1. Introducing . . .

2. Chicago Midwinter Meeting
To Launch at the
Chicago Midwinter Meeting

3. 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.

4. 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!!!

5. Key terms to know

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

7. 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.

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

9. 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).

10. 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.

11. 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.

12. 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."

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

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

15. 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.

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

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

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

19. 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

20. 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.

21. 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.

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

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

24. 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)

25. 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

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

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

29. Advantages
How can we achieve high retention on multiple surfaces?

30. Example of a inlay cemented with ENVY

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

32. ENVY molecules contain multiple types of adhesion promoters

33. Adhesion promoters that strongly attach to Zirconia

34. Adhesion promoters that strongly attach to Enamel

35. Adhesion promoters that strongly attach to Dentin

36. These adhesion promoters bind to receptor sites on their corresponding substrates

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

38. The result is a solid bond between all surfaces!

40. Unsurpassed Retention
MPa

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

42. 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

43. 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.

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

45. 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.

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

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

48. Current Market Leaders

49. 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

50. 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

51. 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

52. 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

53. Price Comparison

54. Main applications for self-adhesive cements
Procedures

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

56. Shades
Translucent
White Opaque A2

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

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

59. Links to learn
Etching ( selective-etch.html)
Lithium Disilicate (

60. GO SELL A LOT

61. Cross sell

62. 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.

63. item numbers EDS SKU 960-00 is Benco 5134-212 970-00 5134-221 980-00
900-00

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

65. Chicago intro special

66. 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.

67. Deal rep promotion
Apple Watch

68. 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

69. 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

70. 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, ed to The invoice must include dentist’s name, shipping address, phone number, and address. Valid Introductory Kits SKU’s Include: , , , , , , , , , ,115-01, , , , , , , , , ,
Apple is not a sponsor of this promotion.

71. 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

72. The ENVY™ of Every Dentist
The The
The ENVY™ of Every Dentist