DIRECT SYSTEM VENEER OCCLUSIONVD COMPOSITE POST & CORE DIGITAL SMILE SYSTEM

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1 DIRECT SYSTEM VENEER OCCLUSIONVD COMPOSITE DIGITAL SMILE SYSTEM 1

2 Bio-Esthetics & Function in one Appointment edelweiss dentistry is a dental think tank that conceptualizes and produces innovative systematic solutions that are developed together with partners within the dental industry and marketed exclusively via the dental distribution network. The alliance between inspiration and technical know-how is focus. VENEER, OCCLUSIONVD and the system from edelweiss are state of the art for modern and minimally invasive esthetic dentistry. For the first time in the history of dental, it is now possible to work with prefabricated veneers made from Nano-Hybrid Composite using modern laser technology. Never before has it been feasible to directly create the natural shape and youthful luminance of a tooth, so easily and perfectly in only one appointment. Its versatile area of application together with its time and cost saving procedure make edelweiss VENEER, OCCLUSIONVD and the SYSTEM a sound investment in the future with the best interest of the patient in mind. Convince yourself. Stephan Lampl CEO, Founder & Inventor of edelweiss dentistry Claudio Novelli Clinical and Scientific Director Laser sintering / vitrification process

3 The Technical Concept DIRECT SYSTEM light guide lense design opaque core dentin A1 translucent post edelweiss Although a wide variety of post & core restoration technologies and materials have been introduced into the dental market, there is no consensus on the most appropriate treatment choice for post & core systems. Prefabricated posts have good bio- mechanical and physical properties. However, they cannot be customized for optimal adaptation to the prepared post space. On the other hand, using composite resins for core material may have a higher failure rate because of the weak bonding between the prefabricated post and composite core. To overcome all of these issues when restoring a badly broken crown from a endodontically treated tooth, edelweiss dentistry presents a unique, single-piece, high-strength customizable composite. edelweiss dentistry believes in making dentists chairside treatment simple, easy and predictable. INNOVATION The edelweiss system is a laser sintered monoblock which avoids the wedging effect. The posts have a conical shape for perfect post space adaptation. The translucency of the post allows uninterrupted light transmission for complete polymerization. The adhesive bonding also avoids the wedging effect. The preparation of the core feels like preaparing the natural tooth and makes handling easier. The opaque buildup in A1 also offers different anatomical forms. The buildup from the edelweiss has a rough surface for better retention of the clinical crowns. It is possible to carry out the treatment in just one session, which is both time and cost effective for patient and dentist alike. Dentin Bond Post Technical Data Homogeneous inorganic structure Flexural Strength 200 MPa 65 HV 95 HV Compressive Strength 550 MPa Laser sintered monoblock Flexural Modulus 20 GPa Magn. 2000x 100 mü Magn. 1000x 50 mü Surface Hardness 95 HV (Source: internal data: R&D and QM department edelweiss dentistry) 3

4 The Composition Deepak Mehta B.D.S, M.D.S, PhD Bangalore, India edelweiss «The material of the edelweiss is barium glass, strontium and zincoxide (antibacterial) embedded in resin. The crystals are sintered to a monoblock which leads to perfect mechanics in the material. The flexural strength is similar to that of natural tooth. Congruent precision dental drilling creates a perfectly prepared post space. Different sizes of drills enable therapy for all dental anatomies. There are three different types of the edelweiss : anteriors, premolars and molars.» «The difference lies in the force buffer of the monoblock» ADVANTAGES Prefabricated Translucent Post for periapical light polymerisation Innovative monoblock of post and core with A1 buildup for natural integration Monoblock avoids wedge effect Biocompatible Flexural strenght 20GPa like Dentin (15-20 GPa) Unmatched radiographic visibility Cuts like dentin Superior adhesion to the root canal One session, reduced treatment time Time and cost effective Anterior up Premolar up Molar up&low Maxilla Universal post when tooth walls remaining Anterior low Premolar low Molar up&low

5 DIRECT SYSTEM 1 Start with precision dental drill 2 Prepared post space Try in 4 Etching for 20 seconds 5 Post space bonding for 20 seconds with direct VENEER bonding for 30 seconds 7 cementation using dual cure composite material, adhesive resin cements or Enamel Flowable Nano Hybrid Composite 8 Polymerisation for 60 seconds 9 Prepare the tooth as required monoblock restoration 1.0 mm 1.4 mm The edelweiss system is a simple and a quick solution for all your post-endodontic needs. The one-piece composite can be customized as per the needs of the tooth with a true monoblock effect. It is an ideal choice for rebuilding and strengthening broken down teeth. Cementation using dual cure composite material or adhesive resin cements. 9 mm 9 mm 11 mm 11 mm 5

6 Step by step 1 X-ray image: pre-operative Röntgenbild: Wurzelfüllung legeartis x-ray und klinisch symptomlos showing root filling 2 Caries excavation Entfernung von allen done kariösen and old Läsionen restorations removed 3 Präzisionsbohrer Precision post drill mit to Längenstopper prepare Post space sec Changing paper Papierspitzen wechseln points until bis absolute dryness Trockenheit Anprobe Try-in of the vonpost POST&CORE & CORE Application ofapplizieren Zahnbonding dentin adhesive für 30for Sekunden 30 seconds sec ApplicationEnamel edelweiss of the post Nano-Hybrid space with edelweiss Flowable Enamel Nano-Hybrid Composite ins Flowable LumenComposite blasenfrei einfüllen Placing of theeinsetzen POST&CORE und mit in the Pinsel post Überchüsse space and remove entfernen excess Curing MIt Polymerisationslampe with polymerization lamp for 60 seconds Sekunden aushären

7 DIRECT SYSTEM SYSTEM DIRECT 4 30 sec 20 sec Etching Ätzen mit with 37%-iger 37% phosphoric Phosphorsäure acid für 20 Sekunden for seconds Gründlich Rinsing thoroughly absprühen Trockenlegung Drying with paper mitpoints Papierspitzen sec Drying: Beim Trockenblasen beware of contamination auf Restwasser in Düse achten build-up Supragingivaler Aufbauready fertigfor für Weiterbehandlung following treatment sec Bonding POST POST&CORE mit & edelweiss CORE with VENEER edelweiss Bond für 30 Sekunden VENEER Bond for 30 seconds Curing with polymerization Polymerisationslampe für 30 lamp Sekunden for 30 seconds Treatment Beispiel fürwith Weiterbehandlung edelweiss VENEERs mit edelweiss and OCCLUSIONVD VENEERs und OCCLUSIONVD inx-ray: Post-operative Röntgenkontrolle 7

8 Case study CASE DESCRIPTION BY JESSICA J. SIDHARTA D.M.D. Restoration with edelweiss, OCCLUSIONVD s and VENEERs Her main problem was the coloration of her front teeth which she feared she could lose. She explained that the front teeth were wiggling so she would eat very carefully, to avoid losing her teeth. One clinical problem was numerous cavity-riddled teeth and a nearly chronic inflammation of her gingiva while food in the cavities had resulted in oral halitosis. The patient was truly miserable about her oral situation resulting in a marked decrease in quality of life. YESTERDAY TODAY In just one appointment we removed all carious cavities and the old metal dental posts. We did a full mouth disinfection deep flushing of the root spaces, activated with ultrasonic and the inflammations were administered with ozone for better healing. Almost all teeth were root-treated, except for two canines. Nonetheless, we still used injections because of the rubber dam and to make the treatment for the patient more comfortable. Having prepared all the teeth with edelweiss dental drills and locating perfect root beds, the old dental posts were explantated and disinfected, and then replaced with edelweiss. With the we had one monoblock, so the duration of the treatment was not too long for the patient and therefore humane. Now she has solid teeth and the possibility to eat anything that she likes; a far higher quality of life.

9 DIRECT SYSTEM 1 Situation after removing old carious teeth-reconstructions 2 Excavation of corrosive root metallic cores 4 in situ with supragingival composite build-ups in monoblock effect ready for following treatment 3 system: congruental dental precision-drill and drying with paper points 5 Silicon-key from palatinal tooth-morphology with composite 6 Silicon-key intraoral for palatinal tooth recontructions 7 edelweiss VENEERs direct positioning on palatinal composite Transparent silicon-key in defined interocclusal space with OCCLUSIONVD, without and with fixation composite 10 Polymerization lamp for a short time, 5-10 seconds 9 8 Transparent silicon-key with OCCLUSIONVD intraoral 11 Removing transparent silicon-key: OCCLUSIONVD in situ 12 After curing light and elaboration:, edelweiss VENEERs and OCCLUSIONVD 9

10 Technical Aspects & Designs anterior up anterior low premolar up/low A B A B BA AB 11,5 C 1,0 / 1,4 molar up/low Universal Post when tooth walls remaining Translucent Post & opaque Core B A C A B ,5 10 C C 1,0 / 1,4 Core Dimensions Small Medium A Mesial - Distal 8.0 mm 9.0 mm B Palatinal - Labial 5.5 mm 6.5 mm C Incisocervical dimenson 7.0 mm 9.0 mm Post Dimensions Small Medium Lenght 11.5 mm 11.5 mm Diameter 1.0 mm 1.4 mm Core Dimensions Small Medium A Mesial - Distal 5.0 mm 6.0 mm B Palatinal - Labial 4.0 mm 5.0 mm C Incisocervical dimenson 5.0 mm 7.0 mm Post Dimensions Small Medium Lenght 11.5 mm 11.5 mm Diameter 1.0 mm 1.4 mm 1,0 / 1.4 Core Dimensions Small Medium A Mesial - Distal 4.0 mm 5.0 mm B Palatinal - Labial 6.0 mm 7.0 mm C Incisocervical dimenson 4.5 mm 5.5 mm Post Dimensions Small Medium Lenght 10.0 mm 10.0 mm Diameter 1.0 mm 1.4 mm Light Source: VALO by Ultradent 1,0 / 1,4 Core Dimensions Small Medium A Mesial - Distal 7.0 mm 8.0 mm B Palatinal - Labial 6.0 mm 7.0 mm C Incisocervical dimenson 4.5 mm 5.5 mm Post Dimensions Small Medium Lenght 12.0 mm 12.0 mm Diameter 1.0 mm 1.4 mm Post Dimensions Small Medium Lenght 10.0 mm 10.0 mm Diameter 1.0 mm 1.4 mm Translucent Post with opaque buildup in A1 for periapical light polymerisation and similarity with nature

11 Toolbox & Refills DIRECT SYSTEM REF edelweiss TOOLBOX edelweiss SINGLE REFILLS LENGHT/ DIAMETER REF edelweiss Anterior S up 11.5 mm/ 1 mm REF edelweiss Anterior M up 11.5 mm/ 1 mm REF edelweiss Anterior S low 11.5 mm/ 1 mm REF edelweiss Anterior M low 11.5 mm/ 1 mm REF edelweiss Premolar S up 10 mm/ 1 mm REF edelweiss Premolar M up 10 mm/ 1 mm REF edelweiss Premolar S low 10 mm/ 1 mm REF edelweiss Premolar M low 10 mm/ 1 mm REF edelweiss Molar S up/ low 10 mm/ 1 mm REF edelweiss Molar M up / low 10 mm/ 1 mm REF edelweiss Anterior S up 11.5 mm/ 1.4 mm REF edelweiss Anterior M up 11.5 mm/ 1.4 mm REF edelweiss Anterior S low 11.5 mm/ 1.4 mm REF edelweiss Anterior M low 11.5 mm/ 1.4 mm REF edelweiss Premolar S up 10 mm/ 1.4 mm REF edelweiss Premolar M up 10 mm/ 1.4 mm REF edelweiss Premolar S low 10 mm/ 1.4 mm REF edelweiss Premolar M low 10 mm/ 1.4 mm REF edelweiss Molar S up/ low 10 mm/ 1.4 mm REF edelweiss Molar M up/ low 10 mm/ 1.4 mm REF edelweiss Universal POST Up/ low 12 mm/ 1 mm REF edelweiss Universal POST Up/ low 12 mm/ 1.4 mm REF POST space drills 1.0 mm REF POST space drills 1.4 mm REF POST prep diamond 11

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