Dental Sales Flyer - March 2021 - 69

FEATURE

CLINICAL EXCELLENCE

BONDING
The bond to enamel is the most important bond and
determines the longevity of your restoration as well, the
adhesive you choose must effectively and consistently
seal the dentin tubules without being technique
sensitive to apply.
MPa™ Max adhesive from Clinician's Choice is
designed to provide bond strength to both enamel and
dentin of 45 MPa, one of the highest bond strengths
available in dentistry. In addition, MPa Max is
specifically designed for ease of application and to
ensure a dentin seal is achieved with little technique
sensitivity. MPa Max adhesive is slightly thicker than
other adhesives, allowing for one coat application.
This higher film thickness adhesive coats the adhesive
walls, yet won't over thin when air drying. In fact, MPa
Max can be air thinned so just microns stay on the
restorative walls to prevent post-operative sensitivity
- especially when used in combination with G5 AllPurpose Desensitizer (also included in the MPa Max
Starter Kit). With the addition of 0.2% Chlorhexidine,
MPa Max is one of only a few adhesives that inhibit
MMP breakdown of the adhesive bond. Figure 3.

TECHNIQUE
TIPS
Evanesce,™ from Clinician's Choice, is a nano-hybrid
composite material designed to give you simple, strong,
and beautiful results for both anterior and posterior
composite restorations.

SIMPLE

Evanesce users find that fewer opacity layers are
required in most cases, compared to other composite
materials. The unique rheological modifiers allow you
to manipulate and shape Evanesce to create the most
detailed anatomy without slumping. Designed with nano
pigments and fillers to assist in blending with natural
dentition, Evanesce restorations literally disappear. Ideal
for both layered and single shade restorations, Evanesce
comes in three opacities and 30 VITA shades, plus three
Enamel
non-VITA shades for characterization. For
single shade cases, a second viscosity, Evanesce UX is
available in 7 universal shades and features a slightly
lower viscosity.

STRONG

82% filled by weight and with high compressive strength
(340 MPa) and low wear (0.07 microns/200,000 cycles),
Evanesce gives you confidence for both anterior and
posterior restorations.

BEAUTIFUL

Evanesce matches the VITA Classic shade guide perfectly
to provide efficient and consistent shade matching and
has a unique ability to blend in with adjacent porcelain
restorations. In less than one minute, you can polish
Evanesce to a beautiful shine.
FIG. 3

MPa Max is scrubbed onto the etched tooth
surface for 10 seconds, air thinned, then lightcured for 10 seconds.

STEP #4
COMPOSITE PLACEMENT

FIG. 4

HIDING MARGINS

With the Template lingual matrix in place, a thin
layer of Evanesce A2 Enamel is applied, staying
lingual to the facio-incisal line angle.

Technique and material selection are crucial to
ensure invisible margins are created with anterior
composite restorations such as Class III, IV, and
diastema closure techniques. Not all composites are
created equal and few provide simplicity, strength, and
beautiful restorations. Challenges with handling and
the inability to pre-shape anatomy without slumping
or stickiness is common. This makes it necessary to
use multiple opacity layers, tints, and opaquers which
adds complication and inconsistent results. In addition,
difficulty in shade matching or long polishing time
requirements are frustrations that you don't need to
experience. Figure 4 and 5.

5

| Winter 2021 |

FIG. 5

Evanesce A2 Dentin is adapted to the enamel
layer using an REJ #04, tapering the composite
towards the incisal while varying its thickness to
mimic a natural tooth.

CLINICAL LIFE | clinicianschoice.com

ETCHING
Etch for 20 seconds with
H3PO4 (35% - 40%) to
ensure enamel margins
are demineralized
properly for maximum
adhesive strength.
Agitate the etch on
enamel margins to
ensure fresh acid is in
contact with the enamel
margins.
Etch and bond beyond
the bevel: Limiting
where you etch restricts
your ability to " feather
edge " the composite,
leading to visible
margins and white lines
after finishing.
Place etch on enamel
margins first for 10-15
seconds, then apply to
dentin surface for an
additional 5-10 seconds.
Dentin requires less
etching time as
compared to enamel.

BONDING
Air thin MPa Max
with 1/2 air power
for 5 seconds or until
the MPa resin stops
moving. Evaporate
any remaining ethanol
solvent with a gentle
stream of air for an
additional 10 seconds
from one inch away
from the preparation.
When using a self-cure
composite or core
material, remove the
MPa Max O2 layer using
alcohol. This will ensure
a strong bond between
MPa Max and the selfcure material.
Ensure each adhesive
wall is coated; this often
requires more
than one dip into
the mixing well.


http://www.clinicianschoice.com

Dental Sales Flyer - March 2021

Table of Contents for the Digital Edition of Dental Sales Flyer - March 2021

Dental Sales Flyer - March 2021 - Cover1
Dental Sales Flyer - March 2021 - 2
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Dental Sales Flyer - March 2021 - Cover4
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