First In Bristol To Use Omni-Cam Imaging To Create Same Day Crowns

BRISTOL, TN – Dr. Janet Hatcher Rice, Rice Dental Arts, is the first dentist in Bristol to install the Sirona, Omni-Cam imaging technology system, which allows the Bristol dentist to fit crowns with more accuracy in a single office visit.

Using an image taken by Omni-Cam’s, high-resolution video streaming camera, Dr. Hatcher Rice gets a precise optical impression, and then is able to design a crown that will fit in perfectly with the patient’s smile. An on-site milling machine is then used to physically create the metal free crown.

According Rice, before the new 3D Omni-Cam technology, receiving a dental crown at her practice required various mouth impressions and involved a dental lab to fabricate--- a process that usually took two to three weeks for completion. During those two to three weeks, patients had to wear a temporary crown and return for a second appointment.

With 3D Omni-Cam restorations, Dr. Rice is in complete control of the final product. With the ability to make same day, creative ceramic teeth, based on the look of the patient’s surrounding natural teeth, the system’s computer generates a proposal that Dr. Hatcher Rice uses as a basis for each patient’s individual restoration design.

According to Dr. Hatcher Rice, staying ahead of the technology curve is vital to her dental practice.

“We have always been at the forefront of dental technology, especially when it truly benefits the patient’s overall dental experience. We were the first in the region to incorporate lasers into our practice and now the ability to do same day crowns will improve the quality, comfort and delivery of this service, too. We always say your smile is our top priority, and that holds true now more than ever with our new system,” Rice said.

According to Sirona, the company that manufactures the technology, the Omni-Cam system not only saves the patient time and money, but the patient is also able to see the quality of the work being produced. With the computer rendering, the patient is able to see a preview of what the final product will look like when the design is complete. The patient is able to voice any concerns and work with Dr. Rice to create a solution that exceeds the patient’s expectations, all within one dental visit.

Dr. Hatcher Rice graduated from the Medical College of Virginia/Virginia Commonwealth University in 1985. Her practice, Rice Dental Arts, is located in historic downtown Bristol, TN. Her innovative approach to dental care, delivered around the concept of Spa Dentistry, incorporates advancements in dental technology and techniques into a spa atmosphere centered on the individual.
To schedule an appointment with Rice Dental Arts, patients can either call (423) 989-7733 or email


Dr. Janet Hatcher Rice DDS, PC, Receives Academy of General Dentistry Fellowship Award

BRISTOL, TN - The Academy of General Dentistry(AGD) is pleased to announce that Janet Hatcher Rice, DDS, FAGD, who practicesin Bristol, TN, received the association’s Fellowship Award during the AGD 2013Annual Meeting & Exhibits held recently in Nashville, Tenn.

Dr.Hatcher Rice graduated from the Medical College of Virginia/VirginiaCommonwealth University in 1985. Her practice, Rice Dental Arts, is located inBristol, TN. Her innovative approach to dental care, delivered around theconcept of Spa Dentistry, incorporates advancements in dental technology andtechniques into a spa atmosphere centered on the individual.

The AGD FellowshipAward is presented to dentists who seek to provide the highest quality ofdental care by remaining current in their profession. To accomplish this goal,Dr. Hatcher Rice completed 500 hours of continuing dental education, passed acomprehensive exam, and fulfilled three years of continuous membership in theAGD.

As aFellowship Award recipient, Dr. Hatcher Rice joins more than 6,900 active AGDFellows who have gone above and beyond the basic requirements to care for theirpatients’ oral health.

“We areproud to honor Dr. Hatcher Rice for her commitment to the profession,” said AGDPresident Linda J. Edgar, DDS, MEd, MAGD. “She has distinguished herselfprofessionally among her peers and is a role model for both fellow dentists andcommunity members of the Tri-Cities region.”

Dr.Hatcher Rice and her husband, John, reside in Bluff City, TN. They have fivechildren, John, Nealon, Teagan, Regina and Josephine.

About the Academy of General Dentistry

TheAcademy of General Dentistry (AGD) is a professional association of 38,000general dentists dedicated to providing quality dental care and oral healtheducation to the public. AGD members stay up-to-date in their professionthrough a commitment to continuing education. Founded in 1952, the AGD is thesecond largest dental association in the United States, and it is the onlyassociation that exclusively represents the needs and interests of generaldentists. A general dentist is the primary care provider for patients of allages and is responsible for the diagnosis, treatment, management, and overallcoordination of services related to patients’ oral health needs. For moreinformation about the AGD, visit The AGD is a member of the Partnership for Healthy Mouths,Healthy Lives, a first-of-its-kind national dental coalition composed of 35leading dental health organizations. The Partnership’s campaign is designed toeducate parents and caregivers on how toimprove their children’s oral health in simple ways. The campaign offersfamilies oral health resources through the website


Top Five Laser Treatments

Everyday Laser Treatments for Everyday Dentistry


This article will focus on five laser treatments that can be easily incorporated into any dental practice. Many times we, as women dentists, read articles or attend lectures and think “I could never do that,” but in reality it is dealing with these negatives thoughts that is the obstacle. I believe, because I have seen it happen over and over, that once the female practitioner can visualize what lasers can do specifically…they can move forward and take that big step toward purchasing a laser. With the insight gained from “seeing” in the mind's eye the possibilities, confidence will follow. I’m not saying that all worries will go away but this article should help allay fears and open doors.

 Dr. Rice’s Top Five Laser Treatments

1. Subgingival Curettage

2. Sulcular Development for Crown & Bridge

3. Retread of Anterior Incisal Edges

4. Class V Abfractions/Abrasions

5. Removing Existing Anterior Composites

Let’s assume you have been reading my laser articles and have been thinking of purchasing an erbium laser for hard tissue removal and a diode for soft tissue. But you still can’t visualize the procedures you could do every day in order to pay for your lasers, make you a happier and more productive dentist.  Let me share my secret to laser success, the top five laser procedures I employ EVERY DAY and how to implement them. I like to schedule crown and bridge at 9:00 and 1:00, my most productive time of the day, all other treatment falls into 11:00 and 4:00. In between all this, there are hygiene patients to check. Secret #1 for implementing new laser treatments, start with treatment planning in hygiene. During new or periodic exams, you have the opportunity to “plant seeds” as my Dad would say. In other words, you present treatment options, educate patients and discuss where the patient is and more important where they are going with their oral health. During these hygiene appointments I look for decay, broken teeth, failing fillings and pathology. Then I look at occlusal wear, abrasion and periodontal disease. Lastly, I review cosmetic needs and wants. I will treatment plan all of my findings into a sequential plan that, over time, will preserve the patient’s teeth.

Periodontal disease should be addressed first. That is why I have listed laser subgingival curettage at the top of my top five procedures. Diode and Nd:YAG have been cleared by the FDA for sulcular debridement. Pockets from 4-6mm that have not responded to traditional scaling and root planning will respond to laser curettage. It is a great service to patients to help them avoid surgery. However, 7mm pockets and above should be flapped and surgical periodontal treatment employed if other methods such as balancing of occlusal forces, endodontic therapy and treatment of systematic problems (uncontrolled diabetes) have been exhausted. The laser is only another tool in the dental armamentarium. Remember a laser is not a magic wand that eliminates disease and grows bone. It will kill bacteria, excise the diseased pocket lining and provide hemostasis. Do you still need curettes? Yes, you have to thoroughly remove subgingival calculus. Start with the laser to kill bacteria in the pocket then move to a series of curettes and then back to the laser for pocket reduction and hemostasis. I could write this whole article on periodontal treatments with the laser, but you must find a good ALD approved course and take it!

The next step in our treatment planning is restoring broken, missing or mal-aligned teeth. During any crown preparation, I utilize the diode laser after I have completed the diamond reduction into subgingival areas; this is called laser sulcular development. The Diode laser seals the blood vessels to produce a drier field to inspect subgingival margins. This makes temporaries easier to fabricate and impressions cleaner. It also allows hemostatic cord to be placed not packed. At the same time I am developing a new sulcus for my crowns and bridgework to emerge out of the tissue in a compatible, esthetic and cleansable fashion. You can manipulate the gingival tissues around crowns to achieve a new and healthy biologic width. Also during sulcular development, the Erbium laser can be used for crown lengthening. I’ll call it a “semi-closed flap” crown lengthening. This procedure removes bone when encountered during the crown prep to about 2-3 mm past the crown margin. Once this is accomplished, healing to the correct biologic width is possible.

Third, on the list of top five is the classic “retread” which restores worn anterior incisal edges without numbing or drilling. This interesting procedure utilizes Erbium wavelength lasers ( Er:YAG or Er,Cr:YSGG) to remove the dentin that has been exposed due to wear and then bond to dentin and enamel to restore teeth to their original height and function. This is at the heart of your laser advantage in helping restore your patients’ teeth. Use a total etch technique here. This is a procedure that I can guarantee that you will never need to use anesthesia and the patient will never be uncomfortable. Some bicuspid and molar cusp tips that have been severely eroded due to bruxism and are cold sensitive will need some anesthesia but never in the anterior. Next, number four on the list of my top five and my favorite is Class V abfractions. The occlusion must be evaluated and corrected before this procedure. Use the erbium laser starting on the enamel surface and develop a traditional buccal prep undercutting just mesial and distal to the notch. Slowly and with lower laser energy, ablate the dentin to remove the smear layer and roughen the surface. Then use the 7th generation etch less conditioner with a dental adhesive and place a micro hybrid composite. Polish with soft flex discs and enhance cups. The micro hybrid has a better modulus of elasticity and will bend with the tooth. But still adjust the occlusion. I would say that about 75-80% of abfractions can be restored without anesthesia and you can do multiple quadrants. This is a wonderful procedure that goes undiagnosed and treated. This can pay for your laser and you can provide a great service to your patients.

Last but not least, look at your cosmetic enhancement procedures. There are several possibilities to enhance the cosmetic appeal of teeth but none better than to remove discolored anterior composite. Number five on my list is removal of existing composites. With the erbium laser this can be accomplished without anesthesia in almost every case, I’d say 98%, and with greater control than a high speed hand piece.

Nothing can boost your patient’s confidence in you than to replace a yellow composite and match their new bleached teeth.



 There are dozens of other procedures I enjoy doing with the laser but not every day. I have tried to highlight the procedures I use every day.