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3M Filtek Supreme Ultra Flowable Restorative

Consultants’ Comments

Description

3M ESPE Filtek Supreme Ultra Flowable Restorative is a low-viscosity, visible-light activated, radiopaque, flowable nanocomposite. It is packaged in unit-dose capsules and syringes. It is available in shades A1, A2, A3, A3.5, A4, B1, B2 C2, D2, White, Extra White, and OA3, which were designed to coordinate with shades offered with Filtek Supreme Ultra Universal Restorative. 3M ESPE Filtek Supreme Ultra Flowable Restorative is indicated for use in Class III and V restorations, for the restoration of minimally invasive cavity preparations (including small, non stress-bearing occlusal restorations), as a base/liner under direct restorations, for the repair of small defects in esthetic indirect restorations, as a pit and fissure sealant, as an undercut blockout, and for the repair of resin and acrylic temporary materials. Each package contains two, 2-g syringes with 20 dispensing tips or 20, 0.2 g unit-dose capsules. 3M ESPE Filtek Supreme Ultra Flowable Restorative was evaluated by 34 consultants in 1511 uses. It received an 86% clinical rating.

Product Features

3M ESPE Filtek Supreme Ultra Flowable Restorative in the syringe delivery was a familiar delivery system to the consultants. The product extrudes easily through the pre-bent metal tips. The unit-dose capsule has a thin plastic nozzle for placement into small areas. Consultants noted that dispensing from the capsules was not as smooth as the syringe; the composite came out in spurts making it hard to control volume of material. Shade selection is good but shades were too translucent, especially for some cervical restorations. Forty-four percent of consultants reported that 3M ESPE Filtek Supreme Ultra Flowable Restorative was better than their current flowable composite and 44% reported that it was equivalent. Fifty-nine percent would switch to 3M ESPE Filtek Supreme Ultra Flowable Restorative and 82% would recommend it.

Clinical Tips

  • Fill preparation slowly to avoid air entrapment.
Sours: https://www.dentaladvisor.com/evaluations/3m-espe-filtek-supreme-ultra-flowable-restorative/

3M Filtek™ Supreme Plus and 3M Filtek™ Supreme Ultra (15 YR)

 

Introduction

3M Filtek™ Supreme was launched in 2002, 3M Filtek™Supreme Plus in 2005 and 3M Filtek™ Supreme Ultra in 2009. Since the introduction of 3M Filtek Supreme brand, DENTAL ADVISOR has clinically placed and monitored over 3000 restorations. Some of these restorations date back more than 15 years ago with the initial launch of 3M Filtek Supreme. 3M Filtek Supreme Plus and 3M Filtek Supreme Ultra are indicated for both anterior and posterior composite restorations. The Dentin, Enamel and Body shades are filled 63% by volume with a combination of 4-20 nm particles and 0.6-20 micron clusters. The Translucent shades are filled 56% by volume. 3M Filtek Supreme Ultra is fluorescent, opalescent and radiopaque and available in 36 shades and 4 opacities (dentin, body, enamel and translucent).

Clinical Evaluation Protocol

More than 3000 restorations were placed since the year 2000. Twenty-three percent of the restorations were not recalled due to patient attrition. Of the 2310 remaining restorations, 77% were 3M Filtek Supreme Plusand 23% were 3M Filtek Supreme Ultra (Figure 1). Both anterior and posterior restorations were evaluated (Figure 2). The distribution of the recalled restorations by years of service is shown in Figure 3.

These restorations were evaluated in the following categories: esthetics, resistance to fracture/chipping, resistance to marginal discoloration, and wear resistance. Each parameter was rated on a 1-5 scale:

1 = poor, 2 = fair, 3 = good, 4 = very good, 5 = excellent

Results at 15 years

Esthetics

The many shades of 3M Filtek Supreme Plus and 3M Filtek Supreme Ultra blended very well with the surrounding enamel and dentin. Eighty-eight percent of the restorations received an excellent or five rating, while 10% received a very good or 4 rating, and only two percent received a rating of good or 3 (Figure 4). The improvement in fluorescence achieved with the new formulation of 3M Filtek Supreme Ultra is noticeable. There has also been an improvement in shade stability over time. Only a handful of the restorations were replaced due to lack of esthetics. Many of the recalled restorations exhibited a very shiny and smooth surface texture, making it almost impossible to distinguish from the actual tooth.

Resistance to Fracture/Chipping

Ninety-five percent of the recalled 3M Filtek Supreme Plus and 3M Filtek Supreme Ultrarestorations exhibited no chipping or fracture (Figure 4). Five percent of the restorations chipped or fractured. Only two percent required replacement; the remaining restorations were smoothed, re-contoured or repaired with flowable composite.

Resistance to Marginal Discoloration

Ninety-two percent of the recalled 3M Filtek Supreme Plus and 3M Filtek Supreme Ultrarestorations had no visible staining at the margin and received a rating of 5 (Figure 4). Six percent had minimal staining at the margins not requiring replacement with a rating of 3 or 4. Only two percent of the restorations needed to be replaced due to marginal discoloration. Marginal discoloration is often the result of compromised bonding or excessive stress resulting in weakening of the bond and subsequent micro-leakage.

Wear Resistance

Ninety-six percent of the recalled 3M Filtek Supreme Plus and 3M Filtek Supreme Ultra restorations exhibited no wear, while two percent exhibited minimal to moderated wear with a rating of 4 or 3 (Figure 4). Another two percent required replacement due to excessive wear. Half of these replaced restorations were anterior restorations with wear on the incisal edges due to bruxism. The remaining replaced restorations were in second molars.

Clinical Observations

  • There were 80 debonds (3.5%) recorded. Most of these debonds were associated with Class V restorations. These failures are most often related to the bonding agent and placement technique.
  • Fourteen percent of the restorations were replaced due to decay. These failures are most likely due to the bonding agent or even the clinician’s technique.
  • Five percent of the restorations were on teeth that were crowned at a later date. It is likely that the composite restorations were placed as interim restorations.

Consultants’ Comments

  • “In 15 years of using 3M Filtek Supreme Plus and 3M Filtek Supreme Ultra, they have proven to be reliable and very esthetic restorative composite materials.”
  • “This composite holds up really well, even in large four-surface posterior restorations.”
  • “Great selection of shades to meet all my needs.”
  • “On rare occasions, I have noticed some staining and microleakage at the composite-tooth interface.”

Conclusion

Over 2300 3M Filtek Supreme Plus and 3M Filtek Supreme Ultrawere placed and monitored since 2000. The performance of these restorations has been exceptional, regardless of the size of the restoration. Excellent esthetics, low rate of fracture/chipping, minimal marginal discoloration, and minimal wear have been instrumental to the long-term success rate of these restorations. 3M Filtek Supreme Plus and 3M Filtek Supreme Ultra earned a clinical performance rating of 96%.

Sours: https://www.dentaladvisor.com/evaluations/3m-filtek-supreme-plus-and-3m-filtek-supreme-ultra-15-yr/
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Filtek™ Supreme Ultra Universal Restorative

Create easy, lifelike restorations with this next-generation restorative material from 3M ESPE.

From 3M ESPE, manufacturer of the industry-leading Filtek™ line of restoratives—the brand dental professionals know and trust—comes Filtek™ Supreme Ultra Universal Restorative. Built upon the success and family history of proven Filtek restoratives, Filtek Supreme Ultra restorative () is easier than ever to use, with a simplified shading system and additional body shades for creating easy, one-shade restorations.

With Filtek Supreme Ultra restorative, dental professionals get easy handling for all opacities, including improved handling of translucent shades, which are now available in capsules. Improved polish retention and fluorescence make it incredibly easy to achieve lifelike results.

“We’re proud to take a product that has been loved and trusted by dental professionals for years, and incorporate their feedback to make it even better,” said Ryan Moynihan, US marketing manager, 3M ESPE. “Collaboration with our customers is an ongoing process that helps us develop and tailor our products to better fit the needs of clinicians.”

As the first and only composite system to incorporate true, clinically proven nanotechnology, the Filtek Supreme line has gained a strong following over the past 6 years for its ability to provide excellent polish retention while maintaining the strength and wear properties of a modern hybrid.

Improved Handling; Simple to Use

With the improved Filtek Supreme Ultra restorative, it is simple to achieve beautiful, lifelike results by using only one shade. New, bold labeling on the packaging also attributes to faster selection of shades, and an expanded number of shades provide dentists with more single-shade solutions. Current Filtek restorative users are familiar with the confidence of handling that this brand inspires. That comfort is taken to the next level as Filtek Supreme Ultra restorative offers even easier handling—especially with translucent shades, which are also now available in capsules.

Versatile Technique

Filtek Supreme Ultra restorative is proven to create beautiful restorations using either a single-, dual-, or multi-laying technique. Thisone restorative can be used for any anterior or posterior indication. The properties of Filtek Supreme Ultra restorative allow dental professionals to provide treatment for a purely functional restoration, or a more challenging artistic case (). For example, Filtek Supreme Ultra restorative can be used to achieve the ideal posterior restoration using a dual-shade technique. First, select the shade using the VITAPAN™ classical shade guide, and the Filtek™ Supreme Ultra Shade Selector Wheel. Next, prepare the tooth and isolate, and apply a thin layer of a liner/base, such as 3M™ ESPE™ Vitrebond™ or Vitrebond™ Plus, to dentin surfaces if desired, followed by light cure, such as with the 3M™ ESPE™ Elipar™ S10 LED Curing Light. Using an adhesive, such as Adper™ Easy Bond Self-Etch Adhesive, follow the specific instructions for use.

To place the composite for a proximal box, place the chosen body or dentin shade of Filtek Supreme Ultra restorative in a 1-mm increment in the proximal box and on the floor of the cavity, then light-cure for the recommended time. To place composite for a dentin replacement, continue placing the chosen body or dentin shade of Filtek Supreme Ultra restorative in increments to the dentoenamel junction. Use the remaining coronal tooth structure as a guide for placement and adaptation, followed by a light-cure.

For an enamel replacement, place the chosen enamel or translucent shade of Filtek Supreme Ultra restorative in increments, and use the remaining coronal tooth structure as a guide for placement and adaptation. Make sure to overfill slightly, then light-cure. For the body, enamel, and translucent shades, an increment of 2 mm is recommended with a 20-second cure time, while dentin, A6B, and B5B should be placed at an increment of 1.5 mm with a 40-second cure.

For finishing and polishing of the final restoration, finish the occlusal surface using an appropriate finishing instrument. Finish the interproximal surfaces with discs and strips, such as 3M™ ESPE™ Sof-Lex™ Extra Thin Discs and Sof-Lex™ Strips. Finally, check the lateral and centric occlusion and adjust as necessary.

Trusted Results

For dental professionals who want to offer patients beauty and functionality, Filtek Supreme Ultra restorative will deliver long-lasting, lifelike restorations (). The improved polish retention of the materials and improved fluorescence for unsurpassed esthetics makes it easier than ever to achieve outstanding patient satisfaction. Filtek Supreme’s novel bonded nanofiller technology has been enhanced and incorporated into Filtek Supreme Ultra restorative to further improve polish retention without sacrificing physical properties, in turn offering the highest-quality restorative on the market. Choose ultimate satisfaction and a simplified routine with Filtek Supreme Ultra Universal Restorative.

For more information, contact:

3M ESPE Dental Products
Phone: 800-634-2249
Web: https://www.everyonehasashade.com or
https://www.3MESPE.com/Filtek

Disclaimer

The preceding material was provided by the manufacturer. The statements and opinions contained therein are solely those of the manufacturer and not of the editors, publisher, or the Editorial Board of Inside Dentistry. The preceding is not a warranty, endorsement, or approval for the aforementioned products or services or their effectiveness, quality, or safety on the part of Inside Dentistry or AEGIS Communications. The publisher disclaims responsibility for any injury to persons or property resulting from any ideas or products referred to in the preceding material.

Figure 1  New 3M™ ESPE™ Filtek™ Supreme Ultra Universal Restorative.

3m filtek

Figure 2  Amalgam filling replaced by Filtek™ Supreme Ultra Universal Restorative in a posterior restoration, creating a strong, esthetic outcome. Clinical photos courtesy of Dr. Grant Chyz.

Figure 2

Figure 3  Amalgam filling replaced by Filtek™ Supreme Ultra Universal Restorative in a posterior restoration, creating a strong, esthetic outcome. Clinical photos courtesy of Dr. Grant Chyz.

Figure 3

Sours: https://www.aegisdentalnetwork.com/id/2010/03/create-easy-lifelike-restorations-with-this-next-generation-restorative-material-from-3m-espe

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3M Filtek Supreme XTE Case Study - Dr. Paulo Monteiro

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