Cliff's Notes

The Business of Dentistry

Your Handpiece Investment – Luxatemp & Cyrano The American Bald Eagle

Cliff’s Notes for April 22, 2012


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


The reason we do what we do, is so that we can to do what we want to do, when we want to do it!

It’s a tongue twister, but working as a team and making informed decisions, will get us there.



I’ve always believed that a lot of the trouble in the world would disappear if we were talking to each other instead of about each other

Ronald Reagan



This Week’s Feature on the Cliff’s Notes Channel

“Biodentine – Dentin In A Capsule”


Over 100 Dental Videos



In This Week’s Issue

  • This Week’s Dentrix Office Manager’s Blog –Refine & Improve Your Reports!
  • Infection Control – Handpieces & Your Investment!
  • Product Review – Luxatemp Ultra & Cyrano The American Eagle!
  • The Henry Schein Outlet Store – Special of the Week!

* The Root of It” commentary for Sunday, April 20, 2012.



This Week’s Dentrix Office Manager’s Blog by Dayna Johnson………………………………………………

Redefine and Improve your Reports

If you know how Billing Types are used in your Dentrix software, please raise your hand. Okay, I see a few hands out there, but not many. Billing types are typically defined at the initial training session during the practice setup; however, I would like all of you to re-evaluate your billing types and see if they are working effectively for you.

First of all, what is a Billing Type? A Billing Type is used to define a group of patient accounts for billing purposes, filtering of reports, and categorizing patient accounts. Most offices I encounter have either left the Billing Types as the Dentrix default or maybe added one or two, but never truly understood how they could help the practice. I believe this simple little tool can reshape and improve your accounting and reporting at your office.

What are some examples of how Billing Types are used?

To read the rest of this blog, log onto: 



Sterilization of Dental handpieces!..……………….…………………………………………………………………….

Let’s review how to care for your investment in handpieces. Regardless of what brand you use, your handpieces are the most commonly used and abused pieces of equipment in your office. However, you can’t do dentistry without them. 

Repairs are the expenses that drive you nuts! However, you need to remember that you don’t have expenses in business, you only have investments. The ROI of that investment is what off-sets your overhead cost. That means that quality will, more often than not, give you a better return.

All handpieces are made of Stainless Steel, Brass/SS combinations or Titanium. Titanium is the best; however the cost scares people away. Brass heads will not corrode but brass is a soft metal and if the handpiece is dropped, the head could dent causing failure. Stainless Steel is just that, it stains less! There are many different qualities of Stainless Steel and that usually determines the price of the unit.

Now that we determined that you get what you pay for, the sterilization process is the same for all of them. I have searched the internet and found multiple methods but it does appear that the authors all have their own agendas and no one focuses on the dos and don’ts.

  1. DON’T use any disinfectants of any kind. Disinfectants will deteriorate the rubber “O” rings in the handpiece head and may cause separation of the fiber optic elements and fogging of fiber optic glass rods.
  2. DON’T keep the handpiece in the room when spraying or wiping countertops or equipment with disinfectants. The vapor will tend to settle on the handpiece and cause pre-mature breakdown.
  3. DO Scrub the handpiece in a sink with normal tap water. Think about it, it is made to get wet. Don’t use distilled water, that’s a whole other discussion.
  4. DO use a spray cleaner/lubricant immediately after cleaning. The spray will clean out any debris in the turbine and the lubricant will coat the turbine and rubber “O” rings protecting them against damage from the sterilizer. Lube free turbines still need to be spray cleaned, however, if you use a lubricant/cleaner you will need to continue to lube the handpiece. Dental Ez has a product called “Junk-Out” that cleans lube-free turbines (order #808-7650). Lube-free turbines are not maintenance-free, they need to be cleaned & purged. The lubricant/cleaner I recommend is Euro Lube (order #100-4976) but you will need a reusable spray cap that fits your handpiece design.
  5. DO purge excess lubricant from the handpiece before placing it in a sterilization bag. Purging should be done by using a “purge station” and not your dental unit. Expelled excess lubricant will damage your handpiece tubing.
  6. DON’T use flash sterilization. The rapid heat induced expansion of the metal will reduce the turbines life. If you need your handpieces turned around that fast, buy more handpieces.

Maintaining your handpiece inventory according to the manufacturer’s instructions will reduce down time and increase the ROI on your investment.

Finally, use authorized repair centers! Authorized repair facilities use quality replacement parts and will restore the handpiece to manufacturer specifications. As the old saying goes “you get what you pay for”. Most break-down is due to the ball bearings and the stainless steel race in the turbine. Quality replacement parts will last longer.

For in-office instruction and review of handpiece protocol or repair suggestions, please contact me at any time @ 201-321-7494 or


Product Review – Luxatemp Ultra & Cyrano The American Bald Eagle!………………………………..

A World’s first: Cyrano the bald eagle after his shattered beak was repaired with Luxatemp. 

This is one patient you wouldn’t expect to find flicking through magazines in your waiting room. Excuse me, in your reception room, because your patients don’t wait. Anyway, Cyrano the bald eagle was found with a large chunk from the top half of his beak missing and is the first bird to have it fixed using a dental material. In the first operation of its kind, after consulting with DMG America, a dentist applied Luxatemp, normally used on human teeth, to repair the eagle’s beak. Although the author is not familiar with dental materials or terminology, I find it amazing at the versatility of the product.
Read more:

Incorporating proprietary nano technology, new Luxatemp Ultra continues the Luxatemp tradition of leading the dental industry’s provisional category.

Stronger and more durable than ever.

A  recent major university study found that Luxatemp Ultra surpasses all leading provisional materials in flexural strength – the key to provisional stability and long-term durability, especially with multi-unit temporaries.  In addition, Luxatemp Ultra delivers improved initial hardness and superior break resistance.

Incorporating proprietary nano technology, new Luxatemp Ultra continues the Luxatemp tradition of leading the dental industry’s provisional category.

Stronger and more durable than ever.

A  recent major university study found that Luxatemp Ultra surpasses all leading provisional materials in flexural strength – the key to provisional stability and long-term durability, especially with multi-unit temporaries.  In addition, Luxatemp Ultra delivers improved initial hardness and superior break resistance.

Luxatemp Ultra advances the Luxatemp provisional material line, providing enhanced strength. It is a self-cured composite for the fabrication of temporary crowns and bridges, inlays, onlays and veneers. Luxatemp Ultra is also indicated for the fabrication of long-term temporaries. The two-component material is based on multifunctional methacrylates and is automatically mixed. Luxatemp Ultra is fluorescent and is available in shades A1, A2, A3, A3.5, B1, and BL. It is available in 76 g automix cartridges with 15 mixing tips and 15-g Smartmix syringes with 10 mixing tips.  Luxatemp Ultra automix was evaluated by 26 consultants in 586 uses. It received a 91% clinical rating.

Product Features:

Luxatemp Ultra provides provisional restorations with very good esthetics and excellent polishability. The material dispenses smoothly from the cartridge into the clinician’s matrix of choice. Working time is adequate, even for multiple-unit cases, and setting time in the mouth is quick enough to allow removal after about 1.5 minutes. Upon removal, some sticky residue usually has to be cleaned from the adjacent teeth. Bubbles in the material and voids in the temporaries are minimal, with repair easily accomplished with flowable composite. Consultants noted that the enhanced strength was not relevant for the majority of their needs. They did note that the set material was very hard and sometimes brittle in thin areas. Forty-two percent of consultants reported that Luxatemp Ultra was better than their current provisional material and 46% reported it was equivalent.

Clinical Tips

  • Store in a dry place at room temperature.
  • Insert Luxatemp Ultra over the prepared teeth within 45 seconds after start of mixing. Remove the temporary from the mouth during the elastic phase, 1:30-2:30 minutes after start of mixing.
  • After about 5 minutes from the start of mixing, the temporary can be finished.

For more information log onto:



The Henry Schein Outlet Store: Special of the Week!……………………………………………………………..

Overstock (7176494XN)
Dental Handpieces Dental Small Equipment Dental Equipment
Dental Laboratory Equipment Dental Burs Endodontic Files and Reamers
Sterilizers Medical Equipment  

Product Categories

OVERSTOCKED: New Products that are in the manufacturer’s original sealed package
DEMO MODEL: Open-box products that have had no clinical use
RECONDITIONED: Products in excellent condition, restored to the manufacturer’s specification

All products include comprehensive warranties backed by Henry Schein 

Log onto:



“The Root of It” Commentary for Sunday April 22, 2012 ………………………………………………………

The dentist is the engine that moves the practice, but all engines need fuel and the fuel is your staff! No marketing program or enhanced standard of care can be successful without your team being fully involved. If you are planning on implementing new procedures make sure to include your team. Team harmony can make or break a dental practice. Your staff is part of the solution, not the problem. 

Please feel free to contact me at any time with regard to employee management and team harmony. My success directly depends on yours and I enjoy being part of your team.

Today is Sunday, April 22nd and we are in for a nasty couple of days with wind and rain. Please stay safe and enjoy your family. Life goes by too fast so don’t miss any of it!

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




The Cliff’s Notes Channel http://

April 22, 2012 - Posted by | Uncategorized

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