Issue Five Spring 2010

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1 Issue Five Spring 2010 Pentamix 3 Automatic Mixing Unit Experience Speed, Ease and Accuracy Lava Loyalty Programme Our way of giving something back to you Filtek Supreme XTE Universal Restorative How does nanotechnology enable high polish? Lava Chairside Oral Scanner (C.O.S) Innovation in Digital Impression taking National Promotions For July to December 2010 Spring 2010

2 Welcome by Dr Mary Anstice Pentamix 3 Automatic Mixing Unit Request your free trial today! 2. As I write this the sun is shining, the sky is blue and the mayhem of the snow storms seems like an age ago, thank goodness! I don t know about you, but I find the longer days a real boost and pick-me-up after the cold winter months! It gives me great pleasure to write this, the introduction to the first edition of The Bite to be published since I rejoined the 3M ESPE team. The articles following will update you on the very latest in restorative and scanning technologies and also on some of the exciting opportunities that we offer to our customers, The recently launched Filtek Supreme XTE Universal Restorative builds upon the clinical success of Filtek Supreme XT restorative. This new restorative has the same excellent physical properties as its predecessor but now offers an increased range of body shades to make effective aesthetics even easier to achieve. Learn more about Filtek Supreme XTE restorative and how you can achieve great results in the article on pages 6 and 7. There have now been over 25,000 cases using the Lava Chairside Oral Scanner (C.O.S) worldwide, it is clear to see that the digital side of dentistry has well and truly taken off. The Lava C.O.S is the only system that uses real time video images and 3D-In- Motion technology. Read a case study by Dr Ilan Preiss of Bow Lane Dental Practice, London on page 9. Have you taken advantage of our free trials on the Pentamix 3 Mixing Unit, our new, fast and accurate automatic mixing unit? The Pentamix 3 unit is 100% faster than the its predecessor the Pentamix 2 Mixing Unit and you can be confident that materials are free of voids due to automatic mixing at the touch of a button. To get your free trial just follow the three easy steps on page 3. We have recently launched the Lava Crown and Bridge Loyalty Programme, this is our way of saying thanks to you for using Lava products. Further information on the great rewards such as flat screen TVs and digital photo frames and how you can sign up, can be found on pages 4 and 5. Finally congratulations to the winners of the competition in our previous issue. Mr Peter Douglas of Raynesway Dental Practice in Derby won the City Break, Dr Ian Storrar of The Coach House Dental Practice in Gloucestershire won the ipod touch and Ms Gill Wheatley of Amsel and Wilkins won the Virgin, Wine vouchers. Make sure you enter this issues competition to win more great prizes, as the saying goes you have to be in it to win it! I hope you enjoy reading this issue of The Bite as much as I did! Best wishes Dr Mary Anstice General Sales and Marketing Manager Contents Pentamix 3 Mixing Unit Experience Speed, Ease and Accuracy Lava Chairside Oral Scanner The Lava C.O.S, is the latest innovation in digital impression taking Filtek Supreme XTE Universal Restorative How does nanotechnololgy enable high polish? Adper Easy Bond Self-Etch Adhesive Simple, strong and convenient Lava Loyalty Programme Our way of giving something back to you Promotions & Competition Experience Speed, Ease and Accuracy Experience the speed, convenience and accuracy of mixing Impression Materials at the touch of a button, with the Pentamix 3 Mixing Unit. Thousands of dentists worldwide have taken advantage of the benefits of the Pentamix System and now you can trial this system for FREE. Trial the Pentamix 3 Mixing Unit today and gain more working time with the fastest mixer on the market¹ Designed to complement the full range of 3M ESPE impression materials, the Pentamix 3 automatic mixing unit delivers a completely homogeneous mix for exceptionally accurate impressions and perfectly fitting restorations every time all at the touch of a button. 100% faster than the Pentamix 2 mixing unit, the Pentamix 3 Mixing Unit provides dentists with a high quality mixture of material and ultimate procedure efficiency. Dentists can be confident that the materials are free of voids which can interfere with the accuracy of the impression, whilst the automatic mixing process eliminates uncertainty for the entire practice team, allowing you to dispense only the exact amount of material needed. The stylish, Pentamix 3 mixing unit saves counter space with the smallest footprint on the market¹. With its high-tech, sleek design it will keep your surgery looking good and the wall - mount option lets you free up your counter space completely to optimise valuable working space. 99% of all Pentamix customers would recommend the Pentamix 3 to their colleagues! * So why not trial the award winning machine today for free. Experience Speed, Ease and Accuracy in three easy steps. Step 1 Call Telesales on and request a free Pentamix 3 trial. Let them know the material you would like to use and they will ensure the correct intro kit is ordered for you. Step 2 Your trial machine will be delivered along with your chosen intro kit worth over 100**. Your local sales specialist will demonstrate how to use the machine and then leave you to trial the Pentamix Mixing Unit and the material for two weeks. Step 3 At the end of your trial period, your sales specialist will visit to discuss your experience of the Pentamix 3 Mixing Unit and ask whether you would like to buy a new machine to have in your practice. No matter what you decide, you can keep the intro kit, at no charge to yourself. ¹Source: 3M ESPE internal data. * Source: Results of the 2008 Satisfaction Survey ** Based on RRP 3.

3 Lava Chairside Oral Scanner (C.O.S) A clinical Case Study 4. The Lava C.O.S from 3M ESPE, is the latest innovation in digital impression taking. Although the concept of digital impression taking has existed for some 20 years, the Lava C.O.S is the only system which uses real time video images and 3D-In-Motion technology to allow the continuous capture of approximately 20 3D video sets per second, or close to 2,400 data sets per arch for an accurate high speed scan using the digital wand. The revolutionary technology gives dentists the ability to view their work with far greater accuracy. This, in turn ensures they create better fitting restorations for their patients. The scanner may also be used as an intraoral camera, as the digital wand captures video footage of the patients teeth which the dentist can then use to discuss treatment options with their patients. Case Study by Dr Ilan Preiss of Bow Lane Dental Practice, London Onlay A 35-year-old female presented to our practice with a recent root canal treated upper right first premolar 14. She was advised to place an occlusal coverage restoration on the tooth to prevent future fracture, as most of the tooth, with the exception of the buccal wall was made up of filling material. To complicate matters she recently had a gingival graft procedure, which was necessary to cover over an area of recession on this tooth. (See figure 1). Figure 1 Figure 2 Figure 3 Figure 4 Her peridontist issued strict instructions not to have a margin that came close to the grafted region. After consideration it was decided that an onlay would meet all clinical requirements. As the patient was also very demanding on the final aesthetic result, this was the best decision. An accurate shading was taken both of the enamel and dentine shades before prepping. Any discolouration at the base of the cavity during the preparation stage was also noted. (See figure 3 and 4). Dr Ilan Preiss The 14 was prepared for a pressed porcelain onlay with the finishing margin, buccally a few millimetres short of the cervical margin. Guidelines for the preparation of a porcelain onlay were carried out. The region to be treated was then isolated and prepared in order to allow for an accurate scan of the tooth. This required adequate cheek and lip retraction as the prepared area had to be kept dry. This was achieved using Kerrs Optragate and triangular Dry Tips alongside adequate suction. A light dusting of the regions using the Lava C.O.S powder was undertaken for the areas due to be scanned. (See figure 5) - please note: this isolation is only an example and is from a different patient and is for a lower tooth; in the upper arch the tongue retractor is not required. The digital wand of the Lava C.O.S (Figure 6) was then passed over the upper right quadrant to capture all details, as well as the opposing quadrant and bite registration. Using the digital wand avoided any discomfort for the patient. The end result produced an accurate 3D image of the case which allowed both the dentist and patient to review the tooth in a 3D format and analyse the preparation from all angles in great detail. Figure 5 Figure 6 A temporary restoration made from a putty guide of the original shaped tooth was then constructed and made with an acrylic temporary and cemented with non-eugenol cement. Live webinar with Dr. James Hooper on 26th May 2010 from 7-9pm. Earn 2 hours CPD. For more information or to register contact info@smile-on.com or telephone A prescription for the patient was created and then transmitted wirelessly with the data collected from the scan, using the prescription page on the touch screen computer. Photographs of the case were also sent via to the technician. The laboratory received and digitally processed the case using the Lava C.O.S Laboratory Software, and the files were then sent digitally to a rapid prototype centre for the production of a stereolithographic model (SLA model) (See Figure 7). Figure 7 Figure 8 Figure 9 Figure 10 The laboratory received the SLA model and the usual laboratory steps were carried out in order to produce a porcelain onlay. (See figure 8). The fit of the porcelain onlay on the model was also checked, and one can see from the image (Figure 9) the great fit that is possible with the Lava C.O.S and SLA model. To ensure accuracy when using the Lava C.O.S it is important to ensure clear retraction, similar to when using conventional impression techniques. This can be achieved with a retraction cord, laser or other suitable methods. Looking at figure 10 in this particular crown case all the margins are visible, clear and smooth with rounded edges.(note that this image is of a crown prep and not the onlay case in question). During the next appointment, the fit appointment, the temporary restoration was removed and tooth cleaned of all remnants of temporary cement. The porcelain restoration was tried in and checked for fit, contact points and colour. Following this stage, all the usual protocols were carried out to cement the porcelain restoration using Variolink Cement (Ivoclar Vivadent) base and catalyst cement. Yellow A1 cement with low viscosity was chosen. Using a series of polishing burs and Soflex Discs the restoration and tooth were polished and occlusion checked in all excursions. 5. One can see from the final result (See figure 11), that all objectives were met and a fantastic fit and Figure 11 aesthetic result was achieved. All without risking the success of the gingival graft. In conclusion, the patient was delighted with the aesthetic result, and commented on how comfortable the digital impression felt in comparison to the normal process for taking dental moulds. Over 25,000 cases worldwide have now been produced with the Lava C.O.S. For further please contact 3M ESPE on or visit

4 Filtek Supreme XTE Universal Restorative Introducing the new Filtek Supreme XTE Universal Restorative We ve made a few changes we think you re really going to like... But we ve kept the same great handling, so you ll get beautiful restorations with minimal effort using our next-generation restorative from 3M ESPE. Beautiful restorations can be uncomplicated If you prefer the simplicity of a single-shade technique, you ll be pleased with the lifelike aesthetics of Filtek Supreme XTE Universal Restorative. We ve taken the already impressive aesthetics and improved the polish retention and fluorescence to help create the most natural-looking restorations. You ll find we ve expanded the range of body shades to give more options for an ideal single-shade match, and because this composite has exceptional strength, you can use one composite in both anterior and posterior cases. Our true nanotechnology provides wear resistance similar to enamel. A recent 5-year clinical study measuring occlusal contact wear, showed no statistically significant difference between Filtek Supreme XT universal restorative and enamel. Because Filtek Supreme XTE restorative is derived from the same patented nanotechnology, and in vitro lab data has shown it has a wear resistance equivalent to Filtek Supreme XT restorative, you can be confident using it anywhere in the mouth. One shading system with endless possibilities. We know that you are committed to making each restoration the best it can be. If you prefer a dual-shade or multi-shade technique, then you ll enjoy the full palette of shades Filtek Supreme XTE restorative offers. To make it easier, we ve updated our shading system. Our syringes and capsule bottle labels are now colour-coded by opacity. Plus, the labels have bold lettering to help you quickly find the shades you ve selected. The advantages at a glance Simple to use Exceptional handling More body shades for single-shade restorations Bold, easy-to-read, colour-coded labels Lifelike aesthetics Excellent polish Wide range of shades and opacities Improved fluorescence Unique nanofiller technology Better polish retention than a microfill Wears better than leading competitors Outstanding strength for anterior and posterior use Amalgam filling replaced by Filtek Supreme XTE universal restorative in a posterior restoration, creating a strong, aesthetic outcome. Photos courtesy of Dr. Grant Chyz. See why 3M ESPE s nanotechnology is so appealing to dentists To understand Filtek Supreme XTE Universal Restorative delivers results no other composite can, you need to understand how our nanotechnology is different, and why it s better. Polish you can see. This side-by-side photo compares the polish retention of a leading restorative to that of Filtek Supreme XTE Universal Restorative after 6000 cycles of simulated toothbrushing. Dentists appreciate the excellent handling, and are impressed with the improved, natural-looking polish. Excellent aesthetics and handling led dentists to give Filtek Supreme XT Universal Restorative positive reviews, and feedback. SEM photos courtesy of Dr. J. Perdigao, University of Minnesota. Tetric EvoCeram Filtek Supreme XTE Universal Restorative Body shade Filtek Supreme XTE Universal Restorative Translucent shade Key improvements include: Remarkable polish: The restorative is now easier to polish and offers better polish retention than a microfill. Translucent shade handling: Now our translucent shades have the same non-sticky, great paste handling as the other opacities and are also available in capsules. Filtek Supreme XTE universal restorative is a system that provides excellent aesthetic results, whether using a single, dual or multi-shade technique. um Filtek Supreme XTE Nanocluster Tetric EvoCeram Filtek Supreme XTE Restorative Tetric EvoCeram Bonded nanofillers are the reason Filtek Supreme XTE restorative retains its brilliant polish Everyone has a natural shade, and you ve just found a simple way to match it. As a leader in ground breaking composite technologies, 3M ESPE is always in search of ways to improve it s products. We ve gathered feedback from dentists who use our product every day, to design the next generation of nanocomposite: Filtek Supreme XTE universal restorative. If you ve never used Filtek Supreme restoratives, you re about to discover what has impressed dentists for years. If you re already using Filtek Supreme XT universal restorative, you ll be happy to know we ve made it even better. We ve improved the polish retention and enhanced the fluorescence, helping you create natural-looking aesthetics. You ll find Filtek Supreme XTE restorative more user-friendly with more single-shade solutions, bold labels that are easier to read, and a wide range of shades and opacities to choose from um um This optical analysis compares the surfaces of a leading nano-optimized composite (left) and Filtek Supreme XTE Universal Restorative (Dentine, Enamel, Body shade) after toothbrush abrasion. Source: 3M ESPE internal data The initial gloss of most restoratives can be very impressive, but you want to know your restoration is going to retain its natural gloss for years. Tests prove the polish retention of Filtek Supreme XTE restorative is better than other composites, and is even better than a microfill. 3M ESPE builds its nanocomposite using a patented process that creates unique clusters of nanometer-sized particles. Nanoclusters allow the restoration to maintain a smoother surface for long-term polish retention. In contrast, most other composites including micro - and nanohybrids incorporate larger particles that contribute to significant roughness.

5 Adper Easy Bond Self-Etch Adhesive Simple, strong and convenient New - Lava Loyalty Programme! Sign up today and receive 10 free points! Just visit the loyalty website and when asked how you heard about us select The Bite and we will credit you with 10 free points that s half way to a RelyX Unicem Clicker Device! 8. MPA Simple, strong and convenient Unlike total-etch adhesives, with Adper Easy Bond Adhesive, the etching and the adhesion to dentine and enamel occur in a single step. This advantage, combined with the L-Pop Unit Dose Delivery System, makes Adper Easy Bond adhesive one of the most convenient adhesives of our time. That means a giant step forward in convenience, along with the certainty of achieving excellent results: High bond strength with proven chemical properties and fillers Significantly less post-operative sensitivity Moisture-tolerant - can be used on wet and dry enamel and dentine No mixing - always fresh and hygienic Adper Easy Bond Adhesive vs. ibond (Heraeus-Kulzer): Overall better adhesive qualities Adper Easy Bond s bond strength on cut enamel and dentine is statistically higher than ibond s Shear Bond Strength to Cut Enamel Adper Easy Bond Adhesive IBond Source: Internal data 3M ESPE (2008) MPA Shear Bond Strength to Dentine Adper Easy Bond Adhesive IBond As good as it gets: Five stars from The Dental Advisor. The clearest and most objective proof of quality: in 2008 the journal The Dental Advisor awarded Adper Easy Bond Adhesive the Editor s Choice rating.after experience with over 400 applications by 16 dentists, the result was clear: five stars, the highest possible evaluation. The convenient L-Pop unit dose system and the fact that the product need not be refrigerated, if used up within six months, came in for particular praise. One comment says it all: A great product - so easy to use! If you re convinced, please call us on to request a free sample and try Adper Easy Bond Adhesive for yourself. The Lava Crown and Bridge Loyalty Programme is our way of saying thanks to our dental professionals by giving something back to you. The 3M ESPE Lava Crown and Bridge Loyalty Programme is a reward scheme which awards points based on the number of Lava crown and/or bridge restorations you place. Points can be redeemed against various reward items which will add value to you, your practice and patients. The Lava crown and bridge loyalty programme is available to dental professionals in the UK and Ireland who are actively prescribing and placing Lava crowns and/or bridges. In order to qualify all Lava crown and/or bridge units will need to be processed using the unique Lava label code which you will receive with each of your Lava restorations. Points are earned on the number of Lava crown and/or bridges you prescribe and place. The more you place the more you earn! Each label represents one point. Advantages of Lava Restorations: Natural looking aesthetics Colour and translucency of the patient s teeth being imitated to the core using the patented unique shading system Metal-free and very good biocompatibility Trusted by tens of thousands of patients worldwide Long-term stability in the anterior and posterior areas¹ Did you know? We are so confident in Lava restoratives that we now offer a LIFETIME GUARANTEE on the framework of the product*. For more information on the programme visit or call Samantha Ellis on ¹ Dr F Beuer et al. University of Munich *Excluding the cost of laboratory work and surgery time 3 Easy steps Step 1 When the milling centre completes the coping they will fill out a dentist loyalty card with the name of your patient and the date. They will then place loyalty stickers on the dentist card to correspond with the appropriate units for the job. The labels and thus points are allocated in the following way; * Lava crown = 1 unit therefore 1 label * Lava 6 unit bridge = 6 units therefore 6 labels The milling centre will then add a corresponding label on the patient guarantee and send all of the above to the laboratory. Step 2 When the laboratory receives the coping from the Lava milling centre they will also receive the completed dentist and patient card. They will add their lab stamp or details and send this along with the finished case to you. Step 3 9. All you have to do is go to the loyalty website ( sign up and log your unique codes from the labels. Each time you do this your points will automatically be updated.

6 National Promotions 1 st July - 31 st December For our full list of promotions visit Restorative Promotins Prosthodontic Promotions 3M16 Buy 2 x Adper Easy Bond Self-Etch Adhesive Refills 3M17 Buy any 2 Adper Easy Bond Refills 3M03 Buy any 3 x Filtek Supreme XTE Universal Restorative / Filtek Supreme XT Flowable Refills 3M18 Buy 1 x Filtek Supreme XTE Dual or Single Shade Kit 3M19 Buy 1 x Filtek Silorane Low Shrink Posterior Restorative Trial Kit 3M12 Buy 3 x Filtek Silorane Refills 3M23 Buy 2 Sof-Lex Finishing & Polishing Strips or Disc Refills 3M24 Buy any 5 x Sof-Lex Refills 3M27 Buy any 2 Ketac or Photac Glass Ionomer Refills 3M05 Buy any 3 Penta Refills 3M20 Buy 2 x Penta Refills (except Position Penta ) 3M21 Buy any 3 RelyX Unicem Self-Adhesive Resin Cement Aplicap or Clicker Refills 3M22 Buy 2 x RelyX Unicem Aplicap Refills (50s) 3M25 Buy any 3 Protemp Temporary Material Refills 3M26 Buy 2 x Protemp 4 Refills Get 1 x refill of any 3M ESPE*composite FREE (Caps 20 s or Syringe refill*) Get 1 x Adper Easy Bond Intro Kit FREE Get 1 x Filtek Silorane restorative or adhesive Refill FREE Get 1 x Filtek Silorane System Adhesive Self-Etch Primer & Bond Kit (4773) FREE Get 1 refill of the same size FREE Get 1 x Photac or Ketac Aplicap Refill (50s) FREE Get x 1 Penta Refill FREE Get 2 x boxes of red Penta Mixing Tips FREE Get 1 x RelyX Fiber Post Intro Kit free or 1 x Protemp 4 Intro Kit FREE Get 1 of the same type FREE Get 1 x Protemp Crown Refill FREE Competition Winner Congratulations to the three lucky winners from the 2010 Winter edition of The Bite. Mr Peter Douglas of Raynesway Dental Practice in Derby won the City Break, Dr Ian Storrar of The Coach House Dental Practice in Gloucestershire won the ipod touch and Ms Gill Wheatley of Amsel and Wilkins won the Virgin Wine vouchers. Below are pictures of the winners with their prizes. Mr Peter Douglas of Raynesway Dental Practice in Derby Dr Ian Storrar of the Coach House Dental practice in Gloucestershire Ms Gill Wheatley of Amsel and Wilkins Make sure you enter this edition s competition by following the instructions enclosed in your letter. Good Luck! By dialing telesales on you can... Get advice on promotions and special offers. Place orders for your 3M ESPE products. Get information on the price of 3M ESPE products. Get information on future courses/seminars/conferences. Request product information and literature. Get help and assistance with any technical queries. Machine Promotions 3M06 Pentamix 3 / Impregum Penta Promotion Pack Contains 1 x Pentamix 3 Mixing Device, 1 x Impregum Penta Intro Kit, 4 x Impregum Penta Refills 3M07 Pentamix 3 / Express 2 Penta Putty Promotion Pack Contains 1 x Pentamix 3 Mixing Device, 1 x Express 2 Penta Putty Intro Kit, 4 x Express 2 Penta Putty Refills 3M14 Buy 1 x Elipar S-10 LED Curing Light Get 20 x 3M ESPE Composite materials refills FREE 3M15 Buy 4 x RelyX Unicem Aplicap refills (50s), or 6 x Get 1 x Rotomix Mixing Device FREE Photac or Ketac Glass Ionomer Aplicap refills (50s) * Please specify free product and shade on copy invoice To claim your free product, please fax your invoice, indicating your choice of free product (where applicable), to 3M ESPE on , and we will send out your free product. Terms and Conditions: Promotions are open to Dental Practitioners within the UK and Ireland. Promotions are valid from 1st July 2010 to 31st December Cannot be used in conjunction with any other promotion. No cash alternative can be offered to the free of charge products. 3M reserves the right to change or cancel the promotions at any time. Free of charge stock issued by 3M ESPE should be indicated on the invoice transaction. Promoter: 3M ESPE, 1 Morley Street, Loughborough, Leicestershire, LE11 1EP. Tel

7 Give your patients something to smile about Did you know? The Incognito Brace is a new generation of braces for people of all ages. The braces are placed behind the teeth so no one will know they are being worn unless the wearer tells you so! If your patients are looking for the perfect smile, tell them more about Incognito braces: Incognito braces are suitable for patients of all ages They are custom made for each patient for optimal comfort Achieve excellent results for all types of incorrect tooth positions Offer consistent and effective treatment outcomes Designed using the latest innovative technology What patients say about Incognito braces... After a few days of initial adaptation, you simply forget that the brace is there. I wish I had discovered the appliance sooner MW Encourage your patients to visit our newly designed patient website at Before After Here they will find: Patient testimonials Before and after pictures Doctor Locator find their nearest certified orthodontist who offers Incognito braces Introduce a friend promotion to receive 50 Marks and Spencer s vouchers* Smile With Confi dence Would you like to improve your smile but feel too self-conscious and embarrassed to have train-track braces? Invisible Incognito Braces could be the answer you are looking for 3Unitek What now? If you would like copies of the Incognito patient postcard to display in your waiting room please your delivery address and details of your request to 3MUnitekUK@mmm.com I found the Incognito braces extremely effective, they were easy to maintain and clean. They were also almost invisible so no one knew I had them on. They come highly recommended. EB * Please visit for full terms and conditions. 3M ESPE Dental Products 3M House Morley Street Loughborough Leicestershire LE11 1EP Telephone: Facsimile: (01509) mespeuk@mmm.com 3M Ireland Limited The Iveagh Building The Park Carrickmines Dublin 18 Ireland Telephone: (01) Facsimile: (01) Web: Spring M, ESPE, Elipar, Filtek, RelyX, Lava, Protemp, Pentamix, Ketac, Aplicap, Photac, Rotomix, Penta, Position and Sof-Lex are trademarks of the 3M Company or ESPE AG. Tetric EvoCeram is a trademark of Ivoclar Vivadent, ibond is a trademark of Heraeus Kulzer. 3M and Unitek are trademarks of the 3M Company. Incognito is a trademark of Top-Service / 3M Unitek. 3M Health Care Limited 2010.

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