Dentaltown May 2013 - (Page 18)

professional courtesy column » High Tide for High Tech by Thomas Giacobbi, DDS, FAGD, Editorial Director, Dentaltown Magazine I have recently returned from the IDS meeting in Cologne, Germany. It is the largest dental meeting on the planet and it happens once every two years. The numbers are staggering – 2,058 exhibitors and more than 125,000 attendees from 149 countries. To put things in perspective, the 2013 Chicago Midwinter Meeting had 600 exhibitors and 29,000 attendees. The large scale of this meeting is not only impressive but it is the best perspective on the current state of our profession that you can get at a live event. In fact, as a dentist from the U.S., it is a glimpse into the future because many new technologies arrive in the U.S. last due in part to FDA regulatory hurdles. I came away from the meeting with a few observations about the state of our industry. One of the most profound shifts is the explosion of CAD/CAM in dental offices and labs. There were two big players in the industry that had in-office systems on display: Planmeca and Carestream (for a sneak peek at these systems see sidebar). Specific launch dates for the U.S. market were not available prior to publication of this article. There are also many credible players already in the digital impression category – 3M True Definition Scanner, Cadent iTero and 3Shape TRIOS (now available in color). Conservative estimates indicate that we will have 12+ systems within the next 12 months. Choices are great for competition and innovation, but this can often create paralysis by analysis as dentists are now trying to sort out which solution is the best fit for their particular situation. I think the first question to answer is: Are you willing to do some lab work on your end to provide same-day final restorations? I can say from personal experience this is both extremely rewarding as well as a tedious part of the in-office CAD/CAM experience. If you are not sure of the answer to that question, get a system that can be adapted to in- 18 MAY 2013 » dentaltown.com office milling in the future. Most systems have this option even when their primary marketing is for digital impressions. The final bit of advice I would offer is to insist that you have a live-patient demonstration. I watched a gentleman from 3Shape at the Chicago Midwinter Meeting scan his own mouth and it was impressive that a scan could be that fast and accurate when he was unable to see what he was doing! Models are fine to get a general sense but I would not buy any device without a live-patient demonstration. I think that many make the mistake of looking at this technology as a “lab killer.” While some dentists have moved a significant portion of their labfabricated restorations in house, there is still a need for the dental lab. In fact, some of the smart labs are working deals to subsidize some of the cost of a digital impression system in exchange for your loyalty. Even without these incentive programs, labs will move quickly to capture dentists using CAD/CAM as clients because they know the technology yields better results and fewer remakes. The lab can save on labor and increase output using technology, while the dentist might enjoy more competitive lab fees and faster case turnaround. Without a doubt, this conversation will continue the debate of closed versus open systems. While I stand firmly in the open camp, there are some companies that will be reluctant to change. For more detail on my position, read my January 2013 column on this topic. Please be sure to share your feedback and comments on this article online at Dentaltown.com. The digital editions of our magazine provide the ability to comment on every article. ■ If you would like to see a preview of some of the interesting technology I experienced at the meeting and get a flavor for the IDS, please watch three short videos posted from the meeting. Dentaltown.com Search Term: IDS Videos http://www.towniecentral.com/MessageBoard/thread.aspx?s=2 &f=311&t=202233&v=1 http://www.Dentaltown.com http://www.towniecentral.com/MessageBoard/thread.aspx?s=2&f=311&t=202233&v=1 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown May 2013

Dentaltown.com Highlights
Howard Speaks: Is Dentistry Getting Too Easy?
Professional Courtesy: High Tide for High Tech
Continuing Education Update
Industry News
Second Opinion: The Stainless-Steel Crown for Primary Molars
Special Second Opinion: Prevent a Tulsa Repeat
Simple Two-implant CT Guided Case
Does Your Staff Ask for Referrals?
Your 2013 Website Optimization Starts Today
I Attended Your CE and All I Got Was This Crappy Notebook
Dentaltown Research: CAD/CAM
New Products
DIY Finance, Part VI: Red Flags and Scams
Employee Working Interviews: They’re Legal, Aren’t They?
The Sleeping Giant in Your Practice
What’s on My Tray? Prep and Impression, Crown and Bridge
Continuing Education: Articaine and Paresthesia in Dental Anesthesia: Neurotoxicity or Procedural Trauma?
Concentric Circles Dentaltown’s annual focus on the charitable side of dentistry
All the Things Money Can’t Buy
Taking on Pro-bono Cases
Doing Good and Doing Well
Global Dental Relief
Giving Thanks, One Smile at a Time
Big Help on a Local Level
Oral Health America
You Should Know: Climb for a Cause
In This Issue: Where Should Prevention Begin?
Perio Reports
Ad Index
Profile in Oral Health Prada or Prevention: A Look at Public Health and Oral Health
Dentally Incorrect

Dentaltown May 2013