< 1% shrinkage! * new record: Low Shrink Posterior Restorative. volumetric. The fi rst direct posterior composite to achieve less than 1 % shrinkage.
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1 Filtek Silorane Low Shrink Posterior Restorative The new record: volumetric < 1% shrinkage! * * < 1 % volumetric shrinkage tested by bonded disc method. The fi rst direct posterior composite to achieve less than 1 % shrinkage.
2 Siloranes Setting a new standard for the future of composites. Significant improvements in strength, wear-resistance, color and bonding have been made since dental composite resins were introduced. But the issue of volumetric shrinkage and its affect on marginal integrity has largely gone unresolved. Any time you restore a patient s tooth, you strive to achieve a perfect margin a smooth connection between the tooth structure and restoration without interruptions or gaps. Even if your technique is perfect, the chemical response of the composite material you use is out of your control. Because all composites shrink, achieving lasting marginal integrity has been a challenge until now. 3M ESPE has gone back to the laboratory, working from the ground up to deliver a brand new solution. Ten years in the making, is based on 3M ESPE s latest product innovation: silorane chemistry. This scientific breakthrough is the long-awaited solution that combines lowest volumetric shrinkage with biocompatibility. The silorane-based composite works with a dedicated self-etch adhesive. Why attaining an excellent margin is so important. To illustrate why this product chemistry breakthrough is so important, we need to examine the clinical symptoms associated with volumetric shrinkage, polymerization stress and marginal gaps. Then we ll show how Filtek Silorane restorative, along with the dedicated 3M ESPE Silorane System Adhesive Self-Etch Primer and Bond, work together to alleviate the problems. microleakage secondary caries enamel micro-cracks marginal staining adaptation post-operative sensitivity
3 Finally, a posterior composite that shrinks less than 1 % * When a composite is closer to no shrink than low shrink it deserves to be called a breakthrough! Since 195, the main strategy to reduce shrinkage has been to increase the filler load. However, shrinkage is an intrinsic property of the resin matrix. To date, no methacrylatebased chemistry has been developed to solve the shrinkage problem. Now, by changing the resin matrix, 3M ESPE has solved the problem with an innovative new ring-opening chemistry called silorane Shrinkage in % of volume Tetric EvoCeram Premise ELS Estelite Sigma QuiXfil Grandio CeramX XtraFil Filtek P6 Herculite XRV EsthetX Venus TPH 3 Shrinkage comparisons of Low Shrink Restorative and methacrylate composites using bonded disc method. Source: University of Manchester Revolutionary ring opening Silorane chemistry has resulted in the FIRST composite to shrink less than 1 %! Silorane chemistry is the basis for a new composite category breakthrough:. The illustration (below) demonstrates how the new silorane-based composite works at the molecular level to reduce shrinkage dramatically, compared to methacrylate-based composites. Silorane Volumetric Shrinkage <1% 1 As silorane-based composite polymerizes, ring-opening monomers connect by opening, flattening and EXTENDING toward each other. The result is significantly less volumetric shrinkage compared to methacrylate-based composites. Methacrylate Volumetric Shrinkage As methacrylate-based composites cure, the molecules of these linear monomers connect by actually SHIFTING closer together in a linear response. The result is a loss of volume. * < 1 % volumetric shrinkage tested by bonded disc method.
4 Lowest shrinkage to minimize polymerization stress restorative reduces polymerization stress by up to 8 % * Source: University of Amsterdam (ACTA) *Over methacrylate-based resins. Data on file. Polymerization shrinkage builds up forces that challenge the composite/adhesive interface and deforms the tooth. Lowering this polymerization stress reduces cusp displacement and helps to decrease the risk of enamel fractures and postoperative sensitivity. It also reduces risk of marginal gap formation and leakage. Graph shows polymerization stress in correlation to the volumetric shrinkage, proving shrinks less and results in less polymerization stress. (Stress method: Bioman; shrinkage method: bonded-disc method.) Source: University of Manchester Polymerization stress [MPa] Venus TPH 3 EsthetX CeramX Duo Herculite XRV Tetric EvoCeram Premise ELS Filtek P6 QuiXfil Filtek Supreme Grandio Estelite Sigma XtraFil Methacrylat Composite Shrinkage (Vol. %) Most stress MPa 5 Restoration: Restoration: QuiXfil stress Least Finite element analysis images show how Filtek Silorane restorative helps to minimize problems caused by polymerization stress. Note that the silorane restoration shows an absence of gray high-stress areas where enamel cracks and leakage in the margin can occur. Source: University of Minnesota Reduced tooth deformation is evidence of reduced polymerization stress. In a study comparing Filtek Silorane restorative to four methacrylate-based composites, Filtek Silorane restorative showed the lowest cusp displacement in an MOD cavity. 7 Cusp displacement [microns] Premise Tetric Flow Tetric Ceram QuiXfil Time [sec] [Method: electronic speckle pattern interferometry (ESPI)] Source: University of Geneva
5 The Restorative System is a key to excellent margins Silorane System Adhesive Self Etch Primer and Bond: A dedicated system adhesive for excellent bond strength. 3M ESPE Silorane System Adhesive Self-Etch Primer and Bond is an easy to use two-vial system that offers excellent bond strength to enamel and dentin, and provides the basis for low risk of post-operative sensitivity you expect from a self-etch system. Silorane System Adhesive Self-Etch Primer and Bond is a 6th generation two-step self-etching bonding Bond Strength [MPa] Dentin Tetric EvoCeram / AdheSE Enamel Dentin Enamel / Silorane System Adhesive system. It is the one and only adhesive formulated to ensure optimal bonding of the Low Shrink Posterior Restorative. NOTE: It is not designed to work with other composites. The Restorative System showed significantly higher shear bond strength values after thermocycling as compared to a leading methacrylate system. Source: University of Zurich Low polymerization stress and excellent bond strength: the base of your clinical success. Conventional composite: adhesive and shrinkage forces work in strong opposition. Achieving the ideal margin begins with the right chemistry. After 1 years in development, 3M ESPE introduces the Filtek Silorane Low Shrink Posterior Restorative System. This extraordinarily low-shrinking composite and optimal adhesive are formulated to work together for great clinical outcomes with: excellent marginal integrity reduced marginal gaps and microleakage reduced risk of marginal staining reduced risk of secondary caries reduced cusp deflection reduced risk of stress-induced enamel fracture reduced risk of post-operative sensitivity Excellent marginal integrity Bond strength Bond strength Polymerization stress Polymerization stress The Restorative System ensures marginal quality due to reduced shrinkage forces combined WITH excellent adhesive force values. % continuous margin (enamel and dentin) Before After Before After Before After Tetric EvoCeram / AdheSE QuixFil / Xeno III / Silorane System Adhesive Studies show the Restorative System provides better marginal integrity in mixed MOD restorations before and after chewing simulation as compared to leading methacrylate systems. [SEM analysis] Source: 3M ESPE internal data
6 Finally, everything you want in a posterior restorative. You ll like the way it handles. One thing you ll notice from the first time you use Low Shrink Posterior Restorative, is how easy it handles. Impressive nonstick qualities Very good initial adaptation of restorative to bond film allows for an easy placement of the first increment Excellent operatory light stability gives you up to 9 minutes working time for shaping the filling and restoring the tooth to its natural function There s no slumping the filling holds its shape Fast and easy to polish Available in the delivery you prefer: capsule or syringe Ambient Light Stability [Min] Tetric EvoCeram EsthetX Filtek Z25 Filtek P6 QuiXfil Premise packable Spectrum TPH Grandio TPH 3 Graph shows excellent ambient light stability of Restorative, giving dentists up to 9 minutes to place and shape the restoration under full operatory light illumination. [Method: ISO 449] Source: 3M ESPE internal data You ll like the way it looks. Water uptake measurements according to ISO 449 and Delta-E values for coffee staining revealed that Low Shrink Posterior Restorative is more hydrophobic and less prone to staining among leading composites tested. Source: 3M ESPE internal data The emphasis today is on not just repairing teeth, but on restoring teeth to their natural beauty. This superb, low-shrinking composite comes in popular shades that easily blend with surrounding teeth. Delta-E coffee staining Grandio Premise Tetric EvoCeram Estelite Sigma CeramX Venus water uptake [µg/mm 3 ] ISO 449 Available in 4 popular shades: A2, A3, B2, C2 Holds its shape so you can create beautifully shaped, natural-looking restorations Good polishability Exceptional low water uptake and substantially decreased exogenic staining Exhibits a lower bacterial adhesion rate compared to many leading composites tested. Source: University of Regensburg You ll like the way it lasts. Flexural strength of Filtek Silorane Low Shrink Posterior Restorative proves stronger than many clinically-proven composites, and is substantially above the ISO 449 limit of 8 MPa. Source: 3M ESPE internal data When you select a composite for the posterior region, you want assurance it can stand up to flexural forces during chewing. Filtek Silorane Restorative is strong and durable to protect the filling from fractures, and to stabilize the Flexural Strength [ MPa] Filtek P6 Herculite Grandio QuiXfil XtraFil CeramX Venus Tetric EvoCeram Premise Estelite Sigma tooth at the same time. Proven to have excellent compressive strength for stress-bearing restorations High flexural strength protects the tooth from fractures and stabilizes it at the same time Wear resistant ACTA test data on file Clinically proven strength and durability
7 It s easy to use the Posterior Restorative System Here is a step by step guide on how to create a Filtek Silorane restoration. The procedure for using the low-shrinking Filtek Silorane composite and Silorane System Adhesive is much like the one you use with your current composite system. To achieve optimal strength of the Filtek Silorane system, it is important to light cure both the self-etch Primer and the Silorane System Adhesive Bond. A load-bearing posterior composite filling has to be replaced. Marginal loss and leakage have led to secondary caries. Select from four shades: A2, A3, B2, C2. A chameleon effect makes it easy to match composite shade to tooth enamel. Application of Silorane Self- Etch Primer. Agitate primer on cavity surface for 15 sec. Light cure for 1 sec after drying with oil-free air. Thixotropic properties allow for a precise application of Silorane Bond. Light cure for 1 sec after dispersing Silorane Bond to a homogeneous film with oil-free air. Very good initial adaptation of to bond film allows for an easy placement of the first increment. No need for a sophisticated layering technique due to intrinsically-low polymerization shrinkage and stress! The non-sticky handling and the excellent ability to hold shape allow you to build strong contact points and create a natural occlusal shape under full operatory light! Light cure for 2 sec (LED, intensity 1 15 mw/cm 2 ) or 4 sec (LED intensity 5 1 mw/cm 2 or halogen 5 14 mw/cm 2 ). Depth-of-cure: 2.5 mm. Surface free of inhibition layer allows for a fast and easy polish. A strong and durable filling restored the tooth to its natural function. Natural-looking esthetics were achieved with an easy single-shade technique. In any restoration, using proper technique e is important. But ultimately, the clinical outcome depends equally on your choice of product. The new chemistry breakthrough of Filtek Silorane Posterior Restorative System makes it your best choice for durable posterior restorations and long-term patient satisfaction.
8 Posterior Restorative System offers significant advantages. The first composite to shrink less than 1 % Strong and durable Low water sorption for substantially decreased exogenic staining Radiopaque Available in 4 shades: A2, A3, B2, C2 (capsule or syringe) Up to 9 minutes operatory light stability Easy to handle; nonsticky; excellent ability to hold shape Dedicated self-etch adhesive with excellent bond strength Excellent marginal integrity 3M ESPE Capsule Intro Kit (4771I) Ordering Information 3M ESPE Syringe Intro Kit (4772I) Item No. Product Information Item No. Product Information 4771I 4772I 4771TK 4772TK 4771A2 4771A3 4771B2 4771C2 Capsule Intro Kit Kit includes: 8 capsules,.2 g each (4 bottles with 2 capsules each, shades A2, A3, B2, C2); 1 vial Primer 5 ml; 1 vial Bond 5 ml; 1 microbrushes (5 black, 5 green); 1 mixing well; 1 shade guide Syringe Intro Kit Kit includes: 4 syringes 4 g (1 each of shades A2, A3, B2, C2); 1 vial Primer 5 ml; 1 vial Bond 5 ml; 1 microbrushes (5 black, 5 green); 1 mixing well; 1 shade guide Capsule Trial Kit Kit includes: 2 capsules.2 g each, shade A3; 1 vial Primer 5 ml; 1 vial Bond 5 ml; 1 microbrushes (5 black, 5 green); 1 mixing well Syringe Trial Kit Kit includes: 1 syringe 4 g, shade A3; 1 vial Primer 5 ml; 1 vial Bond 5 ml; 1 microbrushes (5 black, 5 green); 1 mixing well Capsule Refill A2 2 capsules.2 g each, shade A2 Capsule Refill A3 2 capsules.2 g each, shade A3 Capsule Refill B2 2 capsules.2 g each, shade B2 Capsule Refill C2 2 capsules.2 g each shade C2 4772A2 4772A3 4772B2 4772C2 Syringe Refill A2 1 syringe 4 g, shade A2 Syringe Refill A3 1 syringe 4 g, shade A3 Syringe Refill B2 1 syringe 4 g, shade B2 Syringe Refill C2 1 syringe 4 g, shade C Silorane System Adhesive Self-Etch Primer and Bond 1 vial Primer 5 ml; 1 vial Bond 5 ml; 1 microbrushes (5 black, 5 green) 4773P 4773B Silorane System Adhesive Self-Etch Primer Refill 1 vial Primer 5 ml Silorane System Adhesive Bond Refill 1 vial Bond 5 ml 3M ESPE AG ESPE Platz Seefeld Germany info3mespe@mmm.com Internet: 3M, ESPE and Filtek are trademarks of 3M or 3M ESPE AG. AdheSE, CeramX, Charisma, ELS, Estelite, EsthetX, EvoCeram, Grandio, Herculite, Premise, QuiXfil, Sigma, Spectrum, TPH, Tetric, Venus, Xeno and Xtrafil are not trademarks of 3M. 3M 27. All rights reserved. 3 (8.27)
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