Introducing . . .

Chicago Midwinter Meeting To Launch at the Chicago Midwinter Meeting

What is it? ENVY is a dual-curing, self-adhesive resin cement. It is used for the adhesive cementation of indirect (meaning made in the lab or chair-side) all-ceramic, composite, or metal restorations and for posts. When using ENVY, bonding and conditioning of the tooth structure are not necessary Indirect restorations = fabricated outside the mouth.

breaking through into a new market ALL GP’s - 160,000 GP’s and they ALL can use this! Average number of uses per kit = 10 GP can go through 10 procedures in about a week Just one of your GP’s can use up to 50+ units per year!!!

Key terms to know

Key terms to know Abutment: The supporting tooth or teeth of a bridge The "abutment teeth" referring to the teeth supporting the bridge

Key terms to know Bridges: Are literally fabricated to bridge the gap created by one or more missing teeth. A bridge is made up of two or more crowns for the teeth on either side of the gap.

Key terms to know Cingulum Rest: a prepared rest area on the cingulum of an anterior tooth or crown.

Key terms to know EtchingTotal-etch (etch and rinse): requires a separate phosphoric acid step to etch the enamel and dentin, a subsequent rinse, and application of primer and bond (primer and bond may be in one).

Key terms to know EtchingSelf-etch technique: systems have an acidic resin which etches and primes without the need for etching or rinsing, and then there will be a subsequent application of bond.

Key terms to know Inlay: An inlay is usually an indirect restoration (filling) consisting of a solid substance (as gold, porcelain or a cured composite resin) fitted to a cavity in a tooth and cemented into place. A dental inlay fills the space in between the cusps, or rounded edges, at the center of the tooth's surface.

Key terms to know Onlay: The dental onlay works like an inlay but covers one or more cusps or the entire biting surface of the tooth. Because of their extensive coverage, dental onlays are sometimes referred to as "partial crowns."

Key terms to know Lithium Disilicate: glass ceramics used in the production of an all-ceramic crown (product example: EMAX):

Key terms to know Luting: A material placed between tooth structure and a prosthesis to keep it in place

Key terms to know Maryland Bridge: A Maryland bridge consists of a metal framework with a porcelain tooth baked onto the front of the framework. The framework then ends up as a false tooth with two wings on the side.

Key terms to know PFM: (Porcelain Fused to Metal): A crown fabricated by porcelain covering covering a metal substructure (gold or metal alloy).

Key terms to know Pontic: The "dummy tooth" that fills the space in the gap of the bridge.

Key terms to know Resin-nano ceramic: Nano-ceramic artificial resin material used for CAD/CAM restorations (product example: Lava)

Key terms to know Silane: a chemical composition containing compounds whose molecules contain functional groups that bond with both organic and inorganic materials. A silane coupling agent acts as a sort of intermediary which bonds organic materials to inorganic materials. Organic Material Inorganic R Si X

Key terms to know Veneers: (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells tooth-colored materials designed to cover the front surface of teeth to improve your appearance. Veneers can be made from porcelain or from resin composite materials.

Key terms to know Zinc phosphate: A widely used dental cement material which has been in the market for a very long time. It was commonly used to cement crowns, bridges, etc to metal.

Key terms to know Zirconia: an all-ceramic crown formed by white crystalline oxide made from the metal zirconium

] Current cements Conventional cements Zinc phosphate Polycarboxylate Glass ionomer Resin-modified glass ionomer Hybrid cements Compomer Adhesive resin Composite resin cements Self-adhesive resin

Porcelain fused to metal (PFM) CROWN MATERIALS Gold alloys Base metal alloys Porcelain fused to metal (PFM) All ceramic Composite Resin Resin Nano Ceramics Hybrid composite Gold crowns are available as full crowns, Inlays, onlays Generally chromium or nickel. Metal core in the inside, porcelain layer outside Zirconium Oxide White crystalline oxide made from the metal zirconium Lithium Disilicate Glass ceramics nano-technology and ceramics Ceramic-Polymer BruxZir (Glidewell Laboratories) e.max (Ivoclar Vivadent) Paradigm MZ100 (3M) Lava™ Ultimate VITA Enamic (Vita) Lava Plus (3M) VITA Mark II (Vita) Procera (Nobel Biocare) IPS Empress (Ivoclar Vivadent) Suprinity (Vita) Obsidian (Prismatik)

Why do some full-zirconia restorations come off in service? Most of the self-etch and self-adhesive resin cements are not retaining their chemical bond to dentin adequately during service, and some of the zirconia restorations come off in service. Why are crowns coming off? Gordon Christensen. Dental Economics;Sept. 2015.

Advantages Save Time and Money - Numerous restoration uses without bonding - Use for inlays, onlays, crowns, bridges, and fiber post cementation

Advantages High retention on multiple surfaces - Flexible use, high retention of enamel, dentin, porcelain fused to metal (PFM), zironia, lithium dislocate, gold, etc.

Advantages How can we achieve high retention on multiple surfaces?

Example of a inlay cemented with ENVY

Let’s concentrate on the interface of ENVY to Enamel, Zirconia and Dentin

ENVY molecules contain multiple types of adhesion promoters

Adhesion promoters that strongly attach to Zirconia

Adhesion promoters that strongly attach to Enamel

Adhesion promoters that strongly attach to Dentin

These adhesion promoters bind to receptor sites on their corresponding substrates

Upon setting the molecules bind to each other and change from hydrophilic to hydrophobic

The result is a solid bond between all surfaces!

Unsurpassed Retention MPa

Why does Envy have such high retention to all these surfaces?

Transformation upon setting Mix / Express Envy Cement Hydrophilic Adapts to moisture of the tooth surface Polymerization and Neutralization Reaction Hydrophobic Low expansion Low solubility High long-term stability

Neutral ph Central to Envy’s self-adhesive chemistry is a rapid rise in initial pH and subsequent neutralization upon setting. This active change in the cement from hydrophilic to hydrophobic allows for maximum adaptability to tooth structure and ensures a superior long term bond to a variety of substrates. The stability of ENVY cement is enhanced by its ability to quickly become pH neutral and hydrophobic.

Advantages Improved hydrolytic stability (the ability of a product to withstand chemical reaction with water) - Ensures high retention over extended time periods

Advantages Virtually no post-op sensitivity Traditional cements and bonding agents remove the smear layer and open the dentin fully open the dentin tubules. ENVY leaves a “dentin plug” and bonds to the calcium ions in the dentin through the smear layer.

Advantages Easy Clean Up - Tack and wave curing for fast and easy cleanup.

Advantages Color fast “proprietary” initiator system - Color stability to extend the life of the esthetic restoration

Current Market Leaders

Self-Adhesive Luting Cement Comparison of Shear Bond Strengths of Self-Adhesive Luting Cements on Dentin & Enamel. J. Guzman, K. Hoque, A.S. Deutsch, and B.L. Musikant, Essential Dental Systems, South Hackensack, NJ. Self-Adhesive Luting Cement Adhesion to Dentin Adhesion to Enamel RelyX Unicem 2 10.77 mPa 21.85 mPa Maxcem Elite 5.85 mPa 22.92 mPa ENVY 15.60 mPa 30.72 mPa

Comparison of in-vitro shear bond strengths of resin based self-adhesive luting cements on ceramics & ceramic hybrid materials. K. Hoque, J. Guzman, A.S. Deutsch, and B.L. Musikant, Essential Dental Systems, South Hackensack, NJ. Substrate RelyX Maxcem Elite Speedcem ENVY Zirconia 21.69 MPa 20.41 MPa 24.31 MPa 28.23 MPa Lithium Disilicate 15.79 MPa 16.81 MPa 15.10 MPa 21.84 MPa Resin Nanoceramic 17.2 MPa 13.58 MPa 19.80 MPa 27.76 MPa Hybrid Composite 36.21 MPa 16.24 MPa 37.05 MPa 25.37 MPa

Price Comparison 115.00 9 $12.77 114.99 $100 $110 $76 $86 $132 $65 Product ENVY Company EDS Individual Refill Price 115.00 Gram Syringe 9 Price Per Gram $12.77 Product Activa AURAVeneer and Cement BeautiCem Bifix Breeze Calibra Embrace Wetbond Fusion G-Cem Automix Infinity Maxcem Elite Maxcem Elite Chroma MonoCem PANAVIA SA Cement Plus PermaCem 2.0 Luting Cement RelyX Unicem RelyX2Unicem seT PP SmartCem 2 SpeedCem SpeedCem Plus Company Pulpdent Denali Shofu Voco Patron Dentsply Taub GC Denmat Kerr Kuraray DMG 3M ESPE SDI DENTSPLY Caulk Ivoclar Individual Refill Price 114.99 $100 $110 $76 $86 $132 $65 $161 $118 $166 $156 $163 $117 $114 $146 $140 $157 $181 $168 $147 $144 Gram Syringe 7 4.8 5 4 9 2.4 9.2 10 4.6 8.5 Price Per Gram $16 $21 $22 $15 $27 $67 $13 $17 $25 $18 $26

Price EDS SKU Shade Wholesale Retail Translucent Shade White Opaque A2 960-00 Translucent Shade $69.00 $115.00 970-00 White Opaque 980-00 A2

Price Comparison

Main applications for self-adhesive cements Procedures

Two years. Well, not really. shelf life Two years. Well, not really.

Shades Translucent White Opaque A2

SKU’s ENVY Cement Kits: 960-00 - Translucent Shade: 9gm Auto Mix Syringe, 10 Large Mixing Tips, 6 Intra-canal tips 970-00 - White Opaque: 9gm Auto Mix Syringe, 10 Large Mixing Tips, 6 Intra-canal tips 980-00 - A2: 9gm Auto Mix Syringe, 10 Large Mixing Tips, 6 Intra-canal tips

SKU’s Mixing Tip Refills: 870-20: 20 - Intra-canal tips 1628-20: 20 - Large Mixing Tips

Links to learn Etching (http://www.dentaleconomics.com/articles/print/volume-103/issue-2/practice/which-technique-is-best-total-etch-self-etch-or- selective-etch.html) Lithium Disilicate (http://www.dentistrytoday.com/dental-materials/971-)

GO SELL A LOT

Cross sell

bonding agent This self-etch adhesive formulated to bond to multiple substrates for both direct and indirect bonding procedures. Eliminates the etching step 7th Generation Formula Superior Bond Strength The acid, primer and resin dissolve the smear layer without exposing the dentinal tubules. No need for separate step priming and etching. Not needed on any ceramic materials. Would be used on dentin and enamel only.

item numbers EDS SKU 960-00 is Benco 5134-212 970-00 5134-221 980-00 5134-249 900-00 5134-203

item numbers EDS SKU 960-00 is H. Schein 876-0829 970-00 876-0830 980-00 876-0831 900-00 876-0832

Chicago intro special http://www.edsrep.com/promos/CMidwinternewproductintrospecial.pdf

Deal rep promotion When your Dealer Rep Sells 3 - 2+1 ENVY INTRO Promos Send them a Stainless Steel Sports Bottle You must send it a copy of the the dealer invoices for redemption.

Deal rep promotion Apple Watch

Deal rep promotion Promo Dates: Feb - July 2017 Tier ONE Dealer Rep Sales Goal: Sell $5,000 of EDS Intro Kits - Get a Series 2 Apple Watch in Space Gray Aluminum Case with a Black Sports Band OR A Series 2 Apple Watch Silver Aluminum Case with a White Sports Band

Deal rep promotion Promo Dates: Feb - July 2017 Tier TWO Dealer Rep Sales Goal: Sell $10,000 of EDS Intro Kits - Get a Series 2 Apple Watch in Space Black Stainless Steel Case with Milanese Loop OR A Series 2 Apple Watch Stainless Steel Case with Milanese Loop

Deal rep promotion Fine Print Dealer representative must accumulate all copies of customer invoices and submit to EDS prior to 7/31/17. Introductory Kits must total $5,000 or more in retail dollars. This promotion may not be combined with any other promotion. EDS does not assume responsibility for any lost or misplaced shipments. Invoice may be mailed to EDS/89 Leuning Street, 2nd Floor/South Hackensack, NJ 07606, E-mailed to info@edsdental.com. The invoice must include dentist’s name, shipping address, phone number, and E-mail address. Valid Introductory Kits SKU’s Include: 500-00, 510-00, 210-00, 410-00, 415-00, 2410-00, 2410-01, 110-00, 110-01, 115-00,115-01, 2110-00, 2110-01, 5425-00, 5421-00, 5021-00, 5025-00, 5600-21, 5610-21, 5600-25, 5610-25 Apple is not a sponsor of this promotion.

Wait! - What do I get? When two of your reps qualify for a Apple Watch redemption - YOU GET A TEIR ONE WATCH! OR When four of your reps qualify for a Apple Watch redemption - YOU GET EITHER: 2- TEIR ONE WATCHES OR 1- TEIR TWO WATCH

The ENVY™ of Every Dentist The The The ENVY™ of Every Dentist