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innovationQUARTER 2 // 1st April - 30th June 2016 CLINICAL

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

Speak to your local

Ivoclar Vivadent Product

Specialist to find out

more about IPS Empress®

Direct our Product of

the Quarter.

4 FACTS AB

OU

T

IPS Empress® Direct

#1 IPS Empress® Direct has exceptional highly aesthetic qualities

#2Excellent polishing properties and a lifelike fluorescence associated with all IPS Empress® materials

Available in 32 shades along

with 5 levels of translucency

#3It’s the perfect match for IPS e.max® & IPS Empress® ceramic

restorations, for an exact shade match

IPS Empress® DirectThe aesthetics of a ceramic with the convenience of composite.

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

for direct aesthetic restorative procedures. IPS Empress® Direct

provides a high gloss polish and the lifelike opacity, fluorescence

and opalescence that is required to fabricate beautiful and

naturally aesthetic restorations with remarkable efficiency.

Dental professionals, researchers and colour specialists worked

together to develop IPS Empress® Direct’s new resin technology

maximising handling characteristics, physical properties and

uncompromising shade match.

Like natural dentin, the IPS Empress® Direct Dentin shades

exhibit a higher opacity and more opacious saturated chroma

than the Enamel materials.

IPS Empress® Direct has an even distribution of filler particles

which quickly and easily polish to provide a long-lasting

lustrous shine.

PRODUCT OF THE QUARTER

BUY 3GET 1FREE

*

#4

Lifelike aesthetics achieved withminimally invasive methodsTooth-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.

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

EDITORIAL

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

was dissatisfied with the colour and position of the left

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

22 had been endodontically treated, which explained

its substantial discolouration. The shade of the existing

composite restoration considerably deviated from that

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

tooth 22 contributed to the suboptimal overall appearance

of the dentition. It was inclined towards the palatal aspect

and therefore looked very small compared with the adjacent

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

achieved in one appointment. This was the ideal indication

for IPS Empress® Direct.

Layering

We suggested that the patient considered having the tooth

restored with a direct composite. This type of restoration

would involve minimally invasive preparation and could be

placed in one appointment. The patient accepted this proposal

and we proceeded to prepare tooth 22 for a modified veneer

and to remove any discoloured dental tissue. In the process,

as little as possible of the healthy tooth structure was ground.

Since minimally invasive criteria were being followed, the

existing composite restoration was not completely removed.

The tooth was conditioned and a bonding agent was applied.

Next, the discoloured dentin tissue was concealed with IPS

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

tooth surface in such a way that the restoration would not

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

was entirely covered with IPS Empress® Direct A2 Dentin. In

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

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

imitated the enamel areas of the adjacent teeth. The natural

incisors exhibited several dark incisal areas as a result of their

relatively high translucency. These areas were imitated with IPS

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

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

feature was recreated in tooth 22 using IPS Empress® Direct

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

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

with the help of an ingenious contouring instrument called

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

final contours of the restoration. The foam pad attachments

allow composites to be shaped quickly and without sticking.

This instrument has become an indispensible tool in our

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

Trans Opal was applied and the restoration was shaped again

with OptraSculpt® Pad. The Trans Opal material allowed us

to successfully imitate the natural optical properties of the

tooth surface. Subsequently, the restoration was polymerised

according to the recommendations of the manufacturer.

Finishing

The excess material was removed with finishers and fine-grit

diamond burs. The occlusion and function of the restoration

were checked. Then the restoration was polished to a high

gloss finish with silicone polishers and polishing discs in a few

easy steps. The patient was thrilled with the new appearance

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

blended in smoothly with the existing teeth. The optical

characteristics of the restoration were comparable to those

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

1.

i-Kids

patient returned to the practice for a recall appointment. On

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

patients an adequate alternative to lab-fabricated ceramic

veneers.

Dr Ali H. Özoglu

ART Dental ClinicGokce Residance D:1Atatürk C. No:50 SeyhanAdana, Turkey

aliozoglu@yahoo.com

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

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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

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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)

PURCHASE A

BLUEPHASE®

CURING LIGHT

AND RECEIVE £250RRP OF IVOCLAR VIVADENT

PRODUCT

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1,100 mW/cm2

Output

Charging base with battery indicatorThe illuminated ring

appears black once fully charged

Easy operation

Two button control

Inductive charging

Enables contactless battery charging

Bluephase® StyleThe curing light

The Bluephase® Style curing light is suitable

for every material due to the Polywave® LED.

The capability to cure all dental materials

is related to light emitted. In contrast to

the LED lights of the 2nd generation, the

Polywave® LED curing lights achieve an

optimal broadband spectrum of 385 to 515

nm, similar to the spectrum of halogen lights

that served as their model.

Therefore, Bluephase® Style is suitable for

polymerising all current photo-initiators and

materials without any restrictions.

PRODUCT HIGHLIGHT

PRODUCT HIGHLIGHT

SpeedCEM® PlusThe self-adhesive resin cement

Shear bond strength after self- & dual-curingon dentin after 24 hours

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

SpeedCEM®

PlusMaxcem

Elite*RelyX

Unicem2*SpeedCEM®

PlusMaxcem

Elite*RelyX

Unicem2*

MPa

25

20

15

10

5

0

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.

Not every restoration can be completely and evenly cured

with light. Strong self-curing capabilities offer an additional

measure of reliability when seating opaque or non-translucent

restorations.

SpeedCEM® Plus produces high bond strength values on

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

dentin without light-activation. This has been confirmed

in internal and external studies including the Shear Bond

Strength graph (right).

NEW

Photo-initiator: Camphorquinone

Photo-initiator: Lucirin TPO

Bluephase® Style with Polywave® LED 2

Elipar S10 *1

SmartLite PS *1

Demi Plus *1

Source: R. Price, Dalhouse University Halifax, 2011

rel.

Lich

tinte

nsitä

t

380*Trade names, not registered trademarks of Ivoclar Vivadent AG1 LED light 2nd generation2 LED light 3rd generation

400 440 460 480 500 520 540[nm]

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.

A14 S & L CAD Blocks now available in LT: A1, A2, A3, A3.5, B1, B2, C1, C2 & D2CAD/CAM Block

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

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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.

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.

The glazing and crystallisation furnace with new DSA function

PRODUCT HIGHLIGHT

PRODUCT HIGHLIGHT

SpeedCEM® Plus

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 30/06/2016. 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.

facebook.com/IvoclarVivadentUK&Ireland

@IvoclarUK

EDUCATION

MADRID

ANNECY

SCHAANVIENNA

ICDE UK

with Dr. Chris McConnell & 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.

3rd-5th March 2016 Madrid, Spain

19th-21st May 2016 Annecy, France

22nd-24th Sept 2016 Schaan, Liechtenstein

8th-10th Dec 2016 Vienna, Austria

£795Price included flights,

transfers, accommodation and evening entertainment.

ONLY

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

9 HOURS

VERIFIABLE

CPD

SOLD OUT

SOLD OUT

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Available on iPhone, iPad & Android.

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