Mission Statement

What we want to achieve

Dr. Dan Fischer

We are driven to improve oral health globally through science, creativity and education.

We promise to provide progressive and trustworthy solutions to clinicians, enabling them to respect oral tissues and promote well-being to their patients. Our commitment to humanity is to continually pursue the discovery of cures for caries and gum disease.

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» Dan Fischer

At the End of the Day, We’re All the Same

For the past ten years, the people of Ultradent have come together in tremendous and caring ways to raise food and money for not only the Utah Food Bank, but to help support many important and pressing causes all around the world. Most recently, half of the funds raised during our annual food drive went to help our brothers and sisters in Nepal, whose lives and homes were ravaged and devastated by a massive earthquake in the region, which killed and injured many. Additionally, throughout the year, Ultradent supports numerous humanitarian causes and missions at home and abroad by donating funds, dental supplies, and the like to organizations seeking to help improve the quality of life of others—be it through dental care or other important and worthy means.

I’m often asked if my extensive international travel is part of the reason Ultradent participates in humanitarian work. Ultimately, my answer is no. I do not believe one must have traveled abroad or have even have traveled at all to possess humanitarian values. Having grown up FLDS (before leaving the church in 1995), I often felt different, having been a minority in my community. Having had that experience really put a special feeling in my heart and gave me some insight and compassion for those who perhaps aren’t the most popular or who are often perceived as weird, strange, or who are even simply overlooked.

At the end of the day, you don’t have to travel to any other part of the world to know what it feels like to be human. We bleed the same, our hearts are the same. Yes, our cultures and backgrounds are different, but every parent suffers when a child is lost. Every child suffers when a parent is lost. We all hurt, we all cry, and we all laugh—for very common reasons.

We could go on forever identifying the differences in our cultures, but ultimately we have so much more in common than we have different. Evidence of that can even be seen in some of our common body language. A smile is universal, laughter is universal, and a frown is universal. There’s more in common than there is different. Tragically, we tend to focus on our differences and push our universal similarities aside. However, I often share that if we would spend more of our time identifying those things that we have in common, the balance sheet would be quite encouraging.

I believe in helping others in any way we can. I believe in finding and celebrating our commonalities, and I believe in standing up for and fighting for lives—no matter where they live. This is the most important quality a human can possess—to cherish, respect, and fight for human life. As the wonder Dr. Martin Luther King, Jr. once said, “Our lives begin to end the day we become silent on things that matter.”

 
» Walker ShaLyse

The Many Uses of OraSeal®

Moisture. It’s the constant battle of dentists everywhere as they fight, on a daily basis, to perform quality, precise work that offers longevity to the patient. This can only be done in the presence of zero to very little moisture, thus, clinicians are constantly looking for effective ways to block and/or slow its flow while they work. One of the “old reliables” dentists turn to time after time remains the rubber dam—a standard, yet polarizing tool that been in most dentist’s bag of tools since its advent by Sanford C. Barnum in 1964.

The many advantages the rubber dam has brought to modern dentistry can arguably far outweigh its disadvantages, but Dr. Dan Fischer, president and CEO of Ultradent Products, Inc., says, “It has its limits.” And when the rubber dam has reached these limits, Dr. Fischer points toward another reliable product that is always there to “fill in the gaps,” so to speak. That product is OraSeal.

For example, he says, “When working with bridges, sometimes we have to isolate an abutment during an endodontic procedure. The rubber dam doesn’t quite fit over the pontic, thereby producing a leak. When using a rubber dam on single teeth, you don’t always get a perfect seal on the gingival cuff. This is especially true with elongated teeth above the bifurcation, etc. In addition, we get small holes and tears in the rubber dam. In such situations, I use OraSeal.”

OraSeal is a cellulose-based material that is available in both flowable (caulk) and firmer (putty) consistencies that is applied via syringe. Its greatest advantage is that it effectively adheres to wet rubber dams, wet gingival and mucosal tissues, wet teeth, metals, etc.—even under water or in saliva! This allows for reparation of the rubber dam when small perforations occur, or to achieve a tight seal on the gingival cuff before placing a rubber dam. OraSeal can also be used for isolation purposes even without the presence of a rubber dam. For instance, OraSeal can be used for isolation when bonding orthodontic brackets. Additionally, placing a thin line of OraSeal on the gingival border is often all that is necessary to prevent saliva from creeping in on an area that must be cemented. OraSeal putty is best suited for block-out procedures. When taking impressions around bars or clips, one can close the open spaces between the gingiva and the attachments easily with OraSeal.

Dr. Fischer adds, “Sometimes intraoral prosthetic devices need to be cold cure-bonded to secondary attachments, or provisional work needs to be produced intraorally. In such cases, I fill in the undercuts and open spaces to keep out the resin. After applying OraSeal, it’s easy to manipulate. I personally use a moist (gloved) finger, a wet swab or a modelling instrument. Removal is also very easy. You shouldn’t vacuum up large quantities of OraSeal. It’s easier to remove the larger pieces using a cotton pellet. The residue can then be removed easily with a brush or a three-way syringe and suction. In using OraSeal on a regular basis in my practice, it has become indispensable. I’m always finding new places to use it. There are many situations during a treatment which call for isolation and protection—and not just against moisture. We need to protect and isolate against other agents and procedures.”

Indeed, the uses for OraSeal go far and beyond what one might first imagine for a dental caulking putty—and although it may be simple, its importance to every day practice has proven essential to dentists the world over. To learn more about OraSeal, please call 800.552.5512, or visit ultradent.com.

 
» Walker ShaLyse

Caries Indicators: Absolutely Necessary?

“There was a time, maybe 15–18 years into my practice as a dentist that in regards to using a caries indicator, I thought, ‘I think I’m a reasonably good dentist. Shoot, if I can’t identify caries then something is wrong with me!’” says Dr. Fischer, president and CEO of UItradent Products, Inc. “Finally, I decided to give one of the caries indicators that were on the market at the time a try and quickly discovered that something was wrong with me!” he laughs.

“At the end of the day, you cannot bond that which you cannot etch—be it self-etch or phosphoric—hence, you must be adjacent to mineral mother dentin,” says Dr. Fischer in regards to using a caries indicator. He continues, “I don’t believe any dentist in the world can always tell whether or not they’re adjacent to mineral mother dentin. That’s where a caries indicator comes in—to fill in the gap. A caries indicator should more appropriately be called a mineral indicator so that the clinician knows where to bond.”

Ultradent’s caries indicators, Sable™ Seek® and Seek® identify, as Dr. Fischer mentioned above, demineralized dentin in difficult-to-see places—for example, under the overhanging enamel of Class I, II, or III preparations, or along the DE junction of the preparation. Green Sable Seek helps to prevent over-excavating deep caries, which can lead to pulp exposure. Non-mineral dentin should be removed to improve the bond strength of the entire restoration. Red Seek is easily visible on dark dentin and provides a fast, effective way to locate calcified root canal orifices.

To use a caries indicator properly, follow the below steps:

“Yes, I believe all clinicians should be using a good caries indicator because ultimately, it’s a way of assuring that you are doing all that you can to give the best care to your patient—the same type of care you’d want to give your spouse or your child,” Dr. Fischer concludes.
To learn more about Ultradent Seek and Sable Seek Caries Indicators, please call 800.552.5512, or visit ultradent.com.

 
» Walker ShaLyse

Happy 25th Birthday, Opalescence PF!

Opalescence® celebrates a very exciting anniversary in this month—25 years since Opalescence® PF, Ultradent’s premier whitening line, first burst onto the market. Of the brand’s sensational growth both nationally and internationally over the last 25 years, Dr. Fischer, president and CEO of Ultradent Products, Inc., says frankly, “It’s beyond what I could have imagined.”

Peter Allred, Ultradent’s Technology Director over Formulations, came to work at Ultradent in 1991, just one year after the advent of Opalescence PF. He’s quick to attribute not only Opalescence’s growth, but the huge international whitening “craze” largely in part to Dr. Fischer. “Dr. Fischer is the originator of contemporary whitening as we know it—which has now gained worldwide acceptance. He is the person responsible for bringing it to the masses. Prior to sticky-viscous whitening products like Opalescence PF gel, yes, there was whitening, but it wasn’t convenient. It was liquid that came in horrible tray systems—and the product would run down the patient’s throat—it was just awful.”

Dr. Fischer’s motivation to find a whitening gel viscous enough to stay on the teeth came from a source closer than most would guess—his own 14-year-old daughter, Jaleena. At the time, she continually came to her dad, day after day, with the same plea—“Dad, what can we do to make my teeth whiter? How close are you to finding something that can make my teeth whiter?”

After months in the lab, Dr. Fischer finally perfected the first take-home gel of what has now become the foundation for the complete line of Opalescence tooth whitening products. He didn’t rest until the gel had the sticky, viscous composition he wanted—the perfect composition for keeping the gel in place.

To celebrate this accomplishment, he brought it home to his first eager customer, Jaleena. That night, she slept with the new Opalescence PF gel in her custom trays and in the morning, woke up to a sparkling smile that had gone from an A3 shade to an A1!

Dr. Fischer & his daughter, Dr. Jaleena Jessop, today.

That was 25 years ago this July. Since then, Opalescence has become the global leader in whitening, boasting a menu that includes Opalescence® Boost, Ultradent’s 40% hydrogen peroxide in-office whitening treatment; Opalescence PF, an extensive line of take-home whitening gels that come in a variety of concentrations and flavors; and Opalescence Go®, Ultradent’s ready-to-go, prefilled whitening treatment that comes in a tray that automatically molds to your mouth. Within these categories, Ultradent offers a variety of products and prices to fit every individual’s lifestyle.

Ultimately, Dr. Fischer says that the immense growth of Opalescence has not only been surprising and beyond his wildest dreams, but it’s also been an incredibly satisfying journey. Since the morning when he first witnessed the wonder in his daughter’s eyes as she saw how quickly, painlessly, and easily she could whiten her teeth—so has been the case with thousands of other happy patients throughout the world. This rings true in a saying Dr. Fischer can often be heard quoting by Winston Churchill that goes, “We make a living by what we get, but we make a life by what we give.”

Happy birthday, Opalescence!

 
» Walker ShaLyse

Opalescence Go: A Revolutionary Paradigm in Whitening

Never a “me too” brand, Opalescence has, from the beginning, sought out new, different, and better ways to make whitening faster, more effective, more convenient, and more comfortable for the patient.

Since its introduction of Opalescence® PF—the first sticky, viscous whitening gel available on the market (1990)—dentists and patients alike have come to expect exciting innovation with each new Opalescence product launch over the past 25 years. However, no one could have predicted the exciting impact the brand would make when in 2013, it released perhaps its most revolutionary product yet, Opalescence Go®.

Opalescence Go eliminates the need for custom trays with its UltraFit tray delivery system that conforms instantly and comfortably to any patient’s smile, offering molar-to-molar coverage while still providing a custom-like fit and feel. Of the pre-filled, take-home whitening system, Dr. Fischer, Ultradent’s founder, president, and CEO says, “There’s nothing that can compare to it.My wife Leenie has even come to prefer Opalescence Go over our other offerings. She has whitened many times over the years, but when she tried Opalescence Go, she said, ‘This is the way I’m whitening from now on. It’s so comfortable you hardly even know it’s there.’”

Dr. Jaimeé Morgan, a cosmetic dentist, says her patients love Opalescence Go not only because of the professional and sparkling results it provides, but also because of several convenience factors. “My patients who travel often have loved Opalescence Go because they can just pop the trays in their bag, and they don’t have to worry about carrying separate syringes and the possibility of losing their expensive custom tray.” She adds, “I also have patients who pop a tray in their mouth on their drive to work and trash them when they get in, and they’ve whitened for the day! People also love wearing them in the shower or while they get ready because, thanks to the 15–60 minute wear time (depending on if they’re using the 10% or 15% hydrogen peroxide concentration), Opalescence Go allows them to incorporate it seamlessly into their busy routine.”

Last, Dr. Morgan says Opalescence Go has also been the perfect alternative for patients that have a sensitive gag reflex and have a difficult time taking impressions. “They can simply buy the kit, take it home, and start whitening the same day! They’ve loved this option.”

The Opalescence Go 10% hydrogen peroxide gel allows for a 30– to 60–minute wear time with the delicious choices of Mint, Melon, or Peach flavors. The 15% hydrogen peroxide gel is available in Mint flavor and allows for a 15– to 20–minute wear time, providing brilliant results.

To learn more about Opalescence Go, please call 800.552.5512, or visit ultradent.com.

 
» Walker ShaLyse

Ultradent 20 Year Employee Celebration

Last Friday night, Dr. Fischer and his wife Leenie welcomed over 81 Ultradent employees, along with their families and loved ones into their home to celebrate the 20+ year anniversary of each attendees’ time here at Ultradent– and boy did they celebrate!

The Hawaiian-themed luau, complete with a shave ice truck on location,

a beautiful, tropical themed buffet dinner,

and personal welcomes, hugs, and tributes from Dr. Fischer and Leenie took place at the home of Dr. Fischer, ending with an evening of spectacular entertainment.

This included hula lessons,

hula performances,

and fire dancers, to boot!

A truly fun and magical event to honor the loyal and hardworking people that have helped Ultradent grow, improve, and reach new heights over the past two years. We thank each attendee for their loyalty, hard-work, and care for so many wonderful years. Ultradent is so fortunate to have each and every one of you!

Here are a few more pictures of some of the honorees and their family members enjoying themselves at the event:

Thank you for giving us a truly wonderful reason to celebrate!

 
» Walker ShaLyse

Clinical Tip: How to Prevent Staining Under Provisional Cements

Two weeks prior to this photo, ViscoStat with Dento-Infusor was used to arrest bleeding. Provisional crowns were cemented with a popular NON-sealing, hydrophobic, resin-based temporary cement. NOTE: Dark color migrating from gingival margin inward.

Many clinicians encounter the dark staining of a patient’s tissues after the use of a hydrophobic cement. Fortunately, this is a challenge that is treatable, and even better, preventable! First, let’s take a look at the reasons behind why this pesky staining occurs in the first place.
It’s all about the chemistry. Non-sealing cements allow saliva and bacteria to move between the temporary and preparation. Coagulum within cut tissues is a source of iron, which reacts with the hydrogen sulfide gas (rotten egg gas, H2S) produced by anaerobic bacteria in this septic environment. The reaction yields ferric sulfide—the harmless, yet annoying dark surface stain shown in the photo below.

This staining can also occur, to a lesser degree, from the natural iron in the blood. Additionally, non-sealing provisionals are problematic, as the presence of saliva and/or bacteria removes the smear layer within one week, opening tubules to bacteria.

One way to prevent this from occurring is to use an antimicrobial temporary cement (like ZOE), which leaks, but at least prevents bacterial growth, hence no H2S and no formation of ferric sulfide. However, there’s an even better way to go about it.

The most sure-fire way to prevent staining under provisional cement is to use a sealing, hydrophilic, non-eugenol, polycarboxylate, paste-to-paste cement like Ultradent’s UltraTemp.

UltraTemp

As an extra precautionary measure (as similar staining can still occur if contamination is on the preparation prior to bonding) scour and/or etch as needed prior to DBA application. For scouring, we recommend using Consepsis Scrub with the STARbrush.

Consepsis Scrub

STARbrush

 
» Walker ShaLyse

Tissue Management in Challenging Cases

All clinicians encounter challenges when it comes to tissue management. Even with high-quality, predictable tissue management products and techniques out there (such as Astringedent® X or ViscoStat® used with the Metal Dento-Infusor® tip), it helps to know a few tips and tricks for the extraordinary cases that inevitably come about from time to time.

1. In this case, the patient presented with an old, fractured amalgam filling, further exasperated by chewing on the fragments for months, leaving the gingiva inflamed.

2. Start by removing the old amalgam. Keep the caries as a barrier for the time being, in case the pulp is exposed.

3. Next, expose the gingival margin of the restoration before placing a rubber dam. Move to the next step, if necessary, to improve visibility.

4. Achieve profound hemostasis by applying ViscoStat or Astringedent X with the brush end of the Metal Dento-Infusor tip.

5. Place the dental dam, then remove residual caries. Treat exposed pulp if necessary. Etch and bond with Peak® Universal Bond.

6. Do not wedge the matrix band until the first layer of composite has been placed.
See step #7 for correct procedure.

7. First, place the matrix band to create a gingival seal, then place the first layer of composite. (Optional: etch and bond after placing the matrix band, then place the first layer of composite.)

8. Wedge after placing the first layer of composite. Loosen the matrix band and contour for good interproximal contact. Place an initial adaptive layer with PermaFlo® and fill cavity with Amelogen® Plus.

 
» Walker ShaLyse

Adults & Fluoride: An Important, Yet Neglected Relationship

As children, most of us remember the highs and lows of our twice-annual trips to the dentist: the x-rays, the friendly hygienist asking how often we ate candy and if we remembered to floss every day, trinket toys as a reward for no cavities, and of course, picking out a flavor for the foamy fluoride treatment at the end. However, for many adults, the frequency of those memorable appointments diminishes with age. Jobs, family, friends, and the daily concerns and stresses of life take precedence, and often, dental health suffers. In fact, a whopping 34% of the American adult population didn’t see their dentist last year at all! Yes, daily brushing and flossing can make a huge difference, but regular dental care remains vital. One of the key reasons? Fluoride treatments.

Topical fluoride at the dental office has changed vastly over the last two decades. It’s gone from requiring the patient to bite down on a foamy tray for a long period of time (without swallowing!), to quick and convenient fluoride varnishes that are applied directly to the teeth with a small brush, left to try for a few seconds, then brushed off by the patient a few hours later. For how easy and convenient these treatments have become, the benefits far outweigh the time and effort it takes to administer them.

Fluoride, a mineral that helps prevent caries and can repair teeth in the very early, microscopic stages of the disease, can significantly lower both children and adults’ risk for developing caries. For adults, fluoride becomes especially important as many experience receding gums as they age, as well as decreased salivary flow (xerostomia). Other factors that can increase one’s risk for caries include drug abuse, existing restorations, active orthodontic treatment, poor oral hygiene and diet, tooth enamel defects and/or damage, and the undergoing of head and neck radiation therapy.

Other startling statistics that illustrate adults’ increasing need for fluoride with age show increasing root decay, which greatly increases the risk for chronic caries—a disease that fluoride effectively helps battle:

1. 6.9% of 18–24 year olds experience root decay
2. 20.8% of 35–44 year olds experience root decay
3. 38% of 55–64 year olds experience root decay
4. 56% of 75+ year olds experience root decay

Depending on the patient’s current oral health status, dentists may recommend that adults receive topical, in-office fluoride treatments every three, six, or 12 months. The clinician may also recommend additional fluoride therapy, which can include over-the-counter or prescription therapeutic products such as fluoride mouth rinses, gels, or antibacterial mouth rinses.

 
» Walker ShaLyse

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