protemp™ crown temporization material scientific presentation
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Innovative Technology!
Strong Dental Compositelight cure
A Wax-like Dental Composite
Self-supporting
Malleable
Curable
free-standing complex shapes
preformed articles
easily customizable and adaptable
wax-like or clay-like
light-curable Cure on Demand and immediate strength
SMC Material
Chemical Temporization
Advantages
• Custom fit• Esthetic
Disadvantages• Matrix / impression• Mix or dispense• Heat / odor
Combined Advantages
Prefabricated Crowns
Advantages
• Fast & Easy• No matrix
Disadvantages• Poor esthetics• Not a custom fit• Metal
Protemp™ Crown combines advantages
ProvisionalProvisional (Temporary)(Temporary)
Dentin and Pulp Protection
SpaceMaintenance
MarginalIntegrity
Phonetics
Esthetics
OcclusalFunction
PeriodontalHealth
PatientComfort
Temporary Crown Considerations
Protemp™ Crown meets provisional needs
Features and Benefits
Donald Erickson, DDS
• Preformed Composite Crown• 9 Sizes/shapes • Universal Shade
Indications• Single-unit temporary• Permanent dentition• Molars, Bicuspids, Cuspids
•Simple & Fast TechniqueNo matrix, no dispensing hardware, no messy smear layer
•Excellent Strength•Custom Fit - Malleable for easy adaptation
• No matrix, impression, mix tips or dispensing hardware• Reduce fabrication time up to 50%
2X Faster50%
More Than 2X Faster
10%
Same25%
Slower15%
Simple and Fast
Source: 3M ESPE Internal test data based on responses from 105 dentists globally
n=105
Advantages
Protemp™ Crown
Bis-Acrylic Materials
Power / Liquid Systems
Preformed Metal Crowns
Single Unit can be formed under 4 Minutes Highly dependent on
materials used No matrix or impression needed Custom Fit Esthetic results
Preformed anatomy Low oxygen-inhibited layer Low intra-oral heat Cure on demand Chemical Cure N/A
Composition
Resin• Dimethacrylate Polymer• bis-GMA
Filler• Zirconia Silica• Fumed Silica• Silane• Pigments
Crystalline Resin
Aggregated Fillers
A schematic representation of physical crosslinking of 3MTM ESPETM ProtempTM Crown Temporization Material
Fracture Toughness
Short Rod Fracture Toughness (K1c)
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
Protemp™Crown
Protemp™ 3Garant™
Z100™ Sinfony™ Luxatemp® Integrity™ Jet™ Trim® II Structur®Premium
Fra
ctur
e to
ughn
ess
(MP
am1/
2)
Source: DeLong: University of Minnesota, MDRCBB IADR Abstract #0368, 2006
Compressive Strength
Compressive Strength
0
50
100
150
200
250
300
350
400
450
Protemp™ Crown
Protemp™ 3Garant™
Luxatemp® Jet™ Trim® II Integrity™ Structur®Premium
MP
a
Source: 3M ESPE Internal test data, 2006
Diametral Tensile Strength
Diametral Tensile Strength
0
10
20
30
40
50
60
70
80
90
Protemp™Crown
Protemp™ 3Garant™
Luxatemp® Jet™ Trim® II Integrity™ Structur®Premium
MP
a
Source: 3M ESPE Internal test data, 2006
Flexural Strength
Flexural Strength
0
20
40
60
80
100
120
140
160
Protemp™Crown
Protemp™ 3Garant™
Luxatemp® Jet™ Trim® II Integrity™ Structur®Premium
MP
a
Source: 3M ESPE Internal test data, 2006
ACTA 3-Body Wear
3-Body Wear(Normalized to Filtek™ Z250 Restorative)
0
1
2
3
4
5
6
7
8
9
10
11
Filtek™Z250
Protemp™Crown
Protemp™3 Garant™
Luxatemp® Integrity™ Jet™ Trim® II Structur®Premium
Wear
Ratio
Source: 3M ESPE Internal test data IADR Abstract #0130, 2007
Durability
Crown Survival During Mastication
012345678
Protemp™Crown
Protemp™ 3Garant™
Trim® II
* TCML (Thermocycle andMechanical Loading)
# C
row
ns
Failed:Fracture during TCML
Failed:deformations duringTCML
Survived TCML
Source:Rosentruitt M, Lang R, University of Regensburg, GermanyIADR abstract NO.1561 2006
Durability
• Mastication simulator• Before and after SEM pictures of Protemp crown • Simulating 2 years in the mouth(mechanical load: 50N, 480.000 cycles, thermocycling: 2400x 5/55 degrees C)
Source:Rosentruitt M, Lang R, University of Regensburg, GermanyIADR abstract NO.1561 2006
Oxygen Inhibition
Oxygen Inhibited Layer
0.00
0.10
0.20
0.30
0.40
0.50
0.60
Protemp™Crown
Protemp™ 3Garant™
Integrity™ Luxatemp® Trim® II Jet™ Structur®Premium
Pe
rce
nt
Source: 3M ESPE Internal test data, 2006
Radiopacity
Radiopacity
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
Protemp™Crown
Protemp™ 3Garant™
Luxatemp® Jet™ Trim® II Integrity™
Rad
iopa
city
Source: 3M ESPE Internal test data, 2006
Polymerization Shrinkage
Watts Shrinkage
0
1
2
3
4
5
6
Protemp™Crown
Protemp™ 3Garant™
Integrity™ Luxatemp® Trim® II Jet™ Structur®Premium
Per
cent
Vol
ume
Shr
inka
ge
Source: 3M ESPE Internal test data, 2006
Polymerization Temperature
Polymerization Temperature Rise
0
10
20
30
40
50
60
Protemp™Crown
Protemp™3 Garant™
Integrity™ Luxatemp® Trim® II Jet™ Structur®Premium
De
gre
e C
/gm
Source: 3M ESPE Internal test data, 2006
Global Evaluation - Placements
275
462
821
0 200 400 600 800 1000
Number Placed
Cuspids(Canines)
Bicuspids(Premolars)
Molars
Den
titio
n
Crown Placements (n=1558)
*US data only, (EU not available)
• No Impression or Matrix• Faster to obtain occlusion• No mess or clean up• Easier to obtain interproximal contacts
Global Evaluation – Ease of Use
3.82
3.9
3.75 3.77
3.5
3.6
3.7
3.8
3.9
4
Bis-Acrylic Preform Powder/Liquid Grand Total
Overall Satisfaction with Ease of Use* (n=64)
Ave
rag
e R
e spo
nse
Esthetics compared to current product
Global Evaluation - Esthetics
3.4
3.9
3.6
3.8
3
3.5
4
Bis-Acrylic Preform Powder/Liquid Grand Total
Esthetics compared to current product (n=105)
Av e
rag
e R
esp
on
se
Global Evaluation – Final Fit
Permanent Crown Fit
0
5
10
15
20
25
30
35
40
45
1-Very poor 2 3 4 5-Excellent
Per
cen
t Overall
US
Europe
Overall: n=105US: n=64Europe: n=41
Excellent Overall Permanent Crown Fit
Gingival Health Compared to Current Product
6
13
46
23
12
3
14
41
2220
7
12
56
24
00
10
20
30
40
50
60
1-Much Worse 2 3 4 5-Much Better
Pe
rce
nt Overall
USEurope
Overall: n=105US: n=64Europe: n=41
Gingival Heath the same or better when compared current product
Global Evaluation – Gingival Health
Customer Feedback
• Easy to use and fast technique• Esthetic• High level of acceptability• Lining crown not necessary• Crown durable• Good crown retention• Gingival Health similar to better • Overall very good permanent crown fit
Global Evaluation - Summary
Preparation, finishing and final Protemp™ Crown
by Donald Erickson, DDS
Donald Erickson, DDS
Donald Erickson, DDS Donald Erickson, DDS Donald Erickson, DDS
Molar Crown Placement
Lingual Adaptation
Adapt Lingual - Hold Buccal in Place Tack Cure Lingual Tack Cure Occlusal Surface
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