by Dental Advisor | Jan 8, 2018
Consultants’ Comments
Description
Riva Light Cure HV is a high-viscosity, fluoride-releasing, light-cured, resin-reinforced glass ionomer restorative material. It is designed for easy shaping and contouring without sticking and lift-off/pull back. It is indicated for minimal Class I restorations, non-functional Class II restorations, Class V restorations, deciduous teeth restorations, geriatric restorations, partial core build-ups, root surface restorations, temporary fillings, and as a base/dentin replacement using the sandwich technique. It is available in shades A1, A2, A3, A3.5, and B1. Riva Light Cure HV is supplied in capsules for trituration. The kit contains: 50 Riva Light Cure HV capsules, product literature, easy reference guide instructions, and expanded instructions/MSDS. Riva Light Cure HV was evaluated by 29 consultants in 758 uses. It received a 91% clinical rating.
Product Features
Consultants reported that Riva Light Cure HV was easy to place. The heavy viscosity allows better sculpting compared to other glass ionomers. The material finishes nicely and provides reasonable esthetics. Additional shades are needed for cervical areas. Finished restorations are distinctly radiopaque. Forty-five percent of consultants reported that Riva Light Cure HV was better than their current glass ionomer restorative material and 48% reported that it was equivalent. Sixty-two percent would switch to Riva Light Cure HV and 79% would recommend it.
Clinical Tips
- Do not use for pulp capping.
- Use polyacrylic acid conditioner or phosphoric acid etchant, if preferred.
by Dental Advisor | Jan 8, 2018
Consultants’ Comments
Description
Ceramir Crown & Bridge is a permanent, radiopaque, bioceramic luting cement supplied in capsules. It is indicated for conventional cementation of metal-, lithium disilicate-, alumina- and zirconia-based restorations. The capsules contain glass ionomer powder and bioceramic (calcium aluminate) powder plus water. Activation of the capsule with the Ceramir Activator is done prior to mixing in a 4000-5000 rpm mixer. Dispensing requires use of either the Ceramir Applicator, Aplicap Applier (3M ESPE) or the AC Applicator (VOCO). Ceramir Crown & Bridge is self-setting with a working time of two minutes and a setting time of four to eight minutes. The cement is designed to be biocompatible and to resist acid and acid-producing bacteria. It requires no etching, priming, bonding, or conditioning. Each box contains 20 capsules of cement and manufacturer’s instructions. Ceramir Crown & Bridge was evaluated by 20 consultants in 314 uses. This product received a 92% clinical rating.
Clinical Observations
Packaging and Manufacturer’s Instructions
Within the box, each of the 20 capsules of Ceramir Crown & Bridge is individually packaged in a foil pouch. Instructions are clear and concise and are accompanied by a pictorial card for quick reference. Consultants rated packaging and instructions as good.
Ease of Activating, Mixing and Dispensing
Activation of the capsule is done with an activator available from Doxa Dental. After mixing, the nozzle of the capsule must be rotated 180° before extruding the cement. Failure to rotate the tip can result in cement coming out of the seams in the capsule. Assistants noted that a homogeneous mix of cement was achieved in all cases.
Viscosity of Mixed Cement
Consultants rated the viscosity as very good. The cement is smooth and creamy and coats the surface of the restoration well. Upon seating, little to no resistance was felt by the dentists placing the restorations.
Working and Setting Times/Removal of Excess Cement
Working time was rated as good. Two size of capsules is available, Ceramir C&B singlecap and Ceramir C&B (doublecap), an additional capsules may be necessary for multiple-unit bridges. The two minutes working time is adequate even in cases of mixing more than one capsule. The cement reaches a rubbery stage after additional one to two minutes, when clean-up is recommended. Removal of excess cement at this stage is very easy. After cleanup, the restoration must be stabilized for an additional four minutes. Consultants would like the option of a faster setting time.
Esthetics of Mixed Cement
The cement is a bright white color, which facilitates visibility and clean-up at the margins. In cases of translucent zirconia restorations, shine-through of the opaque cement can occur.
Post-insertion Sensitivity
There were no reports of post-insertion sensitivity.
Summary
Fifteen percent of consultants reported that Ceramir Crown & Bridge was better than their current crown and bridge cement and 60% reported that it was equivalent. Sixty percent would switch to Ceramir Crown & Bridge and 85% would recommend it.
Clinical Tips
- A capsule activator, mixer and applicator are required for use.
- Perform clean-up in the rubbery phase, around three minutes after mixing.
- Do not use with lower-strength glass ceramics.
- Store at room temperature.
by Dental Advisor | Jan 2, 2018
Consultants’ Comments
Description
Luxatemp Fluorescence advances the Luxatemp provisional material line, providing enhanced strength. It is a self-cured composite for the fabrication of temporary crowns and bridges, inlays, onlays and veneers. Luxatemp Fluorescence is also indicated for the fabrication of long-term temporaries. The two-component material is based on multifunctional methacrylates and is automatically mixed. Luxatemp Fluorescence is fluorescent and is available in shades A1, A2, A3, A3.5, B1, and BL. It is available in 76 g automix cartridges with 15 mixing tips and 15-g Smartmix syringes with 10 mixing tips. Luxatemp Fluorescence automix was evaluated by 26 consultants in 586 uses. It received a 91% clinical rating.
Product Features
Luxatemp Fluorescence provides provisional restorations with very good esthetics and excellent polishability. The material dispenses smoothly from the cartridge into the clinician’s matrix of choice. Working time is adequate, even for multiple-unit cases, and setting time in the mouth is quick enough to allow removal after about 1.5 minutes. Upon removal, some sticky residue usually has to be cleaned from the adjacent teeth. Bubbles in the material and voids in the temporaries are minimal, with repair easily accomplished with flowable composite. Consultants noted that the enhanced strength was not relevant for the majority of their needs. They did note that the set material was very hard and sometimes brittle in thin areas. Forty-two percent of consultants reported that Luxatemp Fluorescence was better than their current provisional material and 46% reported it was equivalent. Seventy-three percent would switch to the Luxatemp Fluorescence and 77% would recommend it.
Clinical Tips
- Store in a dry place at room temperature.
- Insert Luxatemp Fluorescence over the prepared teeth within 45 seconds after start of mixing. Remove the temporary from the mouth during the elastic phase, 1:30-2:30 minutes after start of mixing.
- After about 5 minutes from the start of mixing, the temporary can be finished.
by Dental Advisor | Jan 2, 2017
Consultants’ Comments
Description
NeoDiamond is a disposable, individually packaged and sterilized diamond bur. It uses TritonTM bonding to fasten diamonds to a Swiss-made stainless steel shank which exposes 20% more diamond cutting surface. These single-use diamonds are available in extra coarse, coarse, medium, fine, and very fine grits in packs of 25. NeoDiamond is color-banded for ease of grit identification. The burs evaluated included:
#2133C occlusal reduction – coarse grit;
#3923VF finishing diamond, football – 30 micron very fine grit;
#1923C football – coarse grit;
#118.9C round end taper – coarse grit;
#0916.8C flat end taper – coarse grit; and
#0710C flat end cylinder – coarse grit.
Numerous other shapes and sizes are available. NeoDiamond was evaluated by 25 consultants in 837 uses. This product received a 96% clinical rating.
Product Features
Consultants liked the sterile packaging and the wide variety of shapes of NeoDiamond. The most popular shape evaluated was the round-end taper. The majority of consultants reported that cutting efficiency was excellent. The coarse grit cut through enamel and was durable enough for multiple preparations. Having a fresh diamond for each procedure resulted in speedy reduction without clogging. The clear packaging allows the user to see product, and it is well labeled for re-ordering. Twenty-four percent of consultants reported that NeoDiamond was better than their current diamond burs and 60% reported that it was equivalent. Eighty-four percent would switch to NeoDiamond and 92% would recommend it.
Clinical Tips
- Keep a cleaning block handy.
by Dental Advisor | Jan 2, 2017
Consultants’ Comments
Description
Septoject Evolution dental needles feature a scalpel-designed bevel for greater control and reduced discomfort and have a polished and siliconized canula. These single-use, sterile needles are made of high-grade surgical stainless steel tubing. Septoject Evolution needles are pre-threaded and have both a bevel mark to indicate bevel location and an orientation mark on the opposite side of the bevel for a reference point during insertion. Septoject Evolution dental needles are available in Intraligamentary (30G x-short, 9 mm) and Infiltration (27G and 30G in 25 mm) versions. The lot number and expiration date are imprinted on each needle and they are color-coded: Infiltration – orange for 27G and blue for 30G; Intraligamentary – purple for 30G. They will fit any standard dental syringe. They are packaged in a 100-count box. Septoject Evolution was evaluated by 30 consultants in 1173 uses. This product received a 91% clinical rating.
Product Features
Septoject Evolution needles have a scalpel-like bevel that provides smooth tissue penetration, insertion and injection. This results in more comfortable injections for the patients. Consultants found the markings on the hub were useful for orientation of the bevel. Color coding of the needle appears on the paper seal around the cap, which is removed when the needle is loaded onto a syringe. So once installed, there is no indication of the gauge. Fifty-seven percent of consultants reported that Septoject Evolution needles were better than their current dental needles and 40% reported that they were equivalent. Sixty percent would switch to Septoject Evolution and 93% would recommend it.
Clinical Tips
- Make sure that tissue is tight before injecting.
- Use with a light touch to prevent rapid delivery.
