eMagazine - The GC Experience (August 2016)

800.323.7063 • www.gcamerica.com • www.gcamerica.com/training • © 2016 GC America Inc.

ExperienceeMagazine for Dental Enthusiasts

The GC

AUGUST 2016

EXCLUSIVE!Article by Dr. Todd C. Snyder, DDS, AAACD

Our Key Opinion Leaders Keep you Informed on the Latest Dental Technology

CONTENTS

6 CLINICAL ARTICLE (SNYDER) Featured article by Dr. Todd C. Snyder, DDS, AAACD, “Modern Material for Direct Posterior Composite Restorations”.

12 LATEST NEWS Get the latest information on GC's 95th Anniversary Celebration.

20 GC GIVES BACK Learn more about GC America's charitable contributions to society.

26 UPCOMING WEBINARS Get the latest education from today's top thought leaders.

28 QUARTERLY PROMOTIONS (OPERATORY) Special Offers for Operatory Products.

30 NEW PRODUCT SPOTLIGHT Check out GC America's new featured products.

36 EDUCATIONAL VIDEOS ON YOUTUBE (GCTV) Stay connected with GC America on various Social Media platforms such as: Facebook, Twitter, YouTube, Blog and etc.

38 CLINICAL ARTICLE (DEUTSCH) Featured article by Dr. Arian B. Deutsch, CDT, “Guaranteed Passivity for Implant Prosthetics”.

52 UPCOMING EDUCATIONAL COURSES (LAB) Information about the Lab Continuing Education Courses.

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50 QUARTERLY PROMOTIONS (LAB) Special Offers for Lab Products.

4 UPCOMING EVENTS August to September 2016 Events for Operatory and Laboratory.

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UPCOMING EVENTS

September

August

California Dental Association (CDA) - Annual Fall Session 9.8 - 9.10.16 • Moscone Convention Center (South) • San Francisco, California • GC America Booth #1102

Southwest Dental Conference (SWDC) - 89th Annual Meeting 8.11 - 8.13.16 • Kay Bailey Hutchison Convention Center • Dallas, Texas • GC America Booth #510

Dental Technicians Guild (DTG) - 3rd Annual Symposium 8.25 - 8.27.16 • Utah Valley Conference Center • Provo, Utah

Illinois State Dental Society (ISDS) - Annual Session 9.9 - 9.10.16 • Bloomington-Normal Marriott Hotel & Conference Center • Normal, Illinois

LA Dental - Meeting 9.9 - 9.10.16 • Hilton Pasadena Hotel • Los Angeles, California

Virginia Dental Association (VDA) - Meeting 9.15 - 9.16.16 • Norfolk Waterside Marriott Hotel • Norfolk, Virginia • GC America Booth #5

San Gabriel Valley Dental Society (SGVDS) - Meeting 9.13.16 • Almansor Court • Alhambra, California

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Schein Fall Festival - St. Louis Meeting 9.23.16 • Intercontinental • St. Louis, Missouri

Midwest Dental Laboratory Association (MDLA) - 41st Annual Northland DentalExposition 9.23 - 9.24.16 • Treasure Island Resort & Casino • Welch, Minnesota

Schein Fall Festival - Glen Ellyn Meeting 9.30.16 • iFly Chicago-Rosemont • Rosemont, Illinois

Lab Day East - Meeting 9.17.16 • Atlantic City Convention Center • Atlantic City, New Jersey

Saskatchewan Oral Health Professions (SOHP) - Conference 9.15 - 9.17.16 • TCU Place • Saskatoon, Saskatchewan, Canada • GC America Booth #3

Ohio Dental Association (ODA) - 150th Annual Meeting 9.15 - 9.18.16 • Greater Columbus Convention Center • Columbus, Ohio • GC America Booth #205

University of North Carolina (UNC) School of Dentistry - Continuing Education Course Exhibit 9.16.16 • University of North Carolina - William & Ida Friday Center for Continuing Education • Chapel Hill, North Carolina

North Dakota Dental Association (NDDA) - Meeting 9.15 - 9.17.16 • Radisson & Civic Center • Bismarck, North Dakota

Modern Materials for DirectPosterior Composite RestorationsArticle by Dr. Todd C. Snyder, DDS, AAACD

Placing a composite filling is not a simple task as there are many steps that must be completed properly to obtain a good immediate result, but more importantly a good long-term result (Fig. 1 Pre-Op).

should have rounded internal line angles which will allow for easy adaptation of materials during placement. Any sharp internal line angles, boxes or grooves should be avoided as they can be difficult to get good adaptation which could create areas of composite that are not adapted well. This would lead to possible voids and heightened stress due to C-factor stress on materials during polymerization.

In some restorative cases where a proximal surface is to be restored additional tools will be necessary. One such tool is the use of a tooth guard when preparing the tooth so as not to cause iatrogenic trauma to the adjacent tooth or restoration. A caries detector solution should also be implemented to verify that any remnants of tooth decay have been completely removed. Furthermore, bond strengths are higher when adhesion is performed on affected tooth structure and can be lower on infected tooth structure by as much as 30% (Fig. 2).

(Fig. 1 Pre-Op)

Proper isolation is critical to the success of any bonded restorative material. In this case the implementation of a rubber dam was utilized. The first step is to properly prepare the cavity preparation. Following the removal of an existing restoration and/or decay, the final preparation

(Fig. 2)

An additional tool that is required when restoring the interproximal surfaces is a matrix system that can contain the filling material, recreate the same anatomical missing tooth structure and re-approximate the interproximal contact. In this example, the TriodentV3 Ring matrix system and wave wedge were utilized to create the ideal

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(continued)

(Fig. 3)

(Fig. 4)

Apply G-Premio BONDTM to entire preparation and wait 10 seconds (Fig. 5). Next, dry the adhesive for 5 seconds using maximum air pressure. Then light cure for 10 seconds.

The application of a thin layer of G-ænialTM Universal Flo on the pulpal floor is an excellent first increment for adaptation and additional strength. The application of G-ænialTM Universal Flo should be only on the pulpal floor and not touching theaxial walls (Fig. 6). As a first increment, it offers excellent adaptation

(Fig. 5)

anatomical position, shape and pressure for the interproximal contactto be built out of composite. Additionally, the gingival margin was sealed with the wave wedge securely pushing the V3 matrix or super curved matrix tightly against the tooth, while theTriodent V3 ring holds the matrix against the proximal and cavosurface margins and at the same time displaces the teeth slightly (Fig. 3).

Depending on the tooth substructure that is being worked on or the dentist's preference in adhesive bondingtechnique, G-Premio BONDTM (a universal, eighth generation adhesive bonding agent that achieves outstanding performance in all etching techniques and situations) can be implemented. It can be used as a total etch, selective-etch or self-etch. If enamel is present, it is highly recommended to do a selective-etch with phosphoric acid prior to placing the adhesive bonding agent (Fig. 4).

The use of cavity cleansers, disinfectants and glutaraldehyde-based products are not necessary.

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* She

ar b

ond

str

eng

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Pa)

504540353025201510

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Treatment time (enamel)*DATA ON FILE

0sec 10sec 20sec 0sec 10sec 20secTreatment time (dentin)

• Flexible for use in total, selective and self-etch bonding techniques

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• Good stability with extended working time (up to 5 minutes)

• New bottle design for better dispensing control

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Selective-etch courtesy ofDr. Lassocinski, Poland

Total-etch courtesy ofDr. Browet, Belgium

Self-etch courtesy of Dr. Ibata, Japan

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(continued)

and can help minimize the amount of stress and C-Factor on the adhesive interface with the tooth. This is again followed by light curing for 10 seconds. G-ænial Sculpt® is to be applied next in 2mm increments to minimize any polymerization stress on the tooth structure (Fig. 7).

G-ænial Sculpt® is a compactable, universal composite that features the same high density, uniform dispersion nano-filler technology found in G-ænialTM Universal Flo. Incrementally layered composites still are shown to offer the best long-term performance when placed properly.

G-ænial Sculpt® is easy to shape, sculpt and polish. Using a condenser to adapt followed by various carving or shaping instruments for creating primary and secondary anatomy (Fig. 8).

The composite is then cured to completion followed by the removal of excess composite using various knives, carvers and fluted carbide burs followed by polishing points or cups (Fig. 9).

The final appearance of G-ænial Sculpt® after removal of the rubber dam is an ideal reproduction of toothstructure in both shape, mechanical properties, color, polish and performance (Fig. 10).

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(Fig. 6)

(Fig. 7)

(Fig. 8)

(Fig. 9)

(Fig. 10)

Dr. Todd C. Snyder, DDS, AAACDDr. Todd C. Snyder, DDS, AAACD, received his doctorate in Dental Surgery at the University of California in Los Angeles (UCLA) School of Dentistry. He has trained at the F.A.C.E. Institute for Complex Gnathological (functional) and Temporomandibular Joint Disorders (TMD). Dr. Snyder is an Accredited Member of the American Academy of Cosmetic Dentistry (AACD). He is also a member of the Catapult Elite Group, which is made up of international speakers and Key Opinion Leaders (KOL). Dr. Snyder helped create and co-direct the first (in the nation) two-year graduate program in Aesthetic and Cosmetic Restorative Dentistry at the UCLA School of Dentistry.

(continued)


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LATEST NEWS

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Congratulations on 95th Anniversary

By using the model constructed as a healthy long-living society, contribute to the world'shealth-building.

In order to react flexibly to any kind of changes in the external environment, many measures are beingimplemented such as global personnel exchanges and holding of overseas Nakao School, changes in organi-zational structures, investment in new business aiming for solutions in dental care, challenging new fieldand so on. Though there are still trial-and-error occurring in some of these, we think such attempts are ameans of building one's own future. The lessons learned from the 95 years of history is the fact that “a strat-egy without action is meaningless.” What our predecessors realized one by one are engraved into the historyof GC as major results, and it is fervently wished that this be recognized in full.

Transmitting from Japan, which is now the world's top nation for longevity!

The memory is still fresh from last March when, in joint sponsorship with the Japan Dental Association andWorld Health Organization (WHO), the “World Congress 2015” was held in Tokyo. Here dental medicinepolicy recommendations based on evidence from Japan and overseas in addition to policy deliberations as tomeans of protecting the health of the increasing number of senior citizens were made. Due to these activities,issues in common to Japan's as well as the world's aging societies were clarified and approaches specified,thereby leading to the “Tokyo Declaration” being agreed to on March 15th. In line with this announcement,GC partnered with the World Dental Federations (FDI) aiming to solve the common issues for the world'sdental practice field, bringing together the dental associations not only of Japan but also of the U.S.,Germany and France for formation of a task force. In terms of specific activities, these are being carried outat a global scale. Along with those global activities, GC has already started on a path to realize the Vision2021: "Challenge to the No. 1 dental company of the world through making further contribution to thehealthy long-living society". Blessed by today's the beautiful weather, on February 12, 2016 in the largemeeting hall at Tokyo's Hotel Gran Pacific LEDAIBA some thousand Associates who gathered fromthroughout Japan and the world have exchanged greetings in a splendid mood. With the 100th anniversaryin mind, GC's challenge is thought to portend further expansion globally at this 95th anniversary celebrat-ing GC's foundation. The opening remarks by Managing Director Tetsuro Sakuma expressed thanks to thepredecessors all for supporting the company and warm words of gratitude to all the Associates who hadgathered at the venue for their daily efforts . Moreover, reference was made to the words of President Nakaoexhorting all to “Become the Clear Top Company in Japan” as given at the start of the year was referred to

Scene from 95th Anniversary

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as the nearest objective to be attained. Furthermore,he emphasized the unwavering fact that “as GC whichis part of the dental medicine field, we all must complywith Japanese plus foreign regulations under whichdevelopment, manufacture and sales are taking place.With major changes in advanced medicine, insuranceschemes and GIC gaining healthcare coverage abroadfor use as an amalgam substitute taking place recently,much can be culled. Under a similar regulatory regi-men henceforth he called for more activities to be car-ried out under the recently-touted TPP deregulationsand the possibility of regulatory easing, in order tofind opportunities for attaining Vision 2021. He con-cluded by noting that combining everyone's power willlead to a chance for change, albeit while not losingsight of the goals in the process, to steadfastly proceed

for implementing action, declaring the meeting open.

President Kiyotaka Nakao Speech

President Kiyotaka Nakao's speech recounted GC's history, noting that it had become a company whichcontributes to dental health with help from Associates all over the world as a result of the fervor andincessant efforts on part of the Associates from the past and present. He continued, "In preparing for theanniversary, we are accumulating efforts under 'Vision 2021', targeting to become the No. 1 dental compa-ny of the world". In order to achieve this Vision, it is known well that GC has been pursuing a functionalmanagement system by clearly positioning “Functions” and “Departments” and cascading the tasks of a“Function” into each “Department.” Recently, we have been discussing the requirements for “the No. 1dental company of the world.”By "World's Top" there are various says of evaluating this. It may simply be in terms of total sales, orbeing able to produce revolutionary new products or being able to set the benchmarks...these are still indiscussion. With recent years seeing changes in the "external environment" occurring rapidly, we in dentistry arealso showing major changes. Yet trying to forecast on one's own this "external environment" or to imple-ment changes is no easy task. It may in fact not be saying too much to call this a task well nigh impossible."So what is to be done in this case? It is thought that what is most important even for us is 'how torespond flexibly to any change in the external environment.' And in order to make such flexibility secondnature, we must do what we are currently doing, 'create changes ourselves.' It is not to be reactive tochanges in the external environment but by one on own to create changes, such that we can gain 'organi-zational strength and resilience' to be able to withstand any environment... this is the only way to enableresponse to any possible changes in the external environment in the future and thus achive the goal ofbecoming the world's Number 1 dental company. This is the only way to build further prosperity, Ibelieve." continued the President.As an attempt to create change ourselves would be global human resources exhanges and holding of over-seas Nakao School, changing the organization structures, investing in new businesses that can providesolutions sought for by dental care, challenging new fields among other things as to many measures beingundertaken. Of these, there are still many undergoing trial-and-error but such attempts are thought to bethe means of building one's future by oneself."Moreover, we dental manufacturer have as our job the development of products that fits the clinicalneeds and produce these with the utmost quality so as to deliver these in the best condition to our cus-tomers. Thus today, our products, services and the like are 'corporate quality' and have gained very highpraise. This is all due to the 'incessant effort' of our Associates I believe. By corporate quality, by havingall Associates keep customer-oriented for everything from research, manufacture and sales as well as allrelated section, the company in total can continue to be improved and thus turn it into a major strengthfor us. As such, by downplaying the viewpoint of customer orientation and de-emphasizing this stance, we

Speech by President Kiyotaka Nakao

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can consider ourselves to be facing grave danger; thebottom line is that our main competitor is 'one's ownhaughtiness'.""Upon improving corporate quality, saying 'this is ok'or 'this is enough' means the end. Thinking somethingto be 'perfect' is just the beginning, and one must con-tinue to go forward.It is now a short while before the 100th anniversary ofthe company's founding is marked. We in manage-ment had once again discussed often what the themeof making the GC Group into 'the World's Number 1dental company' by 2021 means in preparing for the95th anniversary.”“As a result, we think the key for achieving the Visionis the enhancement of GQM2021 for improving thecorporate quality, and set the "8 KPIs" which consistof indicators directly linked to 3 aims GQM 2021 andkey performance indicators in management". Taking this occasion, we would like to declare that we challenge to realize our Vision 2021 by achieving theworld's No. 1 level in each of 8 KPIs, together with all GC Associates. Based on the spirit of 'SEMUI' andusing the 'Unity of Nakama' that has continued unwaveringly since our company foundation as aweapon." the President concluded, noting that further expansion is to be made definite.

Greetings from Chairman Makoto Nakao

Upon celebrating the 95th anniversary of the company's foundation, Chairman Makoto Nakao spokewarmly of the Associates past and present plus of their supportive families in starting off, then turned hisattention to the previous day's (Feb. 11th) Global KI Presentation. "Yesterday I underscored that even ifunstable conditions are accepted as continuing to be the norm, tomorrow will always come, tomorrow willsurely differ from today, and if we can obtain even a little handle on tomorrow, our capability to adoptwill improve markedly… In order to "predict a different tomorrow" that is, "understand changes", it isimportant to understand and share changes at each workplace. For this, I explained to the participantsthat the QC-based approach and the KI report now being carried out are of vital importance to all.”“Here I reference the second method raised by Prof. Peter Drucker, for whom I have the utmost respect.This is to generate changes on one's own, that is, promoting Vision management, and carrying out one'sStrategy and Tactics for this purpose.”“Actually this time we at our own responsibility edited and produced the 95th History Book, which wasedited with support from GC headquarters. The main objective was to inform Associates overseas just asthe Associates in Japan about the path GC has taken and the historical background as well as the infor-mation on the decisions and action/behavior, etc. so as to understand how GC today has come to be, espe-cially since those overseas will now be a driver of growth.”“‘Onko Chishin’ (Cherish old knowledge, acquire new) is a famous quote from the Analects of Confucius,which was used by former President Toshio Nakao upon publishing the 60th History Book, which by dic-tionary is defined to mean ‘If a man keeps cherishing his old knowledge, so as continually to be acquiringnew, he may be a teacher of others.’… that is to say, one will know how to act well based on knowledgenew and old. President Toshio had pointed out, ‘For those taking on new challenges like us, there aremany instances from the past that will help us.’ About half a year before he passed away, he said at a cere-mony to ‘read the History Book again and make good use of it.’ So from now, I would like to every one toutilize GC No Kokoro Book, GQM Textbook and this 95th History Book, as a 3-pillar basis to learn thecorporate culture of GC. ”“Now I would like to talk a bit about Vision Management. Vision Management seeks to realize a certainVision, and to one by one realize using an Action Plan both the Strategy and the Tactics to shape tomor-row. The 95 years of history taught us is the fact that ‘Without implementation, Strategy is meaningless.’Our predecessors realized things one by one, and the mark of these results is engraved deeply into GC’s

Greetings from Chairman Makoto Nakao

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GC Corporation’s

CELEBRATIONFOR US, IT IS A YEAR OF

GC America Inc.

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history, and hope everyone recognizes this. ”“The mid-term plan and GQM Action Plan for3 years which we have prepared were madeunder the idea that ‘without implementation, itis worthless’ and must be implemented withconscientiousness in mind. In this case, as wasunderlined earlier by President Kiyotaka,becoming ‘The No. 1 dental company in theWorld’ will indeed be realized and I think ourcompany will become highly regarded as a com-pany which contributes to the realization of ahealthy long-living society around the world.”The Chairman summed up on a high note, “Letus work together to realize Vision 2021, and fiveyears from now celebrate our 100thAnniversary since foundation of GC.”

To praise the achievements of Associates

Mr. Shuntaro Urata, GC Labor Union Chairman, gave on behalf of the Associates a passionate speech asfollows: "This year is the midpoint towards the achievement of Vision 2021. In order to achieve our goalsof Vision 2021 we need to share the consciousness of Associates, 'Nakama,' and not to settle into a compla-cent position rather to keep on being productive and thinking critically to drive our activities in achievingVision 2021, in order to celebrate with fervor the upcoming success of the 100th anniversary.Subsequently, a commendation ceremony was held, which provided the awards to honor the great achieve-ments of every Associate recognized during last year. A number of people were given awards, includingBest Performance Award for 26 people, the invention and patent award for 4 people, key material areasproduct share No.1 award for 3 groups, key equipment areas product sales No.1 award for 3 groups, theDeming Prize winner commemorative GQM Makoto Nakao Award for 1 person and GC Group BestPerformance Award for 8 people, together with years-of-service award for 163 members. On behalf of thewinners Mr. Shigeki Nakamura expressed his gratitude to President Kiyotaka Nakao, thus at last closingthe event in a radiant atmosphere.

Closing Words

Upon closing Managing Director Minoru Tomizawa recalled a series of events on the 95th anniversary,recognized as a milestone year, and stated as follows: "This commemoration week became a wonderfuloccasion for domestic as well as overseas GC Group member associates, who will play important roles inGC's next generation, gathered in a single location to talk face-to-face in gaining the feeling that some-thing new was created, in order to open the door to the bright future of GC Corporation and the GCGroup.”Even key Associates from across the world participated in the event. I think we were able to spend a veryfruitful time in the overseas Nakao School upon being lectured directly by Chairman and PresidentNakao - under the theme of 'GC no Kokoro' (the Spirit of GC) in addition to the Global Meeting designedfor setting and aligning future business direction, while partaking in commemorative ceremonies and cele-brations. Toward the 100th anniversary year since foundation, in 2021, we will quicken our steps forward fromtomorrow with the goal of "Challenge to the No. 1 dental company of the world through making furthercontribution to the healthy long-living society." Together with President Kiyotaka Nakao and ChairmanMakoto Nakao, let us continue to move forward in order to achieve our goal by mobilizing the power of allAssociates." before concluding in a forceful manner.Finally, everyone took a vow with each others to achieve realization of Vision 2021 and to keep taking onthe challenge toward the 100th anniversary. Thus the 95th anniversary ceremony came to a successfulclosing.

GC Group Best Performance Award

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GC America Joins America’s ToothFairy: National Children’s Oral Health Foundation as Underwriting Partner

(Charlotte, NC – June 28, 2016) – Dental products manufacturer, GC America, announced today it will further its commitment to improve the health and well-‐being of underserved children by becoming an Underwriting Partner of America’s ToothFairy: National Children’s Oral Health Foundation. GC America’s support will be used to expand delivery of vital oral health educational, preventive, and treatment services for at-‐risk children and youth across the country.

The partnership will kick off with a special promotion for dental hygienists attending RDH Under One Roof in Maryland from July 28-‐30, 2016. Dental hygienists who commit to become a member of the America’s ToothFairy Esther Wilkins Education Program will receive special incentives from GC America. To learn more, visit GC America’s booth #306. Established with a founding gift from celebrated dentist and dental hygienist Esther Wilkins, RDH, DMD, the Esther Wilkins Education Program supports the role of dental hygienists and dental hygiene students as oral health champions by providing educational tools for their community outreach activities. “GC America is proud to support America’s ToothFairy and its valuable efforts to improve children’s health and well-‐being,” said Steve Fletcher, President and COO of GC America. “We look forward to a valuable partnership that positively impacts the lives of vulnerable children and helps build healthier communities in the places where our customers live and work.”

Fletcher, a long-‐time dental industry leader, will also join the America’s ToothFairy Board of Directors.

“We are very grateful to GC America for their generous support for our smile-‐saving programs,” stated Fern Ingber, America’s ToothFairy President and CEO. “By joining America’s ToothFairy as an Underwriting Partner, GC America demonstrates its strong corporate commitment to enhancing community oral health.”

About GC America Inc. GC America Inc. is a leading manufacturer of innovative dental products dedicated to quality and customer satisfaction, with enthusiastic sales and marketing professionals committed to excellence. For more information, visit www.gcamerica.com. About America’s ToothFairy: National Children’s Oral Health Foundation® America’s ToothFairy: National Children’s Oral Health Foundation is dedicated to raising awareness of one of the most prevalent chronic childhood illnesses: pediatric dental disease, facilitating the delivery of comprehensive oral health services and improving quality of life for underserved children. Through the #MySmileMatters Youth Movement, collaborative partnerships with a diverse array of national service organizations, growing network of non-‐profit clinical partners, dedicated professional and student volunteers, and suite of high-‐impact community education and service programs, America’s ToothFairy is building a powerful, united effort to eliminate tooth decay and protect the smiles of our most vulnerable children. For more information, visit www.AmericasToothFairy.org.

GC GIVES BACK

Contact: Amber HollowayPhone: (704) 350-1600, ext. 105Fax: (704) 350-1333Email: [email protected]

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4108 Park Road, Suite 300Charlotte, NC 28209

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GC America Goes on Safari in Kenya

In the middle of the Maasai Mara in south Kenya is an oasis of hope and health for all the Maasai tribe people. The Maasai Dental Clinic was established by Dr. Ray Damazo, the safari dentist.

Utilizing air abrasion, the very first sealant program in the Mara has begun thanks to donations of GC Fuji IX GP®, GC Fuji TRIAGE®, and G-ænialTM Flo. Children who would have a 100% chance of getting extensive occlusal decay, now have a 100% chance of NEVER getting occlusal decay on the molars and premolars that were treated. It is the amazing characteristics of the GI restorative materials and the bonding ability of GC flowable that make all this possible.

The other life-changing treatment that GC makes possible is the removal and restoration of the deep fluorosis staining on almost everyone in the Mara. Whether it is the soil, water, food, or cooking techniques,

(Fig. 1)

This amazingly modern dental clinic is manned by volunteer dentists from across the United States (Fig. 1). The clinic has traditionally been involved in extractions and emergencies like fractured teeth, infections, and trauma, but thanks to GC America, that is changing.

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(GC Fuji IX GP®)

(GC Fuji TRIAGE®)

almost every one of the Maasai have what they call “stripes” on their teeth and they hate it.

Article by Dr. Randy Shoup

800.323.7063www.gcamerica.com

www.gcamerica.com/training© 2016 GC America Inc.

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24

(continued)

(Fig. 2)

(G-ænialTM Flo)

Using very conservative diamonds and the air abrasion, those stains can be removed (Fig. 2). The teeth are then etched, bonded, and a very white shade of GC composite bonded over the surface of the teeth. When the mothers see what we can do for their children, tears of joy stream down their faces. No one has ever offered this service to them and the Maasai line up in the morning and are willing to wait all day for their turn to have this life-changing procedure done, all thanks to the amazing generosity of GC America and their great products.

We are headed back to the Mara in 2016 with a fresh supply of GC America’s products and the ability to change the entire dental health future of hundreds of Maasai children and adults.

Come and join in on being a safari dentist too. To join, please contact Dr. Randy Shoup at: www.drshoup.com.

For additional information, please listen to his radio pod cast at: www.ddsradio.com.

(Clinical Image [after procedure]Courtesy of Dr. Ray Damazo)

(Clinical Image [before procedure] Courtesy of Dr. Ray Damazo)

http://www.drshoup.com

http://www.ddsradio.com

Dr. Randy ShoupDr. Randy Shoup is a graduate of Indiana University School of Dentistry. In 1984, he established a private practice in Indianapolis Indiana based on high technology and comprehensive restorative dentistry. He is a world leader in microscope based dentistry and the use of air abrasion rather than rotary instruments. Dr. Shoup is one of the founders of the minimally invasive/biomimetic dental restorative movement and approach toward restoring the human dentition.

(continued)


*To receive your FREE goods, send a copy of your invoice dated 7/1/16-9/30/16 to GC America, 3737 West 127th Street, Alsip, IL 60803 or fax to 800-423-2963 Attn: Customer Care Group. Free goods coupon must be redeemed within 6 weeks of dealer invoice date. Offers cannot be combined with any other offers or promotions. No substitutions allowed. Offers are valid in the US only. Free goods will be of equal or lesser value to the lowest selling unit price. Please allow 6-8 weeks for free goods delivery. Free goods will be fulfilled by GC America unless noted otherwise. All promos expire 9/30/16.

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38

Guaranteed Passivity forImplant Prosthetics

Article by Dr. Arian B. Deutsch, CDT

In the most ideal scenario, full arch implant planning is performed well in advance of the actual surgery. This planning should be based on an in depth analysis of the particular patient’s anatomy, and a number of other factors. Trials can also be conducted in relation

to desired tooth positions, how these positions will function, what kind of esthetics are desired, and phonetics testing is also of high concern.

Unfortunately, well planned cases are more rare than they should be. But how can implant position challenges be overcome? This is the first of a number of articles relating to different positional challenges regarding implant prosthetics. In particular, this article will deal with the importance of passivity in full arch implant cases.

The best way to deal with a long spans between implants is to rigidly and precisely connect them. Not all materials lend themselves to accomplishing this over long spans. Implant companies and milling centers have for many years now provided CAD/CAM Titanium milled bars to rigidly and precisely connect implants, but what about the variables in the current techniques leading up to the milling of a Titanium bar? Are these variables acceptable when it comes to the precision and passivity required to provide splinting protection of multiple implant sites?

The VariablesThere are currently a number of processes both on the clinical side, and in the laboratory that can potentially introduce small errors in fit when it comes to the existing protocols for milled Titanium bar hybrids or screw retained prostheses in general. For example, all dental gypsums exhibit a measurable amount of setting expansion. Measures are taken to lessen the impact of this property, ie. verification jigs, etc., however setting expansion still exerts stresses, even on splinted implant analogs.

Another potential variable is in the scanning and milling phases. The CAD/CAM process itself can introduce variables. As an example, different scanners scan at differing levels of accuracy, and the particular scanner’s level of compatibility with the mill can affect precision.

Eliminating the VariablesThe only reliable way to eliminate all variables and achieve true passivity is to passively lute components for the final prosthesis in the mouth, without allowing any opportunities for error introduction via setting expansion and/or the CAD/CAM process.

The importance of passivity between framework and implant

abutments has long been acknowledged. The CAL (California Abutment Luting) Passive technique circumvented all of the afore mentioned variables when developed in 1992.

There are also other solutions that utilize this passive luting concept. The Deutsch Removable Bridge ZR® for example, utilizes this concept to achieve maximum passivity with telescopic and conical 2˚ abutment to prosthesis attachment connections.

The following case demonstrates how one implant solution successfully achieves perfect passivity by means of an intra-oral luting technique.

The CaseThe patient previously had a bar retained, tissue supported plunger restoration over 4 Straumann tissue level implants, however the patient is elderly, and the milled bar was difficult to clean around. A free standing abutment solution was desired to improve the patient’s ability to cleanse around the implant sites. A consultation was arranged for all members of the dental team to meet with the patient and discuss options.

The chosen solution was a removable telescopic implant bridge, the Deutsch Removable Bridge ZR®. The workflow was discussed with the entire team and the patient so that all involved knew what to expect.

(continued)

39

A maxillary impression was taken with open tray impression copings, and a soft tissue cast was made using Gi-Mask (Coltene) and vacuum mixed NEW FUJIROCK® IMP (Fig. 1). A bilaterally screw retained wax rim was fabricated and sent to the dental office for vertical and centric relationship records. The centric and vertical relations were recorded by the clinician and mounted on the articulator in order to provide tooth positions in wax (Figs. 2, 3).

Abutment Level Verification

In this case it was decided

(Fig. 1)

(Fig. 2)

that an abutment level verification would be performed in addition

40

(continued)

to an intraoral pickup. The primary conical 2° abutments were designed digitally within the prosthetic space (Figs. 4-7), and milled in zirconia. Temporary secondary copings were created with a light curing material (Primopattern Gel Clear, Primotec, USA) and light cured. A verification key was also fabricated using a clear light curable material (Primosplint, Primotec USA) and excess material vents were cut into the key. In the clinic, the primary 2° zirconia hybrid abutments were placed and torqued to the recommended NcM. The temporary clear copings were placed, and the verification key was inserted and evaluated to ensure no binding on the temporary secondary copings. A bonding agent (Primostick, Primotec USA) was applied to both the temporary copings and the verification key. The verification key is partially filled with the clear light curing gel (Primopattern) and placed over the temporary copings. Each site is now light cured and the key is removed. The key is used to record and rectify the exact implant positions in the master cast.

The primary telescopes are re milled at the rectified implant positions, and final polished in preparation for gold electroforming. Gold is electroformed directly to the

(Fig. 5)

(Fig. 6)

(Fig. 3)

(Fig. 4)


The First Force Absorbing Flexible Nano Ceramic

Only CERASMART consists of a flexible nano ceramic matrix with an even distribution of nano ceramic. This specially designed nano ceramic matrix makes it an ideal high strength and force absorbing restoration for all indications especially implant supported crowns.

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First in class For intra-oral properties • Flexible,toughandfractureresistant• Retainsglossovertimeandisselfpolishing• Naturalopalescence• Physicalpropertiesofnaturalenamel

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Restorations courtesy of Dr. Rich Rosenblatt.

400

300

200

100

0

3.5

2.625

1.75

0.875

0VITA Mark2†

Flex

ural

Str

eng

th (M

Pa)

Breaking

Energy (N

• cm)

CERASMART

Flexural Strength

Breaking Energy

THREE-POINT BENDING TEST (ISO 6872)

231

2.2

0.2 0.1

0.6

1.1

172142

117

306

Data on file. †N

ot a registered

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ark of GC

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(continued)

surface of the 2° conical hybrid zirconia abutments (Figs. 8-10), and checked for fit. Once fit is verified, the tertiary structure is digitally designed and fabricated using SLM (Selective Laser Melting) technology (Figs. 11-14).

Final Passivity ControlThe final passivity control is made by using the patient as a master model of exact implant locations by performing an intraoral pickup of the gold secondary components in the tertiary SLM structure with cement (G-CEMTM Capsule) (Fig. 15). When this is done, all variables are eliminated. Any material or technique that could potentially introduce error is eliminated, and only then can we achieve 100% passivity with no micro movement.

After the final passivity control is performed, the master cast can be corrected, the artificial dentition can be meshed back with the corrected master cast, and the master cast can be duplicated as a final processing cast. The entire prosthesis in wax is transferred back to the articulator to verify tooth positions have not changed, and the case is prepared for wax elimination and acrylic injection and polymerization.

Polymerization and Insertion

The wax up is placed on the

(Fig. 9)

(Fig. 10)

(Fig. 7)

(Fig. 8)

42


Restoration by Joshua Polansky,United States

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The versatility of OPTIGLAZE color will impress you because it adds color, surface gloss, and high wear resistance to all your:

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(continued)

processing cast, sealed, and invested in the bottom portion of the flask with a Type IV reinforced gypsum (NEW FUJIROCK® IMP). Sprue channels are connected and a dual part silicone is placed over the entire wax surface leaving the occlusal surfaces of the artificial dentition exposed to ensure that the dentition stays in place rigidly. The top portion of the flask is closed together and invested. The flask is warmed in the wax elimination bath (Dreve Labormat SD), the flask opened, and wax is removed and all interior surfaces are cleaned thoroughly. The teeth are cleaned and prepared for processing.

Gingival characterization is now made using a heat curing, stable acrylic (NATURE-CRYL® SUPER HI IMPACT). The appropriate colors are selected, fibers are removed, and the colors are mixed and placed into plastic syringes. Additional color markers and intensifiers can be added if desired.

When the acrylic in the syringes reaches an optimal working consistency, the syringe is used to place the lighter shade of acrylic into the inter proximal and cervical areas around the teeth to mimic a less vascular, blanched appearance that is present

(Fig. 13)

(Fig. 15)

(Fig. 11)

(Fig. 12)

44

(Fig. 14)

http://www.gcamerica.com/lab/products/NATURE-CRYL_super_hi/index.php

(continued)

in healthy gingival tissues. The lighter material is then manipulated with a kolinsky brush wetted with modeling monomer, and the darker, more vascular looking colors are added and also shaped and merged with a kolinsky brush (Figs. 16, 17).

The flask is closed and the acrylic (NATURE-CRYL® SUPER HI IMPACT) is mixed and placed into an injection capsule. The acrylic is injected into the flask and cured. Once the polymerization is completed and the flask is cooled for 30-45 minutes, the flask is opened and the prosthesis divested with an air chisel (Renfert Air Pillow).

The surfaces are shown to be very clean and require minimal finishing time due to the use of the dual part silicone putty (Anaxdent Matrix Form 70) (Fig. 18). The prosthesis is finished with a variety of carbide grinders and brushes, and finally polished carefully with pumice substitute and high shine polishing compound (Acryl-Marvel Dental Ventures of America Inc.) (Fig. 19).

On the day of delivery, the laboratory team is present for seating of the prosthesis. The patient and clinical team is very pleased with the outcome in terms of retention, stability, and esthetics (Figs. 20-22).

(Fig. 18)

(Fig. 19)

(Fig. 16)

(Fig. 17)

46

(continued)

ConclusionMicromovement has been proven to contribute to implant screw loosening and eventually in some cases linked to implant failure. By adding techniques and prosthetic options to our “tool box” which provide 100% guaranteed passivity, we can successfully overcome these obstacles.

Using the patient as a master model has always been, and still is the only way to achieve a truly passive fit between prosthesis and multiple implant sites.

(Fig. 22)

(Fig. 20)

(Fig. 21)

References:1. Branemark, P-I., Zarb, G.A. and Albrektsson, T., Tissue- integrated prostheses. Osseointegration in clinical dentistry. Chicago:Quintessence Publishing Co., 1985:303, 233-240. 2. Rangert, B., Jemt, T. and Jorneus, L., Forces and moments on Branemark implants. Int J Oral Maxillofac Imp, 1989;4:241-247.3. Adell, R.M., Lekhol, U., et al, A 15-year study of osseoin- tegrated implants in the treatment of the edentulous jaw. Int J Oral Surg, 1981; 6:387-389.

47

Dr. Arian B. Deutsch, CDTDr. Arian B. Deutsch, CDT, is a Certified Dental Technician who has studied at the university level in the United States and Canada. From 1993 to 2007, he served as General Manager for his father’s small, boutique laboratory, Eurotek Dental Concepts in Fairfield County, CT. At the laboratory, Mr. Deutsch specialized in the Swissedent Technique, taught by Dr. John P. Frush, DDS. From 2004 to 2006, he studied at George Brown City College’s IDEC Program (in Toronto, ON). In 2007, Mr. Deutsch moved to the Phoenix, AZ area, opening his own laboratory, Deutsch Dental Arts, specializing in “life-like rehabilitations” through a variety of traditional and unique implant solutions such as Telescopic Implant Bridges and the Marius Bridge. In 2009, he received specialized training from Daniel LeClerc, T.D. and Dr. Yvan Fortin, DMD, in Quebec City, QC, subsequently becoming the first accredited provider of the Marius Bridge in the Southwest United States. In 2012, he trained with Frank Poerschke, MDT, in Lutjenburg, Germany and became a Certified Merz TPiF (Total Prosthetics in Function) Trainer. In February of 2012, he was awarded first place in the Candulor’s Kunst Zahn Werk (Art of Dental Prosthetics) North American Competition. His articles regarding advanced clinical techniques and the current shortage of skilled Dental Technicians have appeared in journals such as: Inscriptions (the official journal of the Arizona Dental Association), Dental Laboratory Products, Inside Dental Technology and Labline (in Hungary). Mr. Deutsch has lectured nationally on a variety of topics, ranging from Obstructive Sleep Apnea to Advanced Clinical and Laboratory Techniques, aiding in the creation of predictable, life-like Dental Prosthetics. He also serves as Adjunct Faculty at the Arizona School of Dentistry and Oral Health (ASDOH), regularly participates in the Arizona Dental Association’s (AzDA) Donated Dental Services Program and was a member of the Arizona Dental Association and the American College of Prosthodontist’s Dental Technicians Alliance from 2009 to 2011.

(continued)

48

GC INITIAL ZIRCONIA DISKGC INITIAL ZIRCONIA DISKI N T R O D U C I N G T H E

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800.323.7063 • www.gcamerica.com • www.gcamerica.com/training • © 2016 GC America Inc.*Promo code 2172. Terms and Conditions of Promotions: All offers expire 9/30/2016. Effective Dates: 7/1/2016 - 9/30/2016. Promotions cannot be combined with any other promotional offers. No substitutions allowed. Offers are valid in the US and Canada only. Free goods coupon must be redeemed within 6 weeks of dealer invoice date. A copy of an authorized dental invoice/proof of purchase of qualifying product(s) can be faxed to 800-423-2963 or mailed to: GC America Inc., Attn: Customer Care Group, 3737 West 127th Street, Alsip, IL 60803. Free goods will be of equal or lesser value to the lowest selling unit price. Please allow 6-8 weeks for free goods delivery. All free goods will be fulfilled by GC America Inc. except where noted. Please indicate requested free goods on dealer invoice.**CERASMART™ for CEREC®† is only available through Patterson Dental. CERASMART™ for PlanMill®† is only available through Henry Schein Dental. CERASMART™ Universal is available through your authorized GC distributor and uses a Universal Mandrel, may require the purchase of a universal adapter.†Not a registered trademark of GC America Inc.

CERAMICS

Buy 2 GC Initial™ Basic, Basic Plus or Advanced Sets (Choose from LF, MC, Ti, ZR-FS, or LiSi),Choose from 1 Corresponding Bleach Kit,

1 Lustre Pastes NF Set, 1 Lustre Pastes Gum Shade Kit or 1 INvivo Kit FREE!*

Buy 3 GC Initial™ LiSi Refills, Get 1 FREE!*

Buy 1 GC Initial™ IQ Lustre Pastes NF Set, Get 1 GC Initial™ IQ Lustre Pastes NF Neutral Combi-Pack FREE!*

Buy 4 GC Initial™ IQ Lustre Pastes NF Refills, Get 1 FREE!*

Buy 2 GC Initial™ Zirconia Disks, Get 1 FREE!*

Buy 1 GC Initial™ Ti Basic Set, Get 1 GC Initial™ Ti 4g Bonder or GC Initial™ Ti Bonder Intro Kit FREE!*

DENTURE BASE RESINS

Buy 1 NATURE-CRYL® SUPER HI IMPACT 25lb Powder, Get 4 NATURE-CRYL® SUPER HI IMPACT 32oz Liquids FREE!*

Buy 1 NATURE-CRYL® MC 5lb Powder, Get 1 NATURE-CRYL® MC 32oz Liquid FREE!*

Buy 1 NATURE-CRYL® SUPER HI IMPACT 5lb Powder, Get 1 NATURE-CRYL® SUPER HI IMPACT 32oz Liquid FREE!*

CAD/CAM**

Buy 5 CERASMART™ (for CEREC®†, for PlanMill®† or Universal) Packages, Get 1 FREE!*

Buy 6 CERASMART™ (for CEREC®†, for PlanMill®† or Universal) Packages,Get 1 OPTIGLAZE™ 15mL Refill & 1 CERAMIC PRIMER II FREE!*

Buy 5 CERASMART™ (for CEREC®†, for PlanMill®† or Universal) Packages and 1 OPTIGLAZE™ color Complete Set,Get 1 The Light 405 FREE!*

Buy 2 CERASMART™ (for CEREC®†, for PlanMill®† or Universal) Packages, Get 1 GRADIA® DiaPolisher FREE!*

GYPSUMS & MODELING

Buy 5 NEW GC FUJIROCK® 50lb Packages, Get 1 FREE!*

Buy 3 GC FUJIROCK® EP Packages, Get 1 FREE!*

COMPOSITES

Buy 1 OPTIGLAZE™ color Complete Set, Get 1 CERASMART™ (for CEREC®†, for PlanMill®† or Universal) FREE!*

Buy 1 OPTIGLAZE™ color Complete Set, Get 1 OPTIGLAZE™ 15mL Bottle FREE!*

Buy 1 GRADIA® gum shades Starter Kit, Get 1 CERAMIC PRIMER II, METALPRIMER II or COMPOSITE PRIMER FREE!*

Buy 1 OPTIGLAZE™ color Complete Set, Get 1 CERAMIC PRIMER II FREE!*

July-September 2016 Laboratory Quarterly Specials

Buy 3 GC Initial™ LiSi Refills, Get 1 FREE!*

Buy 1 NATURE-CRYL® MC 5lb Powder,Get 1 NATURE-CRYL® MC 32oz Liquid FREE!*

Buy 1 OPTIGLAZE™ color Complete Set,Get 1 CERASMART™ (for CEREC®†, for PlanMill®† or Universal) FREE!*

Buy 4 GC Initial™ IQ Lustre Pastes NF Refills, Get 1 FREE!*

INNOVATIVE PRODUCTS

FROM START TO FINISH

CONTINUING EDUCATION LABORATORY COURSE


CONTINUING EDUCATION LABORATORY COURSE

GC America

(Please turn to the back page for more information)

to attend the

You’re invited exciting course:

to attend the

exciting course:

to attend the

to attend the

”The Art of Coloring Removable Prosthetics Based on Contour”

Mr. Thomas Zaleske, AS

GRADIA® Gum ShadesGingival Shade

System

Course Description

OPTIGLAZETM ColorLight-Cured

Characterization Coating

This course will provide Powerpoint explanations concerning contour and color relationship to tissue. Using GRADIA®, GRADIA® Gum Shades or OPTIGLAZETM Color, the course instructor, Mr. Thomas Zaleske, AS, will give hands-on instructions that provide external acrylic base colorization, tooth modification and unique finishing techniques to preserve coloring and provide surface texture. Attendees please bring: One or several arches that have been cured and roughly finished (on which to layer GRADIA® Gum Composite or OPTIGLAZETM Color on teeth and base), lighting/magnification preferences, smock and/or other aid in protecting street clothing.

by instructor

GRADIA®

Indirect RestorationSystem

Course Location Details

Mr. Thomas Zaleske, AS, has been specializing in removable prosthetics as a Dental Technician for over 27 years. He received his Associates of Sciences Degree at Triton College in Dental Technology. Mr. Zaleske has experience working as an In-house Technician, Dental Laboratory Owner, Author, Technical Columnist, Lecturer, Product Developer, Product Manager and Technical Support Consultant. His various experiences and time spent in removable prosthetics brings a broad depth of insight when coupled with his unique and powerful communication skills, presenting a memorable and impacting impression.

Instructor Information


Friday, August 12th, 2016 at 8:30am - 5pm GC America Inc. - Logistics Center

4300 W. 123rd StreetAlsip, IL 60803

7 Continuing Education Credits(Must attend the entire day) Registration Fee: $150.00

(Please turn to the front page for more information)

GC America Inc. reserves the right to cancel or postpone any conference because of unforeseen circumstances or insufficient enrollment. GC America Inc. manufactures and distributes products that may be discussed in this course.

Register today to reserve your seat!Space is limited.

Registration is only available through the following Constant Contact link: http://conta.cc/1VYAokl. For additional information, please contact

Toni Cusimano at (800) 323-7063, ext. 3006 or [email protected].

RSVP by Wednesday, August 10th, 2016.

Lecture Facility Provided by GC America

Please note: This course is for dental professionals in the United States and Canada only.

(Please turn to the back page for more information)


GC America Inc.

Dental Assistants will be exposed to the following important basics: • Color Theory, that enables them to be more effective with shade mapping and matching restorations

to existing dentition while finishing CAD/CAM Restorations • Tooth and gum morphology necessary to achieve proper contour and anatomy of milled restorations

during hand milling • Understanding and valuable skills in all steps of finishing process for different types of final and

provisional milled restorations • Knowledge about using proper dental materials and dental laboratory tools and equipment for

fabrication of successful restorations inside dental practice

Course Objectives

You’re invited

This program will create new revenue for dental practices specializing in CAD/CAM Technology and motivate Dental Assistants to enhance professional growth and learn new skills. Dental Assistants will have an opportunityto learn the science and art of Dental Technology, forming and developing necessary knowledge and skills for characterizing, finishing and polishing CAD/CAM Restorations using wide variety laboratory products.

Lecture Description

”Art and Science of Dental Laboratory Techniques and

Modern Dental Materials for Dental Assistants (CAD/CAM Restorations)”

by instructor Ms. Marina Caponigro,MDT, BEd, EFDA

CONTINUING EDUCATION COURSE

CONTINUING EDUCATION COURSE

to attend the

exciting lecture:

to attend the

exciting lecture:

to attend the


Academy of General Dentistry Approved PACE Program Provider FAGD/MAGD Credit Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. 1/1/2016 to 12/31/2018 Provider ID # 216720

RSVP by Wednesday, September 14, 2016!

Instructor Information

Space is limited. Registration is only available through the following Constant Contact link: http://conta.cc/29cuXMT.

For additional information, please contact Toni Cusimano at (800) 323-7063, ext. 3006 or [email protected].

(Please turn to the front page for more information)

Ms. Marina Caponigro, MDT, BEd, EFDA, has thirty years of combined experience and education in Dental Technology and Dental Assisting in Prosthodontics, Implant and Cosmetic Dentistry. She has more than 1,000 CE hours in Clinical Dentistry and Dental Technology in the USA and Europe; trained by the best Clinicians and Technicians in the world. Ms. Caponigro currently manages and operates Infinite Smiles Dental Laboratory and Dr.Neal Patel DDS dental practice in Powell, Ohio. She is an expanded function Dental Assistant, Clinical Master Dental Technician and certified member of Digital Smile Design team.

GC America Inc. reserves the right to cancel or postpone any conference because of unforeseen circumstances or insufficient enrollment. GC America Inc. manufactures and distributes products that may be discussed in this course.

Register today to reserve your seat!

Refund Policy: A full refund will be issued with a written request 3 days prior to the event. Refunds will not be issued for partial or missed attendance. The registrant is responsible for returned check bank fees.

Friday, September 16, 2016 at 8:30am - 5:30pm GC America Inc. - Logistics Center

4300 W. 123rd StreetAlsip, IL 60803

7 CDT or AGD CEUs Provided(Must attend the entire day; lunch will also be provided)

Cost: $99.00

Event Details

800.323.7063www.gcamerica.com

www.gcamerica.com/training© 2016 GC America Inc.

•Superiorpolishandhighglossretention

•Self-polishingeffectenablesadditional polishinmouth

•Extraordinarywearresistanceduetouniform nano-fillerdispersion

•Easytoshape,yetstaysinplace

•Excellentradiopacity(>300%AI)

G-ænial™ SculptLIGHT-CURED UNIVERSAL NANO

HYBRID COMPACTABLE COMPOSITE

“I’m so excited about the new G-ænial Sculpt composite.

The unique uniform dispersion technology and silanation

process of this nano-hybrid resin allow easy polishability

and self-polishing effects. G-ænial Sculpt has

amazing chameleon and blending effect - you

don’t have to be an artist to create artistic

results with G-ænial Sculpt!”

- Dr. Wynn Okuda, Honolulu, Hawaii Past National President (2002-03) and Accredited Fellow of the AACD

http://www.gcamerica.com/products/operatory/G-aenialSculpt/

eMagazine - The GC Experience (August 2016)

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Transcript of eMagazine - The GC Experience (August 2016)