VITA SHADESA shades red/brownB shades yellow/brown C shades yellow-greenD shades are low value (grayish) A shades.

Teeth are not monochromatic

Squinting helpsTake only 5 seconds per shadePRACTICALTIPS IN SHADE SELECTION

PRACTICALTIPS IN SHADE SELECTION

Filtek Z250 Universal RestorativeIndicationsDirect anterior and posterior restorations Sandwich technique with glass ionomer resin material Cusp buildup Core buildupSplinting Indirect anterior and posterior restorations including inlays, onlays and veneersA visible-light activated, radiopaque, composite designed for use in both anterior and posterior restorations.

Filtek Z250 Universal RestorativeFeatures (continued)Available in syringes or capsulesRefill ShadesA1C2A2C3A3C4A3.5D3A4 IncisalB.05Universal DentinB1B2B3

Filtek Z250 Universal RestorativeFeaturesLowest polymerization shrinkage of leading competitors Puts less stress on the toothPotentially helps reduce sensitivityVolumetric Shrinkage

Filtek Z250 Universal RestorativeFeatures (continued)Ideal customer-defined handlingResistance to slumping, allowing for easy occlusal contouring prior to curing Ideal flow and viscosity make it suitable for posterior restorations Non-sticky consistency

Filtek Z250 Universal RestorativeFeatures (continued)Excellent fracture toughnessExcellent product consistency batch to batch Excellent fracture toughness

Dr. Richard Simonsen, USA

Filtek Z250 UD

Filtek Z250 IncisalFiltek Z250 A2

Dr. Richard Simonsen, USA

Sof-Lex Systems Sof-Lex BrushBuccalOcclusalLingual Sof-Lex DiscsFacial EmbrasuresIncisal EdgeSof-Lex StripsInterproximal

3 out of over 1,400 restorations were reported to exhibit post-operative sensitivity

This confirms that using self-etch Adper Prompt adhesive results in very low incidence of patient sensitivity.

Adper Prompt Self-Etch AdhesivePost-op SensitivitySelf-etching for very low incidence of post-operative sensitivityGlobal clinical evaluation: Only three out of over 1,400 restorations were reported to exhibit post-operative sensitivitySelf-etching eliminates need to use a moist bonding technique, reducing technique sensitivity associated with many one-bottle adhesives

Adper Prompt Self-etch AdhesivesIn vitro: internal SEM studies diamond ground enamelAdper Prompt 35% Phosphoric acidEnamel etch slightly less than 35% phosphoric acid etch

3M ESPE Adper Prompt and 3M ESPE Prompt L-Popadhesives applied using two coats.Adper Prompt Self-Etch AdhesiveDentin Bond StrengthNippon Dental University - TokyoClearfil is a trademark of Kuraray

3M ESPE Adper Prompt and 3M ESPE Prompt L-Pop adhesives applied using two coats.Adper Prompt Self-Etch AdhesiveEnamel Bond StrengthNippon Dental University - TokyoClearfil is a trademark of Kuraray

Self-etch for low post-operative sensitivity3/1400 restorations sensitive in application test

Pedodontics- with compomers or composites. Especially primary teeth

Ease of application versus total etch (technique sensitive)versus other self-etch

Adper Prompt Self-Etch Adhesives: Strengths

Adper PromptLess technique sensitive than other adhesivesMoist or dry environmentImproved chemistryAdhesive company - 3M ESPE synergyMore aggressive enamel etch than Clearfil SEHigher microtensile bond strengths to cut enamel than Clearfil SEImproved dentin bond strengths to current Prompt

From the time of development of composites and now, manufacturers produce materials that will help you achieve this. And todays generation is fortunate to have a VERY good range of different products to choose from, different shades of composite to achieve the best results.

Is that right? Do you feel you have the products to help you achieve the results you want?

For a more interactice discussion ask your dentist, how would you treatthis case? What will e your advice, doctor?Normally they will say post and crown.

HOWEVER, there is a special need from the patient needs immediate help! what is a tretament option build up with composite.

This case will teach the doctor why he needs additional shades; how to solve the grayness problem. Discuss the diffenent shades used. A4 SHADE PROVIDES OPACITY SIMILAR TO DENTIN. THIS WILL PREVENT GRAYNESS. MORE SHADES BEING USED INCISAL SHADE ON PROXIMAL IMMITATES THAT OF ENAMEL SHADE ON NATURAL TEETH. A2 SHADE IS A COMMON SHADE BEING USED Post-Op. very good result.the question is how and why?