Panavia cements have come a long way. When I was a dental assistant, more years ago than I hate to admit, I remember Panavia was our go to for the tough stuff. When a patient came in with a crown that fell off after only being on a short time, or they had a short prep and the temp had to be re-cemented every other day, the Doctor would send me to the fridge to get out the Panavia. It was also extremely complicated. I remember always propping up my laminated instruction card and laying out everything step by step (and yet still getting lost in the steps). Now Panavia SA Cement Universal, a dual-cure, self-etch, self-adhesive resin cement that provides fluoride release has made cementing much more streamlined, no matter what you want to cement. Bonus!!! You don’t even have to run to the fridge anymore, as it can be stored at room temperature!
Here at the Dental Advisor, we recently received Panavia SA Cement Universal (Kuraray). According to the manufacturer this material adheres to virtually every material including glass ceramics without the need for a separate primer. Using a unique silane coupling agent built into the paste – LCSi monomer – the cement delivers a strong, durable chemical bond to porcelain, lithium disilicate, composite resin, crowns/bridges, inlays/onlays, posts, and even adhesion bridges. All of these can be cemented with a single-step bonding formula.
Suitable for prosthetic restorations, even LiDiSi cementation
Easy, gingival-friendly excess removal
No need for separate primers
Storage at room temperature
Panavia SA Cement Universal syringe
Panavia SA Cement Universal and an A2 Zirconia crown
Nice viscosity, not too thick or too runny
Panavia SA Cement Universal in shade A2 being applied to a shade A2 zirconia crown
The viscosity of the material and shade being shown here
What were the Initial Insights of the Dental Advisor team and our editorial board? – Cutting out the need for primers is a big bonus. – Our editorial board liked the fact that you can cement to virtually any material with a single step process. – The material has a nice consistency/viscosity. – Upwards of 4 minutes for self-cure may be a bit long in the eyes of the evaluators.
What do our Clinical Evaluators and their patients think about this product once it’s used in their offices? Look for our clinical evaluation in an upcoming issue!
Administering palatal anesthesia is a necessary evil that I always dread. As you can imagine, working in public health means I have done a lot of maxillary extractions. Knowing I have to give that palatal anesthesia always makes the sweat start beading before we even get started. I want to make my patients comfortable, but my arsenal of tips and tricks for making palatal anesthesia less painful has never been very extensive or effective.
At Dental Advisor, we recently received the Palatal Anesthesia Device (Master Dental Inc.). This instrument uses the principle of applying pressure to the area, that we have all done with a mirror handle, but makes it more effective. According to the manufacturer the Palatal Anesthesia Device uses the principles of pressure anesthesia and the “gate control theory of pain” to alleviate the pain associated with a palatal injection. The stimulation of the surface tactile receptors by the instrument “opens the gate” of the pain-transmitting fibers and interrupts their transmission to the brain. Therefore, the pain associated with the initial needle penetration is greatly reduced.
The “C” shape allows for targeted pressure right at the injection site
The targeted pressure blanches the injection site very effectively
What were the Initial Insights of the Dental Advisor team and our editorial board? – Great idea! – Takes a proven method for pain reduction and makes it more efficient. – It takes very little pressure with this instrument to get the tissue to blanch. – Not just a good instrument to have on hand for an office that does a lot of palatal anesthesia but maybe even better for the offices that do it rarely and have not perfected a technique for pain reduction during palatal anesthesia. – We want to test this to see how effective it is… is it worth another instrument on my tray?
What do our Clinical Evaluators and their patients think about this product once it’s used in their offices? Look for a possible clinical evaluation in an upcoming issue!
As a dental assistant, I found myself many times taking a torch to the distal extension of a plastic tray. I was trying to melt it just enough to re-mold and widen it without setting it or myself on fire. I was mostly successful.
We recently received TransForm™ Heat Mouldable Impression Trays (Astek Innovations) here at the Dental Advisor. These impression trays are able to be reshaped by placing the area you wish to mold in water heated to approximately 158 degrees for approximately 20 seconds. According to the manufacturer these trays are made of a strong material, are anatomically shaped, have finger rests, and are made of biodegradable material. Available in small, medium, and large trays in dentate and edentulous.
What were the Initial Insights of the Dental Advisor team? – Very easy to mold once submerged in the hot water. – Placing it back in the hot water made the material go back to it’s original shape. Very convenient in case you over mold.
What do our Clinical Evaluators and their patients think about this product once it’s used in their offices? Look for a possible clinical evaluation in an upcoming issue!
As a public health dentist, not unlike a general practioner, one always finds them-self trouble shooting. Nothing was ever what it seemed on the schedule. A “missing filling” was probably a sheered off entire buccal of a tooth, a “re-cement crown” probably had the tooth and/or core buildup in the crown, and even a restoration was likely caries so large I was sweating bullets the whole time because I knew the pulp was likely tenths of a millimeter away. I always had to plan for the worst and hope for the best. Because of this, I really liked having versatile products in my office.
We recently received Biodentine® (Septodont) bioactive dentin substitute. According to the manufacturers it has a high amount of calcium and hydroxide ions released upon setting, it has similar mechanical properties as dentin allowing bulk fill, and mechanical strength increases as the restoration sets.
This is a very versatile material. It can be used for adults and pediatric patients:
In the crown: temporary enamel restoration, permanent dentin restoration, deep or large carious lesions, deep cervical or radicular lesions, pulp capping, pulpotomy.
In the root: root and furcation perforations, internal/external resorptions, apexification, retrograde surgical filling.
What were the Initial Insights of the Dental Advisor team and our editorial board? – Capsule mixing system rather than traditional powder liquid is much more convenient. – Interesting that you have to add the drops to the capsule yourself prior to triturating. – First mix was a little powdery still, but second mix was extremely creamy and very easy to place and manipulate. – Great option that you can replace enamel for up to 6 months if you are letting a tooth heal. – 10 to 12 minute set time. – Being able to bulk fill dentin replacement is a great benefit of this material.
What do our Clinical Evaluators and their patients think about this product once it’s used in their offices? Look for a possible clinical evaluation in an upcoming issue!
I spent 10 years as a dental assistant before going dental school. In that time I acquired some super powers. Super Hearing: I could hear if my doctor needed something from clear across the building, Psychic Powers: I knew what my doctor was going to need before they even knew what they were going to need, and a Hulk Right Hand: from squirting out heavy body impression material on a routing basis.
Here at the Dental Advisor we recently received the PowerMix™ (Clinician’s Choice) automatic impression material dispenser. What makes this different from some automatic impression material dispensers is that it is cordless and portable (weighing in at 2 pounds). According to the manufacturers it dispenses void-free impression material at the press of a button, filling a full arch impression tray in only 10 seconds! The impression material is proprietary, so you have to use their material that fits into the unit. You can dispense the material either using the dispenser hand held or leave it in the cradle, which is portable.
What were the Initial Insights of the Dental Advisor team? – The entire unit is very portable, it would be easy to hop from operatory to operatory with this. – When using handheld, the shape is kind of awkward to hold in your hand. – Talk about fast! It filled a full arch tray in no time, as promised. – Very smooth dispensing of material.
What do our Clinical Evaluators and their patients think about this product once it’s used in their offices? Look for our clinical evaluation in an upcoming issue!
In the complex world of bonding and cementation is there still a place for resin-modified glass ionomer cements? I would argue, yes! High risk patients, of course but also their ability to cement your restoration when you cannot obtain a dry field make them great to have in your arsenal.
We recently received FujiCEM™ (GC America) Evolve resin-modified glass iononmer luting cement. The manufacturer claims this material has high moisture tolerance, low film thickness of ~12µm, and sets in 4 min 30 seconds with a 2 minute 15 second working time. This material features the ability to tack-cure for 3 seconds for easy clean-up of excess cement.
Pro Tips: For optimal bond strength to the tooth make sure to clean the tooth and remove excess water but do not completely desiccate, leave glistening. No need for any pre-treatments on the tooth. An optional cavity conditioner can increase your bond strength, but do not try etching in its place. For optimal chemical adhesion to the tooth some of those minerals removed during etching are required. Make sure to pre-treat your restoration according to manufacturers directions with this material.
FujiCem Evolve dispenser
FujiCem Evolve in hand
Dispensing FujiCem Evolve into pre-formed pediatric zirconia crown
What were the Initial Insights of the Dental Advisor team and our editorial board? – Very convenient dispensing. – Good consistency of mixed material. – Only available in one shade, “Universal”. – We felt it was very difficult to remove their “push and click” tip.
What do our Clinical Evaluators and their patients think about this product once it’s used in their offices? Look for our clinical evaluation in an upcoming issue!
