paving - Clinician`s Choice Dental Products, Inc.

PAVING
THE PATHWAY
FOR
BETTER DENTISTRY
HEALTHCARE
E S S E N T I A L S
CLINICAL PROBLEM:
TISSUE MANAGEMENT
Gingival tissue that turns black during tissue retraction procedure/retraction cord that frays and
does not stay where you place it/organic debris/(smear layer) embedded in your impression.
With its viscous gel formulation, it is no wonder
TISSUE GOO™ has been called the easiest and
most pleasant hemostatic agent to use. When
compared with runny liquid hemostatic agents,
TISSUE GOO stays where it is placed, providing
effective hemostasis in cases of mild to moderate
bleeding, while also acting as a lubricant during
packing of the retraction cord. TISSUE GOO
contains 25% aluminum sulfate which is kinder on
soft tissue than ferric sulfate or aluminum chloride
hemostatic agents that can irritate or discolor the
soft tissue (a particularly unpleasant side effect
when used during veneer cementation). TISSUE
GOO will not inhibit your impression material from
setting or negatively affect adhesion of adhesives
and cements.
Packing retraction cord can be tedious and often
frustrating for many dentists. Today’s retraction cords
are difficult to handle: the first half of the packed cord
often pops out of the sulcus during placement of
the remaining half. Often the cord frays when cut or
gets caught in your bur during preparation, reducing
its ability to move tissue effectively. FIRST STRING™
Retraction Cord is a unique, 100% cotton braided
retraction cord that features a tight weave for easy
handling. Unlike many cords, non-impregnated
FIRST STRING holds its shape as you manipulate
it throughout the placement procedure, maximizing
tissue retraction. You’ll notice a significant difference
when working with FIRST STRING – it actually
stays where you place it! FIRST STRING gives you
superior tactile feel to ensure you do not disrupt the
connective tissue fibres, which in turn ensures that
you prevent gingival recession and biologic width
impingement. To further eliminate the “frustration
factor” that comes with most cords, FIRST STRING
strands simply will not separate and will not fray
when cut. And you won’t risk penetrating the cord or
seizing strands with your packing instrument.
Hemostatic agents based on ferric sulfate or
aluminum chloride – and even the powder in your
latex gloves – contain sulfur. Sulfur contamination is
one of the primary reasons your impression material
won’t set, has voids, or air bubbles. Additionally,
organic debris often gets picked up in your
impression, causing inaccuracies. These clinical
challenges can force you into multiple retakes of
the impression.
Contaminated preparation site
Freshly cut preparation (smear layer) containing
blood, hemostatic agent, and possibly handpiece
oil. All of these can prevent an accurate and
properly cured impression.
Clean preparation site
In just 7-10 seconds, DETAIL removes the
contaminants and surface debris, leaving
the dentin tubule plugs in place, and allowing
for a clean, decontaminated preparation site.
DETAIL™ Pre-Impression Cleansing Gel
guarantees a clean, decontaminated prep site and
consequently, an accurate impression every time.
In just 7-10 seconds, DETAIL will lift organic debris
and contaminants like sulfur and methacrylate
residue from your prep site. Rinse away DETAIL,
and the impression surface left behind will be
squeaky-clean.
In only 7-10 seconds, Detail leaves behind not only a clean preparation, but also a
hydroactive surface – both will yield the cleanest, most detailed impression you’ve ever seen!
Detail
CC035904 - $135
Tissue Goo CC241904 - $135
$108
First String CC640107 - $25
$20
$108
Another common cause of an imperfect impression
is uncured methacrylate (from your temporary
material) left on the prep site. You may think your
air/water syringe cleans the prep site adequately,
but it often does not. These kinds of chemical or
biological interferences occur more often than any
dentist is willing to admit, and unfortunately, the
blame is often placed on the impression material
when impressions go wrong.
A clean preparation will give you a more accurate
impression; however, DETAIL does more than just
clean the prep site. DETAIL also lowers the surface
tension of the preparation so your impression
material contacts the surface more intimately.
TISSUE MANAGEMENT | CLINICIAN’S CHOICE
CLINICAL PROBLEM:
IMPRESSION
Distortion of your impression material causing frustration during the insertion/cementation of a
single crown with multiple units of a bridge.
CLINICIAN’S CHOICE® AFFINITY™ Hydroactive Impression Material takes impression accuracy
to the next level with its exclusive 3rd Generation chemistry. AFFINITY is the only material to
use branched resin chemistry with a grafted surfactant. This branched resin chemistry provides
3-dimensional cross linking, creating a more dimensionally stable material. Clinically, this results
in improved tear strength, giving the material the ability to jump undercuts, and produces more
highly defined margins and interproximal detail.
AFFINITY’s unique grafted surfactant gives the material the ability to perform more effectively in
the presence of moisture, making it especially effective for subgingival impressions. Moreover,
having the surfactant as part of the actual chemistry (versus a floating component) means the
material will cure to 100%. Previous generation materials are limited to an approximate 94-96%
cure, leaving impressions vulnerable to distortion, inaccuracy, and tearing.
AFFINITY’s resin chemistry provides yet another benefit over other filler-based materials. Where
these other materials rely on added filler to achieve a rigid cured state, AFFINITY establishes
both flow and cured durometer hardness through its resin chemistry. Because AFFINITY’s Inflex
and Heavy Body tray materials’ fluid states are matched to the viscosity of the AFFINITY Light
Body material, more of the Light Body stays on the preparation site and is not over-displaced
by the tray material. When the preparation is captured more in light body, your impression will
yield greater accuracy (8-10 microns vs. 40-60 microns if the preparation was captured in tray
material).
Independent working and set times will also increase procedural efficiency. Use only what you
need of the working time and the set time remains the same. Regardless of how much working
time you need, your set time will always be less than 3:00 minutes. With
AFFINITY, you also have a choice of Regular Set (working time 1:45
minutes) and Fast Set (working time 1:10 minutes).
AFFINITY is available in 7 viscosities; all designed for your particular
technique, whether it be a closed-bite impression with a dual-arch tray
(InFlex and Light Body), full-arch impression
(Heavy Body and Light Body), edentulous impression (Monophase), bite
registration (Quick Bite), or putty impression (AFFINITY Putty). Unlike all
other VPS materials on the market, with AFFINITY’s Spectrum Pack, you
can mix any combination of viscosities in packs of 12.
Affinity 12-pack
$399
Affinity 2-pack - $99
.20
$79
Crystal 2-pack - $125
.75
$93
IMPRESSION | CLINICIAN’S CHOICE
CLINICAL PROBLEM:
IMPRESSION
Remakes and occlusal adjustments caused by distorted dual-arch impressions/trays.
Most dentists use either a putty or heavy body tray
material for their everyday impressions. While both
are clinically acceptable, they lack the ideal flow
and/or durometer hardness to ensure an accurate
and distortion-free impression when used with a
dual-arch impression tray. Both heavy body and
putty materials are intended for impressions when
a standard or custom full arch tray is used. They
are designed to create good hydraulics, while not
being so rigid that it is difficult to remove the full
arch impression from the patient’s mouth. These
are features that are contra-indicated for creating
distortion-free impressions with a dual-arch tray.
THE IINFLEX DIFFERENCE
InFlex™ Maximum Support Tray Material is the only
material in the industry specifically designed
for the dual-arch impression technique, and is
clinically proven to consistently create distortion-free
impressions.
BETTER FLOW FOR BETTER ACCURACY
InFlex flows slightly more than a traditional heavy
body, and far more than putty, which results in
ideal hydraulics, easily moving the light body into the
sulcus and around the prep site and adjacent
dentition. InFlex will not over-displace the light body
like heavy body and putty will, so improved
accuracy is virtually guaranteed. InFlex will not
displace tissue either, a characteristic that is
extremely important in implant impressions.
INCREASED RIGIDITY TO PREVENT DISTORTION
When compared with heavy body and putty, InFlex
also cures to a more supportive 80 durometer.
Higher cured rigidity prevents distortion often caused
by the rebound and elastic memory of plastic dualarch trays. If a sideless tray is used (metal or plastic),
InFlex becomes the sidewalls once cured and will
not distort during model pouring. Regardless of
whether you use plastic trays or the more effective
metal Quad-Tray, InFlex will result in a better, more
accurate, and distortion-free impression – we
guarantee it!
Plastic dual-arch trays are prone to distortion due to their inherent elastic
properties. Conversely, the aluminum QUAD-TRAY® Xtreme™ from
CLINICIAN’S CHOICE® is designed to not distort during placement,
or rebound upon removal from the patient’s mouth. Ultra-low sidewalls
and a wide arch design eliminate palatal impingement, axial roll, and
burn-through of the tray, while a thin distal bar minimizes retromolar pad
interference. The end result is the virtual elimination of occlusal adjustment
time, and no more re-makes! The QUAD-TRAY Xtreme is memory-free,
unlike plastic, is customizable to suit any arch.
USING QUAD-TRAY XTREME, AFFINITY INFLEX AND LIGHT BODY HF (HIGH FLOW) TO CREAT E A SINGLE CROWN IMPRESSION
1. Affinity Light Body HF is applied in a 360°
motion twice. Be sure to keep impression tip
submerged to avoid air entrapment.
Inflex - $99
.20
$79
2. Use an ample amount of Light Body HF. In
order to ensure ideal coverage, be sure to allow
the material to lead the way while syringing.
3. Simultaneously, the Quad-Tray Xtreme is
loaded with Affinity InFlex Maximum Support Tray
Material.
4. Use enough InFlex to encompass the tray walls
on the buccal and lingual
Quad-Tray CC048050 - $175
.50
$131
5. The opposing arch is removed first by holding the
tray against the prep side while the patient slowly
opens. Then, in a rocking motion to prevent tearing of
the impression material, remove the preparation side.
The margins and entire preparation, covered entirely
in Light Body, are easily recognized – an extremely
accurate prosthesis will be the final result.
IMPRESSION | CLINICIAN’S CHOICE
CLINICAL PROBLEM:
IMPRESSION
Impression distortion and inadequate dental result in excessive occlusal adjustment and lost
chair time.
Heavy Body
TRAY MATERIAL - PREDICTABILITY IS PARAMOUNT
The tray material is used for full arch impressions should
provide ideal hydraulics to move the light body beyond
the preparation margins and into the sulcus. Putty and
most heavy body materials on the market today provide
too much hydraulic pressure, leaving little (if any) light
body to encapsulate the preparation. Ideally, you want
a heavy body tray material that is easily dispensed and
effective at moving the light body while not overdisplacing
it. Once cured, the heavy body should exhibit just
enough flexibility that it won’t tear upon removal,
especially when undercuts are involved.
3rd generation AFFINIY™ Heavy Body from Clinician’s
Choice delivers on all counts. Incorporating a unique
resin-based chemistry with three-dimensional
cross-linking, AFFINITY Heavy Body delivers results
superior to previous generation materials and putty,
specifically; a high rigidity (sets to a 72 durometer), a
100 percent cure and greater dimensional stability. Also
important, AFFINITY Heavy Body provides a slightly
lower, fluid viscosity to drive AFFINITY Light Body with
overdisplacement. Because light body material provides
8-10µm of accuracy, versus a heavy body’s 30-40µm,
clinically you’ll achieve better results if the preparation
is encapsulated more in light body. The result you’ll
receive is a high detailed, highly accurate impression that
is flexible enough to resist distortion and tearing upon
removal.
New HEATWAVE™ Customizable Impression Trays from
CLINICIAN’S CHOICE® represent a noteworthy evolution in
impression trays, by taking truly anatomically designed trays
and adding the ability to self-customize chair-side. The result
is a precise fit with vertical drive that rivals that of a custom
tray (but without the inconvenience and cost involved to
make a custom tray) for perfectly precise impressions every
time.
With HEATWAVE, the clinician can easily self-customize the
thermoplastic trays by hand after immersing them in water
for 60 seconds at 70°C. The tray can then be shaped by
hand and moulded to a patient’s particular arch size and
contour. After adaption, the tray will assume its normal
rigidity at room temperature or by running under cold water,
allowing for a precision impression.
Heatwave Trays CC188908 - $99
$81
1. Immerse selected tray in a water bath of
70°/158°F for 1 minute.
4. Light Body material syringed around preparation.
2. Once heated, the tray can be adapted by hand.
7. Tray material loaded into tray.
3. Keep desired form stable for 5 seconds. Check
fit in the mouth and repeat the moulding procedure
if needed. If fit is achieved, run the tray under cold
water for 5 seconds to set form.
6. A precise impression is achieved.
IMPRESSION | CLINICIAN’S CHOICE
CLINICAL PROBLEM:
T E M P O R I Z AT I O N
Wasted chair time adjusting provisional restorations
The TEMPTRAY ™ is one of those inexpensive, yet
extremely invaluable products that every clinician
simply must have in their practice. Developed
for sectional arch impressions when fabricating
a temporary matrix, the rigid metal TEMPTRAY
prevents insertion and removal distortion commonly
experienced with flimsy plastic trays, ensuring an
accurate impression.
Alginate is too flexible, takes too long to set, and clean-up is
time-consuming. Putty is too thick, takes too long to set, and
lacks detail. So to fabricate a matrix for temporary crown and
bridge work, what is the most efficient solution? TEMPLATE™
Ultra Quick Matrix Material from CLINICIAN’S CHOICE®.
TEMPLATE is a silicone material that sets in 30 seconds and
flows easily into the finest morphology to capture more detail,
especially when compared to conventional materials like
putty, significantly reducing finishing time. TEMPLATE cures
to a rigid 68 durometer but releases easily from the mouth,
and maintains its form indefinitely. Beyond temporary matrix
fabrication, TEMPLATE is also the ideal solution for finishing the
difficult lingual aspect of Class III and IV restorations, allowing
you to pre-shape and refine the lingual surface while you are
restoring the tooth.
TempTray CC046050- $115
$92
Extremely versatile, the TEMPTRAY will accommodate
any quadrant in the mouth—anterior and posterior,
upper and lower. High adjustable sidewalls can adapt
to virtually all crown lengths and can be narrowed or
widened to a patient’s particular arch dimensions,
and even misaligned teeth. To reduce the time you
spend fabricating your temporaries, try TEMPTRAY s
with TEMPLATE® Ultra Quick Matrix Material.
LINGUAL MATRIX TECHNIQUE
1. Template is loaded into TempTray.
1. Apply a thick layer of Template on the
lingual aspect of the centrals and laterals.
Be sure Template flows over the incisal
edge.
3. Replace Template matrix and hold in
position.
2. New Class IV preparation with long bevel.
4. Renamel Universal Microhybrid, Occlusal
White (Cosmedent) is packed against the
Template matrix to form the lingual shelf.
2. TempTray and Template are seated intraorally
(30 seconds).
3. An accurate and detailed matrix is created.
Notice the sharp interproximal detail.
Template - $160
$128
5. Renamel is light-cured for 20 seconds.
6. Renamel Microfill (Cosmedent) is placed
to complete the restoration, cured, and
polished.
T E M P O R I Z AT I O N | C L I N I C I A N ’ S C H O I C E
CLINICAL PROBLEM:
Dentistry’s only “hybrid” temporary cement, CLING2® is
a quick setting, resin-optimized, non-eugenol temporary
cement with a zinc oxide formulation that contains a small
amount of carboxylate resin. The addition of carboxylate
resin gives CLING2 superior adhesion plus sealing and
soothing properties for the tooth. Once set, excess
material can be easily peeled from the margins and
although adhesion is optimal, when required, CLING2
is easily removed from the preparation. Because it
effectively seals the preparation, CLING2 also prevents
bacterial build-up (and the resulting unpleasant odor) from
occurring under the temporary, all the while maintaining
the health of the tissue.
You need a temporary material that is strong, functional, and fracture-resistant for both crowns and bridges.
Your patients are looking for uncompromised esthetics and reliability. A self-cure, bisacyl tempary composite
material, TEMPTATION™ is the only material that will consistently meet these high standards.
2. Final Temptation temporary bridge.
• TEMPTATION is the “flexible temporary material”.
It exhibits a lower modulus of elasticity compared to
other temporary materials. Competing materials have a
modulus as high as 4,100 MPa, while TEMPTATION’S
is just 2,700 MPa. Where other materials fracture under
normal occlusal forces, TEMPTATION flexes slightly
under load and resists fracture, much like a flowable
composite.
• TEMPTATION offers better working and set times
compared to acrylic materials. Acrylic temporaries
require hand-mixing which is not only a time-consuming
task, if it’s not done properly, can create air bubbles.
TEMPTATION can be removed from the mouth in just
2:15 minutes, and fully cures extraorally in just minutes.
CLING2 has a 30-second working time, sets in 60-90
seconds, and comes in a paste-paste, auto-mix syringe,
making it as efficient as it is effective.
PLACEMENT
1. Temptation temporary crown and bridge
material is loaded into the Template matrix
and reseated into the patient’s mouth.
Intraoral cure time is 2:00 minutes. Remove
from the mouth and allow 7 minutes of
extra-oral cure time.
1. Cling2 sets quickly - in just 90 seconds.
• TEMPTATION generates minimal heat and has
virtually zero shrinkage (less than 0.45%).
• TEMPTATION matches the VITA shade guide better
than other materials. Choose from A1, A2, A3.5, B1.
Temptation - $240
$192
2. During the gel phase excess Cling2 is
easily removed.
3. Cling2 resin reinforced chemistry provides
superior adhesion.
REMOVAL
T E M P O R I Z AT I O N
Premature fracturing of your temporary bridges/temporary restoration that dislodge
prematurely.
$76
Cling2 10ml CC158910 - $135 $108
Cling2 5ml CC158900 - $95
1. Crown and bridges cemented with Cling2
are easily removed but will not prematurely
dislodge.
2. Cling2 carboxylate resin component
maintains ideal tissue health and prevents
bacterial contamination which facilitates
adhesive bonding.
T E M P O R I Z AT I O N | C L I N I C I A N ’ S C H O I C E
CLINICAL PROBLEM:
POLISHING
Polishing brushes that damage too easily/Confusion + increased costs when stocking one
polishing system for hybrids and another for porcelain.
Define, Shape & Create Shine With a Single Polisher!
DuFINE™ SHAPE & SHINE™ Polishers have the
ability to shape and contour cured composite material,
and create an unrivaled polish, all in a single step.
Diamond-impregnated, SHAPE & SHINE Polishers
feature 45 micron sized diamond particles that
can conservatively contour hybrid and nano-filled
composite when additional pressure is applied. During
polishing, these diamond particles continuously
breakdown, becoming smaller in seconds, to provide
a high luster finish when using gentle pressure.
Are your polishing brushes losing bristles after just a
Dentistry’s First Diamond Primary Polisher
few uses or exhibiting wear after a handful of autoclave
Each Primary Polisher (purple) is imbedded with diamond
cycles? If you’re not using GROOVY Diamond® Polishing
particles (average particle size 45 microns) to help you
Brushes from CLINICIAN’S CHOICE®, chances are
create a smooth surface topography on
you’re replacing your brushes more often than needed.
hybrid composites and porcelain and to get a great
Diamond-impregnated GROOVY brushes feature Kevlar
initial shine in one easy step. High Shine At Double The
bristles, making them more durable than other polishing
Speed After the initial polish comes the final high shine
brushes. Where other polishers wear out after minimal
polish. Because D◆FINE Double Diamond Final High Shine
uses, you’ll get at least 40 uses from a single GROOVY
Polishers (orange) have a small 5 micron
brush when used with gentle pressure (between
diamond particle size and more diamond particles than
1,000 and 3,000 rpm). And because they’re diamond
any other polisher, they give you a better shine in less time.
impregnated, with GROOVY brushes, you’ll achieve a
Unmatched Flexibility D◆FINE Double Diamond polishers
higher shine and in less time than with silicone carbide
are designed to be flexible. When applied properly, the
brushes. GROOVY brushes polish within the grooves of
polishers will splay, closely hugging the surface topography
your hybrid and nano-composite restorations, porcelain,
and olishing (without the risk of ditching) the gingival
and CEREC without removing anatomy or leaving behind
margins. Increased Cost-Efficiency While many polishers
the flat, lifeless surface that disc systems can create.
wear out quickly after only a single use, D◆FINE Double
Get more polishes for your money and a high shine in
Diamond Polishers are autoclavable up to 275°F, and each
less time with REALITY 4-Star rated GROOVY Diamond
polisher is designed to give you multiple polishes without
Polishing Brushes.
compromising the performance. Using gentle pressure will
CC650124 - $275
CC650126 - $275
CC650603 - $120
6-pack - $120
20-pack - $315
$220
$220
$100
$100
$250
1. Upper right central incisor labial veneer preparation.
2. Renamel Nano Light Cured Nanofill Composite
(Cosmedent) veneer adapted and light-cured.
3. Initial labial lobe form shaping to contour with
pointed #08 Shape and Shine.
4. To mimic the adjacent central, the Shape & Shine
#02 wheel is used to create a flat surface topography.
extend the life of the polisher.
CC130916 - $199
CC131906 - $150
CC132906 - $150
$175
$135
$135
CC415906- $280
Refills - $210
5. Final high luster composite surface created using
the Shape & Shine polishers.
$165
$155
POLISHING | CLINICIAN’S CHOICE
HEALTHCARE
E S S E N T I A L S
Healthcare Essentials PO Box 14-421 Kilbirnie Wellington
For orders and information
Phone toll free: 0508 802 5577
Fax: 04 387 1724
Email: [email protected]
Or Contact your local representative: Auckland: Mary 021 818919, Valerie 021
922014, Waikato: Jocelyn 021 899729 Wellington region: Liz 021 450655
South Island: Marie 021 796360