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Variolink Flowchart

The document outlines the 8 step process for cementing a lithium disilicate veneer restoration using Variolink Veneer cement. The steps include: 1) Removing the temporary restoration and cleaning the preparation; 2) Trying in the restoration and adjusting occlusion; 3) Pretreating the restoration with hydrofluoric acid and Monobond Plus; 4) Isolating and cleaning the preparation; 5) Pretreating the preparation with phosphoric acid and applying ExciTE F adhesive; 6) Seating the restoration with Variolink Veneer cement; 7) Finishing the restoration; and 8) Applying a fluoride varnish.

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157 views

Variolink Flowchart

The document outlines the 8 step process for cementing a lithium disilicate veneer restoration using Variolink Veneer cement. The steps include: 1) Removing the temporary restoration and cleaning the preparation; 2) Trying in the restoration and adjusting occlusion; 3) Pretreating the restoration with hydrofluoric acid and Monobond Plus; 4) Isolating and cleaning the preparation; 5) Pretreating the preparation with phosphoric acid and applying ExciTE F adhesive; 6) Seating the restoration with Variolink Veneer cement; 7) Finishing the restoration; and 8) Applying a fluoride varnish.

Uploaded by

AnandUnni
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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Flowchart Variolink Veneer

Tooth - Veneer - Lithium disilicate - Variolink Veneer - ExciTE F


1 The temporary is removed
The temporary is removed. If necessary, any leftover
temporary cement is removed from the preparation with a
polishing brush and cleaning paste free of oil and fluoride (e.g.
Proxyt fluoride-free). Subsequently, the preparation is dried
with moisture-free and oil-free air.
2 The restoration is tried in
The occlusion is checked very carefully to prevent the
restoration from fracturing. If necessary, the proximal
contacts are adjusted and polished with ceramic polishers
For optimum esthetic results, the shade of the restoration is
checked with VariolinkVeneer Try-In pastes. After try-in,
the paste is thoroughly removed with water spray and the
restoration is dried with oil-free and moisture-free air.
Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
www.ivoclarvivadent.com, Phone +4232353535, Fax +4232353360 www.cementation-navi
gation.com
Please observe the respective Instructions for Use. Generated on: 10.01.2016 1
3 The restoration is pretreated
The restoration is etched with 5% hydrofluoric acid (e.g. IPS
Ceramic Etching Gel) for 20 seconds.
Monobond Plus is applied to the pretreated surfaces with a
brush or microbrush and left to react for 60 seconds.
Subsequently, it is dried with a vigorous stream of air.
4 The preparation is isolated and cleaned
Relative isolation of the treatment field - preferably with
OptraDam or alternatively with absorbent pads and a saliva
ejector - is indispensible.
The preparation is cleaned with a polishing brush and
moisture-free and fluoride-free cleaning paste (e.g. Proxyt
fluoride-free). Then it is rinsed with water spray.
Subsequently, it is dried with air free of oil and moisture.
Overdrying must be avoided.
Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
www.ivoclarvivadent.com, Phone +4232353535, Fax +4232353360 www.cementation-navi
gation.com
Please observe the respective Instructions for Use. Generated on: 10.01.2016 2
5 The preparation is pretreated and the adhesive is applied
First Total Etch (37% phosphoric acid gel) is applied to the
prepared enamel and then to the dentin (if available). The
phosphoric acid is left to react for 15 30 seconds on enamel
and for 10 15 seconds on dentin.
Then the gel is thoroughly rinsed off for at least 5 seconds
with a vigorous stream of water. Excess moisture is removed
until the dentin surface looks slightly moist and shiny
(wet-bonding).
Next, a thick layer of ExciTE F is applied to enamel and dentin
and gently scrubbed in for at least 10 seconds.
Excess ExciTE F is blown to a thin film with a weak stream of
air. Pooling must be avoided. A glossy appearance indicates
that the surface has been completely sealed.
Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
www.ivoclarvivadent.com, Phone +4232353535, Fax +4232353360 www.cementation-navi
gation.com
Please observe the respective Instructions for Use. Generated on: 10.01.2016 3
Light-cure ExciTE F for 10 seconds at a light intensity of more
than 500 mW/cm2
(with e.g. bluephase using the LOW

mode).
6 The restoration is seated with Variolink Veneer
Variolink Veneer is applied directly to the preparation with a
brush or spatula and/or with the help of an applicator tip. If
desired, the luting composite can be applied to the inner
surface of the restoration.
The restoration is seated and held in place using light constant
pressure.
Gross excess is removed with a suitable instrument (e.g.
spatula, brush). Care must be taken to remove all excess in
hard-to-reach areas (proximal, gingival margins).
Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
www.ivoclarvivadent.com, Phone +4232353535, Fax +4232353360 www.cementation-navi
gation.com
Please observe the respective Instructions for Use. Generated on: 10.01.2016 4
Pressure should be maintained on the restoration while it is
tacked into place by light-curing a small area for 3-4 seconds
(e.g. bluephase, 650 mW/cm2
, LOW-mode). Any excess is
removed with a suitable instrument.
Like all composites, Variolink Veneer is subject to oxygen
inhibition. In order to avoid this problem, it is advisable to
cover the restoration margins with glycerine gel/air block (e.g.
Liquid Strip) immediately after the removal of excess.
When a polymerization unit with light intensity of at least 800
mW/cm2
is used, the ceramic must be cured for 10 seconds
per mm thickness and segment (e.g. bluephase, HIGH mode,
1,200 mW/cm2
).
Liquid Strip is rinsed off and the rubber dam is removed.
Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
www.ivoclarvivadent.com, Phone +4232353535, Fax +4232353360 www.cementation-navi
gation.com
Please observe the respective Instructions for Use. Generated on: 10.01.2016 5
7 The completed restoration is finished
Proximal areas are adjusted with finishing and polishing strips.
The occlusion and functional movements are checked and
adjusted if necessary. The restoration margins are polished
with polishers (Astropol) or discs.
8 The teeth are fluoridated
A thin film of Fluor Protector is applied with a Vivabrush or
brush and distributed evenly. The varnish is dried with an air
syringe.
Ivoclar Vivadent AG, Bendererstrasse 2, FL-9494 Schaan, Liechtenstein
www.ivoclarvivadent.com, Phone +4232353535, Fax +4232353360 www.cementation-navi
gation.com
Please observe the respective Instructions for Use. Gene

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