Transcript
Product Watch benchmark
DMG America’s Icon Smooth Surface and Proximal Mini Kit Contemporary Product Solutions’ reviews this product, a first choice for incipient interproximal caries and white spot lesions. by s h a n n o n
pa c e b r i n k e r , C D A , C D D
Icon Used for the micro-invasive treatment of smooth surface and proximal caries lesions., Icon can be used to treat lesions into the first third of dentin (D-1). In one patient visit, and with no drilling, it can arrest the progression of early enamel lesions and white spot caries-like lesions. Dmg america • dmg-america.com
T About the review With the combinations of the world’s leaders in their field, Contemporary Product Solutions’ dexterous, knowledgeable and experienced leadership team maintains a sharp eye for emerging products in the field of general and restorative dentistry by providing a “Total Office” perspective of clinical information and application, incorporating photographs and videos to assist chairside procedures for better patient results. CPS will continue to evaluate one product at a time with professionalism, integrity and a commitment to excellence.
he CPS Evaluation Team members, who combine product review for the whole team and consists of dentists, assistants, hygienists, front desk associates, and the dental laboratory, each received a DMG America Icon combination kit of Smooth Surface and Proximal Mini Kit. CPS produced the following comments and reviews following its evaluation.
Hygienist Comments
Dentist Comments
Description
Working and Setting Time
Icon by DMG America is a completely new technology and treatment option. It fills and, reinforces, demineralized enamel and incipient caries without drilling or sacrificing healthy tooth structure. Icon provides a highly esthetic alternative to microabrasion and other restorative treatments for cariogenic white spot lesions (WSL). WSL infiltrated by Icon take on the appearance of the surrounding healthy enamel. It is not intended to replace remineralization techniques or the attempt to remineralize early lesions. It is intended for when the doctor has decided that remineralization is not working and the drill is not yet necessary.
According to inventors Sebastian Paris, DDS, and Hendrik Meyer-Lückel, DDS, PhD, MPH, resin infiltration utilizes the concept of capillary forces—“similar to water soaking up into a sponge.” The pseudointact surface layer of the caries is first eroded by etching the lesion for 120 seconds with 15% hydrochloric acid gel. Incomplete removal of the layer would otherwise hamper penetration. The lesion is then desiccated with ethanol and air blown. The infiltrant—a proprietary resin—is applied, penetrating into the porous lesion via the capillary forces.
Manufacturers Instructions
Due to the low viscosity of the Icon-Infiltrant, no adjustments to the surfaces of the restoration are needed. It is recommended to polish surfaces with polishing strip.
ȜȜ “I was skeptical but felt it worked ȜȜ ȜȜ ȜȜ
great. I used it on smooth surface.” “Great product for post ortho. White Spot Lesions.” “Would like both types of tips in each box.” “Should have determined the tightness of the contact point at time of discovery not at the time of preparation—recommend an ortho separator a day prior to enhance access.”
Assistant Comments
ȜȜ “Really didn’t think this would work, boy was I wrong.”
ȜȜ “After the doctor applied the IconȜȜ
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Dry we got a preview of the final result before we used the Infiltrate.” “I started an Icon tub and I save all unused tips and materials.” “Now we can do an Inter- proximal and smooth surface at the same time instead of opening a new box.” “Patient’s said it smelled like fingernail polish.”
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all those ‘we’ll just watch it lesions’— watch it do what?” “Finally a procedure that can prevent an incipient ‘watch’ lesion from becoming a ‘restorative procedure.’ ” “Needs to be radiopaque for radiographs.”
The manufacturer’s instructions were accurate and understandable. None of the Evaluators had a problem with following the instructions.
Dispensing/Mixing Tips Most of the evaluators felt the Icon-Smooth Surface syringe tips were easy to use.
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ȜȜ “At last, a technique we can offer for
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However, the Icon- Proximal syringe tips were more challenging. Also many, at first, felt the use of the syringes themselves to be awkward. In dentistry we are used to a push and pull application, not a twist and turn, so it has a small learning curve. DMG designed the syringes and tips in this manner to ensure the materials are applied gently and slowly on to the tooth surface.
Finishing/Polishing
CPS Review The CPS review team felt Icon by DMG America was an impressive product that is a first choice for incipient interproximal car-
Product Watch benchmark
Step by Step ies and white spot lesions. Many of the Evaluation team were skeptical about Icon and did not think it would work. Almost all were pleasantly surprised at both the outcome and simplicity of usage. Most used and preferred the smooth surface application due to its ease of access and application. Some evaluators said they etched more than once to get even better results on White Spot Lesions. Case selection is everything for Icons success. Icon works most effectively on incipient interproximal and non cavitated white spot lesions .It is not for cavitated lesions because the infiltrate is a low viscosity unfilled resin, making it a poor choice for a cavitated lesion but an excellent choice for incipient lesions. Though not all lesions disappeared 100%, all lesions were more than 50% improved. CPS Team gives ICON by DMG a 5 Diamond rating. To read other product reviews please go to www.cpsmagazine. com
1. Clean tooth and apply a rubber dam for moisture control. Separate teeth for proximal surface.
2. Apply Icon-Etch and let set for 2 minutes. Repeat as needed.
3. Rinse off Icon-Etch with water for 30 seconds and air dry.
4. Apply Icon-Dry and let set for 30 seconds; then air dry.
5. Apply Icon-Infiltrant and let set for 3 minutes.
6. Light cure for 40 seconds.
7. Apply second Icon-Infiltrant and let set for 1 minute.
8. Light cure for 40 seconds.
9. Polish with polishing/finishing disc and finishing strips.
10. Full face patient photo.
11. Pre-op smile.
12. Post-op smile.
January 2011
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