1. Composite filling materials. Adhesives. Polishing.
Annemai Haak
STOM V
Suu- ja hambahaigused III

2. Filtek Z250 Universal Indications:
Microhybrid
Zirconia/silica fillers
Filler loading is 60%
Most used dental material in Estonia over 10 years
Available in 15 shades
Cures in just 20 seconds
Radiopaque
Easy to finish and polish
Direct anterior and posterior restorations
Core buildups
Splinting
Indirect restorations including, inlays, onlays, and veneers
Filtek Z250 restorative offers remarkable wear resistance and overall strength.
In addition, the restorations remained smooth and color-stable to earn a
“very good to excellent” rating for esthetics.

3. Shades

4. Tehnique
A rubber dam is the preferred method of isolation. Cotton rolls plus an evacuator can also be used.
Preparation
Matrix
Adhesive system (know instructions!)
Place and light cure (minimum intensity of 400 mW/cm2 in the nm range)
Finishing and polishing

5. Filtek Z550 Indications: Nano-hybrid Filler loading is 68%
Easy to polish and easy to achieve a good aesthetic result
Direct anterior and posterior restorations including occlusal surfaces
Core build-ups
Splinting
Indirect restorations including inlays, onlays and veneers
It was derived from the Filtek™ Z250 Universal Restorative filler system, known for its excellent handling and strong mechanical properties. With the goal of achieving a better performing, more aesthetic nanohybrid composite, the Filtek™ Z250 restorative filler system was improved with the addition of proprietary nanoparticles and nanoclusters which are bound in the resin matrix.

6. Shades
The shading system of Filtek™ Z550 Nano Hybrid Universal Restorative is based on the Vitapan® Classical Shade Guide.
A1, A2, A3, A3.5, A4, B1, B2, B3, C2, D3
two dentine-like shades: OA2, OA3

7. Filtek Ultimate Simple to use Unique nanofiller technology
„If you want to emulate nature (and we’re sure you do), you’ll be pleased with the lifelike aesthetics of Filtek™ Ultimate Universal Restorative.“
Filtek Ultimate
Simple to use
Exceptional handling
More body shades for single-shade restorations
Lifelike aesthetics
Excellent polish
Wide range of shades and opacities
Improved fluorescence
Unique nanofiller technology
Better polish retention than a microfill
Wears better than leading competitors
Outstanding strength for anterior and posterior use
„The new generation offers all you can ask for!“

8. Shades
Filtek Ultimate Universal Restorative is a system that provides excellent aesthetic results, whether you use a single-, dual- or multi-shade technique.

9. Shade guide wheel

10. Gaenial anterior and posterior
Indications for use
Light-cured
radiopaque
hybrid composite
two different versions: G-ænial Anterior and G-ænial Posterior
G-ænial Anterior
Direct restorative for Class III, IV, V cavities.
Direct restorative for wedge-shaped defects and root surface cavities.
Direct restorative for veneers and diastema closure.
G-ænial Posterior
Direct restorative for Class I and II cavities.

11. Shade system
single-shade restorations or aesthetic masterpieces with a multi-shade build-up
In order to achieve this, 3 clearly differentiated shade groups have been defined for G-ænial:
Standard shades: for the single-shade restorations
Outside shades: placed on top of Standard shades in aesthetically demanding cases
Inside shades: placed underneath Standard shades in aesthetically demanding cases

12. A (reddish-brown),
B (reddish-yellow),
C (grey),
Bleach and Cervical shades

13. G-ænial ANTERIOR
XBW / BW / A1 / A2 / A3 / A3.5 / A4 / B1 / B2 / B3 / C3 / CV / CVD / AO2 / AO3 / AO4 / JE / AE / SE / IE / TE / CVE

14. P-A1 / P-A2 / P-A3 / P-A3.5 / P-JE / P-IE
G-ænial POSTERIOR
 P-A1 / P-A2 / P-A3 / P-A3.5 / P-JE / P-IE

15. Clinical hints

16. Tehnique Keep light guide as close as possible to the surface!
Layer thickness

17. Charisma classic What you see is what you get! Indications
Light curing
Radiopaque
Microhybrid composite
Microglass filler tehnology
Easy single-shade layering techniques and more natural restorations
Convenient shade selection and matching
Easier masking of discolorations
Easy handling
Creamy consistency
excellent finishing and polishing properties
Direct restoration of Class I–V cavities
Direct composite veneers
Shape corrections of teeth (i.e. diastemas, congenital defects in teeth, etc.)
Splinting of teeth loosened by trauma or periodontal disease
Restoration of primary teeth
Repairs of porcelain, composite (in combination with an adequate repair-system)
Application to dentine close to the pulp (less than 1 mm)

18. Remember!
Gel for the prevention of an oxygen inhibited layer (glycerin gel)

19. ETCHING https://youtu.be/6FG9nLDTrQM Total-etch Selective-etch
Self-etch

20. Single Bond Universal Adhesive
„Total-Etch, Self-Etch, Selective-Etch – no matter what adhesive technique you choose, Single Bond Universal Adhesive is the only adhesive you’ll need!“
Direct placement indications
Bonding of composite or compomer for all classes of direct restorations
Root surface desensitisation
Sealing of dentine prior to cementation of amalgam restorations
Protective coating for glass ionomer restorative materials
Repair of composite or compomer restorations
Bonding of pit and fissure sealants
Indirect placement indications
Primer for Zirconia, alumina, metal or glass ceramic restorations
Bonding of veneers with RelyX™ Veneer Cement
Bonding of indirect restoration in combination with RelyX™ Ultimate Cement
Bonding of self- or dual-cure core build-up materials and resin cements (with Single Bond DCA Dual Cure Activator)
Intraoral repair of existing indirect restorations
Sealing of dentine prior to temporization for indirect restoration placement
5th generation- 2 steps.

21. Coating classionomer

22. Root surface desensitization

23. Futurabond Dual-Cure Universal Adhesive in Single Dose Delivery System
Fast and easy one-coat application (apply, dry and cure in 35 sec.)
Virtually no post-operative sensitivity  
Reinforced with nano particles for permanent bond strength
Single Dose System eliminates the problem of solvent evaporation as known issue of other bottle systems - this ensures reliable high bond strength each application
Indications
Direct and indirect restorations using any light-curing, self-curing or dual-curing methacrylate-based restorative, core build-up or luting composite
Intraoral repair of fillings, ceramic veneers and all-ceramic restorations without additional primer
Treatment of hypersensitive tooth necks
Protective varnish for glass ionomer cement restorations
Sealing of cavities prior to amalgam restorations or prior to temporary luting
Luting of root posts with dual-cure or self-cure luting composites (resin cement)

24. Tehnique

25. Finishing and polishing
Contour restoration surfaces with fine finishing diamond burs or stones.
Contour proximal surfaces with Finishing Strips.
Occlusion:
Check occlusion with a thin articulating paper.
Examine centric and lateral excursion contacts.
Carefully adjust occlusion by removing material with a fine polishing diamond or stone.

26. Polishing:
Sof-Lex™ Finishing and Polishing System
white stones or rubber points
Brushes, polishing paste
Polishing strips
Etc.

27. Thank you!