WHAT'S UP 2017 English

WHAT‘S UP

@COLTENE – NEWS MAGAZINE 2017

DISCOVER

Upgrade Dentistry 1

HIGHLIGHTS

EDITORIAL

BRILLIANT Crios

4

HyFlex EDM

14

BRILLIANT EverGlow Flow + EverGlow

6

BioSonic UC150

16

DIATECH Z-Rex

ROEKO GuttaFlow bioseal

10

12

BioSonic UC40 Cleaner

AFFINIS DCode

17

18

Upgrade Dentistry Who wouldn‘t be pleased to receive a free upgrade?

When travelling by air or rail, we certainly appreciate better travel comfort and first-class service. And in a digital world, an improved app offers us numerous new opportunities in a matter of seconds. So why not enjoy that extra in quality, reliability and flexibility in your practice? It is precisely this extra in creativity and service that has always been our aspiration at COLTENE: we call it “Upgrade Dentistry“ – or “Better Quality. Better Reliability. Better Practise.“ Better Quality.

Our high quality products deliver what they promise. For example, the high performance composite BRILLIANT Crios is one of the most flexible dental materials to find its way into CAD/CAM technology. As a result, this antagonist-sparing material offers unprecedented preparation options: margins of only 0.1 mm thickness can be ground perfectly with BRILLIANT Crios.

Better Reliability.

Reliability is particularly important in daily hygiene management. With the intelligent Biosonic UC150 ultrasonic device, we are currently showcasing a high-tech cleaner which can reduce your workload considerably. The attractive helper with brains thinks on your behalf and automatically records all the cleaning processes on its integrated hard drive. The recorded results are then conveniently read out via the integrated USB interface.

Better Practise.

Your needs top the agenda for our clever new developments as a matter of principle. This is why we look closely at how you work and, for example, create a flowable composite with a brilliant gloss that does not require extensive polishing. Or a bioactive obturation material which effectively supports regeneration in the root canal. The list of smart solutions from COLTENE is a long one.

As you can see, we always try to deliver that decisive extra in service, ingenuity and practice relevance. We cordially invite you to take a first look at the future of aesthetic dentistry at the IDS 2017 with us. In addition, you will be able to be the first to find out more about our upcoming, even more sophisticated upgrades in the COLTENE newsletter or via our various online channels.

Enjoy your very personal discovery tour, yours

Jörg Weis Director Marketing EMEA / AP

WHAT‘S UP – Online More information on our products and novelties is available on our website www.coltene.com.

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3

RESTORATION

RESTORATION

Reinforced composite bloc for permanent restoration

BRILLIANT Crios

Two-body wear Measured in µm

Modulus of Elasticity Measured in GPa Modulus of elasticity of natural dentine

Wear material

60

700

50

ÒÒ High flexural strength – resistant restorations

600

40

500

30

400 300

20

ÒÒ Tooth-like modulus of elasticity – shock absorbing

200

10

100

0

0 Bl oc C*

s

io

Cr

kH

t* ar

sm

u

NT

D* CA ax .m * Se IP AD sC es pr m SE IP ic* am En TA VI e* at tim Ul va La

ra Ce

of Sh

A LI IL

D*

s

C*

io

measured after 1.2 million chewing cycles Source: R. Böhner et al., #597, IADR 2015, Antalya, Turkey * Not a trademark of COLTENE

BR

kH oc

Bl Cr

A sC es pr m SE IP ic* am En TA VI e* at tim Ul va La t*

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Compared to classical ceramics, modern high-performance composites are characterised by their caring and flexible material properties in particular.

The BRILLIANT Crios composite bloc combines all the advantages of an innovative hybrid composite material with those of a CAD/CAM fabrication process - for a reliably permanent, aesthetic and fast fabrication of restorations without a separate firing process.

ra Ce

Sh

BR

ÒÒ Wear resistant and gentle to the antagonist

Wear antagonist

Source: Stawarczyk et al., J Mech Behav Biomed Mater 55, 1-11 (2015) * Not a trademark of COLTENE

Exceptional grinding precision

Clinical case

With the aid of gentle heat curing during the controlled fabrication process, BRILLIANT Crios attains its excellent mechanical qualities and an easy-to-polish homogeneous surface. Even extremely thin tapered restoration margins of only 0.1 mm can be ground precisely and accurately without chipping, allowing even greater substancefriendly design of restorations.

Initial situation

Preparation

BRILLIANT Crios blocs are available in 9 low and 4 high translucent shades. Shade adaptations or corrections can be realised immediately with composite direct on the patient. The secure adhesive bond is ensured with the matching ONE COAT 7 UNIVERSAL bonding system.

Final result The clever material yields The high flexural strength and the dentine-like modulus of elasticity convey a particularly high level of flexibility to the composite. This avoids stress peaks and reduces the risk of cracking or chipping. At the same time, BRILLIANT Crios is highly wear-resistant, kind to opposing teeth and creates a natural bite feel.

4

BRILLIANT Crios allows extremely thin preperation margins 5

RESTORATION

RESTORATION

Universal submicron hybrid composite

BRILLIANT EverGlow® Flow The all-round talent The new BRILLIANT EverGlow Flow complements the latest generation of the submicron BRILLIANT EverGlow universal composite with a low viscosity variant with perfect thixotropic properties.

BRILLIANT EverGlow Flow is a true all-round talent and suitable for a host of different indications. The flow composite fully exploits its strengths in terms of flow characteristics and surface wetting particularly well in cavity regions with difficult access, undercuts or cervical regions.

Application of the versatile material is performed directly from the syringe – optionally with different application needles (Ø 0.4 and 0.8 mm) – and facilitates handling.

Despite its low viscosity consistency, it remains stable and can be positioned easily and controlled as desired.

Highly stable, yet very flowable

BRILLIANT EverGlow

Effective shade management

The submicron BRILLIANT EverGlow hybrid composite is distinguished by its smooth consistency, fast polishability and long-lasting brilliance. Due to its sophisticated filler composition, the material is easy to apply to tooth surfaces without sticking to the instrument.

The cleverly devised Duo Shade System of the BRILLIANT EverGlow Flow utilises its excellent optical self-blending properties to cover two VITA* shades (for example, A1/B1 or A2/B2) with a single shade component. In addition to the six Universal shades, an opaque material in A2 as well as a translucent enamel shade are also available. Thus the small Flow range covers all aesthetic requirements.

Clinical case

Initial situation

Treatment

Treatment

Final result

* Not a trademark of COLTENE

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TREATMENT AUXILIARIES

ROTARY INSTRUMENTS

DIATECH® ShapeGuard New extremely tear-resistant 12µ HANEL occlusion foil Testing and correcting occlusions are demanding tasks in modern dentistry. Occlusal indifferences can cause functional interference, which in turn can lead to tooth damage and pain for the patient.

It is therefore essential to identify and avoid even the slightest contact interference.

Strong in Polishing. Gentle on Surfaces.

The owners of luxury cars as well as dentists are often faced with the same question with regard to polish: how to obtain a fast and gentle high gloss without damaging the surface? A smart solution is now available for dentists: the DIATECH ShapeGuard polishers with their flexible lamellae can polish composites and ceramics to a high gloss easily and quickly - and new - also zirconium oxide restorations.

DIATECH ShapeGuard is suitable for all composites such as BRILLIANT EverGlow, COMPONEER composite enamel shells or the dual-curing Fill-Up! bulk filling material.

And, of course, the polishers can also be used for the composite-based CAD/CAM BRILLIANT Crios blocs.

This polisher is fast, easy and intuitive to use and achieves outstanding high luster polishing results.

Flexible lamellae for the tooth structure The special shape and the flexible lamellae of the silicone polisher were developed to simplify intraoral polishing considerably. It adapts to every surface and supports even pressure without abrading the morphology of the tooth, such as elaborately designed cusps and contact points.

Allows tests even under tension or movement Different techniques are used to identify such early contacts, which is why COLTENE will offer dentists a second type of occlusion foil in future: in addition to the standard HANEL 12µ occlusion foils which have been marketed for decades, a new occlusion foil with the same strength but extremely high tearresistance will be offered. Due to this outstanding property, the new HANEL occlusion foil is ideal for exposing contacts in lateral and protrusion movements. Even if the dentist pulls on the foil in the final bite position, the foil is resistant enough not to tear and withstand the stress with ease. The new occlusion foil will be available both single and double-sided in the traditional colours of the proven HANEL occlusion foils and can be used for testing on all materials.

Punctiform, fine registration of contacts 8

9

ROTARY INSTRUMENTS

Diamond instruments for Zirconia and other high performance ceramics

DIATECH® Z-Rex

ROTARY INSTRUMENTS

High performance ceramics, such as zirconium oxide, are an established part of prosthetic solutions as crown or bridge materials which can be subject to high stress loads. However, their high strength and stability can prove to be a major challenge during processing. As a result, high performance ceramics are somewhat difficult to process with conventional rotary instruments.

Primal power harnessed

´´ ´´ ´´ ´´ ´´ ´´

DIATECH Z-Rex diamond instruments, as sharp and indestructible as a dinosaur‘s tooth, are an effective means for this demanding task. Effortless processing, removal or trepanning of ceramic restorations is now possible.

The unique composition of various synthetic diamonds as well as the exclusive ERA bonding are the ingredients for making instruments with enormous stability and remarkable efficiency.

Revolutionary ERA bonding Reduced delamination of diamonds Exceptional combination of durability and efficiency Shortened procedure time Offered in medium and coarse grit Individually packaged in blisters

Enhanced Resilient Alloy (ERA) bonding1 The revolutionary “Enhanced Resilient Alloy“ ERA bonding, which offers exceptional properties, was developed specifically for the new DIATECH Z-Rex. Compared with conventional bondings, the ERA matrix bonding consists of an alloy with a 70 %² higher Vickers hardness, which is tougher and therefore incorporates diamonds more firmly. These properties lead to less grain pull-out of the diamonds and result in greater stability and efficiency³.

Different degrees of fixation of diamonds DIATECH Z-Rex Bonding

DIATECH Standard Bonding

Competitor Bonding

DIATECH Z-Rex instruments are available in two grain sizes: “medium“ for precision work which minimises the risk of micro-cracks, and “coarse“ for even greater efficiency in crown cutting. The diamond instruments are packaged individually in blisters which simplifies handling and traceability.

Patent applied for | 2In-house tests Test results from King‘s College London

1 3

10

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ENDODONTICS

ENDODONTICS

Processing times Incubation period by 37 °C (minutes)

Bioactive sealing and filling

Bioactive 3-in-1 obturation material with dual safety

300

270

250 200 150

130

100 50

125

65

65 45

35

25

0 Initial curing time

Final curing time

Ca/P atomic ratio GuttaFlow bioseal is an innovative root canal filling material and upon contact with body fluids, the material provides natural repair constituents such as calcium and silicates and sets biochemical processes in motion. By forming hydroxyapatite crystals, the bioactive material supports the adhesion and regeneration of bone and dentine tissue. The 3-in-1 cold filling system is a combination of a bioceramic and flowable gutta-percha, which acts both as sealer and seals reliably. In case of later leaks in the root, the bioactive protection is triggered and represents a second safety stage.

1,8 1,6 1,4

12 %

29 %

15 % 15 %

21 %

Regenerative support property Radio opacity Total result Fast curing

Result product test Barometer test phase¹

1,20

0,8 0,6 0,4 0,2 0

6 %

RoekoSeal

GuttaFlow2

MTA Fillapex (Angulus, Londrina, Parana, Brazil)

Very satisfied

9 %

38 %

GuttaFlow bioseal

Result of study on the chemical physical properties on various root canal sealers²

Treatment result

Easy handling Flowability

1,29

1,0

In a product test1, GuttaFlow bioseal convinced dentists with its smart product properties. Many users were particularly enthusiastic about the simple handling as well as the outstanding consistency and flowability. The good radiopaque visibility and the bioactive properties are also assessed positively by the dentists. 85 % of the GuttaFlow bioseal testers were very satisfied or satisfied with the work results and 97 % could imagine using GuttaFlow bioseal in their practice in future.

8 %

1,42

1,2

Dentists are convinced by product properties

Testers most convincing features

1,56

47 %

Satisfied Less satisfied No data

In a comparison study2 on the chemical physical properties of various root canal sealers, GuttaFlow bioseal demonstrated a considerably shorter processing and curing time than other sealers. With its very good alkaline activity, low solubility and calcium release, combined with an ideal calcium/phosphorus atom ratio, GuttaFlow bioseal offers apatite-forming and bioactive properties and can promote the natural healing as well as regeneration of bone and dentine tissue.

Many dentists have already been able to convince themselves personally in terms of easy handling. With its regenerative properties, the specifically developed 3-in-1 GuttaFlow bioseal filling material promotes natural healing in the root canal, while at the same time supporting the practice team in its daily “workflow“ for treating patients effectively and successfully.

Testphase

Leser testen Produkte – das Original .

Dental Barometer Issue 6 | 2016 2 Maria Giovanna Gandolfi et al. (2016) Properties of a novel polysiloxane-guttapercha calcium silicate-bioglass-containing root canal sealer. Dent Mater. 32(5) p. 113-126

1

12

13

ENDODONTICS

ENDODONTICS

Spark-eroded NiTi files

Clinical studies

HyFlex™ EDM OneFile

In studies, the HyFlex EDM OneFile demonstrated a significantly higher fatigue resistance than the Reciproc R25 and WaveOne Primary files, or the ProTaper Universal and ProTaper Gold files manufactured with a special metal processing method.

Extremely break-resistant The innovative production process using spark erosion (Electrical Discharge Machining) for the HyFlex EDM NiTi files allows manufacturing different cross-sections within a single file as well as a unique, hardened surface. This increases the cutting performance, improves flexibility and increases break resistance by up to 700 %.

Like the well established HyFlex™ CM files, all HyFlex™ EDM files are characterised by their exceptional flexibility.

In contrast to traditional NiTi files, they exhibit almost no memory effect and can thus be pre-bent. Due to the “Controlled Memory“ effect, the file moves optimally in the canal centre, helping to reduce the risks of a Via Falsa. This unmatched combination of flexibility and break resistance enables a significant reduction in the number of files used, without making compromises in maintaining the natural root canal anatomy. The entire spectrum of modern endodontics can be covered by using the modular HyFlex™ EDM and CM NiTi file systems.

Clinical case by Dr. Thomas Rieger

“Here, the filigree endo instruments were able to clearly demonstrate their true break resistance. Within only a few minutes it was possible to clean the entire canal. No additional equipment was necessary even for such angled root canals, and preparation was possible effortlessly with standard instruments and without greater risk.“ Dr. Thomas Rieger1 14

The HyFlex EDM OneFile also convinced the endo specialists in a practice test with its outstanding flexibility and break resistance. They recommend HyFlex EDM files as a file system with which both beginners and endo experts can achieve fast and reliable results - even with a reduced number of files.

Number of cycles to failure (NCF) Study Dr. Eugenio Pedullà 3 Mean Number of Cycles to Failure (NCF)

The unique combination of flexibility and break resistance of the HyFlex EDM OneFile allows a significant reduction in the number of files for quick and efficient root canal preparation. Ideal for straight and larger canal anatomies.

Centred canal preparation due to controlled memory effect

Clinical case by Dr. Sam Alborz

“With the right equipment, both beginners and endo experts can create convincing results within a very short space of time without the need of making compromises in terms of the natural canal anatomy.“ Dr. Sam Alborz2

1 2

Dr. Thomas Rieger (2016), Modulare NiTi-Systeme vielseitig nutzen, Endodontie Journal, p. 24-27 Dr. Sam Alborz (2016), Endodontie in distaler Reichweite, Dentalbarometer, p. 40-43

973

1000 800 600 400

525 407

200 0 WaveOne Primary Reciproc R25 (Dentsply Maillefer, (VDW, Germany) Ballaigues, Switzerland)

HyFlex EDM OneFile

Improved radio opacity ParaPost, the leading global brand, has now stood for standardised root post systems for the direct and indirect technique for more than 50 years. Over 500 international studies confirm the exceptional quality and versatility on which dentists worldwide rely.

The extremely popular ParaPost FiberPosts are glassfibre reinforced root posts for aesthetic restorations.

These are packed aseptically in individual bags which increases hygiene safety. The FiberPosts are available in two basic designs. First, the cylindrical ParaPost® Fiber Lux and secondly, the cylindrical tapered ParaPost® Taper Lux™. Both are characterised by rounded retention heads which avoid load peaks in the core build-up. Up to 6 diameter sizes allow safe, substance-caring canal preparation.

The “PLUS“ in ParaPost As of immediate, all FiberPost post packs are labelled with the “PLUS“ designation, which refers to the optimised radiopaque visibility as well as the hygienic, aseptic individual packaging.

Study Dr. Mehmet Emin Kaval 4 Mean Number of Cycles to Failure (NCF)

Certain success with fewer files

ParaPost Fiber Posts

4000

3689

3500

Up to 216 % higher radio opacity*

3000 2500 2000 1500 915

1000 500

350

0 ProTaper Universal ProTaper Gold (Dentsply Tulsa (Dentsply Tulsa Dental Specialities, Dental Specialities, Tulsa, USA) Tulsa, USA)

HyFlex EDM OneFile

Eugenio Pedullà et al. (2016) Torsional and Cyclic Fatigue Resistance of a New Nickel-Titanium Instrument Manufactured by Electrical Discharge Machining, Journal of Endodontics, 42 (1) p. 156-159 4 Mehmet Emin Kaval et al. (2016) Evaluation of the Cyclic Fatigue and Torsional Resistance of Novel Nickel-Titanium Rotary Files with Various Alloy Properties, Journal of Endodontics, 42(12) p. 1840-1843 3

* In comparison to current ParaPost® Fiber or Taper Lux.

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INFECTION CONTROL

INFECTION CONTROL

Ultrasonic cleaning system

BioSonic® UC150 An attractive helper with brains Intelligent BioSonic UC150 ultrasonic cleaner records hygiene measures More and more stringent hygiene requirements place high demands on the entire practice team. Watertight documentation gives legal security as well as protecting patients and your own team. The latest generation of ultrasonic cleaners always thinks as it goes along: all cleaning settings are selected via the glove-friendly touchscreen and important parameters such as time, temperature and frequency of use of the cleaning solution are documented.

The novel, clever BioSonic UC150 ultrasonic cleaner is a versatile high performance cleaner which fully removes even the most stubborn deposits fully in areas not accessible by hand. At the same time it documents all cleaning processes automatically and saves the recorded data securely on the internal hard drive. Similar to a smartphone app, the user defines his personal preferences on the screen, from the cleaning time to optional pre-warming temperatures. The data are then conveniently read into the computer via the integrated USB interface. Thus, the entire cleaning process incl. frequency of use of the cleaning solution is documented.

An additional heating feature can be ordered and activated subsequently at any time via code from the service section http://biosonic.coltene.com.

21.03.2017

21:03

40°C

LOG No Date Time Progr. Durat.

Temp. Lid Status Cycle No Err. Stat.

25 12.05 14:32 REG

20 min

40°C

ok

2350

26 12.05 16:38 REG

20 min

40°C

ok

2360

Silent device in attractive look With its well thought out and attractive design, the BioSonic UC150 flexibly fits the environs of every modern practice. As a standalone, the robust cleaning device with its white plastic housing comes into its own as an attractive and silent eye-catcher. If required, it can also be integrated into a worktop. The generous tank offers ample space: it can take both a large instrument basket or two glass beakers or up to four instrument cassettes at the same time.

BioSonic® UC40 Cleaner Solution for all problem cases The new BioSonic UC40 Universal Ultrasonic Cleaner cleaning solution offers a special and efficient formulation for pre-cleaning and decontamination of dental instruments.

The 3-in-1 cleaning solution contains enzymes enabling effective removal even of hardened debris and protein soils and also cleans and protects instruments against erosion.

Next to the BioSonic UC40 Universal Ultrasonic Cleaner, six further cleaning solutions are offered for different areas of use in the BioSonic line. From prostheses and crowns to braces and scaler tips, a suitable solution with built-in dosage aid is available for every application.

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PROSTHETICS

PROSTHETICS

Scannable A-silicone impression material

AFFINIS® DCode PERFECT IMPRESSIONS

Scannable A-silicone AFFINIS DCode combines analog with digital impression Next to the classical impression taking technique, digital scans are becoming increasingly popular due to the rapid advances in the field of CAD/CAM. Dentists who also wish to offer their patients digitally fabricated prostheses, are now offered an economical alternative besides purchasing an intraoral scanner. Scannable A-silicones allow the fabrication of highly precise impressions which

can be digitalised quickly and efficiently in a desktop scanner. By simply combining the advantages of analog and digital processes.

Also records details digitally with precision

Economical entry into the CAD/CAM age

The Premium A-silicone AFFINIS brand is being extended with the new scannable AFFINIS DCode. Due to its exceptional flow properties, the novel, self-contouring high precision material records even the finest details and undercuts reliably and accurately. These decisive details are often difficult to record with conventional intraoral scanners. The thermo-active formulation allows relaxed application and bonds rapidly in situ - the ideal snapset between generous processing time and short dwell time in the patient‘s mouth. Subsequent digitalisation in the scanner without the additional application of powder saves a work step and minimises sources of errors in the process chain. Familiar practice workflows for impression taking remain unchanged.

AFFINIS DCode is now available in four consistencies: in addition to the two tray materials “putty soft“ and “heavy body“, the two “regular body“ and “light body“ correction materials are available from the dental retail trade. An attractive starter sample set is available for the IDS at a special price - ask your representative.

The scannable AFFINIS line offers clinicians a simple and economical entry to the fabrication of modern CAD/CAM solutions.

The generated digital data can be sent conveniently to the laboratory per mouse click and archived in the practice. Like all COLTENE A-silicones, the AFFINIS DCode stands for the most precise impressions, even remaining dimensionally stable after optional autoclaving.

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PROSTHETICS

A-silicone impression material

PRESIDENT PRESIDENT The Original

The Original

The introduction of PRESIDENT as the first A-Silicone in the market is considered a milestone for dental impression materials. With the use of polyvinylsiloxane (PVS) elastomers for the first time PRESIDENT users reached an unprecedented dimensional stability and precision. To celebrate the 40th anniversary, the well-established brand has been modernized as PRESIDENT The Original with new consistencies and colors.

A SMALL STEP FOR DENTISTS A GREAT STEP FOR DENTISTRY

003250 02.17

Coltène/Whaledent AG Feldwiesenstrasse 20 9450 Altstätten / Switzerland T +41 71 757 53 00 F +41 71 757 53 01 info.ch@coltene.com

Coltène/Whaledent GmbH + Co. KG Raiffeisenstraße 30 89129 Langenau / Germany T +49 7345 805 0 F +49 7345 805 201 info.de@coltene.com

© 2017 Coltène/Whaledent AG – www.coltene.com