10SM2246_HealthySol_LR

You can become a “Green” Advocate in your practice!

A portion of your Green Product

purchases will be donated to the

Henry Schein Cares Foundation

in support of environmental causes.

HHealthy Dental Solutiohy Dental SolutionS S Healthy Dental Solutiohy Dental SolutionS S

How to Beat Handpiece BurnoutSee pages 4–5

Bib Chain Cross Contamination Risk

See pages 18–19

10SM2246

July 15–September 15, 2010 • Volume 6 Issue 1

To Order Call:1.800.851.0400 8am–8pm, et • To Fax:1.877.350.7890 24 Hrs

w w w . h e n r y s c h e i n . c o m/s m

Table of Contents

Go Green Tips and Info.........................2

Welcome from our President ..................3

Handpiece Burnout ............................4–5

Maxima Pro Handpiece ........................6

Septodont N’Durance ............................7

Green Products................................8–10

Save a Tooth ......................................11

Socket Preservation........................12–13

Cavitron Thinsert ................................14

Cetacaine Anesthetic ..........................15

Disenfection & Sterilization ............16–17

Bib-Eze Solution ............................18–19

10SM2246_HDS:06SS4434_HealthySol 7/19/10 10:06 AM

healthy medicalhealthy medicalSolutionSSolutionS

HealthY SolutionS HealthY SolutionS

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The Greener PracticeStarts Here!Environmentally Friendly Products For Your Practice!

Henry Schein’s Global Reflections™

Program offers healthcare practitioners

a wide selection of eco-friendly clinical and

office products in support of an environmentally

sustainable future. Inside, you’ll find a variety of high

quality, competitively priced merchandise tagged according to its

“green” components: non-toxic and biodegradable cleaners, paper or

plastic products made from post-consumer recycled content, and more.

Purchasing eco-friendly products reflects your commitment to

reducing municipal waste, reducing the dispersion of toxic chemicals,

and reducing the demand on natural resources, as well as decreasing

energy consumption.

Go “Green” with Global Reflections™ and Henry Schein—Together, we can

support an environmentally sustainable future.

Recycled – Contains post-consumer recycled content, which is paper diverted from municipal waste

Processed Chlorine-Free – Paper products that are unbleached or bleached chlorine-free, reducing the use of harsh chemicals

Below are the icons of variouseco-friendly characteristicsfound in this catalog:

Nontoxic – Products manufactured free of potentially harmful chemicals

All-Natural – Free of dyes, alcohol, and other chemicals otherwise traditionally necessary for use of the product

Biodegradable – Made of components that naturally and safely break down

Claudia CayneNortheast Regional Federal Sales ManagerTel (631) 300-5799Fax (631) [email protected]

Rhonda DuranteRegional ManagerTel (561) [email protected]

Rick HeysquierdoRegional ManagerCell (713) 882-8047Fax (888) [email protected]

Marc KantrowitzAccount RepresentativeCell (631) 326-7026Fax (804) [email protected]

Mary KellarRegional ManagerCell (623) [email protected]

Ted KempSoutheast Regional Federal Sales ManagerTel & Fax (703) 281-0107 Direct Line (703) [email protected]

Mark McElroyRegional Manager Tel (585) 670-9837 Fax (866) [email protected]

Casey SilvasRegional ManagerTel (913) 796-6126Fax (413) [email protected]

Leslie TatumSouthwest Regional Federal SalesManagerTel (972) 239-8699Fax (972) [email protected]

Kathleen TitusZone ManagerCell (916) [email protected]

Debbie TorgersenZone ManagerTel (704) 894-9484Fax (704) [email protected]

Keith GauzzaRegional ManagerTel (602) [email protected]

SPECIAL MARKETSREPRESENTATIVE CONTACTS


To Order Call:1.800.851.0400 8am–8pm, et • To Fax:1.877.350.7890 24 Hrs310SM2246



Letter from the President



Letter From President

elcome to our Summer issue of Healthy Dental Solutions. It is hard to believe that we are alreadyhalfway through the year 2010. Where did the first decade of the 21st century go? It seems I was justtelling some of you that I now have a granddaughter. By the time you read this, she will be 18 months old.She’s already walking and the bets are in as to whether her first words will be Mommy, Daddy, orMickey Mouse.

This year has started off with some wild contradictions: some say healthcare reform is good while othersquestion why some countries have adapted our kind of medicine and we’re suddenly looking to change. We keep hearing aboutglobal warming and yet early in February, 49 states had some trace of snow on the ground. The country finally got enough H1N1vaccine just in time to see only small pockets of the flu remaining within the U.S.

So if this is how the year started, it’s hard to predict how this year and the new decade will be for us. Although I try to thinkstrategically on how to lead the Special Markets division into the future, I think for this year I will just take it quarter by quarterand hope for some stability to re-enter our lives.

One of the things that has carried over to the new decade is the pain and suffering of people around us. This year we started offwith the devastation in Haiti. We have also seen more people than ever drop below the poverty line in our own country. Those ofus in healthcare must remember that we have an obligation to try to help those in need. I’m not only talking financially but more sousing the talents that we have been blessed with to help our fellow man.

I am fortunate to work for a company that continues to give back to the community and support people in a time of crisis. Henry Schein pledged over one million dollars in supplies and aid to the people in Haiti. This number grew due to the matchingcontributions of our Team Schein Members. We continue to donate products to the nation’s Community Health Centers to helpassist in the nation’s safety net for the underserved and underprivileged on a regular basis.

I tell you this as I think it is important that you know that the company from whom you buy your supplies is one with whom youcan be proud to be associated. Throughout the year we try to run promotions where you, the consumer, can purchase products thathelp aid and assist a charity. Today I want to briefly mention Global Reflections™, A Green Program for Healthcare Professionals.We offer healthcare professionals a wide selection of eco-friendly clinical and office products in support of an environmentallysustainable future. Inside you’ll find a variety of high-quality, competitively priced merchandise. A portion of your Green Productpurchases will be donated to the Henry Schein Cares Foundation in support of environmental causes.

As always, when I sit down to write these letters, I think of the world around us, but narrow in on my favorite group of people —our customers. It is because of you that we have been able to grow as a company and for that I say thank you for your businessand want to let you know it is truly appreciated.

I hope in some small way that these notes of mine make you think or smile, and that even though we haven’t met, you are gettingto know me and our Schein principles. Have a pleasant Summer and please know that all of us in the Special Markets group arehere to service your healthcare supply needs and to build a strong partnership between you, our valued customer and Henry Schein,your dedicated distributor.

Sincerely,

Hal MullerPresidentHenry Schein Special Markets

W






4 10SM2246


A revolution is shaking the world of handpieces … dead handpieces are restored, existing handpieces last 18-24 months

longer, and even new handpieces purr like kittens.

New “TLC” TechnologyIt’s not oil! It’s a recent breakthrough in lubrication technology that solves many problems long associated with handpiece sterilization and lubrication.

TLC Technology is Nano Lubrication that can virtually eliminate 90% of friction and wear. This lubrication breakthrough was developed specifi cally for the dental handpiece. TLC cures sluggish turbines and accelerated wear by protecting handpieces under extreme pressures and temperatures. TLC lubrication is non-toxic, non-fl ammable,

biodegradable and even food grade..

How Does TLC Work? TLC Nano Technology is chemistry working at the molecular level to form an invisible, near permanent friction barrier. This virtually indestructible bond forms a new surface and creates a self-replenishing barrier. It is this micro-thin TLC polymer layer which eliminates 90% of friction and wear resulting in a faster, smoother, and quieter handpiece.

The TLC polymer coating forms on all interacting metal-to-metal and metal-to-ceramic surfaces when the handpiece runs at full speed for a couple of seconds. TLC stays in place during sterilization eliminating the need to lubricate after sterilization. The polymer provides boundary lubrication throughout the complete dental procedure and prevents the ingested debris from adhering to the critical bearing components.

As a result, handpiece life is extended and costly handpiece repairs are reduced and/or eliminated. New and dead

handpieces can be restored to faster speeds and more torque.

Sterilization Is NOT The ProblemSterilization of dental handpieces was not recommended until the early 1990’s. Dentists began autoclaving and quickly learned that the component materials of the handpiece could not withstand the pressures and temperatures of the super heated steam during the autoclave process. Plastic tubing, o-rings and soldier joints melted when subjected to these conditions.

Subsequently, handpiece manufacturers developed instruments using better materials designed to survive the sterilization process. Today’s dental handpieces are feats of modern technology able to sustain speeds of 250,000 to 500,000 revolutions per minute (rpm). It is a rare occasion that any other piece of

equipment exceeds these operating speeds!

Handpieces and their components are engineered from the fi nest metals, heat

resistant o-rings, gaskets, and bearing technology. Think about this—if the component parts were bagged and sterilized separately they would last

forever. The cage being the weakest material would eventually dry out from the heat, become brittle and fail only under stress.

Recurring handpiece repair has become a widely accepted part of a dental practice. If they are engineered to withstand the autoclave, what is causing handpiece failure?

Traditional Lubrication IS The ProblemModern dental handpieces have met the criteria for sterilization. Common sense tells us these high-speed miracles of engineering need to be cleaned and lubricated. Since the inception of sterilization, very little has been done to improve the dental handpiece lubricants. Only when traditional oil is introduced into the sterilization process handpiece turbines become sluggish and fail in 6 to 8 months … sometimes less.

Why? The answer is simple: Oil and water do not mix. Traditional handpiece lubricants are low viscosity mineral oils. When a handpiece is lubricated and subjected to steam sterilization, the water from the super heated steam and oil creates a slurry. As the handpiece goes through the autoclave’s drying cycle, the slurry thickens to become a “gooey residue.”

During the dental procedure, the handpiece running at 250,000 to 500,000 rpm becomes a strong miniature vacuum. The high-speed handpiece will ingest blood, saliva and micro particles of tooth, amalgam and composite into the turbine and bearings, most of which contain animal proteins.

After each dental procedure the handpiece is returned to sterilization where it is again lubricated and sterilized. As the handpiece is cycled and recycled, the gooey residue,

now a mixture of oil, water, protein and debris, becomes thicker and thicker.

However negligible this build-up, the “gooey residue” begins to slow the handpiece down, increasing bearing wear and operator frustration. Even the smallest residue

Gooey residue is baked on

turbines & inside bearings.

MetallicFree Radicals

TLC Molecular Polymer

Nano Lubrication

TLC™ Technology Works on a Molecular Level

TLC™ Technology chemically reacts with free radicals on remylop citcetue eurt a gnimrof ,secafrus latem gnitcaretni

which provides lubrication. This solid boundary barrier pre-vents metal-to-metal and metal-to-ceramic contact, reducing friction and wear by approximately 80% to 90%, dramatically increasing the life of bearings. The molecular bond stays in place during sterilization and high speeds, providing lubrica-tion throughout the entire dental procedure. The solid TLC polymer repels water/steam and ingested debris.







can restrict rotation of the precision bearings.

The handpiece progressively becomes slower and slower. Many dentists recognize the problem only when the handpiece becomes so sluggish it will not cut a tooth, causing loss of valuable time and potential profi ts.

At this point, the dead handpiece goes in the drawer for repair. I can see your head nodding “yes.” This scenario plays out every day, over and over, in thousands of modern-day dental offi ces fueling the handpiece repair business, which exceeds $200 million dollars a year.

The Secret To ResurrectionIn the absence of superior cleaning and lubrication, every handpiece is destined to “die” sooner than it should. Once a handpiece dies, it is often put in the hands of a repair technician … but approximately 3 out of 5 dead handpieces can be resurrected with an advanced yet simple cleaning.

Once again, technology comes to the rescue. The partner to TLC nano lubrication is a customized cleaner able to “evaporate” buildup of proteins, baked-on oil, and debris from the miniature surfaces of the turbine. This cleaning frees the bearings and “resurrects” or extends the life of the handpiece. After a thorough cleaning, the handpiece can be lubricated,

autoclaved and returned to service. Note: Currently, Bio Lube™ Advanced Handpiece Cleaner is the only product to use this technology.

Caution!If the use of traditional oil is continued after an advanced cleaning, the resurrected handpiece is destined to accumulate the gooey residue leading to accelerated handpiece failure.

This residue attracts more debris and acts like sandpaper, increasing wear on the bearing cage. The cage is a critical part of the bearing; it holds the precision balls in place.

The perfectly round and symmetrical holes designed into the cage will gradually become oval in shape from the constant stopping and starting of the operating handpiece.

The oval holes will grow in size until they touch an adjacent hole. Then the cage simply cracks and falls apart. This is known as a “catastrophic failure” of the bearing. At this point, no amount of cleaning or superior lubrication can help, as the bearings must now be replaced.

TLC technology, however, embodies proprietary ingredients to recondition the interior cage, keeping it pliable and resilient, reducing the normal oxidation and failure caused by sterilization.

Solutions?Attempts have been made to solve maintenance problems and handpiece burnout … but they have done little more than relieve the offi ce staff of duties.

Maintenance StationsHandpiece manufacturers have introduced lubrication stations to help overcome the challenge of maintaining handpieces. Part of the design is to fl ush enough lubricant (which contain solvents) through the handpiece in an attempt to clean as well as lubricate the components. The convenience has promoted

a better maintenance routine, but still uses traditional oils resulting in the same problems associated with sterilization.

Maintenance-Free HandpiecesMaintenance-free handpieces are not exactly lubrication-free. Bearings are pre-packed with grease, which suffers from the same scenario as oil. Ingested debris still accumulates and accelerates cage wear … maybe more so because instructions specify no cleaning or lubrication. In fact, using traditional lubricants containing solvents removes the grease. Without the grease, the bearings need constant cleaning and lubrication.

The convenience of automatic maintenance stations has promoted a more reliable regimen for cleaning and lubrication

using traditional oil. The grease alleviates the responsibility of maintenance by the offi ce staff. But both of these options have not solved all the problems of traditional oils and sterilization.

Even stringent maintenance routines with traditional oils provides minimum lubrication under the extreme speeds at which dental handpieces run. At 250,000 to 500,000 rpm, lubricants are expelled. Accelerated wear tests show that traditional oils and no lubrication create the same amount of wear.

Bottom Line “It’s Not Oil”!

In the advent of handpiece sterilization and the attempts to solve the problems posed by traditional oils, you can see why TLC nano lubrication technology is revolutionary!

• It’s Not Oil! The TLC Polymer and water will not form a gooey residue, which eliminates sluggish turbines.

• TLC Polymer, provides lubrication and stays in place at 500,000 rpms.

• Proprietary TLC additives condition and maintain the critical cage material protecting it from becoming brittle in the autoclave. No other lubricant has this protection!

TLC technology solves the problems of traditional lubrication and sterilization. Handpiece life can be extended 18-24 months beyond the standard warranty, and TLC will not void the manufacturer’s warranty.

With reduced repairs, cost of wasted time, increased production and operator satisfaction, a dental practice will save thousands of dollars in a matter of minutes by simply resurrecting the dead handpieces from the drawer! Handpiece maintenance with TLC makes more than sense - it makes “dollars and sense!”

Note: Currently, the only handpiece lubricant offering TLC Technology is the Bio Lube™ Advanced Handpiece Maintenance System. Remember to follow ADA, CDC, and OSAP recommended sterilization procedures.

For more information about Bio Lube™ products, call 1-800-880-0240 or visit www.sdssouthland.com.

New Cage Worn Cage

CATASTROPHIC FAILURE HAPPENS HERE

PROBLEMS WITH TRADITIONAL OIL

Oil isexpelled at

high speeds.

Polymerbonds to

surfaces ...

... andrepels

buildup.

Buildupgathers and

slows bearing.

BENEFITS OF TLC TECHNOLOGY

These components are so small that any amount of debris can interfere with the rotation of

micro precision ball bearings. (pictured in the dimple of Roosevelt’s ear)

Bearings are held in place with a

high temperature resin “cage.”

Easy Handpiece Maintenance

No need to lubricate after sterilization.

��FOR USE WITH AUTOMATED HANDPIECE CLEANING STATIONS

Bio Lube™ Advanced Auto-Clean is designed for use in the

Assistina Handpiece Maintenance Station by W&H. It cleans all

high speed turbines, slow speed air motors, contra-angles, air

driven scalers, and ceramic bearings. It removes protein build up

and from accumulated oil residue left within the handpiece and

Advanced Cleaning and Lubrication

USDA H-1

��IECE LUBRICATION STATIONS

des superior autoclave-safe airs. It extends turbine life by

ng bearing cages and o-rings, and ish handpieces. For use in all

tion and cleaning stations piece Spa (Tuttnauer), and Care 3

de, non-flammable, r exceeds all published

USDA H-1

Advanced Cleaning and Lubrication

Advanced Handpiece Maintenance System

Traditional Oil creates a gummy residue that attracts protein matter and slows turbines.

Innovative Cleaner Dissolves Protein and Oil with no Residue!

TLC Technology lubricates at the molecular level and repels buildup.






6 10SM2246








Pink 228-1795

Blue 228-3045Pink 228-5224White 228-3299

228-1428






8 10SM2246


Green Products

A. CLOROX GREEN WORKS™

Natural, eco-friendly, biodegradable cleaning products. Cleaning power fromthe most effective natural sources such as plant-derived cleaning agents,essential lemon oils, corn-based alcohol, earth-based minerals and filtered water. Products have been recognized as safer products by theEnvironmental Protection Agency's Design for the Environment program.

Item # Description Qty. Price

250-7910 All Purpose Cleaner, 32 oz. EA $7.2912 @ $6.79

250-7888 All Purpose Cleaner, 64 oz. EA $13.996 @ $13.49

250-1631 Glass & Surface Cleaner, 32 oz. EA $7.2912 @ $6.79

250-5122 Glass & Surface Cleaner, 64 oz. EA $13.996 @ $13.49

250-8006 Toilet Cleaner, 24 oz. EA $9.7912 @ $9.29

250-9443 Bathroom Cleaner, 24 oz. EA $9.7912 @ $9.29

250-1812 Dilutable Cleaner, 64 oz. EA $13.996 @ $13.49

B. GREENING THE CLEANING® PRODUCTSDEIRDRE IMUS ENVIRONMENTAL CENTER FORPEDIATRIC ONCOLOGY®

Greening the Cleaning® program was developed to eliminate, to the greatestextent possible, all cleaning agents containing hazardous ingredients andreplacing them with naturally-derived ingredients with the least level of toxicity. These products clean as well or better than conventional cleanersand contribute to better indoor air quality.

Item # Description Qty.

818-6733 All Purpose Cleaner, 32 oz. EA $7.49 $6.996 @ $6.99 $6.49

818-8673 Glass Cleaner, 32 oz. EA $7.49 $6.996 @ $6.99 $6.49

818-3700 Basin Tub & Tile Cleaner, 32 oz. EA $7.99 $7.496 @ $7.49 $6.99

C. ECO™ TRAY–WATER PIK INC.Plastic, disposable impression tray. Biodegradable, renewable and compostable alternative to petroleum-based trays. Made with resins formulated from vegetables. Offering the same structural integrity.Provides extremely accurate impressions. Perforated.

Description Qty. Price 6 @

ECO Tray 12/PK $9.99 $9.49

D. SANI-TREET GREEN®

ENZYME INDUSTRIESEnvironmentally friendly enzymatic solution for evacuation- and ultrasonic-system cleaning, and it can be used as an instrument presoak. Anticorrosive, nonfoaming, biodegradable formula helps break down buildup of organicdebris and leaves a lemongrass/lavender scent.Item # Description Qty.115-8012 Gallon EA $57.99 $54.99115-1669 Uni Dose 50/BX $47.99 $45.99

Specify:896-0028 #1 Small Upper896-0020 #2 Medium Upper896-0021 #3 Large Upper896-0022 #4 Small Lower896-0023 #5 Medium Lower

896-0024 #6 Large Lower896-0025 #7 Anterior896-0026 #8 Upper Left/LowerRight896-0027 #9 Upper Right/LowerLeft

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Green Products



A. DENTEK® NATURAL FLOSS PICKSEasily and comfortably removes food, fights plaque and gingivitis.

Also reduces litter and harmful pollutants. Made of 100%

biodegradable materials.Item # Description Qty. Price

760-8214 Value Bag-2 per Bag 144/PK $34.99

B. OXO-BIODEGRADABLE PLASTIC BAGSDegradation begins in about 2 years, depending on UV light and heat exposure. Fastest degradation occurs when they become litter. Usable for 5+ years if stored inside. Bags look and feel like regular plastic, and are justas durable. You won’t notice a difference until the bag has been exposed tolight or heat for prolonged periods of time. Bags do not emit methane inlandfills, and will help reduce landfill volume, maximize capacity and aid incompression. Recycleable, provided they have not degraded substantially.Bags conform to international standard ASTM D6954-04 for Plastics thatDegrade in the Environment by a Combination of Oxidation andBiodegradation.

Item # Description Qty. Price 2 @ 4 @

367-9892 Brush Bag 100/PK $29.99 $27.99 $25.99367-4465 Keep Smile Beautiful 100/PK $29.99 $27.99 $25.99

D. NATURE FRIENDLY™

BIODEGRADABLE PLATES AND BOWLSMade from sugar cane-based renewable resources. 100% biodegradable and compostable. Provides superior strength and quality performance.Suitable for hot or cold food. White.


905-2936 7” Plate 25/PK $4.49 $3.99

905-2938 9” Plate 25/PK $5.99 $4.99

905-2941 11.5 oz. Bowl 25/PK $3.99 $3.29

C. NATURE FRIENDLY™ BIODEGRADABLECUTLERYNontoxic, superior strength with quality performance. Variety pack includes100 each of knives, forks and spoons. 100% biodegradable and compostable, made from plant-based biopolymer.


905-4676 Cutlery Variety 300/PK $36.49 $32.99

E. NATURE FRIENDLY™ HOT CUPSMade from PLA (a corn-based resin), these heavy-duty cups are biodegradable and compostable, meaning they will naturally break down.


905-7675 10 oz. Hot Cup 50/PK $10.99 $9.99

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D. MARCAL® RECYCLED PAPER NAPKINSConvenient drawstring bag for easier dispensing and storage. 100% recycledwith 60% postconsumer recycled content. Single ply, 11-15⁄16” x 12-3⁄4”. Sold in a convenient draw and store bag.


902-8349 Lunch Napkins 400/PK $6.69 $5.99

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B.MARCAL® SMALL STEPS™

2-PLY RECYCLED U-SIZE-IT TOWELS2-ply paper towels come in 140 sheets per roll. Contains 11” x 9” sheet size.Contains 100% postconsumer recycled content.


902-6156 6 Rolls EA $16.99 $14.99905-8271 12 Rolls EA $33.99 $29.99

G






10 10SM2246


Green Products

A. SCOTT®

100% RECYCLED FIBER MULTI-FOLD TOWELSMade from 100% recycled fiber. Processed Chlorine-Free: contains nochlorine derivatives used in bleaching and de-inking process. 9.2" x9.4"–White Contains: 250 sheets per pack, 16 packs per case. Green SealCertified. Meets EPA standards with 100% post-consumerwaste content.

Item # Description Qty.643-9657 Multi-Fold Towels (01807) 4000/CS $66.99 $63.99

D. SCOTT®

100% RECYCLED FIBER C-FOLD TOWELSMade from 100% recycled fiber. Processed Chlorine-Free: contains no chlorine derivatives used in bleaching and de-inking process. 10.1" x 13.2"–White.Contains: 200 sheets per pack, 12 packs per case. Green Seal Certified, meets EPA standards with 78% post-consumer waste content.

Item # Description Qty.643-6256 C-Fold Towels 2400/CS $68.99 $65.99

C. SURPASS®

FLAT 100% RECYCLED FIBER FACIAL TISSUEMade from 100% recycled fiber. Processed Chlorine-Free: Contains no chlorine derivatives used in bleaching and de-inking process. Meets EPA standards with 10% post-consumer waste content. 2-ply. 8.0" x 8.3"–White

Item # Description Qty.643-0680 Fiber Facial Tissue (21285) 125/BX $3.49 $2.99

2 BXs @ $2.99 $2.79

E. KLEENEX®

POP-UP® BOX HAND TOWELSMade with 49% post-consumer recycled material. Quality hand towels in a neat, maintenance-free, splash-proof box. Provides amore hygienic, waste reducing way to dispense towels. No mounted dispenserto load and maintain. Contains: 120 sheets per box, 18 boxes per case. 9" x 10.5" Green Seal Certified, meets EPA standards with 40% post-consumer waste content. Processed, chlorine-free


108-3634 Hand Towels (01701) 2160/CS $67.99 $64.99

F. SCOTT® ROLL TOWELSMade with 70% post-consumer recycled content. Best value in 1-ply perforated roll towels. 128 Sheets per Roll. 1 Ply–11" x 10.7"Item # Description Qty.643-2531 Roll Towels (41482) 20/CS

$44.99 $42.99

G. SCOTT® 100% RECYCLED FIBER BATHROOM TISSUEMade from 100% recycled fiber. Processed chlorine-free—contains no chlorine derivatives used in bleaching and de-inking process. 605 sheets per roll, 2-ply, White. Green Seal Certified. Meets EPA standards with 70% post-consumer waste content.

Item # Description Qty.643-5622 Standard Case (64460) 80/CS $106.99 $101.99

H. SCOTT®

BATHROOM TISSUEMade with 45% post-consumer recycled fiber.Soft, long-lasting, 500-sheet rolls are individually wrapped. 2-ply softness, 41⁄2" x 41⁄2"–White

Item # Description Qty.643-6060 Convenience Pack (13609) 20/CS @ $30.99 $29.49

2 CSs @ $29.99 $27.99

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B. SCOTT®

MULTIFOLD TOWELS #1804Made from 40% post-consumer recycled content. 9.4" x 9.3"Contains: 250 sheets per pack, 16 packs per case.

Item # Description Qty.101-2063 Multi-Fold Towels (1804) 4000/CS $56.99 $54.99







[107-1120].......2.25" x 4" 200/Bx [107-6530].......2.75" x 9" 200/Bx [107-1320].......3.5" x 5.25" 200/Bx [107-8750].......3.5" x 9" 200/Bx [107-0007].......5.25" x 6.5" 200/Bx

crosstex.com

PATIENT TOWELS, HAND CARE, PROPHY ANGLES, TREATMENT ACCESSORIES, WATERLESS HAND SANITIZER, SURFACE DISINFECTANTS, FACE MASKS, GLOVES, STERILIZATION PACKAGING

PROUDLY MADE IN USAWe’ve got you covered.

BY CROSSTEX®

[107-1690].......5.25" x 10" 200/Bx [107-3402].......7.5" x 13" 200/Bx [111-7002].......12" x 15" 100/Bx [107-7356].......12" x 18" 100/Bx

90% of knocked out teeth can be saved for life by using a Save-A-Tooth® system

Teeth can be knocked out at anytime or anywhere. Over five million are knocked out every year in the UnitedStates. All of these teeth can be reimplanted and kept for life if they are treated properly and safely stored. Without safe

storage, a tooth will begin to die within 15 minutes and will be unsalvageable after an hour.

Save-A-Tooth® is a system designed to save and completely preserve knocked out teeth for twenty-four hours. How knocked out teeth are handled duringtransport plays a key role in the ultimate success after it is reimplanted. The cells of teeth have a very specific fluid pressure and their delicate root cells canbe damaged easily if rubbed or touched. The solution in Save-A-Tooth® nourishes the root cells and the removable suspension net makes it possible towash and remove the teeth without touching or dropping the tooth. The system needs no refrigeration and lasts for two years.

Without the use of a Save-A-Tooth®, a reimplanted knocked out tooth only has a 10% chance of success of being saved. By using a Save-A-Tooth®, thesuccess is 90%. It is a necessary component of every first aid supply kit and station.

It is accepted by the American Dental Association and recommended by most leading dental textbooks.

Save•A•Tooth®






12 10SM2246


“Nu-Mem” Alveolar Socket Preservation TechniqueAron Gonshor, PhD, DDS, FRCD(C), FAO

Step 1. Following atraumatic extraction, the socket is examined for residual debris and to check that the amount ofbleeding is appropriate. The deproteinized bovine bone grafting material is then thoroughly packed into the socketup to the level of the crestal bone to ensure maximum bone regeneration. If an immediate implant is indicated, itshould now be inserted. In this case, there will be excess material that will be extruded as the implant is insertedinto the site.

Step 2. After the site has been filled to the crestal bone, the barrier material is placed over the graft. The barrier consistsof a resorbable collagen membrane. The collagen membranes are available as resorbable collagen plugsor tapes.

If the plug is selected, it can be cut in half and the halves placed into the site one piece on top of the other, as required. Ideally, following extraction the papillae should be undisturbed prior to filling of the socket with bone graft material. Alternatively, the collagen tape can be used and cut into strips before being placed in the socket(s). The shape of the strip of tape makes it particularly useful in multiple adjacent sockets. The purpose of the barrier membrane is to help hold the grafting material in position and to prevent contamination of the site. It has been found that new bone will develop apical to any debris present.

Step 3. Following placement of the barrier, the membrane or plug can be secured using either mattress or criss-crosssutures, or both. A long-lasting resorbable suture material such as a polygalactin 910 (Vicryl®, Ethicon®; Dexon®,Sherwood Davis and Geck), or a chromic-type suture, will ensure support of the membrane during the initialhealing period.

Step 4. The final part of the procedure is the placement of a provisional temporary replacement over the treatedextraction site. Placing a provisional that has an ovate pontic shape to simulate the contours of the extractedtooth, encourages soft tissue contouring that will leave a natural appearance when all treatment has beencompleted. If a temporary bridge can be fashioned using two existing abutments adjacent to the extraction site,or if a bonded temporary pontic can be used, a well-designed ovate pontic can be created. The laboratory canuse casts from recent impressions and, in discussion with the dentist, create a pontic shaped and contouredsuch that it will preserve and help develop soft tissue contours during healing. A similar technique can be usedfor the replacement tooth on a removable prosthesis that sits over the teeth.

Summary As oral health improves, more people are retaining their teeth and patient expectations are increasing.Increasingly, implants are used to replace missing teeth. Irrespective of the method used for tooth replacement,preserving the ridge and soft tissue at extraction sites is important for both function and esthetics. Varioustechniques exist for bone grafting, and for membrane use for guided tissue regeneration. A combinationtechnique using deproteinized bovine bone and a resorbable collagen barrier followed by use of an anatomicaltemporary tooth replacement has been found to produce consistent results in preserving both the ridge and softtissue contours for the final restoration. As the demand for implants continues to grow, the importance of ridgeand soft tissue preservation can only increase. Use of an appropriate technique preserves alveolar ridgeanatomy, facilitates prosthetic management, optimizes function and esthetics, and enables the patient to betreated in a shorter time with fewer surgical procedures.






HealthY SolutionS HealthY SolutionS 10SM2246_HDS:06SS4434_HealthySol 7/19/10 10:06 AM





14 10SM2246


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The Cavitron THINsert® ultrasonic insert is a great fit. At almost half the diameter of the FSI® Slimline® insert*, Cavitron THINsert® ultrasonic insert delivers high power in a slim tip. This means you can use your 30k Cavitron® ultrasonic scalers in difficult to reach areas like interproximal surfaces, concavities, and areas with tight tissue attachment. All without losing the tactile sensation you rely upon.* Data on file.

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Cetacaine® Topical Anesthetic Gel is a fast-acting, long-lasting prescription topical anesthetic that can be applied directly to the required site. Cetacaine is primarily used to control pain and ease discomfort at the site where it is applied.

The new pump-top jar controls the amount of Cetacaine dispensed. The protective lid easily comes off and on to keep the surface clean and intact.

Please see the Brief Summary of the Prescribing Information on the reverse side. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Cetacaine Gel is indicated for anesthesia of accessible mucous membrane except the eyes.

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Important Safety Information

• Onset of anesthesia is within 30-60 seconds and duration is typically 30 - 60 minutes

• Controls pain and eases discomfort at the site where it is applied

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and absorb quickly into tissue

DescriptionCetacaine Topical Anesthetic Gel

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MSRP $29.00

On rare occasions, methemoglobinemia has been reported in connection with • the use of benzocaine-containing products. If a patient becomes cyanotic, treat appropriately to counteract (such as with methylene blue, if medically indicated). Care should be used not to exceed the maximum recommended dosage. • The most common adverse reaction caused by local anesthetics is contact • dermatitis characterized by erythema and pruritus that may progress to vesiculation and oozing. This occurs most commonly in patients following prolonged self-medication, which is contraindicated. Cetacaine may not be right for everyone including those who are • hypersensitive to any of its ingredients or are known to have cholinesterase deficiencies.

Conveniently dispensed by finger tip pressure on pump-top jar.

Contact:

Cetylite Industries, Inc.9051 River RoadPennsauken, NJ [email protected]






16 10SM2246


Sterilization and Disinfection of Patient Care ItemsA Summary of CDC Recommendations, MMWR, Dec 19, 2003and the Guideline for Disinfection & Sterilization in HealthCare Facilities, 2008by Andrea HightRegional Manager/Community Health LiaisonSpecial Markets

Categorization of Patient Care Items:Critical: Used to penetrate soft tissue or bone with greatest risk of infection transmission: require heat sterilization.Semi-Critical: Touch mucous membranes, non-intact skin: in dental, if heat tolerant, sterilize. If not heat tolerant, use highlevel disinfection (cold sterilization) per manufacturer instructions or use disposable items and discard.Non-Critical: Touch only in tact skin: clean and follow by disinfection, or use disposable items and discard.

Cleaning, Disinfecting and Sterilizing:1. In operatory after use, place contaminated items in a puncture-resistant container, secure cover and transfer to

sterilization area; place all disposable sharps in sharps container at point of use (operatory), and biohazard in red biohazard trash.

2. Process all instruments in designated sterilization area that is divided into: a) receiving, decontamination, cleaning (debris removal); b) Preparation and packaging; c) Sterilization; d) Storage. Ideally partitions should separate the areasto contain contaminants, or allow sufficient physical separation between areas to prevent splatter contamination.

a) Receiving, Cleaning & Decontamination:• Deliver reusable contaminated items to designated place: in a covered container.• Remove organic and inorganic debris by scrubbing with a surfactant, detergent and water, or use an ultrasonic cleaner

or instrument washer. To decrease risk of injury, use mechanical cleaning over manual cleaning. If you must clean instruments by hand, scrub them using a brush with a handle, pick them up one at a time; do not reach into piles of contaminated instruments; use tongs.

• Wear PPE to cover eyes, nose, mouth. Wear a gown and heavy-duty puncture and chemical-resistant gloves. • After cleaning, rinse instruments with water to remove chemical residue. Use a strainer-type basket to reduce

risk of injury.• Always handle non sterile items as contaminated.• If unable to immediately clean instruments, place them in a puncture-resistant container with detergent,

disinfectant/detergent, or enzymatic cleaner to decrease bio-contaminant load and prevent hardening of adhesions. b) Preparation and Packaging:

• Use a separate section for this process• Inspect, assemble into sets or trays, package or place in container systems and wrap and label for sterilization.

Process hinged instruments open and unlocked.• Place an internal indicator in each package, or if it cannot be seen, also use an external indicator. Follow

manufacturers’ instructions for correct placement.• Sterilize critical and non-critical items unwrapped for immediate use only.

c) Sterilization: Only use FDA approved medial devices for sterilization.• Use a separate section for sterilizers and related supplies with sufficient space for unloading and cooling.• Use steam or heat sterilizers for all items that can be sterilized. Follow manufacturer instructions. • Use dry cycle to complete process before storing items.• Do not overload sterilizer. Place packets and cassettes on their sides next to each other to allow heat and steam to

penetrate through and around each package or container. Packages stacked on top of each other may not allow sterilization process to items in middle of pile.

• Place chemical sterilization indicator outside and inside packets and sterilized packages. Recommend chemical indicator that measures time, pressure and temperature. If indicator does not react correctly during sterilization, repeat sterilization for the items.

• Use aseptic technique to transfer sterilized items from the sterilizer to storage. Achieve with use of sterile gloves and forceps.

• Do not sterilize implantable devices unwrapped.







• Disinfect the handle and controls of the sterilizer after starting cycle to prevent post-cycle contamination when opening and removing sterile items from the sterilizer.

• Critical and Non-Critical items must be dried by the sterilizer if they are stored before use. Wet packaging is porous and allows contamination.

• Heat sensitive items can be completely sterilized through complete immersion in an FDA approved steriliant/high-level disinfectant. Make sure you use a product designated for this purpose and follow manufacturers’ instructions. Process can take up to 12 hours. Keep cold-sterilie container lidded to prevent vapor irritation.

• When cold sterilization is complete, rinse items with sterile water to remove chemical residue, dry with sterile towels using sterile gloves, and transport to point of use in aseptic manner.

• If stored before use, cold sterilized items are not sterile.Cautions:

• Do not use cold sterile solution as a surface disinfectant.• Match product to the purpose: Use all chemicals, cleaners, disinfectants for the purpose designated and follow

manufacturers’ use instructions. Keep a copy of the MSDS sheet for safety instructions and compliance.• Do not use bead sterilizers. The FDA has determined they are ineffective.• Use a Biological Indicator (BI) at least weekly or as mandated by state law, to check effectiveness of sterilization

‘kill’ of pathogens.• If your biological indicator (BI) activates during sterilization, run a second cycle with the BI. Common reasons for BI

failure include: overloading, failure to provide adequate package separation, loading, spore testing. Often correcting theprocess will resolve the reading on the second cycle. Keep items in quarantine until you have determined if the sterilizer has malfunctioned.

• Record results of BI monitoring and corrective actions as part of the overall infection control program. Many sterilizers have record print ability. Maintain records in compliance with Federal, state and local laws and regulations.

• When process tests show sterilizer is faulty, remove it from service, repair or replace as appropriate.• The CDC has established protocols for positive BI tests.

d) Storage of Sterile Items:• Keep sterile and disposable items in dry, enclosed storage.• If packages tear, open or get wet before use, re-package and completely re-process contents.

Disinfection of Treatment Areas:• Identify all contaminated (clinical contact) surfaces: light handles, switches, pens, X-ray cones, arms and exposure

buttons, chairside keyboards, knobs, tubing, counters, drawer handles, faucets, lead aprons, etc.• Clean all such surfaces with detergent or surfactant and rinse to remove debris.• Wet disinfect surfaces with an EPA-registered hospital disinfectant with HIV, HBV (low level disinfectant) claim or a

tuberculocidal (intermediate disinfectant) claim. Areas that were visibly contaminated with blood or OPIM need the latter. Allow wet surfaces to evaporate to dry.

• Check equipment manufacturer cleaning recommendations to ensure disinfectant compatibility to reduce damage to upholstery and other surface materials, and prevent voiding of warranties.

• Use protective, disposable barriers on clinical surfaces whenever feasible and change between patients.• Non-clinical (house-keeping) contact areas such as walls and floors should be washed regularly with an appropriate

cleaner or an EPA registered hospital disinfectant/detergent.• Wear appropriate PPE when cleaning and disinfecting environmental surfaces

Henry Schein thanks the organization for Safety, Asepsis and Prevention (OSAP) for their expertise. OSAP is a nonprofit, independent organization providing information and education on infection prevention andcontrol and safety to dental-care settings worldwide. Although OSAP believes the information contained hereinis accurate, it necessarily reflects OSAP’s interpretation of CDC guidelines. OSAP assumes no liability foractions taken based on information herein. For additional infection prevention resources, please go toWWW.OSAP.ORG






18 10SM2246


Don’t clip that crud on meby Noel Kelsch, [email protected]

he stood holding a bib chain in her hand, gently swirling it as I prepared lunch. We often brought the clip into thekitchen to save our street clothes from the ravages of baked ziti and the turbulence of tamale pie. I watched thechain go back and forth and realized that something was coming from it. On closer examination, we discovered thatdebris was falling from the balls that made up that chain. Bib clips and other items with hidden reservoirs can be a

source of cross-contamination when they come in contact with moisture or dislodged debris and contaminate the patient or environment.

The Centers for Disease Control and Prevention defines cross-contamination as the act of spreading bacteria and virusesfrom one surface to another.Since blood-borne viruses can live on objects and surfaces for up to a week, germs could be spread when surfaces are notdisinfected the right way or if equipment is not cleaned and sterilized between patients.

Each day that I put that clip in place, I felt guilty and decided it was time to find out exactly what risks I was taking anddeveloped a simple solution to my observation. I decided to agar plate a variety of clips and see exactly what I was sharingwith my patients. I gathered 12 clips from a variety of offices and placed them in sterile pouches, plated them out and did acount of the results after 48 hours of incubation. Each office reported they had disinfected the item using a hospital gradedisinfectant but had never sterilized the item or put it in the ultrasonic bath.

Just so you knowCFU is a measurement of colony forming units of viable bacteria or fungal numbers. The method I used was to agitate theclips in sterile saline and plate out on agar (see related chart). It was incubated for 48 hours and a count was done. The count is given in CFU/mL (colony forming units per milliliter). The Environmental Protection Agency has established alimit of 500 cfu/mL for drinking water.

What I discovered:• Bib clips and other items can be a source of cross-contamination. In their crevices, they can harbor pathogens.• When the hollow bib clip was placed in solution, it released debris out of the tubing and had some of the highest CFU/mLcounts. In the moist dental environment we work in, cross-contamination could occur in the same manner.• The larger the inaccessible area, or “hidden” surface area the higher the CFU/mL count. The clip that had a plastic mouthwith many crevices and indentations and the chain that had flaking paint and an inaccessible plastic ring had the highest counts.• The solid rubber bib clip with limited indentations and crevices had the lowest number of CFU/mL.• The autoclaved and the disposable bib holders did not create enough CFU/mL to be considered a source of viablepathogens.

Solutions• Use disposable bib holders. They are simple to use, cost effective, and limit cross-contamination.• Use bib holders with no chains, limited embossing, and no crevices. Do not buy clips that cannot be sterilized (most can).Put one in each setup, run through the ultrasonic bath to remove debris, and then sterilize.• Do not bring any dental equipment into the area set aside for food in the dental setting. The chance of cross-contaminationis not worth the risk.Bib clips and other items with hidden reservoirs can be a source of cross-contamination. Every healthcare professional hasthe responsibility of protecting patients and themselves from the risk of cross-contamination.

S






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