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Tetric EvoCeram® Bulk Fill - Doriot Dent (Ro)

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<strong>Tetric</strong> <strong>EvoCeram®</strong> <strong>Bulk</strong> <strong>Fill</strong><br />

The bulk-fill composite<br />

PATENTED<br />

Ivocerin<br />

LIG H T<br />

®<br />

INITIAT O R<br />

Posterior efficiency,<br />

zero compromise


<strong>Tetric</strong> EvoCeram ® <strong>Bulk</strong> <strong>Fill</strong><br />

The bulk-fill composite<br />

The new direct restorative procedure<br />

In the past, placing posterior restorations involved considerable effort and time. In order to<br />

compensate for the polymerization shrinkage, several layers of composite had to be applied<br />

and cured. What is more, a complete cure of thick composite layers was impossible to achieve.<br />

<strong>Tetric</strong> EvoCeram ® <strong>Bulk</strong> <strong>Fill</strong> takes the effort out of posterior tooth<br />

restorations. This composite can be placed in 4-mm increments<br />

in posterior teeth, rendering the application of various layers<br />

and intermediate curing unnecessary: place and sculpt,<br />

and cure for 10 seconds (light intensity > 1,000 mW/cm²):<br />

Highest possible rating<br />

Source: The <strong>Dent</strong>al Advisor,<br />

vol. 29, no. 5, June 2012<br />

<strong>Fill</strong> Sculpt Cure<br />

4 mm<br />

10 s > 1,000 mW/cm²<br />

Efficiency<br />

Esthetics<br />

... in 4-mm increments<br />

due to Ivocerin, the<br />

patented light initiator<br />

... with ease as a result of the<br />

material’s smooth consistency<br />

and the patented light<br />

sensitivity filter<br />

Shrinkage stress relievers minimize<br />

shrinkage force during<br />

polymerization<br />

Posterior efficiency, zero compromise<br />

Since this composite can be placed in 4-mm bulk increments, <strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong><br />

saves dentists valuable time. Application, sculpting, contouring and polymerization are<br />

accomplished up to 60% faster than with conventional 2-mm composites.<br />

Minutes<br />

15<br />

Average modelling time for a maxillary Class II MO restoration<br />

Time savings of more than 60%<br />

11.03<br />

10<br />

5<br />

4.06<br />

0<br />

<strong>Tetric</strong> EvoCeram<br />

conventional technique<br />

<strong>Tetric</strong> EvoCeram<br />

<strong>Bulk</strong> <strong>Fill</strong><br />

Source: 32 experienced dentists from<br />

21 countries, ICDE Schaan (2011)


<strong>Tetric</strong> EvoCeram ® <strong>Bulk</strong> <strong>Fill</strong><br />

The bulk-fill composite<br />

Extended working and modelling time<br />

A longer working time is usually needed to sculpt and contour monolithic 4-mm increments<br />

than to place conventional composite layers, particularly when reconstructing cusps. <strong>Tetric</strong><br />

EvoCeram <strong>Bulk</strong> <strong>Fill</strong> contains a patented light sensitivity filter which minimizes the effect<br />

of operatory and ambient light and thus ensures a longer working and modelling time.<br />

This light sensitivity filter acts like a protective shield. However, it does not delay the<br />

polymerization process initiated with a curing light.<br />

A working time of more than 3 minutes<br />

sec.<br />

200<br />

180<br />

160<br />

140<br />

120<br />

100<br />

80<br />

60<br />

40<br />

20<br />

0<br />

200<br />

100<br />

110<br />

130<br />

<strong>Tetric</strong> SDR Venus QuiXfil* x-tra fil* Sonic<strong>Fill</strong>*<br />

EvoCeram Flow* <strong>Bulk</strong> <strong>Fill</strong>*<br />

<strong>Bulk</strong> <strong>Fill</strong><br />

55<br />

50<br />

Measurement acc. to ISO 4049 (8,000 Lux), R&D Ivoclar Vivadent, June 2011<br />

*These brands are not registered trademarks of Ivoclar Vivadent AG.<br />

The material’s smooth yet packable consistency facilitates placement and modelling<br />

and ensures excellent adaptation to cavity walls. Due to the well-balanced filler<br />

composition, <strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong> restorations are fast and easy to polish.<br />

Dr Markus Lenhard,<br />

Neunkirch, Switzerland<br />

„<br />

To me, <strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong> is an outstanding<br />

material. I have a composite at my fingertips that<br />

offers excellent handling properties. This makes<br />

the incremental technique with composites much<br />

simpler and faster. Once you have worked with<br />

<strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong>, you almost don’t want<br />

to go back to using conventional composite.<br />

„<br />

Starting situation: proximal caries on<br />

the mesial aspect of tooth 15<br />

Completed restoration: perfect<br />

shade blend


<strong>Tetric</strong> EvoCeram ® <strong>Bulk</strong> <strong>Fill</strong><br />

The bulk-fill composite<br />

Shrinkage stress relievers ensure optimum marginal seal<br />

To avoid marginal leakage, only composites with low volumetric shrinkage and shrinkage stress<br />

are used for the 4-mm bulk increment technique. Special shrinkage stress relievers are integrated<br />

into the filler composition of <strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong>. Due to their lower elastic modulus, they<br />

act like microscopic springs during the polymerization process and thus reduce shrinkage stress.<br />

This allows <strong>Tetric</strong> EvoCeram <strong>Bulk</strong> fill to achieve optimum marginal integrity.<br />

Schrumpfungsstress-<br />

Relaxator<br />

E-Modul 10 GPa<br />

Schrumpfungsstress-<br />

Relaxator<br />

E-Modul 10 GPa<br />

Shrinkage stress reliever<br />

Elastic modulus 10 GPa<br />

Glasfüller<br />

E.Modul 71 GPa<br />

Glass filler<br />

Elastic modulus 71 GPa<br />

Glasfüller<br />

E.Modul 71 GPa<br />

Monomer-Kette<br />

Monomer chain<br />

Kraft<br />

Force<br />

Monomer-Kette<br />

Kraft<br />

Shrinkage stress: 4 mm vs. 2 mm<br />

In MPa: pulling forces acting on the cavity walls via the surface<br />

MPa<br />

2.00<br />

1.59 1.59 1.63<br />

1.77<br />

1.93<br />

1.50<br />

1.40<br />

1.00<br />

0.50<br />

0.00<br />

<strong>Tetric</strong> Estelite <strong>Tetric</strong> Filtek Sonic<strong>Fill</strong>* / Filtek<br />

EvoCeram Sigma* / EvoCeram / Z250* / 2 mm Supreme<br />

<strong>Bulk</strong> <strong>Fill</strong> / 2 mm 2 mm 2 mm XTE* /<br />

4 mm 2 mm<br />

Measurement acc. to Watts in 2-mm and 4-mm layers, R&D Ivoclar Vivadent, June 2011<br />

*These brands are not registered trademarks of Ivoclar Vivadent AG.


<strong>Tetric</strong> EvoCeram ® <strong>Bulk</strong> <strong>Fill</strong><br />

The bulk-fill composite<br />

4-mm cure due to the light initiator Ivocerin ®<br />

Ivocerin ® , the patented light initiator incorporated in the standard photoinitiator system<br />

allows 4-mm bulk increments of <strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong> to be completely cured in just<br />

10 seconds. Ivocerin is a polymerization booster that offers greater reactivity to curing lights<br />

as compared to camphorquinone and Lucirin.<br />

Translucency, shade and curing depth are not compromised, as is often the case with<br />

composite restoratives containing only conventional initiators. The highly reactive Ivocerin<br />

allows the material’s translucency to be established at a level of 15% similar to that of natural<br />

enamel.<br />

<strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong> comes in three universal shades<br />

which demonstrate enamel-like translucency:<br />

• IVA: Universal A shade<br />

• IVB: Universal B shade<br />

• IVW: White shade for deciduous teeth or<br />

light-coloured permanent teeth<br />

PATENTED<br />

Ivocerin<br />

LIG H T<br />

®<br />

INITIAT O R<br />

Relative intensity<br />

Lucirin<br />

Camphorquinone<br />

300 340 380 420 460 500<br />

Wavelength (nm)<br />

Effect of standard<br />

initiators & Ivocerin<br />

Effect of Ivocerin<br />

2 mm<br />

4 mm<br />

Benefits at a glance<br />

<strong>Fill</strong> with up to 4-mm bulk increments due to lvocerin, the patented light initiator<br />

Sculpt and contour with ease as a result of the material’s smooth consistency<br />

Then light-cure … and the esthetic restoration is done!


Overview of delivery forms<br />

The <strong>Tetric</strong> range of products, which includes packable and flowable composites,<br />

offers a suitable solution for every composite indication.<br />

<strong>Tetric</strong> EvoCeram <strong>Bulk</strong> <strong>Fill</strong><br />

Syringes<br />

Refill, 1 x 3 g each, or 3 x 3 g each<br />

IVA, IVB, IVW<br />

Shade guide with all 3 shades<br />

Cavifils<br />

Refill, 20 x 0.2 g each<br />

IVA, IVB, IVW<br />

<strong>Tetric</strong> EvoFlow<br />

Syringes<br />

Assortment 8 x 2 g<br />

1 x A1, A2, A3, A3.5, A4, B3, A3.5 <strong>Dent</strong>in, T<br />

1 x <strong>Tetric</strong> EvoFlow shade guide<br />

40 x 0.9-mm tips<br />

Refill, 1 x 2 g each<br />

A1, A2, A3, A3.5, A4, B3<br />

T, A3.5 <strong>Dent</strong>in,<br />

Bleach XL, Bleach L, Bleach M<br />

5 x 0.9-mm tips each<br />

New: B1, A2 <strong>Dent</strong>in, B2 <strong>Dent</strong>in, 0.9-mm tips<br />

Shade guide with all 14 shades<br />

Cavifils<br />

Assortment 40 x 0.2 g<br />

5 x A1, A2, A3, A3.5, A4, B3, A3.5 <strong>Dent</strong>in, T<br />

1 x <strong>Tetric</strong> EvoFlow shade guide<br />

Refill, 20 x 0.2 g each<br />

A1, A2, A3, A3.5, A4, B3<br />

T, A3.5 <strong>Dent</strong>in,<br />

Bleach XL, Bleach L, Bleach M<br />

New: B1, A2 <strong>Dent</strong>in, B2 <strong>Dent</strong>in<br />

<strong>Tetric</strong> EvoCeram<br />

Syringes<br />

Assortment 8 x 3 g<br />

1 x A1, A2, A3, A3.5, A4, B3, C3, D3<br />

1 x <strong>Tetric</strong> EvoCeram shade guide<br />

Refill, 3 x 3 g each<br />

A1, A2, A3, A3.5, A4, B1, B2, B3, C1, C2, C3, D2,<br />

D3, A2 <strong>Dent</strong>in, A3.5 <strong>Dent</strong>in, A4 <strong>Dent</strong>in, B2 <strong>Dent</strong>in,<br />

T, Bleach XL, Bleach L, Bleach I, Bleach M<br />

Cavifils<br />

Assortment 40 x 0.2 g<br />

5 x A1, A2, A3, A3.5, A4, B3, C3, D3<br />

1 x <strong>Tetric</strong> EvoCeram shade guide<br />

Refill, 20 x 0.2 g each<br />

A1, A2, A3, A3.5, A4, B1, B2, B3, C1, C2, C3, D2, D3,<br />

A2 <strong>Dent</strong>in, A3.5 <strong>Dent</strong>in, A4 <strong>Dent</strong>in, B2 <strong>Dent</strong>in, T,<br />

Bleach XL, Bleach L, Bleach I, Bleach M<br />

Refill, 1 x 3 g each<br />

A1, A2, A3, A3.5, A4, B1, B2, B3, C1, C2, C3, D2,<br />

D3, A2 <strong>Dent</strong>in, A3.5 <strong>Dent</strong>in, A4 <strong>Dent</strong>in, B2 <strong>Dent</strong>in,<br />

T, Bleach XL, Bleach L, Bleach I, Bleach M<br />

Shade guide with all 22 shades<br />

This product forms a part of our<br />

Composites competence area.<br />

All the products of this area are<br />

optimally coordinated with each other.<br />

Descriptions and data constitute<br />

no warranty of attributes.<br />

Printed in Germany<br />

© Ivoclar Vivadent AG, Schaan / Liechtenstein<br />

640081/e/2012-10-30<br />

Ivoclar Vivadent AG<br />

Bendererstr. 2<br />

9494 Schaan<br />

Principality of Liechtenstein<br />

Tel. +423 / 235 35 35<br />

Fax +423 / 235 33 60<br />

www.ivoclarvivadent.com

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