Filtek Supreme Ultra - REALITY Publishing Company

MAY
2011
NUMBER
224
25 th Anniversary
The Ratings
1
(4.5)
HYBRID COMPOSITES
Filtek Supreme Ultra
INTRODUCTION/MANUFACTURER’S CLAIMS
The original nanofilled hybrid, Ultra is now the third version in the Filtek Supreme line. The
presumed improvements over the previous version include better fluorescence, expanded
body shades (three new ones), and easier-to-handle translucent shades. While these types
of changes cannot be considered ground-breaking, its predecessor was already at the top
of the heap, so any modifications could not be expected to be radical unless the product was
totally reformulated, which it wasn’t.
TYPE
Nanohybrid
AVERAGE PARTICLE SIZE (µ)
RAVES & RANTS
+ User-friendly shading system
+ Handling is exceptional
Translucent
shades
Dentin, Body &
Enamel Shades
.075 (75 nanomers)
.02 (20 nanomers)
– Still has a tendency to be gray in some instances
– Enamel bleach shades could be lighter
FILLER CONTENT
Translucent
shades
Dentin, Body &
Enamel Shades
Weight
72.5%
78.5%
Volume
55.6%
63.3%
SHELF LIFE
MANUFACTURER
3M ESPE
www.3mespe.com
3 years
PRICES
KITS
Master’s Capsule (132 caps/0.2g ea)
$631.30/26.4g ($23.91/g or $4.78/tip)
REFILLS
Syringes (4g)
$110.60/syringe ($27.65/g)
Capsules (20)
$116.50/4g ($29.13/g or $5.83/tip)
CONSISTENCY AND HANDLING
All evaluators liked the way it handled. From a viscosity aspect, most (75%) of the evaluators thought it was just right, while 17% felt it was too stiff and 8% found it slumped too
much. For those who used brushes to manipulate and smooth the material, 82% found it to
brush nicely, while the other 18% did not feel it brushed very easily, with one evaluator commenting that it doesn’t brush smoothly at the margins.
MICHAEL B. MILLER, D.D.S. – President/Editor-in-Chief
INGRID R. CASTELLANOS, C.D. – Vice President/Publisher
EDITORIAL TEAM: David L. Baird, D.D.S., Bellevue, WA; Robert W. Baker, Jr., D.M.D, Ithaca, NY; Joel H. Berg, D.D.S., M.S., Seattle, WA; Raymond L. Bertolotti, Ph.D., D.D.S., San Leandro, CA; Nathan S. Birnbaum, D.D.S., Wellesley, MA; Alan A. Boghosian, D.D.S.,
Chicago, IL; Mitch A. Conditt, D.D.S., Fort Worth, TX; Gerald E. Denehy, D.D.S., M.S., Iowa City, IA; Marvin A. Fier, D.D.S., Pomona, NY; Daniel Fortin, D.M.D., M.S., Montreal, Canada; George A. Freedman, D.D.S., Toronto, Ont., Canada; David S. Hornbrook, D.D.S.,
San Diego, CA; Shigehisa Inokoshi, D.D.S., Ph.D., Tokyo, Japan; Ronald D. Jackson, D.D.S., Middleburg, VA; Mark E. Jensen, D.D.S., Ph.D., Slidell, LA; Thomas P. Keogh, M.D., D.D.S., Navarra, Spain; Timothy F. Kosinski, M.S., D.D.S., Bingham Farms, MI; Hannu O.
Laamanen, D.D.S., M.S., Turku, Finland; Paul Landman, D.D.S., Chicago, IL; Clarence C. Lindquist, D.D.S., Washington, D.C.; Edward Lynch, M.A., B.D.Sc., Ph.D., Coventry, UK; Sandesh Mayekar, M.D.S., Mumbai, India; Steven McGowan, C.D.T., Seattle, WA; Michael
K. McGuire, D.D.S., Houston, TX; Carlos Muñoz, D.D.S., M.S., Buffalo, NY; Christopher Pescatore, D.M.D., Danville, CA; Stephen D. Poss, D.D.S., Brentwood, TN; Robert G. Ritter, D.M.D., Juniper, FL; Derry F.M. Rogers, B.D.Sc., Melbourne, Australia; Andrew T. Shannon,
D.D.S., Vancouver, BC, Canada; Liviu Steier, D.M.D., Mayen, Germany; Franklin Tay, B.D.Sc.(Hons), Ph.D., Augusta, GA; Lori Trost, D.D.S., Columbia, IL; Marcos A. Vargas, D.D.S., M.S., Iowa City, IA; Charles Wakefield, D.D.S., Dallas, TX; Thomas G. Wilson, Jr., D.D.S.,
Dallas, TX; David Winkler, D.D.S., Windsor Berks, England.
A publication member of the
American Association of Dental Editors
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VOLUMETRIC SHRINKAGE
MEASURED AT LIGHT-CURED TIMES
%
5 seconds
0.9
10 seconds
1.3
5 minutes after end of curing (40 sec)
2.0
POROSITY
SHADE
% OF VOIDS
A2E
0.4
A2B
0.1
Clear
0.2
Amber
0.5
A2 Enamel
SHADES
36
• 13 body shades keyed to Vita (A1B, A2B, A3B, A3.5B, A4B, B1B, B2B,
B3B, C1B, C2B, C3B, D2B, and D3B)
• 6 dentin shades keyed to Vita (A1D, A2D, A3D, A4D, B3D, and C4D)
• 6 enamel shades keyed to Vita (A1E, A2E, A3E, B1E, B2E, and D2E)
• 2 additional body shades (A6B and B5B)
• 2 enamel bleach shades (WE and XWE)
• 2 body bleach shades (WB and XWB)
• 1 dentin bleach shade (WD)
• 4 translucent shades (B-Blue, G-Gray, A-Amber, and C-Clear).
All evaluators thought there are plenty shades for most uses. Most (83%)
evaluators considered the anterior esthetics to be really good, while an even
higher percentage (92%) found the posterior esthetics to be exemplary, with
two evaluators commenting that they only use body shades for posterior
teeth. However, two other evaluators reported still experiencing some of
the “gray” effect of previous versions of this product.
BLEACH SHADES
XWE is almost a perfect match to Vita B1, while WE is slightly lower in value.
WB is slightly lighter than B1, WD is the lightest, while XWB is slightly lighter
than WB. Having lighter enamel bleach shades would have been preferred.
A2 Body
Vita B1
Trans Clear
B1 Enamel
Trans Amber
All of these values are quite low, which means you will probably not experience many surface voids during finishing and polishing. Most (67%) of the
evaluators found no porosity or surface voids, while the other 33% reported
only a few voids during finishing.
DEPTH OF CURE (MM)
2
Vita B1
WE
XWE
WB
WD
XWB
TRANSLUCENCY/OPACITY (T/O)
CURING TIME FOR GINGIVAL WALL INCREMENT
CURE TIME
B1 Body
CURE %
(seconds)
TEST PERIOD
20
immediate
65
20
24 hours
67
40
immediate
76
40
24 hours
81*
(gingival compared to occlusal)
SHADE
T/O RATING (%)
COMMENT
A2D
82
Good for dentin/opaque shade
A2B
63
Good for body shade
A2E
57
Good for enamel shade
B1B
62
Good for body shade
WE
61
Slightly opaque for enamel shade
WB
72
Slightly opaque for body shade
Clear
25-30
Good for incisal shade
* Exceeds 80% goal
WORKING TIME UNDER DENTAL UNIT LIGHT
45 seconds.
2
SHADE GUIDE
Not a conventional one, but shade wheel the size of a CD meant to complement your Vita shade guide. It is actually three plastic disks joined in the middle with a grommet. The top and bottom discs have a circular window close
to the grommet, plus three smaller windows arranged in a straight line to its
edge on one side meant for Class III and IV. On the other side, there are
two windows for Class I, II, and V. The windows on the side designed for
Class III and IV are labeled "Single", "Dual", and "Multi", while those on the
opposite side are labeled either "Single" or "Dual". It also has illustrations of
how to layer a two-shaded or multi-shaded restoration.
FINISHING AND POLISHING
The middle disc on the Class III and IV side includes the 16 Vita Classic
shades plus W, XW, A6, and B5 arranged in a circle and are visible through
the circular window, while the shade recipes are displayed through the small
circles that line up with the shade.
All evaluators considered it easy to polish to an enamel-like gloss.
For example, if you want to create an "A3" restoration, you move the wheel
to be centered over A3. The "single" circle tells you to use A3B if you just
want to restore the lesion as simply and quickly as possible. If you want to
get slightly more artistic, you use A3E over A4D, which is the formula in the
"dual" window. But if you want the ultimate in esthetics, you would use the
recipe in the "multi" window, namely A4D/A3B/A2E/A.
Most (67%) of the evaluators thought this guide was unique and easy to use
along with the suggested combinations being helpful. However, a sizable
minority (33%) still preferred a more conventional shade guide. One evaluator considered the wheel very easy to learn and use as a reference, while
another thought the wheel could be intimidating at first glance.
SHADE SHIFT AFTER CURING
Most shades become more translucent and darker.
FLUORESCENCE
POLISHER
MATCHES ENAMEL GLOSS
D-Fine Double Diamond
Yes
HiLuster Plus
Yes
Pogo
Yes
PACKAGING
Tips
Called capsules, kit comes in a plastic tackle box in an unsealed cardboard
sleeve that you will probably discard. The tackle box is divided into sections
for all the shades, which are identified with color-coded labels attached to
the rear of each section. The actual black tips have color-coded caps designating shade groups: dentin (dark royal blue), body (medium blue), enamel
(light sky blue), and translucent (cream). They are also imprinted with the
word "Supreme Ultra," the shade and expiration date. In addition, they have
a relatively long nose for easy access to the bottom of most preparations.
At least four evaluators commented that, even though tackle boxes are not very
unique or sleek, they are useful, organized, easily refillable, and very portable.
Syringes
Although there are small syringe kits, you will most likely buy the refills if you
prefer syringes. All refills come in sealed plastic bags that are difficult to
store on a shelf. One evaluator preferred an organizer. The screw-type
syringes have moisture-resistant white labels with a color-coded band that
also indicates the shade circumferentially and the expiration date. The caps
are tight, but can be removed fairly easily using a rotational movement.
DIRECTIONS
Multi-language, plain paper, annoying foldout design. Information is accurate, easy to follow, straightforward, but very brief. There are also plasticcoated color technique cards that fit into 3M ESPE's small binder. While also
fairly brief, there are very well-done, with excellent illustrations demonstrating the most common uses of this product.
A2 Body
3
REALITY
Strengths Very complete shading system. Body versions
tend to be very close to universal translucent/opaque
shades and good for Class III and V restorations. Colors
seem to blend very well into tooth structure. Easy to handle with instrument or brush. Not overly stiff and has minimal stickiness – still sculptable. Very good polish that has
more durability than previous versions. Minimal voids.
Slightly exceeds 80% cure goal. Fluorescence is close to
tooth structure. System is well organized. Most (67%)
evaluators consider it to be better than the previous version, while the other 33% could not tell the difference
between the two versions.
Weaknesses At least five evaluators mentioned that it
still has a tendency to have a grayish effect, especially
with the lighter body shades. No organizer for syringes.
The cutting of the material from the syringes on a pad
may produce a fraction that looks white and dry. Working
time is mediocre. Enamel bleach shades could be lighter.
BOTTOM LINE Not perfect, but the combination of logical shading and exceptional handling takes it to the head
of the class.
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