Ivoclar Vivadent Tetric EvoCeram Bulk Fill - Manual (Page 2)

2. Isolation
Appropriate isolation, best with a rubber dam (e.g. OptraDam
® Plus), is
required.
3. Cavity preparation
Cavity preparation is carried out according to the requirements of the
adhesive technique, i.e. protecting the tooth structure. Do not prepare sharp,
internal edges and angles or additional undercuts in caries-free areas. The
dimensions of the cavity are generally determined by the extent of the caries
or the size of the old restoration. Bevel enamel edges in the anterior region.
For the posterior region, only the sharp enamel edges should be rounded
(finishing diamonds, 25–40 µm). Caries-free cervical defects are not
prepared, only cleaned with pumice or other suitable cleaning pastes with
the help of rubber cups or rotary brushes. Subsequently, remove all residue in
the cavity with water spray and dry with water- and oil-free air.
4. Pulp protection / Base
Do not apply a base material when using an enamel/dentin bonding agent.
Only cover very deep areas close to the pulp with a calcium hydroxide
material (e.g. ApexCal
® ) and subsequently use a pressure-resistant cement
(e.g. a glass ionomer cement, such as Vivaglass ® Liner). Do not cover other
cavity walls, since they can be used to support the bond with an enamel/
dentin adhesive.
5. Matrix / Interdental wedge
Use a wrap around matrix for cavities affecting the proximal area or a
sectional matrix and wedge it.
6. Conditioning / Application of the bonding agent
Condition and apply the bonding agent according to the Instructions for Use
of the product in use. We recommend using Syntac
® (with phosphoric acid
etching) or ExciTE ® F (with phosphoric acid etching) or the self-etching
adhesive AdheSE ® .
7. Application of Tetric EvoCeram Bulk Fill
–
For an optimum result, apply Tetric EvoCeram Bulk Fill in layers of max.
4 mm and adapt with a suitable instrument (e.g. OptraSculpt). Use a
special contact point instrument (e.g. the bifurcated OptraContact) for
large cavities where the contacts are difficult to create.
– Sufficient exposure to the curing light prevents incomplete polymeriza-
tion. For the recommendations regarding exposure time and light
intensity see Table 1.
– When using a metal matrix, additionally polymerize the composite
material from the buccal or lingual/palatal aspect after removing the
matrix, if no Bluephase polymerization light is used or the light probe
cannot be ideally positioned, e.g. distant to composite or diverging
scattering angle.
– In many cases, a flowable composite is used today as an initial layer to
create an even cavity floor and to facilitate the adaptation of the
subsequently used restorative material. A flowable composite (e.g. Tetric
EvoFlow
® ) can be used as a thin initial layer. This optional layer has to be
cured separately (please refer to the respective Instructions for Use).
8. Finishing / Checking the occlusion / Polishing
Remove excess material with suitable finishers or fine diamonds after poly-
merization. Remove proximal excess with diamond or tungsten carbide
finishers, finishing strips, or flexible finishing discs. Check the occlusion and
articulation and apply appropriate grinding corrections to prevent premature
contacts or undesired articulation paths on the surface of the restorations.
Use silicone polishers (e.g. OptraPol
® Next Generation) as well as polishing
discs and polishing strips to polish the restorations to a durable high gloss.
Additional information
1. Tetric EvoCeram Bulk Fill can be used in combination with Tetric
EvoCeram and Tetric EvoFlow.
2. In the case of repair, additional Tetric EvoCeram Bulk Fill can be directly
applied to polymerized material. If the Tetric EvoCeram Bulk Fill restora-
tion has already been polished, it must first be roughened and wetted
with Heliobond before fresh Tetric EvoCeram Bulk Fill is applied.
3. Tetric EvoCeram Bulk Fill should have ambient temperature when
applied. Cool temperatures render the material difficult to extrude.
4. For single use only. If Tetric EvoCeram Bulk Fill is applied from the
Cavifil directly in the mouth of the patient, the Cavifil must not be
used for more than one patient due to hygienic reasons (prevention of
cross-contamination between patients).
5. Syringes or Cavifils should not be disinfected with oxidizing disinfection
agents.
6. The recommended increment thickness is based on hardness profile
measurements.
Warning
Unpolymerized Tetric EvoCeram Bulk Fill should not come in contact with
skin, mucous membrane, or eyes. Unpolymerized Tetric EvoCeram Bulk Fill
may have a slight irritating effect and may lead to a sensitization against
methacrylates. Commercial medical gloves do not provide protection against
the sensitizing effect of methacrylates.
Storage
– Storage temperature 2–28 °C / 36–82 °F.
– Close syringes / Cavifils immediately after usage. Exposure to light causes
premature polymerization.
– Do not use Tetric EvoCeram Bulk Fill after the indicated date of expiration.
– Shelf life: see information on Cavifils, syringes and packages.
Keep material out of children’s reach.
For use in dentistry only.
The material has been developed solely for use in dentistry. Processing should be carried out strictly
according to the Instructions for Use. Liability cannot be accepted for damages resulting from failure to
observe the Instructions or the stipulat ed area of application. The user is responsible for testing the mate-
rial for its suitability and use for any purpose not explicitly stated in the Instructions. Descriptions and data
constitute no warranty of attributes and are not binding.
Beschreibung
Tetric EvoCeram
® Bulk Fill ist ein auf moderner Technologie basierendes lichthär-
tendes, röntgenopakes Nanohybrid-Composite für die direkte Füllungstherapie
im Seitenzahnbereich. Tetric EvoCeram Bulk Fill härtet mit Licht der Wellenlänge
im Bereich von 400–500 nm (Blaulicht) aus und kann in bis zu 4 mm Schichten
appliziert werden.
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