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4Variolink FACTS Esthetic

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Variolink Esthetic has a true to life ‘try-in’ pastes, the shade you see is the shade you will cement with ®

Variolink Esthetic is available as both a light and dual curing luting composite for permanent restorations ®

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The smart combination of the light initiator Ivocerin and a light sensitivity filter allows you to easily remove excess material after pre-polymerisation ®

Even if exposed to intensive light or a humid environment, Variolink Esthetic is not subject to visible shade changes because of the patented Ivocerin initiator ®

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Variolink Esthetic ®

The aesthetic luting composite. Amazingly simple aesthetics.

Variolink® Esthetic is based on the aesthetic luting composites

Variolink® Esthetic is available in these shades:

Variolink® II and Variolink® Veneer, which have proven their worth in clinical use for many years.

Variolink® Esthetic demonstrates exceptional shade stability.

This is made possible by the patented, reactive light initiator Ivocerin®, which is 100 % free of amine-based co-initiators.

Variolink® Esthetic forms the basis for long-lasting and reliable aesthetic results. Even if exposed to intensive light or a humid environment, Variolink® Esthetic is not subject to visible shade changes.

Speak to your local Ivoclar Vivadent Product Specialist to find out more about Variolink® Esthetic our Product of the Quarter.

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EDITORIAL

Find out about: our latest aesthetic luting composite - Variolink Esthetic ®

Adhesive luting composites has contributed to the rising importance of innovative restorative materials which allow for a defect-oriented preparation. Their adhesive bond makes it possible that highly aesthetic all-ceramics can be used even if no retentive preparation has been performed. An additional advantage of adhesive luting composites over conventional cements represents the enhanced long-term integrity of the restoration margin.

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“An IPS e.max CAD restoration was decided in order to achieve an efficient and aesthetic result.” ®

The advantage of conventional cements (e.g. phosphate

Since the defective area was very large, treatment with an

or glass ionomer cements) lies in the easy and time-saving

IPS e.max® CAD restoration was decided in order to achieve

removal of excess material, which adheres mechanically to

an efficient and aesthetic result. After placement of the core

the tooth structure and is easily discernible due to its opaque

build-up and preparation of the tooth, the tooth was scanned

shade. However, for conventional cements to establish a

intraorally and a partial crown was designed (Fig. 1).

mechanical bond, retentive preparation is required.

Subsequently, the non-crystallised restoration was ground The advent of adhesive luting composites has contributed

and tried in to check the contact points and the fit. In order

to the rising importance of innovative restorative materials

to assess the aesthetic appearance and the shade effect, the

which allow for a defect-oriented preparation. Their adhesive

characterised and fired restoration was again tried in using

bond makes it possible for highly aesthetic all-ceramics – such

Variolink® Esthetic Try-In Paste Neutral. During these trial

as IPS e.max Press/CAD – to be used even if no retentive

placements, care was taken that the tooth was sufficiently

preparation has been performed. It is essential in such cases,

moist to ensure a lifelike shade impression.

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however, that a luting material of an appropriate shade and translucency level is selected in order to obtain excellent

An anatomically shaped rubber dam (OptraDam Plus) was

aesthetic results. This applies in particular to restorations with

used for absolute isolation during the final placement of the

a low material thickness.

restoration. First, the enamel was etched for 15 seconds, followed by the entire cavity for another 15 seconds.

An additional advantage of adhesive luting composites over conventional cements represents the enhanced long-term

Then, Adhese® Universal was applied onto the prepared tooth

integrity of the restoration margin. The low solubility and

surface and dispersed with a stream of air (Fig. 2). Special

high resistance to wear of these luting composites lead to a

care was taken that no material pools formed at the cavity

reduced washing out of the cement gap.

floor. Subsequently, the restoration was light-cured with a polymerisation light (Bluephase® Style) for 10 seconds.

Optimum aesthetics for a broad range of indications A 25-year-old patient presented to our practice with an

To obtain an optimum bond, the IPS e.max® CAD restoration

insufficient composite filling and secondary caries on the

was etched with hydrofluoric acid (IPS Ceramic Etch Gel) for

lower left 6.

20 seconds and conditioned with Monobond® Plus.

EDITORIAL CONTINUED

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In a next step, Variolink® Esthetic DC was applied on the

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restoration which was subsequently positioned on the tooth.

After pre-polymerisation of the excess material using the quarter technique (two seconds per quarter surface) (Fig. 3), the gel-like excess material could be easily removed using a scaler (Fig. 4). Glycerine gel (Liquid Strip) was applied to prevent the formation of an inhibition layer.

In a final step, each segment of the restoration was lightcured for 10 seconds, the composite gap was finished and polished (Astropol) and the occlusion was checked. The

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patient returned 1 week later to confirm the successful placement of the restoration (Fig 5.)

Dr. Stephanie Huth

Research Associate Ivoclar Vivadent AG Schaan, Liechtenstein stephanie.huth@ivoclarvivadent.com

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NEWS

Ivoclar Vivadent’s IPS e.max system is streets ahead ®

ITV’s Coronation Street actress Alison King definitely had something to smile about at the TV Choice Awards in 2015. The actress not only walked away with the Best Soap Actress award for playing Weatherfield’s Carla Connor, but also had a gleaming IPS e.max smile to match her dazzling outfit. ®

Blaming her thumb-sucking habit as

“I wanted a smile that didn’t look out

a child for needing six teeth crowned

of character, and together John and

ten years ago at a London Dental

Jonathan really did make happen what

Practice, former Dental Nurse Alison

other dentist’s had said was impossible.

wasn’t left with the smile she deserved:

I’m truly indebted to them forever and

“As an actress onscreen I’d began to

smiling happily!”

notice how my top and bottom front teeth had been pushed into the middle

READ MORE at

where my thumb had been! The inside

www.ivoclarvivadent.co.uk

bottom four teeth around the gum line were much shorter than the rest of the teeth...

John Hewitt, City Centre Dental Practice & Jonathan Asquith, Dentechnica Limited