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innovationQUARTER 3 // 1st July - 30th September 2016 CLINICAL

I V O C L A R V I V A D E N T

For more information on any featured Ivoclar Vivadent product

please visit www.ivoclarvivadent.co.uk

Wieland D

ental Technology

Adh

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Uni

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Den

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Tetric EvoFlow® Bulk Fill

Speak to your local Ivoclar

Vivadent Product Specialist

to find out more about

Tetric EvoFlow® Bulk Fill,

our Product of the

Quarter.

4 FACTS AB

OU

T

Tetric EvoFlow® Bulk Fill

#1Tetric EvoFlow® Bulk Fill’s high translucency of

28% before light-curing diminishes to a dentin

like translucency of 10% after polymerisation.

#2Made with Ivocerin® so that the

composite is significantly more

reactive than with conventional

light initiators.

47% time savings

as compared to the

conventional technique -

Data available on request.

#3Due to its lower elastic modulus, this composite filler is flexible

like a microscopic spring and thus reduces shrinkage stress.

Tetric EvoFlow® Bulk Fill &The high performance posterior composite two layer technique

The level of flowability and viscosity of Tetric EvoFlow® Bulk Fill

was established with the help of clinicians, adjusting it to their

needs in the placement of bulk-fill bases. The result is excellent

surface affinity and unique self-levelling handling.

Ideally, the perfectly matched Tetric EvoCeram® Bulk Fill is used

as capping material for Tetric EvoFlow® Bulk Fill.

Both Tetric EvoFlow® Bulk Fill & Tetric EvoCeram® Bulk Fill benefit

from a longer working time than other Bulk Fill products. The

composite contains a patented light sensitivity filter that ensures

a longer working time under operatory and ambient light

conditions. This light sensitivity filter acts as a shield, delaying the

effects of ambient light.

However, dental curing lights are able to penetrate this shield. As

a result, the composite offers the unique combination of a fast

curing time with extended working time.

PRODUCT OF THE QUARTER

BUY 3GET 1FREE

*

#4Tetric EvoCeram® Bulk Fill

Tetric EvoFlow® Bulk Fill

Tetric EvoCeram® Bulk Fill

PATENTED

LIGHT INITIA

TORIvocerin

®

Intelligent direct restorative technique for posterior restorationsLarge 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.

“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.”

EDITORIAL

A male patient presented with the wish to have the restoration

of one of his lower first molars replaced because the existing

composite filling failed to provide a distal proximal contact

and, as a result, food particles kept being trapped in the

interdental gap (Fig. 1). After the patient had been informed

about the treatment options and the corresponding costs, he

decided in favour of a bulk-filled composite filling made of a

combination of Tetric EvoFlow® Bulk Fill and Tetric EvoCeram®

Bulk Fill.

Since these two composites are available in three universal

shades (IVA, IVB, IVW), the need for a detailed shade selection

procedure is eliminated. After the tooth had been cleansed,

the existing composite material was completely removed.

Next, the operating field was isolated with a rubber dam

and a sectional metal matrix band was placed around the

cavity. The deepest area of the cavity was measured using

a scaled periodontal probe. This was a vertical length of 7

mm in the distal box. The enamel and dentin in the entire

area of the cavity were etched with phosphoric acid using the

etch & rinse technique and then conditioned with Adhese®

Universal. The application of a generous amount of Adhese®

Universal adhesive onto the enamel and dentin, the material

was carefully scrubbed into the tooth structure for at least

20 seconds using the brush cannula of the VivaPen® delivery

form.

Next, the solvent was dispersed with a gentle stream of

compressed air until a glossy immobile adhesive film resulted.

Subsequently, the bonding agent was light-cured for 10

seconds using a Bluephase® Style curing light. The result was

a shiny cavity evenly and completely covered with adhesive.

At the next step, lost dentin was built up swiftly with the

help of a volume replacement technique. This was achieved

by injecting a 4-mm thick layer of Tetric EvoFlow® Bulk Fill in

shade IVA into the cavity, measured from the deepest point

of the cavity.

Figure 2 shows the excellent surface affinity and self-levelling

properties of the flowable composite, which appears highly

translucent prior to the light-curing process. The composite

was light-cured for 10 seconds using a Bluephase® Style LED

curing light.

Once polymerized, Tetric EvoFlow® Bulk Fill shows a dentin-

like translucency of < 10 % (Aessencio technology). The

discoloured dentin areas that had previously been visible

were now largely masked (Fig. 3).

Subsequently, the lingual cusps were reconstructed with an

increment of Tetric EvoCeram® Bulk Fill in shade IVA (Fig. 4).

The filling material was light-cured with Bluephase® Style for

10 seconds. Subsequently, the buccal extension of the cavity

and the buccal cusps were built up using Tetric EvoCeram®

Bulk Fill and the occlusal morphology was completed.

Once the metal matrix was removed, the restoration was

checked for imperfections and then the rubber dam was

removed. The restoration was carefully finished and the static

and dynamic occlusion adjusted.

Subsequently, the restoration was polished to a shiny smooth

surface using a diamond impregnated single-step silicone

polisher system (OptraPol®) and Astrobrush silicon carbide

brushes. Figure 5 shows the completed direct composite filling,

1.

i-Kids

restoring the original tooth shape including an anatomical

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

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

Munich, Germany

EDITORIAL CONTINUED

2. 3.

4.

5.

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

Become a 2016 i-Kids Practice.

Speak to your local Product Specialist today.

Receive our i-Kids: CertificatesSmile DiariesStickersOnline education& much more...

Spend £200 (RRP) on: OptraGate®

Tetric EvoCeram® Bulk FillTetric EvoFlow® Bulk FillAdhese® Universal

OR +

single pack triple packFluor Protector S Fluor Protector S

Variolink® EstheticVariolink® Esthetic is an amine free, aesthetic light- and dual-

curing luting composite for the permanent cementation of ceramic and composite

restorations.

FOCUS PRODUCTS

IPS Empress® Direct Adhese® Universal

OptraDam® Plus

Tetric EvoCeram® Bulk Fill

Multilink® Automix OptraGate®

Tetric EvoFlow®

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

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 EvoCeram®

Tetric EvoCeram® is the universal composite for anterior and

posterior restorations that delivers outstanding aesthetics.

IPS Empress® Direct is a light-curing, highly aesthetic nano-

hybrid composite filling material for direct restorative procedures

in the anterior and posterior region.

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

Multilink® Automix is an adhesive luting system for the cementation of indirect restorations made of

silicate and oxide ceramics, metal and metal-ceramics & composites.

Due to its anatomical shape and flexible, three-dimensional

design, OptraDam® is completely different from conventional

rubber dams.

Cervitec®

Cervtiec® products contain Chlorhexidine, offering

individualised solutions, in terms of the active ingredient

concentration, delivery form and application method.

OptraGate® is a latex free device that retracts the lips & cheeks

evenly and gently, allowing more effective, relative isolation of the

treatment field.

Tetric EvoFlow®

Bulk FillTetric 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® ClassicTetric® is a classic among the

universal composites. An outstanding radio-opacity

of 400% Al

Monobond® Etch & Prime

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.

New User Offers Available

BUY 3GET 1FREE

*

Fluor Protector SThe 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.

ExciTE® FExciTE® F is a light-curing, fluoride releasing, single-

component total-etch adhesive for the placement of direct

restorations.

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)

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

BUY 17GET 5FREE

*

BUY 8GET 2FREE

*

BUY 5GET 1FREE

*

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.

PURCHASE APROGRAMAT

®

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

Programat® CS3 CEREC Special Edition

The new Programat® 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.

The Programat® CS3 is

conveniently operated by

means of a wide and mobile

colour touchscreen. The most

important functions are selected

via the time tested membrane

sealed keypad.

The glazing and crystallisation furnace with new DSA function

PRODUCT HIGHLIGHT

PRODUCT HIGHLIGHT

PRODUCT HIGHLIGHT

Wieland Dental TechnologiesAll digital, all options

A company of the Ivoclar Vivadent Group

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.

PURCHASE A

BLUEPHASE®

CURING LIGHT

AND RECEIVE £250RRP OF IVOCLAR VIVADENT

PRODUCT

FREE*

BUY 3GET 1FREE

*

*New user

offers available

Adhese® Universal

Adhese® Universal is a single-component, light-cured universal

adhesive for direct and indirect bonding procedures. It features

compatibility with all etching techniques: self-etch, selective-

enamel-etch and total-etch.

The simple “Click” activation allows the clinician to control the

exact amount of material to be dispensed for each procedure.

• Consistently high shear bond strength

• Virtually no post operative sensitivity

• Fast and convenient application in only 35 seconds

The universal bonding agent

PRODUCT HIGHLIGHT PRODUCT HIGHLIGHT

Bluephase® StyleThe curing light

True innovation proves itself in use. A perfect example

of this is the Bluephase® curing light with the specially

developed Polywave® LED, which is capable of

polymerising all current photo-initiators and materials.

• With an optimal broadband spectrum of 385 to

515nm

• The energy-efficient LED produces less heat

• Cordless operation ensures maximum mobility in

the dental practice

SR Vivodent® S PE

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.

Information for Dentists

PRODUCT HIGHLIGHT

Vibrant shades

The new tooth line is offered in 20 vibrant shade nuances. Their characteristic

intensity, brilliance and translucency closely replicate the shade of natural

teeth, resulting in dentures that harmoniously blend into their surroundings.

Compressive strength of tooth materialsEN ISO 9917-1 performance

Source: R&D Ivoclar Vivadent AG, Schaan, 2015

Cross-linkedPMMA

SR Vivodent®S PE Composite(2nd gen)

600

500

400

300

200

100

0Co

mp

ress

ive

stre

ng

th in

MPa

DESENSITISING

EFFECT

For more information on any featured Ivoclar Vivadent product

please visit www.ivoclarvivadent.co.uk *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

EDUCATION

with Dr. Markus Lenhard

THE WORLD OF

RESTORATIVESMADRID ANNECY SCHAAN VIENNA

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

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.

22nd-24th Sept 2016 Schaan, Liechtenstein

£545Price includes accommodation

and evening entertainment.Price does NOT include

flights & transfers

ONLY

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

9 HOURS

VERIFIABLE

CPD

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with Dr. Markus Lenhard