March 9, 2017

Dentaltown Publishes 70-Year Recall

Dentaltown has published the longest case history ever reported in dental literature. The 70-year recall of a vital calcium hydroxide pulpotomy performed by Harold Berk, DDS in 1946 was reported in the February 2017 issue and appears online. The article shows the step-by-step technique for the surgical procedure.

Figure 1. Radiograph taken in 1946

Figure 2. Radiograph taken in 2016

Vital pulpotomy is the amputation of the coronal pulp tissue and placement of a pulpal dressing with the intention of maintaining the vitality of the radicular pulp. Dr. Harold Berk, a pioneer and early researcher in pulp biology and vital pulp therapy, reported on the 50-year recall of his first human pulpotomy (1996) in his book, Save That Tooth. Dr. Ali Maddahi saw the patient in 2016 and is the lead author of the 70-year report.

Dr. Berk is the inventor of Pulpdent Paste, the first premixed calcium hydroxide-aqueous methylcellulose pulpal dressing, widely used in vital pulp therapy and root canal therapy. He served on the faculty of Tufts University School of Dental Medicine from 1946-2005.

For more information on vital pulpotomy and the clinical use of Pulpdent calcium hydroxide products click here.  

February 15, 2017

Dr. Ramsey Reviews ACTIVA BioACTIVE-BASE/LINER and CEMENT

Dr. Christopher Ramsey sampled the ACTIVA BioACTIVE-BASE/LINER and CEMENT and sent a video with feedback to Larry Clark from Pulpdent. Ramsey, a general and cosmetic dentist from Florida, describes the ACTIVA BioACTIVE-BASE/LINER as “over the top,” noting that the product eliminates post-op sensitivity. Ramsey calls the cement an “all-in-one” and says units cemented with ACTIVA BioACTIVE are staying in place and show no signs of microleakage.

Meet Dr. Christopher Ramsey
About Dr. Christopher Ramsey
Dr. Christopher Ramsey was raised in Jupiter, FL and received his dental degree from Temple University School of Dentistry in Philadelphia, Pennsylvania. His dental practice, Ritter and Ramsey General and Cosmetic Dentistry, is located in his hometown and serves Palm Beach Gardens, Jupiter, North Palm Beach, and West Palm Beach, Florida. Dr. Ramsey is a member of several professional organizations, including the American Academy of Cosmetic Dentistry, and is a past president of The Florida Academy of Cosmetic Dentistry. He has published numerous articles in dental industry journals, including Journal of Implant and Reconstructive Dentistry (JIRD), Dentistry Today, Contemporary Esthetics, Signature, and Dental Products Report and is on the editorial review boards for the American Academy of Cosmetic Dentistry Journal and the Journal of Implant and Reconstructive Dentistry (JIRD).

January 30, 2017

ACTIVA Receives 2017 Top Bioactive Product Award

The Dental Advisor 2017 Top AwardACTIVATM BioACTIVE-RESTORATIVETM received the Top Bioactive Product Award from THE DENTAL ADVISOR for the second year running in 2017. Dentist evaluators were impressed with ACTIVA BioACTIVE’s delivery system and esthetics, especially for anterior restorations, and found it to be an “excellent material to use for restorations and cores.”

Unlike traditional restorative materials, ACTIVA BioACTIVE stimulates apatite formation at the tooth-material interface which reduces sensitivity, guards against secondary caries, and seals margins against microleakage and failure. The material is moisture-friendly and contains a shock-absorbing rubberized resin component, and bioactive glass fillers that mimic the physical and chemical properties of natural teeth. Over 2 million restorations have been placed with ACTIVA BioACTIVE-RESTORATIVE since the product was launched in 2013.

“To be considered for an award, products must receive an excellent rating by THE DENTAL ADVISOR, as well as stand out from all others in the market place,” said Dr. Sabiha Bunek, The Dental Advisor’s Editor-in-Chief. ACTIVA BioACTIVE responds to pH cycles and an evaluator for THE DENTAL ADVISOR noted that “having a good uptake of calcium, phosphate and fluoride ions is a huge plus.” (The Dental Advisor Evaluator Comments, Top Product 2017).

In 2015, The Dental Advisor rated ACTIVATM BioACTIVE-RESTORATIVETM as excellent, with 5 plus (+++++) and a 98% clinical performance rating after the first year of a long-term clinical trial of 96 restorations. “The material performed extremely well at one year.” (The Dental Advisor Clinical Evaluation, Nov 2015). Click here to view the full report.

ACTIVATM BioACTIVE is the first esthetic, bioactive restorative that delivers all the advantages of glass ionomers in a strong, resilient, bioactive resin matrix that resists fracture, chipping and crumbling. ACTIVATM‘s rubberized resin component is more durable and fracture resistant than composites.

ACTIVATM chemically bonds to teeth, and releases more calcium, phosphate and fluoride than glass ionomers. It contains no Bisphenol A, no Bis-GMA and no BPA derivatives.

January 3, 2017

Pulpdent Celebrates 70 Years of Dental Innovation

PULPDENT Corporation enters its eighth decade as the world leader in esthetic bioactive restorative dental materials and the company’s mission of saving teeth and promoting good health date back even further.

Pulpdent 70th AnniversaryBy the time he was eleven years old, Harold Berk had found his calling: dentistry. Years later he told his family that as a young boy he “wanted to fix children’s teeth.”

Born in 1917 to a family of Eastern European immigrants, Dr. Berk’s studies brought him to the Forsyth Dental Infirmary in Boston, MA where he conducted research on the use of calcium hydroxide in vital pulp therapy. In 1947 Dr. Berk started a company to manufacture and market his recently developed Pulpdent Paste, a premixed calcium hydroxide paste still used by dentists worldwide today. The company was eventually called PULPDENT Corporation in honor of Dr. Berk’s original product.

From the beginning, Pulpdent was guided by Dr. Berk’s “mission to save teeth and … help my patients live in comfort and smile with confidence.” In the 1970s, Dr. Berk’s three sons, Ken, Fred and Don, took over management and operations of the company. Dr. Berk continued to serve as a consultant while maintaining a busy dental practice and teaching at Tufts Dental School.

Dr. Berk understood nature’s healing powers and saw it as his responsibility “to create an environment that is favorable for the natural healing process.” Dr. Berk’s sons explored new ways to develop dental products that mimicked nature and supported oral health. A series of innovations over a period of fifteen years culminated in 2013 with Pulpdent’s launch of ACTIVA BioACTIVE, a dental filling material that behaves much like natural teeth. The material is “bioactive” meaning it stimulates the formation of apatite (the building blocks of teeth), chemically bonds to teeth and helps seal them against decay. ACTIVA BioACTIVE has received many awards, including top performance ratings from The Dental Advisor in 2016.

Pulpdent’s offices and manufacturing facilities are based outside of Boston, MA, just a few miles from where Dr. Berk practiced and taught dentistry. Two of Dr. Berk’s grandchildren, Lewis and Leah Berk, recently joined the company, ensuring it will remain family run for another generation.

Pulpdent celebrates its 70th anniversary this year with renewed commitment to product innovation, clinical education and patient-centered care. To commemorate this milestone, Pulpdent has launched Heroic Dentistry, a clinical case series that showcases clinicians who combine innovation and compassion to deliver life-changing results for their patients, which will be featured on the Pulpdent website.

Do you have a Heroic Dentistry case to share? Send your story to feedback@pulpdent.com.

January 3, 2017

Heroic Dentistry: Severe Autism, Rampant Caries and Strip Crowns

By Raymond Kimsey, D.M.D.

The Heroic Dentistry series celebrates oral health care providers who, like PULPDENT founder Dr. Harold Berk, have made it their mission to save teeth and help patients live in comfort and smile with confidence.   

Special needs patients often present unique challenges for the practitioner. This was the case with Daniel, who was 19 years old when he was referred to our office.

Daniel suffers from severe autism and its associated lack of speech, and he is further compromised by a seizure disorder.  His mother has had great difficulty finding a dentist who could treat him and was hopeful that I would be able to sedate him and treat his needs.

Daniel had no ability to communicate with me and was completely uncooperative.  With patience I was able to get a brief look in his mouth, which revealed severe caries. His mother confirmed that there was a lot of apple juice in his diet, and so one of the causes was obvious. We had a long discussion about diet as a major caries risk factor.

Figure 1

Figure 1: Shows rampant caries.

Considering these obstacles, I now had to devise a treatment plan. I would have to treat him as quickly as possible, for an affordable cost, with a material that would withstand stress and not contribute to rapid recurrent marginal caries. From my experience using strip crowns in primary dentition, I knew that they offered a fast, single appointment option that could both reduce cost and the risks of extensive anesthesia. I had to plan so that I could complete the treatment in one visit. Thinking ahead, I quickly made an upper anterior alginate impression.

Using the study model, I prepared and trimmed four strip crowns in advance of Daniel’s visit. On treatment day, I placed an IV with some difficulty and sedated him with midazolam. Even with IV sedation, I knew that I wouldn’t have much time.  The caries was very deep, but there were no exposures, so I removed the decay, treated the dentin with Pulpdent Desensitizer, placed a bonding agent, and filled the strip crown forms with ACTIVA BioACTIVE-RESTORATIVE

Figure 2

Figure 2: Decay is removed and teeth prepared for restoration.

Figure 3

Figure 3: Strip crowns were prepared in advance using a study model. The strip crowns are then filled with ACTIVA-BioACTIVE-RESTORATIVE, placed and light cured (not shown).

Why Activa? I have been using Activa for the past two years and knew that it would be the solution for several reasons. It is esthetic, durable, and its bioactive properties and marginal integrity are more resistant to recurrent caries than any other product. It is high strength, dual cure, and it flows nicely, so it is easy to fill and apply the strip crowns. The actual treatment time was remarkably fast for treating such severe disease. Daniels’s mother was simply delighted with the outcome.

Figure 4

Figure 4: Shows the final result with teeth restored with ACTIVA BioACTIVE-RESTORATIVE.

Daniel returned for a follow up the next week, and upon seeing me walk into the room, he began to smile! Although he could not express it verbally, he knew how much I had helped him. With proper planning, this seemingly impossible case had a gratifying outcome for both the patient and his family, and for me as well.

About Dr. Raymond Kimsey
Dr. Kimsey served on the staff of Miami Children’s Hospital for twenty years and maintains a private practice in Coral Gables, Florida. His specialties include implantology, anesthesia and IV sedation, and management of dental phobic patients and those with mental or physical developmental defects. He has made numerous humanitarian trips to provide dental care in remote areas of the Dominican Republic.