- Introduction VOCO GmbH, Department of Knowledge Communication Anton-Flettner-Str. 1-3 Postfach 767 D-27472 Cuxhaven Tel.: +49 (0)4721-719-0 Fax: +49 (0)4721-719-109 info@voco.de www.voco.de With, VOCO has introduced an innovative, highly aesthetic composite for anterior restorations which has been optimised in all relevant aspects of optics, working characteristics and stability. Profile of requirements Optical properties: High visual base transparency for (highly) translucent shades Separately adjusted, natural fluorescence for enamel and dentine shades Based on a natural opalescence optimised particle system (refraction with translucence) Intelligent shade concept Polishing properties: High gloss, minimal surface roughness, micro-particle hybrid Short polishing time and high gloss even with a soft polisher High abrasion resistance Shade stability: High chemical shade stability (coffee, red wine etc.) even with translucent shades Additive and stabilizers for resistance to UV light (prevents yellowing) Consistency: Smooth, non-sticky Slight difference in consistency between the dentine and enamel shades for precise modelling Polymerisation properties: Short curing times for translucent and opaque shades Extremely high resistance to chair light even with translucent shades Extended modelling times in anterior Physical properties: High transverse, compressive and tensile strength of modern hybrid composites Indications also include posterior restoration Minimal polymerisation shrinkage Universal application with all dentine adhesives Page 1/7, 02.12.2009, OHA
two-layer concept Core from opaque material Dentine shade Not translucent Shell/outside layer from translucent material Shade depth Variation Incisal edge Translucency / Opacity Translucence High Opaque 4 % Opaque 8-10 % Translucent 34-36 % (for incisal edges) High Translucent 65 % (for masking) layered 13 % Monolayer-Composite ca. 20 % (often appears grey) Active shade management, modification during the restoration First step Second step Third step Apply the opaque core layer Check the shade impression If good, next layer TN = Translucent neutral If too light, next layer TD = Translucent dark If too dark, next layer TL = Translucent light Finish restoration with chosen translucent shade Intelligent shade concept 5 base shades (Opaque) Opaque O1 Opaque O2 Opaque O3 Opaque O4 Opaque O5 3 enamel shades (Translucent) Translucent Light TL Translucent Neutral TN Translucent Dark TD 2 special shades Flow High Translucent HT Flow High Opaque HO 02.12.2009 2 / 7 Page 2/7, 02.12.2009, OHA
15 combinations Evenly distributed in CIELAB colour space L b Comparison of the shade distribution in CIE-Lab space (White ellipse indicates range of natural tooth shades) b* a* T/O O T VITA 02.12.2009 3 / 7 Page 3/7, 02.12.2009, OHA
b* a* T/O O T VITA Technical Data Table 1: and Flow technical data Flow Transverse strength (ISO 4049) 120 MPa 115 MPa Compressive strength 375 MPa 367 MPa Diametrical tensile strength (DTS) 51 MPa - Water absorption (ISO 4049) 18.4 μg/mm³ 27.6 μg/mm³ Water solubility (ISO 4049) < 1 μg/mm³ < 1.6 μg/mm³ Radiopacity (ISO 4049) 210 % Al 190 % Al Curing depth (ISO 4049) Translucent shades (10 sec.) Curing depth (ISO 4049) Opaque shades (40 sec.) > 2.5 mm > 2.0 mm > 3.0 mm (HT 10 sec.) > 1.5 mm (HO 40 sec.) 02.12.2009 4 / 7 Page 4/7, 02.12.2009, OHA
Shrinkage 3,0 2,5 2,0 [%] 1,5 1,0 0,5 0,0 Ceram X Duo Esthet X Filtek Supreme Point 4 Figure 1: Polymerisation shrinkage, University of Manchester, UK [1] Surface hardness 100 80 [MHV] 60 40 20 0 Ceram X Duo Enamel Plus HFO Esthet X Palfique Estelite Point 4 Tetric Evo Ceram Figure 2: Micro-Vickers hardness, University of Rostock [2] 3-Body abrasion 80 70 60 50 [μm] 40 30 20 10 0 Ceram X Duo Enamel Plus HFO Esthet X Synergy D6 Tetric Evo Ceram Figure 3: 3-Body-abrasion analogue J Dent Suppl 1, 22 (1994), S. 21-27, data on file, VOCO GmbH. 02.12.2009 5 / 7 Page 5/7, 02.12.2009, OHA
Polish 100 80 [~GU] 60 40 20 0 Ceram X Duo Enamel Plus HFO Esthet X Filtek Supreme Point 4 Premise Synergy D6 Tetric Evo Ceram Figure 4: Polish results, measurement of lustre according to DIN ISO 2813, data on file, VOCO GmbH Surface roughness 0,16 0,14 0,12 0,10 [μm] 0,08 0,06 0,04 0,02 0,00 Enamel Plus HFO Ceram X Duo Tetric Evo Ceram Filtek Supreme Plus Esthet X Figure 5: Average surface roughness after polish (Easygloss) acc. to ISO 4287, University of Tübingen [3] Curing times Translucent Opaque Ceram X Duo Enamel Plus HFO Filtek Supreme Synergy D6 0 5 10 15 20 25 30 35 40 [s] Figure 6: Curing times according to manufacturers instructions for use 02.12.2009 6 / 7 Page 6/7, 02.12.2009, OHA
Photosensitivity T O Filtek Supreme Enamel Plus HFO Ceram X Duo Tetric Evo Ceram 0 100 200 300 400 500 600 [s] Figure 7: Photosensitivity according to ISO 4049, data on file, VOCO GmbH Conclusion: With, a system is available which allows invisible and durable anterior restorations without an additional course of study. It unites the consistent improvement of all requirements of indication with a logical and manageable shade system. [1] Prof. Watts, University of Manchester, 2007, data on file, VOCO GmbH. [2] Prof. Behrend, University of Rostock 2007, data on file, VOCO GmbH. [3] Prof. Geis-Gerstorfer, University of Tübingen 2007, data on file, VOCO GmbH. 02.12.2009 7 / 7 Page 7/7, 02.12.2009, OHA