Before and After: Candulor Case

In the photographs below, a case is shown where Ivoclar Vivadent teeth were used with an upper denture, opposing lower fixed bridge on implants.

BEFORE Teeth AFTER Teeth

 

 

 

 

 

 

In this particular case, the patient presented for a consultation on enhancing her smile. Upon clinical and radiographic examination, we found that she had advanced periodontal disease with severe bone loss. All risks, benefits and alternative treatments were then discussed.

The patient was in good health, however she was a heavy smoker who desired implants. The obvious risks of implant integration with a smoker were discussed with her, however, the patient did wanted dental implant treatment. Because of this, our treatment consisted of full mouth extractions, bone leveling and grafting as well as guided implant placement.

Technical Teeth photoTechnical Teeth 2

 

 

 

 

 

 

In the upper arch the patient would receive a complete denture and fixed partial denture in the lower arch supported by 7 implants. The pictures below show her drastically improved smile!

Before teeth faceAfter Face Teeth

Ivoclar Vivadent supports Breast Cancer Awareness Month this October with Bluephase® Style

breast cancer ribbonOctober is right around the corner and for many of us, this means getting excited about the changing of seasons, colorful leaves and the various fall festivities that come along with this time of year. However, it is important to remember that October has another important characteristic. October is Breast Cancer Awareness Month. So what does Ivoclar Vivadent have to do with Breast Cancer Awareness Month? Well this year, Ivoclar will be supporting this important cause in more ways than one.

  • In Addition to this corporate donation, our employees get involved in supporting the cause by participating in the Susan G. Koman Race for the cure!

So this october be sure to take advantage of this offer to support a great cause and choose PINK!

 

Updated Flyer 2 bca month

Using Virtual® XD with a Dual Phase Impression Technique for a Veneer Restoration

Dr. George Rivera

Although impressions provide the foundation for creating highly esthetic and functional restorations, capturing the complete and precise details of the hard and soft tissues surrounding the affect tooth or teeth can sometimes be challenging. As a blueprint for restorative treatments, taking accurate impressions requires the ideal combination of technique and materials to create a durable, physical replica of the patient’s intraoral condition. Many techniques require extensive steps and can be time consuming to learn and perform.

Additionally, shortcomings inherent to the impression techniques and materials themselves can also complicate the impression taking process. Voids and bubbles introduced into the impression material during application can decrease accuracy and durability. Runny materials can increase patient discomfort and inhibit a dental professional from achieving the desired accuracy. Weak impression materials and those that demonstrate poor dimensional stability can contribute to problems when pouring molds or in the laboratory during the fabrication process, ultimately leading to the worst-case scenarios of retaking impressions and/or remaking restorations.

To overcome these challenges, dental product manufacturers have developed and introduced alternative impression materials and techniques that demonstrate user-friendly and predictable characteristics. As a result, it is now easier for dental teams to effectively capture the details of the preparation and surrounding dentition. In particular, enhanced wash and putty materials demonstrate increased tear strength and durability, ensuring greater stability and repeated impression use.

Virtual® XD Impression Materials

Developed to provide an alternative solution for the many complications associated with traditional impression materials, Virtual® XD from Ivoclar Vivadent (Amherst, NY) is formulated for accuracy, precision, easy handling, and convenient working times. Demonstrating improved thermo-sensitivity and dimensional stability, once the impression tray is seated in the patient’s mouth, the Virtual® XD setting reaction accelerates immediately, saving valuable chair time and reducing the risk of deformation caused by impression try movement during seating. The improved dimensional stability allows Virtual® XD impressions to be viable for up to two weeks, giving dental teams the ability to pour several models from one impression, with easily disinfection.

This advanced line of vinyl polysiloxane (VPS) impression materials exhibits optimized flow, advanced wetting ability, and high tear strength. Optimized flow ensures that the impression material exhibits an ideal viscosity, one that doesn’t run or slump off of the tray. This allows for deeper penetration and improved preparation coverage. Additionally, the wash materials displace oral fluids deep in the sulcus, capturing the fine details of margins and all prepared surfaces. With their advanced wetting ability, Virtual® XD materials demonstrate very low contact angles, which allows them to precisely reproduce soft and hard tissue details. This characteristic also enhances the ability of the wash materials to spread easily across the preparation surfaces to create precise impressions. Easy to remove due to excellent tear resistance and outstanding elongations, Virtual® XD materials also reduce the risk of tearing fine margins. Upon removal from the mouth, Virtual® XD impressions demonstrate high tear strength to maintain the integrity of preparation margins and fine details. Heavy and light body Virtual® XD materials are indicated for many impressions, including those for crowns, bridges, inlays, onlays, veneers, implants, and edentulous patients. In addition, the materials can be used with all impression techniques.

Case Presentation

A 56- year old female presented with a fracture on central incisor tooth #9 due to trauma (Figure 1). The tooth was assessed and determined to be vital, with an intact root. After thorough examination, an indirect veneer was agreed upon as the most appropriate and ideal treatment for restoring esthetics and function. Therefore, an impression captured using a dual phase technique in order to obtain an accurate representation of the preparation and occlusion would be needed.

Dual Phase Impression Technique

  1. A lip and cheek retractor (OptraGate®, Ivoclar Vivadent, Amherst, NY) was placed in the patient’s mouth to isolate the oral cavity.
  2. A retraction cord (GingiBRAID+ #2, Dux Dental, Oxnard, CA) was then placed to isolate tooth #9 prior to treatment (Figure 2).
  3. Tooth #9 was prepared for a veneer restoration (Figure 3).
  4. The appropriately sized impression tray was selected, tried in the patient’s mouth and the fit evaluated.
  5. Tray adhesive was applied to all areas of the tray that would come into contact with the Virtual® XD impression material.
  6. The two-cartridge dispenser was loaded with Virtual® XD light body wash material and tray material, and then bled to verify an even flow of base and catalyst before applying the mixing tip.
  7. The Virtual® XD light body fast set wash material was placed around the preparation (Figure 4), after which the Virtual® XD heavy body fast set tray material was loaded into the impression tray. The intramural syringe tip was buried into the material to avoid voids, air, and bubbles.
  8. The impression tray was inserted into the patient’s mouth and held in place for 2 ½ minutes to set (Figure 5).
  9. Prior to removal, the material was checked to verify it set, and then removed.
  10. The impression was then rinsed, dried and disinfected (Figure 6).

After the impression was completed with the Virtual® XD materials and forwarded to the laboratory, the veneer was fabricated from a leucite reinforced glass ceramic (IPS Empress HT, Ivoclar Vivadent, Amherst, NY).  At the cementation appointment, a light curing, fluoride releasing, single-component total-etch adhesive (ExciTE F, Ivoclar Vivadent) was applied to the surface of the preparation (Figure 7) and cured. Then, a light-curing luting composite (Variolink Veneer, Ivoclar Vivadent) was applied to the veneer, after which it was seated, light cured (Bluephase, Ivoclar Vivadent, Amherst, NY) (Figure 8), and finalized (Figure 9).

Conclusion

Dental impressions serve as the blueprint for final restorations, and using a simple technique and predictable impression materials can improve the predictably and accuracy of the impression taking process. The Virtual® XD impression materials, when used with a  dual phase impression technique, produce a precise representation of a patient’s preparation, soft tissue architecture, and surrounding dentition. In this case, it allowed the dentist and laboratory to provide the patient with a long-lasting, well fitting, and highly esthetic final veneer restoration.

 

A 56- year-old female presented with a fracture on central incisor tooth #9 sure to trauma.

FIGURE 1: A 56- year-old female presented with a fracture on central incisor tooth #9 sure to trauma.

A retraction cord (GingiBRAID+ #2, Dux Dental, Oxnard, CA) was placed to isolate tooth #9 prior to treatment.

FIGURE 2: A retraction cord (GingiBRAID+ #2, Dux Dental, Oxnard, CA) was placed to isolate tooth #9 prior to treatment.

FIGURE 3: Tooth #9 was prepared for the veneer restoration.

FIGURE 3: Tooth #9 was prepared for the veneer restoration.

FIGURE 4: The Virtual® XD light body fast set wash material was syringed around the preparation, with the tip buried into the material to avoid air, bubbles, or kids in the impression.

FIGURE 4: The Virtual®XD light body fast set wash material was syringed around the preparation, with the tip buried into the material to avoid air, bubbles, or kids in the impression.

The Virtual® XD heavy body fast set tray material was dispensed into the tray and seated in the patient's mouth for 2 ½ minutes.

FIGURE 5: The Virtual®XD heavy body fast set tray material was dispensed into the tray and seated in the patient’s mouth for 2 ½ minutes.

After the impression was checked, it was removed from the mouth, rinsed, dried, and disinfected.

FIGURE 6: After the impression was checked, it was removed from the mouth, rinsed, dried, and disinfected.

A light curing, fluoride releasing, single-component, and total-etch adhesive (ExciTE F, Ivoclar Vivadent, Amherst, NY) was placed on the preparation and light cured.

FIGURE 7: A light curing, fluoride releasing, single-component, and total-etch adhesive (ExciTE F, Ivoclar Vivadent, Amherst, NY) was placed on the preparation and light cured.

FIGURE 8: The restoration was seated into place using an esthetic luting composite (Varliolink Veneer, Ivoclar Vivadent) and cured using an LED curing light (Bluephase, Ivocalr Vivadent); no contact adjustment was necessary due to the accuracy of impression.

FIGURE 8: The restoration was seated into place using an esthetic luting composite (Varliolink Veneer, Ivoclar Vivadent) and cured using an LED curing light (Bluephase, Ivocalr Vivadent); no contact adjustment was necessary due to the accuracy of impression.

The final postoperative view of the veneer restoration on tooth #9.

FIGURE 9: The final postoperative view of the veneer restoration on tooth #9.

Ivoclar Vivadent launches consumer and professional websites for More Than a Denture!

Consumer and professional sites emphasize patient awareness and a simple, systematic approach

Ivoclar Vivadent announces the launch of its More Than a Denture consumer and professional websites. Designed to make today’s innovative solutions for removable dentistry easy for patients and professionals to take advantage of, the websites emphasize a simple and predictable approach for creating smiles that are comfortable, durable, and natural-looking. At the heart of the More Than a Denture system are Ivoclar Vivadent Removable (IVR) solutions.

%22Its your smile%22The More Than a Denture websites are extensions of the company’s highly successful patient education campaigns and online professional resources. The consumer-oriented www.morethanadenture.com website features a variety of real-life stories that denture patients can relate to, in addition to a wealth of easy to understand information that guides them through the denture selection and fabrication process.

“Most denture wearers don’t realize there are choices when it comes to the quality of their dentures,” explains Dr. Michael Gaglio, Vice President of Ivoclar Vivadent. “That’s why Ivoclar Vivadent has created a patient education site to better inform patients about their options.”  The More Than a Denture professional site provides a variety of helpful tools for denture tooth selection, prescribing premium dentures, and designing smiles. Additionally, an assortment of helpful patient education materials—from a reception area video to brochures—are available.

“To help dental professionals achieve better results, Ivoclar Vivadent has created a professional site that not only informs them about better materials and processes, but also connects the clinician and laboratory through an Authorized Ivoclar Vivadent Removable Laboratory list,” says Dr. Gaglio. Dental laboratories can also become an Authorized Ivoclar Vivadent Removable Laboratory directly through the www.morethanadenture.com/pro website.

IV Removable for dental professional

Dr. David Rice on Reducing Waste with Adhese® Universal

Many dental professionals today are making the switch to Adhese Universal. One professional in particular, Dr. David Rice, was so impressed that he wanted to contribute his own personal story about how this switch benefited him in more ways than one: 


Dr. David RiceAs a dental professional there are a few things I know.  First, I like what I like.  When my materials and techniques are working well, why change?  Second, if I’m going to make a change, I’d better have great reasons to do so.

So why I am I writing this?  Long-story-short, I am fortunate to belong to several global, dental mastermind groups, and although change is a challenge, we count on one another to hold each other accountable when something worthy of change comes along.

My story:  I’ve used the same bonding agent for the last 15 years.  I liked what I liked.  I had great long-term success.  I had almost zero post-op sensitivity.  And… I had a challenge from one of my mastermind groups to test drive Adhese Universal Vivapen.

Challenge Accepted:

Mission 1: Do my homework on the science.  If I was going to put a “new” bonding agent in my patients’ mouths when my existing bonding agent was working just fine, I wanted to know what I was in for.

Result 1: Wow!  Whether I wanted to total-etch, selective-etch or self-etch, the numbers looked great.  And, bonus… there are times I choose one technique over another!

Mission 2: Test drive in the mouth.  Great science is nice, but I needed to see, feel and then hear from my patients before I’d be willing to make a change.

Result 2:  Excellent.  Adhese Universal was easy to use.  I loved the mircrobrush tip on the VivaPen, as it allowed met to get to some pretty tight spots with relative ease.  I also liked that I had total control in my hands at all times.  My assistant is great, but dipping in and out of that well as I want more bonding agent… not my favorite.

Mission 3:  I’m not going to lie… Evaluate Cost.

Result 3:  DOUBLE BONUS.  That Vivapen made for zero waste!  Maybe I’m the only one who looks at the drops of bond that go into that well.  Maybe I’m the only one who sees the excess sitting there with every patient.  Or maybe you’re just like me and that kills you too.  Think about this: one drop saved/patient x 8 patients/day x 4 days/week x 48 weeks/year?!?!

It turns out that all that waste adds up, and switching to the VivaPen is going to save me more than $1,000 this year in waste reduction alone.

So, ask me what bonding agent I use now. I think you know the answer is Adhese Universal.

Meet David And Find Out How His Confidence Was Restored From His New Dentures!

Hesitation, then relief

David was initially wary of what his new dentures might do. He had heard stories and knew of other people who had poor experiences with their dentures. They were unable to eat the foods they liked, or their speech was affected in very obvious ways. While he wanted to improve his quality of life and his self-esteem, he did not want this improvement to come at the expense of other aspects of his life. However, he realized he had to make a change and took the plunge.

David noticed an immediate difference while being fitted for dentures. He says that even the temporaries he had to wear were an incredible difference from before. Despite being slightly uncomfortable, they were already doing more for David than his old dentures were. He had minor difficulties eating some foods, but his dentist reassured him that things would be much easier once he had his permanent dentures.

When he was fitted for the final dentures, David was ecstatic. He could eat and speak without issue, his dentures were comfortable, and he knew they were going to be life-altering.

Confidence restored

Today, David loves his new look. He’s not the only one, either. His family is amazed by his new appearance and can’t believe the difference in his smile. They can’t believe how natural his teeth look and are so happy for him. David is also pleased with the results his new dentures have brought him. He considers his choice to get new dentures the best decision he has ever made, and he is thrilled that he no longer has to worry about hiding his smile. Eating, speaking, and smiling are no longer frustrating activities he dreads. His self-esteem has risen, and he wakes up every day knowing that his new dentures have given him the boost he needed to smile again. How would David describe his dentures? As he says, “I’m their biggest fan!”

Watch Davids video!