Professional Documents
Culture Documents
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Bib Chain
How to Beat Handpiece Burnout Cross Contamination Risk
See pages 4–5
See pages 18–19
Healthy
Healthy
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July 15–September 15, 2010 • Volume 6 Issue 1
Table of Contents
SPECIAL MARKETS
The Greener
REPRESENTATIVE
CONTACTS
Claudia Cayne
Northeast Regional Federal
Sales Manager
Practice
Tel (631) 300-5799
Fax (631) 390-8171 Starts Here!
Claudia.Cayne@henryschein.com
Leslie Tatum
Southwest Regional Federal Sales Below are the icons of various
Manager eco-friendly characteristics
Tel (972) 239-8699 found in this catalog:
Fax (972) 239-8697
Leslie.Tatum@henryschein.com Nontoxic – Products manufactured
free of potentially harmful chemicals
Kathleen Titus
Zone Manager Recycled – Contains post-consumer
Cell (916) 765-2778 recycled content, which is paper All-Natural – Free of dyes, alcohol, and
Kathleen.Titus@henryschein.com diverted from municipal waste other chemicals otherwise traditionally
necessary for use of the product
Debbie Torgersen
Zone Manager
Tel (704) 894-9484 Processed Chlorine-Free – Paper products Biodegradable – Made of components
Fax (704) 894-9485 that are unbleached or bleached chlorine-free, that naturally and safely break down
Debbie.Torgersen@henryschein.com reducing the use of harsh chemicals
Keith Gauzza
Regional Manager
Tel (602) 400-5054
Keith.Gauzza@henryschein.com
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healthy medical This year has started off with some wild contradictions: some say healthcare reform is good while others
question why some countries have adapted our kind of medicine and we’re suddenly looking to change. We keep hearing about
global warming and yet early in February, 49 states had some trace of snow on the ground. The country finally got enough H1N1
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vaccine just in time to see only small pockets of the flu remaining within the U.S.
So if this is how the year started, it’s hard to predict how this year and the new decade will be for us. Although I try to think
strategically on how to lead the Special Markets division into the future, I think for this year I will just take it quarter by quarter
and hope for some stability to re-enter our lives.
One of the things that has carried over to the new decade is the pain and suffering of people around us. This year we started off
with the devastation in Haiti. We have also seen more people than ever drop below the poverty line in our own country. Those of
us in healthcare must remember that we have an obligation to try to help those in need. I’m not only talking financially but more so
using the talents that we have been blessed with to help our fellow man.
I am fortunate to work for a company that continues to give back to the community and support people in a time of crisis.
Henry Schein pledged over one million dollars in supplies and aid to the people in Haiti. This number grew due to the matching
contributions of our Team Schein Members. We continue to donate products to the nation’s Community Health Centers to help
assist in the nation’s safety net for the underserved and underprivileged on a regular basis.
I tell you this as I think it is important that you know that the company from whom you buy your supplies is one with whom you
can be proud to be associated. Throughout the year we try to run promotions where you, the consumer, can purchase products that
help aid and assist a charity. Today I want to briefly mention Global Reflections™, A Green Program for Healthcare Professionals.
We offer healthcare professionals a wide selection of eco-friendly clinical and office products in support of an environmentally
sustainable future. Inside you’ll find a variety of high-quality, competitively priced merchandise. A portion of your Green Product
purchases will be donated to the Henry Schein Cares Foundation in support of environmental causes.
As always, when I sit down to write these letters, I think of the world around us, but narrow in on my favorite group of people —
our customers. It is because of you that we have been able to grow as a company and for that I say thank you for your business
and want to let you know it is truly appreciated.
I hope in some small way that these notes of mine make you think or smile, and that even though we haven’t met, you are getting
to know me and our Schein principles. Have a pleasant Summer and please know that all of us in the Special Markets group are
here to service your healthcare supply needs and to build a strong partnership between you, our valued customer and Henry Schein,
your dedicated distributor.
Sincerely,
Hal Muller
President
Henry Schein Special Markets
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A revolution is shaking the world of handpieces … dead
handpieces are restored, existing handpieces last 18-24 months
Nano Lubrication
Metallic
longer, and even new handpieces purr like kittens. Free Radicals
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valuable time and potential profits.
At this point, the dead handpiece goes in the drawer for repair.
I can see your head nodding “yes.” This scenario plays out
every day, over and over, in thousands of modern-day dental
offices fueling the handpiece repair business, which exceeds
The convenience of automatic maintenance stations has
promoted a more reliable regimen for cleaning and lubrication
PROBLEMS WITH TRADITIONAL OIL using traditional oil.
Oil is Buildup
The grease alleviates the
responsibility of maintenance
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$200 million dollars a year.
Solutions?
Attempts have been made to solve maintenance problems
and handpiece burnout … but they have done little more than USDA H-1
USDA H-1
Maintenance Stations
driven scalers, and ceramic bearings. It removes protein build up
and from accumulated oil residue left within the handpiece and
des superior autoclave-safe
airs. It extends turbine life by
ng bearing cages and o-rings, and
ish handpieces. For use in all
tion and cleaning stations
piece Spa (Tuttnauer), and Care 3
de, non-flammable,
r exceeds all published
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228-1428
Pink 228-1795
Blue 228-3045
Pink 228-5224
White 228-3299
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Green Products
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A. CLOROX GREEN WORKS™
B. GREENING THE CLEANING® PRODUCTS
DEIRDRE IMUS ENVIRONMENTAL CENTER FOR
Natural, eco-friendly, biodegradable cleaning products. Cleaning power from PEDIATRIC ONCOLOGY®
the most effective natural sources such as plant-derived cleaning agents, Greening the Cleaning® program was developed to eliminate, to the greatest
essential lemon oils, corn-based alcohol, earth-based minerals and extent possible, all cleaning agents containing hazardous ingredients and
filtered water. Products have been recognized as safer products by the replacing them with naturally-derived ingredients with the least level of
Environmental Protection Agency's Design for the Environment program. toxicity. These products clean as well or better than conventional cleaners
Item # Description Qty. Price and contribute to better indoor air quality. BUY SAVE
250-7910 All Purpose Cleaner, 32 oz. EA $7.29 Item # Description Qty. GREEN GREEN
12 @ $6.79 818-6733 All Purpose Cleaner, 32 oz. EA $7.49 $6.99
250-7888 All Purpose Cleaner, 64 oz. EA $13.99 6@ $6.99 $6.49
6@ $13.49 818-8673 Glass Cleaner, 32 oz. EA $7.49 $6.99
250-1631 Glass & Surface Cleaner, 32 oz. EA $7.29 6@ $6.99 $6.49
12 @ $6.79 818-3700 Basin Tub & Tile Cleaner, 32 oz. EA $7.99 $7.49
250-5122 Glass & Surface Cleaner, 64 oz. EA $13.99 6@ $7.49 $6.99
6@ $13.49
250-8006 Toilet Cleaner, 24 oz. EA $9.79
12 @ $9.29
250-9443 Bathroom Cleaner, 24 oz. EA $9.79
12 @ $9.29
250-1812 Dilutable Cleaner, 64 oz. EA $13.99
6@ $13.49
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Green Products
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biodegradable materials.
Item #
760-8214
Description
Value Bag-2 per Bag
Qty.
144/PK
Price
$34.99
D. NATURE FRIENDLY™
BIODEGRADABLE PLATES AND BOWLS
Made from sugar cane-based renewable resources. 100% biodegradable
and compostable. Provides superior strength and quality performance.
Suitable for hot or cold food. White. BUY SAVE
E. NATURE FRIENDLY™ HOT CUPS Item # Description Qty. GREEN GREEN
Made from PLA (a corn-based resin), these heavy-duty cups 905-2936 7” Plate 25/PK $4.49 $3.99
are biodegradable and compostable, meaning they 905-2938 9” Plate 25/PK $5.99 $4.99
will naturally break down. BUY SAVE 905-2941 11.5 oz. Bowl 25/PK $3.99 $3.29
Item # Description Qty. GREEN GREEN
905-7675 10 oz. Hot Cup 50/PK $10.99 $9.99
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Green Products
A. SCOTT®
100% RECYCLED FIBER
MULTI-FOLD TOWELS
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Made from 100% recycled fiber. Processed Chlorine-Free: contains no
chlorine derivatives used in bleaching and de-inking process. 9.2" x
9.4"–White Contains: 250 sheets per pack, 16 packs per case. Green Seal
Certified. Meets EPA standards with 100% post-consumer
waste content.
B. SCOTT®
MULTIFOLD TOWELS #1804
Made from 40% post-consumer recycled content. 9.4" x 9.3"
Contains: 250 sheets per pack, 16 packs per case.
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Item # Description Qty. GREEN GREEN Item # Description Qty. GREEN GREEN
643-9657 Multi-Fold Towels (01807) 4000/CS $66.99 $63.99 101-2063 Multi-Fold Towels (1804) 4000/CS $56.99 $54.99
C. SURPASS® D. SCOTT®
FLAT 100% RECYCLED FIBER FACIAL TISSUE 100% RECYCLED FIBER C-FOLD TOWELS
Made from 100% recycled fiber. Processed Chlorine-Free: Contains no Made from 100% recycled fiber. Processed Chlorine-Free: contains no chlorine
chlorine derivatives used in bleaching and de-inking process. Meets EPA derivatives used in bleaching and de-inking process. 10.1" x 13.2"–White.
standards with 10% post-consumer waste content. Contains: 200 sheets per pack, 12 packs per case. Green Seal Certified,
2-ply. 8.0" x 8.3"–White BUY SAVE meets EPA standards with 78% post-consumer
Item # Description Qty. GREEN GREEN waste content. BUY SAVE
643-0680 Fiber Facial Tissue (21285) 125/BX $3.49 $2.99 Item # Description Qty. GREEN GREEN
2 BXs @ $2.99 $2.79 643-6256 C-Fold Towels 2400/CS $68.99 $65.99
E. KLEENEX®
POP-UP® BOX HAND TOWELS
Made with 49% post-consumer recycled material.
Quality hand towels in a neat, maintenance-free, splash-proof box. Provides a F. SCOTT® ROLL TOWELS
more hygienic, waste reducing way to dispense towels. No mounted dispenser Made with 70% post-consumer recycled content.
to load and maintain. Contains: 120 sheets per box, 18 boxes per case. Best value in 1-ply perforated roll towels.
9" x 10.5" Green Seal Certified, meets EPA standards with 40% 128 Sheets per Roll. 1 Ply–11" x 10.7"
post-consumer waste content. Processed, chlorine-free BUY SAVE Item # Description Qty. BUY SAVE
Item # Description Qty. GREEN GREEN 643-2531 Roll Towels (41482) 20/CS GREEN GREEN
108-3634 Hand Towels (01701) 2160/CS $67.99 $64.99 $44.99 $42.99
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Save•A•Tooth®
90% of knocked out teeth
can be saved for life
by using a Save-A-Tooth® system
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Teeth can be knocked out at anytime or anywhere. Over five million are knocked out every year in the United
States. All of these teeth can be reimplanted and kept for life if they are treated properly and safely stored. Without safe
storage, a tooth will begin to die within 15 minutes and will be unsalvageable after an hour.
Save-A-Tooth® is a system designed to save and completely preserve knocked out teeth for twenty-four hours. How knocked out teeth are handled during
transport plays a key role in the ultimate success after it is reimplanted. The cells of teeth have a very specific fluid pressure and their delicate root cells can
be damaged easily if rubbed or touched. The solution in Save-A-Tooth® nourishes the root cells and the removable suspension net makes it possible to
wash and remove the teeth without touching or dropping the tooth. The system needs no refrigeration and lasts for two years.
Without the use of a Save-A-Tooth®, a reimplanted knocked out tooth only has a 10% chance of success of being saved. By using a Save-A-Tooth®, the
success is 90%. It is a necessary component of every first aid supply kit and station.
It is accepted by the American Dental Association and recommended by most leading dental textbooks.
BY CROSSTEX
®
crosstex.com
PROUDLY MADE IN USA
We’ve got you covered.
PATIENT TOWELS, HAND CARE, PROPHY ANGLES, TREATMENT ACCESSORIES, WATERLESS HAND SANITIZER, SURFACE DISINFECTANTS, FACE MASKS, GLOVES, STERILIZATION PACKAGING
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Step 1.
Following atraumatic extraction, the socket is examined for residual debris and to check that the amount of
bleeding is appropriate. The deproteinized bovine bone grafting material is then thoroughly packed into the socket
up to the level of the crestal bone to ensure maximum bone regeneration. If an immediate implant is indicated, it
should now be inserted. In this case, there will be excess material that will be extruded as the implant is inserted
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into the site.
Step 2.
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After the site has been filled to the crestal bone, the barrier material is placed over the graft. The barrier consists
of a resorbable collagen membrane. The collagen membranes are available as resorbable collagen plugs
or tapes.
If the plug is selected, it can be cut in half and the halves placed into the site one piece on top of the other,
as required. Ideally, following extraction the papillae should be undisturbed prior to filling of the socket with
bone graft material.
Alternatively, the collagen tape can be used and cut into strips before being placed in the socket(s). The
shape of the strip of tape makes it particularly useful in multiple adjacent sockets. The purpose of the barrier
membrane is to help hold the grafting material in position and to prevent contamination of the site. It has
been found that new bone will develop apical to any debris present.
Step 3.
Following placement of the barrier, the membrane or plug can be secured using either mattress or criss-cross
sutures, or both. A long-lasting resorbable suture material such as a polygalactin 910 (Vicryl®, Ethicon®; Dexon®,
Sherwood Davis and Geck), or a chromic-type suture, will ensure support of the membrane during the initial
healing period.
Step 4.
The final part of the procedure is the placement of a provisional temporary replacement over the treated
extraction site. Placing a provisional that has an ovate pontic shape to simulate the contours of the extracted
tooth, encourages soft tissue contouring that will leave a natural appearance when all treatment has been
completed. If a temporary bridge can be fashioned using two existing abutments adjacent to the extraction site,
or if a bonded temporary pontic can be used, a well-designed ovate pontic can be created. The laboratory can
use casts from recent impressions and, in discussion with the dentist, create a pontic shaped and contoured
such that it will preserve and help develop soft tissue contours during healing. A similar technique can be used
for the replacement tooth on a removable prosthesis that sits over the teeth.
Summary
As oral health improves, more people are retaining their teeth and patient expectations are increasing.
Increasingly, implants are used to replace missing teeth. Irrespective of the method used for tooth replacement,
preserving the ridge and soft tissue at extraction sites is important for both function and esthetics. Various
techniques exist for bone grafting, and for membrane use for guided tissue regeneration. A combination
technique using deproteinized bovine bone and a resorbable collagen barrier followed by use of an anatomical
temporary tooth replacement has been found to produce consistent results in preserving both the ridge and soft
tissue contours for the final restoration. As the demand for implants continues to grow, the importance of ridge
and soft tissue preservation can only increase. Use of an appropriate technique preserves alveolar ridge
anatomy, facilitates prosthetic management, optimizes function and esthetics, and enables the patient to be
treated in a shorter time with fewer surgical procedures.
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®
CAV19-1209-1.1 Rev.1
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Cetacaine
®
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Cetacaine® Topical Anesthetic Gel is a fast-acting, long-lasting
prescription topical anesthetic that can be applied directly to
Rx only.
•
Cetacaine Topical
Description
Anesthetic Gel Key Features & Benefits
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Categorization of Patient Care Items:
Critical: Used to penetrate soft tissue or bone with greatest risk of infection transmission: require heat sterilization.
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Semi-Critical: Touch mucous membranes, non-intact skin: in dental, if heat tolerant, sterilize. If not heat tolerant, use high
level disinfection (cold sterilization) per manufacturer instructions or use disposable items and discard.
Non-Critical: Touch only in tact skin: clean and follow by disinfection, or use disposable items and discard.
• Disinfect the handle and controls of the sterilizer after starting cycle to prevent post-cycle contamination when opening
and removing sterile items from the sterilizer.
• Critical and Non-Critical items must be dried by the sterilizer if they are stored before use. Wet packaging is porous
and allows contamination.
• Heat sensitive items can be completely sterilized through complete immersion in an FDA approved steriliant/high-level
disinfectant. Make sure you use a product designated for this purpose and follow manufacturers’ instructions. Process
can take up to 12 hours. Keep cold-sterilie container lidded to prevent vapor irritation.
• When cold sterilization is complete, rinse items with sterile water to remove chemical residue, dry with sterile towels
using sterile gloves, and transport to point of use in aseptic manner.
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• If stored before use, cold sterilized items are not sterile.
Cautions:
• Do not use cold sterile solution as a surface disinfectant.
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• Match product to the purpose: Use all chemicals, cleaners, disinfectants for the purpose designated and follow
manufacturers’ use instructions. Keep a copy of the MSDS sheet for safety instructions and compliance.
• Do not use bead sterilizers. The FDA has determined they are ineffective.
• Use a Biological Indicator (BI) at least weekly or as mandated by state law, to check effectiveness of sterilization
‘kill’ of pathogens.
• If your biological indicator (BI) activates during sterilization, run a second cycle with the BI. Common reasons for BI
failure include: overloading, failure to provide adequate package separation, loading, spore testing. Often correcting the
process will resolve the reading on the second cycle. Keep items in quarantine until you have determined if the
sterilizer has malfunctioned.
• Record results of BI monitoring and corrective actions as part of the overall infection control program. Many sterilizers
have record print ability. Maintain records in compliance with Federal, state and local laws and regulations.
• When process tests show sterilizer is faulty, remove it from service, repair or replace as appropriate.
• The CDC has established protocols for positive BI tests.
Henry Schein thanks the organization for Safety, Asepsis and Prevention (OSAP) for their expertise.
OSAP is a nonprofit, independent organization providing information and education on infection prevention and
control and safety to dental-care settings worldwide. Although OSAP believes the information contained herein
is accurate, it necessarily reflects OSAP’s interpretation of CDC guidelines. OSAP assumes no liability for
actions taken based on information herein. For additional infection prevention resources, please go to
WWW.OSAP.ORG
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he stood holding a bib chain in her hand, gently swirling it as I prepared lunch. We often brought the clip into the
kitchen to save our street clothes from the ravages of baked ziti and the turbulence of tamale pie. I watched the
chain go back and forth and realized that something was coming from it. On closer examination, we discovered that
SolutionS
debris was falling from the balls that made up that chain. Bib clips and other items with hidden reservoirs can be a
source of cross-contamination when they come in contact with moisture or dislodged debris and contaminate the patient
or environment.
The Centers for Disease Control and Prevention defines cross-contamination as the act of spreading bacteria and viruses
from one surface to another.
Since blood-borne viruses can live on objects and surfaces for up to a week, germs could be spread when surfaces are not
disinfected the right way or if equipment is not cleaned and sterilized between patients.
Each day that I put that clip in place, I felt guilty and decided it was time to find out exactly what risks I was taking and
developed a simple solution to my observation. I decided to agar plate a variety of clips and see exactly what I was sharing
with my patients. I gathered 12 clips from a variety of offices and placed them in sterile pouches, plated them out and did a
count of the results after 48 hours of incubation. Each office reported they had disinfected the item using a hospital grade
disinfectant but had never sterilized the item or put it in the ultrasonic bath.
What I discovered:
• Bib clips and other items can be a source of cross-contamination. In their crevices, they can harbor pathogens.
• When the hollow bib clip was placed in solution, it released debris out of the tubing and had some of the highest CFU/mL
counts. In the moist dental environment we work in, cross-contamination could occur in the same manner.
• The larger the inaccessible area, or “hidden” surface area the higher the CFU/mL count. The clip that had a plastic mouth
with many crevices and indentations and the chain that had flaking paint and an inaccessible plastic ring had the
highest counts.
• The solid rubber bib clip with limited indentations and crevices had the lowest number of CFU/mL.
• The autoclaved and the disposable bib holders did not create enough CFU/mL to be considered a source of viable
pathogens.
Solutions
• Use disposable bib holders. They are simple to use, cost effective, and limit cross-contamination.
• Use bib holders with no chains, limited embossing, and no crevices. Do not buy clips that cannot be sterilized (most can).
Put one in each setup, run through the ultrasonic bath to remove debris, and then sterilize.
• Do not bring any dental equipment into the area set aside for food in the dental setting. The chance of cross-contamination
is not worth the risk.
Bib clips and other items with hidden reservoirs can be a source of cross-contamination. Every healthcare professional has
the responsibility of protecting patients and themselves from the risk of cross-contamination.
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To Fax an Order:
1.877.350.7890
24 Hours
www.henryschein.com/sm
© 2010 Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
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Henry Schein, Inc. is a FORTUNE 500 ® Company. Henry Schein Common Stock trades on the NASDAQ Stock Market® under the symbol HSIC.
www.henryschein.com/sm