Tetric EvoCeram®

Ivoclar Vivadent

(Made in Liechtenstein.)
Tetric EvoCeram
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Tetric EvoCeram
Buy 4 refills, Get 1 FREE!
Offer ends 9/30/2018.Free goods will be shipped directly from manufacturer.
Redemption coupon will be included with your order.
Free refill is limited to A2 shade in both cavifil and
syringe delivery.

Product Details

Nano-optimized composite restorative. The unique combination of nano technologies in Tetric EvoCeram enables you to easily create natural-looking, single shade restorations:
  • Nano-fillers provide smoother surfaces for faster and easier high-gloss polishability, lower wear for long-lasting restorations, low shrinkage (<1.6% for better marginal integrity), and a high level of radiopacity for easy x-ray detection.

  • Nano-modifiers layered within the resin matrix create more efficient handling properties and a more sculptable, non-slump, non-sticky consistency.

  • Nano-sized color pigments are finely distributed within the resin matrix, intensifying color nuances.
Plus, a new additive makes Tetric EvoCeram even less sensitive to ambient light and more reactive to curing lights. You get more time to model and sculpt, then a fast 10 second curing time at 1000mW/cm2.
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Reviews

Tetric EvoCeram 10-Year Clinical Performance

Description

Tetric EvoCeram is a universal, nano-hybrid composite indicated for anterior and posterior esthetic restorations. The composite is radiopaque and formulated to meet any esthetic need. The Tetric EvoCeram shade range includes 22 shades offering 4 dentin, 4 bleach, 13 enamel and a highly translucent incisal shade for optimal customization. This light-cured composite incorporates well-balanced filler technology combining the advantages of all filler sizes ranging from 40 to 3,000 nm with an average particle size of 550 nm.

 

Clinical Evaluation Protocol

At the 10-year recall, there were 801 restorations available for monitoring, of which 592 were recalled. The restorations included both anterior restorations (5%) and posterior restorations (95%).

 

Clinical Observations

At recall the following categories, esthetics, resistance to fracture/chipping, resistance to marginal discoloration, and wear resistance were rated on a scale of 1 to 5 with 1=poor, 2=fair, 3=good, 4=very good, 5=excellent. Any restoration receiving a rating of 1 or a 2 in a category was replaced. Restorations receiving a rating of 3 or 4 in a category were considered clinically acceptable.

 

Resistance to Fracture/Chipping:  More than 94% of the 592 recalled Tetric EvoCeram restorations received an excellent rating based on resistance to fracture and chipping. Fifteen restorations (2.5%) had minor chips and received ratings of 3 or 4. These restorations were either smoothed or repaired with flowable composite. Twenty restorations (3.4%) were replaced as a result of tooth fracture and/or recurrent decay – not due to composite failure.

 

Esthetics:  The esthetics of Tetric EvoCeram were excellent. Of 592 recalled restorations, 92% received an excellent rating and close to 8% received a good to very good rating. Only two restorations required replacement because of poor esthetics. Tetric EvoCeram layered with a translucent shade often resulted in improved esthetics.

 

Resistance to Marginal Discoloration:  Eighty-six percent (86%) of the recalled restorations had no visible marginal discoloration and were rated excellent. Of the remainingrestorations, 12% had slight to moderate marginal discoloration requiring no intervention, while 2% had excessive marginal discoloration that necessitated their replacement. Both the composite and the bonding agent can affect marginal discoloration. A variety of bonding agents were used, with approximately 89% being self-etch and the remainder total-etch bonding agents. Excessive microleakage can lead to caries.

 

Wear Resistance:  97% of the restorations received a rating of excellent and showed no evidence of wear. Only 12 (2%) restorations had slight to moderate wear, requiring no intervention. Four restorations had excessive wear that resulted in their replacement.

 

Summary

This 10-year evaluation of 592 restorations demonstrated that Tetric EvoCeram had superior performance in esthetics, resistance to fracture/chipping, resistance to marginal discoloration, and wear resistance. Tetric EvoCeram has excellent handling characteristics. It is non-slumping, not sticky, contours well, and is easy to finish and polish. Tetric EvoCeram received a 97% clinical performance rating.

 

Consultants'' Comments

♦      “After more than 10 years, the restorations still look beautiful.”

♦      “Retains esthetics and polish over time.”

♦      “Amazing resistance to wear.”

♦      “I love the handling of Tetric EvoCeram – it is definitely my go-to composite.”

 

©"The Dental Advisor"

September-October 2017