Q1 clinical 2016 with cpd

innovation IVOCLAR VIVADENT

CLINICAL

Quarter 1 // 1st January - 31st March 2016

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4Variolink FACTS Esthetic

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#1

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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FREE 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.

1.

“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.

®

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

2.

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

4.

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

5.

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

Scan here to complete the questionnaire regarding this article to receive 1 hour CPD. Visit www.ivoclarvivadent.co.uk/free-cpd for more details

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

FOCUS PRODUCTS

Tetric EvoCeram

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Tetric EvoCeram is the universal composite for anterior and posterior restorations that delivers outstanding aesthetics. ®

Tetric EvoFlow

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Tetric EvoFlow® is the top-selling flowable radiopaque composite in Europe, it is flowable when desired and stable as required.

Tetric EvoCeram Bulk Fill

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Tetric EvoCeram® Bulk Fill offers excellent handling and allows large increments of up to 4mm to be polymerised in just 10

seconds with a lifelike dentin appearance.

Tetric EvoFlow Bulk Fill

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Tetric EvoFlow® Bulk Fill can be cured in increments of up to 4mm, excellent affinity to cavity walls and self-levelling consistency are additional benefits.

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Tetric Classic

IPS Empress Direct

Adhese Universal

Tetric is a classic among the universal composites. An outstanding radiopacity of 400% Al

IPS Empress Direct is a lightcuring, highly aesthetic nanohybrid composite filling material for direct restorative procedures in the anterior and posterior region.

Adhese® Universal is a singlecomponent, light-cured adhesive for direct and indirect bonding procedures that is compatible with all etching techniques.

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Monobond Etch & Prime The first single-component ceramic primer in the world, which allows you to etch and silanate glass-ceramic surfaces in one easy step & improves bond strength.

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Multilink Automix

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Variolink Esthetic

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OptraGate

OptraDam Plus

Multilink® Automix is an adhesive luting system for the cementation of indirect restorations made of silicate and oxide ceramics, metal and metal-ceramics & composites.

Variolink® Esthetic is an aesthetic light- and dual-curing luting composite for the permanent cementation of ceramic and composite restorations.

OptraGate® is latex free device that retracts the lips & cheeks evenly and gently, allowing more effective, relative isolation of the treatment field.

Due to its anatomical shape and flexible, three-dimensional design, OptraDam® is completely different from conventional rubber dams.

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BUY 3

®

ExciTE F

Cervitec

Fluor Protector S

ExciTE® F is a light-curing, fluoride releasing, singlecomponent total-etch adhesive for the placement of direct restorations.

Chlorhexidine containing Cervtiec® products offer individualised solutions, in terms of the active ingredient concentration, delivery form and application method.

The protective fluoride varnish that is colophony & latex free which provides superior protection against dental caries and erosion.

®

This offer is only available on the products shown above. Mix and match between products is not applicable. (i.e. buy 3x OptraGate packs to get an OptraGate pack free)

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FREE New User Offers Available

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PRODUCT HIGHLIGHT

CAD/CAM Block

Now Including IPS e.max® CAD MT

BUY 17

GET 5

BUY 8

GET 2

FREE

*

BUY 5

GET 1

FREE

*

FREE

*

Blocks include, IPS e.max, Telio CAD and IPS Empress CAD. Cheapest block packs will be FREE. Offer only available when all placed as one order.

PRODUCT HIGHLIGHT

Programat CS3 Cerec Special Edition ®

The glazing and crystallisation furnace with new DSA function The new Programat® CS3 is designed to process IPS e.max® CAD. It allows crystallisation and glaze firing procedures to be carried out in the dental office with utmost ease and efficiency.

Designed for simple and intuitive operation, the furnace offers pre-set Ivoclar Vivadent programs and a controlled cooling process.

In addition, the Programat® CS3 is equipped with the Digital Shade Assistant system, which enables the tooth shade to be determined on the basis of a digital photo using digital technology.

PURCHASE A

PROGRAMAT CS3 ®

& VP3 Easy Vacuum Pump AND RECEIVE IPS e.max CAD Crystallisation Kit, 4 Blocks Packs* & a complimentary course held at OUR ICDE, Leicester. *Blocks selected: IPS Empress CAD LT C14 A3 | IPS e.max CAD LT C14 A2 & A3 | IPS e.max CAD HT C14 A2

PRODUCT HIGHLIGHT

1,100 mW/cm2

Bluephase Style

Output

®

The curing light

PURCHASE A

True innovation proves itself in use. A

Easy operation

BLUEPHASE

®

perfect example of this is the Bluephase® Style curing light with the specially

Two button control

CURING LIGHT

developed Polywave® LED. The curing light is capable of polymerizing all current photo-

AND RECEIVE £250RRP OF IVOCLAR VIVADENT PRODUCT

initiators and materials.

The Bluephase® Style curing light set new standards in every respect. They are not only

FREE

Inductive charging

*

the best-selling LED polymerisation lights in

Enables contactless battery charging

Europe but they are also used in numerous clinical studies. They have also been ranked top light-curing unit by independent and renowned test institutes.

Charging base with battery indicator

Click & Cure Every Time

1

The illuminated ring appears black once fully charged

2

PRODUCT HIGHLIGHT

3 HIGHLIGHT

Fluor Protector S

i-Kids

The protective fluoride varnish

Become a certified i-Kids practice

The department of Health recommends the application of

What is an i-Kids practice?

fluoride varnish to help reduce the risk of caries. As a general

An i-Kids practice is committed to delivering preventative

rule, all children should have fluoride varnish applied twice

messages and care to its child patients and their families.

each year and all high-risk adults twice per year.

Ivoclar Vivadent is supporting practices that invest in their

Additionally, if a child is ‘high-risk’ it is recommended for the

preventative products by providing you with a resources

fluoride application to take place at least twice a year.

pack.

Advantages: •

Colophony & Latex Free

All you have to do is meet the minimum spend on Fluor

•

Prescription Free

Protector S and other products in the i-Kids range.

•

Indicated for Long Term Caries Prophylaxis

FREE

*

your local product specialist for more information

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www.ivoclarvivadent.com

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EDUCATION

ICDE UK

RS 9 HOUABLE VERIFI CPD

tHe WOrLD OF

RESTORATIVES MADRID ANNECY SCHAAN VIENNA

3rd-5th March 2016 Madrid, Spain

with Dr. Chris McConnell & Dr. Markus Lenhard Composites can be a valid alternative for large anterior restorations. Given the right technique and operator skills, composite restorations are not only highly aesthetic, but

VIENNA

they can be done in significantly less time than indirect alternatives. Based on several

19th-21st May 2016 Annecy, France

SCHAAN

clinical cases, our courses will show the importance of techniques and the tricks needed to show the difference between aesthetic and ANNECY economic success and failure.

Additionally, the hands on course introduces you to the latest skills for the modern and workable alternative to amalgam fillings. Using techniques with the latest Bulk Fill materials you will learn to place reliable, functional and aesthetically pleasing

MADRID posterior restorations.

Call Georgia: 0116 284 7886 Visit: www.ivoclarvivadent.co.uk/education

ONLY

£795

22nd-24th Sept 2016 Schaan, Liechtenstein

Price included flights, transfers, accommodation and evening entertainment.

8th-10th Dec 2016 Vienna, Austria

THE QUALITY OF ESTHETICS

powered by ivoclar vivadent

INTERNATIONAL EXPERT SYMPOSIUM Madrid - 11th June 2016 Ivoclar Vivadent is hosting the 3rd International Expert Symposium on 11 June 2016 in Madrid.

Renowned international speakers will share and discuss their experiences with innovative direct and indirect restorations. The talks are based on state-of-the-art research and evidence. Furthermore, the lecturers will provide insights into their work at academic institutions and universities as well as into practical work.

Be part of this exciting event and receive valuable tips from highly recognised experts in the field of direct and indirect restorations. We look forward to welcoming you to the International Expert Symposium 2016 in Madrid.

Call Georgia: 0116 284 7886 Visit: www.ivoclarvivadent.co.uk/education Dr. Ronaldo Hirata

Dr. Andreas Kurbad

For more information on any featured Ivoclar Vivadent product. facebook.com/ IvoclarVivadentUK

Please visit www.ivoclarvivadent.co.uk

@IvoclarUK

*T&C’s Apply. Offers only available through Ivoclar Vivadent Product Specialists. All free items will be sent on receipt of copy invoice, please allow 28 days for delivery. Offers cannot be combined or used in conjunction with any other offer. Offers end 31/03/2016. E&EO

Rafael Piñeiro Sande, D.D.S.