Solutions for Dentistry - May - June 2018 3M.com.au/solutionsfordentistry
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What’s new? 3M™ Lava™ Esthetic Esthetic Fluorescent Full-Contour Zirconia Discover the next level of cubic zirconia aesthetics with 3M™ Lava™ Esthetic Fluorescent Full-Contour Zirconia – the first zirconia with inherent, toothlike fluorescence. Lava Esthetic zirconia offers high translucency at a high strength of 800 MPa* for all your aesthetic full-contour crown and 3-unit bridge cases. With built-in shade gradient, Lava Esthetic pre-shaded zirconia delivers predictable, excellent shade match to VITA® Classic shades. The inherent toothlike fluorescence allows for a lifelike appearance in any light. Seating is made easy with 3M™ RelyX™ Unicem 2 Automix Self-Adhesive Resin Cement. RelyX Unicem 2 combines high bond strength and ease of use without compromising reliability and aesthetics. Excellent shade match and natural fluorescence Ask your dental lab for 3M™ Lava™ Esthetic Fluorescent Full-Contour Zirconia. Dental labs: for more information email 3MoralcareANZ@mmm.com or call 1300 726 115. 3M.com.au/LavaEsthetic *3-point bending strength according to ISO 6872:2015; qualified for Type II, class 4; indications: crowns, bridges with one pontic between two crowns, inlays, onlays and veneers. Always follow the Instructions for Use (IFU) and refer to IFU for full indications, precautions and warnings. Claims supported by 3M data on file. Did you know? 3M makes thousands of Adhesives. Each has different characteristics to solve a specific “sticky” challenge. 3M™ Post-it® Note flies to outer space – Will it Stick? A Post-it Note recently travelled to outer space as part of the attention-getting “Will it Stick?” campaign. A post- it note was affixed to a weather balloon launched from Australia. The balloon and its payload travelled at 17 km/h through temperatures as low as minus 950C through jet stream winds over 299 km/h. Facing conditions similar to the surface of Mars, the Post-it Note stayed stuck! See in action at: https://youtu.be/uCKQXdDdhIo 3M Dental Adhesives designed for strength, versatility and ease of use. Created with your patients in mind, 3M dental adhesive options maintain the durability and aesthetics of dental restorations while minimising post-op sensitivity.* Designed for strength, versatility and ease of use, you can choose from universal, self-etch and total-etch options for all your direct and indirect restoration bonding and sealing applications. *3M Data on File 3
3M Health Care Academy SM Dr Cathia Bergeron presents ‘Get Ecstatic about Composites’. Don’t Miss Out! – Limited seats available International presenter and Laval University Dean Dr Cathia Bergeron (DDS, DMD, MS) is coming from Quebec City, Canada to present ‘Get Ecstatic about Composites’ during May 2018. In ‘Get Ecstatic about Composites’, Dr Bergeron targets clinicians aiming to enhance their knowledge and clinical skills in direct composite procedures with a comprehensive CPD program. Using scientifically valid information and personal clinical experience, Dr Bergeron imparts practitioners with a clinically conservative and predictable approach to apply in daily practice. The program will provide take home techniques for practitioners who wish to provide the affordable, functional and long-lasting aesthetic benefits of direct composite restorations with confidence. Date Speaker Location Title Event Host Register Brisbane Get Ecstatic about Composites! 14th May Dr. Cathia Bergeron ADAQ adaq.com.au/cpd Full Day Lecture Direct Restoratives made easy Melbourne Evening Get Ecstatic about Composites! 15th May Dr. Cathia Bergeron ADAVB adavb.net Event Direct Restoratives made easy Sydney Get Ecstatic about Composites! 17th May Dr. Cathia Bergeron ADA NSW adansw.com.au/CPD/Courses Full Day Lecture Direct Restoratives made easy Get Ecstatic about Composites! 19th May Dr. Cathia Bergeron Auckland NZ Expo nzda.org.nz Direct Restoratives made easy Download Dr Bergeron’s clinical case: Aesthetic Restoration of Maxillary Central Incisors from 3M.com.au/dental_education Upcoming Events Date Speaker Location Title Event Host Register Drs William and May 5th Perth Pulp Therapy and Stainless Steel Crowns ADAWA adawa.com.au Khadembaschi Ideal Aesthetics – Tips and Tricks for May 10th Dr Eric Tan Adelaide APS (SA Branch) facebook.com/APSSABranch/ more predictable aesthetic outcomes Drs Burt, Pandya May 22nd Melbourne Resin Bonded Bridges ADAVB adavb.net and Yeung June 2nd Dr Eric Tan Sydney Zirconia 101, 102, 103 ADANSW CPD adansw.com.au/cpd Drs Pandya, Burt, Achieving Predictable Ceramic University of June 6th/7th Melbourne mdhs-study.unimelb.edu.au Foong Restorations Melbourne Prof David Manton Paediatric Updates, Preformed Crowns, June 16th Melbourne ADAVB adavb.net and Dr Kelly Oliver Pulp Therapy and Hall Technique Drs Eric Tan and Minimally invasive contemporary June 16th Melbourne Smile Couture smilecouture@gmail.com Andrew Dillon prosthodontics A Practical Approach for Achieving June Drs Asheen Behari Perth Aesthetic and Functional Outcomes ADAWA adawa.com.au 22nd/23rd and Paul Gorgolis with Ceramic Restorations Drs Eric Tan and June 23rd Melbourne Veneers Workshop Smile Couture smilecouture@gmail.com Andrew Dillon racds.org/RACDSNEW_Content/Regions/ June 29th Prof Monty Duggal Perth Traumatology and Paediatric Dentistry RACDS Western_Australia.aspx June 30th Dr Michael Mandikos Perth Perfect Posterior Composites ADAWA adawa.com.au 4
3M Health Care Academy SM Clinical Case Listings Aesthetic Restoration of Maxillary Central Incisors. By Dr Cathia Bergeron Dr Bergeron clearly describes a fast and easy solution for those Friday Diastema closure using the 3M Aesthetic afternoon situations when patients have Restorative Solution: Time-tested materials with a modern spin on polishing. a dental emergency before a big event. By Dr Marcos Vargas In this clinical case, the patient had his “Given my primary research interest in the area graduation to attend! How to get a great of dental materials – bonding, composite resins result using Direct Composite resin and and aesthetic dentistry – I’m always examining keep the patient smiling. products with an eye toward simple techniques and patient pleasing aesthetic results”. Amalgam replacement using a new bulk fill Prevention programmes adapted to the Full-arch reconstruction integrating three restorative with increased opacity. individual patient’s needs. different cements. By Dr Giuseppe Marchetti By Dr Jacqueline Esch By Dr Carlos Sabrosa Every day patients present to the dental In this case, Dr Esch highlights the With the availability of various cements office in need of posterior restorations. In importance of implementing preventive for the permanent placement of indirect this case follow a step by step guide in an programs in practice for children and how restorations, it is essential for the dental efficient procedure with aesthetic results preventive treatments can be very effective practitioner to consciously select the ideal using a new bulk fill restorative. in the prevention of caries. cement for each indication. Implant-based all-ceramic restoration using Perfecting aesthetic techniques for Use of a simplified workflow for a post-and- an open or closed tray impression technique. replacing anterior class IV restorations. core restoration. By Dr Gunnar Reich By Dr Paulo Monteiro By Dr Carlos Sabrosa There are numerous implant impression Dr Monteiro describes a conservative direct Customised glass fiber posts that are techniques for making implant impressions composite resin approach to successfully well adjusted into the root canal and have and whether you use an open or closed tray restoring failing anterior composite resins mechanical properties similar to those technique or making implant- or abutment- in a young female patient. Application of the of dentine have been shown to be a very level impressions, a detailed impression Style Italiano technique offers predictability suitable treatment alternative for severely reduces the chance of costly retakes. in aesthetic outcomes and a happy patient. compromised endodontically treated teeth. Immediate relief of dentinal hypersensitivity. Simple and beautiful: Dual-layer technique Creation of a protective barrier around By Dr Kazuhisa Matsumoto in the anterior region. orthodontic brackets. In this case, Dr Matsumoto highlights By Dr Paulo Monteiro By Dr Jacqueline Esch the effects of dentinal hypersensivity, Simple and beautiful results from a direct restora- In this case, Dr Esch demonstrates the demonstrating preventive treatment tive dual layering technique. This case describes application of the simple & easy to use RMGIC options available for immediate relief a simple and predictable technique that enables Clinpro™ XT Varnish around orthodontic and aesthetically pleasing results. every dentist the possibility of repeatable results. brackets where white spots can oocur. Protection of permanent molars with fissure sealant. Treatment of dentine hypersensitivity. Aesthetic Posterior Restoration made easy. By Dr Jacqueline Esch By Dr Rakesh Jivan By Dr Dylan Yung In this case, Dr Esch demonstrates how the In this case, Dr Jivan depicts the simple & In this case, Dr. Young shows a simple clinical application of Clinpro™ Sealant on easy application of Clinpro™ White Varnish in step by step guide to successful posterior a high caries risk patient can be an effective dentinal hypersenitivity with immediate pain restorations using a simplified layering method of caries prevention. relief and aesthetic results. technique, utilising only two shades. 5 To view all our articles, please visit: 3M.com.au/dental_education
Because they like staying on schedule as much as you do. 3M, ESPE, Clinpro, Elipar, Filtek, Scotchbond and Sof-Lex are trademarks of 3M. © 3M 2018. All rights reserved. When patient appointments run on time, you’re a hero; when late, they can’t hide their disappointment. So, to help you stay on schedule, we’ve simplified a complicated, frequently performed procedure – the posterior restoration. By using 3M™ Filtek™ One Bulk Fill Restorative with other 3M products that require fewer steps, you’ll simplify the procedure from start to finish – saving time without compromising strength or aesthetic results. Your restorations will look good … and so will you. 3M.com.au/dental 3M™ Scotchbond™ 3M™ Filtek™ One 3M™ Elipar™ 3M™ Sof-Lex™ 3M™ Clinpro™ Universal Adhesive Bulk Fill Restorative DeepCure-S Diamond Tooth Crème LED Curing Light Polishing System 0.21% Sodium Fluoride Anti-Cavity + Toothpaste + + +
3M Health Care Academy SM Let the Light In Simple steps for achieving lifelike restorations By Daniel J. Poticny, DDS Finding the balance Fig. 1. A 42-year-old female patient with existing endodontics and restorative One of the most challenging things for dentists has been material on teeth 8 and 9. to balance aesthetics with strength in restorations. We know that restorative materials with high levels of glass typically produce the best aesthetic effect, because the glass allows the material to mimic enamel. However, higher glass content leads to a lower accompanying strength. There are times when strength takes precedence, but finding balance with simple solutions should be the stated goal. Current zirconia in its tetragonal form is highly popular for posterior applications due to chip and fracture resistance, Fig. 2. Determining shade match. Fig. 3. Minimal preparations were full-contour simplicity and ability to be cemented required for using 3M Lava Esthetic. conventionally or adhesively bonded. Once sintered, zirconia converts to a tetragonal form that is highly resistant to fracture. If a crack develops, the crystalline nature of the tetragonal material transforms to a monoclinic structure and exerts pressure on the crack to stop it from progressing. This property gives it a high flexural strength and better fracture toughness compared to other dental ceramics. However, this strength comes with compromises because the tetragonal form scatters more light than natural teeth, preventing it from mimicking natural dentition. Fig. 4. Minimal preparations were Fig. 5. Temporary material reshaped The case required for using 3M Lava Esthetic. the geometries of the patient’s anterior teeth. A 42 year old female patient came in with endodontics that had already been performed on tooth #8. She also had a substantial amount of restorative material on teeth #8 and #9. Her chief complaint was that she did not like the appearance of her front teeth. There was significant wear on the incisal edges and rotations that she wanted corrected. She simply wanted a better-looking shape and appearance for her teeth (Fig. 1). The preop image demonstrates the original, triangular shape of the teeth that the patient wanted altered. Fig. 6. Lab restorations on SLA model. In discussing treatment planning, the patient gave much consideration to three facts: 1. Endodontics had already rendered the teeth non-vital (reducing the importance of being minimally invasive). 2. The teeth were significantly composed of restorative material from prior dental procedures. 3. Modern restorative materials have gotten better at mimicking natural tooth structure in the smile zone and her fear of fake-tooth appearance could be avoided. Fig. 7. Sandblasting restorations Fig. 8. Dispensing 3M RelyX Unicem 2 These factors made it easy for the patient to accept at one- or two-bar pressure. Self-Adhesive Resin Cement into 3M a treatment plan for crowns. Lava Esthetic zirconia restorations. 7
for bleeding, open the sulcus and reduce crevicular weeping along with the cord. It can be used alone or with cord, I prefer both for optimal results (Figs. 3 and 4). We digitally scanned the impressions and made temporaries. We sent our laboratory a prescan in addition to the desired restoration position so they could overlay the patient’s precondition with the final position. This allowed us to achieve proper alignment for the midline and desired incisal correction for 8 and 9 (Fig. 5). Fig. 9. Crowns seated post-one-second Fig. 10. Restorations immediately light cure, easy cement removal. post-cement cleanup. Once we received the restorations from the lab, we removed the temporaries, cleaned up the residual cement, created a proper field for placement, and packed a little cord around the teeth to prevent any fluid contamination to the adhesive interface at the margins of the crown (Fig. 6). We cleaned the teeth, verified the restoration fit, and abraded the restorations with aluminum oxide at 2bar pressure to remove contaminants like phosphates present in saliva, which interfere with the self-adhesive cement, and to energize the zirconia surface to optimize adhesion with our resin-based, self-adhesive cement. Fig. 11. Restorations one week Fig. 12. Radiograph one-week postop. postoperatively. If the lab has pre-sandblasted, try-in your restorations, and clean with a sodium hypochlorite rinse followed by a water rinse prior to final placement (Fig. 7). Simple cementation LavaTM Esthetic Zirconia requires a resin cement for aesthetic purposes because of its inherent translucence. Self-adhesive resin cements are ideal due to aesthetic potential and simplicity of application. 3M’s RelyXTM Unicem 2 is a self-etching adhesive resin cement that requires no other formulations or chemical applications to Fig. 13. Lava Esthetic zirconia allows Fig. 14. Close-up left lateral view one the teeth, including etchants, disinfectants or desensitisers. restorations to fluoresce and look week postoperatively. For cement usage, the teeth can be cleansed with flour alive in UV light. of pumice, dried and left in a moist condition. This will For this particular case, I used a new full-contour zirconia provide the optimal conditions for maximum adhesion and (LavaTM Esthetic Zirconia, 3M). The zirconia is modified margin sealing (Fig. 8). It is not necessary to use a primer to incorporate both the tetragonal and cubic phases. This (MDP) when using RelyXTM Unicem 2 with zirconia as its combination boosts light transmission, which improves proprietary chemistry yields sufficient bond strengths the appearance and vitality of the material. Additionally, to zirconia in most cases. the product’s built-in fluorescence reacts to light like The cement can be dispensed through the syringe, placed into natural teeth without needing additional stains and glazes the crown and seated after you’ve cleansed the restoration that are often lost through wear. and the tooth. At that point, you can cure for a one-second The zirconia’s shading is built-in rather than painted on or interval on the buccal and lingual surface (consider a light infused via shading liquids. With this approach, a crown with a timer) and peel the cement away cleanly with a scaler, can be positioned with the gradients available in the puck floss through the contacts, light-cure again for 20 seconds or block and milled to form for true polychromatics that per surface or have the patient close for five minutes, clean will last the lifetime of the restoration (Fig. 2). up and you’re done (Fig. 9). The whole process of cementing the restorations took about 30 minutes (Fig. 10). Since we were dealing with the anterior teeth, the patient obviously wanted superb aesthetics. The laterals had a bit Postoperative recap of a halo effect around the incisal edges and we wanted to I had the patient come back one week following her achieve that same effect with the restorations. crown treatment to check on the restorations (Figs. 11–14). We started by preparing the teeth and adding composite She was ecstatic and commented how many of her friends materials to modestly correct the geometries to allow had crowns placed over their front teeth with less-than- for optimal milling and fitment. I packed retraction desired results. She also liked how she had more latitude cord around each tooth, and then used retraction paste when eating because of low likelihood for chipping. (3M Astringent Retraction Paste) to reduce the potential 8
3M Oral Care National Promotion Offers 1st May – 30th June 2018 3M Oral Care Bonus Fulfilment Enquiries: 1800 010 029 Cementation Solutions PURCHASE 3 x RelyX™ Unicem 2 or RelyX™ 1 OFFER Ultimate Automix Syringe Refills • RelyX Unicem 2 Self-Adhesive Resin Cement – 8.5 g Automix Syringe Refill • RelyX Ultimate Adhesive Resin Cement – 8.5 g Automix Syringe Refill RECEIVE BONUS 1 x RelyX™ Automix Syringe – 8.5 g Refill* + 1 x RelyX™ Regular Mixing Tips 30 Pack – (yellow 56851) (green 56883) *Bonus options are RelyX™ Unicem 2 Translucent (56848) and RelyX™ Ultimate Translucent (56890). If bonus is not nominated, bonus based on product purchased. Composite Solutions PURCHASE N E W! 4 x 3M™ Filtek™ Composite 2 OFFER Restorative Refills (Capsules or Syringes) • NEW! Filtek One Bulk Fill Restorative • Filtek Supreme XTE Universal Restorative • Filtek Supreme XTE Flowable Restorative RECEIVE BONUS 1 x 3M Filtek™ Composite Restorative Refill** (Capsules or Syringes. Shades A2/A2B or A3/A3B only) **Composite bonus will be based on product purchased of equal or lesser value. Bonus shades are A2B or A3B for Filtek Supreme XTE and A2 or A3 for other composites. If bonus is not nominated, shade A2 or A2B will be provided. Purchase based on 20 cap bottles, 2 x 10 cap bottles = 1 x 20 cap bottle. 9
Simple. Proven. Rely-able. Your practice depends on working smarter, not just harder. Smarter means increasing the efficiency of people, technology and supplies. That’s something 3M knows a lot about. For 50 years, and around the world, customers have trusted 3M cements to deliver reliable, predictable results that become the cornerstone of successful practices. 3M™ Dental Cements Trusted for Generations. 3M.com.au/dentalcements 3M.co.nz/dentalcements 10
Adhesive/Liner Solutions PURCHASE 3 OFFER 2 x 3M™ Adhesives OR Liners (in any combination) • Scotchbond™ Universal Adhesive (5 mL vial) (41258) • Scotchbond™ Universal Adhesive Unit Dose Packs (100 or 200 unit dose) (41256 or 41257) • Adper™ Single Bond 2 Refill (6 mL vial) (51202) • Vitrebond™ Plus Light Cure Glass Ionomer – Clicker delivery (Single or Double Pack) (7571 or 7572) RECEIVE BONUS 1 x Scotchbond™ Universal Adhesive Refill (5 mL vial) (41258) Curing Light Solutions PURCHASE 4 OFFER 1 x 3M™ Elipar™ DeepCure LED Curing Light (Stainless Steel – 76978 OR Lightweight – 76973) RECEIVE BONUS 1 x Elipar™ DeepCure Light Guide (76981) Temporisation Solutions PURCHASE 5 OFFER 2 x 3M™ Protemp™ 4 Refills Protemp™ 4 Temporisation Material Refill RECEIVE BONUS 1 x RelyX™ Temp Cement NE (56660) Impression Solutions PURCHASE 6 OFFER 3 x 3M™ Imprint™ 4 Penta™ or 3M™ Impregum™ Penta™ Refills • Imprint 4 VPS Impression Material – Penta Refill • Imprint 4 Preliminary VPS Impression Material – Penta Refill • Impregum Polyether Impression Material – Penta Refill RECEIVE BONUS 1 x 3M™ Imprint™ 4 OR 3M™ Impregum™ Penta™ Refill*** ***Bonus will be based on product purchased of equal or lesser value. 11
Preventive Solutions PURCHASE OFFER 7 12 x 3M™ Clinpro™ 5000 1.1% Sodium Fluoride Anti-Cavity Toothpaste† EW Clinpro 5000 1.1% Sodium Fluoride N A Anti-Cavity Toothpaste (113 g Tube) (Vanilla Mint) (12214) – For High Caries Risk Patients RECEIVE BONUS 3 x Clinpro™ Tooth Crème with TCP (113 g Tube) (Vanilla Mint 12216) – For Low to Moderate Risk Patients Preventive Solutions PURCHASE OFFER 7 1 x 3M™ Clinpro™ White Varnish with TCP (100 pack) (12250) B RECEIVE BONUS 1 x Clinpro™ White Varnish with TCP (50 pack) (12249) Preventive Solutions PURCHASE OFFER 7 3 x Clinpro™ Sealant Refills (1.2 mL) (12647) C RECEIVE BONUS 1 x Clinpro™ Sealant Dispensing Tips (12626T) + 2 x Clinpro™ Tooth Crème with TCP (113 g Tube) (Vanilla Mint 12216) 12
Dental Specialists NSW Cheryl Cox Natalie Bradshaw Simone Tannock M: 0448 961 760 M: 0457 563 109 M: 0404 136 316 E: ccox@mmm.com E: nbradshaw@mmm.com E: stannock@mmm.com VIC Heike Jahn Heather Turnbull Jo Stoney M: 0409 142 239 M: 0412 680 203 M: 0428 699 150 E: hjahn@mmm.com E: hturnbull@mmm.com E: jstoney@mmm.com WA SA & NT QLD Sue Simmonds Wendy Walker Leone Mackenzie Elizabeth Elliott (nee Robinson) M: 0409 315 683 M: 0402 084 693 M: 0417 734 815 M: 0401 029 658 E: wewalker@mmm.com E: lmackenzie2@mmm.com E: elivermore@ mmm.com E: suerobinson@mmm.com Technical Specialists National Account Specialist Stephen Langdon Janice Pitt Katharine Trumper M: 0418 384 251 M: 0412 355 134 M: 0417 258 361 E: sdlangdon@mmm.com E: jpitt3@mmm.com E: kjtrumper1@mmm.com 3M Oral Care Bonus Fulfilment Enquiries: Phone: 1800 010 029 Email: 3MOralCare@greeneagle.com.au Fax: 02 9700 7680 Mail: 3M Oral Care Promotion PO Box 256, Eastern Suburbs MC, NSW 2004 Promotion Terms & Conditions: To claim your bonus goods, please send your distributor invoice dated between May-June, 2018 to 3M Dental Promotion, PO Box 256 Eastern Suburbs MC NSW 2004. Purchases of product outlined in 3M Dental National Promotions May-June 2018, do not qualify for any other product or promotional offers not specified in these offers. Please nominate which bonus you are claiming. All claims must be received by last mail on July 31st, 2018. Claims received after this date will not be honoured. Please allow 4-6 weeks for delivery. Entry is open to all Australian practices. Promotional offers only available for purchase from authorised 3M Oral Care distributors. Please contact authorised distributors for pricing. Bonus goods available while stocks last. Bonus goods provided will be based on total amount spend of qualifying product purchased on one invoice. The required purchase quantities must be reflected on one invoice with no double dipping. Corporate Accounts may be excluded from receiving bonus goods. Promotional offers are available for purchase from 3M authorised distributors only: How is a 3M guarantee affected by grey market products? Products purchased through unauthorised dealers are typically not guaranteed by 3M should you experience any product performance problems, nor will 3M honour promotions or returns, since we have no assurances 3M Oral Care about their origin or handling. Contrarily, when you purchase products through a 3M authorised distributor, you receive the authentic products, service, training and support you deserve. 3M Australia Pty Limited 3M, ESPE, Clinpro, Elipar, Filtek, Impregum, Imprint, Lava, Penta, Protemp, RelyX, Scotchbond and Sof-Lex ABN: 90 000 100 096 are trademarks of 3M. All other trademarks are owned by other companies. © 3M 2018. All rights reserved. FLAME 3M4005B 03/18 Building A, 1 Rivett Rd North Ryde NSW 2113 †ClinproTM 5000 is a high fluoride toothpaste for use after recommendation by a dental or medical Ph: 1300 363 454 professional, in the prevention of dental caries in high risk patients. 3M.com.au/dental For Prescribing and Consumer Medicine Information please visit: www.3M.com.au/preventive
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