December 12, 2017

The Social Dentist Tip #1: Be Authentic and Friendly

Dr. Ryan McCall grew his Indiana-based dental practice by engaging new and existing patients through Facebook, Instagram, Snapchat and Twitter. In this series, The Social Dentist, Dr. McCall offers tips on how to market your dental practice using social media.

Be Authentic
People fear the dentist. More than almost any other profession, dentistry is looked upon as a necessary evil. Patients fear a visit to the dentist will end in pain, both physical and financial. We overcome this fear by representing ourselves and our work with openness, honesty and humility.

Authentic social media leads to higher conversion rates ̶-more followers, more clicks, and more appointments scheduled. Authenticity is palpable when you show gratitude and are committed to doing the right thing for your patients in a warm, friendly, inviting environment. 

Be real. I posted pictures on Instagram of my visit to Pulpdent’s research and manufacturing facility in Watertown, Massachusetts that featured a flying Bobby Orr. Go Bruins! Folks relate to that and feel comfortable. The fear quickly dissipates.  

Be friendly
We welcome everyone. Our goal on social media is to foster engagement, which includes responding to negative feedback. We focus on content that encourages potential patients to comment and ask questions. An attitude of AMA (Ask Me Anything) has led us to more shares, better engagement, and happier patients. New patients often reach out via social media with inquiries about pricing, insurance reimbursement, and treatment offerings. We respond in a timely manner and a cheerful tone.

Dr. Ryan McCall

About Dr. Ryan McCall
Dr. Ryan D. McCall was raised in Illinois. He received his BS in Biology and Chemistry from Indiana University and dental degree from the University of Illinois School of Dentistry. He maintains private practices in Indianapolis and Lebanon, Indiana.

December 4, 2017

Heroic Dentistry: Saving the Day for Judy

By Dr. Matthew Gilchrist

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. 

Judy was distraught. The loss of a large composite filling on her upper right lateral incisor left a gaping hole in her smile. She didn’t want her students, or anyone else, to see her this way, and she wanted an immediate repair before returning to school to teach her afternoon class.

Judy was concerned that same-day treatment might not be possible for this tooth. I shared her concern, but I had to find a solution, alleviate her emotional stress, and let her get back to work and life as usual.

Upon examination, I could see some secondary decay and a sub-gingival distal margin with a small amount of bleeding. We discussed several options. We could perform root canal treatment followed by a post and core and a crown, which might require crown lengthening. This would take one to two months at a cost of several thousand dollars or more. Another approach would be extraction followed by either an implant and crown, at considerable expense, or a more affordable removable partial denture. A third option would be a direct composite build up and restoration, and although the long-term prognosis might not be as favorable as for the other options, it could be done immediately.

Judy did not want to wait, so we seated her and got right to work. After administering anesthesia and cleaning out the decay, I chose to use ACTIVA BioACTIVE-RESTORATIVE over a traditional composite for several reasons. Isolation was difficult, especially at the distal margin. I needed to be able to hold the matrix in place with one hand and place the material with the other. ACTIVA’s injection delivery system would allow me to accomplish this very easily. I could also bulk fill quickly with ACTIVA in large increments, and not have to rely as long on the less than ideal matrix placement. This would be a great benefit.

I etched and bonded, and I built up the distal wall with ACTIVA and light cured the material. The material flowed nicely and seems to have an affinity to stay on the tooth and in the area where it is placed. I then continued to dispense ACTIVA to fill the tooth, and again light cured. There is no need for condensing, and the delivery system and the way the material handled allowed me to complete the procedure quickly and without an assistant.

Judy was thrilled when she looked in the mirror. In one short same-morning visit, she was smiling with confidence and was ready to walk back into the classroom without embarrassment.

ACTIVA is my material of choice for many restorations, but this particular case really demonstrates the ease-of-use and versatility of the material.  In addition to using the material for routine fillings, it provides me with a go-to material for the more heroic restorations that I attempt for my patients.

Figure 1. Pre-op periapical radiograph shows the extent of the decay and the sub-gingival nature of the distal margin.

Figure 2. Shows the tooth after caries excavation. Note the sub-gingival margin and bleeding on distal. A facial bevel was added for better seal and retention.

Figure 3. Another image of the tooth after caries excavation.

Figure 4. Shows MIDBL restoration with ACTIVA prior to doing a final polish. The tooth was etched and bonded prior to placing the material.

Figure 5. Another view of the ACTIVA restoration. To protect the large restoration, it was taken out of occlusion. Note the articulating paper marks on the adjacent teeth.

Dr. Matthew Gilchrist is a general dentist at Avenue Dental in Charlottetown, Prince Edward Island, Canada.  He graduated from Dalhousie University, Faculty of Dentistry, in 2008 and holds a Bachelor of Science degree from St. Francis Xavier University (2004).  Dr. Gilchrist resides in Stratford, PE with his wife and two children.

November 20, 2017

ACTIVA BioACTIVE Hands-On Demo by Dr. John Comisi at GNYDM 2017

Well-known dentist, dental educator and lecturer Dr. John Comisi will present three hands-on demonstrations of ACTIVA BioACTIVE on Sunday, November 26 at the Greater New York Dental Meeting. Dr. Comisi’s live hands-on demos will take place at Pulpdent booth #2212 at 11:00 AM, 12:00 Noon and 1:00 PM EST.

Click here for Greater New York Dental Meeting Special Promotions from Pulpdent.

An early adopter of bioactive materials, Dr. Comisi has written numerous articles and presented lectures at conferences worldwide on bioactive restoratives. In the interview below Dr. Comisi discusses the underlying science behind bioactive materials and their clinical implications.

About Dr. John Comisi
Dr. John Comisi is the president and CE of Sleep Focused Solutions and an assistant professor of the Medical University of South Carolina College of Medicine. He is a graduate of Northwestern University Dental School, a master of the Academy of General Dentistry, and a Scientific Advisory Board member of the Dental Biomaterials Science and Research Group. He holds Fellowships in the Academy of Dentistry International, the American College of Dentists, the Pierre Fauchard Academy, and the International College of Dentists.

November 11, 2017

ACTIVA BioACTIVE FAQ – Part 2

Fred Berk, Vice President of Pulpdent, answers some frequently asked questions about ACTIVA™ BioACTIVE and why it is set to revolutionize restorative dentistry.

Click here to read ACTIVA BioACTIVE FAQ – Part 1

How do ACTIVA and bioactive materials differ from passive materials?
Bioactive materials are moisture-friendly and have the ability to transport or store water, which is an essential requirement of bioactivity, because biochemistry only occurs in the presence of water. Bioactive materials can play a dynamic role in the mouth and respond to pH changes in the oral environment. They release and recharge their ionic components, providing teeth with the essential minerals they need to stay healthy. This makes them completely different from passive materials, such as traditional composites, which are hydrophobic, repel water, do not stimulate remineralization, and have no capacity for bioactivity. Traditional materials are designed to be neutral and do no harm, and as a result, they do not provide any benefits other than filling a space for function and esthetic purposes.

Why should a dentist switch to ACTIVA™ BioACTIVE? 
We are in the age of biomaterials. Dentists want to do what is best for their patients and their practice. Materials that mimic nature, behave favorably in the moist oral environment, neutralize conditions that cause dental caries, provide prevention benefits and maximize the potential for remineralization will become the standard of care. ACTIVA BioACTIVE materials are strong, esthetic and long-lasting, and offer a welcome alternative to traditional passive materials. In both public health and private practice, prevention is becoming the model for dental care, and ACTIVA BioACTIVE materials are ideally suited for this model.

How are ACTIVA and bioactive materials used clinically?
There are different categories of bioactive materials for various indications. Most are non-aesthetic materials used for endodontic purposes, as dentine replacement materials, or for cementation. These would include calcium-based materials, such as calcium hydroxide, calcium silicate (MTA) and calcium aluminate. ACTIVA™ BioACTIVE materials are the only aesthetic bioactive restorative materials. They are dispensed directly from the syringe like any flowable composite and can be used to restore all classes of cavities.

How does the dentist benefit from ACTIVA?
The greatest cost to a dentist is time. Materials represent only about 6 per cent of revenue in practice, and the cost of bioactive materials is comparable to passive materials. Meanwhile, the injection technique used with ACTIVA™ BioACTIVE takes a fraction of the time of placing a traditional composite.  In cases where there is sufficient retention form in the cavity preparation, ACTIVA™ BioACTIVE does not require a bonding agent, which saves considerable time and money. We are seeing cases that are more than four years old, and they look the same as they did the day they were placed. Dentists have observed that ACTIVA™ BioACTIVE has an affinity for tooth structure and “appears to melt into the tooth.”  This penetration and intimate adaptation to tooth structure has never been seen before with an aesthetic restorative resin material. The result is improved marginal integrity and long-term outcomes, and that means happy patients.

References

http://www.dentalproductsreport.com/dental/article/close-look-how-pulpdent-s-activa-bioactive-material-was-created?page=0,1. Accessed 23 August 2017

http://www.dentistryiq.com/articles/apex360/2017/04/activa-bioactive-the-story-behind-pulpdent-s-breakthrough-bioactive-restorative.html. Accessed 23 August 2017

 

About PULPDENT® Corporation 
PULPDENT® Corporation is a family-owned dental research, manufacturing company and leader in bioactive dental materials. ACTIVA BioACTIVE™, developed by PULPDENT, is a bioactive restorative material that behaves much like natural teeth and stimulates the formation of apatite (the building blocks of teeth), chemically bonds to teeth and helps protect against decay. PULPDENT celebrates its 70th anniversary this year with continued commitment to product innovation, clinical education and patient-centered care. To stay updated on bioactivity and learn about the Heroic Dentistry Series, which demonstrates ACTIVA’s unprecedented capabilities, visit the Pulpdent blog.

October 20, 2017

ACTIVA BioACTIVE FAQ – Part 1

Fred Berk, Vice President of Pulpdent, answers some frequently asked questions about ACTIVA™ BioACTIVE and why it is set to revolutionize restorative dentistry.

Click here to read ACTIVA BioACTIVE FAQ – Part 2

What is ACTIVA™ BioACTIVE?
ACTIVA™ BioACTIVE products from Pulpdent are aesthetic, dental restorative materials that behave in a manner similar to that of natural teeth. They are flowable, resin-based bioactive restoratives with the same indications as traditional and flowable composites, and syringe-dispensing provides ease of application. These innovative bioactive products stimulate the formation of hydroxyapatite and chemically bond to teeth, helping to seal them against secondary decay.

What are bioactive materials?
Bioactive dental materials imitate nature, play a dynamic role in the mouth and deliver the minerals teeth need to stay healthy. They are moisture-friendly materials that stimulate the natural remineralisation process with the release and recharge of beneficial ions, such as calcium, phosphate and fluoride. In the presence of saliva, they elicit a biological response that forms a layer of apatite and a natural bond at the material-tooth interface.

How was ACTIVA™ BioACTIVE developed?
ACTIVA™ BioACTIVE was developed over the course of almost 20 years. The mouth is a wet environment, but traditional dental resins are hydrophobic. We had a different idea and developed resin materials that are moisture tolerant and work favorably in the moist oral environment.

We looked at provisional materials and saw that acrylics and bisacrylics were brittle. We recognized that there was a need for more fracture-resistant materials. We synthesized a new molecule, which we patented, by splicing a synthetic rubber molecule into a diurethane dimethacrylate molecule. Studies consistently show that the addition of this molecule to a resin provides far greater toughness, fracture resistance, deflection at break, flexural strength, and flexural fatigue values than all other dental materials.

We are processing glass and silica fillers for composite materials all the time. Our research team began to put these various chemistries and fillers together in different ways to develop products for various dental applications. This is how ACTIVA was born.

References

http://www.dentalproductsreport.com/dental/article/close-look-how-pulpdent-s-activa-bioactive-material-was-created?page=0,1. Accessed 23 August 2017

http://www.dentistryiq.com/articles/apex360/2017/04/activa-bioactive-the-story-behind-pulpdent-s-breakthrough-bioactive-restorative.html. Accessed 23 August 2017

 

About PULPDENT® Corporation 
PULPDENT® Corporation is a family-owned dental research, manufacturing company and leader in bioactive dental materials. ACTIVA BioACTIVE™, developed by PULPDENT, is a bioactive restorative material that behaves much like natural teeth and stimulates the formation of apatite (the building blocks of teeth), chemically bonds to teeth and helps protect against decay. PULPDENT celebrates its 70th anniversary this year with continued commitment to product innovation, clinical education and patient-centered care. To stay updated on bioactivity and learn about the Heroic Dentistry Series, which demonstrates ACTIVA’s unprecedented capabilities, visit the Pulpdent blog.

 

October 3, 2017

Dental Advisor Awards ACTIVA BioACTIVE the Excellent Rating in Two-Year Recall

The Dental Advisor has given ACTIVA BioACTIVE-RESTORATIVE 5 plus (+++++) and a 98% clinical performance rating after the second year of a long-term clinical trial. Clinicians evaluated 158 restorations at the two-year recall. Performance results were calculated based on six criteria: lack of postoperative sensitivity, esthetics, resistance to fracture and chipping, resistance to marginal discoloration, wear resistance, and retention.

Read the Dental Advisor Two-Year Clinical Performance Report on ACTIVA BioACTIVE-RESTORATIVE

The 158 recalled restorations were placed with and without the use of bonding agent after etching, and included one, two, three and four surface restorations. 

One evaluator found that ACTIVA BioACTIVE-RESTORATIVE “bonded well without a bonding agent” while another noted that “the esthetics were excellent at 2 years.”

No patients reported any post-operative sensitivity at the two-year recall and 99% of the restorations exhibited no signs of wear. The retention rate was over 99% and over 97% of the restorations resisted marginal discoloration.

ACTIVA BioACTIVE-RESTORATIVE is the first esthetic bioactive restorative material. This versatile bioactive composite can be used for single restorations, full mouth composite rehabilitation, and according to one Dental Advisor evaluator, “as a core in teeth with deep decay.” The same evaluator felt that “the uptake of [Calcium, Phosphate and Fluoride] could have a positive effect on these cases” with deep caries.

ACTIVA BioACTIVE-RESTORATIVE received an overall rating of “Excellent” in the Dental Advisor’s Two-Year Clinical Performance Report.

Sign up for Pulpdent eNews to get the latest updates on bioactive dentistry.

 

About PULPDENT® Corporation 
PULPDENT® Corporation is a family-owned dental research, manufacturing company and leader in bioactive dental materials. ACTIVA BioACTIVE™, developed by PULPDENT, is a bioactive restorative material that behaves much like natural teeth and stimulates the formation of apatite (the building blocks of teeth), chemically bonds to teeth and helps protect against decay. PULPDENT celebrates its 70th anniversary this year with continued commitment to product innovation, clinical education and patient-centered care. To stay updated on bioactivity and learn about the Heroic Dentistry Series, which demonstrates ACTIVA’s unprecedented capabilities, visit the Pulpdent blog.