Venus Step by Step Guide - Layering-technique
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Contents Introduction 2 Aesthetic composite restorations: General information 4 Aesthetic composite restorations: Anterior teeth 5 Case studies – anterior teeth Case A 6 Case B 12 Case C 16 Aesthetic composite restorations: Posterior tooth region 21 Case studies – posterior teeth Case D 22 Case E 27 Annex Shade selection 32 Preparation 33 Adhesion 34 Polymerisation 35 Finishing and polishing 36 References 37 Venus® indications 38 Venus® shades 38 Venus® product outline 39 3
Introduction Heraeus Kulzer invests in research and development of dental products since many years. Venus® is the result of all experience gained in the development of light-curing composites. Excellent aesthetics are not simply a matter of chance or time- consuming trial and error with Venus®. The excellent handling properties, Color Adaptive Matrix, and 2Layer shade system of Venus produce excellent aesthetics easily, quickly and reliably. All products from Heraeus Kulzer are developed in cooperation with universities worldwide. Only this continuous scientific discussion allows the perception of the necessities of dentists and patients and the study of the right solutions to these growing demands. 2
Out of this originates the formative proposal from Heraeus Kulzer and the University of Brescia in Italy. Professor Antonio Cerutti, responsible for the Department of Conservative Dentistry, and his staff consented to build an informative document that allows you to go step by step into the details of the restorative dentistry. Aesthetics are nowadays a primary request from patients in all dental specialities. To combine a result that is aesthetically suitable to the patient with the necessary functionality and longevity of a restoration, requires a deep knowledge of various ambits: adhesion, stratification, colour, polymerisation, finishing and polishing. The Venus® Step by Step Guide supplies in a simple, quick and intuitive way all those concepts that will lead to appreciable improvements in the clinical day-to-day work. Thank you for your attention and loyalty, Heraeus Kulzer 3
Aesthetic composite restorations: General information Preparation The surface of the teeth, which will be treated, should be cleaned Filling materials shrink during the polymerisation process due to with a fluoride-free prophylaxis paste and the tartar removed, their material properties. Davidson introduced the C-factor con- if necessary. The colour should be selected on the still hydrated cept. He defined it as the ratio between free and bonded surfaces teeth. All needed indications for this procedure will be provided in of a restoration: the greater the number of walls connected by an a following chapter of this guide. For the moment, only the Venus increment of composite, the more stress accumulated on the shade guide made of original material will be used for shade tooth; a class I will therefore be much more unfavourable than a selection. class II. To avoid such a problem, a micro-incremental technique and particular measures will be introduced in this chapter of the Before starting the restoration, a rubber dam should be placed to Venus Step by Step Guide. guarantee the work in a place free of humidity (the greatest enemy of adhesive materials and composites), a greater concentration on the operating field, and the highest level of safety for the patient. The restorations should recreate the portion of the dental tissue lost due to decay, erosion or trauma. It is therefore very important to remove the damaged or unsteady tissues (undermined enamel). In the same way, in the case of previous fillings, whether in amalgam or composite, the old restoration has to be removed and the remaining natural structure controlled. 4
Aesthetic composite restorations: Anterior teeth For anterior restorations it is suggested, when possible, to take The restoration should be then completed with a sequence of an impression and make a study model of the mouth situation. enamel and incisal masses. During these last shaping the A diagnostic wax-up, which enables the control before and after transition lines and a portion of the surface texture should be the treatment and the discussion of the therapy with the patient, defined. should be prepared on this model. A silicone guide mask can be prepared on the wax-up, which will be helpful for rebuilding Each single layer of composite has to be cured by using a the palatal or lingual surfaces (Case A) and incisal edges. polymerisation lamp (e.g. Translux Power Blue). In the chapter concerning polymerisation further details of the available lamps After placing the rubber dam, it should be checked if the prepa- and operational protocols will be described. ration of the incisal edges complies with the adhesion dictates. Subsequently, the chosen adhesive system can be applied Finally, after having removed the rubber dam, the occlusion test, according to manufacturer’s instructions. A later chapter of the finishing and polishing follow. Venus Step by Step Guide will directly deal with the details of the adhesion process. The silicone guide mask should be positioned in the mouth and its borders followed so as to stratify a thin, translucent layer (shades T1, T2 or T3), which reproduces the palatal/lingual surface. Being an extremely translucent mass, the thickness of the layer has to be carefully controlled to avoid taking space away from the dentine mass. If the situation does not allow the approach with a silicone mask (Case B), the first layer has to be applied starting from the bottom of the cavity. When the use of a dentine mass is needed, the shaping should be conducted according to the precise anatomic structure highlighted from the adjacent teeth. 5
Case studies – anterior teeth Case A 1 Colour deterioration in This young girl has two discolored restorations on old fillings on the central the central upper incisors. Our aim is to restore the upper incisors. teeth using an anatomical stratification with composite. The shade is selected. A silicone guide mask is fabricated based on the diagnostic wax-up to ensure the best occlusal alignment. The teeth are then isolated with a rubber dam. 6
Case studies – anterior teeth | Case A 2 3 The old restorations are The silicone guide removed. mask is put in posi- tion and checked for The margins are pre- accurate fit in relation pared with a diamond to the adjacent teeth. ball bur to produce a microchamfer. A clear matrix is placed between the The adhesive system teeth to optimise the is applied according reconstruction of the to the manufacturer’s interproximal zones. instructions. 7
Case studies – anterior teeth | Case A 4 5 The palatal layer is Opaque dentine (e.g. modelled directly OA2) is applied on top against the silicone of the palatal incre- guide mask using a ment. This increment translucent composite will mimic the typical (e.g. T1) to mimic the incisal edge of the palatal enamel. upper incisors. If the defect is large, more The composite increments will be is polymerised for needed. 20 seconds. Each increment is polymerised for 40 seconds. 8
Case studies – anterior teeth | Case A 6 7 The interproximal wall Incisals are individual- is reconstructed in ised and, if necessary, translucent composite effect colours are used (in one or more incre- to recreate the amber ments) using the clear or bluish zone. matrix to help recreate the characteristics of the natural tooth. Each increment is polymerised for 20 seconds. 9
Case studies – anterior teeth | Case A 8 9 Desaturation begins The last layer of by applying layers of translucent material enamel starting with (e.g. T1) is applied to the deeper colours simulate the vestibular (e.g. A3) in the middle enamel. third and progressing to lighter colours (e.g. The increment A1) in the incisal third. is polymerised for It is very important 20 seconds. to sculpt the correct shape during this Once the restoration of stage. tooth 1.1 is completed, tooth 2.1 is restored Each increment is using the same polymerised. methods. 10
Case studies – anterior teeth | Case A 10 The superficial micro- geography is recreated using diamond burs. The restorations are polished with diamond burs of decreasing size and silicone polishers on low speed micro- motors. After removing the rubber dam, the func- tional and aesthetic properties of the resto- rations are checked. 11
Case studies – anterior teeth Case B 1 Class III caries lesion Restorations of class III cavities in the lower in 3.1 and serious incisors are a challenge, as a number of incre- discolouring of a pre- ments of composite have to be applied in a vious restoration in 4.1. small space. The shade is selected. The operative field is isolated with a rubber dam. 12
Case studies – anterior teeth | Case B 2 3 The old discoloured The first increment of restorations are composite material is completely removed opaque (e.g. OA2) to using rotary and hand mimic the base dentine instruments to expose colour. This increment the healthy dental must be the same tissue, and the size and shape as the marginal finishing lines original dentine tissue. (microchamfer) are If the defect is very established. wide, the composite may have to be applied The cavities are in several increments. rinsed. Each individual The tissues are increment should be conditioned with polymerised for an adhesive system 40 seconds. according to the manufacturer’s instructions. 13
Case studies – anterior teeth | Case B 4 5 The characteristic in- Colour desaturation cisal edges are formed is the next step with and fissures applied enamel shades, to the enamel. If effect starting from darker colours are to be used, shades (e.g. A3) and they are applied now. progressing to lighter shade composites Each increment is (e.g. A1). polymerised. Each increment is polymerised. The last increment consists of a trans- lucent composite (e.g. T1) to join the middle third to the interproximal zones; it should be remem- bered that the incisal edge of lower incisors is typically translucent. The increment is polymerised for 20 seconds. 14
Case studies – anterior teeth | Case B 6 The restoration is finished and polished. Once the rubber dam has been removed, occlusal marking paper is used to check that the correct relationship between reconstruction and function has been achieved. 15
Case studies – anterior teeth Case C 1 Discoloration of the two The two central incisors appear discoloured; upper central incisors they had previously been restored with composite with previous trauma and after trauma. Our aim is to restore the aesthetics composite restorations. of both teeth using direct restorations in com- posite. The shade is selected. The operative field is isolated with a rubber dam. 16
Case studies – anterior teeth | Case C 2 3 Both teeth had The cavities are rinsed received endodontic and the adhesive treatment in two earlier system applied accord- sessions. ing to the manu- facturer’s instructions. The old discoloured restorations are The post is cemented completely removed inside the canal using with rotary instruments dual-cure cement to expose healthy in accordance with dental tissue and the normal adhesive marginal finishing dentistry practice. (microchamfer) is established. On the most badly damaged tooth (1.1) the canal cavity is pre- pared for subsequent cementing of a glass fibre post to increase the area of adhesion. 17
Case studies – anterior teeth | Case C 4 5 The first increment Superficial characteri- of opaque composite zations or fissures are (e.g. OA2) is applied, applied to the incisal to mimic the dentine edge using effect basal colour. If the colours, if appropriate. defect is very exten- sive, the composite The restoration is should be applied in polymerised. several increments. Each increment is polymerised for 40 seconds. 18
Case studies – anterior teeth | Case C 6 Colour desaturation The increment is the next step with is polymerised for enamel shades, start- 20 seconds. ing with darker shades (e.g. A3) and progress- The interproximal ing to lighter shade zones are finished using composites (e.g. A1). hand instruments. Each increment is The palatal surface of polymerised. tooth 2.1 is restored following the same The last increment steps used to recon- consists of translucent struct 1.1. composite (e.g. T1) to join the middle third to the interproximal zones. 19
Case studies – anterior teeth | Case C 7 The restoration is finished and polished. Once the rubber dam has been removed, occlusal marking paper is used to check that the correct relationship between reconstruction and function has been achieved. 20
Aesthetic composite restorations: Posterior tooth region In the case of a restoration in posterior teeth, the first thing to Once the new wall has been completed, the rebuilding of the do is to decide whether the situation requires a direct or indirect cavity can be conducted as if it were an occlusal filling (Case D). solution. A simple rule says that a direct restoration should be First a layer of flow composite (e. g. Venus flow) is applied at the placed, when the loss of inter-cusped tissue is less than one third bottom of the cavity and spread using a probe. The purpose of the tooth. When the lost of tissue lays between one third and of this step is to create a uniform liner without air bubbles that one half, there is the possibility to choose between direct and guarantees the best possible contact with the adhesive and acts as indirect restorations. And when the loss is greater than one half a loading damper. The layer of flow composite should be extremely an indirect restoration is needed. thin to not compromise the restoration’s mechanical properties. Modern adhesive techniques and composites enable an appli- Now the layering of dentine and enamel masses can be started. cation beyond this rule (e.g. cusp build-up) as already observed in To offset the contraction caused by polymerisation, the composite several clinical cases. is placed in “angles”, in other words, by starting to place small increments in triangular shape; two walls will be in contact with In preparing a direct restoration rubber dam should be placed, the polymerised composite and the natural tooth, while the third the compromised tissue removed and the cavity prepared as will be free counteracting the unfavourable C-factor. In this way mentioned. Once the adhesive system is applied, the real resto- the tensions on the tooth can be reduced as the contraction devel- ration can be started. ops towards the centre of the mass. The missing mesial or distal surfaces should be restored first in a Characterizations, if needed, and incisal masses should be placed class II restoration (Case E). The stratification should begin from to end the restoration. To close, the occlusion is checked and the the margin for a better control of the contact area. A pre-adapted restoration finished and polished. metallic matrix and a balsa wedge should be placed to guarantee the best continuity with the walls of the remaining tooth structure and to create a proper contact area with the adjacent tooth. A thin wall is applied with incisal shades until the height of the occlusive area. The approximal surface and the contact area are controlled with a dental floss after removing the matrix (leaving the wedge to avoid bleedings). The operation should be carried out at this point, because the wall can be quickly destroyed and rebuilt, if there should be any errors. 21
Case studies – posterior teeth Case D 1 Leaking of an amalgam An old amalgam vestibular/occlusal restoration restoration in 3.6. that presents leakage and secondary caries. The latest generation composite materials can The shade is selected. replace amalgam even in posterior sectors, improv- ing the aesthetic properties and maintaining The morphology and optimum biomechanical characteristics. occlusion are assessed before isolating the operative field. The tooth involved is iso- lated with a rubber dam (the restoration will not involve the interproximal zone, so we can isolate the single tooth and not the whole sextant). 22
Case studies – posterior teeth | Case D 2 3 The amalgam filling is The first translucent removed with a multi- increment of com- fluted bur mounted on posite (e.g. T1) is a turbine, ultrasonic applied to seal the scaling tips and hand vestibular surface of instruments, to mini- the cavity perimeter. mize the amount of healthy dental tissue The increment sacrificed. is polymerised for 20 seconds. Caries detecting so- lution can be used to ensure that all carious tissue is removed. The marginal finishing line (microchamfer) is established with a 012 ball bur mounted on a turbine. Tissues are then hybridized with an adhesive system following the manufacturer’s instructions. 23
Case studies – posterior teeth | Case D 4 5 The first translucent The stratification increment of composite begins with a horizon- (e.g. T1) is applied to tal increment of seal the vestibular opaque composite surface of the cavity (e.g. OA2) that helps perimeter. to mimic the colour of the tooth to be The increment reconstructed. If the is polymerised for cavity is very wide, it 20 seconds. is better to apply this composite in several increments. Each individual increment is polymerised for 40 seconds. 24
Case studies – posterior teeth | Case D 6 7 In order to desaturate Stratification concludes the colour, first a with the application darker shade compos- of a thin increment of ite (e.g. A3.5) and translucent composite then lighter shades of (e.g. T1) along the composite (e.g. A1) edge of the cavity and are applied. along the first part of the cuspal surface. Increments are applied in triangles in order The increment to reduce stresses on is polymerised for the cavity walls due to 20 seconds. polymerization shrink- age and to allow better anatomical modelling. Each increment is polymerised. 25
Case studies – posterior teeth | Case D 8 The restoration is then finished and polished. Once the rubber dam has been removed, occlusal marking paper is used to check that the correct relationship between reconstruction and function has been achieved. 26
Case studies – posterior teeth Case E 1 Recurrence of caries in Recurrence of caries in this upper molar, which tooth 2.6, previously had previously been filled using amalgam; the restored with amalgam. treatment plan is to remove the old restoration and replace it with a composite filling. The shade is selected. The morphology and occlusion are assessed before isolating the operative field. The tooth involved is isolated with a rubber dam (as the interproxi- mal walls have to be restored, the adjacent teeth will have to be isolated as well as the tooth itself). 27
Case studies – posterior teeth | Case E 2 3 The amalgam filling is A sectional or ring removed with a multi- matrix is put in position fluted bur mounted on and fixed with a balsa a turbine, ultrasonic wedge so that it fits scaling tips and hand tightly against the instruments, to mini- cervical margin and mize the amount of the contact area. healthy dental tissue sacrificed. The first vertical incre- ment of translucent Caries detecting so- composite (e.g. T1) is lution can be used to applied to reconstruct ensure that all carious the interproximal wall; tissue is removed. particular care must be taken to avoid any The marginal finishing gaps in the cervical line (microchamfer) margin seal. is established with a 012 ball bur mounted on a turbine. Tissues are then hybridized with an adhesive system following the manufacturer’s instructions. 28
Case studies – posterior teeth | Case E 4 The increment is The matrix is removed polymerised for 20 (not the wedge, to seconds. avoid bleeding) and dental floss is used to The next increment of check that there is translucent composite sufficient contact area. completes the recon- If this is not the case, struction of the inter- the increments applied proximal wall, extend- must be removed, the ing it to the height matrix must be repos- of the marginal crest. itioned and the inter- proximal wall must be The increment reconstructed. is polymerised for 20 seconds. A layer of about 0.5 mm of Venus flow is then applied and spread with a probe to eliminate any air bubbles. The layer is polymerised. 29
Case studies – posterior teeth | Case E 5 6 Stratification begins In order to desaturate with a horizontal incre- the colour, first a ment of opaque com- darker shade compo- posite (e.g. OA2) that site (e.g. A3.5) and helps to mimic the then lighter shades of colour of the tooth to composite (e.g. A1) be reconstructed. If the are applied. cavity is very wide, it is better to apply this Increments are applied composite in several in triangles in order increments. to reduce stresses on the cavity walls due to Each individual incre- polymerization shrink- ment is polymerised for age and to allow better 40 seconds. anatomical modelling. Each increment is polymerised. 30
Case studies – posterior teeth | Case E 7 8 A thin increment of The restoration is translucent composite finished and polished. (e.g. T1) is applied along the edge of the Once the rubber dam cavity and along the has been removed, first part of the cuspal occlusal marking paper surface. is used to check that the correct relationship The increment between reconstruction is polymerised for and function has been 20 seconds. achieved. 31
Annex Shade selection: Natural teeth are made of various kinds of tissue, which strongly At the end, the level of translucence should be defined. A recon- differ aesthetically and optically wise. Dentine, for instance, is struction will be able to achieve the highest aesthetical level duller when compared to enamel. It is therefore clearly difficult only if dentine, enamel and translucent incisal shades are used. to restore the original optical properties of a tooth using only one An appropriate incisal shade can be selected by determining the material when the cavity preparation involves both dentine and translucency of the incisal third of the tooth. When necessary, enamel. the level of translucency can be changed by using superficial characterisation (e.g. Cre-active) under the last translucent layer. The shade selection is to be done before placing the rubber dam. Once isolated the dental element’s structures tend to dehydrate, what makes the tooth appear more shiny and opaque than normally. Consequently, just after removing the rubber dam, the restoration appears darker and too translucent, even if the composite masses had been properly selected. A final evaluation of the combination of masses and layers can only be done a few days after having completed the restoration; the composite materials attain their definite optical properties only after the tooth has been rehydrated. The shade selection should be done under daylight keeping in mind that not only the interested tooth but also the adjacent ones have to be observed. The dentine shade should be selected based on the mid and cervical thirds of the tooth of concern. 32
Preparation: The penetration capacity of fluid resins or adhesives into the At the cervical level manual instruments should be used, because conditioned dental structures enable the optimisation of the it is difficult to use the rotating instrument oriented at 45° without material’s micromechanic linkage and thus the reconstruction’s causing dents. Deep class II cavities are the most difficult area. resistance. Here at least 1 mm must be left before the amelo-cement junction to assure the success of a direct restoration (a marginal finishing The finishing of the margins allows extending the surface to at 90° should be avoided to decrease the risk of fracture). mordant with acid agents and therefore increases the linkage between composite and dental structure. Internal corners and sharp angles should be rounded off. The direction of the enamel’s prisms which, during their centrifugal growth, place themselves in a radial manner as regards to the tooth’s axe, should also be considered. If the cavity wall shows prisms directed transversally with respect to their axe, they will be very resistant to traction. If, instead, the cavity wall shows prisms directed in a parallel direction with respect to their axe, their resistance to traction will be low. Therefore, the marginal preparation should be done using a 45° oriented chamfer or a microchamfer (finishing ball bur 012 diameter) so as to transversally cut the prisms. 33
Adhesion: Adhesion is a physical concept, which foresees interaction be- tween two elements, the adhesive and the adherent, through an interface. In the case of amalgam fillings the restoration maintains a macro-retention relation with the tooth. Restorations based on the adhesion principle show a reversed concept: a micro-retention to the tooth is achieved. The extension and shape of the cavity are in strict correlation with the decayed tissue to be removed. A large quantity of healthy dental tissue is therefore preserved. The adhesive systems can be classified according to the approach in treating dentinal mud (or smear layer). The first is intended to fully remove the smear layer through a simultaneous acid con- ditioning of enamel and dentine (total-etch), while the second tends to modify the same dentinal mud by incorporating it into the dentine’s resin impregnation process. Both so-called “three-steps” adhesives (e.g. Gluma Solid Bond) and those “two-steps” adhesives (e.g. Gluma Comfort Bond) are a part of the first group and differ one another for the association or not of primer and bonder. In the second group instead, we can distinguish the so-called self-etching primers and the new self-etching adhesives or “all-in-one” bondings (e.g. iBond). These adhesive systems do not remove the smear layer but modify it. 34
Polymerisation: Composites are made of a resin matrix with scattered filling particles. Resins are monomers, which, following a proper photo- treatment, reach their final mechanical properties through polymerisation. The photo-polymerisation process is therefore very delicate and important in order to achieve a good predictability of the restoration. It is always recommended to observe the composite manufacturer’s instructions and polymerisation times. Polymerisation times for Venus and Venus flow are: A1, A2, A3, A3.5, Curing time with 20 seconds B1, B2, C2, D2, halogen or LED T1, T2, T3, SB1, curing light SB2, HKA2.5 A4, B3, C3, C4, Curing time with 40 seconds D3, OA2, OA3, halogen or LED OA3.5, OB2, OC3, curing light OD2, SBO, HKA5, Baseliner All shades Maximum layer 2 mm thickness 35
Finishing and polishing: The finishing step, for removing composite excesses and model- At the specific chapter we will deal in detail with different instru- ling the anatomic shape, is done using fine grain diamond burs ments and techniques to be used during the finishing and mounted on a turbine. polishing process, highlight the differences between finishing of anterior and posterior teeth, and the importance of a proper It is important to work at a low number of revolutions to avoid polishing for both aesthetical and microbiological integration damaging the composite’s resin matrix, which would turn opaque. reasons. During the same operational phase a correct replication of the macro- and micro-surface texture and tooth’s morphology should be achieved. The polishing stage will follow, paying attention to the superficial micro-morphology of the restoration. Pre-polishing is conducted with coarse and thin grain points, polishing with silicone rubber polishers to achieve a high gloss surface (e.g. iPol). All the polishing processes should be carried out under a powerful air or water jet to avoid overheating of the tooth. Once polishing is completed, fluid resin (bonding agent) can be applied on the restoration, spread using a soft air jet, and cured for 20 seconds. This allows sealing possible cracks caused by polymerisation contraction and enables a full cure of the last composite layer. 36
References Davidson CL, de Gee AJ. Relaxation of polymerization contraction stresses by flow in dental composites. J Dent Res 1984;63: 146 –148 Ernst C-P. Komposit als Höckerersatz. DZW 6/06:10 –11 Feilzer AJ, De Gee AJ, Davidson CL. Setting stress in composite resin in relation to configuration of the restoration. J Dent Res 1987;66:1636–1639 Grandini R, Rengo S, Strohmenger L. Odontoiatria Restaurativa. Ed. UTET (To) 1999 Roberson T, Heymann HO, Swift EJ. Sturdevant’s Art and Science of Operative Dentistry. Ed. Elsevier 2006 Vanini L, Mangani F. Il Restauro Conservativo dei Denti Anteriori. Ed. Promodent 2003 Conception: Raquel Neumann Heraeus Kulzer GmbH 37
Venus® indications Venus® shades Indication Venus Venus flow A1 B1 C2 D2 SB1* A2 B2 C3 D3 SB2* Class I cavities • • A3 B3 C4 (not subject to chewing pressure) Enamel shades (higher A3.5 Class II cavities • • transparency) A4 (not subject to chewing pressure) HKA2.5* Class III cavities • • HKA5* (slightly subject to strain) Enamel shades T1 Class IV cavities • • (very high transparency) T2 T3 Class V cavities • • OA2 OB2 OC3 OD2 SBO Dentine shades Inlays (direct and indirect) • (low OA3 transparency) OA3.5 Onlays (direct and indirect) • Venus shades are matched to Vita® shades. *Heraeus Kulzer shades Veneers (direct and indirect) • The Venus® tones are tuned to the Vita® colours. Crown build-ups • • Posts and cores • • Customised shades for whitened teeth: Adhesive luting • Shade SB1: Super Bleach (warm), light incisal shade (Only veneers, light cured) Temporary • • Shade SB2: Super Bleach (cold), light incisal shade with a restorations slightly cool blue hue effect Fissure and • pit sealing Shade SBO: Super Bleach Opaque, light dentine shade, Cavity linings • low transparency 38
Venus® product outline Venus® Masters Kit Venus® Basic Kit Venus® flow Assortment 2Layer Shade Guide This kit was developed This kit contains the Venus flow shades are Hand layered, made for dentists, who want to 6 most commonly used perfectly matched to from original material. make clinical use of enamel and dentine the Venus shades. You the complete range of shades, as well as the have a choice between Venus shades and be incisal shade T1 14 Venus flow shades. ready for all cases. “cool blue”. It is ideal This assortment contains as a starter set. the 4 most popular ones. Venus PLTs* 10 x 0.25 g Venus syringes 4 g or Venus flow syringes 1,8 g shades A1, A2, shades A1, A2, HK A2.5, A3, A3.5, PLTs* 10 x 0.25 g shades A1, A2, A3, HKA25, A3, A3.5, A4, B1, B shades A2, A3, OA2, OA3, Baseliner White HKA5, B1, B2, B3, T1, HKA2.5 C2, C3, C4, D2, D3, Venus PLTs* 5 x 0.25 g Accessories SB1, SB2, T1, T2, T3 shades A4, HK A5, B3, C2, C3, C4, Venus shade guide D2, D3, OA2, OA3, OA3.5, OB2, OC3, Accessories OD2, SB1, SB2, SBO, T1, T2, T3 Venus flow syringe 1.8 g shades A2, Baseliner Gluma Desensitizer 1ml Venus shade guide Venus shade guide with 6 empty tabs Venus DVD Master’s Aesthetic Series Accessories Art. No. 66013214 Art. No. 66013214 Art. No. 66014561 Art. No. 66008711 *PLTs = pre-loaded capsules for direct application 39
Venus® product outline Product Art. No. Product Art. No. Product Art. No. Venus Venus Venus flow PLTs contents 20 x 0.25 g Each syringe contains 4 g Each syringe contains 1.8 g ■ PLT – A1 66007979 ■ SYR – A1 66007366 ■ Venus flow – A1 66014562 ■ PLT – A2 66007981 ■ SYR – A2 66007367 ■ Venus flow – A2 66014563 ■ PLT – A3 66007983 ■ SYR – A3 66007368 ■ Venus flow – A3 66014565 ■ PLT – A3.5 66007985 ■ SYR – A3.5 66007369 ■ Venus flow – A3.5 66014566 ■ PLT – B1 66007988 ■ SYR – A4 66008156 ■ Venus flow – A4 66014567 ■ PLT – B2 66008000 ■ SYR – B1 66007370 ■ Venus flow – B2 66014568 ■ PLT – C2 66007989 ■ SYR – B2 66007600 ■ Venus flow – B3 66014569 ■ PLT – OA2 66008012 ■ SYR – B3 66007601 ■ Venus flow – OA2 66014570 ■ PLT – HKA2.5 66007996 ■ SYR – C2 66007371 ■ Venus flow – SB1 66014571 PLTs contents 10 x 0.25 g ■ SYR – C3 66008086 ■ Venus flow – SB2 66014572 ■ PLT – A4 66008159 ■ SYR – C4 66007603 ■ Venus flow – SBO 66014573 ■ PLT – B3 66008001 ■ SYR – D2 66007372 ■ Venus flow – T2 66014575 ■ PLT – C3 66008089 ■ SYR – D3 66008092 ■ Venus flow Baseliner White 66014574 ■ PLT – C4 66008003 ■ SYR – OA2 66007410 ■ Venus flow – HKA2.5 66014564 ■ PLT – D2 66007992 ■ SYR – OA3 66008098 ■ PLT – D3 66008095 ■ SYR – OA3.5 66007597 ■ PLT – OA3 66008016 ■ SYR – OB2 66007599 ■ PLT – OA3.5 66007997 ■ SYR – OC3 66007602 ■ PLT – OB2 66007999 ■ SYR – OC2 66007604 ■ PLT – OC3 66008002 ■ SYR – SB1 66007608 ■ PLT – OD2 66008004 ■ SYR – SB2 66007609 ■ PLT – SB1 66008008 ■ SYR – SBO 66007411 ■ PLT – SB2 66008009 ■ SYR – T1 66007373 ■ PLT – SBO 66008014 ■ SYR – T2 66007605 ■ PLT – T1 66007995 ■ SYR – T3 66007606 ■ PLT – T2 66008005 ■ SYR – HKA2.5 66007596 ■ PLT – T3 66008006 ■ SYR – HKA5 66007598 ■ PLT – HKA5 66007998 40
XXXXXXXX 00 02.08 GB Conception: Thanks to: Heraeus Kulzer GmbH Prof. Antonio Cerutti Nicola Barabanti Stefano Sicura University Brescia, Italy Heraeus Kulzer srl Contact in Germany Contact in the United Kingdom Contact in Australia Heraeus Kulzer GmbH Heraeus Kulzer Ltd. Heraeus Kulzer Australia Pty. Ltd. Grüner Weg 11 Heraeus House, Albert Road Locked Bag 750 63450 Hanau Northbrook Street, Newbury Roseville NSW 2069 Phone +49 (0) 6181 355 444 Berkshire, RG14 1DL Phone +61 29 417 8411 Fax +49 (0) 6181 353 461 Phone +44 (0) 1635 30500 Fax +61 29 417 5093 info.dent@heraeus.com Fax +44 (0) 1635 30606 Mail: sales@kulzer.com.au www.heraeus-kulzer.de Mail: sales@kulzer.uk www.kulzer.com.au www.heraeus-kulzer.com In compliance with the European guideline 93/42/EWG our medical devices are CE-marked according to the classifi cations.
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