cr f ounda tion iss 230-02 cr buying guide the best

©2017 CR Foundation®

Serv

ing Dentistry

42YEARS

A Publication of CR Foundation® • 3707 N. Canyon Rd, Bldg 7, Provo UT 84604 • 801-226-2121 • www.CliniciansReport.orgDecember 2017, Volume 10 Issue 12

ISSN 2380-0429

The BEST Products for 2018Gordon’s Clinical Observations: Every year Clinicians Report publishes an annual guide of many of the best products for the upcoming year based on evaluations from the previous twelve months. The products presented in this report have been through rigorous independent non-manufacturer sponsored evaluation and testing. CR conducts research at three levels: 1) product evaluations among 450 clinical evaluators worldwide in their own offices, 2) controlled long-term clinical research completed by TRAC Research, the human studies section of CR, and 3) Basic science laboratory testing. Classic products that have withstood the test of time and predictability are also listed in most of the categories.

Please read the following product category descriptions carefully. Products listed in this Buying Guide have been evaluated by the CR science team and CR Clinical Evaluators. Each product in this report is color-coded to identify why it has been included in this listing. • Proven classic products and updated classics are listed alphabetically and in red. These products have been determined by research

and long-term clinical use. They are often used for new product comparisons. Some categories do not have classics listed.• Highly rated new products were identified by in-house science evaluations and CR Evaluator use during 2017. Only products with an

overall grade of 3.0 or higher (4.0 highest) and an Evaluator recommendation of 70% or greater were included. Products that are not listed may not have been tested this year, may still be in testing, or were not among the highest rated. For many other excellent products not mentioned, please review previous CR Buying Guides and Clinicians Reports at www.CliniciansReport.org.

CR is the original and only independent dental product testing organization with funding only from dentists!

CR BUYING GUIDE

— THIS IS NOT AN ALL INCLUSIVE LIST OF SUCCESSFUL DENTAL PRODUCTS —

ANESTHETICS & ACCESSORIESTopical AnestheticsClassics:

• Benzocaine 20%, Various Companies• The Best Topical Ever, Nueva Vista Dental

GINGICaine, Gingi-Pak20% benzocaine gel formula. Syringe delivered with micro needle tip that has 7mm gauge mark and rounded end to eliminate poking or tearing the sulcus. Quick onset (15–20 seconds).$1.30/1.2mL syringe

77% of CR Evaluators would recommend this product.

DIAGNOSIS AND TREATMENT PLANNINGSee also Clinicians Report August 2017: “Can You Increase Acceptance of Treatment Plans?”

Cameras: Clinical and AccessoriesClassics: Single Lens Reflex and Point and Shoot

• Various Models– CliniPix – Lester A. Dine– Dental Learning Centers – PhotoMed

Cameras: Intraoral VideoClassics:

• Various Models– ACTEON North America – Digital DOC– Air Techniques – Schick by Sirona– Carestream Dental – Video Dental Concepts– DEXIS

MouthWatch, MouthWatch (also distributed by Lester A. Dine)Economical and easy-to-use intraoral camera with good image quality. Integrates directly to already present imaging software.$299/Camera kit

See also Clinicians Report February 2017

Oral Cancer ScreeningSee also Clinicians Report October 2017: “Is Your Oral Cancer Screening Adequate?”CR Note: Thorough systematic visual and tactile examination

of the entire oral cavity along with the head and neck remains the standard of care. Biopsy with histological examination remains the only tool for definitive diagnosis. Oral cancer screening devices may serve as an adjunct to a good clinical exam and represent an effort at earlier diagnosis of abnormal tissues.

CR Note: PhotoMed offers SLR camera adapters for Bio/Screen, VELscope Vx, and ViziLite Pro devices.

Classics (updated classics follow this list):• Fusion DOE SE, DentLight• Identafi, DentalEZ

The following four adjunct devices were featured in Clinicians Report October 2017.

Bio/Screen, AdDentOral mucosal fluorescent screening device. Viewing accomplished through handpiece with filter and light. Built-in rechargeable 65-minute battery.$1,995/Device

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OralID, Forward ScienceOral mucosal fluorescent screening device. Viewing accomplished through filter glasses with handheld light. Rechargeable batteries.$175/Month per device

VELscope Vx (Updated Classic), LED DentalWell-known oral mucosal fluorescent screening device with lower price. Viewing accomplished through handpiece. Built-in rechargeable 12-minute battery.$1,995/Device

ViziLite PRO, DenMatOral mucosal fluorescent screening device. Viewing accomplished through handpiece with filter and light. Built-in 140-minute battery.$1,995/Device

ENDODONTICSFilesSee also Clinicians Report June 2017: “Low Cost Endodontic Files”Classics

• Endo-Eze TiLOS, Ultradent• EndoSequence NiTi, Brasseler USA• GTX, ProFile, ProTaper, and WaveOne Gold, Dentsply Sirona• HyFlex, Coltene• K-Files, Roydent• SafeSider, Essential Dental Systems• TF Adaptive, Kerr Endodontics

EdgeFile, EdgeEndoNiTi files were rated highly useful because of their low cost, flexibility, ability to hold shape, and high strength.$4/File

95% of CR Evaluators would recommend this product.See also Clinicians Report June 2017

Irrigation and AccessoriesSee also Clinicians Report January 2017: “First Look: GentleWave—A New Approach to Root Canal Treatment”Classics:

• EndoActivator (agitates irrigating solutions), Dentsply Sirona• NaviTip Tips (small irrigating tips), Ultradent • QMix 2in1 (final irrigating rinse), Dentsply Sirona

Calasept Irrigation Needles, Directa DentalEfficient endodontic irrigation needle with double-side-vented design and safe rounded tip. $1.05 Each

86% of CR Evaluators would recommend this product.See also Clinicians Report July 2017

GentleWave, SonendoEndodontic debridement system that replaces shaping and irrigation of individual canals with one continuous, thorough cleaning, and chemical disinfection while conserving dentin.~$65,000/System and training

See also Clinicians Report January 2017

SmearOFF 2 in 1, Vista Dental Products2-in-1 mix combines two commonly used solutions: EDTA and chlorhexidine. Formulated so precipitate doesn’t form when mixed with sodium hypochlorite.$92.85/16 oz, 480mL ($5.80/oz)


Pulp Capping/Root RepairClassics:

• MTA, Various• ProRoot MTA (white or gray), Dentsply Sirona

NeoMTA Plus, Avalon BiomedBioactive tricalcium silicate based cement with color stability and multiple uses: pulp capping, pulpotomies, cavity liners, root repair, and root canal sealer cement. Wash-out resistant.$129/Kit (~$4.80/Use)

78% of CR Evaluators would recommend this product.See also Clinicians Report January 2017

Sealers/Endodontic CementsSee also Clinicians Report March 2017: “Should You Change Your Endodontic Sealer?”Classics:

• AH 26, AH Plus, and ThermaSeal Plus, Dentsply Sirona• Pulp Canal Sealer and Sealapex, Kerr Endodontics

The following six sealers/endodontic cements had overall excellent ratings in Clinicians Report March 2017.

Apexit Plus, Ivoclar VivadentCalcium hydroxide radiopaque sealer dispensed from paste/paste automix syringe. Pale yellow color with excellent ease of use.$14/ml

EndoREZ, UltradentMethacrylate radiopaque resin sealer dispensed from paste/paste automix syringe. Pale yellow color with excellent ease of use. $24/ml

EndoSequence BC Sealer, Brasseler USACalcium silicate radiopaque sealer dispensed from single pre-mixed paste syringe. White color with excellent ease of use.$103/ml


GuttaFlow 2, ColteneSilicone with gutta-percha radiopaque sealer dispensed from paste/paste automix syringe with excellent ease of use. $27/ml

Nogenol, GC AmericaZinc oxide, non-eugenol radiopaque sealer in paste/paste hand mix. White in color.$11/ml

Tubli-Seal Xpress, Kerr EndodonticsZinc oxide, eugenol radiopaque sealer dispensed from paste/paste automix syringe. Pale yellow color with excellent ease of use. $11/ml

Systems, EndodonticCR Note: Reciprocal systems were slightly preferred by users and

reduced the risk of file separationClassics:

• E3 and ProMark (rotary and reciprocating), Dentsply Sirona • Endo-Express (reciprocating), Essential Dental Systems• Endo-Eze, various (rotary and reciprocating), Ultradent• EndoSequence II (rotary), Brasseler USA

EQUIPMENT AND TECHNOLOGY3D PrintingSee Clinicians Report September 2017: “First Look: 3D Printing In-Office - What Do You Need to Know”

Curing Lights: Resin, LEDSee also Clinicians Report February 2017: “Does Your Curing Light Have the Most Desirable Characteristics?”CR Note: Avoid inadequate polymerization by testing resin materials

with curing light. Adjust exposure regimen to achieve complete cure without heat damage. LED curing lights continue to improve.

Classics (updated classics follow this list):• Various Models

– 3M – Ivoclar Vivadent– DenMat – Kerr

Fusion 5 (Updated Classic), DentLightHigh intensity LED curing light with new 90° tip for improved access and large diameter tip (9.6mm) that provides high intensity over a larger area. $1,049/Light


Valo Grand (Updated Classic), UltradentHigh intensity LED curing light with larger diameter tip (11.7mm) and second activation button under handle for convenient operation with finger or thumb. $1,732/Light


Handpieces: ElectricClassics: Electric

• COMFORTdrive, KaVo Kerr• Midwest E Electric Handpiece System, Dentsply Sirona• NLX nano and Ti-Max, NSK

Handpieces: High-Speed AirSee also Clinicians Report February 2017: “Getting the Most Out of Your High-Speed Air Handpiece”Classics (updated classics follow this list): High Speed Air

• Midwest Stylus ATC 990 and various other models, Dentsply Sirona• Star 430SWL, DentalEZ• Various Models, KaVo Kerr

The following seven handpieces had overall excellent performance ratings in Clinicians Report February 2017.

430SWL Torque LubeFree (Updated Classic), DentalEZModerate head size (11.1mm diameter and 13.5mm height) delivers very high power (torque) utilizing ceramic bearings.$1,359/Handpiece

557 ProStyle SF Lite SLC (Updated Classic), Lares ResearchLow cost handpiece with compact head (10.4mm diameter and 12.4mm height) that delivers high power (torque).$553/Handpiece

KaVo MASTERtorque M8900L (Updated Classic), KaVo KerrLarger head (12.5mm diameter and 13.1mm height) delivers very high power (torque); may be run at higher psi. $1,599/Handpiece

Midwest Stylus Plus (Updated Classic), Dentsply SironaCompact head (10.2mm diameter and 12.8mm height) delivers very high power (torque).$1,475/Handpiece

Ti-Max Z800L (Updated Classic), NSKCompact head (10.9mm diameter and 12.1mm height) delivers high power (torque).$1,499/Handpiece

Tornado LK, Bien-AirLarger head (12.2mm diameter and 13.1mm height) delivers very high power (torque).$995/Handpiece

W&H Synea 400 Series, TG-97L (Updated Classic), A-decCompact head (10.1mm diameter and 13.2mm height) delivers high power (torque).$1,125/Handpiece


The following handpiece was reviewed in Clinicians Report May 2017.

LEGACY 5, Lares ResearchHigh-speed handpiece with five-year warranty. Compact head design provides excellent visibility and accessibility. Also in standard head size.$899/Lighted handpiece ($849/Non-lighted)

HeadlampsSee also Clinicians Report May 2017: “Cordless LED Headlamps: A Bright Idea?”Classics:

• Feather Light LED, Ultra Light Optics• Firefly Cordless, DenMat• LED DayLite WireLess and Mini, Designs for Vision• LumaDent, LumaDent• Micro LED (Neutral) and Wireless LED Mini and Micro, SurgiTel• Nano Freedom and Nano Freedom Plus, DentLight• Spark and XV1, Orascoptic

EOS HP Headlamp, UnivetHigh-power LED headlamp with lithium-ion batteries has unique magnetic connection to loupes and five brightness intensities. $1,050/LED Headlight

See also Clinicians Report October 2017

Magnification: LoupesClassics:

• Various Models– Designs for Vision – SurgiTel– Orascoptic – Zeiss

EYEZOOM Mini, OrascopticLighter weight version of unique magnification loupes with user changeable variable power (2.5X and 3.5X).$2,200/Loupe


Galilean Pro TTL Loupe, UnivetHigh quality, custom fitted dental loupes in wide variety of optical choices, including Galilean and Prismatic with magnification from 2.0X to 5X.$2,100/Loupe and headlight combo


RadiometersClassics:

• Bluephase Meter II, Ivoclar Vivadent

Spring Radiometer (model 662), Spring Health ProductsSmall, handheld, analog radiometer for checking output of curing lights up to 3000 mW/cm2. Compatible with most lights: LED, halogen, and plasma arc.$112/Radiometer


Scanners, Intraoral (Digital Impression)See also Clinicians Report April 2017: “Faster and Easier Intraoral Scanning”Classics (updated classics follow this list):

• CS 3600, Carestream Dental• iTero Element, Align Technology• PlanScan, Planmeca

The following three scanners were featured in Clinicians Report April 2017.

CEREC AC with omnicam (Updated Classic), Dentsply SironaSystem available in cart, counter-top, or built-into unit. Key upgrades: faster and more accurate scanning, preparation analysis, and software tools.$30,000/Scanner ($129,000 with mill)

Trios 3 (Updated Classic), 3ShapeLaptop-based system. Key features: fast color scanning and live snap-fit bite registration.$32,000/Scanner; $200/Month for data plan

True Definition Mobile (Updated Classic), 3MMobile unit and cart systems available. Key upgrades: tablet computer-based system, light weight, touch screen, convenient surround handle protects tablet and provides a stand.$17,000/Scanner; $250/Month for data plan

SuctionClassics:

• Purevac, Sultan

BioGuard, Hager WorldwideDental evacuation cleaning system utilizes microbial enzymes which have residual action for continuous cleaning. $121/Starter Kit (32 pouches and dispenser)



Lock-On Saliva Ejector Valve Tips, PracticonReplacement saliva ejector (S/E) valve tips with improved retention feature to stay securely on valve. Tips fit existing S/E valves and remain on valve under tension.$18/Kit (3 tips and 6 locking rings)

90% of CR Evaluators would recommend this product.See also Clinicians Report March 2017

Total-Comfort Soft Tip Aspirators, PracticonSoft flexible elastomer tipped saliva ejectors improve patient comfort with cushioned end. Designed to reduce tissue aspiration.$8/Bag of 100 tips


IMPLANTS: PROSTHODONTICSSee also Clinicians Report March 2017: “Implant-Supported Fixed vs. Removable for Edentulism?”Classics:

• Ball attachments, Various Companies• ERA, Sterngold• Locator Implant Attachment, Zest Dental Solutions• O-Ring Attachments, Implant Direct

LOCATOR F-Tx, Zest Dental SolutionsNon-screw retained system for fixed, implant-supported restorations utilizes “ball and socket” system that is removed with a hydraulic prosthesis booster.$99/Inflation device; $50/Prostheses booster set

See also Clinicians Report March 2017

LOCATOR R-Tx, Zest Dental SolutionsNewest version of Locator for implant overdentures providing optimum retention and allowing more adaptation to non-parallel implants.$155 Each


IMPLANTS: SURGERYSee also Clinicians Report July 2017: “First Look: Zirconia Implants—An Alternative to Titanium?”Classics: Small Diameter

• Various– Dentatus – Sterngold– Intra-Lock – Zest Dental Solutions

Classics: Conventional Diameter• Various

– BioHorizons – Noble Biocare– Hiossen – Straumann– Implant Direct – Zimmer Biomet

Surgical PlacementSee also Clinicians Report January 2017: “Are Implants Placed Better with Surgical Guides?”CR Note: Successful freehand placement of dental implants has been

accomplished for over 30 years. Surgical guides used in implant placement are an alternative especially when multiple implants are placed or in areas involving minimal bone.

Classics: Surgical Motors• Various Models

– Aseptico – W&H– Nouvag

Traus SUS10, Saeshin AmericaCompact surgical system with dual handpieces: a piezo surgical handpiece and an electric implant motor. LCD control panel allows pre-programming of functions, including speed and torque. $8,000/System


INFECTION CONTROLGo to www.CliniciansReport.org for a list of

tested infection control products.

Dental Unit Water TreatmentLines, Micrylium–PureWay Compliance and distributorsDental unit water cleaner used over night once a week to keep lines fresh. Following treatment, purge lines with fresh water. Active ingredients: 0.12% chlorhexidine gluconate and 9.5% ethanol.$11.33/16.9 oz bottle

74% of CR Evaluators would recommend this product.See also Clinicians Report April 2017

Exam Gloves and Surgical GlovesSee also Clinicians Report November 2017: “Surgical Gloves: Are They Worth the Price?”CR Note: There are many classic gloves. The movement from latex

to nitrile or polychloroprene is encouraged because of increasing latex allergies.

StarMed PLUS Nitrile Exam Gloves, Sempermed USAInexpensive, comfortable, and strong nitrile examination gloves. Designed to be soft and flexible for unrestricted hand motion.5¢/Glove (box of 300 gloves)



Surface Disinfection See also Clinicians Report May 2017: “Wipe Disinfection: Killing or Spreading the Germs?” and Clinicians Report October 2017: “Surface Disinfection: BioSURF Surface Disinfectant Outperforms All Current Competitors”Classics:

• GermXtra (3 minute contact time), Germiphene (Not available in U.S., available in other countries)• Lysol Spray III (10 minute contact time), Reckitt Benckiser

BioSURF Bag-in-a-Box (3 minute contact time), Micrylium–PureWay Compliance and distributorsSurface disinfectant with desired micro-organism reduction in 3 minutes when in the presence of body fluid. Active ingredients are 70.5% ethyl alcohol and 0.2% chlorhexidine gluconate by weight.$72/5-liter bag


LeCloth Dry Wipes, Micrylium–PureWay Compliance and distributorsLeCloth Wipes are designed to not interfere with disinfectant activity, are biodegradable, and hold up well during vigorous cleaning. Use with BioSURF disinfectant.$8/Roll of 100 (8¢/Wipe)


LABORATORY TECHNOLOGYBooks

Ceramics in Dentistry: Principles and Practice, Quintessence128-page book with 176 illustrations provides an introduction to ceramic restorations for all clinical situations, including implant dentistry. $39/Book


Denture Base Materials and AccessoriesSee also Clinicians Report July 2017: “Denture Repair: What Works?”Classics: Dentures

• Ivocap, Ivoclar Vivadent• Lucitone 199, Dentsply Sirona

Classics: Repair Materials• Jet Denture Repair Package, Lang Dental• Triad VLC Denture Base, Dentsply Sirona

OCCLUSIONSee also Clinicians Report August 2017: “Occlusal Exams: Learn More, See More, Treat More”Classics:

• AccuFilm II, Parkell• Madam Butterfly Articulating Silk, Almore• Occlusal Indicator Wax, Kerr• T-Scan Novus (digital occlusal analysis), Tekscan• Trollfoil Articulating Foil, TrollDental

Spot-It, Directa DentalMarks interproximal contact for easier, more precise adjustment. Mounted on handheld floss-like holder for optimal access. Straight and angled flossers available.$2.75 Each


OPERATIVE DENTISTRYSee Restorative/Operative/Pediatric

ORAL AND MAXILLOFACIAL SURGERY See Surgery: Oral/Maxillofacial

ORAL PATHOLOGY/MEDICINE See Diagnosis and Treatment Planning

ORTHODONTICSNon-Conventional Tray Aligner SystemsClassics:

• ClearCorrect, ClearCorrect• Invisalign, Align Technology

PEDIATRIC DENTISTRYSee also Restorative/Operative/Pediatric

TGuard AeroThumb, MED et alUnique thumb cover with lock band to deter child from thumb sucking. Adaptable to almost all children’s hands.$49.80/Kit

80% of CR Evaluators would recommend this product.See also Clinicians Report October 2017

PERIODONTICSSee Preventive Dentistry/Oral Hygiene


PRACTICE MANAGEMENTEducation: PatientSee also Clinicians Report August 2017: “The Best Models for Dental Patient Education”CR Note: Many inexpensive dental patient education models are

available on the internet. Although less durable, they may fit your needs.

Classics (updated classics follow this list):• ADA Brochures, ADA• CAESY, Patterson• Change Your Smile: Discover How a New Smile Can Transform Your Life 4th edition by Ronald E. Goldstein DDS, Quintessence• Cosmetic C&B Model (TRM.348) and various other models, Kilgore • DDS GP, Kick Your Apps• Dental Documents Booklet and Simple Patient Education Video, Gordon J. Christensen Practical Clinical Courses• Guru, Henry Schein• Stepping Stones to Success Dental Brochures, Stepping Stones to Success

The following three sources were featured in Clinicians Report August 2017.

Implant, Crown, and Bridge (P9-X.1192), Periodontally Involved Model (P15-D TRM.653), and various other models (Updated Classic), KilgoreHigh quality educational models, including Implant, Crown, and Bridge (shown). The periodontal model allow patients to better understand restoration needs and treatment options.$220–$250/Model

Implant, Crown, and Bridge Combination (IM-3), Crown and Bridge with Multiple Restorations (GD-1), and various other models, ParadigmHelpful educational models including: Implant, Crown, and Bridge Combination and Crown and Bridge with Multiple Restorations. Well received by patients.$135–$210/Model

Restoration Model (4056810: CB-10) and various other models, PracticonMultiple restoration model including removable prosthesis allows patient to better understand restoration needs and options.$250–$400/Model

Education: Self and StaffSee Clinicians Report November 2017: “The Secret to Increasing Your Patient Service and Productivity”Classics:

• CR Dentistry Update and Clinicians Report, CR Foundation• Coding with Confidence, Dr. Charles Blair and Assoc.• Dental Office Medical Emergencies and Little Dental Drug Booklet, Lexicomp• Emergency Medicine in the Dental Office, Healthfirst• PCC DVDs, Videos, and Courses, Gordon J. Christensen Practical Clinical Courses• Ultimate Cheat Sheets, DOC’s

Practice Management SoftwareSee also Clinicians Report March 2017: “Does Your Practice Management Software Meet Expectations?”Classics (updated classics follow this list):

• CS Softdent and CS PracticeWorks, Carestream DentalThe following five practice management software systems were

featured in Clinicians Report March 2017.

Dentrix (Updated Classic), Henry Schein Practice SolutionsWell-established, complete practice management and clinical charting software solution. Latest version has new patient questionnaire functions. 87% overall user satisfaction.$6,995 for 1–10 users; $133 and up/Monthly service

Eaglesoft 19 (Updated Classic), Patterson DentalWell-established, complete practice management and clinical charting software solution. Latest version has supplementary insurance, CareCredit integration, and improved medical claims form. 90% overall user satisfaction.Practice management: free; Charting: $2,000; $125 and up/Monthly service

MacPractice DDS 5.1 (Updated Classic), MacPracticeCertified, comprehensive practice management, charting, imaging, EHR macOS-native software with 92% overall user satisfaction. Built-in HIPAA Safe Harbor qualifying encryption.$2,000 Base; $92/Month

MOGO Cloud, MOGO Dental SoftwareCloud-based complete practice management and clinical charting software solution. Users reported 100% seamless upgrades and 100% overall user satisfaction.$250 Base/Month; tech support and upgrades included

Open Dental 17.2, Open DentalAffordable practice management software for one or more locations. 99% of users reported service agreement worth cost and 97% overall user satisfaction.Free software; $159/Month/Location year 1; $99/Month after first year; support and updates included


PREVENTIVE DENTISTRY/ORAL HYGIENESee also Clinicians Report June 2017: “Best Oral Hygiene Products for Patient Home Care”

FluorideClassics: Dentifrices

• PreviDent 5000 Plus, Colgate ProfessionalClassics: Varnish

• Armuor Rx, Massco Dental • Iris Varnish, Benco Dental• VarnishAmerica Natural and White, Medical Products Laboratories

Instrument SharpeningGold Edge Sharpener, True Edge DentalSpecially designed sharpening stone is easy to use, effective, and maintains proper blade angulation.$52/Sharpener

83% of CR Evaluators would recommend this product.See also Dental Hygiene Clinicians Report January/February 2017

Interdental Cleaners/FlossClassics (updated classics follow this list):

• GUM Proxabrush Go-Betweens Cleaners, Sunstar Americas• Opalpix, Ultradent• Oral-B Glide Pro-Health Advanced Floss, Procter & Gamble

GUM Soft-Picks Advanced (Updated Classic), Sunstar AmericasPopular wire-free interproximal cleaner with improved design and longer handle for easy access of posterior teeth. $55.90/110 sample packs (51¢/Sample pack of 2)

93% of CR Evaluators would recommend this product.See also Clinicians Report February 2017

TePe Interdental Brushes, TePe USAInterdental brushes in a variety of sizes with soft bristles, and large, easy-grip handles. Especially useful for cleaning around implants. $4.25/Pack of 6

93% of CR Evaluators would recommend this product.See also Clinicians Report November 2017

Oral RinsesClassics:

• Crest Pro-Health Rinse, Procter & Gamble• GUM Paroex, Sunstar Americas• LISTERINE, Johnson & Johnson• Peridex, 3M• PerioGard, Colgate Professional• Tooth & Gums Tonic, Dental Herb Company

Prophylaxis: Disposable Angles and CupsClassics:

• Densco Latex-free, Waterpik• ProphyMagic (soft), Prophy Magic• Ultrapro Tx, Ultradent• Vera Classic Petite Web and various cups, Young Dental Manufacturing

Sterile Mini, Pac-DentSterile, disposable prophy angle with a 90°, soft, non-latex cup. Has external ridges for improved interproximal cleaning and webs on internal.73¢/Angle


Prophylaxis: PastesClassics:

• Next, Preventech• NUPRO, Dentsply Sirona• ProphyCare, Directa Dental• Pumice Preppies and Preppies Plus, WhipMix

NADA Pumice Paste, PreventechUnit-dose flour of pumice paste with no flavoring agents, dyes, oils, or fluoride. Cleans tooth surface of crown preps prior to cementation. Also for cleaning tooth surfaces prior to bonding.23¢/Cup


Scalers/Curettes: HandClassics:

• Montana Jack R138, Paradise Dental Tech (PDT)• Various, American Eagle Instruments• Various, Hu-Friedy• Various, Nordent

XDURA, NordentNew technology stainless steel scalers and curettes are sharper and retain sharpness longer than standard stainless steel.$43.25/Instrument


See also Clinicians Report November 2017


Scalers/Curettes: ImplantSee also Clinicians Report October 2017: “Effective Implant Scaling”CR Note: Healthy implants and tissue do not require much scaling.

Calculus formation around implants is infrequent. Titanium scalers were superior to plastic scalers.

The following eight titanium-tipped scalers have or exhibited excellent firmness and tactile sensitivity and were rated excellent–good for ease of calculus removal. All received a CR Choice in the October 2017 Clinicians Report.

Athena Titanium Implant Scalers/Curettes, A.TitanOverall rating: 8.75$50/Scaler

Bionik Titanium Scaler, Karl SchumacherOverall rating: 8.44$58/Scaler

ImplaMate (Updated Classic), NordentOverall rating: 8.13$61/Scaler

Implant Instruments, American Eagle InstrumentsOverall rating: 8.44$61/Scaler

ImplantPro, Brasseler USAOverall rating: 8.25$58/Scaler

Titanium Implant Curettes, Salvin DentalOverall rating: 8.06$61–$70/Curette

Titanium Implant Instruments with ErgoMix handle, LM DentalOverall rating: 8.63$70/Scaler

Titanium Implant Maintenance Instruments, PDTOverall rating: 8.56$52/Scaler

Tongue CleanersClassics:

• Oolitt Advantage and Oolitt 4 Kids, Oolitt Advantage

Toothbrushes Classics:

• Oral-B (manual and automated), Oral-B• Sonicare (automated), Philips• Various (manual), Johnson & Johnson• Various (manual), Sunstar Butler

CS 5460 ULTRA SOFT, CURAPROXUltra-soft manual toothbrush with fine and dense bristles made from polyester filaments (0.1mm diameter). Gentle on soft tissues while cleaning thoroughly.$2.99/Toothbrush


Ultrasonic and Sonic ScalersSee also Dental Hygiene Clinicians Report January/February 2017: “Which Scaler to Use: Magnetostrictive, Piezoelectric, Sonic, or Hand?”Classics (updated classics follow this list):

• Cavitron (various magnetostrictive), Dentsply Sirona Preventive• EMS (various, piezoelectric), Hu-Friedy• Integra and TurboSENSOR (magnetostrictive) TurboPIEZO (piezoelectric), Parkell• Newtron (various piezoelectric), ACTEON North America• Titan (sonic), DentalEZ

The following three ultrasonic scalers were featured in the Dental Hygiene Clinicians Report January/February 2017.

Cavitron Touch with Steri-Mate 360 Handpiece (Updated Classic), Dentsply Sirona PreventivePopular magnetostrictive, 30kHz auto-tune ultrasonic scaler with newly designed interface and effortless rotation of insert tip.$3,998/Ultrasonic Unit with Steri-Mate 360 Handpiece


Lil’ Beaver 2.0, VectorMagnetostrictive, 25/30kHz auto-tune ultrasonic scaler with smooth and quiet operation and boost mode. Economically priced.$675/Ultrasonic Unit

TurboVUE (Updated Classic), ParkellMagnetostrictive, 30kHz ultrasonic scaler with lighted handpiece, precise water and power controls, lightweight handpiece, and boost mode.$1,210/Ultrasonic Unit



XerostomiaCR Note: Medications (specific and excess) are the primary cause

of xerostomia. Methods to reduce dry mouth and its associated symptoms are challenging. Most treatments only help temporarily, but they are important for slowing caries and maintaining oral health.

Classics:• Biotene Products, GlaxoSmithkline (GSK)• OraCoat XyliMelts, OraHealth

ALLday Dry Mouth Spray, Elevate Oral CareLong-lasting dry mouth spray has neutral (7.0 pH) solution and adheres to mucus. Contains concentrated xylitol (44%) and mild flavor.$5.95/2 oz bottle

91% of CR Evaluators would recommend this product.See also Dental Hygiene Clinicians Report January/February 2017

Americo Dry Mouth Nightguard System, Great Lakes OrthodonticsCustom appliance with specially formulated dry mouth gel to stimulate saliva and protect teeth. Gel is a cellulose base with xylitol and sodium chloride.$158/Upper and lower trays, gel, case, and brush; $38/8oz replacement gel

81% of CR Evaluators would recommend this product.See also Clinicians Report August 2017

PROSTHODONTICS: FIXED/REMOVABLEAccessories

Chairside Denture Removal Tool, Zest Dental SolutionsErgonomically designed device to assist patients in efficient, simple, and easy removal of dentures and implant overdentures.$5.00/Instrument


Cleanadent Crystals, Dr. B Dental SolutionsRemovable appliance and prostheses cleaning solution and sonic cleaner/container. Crystals are dissolved in warm water and clean well.$18/Box of 60 (30¢/Packet); $8/Sonic Cleaner


Liquid Magic Resin Barrier, TAUB ProductsRubber-like resin barrier with helpful applications for implant and restorative dentistry. Can be placed in access opening to protect screw head from cement and composite.$120/Two 3ml syringes ($20/ml)

79% of CR Evaluators would recommend this product.See also Clinicians Report February 2017

Cements: ProvisionalClinical Tip for Crown and Bridge: Clinicians may select

provisional cements based on reducing sensitivity (eugenol-based). Eugenol-based provisional cement had no significant influence on the shear bond strength of final cements in CR tests after normal (two week) temporary period and with thorough cleaning of preparation.

Classics:• ClearTemp LC (veneer only resin), Ultradent• E.T.C., Parkell• NexTemp, Premier Dental• TempBond ZOE, Non-ZOE, and Clear, Kerr• TempoCem (zinc oxide with or without eugenol), DMG America

TempoCEM ID, DMG AmericaTemporary cement with improved esthetics and transparency. Eugenol-free, dispensed from dual-mix syringe, flows easily, and easy to remove excess.$15.40/ml


Cements, Resin: Adhesive (with Separate Self-Etch Primer)Classics:

• C&B-Metabond, Parkell• Multilink Automix, Ivoclar Vivadent• Panavia F2.0 and V5, Kuraray Noritake Dental

G-CEM LinkForce, GC AmericaLower cost, adhesive resin cement with dual-cure for ceramics, resins, and metal-based restorations. Four shades (A2, bleach, opaque, and translucent).$35.80/ml


Cements, Resin: Esthetic, VeneerClassics:

• Calibra, Dentsply Sirona• Insure, Cosmedent• NX3, Kerr• PermaShade LC, Ultradent• RelyX Veneer, 3M• Variolink Esthetic, Ivoclar Vivadent

FUSION-Zr Multi-purpose Veneer Cement, TAUB ProductsLight-cured resin cement for lithium disilicate, zirconia, and ceramic veneer cementation. Two color choices (crystal clear and opal white).$160/4 pack (4x 1.2ml syringes; $33/ml)



Cements: Resin-Modified Glass Ionomer and SimilarSee also Clinicians Report April 2017: “Ceramir Cement—Alternative to RMGI?”Classics:

• GC FujiCEM 2 and GC Fuji PLUS, GC America• Nexus RMGI, Kerr• RelyX Luting Plus, 3M

Ceramir, Doxa DentalThis cement has several favorable characteristics, including ease of cleanup, minimal post-operative sensitivity, material strength, potential bioactivity, and bond to zirconia (clinical investigation ongoing).$8.50/Single crown ($50/ml)


Cements, Resin: Self-AdhesiveClassics (updated classics follow this list):

• Calibra Universal, Dentsply Sirona• G-CEM LinkAce, GC America• Maxcem Elite and Maxcem Elite Chroma, Kerr• Panavia SA Cement Plus, Kuraray Noritake Dental• RelyX Unicem 2 and RelyX Ultimate, 3M

SoloCem, ColteneThis resin cement has MDP and 4-META chemistry in addition to zinc oxide. Adequate bond with both auto-cure and light-cure modes.$27.32/ml


SpeedCEM Plus (Updated Classic), Ivoclar VivadentUpdated, well-known self-adhesive resin cement with high radiopacity and easy cleanup. Dual-cure cement with improved self cure. Bonds to metal, zirconia, and lithium disilicate. $173/Kit (~$41/ml)


TheraCem, Bisco DentalLow-cost, all-in-one resin cement with dual-cure, MDP primer, and high pH (alkaline) after cure. Based on the popular BisCem’s chemistry with higher bond strength.$115/ 8-gram syringe (~$8.50/ml)


Finishers/Polishers for CeramicsClassics:

• Dialite and Dialite Feather Lite, Brasseler USA• DiaShine, VH Technologies• eZr, Garrison• Luster (intraoral), Meisinger• OptraFine, Ivoclar Vivadent• Zircon-Brite, Dental Ventures of America

KENDA Zirco1, KENDA (distributed by Pearson in U.S.)One-step diamond polisher specially designed for zirconia, lithium disilicate, and feldspathic porcelain. $15/Polisher


Impression: DigitalSee Equipment and Technology: Scanners, Intraoral

(Digital Impression)

Impression Materials: VPS/PolyetherClassics (updated classics follow this list):

• Examix (VPS), GC America• Impregum (Polyether) and Imprint 4 (VPS), 3M• Take 1 Advanced (VPS), Kerr• Virtual (VPS), Ivoclar Vivadent

Aquasil Ultra+ (Updated Classic), Dentsply SironaPopular VPS impression material with improved hydrophilicity, several delivery options, fast and regular set, and several viscosities, including a new rigid viscosity.$110/Two 50ml cartridges (55¢/ml); $3.28/Small digit (1.6ml); $3.71/Large digit (2.4ml)


Thermo Clone VPS, UltradentVinyl polysiloxane (VPS) impression material with lower cost, bubble gum scent, and option for fast set. Designed to accelerate set in oral cavity. $40/Two 50ml cartridges (40¢/ml)


Impression Trays and AccessoriesSee also Clinicians Report June 2017: “Which is Best: Full or Double-Arch Impressions for Crowns?”CR Note: Double-arch (Triple Tray) impressions are the most

commonly used technique for one or two crowns. The trays should have no sides or flexible sides with a thin non-absorbant mesh between the arches to reduce distortion. Full arch impressions (custom tray or acceptable stock tray) are recommended for three or more units or when the occlusion is challenged (grinding bruxism).


Classics:• Directed Flow Tray (full arch), 3M• Quad-Tray Xtreme (dual arch), Clinicians Choice• Triad (custom tray system and material), Dentsply Sirona• Triple-Tray (sideless dual-arch), Premier Dental

Shark Tray-Posterior Impression Trays, PracticonDouble-arch impression trays with large handle and foam side walls that direct impression material up and around teeth and provide mechanical lock.$55/Box of 32 trays


PostsClassics:

• C-1 Post, Parkell• Cure-Thru IntegraPost, Premier Dental• D.T. Light-Post, Bisco Dental• EndoSequence Fiber Post, Brasseler USA• FIbreKleer and FibreKor, Pentron• ParaPost Fiber White, Coltene• RelyX Fiber Post 3D, 3M

Macro-Lock Oval, RTD USAFiber-post with round and slightly tapered apical end which flares profoundly and becomes oval coronally. Designed for the restoration of wide, flared canals. Posts have high radiopacity.$156/Kit of 7


Provisional Materials See also Clinicians Report April 2017: “Bis-acryl Provisional Materials: A Temporary Success”Classics (updated classics follow this list): Bis-Acryl Resins

• Luxatemp Ultra, DMG America• Protemp Plus and Protemp 4, 3M

The following three provisional materials were featured in Clinicians Report April 2017.

Integrity Multi-Cure (Updated Classic), Dentsply SironaHigh strength bis-acryl material that also has a light-cure option that allows faster processing and quicker finishing and polishing.$4.60/ml

Structur Premium, VOCOHigh strength bis-acryl material with natural fluorescence. Self cure, high polish, and easy to trim and polish.$4.10/ml

Visalys Temp, KettenbachHigh strength bis-acryl material with fluorescence, translucency, and six shades.$3.90/ml

Soft Tissue ManagementClassics (updated classics follow this list): Cords

• DUX GingiBraid+ Shortcut, Kerr• Knit Pak+, Premier Dental• ROEKO Stay-Put, Coltene• Ultrapak, Ultradent

Gingi-Pak Z-Twist Weave Braided Cord (Updated Classic), Gingi-PakBraided retraction cord provides excellent hemostasis and gingival retraction. Easy to place and resists penetration by the smallest packing instruments.12¢–13¢/Inch


Tissue Conditioners/Reline MaterialsCR Note: Softer reline materials are appropriate for immediate

dentures after extraction, but need to be replaced more frequently. Firmer materials are used for short- and intermediate-term relines. Borders should be roughened for maximum retention, and trimming and finishing requires care and rotation of finishing instrument from soft liner to hard denture base.

Classics:• Bosworth Softone, Keystone Industries• COE-COMFORT and COE-SOFT, GC America• Hydro-Cast, Sultan Healthcare• Lynal, PermaSoft, and Visco-Gel, Dentsply Sirona• Sofreliner Tough S (Soft), Tokuyama

Chairside Soft Reline Material, Zest Dental SolutionsSoft silicone reline material bonds well to dentures and is stain resistant. Material is soft and can provide a long-lasting smooth surface.$179 Kit ($3.68/ml)


RADIOLOGY: ORAL AND MAXILLOFACIALSee also Clinicians Report May 2017: “Radiation: Are You and Your Patients and Staff Protected?”Classics: Cone Beam

• CS 8100 3D and CS 9300, Carestream Dental• Galileos/Orthophos models, Dentsply Sirona• i-CAT models, i-CAT• ProMax models, Planmeca

Classics: Handheld Units• Nomad Pro 2, Aribex

Classics: Intraoral Digital Sensors• DEXIS Platinum, DEXIS• GXS, Gendex Dental Systems• RVG 6100 and 6200, Carestream Dental• ScanX, Air Techniques• Schick 33, Schick by Sirona


Radiology AccessoriesDentalMark, SuremarkSmall radiographic stickers allow radiographic guides to be easily and inexpensively created. Used on existing denture or acrylic temporaries.$75/110 markers per box


RESTORATIVE/OPERATIVE/PEDIATRICAdhesivesClassics:

• Adhese Universal, Ivoclar Vivadent• Brush & Bond Universal, Parkell• Clearfil SE Bond, Kuraray Noritake Dental• Optibond Solo Plus and Optibond XTR, Kerr• Peak, Ultradent• Prime & Bond Elect, Dentsply Sirona• Scotchbond Universal, 3M

Clearfil Universal Bond Quick, Kuraray Noritake DentalSingle-bottle universal adhesive with fast application and reduced technique sensitivity. Thinner film thickness than Clearfil SE Bond.$155/Standard kit with 5ml bottle (~90¢/ use)

95% of CR Evaluators would recommend this product.See also Clinicians Report September 2017

G-Premio BOND, GC AmericaUniversal, light-cured, one-bottle adhesive. Easy to use, very low postoperative sensitivity, and dual-cure chemistry. $145/5ml bottle; $163/50 unit dose ($3.26/dose)


Bases/LinersSee also Clinicians Report July 2017: “Are Liners and Bases Really Necessary?”Classics:

• Dycal (calcium hydroxide), Dentsply Sirona• GC Fuji Lining LC (RMGI), GC America• TheraCal LC (calcium silicate), Bisco Dental• Vitrebond Plus (RMGI), 3M

Ca-Lok, TAUB ProductsEasy-to place, light-cured, radiopaque, flowable base/liner with calcium and fluoride. 89% of CR Evaluators preferred Ca-Lok over the leading brand.$90/2 syringes ($37.50/ml)

90% of CR Evaluators would recommend this product.See also Clinicians Report May 2017

e-on Glass Ionomer Base/Liner, Benco DentalEasy-to-use, light-cured resin-modified glass ionomer composite cement for linings, extended fissure sealing, and treatment of smaller lesions. $140/2 syringes ($35/ml)


Burs/Diamonds: Crown PreparationClassics: Diamonds, Low-Cost (Single-Use)

• NeoDiamond, Microcopy• Phoenix, Pollard Dental• Solo, Premier Dental• Spring Health Diamond, Spring Health Products

Kut Premium Diamond Bur, Dental Savings ClubAffordably priced, high quality, sterile, single-patient diamond burs significantly reduce re-use infection control challenge.$1.55 Each


Classics: Diamonds, Premium Priced (Multi-Use) • Komet Diamond, Komet USA• Meisinger Diamond, Meisinger• Midwest Diamond, Dentsply Sirona• Peter Brasseler Series, Brasseler USA• POLARIS, Pollard Dental• Two Striper, Premier Dental

Burs/Diamonds: Operative (Small)See also Clinicians Report January 2017: “Operative Carbide Burs: Does Brand Matter?”CR Note: For operative dentistry, use small round-ended carbide

or diamond burs (example: 329, 330 pear shaped). Flat-ended cross-cut burs created more internal stress. The smaller the prep, the more possibility for a non-sensitive, longer lasting restoration. Single use of carbide burs or diamonds is recommended for accomplishing tooth preparations. CR suggests not using 557 or similar aggressive cross-cut burs to reduce tooth damage.

Classics: • 830, 835, and various diamonds, Komet USA• Fissurotomy Micro Burs (carbide), SS White• H1 and H2 round burs (carbide), Brasseler USA• Microdia Micro Diamond and various others, Meissinger• NeoPrep (diamond), Kerr

The following three burs had overall excellent performance ratings in Clinicians Report January 2017.

Alpen 330 FG, Coltene330 operative carbide bur with excellent bur strength, excellent clinical tactile rating, and excellent overall rating.$2.25/Bur

HCI FG 330, Henry Schein330 operative carbide bur with excellent bur strength, excellent speed of cut, excellent clinical tactile rating, and excellent overall rating.$2.05/Bur


NeoBurr FG 330, Microcopy330 operative carbide bur with excellent cost, excellent bur strength, and excellent overall rating.$2.02/Bur

CementsSee Prosthodontics: Fixed/Removable

Finishers/Polishers for Resin-Based CompositeSee also Clinicians Report September 2017: “Polishing Up Your Class II Technique”Classics:

• ContacEZ Restorative Strips, ContacEZ• EPITEX and GC New Metal Strip, GC America• Polishette Mini Shaped Polishers, Kenda• Politip, Ivoclar Vivadent• Sof-Lex Finishing and Polishing System, 3M• Super-Snap Rainbow Technique Kit, Shofu• Top Finisher System, Cosmedent

Astropol (Updated Classic), Ivoclar VivadentCups, flames, small flames, and discs in three grits are designed for multiple uses and were found in CR studies to have low composite removal rate and excellent surface polish.$5.80–$7.80 Each

See also Clinicians Report September 2017

NANO/Microhybrid Diamond Polishers, CosmedentCups, points, and wheels in three grits are designed for multiple uses and were found in CR studies to have moderate composite removal rate and excellent surface polish.$13.75 Each

See also Clinicians Report September 2017

Rally Composite Mini-Polishers Kit, GarrisonPoints and cups in coarse (blue), medium (pink), and fine (yellow). Designed for multiple uses.$139/Kit (60 polishers); $2.32/Polisher


Glass Ionomer RestorativeClassics (updated classics follow this list):

• ChemFil Rock, Dentsply Sirona• Fuji IX GP Extra, GC America• Ketac Fil Plus and Ketac Universal, 3M• riva self cure HV, SDI

Equia Forte Fil (Updated Classic), GC AmericaImproved conventional glass ionomer (GI) restorative system that incorporates ultrafine, highly reactive glass-filler creating a higher strength GI restorative. Set time of two minutes 30 seconds.$6.83/Capsule


IonoStar Plus, VOCOConventional glass ionomer (GI) restorative with natural fluorescence and two-minute set time. Four shades (A1, A2, A3, A3.5).$5.30/Capsule


See also Clinicians Report June 2017

Instruments and Accessories: RestorativeClassics:

• CASI 3C and 3L (anterior sculpting), Aesthecon• Contact Pro II (contact forming) and Microfill Composite Instrument, Gold (anterior sculpting), Almore• Dr. Colonna Series (posterior placement), American Eagle Instruments• IPC Carver, Various Companies• Trimax (contact forming), AdDent

C-Shape Placement Instrument, Southern Dental InstrumentsAnti-stick placement instrument with unique removable/disposable silicone tips. Excellent for placing composite and very useful in placing, condensing, and contouring bone graft materials.$50/Instrument (double ended) and 20 silicone tips


Matrices/WedgesClassics (updated classics follow this list):

• AutoMatrix, Palodent Plus, and WedgeGuard, Dentsply Sirona• Composi-Tight (various) and Fender Wedge, Garrison• Contact Matrix, Zest Dental Solutions – Danville• Greater Curve (Tofflemire), Greater Curve• V3 and Wedgeguard, Triodent and Ultradent

ClearView, WaterPikSectional matrix system designed to provide better access and visibility and produce excellent contour. Matrix bands are thin (~0.0015 inches).$149/Trial Kit (10 restorations) $570/Complete kit (100 restorations)



Composi-Tight 3D Fusion Full Curve Matrices (Updated Classic), GarrisonSectional matrix bands that wrap farther around the tooth and have optional subgingival extension. Matrix bands are thin (~0.0015 inches).$1.24–$2.40/Matrix band


Moisture Control/Isolation/Rubber DamClassics: Rubber Dam

• Hygenic Elasti-Dam and Hygenic Framed Non-latex Flexi-Dam, Coltene

Effective Moisture Control Concepts (updated classics follow this list):• Dentapops, Primotec• DryTips, Microbrush• Isolite, Isodry, and Isovac, Isolite Systems• Mr. Thirsty One-Step, Zirc Dental Company• NeoDrys, Microcopy• OptraGate (small, regular, and junior), Ivoclar Vivadent

DryShield (Updated Classic), DryShieldExcellent moisture control, retraction, and bite block in one device. Provides isolation of two opposing quadrants. Mouthpieces are sterilizable.$900/Starter kit

73% of CR Evaluators would recommend this product.See also Clinicians Report May 2017

Resin-Based Composite RestorativesSee also Clinicians Report November 2017: “One Composite For All Situations: Excellent Universal Products”Classics: Light Cure

• Clearfil Majesty, Kuraray Noritake Dental• ESTELITE Sigma QUICK, Tokuyama• Filtek Supreme Ultra, 3M• Heliomolar and Tetric EvoCeram, Ivoclar Vivadent• Venus Pearl, Kulzer

Beautifil II LS, ShofuUniversal composite with 14 shades, excellent: polish and polish retention, and flexural strength (105 MPa). $34/ml


Filtek One Bulk Fill Restorative, 3MEsthetic, higher opacity, and less expensive bulk-fill restorative with nanotechnology allows up to 5mm increment before light cure. $4.97/0.2-gram compule ($38.05/ml)


Harmonize, KerrUniversal composite with 20 shades, excellent: polish and polish retention, flexural strength (150 MPa), and translucency.$53/ml

78% of CR Evaluators would recommend this product.See also Clinicians Report September 2017 and November 2017

Mosaic, UltradentUniversal composite with 30 shades, excellent: ease of placement, polish and polish retention, flexural strength (112 MPa), and translucency.$53/ml

83% of CR Evaluators would recommend this product.See also Clinicians Report September 2017 and November 2017

TPH Spectra ST, Dentsply SironaUniversal composite with two viscosities, six shades covering the VITA shades, and excellent: ease of placement, polish retention, flexural strength (102 MPa), and translucency.$59/ml


Resin-Based Composite Restoratives: FlowablesClassics (updated classics follow this list):

• BeautiFill Flow Plus, Shofu• Filtek Supreme Ultra Flowable, 3M• G-aenial Universal Flo, GC America

Surefil SDR Flow+ (Updated Classic), Dentsply SironaWell-accepted, proven flowable with improved wear resistance, higher radiopacity, and new indication for Class III and Class V restorations.$164/Kit ($51.25/ml)


Resin-Modified Glass Ionomer RestorativeClassics:

• GC Fuji II LC and GC Fuji Filling LC, GC America• Ketac Nano LC, 3M• riva light cure HV, SDI

Ionolux, VOCOResin-modified glass ionomer restorative with non-sticky consistency for easier placement. Lower cost than comparable RMGI restorative.$5.76/Capsule



Products evaluated by CR Foundation® (CR®) and reported in the Gordon J. Christensen Clinicians Report® have been selected on the basis of merit from hundreds of products under evaluation. CR® conducts research at three levels: 1) multiple-user field evaluations, 2) controlled long-term clinical research, and 3) basic science laboratory research. Over 400 clinical field evaluators are located throughout the world and 40 full-time employees work at the institute. A product must meet at least one of the following standards to be reported in this publication: 1) innovative and new on the market, 2) less expensive, but meets the use standards, 3) unrecognized, valuable classic, or 4) superior to others in its broad classification. Your results may differ from CR Evaluators or other researchers on any product because of differences in preferences, techniques, product batches, or environments. CR Foundation® is a tax-exempt, non-profit education and research organization which uses a unique volunteer structure to produce objective, factual data. All proceeds are used to support the work of CR Foundation®. ©2017 This report or portions thereof may not be duplicated without permission of CR Foundation®. Annual English language subscription: US$199 worldwide, plus GST Canada subscriptions. Single issue: $18 each. See www.CliniciansReport.org for additional subscription information.

SLEEP MEDICINE: DENTALClassics (updated classics follow this list):

• DDME Bruxism Sleep Monitor, DDME (manufactured by Nox Medical)• EMA (Elastic Mandibular Advancement), Various labs• Silent Nite, Various labs• TAP (Thornton Adjustable Positioner), Various labs

dreamTAP (Updated Classic), Airway ManagementFifth generation of popular oral appliance provides more tongue space with hardware positioned facially. Also has custom-formed soft liners for superior retention.$387/Appliance, lab fee

See also Clinicians Report May 2017

SURGERY: ORAL AND MAXILLOFACIALAnticoagulantsSee also Clinicians Report September 2017: “Anticoagulants: Are They Dental Friendly or Not?”

Bone Grafting MaterialsClassics:

• Bio-Oss, Geistlich• BioPlant, Kerr• DynaBlast Paste, Keystone Dental• Foundation, Morita• Grafton DBM, BioHorizons• LifeNet OraGraft Bone, Salvin Dental• Osteogen Plug, Impladent• Puros, Zimmer Biomet

Bond Apatite, Augma BiomaterialsSynthetic bone graft cement in a biphasic calcium sulfate with hydroxyapatite granules for bone reconstruction. Delivered from a dual-chamber pre-filled syringe. (For ridge augmentation when implants are not planned.)$128/1 cc syringe


HemostasisClassics:

• ActCel, Coreva• BloodSTOP, LifeScience Plus• CollaPlug and HemCon, Zimmer Biomet• OraPlug, Salvin Dental Specialties

SURGI-STOP Soluble Hemostatic Gauze, Sabra Dental ProductsSoluble hemostatic, knitted, sterile dressing that activates when in contact with blood. Transforms into a clear viscous gel that stabilizes wound site temporarily. (Not a barrier.)$1.50/18mm x 40mm piece


InstrumentsClassics: Elevators, Luxators, Proximators, and Forceps

• Various– Directa Dental – Salvin Dental– Hu-Friedy – Schumacher

LM Extraction Instruments, JS DentalLuxating instruments and elevators with ergonomic handles and strong sharp metal blades. LM-LiftOut and LM-SlimLift were designs tested.$89/Instrument


SuturesSee also Clinicians Report February 2017: “Suturing: Do You have the Guts or Knot?”Classics:

• Chromic Gut, Various Companies• Silk, Various Companies• Vicryl, Various Companies

Reli Redisorb Sutures, MYCO Medical (Sold by dental distributors)Reasonably priced poly-glycolic acid (PGA) sutures with sharp connected needles. PGA is a flexible, resorbable material.$4.17–$5.75/Suture pack


Will the new products you’re buying meet expectations?Dental clinicians need unbiased, candid, practical information on products and techniques. The major purpose of the Gordon J. Christensen Clinicians Report® is to give readers KNOWLEDGE—knowledge that they can use in their practices. CR Foundation® is the world’s only non-profit, dentist-funded dental product testing lab. CR tests and compares products and reports evaluation results fully and honestly in a monthly quick-read format. The Gordon J. Christensen Clinicians Report:

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