I m delighted and pro d to be a part of the

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u

celebratio of 3M ESPE Dental Division's 10th

n

Anniversary i India. nOver the last decade, the 3M ESP Dental

E

business in India has evolved fro be ng a smal ,

mi

lm

infantile part of 3M India to one of the ost

exciting, ibrant and progressive businesses in

vour portfolio.The cornersto e of 3M ESPE s wining strategy

n

'

world ide is to relentlessly conceive, develop

wand deliver superior prod cts and ervice;

u

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en age eff ctively in Continuing Dental

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t

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Edu ation programs nd be a reliable a d e hical part er of dental practitione

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in each c untry. I is no different in India.

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i

It is a tribute to the highly profic e t and discerning dentist and dent l schools

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in India that the scope and quality of dental tr atmen in ma y parts of this

et

n

o

t

c untr today is comparable to he very best in the world : I ha e experienced it

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v

personally ! Of course, there is still som ay to go before it is broad based.

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You c n be su e that 3M ESPE will be with you vestep of the way : India is

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ri ht at th top f 3M Corpo ation's preferred investm n d stina ions

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t et

worldwide. thank you on e again for your continuing support, fee back an

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d

encoura ement.g

w gards

With arm re

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Bert O Doghue

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Ma ng Dir ctor

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3 I ia Lim ted

1 Micron 100nm 75nm 20nm

1 Micron = 1000 Nanometers

Filtek Z350 Universal Restorative is the result of a revolutionary combination of two fillers - nanoparticles and nanoclusters. A nanometer is just 1/1000 of a micron. These nanosized filler particles abrade below the visible spectrum of light, allowing the polish retention typical of a microfill.

Further, both nanoparticles and nanoclusters fillers are combined directly with our proprietary, reduced-shrinkage resin to produce a material that duplicates the physical properties of a hybrid composite.

™Filtek Z350 Universal Restorative: A True Nano Composite.

Excellent aesthetics for life like restorations

This easy-to-use 8-shade system lets you restore teeth to a beautiful, natural appearance no matter what technique you use. With Filtek™ Z350 Universal Restorative’s lifelike shades and excellent “chameleon effect,” you’ll find single-shade restorations blend beautifully with natural tooth structure.

If you utilize multi-shade techniques and require a more extensive shade selection, you’ll find the 8 shades of Filtek™ Z350 Universal Restorative blend perfectly with the wide range of shades available with Filtek ™ Z350 Universal Restorative.

Filtek ™ Z350 shades available-A1, A2, A3, A3.5, B2, B3, C2 &0A3

The Polish of a MicrofillThe initial polish of many composites is quite good. Wear, toothbrush abrasion, and other factors reduce this initial gloss.

Microfills are known for excellent polish retention, but, until now, universal composites have tended to lose much of their initial shine. Filtek™ Z350 Universal Restorative addresses this using a novel approach.

The nanoparticles of Filtek Z350 restorative are added both individually and in clusters, termed nanoclusters.

These nanoclusters are lightly sintered so that they can break apart during the wear process. By doing so, the optical effect is the loss of a nanometer-sized particle rather than the loss of a micron (e.g. hybrid composite) sized particle, which is the reason for the long term polish retention.

The nanoparticles of FiltekZ350 Restorative are added both individually and in clusters, termed nanoclusters.

The Strength of a HybridFiltek Z350 restorative is indicated for all classes of direct composite restorations, so high strength is essential.

Here is where Filtek Z350 restorative acts more like a hybrid. Its high filler loading and advanced resin matrix means that strength measurements such as compressive strength, flexural strength, diametral strength and fracture toughness will compare to the best products in the industry.

… high filler loading and advanced resin matrix means that strength measurements …

compare to the best products in the industry

Filtek Z350 EsthetX

Before After: Shades used: Z 350

Photography

courtesy of

DR. JOSE IGNACIO

GAMBORENA

Porous, friable nano -clusters

Controlled wear of nanoclusters prevents loss of large particles allowing improved gloss retention

Solid particles

Wear surface of conventional hybrid displays loss of large particles and poor gloss retention

Courtesy of Dr. Jorge Perdigao, University of Minnesota

Courtesy of Dr. Jorge Perdigao, University of Minnesota

Nano-clusters

Nano-Particles

What does this mean to a clinical practice ?It means that Filtek Z350 restorative is truly a universal composite, with the esthetics required for anterior restorations and the strength needed for posterior restorations.

Diastema Closure - Filtek Z350 Single Shade

20 yr old female presented with midline diastema .A high frenal attachment was diagnosed. Treatment involved surgical correction of frenal attachment, followed by correction of diastema, using Z350 composite and Adper Prompt adhesive

Primary incision for correction of frenal attachment.

Sutures should be placed carefully to prevent the incision from reopening and to allow healing.

4 weeks after surgery good healing is seen, and case is ready for closure of diastema.

1. A mock restoration is done after shade matching to evaluate shade match and expected contours.

Z 350 shade A3 is used as the restorative material .Since the diastema is small a single shade will suffice .It is important to minimize excess and have as smooth a finish as possible during placement. This helps in ensuring good surface texture and decreases time required for polishing.

Pr imary f in ish ing and pol ish ing completed. Final finishing and polishing is delayed for 24 hrs. This allows the tooth to rehydrate, and evaluation of colour and contours is much superior at the second appointment . (Gross finishing with 32 fluted carbide burs (Kerr Corp) ,Soflex discs (3M ESPE) and Astropol finishing kit ( Ivoclar Vivadent)

Restoration after final polishing. One can clearly appretiate the superion polish afforded by Z 350 .Such finish ensures long lasting esthetics and eliminates the need for repeated polishing.(Final polish using Astropol ,Soflex and Jiffy brushes)

The patient also had a small class III on the distal of 21 which has now been restored.

Palatal view showing optimal contours palatally. Incisal contours should be uniform on both the incisors

Before

After

Dr. Arvind Shenoy completed his BDS from Mumbai University in 1988 and MDS from Mumbai University in 1991, both from Govt Dental College and Mumbai Hospital. His specialisation was in Conservative Dentistry and Endodontics. He held faculty positions in CODS Mangalore from 1992 to 1998, KLE Institute of Dental Sciences Belgaum from 1998 to 2005 as Professor Dept. Of Conservative Dentistry and Endodontics, his Practice in Mangalore is restricted to Restorative Dentistry and Endodontics.

Dr. Arvind Shenoy

Class II Composite Restoration using Filtek Z350

Cavity Preperation with removal of caries. Old amalgam and secondary caries removed.

Band placed Disposable Omni Matrix (Ultradent Products) and Wedge (Hawe Neos). Tight contact area developed by positive wedging using wooden anatomic wedge. Ultra thin band (preferably 0.001”) contoured to correct contact location.

A 18 year old male patient. Mesial lesion in relation to 26.Mesial and distal amalgam restorations with marginal deterioration. Discoloured Palatal groove.

Planned Restoration: MO and Distal pit with FiltekZ350 (Nanofilled Dental Restorative) Shade A 3.5 and A 3 E (Filtek supreme) and Palatal groove with Filtek Flow Shade A3.

After etching with 35% Phosphoric acid and bonding with Adper single bond, Filtek flow (Shade A3) was placed as a liner. This helps in close adaptation of initial increment of resin, as well as reduces incidence of post op sensitivity. In deep cavities Vitrebond Liner (Resin modified glass ionomer) is preferred.

Composite built up in increments ,contouring done using Duckhead instrument (Hu Friedy) for achieving anatomic contours. Shades used A3.5 (Filtek Z350)and A3 Enamel (Filtek Supreme). No transluscent shades were used in this case. Palatal groove restored with Filtek Flow Shade A 3.

Band removed and gross excess removed using No 12 BP Blade. Occlusion verified.

Contact built up using Optra Contact instrument ( Ivoclar Vivadent)

Gross finishing completed using Finishing Carbide burs and Diamond Points (Brassler ) ,Polishing cups (Diatech), Soflex finishing discs (3MESPE).

Restoration after polishing with Soflex Brushes (3M ESPE) and Diamond polishing Paste (Ultradent ).

Final restoration in harmony with adjacent tissues. Contact size and shape duplicates original anatomy as s e e n i n p r e o p i m a g e . Z 350 contains nanoclusters with nanofillers which gives the restoration superior strength and excellent polishability.

Filtek Z350 in Decidous Teeth

An intra oral radiograph was taken which showed that the carious lesion was near the pulp tissue. It was decided to remove the decay, do an indirect pulp capping and fill the tooth with Z350 composite.

Before starting with the removal of decay the shade of the tooth was matched with the Vitapan shade guide, which was B2.

Caries was removed and finally checked with caries detection dye.

Paleodent Matrix with a wooden Hawe neos wedge was applied.

Contouring an Occlusal carving was done with P1 instrument. The top layer of Filtek Z350 B2 was applied and cured.

Final polishing was done using the Sof Lex system (3M ESPE).

A tight contact, good occlusal morphology with excellent esthetics was obtained. Filtek Z350 contains nano clusters with silinated and etched nano fillers, which give the restoration superior strength, esthetics and excellent polishability.

Child age 7 years came to the dental center with a complaint of pain. On examination it was observed that the child had a carious lesion in tooth no.74 with food impaction.

Indirect pulp capping was done with Vitrebond resin modified glass ionomer liner.

Pushing the composite towards the matrix with a suitable instrument and curing established a tight proximal contact.

Matrix and wedge were removed and the high points checked using a thin articulating paper and removed.

A Specialist in Pedodontics and Preventive Dentistry working in The Pink City, Jaipur - India.

Post Graduate in Pedodontics and Preventive Dentistry from the prestigious Post Graduate Institute of Chandigarh, India. Keeps update with the latest developments in dentistry around the globe.

Has been in private practice since 1989. Associate Professor in the department of Pedodontics and Preventive Dentistry in Jaipur Dental College, Jaipur, India. Internationally presented numerous lectures and Continued Education Courses on Pedodontics and has original works on Pediatric Endodontics and Pediatric Cosmetic Dentistry.

Dr. Rajeev Thaper

Patient came with a complaint of visible black fillings done some time back. She also complained of sensitivity to hot and cold. She wanted something more cosmetic in the mouth. On examination it was observed that the patient had multiple amalgam fillings in the molars. There were dark areas seen around the fillings, which suggested that either there was secondary decay around the fillings or discoloration of enamel had taken place due to the amalgam.

It was decided to remove the amalgam fillings and look into the tooth. When the amalgam fillings were removed it was found that there was secondary decay below the fillings.

This decay was removed and the teeth were checked with caries detection dye

Any further decay was removed where the stains were present. There was a substantial loss of tooth structure present. It was decided to fill the teeth with Filtek Z350 because of the high strength of the material, which was needed in this type of a cavity.

Also, FILTEK Z350 could give the best esthetics due to Nano-technology.The shade of the tooth was recorded before the etching, but after the removal of amalgam filling and the secondary caries. The shade is selected using the Vitapan shade guide. Pulp was protected using vitrebond glass ionomer liner. and the fluoride leaching effect was utilized.

After etching and bonding, the selected shade of Filtek Z350 composite was used.

The build-up was done in increments using Filtek Z350 shade A3 and each increment cured for 20secs.

Filtek Z350 Composite Of 21st Century

The finished restoration after carving and polishing gave excellent results (Fg.14, 15). The strength and polish ability of FILTEK Z350 is much superior to other composites due to the sialination and bonding of the nano filler particles

Dr. Soni, completed his degree in Dental Surgery from Gulbarga University, India in 1991. After his graduation, he gained experience in London and returned to India to start his practice in 1995. Dr Soni went on to obtain a post graduate degree in Aesthetic and Cosmetic Dentistry from New York University and now specialises in this field. He is a Fellow of the Pierre Fauchard Academy, a member of the British Orthodontic Society and a member of the Indian Dental Association.

Dr. Supreet Soni

Patient with multiple old Glass Ionomer Restorations, Composite restorations and Dental Caries.

Palatal view after complete caries removal. Distal preparation shows pulpal exposure.

The restoration was then polished using Soflex polishing discs & interproximal strips.

Over the opaque shade Filtek Z350 A3.5 (3M ESPE) was used as the body of the restoration.A thin layer of Filtek Supreme YT - yellow transcluscent (3M ESPE) was applied and cured.

Palatal view of 22 after a final layer of Filtek Supreme YT (3M ESPE) was applied, cured and polished using Soflex polishing discs & brushes.

Palatal & labial view of 22 showing mesial & distal caries with an old GI restoration.

Labial & Palatal view after soft caries removal with an excavator

Labial & palatal view after removal of the dye with thorough rinsing by water

Completed mesial, distal & cervical restorations on 22, Polished with Soflex.

Labial & palatal view after application of a caries detecting dye

Labial & palatal vew of 22 with etchant. 35% phosphoric acid gel is used for etching the prepared cavity surfaces.

After application of Adper Prompt Self-etch Adhesive (3M ESPE) and curing for 10 secs, the first layer of Z350 OA3 - Opaque A3 (3M ESPE) was applied in the cervical and mesial and distal cavities.

Calcium Hydroxide applied only to the exposed area and a layer of Vitrebond liner (3M ESPE) is applied to the entire pulpal surface.

“Easy to manipulate and excellent polishability. Truly a great composite.”

Dr Ratnadeep Patil, Director: Smile Care, Mumbai.

“Filtek Z350 has excellent handling characteristics and provides beautiful shade match. It is not tacky and easy to adapt. coupled with the high strength and excellent finish it provides, it is the perfect all round restorative composite.”

Dr Arvind Shenoy, MangaloreProfessor, Dept of Conservative Dentistry, KLE Dental College, Belgaum.

“ I am sure the long awaited search for "the ideal composite resin" will stop at Filtek Z350. It has got excellent handling during loading.... It does not slump. it has an outstanding property of getting adjusted to the nighbouring teeth- chameleon effect, as far as color, value & blending is concerned..... making inventory minimal.

Paradigm shift in technology, leading to most predictable restorations ..

.......... any time and every time.”

Dr Suhas S Lele, BDS, MAACD-USA, Mumbai

What Dentists In India Have To Say About Filtek Z350?

Before

After

Adper™ Prompt™ L-Pop™ Self-Etch Adhesive provides a more aggressive etch than Clearfil SE Bond Adhesive on both prepared and unprepared enamel. An aggressive etch pattern promotes high bond strength.

Etch Patterns on Prepared Enamel

Adper™ Prompt™ L-Pop™Self-Etch Adhesive

Clearfil™ SE Bond Adhesive

1 With no separate acid etch. Manufacturer’s instructions include a separate acid etch for unprepared enamel. Source: University of Minnesota School of Dentistry

0

5

10

15

20

35

40

25

30

AdperTM PromptTM L-PopSelf-Etch Adhesive

ClearfilTM SEBond Adhesive1

Prepared Unprepared

MP

a

University of Minnesota School of Dentistry

An independent in vitro study compared the bond strength of Adper Prompt L-Pop self-etch adhesive to Clearfil SE Bond adhesive on prepared and unprepared enamel. Adper Prompt L-Pop adhesive yielded a higher microtensile bond to prepared enamel than Clearfil SE Bond adhesive and an equivalent bond to unprepared enamel—proving its ability to provide an aggressive etch for high bond strengths.

Enamel Microtensile Bond Strength

Etch Patterns on Unprepared Enamel

Adper™ Prompt™ L-Pop™Self-Etch Adhesive

Clearfil™ SE Bond 1Adhesive

“Excellent product –quick and easy”

The Dental Advisor,Volume 20, 2003

“I noticed a definitedecrease in sensitivity

compared to otherbonding agents”

The Dental Advisor,Volume 20, 2003

More aggressive enamel etch than Clearfil™ SE Bond Adhesive

5K SEMs of cut and uncut sur-faces.

(3M ESPE Internal Data)

Adper Prompt Self-Etch Adhesive,

pH = 0.7

Xeno IV Self-Etching Dental

Adhesive,

pH=2.3

Superior to Xeno IV self-etch adhesive .

Adper Prompt L-Pop self-etch adhesive is superior to Xeno IV self-etch

adhesive in Shear Bond Strengths to enamel and dentin.

25

20

15

10

5

0

Mp

a

Enamel(p=0.014)

Dentin(p=0.039) 1 tailed t-test

Shear Bond strength(24h, 100%RH)(3M ESPE Internal Test Data)

Adper™ Prompt™ L-Pop™ Xeno R IV

Microtensile Bond Strengths(Dr. Jorge Perdigao, University of Minnesota)

60

50

40

30

20

10

0

Mp

a

Adper™ Prompt™ L-Pop™ Xeno R IV

Uncut Enamel(p=0.000)

Cut Enamel(p=0.000)

Dentin(p=0.000)

Adper™ Prompt™ L-Pop™ Self-Etch Adhesive is superior to Xeno IV self-etch adhesive in Microtensile bond strengths to uncut Enamel, cut Enamel & Dentin.

Adper Prompt L-Pop self-etch adhesive provides a low pH for a more

pronounced etch allowing for use on uncut enamel surfaces.

! Say Goodbye to Postoperative Sensitivity

! Aggressive Enamel Etch whether its CUT or UNCUT ENAMEL

! Enhanced Performance - High microtensile bond strengths to Dentin & Enamel

! High Viscosity for Consistent Hybrid Layer

! Treat Hypersensitive Root Surfaces

! Simplify Sealant techniques by eliminating acid etching.

ADPER PROMPT SELF ETCH ADHESIVE

3M ESPE's fastest growing Adhesive Offers proven performance.

OFFERS

Elipar™Curing Light XL2500 worth Rs. 21000/-

Buy the 3M Filtek Z350 Introductory Kit for Rs. 5400/-Find your scratch card within and you could be the winner of the XL2500 worth Rs. 21,000/- or any of the prizes below..

Win!&Scratch

Filtek™ P60

Z100 syringe

worth Rs. 975/-

worth Rs. 1275/-

worth Rs. 1275/-

Filtek™ Z250

Adper™Single Bond 2worth Rs. 1975/-

Cavit™ Gworth Rs. 475/-

Vitrebond™ worth

Rs. 4200/-

Ketac™ Molar Easymix worth Rs. 1950/-

(SAVE Rs 1275/-)

Buy 1 Adper Prompt Self Etch adhesive (8ml)Get 1 Filtek P60/Z250 Free

(SAVE Rs 700/-)

Buy Ketac Molar Easy Mix & Ketac Cem Radiopaque

for JUST Rs 3200/

*Offe

rs V

alid

till

sto

cks la

st

Clean the surface Apply Adper Prompt Adhesivefor 15 Sec. using a rubbing motion.

Air Dry

Apply a second layer(No rubbing or waiting time)

Air Dry the second layer Light cure for 10sec. &wipe off air inhibition layer

Ph

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s C

ou

rtesy o

f Dr. P

atric

ia G

ato

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Treating hypersensitive root surfaces

Fluid movement in dentinal tubules is the generally accepted cause of sensitivity. This movement can be stimulated by drying, temperature shifts, as well as by compounds such as sugar (Brannstrom 1986). Studies indicate that hypersensitive root surfaces can have 8 times as many open tubules as non-sensitive dentin.

If open tubules - which allow fluid movement - are a cause of sensitivity, it makes sense that treatments that occlude the tubules should be effective in preventing or treating sensitivity.

This SEM image illustrates the ability of Adper Prompt Adhesive to flow into & occlude open dent inal tubules

What causes sensitivity?

?What Dentists In India Have To Say About Adper™ Prompt™“I have treated several hundred patients using Adper-prompt and Filtek Supreme and NO patient has had any post -operative sensitivity/ restorative failure or long lasting damage to the mucosa. The esthetics and polishablity have been excellent, and material handling of Adper-Prompt I would rate as excellent while for Filtek supreme Good. The versatility that wide range of shades, Filtek supreme provides is a big plus factor and lets me create life like restorations.”

Dr. Mahesh Chauhan, New Delhi

Dental Professionals will be increasingly required to provide sound esthetic and restorative alternatives for patients. An adhesive protocol for restoring natural dentition in a conservative manner is ideal when sensitivity, treatment time and preservation of remaining tooth structures are factors. Since mature patients are less likely to undergo repeated visits to their clinician, adhesive restorative products like Adper Prompt, Z350, Filtek Supreme, etc and modern techniques enable the clinician to treat each patient in a more efficacious manner.

Dr. V S Mohan, Mumbai

“Adper Prompt An excellent material, particularly effective when used on uncut enamel”

Dr. Ratnadeep Patil, Mumbai

Photo Courtesy of Dr. Patricia Pereira

Resin tags from

occluded tubules

Procedures : using Adper Prompt Self Etch Adhesive