Yes, sodium fluoride varnish can certainly be useful for children with enamel hypoplasia, although it does not provide a direct solution for the lack of enamel. Sodium fluoride varnish strengthens the existing enamel and can help protect the teeth against caries (cavities) and further wear. Fluoride supports the remineralisation of the tooth surface, making the teeth somewhat stronger, even when hypoplasia is present. Although it cannot create enamel where it is missing, it can relieve symptoms and limit further damage.
For children with severe hypoplasia, additional treatments are often required, such as restorations with composite fillings or even crowns, depending on the severity of the problem. A dentist can advise on the best treatment options based on the child’s individual situation.
Both the dental team and the patient notice a clear difference between Profisil® and competing products. They confirm the user-friendliness and positive results after treatment with Profisil®.
Patients report that their symptoms have disappeared or that sensitivity has been significantly reduced.
Sensitive teeth are a common problem for many people. This hypersensitivity is mainly caused by exposed dentinal tubules.
Profisil® is transparent and colourless, preventing discolouration of the teeth.
Desensitisation means ‘making insensitive to certain substances’.
Profisil® Varnish replenishes the calcium fluoride deposit and seals the dentinal tubules. This creates a stable, durable protective layer with rapid desensitisation and fluoride release (5% NaF ≙ 22,600 ppm fluoride).
Profisil® is easy to apply and adheres immediately and well to the tooth surface thanks to its unique dimethicone gel base.
Profisil® from Kettenbach is a protective, fluoride-containing varnish specially developed for the treatment of tooth sensitivity and to support prophylactic treatments.
Just one SingleDose (0.5 ml) for a complete fluoride application treatment. Simple, easy, leak-proof and hygienic to apply (even between teeth) without additional instruments.
Profisil® is ideal for treating patients who are less compliant with treatment advice, such as children.
Profisil® can be applied easily and without leakage (from different directions) for accurate local fluoride application to the teeth. Profisil® can even be applied to moist teeth. Drying the tooth surface is therefore not essential.
When used normally*, products containing dimethicone are safe for babies, children and adults.
(*) This means using a product as intended or as described on the label.
Dimethicone is a synthetic oil based on silicone. The chemical substance has a moisturising effect. Dimethicone moisturises and protects your skin and hair from drying out. It makes the skin feel soft and fills in small wrinkles. Dimethicone is therefore found in personal care products such as sunscreen, face cream, lip balm, deodorant, shampoo, conditioner and make-up primer.
Redness, small pimples and possibly blisters may appear at the site of contact with colophony (e.g. a plaster). Later, flakes will appear on the skin. If you continue to suffer from allergic contact eczema caused by colophony, your skin may become thickened. The areas on your skin may itch. Sometimes eczema can develop on the face. This may be caused by vapours from the substance, for example, vapours from soldering, floor wax and paper dust, which are spread through the air.
This substance contains a mixture of different types of colophony of Portuguese, Chinese and American origin. Colophony consists of various acidic resins, mainly abietic acid, and is obtained from the residue of coniferous balsam or coniferous roots. Colophony or its derivatives are found, usually hidden, in numerous everyday items.
Ethanol, also known as ethyl alcohol, is the best known and most common alcohol, as it is a widely used solvent and the alcohol found in alcoholic beverages. The molecular formula of ethanol is C₂H₅OH, with a molecular weight of C₂H₆O, which is often abbreviated as EtOH.
Most dental insurers reimburse the application of fluoride varnish.
Wait until the next day to brush your teeth and avoid hot, hard or sticky foods after application. Hard or sticky foods can cause the varnish to come off.
Fluoride varnish protects teeth for months. It works best when reapplied every three to six months.
Fluoride varnish is applied to the teeth with a brush by a trained dentist, dental hygienist, doctor or nurse. It is a quick and easy process and causes no pain or unpleasant taste. The varnish sticks to the teeth and the teeth may temporarily appear yellowish or less shiny. These changes are normal and will disappear when the teeth are brushed the next day.
Yes. Fluoride varnish is safe for all ages. It can even be used on babies when their first teeth come through. If you have any questions or concerns about using fluoride varnish, talk to your doctor or dentist. Children should visit the dentist from the age of 1 year.
Cavities can cause pain and infections, which can lead to problems with eating, speaking, playing and learning. Fluoride varnish strengthens teeth, prevents cavities from getting worse and helps prevent new cavities from forming.
Fluoride varnish is a protective coating that is applied to the teeth to help prevent cavities.
Not only educational but also enjoyable to let participants take a Silginat® impression (mould) of themselves during the hands-on, and then experience a light-hearted introduction to Kettenbach Dental’s temporary restorative material, Visalys® Temp. An exceptionally stable and user-friendly temporary crown and bridge material.
Visalys® Temp in combination with Silginat® as an impression mould, in a Multi Tray from Kettenbach Dental, is a “3 in 1” excellent combination choice for the fabrication of temporary crowns and bridges, inlays, onlays, and veneers. This temporary restorative material offers excellent flow and thixotropic properties, is exceptionally stable and user-friendly. It carries a lower risk of fracture and is suitable as a long-term temporary restoration. Thanks to its dense surface structure and minimal processing time, Visalys® Temp can be finished aesthetically to a high gloss quickly and easily. By using the alginate-replacing Silginat® (A-silicone) as the impression mould, the desired final result can be achieved even more quickly. Natural translucency and opalescence provide an optimal integration into the existing oral situation thanks to the chameleon effect. Visalys® Temp contains no bisphenol A or its derivatives.
Visalys® Temp from Kettenbach Dental is a reliable and aesthetic restorative material. It is exceptionally stable and user-friendly, making it ideal for the fabrication of temporary crowns and bridges (as well as provisional inlays, onlays, and veneers). More stable than all existing materials, it carries a lower risk of fracture and is also suitable for long-term temporary restorations. For the impression mould, it is best to use a putty or an alginate-replacing A-silicone impression material (Silginat®). This makes finishing less time-consuming and the final result more aesthetic.
The values, however, are significantly poorer than the combination of Visalys® Restorative Primer and Visalys® CemCore.
Bonding test (ISO 29022)
Visalys® Tooth Primer applied to the surface for 20 seconds (see below), then air-dried, followed by curing of Visalys® CemCore without a polymerisation lamp.
Results (averages of 10 specimens):
Metal 1 (titanium): 10.5 MPa
Metal 2 (non-precious metal, NPM): 12.0 MPa
Oxide ceramic (zirconium dioxide, ZrO2): 7.3 MPa
Glass ceramic (lithium disilicate): 5.8 MPa
Summary:
The combination of Visalys® Tooth Primer and Visalys® CemCore achieves sufficient bonding strength on all surfaces (≥ 5 MPa for this setup).
On glass ceramics, adhesion is only minimally above the threshold value of 5 MPa, as without the silane contained in Visalys® Restorative Primer, proper bonding is not possible.
Recommendation:
The bonding values are sufficient, so the respective laboratory need not be concerned about debonding of the connections.
Nevertheless, this combination is contraindicated and is not mentioned in the instructions for use.
In future, choose the correct material combination (Visalys® Tooth Primer for tooth substrate only, Visalys® Restorative Primer for restorative materials).
It is important to determine whether the bonding failed on the tooth side (with residual composite cement on the resin-bonded bridge) or on the restoration side (with residual composite cement on the tooth surface).
Resin-bonded bridges can be somewhat challenging, as they require high bond strength while at the same time offering only a limited surface for adhesion. In this specific case, we recommend selectively etching the enamel surface (see the information in the instructions for use).
For the resin-bonded bridge itself, we recommend following the established procedures, depending on the material from which the bridge is made:
In both cases, Visalys® Restorative Primer is then applied as usual.
The pretreatment of the restoration surface / resin-bonded bridge is very important, as increasing the surface area (through sandblasting or hydrofluoric acid etching) is the key factor for successful bonding.
Before cementation with Visalys® CemCore, Visalys® Tooth Primer is first applied to the tooth surface.
Resin-bonded bridges can be somewhat challenging, as they require high bond strength while at the same time offering only a limited surface for adhesion. In this specific case, we recommend selectively etching the enamel surface (see the information in the instructions for use).
For the resin-bonded bridge itself, we recommend following the established procedures, depending on the material from which the bridge is made:
In both cases, Visalys® Restorative Primer is then applied as usual.
The pretreatment of the restoration surface / resin-bonded bridge is very important, as increasing the surface area (through sandblasting or hydrofluoric acid etching) is the key factor for successful bonding.
Before cementation with Visalys® CemCore, Visalys® Tooth Primer is first applied to the tooth surface.
Thanks to the extremely low water absorption properties of Visalys® CemCore, the risk of tooth fracture is reduced. Visalys® CemCore is a 2-in-1 dual-curing adhesive composite cement and core build-up material. Less material, lower costs and more time. Visalys® CemCore has excellent dimensional stability and, thanks to its unique Active-Connect Technology, guarantees optimal adhesion. Predictable cementation thanks to optimised adhesive bonds for all indirect restorations. Visalys® CemCore is free from bisphenol A.
Want to get acquainted with Visalys® CemCore? Choose the Visalys® CemCore Starter Pack and watch the step-by-step user videos at www.dental4.nl, in which Benelux colleagues talk about their working methods and experiences. Predictable cementation of all indirect restorations, as well as for the fabrication of stump build-ups and build-up fillings. We are happy to share up-to-date and educational information with your team. This can be done online or on location!
Visalys® CemCore from Kettenbach Dental is a dual-curing, reliable adhesive composite cement for the predictable cementation of all indirect restorations. Visalys® CemCore is a 2-in-1 product that can also be used for the fabrication of core build-ups and build-up fillings. Optimised adhesive bonds thanks to the unique Active-Connect Technology. Visalys® CemCore has excellent flow properties, is radiopaque, bisphenol-A-free and ready for use.
The colour of a cartridge’s end cap also indicates the colour of the corresponding mixing tips’ diameter. However, a certain diameter/colour mixing tip may be available in different lengths. This is never an option, as the length of the tip containing the integrated mixing mechanism guarantees complete mixing of a certain material. To be on the safe side, always choose the manufacturer’s original mixing tips. There are now many imitation mixing tips on the market that often do not mix correctly, which can lead to printing inaccuracies.
Latex has a negative effect on the curing of A-silicones and Identium. Contact with latex can prevent impression material from curing properly or at all in certain areas. This results in impression errors that are often immediately visible in the impression. Fortunately, latex-free practices have been standard in dentistry and dental prosthetics for many years. However, due to the acute shortage of gloves during the COVID-19 pandemic, latex gloves have been reintroduced alongside nitrile and vinyl gloves, resulting in reports of latex-related impression errors.
First bring the impression materials to room temperature (processing and curing times are affected by higher or lower temperatures). Do not use latex gloves or a polyether “contaminated” impression syringe. First remove the inhibition layer (lubricating layer) from an individual tray before taking an impression. When using a hand mix A-silicone Lab putty, always use the same ratio of catalyst and base material.
Temperature (warmer or colder than room temperature), latex and a polyether “contaminated” impression syringe, but also the inhibition layer (lubricating layer) of a temporary restoration material that has remained on the preparation. Furthermore, some retraction agents may have a negative effect on curing; we have not received any complaints about this with regard to Kettenbach impression materials for decades. With a hand-mixed A-silicone putty, it is important that the ratio of catalyst to base material is 50/50% – if this is not the case, not only will the times mentioned change, but also the technical properties of the putty impression material.
When selecting a ready-made tray, it is important to choose a well-fitting, rigid tray and customise it if desired. To create sufficient pressure with medium (Type 2) and heavy body (Type 1) impression material, choose a closed impression tray. By choosing a full impression tray instead of a partial tray, the laboratory obtains the desired dental information.
Impression material shrinks (minimally) and in order to make this shrinkage predictable and controllable, it is important to be able to create an even impression material thickness between the elements and the inside of the impression tray. Because adhesion occurs between the tray and the impression material, this material shrinkage always occurs towards the tray wall. The more shrinkage the impression material has, the greater the cement thickness will be when placing the crown and bridge work. An individual tray for a dentate situation must have sufficient impression material space (at least 4 to 5 mm).
It is important to note that a good individual tray can only be made thanks to a correct preliminary impression with alginate or Silginat® (scan-optimised A-silicone impression material). If trays are to be printed, it is preferable to make the preliminary impression with a scan-optimised impression material. For crown and bridge work, it is important that the tray is not too tight; in addition to blocking out undercuts, sufficient impression space (at least 4 to 5 mm) must also be created. Any inhibition layer on the plastic individual tray can interfere with the curing process of the impression material and must be thoroughly removed before use. After checking the fit, use the appropriate tray adhesive (also just over the edges). An adhesive only has a good adhesive effect once the adhesive layer is dry (after approximately 4 minutes).
Important steps for making a good impression start with preparing the impression tray, selecting the appropriate tray, customising it if necessary, and coating it with the appropriate adhesive, including over the edges. The adhesive will have dried completely by the time the impression is taken, ensuring a secure bond. Tip: if there is a risk of bleeding, take a second impression with a partial tray immediately after removing the mouthpiece. The pressure during the first impression reduces the risk of bleeding. Prepare the mixing gun/syringe/device for use and set the timer to the desired total curing time. The practitioner and assistant should be ready to start spraying the preparation and filling the impression tray simultaneously. Important: remove any retraction cord or paste and cotton rolls from the patient’s mouth just before taking the impression.
Prevent poor impressions by first eliminating any external factors that could adversely affect the processing and curing times of the impression material. These include temperature (warmer or colder than room temperature), latex, a polyether “contaminated” impression syringe, and the inhibition layer (lubricant layer) of temporary restoration material left on the preparation. Furthermore, some retraction agents may have a negative effect on the curing of the impression material; we have not received any complaints about this with regard to Kettenbach impression materials for decades. Use rigid impression trays and ensure that they are coated with the correct tray adhesive; the adhesive must be dry before the tray is filled with impression material. For sufficient pressure build-up with a medium and heavy body consistency, use a closed tray (putty in a perforated tray). With an individual impression tray, ensure sufficient impression space (4 to 5 mm) and remove any inhibition layer. Important: remove retraction cord or paste and any cotton rolls from the patient’s mouth just before taking the impression.
Begin the best preparation for printing by first determining the tray selection and individualising it if necessary. Coat the trays with adhesive before preparation; also just over the edges (adhesive must be dry for the adhesive effect). Prepare a partial tray so that, if desired, a second impression can be made immediately after removal. Due to the pressure during the first impression, there is a good chance that any bleeding will be under control. Prepare the mixing gun/syringe/device for use and set the timer to the desired total curing time. The practitioner and assistant should be ready to start spraying the preparation and filling the impression tray simultaneously.
Important: remove retraction cord or paste and any cotton rolls from the patient’s mouth just before taking the impression.
It is always best to store printing materials in a place that is neither too warm nor too cold. Since printing materials should be used at room temperature, it is wise to choose a place/room for storage that does not deviate too much from the desired room temperature. If this does happen, bring the printing materials to room temperature before use. If the printing material is too cold during printing, the curing times will be longer than stated, and if you are working in a (too) warm room, the processing and curing times will be much faster than normal.
Before printing can begin, any bleeding must be brought under control. Some retraction materials can have a negative effect on the hardening process of the impression material; we have not received any complaints about this with regard to Kettenbach impression materials for decades. Remove retraction cord or paste and any cotton rolls from the patient’s mouth just before taking the impression.
There are plenty of impression materials available that can be used to achieve the desired transfer of the oral situation to the working model. The best choice is to use an impression technique, with the corresponding consistency(ies), that suits the practitioner and the requirements of the dental laboratory. The success of the final piece of work is partly determined by the ease of use, the material properties and knowledge of the impression material.
Identium® is a highly accurate impression material with excellent pressure build-up, high tensile strength and tear resistance, easier to remove from the mouth and a more pleasant taste. Thanks to its unique composition, Identium® has the best properties of both polyether and addition silicones; the best of both worlds. Thanks to their high final hardness (immediately after removal from the mouth), Identium® Medium and Heavy (including the fast variants) are highly suitable as impression materials for all your implant work. If an impression combination with Identium® light is made, it is important that the transfer pins are sufficiently enclosed by the stronger Identium® Medium or Heavy impression material.
The colour of a cartridge’s end cap also indicates the colour of the corresponding mixing tips’ diameter. However, a certain diameter/colour mixing tip may be available in different lengths. This is never an option, as the length of the tip containing the integrated mixing mechanism guarantees complete mixing of a certain material. To be on the safe side, always choose the manufacturer’s original mixing tips. There are now many imitation mixing tips on the market that often do not mix correctly, which can lead to printing inaccuracies.
Latex has a negative effect on the curing of A-silicones and Identium. Contact with latex can prevent impression material from curing properly or at all in certain areas. This results in impression errors that are often immediately visible in the impression. Fortunately, latex-free practices have been standard in dentistry and dental prosthetics for many years. However, due to the acute shortage of gloves during the COVID-19 pandemic, latex gloves have been reintroduced alongside nitrile and vinyl gloves, resulting in reports of latex-related impression errors.
When selecting a ready-made tray, it is important to choose a well-fitting, rigid tray and customise it if desired. To create sufficient pressure with medium (Type 2) and heavy body (Type 1) impression material, choose a closed impression tray. By choosing a full impression tray instead of a partial tray, the laboratory obtains the desired dental information.
Impression material shrinks (minimally) and in order to make this shrinkage predictable and controllable, it is important to be able to create an even impression material thickness between the elements and the inside of the impression tray. Because adhesion occurs between the tray and the impression material, this material shrinkage always occurs towards the tray wall. The more shrinkage the impression material has, the greater the cement thickness will be when placing the crown and bridge work. An individual tray for a dentate situation must have sufficient impression material space (at least 4 to 5 mm).
It is important to note that a good individual tray can only be made thanks to a correct preliminary impression with alginate or Silginat® (scan-optimised A-silicone impression material). If trays are to be printed, it is preferable to make the preliminary impression with a scan-optimised impression material. For crown and bridge work, it is important that the tray is not too tight; in addition to blocking out undercuts, sufficient impression space (at least 4 to 5 mm) must also be created. Any inhibition layer on the plastic individual tray can interfere with the curing process of the impression material and must be thoroughly removed before use. After checking the fit, use the appropriate tray adhesive (also just over the edges). An adhesive only has a good adhesive effect once the adhesive layer is dry (after approximately 4 minutes).
Important steps for making a good impression start with preparing the impression tray, selecting the appropriate tray, customising it if necessary, and coating it with the appropriate adhesive, including over the edges. The adhesive will have dried completely by the time the impression is taken, ensuring a secure bond. Tip: if there is a risk of bleeding, take a second impression with a partial tray immediately after removing the mouthpiece. The pressure during the first impression reduces the risk of bleeding. Prepare the mixing gun/syringe/device for use and set the timer to the desired total curing time. The practitioner and assistant should be ready to start spraying the preparation and filling the impression tray simultaneously. Important: remove any retraction cord or paste and cotton rolls from the patient’s mouth just before taking the impression.
Prevent poor impressions by first eliminating any external factors that could adversely affect the processing and curing times of the impression material. These include temperature (warmer or colder than room temperature), latex, a polyether “contaminated” impression syringe, and the inhibition layer (lubricant layer) of temporary restoration material left on the preparation. Furthermore, some retraction agents may have a negative effect on the curing of the impression material; we have not received any complaints about this with regard to Kettenbach impression materials for decades. Use rigid impression trays and ensure that they are coated with the correct tray adhesive; the adhesive must be dry before the tray is filled with impression material. For sufficient pressure build-up with a medium and heavy body consistency, use a closed tray (putty in a perforated tray). With an individual impression tray, ensure sufficient impression space (4 to 5 mm) and remove any inhibition layer. Important: remove retraction cord or paste and any cotton rolls from the patient’s mouth just before taking the impression.
Begin the best preparation for printing by first determining the tray selection and individualising it if necessary. Coat the trays with adhesive before preparation; also just over the edges (adhesive must be dry for the adhesive effect). Prepare a partial tray so that, if desired, a second impression can be made immediately after removal. Due to the pressure during the first impression, there is a good chance that any bleeding will be under control. Prepare the mixing gun/syringe/device for use and set the timer to the desired total curing time. The practitioner and assistant should be ready to start spraying the preparation and filling the impression tray simultaneously.
Important: remove retraction cord or paste and any cotton rolls from the patient’s mouth just before taking the impression.
It is always best to store printing materials in a place that is neither too warm nor too cold. Since printing materials should be used at room temperature, it is wise to choose a place/room for storage that does not deviate too much from the desired room temperature. If this does happen, bring the printing materials to room temperature before use. If the printing material is too cold during printing, the curing times will be longer than stated, and if you are working in a (too) warm room, the processing and curing times will be much faster than normal.
Before printing can begin, any bleeding must be brought under control. Some retraction materials can have a negative effect on the hardening process of the impression material; we have not received any complaints about this with regard to Kettenbach impression materials for decades. Remove retraction cord or paste and any cotton rolls from the patient’s mouth just before taking the impression.
Before processing Identium® impression material, first bring the impression material to room temperature. (Processing and curing times are affected by higher or lower temperatures.) Do not use latex gloves or a polyether “contaminated” impression syringe. First remove the inhibition layer (lubricant layer) from an individual tray before taking an impression.
Temperature (warmer or colder than room temperature), latex and a polyether “contaminated” impression syringe, as well as the inhibition layer (lubricating layer) of a temporary restoration material left behind on the preparation, can adversely affect the curing of the Identium® impression material. Furthermore, some retraction agents may have a negative effect on curing; however, we have not received any complaints about this in relation to Kettenbach impression materials for decades.
Discover Mucopren® Soft. We would be happy to organise a hands-on session for you in collaboration with your Clinical Prosthetic Technician! Benefit from the advantages of a rebasing material based on addition silicone for direct and indirect application. An amazing end result with a guaranteed wear time of at least one year.
Share your (patient) experience with Mucopren® Soft. We would like to reward this information with a gift voucher worth €50. We would like to know why you chose Mucopren® Soft as a comfortable soft liner. We would also like to know how long you think Mucopren® Soft can remain in the patient’s mouth (weeks, months, years?) and for which indications Mucopren® Soft is used. Please send an email to ln.4latned@ofni with the subject line ‘Mucopren® questionnaire’. Thank you in advance for your much-appreciated feedback!
Mucopren® soft from Kettenbach Dental is a rebasing material based on addition silicone for direct and indirect application. A durable, reliable, soft-staying and comfortable soft liner that lasts longer than just a few months. An amazing end result with a guaranteed wear time of at least one year. Also very suitable as a bridge (old prosthesis) to relieve the operative part (implants) during the healing period.
