Dynamics

Issue 2

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RESTORATIVE

Dynamics

Palodent

The Palodent sectional matrix is the most trusted and highest rated contoured sectional matrix system, due to its ability to fashion perfect interproximal contacts in less procedure time. In 1955 Dr Bud Meyer invented a matrix that could recreate natural tooth structure. For fifteen years he made them for his friends and colleagues before manufacturing them for the dental market. Dr Meyer was in practice for over 30 years and was also an instructor at the University of California. On his death in 1999 he left the business to his daughter and the following year DENTSPLY purchased Darway Dental. For the past 15 years Palodent has been the recipient of a REALITY five star award. The BiTine rings have spring steel tension that gently separates the teeth before

preparation. The teeth are moved gently which eliminates the need for forced wedging. Teeth are separated to allow a contoured matrix to be fitted into place and after separation there is sufficient space for preparation of the tooth without accidental contact with the neighbouring teeth. The gentle separation of teeth by the spring steel BiTine ring corrects physiological mesial drift setting the teeth back into the correct position. Using this method up to 10 minutes of chair time can be saved for each matrix applied. The matrices come in three different sizes and are contoured to recreate natural morphology. Available in Standard size which is ideal for 90% of all restorations, they are also available in a Mini size for adolescents or geriatric patients with swollen tissue or limited

exposures. In addition a Plus size is also available for deep restorations and patients with decay below the gingival margin. The matrices are of an ideal thickness, which enables them to hold the contour and resist crumpling during placements. They are manufactured from treated stainless steel and have smooth clean edges.
For further information contact your local DENTSPLY office or dealer or: DENTSPLY Middle East & Africa, Hamm Moor Lane, Addlestone, Weybridge, United Kingdom KT15 2SE Telephone: 0044 1932 853422 Fax: 0044 1932 840168 E-mail: measales@dentsply-gb.com

1: Separation

2: Matrix Placement

3: Stabilisation

4: Modelling

5: Tips

The spring action of the BiTine Round Ring and the BiTine II Oval Ring creates gentle separation needed to insert a contoured matrix without distortion. This gentle, orthodontic separation eliminates the need for forced wedging that can create patient sensitivity and soft tissue trauma. With the rubber dam in place, and before preparation, a BiTine Ring is placed by spreading the ring with rubber dam forceps. The tines are placed with one tine in each interproximal space buccal to lingual, and adjacent to the surface to be restored. The ring loop can be placed in either direction, however, the ring makes a convenient finger rest if placed mesially.

Once the tooth is prepared with the BiTine Ring in place, gentle separation is accomplished. Remove the BiTine Ring. Finger roll the matrix to the approximate tooth circumference. Place the matrix and adjust the contact position. The Standard and Mini Palodent Matrices have a dot or a notch that should be placed occlusially. The Palodent Plus Matrix should be placed with the longer flap apically.

Close the gingival margin by placing an anatomical wedge. The wedge is used to only seal the matrix interface with the tooth, not to force separation. To further stabilise the matrix, the BiTine Ring is placed with the tines in the proximal plane, engaging either the matrix or wedge. This stabilises the matrix against the tooth structure.

Lightly burnish the matrix against the adjacent tooth, both buccally and lingually to further adapt it to form proper contours. Note: Over burnishing may distort the matrix and compromise the built-in contours in the matrix.

Two BiTine Rings may be used for MOD preparations; nested over the other (as shown in the picture) or diverging like wings. One BiTine Ring may be used to separate two Class II, side-by-side preparations.

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Dynamics

ENDODONTICS

ProTaper

Progressively tapered nickel titanium rotary files

ENTSPLY Maillefer, the leader in precision and innovative Endodontics, presents the state of the art in successful root canal treatment. ProTaper nickel titanium rotary files are specially designed to instrument difficult highly calcified and severely curved root canals. The patented, progressive taper and advanced flute design provide the flexibility and efficiency to achieve consistently successful cleaning and shaping results. Active cutting angle A unique feature of the ProTaper instruments is the convex triangular crosssection, which reduces the contact area between the file and dentine. This greater cutting efficiency has been safely incorporated through balancing the pitch and the helical angles. Multiple and progressive tapers from 2% to 19% A progressively tapered file engages a smaller zone of dentine, which reduces torsion loads, file fatigue and the potential for breakage. It clinically serves to improve flexibility, cutting efficiency and typically reduces the number of recapitulations needed to achieve length, especially in tight or more curved canals. The ProTaper instruments effectively remove debris out of the canal and generally only three instruments are required to produce a fully tapered canal that exhibits uniform shape over length.

0.80 0.70 0.60 0.50 0.40 0.30 0.20

S1 F3 F2 F1 S2

0 (nmm)

0.10 0.00 -0.10 -0.20 -0.30 -0.40 -0.50 -0.60 -0.70 -0.80 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

SX

Rootcanal length (mm)

ProTaper

Shaping Files Finishing Files

ProTaper SX Tip Size 19 ProTaper S1 Tip Size 17 ProTaper S2 Tip Size 20

ProTaper F1 Tip Size 20 ProTaper F2 Tip Size 25 ProTaper F3 Tip Size 30

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October 2001 MEA Dynamics

ENDODONTICS

Dynamics

ProTaper

Endodontics has never been easier!

Authors: Dr Julian Webber BDS, MSC, DGDP, FICD

Dr Webber is a partner at the renowned Lister House Endodontic Practice and Editor in Chief of Endodontic Practice. He has lectured in Europe and the USA and has published widely on the subject throughout the endodontic world.

Professor Pierre Machtou

A Professor In Endodontics at Paris 7 University, Dr Machtou has been Secretary and Scientific Director of the French Endodontic Society and is the French representative to the European Society of Endodontology. He has lectured widely and is a prolific writer and one of the co-designers of ProTaper.

f the ultimate goal of Endodontic treatment is to fill the root canal three dimensionally, it must be clearly understood that this cannot be truly achieved until the canal has been shaped to a minimum taper of 6% and ideally more1. A tapered preparation also facilitates optimal irrigant exchange throughout the root canal system which in the presence of Sodium Hypochlorite will truly clean the canal system of all its contents and render it aseptic. In 1988, Nickel Titanium was first introduced in Endodontics2 to overcome the limitations of stainless steel ISO instruments and make the preparation of curved canals much easier. During the last 10 years, scientific evidence has clearly shown that rotary NiTi instruments used in a crown-down fashion produce consistent canal shape, less debris extrusion and stay well centred inside the root canal. Despite these advantages however, clinical experience has underlined some deficiencies of the current systems and a real need for the following:

1. Increased flexibility in larger sizes and tapers. 2. Increased cutting efficiency. 3. Better safety in use. 4. Enhanced user friendliness with fewer instruments and simpler sequences. There has never been a better time therefore to develop a new Nickel Titanium Rotary instrument and ProTaper with its innovative design features is the answer to all these issues. Design features and advantages Multiple Taper - each instrument in the series exhibits multiple tapers along its cutting portion. This ensures extreme flexibility, reduces torsional loading and increases efficiency. Convex Triangular cross section (figure 1) - increases cutting efficiency and reduces the contact area against the canal wall. Variable Tip diameter (D0) - 0.185mm for Shaper 1 (S1). 0.20mm for Shaper 2 (S2) and Accessory Shaper (Sx). 0.20mm,

0.25mm and 0.30mm for Finisher 20, 25, 30, to accommodate apical anatomy. Modified Guiding Tip - specially designed to find its way through soft tissue obstructions without damaging the root canal walls. Helical Angle and Pitch - these are balanced to aid debris removal and prevent screwing. Short Handle - improves difficult posterior access. The instruments ProTaper instruments are designed to be used in constant rotation at a speed of 300 RPM. 1. Shaper 1 - the 14mm cutting portion of this instrument exhibits 12 different tapers from D1 at 2% up to D14 at 11% and a maximum flute diameter of 1.19mm. The instrument performs its own Crown Down approach establishing a large glide path (in the shape of the Eiffel Tower). This provides passive penetration for the next instrument in the series.

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Dynamics
2. Shaper 2 - the 14mm cutting portion exhibits 9 different tapers from D1 at 4% up to D14 at 11.5% and a maximum flute diameter of 1.19 mm. This instrument refines the shape in the body of the canal to accommodate the safe placement of the first finisher. 3. Shaper X - this instrument is only 19mm long and has 9 compacted tapers from D0 - D9. Ideally suited to the preparation of short canals it can be used at any stage in the sequence and is the ideal substitute for the Gates Glidden range of instruments. Shaping instruments (available in 21 and 25mm) only require a light vertical force and there is little or no screwing effect even when the electric motor is set to high torque. Furthermore, and very beneficially, these instruments can be used in a brush outstroke action to relocate the canal orifice in an anticurvature mode which is an advantage over all other rotary NiTi instrumentation. 4. Finisher 20/.07 - To maintain flexibility, this instrument exhibits two different but reverse tapers from 7% at D1 to D3, to 5% at D4 to D14 and a maximum flute diameter of 1.13mm. 5. Finisher 25/.08 - exhibits two different reverse tapers from 8% at D1 to 5% at D14 and a maximum flute diameter of 1.20mm. 6. Finisher 30 /.09 - exhibits two different reverse tapers from 9% at D1 to 5% at D14 and a maximum flute diameter of 1.20mm. The reverse taper effect enhances instrument flexibility in the larger sizes. Finishing instruments (available in 21 and 25mm lengths) are used to produce the final deep shape after apical gauging to estimate the diameter of the apical foramen and produce the perfect apical taper to fit either a non standardised Medium G.P. point or a DENTSPLY Maillefer 20 or 25, 6% taper G.P. point. The canal can then be filled with any warm gutta percha or carrier based technique. Basic Crown Down Sequence 1. Initial negotiation by hand using ISO standard files 10 - 35 passively. 2. S1 to 2/3 canal length. 3. Determine working length using an apex locator, and confirm radiographically. 4. S1 then S2 to working length. 5. Gauge foramen diameter. 6. F 20/.07 to length. 7. F 25/.08 or F 30 /.09 to length as required after apical gauging. Long Calcified and Sharp Apcially Curved Canals 1. Initial negotiation by hand using ISO standard files 10 35 passively. 2. S1 to point of first resistance. 3. Sx to same point. 4. Confirm canal patency and working length. 5. S1 and S2 to working length. 6. Gauge foramen diameter. 7. F 20/.07 to working length. 8. F 25/.08 and F 30/.09 each sequentially 1 mm shorter for deeper shape.

ENDODONTICS

Figure 1

Short Canal 1. Initial negotiation. 2. Sx to estimated working length with a brush stroke action. 3. Confirm Working Length. 4. Sx to working length. 5. Gauge foramen diameter. 6. F 20, 25, 30 as appropriate. Large Straight Canal 1. Initial Negotiation. 2. Sx used circumferentialy mode. 3. Confirm working length. 4. Gauge foramen diameter. 5. F 25, 30 to working length as appropriate. Conclusions ProTaper with its innovative design features, especially the multitaper effect, is a quantum leap forward in the development of rotary Nickel Titanium root canal instruments. Root canals can now be shaped for optimal cleaning and true three dimensional filling as never before.
References: 1. Ruddle C: Endodontic Canal Preparation: Breakthrough cleaning and shaping strategies. Dentistry Today, Feb 1994, 44-49. 2. Walia H, Brantley WA, Gerstein H: An initial investigation of the bending and torsional properties of nitinol root canal files. J. Endodon. 1988, 14: 346-351.

ProTaper Cross Section

Figure 2 Case 1 - Tooth 46 Pre-Op

Figure 3 Case 1 - Tooth 46 Post-Op

Figure 4 Case 2 - Tooth 37 Pre-Op

For further information contact your local DENTSPLY office or dealer or: DENTSPLY Middle East & Africa, Hamm Moor Lane, Addlestone, Weybridge, United Kingdom KT15 2SE Telephone: 0044 1932 853422 Fax: 0044 1932 840168 E-mail: measales@dentsply-gb.com
Case 2 - Tooth 37 Post-Op

Figure 5

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RESTORATIVE

Dynamics
Dyract Flow also has a use in sealing contiguous pits and fissures where the cavity form does not need extension but where sealing would be therapeutically appropriate. The material was then light-activated. Dyract AP is applied to the defect in the molar (Figure 5) and cured in increments (Figure 6). The material is easily shaped and can be built up into a satisfactory morphology which holds its shape without slumping prior to light activation (Figure 7). The restored teeth are shown in Figure 8 after the rubber dam has been removed. The occlusion is adjusted with fine diamond finishing burs. Final finishing, if necessary, can be accomplished with Enhance polishing points. Both teeth now benefit from the protection of fluoride release from the compomer restorations. Patients with neglected dentitions, such as the case illustrated here, often require a considerable amount of restorative care in combination with dietary education and oral hygiene instruction. Often, these patients have a relatively low time-in-the-chair tolerance which does not run well with the amount of treatment they usually need. Materials and techniques that allow rapid and effective restorations are important in the management of these cases. The compomer materials, with their ease of clinical handling, rapid bonding and release of fluoride offer a major advance in this area of clinical care.
For further information contact your local DENTSPLY office or dealer or: DENTSPLY Middle East & Africa, Hamm Moor Lane, Addlestone, Weybridge, United Kingdom KT15 2SE Telephone: 0044 1932 853422 Fax: 0044 1932 840168 E-mail: measales@dentsply-gb.com

Compomers Today
Author: Nicolas M. Jedynakiewicz, PhD, BDS
Lecturer in Clinical Dental Sciences, The University of Liverpool

he original concept of the compomer was to create a material that would bring together the benefits of glass-ionomer like fluoride release together with the ease of manipulation of a well-designed composite. The first compomer material, Dyract, was introduced almost a decade ago and is now superceded by a range of developed and , improved compomer products. Dyract AP the latest in the series, is a most versatile material and is suitable for cavities in both anterior and posterior teeth. It is available in a wide range of shades and opacities allowing excellent aesthetics to be achieved. Dyract AP offers the restorative potential to fulfil most applications of traditional glass-ionomer restoratives and composite resins. But the compomer materials have also been adapted to the changing needs of contemporary restorative techniques. Minimally invasive dentistry creates cavity preparations that have small apertures but extensive internal volume. Packing conventional viscosity materials into these forms is challenging and this created the need for a low viscosity compomer. Dyract Flow answers this need. Dyract Flow is indicated for small cavities in anterior and posterior teeth and is especially indicated for minimally-invasive restorations such as small, non occlusal stress bearing restorations. The simplicity of application of both these materials is demonstrated in the accompanying clinical case, where a large defect in a molar and smaller lesion in the adjacent premolar are managed with compomer restorations. The molar has been ravaged by decay and a failed amalgam restoration was removed by another dentist. A temporary dressing was placed and the tooth urgently needs restoring (Figure 1). The adjacent premolar has fissure caries that have ballooned into the dentine but has left the overlying enamel relatively undamaged. Whilst dietary advice and fluoride applications will be prescribed for this patient, there is little doubt that

fluoride release from compomer restoratives can be of significant benefit. The large defect in the molar is amenable to restoration with Dyract AP. The lesion in the second premolar can be approached with a minimally interventive access form, but it would be expected to balloon out into the dentine. This type of preparation lends itself well to subsequent restoration with a flowable compomer restorative, Dyract Flow. After isolation, the exposed surfaces of the teeth are cleaned thoroughly with Nupro prophy paste. All softened dentine is removed with a round bur under water spray and the surface left moist. The remaining dentine is dark and deeply stained but firm (Figure 2). The distal pit lesion in the premolar is just as was expected, a balloon-like expansion beneath a relatively small enamel defect. The mesial pit is managed separately from the distal pit and is a relatively minor penetration just into dentine. Both cavities are treated with NRC conditioner. NRC is a simple No Rinse Conditioner based upon maleic acid. It micro etches both enamel and dentine and has been formulated to work specifically with Prime&Bond NT dental adhesive. It is applied to the cavity surfaces, left in place on the tooth for twenty seconds and then simply blown dry with a blast of air. It is not necessary to wash it off and the tooth surface should not be dessicated with excessive air-blasts. After conditioning, it is imperative that the tooth surface is not contaminated before the adhesive is applied and the restorative compomer is in place. Surface contamination with saliva, blood or gingival exudate can spoil the adhesive assembly and lead to microleakage and restoration failure. Isolation is best achieved using a rubber dam as illustrated in this case. The Prime&Bond NT is applied generously to the primed enamel and dentine surfaces of both teeth and allowed to soak in (Figure 3). After a thirty second soak the solvent in the adhesive is blown off and the adhesive layer light activated with a curing light for ten seconds. The cavities in the premolar are injected with Dyract Flow (Figure 4). The cavity is literally filled from the bottom-up.

Figure 1
A large defect in the molar and occult caries in the second premolar. The teeth are isolated with rubber dam in preparation for treatment

Figure 2
Removal of caries leads to a firm but heavily stained floor of dentine in the molar and a bat-cave cavity in the premolar

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RESTORATIVE

Dyract AP
Figure 3
Both cavities are conditioned with NRC for 20 seconds followed by an application of Prime&Bond NT

Simplicitys other name

Figure 4
Dyract Flow is injected against the floor of the bat-cave cavity in the premolar until it flows out to excess through the aperture

Figure 5
Dyract AP is chosen to restore the larger defect in the molar. The material is injected into the cavity from the single-use compules and light-activated in increments

ince the introduction of Dyract to the market in 1993 over 100,000,000 restorations have been placed using Dyract and its successor Dyract AP. The material is now the worlds leading restorative system as dentists seek materials that are clinically reliable, easy to handle and which can be used in all cavity classes. Excellent clinical results More than 140 clinical publications have been written about Dyract and the material has over seven years clinical success. Recent 3-year data from clinical investigations carried out at the Universities of Liverpool and Munich show that Dyract AP can also be used in the treatment of occlusal stress bearing class 1 and 11 restorations.

Figure 6
Care is taken to ensure that all aspects of the restoration receive an effective exposure to the curing light

0.5% net shrinkage creates a Perfect Fit restoration Proven results provide further security and peace of mind with a virtually Perfect Fit restoration. Composites and Dyract AP initially shrink 2.0% to 3.0%. With an additional glass-ionomer reaction by its bi-functional groups, Dyract AP provides shrinkage compensation over time, resulting in an overall volumetric change of only 0.5%. 20 times higher fluoride release for added protection Fluoride release in restorative material is also an essential element providing additional protection. The fluoride release of Dyract AP after one year is approximately 20 times higher than that found in a fluoridereleasing composite.

Figure 7
The restorations as shaped during placement
Volume change [%] gm fluoride 0 -0,5 -1,0 -1,5 -2,0 -2,5 -3,0 0 1 min 10 min 2 hrs 24 hrs 1 wk 10 wks 2 yrs Time
SHRINKAGE NET-

7 6 5 4 3 2 1 0 0 DyractAP DyractAP trend 10 20 30 40 50 60 70 Time [weeks]

0.5%

Figure 8
After removal of the rubber dam, the restorations are checked and adjusted for an appropriate occlusion

DyractAP

Composite

Tetric Ceram Tetric Ceram trend

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Dynamics

Mutlimat Touch State of the art technology makes this multi-purpose furnace the ideal choice for those ceramists who are considering all ceramic pressing systems in the future. Easily upgradeable to the Touch&Press. Multimat C Reliable, cost effective solution for the laboratory wanting to upgrade or replace their current conventional ceramic furnaces. Multimat Touch&Press Innovative, intuitive multi-purpose furnace that can be used in conjunction with most ceramic technologies on the market today.

Finesse low fusing porcelain combined with Dyract Cem Plus and Calibra composite luting cement

From preparation to cementation, the reliable technique for achieving superb aesthetics

he flexibility of the Finesse porcelain system offers the laboratory technician the possibility to fabricate many different restorations using traditional alloy substructures, or the choice of the high strength ceramic core material.

Technique to create an all ceramic restoration Variations to the wax design can be used depending on the patients requirements. For example a full contour wax-up can be prepared for inlays and onlays and subsequent natural shading can be added by the application of the simple porcelain stain technique. Alternatively, a coping can be waxed-up maintaining a minimum overall thickness of 0.8 mm, followed by a complete porcelain build-up using Finesse ceramic. Fig 1. View of the wax copings prior to investment. The porcelain application is the same technique whether the restoration is for a conventional bonded crown and bridge, or for the manufacture of all ceramic crowns. This enables the technician to complete combination cases with accuracy and consistent natural results, without the necessity to change ceramics and furnace firing parameters.

Fig 2. Demonstrates the conventional layering technique using Finesse low fusing porcelain on to a Finesse all ceramic core. The dentine and enamel fires at 760C. During the application of the appropriate shade layers it is very important to maintain consideration of the final dentin design. An unsuitable, or random dentin design will inevitably create disproportionate variations in translucency and inconsistencies to the final result. For example, excessive dentine cut back can result in over application of opal enamel, which would inevitably lower the value of the final restoration. Before the vertical layering of the opal enamel material the use of incisal mamelon can highlight the internal chroma that is often seen in natural anterior teeth. By following a simple technique of alternating the different vertical enamel layers, it is possible to recreate subtle contrasts between the translucency and hue of the incisal materials, which, on impact from natural daylight, will replicate the effects of real teeth. The completed build-up prior to firing.

When the final corrections have been applied the all ceramic material should be conditioned in preparation for bonding. Fig 3, 4. Bonding techniques for alloy and all ceramic crowns The choice of bonding cements offered by DENTSPLY allows the clinician to select from many options, depending on his specific needs. Dyract CemPlus or Calibra cement systems are ideal solutions for bonding all ceramic porcelain cases. Dyract Cem Plus overcomes the difficulties that many other cements fail. Nil solubility, long term fluoride release and availability in opaque and translucent shades are just some of the features that make this an extremely popular choice for bonding both alloy and all ceramic restorations. Dyract Cem Plus is a compomer cement material that combines the advantages of glass ionomers with that of composites. When combined with Prime&Bond NT it offers almost double the bonding strength to dentine. The porcelain restoration and the tooth should be etched and then Prime&Bond NT

8 MEA Dynamics October 2001

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RESTORATIVE

placed over the surface followed by the application of translucent or opaque shaded Dyract CemPlus. The translucent shade option allows the dentist to cement, for example, an anterior veneer without the risk of an unacceptable visible cementation line near the margins. Alternatively using the opaque shade it is possible to mask out any underlying discolouration. Calibra composite luting cement offers a high or low viscosity depending on the technique or restoration. Calibra cement is indicated for inlays, onlays, veneers, crowns and bridges and any cosmetic indirect restoration that requires superior aesthetics and a strong bond. The new Shade Stable chemistry of the Calibra system gives the dentist the confidence that the shade will not change over time. In the kit there are 5 shades, providing a broad spectrum of colour options to meet most patient requirements. There are also Try-in pastes that correspond to the base shades, these enable the final accurate choice to be made. Calibra is a paste system that offers the right handling for the appropriate application. The high viscosity material is manufactured to produce controlled fluidity, so that it will not run out of the restoration during placement. Furthermore, the regular, low viscosity flows easily under crowns or bridges for perfect seating. The material also features an ultra-low film thickness to ensure excellent fitting restorations. Calibra offers a complete shade range, low film thickness, fluoride release and superb handling properties, the ideal material for precision and versatility. Fig 5, 6. Restoration before and after thanks to Master Ceramist, Mr Eugenio Buldrini.

Figure 1

Conditioned surface for bonding

Figure 4

Figure 2

Before

Figure 5

Figure 3

After

Figure 6

For further information contact your local DENTSPLY office, dealer or: DENTSPLY Middle East & Africa, Hamm Moor Lane, Addlestone, Weybridge, United Kingdom KT15 2SE Telephone: 0044 1932 853422 Fax: 0044 1932 840168 E-mail: measales@dentsply-gb.com

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PROSTHETICS

Dynamics

Cosmo MEA acrylic teeth in conjunction with Trevalon or QC 20 acrylic resins

From preparation to cementation, the reliable technique for achieving superb aesthetics

enture processing in the busy dental laboratory where time and cost savings are important factors. It is all too common an occurrence in the busy dental laboratory for fast turn around of denture work for your clients patients to be required. In this situation it is vital that you have at your disposal reliable products that give consistent results. The range of DENTSPLY laboratory products for denture processing meet the needs of the busy dental laboratory Cosmo MEA acrylic teeth from DENTSPLY Middle East and Africa Division have proven to be a popular and successful addition to the product portfolio. The teeth are
1 Vita is a registered trademark of Vita-Zahnfabrik, Germany

available in 14 Vita1 shades and a wide variety of moulds. The teeth are logically arranged into tapering, square and round mould types for the upper anteriors, which are complemented with corresponding lower anteriors. Unlike equivalent products, the Cosmo MEA teeth are available in sets of 28 teeth, making them the ideal choice for full upper and lower removable prostheses construction. The Cosmo MEA teeth are constructed from IPN (Interpenetrative Polymer Network) resin and are highly cross-linked to ensure exceptional wear rate in the oral environment. Moreover, due to the cross linking at molecular level, the teeth are resistant to chemical attack from oral fluids

thereby reducing the risk of the formation of unsightly surface staining and discolouration, characteristic of some inferior products. There are two popular acrylic resins that can be used in conjunction with the Cosmo MEA teeth when processing removable dentures. Trevalon and QC 20 can both be used with great success to ensure trouble free denture processing. The DENTSPLY acrylics are available in four popular shades: Pink Pink veined Dark veined Translucent veined

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QC 20 is a Quick Cure acrylic capable of reaching full curing within 20 minutes. The technique requires the use of a water bath and boiling the denture flasks for the predetermined time, followed by a bench cooling cycle before deflasking the dentures. However, this versatile material can also be used as a conventional acrylic with an overnight cure. This makes QC 20 the ideal choice when a limited time frame is available for completion of a given case. Clearly, this versatility will not only increase your productivity, but also increase your revenue. Trevalon acrylic is also available in the four shades mentioned previously. It is blanch resistant and Cadmium free for patient comfort and safety. The fine structure of the polymer ensures accurate mixing when used in the recommended powder/liquid ratio of 23g:10ml. Additionally, with a generous dough time of 20 minutes and working time of 8 minutes, the risk of raised bites or porosity are virtually eliminated ensuring predictable results every time. Both the QC 20 and Trevalon boast a range of Cold Cure acrylics for repairs and additions and are available in all the shades mentioned previously. The use of the dedicated Cold Cure material guarantees perfect undetectable repairs on even the most difficult cases.

PROSTHETICS

For further information contact your local DENTSPLY office, dealer or: DENTSPLY Middle East & Africa, Hamm Moor Lane, Addlestone, Weybridge, United Kingdom KT15 2SE Telephone: 0044 1932 853422 Fax: 0044 1932 840168 E-mail: measales@dentsply-gb.com

Modelling Wax
To further complement your denture production, there are also a range of waxes and Cold Mould Seal available from DENTSPLY MEA. Further details can be provided by contacting Customer Services who will be only too happy to assist you with your enquiries.

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October 2001 MEA Dynamics

11

GENERAL NEWS

Dynamics

DENTSPLY MEA on the internet

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DENTSPLY MEAs homepage, from here you can select your country Product information is available in alphabetical order listed by brand name or by product group Details of promotions happening in your particular area A list of DENTSPLY dealers in your area, providing telephone and fax numbers, with e-mails where available Displays your local DENTSPLY office with address, telephone and fax numbers, and e-mail Courses that DENTSPLY might be running in your particular area Any enquiries that you may have regarding our products can be submitted, and you will be contacted DENTSPLY always welcome your comments and suggestions on improving our service to you