innovation I V O C L A R V I V A D E N T CLINICAL Quarter 1 // 1st January - 31st March 2016

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1 innovation Quarter 1 // 1st January - 31st March 2016 I V O C L A R V I V A D E N T CLINICAL VARIOLINK ESTHETIC INTERNATIONAL EXPERT SYMPOSIUM MADRID IPS e.max NEWS PROGRAMAT CS3 CEREC SPECIAL EDITION IPS e.max CAD

2 4 FACTS Variolink A B O U T Esthetic #2 Variolink Esthetic has a true to life try-in pastes, the shade you see is the shade you will cement with Esthetic is available as both a light and dual curing luting composite for permanent restorations #1Variolink smart combination of the light initiator Ivocerin #3The and a light sensitivity filter allows you to easily remove excess material after pre-polymerisation #4 Even if exposed to intensive light or a humid environment, Variolink Esthetic is not subject to visible shade changes because of the patented Ivocerin initiator Variolink Esthetic The aesthetic luting composite. Amazingly simple aesthetics. Variolink Esthetic is based on the aesthetic luting composites Variolink II and Variolink Veneer, which have proven their worth in clinical use for many years. Variolink Esthetic is available in these shades: Variolink Esthetic demonstrates exceptional shade stability. This is made possible by the patented, reactive light initiator Ivocerin, which is 100 % free of amine-based co-initiators. Variolink Esthetic forms the basis for long-lasting and reliable aesthetic results. Even if exposed to intensive light or a humid environment, Variolink Esthetic is not subject to visible shade changes. Speak to your local Ivoclar Vivadent Product Specialist to find out more about Variolink Esthetic our Product of the Quarter. BUY 3 GET 1 PRODUCT OF THE QUARTER

3 EDITORIAL Find out about: our latest aesthetic luting composite - Variolink Esthetic Adhesive luting composites has contributed to the rising importance of innovative restorative materials which allow for a defect-oriented preparation. Their adhesive bond makes it possible that highly aesthetic all-ceramics can be used even if no retentive preparation has been performed. An additional advantage of adhesive luting composites over conventional cements represents the enhanced long-term integrity of the restoration margin. 1. An IPS e.max CAD restoration was decided in order to achieve an efficient and aesthetic result. The advantage of conventional cements (e.g. phosphate or glass ionomer cements) lies in the easy and time-saving removal of excess material, which adheres mechanically to the tooth structure and is easily discernible due to its opaque shade. However, for conventional cements to establish a mechanical bond, retentive preparation is required. The advent of adhesive luting composites has contributed to the rising importance of innovative restorative materials which allow for a defect-oriented preparation. Their adhesive bond makes it possible for highly aesthetic all-ceramics such as IPS e.max Press/CAD to be used even if no retentive preparation has been performed. It is essential in such cases, however, that a luting material of an appropriate shade and translucency level is selected in order to obtain excellent aesthetic results. This applies in particular to restorations with a low material thickness. An additional advantage of adhesive luting composites over conventional cements represents the enhanced long-term integrity of the restoration margin. The low solubility and high resistance to wear of these luting composites lead to a reduced washing out of the cement gap. Optimum aesthetics for a broad range of indications A 25-year-old patient presented to our practice with an insufficient composite filling and secondary caries on the lower left 6. Since the defective area was very large, treatment with an IPS e.max CAD restoration was decided in order to achieve an efficient and aesthetic result. After placement of the core build-up and preparation of the tooth, the tooth was scanned intraorally and a partial crown was designed (Fig. 1). Subsequently, the non-crystallised restoration was ground and tried in to check the contact points and the fit. In order to assess the aesthetic appearance and the shade effect, the characterised and fired restoration was again tried in using Variolink Esthetic Try-In Paste Neutral. During these trial placements, care was taken that the tooth was sufficiently moist to ensure a lifelike shade impression. An anatomically shaped rubber dam (OptraDam Plus) was used for absolute isolation during the final placement of the restoration. First, the enamel was etched for 15 seconds, followed by the entire cavity for another 15 seconds. Then, Adhese Universal was applied onto the prepared tooth surface and dispersed with a stream of air (Fig. 2). Special care was taken that no material pools formed at the cavity floor. Subsequently, the restoration was light-cured with a polymerisation light (Bluephase Style) for 10 seconds. To obtain an optimum bond, the IPS e.max CAD restoration was etched with hydrofluoric acid (IPS Ceramic Etch Gel) for 20 seconds and conditioned with Monobond Plus.

4 EDITORIAL CONTINUED In a next step, Variolink Esthetic DC was applied on the restoration which was subsequently positioned on the tooth. After pre-polymerisation of the excess material using the quarter technique (two seconds per quarter surface) (Fig. 3), the gel-like excess material could be easily removed using a scaler (Fig. 4). Glycerine gel (Liquid Strip) was applied to prevent the formation of an inhibition layer. 4. In a final step, each segment of the restoration was lightcured for 10 seconds, the composite gap was finished and polished (Astropol) and the occlusion was checked. The patient returned 1 week later to confirm the successful placement of the restoration (Fig 5.) 5. Dr. Stephanie Huth Research Associate Ivoclar Vivadent AG Schaan, Liechtenstein stephanie.huth@ivoclarvivadent.com Scan here to complete the questionnaire regarding this article to receive 1 hour CPD. Visit for more details NEWS Ivoclar Vivadent s IPS e.max is streets ahead system ITV s Coronation Street actress Alison King definitely had something to smile about at the TV Choice Awards in The actress not only walked away with the Best Soap Actress award for playing Weatherfield s Carla Connor, but also had a gleaming IPS e.max smile to match her dazzling outfit. Blaming her thumb-sucking habit as a child for needing six teeth crowned ten years ago at a London Dental Practice, former Dental Nurse Alison wasn t left with the smile she deserved: As an actress onscreen I d began to notice how my top and bottom front teeth had been pushed into the middle where my thumb had been! The inside bottom four teeth around the gum line were much shorter than the rest of the teeth... I wanted a smile that didn t look out of character, and together John and Jonathan really did make happen what other dentist s had said was impossible. I m truly indebted to them forever and smiling happily! READ MORE at John Hewitt, City Centre Dental Practice & Jonathan Asquith, Dentechnica Limited

5 FOCUS PRODUCTS Tetric EvoCeram Tetric EvoCeram is the universal composite for anterior and posterior restorations that delivers outstanding aesthetics. 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 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 EvoFlow Bulk Fill Tetric EvoFlow Bulk Fill can be cured in increments of up to 4mm, excellent affinity to cavity walls and self-levelling consistency are additional benefits. Tetric Classic Tetric is a classic among the universal composites. An outstanding radiopacity of 400% Al IPS Empress Direct IPS Empress Direct is a lightcuring, highly aesthetic nanohybrid composite filling material for direct restorative procedures in the anterior and posterior region. Adhese Universal Adhese Universal is a singlecomponent, light-cured adhesive for direct and indirect bonding procedures that is compatible with all etching techniques. Monobond Etch & Prime The first single-component ceramic primer in the world, which allows you to etch and silanate glass-ceramic surfaces in one easy step & improves bond strength. Multilink Automix Variolink Esthetic OptraGate Multilink Automix is an adhesive luting system for the cementation of indirect restorations made of silicate and oxide ceramics, metal and metal-ceramics & composites. Variolink Esthetic is an aesthetic light- and dual-curing luting composite for the permanent cementation of ceramic and composite restorations. OptraGate is latex free device that retracts the lips & cheeks evenly and gently, allowing more effective, relative isolation of the treatment field. OptraDam Plus Due to its anatomical shape and flexible, three-dimensional design, OptraDam is completely different from conventional rubber dams. ExciTE F ExciTE F is a light-curing, fluoride releasing, singlecomponent total-etch adhesive for the placement of direct restorations. Cervitec Chlorhexidine containing Cervtiec products offer individualised solutions, in terms of the active ingredient concentration, delivery form and application method. Fluor Protector S The protective fluoride varnish that is colophony & latex free which provides superior protection against dental caries and erosion. BUY 3 GET 1 New User Offers Available 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)

6 PRODUCT HIGHLIGHT CAD/CAM Block Now Including IPS e.max CAD MT BUY 17 GET 5 BUY 8 GET 2 BUY 5 GET 1 Blocks include, IPS e.max, Telio CAD and IPS Empress CAD. Cheapest block packs will be. Offer only available when all placed as one order. PRODUCT HIGHLIGHT Programat CS3 Cerec Special Edition The glazing and crystallisation furnace with new DSA function The new Programat CS3 is designed to process IPS e.max CAD. It allows crystallisation and glaze firing procedures to be carried out in the dental office with utmost ease and efficiency. Designed for simple and intuitive operation, the furnace offers pre-set Ivoclar Vivadent programs and a controlled cooling process. In addition, the Programat CS3 is equipped with the Digital Shade Assistant system, which enables the tooth shade to be determined on the basis of a digital photo using digital technology. PURCHASE A PROGRAMAT 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

7 PRODUCT HIGHLIGHT 1,100 mw/cm2 Bluephase Style Output The curing light PURCHASE A True innovation proves itself in use. A Easy operation BLUEPHASE perfect example of this is the Bluephase Style curing light with the specially Two button control CURING LIGHT developed Polywave LED. The curing light is capable of polymerizing all current photo- AND RECEIVE initiators and materials. 250/ 340RRP OF IVOCLAR The Bluephase Style curing light set new Inductive charging VIVADENT PRODUCT standards in every respect. They are not only the best-selling LED polymerisation lights in Enables contactless battery charging Europe but they are also used in numerous clinical studies. They have also been ranked top light-curing unit by independent and renowned test institutes. Charging base with battery indicator Click & Cure Every Time 1 The illuminated ring appears black once fully charged 2 3 PRODUCT HIGHLIGHT HIGHLIGHT Fluor Protector S i-kids The protective fluoride varnish Become a certified i-kids practice The department of Health recommends the application of What is an i-kids practice? fluoride varnish to help reduce the risk of caries. As a general An i-kids practice is committed to delivering preventative rule, all children should have fluoride varnish applied twice messages and care to its child patients and their families. each year and all high-risk adults twice per year. Ivoclar Vivadent is supporting practices that invest in their Additionally, if a child is high-risk it is recommended for the preventative products by providing you with a resources fluoride application to take place at least twice a year. pack. Advantages: Colophony & Latex Free All you have to do is meet the minimum spend on Fluor Prescription Free Protector S and other products in the i-kids range. Indicated for Long Term Caries Prophylaxis your local product specialist for more information al Care Certificate of B r a v eor r ys Par tect Pro r Fluor ents Flye rtant. ce is impo of informa ntal practi g in the de serves as a source Counselin are explain er fly ts ts ren paren s of pa ern nc teeth?" O The new co for d d t is ba tions an basic ques h important?", "W ha alt (EN dental he S Parents r cto ote (D Fluor Pr S Parents 0304 Flyer Protector Art. Nr. 68 has earned this Flyer Fluor 03 certificate for exceptional Art. Nr courage. Signature: /0609/e/Wenng GET 1 Please speak to Protector of Beautiful r ke i-kids Stic Pediatri cd ent ad Solution s tal en Ivoclar V iv New Users Only T INFORM and Healthy Teeth BUY 1 n Professio PROD UC ny i-k w also fun is no rents flyer with the pa In keeping 19 Sticker i-kids 03 Art. Nr. 68 ids stickers set of

8 EDUCATION ICDE UK the WOrLD OF RESTORATIVES MADRID ANNECY SCHAAN VIENNA with Dr. Chris McConnell & Dr. Markus Lenhard 9 HOURS VERIFIABLE CPD 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 VIENNA they can be done in significantly less time than indirect alternatives. Based on several SCHAAN clinical cases, our courses will show the importance of techniques and the tricks needed to show the difference ANNECY between aesthetic and economic success and failure. 3 rd -5 th March 2016 Madrid, Spain 19 th -21 st May 2016 Annecy, France 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 MADRID restorations. Call Georgia: Visit: ONLY 795/ 1090 Price included flights, transfers, accommodation and evening entertainment. 22 nd -24 th Sept 2016 Schaan, Liechtenstein 8 th -10 th Dec 2016 Vienna, Austria THE QUALITY OF ESTHETICS powered by ivoclar vivadent INTERNATIONAL EXPERT SYMPOSIUM Madrid - 11th June 2016 Ivoclar Vivadent is hosting the 3rd International Expert Symposium on 11 June 2016 in Madrid. Renowned international speakers will share and discuss their experiences with innovative direct and indirect restorations. The talks are based on state-of-the-art research and evidence. Furthermore, the lecturers will provide insights into their work at academic institutions and universities as well as into practical work. Be part of this exciting event and receive valuable tips from highly recognised experts in the field of direct and indirect restorations. We look forward to welcoming you to the International Expert Symposium 2016 in Madrid. Call Georgia: Visit: Dr. Ronaldo Hirata Dr. Andreas Kurbad Rafael Piñeiro Sande, D.D.S. For more information on any featured Ivoclar Vivadent product. Please visit facebook.com/ 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 31/03/2016. E&EO ORDER NOW sales@bfmulholland.com BF Mulholland 58 Glenavy Road, Crumlin, County Antrim, BT29 4LA