EXCELLENCE in COSMETIC DENTISTRY and LONGEVITY and
Perfect for less demanding cases. The best solution for the most demanding ones.
BASIC KIT Nanohybrid resin for posterior and anterior teeth
6 syringes (EA2, EA3, EA3.5, DA2, DA3 and T-Neutral)
• EASY TO SCULPT
• EXCELLENT POLISHING AND FINISHING
• HIGH MECHANICAL PROPERTIES
INTRO KIT • LONG-LASTING RESTORATIONS
• WIDE VARIETY OF SHADES
4 syringes (EA1, EA2, EA3, DA2) 1 - 4ml Ambar 1 Condac 37 syringe
CLINICAL KIT
REFILL 1 - 4g syringe (most commonly used shades) or 1 - 2g syringe (special shades)
15 syringes (EA1, EA2, EA3, EB2, DA1, DA2, DA3, DB2, D-Bleach, T-Blue, T-Neutral, T-Yellow, E-Bleach H, Opaque Pearl, VH and a 4ml dental adhesive AMBAR)
OPALLIS FLOW 2g syringes (A1, A2, A3 universal. T translucent, Extra Opaque OP. AO.5 B.O5 and OA3.5)
SHADE GUIDE 35 shades
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The national market can now rely on a nanohybrid composite resin that combines excellent optical and mechanical properties. I have performed many restorations with Opallis and I notice anatomy, shade and gloss maintenance along the years. FGM has done a great job in developing a resin like Oppalis. The wide variety of shades is unique!
Doctor Weider Silva Specialist in Implantology and Denstistry Professor of Implantology, Denstistry and Prosthesis . (ABO/DF and ABO/TAG-DF).
FLIP CAP
ERGONOMIC
Easy to handle since just one hand is required to open and close the syringe. The flip cap provides optimum seal and therefore products lasts longer.
Anatomic fit that ensures daily ergonomic needs.
With the innovative silanization process, Oppalis resin provides great flowability that supports teeth reconstruction naturally.
EASY TO SCULPT Source: Marques, S.
ONE SYSTEM FOR POSTERIOR AND ANTERIOR TEETH ANTERIOR TEETH Source: Higashi, C.
POSTERIOR TEETH Source: Valverde, F. / Kose, C.
FAST POLISHING THAT LASTS LONGER Gloss and polishing properties were developed based on a careful distribution of filler in the enamel and effect shades (around 40 nanometers and 2 microns).
Initial Smile
Final smile
Source: Vieira, CA.
Final smile
NANOFILLERS
Esthetics and Resistance
Source: Analysis performed in the Federal University of Parana.
Image obtained through transmission electron microscopy showing the average size and distribution pattern of filler particles in the Opallis composite resin.
HIGH DEGREE OF CONVERSION INCREASE IN MECHANICAL PROPERTIES REDUCTION IN WATER ABSORPTION GREATER SHADE STABILITY IN FINAL RESTORATIONS
Upper face of the sample
Degree of Conversion (%)
Lower face of the sample
Source: Ulrich,L. et al. 2009 (Erlangen University, Germany)
Graph 1: It was observed that Opallis has a degree value of conversion compatible with other composites.
OPTICAL PROPERTIES SIMILAR TO NATURAL TOOTH FLUORESCENCE
Source: Marques, S. Perfection: Restoration fluorescence performed with Opallis (tooth 21) compared with natural tooth fluorescence (tooth 11).
OPALESCENCE
Source: Marques, S. Natural look: Opalescence similar to natural tooth.
FOUR TRANSLUCENCY LEVELS
OPAQUE
DENTIN
ENAMEL
TRANSLUCENT
Opallis system focuses on the layering technique and the availability of different translucency degrees, allowing reproduction of an effect similar to natural tooth structure.
VALUE RESIN The concept of value can be defined by the ability of the material to absorb or reflect light. The Oppalis Resin values were developed with different levels of white/black pigment suitable for last layers. White teeth (brighter) can be reproduced by using Opallis VH shades on the last layers. The VL shade can be used in less bright teeth and the VM shade can be used for intermediate situations.
LOW VALUE
MEDIUM VALUE
HIGH VALUE
SHADE APPLICATION DENTIN DA1, DA2, DA3, DA3.5, DA4, DB1, DB2, DB3, DC2, DC3, D-Bleach
ENAMEL EA1, EA2, EA3, EA3.5, EA4, EB1, EB2, EB3, EC2,EC3, E-Bleach H (High), E-Bleach M (Medium), E-Bleach L (Low)
EFFECT SHADES: Extra opaque: Opaque Pearl (OP), Opaque White (OW), A0.5, B0.5 Translucent: T-Blue, T-Yellow, T-Orange, T-Neutral, Value: VH, VM, VL
SHADE GUIDE*
EASY IDENTIFICATION
THE WIDEST RANGE OF COLORS
Opallis is available in 4g syringes for shades that are more frequently used and 2g syringes for special shades.
SHADES THAT CAN BE USED WITH SIMPLIFIED TECHNIQUE
SHADE SELECTION EXCLUSIVE SHADE GUIDE OPALLIS
MADE WITH THE VERY OWN OPPALIS RESIN
MAKING USE OF THE SHADE GUIDE OPPALIS Overlaying optimizes esthetic results and simplifies shade selection.
Extra opaque resin overlaying effect OW with DB1 (Pic1) and EA1 with translucent T-Neutral (Pic2) Picture 1
Picture 2
Opallis for posterior teeth
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CLINICAL CASE
1 Initial smile
2 Initial intraoral
3 Inferior and superior bleaching concluded
4 Closer look of the damaged restoration
5 Damaged restoration removed
6 Guide + palatal enamel
7
8
Guide removed + OP dentin
Bleach Dentin
9
10
Initial finishing
Immediate finishing
11
12
Polishing with Diamond Excel (FGM and Diamond Flex (FGM)
Incisal detail
13
14
Final smile
Details of the finished restoration
DR. ALESSANDRO LOGUERCIO
Specialist and Masters in Restorative Dentistry - UFPEL /RS PhD in Dental Materials - FOUSP/SP Professor of Restorative Dentistry - UEPG/PR Book author: Direct Restorative Dental Materials: Fundamentals to Clinical Application. Ed. Santos, 2007
DR. CARLOS KOSE JR.
Specialist in Dentistry - ABO /PG Masters in Dentistry - UEPG/PR PhD in Dentistry - UEPG/PR Professor of the Specialization and Improvement in Dentistry - EAP-ABO/Ponta Grossa
Opallis in posterior teeth
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CLINICAL CASE
The case shows the replacement of restorations Class 1 with Opailis resin. To obtain a naturallooking restoration, layers of resin used by following the dental structure layers based on dentin and enamel levels of translucence and opacity.
1
2
Initial: lower molars with inadequate composite resin restorations
Absolute isolation in operative field
3 Closeup view of the tooth 47
4 Closeup view of the tooth 46
5
6
Removal of previous restorations tooth 47
Removal of previous restorations tooth 46
7 Cavity preparations ready to be restored
8 Bonded with glass ionomer Maxxion C
9
10
Smoothed edges of enamel
Cavities etched (Condac 37 - FGM)
11
12
Humidity control with absorbent paper
Ambar adhesive applied with Cavibrush
13
14
DA3 resin inserted on tooth 47
DA2 resin inserted on tooth 47
continued
15
16
T-Blue resin inserted in the sections of the cusps of tooth 47
EA2 resin inserted on the last layer of tooth 47
17
18
Dye core used on the base of the cusps of tooth 47
Restoration of tooth 47 with application of white dye
19
20
Dentin Resin DA3 inserted in the bottom of the cavity of tooth 46
DA2 resin inserted in the cusps of tooth 46
21
22
T-Blue resin inserted in the sections of the cusps of tooth 47
Restoration of tooth 46 finished with enamel dentin EA2
23
24
Tooth 46 filled after characterization with core dye
Tooth 46 restored after characterization with white dye
25
26
Restorations finished
Restorations finished and polished
DR. MACIEL JUNIOR
Specialist in Restorative Dentistry - FOB/USP and Masters in Restorative Dentistry - UNESP/Araraguara.
Opallis for diastema closure
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CLINICAL CASE
Diastemas are often related to esthetic complaints of patients. Normally these extra spaces among teeth bring more discomfort if located in the upper central incisors. Among the causes of diastema is the difference in teeth sizes, abnormalities linked to labial frenulum, missing teeth or orthodontic malocclusion. Treatments most likely indicated for diastema closure are orthodontic treatments, veneers, crowns or direct restorations. In the following case the patient had a diastema that was closed with the Opallis - mesial surface of teeth 11 and 21. The excellent performance of the restoration may be accompanied by photos that show the aspects of a restoration performed 3 years ago with proper maintenance of shade and gloss as well as adapted margins.
Initial smile
Final smile after 3 years
DR.ª LETICIA FERRI
Specialist in Restorative Dentistry - EAP/ABO-SC Masters in Restorative Dentistry - E-UEPG-PR
DR. BRUNO LIPPMANN
Degree in Odontology - Univille SC Currently undergoing the Specialization Course in Odontology - Bio-research Institute THUM- SC Joinville
DR.ª CONSTANZA ODEBRECHT
PhD in Periodontics - Sevillha College of Dentistry - Spain Professor of Periodontists and Clinical Activities - Univille College of Odontology - Joinville SC
Opallis Flow provides great flow which results in better marginal adaptation of restorations and low modulus of elasticity, which supports and dissipates stress generated by thermal and occlusal stresses reducing rnicro-fractures caused in the bond line and favors marginal sealing. It may be used alone or in combination with most conventional resins such as Opallis.
INDICATIONS •
Restoration of minimally invasive cavity preparations
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Tunnel preparations
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Base/liner (highly radiopaque)
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Tooth preparation walls
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Enamel defect repair of primary teeth and restorations
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Composite resin repair
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Tooth fragment bonding
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Class III and V restorations
•
Carious cervical lesions
2g syringes and 1 syringe tip (shades A1, A2, A3 (universal), T (translucent), Extra Opaque (OP A0.5, B0.5) and OA3.5
Opallis flow base/liner under posterior teeth restorations
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CLINICAL CASE
Currently dentists are very careful when performing direct restorations in composite resins to avoid the dreaded post-op sensitivity. Much is said about specific techniques regarding composite resin polymerization, insertion of composite resin in small increments, careful application of dental adhesives, among others. We often forget that by simply beginning a restoration of any dental cavity with a composite resin Flow (Flow Opallis) ensures suitable adaptation of restorative material to the dental element, due to a larger flow, thereby preventing failures in the interface resin/ adhesive, which reduces post-op sensitivity.
1 Cavity class I showing numerous irregularities in the pulpal wall and darkened dentin in the center
2
3
Application of the adhesive
Application of Opallis Flow OP (extra opaque) to replace the darkened dentin
4
5
6
Aspect of the application of the resin
Aspect of the cavity walls filled by thin layers of Opallis Flow light cured. The vestibular walls were restored with the same material as it is a very conservative procedure
Aspect of the cavity filled with the Opallis composite resin
DR. GUILHERME MARTINELLI GARONE Masters in Dentistry - Sao Paulo University SP. Specialist in Orthodontics and Facial Orthopedics - Fundecto - USP SP. Professor of Restorative Dentistry - University of the City of Sao Paulo UNICID. Professor of the Courses of Esthetic Dentistry and Solutions for Anterior Teeth Esthetic - USP SP.
DR. AMÉRICO MENDES CARNEIRO JUNIOR
Masters and PhD in Dentistry - Sao Paulo University SP. Associate Professor of the University of the City of Sao Paulo - UNICID. Coordinator of the Dental Materials course. Provides several course in Cosmetic Dentistry Improvement.
Bonding of dental fragment: a case report
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CLINICAL CASE
Bonding of fragment is one of the most conservative alternatives to restore fractured anterior teeth. Furthermore, restores the morphological, mechanical and aesthetic characteristics of such teeth. Additionally, bonding of fragment allows immediate approach of the traumatized tooth, providing no wear to the remaining structure, treatments that last longer as well as maintenance support of the original shade of the tooth. Male patient, 8 years old, turned to a private clinic, reporting that had been struck by an accidental blow at school and because of that, his front tooth was broken (Fig1). During a meticulous search, two fragments were found and stored in a container with milk (Fig2). After clinical and radiographic examination, there was pulp vitality. Then, the fragments were tested for proper fit to the remaining tooth structure, which was considered satisfactory (Fig. 3). After union of the fragments through hybridization, the adaptation of the fragment was tested again and no adjustments were required (Pic 4 and 5). Then, the remaining tooth structure and dental fragment were etched. The acid was initially applied on the enamel margins and extended to the dentin surface for 15 seconds . After the acid gel application, the substrate was washed with jets of compressed air and water and then etched again for 30 seconds. After washing the fragment and the tooth structure, the excess water was removed with jets of compressed air and cotton balls. The adhesive system was applied to the remaining dental fragment (Pic 6 , 7 and 8). After that the resin Opallis A1 was inserted inside the fragment and onto the remaining tooth structure. The fragment was then positioned and excess of composite resin flow was removed with a steel dental spatula. The fragment and remaining dental structure were cured for 40 seconds, both the buccal and palatal surfaces (Pics 9 and 10). After finishing and polishing, there is the esthetic and functional recovery (Figs. 11 and 12). The patient was instructed on the importance of a check up every six months to analyze the results and also to wear an athletic mouth guard while practicing sports. The bonding with flowable composite fragment was presented as a simple, conservative and excellent adaptation of the fragment due to the viscosity of the resin technique, allowing full esthetic and functional recovery.
1 Clinical aspect of the coronary fracture (element 11)
2
3
Pic 2 and 3. Aspects of the fragment and test of fragment adaptation and dental remaining structure
4
5
Pic 4 and 5. Hybridization to bond the fragment with adhesive system
6
7
8
Pic 6 and 8. Preparation of the fragment and remaining dental structure
9
10
Pic 9 and 10. Application of the resin Opallis Flow A1 and adaptation of the fragment to the dental structure
11
12
Pic 11 and 12. Immediate result after bonding of the fragment
Dra. Paula de Carvalho Cardoso
Specialist, Masters and PhD in Restorative Dentistry - Federal University of Santa Catarina. Coordinator of the Dentistry Specialization Course - Funorte EAP - Goias.
QUALITY RAW MATERIAL THAT COMBINES OPPALIS RESIN RESISTANCE Schott: A consistent partner in the supply of glass fillers
Q
uality has always been a priority in the
Another point praised by the technical director
supply chain of FGM products, ensuring
is the quality of the customer care. “Schott competitive
high quality products and effective
advantage is the technical support, with a specialized
results.
selection
team that provides support throughout the process. High
is a must since FGM is always focused on suppliers of
quality allied to great service defines why Schott is such an
excellence, such as Schott,
outstanding glass filler supplier, defines Friedrich”.
Therefore
supplier
a German company that
provides micronized glass fillers that are available in the Opallis, Llis resins as well as other resin-based products.
Located in Landshut, Germany, 125 years ago Schott is featured in the manufacture of special glasses
Schott manufactures the most modern fillers in
with much of its product are ranked as the market leader
the world, offering the highest degree of purity, finer grains
in the segments, such as in the appliance industry,
(with up to 180 nanometers), refractive index similar to
pharmacy, electronics, optics, solar energy, transportation
the resin and excellent radiopacity, such properties are
and architecture. In constant innovation, defines higher
required to provide an outstanding composite. According
standards in relation to quality, production and services,
to FGM technical director, Friedrich Georg Mittelstadt, “the
offering high production capacity, technical support,
company offers a glass filler that fits in what is best in dental
training, and high process capability (ISO 9001:2008, ISO
composites. That is why FGM has incorporated such quality
15378:2006, OHSAS 18001:2007, DMF 19950 USA and
and technology to its products”.
ISO 14000:2004 certified, including the IMSU certification).
Currently, the composites are the most versatile
This quality assurance ensures trust for FGM products,
materials for dental restorations, since they provide an
which are among the safest and most respected products
aesthetic result similar to the own tooth structure along with
in the market.
good durability. With over 40 years experience, Schott has developed increasingly sophisticated fillers, developed specifically for dental composites in order to increase the gain properties of these formulations and also to meet the diversity of formulations available around the world. Schott provides more than 20 different types of filers available for dental use.
Picture 1. Image obtained by electron microscopy transmission showing the average size of particles and Opallis composite resin filler particles distribution pattern.
This image is a courtesy of SCHOTT AG, Germany.
Figure 2. Process for obtaining a dental composite of the raw glass. 1. Raw glass. 2. Glass powder after grinding and monomer composition. 3. Mixture of glass powder with the monomer composition. 4. Applying the Composite on the teeth. 5. Composite light curing.
Why is MDP so important? MDP is known to provide the best performance in chemical adhesion to hydroxyapatite Ricardo Marins de Carvalho DDS, PhD The University of British Columbia-Canada
Adriana Pigozzo Manso DDS, MSc, PhD The University of British Columbia-Canada
A suitable adhesion occurs when there is mechanic imbrication between the adhesive and tooth structure. By adding a functional monomer such as MDP which provides a chemical interaction with calcium hydroxyapatite leads to a more suitable chemical adhesion to the substrate. Thus, the monomer MDP shows high and stable adhesion properties in an aqueous medium.
The MDP functional monomer forms a strong and sturdy chemical bridge between the tooth structure and the polymeric matrix, presenting a double bond mechanism: micro-mechanical and chemical.
Ambar, quality proven by numbers and images SEM Images (scanning electron microscopy) of the hybrid layer formed by Ambar on human tooth, before and after thermal cycles (20,000 cycles, 5ºC – 55ºC):
EXCELLENT FILLING PROPERTIES Expanded imaged: observe the power Ambar to fill anastomosis.
STABLE HYBRID LAYER Note the excellent quality of the hybrid layer, even after 20,000 thermal cycles.
HIGH AFFINITY TO DENTIN Observe the long tags formed by Ambar, denoting high affinity to dentin.
Kindly provided by Dr. Jorge Perdigão, Minnesota University – USA .
THE COMBINATION THAT YOU NEED Bonding resistance and lack of post-op sensitivity
PROVEN CLINICAL LONGEVITY
97,2% 94,2%
AFTER
AFTER
6 18
MONTHS*
MONTHS*
Clinical evaluation of two simplified adhesive systems in non-carious cervical lesions A randomized, double-blind clinical study tested two important requirements of the adhesive Ambar: retention rate and marginal discrepancy in a 18-month clinical follow-up. Restorations in non-carious cervical lesions were performed in a standardized manner, Ambar was compared to another adhesive, and the results are shown in the following charts:
After 18 months “The results of the randomized double-blind study of the adhesive system Ambar in non-carious cervical lesions after 18 months were excellent and comparable to the control adhesive used (Pictures 1 and 2). Based on such results, Ambar fills all the requirements to receive the American Dental Association Seal of approval for adhesive systems. That must be surely attributed to the presence of the monomer MDP in its composition.� Dr. Alessandro Loguercio *Loguercio, A.D., Ferri, L., Costa, T.R., Reis, A-18-month Clinical Evaluation of New Etch-and-Rinse Adhesive in Cervical Lesions. J Dent Res 92 (Spec Iss A): 596, 2013 (www.dentalresearch.org)
Figure 1: Restoration retention rates
Figure 2: Restoration marginal discrepancy
In the item retention rate (Fig_1) both adhesives showed similar results, while for marginal discrepancies (Fig. 2) Ambar reached higher percentage rates, although statistically similar to the competitor brand.
Studies confirm excellent performance Hydrolytic Resistance The main hydrophobic monomer available in Ambar is not the Bis-GMA (bisphenol glycidyl methacrylate) but UDMA (urethane dimethacrylate) having hydrolytic resistance, which presents about half the water adsorption and solubility observed by other simplified adhesives.1
Ambar has high conversion Yet being a UDMA-based adhesive, Ambar has a high degree of conversion, that is, when light cured there is a greater reaction of monomers, thereby forming a more stable polymer. When an adhesive has a low degree of conversion, the formed polymeric matrix remains rich in hydrophilic groups (with high affinity for water), and thus tend to absorb more water, affecting the mechanical properties not only immediately but also in the long-term which affects restoration longevity.²
Ambar adhesive properties In another study conducted by Professor Dr. Jorge Perdigao (University of Minnesota, USA) using Ambar and other two brands, evaluated the adhesive properties thorough microtensile testing before and after the specimens were subjected to 20,000 thermal cycles (5 - 55%). Ambar showed better infiltration in interfibrillar spaces and high adhesive strength. The same study attested the instant and long-term adhesive quality of the product.³
Nanoinfiltration %
Clinical safety with nomarginal leakage In a study comparing nanoleakage major adhesive systems, Ambar was effective and equivalent or superior to competitors.
Courtesy of Dr. Alessandro Loguercio and Dr. Alessandra Reis - UEPG Different letters indicate statistical difference (p<0,05) Journal of Dental Research 89 (Spec Iss B): abstract 611, 2010.
Note the absence of the nanoleakage on adhesive layer generated by Ambar.
Courtesy of Dr. Jorge Perdigão, University of Minnesota SEM images (scanning electron microscopy) of the hybrid layer formed by Ambar (FGM) on human dentin, after thermal cycles (20,000 cycles, 5ºC – 55ºC) and evaluated nanoleakage.
1 - REIS, A. et al. Effects of Warm Air Drying on Water Sorption, Solubility, and Adhesive Strength of Simplified Etch-and-Rinse Adhesives. The journal of adhesive dentistry, v. 15, n. 1, p. 41-46, 2013. 2 - NAVARRA, Chiara Ottavia et al. Degree of conversion of two-step etch-and-rinse adhesives: In situ micro-Raman analysis. Journal of Dentistry, v. 40, n. 9, p. 711-717, 2012. 3 - PERDIGÃO, J.; GOMES, G.; SEZINANDO, A. Bonding ability of three ethanol-based adhesives after thermal fatigue. American journal of dentistry, v. 24, n. 3, p. 159, 2011.
AMBAR + ALLCEM
For post cementation: a successful combination! Fiber resin pins for direct use as White Post (FGM), are excellent tools for rehabilitation of teeth with extensive coronal destruction. The benefits of such retainers are many, for example high translucency and esthetic as well as elasticity modulus similar to dentin, perfect adaptation to the canal walls due to the conical shape and by using a drill with similar morphology, elimination of laboratory stage during treatments, among others. Currently, dual-curing resin cements have been associated with only simplified light cure dental adhesives, combining safety, speed, economy and convenience during the procedure. Szelz, A et al. (2013) studied the simplified light-cured dental adhesive Ambar associated with the dual resin cement Alcem (FGM) to bond posts. The comparative group included a competitor simplified dual cure Dental Adhesive associated with a dual resin cement from the same manufacturer, varying intensity and light-curing time. In order to attest the bonding quality cementing, some tests such as the push-out bond strength test, nanoleakage and degree of conversion were performed. Figure 1 shows the bonding results obtained in the referred study.
Bonding resistance (MPa)
Chart 1: Bonding resistance of types of adhesive combined to resin cements on push-out bond strength test of intracanal posts (White Post DC2, FGM), considering different types of cures and root thirds. Source: Szeiz, A. et al. Ponta Grossa State University (PR), 2013.
Middle Third
In another study conducted by Cuadros-Sanchez. J. et al (2013). Ambar and Allcem (FGM) were compared with a competitor brand featuring a simplified dual cure adhesive for post bonding. Among other tests, were obtained the degree of conversion within the root canal for systems in different root thirds. The most critical third to bond (apical) third) both systems showed similar results in terms of bonding.
Degree of conversion (%)
Apical Third
Allcem / Ambar (FGM) Enforce / XP Bond chemically activates (Dentsply) Apical Third
Chart 2: Degree of conversion of two types of adhesive combined with a resin cement to bond intracanal posts (White Post DC2, FGM), considering the apical third. Fonte: Cuadros-Sanchez, J. et al. Universidade Estadual de Ponta Grossa (PR), 2013.
Analyzing the partial results of the studies, it is concluded that Ambar, despite being only a light cured adhesive when combined with the dual cure resin cement Alcem (FGM), is equivalent to competitors brands specifically developed for root canal bonding. Therefore, clinicians no longer need to worry about purchasing specific products such clinical need (dual-cured or activated), since the adhesive system used on daily procedures (Ambar FGM) can also be used to bond root posts safely and easily.
AMBAR + ALLCEM: use it and testify the quality!
This material was developed with the aim to guide professionals in performing restorative procedures. The manufacturer of the product is not liable for any damage caused to patients receiving treatments in non-compliance with those described here, and also it is recommended to carefully read the instruction manual of the products mentioned here even before the implementation of the in vivo protocol in. This material belongs to FGM Dental Products, copies or reproductions are not allowed without previous consent.
FGM Produtos Odontol贸gicos Av. Edgar Nelson Meister, 474 89219-501 - Joinville - SC - Brasil 0800 644 6100 www.fgm.ind.br/en
www.fgm.ind.br/en | 0800 644 6100