The Dental Anesthesia Revolution Starts Now !

Milestone ScientificCorporate Highlights

• Recognized global leader in advanced injection technologies– Milestone’s revolutionary injection systems are

currently sold through the Company’s global distributor network to dental professionals worldwide.

– Customer base spans over 25 countries – Responsible for over 30 million computer controlled

injections worldwide.– Supported by an unmatched number of clinical

studies

Dental Product Innovations

CompuDent™

• Is Milestone’s proprietary, patented computer-controlled local anesthetic delivery system

• Delivers anesthetic solution at a precise and consistent rate below a patient’s pain threshold

• Has been heralded as a revolutionary device, considered one of the major advances in dentistry of the Twentieth Century

Dental Product Innovations

The Wand® & SafetyWand®

Precision Needle Control:• Ergonomically designed, patented

handpiece enables all traditional and newer injections, such as AMSA, P-ASA and STA-Intraligamentary (PDL), to be easier to deliver and more comfortable.

• Pen-like grasp allows unsurpassed tactile control. Enables the use of a bi-directional rotation during injection, preventing needle deflection that occurs with a traditional syringe.

• A straighter path for more accurate injections, fewer missed blocks, and more rapid onset of anesthesia.

What if you could…

• Avoid the Mandibular Block injection.• Increase productivity.

– Reducing injection time to 1 or 2 minutes*, with immediate onset of profound anesthesia - dental procedures can begin immediately.

• Enhance predictability and injection accuracy.– Dynamic Pressure Sensing (DPS) technology allows continuous,

real-time auditory and visual feedback during STA injections.• Have unsurpassed tactile control.

– Via ergonomically designed, feather-weight handpiece replacing the palm-thumb grip of the 150 old hypodermic syringe.

• Increase Patient Comfort– A more comfortable injection with no collateral numbing of cheek, lip

and tongue

*Using 4% Articaine Hydrochloride 1:200,000 local anesthetic solution.1 minute injection for single rooted tooth, 2 minute injection for multi-rooted tooth.

Now You Can…• Avoid the Block by

incorporating the STA-System into your practice.

• One or two minute injection with immediate onset of profound anesthesia.

• A precise tool in your hand allows you to consistently and accurately delivery single tooth anesthesia every time.

• Eliminates the collateral numbing of cheek, lip and tongue.

What If you could…

• Not have to wait 8 to 12 minutes to find out if your syringe missed the Block.

• Use the Intraligamentary (PDL) injection as your primary and only injection and have it last as long as the Block.

• Obtain profound anesthesia instantly and painlessly.• Perform dentistry on the mandibular right and left (bi-lateral)

during the same visit without the Block.• Convert your most difficult patient within your practice into

your most pleasant patient using a magic wand in your armentarium.

Now You Can…• Replace 150-year old hypodermic syringe technology

STA System™

• Based on Milestone’s patented Dynamic Pressure Sensing (DPS™) technology

• Computer-controlled drive unit

• Ergonomically designed, single-use disposable handpiece

• Real-time visual and audible feedback that ensures a successful, STA intraligamentary (PDL) injection

• Proven through university studies to be painless and produce no histological damage.

• The STA™ Delivery System – What is It?

STA’s Core Technologywith DPS™

• Takes the guesswork out of anesthetic delivery by providing real-time visual and audible feedback via DPS technology.

• DPS allows the dentist to accurately identify the (PDL) Intraligamentary tissue.

• DPS continuously monitors the exit pressure of the anesthetic in real-time during all phases of administration to insure optimal needle position is maintained throughout the entire injection.

Guidance > to target

“Searching” + correct “tactile-hand-pressure” on needle

Identification > specific tissue

Intraligamentary (PDL) tissue

Continuous Feedback > during

Visual & Audible

Occlusion & Leakage > Upper/Lower limits Physically clogged needle : Excessive hand-pressure

Intra-oral : disposable leakage : Insufficient hand-pressure

DPS™ STA’s Core Technology

• Uses DPS – Dynamic Pressure Sensing technology

• Site-specific injection• Used as primary anesthesia• Dosage* of ¼ cartridge per

root• Delivery time 1 or 2 minutes*• Duration approximately 40-60

minutes of profound anesthesia

*Using 4% Articaine Hydrochloride 1:200,000 local anesthetic solution.1 minute injection for single rooted tooth, 2 minute injection for multi-rooted tooth.

Technique:STA- Intraligamentary§ (PDL) Injection

§ Hochman M. Compendium, April 2007

Technique:STA- Intraligamentary (PDL) Injection

• Increased predictability with DPS technology

• Simple to administer• Immediate onset• No collateral anesthesia of

cheek, lip and tongue.• No risk of intravascular or

trismus. • No risk of tachycardia• Increased productivity and

efficiency

Bi-laterial Mandibular Restorative Dentistry

STA SystemPractice Application

For Pediatric Dentistry…• Clinically proven to significantly

reduces Disruptive Pain Behavior in multiple independent university trials.

• Non-threatening handpiece reduces a child’s fear and anxiety and ensures a more manageable patient.

• STA Intraligamentary (PDL) injection eliminates the difficulties and risks of performing a mandibular block on the pediatric patient.

• Collateral anesthesia of cheek, lip and tongue are eliminated.

• More Comfortable injections.

Anterior Middle Superior Alveolar Injection*

• Single injection for multiple maxillary teeth – Central incisor thru mesial of 1st molar.

• No collateral anesthesia to facial tissues and lip.

• Reduced dosage of anesthetic• Improved clinical efficiency • No risk of intravascular injection• Accurate smile-line assessment

Technique:AMSA Injection

*Friedman M, Hochman M Compendium Cont. Ed. Oct 1997*Friedman M, Hochman M Quintessence Int May 1998

AMSA Landmarks

• Avoids the annoying droopy lip syndrome.

• AMSA allows accurate smile line assessment.

• Single palatal injection approach.

• Use ControFlo Rate exclusively.

• Pre-puncture technique using needle bevel for palate.

Technique:AMSA Injection

Technique:P-ASA Injection

Palatal - Anterior Superior Alveolar Injection*

• Single site injection for multiple maxillary teeth – All maxillary incisors and canine teeth.

• No collateral anesthesia to face and lip.

• Reduced dosage of anesthetic• Improved clinical efficiency • No risk of intravascular injection

*Friedman MJ, Hochman MN, J Esthetic Dent, April 1999

• Only technique - crossing midline

• Single site injection for multiple teeth

• Reduced dosage of anesthetic• Improved clinical efficiency• No collateral anesthesia to face

and lip• Accurate smile-line assessment

Technique:P-ASA Injection

Injections

• Inferior Alveolar Block– Bi-Rotational insertion

eliminates needle deflection

– Fewer missed blocks– Increased tactile feel– Improved visibility– Improved comfort

Review of Injections

Traditional• Inferior Alveolar Block• Maxillary Buccal

Infiltration

New• STA – Intraligamentary (PDL)

injection• AMSA• P-ASA

Published Scientific Validation

STA SystemPractice Application

For Esthetic & Restorative Dentistry…

• AMSA:– Allows accurate smile line

assessment– Single site injection to anesthetize

multiple maxillary teeth.– Bi-lateral AMSA’s give you

anesthesia of 8 maxillary teeth to perform esthetic dentistry without the droopy lip syndrome.

• P-ASA:– Anesthetize all 4 maxillary incisors

from a single site palatal injection.– Perform esthetic dentistry without

the droopy lip syndrome.• STA Intraligamentary (PDL)

– Single tooth anesthesia advantages

References

• Handbook of Local anesthesia 5th edition – Dr. Stanly Malamed “CCLADS systems have increased the ability of doctors to guarantee the pain-free delivery of

local anesthesia to their patients. In my experience CCLADs make it easier to more comfortably deliver those injections that are ‘difficult’ to administer painlessly. These include all palatal injections and the periodontal ligament (PDL) techniques.”

• CRA – Clinical Research Associates – Dr. Gordon Christensen 400+ CRA evaluating dental teams were asked to list “products they can’t live without”.

CompuDent is proudly listed as a: Product CRA Evaluators “Can’t Live Without” CRA Volume 28 Issue 7

• Dr. Gary Rainwater, DDS, President ADA 1996-97 “I don’t know why everyone isn’t using it? I use it every day.”

• John Yagiela, DDS, PhD, Professor of Anesthesiology, UCLA School of Medicine

“The Wand” expands the types of injections that can be administered”