The first composite to shrink less than 1multimedia.3m.com/mws/media/495289O/filtek-p90-8pg-brochure.pdf · Restorative Syringe Intro Kit (4762I) • The first composite to shrink

Filtek™ P90Low Shrink Posterior Restorative System

The first composite toshrink less than 1%

debonding

post-operative sensitivity

marginal staining

microleakage

secondary caries

enamel micro-cracks

Setting a new standard for the future of composites. Significant improvements in strength, wear-resistance, color

and bonding have been made since dental composite resins

were introduced. But the issue of volumetric shrinkage and

its affect on marginal integrity has largely gone unresolved.

Any time you restore a patient’s tooth, you strive to achieve

a “perfect margin” – a smooth connection between the tooth

structure and restoration without interruptions or gaps. Even

if your technique is perfect, the chemical response of the

composite material you use is out of your control.

Because all composites shrink, achieving lasting marginal

integrity has been a challenge – until now. 3M ESPE has

gone back to the laboratory, working from the ground up

to deliver a brand new solution.

Ten years in the making, Filtek™ P90 Low Shrink Posterior

Restorative is based on 3M ESPE’s latest product innovation:

silorane chemistry. This scientific breakthrough is the

long-awaited solution that combines lowest volumetric

shrinkage with biocompatibility. The silorane-based composite

works with a dedicated self-etch adhesive.

Why attaining an excellent margin is so important.To illustrate why this product chemistry breakthrough

is so important, we need to examine the clinical symptoms

associated with volumetric shrinkage, polymerization

stress and marginal gaps. Then we’ll show how Filtek P90

restorative, along with the dedicated 3M™ ESPE™

P90 System Adhesive Self-Etch Primer and Bond, work

together to alleviate the problems.

Siloranes

Silorane – Volumetric Shrinkage <1%1

Methacrylate – Volumetric Shrinkage

Revolutionary “ring-opening” silorane chemistry has resulted in the FIRST composite to shrink less than 1%! Silorane chemistry is the basis for a new composite category

breakthrough: Filtek™ P90 Low Shrink Posterior Restorative.

The illustration (left) demonstrates how the new silorane-based

composite works at the molecular level to reduce shrinkage

dramatically, compared to methacrylate-based composites.

As silorane-based composite polymerizes, “ring-opening”

monomers connect by opening, flattening and EXTENDING

toward each other. The result is significantly less volumetric

shrinkage compared to methacrylate-based composites.

As methacrylate-based composites cure, the molecules of these

“linear monomers” connect by actually SHIFTING closer

together in a linear response. The result is a loss of volume.

1 <1% volumetric shrinkage tested by bonded disc method.

Finally, a posterior composite that shrinks less than 1%1

Shrinkage comparisons of Filtek™ P90 Low Shrink Restorative and methacrylate composites using bonded disc method. Source: University of Manchester

When a composite is closer to “no shrink” than “low shrink” … it deserves to be called a breakthrough!Since 1950, the main strategy to reduce shrinkage has been

to increase the filler load. However, shrinkage is an intrinsic

property of the resin matrix. To date, no methacrylate-based

chemistry has been developed to solve the shrinkage problem.

Now, by changing the resin matrix, 3M ESPE has solved

the problem with an innovative new ring-opening chemistry

called “silorane.”

MPa

Most stress

Least stress

50

0

Methacrylate CompositesMethacrylate Composites

Filtek™ P90

Polymerization shrinkage builds up forces that challenge the composite/adhesive interface and deforms the tooth. Lowering

this “polymerization stress” reduces cusp displacement and helps to decrease the risk of enamel fractures and post-operative

sensitivity. It also reduces risk of marginal gap formation and leakage.

Reduced tooth deformation is evidence of reduced polymerization stress.In a study comparing Filtek P90 restorative to four

methacrylate-based composites, Filtek P90 restorative

showed the lowest cusp displacement in an MOD cavity.

[Method: electronic speckle pattern interferometry (ESPI)] Source: University of Geneva

Filtek P90 restorative reduces polymerization stress by up to 80%*

Finite element analysis images show how Filtek P90 restorative helps to minimize problems caused by polymerization stress.Note that the Filtek P90 restoration shows an absence of

“gray” high-stress areas where enamel cracks and leakage

in the margin can occur.

Source: University of Minnesota

Graph shows polymerization stress in correlation to the volumetric shrinkage, proving Filtek™ P90 Low Shrink Posterior Restorative shrinks less and results in less polymerization stress. (Stress method: Bioman; shrinkage method: bonded-disc method.) Source: University of Manchester

Lowest shrinkage to minimize polymerization stress

*Over methacrylate-based resins. Source: University of Amsterdam (ACTA)

Restoration: Filtek™ P90

Restoration: QuiXfil™

P90 System Adhesive Self-Etch Primer and Bond: A dedicated system adhesive for excellent bond strength.3M™ ESPE™ P90 System Adhesive Self-Etch Primer and

Bond is an easy to use two-vial system that offers excellent

bond strength to enamel and dentin, and provides the basis

for low risk of post-operative sensitivity you expect from

a self-etch system.

P90 System Adhesive Self-Etch Primer and Bond is a

6th generation two-step self-etching bonding system. It is the

one and only adhesive formulated to ensure optimal bonding

of the Filtek™ P90 Low Shrink Posterior Restorative.

NOTE: It is not designed to work with other composites.

Conventional composite: adhesive and shrinkage forces work in strong opposition.

The Filtek™ P90 Restorative System ensures marginal quality due to reduced shrinkage forces combined WITH excellent adhesive force values.

Polymerization stress

Bond strength

Polymerization stress

Bond strength

Achieving the ideal margin begins with the right chemistry.

After 10 years in development, 3M ESPE introduces the

Filtek P90 Low Shrink Posterior Restorative System.

This extraordinarily low-shrinking composite and optimal

adhesive are formulated to work together for great clinical

outcomes with:

• excellent marginal integrity

• reduced marginal gaps and microleakage

• reduced risk of marginal staining

• reduced risk of secondary caries

Excellent marginal integrity

The Filtek P90 Restorative System is a key to excellent margins

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Studies show the Filtek™ P90 Restorative System provides better marginal integrity in mixed MOD restorations before and after chewing simulation as compared to leading methacrylate systems. [SEM analysis] Source: 3M ESPE internal data

The Filtek™ P90 Restorative System showed significantly higher shear bond strength values after thermocycling as compared to a leading methacrylate system. Source: University of Zurich

Low polymerization stress and excellent bond strength: the base of your clinical success.

• reduced cusp deflection

• reduced risk of stress-induced enamel fracture

• reduced risk of post-operative sensitivity

You’ll like the way it handles.One thing you’ll notice from the first time you use

Filtek™ P90 Low Shrink Posterior Restorative, is how

easy it handles.

• Impressive nonstick qualities

• Very good initial adaptation of restorative to bond film allows for an easy placement of the first increment

• Excellent operatory light stability gives you up to 9 minutes working time for shaping the filling and restoring the tooth to its natural function

• There’s no slumping – the filling holds its shape

• Fast and easy to polish

You’ll like the way it looks.The emphasis today is on not just repairing teeth, but

on restoring teeth to their natural beauty. This superb,

low-shrinking composite comes in popular shades that

easily blend with surrounding teeth.

• Available in 4 popular shades: A2, A3, B2, C2

• Holds its shape so you can create beautifully shaped, natural-looking restorations

• Good polishability

• Exceptional low water uptake and substantially decreased exogenic staining

• Exhibits a lower bacterial adhesion rate compared to many leading composites tested Source: University of Regensburg

Water uptake measurements according to ISO 4049 and Delta-E values for coffee staining revealed that Filtek™ P90 Low Shrink Posterior Restorative is more hydrophobic and less prone to staining among leading composites tested. Source: 3M ESPE internal data

Flexural strength of Filtek™ P90 Low Shrink Posterior Restorative proves stronger than many clinically-proven composites, and is substantially above the ISO 4049 limit of 80 MPa. Source: 3M ESPE internal data

You’ll like the way it lasts.When you select a composite for the posterior region,

you want assurance it can stand up to flexural forces during

chewing. Filtek P90 Restorative is strong and durable

to protect the filling from fractures, and to stabilize the

tooth at the same time.

• Proven to have excellent compressive strength for stress-bearing restorations

• High flexural strength protects the tooth from fractures and stabilizes it at the same time

• Wear resistant – ACTA test data on file

• Clinically proven strength and durability Source: University Mainz

Finally, everything you want in a posterior restorative.

Graph shows excellent ambient light stability of Filtek™ P90 Restorative, giving dentists up to 9 minutes to place and shape the restoration under full operatory light illumination. [Method: ISO 4049] Source: 3M ESPE internal data

A load-bearing posterior composite filling has to be replaced. Marginal loss and leakage have led to secondary caries.

Light cure for 10 sec after drying with oil-free air.

Select from four shades: A2, A3, B2, C2. A chameleon effect makes it easy to match composite shade to tooth enamel.

Application of P90 Self-Etch Primer. Agitate primer on cavity surface for 15 sec.

Thixotropic properties allow for a precise application of P90 Bond.

The non-sticky handling and the excellent ability to hold shape allow you to build strong contact points and create a natural occlusal shape – under full operatory light!

Light cure for 10 sec after dispersing P90 Bond to a homogeneous film with oil-free air.

Very good initial adaptation of Filtek™ P90 to bond film allows for an easy placement of the first increment. No need for a sophisticated layering technique due to intrinsically-low polymerization shrinkage and stress!

Light cure for 20 sec (LED, intensity 1000 - 1500 mW/cm2) or 40 sec (LED 500 - 1000 mW/cm2 or halogen 500 - 1400 mW/cm2). Depth-of-cure: 2.5mm.

Surface free of inhibition layer allows for a fast and easy polish.

A strong and durable Filtek™ P90 filling restored the tooth to its natural function. Natural-looking esthetics were achieved with an easy single-shade technique.

In any restoration, using proper technique is important.

But ultimately, the clinical outcome depends equally

on your choice of product. The new chemistry breakthrough

of Filtek P90 Posterior Restorative System makes it your

best choice for durable posterior restorations and long-term

patient satisfaction.

It’s easy to use the Filtek™ P90 Posterior Restorative SystemHere is a step-by-step guide on how to create a Filtek P90 restoration.The procedure for using the low-shrinking Filtek P90 composite and P90 System Adhesive is much like the one you use

with your current composite system. To achieve optimal strength of the Filtek P90 system, it is important to light cure both

the self-etch Primer and the P90 System Adhesive Bond.

Ordering InformationItem # Product Information

4762I Filtek™ P90 Low Shrink Posterior Restorative Syringe Intro Kit Kit includes: 4 syringes – 4g (1 each of shades A2, A3, B2, C2); 1 vial Primer – 5ml; 1 vial Bond – 5ml; 100 microbrushes (50 black, 50 green); 1 mixing well; 1 shade guide

4762TK Filtek™ P90 Low Shrink Posterior Restorative Syringe Trial Kit

Kit includes: 1 syringe – 4g, shade A3; 1 vial Primer – 5ml; 1 vial Bond – 5ml; 100 microbrushes (50 black, 50 green); 1 mixing well

4762A2 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill A2 1 syringe – 4g, shade A2

4762A3 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill A3

1 syringe – 4g, shade A3

4762B2 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill B2 1 syringe – 4g, shade B2

4762C2 Filtek™ P90 Low Shrink Posterior Restorative Syringe Refill C2 1 syringe – 4g, shade C2

Item # Product Information

4763 P90 System Adhesive Self-Etch Primer and Bond 1 vial Primer – 5ml; 1 vial Bond – 5ml; 100 microbrushes (50 black, 50 green)

4763P P90 System Adhesive Self-Etch Primer Refill 1 vial Primer – 5ml

4763B P90 System Adhesive Self-Etch Bond Refill

1 vial Bond – 5ml

3M™ ESPE™ Filtek™ P90 Low Shrink Posterior Restorative Syringe Intro Kit (4762I)

• The first composite to shrink less than 1%

• Strong and durable

• Low water sorption for substantially decreased exogenic staining

• Radiopaque

• Available in 4 shades: A2, A3, B2, C2

• Up to 9 minutes operatory light stability

• Easy to handle; nonsticky; excellent ability to hold shape

• Dedicated self-etch adhesive with excellent bond strength

• Excellent marginal integrity

Filtek™ P90 Posterior Restorative System offers significant advantages.

3M, ESPE and Filtek are trademarks of 3M or 3M ESPE AG. AdheSE, CeramX, ELS, Estelite, EsthetX, EvoCeram, Grandio, Herculite, Herculite XRV, Premise, QuiXfil, Spectrum, TPH, Tetric, Venus, Xeno and Xtrafil are not trademarks of 3M.

Please recycle. Printed in Country.© 3M 2007. All rights reserved.

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