 11:52:06 AM7/12/03
to
If you get a telephone call from the local district manager of Patterson, it
is because of me.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`

"WB" <no_...@nowhere.net> wrote in message

news:v960hv43po41ddu82...@4ax.com...

Dr. Steve

unread,
Jul 12, 2003, 12:03:17 PM7/12/03
to

> Real answer? because I don't have digital radiography yet. It probably
> deserves to be considered a breakthrough from film based xrays.
> as far as intraoral imaging, It has limited uses in my mind when I have a
> good digital camera, but admittedly, I haven't used mine as much as I
> should,
> the only reason I mentioned impression material is that I think
hydrocolloid
> is still the most accurate. As far as lab shipping, repourability and
> convenience, it probably would classify as a breakthrough.
> fmn


Frank,

Come to Detroit for a day. Sit on the left side of the dental chair for one
or two Cerec's. See what we do with DIGITAL DENTISTRY in its full
expression. You may have to see this in person to get the total
understanding. The degree to which you can improve the quality of care you
deliver and save money at the same time, is amazing. See what can be
visualized on a digital radiograph, check out how the intra-oral camera
functions almost like an operating microscope (virtually same level of
magnification), look at the kind of marginal accuracy I can get from a
machine, and discover why the concept of 2-3 mm of ferrule is junk. Let me
show you how you can get just as much predictability as a gold crown while
maintaining the normal flexibility of a tooth and saving 4-5 mm of solid
tooth structure. Giving up on the ferrule idea, would eliminate many of the
abfraction lesions creating the ditched out margins on full coverage gold
and PFM crowns.

Ask WB if you should come or not.

Steve


WB

unread,
Jul 12, 2003, 11:56:47 AM7/12/03
to
On Sat, 12 Jul 2003 11:52:06 -0400, "Dr. Steve"
<smancus...@home.msen.com> wrote:

>If you get a telephone call from the local district manager of Patterson, it
>is because of me.


OK
Thanks.

WB

unread,
Jul 12, 2003, 12:06:41 PM7/12/03
to

Absolutely you should go. Dr. M's training course is worth
!*much*!*much*! more that the cost of airfare + hotel.

Mark & Steven Bornfeld DDS

unread,
Jul 12, 2003, 12:33:59 PM7/12/03
to

John Chewter wrote:

> Next generation Xray enhancements will knock your socks off.

I like my socks right where they are, thank you very much!
le misanthrope

--
Mark & Steven Bornfeld DDS
Brooklyn, NY
718-258-5001
http://www.dentaltwins.com


FMN

unread,
Jul 13, 2003, 2:34:50 AM7/13/03
to
OK, you convinced me. I'll plan the trip soon. BTW, I am now a proud
grandfather of a beautiful baby girl. This is my second. Born yesterday.

fmn
"Dr. Steve" <smancus...@home.msen.com> wrote in message
news:vh0bt49...@corp.supernews.com...

John Chewter

unread,
Jul 13, 2003, 3:06:22 AM7/13/03
to
Anybody here want to try my X-Ray / IntraOral Software?
It is nothing like anything I saw yet in the market.
Its release next week.

I could use some more Dentist feedback?


"Mark & Steven Bornfeld DDS" <born...@dentaltwins.com> wrote in message
news:3F103877...@dentaltwins.com...

Joel M. Eichen D.D.S.

unread,
Jul 13, 2003, 4:16:10 AM7/13/03
to
Sure John!

--

Tm n Kat

unread,
Jul 13, 2003, 9:01:11 AM7/13/03
to
Qh, congratulations. Grandkids are the best. Kathy J
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~>Subject: Re: True breakthroughs in dentistry in
the last 10 years
>From: "FMN" nels...@citlink.net
>Date: 7/13/2003

Dr. Steve

unread,
Jul 13, 2003, 10:04:40 AM7/13/03
to
Let me know and we will make all the arrangements at this end.

CONGRATULATIONS ! ! ! ! ! ! ! ! ! ! ! ! Another 20 years or so, and I may
know what that feels like.
Please send a photo when you have the opportunity. A family picture with
the baby would be preferred.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`


"FMN" <nels...@citlink.net> wrote in message
news:e47Qa.17038$fW3....@news01.roc.ny...

Dr. Steve

unread,
Jul 13, 2003, 10:05:13 AM7/13/03
to
Tell me why it is any different.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`


"John Chewter" <HahaNo...@f9.co.uk> wrote in message
news:ber0de$t5r$1...@hercules.btinternet.com...

WB

unread,
Jul 13, 2003, 1:23:44 PM7/13/03
to

Sure sounds interesting.

WB

On Sun, 13 Jul 2003 07:06:22 +0000 (UTC), "John Chewter"
<HahaNo...@f9.co.uk> wrote:

John Chewter

unread,
Jul 13, 2003, 6:33:37 PM7/13/03
to
Ok I will put some links up tomorrow for the manual, some video clips of 3D
for those without 3D cards and a working version.

Thanks

John


"WB" <no_...@nowhere.net> wrote in message

news:4o53hv4p849hn7s0k...@4ax.com...

fmn

unread,
Jul 14, 2003, 1:14:56 PM7/14/03
to
Count me in.
fmn

"John Chewter" <HahaNo...@f9.co.uk> wrote in message
news:ber0de$t5r$1...@hercules.btinternet.com...

John Chewter

unread,
Jul 14, 2003, 6:30:29 PM7/14/03
to
Hi some files and links for you to play around with as promised.
New generation x-ray software try-out
All feedback apreciated.

Notes.

The software (optionally) uses 3D technology to dramatically enhance 2D
data.
This software uses 3D acceleration for some of its more advanced features
and modern games cards work best. IE NVidia/ATI

It will capture from twain based x-ray film (or other) scanners and some
x-ray sensors (twain) more are planned to be added soon.

It requires DirectX 8.1 minumum DX9 works fine also. GF3 / 4 for best
results - these are quite cheap these days. These cards will render 3D views
at 70 frames/sec +

For best results make sure you have up to date drivers.

The video section should work with any VFW or WDM capture card / web cam.
If you have a Haupagugge Card - their WDM driver (new download) is a great
improvement.

The Big Download is about 14 MB and includes the manual and three variants
of the software.
www.btinternet.com/~john.chewter/keyneimagedemo.zip

Manual-Only download is here: www.btinternet.com/~john.chewter/KI_Help.zip
4.4MB

I have demo videos on the CD but this clip is a short one showing the use of
3d light to highlight 2D detail. 7 MB I can put up some 30mb vids if anyone
wants to see them.

www.btinternet.com/~john.chewter/video3.mpg 7MB

Enjoy and drop me an email with some comments?
This is a 'just before release' so their may be a bug or two lurking.

I would be most interested in knowing what you think its market price should
be and what you would like in the next version. We have fixed the pricing
but some feed back (expectation) would be very useful.

jo...@chewter.f9.co.uk


Dr. Steve

unread,
Jul 14, 2003, 10:57:38 PM7/14/03
to
I get run-time error -53 trying to start the demo software. Is this a
problem with my video card?

I can scroll through the help files. Most of what I see there, can be done
with my present software. Only the elaborate 3D effects are different. Not
being able to rotate the images here and see it from different angles, I
cannot comment as to whether or not this feature has any value to me.

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`

"John Chewter" <HahaNo...@f9.co.uk> wrote in message

news:bevau5$jb3$1...@hercules.btinternet.com...

John Chewter

unread,
Jul 15, 2003, 1:54:29 AM7/15/03
to
No sorry - its 'File not found' - sorry for the inconvenience something
missing from the distribution - I will have that fixed in a few hour.

The Accented View, Discoverer tool, Advanced Discoverer view and 3D are all
new and usually gets a strong positve reaction. As three of those are
dynamic effects its doesnt show very well in a 2D reduced screen shot..


"Dr. Steve" <smancus...@home.msen.com> wrote in message

news:vh6qvsl...@corp.supernews.com...

John Chewter

unread,
Jul 15, 2003, 8:00:54 AM7/15/03
to
OK I changed the program - small file path error.
Uploaded it.

@steve Im emailing you a very small unlocker and replacement executables as
the copy protection will have fired. Sorry for the inconvenience - but
thanks for finding it.

Best regards

"John Chewter" <HahaNo...@f9.co.uk> wrote in message

news:bf04ul$n5i$1...@hercules.btinternet.com...

Dr. Steve

unread,
Jul 15, 2003, 10:59:56 PM7/15/03
to
Hi John,

thanks for the effort. The software seems nice. The icons are not
ergonomically arranged for me, but that is probably just because I am so
used to Eaaglesoft Imaging. Your program seems to do most of what Eaglesoft
does. I have found the 3D effects to be interesting to patients, but rather
useless for diagnosis. I don't know what programs are available in Europe.
Yours does many of the enhancements we use. Eaglesoft has an icon which is
both a brightness and contrast button at the same time. I find this and the
magnifier the most useful tools. The combination button changes brightness
as I drag the mouse vertically across the screen and contrast as I drag it
horizontally. I can move the cursor around the image and keep changing the
brightness and contrast while searching for subtle changes.

How do you template a group of images with your software? Say for instance,
4BWx or a FMx?

--
=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+
Stephen Mancuso, D.D.S.
sma...@home.msen.com
~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`~`


"John Chewter" <HahaNo...@f9.co.uk> wrote in message

news:bf0qdm$on3$1...@hercules.btinternet.com...

John Chewter

unread,
Jul 16, 2003, 3:08:03 AM7/16/03
to
Hi Steve thanks for taking the time to view the application and for the
comments.

"Dr. Steve" <smancus...@home.msen.com> wrote in message

news:vh9fg5g...@corp.supernews.com...
> Hi John,


> I have found the 3D effects to be interesting to patients, but rather
useless for diagnosis.

This is its primary purpose - explaining the situation and treatment plans
to patients.
It contains the same information as the original x-ray. It is just a
dramatic and hopefully easier to understand (for patients), view of it.
It takes a while to become used to its subtleties but some dentists in out
test group reported it to be useful in diagnosis,
after an initial accustomisation phase, especially when the camera it
looking across the landscape from close to the surface and hairline cracks.

As you will have seen the magnification acheived by moving the camera in -
can be many hundreds.

> Eaglesoft has an icon which is both a brightness and contrast button at
the same time.

We took a different approach - our beta testers - didn't find anything
useful by
adjusting brightness/contrast/gamma/changing color palletes that could not
be easily seen from our other views
(discoverer and advanced discoverer tools) - so they were removed for
simplicity of use.

The new tools can take a little adjusting to but we found that new x-ray
software users had less problem as I guess
the learning curve is different.

Out maginifier tool works quite differently and is not a simple zoom as can
be seen from the lack of 'jaggies'.

> How do you template a group of images with your software? Say for
instance,
> 4BWx or a FMx?

Coming in the next version along with a lot more stuff.

Thanks again for the feedback.

John


Dr. Steve

unread,
Jul 16, 2003, 7:27:05 AM7/16/03
to
You are welcome,,,,,, and thanks for letting me peek at your product.

--
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Stephen Mancuso, D.D.S.
drs...@home.msen.com
Troy, Michigan USA
+_+_+_+_+_+_+_+_+_+_+_+_+_+_+_+
This posting is intended for informational or conversational purposes only.
Always seek the opinion of a licensed dental professional before acting on
the advice or opinion expressed here. Only a dentist who has examined you
in person can diagnose your problems and make decisions which will affect
your health.
......................
Please remember to ignore j..d...
~~~~~~~~~`````````````########


"John Chewter" <HahaNo...@f9.co.uk> wrote in message

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