The Beauty of Simplicity. The Beauty of Simplicity. Manual

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2 The Beauty of Simplicity The Beauty of Simplicity Technique Manual

3 I Introducing Artiste Nano Composite COMPONENTS of the Artiste Nano Composite System 20 Dentin/Body Shades Artiste Dentin/Body shades directly correspond to the standard Vita shade guide and the Vita 3-D Bleach guide for reliable and easy shade selection. Each shade has been carefully formulated to blend easily with natural dentition as the primary dentin replacement material. Due to the advanced optical properties and unique chameleon effect inherent in their formulation, Artiste Dentin/Body shades draw in the color of the surrounding cavosurface margin to generate nearly seamless restorations even when a polychromatic restoration is not required due to location or visibility in the smile line. 5 Translucent Enamel Shades The 5 Translucent Enamel Shades provide the magic of the Artiste System! The optical properties of the translucent Enamel material impart a true polychromatic effect with little to no effort on the part of the clinician. Each Vita shade class (A, B, C, D, & Bleach) is represented, and the optics of each enamel is perfectly formulated to work with each corresponding range of Dentin/Body shades. Whether the Dentin/Body Shade is A-1, A-3 or any Vita A shade, the recommended corresponding translucent Enamel shade is A Enamel. Of course, this recipe is only a guide. Clinicians can and should exercise visual observation before placing the final enamel layer and remain flexible with the final translucent Enamel choice to meet the final optical requirements of the case. No technical or artsy shade names come attached to the Artiste System, just simple, intuitive nomenclature that makes good sense for quick shade selection and highly esthetic results. 7

4 I Introducing Artiste Nano Composite To intensify color at the incisal edge, the tints are applied sparingly prior to the enamel overlay to impart subtle to more striking internal color effects in the final restoration. When applied using the simplified Artiste Technique, even the mundane Class IV restoration becomes a work of art! Notice in the natural tooth below, the presence the edge effects and internal characterization that correspond to some of the Maverick Tints provided with the Artiste System. Grey Effect White Opaque Effect Blue Effect White Opaque Effect Yellow Effect 9

5 The Art of Layering II is opacity. Opacity is defined as the amount of light that is reflected back from an object that affects our perception of its depth. An object that is translucent has a level of transparency as light is transmitted through the object and we perceive depth with a potential ability to see through the object. Clear glass transmits 100% of light; it is transparent and we can see straight through it. An object that is 100% opaque, reflects 100% of light and we perceive it as solid with no depth. OPAQUE TRANSPARENT With these concepts of color and opacity, we can better understand not only the structure of the natural tooth, but how the materials that compose it contribute to its natural appearance and beauty. It is the recreation of the natural anatomy of a tooth with regard to hue, chroma, value and opacity that makes a dramatic difference in the beauty and vitality of a direct composite restoration. THE RATIONALE for Polychromatic Layering What is Layering? The art of placing layers, or increments, of various shades and opacities is not new to dentistry; it was perfected many years ago by dental laboratories through their production of highly esthetic ceramic restorations. However, the concept of replacing tooth structure with direct composite materials that optically match the structure being replaced is still foreign to many dentists today. The concept of direct composite layering is simple. There are 3 optically distinct layers that make up the primary structure of the natural tooth: Enamel - An optically translucent material with only a minor degree of intrinsic hue, natural enamel varies in thickness from the cervical third to the incisal edge becoming thickest in the incisal third. Enamel provides enough transparency at the incisal edge for edge effects to be readily seen against the dark oral cavity.

6 II The Art of Layering 2. Intermediate or Shallow Dentin This superficial dentin layer is responsible for imparting 98% of the perceived color of natural dentition. Unless intrinsic stains are present, intermediate dentin is consistently monochromatic. 3. Deep Dentin Deep dentin is usually more opaceous and more chromatic than intermediate dentin. This anatomical layer rarely influences the appearance of the natural tooth unless genetic or developmental staining is present or staining has been imparted by heavy metal pigments. Anterior Tooth Cross Section Posterior Tooth Cross Section Deep Dentin Deep Dentin Intermediate Dentin Intermediate Dentin Enamel Enamel In natural teeth, each layer possesses unique color characteristics and optical properties that yield the polychromatic natural work of art that we see in human dentition. Artiste Nano Composite and its corresponding technique are designed to recreate the anatomy of natural dentition in the simplest way feasible. In reality, this technique is really an anatomical technique. Each of the 3 opacities provided in the Artiste System (Opaque, Dentin/Body and Enamel) is optically formulated to replicate the corresponding layer of natural dentition. When placed in anatomical layers mimicking the structure of natural teeth, a vital, esthetic, natural-looking restoration is readily and reliably created. 13

7 Anatomy Reference Guide III Maxillary Central Incisors Primary Anatomy Maxillary Central Incisors Secondary Anatomy Maxillary Right Lateral/Canine Primary Anatomy Maxillary Right Lateral/Canine Secondary Anatomy 22

8 Clinical Technique IV 3 Mask any internal stains or undesirable substrate Most veneer restorations will not require the use of Opaque composite materials. If deep intrinsic stains that must be 100% masked exist, use an opaque Maverick Tint. These unique flowable opaques are capable of masking even the darkest stains in very thin applications as demonstrated here. Simply etch, apply Bond-It or Bond 1 adhesive, light cure, and syringe the Opaque Maverick Tint through the supplied 20 gauge tip. Smooth with a sable brush as needed. Light cure for 40 seconds and proceed to layer the restoration. 4 Isolate and etch the tooth to be veneered Use Teflon * Plumber s Tape (commercially available at hardware stores) or dead-soft foil to prevent the adjacent teeth from coming into contact with etchant and bonding resin. Apply etch gel to the buccal and lingual surfaces for 15 seconds. Rinse thoroughly, then remove plumber s tape or dead-soft foil. Clinical Tip: If the adjacent teeth are properly isolated, the remainder of the restoration can be shaped to direct contact with the adjacent teeth without the use of wedges and mylar. *Teflon is a registered trademark of E.I. du Pont de Nemours and Company 26

9 IV Clinical Technique 5 Apply bonding agent Apply 2 3 consecutive coats of Bond 1 Primer/Adhesive, allow to dwell for 10 seconds, air thin, then light cure for 10 seconds. 6 Apply the Artiste Dentin/Body layer in the selected shade Using a spatula, composite instrument or silicone-tipped applicator, adapt the Artiste Dentin/Body to the margin. The viscosity and handling of Artiste Nano Composite permits the even spreading of the material across the tooth without sticking or slumping. 6 a. Cervical Third Keep in mind that in order to achieve higher chroma or saturation in the cervical third, the dentin body layer is brought to the full facial plane in this region. 27

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