AAPD Issues Evidenced-Based Guidelines for Using Silver Diamine Fluoride to Treat Cavities

Posted on October 16, 2017

CHICAGO, October 11, 2017 –The American Academy of Pediatric Dentistry (AAPD) issued the first-ever evidence-based guideline on the use of silver diamine fluoride to treat cavities in pediatric patients, based on a systematic review of research from 1969-2016. The AAPD guideline recommends silver diamine fluoride, or SDF, to treat active cavities in pediatric and special needs patients, likely leading to broader adoption of the treatment. 

Cavities are one of the most widespread chronic infectious diseases among children in the U.S. In fact, six in 10 children experience a cavity by age 8. Untreated cavities in baby teeth can spread and cause decay in other teeth – including permanent teeth. 

Silver diamine fluoride is a minimally invasive, low-cost treatment that dentists paint on the teeth to painlessly treat cavities. It was approved by the Food and Drug Administration in 2014 to treat tooth sensitivity in adults. Dentists have been using it off label to treat cavities since then, but adoption has not been as widespread. Now, dentists have increased clarity around the uses and benefits of SDF with this guidance from the AAPD. 

 “Aside from fluoridated water, silver diamine fluoride may be the single greatest innovation in pediatric dental health in the last century,” said Dr. James Nickman, AAPD president and practicing pediatric dentist. “Given its minimal cost and easy, painless application, it could help close the gap in healthcare disparities.” 

In the systematic review of research on which the guideline is based, no significant adverse effects were reported. The most notable downside is that silver diamine fluoride turns cavities black. Comparatively, treating cavities in young children, particularly those with special needs often involves sedation or general anesthesia, both of which have additional health risks for the patient. In addition, the cost of treating cavities in young children is often disproportionately high. 

"Silver diamine fluoride gives us another simple and safe option to treat cavities in children who can't cope with getting traditional fillings,” said Dr. Yasmi Crystal, clinical associate professor of pediatric dentistry at NYU College of Dentistry. “Prevention is our number one priority, but if a child does have a cavity, we need to treat it before the child develops pain and infection. However, we also want to make sure they have a good experience at the dentist, so this is a good way to do both.” 

The AAPD recommends every child over age 1 visits the dentist every six months for regular cleanings and checkups. This is no different for those who have cavities treated with silver diamine fluoride. SDF doesn’t work all the time, so it needs to be monitored and re-applied twice a year to have a sustained effect. As the child gets older, their pediatric dentist can share other more esthetic and lasting options for keeping a tooth treated with SDF healthy. 

The AAPD encourages parents and caregivers to talk to their pediatric dentists and go to MyChildrensTeeth.org for more information. 


Dentsply Sirona Announces Additions to Executive Leadership Team

Posted on October 16, 2017

Dentsply Sirona, The Dental Solutions Company™, today announced the appointment of two new Executive Leadership Team members, effective immediately, as part of their continuing efforts to position the Company to achieve its potential.

Nick Alexos joins as EVP, Chief Administrative Officer, reporting directly to Mark Thierer, Interim Chief Executive Officer. In this role, he will lead Treasury, Information Technology, Business Development, Strategic Planning, and Investor Relations.

Mr. Alexos was most recently with Madison Dearborn Partners LLC, a leading Chicago-based private equity firm which he co-founded. Prior to that, he was with First Chicago Venture Capital and the First National Bank of Chicago. He is a CPA and received his MBA from The University of Chicago Booth School of Business.

“I have worked with Nick for nearly two decades. He has extensive experience in the healthcare sector as an investor and as a member of a number of boards in the industry, including Sirona Dental Systems, Inc.,” said Mark Thierer, Interim Chief Executive Officer of Dentsply Sirona. “Nick will be an outstanding leader and business partner focusing on capital deployment, operating leverage expansion, and potential acquisitions.”

In addition, the Company announced that Keith Ebling joins as EVP, General Counsel & Secretary, also reporting to Mark Thierer. He replaces Jonathan Friedman who resigned from the Company.

Mr. Ebling comes to Dentsply Sirona from Express Scripts Holding Company, a $100 billion integrated pharmacy benefit management company. He served in a number of legal and leadership roles over his nearly 20 years with the company, most recently as Executive Vice President and General Counsel. Prior to that, Mr. Ebling was an associate with a private firm in St. Louis that he joined after graduating as valedictorian and magna cum laude from Saint Louis University School of Law. He also has his MBA from Washington University Olin School of Business.

Said Thierer: “I have known Keith for years. He has deep General Counsel expertise and brings significant experience in the areas of product development, business development, and mergers and acquisitions. We are fortunate to have someone with Keith’s expertise to guide us from a legal perspective as we position Dentsply Sirona for growth.”


Hu-Friedy Announces Fifth Annual #ShowUsYourPurple Event

Posted on October 16, 2017

Hu-Friedy, a global leader in the manufacturing of dental instruments and products, will again show their support of dental hygienists by wearing purple (the official color of dental hygiene) and advocating for the profession with a special emphasis from Oct. 16-20. Hu-Friedy created and launched the annual, social media-driven event in 2013, naming it #ShowUsYourPurple. For this, the fifth anniversary of the event’s creation, Hu-Friedy is planning an extended five-day celebration of the hygiene profession and its heroes.

The American Dental Hygienists’ Association has designated October as Dental Hygiene Month, serving to remind patients, clinicians, and policymakers alike of the importance of home-based and clinical oral care, as well as access to care. With that in mind, in 2013 Hu-Friedy created Show Us Your Purple Day in an effort to highlight the many women and men on the frontlines of oral care who work tirelessly in the mouth, in education, and on policy. The annual event encourages dental hygienists to unite in an upbeat and positive show of force by wearing the color of their profession: purple. The event’s popularity grows each year, with both a physical and online presence. Proud clinicians from across North America celebrate the day by not only donning purple clothing, but also by taking to social media channels to post images of themselves and their office teams dressed in purple, using the hashtag #ShowUsYourPurple.

“Hu-Friedy has many different customer segments, but one group in particular has always been near and dear to our hearts: Dental Hygienists,” explains Hu-Friedy Chief Marketing Officer Patrick Bernardi. “In addition to creating a welcoming and nurturing experience for patients, the real impact of Dental Hygienists is that they save lives. Dental Hygienists are on the front lines of oral health; given how much we know about the connection between oral health and systemic health, the value of the Dental Hygienist cannot be understated. This is why we created the #ShowUsYourPurple campaign – to express our gratitude and to deliver a rallying cry for this special group to celebrate one another.

”Hu-Friedy has a long history of helping hygienists be the best clinicians they can be. Hu-Friedy not only uses input from hygienists to create improved instruments, but also sponsors scholarships, complimentary continuing education courses, educational events, and an online community for dental hygienists via the Friends of Hu-Friedy platform.

In recognition of the growing popularity of the event as well as its fifth anniversary, Hu-Friedy has decided to sponsor a five day event this year. In 2017, it is guaranteed to be bigger than ever, with the opportunity to have social media images shared and to win purple prize packs. Hu-Friedy will be wearing purple all week, and they hope proud hygienists will do the same. Proud hygienists are encouraged to celebrate with Hu-Friedy by wearing purple clothing and accessories from Oct. 16-20, and post images of themselves and their teams on Facebook, Twitter, or Instagram with the hashtag #ShowUsYourPurple.

National Dentex Labs Acquires Albensi Laboratories

Posted on October 13, 2017

National Dentex Labs (NDX) has announced its acquisition of Albensi Laboratories in Irwin, PA. The lab will now be known as NDX Albensi. This follows the successful acquisition and integration of dental labs in Minnesota and Indiana earlier this year.

Albensi Laboratories was founded in 1979 by Don Albensi, and since then, it has garnered a reputation as one of the most respected labs in the industry. With more than 150 employees, Albensi is a full-service lab with both local delivery and a large national account base. Don Albensi’s son, Don Albensi, Jr., will stay with the company as the lab’s general manager.

“Albensi Laboratories is a fantastic addition to the NDX network with a great history of service and quality to the customer. This is the third addition to our company this year, which is part of our strategic plan to add quality labs of size and scale that can benefit from some of NDX’s strengths. In turn, NDX benefits from their capabilities,” says Tom Daulton, CEO of National Dentex Labs.

Earlier this year, National Dentex Labs acquired Dexterity Dental Arts in Farmington, MN, and Lumident, Inc. in Indianapolis, IN. “This year, we welcomed more than 230 new team members to NDX. Their skills and commitment to service are truly enhancing our ability to serve dentists throughout the United States,” says Daulton.

Nominate an Outstanding Colleague for an Evy Award

Posted on October 12, 2017

The American Academy of Cosmetic Dentistry (AACD) is seeking nominations for their annual Celebration of Excellence Awards, also known as the Evy.

Since 1988, the AACD has publicly recognized dental professionals who make a difference to the academy, the profession, and their communities. Evy award categories include:


*         Excellence in Cosmetic Dentistry Education Award

*         Hall of Fame Award

*         AACD Humanitarian Award

*         Lifetime Achievement Award

*         Outstanding Innovation in Cosmetic Dentistry Award

*         Outstanding Service to the Academy Award

*         AACD Rising Star Award

*         Journal of Cosmetic Dentistry (jCD) Award


If you know of a colleague who is making significant contributions to the field of cosmetic dentistry and/or to the Academy itself, please nominate them for one of these distinguished awards. The AACD would like to thank and recognize these outstanding individuals who have made a tremendous impact.

The Evy Awards will be presented during the Celebration of Excellence closing reception at AACD 2018 in Chicago. Nominations are due by Friday, January 12, 2018 at 5 pm CT.

For more information and to complete a nomination form, please visit www.aacd.com/evy-awards.

New Sirona Connect Software 4.5 Enhances Digital Impressions for Practices and Labs

Posted on October 12, 2017

Sirona Connect has always stood for comfortable, digital intraoral impressions in the dental practice and the quick and secure transfer of data to the dental laboratory. And with growing success, up to 2016, more than a million dental restorations were made using Sirona Connect. Dentsply Sirona has now enhanced the no. 1 in digital lab connections with the latest Sirona Connect software 4.5 update. Additional software services and new portal functions offer advantages for dentists and dental technicians.

The number of digital intraoral impressions completed in dental practices is steadily growing. Sirona Connect is increasingly used in practices and labs for transferring the impression data to the dental lab, allowing dentists to provide their patients a modern practice concept, take impressions quickly and comfortably thanks to intraoral scanning, and ensure faster overall treatment. Sirona Connect benefits the dental lab with direct connection to the practice, and quick and secure transfer of digital impression and order data. In addition, Sirona Connect saves the practice and lab valuable time by enabling the immediate exchange of information during the patient's visit.

Sirona Connect SW 4.5 with enhanced features

With the new Shade Detection tool for the CEREC Omnicam, the latest Sirona Connect software analyzes the scan and indicates the tooth color as a VITA* Classic or VITA* 3D Master shade. This function supports dentists in selecting the suitable shade for the restoration.

For even more flexibility, digital intraoral impressions can be made for Dentsply Sirona or third party implant systems and different scan bodies can be used.

Sirona Connect SW 4.5 also allows the practice to make an open scan export of the model data in STL format for direct transfer to the lab's CAD software.

There is another interesting enhancement for Sirona Connect labs. For the first time, they can create a customized lab profile on the Sirona Connect portal and show offers for appointments, materials, degrees of refinement, special services, and much more for the individual lab. This gives Sirona Connect dentists an optimum, customer-friendly overview of the range of services and saves them time when ordering from a lab.

The new Sirona Connect SW 4.5 is available to all Sirona Connect users with CEREC Omnicam, CEREC Bluecam, and APOLLO DI as a free auto-update or as a download at www.dentsplysirona.com.


Aspen Dental Management, Inc. Hosts Inaugural VIBE Session: New Grad Edition

Posted on October 12, 2017

On September 16 in Chicago, Aspen Dental Management, Inc. (ADMI) – the Dental Support Organization that provides nonclinical business support to the 640-plus Aspen Dental practices across 36 states – hosted its inaugural VIBE Session: New Grad Edition for 110 new dental school graduates who have recently joined an Aspen Dental practice. Also in attendance were 10 dental student leaders from various schools across the country. VIBE Sessions were created a few years ago by ADMI to help dentists with Aspen Dental learn, connect, and celebrate with each other – and fully understand how Aspen Dental is breaking down the barriers to better care, better smiles and better lives.

During the session, the new doctors were able to engage with and learn from the best and brightest via professional development, team-building activities and panel discussions with successful, experienced Aspen Dental practice owners and partners. The New Grad Edition was geared specifically to new dentists, and focused on sharing a roadmap for building a successful, long-term career and providing attendees the opportunity to network with their peers as well as established practice owners.

“Today we learned more about the business of Aspen Dental and how important it is to connect with your peers and have a great mentor,” said Dr. Natalie Semaan, an Associate Dentist at the Aspen Dental practice in Bloomingdale, IL. “It’s so great that all of the attendees are new dentists so we have a lot in common and can relate and laugh with each other about our experiences.”

But that’s not all – the new grads were also able to attend the NASCARTales of the Turtles 400 race at Chicagoland Speedway on September 17, getting to see the excitement first-hand with a VIP experience at the track. Aspen Dental partner and NASCAR driver Danica Patrick even stopped by to speak to the grads, giving career advice and thanking them for joining the team at Aspen Dental, the official dentist of NASCAR.

One lucky new grad, Dr. Sumita Sam, the Associate Dentist at the Aspen Dental practice in Taylor, MI, won a brand new 2017 Ford Mustang as part of Aspen Dental’s Best Grad Gift Ever promotion.

“New Grad Edition was an incredible experience,” said Dr. Ryan Evans, an Associate Dentist at the Aspen Dental practice in New Braunfels, TX. “I loved learning more about what my career journey with Aspen Dental could look like – and I’m so proud to be part of the Aspen Dental family.”  

NIH provides $9.8 million in funding for new clinical trial using Advantage Arrest Silver Diamine Fluoride 38%

Posted on October 11, 2017

Advantage Silver Dental Arrest, LLC and Elevate Oral Care, LLC announced today that the National Institute of Dental and Craniofacial Research (NIDCR) of the National Institutes of Health (NIH) has provided $9.8 million to fund a Phase III randomized clinical trial using Advantage Arrest® Silver Diamine Fluoride 38% for arresting caries in children. This grant represents another major milestone for Advantage Arrest® Silver Diamine Fluoride 38%.

Advantage Arrest® Silver Diamine Fluoride 38% was cleared as a medical device in 2014 for the treatment of dentinal hypersensitivity, the same clearance given to 2.5% and 5% sodium fluoride varnish. It is extensively being used off-label in the US for arresting and preventing caries in children and adults.

In 2016, Advantage Arrest® Silver Diamine Fluoride 38% was the first product ever to receive the FDA’s Breakthrough Therapy Designation (BTD) for the arrest of tooth decay in children and adults. It is the only oral care product to ever receive this prestigious designation. BTD represents the FDA’s effort to address an unmet, serious, life-threatening medical need where there is no available therapy.

In use for over 50 years as a caries-arresting drug in Japan and other countries, the Designation was granted based on the FDA review of 10 worldwide randomized clinical trials evaluating silver diamine fluoride for caries arrest in children aged 3-9 or adults aged 60-89, as well as studies conducted by Advantage Silver Dental Arrest, LLC. Collectively these trials involved approximately 1500 subjects who were monitored for 1-3 years.

The American Dental Association added a new Code on Dental Procedures and Nomenclature (CDT Code D1354 – Interim Caries Arresting Medicament Application) to achieve uniformity, consistency and specificity in accurately documenting treatment for the efficient processing of dental claims. Multiple insurers and State Medicaid programs in AK, CA, IA, KS, ME, MI, MN, NC, NJ, OR, TN, VA, and WI  are currently said to be reimbursing for the cost of the therapy for caries arrest.

“The NIDCR funding represents another major milestone in our over nine year effort, spearheaded by Dr. Peter Milgrom of Advantage Silver Dental Arrest and the University of Washington Dental School. Knowing how this option continues to improve the treatment of dental caries, not just with patients in low socioeconomic circumstances, but for numerous Americans across all age and economic spectrums has been extremely gratifying for me as a health professional” said Dr. Mike Shirtcliff, President of Advantage Silver Dental Arrest, LLC.

Kevin Thomas, President of Elevate Oral Care, the commercialization organization for Advantage Arrest Silver Diamine Fluoride 38% stated, “We are proud to be a part of helping to significantly improve the oral health of so many Americans in a cost effective manner not previously available in the US. Every day we hear more stories from dental professionals about how Advantage Arrest is not only helping so many of their patients but also how it is improving their practices by providing an effective and efficient way to treat this serious and rampant disease.”

The phase III study will provide the necessary data required by the Food and Drug Administration (FDA) for approving a cavity arrest drug claim in the US. It will closely follow 1,060 children, ages 2- 5, in preschool programs such as Head Start during a school year. The principal investigator is Dr. Margherita Fontana, a professor in the Department of Cariology, Restorative Sciences and Endodontics at the University of Michigan. Researchers from the University of Iowa, New York University, Indiana University, University of Otago in New Zealand, University of Hong Kong and University of Baltimore will also participate in this multi-center study.


Dentsply Sirona Announces Program to Benefit Dentists Affected by Hurricanes Harvey and Irma

Posted on October 11, 2017

Relief program designed to support dentists in the states of Texas, Louisiana, Florida and Georgia focuses on long-term recovery of their practices.

Dentsply Sirona announced that it is offering an extra 10 percent discount on MSRP pricing through the end of the year on all equipment sales to dentists affected by Hurricane Harvey in the states of Texas and Louisiana, as well as dentists affected by Hurricane Irma in areas of Florida and Georgia. The program facilitates the donation process for distributors who want to offer financial support to storm victims in affected areas.

“Dentsply Sirona is committed to helping those affected by these tragic events,” said Senior Vice President of the U.S. Commercial Organization Michael Augins. “Our organization, along with our dealer partners, are committed to helping dentists in the affected areas rebuild their businesses and communities throughout the months to come.”

Orders must be placed and goods delivered by Dec. 31, 2017, except for treatment centers, which must be delivered by March 31, 2018. The offer is on top of all promotions by Dentsply Sirona.

The company will also offer special savings programs designed to help dental offices restock products for consumable materials.

Hurricane Harvey made landfall on Aug. 24 near Corpus Christi, Texas, as a Category 4 storm. It is on track to be one of the costliest hurricanes in U.S. history. The storm produced up to 50 inches of rain in some areas, causing historic flooding and wreaking havoc on communities throughout Southeastern Texas and Southwestern Louisiana. On Sept. 10, Hurricane Irma made landfall in Florida as a Category 4 storm, producing disastrous storm-surge flooding, tornadoes and forceful wind gusts across the state. This is the first time in recorded history that two Category 4 storms made landfall in the U.S. in the same year.

For more information on this relief program and to learn more about Dentsply Sirona, visit www.dentsplysirona.com or speak to your preferred dental products dealer.


Nobel Biocare Marks North American launch of Trefoil at AAOMS

Posted on October 11, 2017

At the 2017 Annual Scientific Meeting of the American Association of Oral and Maxillofacial surgeons (AAOMS) taking place in San Francisco, California October 9–14, Nobel Biocare is launching the Trefoil system in North America. The Trefoil system is the latest addition to the company’s proven assortment of groundbreaking full-arch solutions for patients in most need. Nobel Biocare will present this revolutionary new system in San Francisco alongside an industry-leading range of solutions for Immediate Function and exceptional esthetics.

The Trefoil system represents a breakthrough in efficiency for treating edentulous patients and patients with failing dentition, enabling the fixed, definitive, full-arch restoration of the mandible in one day.* These significant efficiency gains are the result of an optimized workflow and componentry, which enable shorter time-to-teeth and reduced chair time in comparison with conventional treatments that require provisional restorations.

The cost-effective Trefoil system features a pre-manufactured titanium bar. Passive fit is made possible by a groundbreaking fixation mechanism that compensates for deviations in implant placement. The bar is retained on three implants featuring the TiUnite surface, which is proven to support Immediate Function.1 Combined with the straightforward restorative workflow, this makes the delivery of a fixed, definitive, full-arch restoration possible on the day of surgery. *

One-year clinical data already available

At launch, the Trefoil system is already backed by a year of scientific evidence showing successful early clinical outcomes. The one-year results of a five-year multicenter clinical study evaluating the Trefoil system at five sites across four continents are now available.2 These preliminary findings show high implant and prosthetic survival rates, minor marginal bone remodeling and short time-to-teeth. Patients and clinicians reported excellent functional and esthetic satisfaction at all follow-up assessments, with patients also experiencing notable improvements in quality of life following restoration.

The Trefoil system is the latest addition to the extensive range of edentulous treatment solutions pioneered by Nobel Biocare. It joins the All-on-4® treatment concept as well as the NobelZygoma implant system for the treatment of the severely resorbed maxilla and the extended line of NobelSpeedy implants.

Hans Geiselhöringer, President, Nobel Biocare said: “Nobel Biocare is the undisputed forerunner in full-arch restorations and the launch of the Trefoil system consolidates our leading position in the treatment of patients for whom the potential improvement in quality of life is greatest. The Trefoil system is designed to make a high-quality fixed solution a reality for more of those in need, exemplifying our goal of helping our customers treat more patients better. It is an excellent addition to our already unrivaled range of edentulous solutions.”

Nobel Biocare can be found at the AAOMS meeting in Booth #702 at the Moscone Convention Center South. The Nobel Biocare Corporate Forum will be held on Thursday, October 12 from 5:30 p.m.–7:30 p.m. in Room 156.

*Depending on the preference of the clinician and close cooperation with the dental laboratory.


1. Degidi M, Nardi D, Piattelli A. 10-year follow-up of immediately loaded implants with tiunite porous anodized surface. Clin Implant Dent Relat Res 2012;14(6):828-838.

2. Higuchi K, Davó R, Liddelow G, et al. An adaptive prefabricated full-arch framework on three implants in the mandible: preliminary results. Poster presented at: 26th Annual Scientific Meeting of the European Association for Osseointegration; Oct. 5–7, 2017; Madrid, Spain.  

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