Q2 ivoclar vivadent clinical 2016

innovation IVOCLAR VIVADENT

QUARTER 2 // 1st April - 30th June 2016

CLINICAL

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ABOUT

4IPS Empress FACTS Direct

Excellent polishing properties and a lifelike fluorescence associated with all IPS Empress materials

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IPS Empress Direct has exceptional highly aesthetic qualities ®

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Available in 32 shades along with 5 levels of translucency

It’s the perfect match for IPS e.max & IPS Empress ceramic ®

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restorations, for an exact shade match

IPS Empress Direct ®

The aesthetics of a ceramic with the convenience of composite.

IPS Empress® Direct is a universal nano-hybrid filling material

Like natural dentin, the IPS Empress® Direct Dentin shades

for direct aesthetic restorative procedures. IPS Empress® Direct

exhibit a higher opacity and more opacious saturated chroma

provides a high gloss polish and the lifelike opacity, fluorescence

than the Enamel materials.

and opalescence that is required to fabricate beautiful and naturally aesthetic restorations with remarkable efficiency.

IPS Empress® Direct has an even distribution of filler particles which quickly and easily polish to provide a long-lasting

Dental professionals, researchers and colour specialists worked

lustrous shine.

together to develop IPS Empress® Direct’s new resin technology maximising handling characteristics, physical properties and uncompromising shade match.

BUY 3

GET 1

Speak to your local Ivoclar Vivadent Product Specialist to find out more about IPS Empress® Direct our Product of the Quarter.

FREE PRODUCT OF THE QUARTER

*

EDITORIAL

Lifelike aesthetics achieved with minimally invasive methods Tooth-conserving treatment is a major priority in modern dentistry. This includes minimally invasive strategies for repairing lesions and/or concealing discoloured tooth structure in the anterior dentition.

1.

“With IPS Empress® Direct, anterior restorations can be efficiently layered to produce highly aesthetic results which are virtually indiscernible from the natural tooth structure.”

A 28-year-old patient was referred to our practice. He

tooth, we applied IPS Empress® Direct A2 Enamel in layers and

was dissatisfied with the colour and position of the left

imitated the enamel areas of the adjacent teeth. The natural

lateral incisor (Fig. 1). The examination showed that tooth

incisors exhibited several dark incisal areas as a result of their

22 had been endodontically treated, which explained

relatively high translucency. These areas were imitated with IPS

its substantial discolouration. The shade of the existing

Empress® Direct Color blue. Due to the thin enamel layer, the

composite restoration considerably deviated from that

cervical areas of the natural teeth had a yellowish tinge. This

of the natural tooth structure. In addition, the position of

feature was recreated in tooth 22 using IPS Empress® Direct

tooth 22 contributed to the suboptimal overall appearance

Color honey yellow (Fig. 3). The enamel layer was completed

of the dentition. It was inclined towards the palatal aspect

with IPS Empress® Direct A2 Enamel. This layer was shaped

and therefore looked very small compared with the adjacent

with the help of an ingenious contouring instrument called

teeth. The patient desired an aesthetic result, which could be

OptraSculpt® Pad (Fig 4). This instrument is used to form the

achieved in one appointment. This was the ideal indication

final contours of the restoration. The foam pad attachments

for IPS Empress® Direct.

allow composites to be shaped quickly and without sticking.

This instrument has become an indispensible tool in our

Layering

day-to-day work. Finally, a thin layer of IPS Empress® Direct

We suggested that the patient considered having the tooth

Trans Opal was applied and the restoration was shaped again

restored with a direct composite. This type of restoration

with OptraSculpt® Pad. The Trans Opal material allowed us

would involve minimally invasive preparation and could be

to successfully imitate the natural optical properties of the

placed in one appointment. The patient accepted this proposal

tooth surface. Subsequently, the restoration was polymerised

and we proceeded to prepare tooth 22 for a modified veneer

according to the recommendations of the manufacturer.

and to remove any discoloured dental tissue. In the process, as little as possible of the healthy tooth structure was ground.

Finishing

Since minimally invasive criteria were being followed, the

The excess material was removed with finishers and fine-grit

existing composite restoration was not completely removed.

diamond burs. The occlusion and function of the restoration

The tooth was conditioned and a bonding agent was applied.

were checked. Then the restoration was polished to a high

Next, the discoloured dentin tissue was concealed with IPS

gloss finish with silicone polishers and polishing discs in a few

Empress® Direct Color white. The material was applied on the

easy steps. The patient was thrilled with the new appearance

tooth surface in such a way that the restoration would not

of his anterior teeth. The shape and shade of tooth 22

appear completely opaque (Fig. 2). Then the tooth surface

blended in smoothly with the existing teeth. The optical

was entirely covered with IPS Empress Direct A2 Dentin. In

characteristics of the restoration were comparable to those

order to impart a lifelike appearance to the incisal part of the

of the natural dentition. Two months after the treatment, the

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EDITORIAL CONTINUED

2.

3.

patient returned to the practice for a recall appointment. On

4.

this occasion, the restoration showed excellent integration.

Its shape and shade completely fulfilled our expectations (Fig 5).

Conclusion IPS Empress® Direct is a nano-hybrid composite for direct restorative procedures. It features lifelike opacity, fluorescence and opalescence. Aesthetic anterior restorations can be skillfully created with the material in a very short time. Given the appropriate conditions, this material can be used to offer

5.

patients an adequate alternative to lab-fabricated ceramic veneers.

Dr Ali H. Özoglu ART Dental Clinic Gokce Residance D:1 Atatürk C. No:50 Seyhan Adana, Turkey Scan here to complete the questionnaire regarding this article to receive 1 hour CPD.

aliozoglu@yahoo.com

Visit www.ivoclarvivadent.co.uk/free-cpd for more details

i-Kids

Become an i-Kids Practice.

Spend £200 (RRP) on:

+

OR Fluor Protector S single pack

Fluor Protector S

OptraGate® Tetric EvoCeram® Bulk Fill Tetric EvoFlow® Bulk Fill Adhese® Universal

triple pack

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Certificates Smile Diaries Stickers & more...

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FOCUS PRODUCTS

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®

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Tetric EvoCeram

Tetric EvoFlow

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

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

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Tetric EvoCeram Bulk Fill

Tetric EvoFlow Bulk Fill

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 can be cured in increments of up to 4mm with an excellent affinity to cavity walls and self-levelling consistency as additional benefits.

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Tetric Classic

IPS Empress Direct

Adhese Universal

Monobond Etch & Prime

Tetric is a classic among the universal composites. An outstanding radio-opacity 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.

The first single-component ceramic primer in the world, allowing 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 amine free, aesthetic light- and dualcuring luting composite for the permanent cementation of ceramic and composite restorations.

OptraGate® is a 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

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ExciTE F

Cervitec

Fluor Protector S

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

Cervtiec® products contain Chlorhexidine, offering 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, allowing your patients to consume food after 1 hour.

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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

*

PRODUCT HIGHLIGHT

NEW

SpeedCEM Plus ®

The self-adhesive resin cement SpeedCEM® Plus is a self-adhesive, self curing resin cement with optional light curing. This cement offers an ideal combination of performance and user-friendliness. Its formulation has been optimised to make it particularly suitable for use in conjunction with restorations made of zirconium oxide and metal-ceramics and for the cementation of restorations on implant abutments.

Shear bond strength after self- & dual-curing on dentin after 24 hours

Not every restoration can be completely and evenly cured with light. Strong self-curing capabilities offer an additional

MPa

measure of reliability when seating opaque or non-translucent

25

restorations.

20 15

SpeedCEM® Plus produces high bond strength values on

10

zirconium oxide, base metal alloys (e.g. titanium) and on

5

dentin without light-activation. This has been confirmed

0

in internal and external studies including the Shear Bond Strength graph (right).

Maxcem Elite*

SpeedCEM® Plus

RelyX Unicem2*

SpeedCEM® Plus

Maxcem Elite*

*not registered trademarks of Ivoclar Vivadent AG Source: Ivoclar Vivadent Inc. Amherst, 2015

PRODUCT HIGHLIGHT

1,100 mW/cm2

Bluephase Style

Output

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The curing light

Easy operation

The Bluephase® Style curing light is suitable for every material due to the Polywave® LED.

PURCHASE A

BLUEPHASE

Two button control

®

The capability to cure all dental materials is related to light emitted. In contrast to

CURING LIGHT

the LED lights of the 2nd generation, the Polywave LED curing lights achieve an ®

AND RECEIVE £250RRP OF IVOCLAR VIVADENT PRODUCT

optimal broadband spectrum of 385 to 515 nm, similar to the spectrum of halogen lights that served as their model.

FREE

*

Therefore, Bluephase® Style is suitable for

Inductive charging Enables contactless battery charging

polymerising all current photo-initiators and

rel. Lichtintensität

materials without any restrictions.

Photo-initiator: Camphorquinone Photo-initiator: Lucirin TPO Bluephase Style with Polywave LED 2 ®

Elipar S10

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*1

SmartLite PS *1 Demi Plus *1

380

400

440

RelyX Unicem2*

460 480 [nm]

500

Source: R. Price, Dalhouse University Halifax, 2011

520

540

Trade names, not registered trademarks of Ivoclar Vivadent AG LED light 2nd generation 2 LED light 3rd generation *

1

Charging base with battery indicator The illuminated ring appears black once fully charged

PRODUCT HIGHLIGHT

CAD/CAM Block BUY 17

GET 5

A14 S & L CAD Blocks now available in LT: A1, A2, A3, A3.5, B1, B2, C1, C2 & D2

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 速

The glazing and crystallisation furnace with new DSA function The new Programat速 CS3 is patented with the Digital Shade Assistant application, which is integrated into the new furnace, which allows reliable tooth shade determination in a snap.

This is how it works: The software compares the shade of the tooth with three preselected shade guide teeth on the screen. Sophisticated image processing software automatically recognises and analyses the possibilities, showing the most appropriate option on the tooth.

PURCHASE A

PROGRAMAT CS3 速

& 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

EDUCATION

SOLD OUT

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 posterior

MADRID restorations.

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

ONLY

22nd-24th Sept 2016 Schaan, Liechtenstein

£795

SOLD OUT

Price included flights, transfers, accommodation and evening entertainment.

8th-10th Dec 2016 Vienna, Austria

DOWNLOAD, BROWSE & BOOK. NEW Dental Education App

Are you looking for CPD? Download, browse and book courses at your fingertips with Ivoclar Vivadent’s NEW Dental Education App! Available now!

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

For more information on any featured Ivoclar Vivadent product please visit www.ivoclarvivadent.co.uk

Available on iPhone, iPad & Android.

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@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 30/06/2016. E&EO IES price includes: accommodation for Friday night, entry to Friday evening entertainment, entry to IES Madrid on Saturday. Price does NOT include flights.