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...
Focus on patients, family, academics, and endodontics
What can you tell us about your background?
I have a bachelor’s degree in chemistry with a minor in business. I was accepted off of the alternate list for dental school and then attained...
Practice Profile | Dr. Anthony Horalek: The art and science 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...
Dr. David C. Baker uses a technique that facilitates quick and predictable results
The patient is a 34-year-old female who was referred by a local colleague. She had broken her lower right first molar and complained of some general...
There are other ultrasonic devices on the market that depend upon direct contact with a separated file to loosen and remove. However, it is absolutely impossible to restrict the contact of the tip to the file remnant itself. The vibrations...
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...
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...
In part 1 of his series, Dr. Ace Goerig offers the first steps to becoming debt-free
I was presenting at a recent AAE national meeting with over 200 endodontists in the room, and I asked the question, “How many of you are completely debt-free?” ...
Endodontic Practice US discusses the vision and products of Clinician’s Choice
with Terri Brzozowski, brand manager, and Brian Bevan, endodontic product manager
What is the philosophy behind Clinician’s Choice?
TB—Clinician’s Choice was founded in 1994, by our president, Peter Jordan. Peter’s father, Dr. Ronald E. Jordan, was a renowned teacher, lecturer, and clinician who devoted his life’s work to developing techniques and researching product effectiveness, then sharing his findings with dentists around the world. Dr. Jordan’s work and dedication to bettering the profession greatly influenced Peter, and this philosophy of “teaching better dentistry” formed the foundation of our company, and is still our goal today.
What dental products are you best known for?
TB—We have several flagship products. Our metal dual-arch quadrant impression tray, the Quad-Tray®, was dentistry’s first metal dual-arch tray. The inflexible Quad-Tray addresses the clinical challenge of impression distortion commonly experienced with flexible plastic trays. This line has evolved to include the Quad-Tray® Xtreme™ posterior dual-arch tray, the Anterior Quad-Tray, and our new full quadrant Quad-Tray XL. 3rd Generation AFFINITY™ Hydroactive Impression Material is another of our pioneering products. AFFINITY’s unique 3rd generation chemistry utilizes branched resin chemistry with 3-dimensional cross-linking, which results in up to 60% greater tear strength than other materials on the market, among many other unique benefits. Our Template® Ultra-Quick Matrix Material has provided clinicians with the ability to fabricate provisionals faster, and more accurately, while our Cling2® Resin Optimized Temporary Cement, solves the problem of prematurely dislodging temps while maintaining optimal tissue health. MPa™ Maximum Performance Adhesive is another unique product that has been scientifically proven to outperform all other adhesives in its class, to both light and self-cure composites. We are also thrilled to be launching a new line of problem-solving products for endodontic care that we believe will become equally as significant as our flagship products. Tell us about your corporate culture
TB—From the president’s office all the way down, we are a teaching company. We go to great effort to ensure that our entire staff is knowledgeable on our products and the dentistry behind them. When customers call our sales line, they’re not just connected to an order-taker; they’re speaking to someone who can confidently answer their technique and product questions, while also suggesting ways to improve their everyday dentistry. This teaching philosophy even filters through to our marketing. Our marketing materials are purpose driven; presenting common clinical challenges along with proven technique and product solutions. Another example of our commitment to teaching is demonstrated in our destination courses. Twice yearly, we bring together some of the top lecturers at our large-scale, continuing education seminars held at locations such as Bermuda, Las Vegas, the Bahamas, and now Napa Valley, California. Aside from offering 12 CE credits, these events provide great camaraderie and the chance to learn new techniques and skills.
Tell us some more specifics about the innovations of your endodontic line
BB—Our Typhoon™ rotary nickel-titanium file, launched a year ago, is unique. Nickel titanium is the metal of choice for most rotary root canal therapy instruments. Nickel-titanium instruments burst onto the scene in the early 1990s. While there have been numerous refinements in file design, there have been few significant changes in the material used to make the file. The difference between the material used in the manufacture of Typhoon and traditional nickel titanium is that they are constructed with CM NiTi™, which exhibits virtually no memory, unlike traditional NiTi which exhibits almost perfect memory. When instrumenting curved canals, rotary nickel-titanium files are flexible and move around curves very nicely. However, the downside is that because they have perfect memory, the file is always trying to go straight. As a result, inside the canal, the lateral cutting forces are never balanced, especially in a curved canal. However, without memory, the nickel-titanium file has no predisposition to go in any direction, so it goes wherever the canal takes it. That results in a file that is truer to the path of the canal. Because it is not fighting to go straight in a curved morphology, it is considerably more resistant to cyclic fatigue, one of the leading causes of file breakage. A recent study at the University of British Columbia showed that our files were at least 300 percent more resistant to cyclic fatigue than traditional nickel-titanium files. That means that they have considerably higher torsional strength as well. So what we have is an aggressive design that cuts efficiently, and with less chance of separation than traditional nickel-titanium instruments. An adjunct to the Typhoon file is the X-Plorer™ file series, nickel-titanium instruments designed for a mechanized glide path. Typically, before using rotary nickel-titanium instruments, doctors have been establishing a patent pathway to the apex in the canal using a series of stainless-steel hand instruments, from smallest size 6 to a #20 or 25 hand file. That part of the procedure can become time consuming and difficult, particularly with complicated anatomy, curved roots and calcification. This is because a small stainless-steel instrument is stiffer. It is necessary to create a reproducible glide path for successful rotary intrumentation, but stiffer stainless-steel instruments can cause some transportation in the apical and middle third. The new series of X-Plorer files are designed to achieve a glide path after a #10 file has gone to the apex successfully. This series of three small rotary NiTi instruments can negotiate to a size 20 quickly and efficiently. Nickel-titanium rotary files offer several advantages for that purpose, such as minimizing canal transportation in the apical third and more quickly and efficiently negotiating curved anatomy. In this series, we offer size 15/.01, and 20/.01 taper instruments. To my knowledge, Clinician’s Choice is the only company that offers a size .01 taper. That is followed by a 20/.02 which completes the glide path. Larger sized .01 and .02 rotary instruments are also available. Another one of our goals is offer products for restoring the endodontically treated tooth. Our high quality quartz fiber post, called Macro-Lock™ Illusion™ X-RO® is considered one of the best of its kind on the market, boasting some of the highest flexural strength of any fiber post and the highest-rated radiopacity. We are also excited about the release in the last few months, of Zircules™, a zirconium nano-filled core material. The chemistry of this core material is unique in that it maintains very high strength both in self and dual-cure mode. Some other core materials lose considerable strength when they are not light cured, or in areas where light penetration is limited, such as in post cementation. Zircules solves this clinical challenge, and offers great handling characteristics in the way it flows, stacks and cuts. In addition to these products, we are just starting a line of everyday endodontic products–EndoEssentials™–which includes gutta percha and paper points in all of the common sizes. Many of the sizes have calibration marks right on the point which makes for easy measuring and fitting in the canal. Since educators are also visionaries, what is on the drawing board?
BB—We are committed to endodontics, but we will proceed deliberately. We have always been very strict in our evaluation process for new products. We only launch a product that is clinically proven and well appraised through our very strict product-evaluation process. We know the importance of the proper tools and materials for a root canal as well as materials that are effective and strong for permanently restoring a tooth. That’s why it makes sense for Clinician’s Choice to enter the endodontic market, since root canal therapy and restorative dentistry are so closely linked. In the near future, dentists should look for our new file lubricant/chelator, a high pH calcium hydroxide base, and many more new and innovative products. TB—We strive daily to advance our products to serve dentistry. We like to think that we have the perfect mixture of the “new” along with the “tried and true.”
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There remains a growing belief among clinicians that obturation is to blame for endodontic failures. This notion has more recently fallen under scrutiny as researchers have discovered that the most thorough obturation can only reflect the quality of the cleaning and shaping of the canal. In fact, a number of researchers point to the thorough use of irrigants — making sure that the debris and irrigant itself are lifted completely out of the canal, not forced out the apex — as the most important determinant in the long-term success of an endodontic procedure.
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