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QUARTER 3 // 1st July - 30th September 2016
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ABOUT
4 FACTS
Tetric EvoFlow Bulk Fill
Made with Ivocerin so that the
®
®
composite is significantly more reactive than with conventional light initiators.
#1
Tetric EvoFlow Bulk Fill’s high translucency of ®
28% before light-curing diminishes to a dentin like translucency of 10% after polymerisation.
#3
#4
47% time savings as compared to the conventional technique Data available on request.
Due to its lower elastic modulus, this composite filler is flexible like a microscopic spring and thus reduces shrinkage stress.
Tetric EvoFlow Bulk Fill & Tetric EvoCeram Bulk Fill ®
®
The high performance posterior composite two layer technique The level of flowability and viscosity of Tetric EvoFlow® Bulk Fill
Both Tetric EvoFlow® Bulk Fill & Tetric EvoCeram® Bulk Fill benefit
was established with the help of clinicians, adjusting it to their
from a longer working time than other Bulk Fill products. The
needs in the placement of bulk-fill bases. The result is excellent
composite contains a patented light sensitivity filter that ensures
surface affinity and unique self-levelling handling.
a longer working time under operatory and ambient light conditions. This light sensitivity filter acts as a shield, delaying the
Ideally, the perfectly matched Tetric EvoCeram® Bulk Fill is used
effects of ambient light.
as capping material for Tetric EvoFlow Bulk Fill. ®
However, dental curing lights are able to penetrate this shield. As
P
a result, the composite offers the unique combination of a fast ENT ED AT
curing time with extended working time.
ocerin
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®
H T I NITIA
Speak to your local Ivoclar Vivadent Product Specialist to find out more about Tetric EvoFlow® Bulk Fill, our Product of the Quarter.
BUY 3
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Tetric EvoCeram® Bulk Fill
Tetric EvoFlow® Bulk Fill
*
EDITORIAL
Intelligent direct restorative technique for posterior restorations Large posterior cavities can be filled with few increments by skilfully combining bulk-fill composites with two different viscosities. Given their high depth of cure, these composites enable a rational and reliable restorative technique in the posterior region.
1.
“The importance of composite based direct restorative materials will continue to grow in the future. These materials are designed for high quality permanent restorations in the stress bearing posterior region.” A male patient presented with the wish to have the restoration
a shiny cavity evenly and completely covered with adhesive.
of one of his lower first molars replaced because the existing
At the next step, lost dentin was built up swiftly with the
composite filling failed to provide a distal proximal contact
help of a volume replacement technique. This was achieved
and, as a result, food particles kept being trapped in the
by injecting a 4-mm thick layer of Tetric EvoFlow® Bulk Fill in
interdental gap (Fig. 1). After the patient had been informed
shade IVA into the cavity, measured from the deepest point
about the treatment options and the corresponding costs, he
of the cavity.
decided in favour of a bulk-filled composite filling made of a
Figure 2 shows the excellent surface affinity and self-levelling
combination of Tetric EvoFlow Bulk Fill and Tetric EvoCeram
properties of the flowable composite, which appears highly
Bulk Fill.
translucent prior to the light-curing process. The composite
®
®
was light-cured for 10 seconds using a Bluephase® Style LED Since these two composites are available in three universal
curing light.
shades ( A, B, W), the need for a detailed shade selection IV
IV
IV
procedure is eliminated. After the tooth had been cleansed,
Once polymerized, Tetric EvoFlow® Bulk Fill shows a dentin-
the existing composite material was completely removed.
like translucency of < 10 % (Aessencio technology). The
Next, the operating field was isolated with a rubber dam
discoloured dentin areas that had previously been visible
and a sectional metal matrix band was placed around the
were now largely masked (Fig. 3).
cavity. The deepest area of the cavity was measured using
Subsequently, the lingual cusps were reconstructed with an
a scaled periodontal probe. This was a vertical length of 7
increment of Tetric EvoCeram® Bulk Fill in shade IVA (Fig. 4).
mm in the distal box. The enamel and dentin in the entire
The filling material was light-cured with Bluephase® Style for
area of the cavity were etched with phosphoric acid using the
10 seconds. Subsequently, the buccal extension of the cavity
etch & rinse technique and then conditioned with Adhese®
and the buccal cusps were built up using Tetric EvoCeram®
Universal. The application of a generous amount of Adhese
Bulk Fill and the occlusal morphology was completed.
Universal adhesive onto the enamel and dentin, the material
Once the metal matrix was removed, the restoration was
was carefully scrubbed into the tooth structure for at least
checked for imperfections and then the rubber dam was
20 seconds using the brush cannula of the VivaPen® delivery
removed. The restoration was carefully finished and the static
form.
and dynamic occlusion adjusted.
Next, the solvent was dispersed with a gentle stream of
Subsequently, the restoration was polished to a shiny smooth
compressed air until a glossy immobile adhesive film resulted.
surface using a diamond impregnated single-step silicone
Subsequently, the bonding agent was light-cured for 10
polisher system (OptraPol®) and Astrobrush silicon carbide
seconds using a Bluephase® Style curing light. The result was
brushes. Figure 5 shows the completed direct composite filling,
®
EDITORIAL CONTINUED
2.
3.
restoring the original tooth shape including an anatomical
4.
and functional occlusal surface, physiological proximal contact point and an aesthetically pleasing appearance. To complete the treatment, a fluoride varnish (Fluor Protector S) was applied to the teeth using foam pellets. Conclusion The clinical workflow does not change with the bulk-fill technique. However, the combination of Tetric EvoFlow® Bulk Fill and Tetric EvoCeram® Bulk Fill enables practitioners to restore posterior cavities more efficiently than with
5.
conventional composites whilst providing aesthetic results that are similar to those achieved with a conventional composite layering technique. The importance of composite based direct restorative materials will continue to grow in the future.
Prof. Dr. Jurgen Manhart
Scan here to complete the questionnaire regarding this article to receive 1 hour CPD.
Munich, Germany
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FOCUS PRODUCTS
®
®
®
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.
®
®
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.
®
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
®
Variolink Esthetic
®
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.
®
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.
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.
®
®
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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PRODUCT HIGHLIGHT
Wieland Dental Technologies All digital, all options A company of the Ivoclar Vivadent Group
Many Clinicians have already embraced digital workflow within practice. Wieland laboratories operate an ‘open’ system, with the ability to accept patient cases using a variety of formats including 3 Shape’s innovative Trios intra-oral scanners. Trios, offers an integrated, convenient and co-ordinated workflow when combined with the laboratories 3 Shape Dental Designer. Once the patient file is accepted, the option to efficiently offer, highly accurate restorations is a real benefit to the patient. Selecting from either Wieland TelioCAD® for long term temporaries, or more permanent Zenostar® zirconium oxide & Ivoclar Vivadent innovative IPS e.max® CAD for Zenotec®. Advantages • High precision and accuracy of fit due to quality machine components • Exceptional speed, productivity and short processing time as a result of an optimised milling strategy • Secure digital file transfer preferred over traditional impressions for the best results For more information regarding laboratory’s providing Wieland technologies, please speak to your local Product Specialist, or email: wielandukinfo@ivoclarvivadent.com PRODUCT HIGHLIGHT
Programat CS3 CEREC Special Edition ®
The glazing and crystallisation furnace with new DSA function
PURCHASE A
PROGRAMAT CS3 ®
The new Programat® CS3 is patented with the Digital Shade Assistant
& VP3 Easy Vacuum Pump
application, which is integrated into the new furnace, which allows reliable
AND RECEIVE IPS e.max® CAD CRYSTALLISATION KIT, 4 BLOCKS PACKS* & A COMPLIMENTARY COURSE HELD AT OUR ICDE, LEICESTER.
tooth shade determination in a snap. The Programat® CS3 is
*Blocks selected: IPS Empress CAD LT C14 A3 | IPS e.max CAD LT C14 A2 & A3 | IPS e.max CAD HT C14 A2
conveniently operated by means of a wide and mobile colour touchscreen. The most important functions are selected via the time tested membrane sealed keypad. PRODUCT HIGHLIGHT
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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.
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PRODUCT HIGHLIGHT
PRODUCT HIGHLIGHT
Adhese Universal
Bluephase Style
The universal bonding agent
The curing light
Adhese® Universal is a single-component, light-cured universal
True innovation proves itself in use. A perfect example
adhesive for direct and indirect bonding procedures. It features
of this is the Bluephase® curing light with the specially
compatibility with all etching techniques: self-etch, selective-
developed Polywave® LED, which is capable of
enamel-etch and total-etch.
polymerising all current photo-initiators and materials.
The simple “Click” activation allows the clinician to control the
•
®
®
With an optimal broadband spectrum of 385 to 515nm
exact amount of material to be dispensed for each procedure. •
Consistently high shear bond strength
•
The energy-efficient LED produces less heat
•
Virtually no post operative sensitivity
•
Cordless operation ensures maximum mobility in
•
Fast and convenient application in only 35 seconds
the dental practice
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BLUEPHASE
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AND RECEIVE £250RRP OF IVOCLAR VIVADENT PRODUCT
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DESENSITISING
EFFECT
PRODUCT HIGHLIGHT
SR Vivodent S PE ®
Information for Dentists Nature creates the most beautiful tooth shapes and shades and these have guided us in the design of the new SR Vivodent® S PE tooth line. Aesthetically and prosthetically optimised, the new tooth line is designed to meet the individual requirements of today’s and tomorrow’s patients. For your free marketing pack please speak to your local product specialist or call 0116 284 7880. The multifunctional shade guide is designed to fulfil several tasks as you, the clinician, are requested to do by your technician. It enables you to determine not only the tooth shade but also the tooth size and lip closure line. This has been achieved by integrating the facial meter and papillameter into the new design.
Compressive strength in MPa
Compressive strength of tooth materials EN ISO 9917-1 performance 600
The new tooth line is offered in 20 vibrant shade nuances. Their characteristic intensity, brilliance and translucency closely replicate the shade of natural
500
teeth, resulting in dentures that harmoniously blend into their surroundings.
400 300 200 100 0
Vibrant shades
Cross-linked PMMA
SR Vivodent®S PE
Composite (2nd gen)
Source: R&D Ivoclar Vivadent AG, Schaan, 2015
EDUCATION
RS 9 HOUABLE VERIFI CPD
THE WORLD OF
ONLY
£545
RESTORATIVES MADRID ANNECY SCHAAN VIENNA
with Dr. Markus Lenhard
Price includes accommodation and evening entertainment. Price does NOT include flights & transfers
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 they can be done in significantly less time than indirect alternatives. Based on several clinical cases, our courses will
with Dr. Markus Lenhard
show the importance of techniques and the tricks needed to show the difference between aesthetic and 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 restorations.
Call Georgia: 0116 284 7886 Visit: www.ivoclarvivadent.co.uk/education
22nd-24th Sept 2016 Schaan, Liechtenstein
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For more information on any featured Ivoclar Vivadent product please visit www.ivoclarvivadent.co.uk
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*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 30/09/2016. E&EO