One Cement. All indications. One prime procedure.

Just imagine cementing all of your prosthetics with one predictable procedure.

This PANAVIA™ V5 video demonstrates the work flows for: 

- Zirconia crown cementation
- Laminate veneer cementation

Case by MDT Daniele Rondoni and Dr. Enzo Attanasio.

Veneers made of zirconia? In some cases, like the one presented below, monolithic zirconia veneers may be an option. Reasons for selecting a latest-generation zirconia such as “KATANA™ Zirconia” YML include its very high translucency and a wall thickness of only 0.3 to 0.4 mm supporting minimally invasive tooth preparation. Due to a highly automated production procedure, the manual effort involved may be reduced, while highly aesthetic outcomes are possible.

Fig. 1. Initial situation: Young female patient with misshaped and misaligned maxillary incisors. Digital smile design is used to reveal the ideal proportions and positions of the anterior teeth.

Fig. 2. Ideal tooth proportions and positions displayed over a picture of the teeth after orthodontic treatment and the creation of a mock-up. The positions are ideal and the tooth shapes obtained with the mock-up only need some minor adjustments.

Fig. 3. Facial view of the patient with the planned veneers blended in.

Fig. 4. Guided tooth structure removal with the aid of a silicone index. The minimum wall thickness of the selected material – “KATANA™ Zirconia” YML – is 0.4 mm.

Fig. 5. Matched digital impressions of the maxilla and mandible taken after tooth preparation.

Fig. 6. Monolithic restoration made of “KATANA™ Zirconia” YML placed on the resin model after the 7-hour final sintering.

Fig. 7. Lateral view of the master cast with the six veneers individualized with the liquid ceramic system CERABIEN™ FC Paste Stain.

Fig. 8. Tooth-like translucency of the veneers on the model.

Fig. 9. Intra-oral try-in with two different shades of the PANAVIA™ V5 Try-in Paste: A2 is used in the right and Clear in the left quadrant. It was decided by the dentist to use A2 shade.

Fig. 10. Lateral view of the cemented veneers. The result is a natural surface texture, which contributes to a natural appearance of the restorations.

Fig. 11. Frontal view of the veneers in place.

Fig. 12. Treatment outcome immediately after rubber dam removal.

FINAL SITUATION

Fig. 13. Treatment outcome with healthy soft tissues two weeks after treatment.

Fig. 14. Gums are healthy and the restorations show a great optical integration with the adjacent posterior teeth.

Dentists:

Are you dreaming of speeding up your adhesive procedures?

CLEARFIL™ Universal Bond Quick might be exactly what you need.

The evaluators of REALITY Ratings & Reviews confirm that a three-second application is the greatest, but not the only benefit of the universal bonding agent.

Read the report to find out about the others.

Content Highlights:

• Product overview
• Strengths and Weaknesses
• Manufacturer's page

Start Reading: REALITY | RATINGS & REVIEWS | CLEARFIL™ Universal Bond Quick

How many different shades of composite do you need to create appealing restorations in virtually every clinical situation?

If you opt for CLEARFIL MAJESTY™ ES-2 Universal shade concept, a few shades will do the trick.

Check out the video and discover how only two shades (UL and UD) can be an answer to all of your restorations in the aesthetically more demanding anterior region.

That’s what we call Intelligent Simplification.

Do you prefer a biomimetic approach to treating your patients’ sensitivities?

TEETHMATE™ DESENSITIZER naturally solves virtually every sensitivity issue by creating hydroxyapatite.

Here is what the evaluators of REALITY Ratings & Reviews have to say after testing the exceptional product.

Read the report to learn more!

Content Highlights:

• Product overview
• Strengths and Weaknesses
• Manufacturer's page

Start Reading: REALITY | RATINGS & REVIEWS | TEETHMATE™ DESENSITIZER

How many different shades of composite do you need to create appealing restorations in virtually every clinical situation?

If you opt for CLEARFIL MAJESTY™ ES-2 Universal shade concept, a few shades will do the trick.

Check out the video and see that 1 single universal shade (U) can successfully be the go-to solution for all of your posterior restorations, independent of the colour of the underlying and adjacent tooth structure.

That’s what we call Intelligent Simplification.

New bottle design for an even more convenient handling.

PANAVIA™ V5 is the strongest and most aesthetic resin cement Kuraray Noritake Dental Inc. has ever developed. This does not leave much room for improvement. Nevertheless, Kuraray Noritake Dental has found a way to make this excellent cementation system even better. By changing the bottle design of PANAVIA™ V5 Tooth Primer and CLEARFIL™ CERAMIC PRIMER PLUS, the company provides for simplified handling, improved hygiene and minimized material waste.

The new bottles have a compact body and a flip-top cap designed for easy opening, dispensing and closing with just one hand. A unique nozzle is responsible for controlled dispensing of the tooth primer and the ceramic primer, which leads to minimal material waste during application. Drop control also leaves the surfaces clean after use, which facilitates hygiene measures that are now more important than ever before. Together, these design features make the dental practitioner’s life a lot easier in the busy practice environment, while providing for clean and safe dental procedures that support a high quality of care.

An exceptionally high quality of care is already a major reason for dental practitioners around the world to opt for PANAVIA™ V5: the true dual-cure, fluoride-releasing, colour-stable, universal resin cement provides self-cure dentin bond strengths that are equal to those achieved by CLEARFIL™ SE BOND, a gold-standard light-curing bonding agent. The exceptionally high bond strengths obtained not only on dentin, but also on enamel in the self-cure mode are due to innovative catalysts in the MDP-based PANAVIA™ V5 Tooth Primer. The also MDP-based CLEARFIL™ CERAMIC PRIMER PLUS, on the other side, develops an exceptionally strong and long-lasting bond to all silica-based ceramics, zirconia, composites and metals.This makes PANAVIA™ V5 the go-to solution for all types of indirect restorations.

On top of that, PANAVIA™ V5 exceeds the aesthetic expectations of its users as it comes in five beautiful shades that are colour-stable over time, and create beautiful margins. Predicting the final aesthetic outcome is easy with the aid of five matching try-in pastes. With the newly designed primer bottles, the cementation system offers an even more convenient handling and hygienic use than it used to, while maintaining its strengths related to clinical performance.

Would you like to skip shade matching in direct posterior restorative procedures? You can, with CLEARFIL MAJESTY™ ES-2 Universal.

See what the REALITY Evaluators have to say about the innovative product with a single posterior shade!

Read the report to learn more!

Content Highlights:

• Product overview
• Strengths and Weaknesses
• Manufacturer's page

Start Reading: REALITY | RATINGS & REVIEWS | CLEARFIL MAJESTY™ ES-2 Universal

Article by Peter Schouten.

I am frequently asked questions about the intraoral repair of porcelain chippings. To achieve success in repairs, it is essential to consider several important issues.

Perhaps the single most crucial issue to recognise is why the chipping occurred in the first place. For example, if loading stress is the leading cause, this should be considered during the repair.

Other issues to consider are removal of contamination, optimal roughening and chemical activation of the surface, and the prevention of contamination during the repair. Also, a rubber dam should be used to isolate the working field.

FUNDAMENTALS OF ADHESION

Adhesive procedures can be only successful by using the proper substances and methods. Different kinds of surfaces often need different treatments for success. However, the three basic fundamentals of adhesion must be respected to achieve the best results.

1) Mechanical retention through a roughened surface.

2) Chemical activation through chemically active substances.

3) High energetic bonding surface allowing for optimal interaction (wetting capacity) between the surface and the applied medium. Contamination will lower the bonding capacities and must be avoided or removed in any case.

TYPES OF FRACTURE

The most frequent fractures are porcelain only and those that include exposure of the substructure in PFZ or PFM prosthesis.

Many cases present with only limited chipping to the porcelain, for example, at the incisal edge. To achieve a durable repair in this instance, start by increasing the bonding/repair area using a fine diamond burr to create a large bevel. A fine grit burr is preferable over a medium or coarse version because a higher number of shallow grooves deliver a more optimal bonding surface than lesser deeper ones do. Additional roughening of the adherent surface by sandblasting with alumina (50 µm grain size, 2 bar pressure) is highly recommended to increase the surface area further.

When repairing porcelain chippings where the substructure is exposed, it is essential to be aware that multiple substrates are dealt with, indicating a need to adjust the repair protocol accordingly.

Clean the roughened fractured surface thoroughly. KATANA™ Cleaner is the product of choice. It is a safe and easy to use product with high cleaning power. It can be used both intra and extra orally on all kinds of dental substrates. After rinsing and thorough drying, the surface is ready for the next step, chemical activation.

CLEARFIL™ CERAMIC PRIMER PLUS contains both silane and MDP and effectively treats both silica-containing ceramics and metal oxides (zirconia) and metals. After application and thorough drying, the composite restoration can be carried out immediately without an extra bonding step. The composite of choice is a durable flowable, CLEARFIL MAJESTY™ ES Flow. It has high flexural strength, even higher than most paste-type composites. Besides that, it adapts to the surface better and easier. Quick and easy polishing and gloss retention are other highly valuated qualities of CLEARFIL MAJESTY™ ES Flow.

HINTS AND TIPS

• Isolate the working field by using rubber dam
• Bevel the chipping extensively using a fine diamond burr
• Roughen the adherent surface, preferably by sandblasting
• Clean the bonding area with KATANA™ Cleaner
• Apply CLEARFIL™ CERAMIC PRIMER PLUS to the entire bonding area (including exposed zirconia or metal) and dry thoroughly
• Cover exposed metal with a thin layer of CLEARFIL™ ST OPAQUER and light cure
• Repair with a strong flowable composite, such as CLEARFIL MAJESTY™ ES Flow

Innovation and workflow simplification made possible

In this edition of BOND, we're shining a spotlight on the innovation and workflow simplification made possible by high-quality products like our "KATANA™ Zirconia" range.

In an interview with Atsushi Matsumoto and Yuta Tajima about KATANA™ Zirconia YML these experts explain the benefits of this new material possessing different concentrations of yttria in a single blank, and highlight how its multi-layered nature allows practitioners to work with a nearly universal zirconia suitable for all cases.

Mathias Fernandez Lombardi has contributed an excellent article detailing the science behind "KATANA™ Zirconia", Kuraray Noritake Dental's brand new 4.4.1. kit is introduced and last, but certainly not least, Dr Stefano Daniele details his experiences with KATANA™ Cleaner.

Click here to read. Enjoy!

Start Reading: BOND | VOLUME 8 | 12/2021

Previous versions:

BOND | SPECIAL EDITION | 06/2021

BOND | VOLUME 7 | 10/2020

Innovation and workflow simplification made possible

In this edition of BOND, we're shining a spotlight on the innovation and workflow simplification made possible by high-quality products like our "KATANA™ Zirconia" range.

In an interview with Atsushi Matsumoto and Yuta Tajima about KATANA™ Zirconia YML these experts explain the benefits of this new material possessing different concentrations of yttria in a single blank, and highlight how its multi-layered nature allows practitioners to work with a nearly universal zirconia suitable for all cases.

Mathias Fernandez Lombardi has contributed an excellent article detailing the science behind "KATANA™ Zirconia", Kuraray Noritake Dental's brand new 4.4.1. kit is introduced and last, but certainly not least, Dr Stefano Daniele details his experiences with KATANA™ Cleaner.

Click here to read. Enjoy!

Start Reading: BOND | VOLUME 8 | 12/2021

Previous versions:

BOND | SPECIAL EDITION | 06/2021

BOND | VOLUME 7 | 10/2020

BOND | VOLUME 6 | 03/2020

BOND | VOLUME 5 | 05/2019

BOND | VOLUME 4 | 06/2018

BOND | VOLUME 3 | 10/2017

BOND | VOLUME 2 | 04/2017

BOND | VOLUME 1 | 12/2016

Are you looking for a flowable composite that easily adapts to the cavity floor, produces virtually no voids and offers an excellent cure and great polishability?

According to REALITY Ratings & Reviews, CLEARFIL MAJESTY™ ES Flow is your go-to solution.

Read the review to learn more!

Content Highlights:

• Product overview
• Strengths and Weaknesses
• Manufacturer's page

Start Reading: REALITY | RATINGS & REVIEWS | CLEARFIL MAJESTY™ ES Flow