Cliff's Notes

The Business of Dentistry

“Biofilm” & “A Product Review – Biodentine, Dentin in a Capsule?”

Cliff’s Notes for July 17, 2011

….. E-Blast…..


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


“A smile is the light in your window that tells others that there is a caring, sharing person inside.”

Denis Waitley


In This Week’s Issue

  • Infection Control – The Dangers of Biofilm!
  • Press Release – 3M, Give Kids A Smile, Henry Schein Cares & You!
  • Product Review – Biodentine “Dentin in a Capsule?”


The Dangers of Biofilm…………………………………………………….

From Wikipedia, the free encyclopedia

Staphylococcus aureus biofilm on an indwelling catheter

A biofilm is an aggregate of microorganisms in which cells adhere to each other on a surface. These adherent cells are frequently embedded within a self-produced matrix of extracellular polymeric substance (EPS). Biofilm EPS, which is also referred to as slime (although not everything described as slime is a biofilm), is a polymeric conglomeration generally composed of extracellular DNA, proteins, and polysaccharides. Biofilms may form on living or non-living surfaces and can be prevalent in natural, industrial and hospital settings.[1] The microbial cells growing in a biofilm are physiologically distinct from planktonic cells of the same organism, which, by contrast, are single-cells that may float or swim in a liquid medium.

What does this mean to dentistry? Well, it’s time to get real. Biofilm is natural in our daily lives. Every drinking fountain, ice maker, air conditioning system, any where there is moisture and a dark environment (think about your compressor).

Biofilm spores are continuously being emitted from your handpiece spray, air/water syringe & Cavitron. That’s why quality masks are so important (O.S.H.A.).

Most normal healthy individuals have no issue with biofilm; however, people whose immune systems are compromised can be a greater risk for post-op infection. In the public water supply, the CDC has determined that a biofilm level of 200ppm is safe. That’s the water that comes through your kitchen sink. But, in a dental unit, the amount of water that flows through on a daily bases is so small and the water moves very slowly, it allows for biofilm colonies to develop and adhere themselves to the in-side of water lines. This multiplies the biofilm level (at the handpiece) several thousand ppm. Plus, they tend to clog handpiece water lines.

The clean water bottle that is attached to your unit is NOT preventing or controlling biofilm. As a matter of fact, most offices don’t even use them correctly. The purpose of a clean water bottle is to introduce the disinfectant to the inside of the dental unit. The techniques used to clean your lines is at your discretion, however, it is important to do something.

So, if biofilm is so prevalent in nature, how do we prevent it? We can’t, we can just control it. There are several methods commonly used, but remember, you have to use them according to directions for the maximum effect.

  1. High Level disinfectants should be used weekly. This is a maintenance process that does require some minor staff training and the introduction of a new scheduled protocol. Sounds tough, but it’s not and it is the best. At the end of the week, the units are flushed with disinfectant (5 min/op). The residue solution remains in the unit over night (or weekend). Upon returning to the office, the units are flushed with clean water to remove the remaining disinfectant. The disinfectant is usually a notable color (pink/blue) to identify its presence. Evaluation & training is free of charge, please feel free to contact me at any time.

Sterilex: Dental Water Protection. The Only EPA Registered Product.

Powder formulation-mix with warm water – Box of 20 packs #117-2926

  1. Non-toxic tablets & solutions. These are maintenance products. But, you need to remember they will only help maintain low & normal biofilm levels. Be aware that if you are not using the unit for a 24 hour period, biofilm begin to multiply. Continues use is the key for this technique.

BluTab Waterline Maintenance Tablets – ProEdge Dental Products

Box of 50 tablets (used in water bottle) – #991-1587

  1. Use both!


Give Kids a Smile, 3M & Henry Schein Cares…………………………………

With your support, Henry Schein Inc. has become a fortune 400 company. Several years ago the company established and division called Henry Schein Cares. This division works with many other corporate sponsors to provide free health care to the under privileges and disaster relief worldwide. It is our social responsibility to provide support for healthcare awareness and screenings and a center piece of our company’s culture.

3M ESPE has teamed up with Henry Schein Cares and Give Kids a Smile to sponsor Free Oral Health Screenings during the NASCAR race at the Charlotte Motor Speedway on October 15, 2011. To support this event, 3M ESPE will donate product and Henry Schein will exclusively support a 2 week promotional campaign to raise funds for donation.

1:58 Add to Added to queue

Henry Schein Cares 


2 Weeks Only (July 18th to July 29th) – Vanish Varnish will be exclusively offered (for a limited time) Buy 2 & Get 1 FREE!  Also, for this “Feel Good” promotion, customers purchasing the varnish will also receive a FREE Filtek Supreme Ultra Flowable Capsule refill!

3M ESPE Vanish 5% Sodium Fluoride White Varnish is a calcium, phosphate and fluoride-containing varnish for application to enamel and dentin for the treatment of hypersensitive teeth. It is saliva-activated and will spread on and adhere to moist teeth. 3M ESPE Vanish 5% Sodium Fluoride White Varnish is sweetened with xylitol and contains a tri-calcium phosphate ingredient (TCP) exclusively from 3M ESPE. TCP serves as a source of bioavailable calcium and phosphate ions when the varnish is applied to the teeth. The manufacturer states that the varnish releases fluoride for up to 24 hours and does not cause yellowing of teeth. 3M ESPE Vanish 5% Sodium Fluoride White Varnish is available in Cherry, Melon and Mint flavors in unit-dose packages containing 0.5 ml of varnish and an applicator brush. Two instructional videos are available on the 3M ESPE website. 3M ESPE Vanish 5% Sodium Fluoride White Varnish was evaluated by 18 consultants in 681 uses. It received a 91% rating.

50% additional product plus the Filtek Ultra Flowable plus your Privileges discount and rewards is a win-win and can help provide support for Give Kids a Smile.

Click here: Give Kids a Smile

Gearing up to host a unique Give Kids a Smile event this fall, 3M ESPE Dental
and Henry Schein Cares and nearly two dozen volunteer dental professionals


Product Review – Biodentine “Dentin in a Capsule…………………….

Technology fuels technology and it’s not just new electronic diagnostics. Dramatic Clinical advances are emerging every day.

Septodont has just introduced a new bioactive dentine substitute to use wherever dentine is damaged. 10 full years of documented research has gone into the clinical development of this product.
Biodentine™ is a brand new dentine substitute based on Active Biosilicate Technology™, designed to treat damaged dentine both for crown and root indications.
Thanks to its Tricalcium Silicate core, Biodentine™ is a fully biocompatible mineral material highly reducing any risk of tissue response and is also a bioactive material promoting reactionary dentine genesis for pulp vitality preservation.
Biodentine™ needs no dentine surface conditioning, no bonding and exhibits excellent sealing properties to reduce the risk of clinical failure through bacterial percolation, thus ensuring the absence of post-operative sensitivity.
The mechanical properties of Biodentine™ supersede those of Mineral Trioxide Aggregate and Glass Ionomer cements, making it suitable to replace dentine wherever it is damaged.
Biodentine™ can safely be used in the crown as a bulk restorative material in direct and indirect pulp cappings, pulpotomies or deep cavities and kept as a temporary enamel restoration. The final aesthetic restoration being performed with a composite such as N’Durance™.

It can also be used in the root for repair procedures such as perforations, internal/external resorptions, apexification and retrograde surgical filling.
Biodentine™ is available in a box of 15 capsules and can be mixed in any amalgamator with a minimum speed of 4,000 rpm.

See video demo

BIODENTINE™ Bioactive Dentine Substitute – Item #228-2048 – $238.99 (before privileges discounts)


• In the crown: temporary enamel restoration, permanent dentine restoration, deep or large carious lesions, deep cervical or radicular lesions, pulp capping, pulpotomy.

• In the root: root and furcation perforations, internal/external resorptions, apexification, retrograde surgical filling.

15 x capsules + 15 x single-dose containers:

7:25 Add – What is Biodentine?

2:04 Add – Added to queue Biodentine Mixing Demonstration.


Sunday, July 17, 2011……………………………………………………..

We have finished 6 full months of 2011. Have you looked at your P&L? Have you looked at your fee schedule? Do you know where 80% of your revenue comes from? It only takes 1 hour to learn what to look for and how to do it. Please feel free to contact me at any time.

Enjoy the day…….

July 17, 2011 - Posted by | Uncategorized

No comments yet.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: