Cliff's Notes

The Business of Dentistry

“Infection Control-Part 2” & “How Many Patients do you Need?”

  • Cliff’s Notes for June 5, 2011

….. E-Blast…..

Cliff Marsh, Henry Schein ……Cell: 201-321-7494……Fax: 201-262-2210…..E-mail:


“It is well that war is so terrible. We would grow too fond of it.”

Gen. Robert E. Lee

67 Years Ago: On June 6, 1944, a date known ever since as D-Day, a mighty armada crossed a narrow strip of sea from England to Normandy, France, and cracked the Nazi grip on Western Europe.


In This Week’s Issue

* Let’s Talk About Infection Control Part #2 – Equipment Damage!

* How Many Patients do you Need?

* Product Review – Empress Direct by Vivadent!


……….……….Seminar Notice:………………..

Infection Control Up-Date

Wednesday, June 22, 2011

Teaneck Marriott at Glenpointe

Infection Prevention & Control in the Dental Office

8:30 AM – 11:00 AM, Continental Breakfast Served – 2 CE’s (subject code #130)

Drs. $35.00 – Staff $15.00 Fees can be billed to your Henry Schein Account

The topics to be discussed in this 2 hour intense overview:

  1. Understanding CDC Guide Lines
  2. Disinfection
  3. Risk assessment
  4. Instrument processing
  5. Personal protection
  6. Sterilization procedures
  7. Sterilization monitoring

To register, call:

Carol @ 973-227-3533 

Cliff @ 201-321-7494  

Let’s Talk About Infection Control!………………………………………………… ……………………….

The effects of disinfectants on dental equipment are debated continually but all the arguments have one thing in common, the fact disinfection and sterilization of dental equipment will reduce the life expectancy. Now put this into perspective. When you drive your car your tires wear, the oil gets dirty; things wear out and require maintenance at a certain cost in both dollars and time. Dollars cost more than time (cash flow) and time is  all maintenance. Do it correctly and efficiently and you will minimize your costs. Remember, we are talking about 15% of your production time.

Handpieces: You can’t sterilize a dental operatory, but you can disinfect it to prevent cross-contamination. Most offices use wipes or sprays and that’s great! However, most offices also wipe the handpieces. Handpiece are the most damage prone and abused tools you have. DO NOT use disinfectants at any time and remove the handpieces BEFORE you begin spraying or wiping the counter tops, chair, delivery unit and light. The vapor will get into the handpiece bearings and cause it to fail pre-maturely.

After dismissing the patient the handpieces should be the first things addressed. Remove the piece from the tubing and wash it clean with water (don’t be afraid to wash them in the sink, they are made to get wet). After washing, towel dry them, with a disposable towel, and lubricate them. Lubrication will protect the bearings from sterilization and excessive moisture. After lubrication, the excess lubricant should be expelled via an air-purge station. After purging, the handpiece is bagged and sterilized. For fast moving offices, the use of an automated handpiece maintenance unit will allow you to transfer at least 1 hour per day from maintenance time to production time. Do the math.

Every handpiece manufacturer has written maintained procedures. I can also arrange an in-office session on the proper care of specific brands.

Chairs & Stools: The most often asked question about disinfecting an operatory is how do we address the upholstery on that very expensive chair? Until very recently, the only manufacturer recommendation was soap and water. All other products would cause the upholstery to yellow, dry out and eventually crack or tear. Now I am not one to buy the first off the assembly line product so after a few years of real world field testing, I feel confident to talk about OPTIM 33TB by SciCan. More information can be obtained by logging onto:

MAGIC FORMULA: How Many Patients Do You Need……………………………………………

Ever wonder how many patients you need to have a successful practice? Kerry Straine discusses the magic formula. For more information or an analysis of your fee schedule and production, please feel free to contact me at any time. After the report (DPAT) is complete, arrangements can be made for a free telephone conversation, with Kerry Straine, to review the data and discuss a possible action plan to address any noticeable issues if needed. The purpose of a DPAT is to raise questions where we have always had assumptions.

MAGIC FORMULA: How Many Patients Do You Need


Product Review – IPS Empress Direct…………..………………………………………………

IPS Empress Direct is a light-curing, highly esthetic nano-hybrid composite filling material for direct restorative procedures in the anterior and posterior region.
For nearly 20 years, the name IPS Empress has been associated with the highest level of esthetics in the reproduction of natural tooth characteristics. IPS Empress Direct from the IPS Empress range combines the esthetics of ceramics with the application advantages of composites.

IPS Empress Direct is designed for dentists with exceptionally high esthetic demands who strive to mimic the appearance of natural teeth who value the wide range of shades and various levels of translucency offered by the system.


Wide range of indications for anterior and posterior teeth

32 shades and 5 levels of translucency

New opalescent shade

No need to use a specific layering technique

High surface gloss

Excellent polishing properties

Lifelike fluorescence associated with Empress materials

Autoclavable, non-fading ceramic shade guide

Long working time

High radiopacity

Introduction to: Empress® Direct


Scientific Documentation:

Cliff Marsh

Henry Schein Dental

P.O. Box 663 / 45 Rt. 46 East, Suite 605

Pine Brook, NJ 07058

Cell: 201-321-7494

Fax: 201-262-2210




June 6, 2011 - Posted by | Uncategorized

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