Ivoclar Vivadent Multilink Implant - Manual (Page 2)

Contraindication
The use of Multilink Implant is contraindicated
–
if a dry working field cannot be established or the stipulated working
technique cannot be applied
– if a patient is known to be allergic to any of the ingredients of
Multilink Implant
– if restorations are to be cemented on more than three implant
abutments. (Do not cement on more than three abutments at one time.)
– If restorations are to be cemented on natural tooth structure
Side effects
Systemic side effects are not known to date. In individual cases, allergic
reactions to single components have been reported.
Interactions
Phenolic substances (e.g. eugenol) inhibit polymerization. Consequently, the
application of materials which contain these substances should be avoided.
Disinfectants with an oxidative effect (e.g. hydrogen peroxide) may interact
with the initiator sytem, which in turn can impair the curing process. Thus,
the automix syringe must not be disinfected using oxidative agents. For
disinfection, e.g. an alcohol-based disinfectant spray or wipe can be used.
Application
1. Removal of the temporary restoration
Remove the temporary including the temporary abutment if required.
2. Placement and control of the permanent abutment
Follow the manufacturer’s instructions.
To improve control when adjusting the restoration and to facilitate the
subsequent removal of excess luting cement, a retraction cord can be
placed.
3. Try-in of the restoration and establishment of a dry field
Next, the shade, fit and occlusion of the restoration can be checked. Care
should be taken when checking the occlusion of fragile and brittle ceramic
restorations before they are permanently cemented as there is a risk of
fracture. If necessary, make corrections with fine diamonds at medium speed
and with slight pressure. Polish ground surfaces. Relative isolation of the
treatment field – preferably with OptraGate, cotton rolls, saliva ejector or
absorbent pads – is essential during adhesive luting procedures.
4. Pre-treatment of the abutment surface
− Seal the abutment screw channel using e.g. a temporary resin
restorative material (Telio ® CS Inlay)
− Rinse with water spray.
− Air dry the abutments.
− Apply a thin layer of Monobond
® Plus using a microbrush and allow it
to react for 60 seconds. Subsequently, dry with water-/oil-free air.
5. Pre-treatment of the restoration surfaces
In general, proceed according to the instructions of the manufacturer.
Or:
5.1 Preparation of the restoration
5.1.1 Metal or metal-supported restorations
– Sandblast the internal surfaces of the restoration (sandblasting
parameters according to the recommendations of the
manufacturer of the restorative material) until a uniformly mat
surface is obtained.
– Clean the restoration in an ultrasonic unit for approximately
1 minute if required.
– Rinse the restoration thoroughly with water spray and dry with
oil-free air.
– IMPORTANT! In order to achieve an optimum bond, do not clean
the metal surfaces with phrosphoric acid.
5.1.2 Zirconium oxide (e.g. IPS e.max ® ZirCAD) and aluminium oxide-
based restorations
– Sandblast the internal surfaces of the restoration
(sandblasting parameters according to the recommendations of
the manufacturer of the restorative material).
– Clean the restoration in an ultrasonic unit for approximately
1 minute if required.
– Rinse the restoration thoroughly with water spray and dry with
oil-free air.
– IMPORTANT! In order to achieve an optimum bond, do not clean
the zirconium oxide surfaces with phosphoric acid.
5.1.3 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 seconds or according to the recommendations of the
manufacturer of the restorative material.
– Rinse the restoration thoroughly with water spray and dry with
oil-free air.
5.1.4 Glass-ceramic restorations (e.g. IPS Empress ® )
– Etch with 5% hydrofluoric acid (e.g. IPS Ceramic etching gel)
for 60 seconds or according to the recommendations of the
manufacturer of the restorative material.
– Rinse the restoration thoroughly with water spray and dry with
oil-free air.
5.2 Apply Monobond Plus to the pre-treated surfaces with a brush or
microbrush and allow it to react for 60 seconds. Subsequently,
disperse the excess of Monobond Plus with a strong stream of air.
6. Application of Multilink Implant
For each application attach a new automix tip to the syringe. Dispense
Multilink Implant from the automix syringe and apply the desired quantity
directly onto the restoration. As the luting material will cure in the used
mixing tip, it may serve as a seal for the contents of the syringe until needed
once again.
Note
Multilink Implant should be used immediately after it has been dispensed
from the automix syringe. The restoration should be inserted quickly.