The goal of Minimally Invasive Dentistry _or Micro Dentistry_ is

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The goal of Minimally Invasive Dentistry _or Micro Dentistry_ is Powered By Docstoc
					The goal of Minimally Invasive Dentistry (or Micro      SECTION 12
Dentistry) is to conserve healthy tooth structure.




                                                     MINIMALLY INVASIVE
It focuses on prevention, remineralisation and
minimal dentist intervention.

Utilising the latest scientific advances in
materials and techniques, Minimally Invasive
Dentistry allows dentists to perform advanced
techniques, the least amount of dentistry needed
while at the same time greatly reducing the
amount of natural tooth structure that needs to
be removed.

For all your Minimally Invasive needs Talk To Us.
    SECTION 12       CONTENTS
MINIMALLY INVASIVE
                     CARIES INFILTRATION
                         INCIPIENT CARIES      223
                         PROXIMAL CARIES       223
                         THE CARIES CONTIUUM   224
                         APPLICATORS           224


                     ENDODONTIC/RESTORATIVE    225


                     MICRO & MINI TIPS         226


                     MICRODENTISTRY            227
                                                                                                                              MINIMALLY INVASIVE



                                                                  ICON® CARIES INFILTRATION
                              Dovetailing of Preventative and Invasive Therapy: Icon from DMG

• Provides you with a NO DRILLING option
• Provides you with a DEFINITIVE TREATMENT option for incipient dental caries
• NO More “WAIT and SEE” until its time to drill
• This innovative treatment is MINIMALLY INVASIVE, cosmetically acceptable, requiring no drilling and
  no anaesthesia, TOTALLY UNIQUE.



                                                     Incipient Caries
Incipient (or early stage) caries is characterised by demineralisation under a seemingly healthy (pseudo
intact) surface layer. In the lesion body of incipient caries, the pore volume resulting from mineral loss
can be more than 30%. This manifests itself in the form of white opaque spots, so called “white spots”
(Fig 1).


The pores in the lesion body of incipient caries create diffusion paths for the cariogenic acids. In addition
minerals dissolved from the enamel are also lost in this manner, leading to a further demineralisation of
the lesion body through the pores (Fig 2).




 Fig 1: Approximal incipient caries                                                    Fig 2: Acids and dissolved minerals
                                                                                 -     diffuse via the pores of the lesion
                                                                                       body


                                                                                                                             Lesions before Icon treatment
                                              The Challenge: Proximal Caries
Incipient proximal lesions are difficult to diagnose clinically, but relatively easy to see with bitewing
x-rays. Proximal caries that reach or pass the dentino enamel junction (DEJ) respond unsatisfactorily to
conventional prevention methods. Therefore, a restoration would be recommended, thus sacrificing
healthy tooth structure to access the lesion.


Caries Infiltration is an alternative method for treating proximal caries.                                                       After Icon treatment

                                                     Caries Infiltration
Researchers at the Charité*, Berlin developed a new treatment method to arrest caries in their initial
state without sacrificing healthy tooth structure. This is accomplished in one sitting without anaesthesia
or drilling.


In close cooperation with the research team DMG have converted this infiltration concept into a user-
friendly revolutionary product – ICON.




           phone: 1800 025 300                       fax: 1800 025 202               www.gunz.com.au                                                         223
           MINIMALLY INVASIVE



                                                                                                     ICON® CARIES INFILTRATION
                                                                            The Caries Continuum                                                             Cube
      At the early stage caries lesions can be treated with fluoride, with the lesion depth progressing however
      a filling is required (Fig 3).


      The caries infiltrant ICON from DMG offers a revolutionary solution for these cases without drilling pain
      or loss of hard tissue.
                                                                                                                                                            Mini-Kit

                                                                                                                                                  Ordering Information:
                                                                                                                                                  Icon Smooth Surface
                                                                                                                                                  Each Patient Pack treats 2-3 lesions.
                                                                                                                                                  Includes:
                                                                                                                                                  1x 0.30ml Syringe Icon-Etch,
                                                                                                                                                  1x 0.45ml Syringe Icon-Dry,
                                                                                                                                                  1x 0.45ml Syringe Icon-Infiltrant,
                                                                                                                                                  6x Smooth Surface Tips

                                                                                                                                                  Mini-Kit – 2 Patient Packs
                                                                                                                                                  RG0343 Ì06RG0343=Î
      Fig 3: Icon is applicable for early caries with radiographic depth up to the outer third of the dentine (D1)
                                                                                                                                                  Cube – 7 Patient Packs
                                                                                                                                                  RG0238 Ì06RG0238XÎ
                                                                                     Applicators
      DMG developed a special applicator to apply the ICON infiltrant to those impossible to reach proximal                                                Cube
      regions (Fig 4).


      The special smooth surface applicator combines early caries arrest with a cosmetic treatment of
      cariogenic white spots- in only on sitting, making Icon ideal also for Orthodontic patients after bracket
      removal (Fig 5).

                                                                                                                                                           Mini-Kit
                                                                                                                                                  Icon Proximal
                                                                                                                                                  Each Patient Pack treats 2 lesions.
                                                                                                                                                  Includes:
                                                                                                                                                  1x 0.30ml Syringe Icon-Etch,
                                                                                                                                                  1x 0.45ml Syringe Icon-Dry,
                                                                                                                                                  1x 0.45ml Syringe Icon-Infiltrant,
                                                                                                                                                  6x Proximal Tips, 4 x Dental Wedges

                                                                                                                                                  Mini-Kit – 2 Patient Packs
                                                                                                                                                  RG0341 Ì06RG0341-Î

      Fig 4: Approximal-Tip between teeth                                                            Fig 5: Smooth surface applicator             Cube – 7 Patient Packs
                                                                                                                                                  RG0237 Ì06RG0237PÎ

                                                                                     Advantages
      • Painless method without anaesthesia or drilling
      • A Definitive Treatment
      • Preserves healthy tooth structure
      • Increased life expectancy of the tooth
      • Treatment in one sitting
      • Early treatment of at risk patients with poor compliance



      * Charité is a joint institution of the Freie Universitat Berlin and the Humboldt-Universaitat and is celebrating its 300-
      year anniversary in 2010. More than half of the German Nobel Prize winners in medicine and physiology come from the
      Charité, among them Emil von Behring, Robert Koch and Paul Ehrlich. For more information visit www.charite.de




224                                                                                                     phone: 1800 025 300             fax: 1800 025 202              www.gunz.com.au
                                                                                                                                             MINIMALLY INVASIVE



               16mm working part
                                                                              ENDODONTIC/RESTORATIVE


                                                 21mm working part



                                                                                                                                               Ultraseal XT® PlusTM
                                                                                                                                                     ULTRADENT
                                                                             Endo-Eze® Anatomic Endodontic Technique (AET)       UltraSeal XT plus pit and fissure sealant provides
                                                                                                ULTRADENT                        exciting improvements in sealant technology. The
                                                                            A system is needed that can address the full         light-cured, 58% filled resin makes UltraSeal XT
                                                                            width of the canal space - a system that actually    plus a stronger, more wear-resistant composite
                                                                            uses the canal walls as its guide in cleaning and    sealant.
                                                                            shaping. That system is AET.
                                                                                                                                 SEE PREVENTATIVE SECTION PAGE 231 FOR MORE
                                                                            SEE ENDODONTIC SECTION PAGE74 FOR MORE               INFORMATION ON ULTRASEAL XT PLUS.
        Mtwo® Rotary NiTi Instruments                                       INFORMATION ON Endo-Eze.
                                       VDW
The innovative NiTi system is a conversative
approach to root canal cleaning and shaping as it
preserves tooth structure and follows the
anatomy of the root canal.                                                                                                               ICB® Intracoronal Bristle Brush
SEE ENDODONTIC SECTION PAGE 58-59 FOR MORE                                                                                                           ULTRADENT
INFORMATION ON Mtwo PRODUCTS.                                                                                                            ®
                                                                                                                                 The ICB brush was designed to clean intra-
                                                                                                                                 coronally as well as extracoronally before
                                                                                                                                 bonding fillings, inlays, onlays and crowns.

                                                                                                                                 SEE RESTORATIVE SECTION PAGE 274 FOR MORE
                                                                                       Enamel Pro Varnish Clear
                                                                                                  ®                              INFORMATION ON INTRACORONAL BRISTLE BRUSH.
                                                                                                 PREMIER
                                                                            Enamel Pro Varnish CLEAR with ACP technology
                                                                            has been proven to deliver 4X more fluoride
                                                                            uptake to enamel than any other transparent
                                                                            varnish on the market.
                                   Angelus MTA
                                                                            SEE PREVENTATIVE SECTION PAGE 233 FOR MORE
                                     ANGELUS
                                                                            INFORMATION ON ENAMEL PRO VARNISH CLEAR.
MTA is a biocompatible cement great for root                                                                                                 Ultra EZ® Desensitisers
repairs and assists the natural healing process of                                                                                                   ULTRADENT
dentinal tissue.                                                                                                                 UltraEZ® is ideal to use to quickly eliminate
                                                                                                                                 sensitivity from toothbrush abrasion, thermal and
SEE ENDODONTIC SECTION PAGE 74 FOR MORE
                                                                                                                                 chemical changes.
INFORMATION ON MTA.
                                                                                                                                 SEE TOOTH WHITENING SECTION PAGE 313 FOR MORE
                                                                                                                                 INFORMATION ON UltraEZ.



                                                                                          Ultrablend® Plus™
               PermaFlo® Purple                                                                 ULTRADENT
                                                                                                                                                    Interguard
                                     ULTRADENT                              Ultrablend®Plus™ is a unique, light activated,                           ULTRADENT
PermaFlo Purple creates an interim coronal seal. It                         radiopaque liner material containing calcium
                                                                                                                                 Interguard ensures a faster, safer preparation by
is coloured to simplify location of the pulp                                hydroxide and calcium hydroxyapatite in a urethane
                                                                                                                                 protecting the adjacent tooth from iatrogenic
chamber floor and identifies canal orifices.                                dimethacrylate base.
                                                                                                                                 damage..
Therefore, minimises risk of perforation.
                                                                            SEE RESTORATIVE SECTION PAGE 278 FOR MORE            SEE RESTORATIVE SECTION PAGE 297 FOR MORE
SEE RESTORATIVE SECTION PAGE 281 FOR FULL DETAILS.                          INFORMATION ON ULTRABLEND PLUS.                      INFORMATION ON INTERGUARD.



       phone: 1800 025 300                                           fax: 1800 025 202          www.gunz.com.au                                                                       225
         MINIMALLY INVASIVE



                                                                    MICRO & MINI TIPS



                                                                          Dento Infusor® Tips
                Blue and Black Micro® Tips                                      ULTRADENT
                                                                                                                                   NaviTipTM Tips
                           ULTRADENT                        Blunt, bent cannula with brush padded tip for safe
                                                                                                                                      ULTRADENT
                                                            and easy delivery of haemostatic agents .Suitable
      High quality luer lock metal needles with blunt end
                                                            for use with Viscostat Clear, Viscostat, Viscostat
      and tinted plastic hubs. Tips are suitable for                                                             A tip as flexible as any Endo procedure needs to
                                                            Wintermint, Astringedent and Astringedent X.
      Ultrablend plus, UltraEtch, PermaFlo, UltraSeal XT                                                         be. NaviTips have a safe, rounded end and are
      and Ultracal XS.                                      Metal Dento-Infusor® tips, Pack 20                   rigid in the majority of the shank to prevent
                                                            ULT0122          Ì06ULT0122LÎ                        bending. The NaviTips’ last few millimeters are
      Blue 25 gauge – Pack 20
                                                                                                                 flexible to facilitate navigation even through
      ULT0158          Ì06ULT01583Î                         Metal Dento-Infusor® tips, Pack 100                  curved canals. This product is available in 29g.
      Blue 25 gauge – Pack 100                              ULT0125          Ì06ULT0125gÎ                        NaviTips are ideal to use for File-Eze, UltraCal XS,
                                                                                                                 Endo-Rez and other endodontic medicaments.
      ULT0127          Ì06ULT0127yÎ
      Black 25 gauge – Pack 20
      ULT0194          Ì06ULT0194/Î
      Black 25 gauge – Pack 100                             Plastic Blue Mini Dento-Infusor® tips, Pack 20
      ULT1085          Ì06ULT1085/Î                         ULT0128          Ì06ULT0128ÆÎ
                                                                                                                               NaviTipTM Tip Sideport
                                                                                                                                      ULTRADENT

                   Black Micro® FX Tips                                     White Mac® Tips                      The world’s smallest cannula reaches more
                           ULTRADENT                                            ULTRADENT                        intircate canal spaces while sideports enable the
                                                                                                                 safe delivery of irrigants.
      Fabulous flow for varied viscosities. Fibres easily   A luer lock with large diameter plastic delivery
      fan out and spread material over entire surface.      tips.
                                                                                                                 SEE EVERYDAY SECTION PAGE XXX FOR FULL DETAILS ON
      Black 25 gauge – Pack 20                              White Mac® tips, pack of 20
                                                                                                                 MICRO AND MINI TIPS AND ENDODONTIC SECTION PAGE
      ULT1356          Ì06ULT1368OÎ                         ULT0661          Ì06ULT0661ÊÎ                        119 FOR FULL DETAILS ON NAVITIPS.


                                                                      MICRODENTISTRY

                                                                                                                             DM Premium, Plus & Pro
                                                                                                                                        OPTO
                                                                                                                 The Opto DM-Series of dental microscopes
                                                                                                                 combine contemporary design with superior
                                                                                                                 optical quality, offering excellent depth of focus,
                                                                                                                 high image definition and a wide range of optional
                                                                                                                 accessories.



                                                                                                                          Surgical Magnification System
                                                                                                                                        UNIVET
                                                                                                                 Increase the precision of diagnosis and treatment
                                                                                                                 with Univet surgical magnification systems.




                                                                                                                 SEE VISION SECTION PAGE 317-331 FOR FULL DETAILS ON
                                                                                                                 OPTO MICROSCOPES AND UNIVET MAGNIFICATION
                                                                                                                 SYSTEMS.



226                                                           phone: 1800 025 300                 fax: 1800 025 202              www.gunz.com.au

				
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