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Practice Profile

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Randy Garland, DDS

Randy Garland, DDS

Exceeding expectations What can you tell us about your background?
I grew up in southern Orange County and earned a bachelor’s degree in biology at San Diego State University in 1983. There I met my future wife, Kim, at the...

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Scott A. Norton, DMD, MSD

Scott A. Norton, DMD, MSD

Focus on family, patients, friends, growth, and community What can you tell us about your background? For as long as I can remember, I wanted to make people smile. I always loved getting the class laughing in grade school. Looking back, I am sure...

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Dr. Fleur A. Blethen

Dr. Fleur A. Blethen

Empathy, tenacity, and perseverance are keys to this clinician’s flourishing practice  What can you tell us about your background? I was born and raised in Seattle, Washington, and lived there until I was 13 years old. My family relocated...

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Clinical Articles

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Management of a tooth with a large internal resorption defect

Management of a tooth with a large internal resorption defect

Dr. Robert Slosberg facilitates accurate mapping and obturation of the resportive defect with CBCT imaging Abstract
A patient presented with advanced internal root resorption of tooth No. 9. The prominent location of this tooth...

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Pulpal diagnosis of teeth presenting with condensing osteitis prior to endodontic treatment — a retrospective study

Pulpal diagnosis of teeth presenting with condensing osteitis prior to endodontic treatment — a retrospective study

Drs. Brian Shaughnessy, Margaret Jones, Ricardo Caicedo, Joseph Morelli, Stephen Clark, and Ms. Jennifer Osborne review the occurrence of teeth presenting with condensing osteitis and their associated pulpal diagnosis over a 2-year period. Introduction Read More...

GuttaCore® system: a step forward in the evolution of endodontics

GuttaCore® system: a step forward in the evolution of endodontics

Dr. Andrei Zoryan dispels some of the common myths surrounding carrier-based obturation Carrier-based gutta percha Carrier-based obturation (such as Thermafil®, GT® obturator, ProTaper® obturator [Dentsply Tulsa Dental Specialties]) is one...

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Practice Management

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Life after root canal — it’s not just about having enough money

Life after root canal — it’s not just about having enough money

Dr. Robert Fleisher ruminates on how to prepare for retirement There are so many articles about everything that you become pretty much overwhelmed and can never expect to read them all. So you pick and choose. You like to learn about the latest and...

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Superior customer service

Superior customer service

Dr. Roger Levin presents the 10 top ways to help create a perfect dental team With the changes brought on by the economy, top companies are bringing in the best resources they can find to evaluate where their organizations stand. They want to know...

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Office Matters: Hard-piped filtered water system vs. self-contained bottled water system

John Bednar helps avert problems coming down the pipe If your office currently has a hard-piped filtered water system, now is a good time to consider if and when you should change to a self-contained bottled water system. A hard-piped filtered water...

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lowres_CP_MilestoneScientific2


Modern dentistry offers more options for a beautiful smile than ever before. However, for people with dental anxiety, improved dental health seems like an unattainable dream. Milestone Scientific, a pioneer of highly advanced, computer-controlled, painless injection technologies, has focused its research and development efforts on injection products that make dental injections more comfortable, quicker and a more accurately dosed.injection

Founded in 1995 by CEO Leonard Osser with inventor and friend Dr. Mark Hochman, the company has researched, developed and brought to market a full suite of award-winning, FDA-approved, drug delivery injection instruments used by medical and dental practitioners in over 25 countries throughout North America, Europe, Asia and Africa. With the corporate office based in Livingston, New Jersey, a manufacturing plant in Chicago, Illinois, and distributors throughout US, Europe, China, and Asia, the firm produces injection technologies geared towards both GPs and specialists.

Renee R. CultraraRenee R. Cultrara, RDH, director of education says that as a long-term goal, “We want every doctor that uses our instrument to give anesthesia in a much more beneficial and accurate way than ever before and to become syringe-free.” Noting that Milestone’s “All Injection System” is different than other  injection products in the dental field, she explains, “Most products in the dental industry have evolved, but the dental syringe has stayed the same. Although most dentists give a pretty good injection, as patients we have all experienced the discomfort of a dental injection and have experienced the after-effects of anesthesia, like being numb for hours afterwards.”

lowres_CP_MilestoneScientific3Through research and development, the injection system evolved over the years. In 1997, Milestone introduced the first generation of its Computer-Controlled Local Anesthetic Delivery (C-CLAD™) system, known as The Wand® (and later rebranded as CompuDent®), that was composed of two basic parts, the delivery instrument and the single-use, disposable Wand® handpiece.  According to Milestone Scientific, this represented the most successful launch in the history of small equipment sales in U.S. dentistry, with more than 18,000 CompuDent instruments sold within 4-1/2 months of its market introduction.

Currently, the award-winning Wand®  ”All Injection System” instrument combines patented, state-of-the-art computer-controlled injection technology with the dentist’s training to achieve more precise injections, improved drug delivery and materially enhanced patient comfort levels. Utilizing Milestone’s proprietary DPS Dynamic Pressure Sensing technology, audible and visual real-time “feedback” is provided to the clinician to accurately guide and locate a specific injection site by continuously measuring exit-pressure at the tip of the needle.

The Wand® handpiece, used in conjunction with the instrument is ergonomically designed with a pen-like grasp, and feather-like weight to produce tactile control for every injection.

The Wand handpiece allows bi-directional rotation during injection, which prevents needle deflection that occurs with a traditional syringe.   A straighter path results in a more accurate injection.

The Wand® “All Injection System” is designed for precise control and monitoring of all critical variables during drug delivery, including:

• a  true “painless” experience for all injections
• eliminates disruptive injection behavior
• site specific targeting
• controlled needle exit-pressure
• precise flow rate and drug volumes
• patient treatment documentation
• superior ergonomics
• elimination of needle deflection
• advanced tactile needle control
• precision fluid metering.

To spread the news about this innovative “All Injection System,” the firm has developed a strong training and support team. Cultrara says, “We don’t just drop our instrument at an office and say, ‘Here you go--figure it out.’ We pride ourselves on providing whatever the customer needs, with the same level of support throughout every department. If we say we are going to call back at a certain time, we really do.”

Director of International and Professional Relations Dr. Eugene Casagrande, travels throughout the US and worldwide with Director of Domestic Distribution Marvin Terrell and Director of International Distribution  Dale Johnson to train the distributors and representatives in the proper use of the products. Dr. Casagrande is past President of the California State Board of Dentistry and the Los Angeles Dental Society, is a Fellow of the American and International Colleges of Dentists and has served on the faculty of the University of Southern California, School of Dentistry.  Both Terrell and Johnson are 25-year veterans of the pharmaceutical and dental industry.

Milestone also touts a training and support team of 42 clinical hygienists and additional dental assistants in the field that visits distributors, single-doctor offices, and group practices. In many states, hygienists are certified to give anesthesia and also need to be trained in the product. “We work with the entire staff,” says Cultrara. “We work with the assistants because they assure that the instrument is set up and maintained properly.  We work with the front desk because patients will be asking questions or calling on the phone to find out what technology the doctor uses.”

For times when the doctor is too busy for in-office training or has a quick question, remote training is available. “We can train during a lunch time, or the doctor can quickly connect me with one of the hygienists in the office,” says Cultrara. “It allows us to see each another so I can see what he/she is doing. Probably one of the biggest accomplishments we have made is regarding how training and support has evolved for this product.” She sums up, “Our ultimate goal is to provide doctors who use our product with a much more accurate, comfortable, and precise way to give anesthesia.”

This information was provided by Milestone Scientific.

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BC RRM-Fast Set Putty™

Fast set formula with improved Sanidose™ syringe delivery Brasseler USA®, a leading manufacturer of quality instrumentation, is pleased to introduce EndoSequence® BC RRM-Fast Set Putty™. Made with a fast set formula and equipped with an improved Sanidose™ syringe delivery, BC RRM-Fast Set Putty provides users with superior handling and excellent healing properties.

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