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Beautifil II Gingiva & Enamel —fluoride-releasing, bioactive, Giomer composites
in pink and white shades
Reasoning behind the creation of gingiva- & enamel-colored composites
• Promotes minimally-invasive dentistry eg. effective substitute for ceramic veneers
• Creates aesthetic solutions without substantial financial investment
• Follows the philosophy of porcelain/ceramic side of dentistry
• Aging population: desire to retain teeth & reestablish youthfulness • Direct restorative without the indirect lab work• Artistic repair of partial dentures (with CeraResin Bond adhesive and Metal/Liquid primer) • Ability to correct wedge-shaped defects, mask exposed implant abutments, and more
• Offers ability to treat ethnically-diverse population
U.S. Market Overview: gingiva-colored composites
Manufacturer
[Grams] or [mL]
converted to Grams
Retail Price
Price per Gram
ShofuBeautifil II, 2.5 g syringe
universal composite
Gingiva Refill
Syringe 2.50 $49.95 $19.98
Cosmedent Renamel Gingafillmicrofill
compositeGingiva
Refill Syringe
3.50 $112.45 $32.13
ANAXDENTAnaxagum Paste Composite
fiber reinforced composite
Gingiva Refill
Syringe 4.00 $77.00 $19.25
ANAXDENT Anaxagum Flowfiber
reinforced composite
Gingiva Refill
Syringe 3.00 $50.00 $16.67
ANAXDENTAnaxagum Paint (Stain)
fiber reinforced composite
Gingiva Refill
Syringe 3.00 $72.00 $24.00
ANAXDENT Anaxagum Opaquerfiber
reinforced composite
Gingiva Refill
Syringe 3.00 $55.00 $18.33
GC America Gradia Direct Xuniversal
compositeGingiva
Refill Syringe
5.00 $119.99 $24.00
Kerr Premiseuniversal
compositeGingiva
Refill Syringe
4.00 $124.99 $31.25
Kerr Herculite XRVuniversal
compositeGingiva
Refill Syringe
5.00 $130.99 $26.20
SDI Wavenanohybrid
flowableGingiva
Refill Syringe
1.00 $21.79 $21.79
VOCO Amaris universal
compositeGingiva
Refill Syringe
4.00 $111.99 $28.00
Gingiva-colored composites | Syringes -- Refills and Kits Source: 2016 Henry Schein Catalogue
U.S. Market Overview: enamel-colored composites
Manufacturer
[Grams] or [mL]
converted to Grams
Retail Price
Price per Gram
ShofuBeautifil II, 2.5 g syringe
universal composite
EnamelRefill
Syringe 2.50 $37.50 $15.00
Dentsply Caulk
TPH Spectra HV (high viscosity flowable)
universal composite
Dentin & EnamelRefill
Syringe 3.00 $55.49 $18.50
Dentsply Caulk
Esthet-X HDuniversal
compositeDentin & Enamel
Refill Syringe
3.00 $81.99 $27.33
GC America G-aenial Sculpt universal
compositeDentin & Enamel
Refill Syringe
3.60 $110.99 $30.83
GC America Gradia Direct Xuniversal
compositeDentin & Enamel
Refill Syringe
5.00 $119.99 $24.00
Ivoclar Tetric EvoCeramuniversal
compositeDentin & Enamel
Refill Syringe
3.00 $71.49 $23.83
Kerr Herculite Ultrauniversal
compositeDentin & Enamel
Refill Syringe
4.00 $121.99 $30.50
Kerr Herculite XRVmicrohybrid composite
Dentin & EnamelRefill
Syringe 5.00 $124.99 $25.00
Kurary Clearfil Majesty ES-2 Premium
universal composite
Dentin & EnamelRefill
Syringe 3.60 $90.99 $25.28
Tokuyama Estelite Omegauniversal,
supra-nano filled
Dentin & EnamelRefill
Syringe 4.00 $99.99 $25.00
Ultradent Vit-l-escencemicrohybrid composite
Dentin & EnamelRefill
Syringe 2.50 $54.49 $21.80
VOCO Amarisuniversal
compositeDentin & Enamel Syringe 4.00 $97.99 $24.50
Enamel-colored composites | Syringes -- Refills and Kits Source: 2016 Henry Schein Catalogue
Manufacturer
[Grams] or [mL]
converted to Grams
Retail Price
Price per Gram
ShofuBeautifil II Gingiva "PINK" Kit
universal composite
6-syringe kit, each 2.5-gram, incl. of 5 gingiva colors + 1 Beautifil Flow F02, gingiva,
BONUS
Syringe Kit 14.50 $249.00 $17.17
ShofuBeautifil II Gingiva & Enamel "PINK & WHITE" Kit
universal composite
10-syringe kit, each 2.5-gram, incl. of 9 gingiva colors + 1 Beautifil Flow F02, gingiva,
BONUS
Syringe Kit 24.50 $399.00 $16.29
ANAXDENT ANAXGUM KIT Sfiber
reinforced composite
4-syringe kit incl. of 2x4g paste, 2x3g modifier paint
(stain)Syringe Kit 14.00 $265.00 $18.93
ANAXDENT ANAXGUM KIT XLfiber
reinforced composite
10-syringe kit incl. of 2x3g opaquers, 5x4g paste, 4x3g
modifier paint (stain)Syringe Kit 38.00 $695.00 $18.29
ANAXDENTANAXGUM KIT XXL (FULL SYSTEM)
fiber reinforced composite
16-syringe kit incl. of 2x3g opaquers, 5x4g paste, 4x3g flow, 5x3g modifier paint
(stain)
Syringe Kit 53.00 $899.00 $16.96
Cosmedent
Renamel Gingafill Syringe Kit
microfill composite
5-syringe kit, each 3.5-gram Syringe Kit 17.50 $533.95 $30.51
TokuyamaEstelite Omega Basic Kit
universal, supra-nano
filled
6-syringe kit, each 4g, incl. ENAMEL & DENTIN shades
Syringe Kit 24.00 $524.00 $21.83
TokuyamaEstelite Omega Syringe DeLuxe Kit
universal, supra-nano
filled
11-syringe kit, each 4g, incl. of ENAMEL & DENTIN shades
Syringe Kit 44.00 $840.99 $19.11
VOCO Amaris Gingiva Syringe Kit
universal composite
4-syringe kit, incl. of 3x1.2g opaquers in white, light, dark,
1x4g basic color "nature"Syringe Kit 7.60 $269.99 $35.53
Gingiva-colored composites | Syringes -- Refills and Kits Source: 2016 Henry Schein Catalogue
U.S. Market Overview: gingiva-colored technique kits
Beautifil II: Nanohybrid Giomer composite with fluoride release & recharge properties
• Highly filled, bioactive Giomer composite
• with excellent flexural and compressive strength
• Optimal consistency without slumping, bubbling, or oozing
• Maintains excellent color stability before and after curing
• Creates restorations with optical characteristics of natural teeth
• Incorporates Giomer fillers proven to:• Sustainably release and recharge • Inhibit plaque growth • Acid neutralization properties
• Validated in 8-year and 13-year recall studies
• Filler Load: 83 wt%
• Compressive Strength: 325 MPa
• Flexural Strength: 130 MPa
• Flexural Modulus: 14 GPa
• Vickers Hardness: 62 Hv
• Wear Resistance: 0.52 wt%
• Radiopacity: 3.4 Al:mm
Beautifil II Gingiva & Enamel: Indications
Beautifil II Enamel• Chameleon-like optical characteristics
allow to create polychromatic restorations with morphology and aesthetics of natural teeth
• Provides clinicians with cost-effective alternative to ceramic veneers
• Shades can be layered and blended together to produce highly aesthetic results
Beautifil II Gingiva • Intended for the cervical area:
• reestablishment of gingival symmetry • aesthetic correction of gingival
recession• wedge-shaped defects • exposed cervical areas • splinting • re-balancing of pink and white
aesthetics
• Enables to artistically camouflage exposed crown and bridge margins, implant abutments
• Allows to characterize removable full or partial dentures (with CeraResin Bond adhesive and Metal/Liquid primer)
• Shades can be layered and coalesced to address patients’ broad clinical needs
Beautifil II Enamel available in 4 enamel shades
HVT T LVT AM
High-Value Translucent
Translucent Low-Value Translucent
Amber
Beautifil II Gingiva & Enamel Shade Guides
Beautifil II Gingiva available in 5 gingiva shades
Light Pink Dark Pink Orange Brown Violet
Beautifil II Gingiva: Physical & Mechanical Properties
Product name AMARIS Gingiva anaxGUM
Manufacturer VOCO anaxDENTShade G-Dark Pink G-Light Pink G-Brown G-Orange G-Violet Nature Dark Pink
Tyep of container Screw rod Screw rodFlexural Strength (MPa) 110 116 115 122 119 106 99Flexural modulus (GPa) 9.8 9.4 9.5 9.6 9.3 6.2 7.1
Vickers hardness (Hv 0.1): 44 48 45 44 48 35 45Depth of cure (mm) 1.5 2.1 1.6 1.6 2.1 2.4 2.1Working time (sec) 180 180 180 180 180 180 90Radiopacity (Al:mm) 2.5 2.5 2.5 2.5 2.5 0 1.4
Contrast ratio 0.70 0.72 0.73 0.71 0.76 0.40 0.52Transition of contrast ratio ⊿0.00 ⊿0.01 ⊿0.01 ⊿0.01 ⊿0.01 ⊿-0.24 ⊿-0.22
Before → After 0.71 → 0.71 0.73 → 0.74 0.75 → 0.76 0.72 → 0.73 0.74 → 0.75 0.63 → 0.39 0.75 → 0.53Light diffusion ability ○ ○ ○ ○ ○ × ○
Ion release & recharge ability ○ ○ ○ ○ ○ × ×Acid neutralization ○ ○ ○ ○ ○ × ×
One-Push rod
BEAUTIFIL Ⅱ Gingiva
SHOFU
Beautifil II Enamel: Physical & Mechanical Properties
Product name BEAUTIFIL ⅡManufacturer
Shade HVT T LVT AM A3EnamelShadeA3E
Body ShadeA3B
Enamel shadeA3
Dentin ShadeA3
Enamel shadeE3
Dentin ShadeA3
Tyep of container Screw rod/ tipFlexural Strength (MPa) 126 119 113 119 130 133 135 117 118 97 92Flexural modulus (GPa) 9.6 9.2 9.0 9.2 14.0 12.0 12.2 8.8 9.3 5.2 5.4
Vickers hardness (Hv 0.1): 51 50 49 50 62 82 78 50 36 31 29Depth of cure (mm) 4.4 4.1 3.7 2.5 2.5 3.2 2.5 2.6 1.8 3.7 2.5Working time (sec) 100 90 110 170 70 100 90 100 110 180< 180<
Radiopacity (Al:mm) 2.5 2.5 2.5 2.5 3.4 2.3 2.3 1.8 3.3 <1.0 <1.0Transition of contrast ratio ⊿0.01 ⊿0.00 ⊿0.00 ⊿0.02 ⊿0.00 Δ0.06 Δ0.03 Δ0.12 Δ0.07 Δ0.13 Δ0.09
Before → After 0.43 → 0.42 0.42 → 0.42 0.43 → 0.43 0.50 → 0.52 0.580→0.580 0.56 → 0.50 0.63 → 0.60 0.60 → 0.48 0.76 → 0.69 0.58 → 0.45 0.61 → 0.52Polishability1) 51 50 51 52 37 41 - 53 - 28 -
Abrasion wear with opposing teeth mm( ) 6.3 - - - 15.5 11.0 - 6.6 - 5.7 -Light diffusion ability × × × × ○ × × × × × ×
Ion release & recharge ability ○ ○ ○ ○ ○ × × × × × ×Acid neutralization ○ ○ ○ ○ ○ × × × × × ×
1)After polishing the specimen of CR(φ15, t=2mm) with waterproof abrasive paper, polish it with Compo-master #13S in loaded on 100gt in 10000rpm for 15sec and 30sec. Then measuring the polish the glossiness 60° .( )
Ivoclar vivadent GC
One-Push rod Screw rod / tip Screw rod / tip Screw rod / tip
BEAUTIFIL Ⅱ Enamel Filtek Supreme Ultra IPS Empress Direct GRADIA DIRECT SHOFU M3
Beautifil II Gingiva & Enamel: new, ergonomic syringe
Ergonomic “one-push” syringe allows for more efficient composite handling and application
One-push syringe vs. traditional syringe
Beautifil Restorative Materials: Color-compatibility & Blendability
Color-compatible and blendable across the entire Beautifil line of restorative materials
• Beautifil Flow – injectable flowable • Beautifil Flow Plus – injectable nanohybrid composite • Beautifil-Bulk Flowable – injectable bulk-fill composite • Beautifil-Bulk Restorative – packable bulk-fill composite
Beautifil II Gingiva & Enamel with Giomer Technology
What is a Giomer
• Giomer is a collective term for bioactive materials (nano-hybrid resin composites—packable, flowable, bulks—cements, bonding agents, sealant, and light-cure varnish) which contain Shofu’s proprietary S-PRG fillers.
• Bioactive/biointeractive: material forms an apatite-like layer on its surface1A; materials interact with or affect the biological tissue1B
• Biocompatible: not harmful to living tissue
• Giomers combine biological effectiveness of glass ionomer (fluoride release/recharge and other beneficial ions) with outstanding physical and mechanical properties, and durable and predictable aesthetics.
1AS.R. Jefferies, MS, DDS, PhD, Bioactive Dental Materials, Inside Dentistry. Feb. 20161BGoldstep F., DDS, Proactive intervention. Taking control with remineralization and bioactive materials, Compendium, June 2012;33;6:3-11
The Giomer Concept2
2Shofu, Scientific Evidence, Giomer PRG Technology, 2014:1
The Giomer Concept continued
• Giomers are based on S-PRG Technology in which surface pre-reacted glass-ionomer is used as a filler.
• S-PRG fillers are obtained by reacting multifunctional fluoro-boro-alumino-silicate glass filler with polyacrylic acid, in the presence of water.3
• The resultant trilaminar structure forms stable glass-ionomer that allows for release and recharge of beneficial ions while protecting the glass core to improve the material’s long-term durability.
3Shofu, Scientific Evidence, Giomer PRG Technology. 2014:1
Composition of Giomer filler
Functions of Giomer layers
Function of the surface-modified layer
• Protects the filler from water sorption and degradation, giving Giomer materials long-term durability
Functions of the glass-ionomer phase
• Releases and recharges fluoride, F-, and other beneficial ions, Sr2+, AI3+, SiO3
2-, BO33-, Na+
• Acid neutralization• Anti-plaque function• Bactericidal properties
F- : Fluoride ion− Improves acid resistance by forming fluoro-apatite− Displays antibacterial effects− Exhibits caries-preventive properties
Sr2+ : Strontium ion− Improves acid resistance by forming strontium-apatite− Inhibits dentinal hypersensitivity− Acts on hydroxyl-apatite to convert it into fluoro-apatite − Promotes bone formation
Biological effects of beneficial ions
AI3+ : Aluminium ion− Improves radiopacity− Inhibits dentinal hypersensitivity
SiO32- : Silicate ion
− Induces remineralization − Promotes bone formation
BO33- : Boron ion
− Exhibits bactericidal properties
Na+ : Natrium (Sodium) ion − Improves radiopacity
Biological effects of beneficial ions continued
Clinical benefits of Giomer materials
• Release and recharge fluoride4,6,7 and other beneficial ions11,15
• Form acid-resistant layer4 which can transpose to adjacent teeth13,16
• Neutralize acids to establish stable pH in the oral environment14
• Inhibit biofilm formation and disrupt mature biofilm4,5
• Exhibit anti-plaque properties by reducing plaque formation & bacterial adherence8,9,10,14
• Possess antibacterial functions10,11 • Exhibit caries-preventive properties12
• Have the potential for secondary caries prevention7,9,10,14,17
4Shofu, Scientific Evidence, Effects of surface pre-reacted glass ionomer fillers on mineral induction by phosphoroprotein. 2011:45ibid, Effects of S-PRG eluate on oral biofilm and oral malodor. 2014:5 6ibid, Fluoride release and recharge capabilities of orthodontic resin containing S-PRG filler. 2013:67Han L, Cv E, Li M., et al. Effect of fluoride mouth rinse on fluoride releasing and recharging from aesthetic dental materials, 2002. 21: 285-295 8Shofu, Study on the file layer produced from S-PRG filler. 2004:89 ibid, The anti-plaque effect of fluoride releasing light-cured composite resin restorative material. 2002:9 10ibid, Antibacterial activity of composite resin with glass-ionomer filler particles. 2010:10 11ibid, Antibacterial activity of S-PRG filler. 2003:18 12ibid, Caries-preventive effect of fissure sealant containing surface reaction-type pre-reacted glass ionomer filler and bonded by self-etching primer. 2012:20 13ibid, Acid resistance induced by a new orthodontic bonding system in vitro. 2008:21 14Gordan V.V., et al. A clinical evaluation of a self-etching primer and a Giomer restorative material: results at 8 years. JAM Dent. Assoc. 2007;138:621-627 15Kamijo K., Mukai Y., et al. Fluoride release and recharge characteristics of denture-base resins containing surface pre-reacted glass-ionomer filler. Dent. Material J. 2009;28:227-23316Han L., Okamoto A., et al. Evaluation of a new fluoride-releasing one-step adhesive. Dent. Material J. 2006;25:509-515
Release/recharge of fluoride
and other beneficial ions
Less plaque Full grown plaque
Competitive material(without S-PRG fillers)
Beautifil II (with S-PRG fillers)
SEM images of plaque on restorative surface after 24 hours without brushing
Anti-plaque properties: reducing plaque formation & bacterial adherence
Clinical benefits of Giomer materials continued
• Demonstrate excellent physical and mechanical properties for durable and predictable aesthetics14,18,19,21
• Excellent optical properties: radiopacity greater than enamel20
• Superb polishability and luster20
• Exhibit optimal handling which helps improve marginal adaptation and contouring of restorations, without slumping or sticking17
• Available in variety of shades to provide life-like aesthetics
17Milnar F., Direct composite and finishing/polishing systems for esthetic anterior restorations. Inside Dentistry, Oct. 2014:58-6218Milnar F., Conservatively recreating a smile. Dentistry Today, Feb. 2016 19Gordan V.V., et al. A clinical evaluation a Giomer restorative system: 13-year recall. JAM Dent. Assoc. 2014;145;10:1036-104320Yapp R.A, MS, Cowen M, BS, Powers J.M., PhD, The Dental Advisor, Apr. 2015;32;3: 721Abdel-karim U.M., El-Eraky M., Etman W.M., 3-year clinical evaluation of two nano-hybrid giomer restorative composites. 2014:214-222
Validated in 8- and 13-year clinical studies
• 8-year study published in JADA, 2007
• 16 of 26 Class I, and 25 of 35 Class II restorations were observed
• No failures• No secondary caries• Maintained aesthetics
• No post-op sensitivity
• 13-year study presented at IADR, 2013 poster session
• 19 of 26 Class I, and 22 of 35 restorations were observed
• 66% retention rate (27 of 41)
• 3.27% secondary caries rate (2 of 61) restorations
13-year StudyPhotos
Overall positive results and low secondary caries attributed to the Giomer Technology
Beautifil II Gingiva & Enamel: Clinical cases by Frank J. Milnar, DDS, AAACD
Beautifil II Gingiva: Before Beautifil II Gingiva: After
Beautifil II Gingiva: Before Beautifil II Gingiva: After
Beautifil II Enamel: Before Beautifil II Enamel: After
Beautifil II Gingiva & Enamel: available in single syringes and technique kits
PN Beautifil II Gingiva. SRP: $49.95/syringe PN Beautifil II Enamel. SRP: $37.50/syringe Y2256 Light Pink, G-LP, 2.5g Y2250 Translucent, T, 2.5g Y2257 Dark Pink, G-DP, 2.5g Y2251 High-Value Translucent, HVT, 2.5g Y2258 Violet, G-V, 2.5g Y2252 Low-Value Translucent, LVT, 2.5g Y2259 Brown, G-Br, 2.5g Y2253 Amber, AM, 2.5g Y2260 Orange, G-Or, 2.5g
Beautifil II Gingiva & Enamel: Technique Kits
PN GMK1—Beautifil II Gingiva "PINK" Kit content
PN GMK3—Beautifil II Gingiva & Enamel Kit content
Beautifil II, Gingiva, Light Pink, G-LP, 2.5g Beautifil II, Gingiva, Light Pink, G-LP, 2.5g
Beautifil II, Gingiva, Dark Pink, G-DP, 2.5g Beautifil II, Gingiva, Dark Pink, G-DP, 2.5g Beautifil II, Gingiva, Violet, G-V, 2.5g Beautifil II, Gingiva, Violet, G-V, 2.5g Beautifil II, Gingiva, Brown, G-Br, 2.5g Beautifil II, Gingiva, Brown, G-Br, 2.5g
Beautifil II, Gingiva, Orange, G-Or, 2.5g Beautifil II, Gingiva, Orange, G-Or, 2.5g
Beautifil Flow F02, Gingiva, 2.0g Beautifil Flow F02, Gingiva, 2.0g
Bonus Items: Beautifil Flow Plus, F00, A2, 2 x 0.21g
Beautifil II, Enamel, Translucent, T, 2.5g
Bonus Item: Beautifil Flow Plus, F03, A2, 2 x 0.21g
Beautifil II, Enamel, High-Value Translucent, HVT, 2.5g
Bonus Item: Beautifil II, A2, 2 x 0.25g Beautifil II, Enamel, Low-Value Translucent, LVT, 2.5g
Beautifil II, Enamel, Amber, AM, 2.5g
Bonus Item: Beautifil Flow Plus, F00, A2, 5 x 0.21g
Bonus Item: Beautifil Flow Plus, F03, A2, 5 x 0.21g
Bonus Item: BeautiBond, 10 x 0.10ml
Bonus Item: Super-Snap Singles, Mini, 10x
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