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Mouthguards Critical to Avoiding Injury

A recent Delta Dental survey shows that many children are participating in high-risk sports without the protection of a mouthguard.

Studies have shown that mouthguards can greatly reduce the risk of injury — not only to the dentition, but also reduce the risk of concussion. A pressure-formed mouthguard provides superior fit and function to a “boil-and-bite” guard purcahsed over-the-counter. A custom formed appliance will not only stay in place better, but will allow for better breathing enhancing comfort and performance.

American Dental Accessories offers a complete line of mouthguard materials as well as a vacuum former and pressure dome which allows the fabrication of custom laminates for the highest-quality appliance and often with enhanced aesthetics as well (see these colorful Proform guards).

Football season is already underway in many areas, start protecting your patients now!

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American Dental Supports Humanitarian Efforts in Costa Rica

American Dental Accessories, Inc. recently had the privilege of supporting a humanitarian trip to Costa Rica. Dr. Gayle Fletcher of Willis, TX and Dr. Tommy Murph of Myrtle Beach, SC along with a third instructor brought 9 dentists for a 4 day continuing education (CE) course on tooth extraction. The course was conducted from July 4 through July 8. Each participant received 30 hours of AGD approved CE credit.

The 9 dentists of varying backgrounds came from all over the United States. Individual experience varied from just a few years to decades in practice.

Impoverished citizens of Costa Rica benefited from the experience of the instructors and careful administration of the students. Over 170 patients of all ages were treated. Extractions performed ranged from simple to complex including many impacted third molars. The panoramic X-ray below is one of the more complex cases that was handled during the course.

Impacted Third Molars

A Complex Case Handled on the Trip

Additionally, many patients received restorations and benefited from other dental procedures.

Helping out the 3 instructors and 9 enrolled dentists, there were 5 volunteers who served as assistants, sterilization technicians, and interpreters.

Along with various sundries, American Dental Accessories, Inc. donated a selection of highspeed handpieces including one Surgical Solution 45 degree handpiece for use by the dentists in performing their procedures. Along with the course, each enrolled dentist received a brand new American Dental Accessories 301 elevator to add to their instrumentarium and received post-CE specials on the purchase of additional instruments including the Surgical Solution handpiece.

In addition to 22 hours of hands-on field work, there were 14 hours of lecture covering various techniques such as flap construction, sutures, anesthesia, and managing various complications that can arise.

Instruction on 301

Dr. Murph Discussing the uses of the 301 elevator


Dr. Fletcher On Surgical Flap

Dr. Fletcher Discussing Surgical Flap Design


In between periods of instruction, everyone was able to enjoy many of the diversions available in Costa Rica — snorkeling, sight-seeing the beautiful flora and fauna, or just relaxing by the pool of their 4 star hotel. In fact, there were so many things to do, a few of the participating dentists extended their stay beyond the 4 course days and stretched it into a vacation.

Sunset Over the Ocean

Sunset Over the Ocean in Costa Rica

Local Wildlife

Some of the local wildlife

Another trip/CE course is planned for the near future (likely fall 2011), please e-mail us your contact information if you’d like to receive updates from the instructors on the next course as well as enrollment information.

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Introducing the New Ad-Free “Printer Friendly” Button

You can now print your favorite American Dental posts! We are proud to introduce the “Print Friendly” button. You will find it on the bottom of all of our posts and blogs. Another added feature, is the “PDF” button in the upper left corner of the pop-up window. You can use this to save the blog as a PDF file to save forever on your hard drive.

Enjoy & thank you for your interest in American Dental Accessories, Inc.

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Amalgam Separators Required in Illinois?

Chicago-area dentists with their proximity to Lake Michigan may have been aware of existing regulations covering mercury and amalgam disposal throughout the Great Lakes region. Minnesota, Wisconsin, and most recently Michigan and Ohio have in place or have introduced regulations covering amalgam disposal in dental offices. To the North, amalgam separators have been required for some time throughout Canada.
Recent legislation in Illinois will require the installation of an amalgam separator in dental offices throughout the state. SB1213 has passed and been sent for approval to the Illinois governor.
This bill amends the Mercury Switch Removal Act and extends coverage of the act to amalgam (silver fillings) “added, removed, or modified in the course of treating patients” in a dental office.
Should the bill be signed into law, by 2015 any “dental office, school, or vocational education program” that adds, removes, or modifies amalgam will need to install an amalgam separator onto the office’s wastewater lines before it empties into the sewer or a septic system.
Amalgam separators have been used for years in many states and in Europe to remove amalgam from the waste lines of dental offices. In areas of the US where required, Amalgam separators must conform to ISO standard 11143 which governs the use and installation of separators as well as providing for a testing method to certify removal of at least 95% of amalgam present in the waste stream (some areas have a higher percentage removal requirement as well).
Mercury is one of the primary components of dental amalgam and can accumulate in fish and other wildlife. Mercury has been shown to contribute to a variety of pathologies including kidney dysfunction and a wide range of neuropsychiatric disorders as well as inhibiting neurological development in children and fetuses of pregnant women exposed to Mercury.
Need help determining what amalgam separator is right for you? Fortunately, we covered this a year ago in issue #24 of Tech Tips.
American Dental Accessories, Inc. also offers a full range of amalgam separators and amalgam disposal containers for your convenience.

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Tech Tips #35: How to Replace a Water Relay Valve- Video

Have you experienced a handpiece that has had a leak from the water coolant? The most common culprit for these types of leaks is the water relay valve. While the cause may differ in various units, most systems incorporate some form of water relay valve or “Clippard valve”. This video walks you through the easy process of replacing this valve.

As you can see in the video, changing a water relay is a simple process that can be accomplished in just a few minutes.

Can’t see the video? You can also view this video on our blog or Youtube.

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Tech Tips #34: Dental Equipment Routine Maintenance

In previous issues of Tech Tips we’ve discussed the importance of routine maintenance to keep your equipment running well. We’ve had dedicated issues on Handpieces, X-Ray processors, and Sterilizers.

This month, we’re going to run through everything in the office on a daily, weekly, monthly, quarterly, and annual basis to give you a master check-list for office-wide maintenance.

Naturally, this list should not be considered all-inclusive and there will be variations depending on what equipment you use.

Daily:

At the beginning of the day:

  • Turn on compressor, vacuum and main water lines (you should have a solenoid on your water).
  • Check fluid levels in sterilizer and x-ray processor (topping off if necessary) and then turn them on.
  • Run a cleaning sheet through your processor (if such is available for it).
  • Turn on delivery systems and open oxygen and nitrous tanks (if you have a central system).
  • Check ultrasonic cleaner solution.
  • If using self-contained water systems and air purging every night, run handpieces and depress water buttons on air/water syringes to establish water line pressure.
  • Refill water bottles of self-contained systems.
  • Verify previous day’s computer back-up and install next generation of media (i.e. the next drive/cartridge etc. in sequence).

At the end of the day:

  • Clean the sterilizer door gasket with a soft cloth and mild (non-antibacterial) liquid soap.
  • Clean out or change chairside vacuum traps and run vacuum system cleaner through all vacuum lines. Be certain to securely replace the lid of the trap after checking screen on trap.
  • Empty waste bottle/tank on sterilizers equipped with one.
  • Turn off all equipment as above – delivery systems, oxygen and nitrous tanks, sterilizer, processor, compressor, vacuum, and main water line. If using a Dent-X processor, remove the cover and slide the covers of the solution trays to the side allowing vapors to escape.
  • Dry water lines by purging with air (if using self-contained water systems).

Weekly:

  • Clean interior and exterior of sterilizer(s), including reservoir. Check autoclave safety valve by pulling on the ring with a pliers (it should spring back).
  • Check sterilizer filters and perform a spore test.
  • Verify sterilizer is level.
  • Check chairside trap screens and lid o’rings for wear and replace if necessary. Be certain to securely replace the lid of the trap afterward.
  • Check and replace or clean out central vacuum and main water line filters.
  • If present, check amalgam separator.
  • Disassemble and lubricate vacuum valves (HVE and SE).
  • Clean ultrasonic cleaner.
  • Clean operating light reflectors and lens shields (make sure reflectors are cool first).
  • Check oil on oil-lubricated compressors and drain compressor tank. An auto-drain can also be installed on your compressor to drain as needed automatically.
  • Clean processor racks according to manufacturer’s instructions. You may need to let them dry over the weekend as well.
  • Empty and clean out bottles of self-contained water systems.
  • Clean boiling chamber of water distiller

Monthly:

  • Perform extended cleaning of x-ray processor per manufacturer’s recommendations. Special cleaning solution may be required as well.
  • Check/clean plaster trap
  • Check emergency resuscitation equipment
  • Lubricate joints in operating lights, sterilizer door hinges, air/water syringe buttons, & other similar items around the office.
  • Clean Pan or Ceph x-ray screens with a screen cleaner.
  • Using heat-resistant PPE, check sterilizer safety valve while under pressure (see Sterilizer Maintenance) & check sterilizer door for plumb.
  • Check air and water filters in junction boxes.

Master On/Off Valve #05-558

Quarterly:

  • Check filters on compressor and central vacuum.
  • Check compressor oil (if oil lubricated)
  • Check tubing on delivery systems, nitrous, and vacuum as well as handpiece gaskets and/or coupler o’rings for signs of wear.
  • Clean model trimmer wheel and drain lines.
  • Lubricate drive chain on Dent-X processors.
  • Check hydraulic fluid of patient chair.
  • Check life of computer battery back-up (UPS).
  • Test smoke alarms.
  • Verify computer back-up by restoring from a back-up.

Annually:

  • Change sterilizer door gasket, bellows and fill filters.
  • Change oil (if oil lubricated) of compressor.
  • Check power cords for all electronic equipment around the office and replace any that are frayed or worn.
  • Have fire extinguisher(s) inspected.
  • Observe a complete sterilization cycle looking for any signs of malfunction such as a steam leak.
  • Conduct staff OSHA training
  • Review emergency procedures with staff- how to handle patient emergencies as well as what to do in case of fire etc.
  • Have X-ray equipment inspected, calibrated, and certified (requirements vary may be as infrequently as once every 5 years)

In general:

  • Be observant. Note any equipment which exhibits unusual behavior such as loud or abnormal noises or an unusual appearance/discoloration.
  • Keep owner’s manuals for all equipment in a secure place.
  • Consult owner’s manuals for manufacturer’s recommended maintenance and supplement the list above accordingly.
  • Check with local authorities for your requirements. Some things (for example spore tests) may have a different frequency requirement in your area. We have attempted to list such things at the most common interval but there can be wide variation.
  • Be aware of seasonal tendencies for extremes of heat, cold, & humidity and the effect these extremes can have on specific pieces of equipment. For example, replacing compressor dryer desiccant is commonly required in the summer months.
  • It may be helpful to have primary equipment wired to a master switch to simplify turning on in the morning and off at night (just one switch to throw).
  • Be mindful of critical equipment and always have spares of the following on hand:
  1. Light bulbs for operating lights and curing lights
  2. Filters for air and water lines
  3. Replacement screens/traps for central vacuum
  4. Fuses for chairs, sterilizer, processor, etc.
  5. Hydraulic fluid (if you have hydraulic chairs)
  6. Compressor oil
  7. Have a back-up plan in case of failure of compressor, vacuum or sterilizer. Having a smaller secondary unit on hand that can be “hot-swapped” temporarily can keep you up and running.
  8. Have a contingency plan in case of failure of computer system.

American Dental Accessories, Inc.

We offer every day low prices, free technical support, and friendly service 64 hours a week. Call 1-800-331-7993 or order online now!

©2011 American Dental Accessories, 7310 Oxford Street, Minneapolis, MN 55426.

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Introducing Our Newest Product Line: Premium Dental Gloves

American Dental Accessories is proud to offer a new premium dental glove line. These dental gloves are the highest quality & offer the maximum comfort at a very low price. They are powder-free, easy to don, & are processed with zero human contact. Try our latex & nitrile dental gloves today!

We are so sure that you will love them, that they come with a money back guarantee. Call today for free samples at 1-800-331-7993 or email us at: orders@amerdental.com

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Tech Tips #33: Installing a Toggle- Video

In a previous issue of Tech Tips we discussed the design and function of toggle valves. This month, we will walk you through replacing a toggle valve on a delivery system. We’ll cover toggle selection, removing the old toggle, and installing the new toggle, and best of all, we once again return to a video format so you can see exactly what to do.

As you can see in the video, changing a toggle is a simple process that can be accomplished in just a few minutes.

Can’t see the video? You can also view this video on our blog or Youtube.

American Dental Accessories, Inc.

We offer every day low prices, free technical support, and friendly service 64 hours a week. Call 1-800-331-7993 or order online now!

©2011 American Dental Accessories, 7310 Oxford Street, Minneapolis, MN 55426.

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Tech Tips #32 – Handy Tips for Working with Fittings

This month we share some tricks and tips used by our technicians when dealing with the various types of fittings. These are tricks we have learned over the years to make the connections easier and more secure. For more information on the types of fittings check out our Tech Tips Archives- Issue #5: A Brief Introduction to Dental Fittings.

When using barb fittings a number of additional steps can be helpful.

Rather than pushing the sleeve all the way over the tubing, pull the tubing through the sleeve. Once you’ve got the tubing pushed through a little bit, just grab the tubing with a pliers and pull it through as far as you need. You can get much more leverage this way.

When connecting multi-line tubing (such as foot control or syringe tubing) use a sharp knife or dental tubing splitter to cut the area between the lines and then pull them apart. Once the lines are separated, also trim the excess material from between the lines with a knife. The excess material can make it extremely difficult to get the tubing through your sleeve clamps.

Dipping the tubing for a few seconds in hot water will soften the tubing making it easier to slide over the barb. One of our techs will occasionally use coffee, not only does the heat soften the tubing, but the oil will act as a lubricant as well. You can also lubricate the barb with liquid soap to slide the tubing on.

Always make certain to slip the sleeve clamp over the tubing before sliding the tubing onto the barb. If installing onto a syringe, also make certain to slide the syringe handle over the tubing first.

Another tip when installing syringe tubing- when initially installing the sleeve clamps onto the tubing, slide the sleeve clamp on the water line farther down the tubing than the sleeve on the air line. This helps one keep track of which line is which so you don’t connect backwards and then need to re-attach.

Once you have your sleeve clamps on the tubing, slide the tubing onto the barb but only about half way. Once you push the sleeve clamp up, it will grab the tubing and push it the rest of the way. If the tubing is already fully seated, when the sleeve is pushed up the tubing can “bunch” making it very difficult to fully seat the sleeve.

Another common multi-line item is the foot control. For foot controls with 3 or more lines, the smaller lines will often need to attach to secondary valves under the “dome” of the foot control or on the sides or back of the block so these lines will need to be longer than the larger main air lines. In such cases, connect the smaller lines first and then trim the larger lines shorter to avoid kinking or bunching the tubing under the dome.

For some items with barbs grouped too closely together to use sleeve clamps (e.g. handpiece blocks), you can use tie straps to hold the tubing in place. When using tie straps, be sure to fully seat the tubing and use a pair of pliers to cinch the strap as tightly as possible.

Sleeve clamps will be tapered at one end and cut square at the other. The tapered end should be placed toward the barb when installing tubing onto a metal barb (you’ll need more “give’) and the square end should be placed toward the barb when attaching to plastic barbs (as the barb will “give”)- see image below.

When attaching tubing with a compression fitting, one or two wraps of Teflon tape over the smooth internal fitting will help to provide a good seal once the tubing is seated.
As with barbs, be sure to slide the nut and compression sleeve over the tubing before you attach the tubing to the fitting.

Once you screw down the nut, be careful not to over-tighten as you can crack the plastic sleeve. The nut should be securely and firmly tightened, but do not use a tremendous amount of force.

If replacing tubing in an old fitting, sometimes a new nut and sleeve will be required as the plastic sleeves can wear or distort over time.

Regardless of fitting type, always use the appropriate tools. A sleeve tool is specially designed to push the sleeve clamps into place and works much better and more easily than trying with just your bare hands or a slip-joint pliers.

Likewise, an open-end wrench should always be used for the nuts of a compression fitting, and never a pliers. Pliers can strip and mar a nut rendering it useless and simply do not give as much leverage as a proper wrench.

A good sharp knife is invaluable in trimming excess. For smaller supply lines (3/8” o.d. or less) a diagonal wire cutter works very well to cut the line. A strong scissors will also work (such as our utility shears) but for the smallest lines, a wire cutter usually works better and will get into tight spaces more easily.

If re-attaching an old line, trim the tubing back a few inches to get a fresh end. With age the tubing can stretch or distort where it had been attached and may not stay secured if re-attached.

If purchasing new tubing, always measure your old tubing first. It’s usually a good idea to add an extra foot or so as well to provide a margin for error. It’s always easier to trim the tubing a little than to try to stretch it if you’re a little short.

American Dental Accessories, Inc.

We offer every day low prices, free technical support, and friendly service 64 hours a week. Call 1-800-331-7993 or order online now!

©2011 American Dental Accessories, 7310 Oxford Street, Minneapolis, MN 55426.

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Tech Tips #31- X-Ray Processor Maintenance

As with all equipment, routine maintenance is crucial to keep your x-ray processor running well.

This month we’re covering basic routine maintenance for automatic x-ray processors. We’re including more generalized information on maintenance, so there will be some variation for specific makes and models of processor. Consult your owner’s manual for the specifics of your processor. As always, you can also feel free to consult with our Tech Support staff for information applicable to the processor you use.

Daily

  1. Change rinse water (or open water valve for those processors with a direct water connection).
  2. Fill developer and fixer tanks. Be very careful not to spill or splash solutions- this is one of the most common causes of contamination. If your processor has an auto-replenishment system, check the fluid levels in the bottles and refill if necessary. Always fill the developer first to minimize risk of contamination.
  3. During the day- top off the fixer and developer as necessary. Typically after every 25-35 intraoral films, 1-3 panoramic films, or 2-4 cephalometric films. Distilled water can be used to top off fluids as well (just an ounce or two- more than that will dilute the solutions of course). Note the number of films will vary depending on the capacity of your specific make and model of processor.
  4. At the end of the day- turn off processor and turn off water supply (if your processor has a direct water connection).
  5. If using a daylight loader, remove any film packets/wrappers that may be in the daylight loader.

This rack shows signs of neglect. Note the silver on the rollers and black residue on the side.

Weekly

  1. Turn off processor and remove cover.
  2. Carefully remove rack pulling straight up and then to the side. Be very careful not to suspend one rack over another tub. The solution could drip from the rack into another tub. This is a very common way to contaminate your chemistry.
  3. Place each rack in its own cleaning tub. Many manufacturers provide color-coded tubs for this purpose. If not, use of your own color-coded tubs in recommended.
  4. Clean the racks with a soft brush or sponge and warm water only (do not use detergents). Use separate brushes or sponges for each rack. Color-coding to match the racks is a good idea to avoid inadvertently contaminating the racks. Some manufacturers have special cleaning solutions they recommend using for cleaning. Typically, these are only to be used with the monthly or even quarterly cleaning routines. Check the directions for your processor and cleaning solution.
  5. While cleaning, inspect the racks for signs of wear or damage. They should spin freely when rotated by hand. Rotate the racks while cleaning to be certain to clean all surfaces (for those racks with rollers) as well as to verify that they spin properly.
  6. Thoroughly rinse and allow racks to dry.

Monthly

  1. Remove and clean racks as above (“Weekly”).
  2. Drain chemistry and remove tubs. Dispose of chemistry in accordance with local codes.
  3. For processors with a chain drive (e.g. Dent-X 810) lubricate the chain using 3 drops of oil in each port labeled “oil” and then run the processor.
  4. Peri Pro processors- visually inspect transport to verify arms are correctly aligned. Adjust if necessary. (See our issue on lost films for more information on aligning the Peri Pro.)
  5. Thoroughly rinse and scrub tubs. Once again, be certain to use a dedicated brush or sponge for each tub to avoid cross-contamination of chemistry. Color coding will help avoid confusion.
  6. Remove drain plugs, agitators, stand pipes or other components from the chemistry tubs and clean. It may be helpful to clean in the same wash tub as the corresponding rack to avoid mixing chemistry.
  7. Allow all components time to dry thoroughly (usually over the weekend).
  8. At the beginning of the next work day, return components to the tubs, refill chemistry, install racks, and process a cleaning film (if such is available for your processor).

Quarterly

  1. Clean all components as above under “Monthly”. Use of a processor cleaning solution should be incorporated at this time. Most manufacturers have their own solutions although some after-market solutions are available as well. However, DO NOT use soaps or detergents, only solutions specifically made for x-ray processors.
  2. Thoroughly rinse cleaning solution from all components. NOTE: some manufacturers recommend allowing the racks to soak overnight (or longer) in the cleaning solution. Check the directions for your solution/processor. In such a case, rinse and re-install the racks on the next work day.
  3. For processors with a direct water connection- check the solenoid for clogs by disconnecting from the water source and inspecting the connection. Normally, there will be a screen inside the fitting which can be cleaned.
  4. Make a visual inspection of all electrical connections as well as any water, drain lines, or chemistry feed lines. Make certain that all connections are secure, that all hoses are free from kinks, and that there are no loose or frayed wires. Note any discrepancies and correct or replace worn components.
  5. Verify solution temperature using a thermometer. Most processors heat the chemistry to 81°-83°F. If the temperature is off, you may need to calibrate it or replace a component. Call our tech support staff for specifics of your machine.
  6. Some processors (e.g. AT2000) will have an automated cleaning cycle which should be run at this time.
  7. If using a daylight loader, check the seals of the loader for signs of wear and light leaks. One method of testing for light leaks is to put a coin on a fresh film inside the loader. Process the film. If you can see the coin you have a light leak.

General Precautions

For roller-type processors, use only a sponge or soft-bristled brush for cleaning. Abrasives or hard bristled brushes can damage the rollers.

Use color-coded cleaning supplies to avoid contaminating chemistry. An ammonia-like odor is a sign of contaminated chemistry.

Be observant. Watch and listen to a complete cycle at least once a day. Make certain all the appropriate indicators illuminate when appropriate. Strange noises or erratic performance can be the first sign of a problem.

Always lift transports up and to the side to avoid dripping chemistry into the wrong compartment/tray.  Likewise, when adding chemistry poor slowly to avoid splashing.

Consult your owner’s manual for precautions specific to your make and model of processor.

American Dental Accessories, Inc.

We offer every day low prices, free technical support, and friendly service 64 hours a week. Call 1-800-331-7993 or order online now!

©2011 American Dental Accessories, 7310 Oxford Street, Minneapolis, MN 55426.

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