Monthly Archives: January 2020

Direct from the Operatory: Cementation Made Simple

By Dr. Marty Zase

Pulpdent’s dual-cure ACTIVA BioACTIVE-CEMENT is a game changer. As a bioactive product, the cement not only is a superb adhesive agent but also mimics nature and utilizes saliva as a source of minerals to aid in the natural development of crystalline structure by recharging calcium, phosphates and fluoride along the margins of the crown. These apatite-like deposits fill microgaps between the crown and tooth and can help maintain marginal integrity over time. Although the use of bonding agents is stated as optional, I routinely use them on the etched and remoistened tooth preparation. The success of adhesion with this technique is at least partially due to the inclusion of a highly phosphonated eighth generation bonding agent containing MDP, which matches extremely well with Activa’s highly phosphonated resin. This means adhesion is predictable and ideal. Flow is excellent and cleanup is a breeze.

Shows crown preparation ready for cementation
Shows gel stage

The details of my procedure for cementing with Activa cement are:

1. Clean and sandblast the intaglio surface of the crown.

2. Etch the tooth, remoisten with Microprime G (Danville/Zest), apply AllBond Universal (Bisco) but do not cure. Place ACTIVA BioACTIVE-CEMENT in the crown (no need to overfill).

3. Insert the crown. Check margins with an explorer to confirm full seat. ACTIVA BioACTIVE-CEMENT is so flowable, I just have to insert the crown, press down, and hold for two minutes. After two minutes, the ACTIVA BioACTIVE has now self-cured into a semi-solid (gel stage).

4. Tack cure for just 1-2 seconds in each direction after the gel stage is reached. Use an interproximal carver to slice off excess from tack-cured gel stage. Slicing off the excess prevents pulling out the cement that might be filling any slightly open gaps at the margin.

5. Use Glide floss (Oral-B) to slice through interproximal excess. Floss again … if there is resistance, use a ContacEZ white serrated separator (ContacEZ). Fully light cure all margins.

6. Use a sharp scaler to remove any leftover excess.

RESULTS: Very fast, minimal excess after trimming at gel stage, easy clean up.

I have not had a single crown come off after cementation.

Shows use of interproximal carver to slice off excess
Cemented crown after clean-up

About Dr. Marty Zase
Dr. Marty Zase received a B.A. from Boston University and his D.M.D. from Tufts University School of Dental Medicine.  A former clinical instructor in restorative dentistry at Tufts, he is guest lecturer in cosmetic dentistry. He has published over sixty dental articles, has served on the editorial or review boards of The Journal of Cosmetic Dentistry, Contemporary Esthetics, and General Dentistry magazines, and lectures internationally on cosmetic dentistry. 

He is one of only about a dozen dentists in the world to have both a Mastership from the Academy of General Dentistry and an Accreditation in Cosmetics from the American Academy of Cosmetic Dentistry. He practices in the Colchester Dental Group and is the only dentist in the greater Hartford area Accredited by the AACD. 

Dr. Zase has developed numerous techniques and instruments that are currently used in modern cosmetic dentistry.  He has been strongly recognized for his contributions to dentistry and dental education.  Dr. Zase has been selected by Dentistry Today magazine as one of the Top Clinicians in Dental Continuing Education for the last eleven years in a row. 

Dr. Howard Glazer Presents CE Webinar on Restorative Dentistry

Well-known dentist and educator Dr. Howard Glazer will present “Biomimicry Part II: The Evolution of Truly Restorative Dentistry Continues,” a Continuing Education (CE) webinar on February 12, 2020 at 8:00 PM ET/ 5:00 PM PT. This live webinar is free and open to the public.

Sign up for Dr. Glazer’s webinar.

This CE webinar continues the discussion of biomimicry and bioactivity in dental materials and their clinical applications, and will also introduce a new category restorative material. At the end of this CE webinar the participant will be able to understand the concept of biomimicry and the role of so-called bioactive materials that functionally replace those ions lost in the decay process, and will also be able to implement techniques for truly restoring a tooth. Participants will be more familiar with the materials available and how to best utilize them in various treatment modalities, especially for pediatric and geriatric populations. Techniques will be discussed so that the participant can readily and easily incorporate the materials into their restorative protocols. 

About Dr. Howard Glazer
Dr. Glazer is a Fellow and Past President of the Academy of General Dentistry, and former Assistant Clinical Professor in Dentistry at the Albert Einstein College of Medicine (Bronx, NY). He has been a visiting clinician at several universities around the country. He is a Fellow of the American College of Dentists; International College of Dentists; American Society for Dental Aesthetics, the American Academy of Forensic Sciences, and a Diplomate of the American Board of Aesthetic Dentistry. Dr. Glazer is an Attending Dentist at the Englewood Hospital (Englewood, NJ). Additionally, Dr. Glazer is the Deputy Chief Forensic Dental Consultant to the Office of Chief Medical Examiner, City of New York.

The Magic is Here!

Pulpdent has launched a new composite material that mimics tooth structure.* We are excited to introduce ACTIVA Presto, the first universal, stackable, light cure composite.

Click here to learn more about ACTIVA Presto.

In this video Dr. Howard Glazer and Larry Clark discuss the clinical benefits of ACTIVA Presto. “Look what you did! You gave me a single syringe,” says Dr. Howard Glazer, adding that ACTIVA Presto is “squirt and shoot technology. I’m loving it!”

*Please note that ACTIVA Presto is only available in the United States at this time.

Pulpdent 2020 Trade Show Calendar

Pulpdent will be an exhibitor at the following trade shows this year:

  • Yankee Dental Congress | January 30 – February 1 | Booth 1411
  • Chicago MidWinter Meeting |February 20-22 | Booth 3211
  • Pacific Dental Conference | March 5-7 | Booth 1711
  • Hinman Dental Meeting | March 19-21 | Booth 1523
  • Australian Dental Meeting – Sydney | March
  • Canadian Dental Association – Winnipeg | April 2-4
  • National Oral Healthcare Conference – San Diego | April 6-8 | Booth 23
  • IDEM – Singapore | April 24-26
  • Michigan State Meeting | April 29 – May 2
  • Ontario Dental Association | May 7-9 | Booth 521
  • Texas Dental Meeting | May 7-9
  • CDA Anaheim | May 14-16 | Booth 1733
  • Dental Expo – Auckland, NZ | May 20-22
  • SEOC – Valencia, Spain | May 21-23
  • AAPD – Nashville| May 21-23
  • JDQ | June 1-2
  • ADHA – New Orleans | June 12-14 | Booth 530
  • RDH – Denver | July 16-18 | Booth 929
  • AGD – Las Vegas | July 15-18
  • FDI – Shanghai | September 1-4
  • CDA SF | September 10-12
  • Virginia State Meeting | September 23-26
  • ADA/FNDC Orlando | October 15-18 | Booth 2409
  • Greater NY Meeting | November 29 – December 2

For more information on trade shows where Pulpdent will be an exhibitor, please contact sales@pulpdent.com.