Noah Levine

It can be difficult to figure out where to begin with 3D printing

With so many systems available, finding an easy-to-use system that offers a wide range of options in materials and applications is challenging.

Provides high resolution output across multiple applications and material options

Ideal for those new and experienced with 3D printing

Easy-to-use software with automatic support creations simplifies print set up as well as post processing

A large print volume and print speeds of up to 40 mm/hour allow it to produce up to 120 wax-up crowns in 45 minutes or 4 arch models in an hour

Applications include dental models, wax-ups, surgical guides, custom impression trays, bracket transfer trays, and more

Supports both SHINING 3D print resins and compatible 3rd party print resins

No annual software fees—software updates are included with the purchase of the unit

Articles

With SHINING 3D’s AccuFab-D1 Dental 3D Printer available via Aurident, dental labs can quickly and easily add a range of additive workflows.


Solve My Problem: A Benchtop Printer Ready for a Range of Tasks

Pressing and casting workflows require smooth and precise waxups, and some millable wax pucks don’t produce smooth surface or sharp margins

Additionally, millable waxes can produce residue which can build up and clog burs, slowing production and adding to the time it takes to clean the mill.

Formulated from a highly homogenous material to mill with optimal precision, smooth surfaces, and well-defined margins

Technically an acrylic material rather than a wax, it burns out without leaving a residue, making the material ideal for all-ceramic restorations

During milling the wax is shaved off in small chips that do not stick to the bur or the wax puck

Specifically designed for use with CAD/Cast and CAD/Press workflows

Distinct blue color for increased visibility

With a highly homogenous formulation, Renfert’s EASY Blank Wax is designed to produce accurate CAD/Cast and CAD/Press restorations.

Solve My Problem: Smoothing Out Hybrid CAD Workflows

Outfitting your practice for safety and efficiency

Slideshows

A round-up of dental infection control products.

Root canal treatment is designed to save teeth but often requires the removal of healthy tooth structure

Gaining access to and cleaning a root canal often requires removing healthy tooth structure and even reshaping the path of the canal prior to obturation.

A complete endodontic instrument system that includes intuitive files with an Orifice Modifier, a Glider and a single shaping file, with additional shaping files for large or small canals, as well as corresponding paper points, Gutta-Percha points and GuttaCore obturators, as well as a flexible irrigation needle

The system is designed to create shapes well-suited for irrigation while maintaining structural integrity and tooth integrity

The flexible and bendable NiTi files feature off-center cross sections and are thin at just 0.8 mm with extended 9.5 mm handles for enhanced posterior access

All shaping files feature the same coronal diameter, reducing the need for excessive coronal tissue removal

The matching irrigation and obturation solutions make it possible to clean and obturate the slim canal preparations

All instruments are pre-sterilized and packaged in ready-to-use blister packs

The TruNatomy system includes all the instruments and materials necessary to complete root canal treatment while respecting the natural anatomy of the canal system.

Solve My Problem: An endodontic system designed to preserve healthy tooth structure

Bruxism is challenging to diagnose before patients have damaged their teeth

Because of this challenge, 90 percent of bruxism disorders go undiagnosed and patients remain in pain and discomfort.

Data-driven and A.I.-powered home-based bruxism assessments

Headband mounted sensors track activity of the temporalis muscle caused by the clenching and grinding behaviors associated with bruxism

Reports are delivered instantly to a secure, HIPAA-compliant app and web portal where they can be accessed by both clinicians and patients

A typical analysis involves 3 nights of data which can be used to convince the patient of the need for an appliance or other remedy

Beyond wear on the dentition, bruxing patients can suffer from migraines, headaches, vertigo, tinnitus, neck pain and jaw pain

The headband is unobtrusive to make wearing the sensor comfortable

The BruxRelief system from Bravrr helps detect and document teeth clenching and grinding behaviors.

Solve My Problem: Sensor system helps get ahead of bruxism

It’s pretty safe to say no one had a business plan ready for the realities of 2020.

It almost feels like a lifetime ago that calendars flipped to 2020 with a solid economic foundation and a booming dental business for many practices and dental labs. Even as the Coronavirus was beginning to dominate the news in February, the industry still gathered in Chicago, and Lab Day was bigger than ever.

A few weeks later, of course, the bottom pretty much fell out of everything. In mid-March as most dental practices in the country were forced to close their doors to all but emergency cases, the stream of cases going to dental labs began to slow and then at some labs stop altogether.

It’s an economic crisis few expected, and the full fallout is likely to bring some lasting changes to every segment of the dental industry, especially on the lab side where many smaller labs were already facing challenging economic pressure from evolving technologies and larger competitors.

Dental practices have been open again for weeks or months depending on their locations, and labs are also getting back to business, but with financial plans for the year now looking like fantasies rather than goals, it’s a time for reassessment, retooling, and doing the hard work of getting back to where things were a few months ago; and hopefully recapturing some of the momentum that had been propelling the industry back then.

When business stopped coming in from dental practices, lab owners faced difficult decisions that often hinged on their pre-pandemic business model. For small boutique labs such as Tom Zaleske’s Matrix Dental Laboratory in Crown Point, Ind., there was no need to officially shut down and no staff to furlough, so he says he spent the first phase of the pandemic “cleaning, reorganizing, and reworking my fees and policy schedules.” Zaleske also made sure he continued to keep in contact with his clients and his colleagues.

It was a different story for Spartan Dental Lab in Lansing, Mich. where David Turpin largely shutdown his family-owned business from mid-March through May. It became impossible to keep employees on the payroll with little work coming in, so Turpin says he and his father finished up the last few cases, and then Turpin turned his focus toward diversification.

“I got on the phone and started calling anyone I knew that might be able to point me in the direction of manufacturing something else with the technology we have currently,” he says. “The goal being keeping the doors open and possibly bringing back employees because no one knew how long this would last.”

This led to some opportunities that are still being looked into, and the lab also began using its 3D printing capabilities to produce in demand personal protective equipment such as face shields, mask fitters, and ear savers. Turpin says he started these projects to keep the lab busy and was pleasantly surprised by the response he’s received.

“We had to start doing something to keep some cash flow moving through the lab. Once dentists in our area caught wind of what we were doing it spread like wildfire,” he says.

For Conrad Rensburg, owner and head of dental implants at Absolute Dental Services with four locations in the Carolinas, there was never a need to completely shut down operations. However, they did consolidate everything to the main branch in Chapel Hill and rotated teams so only one lab team was at work each day to facilitate social distancing.

With a large customer base including many DSO practices that did not completely shut down, Rensburg said his lab was still processing between 30 and 50 “emergency crowns each day. Also, like Turpin at Spartan, Absolute began 3D printing PPE, and Rensburg said they also helped customer source PPE and infection control products when their normal supply chains broke down.

Of course, the dental lab industry’s unplanned pause didn’t last forever, and with most dentists back chairside, most labs are back to work as well. For Absolute, most of their clients have been back in their practices for more than a month and things are picking up again. However, recouping the losses from the industry shut down remains unrealistic, and Rensburg says he’s adjusted how he will evaluate his lab’s success this year.

“Obviously, 2020 sales target numbers are now nothing but a dream, so we are using year over year metrics to make financial decisions,” he says.

Even with some positive trends, Rensburg says the metrics from his lab truly show the hole the pandemic punched in his financial plans. His lab experienced a record month in February, but during the shutdown, the lab’s business was down an average of 85 percent from 2019 revenues, and then they experienced a busy June where in just the first three weeks they reached 91 percent of their June 2019 numbers.

Turpin says Spartan has seen business bounce back at a rapid pace. The lab is still operating with a little over half of its pre-pandemic staff, so he’s measured about what the current workload truly represents, but overall, he’s very pleased with what he’s experiencing.

"The rebound has actually been better than I had imagined it would be," he says. "Initially, I thought we were going to get a slow trickle of work, but that was not the case. The KPIs show we are up the first month back from where I predicted."

For the solo lab owner, the road back is very different, and Zaleske says the nature of his business with its focus on comprehensive cases and implant hybrids means he’ll need to have a bit more patience.

As dental practices are creating social distancing within their practices, spacing out appointments, and doing other things to provide care safely for both patients and staff, Zaleske believes they are seeing fewer of the types of cases that typically are sent to his lab.

“I believe since patients are no longer being stacked in office lobbies or in side by side operatories the pace of incoming cases that take hours per appointment are fewer,” he says. “Dentists have to decide how to best utilize their time since they cannot have multiple chairs working at the same time.”

At his lab, Turpin says the early cases they saw come through after reopening demonstrate the impact the lack of dental care access had on patients. Initial case submissions were mostly denture repairs, and now there are a lot of night guards coming into the lab as well. The implant cases finally started coming back in late June, and he’s noticed dentists are showing a renewed interest in digital technologies.

“I have had more inquiries from dentists asking about scanners and if I could give a recommendation,” Turpin notes.

With business starting to shift back to normal, labs are still operating their businesses during an active pandemic, and this has meant an extra emphasis on safety protocols. While a dental lab environment is not as big of an infectious disease risk as a dental operatory, infection prevention and proper sanitization is nothing new to dental labs.

Zaleske says he’s not seeing anything different in the way cases are being packaged or sent to his lab, and he’s kept his protocols the same. He treats every case coming into and going out of his lab as “hot” and takes proper precautions.

Of course, he doesn’t have a team of employees to manage, so social distancing is not a challenge. However, Turpin says he has his teams working on staggered shifts and practicing social distancing as precautions. Incoming cases are isolated and sanitized under new protocols to add extra precautionary measures, and technicians are wiping down their tools every day and disinfecting their entire workspace at least weekly.

At Absolute, Rensburg says they no longer take case pan deliveries, and new disinfection protocols are in place for when cases come in. The lab is shutting down for extensive cleaning and disinfection each day, and they are doing this themselves to limit the number of people who might come into the building. This move to not allow visitors is about keeping the staff safe, and with that in mind, Rensburg says they also provide masks to technicians who want them and do temperature checks on all employees when they arrive for work.

No lab seems to be coming out of the pandemic shutdown unchanged, but Turpin, Zaleske, and Rensburg all agree that there have been positive lessons to take away from this challenging experience.

For his small lab, Zaleske has really seen the value of communication, and he believes that his lab will benefit the most from technologies such as video calling which enables more interaction without the need for being physically close, as well as from communications platforms designed to streamline key messages to provide the most information in the simplest way.

Turpin believes the pandemic has put a spotlight on the importance of sound business practices for any dental laboratory. Going forward efficiency is going to be more important than ever, and labs are going to need to continue embracing innovations that can help accomplish tasks more effectively.

"I think it will be important to keep a keen eye on the KPIs, evaluating the metrics and making sure all policies and procedures are closely monitored,” he says. “It will be important to run in the most efficient way possible. Utilizing all types of technology to help fill any gaps."

At Absolute, Rensburg says he’s been surprised by the pace of the industry’s rebound, and his lab is seeing strong case numbers for all of their services, including the more complex surgical and hybrid cases. While he’ll continue to watch his lab’s metrics closely, he’s cautiously optimistic about the industry’s recovery.

“I am hopeful this trend will continue and that this was just not a bottleneck of cases we cleared out,” he says. “Being back open for almost 8 weeks, it seems the market came back quickly, and patients are not hesitant to accept treatment or show up for an appointment.”

In the wake of the spring industry shutdown due to the COVID-19 pandemic, dental laboratories are finding new ways to run their business in a rapidly changing industry landscape.

Rebuilding and Reinventing: Dental labs after the shutdown

Keeping the Air Clear in Your Dental Lab – A Roundup of Dust Collectors

A look at some of the available systems to help keep a dental lab's air free of dust and potentially harmful particulates.

Relaunching Dental Lab Products is a proud moment, and I hope we can live up to this title’s legacy as we return to covering an exciting and evolving industry.

It’s often a good idea to keep your personal life and feelings out of your professional life and business decisions. But for me, the relaunch of Dental Lab Products is extremely personal, and something in which I feel a strong sense of pride and accomplishment.

Unlike the many people in the dental industry who follow a career path that is simultaneously a family legacy, I came to the dental world with no experience beyond that of a patient who has never had a cavity and never needed orthodontics. The only dental care I’d ever received beyond my six-month prophy appointments were sealants applied in my youth.

I came to dentistry as a journalist in need of a job and got a crash course in the technologies, material science, and quite simply amazing things dentists can and were doing for their patients. Still, when I first walked into the Dental Products Report newstroomI had no clue what a dental lab was or what they actually did.

My education on the dental industry was a rapid, on-the-job learning spree just like any reporter learning a new beat. I tried to absorb as much information and ask as many questions as I could, but even after working on DPR for more than a year, my only taste of the dental lab industry was copy editing pages for upcoming issues of DLP. It was only after I began directly working on the magazine that my eyes opened to the amazing world of dental labs and the unbelievable work of expert technicians.

The more I worked on DLP content, and the more people from the lab world I got to know, the more I grew to love the priviledge of writing about this side of the dental industry. At my core I’m a geek who loves learning how things work and I appreciate the craft of making something as much as I love the finished thing itself. The dental lab world was a hidden place that combined a chance to cover material science, engineering, and cutting edge technology, right along with covering art, photography, and of course the people who do all this amazing work without receiving much of the credit for the potentially life-changing results.

Then a career-changing opportunity presented itself when I was named Managing Editor for DLP. This was my first time fully at the helm of a publication, and it was far more fun and rewarding than I’d expected. I only ran the brand for a bit more than a year, but during that time my esteem for the work done in dental labs grew immeasurably.

When my career path took me in another direction, I watched DLP from afar and continued to work with some of my lab friends on content at my new dental publication. But watching DLP from afar was not much of a pleasure as I saw the new leadership of the magazine just didn’t seem to connect to the lab industry and content tended to approach the industry from an outsider’s perspective, rather than delving deep into what really mattered at the bench and in the office. To be honest, when the name of the publication was changed to Digital Esthetics, I simply didn’t know who it was not supposed to be for.

Now Digital Esthetics is the brand that has been retired and Dental Lab Products is proudly back atop our masthead, and we’re entering a new phase with all the excitement of starting something new, and the comfort of it also being something familiar. I hope as we regrow our lab-focused content and continue to explore all of the innovations available to labs today, you enjoy coming right along with us.

Working on Dental Lab Products once again is something that feels right. We plan to focus our efforts on covering the products, services, materials, and technologies of the dental lab world and hope to once again be viewed as a valued resource to help your labs thrive so dental patients always have access to restorations that provide the form and function everyone deserves from their dentition.

Thank you for joining us on this journey. We’re glad to be back on this path.

Sometimes you can go home again: Why bringing Dental Lab Products back matters to me

Innovation continues to change the ways dental professionals can and do deliver care and manage their businesses. But while there are seemingly endless available possibilities to change the way things are done, the pace at which technologies are adopted by the industry tends to be measured.

With the technology available today, patients can experience care in new ways and with less discomfort than ever before. It’s possible right now for a patient to leave a practice with a new crown without pain or the use of anesthetics with all treatment completed in less than an hour. With cutting edge technology, implant cases can be planned in a completely digital environment, benefit from implant placement guides, and even have a robotic system help to guide the clinician’s hand.

Of course, it’s not just digital CAD/CAM solutions, big ticket lasers and imaging systems, and 3D printers revolutionizing the industry. New software platforms are making it simpler for practices to connect with patients and for patients to interact with practices, while also employing artificial intelligence to smartly automate common tasks. Dental materials are also benefiting from technological advancements all the time, as new generations and new formulations bring a range of new benefits during and after treatment to both clinicians and patients.

To get a sense of how all of these innovative products and services are being adopted throughout the industry, Dental Products Report conducted the 2020 Technology Census earlier this year. The data from this survey is presented in the tables and charts on the following pages.

The overall message from the survey is dental professionals are excited by the technologies making their way to their practices. However, the hype around new things fades quickly as dental professionals say they are more likely to invest in new technologies when there is a solid track record of research and clinical success.

Read on for the results of the 2020 DPR Technology Census and a look back at how these latest numbers compare to the 2010 DPR Technology Census.

What you use, what you want, what you no longer want

When it comes to technology adoption, a lot has changed in the past 10 years, but not everything. In 2010, 64% of clinicians said they used an intraoral camera, and in 2020 that number is 65%. However, 17% of 2020 respondents said they’ve used an intraoral camera but no longer do. In 2010, 58% of practices used digital X-rays and an additional 21% said they planned to purchase X-ray sensors soon. In 2020, 82% of practices are using digital X-rays and another 6% plan to purchase them soon.

Two areas of tech adoption over the past 10 years are cone beam and intraoral scanners. In 2010, 7% of practices had cone beam and another 7% were planning to add them, while 12% had intraoral scanners and another 12% were planning to adopt them. This year the Technology Census finds 24% of practices have cone beam with another 6% planning to purchase. Another 17% use an outside partner for 3D imaging. Intraoral scanner adoption is growing even faster. 32% of practices now use the technology and another 18% plan to go digital in the next 12 months, the highest percentage for any technology in the survey.

On the other hand, not every technology seems to be in demand right now. More than two-thirds of clinicians said they do not plan to invest in chairside CAD/CAM, all-tissue lasers, 3D printers, digital shade matching technology, voice-activated software, electronic anesthesia delivery systems, or operating microscopes.

Can these technologies provide a strong return on investment?

While the clinical efficacy and benefits of any new technology are paramount, dental practices are businesses, and technology investments need to be financially beneficial as well. When asked about the ROI potential of different dental products, clinicians showed a belief in the potential of digital imaging technologies to benefit a practices’ bottom line. Intraoral cameras and digital X-ray systems were both strongly touted by more than two-thirds of respondents. The only other technology to score that high when it comes to ROI was dental loupes. Clinicians showed doubt about the ROI potential of other product types, with electronic anesthesia delivery leading the way, and cloud software, voice-activated software, digital shade matching, oral cancer detection, 3D printers, all-tissue lasers, and chairside CAD/CAM all earning the skepticism of more than a fifth of clinicians.

Can this technology make a big impression on patients and drive word of mouth referrals?

When it comes to impressing patients and driving referrals based on a practice’s technology, digital dentistry earns high marks. More than half the clinicians who took part in the 2020 Technology Census believe patients are impressed by panoramic and cone beam systems, intraoral scanners and full chairside CAD/CAM, soft-tissue lasers, digital patient communications, and loupes. However, intraoral cameras and digital X-rays are the only two categories where more than two thirds of respondents see the potential to impress patients. On the flip side, no technology came up as unimpressive to more than half the respondents, and only practice management software was cited as unimpressive to patients by more than a third of clinicians.

How would you describe yourself in terms of incorporating new technologies into your practice?

When asked to describe themselves when it comes to investing in new technologies, a majority of dentists consider themselves a researcher, looking for clinical studies and hands-on demonstrations before investing. However, the number of dentists saying this dropped by 10% in the past decade. In 2020 54% of dentists described themselves as Researchers, but in 2010 that total was 64%. The 27% of dentists describing themselves as ROI fanatics remained the same over the past decade, but the percentage of dentists who consider themselves impulse shoppers increased by 2% to 6% in the 2020 Technology Census, and the number of clinicians saying they like to look but not buy new technologies jumped from 5% in the 2010 Technology Census to 13% this year.

What emerging technology has the biggest potential to impact dentistry’s future?

When it comes to the future of dentistry, the results of the 2020 Technology Census show machines might not be the way forward. While many technologies have already changed the industry, and many more are in the process of changing how dentists work and how patients experience their dental visits, the technology dentists see the most revolutionary potential in might not run on electricity or feature artificial intelligence. Instead, 43% of respondents said they see regenerative dental technologies as the most exciting concept on the horizon. The ability to regrow teeth and other damaged structures would certainly change the way most practices operate. 3D printing was the next most popular answer with 18% of clinicians seeing potential there.

Does this technology offer little value to the dentist or the patient?

When asked to rate the technologies that did not offer benefits to practices or patients, no technology stands out. While 22% of clinicians said they find no real value in voice-activated software, that was by far the highest total, and in most cases more than two-thirds of clinicians can see the value to the practice and/or patients from the industry’s technologies, even if they are not planning to invest in those technologies themselves.

The 2020 Dental Products Report Technology Census shows clinicians believe new technologies can change their practices, but innovations still need a track record before being widely adopted.

The foundational technologies of dentistry’s future

Patients often complain about the taste and texture of varnishes

Dental varnishes provide great protection for patients’ teeth, but patients often must overcome unpleasant flavors and sensations to experience these benefits.

A thin, transparent 5% sodium fluoride varnish that quickly sets in seconds after contact with saliva

Available in a range of pleasant Xylitol-containing flavors with no aftertaste including caramel, melon, mint, cherry, bubble gum, and the recently launched cola lime

With its enhanced flow characteristics, the varnish easily covers the tooth surface and reaches areas some more viscous varnishes miss, leaving the teeth feeling smooth

The varnish has a high immediate fluoride release that can help relieve hypersensitivity

Available in single-dose packaging in both child and adult doses for easy delivery without the mess

With a new Cola Lime flavor, VOCO’s Proflourid Varnish offers patients comfort and protection.