Ivoclar Vivadent Variolink Esthetic DC: instruction

English

Description

Variolink® Esthetic is a colour-stable, adhesive luting system for the permanent

cementation of ceramic and composite resin restorations. Variolink Esthetic

is offered in a purely light-curing (Variolink Esthetic LC) and a dual-curing

version (Variolink Esthetic DC).

The special filler composition gives Variolink Esthetic a very high radiopacity.

Shades

Variolink Esthetic is available in the following five shade gradations:

Shade Effect

Light + Translucency approx. 5%

Lighter /

(opaque)

more whitish

Light Translucency approx. 10%

Neutral Translucency approx. 17% None

Warm Translucency approx. 12%

Warm + Translucency approx. 8.5%

Darker /

(opaque)

more yellowish

The gradation of Variolink Esthetic shades is based on the effect that a luting

composite exerts on the brightness value of the final restoration. Variolink

Esthetic Neutral does not affect the brightness value. At the same time, it

demonstrates the highest translucency and is thus neutral in shade. Light

and Light + make the restorations lighter, while Warm and Warm + create a

darker overall shade impression. In order to evaluate the overall effect of the

restoration in conjunction with the various Variolink Esthetic shades prior to

permanent cementation, we recommend using the Variolink Esthetic try-in

pastes.

Composition

The monomer matrix of Variolink Esthetic is composed of urethane

dimethacrylate and further methacrylate monomers. The inorganic fillers

are ytterbium trifluoride and spheroid mixed oxide. Initiators, stabilizers and

pigments are additional ingredients.

The particle size is 0.04-0.2 μm. The mean particle size is 0.1 µm.

The total volume of inorganic fillers is approx. 38%.

Indication

– Permanent adhesive luting of glass-ceramic, lithium disilicate glass-

ceramic and composite restorations (inlays, onlays and veneers)

– Only use Variolink Esthetic LC for restorations with a low thickness of

<2mm that have sufficient translucency (e.g. restorations made of

IPS e.max® HT).

– The following overview provides recommendations for the selection of

the suitable Variolink Esthetic LC shade:

do t’i gjeni në

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link-ul de mai jos

з інструкціями із

застосування, будь ласка,

відвідайте сайт

aadressil

skatiet vietnē

rasite apsilankę

SQ Udhëzimet e përdorimit

RO Pentru instrucțiuni de

UK Для ознайомлення

ET Kasutusjuhend asub

LV Lietošanas instrukcijas

LT Naudojimo instrukcijas

Esthetic LC

®

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pronaći na adresi:

na internetové stránce

nájdete na

utasításokért keresse fel a

можете наћи на интернет

адреси

се наоѓа на веб страната

SL Za navodila za uporabo

HR Upute za upotrebu možete

CS Návod k použití naleznete

SK Návod na použitie

HU Kérjük, használati

SR Упутство за употребу

MK Упатството за употреба

hammaskiinnitysmateriaali

festemateriale

bevestigingsmateriaal op basis van

kunsthars

ρητινώδης κονία

yapıştırma materyali

Bruksanvisning

DA Brugsanvisning

– Lyshærdende permanent plastcement

FI Käyttöohjeet

– Valokovetteinen hartsipohjainen

NO

– Lysherdende, harpiksbasert dentalt

NL Productinformatie

– Tandheelkundig, lichtuithardend

EL Oδηγίες Xρήσεως

– Φωτοπολυμεριζόμενη οδοντιατρική

TR Kullanma Talimatı

– Işıkla sertleşen rezin esaslı dental

Esthetic LC Variolink

®

material

Befestigungscomposite

photopolymérisable à usage dentaire

fotoindurente

fotopolimerizable basado en resina

de resina fotoativada

Variolink

EN Instructions for Use

– Light-curing resin-based dental luting

DE Gebrauchsinformation

– Lichthärtendes zahnärztliches

FR Mode d’emploi

– Composite de collage

IT Istruzioni d’uso

– Cemento composito dentale

ES Instrucciones de uso

– Material dental de cementado

PT Instruções de Uso

– Material de cimentação dental à base

Indications

Shade Effect Veneers Inlays / Onlays

Light + considerably lightens

✔

--*

Light slightly lightens

✔ ✔

Neutral no shade effect

✔ ✔

Warm slightly darkens/

✔ ✔

more yellowish

Warm + considerably darkens/

✔

--*

more yellowish

* The use of the shades Light+ and Warm+ may lead to visible restoration margins when

cementing inlays/onlays.

Contraindication

The application of Variolink Esthetic is contraindicated

– if a dry working field cannot be established or the stipulated working

procedures cannot be applied;

– if a patient is known to be allergic to any of the ingredients of Variolink

Esthetic.

Side effects

Systemic side effects are not known to date. In individual cases, allergic

reactions to individual components have been reported.

Interactions

Phenolic substances (e.g. eugenol, wintergreen oil) inhibit polymerization.

Consequently, the application of products containing these components, e.g.

mouth rinses and temporary cements, must be avoided.

Disinfectants with an oxidative effect (e.g. hydrogen peroxide) may interact

with the initiator system, which in turn may impair the curing process.

Therefore, do not disinfect the preparation and the syringe using oxidative

agents. Disinfection may be carried out, for instance, by wiping with medical

alcohol.

Alkaline jet mediums applied on dentin (e.g. Airflow) may compromise the

effect of self-etching adhesives.

Application

For more detailed information also refer to the Instructions for Use of the

products used in conjunction with Variolink Esthetic.

1 Removal of temporary restoration and cleaning of the cavity

Remove possible residue of the temporary luting composite from the

cavity or the preparation with a polishing brush and an oil- and fluoride-

free cleaning paste (e.g. Proxyt® fluoride-free prophy paste). Rinse with

water spray.

Subsequently, dry with oil- and moisture-free air. Avoid overdrying.

Note:

Cleaning with alcohol can lead to dehydration of dentin.

2 Try-in of the restoration and isolation

Seat the restoration using the desired Variolink Esthetic try-in paste and

check the shade, fit and occlusion of the restoration.

Care should be taken when checking the occlusion of fragile and brittle

ceramic objects before they are permanently cemented, as there is a risk

of fracture.

If necessary, make adjustments with fine diamonds at medium speed

and with slight pressure and adequate water cooling. Polish ground

surfaces.

When an adhesive luting protocol with composites is used, safe isolation

of the operating field – preferably with a rubber dam, e.g. OptraDam®

Plus, or alternatively with cotton rolls and a saliva ejector – is required.

If the dental hard tissue is contaminated with saliva or blood during

try-in, it needs to be cleaned again as described in section 1.

3 Pre-treatment of the restoration

3.1 If a restoration which has been pre-treated in the dental laboratory

is contaminated with saliva or blood during try-in, the contaminated

bonding surface of the restoration needs to be cleaned as follows:

– Following try-in, thoroughly rinse the restoration with water spray

and dry with oil-free air.

– Shake Ivoclean before use and completely coat the bonding surface of

the restoration with the product using a microbrush or bush.

– Leave Ivoclean to react for 20 s, then thoroughly rinse with water

spray and dry with oil-free air.

– Subsequently, prime the bonding surfaces with a bonding agent that

is appropriate for the respective restorative material (e.g. Monobond®

Plus). Make sure to observe the Instructions for Use of the bonding

agent applied.

3.2 Restorations that have not been pre-treated by the dental laboratory

should be rinsed with water spray and dried after the try-in procedure.

3.2.1 Subsequently, condition the bonding surfaces of the restoration as

follows:

a) Glass-ceramic restorations (e.g. IPS Empress®)

®

– Etch with 5% hydrofluoric acid (e.g. IPS

Ceramic etching gel) for

60 s or according to the instructions of the manufacturer of the

restorative material.

– Thoroughly rinse with water spray and dry with oil-free air.

b) Lithium disilicate glass-ceramic restorations (e.g. IPS e.max Press,

IPS e.max CAD)

– Etch with 5% hydrofluoric acid (e.g. IPS Ceramic etching gel) for

20 s or according to the instructions of the manufacturer of the

restorative material.

– Thoroughly rinse with water spray and dry with oil-free air.

c) Composite or fibre-reinforced composite restorations

– Blast the internal surface of the restoration (according to the

instructions of the manufacturer of the restorative material).

– If necessary, clean the restoration in an ultrasonic unit for about

one minute.

– Thoroughly rinse with water spray and dry with oil-free air.

3.2.2 Apply Monobond Plus with a brush or a microbrush to the pre-treated

surfaces, let it react for 60 s and then disperse it with a strong stream of air.

4 Pre-treatment of the preparation and application of the adhesive

(e.g. Adhese® Universal)

Please observe the Instructions for Use of the adhesive used.

4.1 Conditioning with phosphoric acid gel (optional)

The bond to enamel can be improved by selectively etching the enamel

or by applying the ”etch & rinse“ technique. Unprepared enamel surfaces

must be conditioned with phosphoric acid (e.g. Total Etch). Please

observe the Instructions for Use for the phosphoric acid gel.

a) Selective enamel etching

Apply phosphoric acid gel (e.g. Total Etch) onto the enamel and allow

it to react for 15-30 s. Then rinse thoroughly with a vigorous stream

of water for at least 5 s and dry with compressed air until the etched

enamel surfaces appear chalky white.

b) Etch & rinse technique

Apply phosphoric acid gel (e.g. Total Etch) onto the prepared enamel

first, and then to the dentin. The etchant should be left to react on

the enamel for 15-30 s and on the dentin for 10-15 s. Then rinse

thoroughly with a vigorous stream of water for at least 5 s and dry

with compressed air until the etched enamel surfaces appear chalky

white.

4.2 Application of Adhese Universal

– Starting with the enamel, thoroughly coat the tooth surfaces to be

treated with Adhese Universal.

– The adhesive must be scrubbed into the tooth surface for at least 20 s.

This time must not be shortened. Applying the adhesive on the tooth

surface without scrubbing is inadequate.

– Disperse Adhese Universal with oil- and moisture-free compressed air

until a glossy, immobile film layer results.

– Light-cure Adhese Universal for 10 s using a light intensity of

≥500 mW/cm² (e.g. Bluephase® Style).

5 Seating of the restoration

– Variolink Esthetic LC is sensitive to any blue light (operatory light,

ambient light). Therefore, Variolink Esthetic LC should not be

dispensed until right before use. Exposure to intensive light should be

avoided during application.

– Apply Variolink Esthetic LC with the application tip or a brush/

spatula directly to the internal surface of the restoration. The

direct application of Variolink Esthetic to the preparation or cavity

pretreated with adhesive is contraindicated.

– Seat the restoration and fix/hold it in place during excess removal.

– Remove all excess luting material.

a) Wiping technique

Remove excess material immediately with a micro-brush/brush/

foam pellet/dental floss or scaler. Make sure to remove excess

material in time, especially in areas that are difficult to reach

(proximal areas, gingival margins).

b) Circular technique suitable for veneers / inlays / onlays – Light-

curing of excess and subsequent removal

Light-cure excess material with a polymerization light (light intensity

≥ 500mW/cm²; e.g. Bluephase Style) for 2 s at a distance of

10-15 mm by running the light probe along the entire cement line.

www.ivoclarvivadent.com/ifu

употреба, моля, посетете

BG За инструкциите за

композитный цемент светового

отверждения

RU Инструкция по применению

– Стоматологический фиксирующий

PL Instrukcja stosowania

– Cement światłoutwardzalny

Manufacturer

Ivoclar Vivadent AG

FL-9494 Schaan/Liechtenstein

kompositcement

SV Bruksanvisning

– Ljushärdande dentalt

Rx ONLY

Date information prepared:

2014-07-09/Rev. 1

666333/WW