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3M Low Shrink Composite

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0% found this document useful (0 votes)
122 views8 pages

3M Low Shrink Composite

Uploaded by

abdelaziz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Filtek P90

Low Shrink Posterior Restorative System

The first composite to


shrink less than 1%
Siloranes
Setting a new standard for
the future of composites.
Significant improvements in strength, wear-resistance, color
Ten years in the making, Filtek™ P90 Low Shrink Posterior
Restorative is based on 3M ESPE’s latest product innovation:
silorane chemistry. This scientific breakthrough is the
and bonding have been made since dental composite resins long-awaited solution that combines lowest volumetric
were introduced. But the issue of volumetric shrinkage and shrinkage with biocompatibility. The silorane-based composite
its affect on marginal integrity has largely gone unresolved. works with a dedicated self-etch adhesive.

Any time you restore a patient’s tooth, you strive to achieve Why attaining an excellent margin
a “perfect margin” – a smooth connection between the tooth is so important.
structure and restoration without interruptions or gaps. Even
To illustrate why this product chemistry breakthrough
if your technique is perfect, the chemical response of the
is so important, we need to examine the clinical symptoms
composite material you use is out of your control.
associated with volumetric shrinkage, polymerization
Because all composites shrink, achieving lasting marginal stress and marginal gaps. Then we’ll show how Filtek P90
integrity has been a challenge – until now. 3M ESPE has restorative, along with the dedicated 3M™ ESPE™
gone back to the laboratory, working from the ground up P90 System Adhesive Self-Etch Primer and Bond, work
to deliver a brand new solution. together to alleviate the problems.

microleakage
enamel micro-cracks

marginal staining

secondary caries

debonding

post-operative
sensitivity
Finally, a posterior composite that shrinks less than 1%1
When a composite is closer to
“no shrink” than “low shrink” … it
deserves to be called a breakthrough!
Since 1950, the main strategy to reduce shrinkage has been
to increase the filler load. However, shrinkage is an intrinsic
property of the resin matrix. To date, no methacrylate-based
chemistry has been developed to solve the shrinkage problem.

Now, by changing the resin matrix, 3M ESPE has solved


the problem with an innovative new ring-opening chemistry
called “silorane.”

Shrinkage comparisons of Filtek™ P90 Low Shrink Restorative


and methacrylate composites using bonded disc method.
Source: University of Manchester

Revolutionary “ring-opening” silorane


chemistry has resulted in the FIRST
composite to shrink less than 1%!
Silorane chemistry is the basis for a new composite category
breakthrough: Filtek™ P90 Low Shrink Posterior Restorative.
The illustration (left) demonstrates how the new silorane-based
composite works at the molecular level to reduce shrinkage
dramatically, compared to methacrylate-based composites.

As silorane-based composite polymerizes, “ring-opening”


monomers connect by opening, flattening and EXTENDING
toward each other. The result is significantly less volumetric
shrinkage compared to methacrylate-based composites.
Silorane – Volumetric Shrinkage <1%1

As methacrylate-based composites cure, the molecules of these


“linear monomers” connect by actually SHIFTING closer
together in a linear response. The result is a loss of volume.

1
<1% volumetric shrinkage tested by bonded disc method.

Methacrylate – Volumetric Shrinkage


Lowest shrinkage to minimize
polymerization stress
Polymerization shrinkage builds up forces that challenge the composite/adhesive interface and deforms the tooth. Lowering
this “polymerization stress” reduces cusp displacement and helps to decrease the risk of enamel fractures and post-operative
sensitivity. It also reduces risk of marginal gap formation and leakage.

Methacrylate Composites

Filtek P90 restorative reduces


polymerization stress by up to 80%*
*Over methacrylate-based resins. Source: University of Amsterdam (ACTA)

Graph shows polymerization stress in correlation to the volumetric shrinkage,


proving Filtek™ P90 Low Shrink Posterior Restorative shrinks less and results
in less polymerization stress. (Stress method: Bioman; shrinkage method:
Filtek™ P90 bonded-disc method.) Source: University of Manchester

Most
stress
MPa 50
Finite element analysis images show
how Filtek P90 restorative helps
to minimize problems caused by
polymerization stress.
Note that the Filtek P90 restoration shows an absence of
“gray” high-stress areas where enamel cracks and leakage
0
in the margin can occur. Least
Restoration: Restoration: stress
Source: University of Minnesota Filtek™ P90 QuiXfil™

Reduced tooth deformation is evidence


of reduced polymerization stress.
In a study comparing Filtek P90 restorative to four
methacrylate-based composites, Filtek P90 restorative
showed the lowest cusp displacement in an MOD cavity.
[Method: electronic speckle pattern interferometry (ESPI)]
Source: University of Geneva
The Filtek P90 Restorative System is a
key to excellent margins
P90 System Adhesive Self-Etch 35

Primer and Bond: A dedicated system

Bond Strength [MPa]


adhesive for excellent bond strength.
3M™ ESPE™ P90 System Adhesive Self-Etch Primer and
Bond is an easy to use two-vial system that offers excellent
bond strength to enamel and dentin, and provides the basis
for low risk of post-operative sensitivity you expect from
a self-etch system.
The Filtek™ P90 Restorative System showed significantly higher shear bond
P90 System Adhesive Self-Etch Primer and Bond is a strength values after thermocycling as compared to a leading methacrylate system.
Source: University of Zurich
6th generation two-step self-etching bonding system. It is the
one and only adhesive formulated to ensure optimal bonding
of the Filtek™ P90 Low Shrink Posterior Restorative.
NOTE: It is not designed to work with other composites.

Low polymerization stress and Conventional composite:


adhesive and shrinkage
excellent bond strength: the base Polymerization
forces work in strong

of your clinical success. Bond strength


stress
opposition.

Achieving the ideal margin begins with the right chemistry.


After 10 years in development, 3M ESPE introduces the
Filtek P90 Low Shrink Posterior Restorative System. The Filtek™ P90
This extraordinarily low-shrinking composite and optimal Restorative System
ensures marginal
adhesive are formulated to work together for great clinical Polymerization quality due to reduced
Bond strength
stress shrinkage forces
outcomes with:
combined WITH
• excellent marginal integrity • reduced cusp deflection excellent adhesive
force values.
• reduced marginal gaps • reduced risk of stress-induced
and microleakage enamel fracture
• reduced risk of marginal staining • reduced risk of post-operative
sensitivity
• reduced risk of secondary caries

Excellent marginal integrity

Studies show the Filtek™ P90 Restorative System provides


better marginal integrity in mixed MOD restorations before
and after chewing simulation as compared to leading
methacrylate systems. [SEM analysis]
Source: 3M ESPE internal data
Finally, everything you want
in a posterior restorative.
You’ll like the way it handles.
One thing you’ll notice from the first time you use
Filtek™ P90 Low Shrink Posterior Restorative, is how
easy it handles.
• Impressive nonstick qualities
• Very good initial adaptation of restorative to bond film
allows for an easy placement of the first increment
• Excellent operatory light stability gives you up to
9 minutes working time for shaping the filling and
restoring the tooth to its natural function
• There’s no slumping – the filling holds its shape
Graph shows excellent ambient light stability of Filtek™ P90 Restorative, giving
• Fast and easy to polish
dentists up to 9 minutes to place and shape the restoration under full operatory
light illumination. [Method: ISO 4049] Source: 3M ESPE internal data

You’ll like the way it looks.


The emphasis today is on not just repairing teeth, but
on restoring teeth to their natural beauty. This superb,
low-shrinking composite comes in popular shades that
easily blend with surrounding teeth.
• Available in 4 popular shades: A2, A3, B2, C2
• Holds its shape so you can create beautifully shaped,
natural-looking restorations
• Good polishability
• Exceptional low water uptake and substantially
decreased exogenic staining
• Exhibits a lower bacterial adhesion rate compared Water uptake measurements according to ISO 4049 and Delta-E values for
to many leading composites tested coffee staining revealed that Filtek™ P90 Low Shrink Posterior Restorative is
Source: University of Regensburg more hydrophobic and less prone to staining among leading composites tested.
Source: 3M ESPE internal data

You’ll like the way it lasts.


When you select a composite for the posterior region,
you want assurance it can stand up to flexural forces during
chewing. Filtek P90 Restorative is strong and durable
to protect the filling from fractures, and to stabilize the
tooth at the same time.
• Proven to have excellent compressive strength for
stress-bearing restorations
• High flexural strength protects the tooth from fractures
and stabilizes it at the same time
• Wear resistant – ACTA test data on file
• Clinically proven strength and durability Flexural strength of Filtek™ P90 Low Shrink Posterior Restorative proves
Source: University Mainz stronger than many clinically-proven composites, and is substantially above
the ISO 4049 limit of 80 MPa. Source: 3M ESPE internal data
It’s easy to use the Filtek™ P90
Posterior Restorative System
Here is a step-by-step guide on how to create a Filtek P90 restoration.
The procedure for using the low-shrinking Filtek P90 composite and P90 System Adhesive is much like the one you use
with your current composite system. To achieve optimal strength of the Filtek P90 system, it is important to light cure both
the self-etch Primer and the P90 System Adhesive Bond.

A load-bearing posterior composite Select from four shades: Application of P90 Self-Etch Primer. Light cure for 10 sec after drying with
filling has to be replaced. Marginal A2, A3, B2, C2. A chameleon effect Agitate primer on cavity surface oil-free air.
loss and leakage have led to makes it easy to match composite for 15 sec.
secondary caries. shade to tooth enamel.

Thixotropic properties allow for a Light cure for 10 sec after dispersing Very good initial adaptation of The non-sticky handling and the
precise application of P90 Bond. P90 Bond to a homogeneous film Filtek™ P90 to bond film allows for an excellent ability to hold shape allow
with oil-free air. easy placement of the first increment. you to build strong contact points and
No need for a sophisticated layering create a natural occlusal shape – under
technique due to intrinsically-low full operatory light!
polymerization shrinkage and stress!

Light cure for 20 sec (LED, intensity Surface free of inhibition layer allows
1000 - 1500 mW/cm2 ) or 40 sec for a fast and easy polish.
(LED 500 - 1000 mW/cm2 or
halogen 500 - 1400 mW/cm2). A strong and durable Filtek™ P90 filling restored the tooth to its natural function.
Depth-of-cure: 2.5mm. Natural-looking esthetics were achieved
with an easy single-shade technique.

In any restoration, using proper technique is important.


But ultimately, the clinical outcome depends equally
on your choice of product. The new chemistry breakthrough
of Filtek P90 Posterior Restorative System makes it your
best choice for durable posterior restorations and long-term
patient satisfaction.
Filtek™ P90 Posterior
Restorative System offers
significant advantages.
• The first composite to shrink less than 1%
• Strong and durable
• Low water sorption for substantially decreased exogenic staining 3M™ ESPE™ Filtek™ P90 Low Shrink Posterior
Restorative Syringe Intro Kit (4762I)
• Radiopaque
• Available in 4 shades: A2, A3, B2, C2
• Up to 9 minutes operatory light stability
• Easy to handle; nonsticky; excellent ability to hold shape
• Dedicated self-etch adhesive with excellent bond strength
• Excellent marginal integrity

Ordering Information
Item # Product Information Item # Product Information
4762I Filtek™ P90 Low Shrink Posterior Restorative Syringe Intro Kit 4763 P90 System Adhesive Self-Etch Primer and Bond
Kit includes: 4 syringes – 4g (1 each of shades A2, A3, B2, C2); 1 vial Primer – 5ml; 1 vial Bond – 5ml; 100 microbrushes (50 black, 50 green)
1 vial Primer – 5ml; 1 vial Bond – 5ml; 100 microbrushes (50 black, 50 green);
1 mixing well; 1 shade guide 4763P P90 System Adhesive Self-Etch Primer Refill
1 vial Primer – 5ml
4762TK Filtek™ P90 Low Shrink Posterior Restorative Syringe Trial Kit
Kit includes: 1 syringe – 4g, shade A3; 1 vial Primer – 5ml; 1 vial Bond – 5ml;
4763B P90 System Adhesive Self-Etch Bond Refill
1 vial Bond – 5ml
100 microbrushes (50 black, 50 green); 1 mixing well

4762A2 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill A2


1 syringe – 4g, shade A2

4762A3 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill A3


1 syringe – 4g, shade A3

4762B2 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill B2


1 syringe – 4g, shade B2

4762C2 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill C2


1 syringe – 4g, shade C2

3M, ESPE and Filtek are trademarks of 3M


or 3M ESPE AG. AdheSE, CeramX, ELS,
Estelite, EsthetX, EvoCeram, Grandio,
Herculite, Herculite XRV, Premise, QuiXfil,
Name Name Name Spectrum, TPH, Tetric, Venus, Xeno and Xtrafil
Vskd Asklkfgajer Vskd Asklkfgajer Vskd Asklkfgajer are not trademarks of 3M.
Fayhin Sieklt Hainety Fayhin Sieklt Hainety Fayhin Sieklt Hainety
Asklk Sieklt Hainety Asklk Sieklt Hainety Asklk Sieklt Hainety Please recycle. Printed in Country.
Country Country Country © 3M 2007. All rights reserved.

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