429 Too Many Requests

By Aleksandra Łyżwińska, DMD

The MOD restoration on the maxillary left second premolar of this patient was in need of replacement. It was decided to create a direct composite overlay with CLEARFIL MAJESTY™ ES Flow - Super Low A3, CLEARFIL MAJESTY™ ES-2 Classic A2. CLEARFIL™ SE BOND 2 was used after selective etching of the enamel to establish a chemical bond to enamel and dentin. For the finishing and polishing procedure, abrasive discs were used first, followed by silicon carbide rubber instruments and the CLEARFIL™ Twist DIA system.

Fig. 1. Initial clinical situation revealing the composite restoration to be replaced on the second premolar.

Fig. 2. Occlusal view of the teeth after cavity preparation including cusp reduction.

Fig. 3. Lateral view of the teeth after cavity preparation.

Fig. 4. Matrix band held in place with wedges and two rings.

Fig. 5. Situation after etching, bonding, removal of one ring, and build-up of the interproximal walls with CLEARFIL MAJESTY™ ES-2 Classic in the shade A2.

Fig. 6. Cavity filled with CLEARFIL MAJESTY™ ES Flow - Super Low A3.

Fig. 7. Occlusal surface restored with CLEARFIL MAJESTY™ ES-2 Classic in the shade A2.

Fig. 8. Polishing with the pre-polisher of the CLEARFIL™ Twist DIA system.

Fig. 9. Polishing with the high-shine polisher of the CLEARFIL™ Twist DIA system.

Fig. 10. Appearance of the restoration immediately after rubber dam removal and checking of the occlusal contacts.

FINAL SITUATION

Fig. 11. Linguo-occlusal view of the treatment outcome.

Fig. 12. Lateral view of the treatment outcome.

Dentist:

ALEKSANDRA ŁYŻWIŃSKA
Warsaw, Poland

Aleksandra Łyżwińska, DMD, is a passionate aesthetic and adhesive dentist. Driven by Evidence Based Dentistry, her goal includes using modern composite materials and bonding agents in her clinical practise. In addition to her primary job, she worked as a lecturer and an assistant professor at the Department of Conservative Dentistry and Endodontics of Medical University of Warsaw, her alma mater.

Universal applicability of dental materials – this is a feature highly valued by the products’ users. It allows them to slim down the range of materials needed, which leads to reduced stock inventory and facilitates the establishment of universal workflows. With fewer variables and inconsistencies, all members of the practice team will know exactly what to do and how to do it, which mean less errors and consistent outcomes.

As one of the leading developers and providers of bonding agents, cements and composite filling as well as indirect restorative materials, Kuraray Noritake Dental strongly supports the universality trend in dentistry. Popular examples of universal products for direct restoration procedures are CLEARFIL™ Universal Bond Quick, a one-step dental bonding agent that works with or without a separate etching step, and the filling material CLEARFIL MAJESTY™ ES Flow.

Indirect restorative workflows are streamlined e.g. with PANAVIA™ SA Cement Universal, a self-adhesive resin cement indicated for all kinds of restorative materials, which is always used according to the same universal protocol.

Prior to the use of this product, the dental practitioner should consider cleaning the tooth and the restoration with KATANA™ Cleaner indicated for extra- and intra-oral use and providing optimal conditions for a strong and durable bond.

Both products recently received very positive ratings from the evaluators of Clinician’s Report. Click here to see the evaluations!

Dental photography as a valuable documentation aid

The main purpose of photography in dentistry is documentation. The aim is to collect as much information as possible under reproducible conditions. For this purpose, the camera used, its accessories and the format and lighting of the intra- and extra oral recordings relevant to dentistry must be standardized. Under standardized photographic conditions, the recordings made can be compared with one another, even if the later recordings are made only after a long period of time and by different photographers. Only in this form can dental photography be used as a valuable documentation aid. The standards described by Wolfgang Bengel in 1985 are still valid, but they have to be updated and adapted to technical innovations.

In this webinar, the current development in the field of dental photography and related areas will be briefly explained.

Dr. Alessandro Devigus has had his own practice with a focus on CEREC since 1990, editor-in-chief of the International Journal of Esthetic Dentistry.

Topic: Dental photography as a valuable documentation aid
Date: Wednesday. October 14, 2020 - 17:00 - 18:30 CEST
Time: approx. 90 min (including discussion and questions)

Dentistry is currently experiencing an interesting evolution. While dentists are becoming increasingly specialised, the demand for products that can be used for all indications continues to grow. These systems and materials are part of a universal trend in dentistry—a trend that Kuraray Noritake Dental is extremely well suited to accommodate.

Advancing adhesive dentistry

As the technology has developed, dental adhesives have progressed from no-etching to total-etching and then self-etching systems. In 1978, Kuraray Noritake Dental introduced CLEARFIL™ BOND SYSTEM-F, the world’s first total-etching adhesive system. More than four decades later, the company is still setting standards with CLEARFIL™ Universal Bond Quick, a one-step dental bonding agent that can be used in total-etching, self-etching and selective-etching modes.

Combining Kuraray’s original MDP monomer with hydrophilic amide monomers, CLEARFIL™ Universal Bond Quick is designed to be less technique-sensitive than other one-step solutions and has been proved scientifically to deliver stronger, more stable bonds.

It is not just bonding agents that are becoming universally applicable either. A dental cement like Kuraray Noritake’s PANAVIA™ SA Cement Universal builds upon the success of previous generations of PANAVIA™ to deliver optimal bonding to dental tissue as well as to metal and zirconia materials. This self-adhesive resin cement always requires the same procedure, even when bonding porcelain, lithium disilicate and composites, without the need for a primer. The reason? It’s the addition of a unique long carbon chain silane.

Universal composites and cleaners

The silane technology behind PANAVIA™ SA Cement Universal can also be found in CLEARFIL MAJESTY™ ES Flow, a universal flowable composite suitable for all cavity classes. Its small, durable filler particles help to ensure excellent flexural and mechanical strength, while special cluster fillers provide a light diffusion effect similar to that of natural teeth. Creating aesthetically natural and reliable restorations is easier than ever with CLEARFIL MAJESTY™ ES Flow.

As the latest addition to the CLEARFIL MAJESTY™ ES series, CLEARFIL MAJESTY ES-2 Universal offers a smart and easy-to-use system that will work for the vast majority of your daily cases. Its light-cure, radiopaque restorative material which provides accurate color matching, high polishability and excellent physical properties, makes the product ideal for both anterior and posterior restorations. What makes this Universal series truly special is that the shades cover all shades of the VITA classical A1-D3 shade standard with a limited number of syringes/PLTs depending on the cavity class. If you opt for CLEARFIL MAJESTY™ ES-2 Universal, just a few shades will do the trick.

And when considering Kuraray Noritake’s forays into universal solutions, let us not forget the new KATANA™ Cleaner, a non-abrasive cleaner that, unlike other options on the market, can be used both intra- and extra-orally. Backed by extensive scientific research, the KATANA™ Cleaner comes with a single-handed delivery cap and an extremely straightforward method of application: simply apply with a rubbing motion for at least 10 seconds, rinse with water and air-dry before cementation.

Making dentistry more streamlined

The modern dental practice is often multidisciplinary in its nature, which can result in the need to store many more products than there might be space for. Through these universal products and others, Kuraray Noritake is aiming to make dentistry simpler and more efficient.

Our commitment to you:

Kuraray Noritake dental products offer dental professionals all over the world high-quality products using simple procedures with long-lasting results. With the COVID-19 outbreak, all of us are now going through difficult times which we were not prepared for. Our thoughts are with all those people who are affected by the coronavirus pandemic.

We, at Kuraray Europe GmbH, as the European sales office of Kuraray Noritake Dental Inc., feel a strong responsibility towards our customers and partners, colleagues and communities and we would like to inform you that, in spite of the challenges we are now facing, we will do our best to provide you with the services that you require:

1. Business as usual.

It is both important that we continue to provide products and services to all our customers and at the same time secure the safety of our employees. With that in mind, we have transitioned most of our employees not involved in manufacturing to working remotely and eliminated all non-essential and cross-border travel. This change should not impact in any way how you, our dear customers, contact us. We are ready, willing and able to support you. Clearly, to keep face-to-face interactions to a minimum, we will focus our communication on what is most convenient for you – either a phone call, through email or video chat (Skype, FaceTime or Google Hangout). Whatever is convenient for you!

2. Delivery

As of today, we have sufficient inventory for both dentists and dental labs, as well as reliable logistics. Thanks to our global network of dealer-depots, dental professionals all over the world will continue to have direct local access to our wide range of Kuraray Noritake Dental products. Kuraray Europe GmbH will exert every effort possible to deliver your orders on time. Parallel to this, we kindly ask you to make sure that somebody in your office will be available to receive the parcel. In case, for whatever reason this is not possible, please notify your supplier in advance.

3. Technical Services.
   Our technical service is available to meet your needs.

If there is anything else that we can do to support you, please let us know.

We wish you all the best. Take good care and stay healthy.

Sincerely,

Kuraray Europe GmbH

BU Medical

En Kuraray Noritake Dental Inc. estamos orgullosos de que nuestros productos se desarrollen utilizando tecnologías innovadoras, prestando atención a los detalles y teniendo en cuenta las necesidades de nuestros clientes.

Nos comprometemos a ofrecer productos excepcionales que proporcionen a los profesionales de la odontología la flexibilidad necesaria para la autoexpresión y la creatividad, añadiendo valor y ofreciendo resultados estéticos excelentes en todos y cada uno de los procedimientos.

Usabilidad, sencillez y, por supuesto, calidad siempre en mente: proporcionar a los profesionales de la odontología materiales que les liberen del estrés de su práctica diaria.

Como prueba de que nuestros productos satisfacen las necesidades de dentistas y técnicos de laboratorio por igual, nos complace compartir con usted los Certificados CE de Sistema de Garantía de Calidad Total que hemos recibido del Organismo Notificado. Puede descargarlos a continuación.

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