Introducing the bluephase Style

The bluephase style represents the latest in LED curing light technology. With patented Polywave™ technology to cure all dental materials, a newly designed light probe for easy access to posterior teeth and the option to be used cordless or corded, bluephase style provides the ultimate curing experience for you and your patients.

bluephase style has been designed with the end user in mind. With improvements such as its slim and lightweight design, the intuitive two button operation and the inductive charging system, you will wonder how you ever worked without it!

Advantages:

  • Slim and ergonomic design makes it comfortable for all hands
  • Polywave LED with halogen like broadband spectrum of 385-515 nm
  • Newly designed light probe provides easy access to posterior teeth
  • Large treatment field due to 10mm light probe
  • Cordless or corded operation
  • Intuitive two-button operation
  • Energy efficient LED technology allows for continuous curing

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Tetric EvoCeram Bulk Fill Clinical Case

Tetric EvoCeram Bulk Fill features a polymerization booster, which enables 4-mm thick layers of the material to be cured in only ten seconds (for example with bluephase style). Additionally, it contains a shrinkage stress reliever which keeps shrinkage stress as low as possible during polymerization.  Due to the material’s excellent shade adaptation, high quality results can be achieved easily and efficiently.  

This is a case that was done yesterday using the Tetric EvoCeram Bulk by Ivoclar Vivadent. We really liked the handling of this material. Some of the dentist in the practice were using the Quixx by Dentsply Caulk and felt that the filling materials were too translucent. This was a beautiful material as you can see, much different than other brands.
 

Ivoclar is On The Grow! Major investment results in significant job creation and retention.

Amherst, N.Y. – Ivoclar Vivadent Chief Executive Officer Robert  Ganley and Buffalo Niagara Enterprise (BNE) President & CEO Thomas Kucharski announced today that the company will invest more than $4 million on a major expansion of their North American headquarters on Pineview Drive in the Town of Amherst.  A leading international dental company with a comprehensive product portfolio, Ivoclar Vivadent’s expansion of their facility is anticipated to create 33 new jobs while retaining an existing 215 employees.  

“Ivoclar Vivadent is very happy to finalize our plans for expansion of our North American headquarters, at our current home here in Western New York,” said CEO Robert Ganley.  “There is a thriving dental industry community here and our employees are a critical part of our company’s success.  We are very pleased that this expansion will allow us to continue to grow and prosper along with the local dental industry, benefitting from the experience and commitment of our strong existing workforce,” Ganley continued. 

Globally headquartered in Schaan, Liechtenstein, Ivoclar Vivadent has operations in 24 nations that provide products to customers in 120 countries around the world.  In addition to administrative & headquarters functions, the Amherst facility that will be expanded by an additional 25,000 square feet houses research & development, sales and marketing, education and training services and some distribution functions.  The company hopes to complete the expansion by the end of next summer.

The Buffalo Niagara Enterprise facilitated the incentive process for the company and provided assistance with workforce issues.  BNE’s President & CEO Thomas Kucharski said today’s announcement is more than just a shot in the arm for the local economy, but also good news for his group’s efforts to attract additional dental laboratory and dental product manufacturing companies to the region.

“From leading international companies like Ivoclar Vivadent to mid-sized suppliers, the dental sub-sector of life sciences is a $30 million industry in our region,” said Kucharski.  “Ivoclar Vivadent played an important role in helping us develop the dental opportunities campaign that we launched last March.  Beyond the impact of the sizeable investment and job impact, the commitment they have made to our region with this project sends a tremendous message to the rest of the global dental industry about the unique elements our region offers.”

Ivoclar Vivadent is  recognized as a global leader in the dental industry. The company distinguishes itself by offering advanced products and services for each phase in the life cycle of a tooth, from prevention to prosthetics.  The company is also unique in that it is a global company headquartered in Liechtenstein, with a CEO who travels the world while calling Buffalo his home base. 

Empire State Development and the Amherst Industrial Development Agency were also key partners in assisting Ivoclar Vivadent with their expansion.

“ESD is proud to support Ivoclar Vivadent’s efforts to provide an effective and efficient environment to produce its products and grow its market share,” said ESD President, CEO and Commissioner Kenneth Adams.  “The dental market is very competitive and this company was faced with the decision to relocate its manufacturing and North American headquarters out of New York State or expand its operations in Amherst.  I am pleased it chose New York State, where Governor Cuomo and ESD are working hard to put people back to work, get our economy back on track and restore New York State as the Empire State.”

“The Amherst IDA is once again honored to assist Ivoclar Vivadent with their expansion of their North American Headquarters in the Audubon Industrial Park.  Ivoclar is an international leader in dental technology with a comprehensive portfolio of advanced dental products. Their investment in the Buffalo Niagara region serves as a beacon to dental product firms throughout the world that our region, home to the SUNY-Buffalo Dental School, is an excellent location for investment.  We thank Ivoclar Vivadent for its continuing commitment to Western New York,” said James J. Allen, Executive Director, Town of Amherst IDA.

Ivoclar Vivadent Sees Bright Future for Laser Technology in Dentistry

Compendium Of Continuing Education In Dentistry
June 2011, Volume 32, Issue 5
Published by AEGIS Communications

Of the many technical advances in dentistry in the past decade, the use of lasers has perhaps had as much of an impact on the industry as any. With an increasing number of clinicians realizing the benefits of using lasers, the technology has become more widely accepted in the dental industry, according to Danny Forcucci, Marketing Manager at Ivoclar Vivadent.

“When we first began offering a dental laser, we spent an excessive amount of time teaching what a dental laser is and how it works,” Forcucci explains. “Today, most clinicians have some level of understanding.”

The acceptance and growth of laser usage has been spurred on by the numerous advantages it offers compared to traditional methods of soft-tissue surgery, Forcucci suggests. Patients experience less postoperative pain and sensitivity because laser care usually produces a cleaner, healthier surgical site with less discomfort. Plus, use of lasers typically results in immediate postoperative results. Additionally, lasers cause minimal, if any, bleeding, which not only makes things more comfortable for the patient but, notably, provides better visibility for the clinician.

Dental lasers, according to Forcucci, enable clinicians to achieve highly accurate tissue contours, and there is less chance of scarring as well as a reduced need for anesthesia. Moreover, sutures are rarely needed, and the minimally invasive nature of lasers means faster recovery. “In the end, lasers can mean less stress for the clinician, staff, and patient,” Forcucci says.

Odyssey® diode lasers from Ivoclar Vivadent offer clinicians user-friendliness, featuring a simplified control panel along with the latest in solid-state diode-laser technology. Ideal for soft-tissue modification and preventive care, the unit provides accurate power output and a consistent wavelength for smooth, precise tissue alteration.

While the past decade has seen an increase in the use of lasers in dentistry, Forcucci believes the future is even brighter for dental laser technology. “I’ve seen industry projections which show that approximately two out of three US dental offices will have a diode laser in 2016, compared to approximately 25% today,” he says. “I believe that more and more states’ dental boards will allow dental hygienists to use diode lasers as an adjunct therapy in the treatment of periodontal disease. This is because there is beginning to be a greater realization that a diode laser can be used very effectively in a nonsurgical mode.”

Ivoclar Vivadent's Odyssey Navigator


As a leader in dental laser education, Ivoclar Vivadent realizes the importance of instructing clinicians in order to help them achieve optimal laser performance. The company starts with what Forcucci calls “the initial ‘out-of-box’ experience.” A local Ivoclar Vivadent representative provides in-office initial setup and laser usage training for the dentist and entire staff.

“Included in the purchase of an Odyssey diode laser is comprehensive live laser education at one of our three training centers in the United States.” Forcucci says. “Full-day training takes place regularly at one of these three locations, and the courses are typically taught by an Academy of Laser Dentistry (ALD)-certified educator. The course includes lecture, clinical videos, and hands-on. These laser courses consistently receive very high ratings from the participants.”

Looking forward, Ivoclar Vivadent sees many innovations coming to the dental industry as science and technology continue to evolve. As things change, says Forcucci, the company will be there with state-of-the-art expertise. “We’ll always listen to the needs of our customers in an effort to develop a next-generation laser that better meets their needs.”

Ivoclar Vivadent Inc.
Ivoclar Vivadent Inc.
175 Pineview Drive, Amherst, NY 14228
800-533-6825
http://www.ivoclarvivadent.com
mail@ivoclarvivadent.com

The One-Two (Three) Punch!

Although it has been on the market for several years, I want to start first by pointing out the exceptional design on the VivaPen.  ExciTE F in the VivaPen allows exceptional control with ideal chemistries in the material since it eliminates the problems with leaving the cap off or accidentally dispensing 10 drops instead of one.  While that isn’t an issue with something like water, we all know that the adhesive agents are some of the most expensive things per gallon on the planet – so the last thing we want to do is accidentally waste it!  With the VivaPen delivery of ExciTE F, the adhesive can be placed precisely where it is needed and massaged into the dentin or on the enamel, and it is assured to be fresh and delivered in a controlled fashion.  A perfect method of preparing the tooth for the adhesive process!

The next ‘punch’ is Variolink Veneer.  This is an exceptional material that has some unique advantages over other alternatives available.  To start, this material is designed to be used under veneers and so in aesthetic cases.  It goes without saying that it is only logical to use the material developed by the same company that designed the world leading veneer materials, Empress and e.Max.  in addition to the common sense involved, there is the issue of color instability in most conventional adhesive cements.

Every base/catalyst system has amines in it that creates this color instability – resulting in the material turning dark over the first few years after delivering the new smile.  Imagine the frustration of having a beautiful translucent porcelain restoring your smile to your ideal goal, only to have it turn dark under the veneers a couple

years later!  The solution is in an adhesive resin that is designed to be color stable and that would be a light cure only system.  Since the problem was in both the base and catalyst in the dual cure systems, it needed to be completely re-engineered.  Fortunately it also includes a fantastic advantage to boot!

In the Variolink Veneer system there is a range of choices, not based on color, but based on the value.  When delivering a smile it is very often the case that in looking at the smile in the mouth it is just a little too stark and lifeless or it needs a bit of a punch to add that spark or pizzazz the patient is looking for.  In either case, the Variolink Veneer has you covered.  It is offered in a +1, +2, and +3 value or a -1, -2, and -3 value as well as a neutral.  The effect this can have in warming up that smile that is a little too stark or adding that sparkle to that smile that is just a little bit short of what the patient wants.  If you deliver beautiful smiles to your patients, this belongs on your tray setup!

The third punch is the power of the bluephase light.  Cordless lights have been plagued with ergonomic issues and power issues and battery issues and have lacked versatility.  The bluephase has addressed all of those issues and is a dramatic improvement in curing over many of the lights available.  The power it delivers allows you to rapidly cure the restorative material and progress through the procedure with confidence that your resins are as completely cured as they can be!  The concerns about rapid curing being detrimental turn out to be clinically irrelevant and in direct resin placement, the current materials have addressed the shrinkage issue anyway.  When bonding through Empress or e.Max, the power and ergonomics of the bluephase light make it a clear choice winner!

If you aren’t already using these materials and products, you owe it to yourself and your patients to get your hands on them – you will be glad you did!

What a great time to be a dentist!

If you have any questions contact your local Oklahoma Ivoclar Vivadent representative, Nate Smith.

Best in Business,

Dr. Mark Duncan DDS, FAGD, DICOI, LVIF

In 2007 Dr. Duncan was invited to join the full time faculty at the Las Vegas Institute and has moved to Las Vegas where he teaches with the Institute and maintains a faculty practice. Together with the faculty at the Las Vegas Institute, he is involved in teaching advanced esthetic and occlusal concepts along with practice management concepts to students from around the world.
http://www.lviglobal.com

Using Tetric EvoCeram for Predictable Posterior Restorations

Inside Dentistry

The material’s filler technology offers many advantages over traditional formulations.Wilson J. Kwong, DMD

In the dental composite industry, there are many companies and products that claim to provide superior features, innovations, and proven technologies. Although there are many treatment options and materials to choose from, they all do not provide the same results. When dealing with restorations, most products cannot deliver the longevity, esthetics, and functionality desired by patients and practitioners alike. It is important for practitioners to choose products that are proven to accomplish everything they, as well as their patients, seek from their restorations. One such product, Tetric EvoCeram® (Ivoclar Vivadent,http://www.ivoclarvivadent.us), provides innovation and proven results in one complete package. Tetric EvoCeram is an innovative nano-optimized universal hybrid composite that offers many advantageous features that work together to provide excellent esthetics and functionality.

Because Tetric EvoCeram filler technology is composed of nano-sized particles, there are many advantages over the traditional formulations of composite materials. The nano-sized particles promote a smoother surface, which allow practitioners to quickly and easily polish restorations to a high gloss.1 Lower wear allows restorations to last longer than composite materials of the past, decreasing the need for patients to return to the office for replacement of restorations completed with this material.1 Shrinkage rates are also exceptionally low (< 1.6%), promoting better marginal integrity of the restoration.1

Another exciting feature of Tetric EvoCeram is the composite’s high radiopacity. This innovation enables practitioners to clearly see the restoration upon completion and final x-ray.1Because it is radiopaque, practitioners are able to see if the restoration was placed properly and ensure that there are no issues, such as leakage.

Tetric EvoCeram is composed of three different types of nanoparticles, which include fillers, pigments, and a modifier. The various sizes of ceramic fillers promote the aforementioned strength, polishing properties, high gloss, and low wear that one could come to rely on for predictable results. Spherical mixed oxide is the basis for the material’s consistency. This oxide promotes optimal light refraction, which imparts a lifelike translucency to not only the material, but the completed restoration as well.1 Prepolymers, which are also used in the formulation of Tetric EvoCeram, are responsible for the exceptionally low shrinkage rates demonstrated by the composite.1

Ytterbium trifluoride, a patented filler created by Ivoclar Vivadent, is responsible for the exceptionally high radiopacity of the composite. Research shows that high radiopacity is not only useful, but actually essential for a sound diagnosis.2 As previously mentioned, this feature allows practitioners and technicians to clearly distinguish the restoration from natural tooth structures and secondary caries on dental radiographs.2 These combined features create a singular material that presents improved handling properties, a non-sticky consistency, and enhanced stability.1

Additionally, the formulation of this nano-optimized composite creates the ability to blend completely with the tooth’s natural structure and the surrounding natural dentition. With Tetric EvoCeram, practitioners do not have to rush through restorations, as working time is ample. Because of these characteristics, restorations created with Tetric EvoCeram are long-lasting and demonstrate a natural fluorescence.

Tetric EvoCeram is available in syringes, as well as Cavifil injectors (Ivoclar Vivadent). Cavifil single-dose restoratives tend to be a better option, as the use of a spatula or a modeling instrument is not required.3 The longer tips of the injectors allow practitioners to easily and comfortably reach areas in the oral cavity that tend to be difficult to work on, such as molars.3Cavifil can also be turned 360° in the injector, so that no matter what the position of the jaw, a practitioner is able to complete the restoration.3

The high-viscosity material is easily dispensed through Cavifil, because of the high transmission ratio of the injector.3 Even if a variety of shades or opacities are required, the Cavifil is still a great option, as the tips can be easily changed.3 The Cavifil injector is also a cost-effective tool, because even though it was designed to be used primarily with Ivoclar Vivadent products like Tetric EvoCeram, other manufacturers’ products can be dispensed by the Cavifil as well.3

As a result of Tetric EvoCeram’s life-like translucency and ability to match nearly perfectly with the surrounding natural dentition, a high level of esthetics can be achieved with a single shade.1 The product is available in three levels of translucency, which include dentin, enamel, and transparent, providing practitioners with a variety of esthetically pleasing options in both anterior and posterior restorations.1 Tetric EvoCeram syringes and Cavifil follow a color-coded system; the labels of the syringes and the caps of the Cavifil are clearly labeled according to each shade, making identification and selection much easier.1

Case Presentation

The patient was a 58-year-old man who wanted to upgrade his old amalgam restorations to bonded composites (Figure 1). The patient also presented with an active underlying immunosuppressive condition, which wasdiscussed during pre-treatment planning. During this planning, the patient asked for “white fillings” to replace the previous amalgams on the lower left first and second molars (Teeth Nos. 30 and 31).

Consequently, the old amalgams were removed, and the caries underneath were identified and then excavated (Figure 2). Evidence of leakage was present in the preparation, and some of the grooves were stained. However, the integrity and structure of the teeth were good.

The cavity preparation was prepared with a cleaning solution of hydrogen peroxide and chlorhexidine to remove any debris. After cleaning, the enamel was etched for 10 seconds using an etchant gel (Figure 3). The dentin was then etched for 10 seconds, giving the enamel a full 20 seconds of etching (Figure 4). Once the preparation was etched to satisfaction, a copious amount of water was used to remove all of the etching gel and excess material.

Using a Vivapen, ExciTE F (Ivoclar Vivadent), a bonding agent featuring beneficial fluoride content, was liberally placed in the preparations in an agitating motion for 20 seconds. This was followed by a light air-dry to evaporate the solvent, and then the preparations were light-cured for 10 seconds. This process was also completed at angles around the cavity preparations to cure undercut areas (Figure 5).

It is important to note at this point in the procedure why a bonding agent that used fluoride was placed on the preparation. Research suggests that as a means of protection against recurrent caries, which are typical with restorations such as the one that presented, fluoride-releasing materials are necessary.4 These types of materials offer protection to hard dental tissues and the surrounding areas, decreasing the chance of post-procedure secondary caries.4This is why it was not only important, but necessary to use a composite material that released fluoride when placed on the preparation.4,5 

A flowable, light-curing nano-hybrid composite (Tetric EvoFlow, Ivoclar Vivadent) in shade A1 was then placed on the floor of the preparation and light-cured for 20 seconds (Figure 6). The depth of the cavity preparation was only 3 mm, allowing one increment of material. Most light-curing units can cure down to 5 mm, however (Figure 7).

A universal, light-curing radiopaque nano-hybrid composite (Tetric EvoCeram) was then placed in one increment and sculpted with a cylindrical instrument and a flat composite instrument. The preparation was cured for 20 seconds, and Tetric Colour was placed into the grooves to accentuate anatomy. This was followed by a final light-cure and flash removal with fluted carbide finishing burs (Figure 8).

Once final occlusal adjustments were made, a final polish was completed using rubber points, wheels, and brushes (Astropol, Ivoclar Vivadent) (Figure 9). The Astropol brushes were also used for and in the grooves.

Conclusion

Tetric EvoCeram is a nano-optimized universal hybrid composite suitable for anterior and posterior restorations. It is also ideal for replacing failing amalgam restorations (Figure 11). This is because of the handling characteristics of Tetric EvoCeram, which now enables clinicians to realize greater efficiency and predictability when suggesting and implementing direct composite restorations. In particular, the material handles very well, with little tackiness on the instruments, and it polishes wonderfully. These characteristics also ensure that patients will be happy with the esthetics and function of their restorations.

References

1. Tetric EvoCeram®. 2009. Nano-optimized composite restorative. [Brochure]. Ivoclar Vivadent, Amherst, NY.

2. Tetric EvoFlow®. 2007. Nano-optimized composite restorative. [Brochure]. Ivoclar Vivadent, Amherst, NY.

3. Ivoclar Vivadent USA. Clinical Accessories/Instruments—Cavifil Injector. 2010. Available at:http://www.ivoclarvivadent.us/content/products/detail.aspx?id=prd_t1_1075236776&product=Cavifil+Injector.

4. Gjorgievska E, Nicholson WJ, LastIljovska S, Slipper I. The potential of fluoride-releasing dental restoratives to inhibit enamel demineralization: an SEM study. Prilozi. 2009; 30 (1): 191-204.

5. Chen MH. Update of dental J Dent Res. 2010;[Epub ahead of print] anocomposites. J Dent Res. 2010;[Epub ahead of print]

About the Author

Wilson J. KWong, DMD
Private Practice Vancouver
Vancouver, British Columbia