00:00:00: Simplifying adhesive luting as one of the goals of the g-cem one Symposium which takes place this year 2021 in preparation of the 100th birthday of the GC cooperation I talked with Leticia about the small details of the.

00:00:14: Look like to AEP primer why it makes sense to use it in combination with this new Universal luting cement have fun listening.

00:00:23: Music.

00:00:33: Welcome to today's podcast I'm connected to Belgium welcome to the show Leticia thank you very much for the invitation it's my pleasure to be with you today.

00:00:43: The last podcast was actually as its IDs and where we talked about new products and actually we're going to talk about a new product from DC as well

00:00:53: and I just used yesterday the g-cem one for the first time to cement some secunia the crowns in the posterior region

00:01:01: and it worked quite nice I'm Betty used to link Force before I just use dual cure and now.

00:01:09: It is now easier to just use this product well it's actually different but it should simplify a lot.

00:01:15: Because we do something first you have to use always a system with a bonding

00:01:19: and the syringe and the primer we see someone you have something which is self-adhesive so only depending on the case you will use to spry mer if you need if you have a lack of retention for example or if you have some saliva contamination if you have

00:01:35: got cameras to Vision with thick with thick layers then you will use a primer but in most of the case when you have a perfect adaptation you don't even need to use other tools primer

00:01:44: but he's also different because you have mdp inside you also don't need to use the primer on the restoration for the cornea and metal so these steps are also very simplified.

00:01:55: But if I want to have the best possible adhesion I rather used to primer which is in the package as well

00:02:02: definitely is a tooth primer we always increase the addition it has different way of increasing the addition first of all it's like a neck strap bonding step that you will add so you will increase your addition by the functional monomers which are in the primary itself but also its make the Edition with a

00:02:20: touch cure effect that you have inside much faster so the cement and primer will react together.

00:02:29: And the polymerization will take place in the direction of the tooth

00:02:33: and this is always the weakest part the part between the tooth and the addition if you reinforce this part you actually reinforce your Edition.

00:02:43: So that's really the magic of the particular effect what is actually better is when I remove the excess should I brush it away or should I use the tech here.

00:02:53: It's really technique dependent on the dentist I would say both give good option A lot of dentists nowadays prefer to brush the excess because then there is also new have a better control and you have less risk of tearing eventually the margin

00:03:08: what we see here is the Tucker we have a clean marginal removal so that avoid that you have any gaps at the margin also because you can be quite precise sentences you do

00:03:18: tack cure then the price again they'll do the final like curing and then they do the final polishing to get a even smoother margin so that's.

00:03:28: Also an option of course well yesterday I used to brushing approach and this is the end I like cute a bit but I found out that was curing was not super fast

00:03:37: it's 5 minutes right Seth curing time is 4 minutes so it's quite short actually but you have enough time indeed to adapt everything and to remove the excess but four minutes is normally much shorter than many other of the same category actually.

00:03:52: When was physical ammonia crowns in a row so it was.

00:03:55: Quite okay the timing adjust cemented the first one brush it away use the same tip from the syringe then put it in the next one and well I didn't feel stress but in the end I saw that I thought

00:04:10: do we need to lie to it at the end as well because I always know that light curing is still a few like you as well it's still

00:04:17: even better than just the Dual cure well actually you really have the possibility to like your of course always but the good thing here is that we worked a lot on the self curing properties that's really important because

00:04:28: not many dentists always realize it but actually through as your cornea Chrome there is not a lot of Light which is going through and if the light is not going through if you have a thick

00:04:37: restoration you cannot never guarantee what is a part of like hearing that is happening there so to make it safer we needed to improve the self curing ability and then we added some extra Catalyst in the

00:04:49: to improve the setting process so that the flexural strength if we compare in the circular mode and in the like your mode is almost the same.

00:04:57: And this video unique feature of this product whatever type of restoration you have you can always be in a safe condition because you don't need to use the like urine.

00:05:06: You can use the light curing but there will be no big difference between cell curing and light curing so you can really be safe even if you have an opaque restoration.

00:05:16: What's the name of this Catalyst that's a good question we keep some secrets

00:05:24: do I have to be careful and some indications or do I even can cement unless with that

00:05:29: you can even submit only with that and that's really we call this generation almost like a universal loading system that's a big difference between the self-adhesive luting system where you could

00:05:39: we had limited indication Ranch now the fact that you have this primer if you use the AP you really have bonding values which are at the same level as a classical

00:05:49: at this if routing system lightning Force for example.

00:05:52: So if you don't use a primary you have the same level or another self-adhesive but if you use a primer you really reach the additive value of an Adaptive routing system

00:06:02: so you enter a new category so it's really up to the clinical case you can decide to go a bit more difficult or bit more simple it really brings a lot of Peace of Mind actually it's time you have a DOT you just use a primer and then you

00:06:15: find yourself in a very secure situation actually I had a podcast with Macho and he told me well you never know what the dental technician used to

00:06:24: take it inside you only know it if you have a cat camera restoration which is made out of one very translucent block when you know that it's basically all the same mostly if you get something out of the lab you don't know and bets.

00:06:38: Adult for do cure for sure the dot isn't the opacity but sometimes also said that if you use CAD cam restoration you know that the meaning process doesn't make it possible to have a very good adaptation always inside.

00:06:51: So you never also sure of the thickness of your cement

00:06:55: and actually we had some we look at some clinical references that show that The Seekers assessments the motor chance of the debonding because if you like you're on a thick cement the polymerization will go towards occlusal surface and you have more risk of debonding

00:07:09: when you use a AP the prime relation is going towards a tooth.

00:07:14: And whatever the sickness of your Simmons you're in a safe condition so not only the opacity is tricky with CAD cam but also the clear adaptation everywhere.

00:07:23: Inside your restoration.

00:07:25: If ever possible you should use this primer yeah the primer is always an advantage for sure but it's not recommended to

00:07:33: use premium Bond you should stick to the prime of youth pastor should stick to the cement if you really want to use per million

00:07:41: you can also use premium when our recommendation with this product is to go with the primer because you have this Touch Q effect

00:07:48: um that is always an advantage but if you for example have to elude even a veneer and you want to win a bit of working time when you use premium Bond you just can like you.

00:07:58: And then you have more working time in the end.

00:08:01: So it's actually interesting but after Universal adhesive where you have now a universal luting residence but I think it's logical because dentist.

00:08:11: It's already a complex job and the more you can simplify your job by limiting the number of products you have an always working with a standards dies way

00:08:20: the more efficient you will be in your practice

00:08:23: and this is what we trained to we try to reach that you don't need to buy different products from different brands and have five different products to do almost the same thing you just can concentrate on one product that can have several applications so that you always master your procedure and you always can get the best of it and which color

00:08:41: does it come.

00:08:42: It has for aesthetic color so we have to determine the transition Direction so translucent and A2 which is universal and then we have the two opaque one so we have the arrow 3 and a white opaque because

00:08:55: of course.

00:08:57: Why to pick is important for all the blitz Restorations however we know that the you should not count on your salmon to give you a color of your restoration I mean the more neutral one is always a to

00:09:08: yeah and the cement it when it's a no-bake one can help you to correct some small mistakes.

00:09:16: But the Simmons will never be the real protection against a completely discolor substrate

00:09:21: that is really important to communicate with the lab and to indicate what is the color of your substrate so that the lab can adapt

00:09:28: the baker indeed the first layer and make sure that this correlation is covered and assignment thickness is so thin that you can never count on your statement itself

00:09:39: to make a big difference you should always confirm or on the restoration first.

00:09:45: Actually I always like to use the transparent ones because I think it's

00:09:50: the easiest way I was like round fits or doesn't and I would also say is a cement doesn't really change anything but actually my kind of boss and colleague always argues he likes to use try in paste stew really

00:10:04: check

00:10:05: if everything is okay with the straw and palast do we also have try and pastes versus products we don't really have trying paste we do have them with link for Sandra Dee some Vania but we realize that dentist do not exactly use them all the time.

00:10:20: So try and pay size giving a first indications but for this product we do not have trying pays available you could use a link for stri and paste as well

00:10:29: basically you can use but they do not match 100% so it gives you on your direction it doesn't it doesn't give you precise indication.

00:10:39: Everything is easier now we can even loot fiber posts with it and don't have to worry about it a lot now of course you can do to fiber post visit we have this special and the tips

00:10:50: that makes it easy to inject directly in the kennel it's dual cure so even if you are in the depths of the candle you can

00:10:57: have some safety also there that it will cure and if you want to make sure also with the Apu have this Touch Q effects or

00:11:04: you're reading the safety tuition they're actually yesterday at first just grabbed into the package at first said and edited realized it when I wanted to do inject it into the crown but.

00:11:17: Little bit intended its best and the tip so it's easy to change her

00:11:21: definitely under the idea that we keep on having standard tips because you can easily buy any refill you want so you're always very flexible in your purchase

00:11:31: that's a choice that we are making other moments but the product is actually stored at room temperature so it's a very easy product to keep in your drawer at hands

00:11:40: actually.

00:11:41: I wanted to ask you to move it over just now because I always keep my resin cements in the refrigerator as I just learned that I don't need to do this to someone you don't need to do with some products you need to do so

00:11:55: be careful if you cannot make it the generality for all products that you have but we still someone is this possible

00:12:01: well I only got you a link for us and I think I need to store that at the refrigerator for listening faucets recommended yeah it's easier for my nurse to

00:12:09: go to the refrigerator and get all the cement if you want to that is no contradiction to do it a contraindication to do but.

00:12:20: But gives you more flexibility but it's good to know but also the tooth primers when also not doesn't need to be stored in the refrigerator you can just keep it in your drawer

00:12:30: yeah and then it's a very easy to dispense with a clean dispensing we have a high number of drops in each bottle so you can really use it for a long time

00:12:38: yeah it's also has a very nice advantage that actually in case you cannot isolate.

00:12:45: It will reduce the risk of saliva contamination so we did a lot of tests you know as soon as you have saliva contamination you have a drop in your bone strength especially after 24 hours I mean

00:12:56: after some time in the mouse if you use a primer actually add the components inside with

00:13:02: because of this plate that the protein from the saliva and it will reduce the negative effect of the saliva contamination and you will really be able to maintain the same Bond stress

00:13:12: as you would have with isolation actually.

00:13:16: I mean with one argument more for the primer actually something we just semantics full crowns it's usually not possible.

00:13:26: Yeah I mean it really depends also on your marginal level of risk at gum restoration more and more we're going super gingival but if you have something that is subjective old then the isolation is always a tricky thing I think the main problems usually but we're doing crowns that

00:13:40: before but there was usually a crown on it and we kind of have to stick with the preparation from the previous dentists if I have the choice I always say Superman gee bill but then we are all we could call it only and not Crown anymore.

00:13:53: Definitely Anna and definitely also the direction is to go more for no personal Quran as you know

00:13:59: and that I think it's something we also took into account because there it becomes even more important to have a good wear resistance of the material that you can use it also on occlusal Surface or vestibular surface and then

00:14:12: can should resist in time so the size of your particle is also important where that that we have in time there's been studies that also shown that if the resistance is not enough

00:14:23: good

00:14:24: if you have a winner for example the you have more risk of chipping off your Ceramics because we're will create kind of a gap and the ceramic is not supported enough and then you have more risk of chipping in time so that's also elements that.

00:14:38: Become important when you are going to improve gene pool.

00:14:41: I mean when you look at all the unless you sometimes see this Gap you just talked about so or you have it in your inside your impressions obviously

00:14:50: so you actually see clinically what I mean it's good every dentist knows what you means.

00:14:59: Talking when you talked about the private the bottle of the primary reminded me of the old bottle of the premium Bond.

00:15:08: So it's indeed important that we have the silicone cover inside the Silicon cover is made to make a precise dispensing so that you really have a yeah

00:15:17: it's helps to other dispensing but it's also helpful the insulation from the heat from the finger so it's

00:15:22: it's a very Japanese conception that we think about it until the end of the process

00:15:26: but the idea is really that you avoid evaporation of your solvent by protecting it from with this silicone cover runs do we still have to shake it before we use it or is it not necessary it's actually recommended it's always good to mix the components together in did before dispensing.

00:15:44: I mean I'm used to the shaking with preview bonds so all my assistants are doing with every Petty official so you tell them don't forget to shake did you shake

00:15:58: did you shake this morning okay what's the wanted to lecture the professor asked audience how many are shaking Universal adhesives and also price what I was told you brought forth by heads and yeah

00:16:11: yeah it's still a better embarrassing to do because we put so many chemical components together in a bonding that it can only improve when we

00:16:19: mix them a bit before this before using it's not being shaped in the door but you open we can kind of sum up.

00:16:28: It's much more simple for all dentist had problems with luting resin luting cements or raising luting not cements its a nice concept.

00:16:38: What's a great concept and I just tried it yesterday so it works but Nicole rate of 24 hours okay no it's really the purpose to simplify a lot the life without

00:16:54: playing on the performance so we make the performance even better

00:16:57: but we make the standardization possible we simplify the inventory we simplify also your nurse will always know this is this someone this is the only one you need for luting no worry anymore and

00:17:08: trustable and reliable performance can be achieved so that's what we wanted to bring with his cement.

00:17:14: There will be a luting symposium next 50 see you won't have a lecture via no no I'm not lecturing indeed but

00:17:23: I can see that I know the lectures privileged to know them we have a luting symposium that will be taking place on the 27th of May at

00:17:32: at five o'clock the he is really that we think there is a change in the Looting world we wanted to given the status of what is happening there where direction we are growing what can we bring new and also

00:17:45: adapt to all the different changes in terms of material use procedure use and simplification so we asked three very good clinicians all happen to be also working in the University but

00:17:57: working a lot in the clinics also so close to the reality to give us an approach of what is the status today in luting

00:18:05: we have the chance to have a doctor Cardozo from the cowgirl who will give an overview and Then followed by dr. resulting from from Germany's

00:18:13: we'll talk more about the change between self-adhesive to Universal luting and finally we go more into clinical application with dr. Sorrentino from Italy

00:18:22: with some nice chemical case I think in a lot of explanation and tips and tricks for the dentist.

00:18:31: So I'm really looking forward for their lectures thanks for the insights thanks for the invitation was a pleasure to be with you today.