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Dentistry Forest Hills

Doctor Guide to Lumineers

Lumineers provide the least invasive and result-oriented treatment for beautiful smile. It provides the best technique for Tooth Bonding Forest Hills if you have teeth with gaps. Here, our Tooth Bonding Dentist Forest Hills guides you to Lumineers:

The LUMINEERS No-Prep Technique

allows LUMINEERS to be placed over the existing
teeth without the removal of any form of tooth
structure. Therefore, anesthesia and temporaries are
also not required. The majority of patients fit this
technique. It is a proven fact that bonding enamel
to porcelain is a solid, secure bond compared to
bonding dentin and porcelain.

The LUMINEERS Minimal
Contouring Technique

requires slight modification of the enamel but never
touches dentin during LUMINEERS placement.
Only .3 mm-.5 mm enamel is removed, causing no
sensitivity for the patient and therefore no need for
any anesthesia. Minimal contouring is commonly
used when cases involve misalignment. Minimal
contouring requires the use of 4X magnification and
a fluted carbide diamond.

The LUMINEERS Full-Prep Technique

is most commonly required when a thick porcelain
is used. The full prep technique was developed
to compensate for the thick porcelain available to
them at the time. LUMINEERS made of Cerinate
porcelain is a major cosmetic breakthrough. It can
be made thick or thin; most patients, however, prefer
thin LUMINEERS due to the non-invasive technique.
An additional appointment is required for this
process as well as anesthesia and temporaries.
And as noted before, bonding enamel to porcelain
creates a solid, secure bond compared to bonding
dentin and porcelain.

ADJUSTING OCCLUSION

HOW TO LENGTHEN ANTERIORS
WITHOUT INCREASING VERTICAL DIMENSION

TIPS FOR SUCCESS

The LUMINEERS BY CERINATE® program is extremely successful and exciting
because it is every dentist’s and every patient’s dream. You can provide a new
smile without shots, without the painful removal of sensitive tooth structure,
and without the need for even an aspirin being given before, during or after
the placement of a new, gorgeous LUMINEERS smile. Listed below are tips for
successful placement of LUMINEERS or as some dentists like to think of it: “How to prevent remakes!”

TIPS FOR NEW CUSTOMERS:

  • Pre-Training: Make sure that you have attended a LUMINEERS course, especially
    within the past 12 months. It may look or seem simple, until you encounter an
    opportunity you haven’t had experience with before. A course on the placement
    of LUMINEERS will help you avoid any initial start-up pitfalls. You will also learn
    about the most current products and techniques, as these are in a continuous
    state of improvement.
  • Be Selective: Selecting a case of 6-8 units on well-aligned maxillary teeth is your
    best bet. Avoid extreme cases (severely stained, overly crooked, large diastemas,
    gingival recession or missing teeth) until you’re more experienced in the
    placement technique.

TIPS PRIOR TO SENDING IN A CASE:

  • Staff Training: Your staff are critical to the successful placement of LUMINEERS.
    One of your best investments is the training of your assistant in this procedure.
    Proper preparation of the LUMINEERS, the right sequence of use of the materials,
    the prevention of pre-polymerization and the correct mix of the luting agent are
    all critical parts of your success.
  • Shade: It is always easier to make a lighter shade darker; but almost impossible
    to make a darker shade lighter.
  • Single Units: If at all possible, also avoid doing a single LUMINEERS. These are
    difficult to color-match and maintain. Natural dentition adjacent to the LUMINEERS
    normally will darken over time. If the patient bleaches, then their natural teeth
    may end up lighter than the LUMINEERS. It may save the patient an expense
    early on, but it will cause dissatisfaction for the patient in the future. If the teeth
    are harmonious in form, the single laminated tooth without reduction will always be
    too prominent. Whenever possible, encourage the patient to place multiples of 2
    and 4, at a minimum, rather than doing one anterior tooth without any reduction.
  • Good Impressions: Do you remember how tough your professors were on you in
    dental school to take good, sharp impressions? It is extremely important that you
    take a sharp impression because this is what guarantees a great, successful case,
    start-to-finish. Always allow trays to remain in the mouth for the full amount of
    time, according to manufacturers directions.

NOTE: It is best to pour a model from the impression to make sure the
gingival margins are sharp. This will save the time from having to remake
impressions.

  • Materials: To achieve the highest esthetic value, proper fit, and shade matching,
    the entire LUMINEERS System is required. The system includes Ultra-Bond® Plus
    Try-In Paste, Shade Modification Kit, Ultra-Bond Plus and Tenure.® Attending a
    Cerinate procedures presentation is highly recommended to ensure proper use of
    the System.

Basic Step-By-Step

BONDING LUMINEERS TO ENAMEL OR A DENTIN SURFACE

  1. USE 4-POWER MAGNIFICATION
    4-power magnification is essential. Get yourself a good
    magnification system whether from Den-Mat or someone
    else. Your own prescription may be placed in the eyeglass
    lenses. You will be better able to do excellent work and
    prevent problems coming back to you because you will
    have taken care of them beforehand.
  2. PREPARATION OF LUMINEERS
    • After the patient is seated, treat the LUMINEERS with
      Porcelain Conditioner for 30 seconds, rinse and dry well.
    • Apply Cerinate Prime® to the LUMINEERS for 30 seconds
      and blow thin.
    • Place LUMINEERS back into the case box in their proper
      slots.
  3. TRY-IN OF LUMINEERS
    • It is always best to try in LUMINEERS with the Ultra-Bond
      Plus Try-In Paste (Kit No. 031343550) to get a more
      natural, translucent appearance. Try-In Paste is a must for
      patient satisfaction and acceptance.

      TIP: Using “Neutral” on a thin LUMINEERS will allow
      almost all of the color of the underlying tooth to come
      through. Use this shade only when the current tooth
      shade is desired. If you try veneers in with water or any
      other medium other than the Try-In Paste, the patient
      will not see what the LUMINEERS are really going to look
      like on the tooth.

  4. SURFACE PREPARATION

    • Clean the teeth with a slurry of Porcelain Laminate
      Polishing Paste and water.
    • Etch teeth for 20 seconds with Etch ‘N’ Seal,® rinse
      and dry.
    • Mix together equal amounts of Tenure® A and B.
    • Apply 5 coats of the A-B mixture to each tooth, then
      dry the tooth surfaces. They should appear glossy.
      If the surfaces are not glossy, reapply Tenure A and B
      until you get a nice glossy coating.
    • Syringe Paint-On Dental Dam on lingual side of the
      interproximals covering the gums and teeth
      thoroughly (this aids in clean-up).
  5. BONDING LUMINEERS
    • Select the appropriate shade of Ultra-Bond®
      (Kit No. 032599550). NOTE: If patient has dark
      stains, such as tetracycline stains, we recommend the
      Cerinate® Shade Modification Kit (Part No. 033909900).
      If shade modification or basic opaque adjustment is
      necessary, refer to this kits instructions at this point in
      time. If not, proceed to the next step.


      NOTE: After color selection is achieved, internal
      surfaces of LUMINEERS do not need to be retreated.

    • Apply Ultra-Bond to the prepared LUMINEERS and put
      in place. NOTE: Ultra-Bond will self-cure in
      approximately 22 minutes.
    • After placing, remove excess Ultra-Bond with a soft
      brush coated with Tenure® S or with Dab-Eze® sponges.
    • Tack LUMINEERS in place using a Sapphire Plasma
      Arc Curing Light fitted with a Ceri-Taperâ„¢ 2 mm tip
      for 2 seconds.
    • Continue to remove excess cement with a soft brush
      coated with Tenure S.
    • Completely light-cure all LUMINEERS, exposing each
      surface for 5 seconds with a Sapphire Plasma
      Arc
      Curing Light fitted with a 9 mm tip.

  6. FINISHING
  7. We recommend the LUMINEERS Finishing Kit No. 033897100
    which includes all the tools mentioned below.

    • Use Den-Mat’s® Schure 349 instrument to remove the
      cured cement along the margins, as well as from the
      interproximal area along both the facial and the lingual.
      You may also use bur H246LUF012. This bur is an
      excellent tool for cleaning up residual resin cement and
      also great for finishing composites.
    • Use bur 0856016 to remove the porcelain ledge.
    • Trim/polish the margins of the porcelain veneer.
      Use bur 858EF014, an extra-fine diamond, to smooth
      out porcelain.
    • Using the interproximal fine diamond bur No. 8392016,
      known as the “mosquito” diamond, refine the margins
      along the interproximal area.
    • Explore the tooth structure next to the CERINATE
      LUMINEERS to check margins. There should not be
      a catch (or bump).
    • If necessary, further polish the margins using the
      interproximal fine diamond bur again.
    • Check the bite with articulating paper. Use bur 8379018,
      the American football-shaped bur, on the lingual to
      finish the incisal wrap and adjust high spots or length.
    • Place a wooden wedge interproximally.
    • Use the CeriSaw to separate the teeth. Leave the wooden
      wedge in place.
    • Use the CeriSander (fine grit) to smooth the interproximal
      surfaces.
    • Remove the wooden wedge.
    • Use the CeriSander (ultra-fine grit) to further smooth the interproximal
      surfaces. It is important that you use each sanding blade only two or three
      times to open contacts.
    • Check the interproximal surfaces with dental floss for smoothness.
    • Polish the new smile with Porcelain Laminate Polishing Paste.

    BONDING LUMINEERS TO ENAMEL OR A DENTIN SURFACE

    TIPS:

    • Placing LUMINEERSâ„¢ Over Crowns with Metal Margins: It is essential to use
      4-power magnification and a small bur to remove the metal so there’s at least
      1 mm of space between the LUMINEERS and the metal. This will allow for
      application of either TetraPaque® or Virtuoso® Flowable to fill that area and make
      it look natural again.
    • Placing LUMINEERS Over Pre-Existing Restorations: Whenever possible, it is
      best to place LUMINEERS on all units of a pre-existing bridge to get the most
      satisfactory result. It is generally impossible to achieve a correct shade match
      when veneering 1 unit of a multi-unit restoration. Use of the Cerinate® Shade
      Modification Kit is most helpful. It is important to know how to prepare all the
      surfaces in these types of cases. Again, this is where a LUMINEERS Placement
      Course can make the difference in long-lasting, beautiful restorations.

    STEPS:

    1. Sandblast (microetch) to roughen the porcelain surface.
    2. Apply Revitalizeâ„¢ Porcelain Etchant (Kit No. 402060) to the porcelain surface for
      2–3 minutes, then rinse and dry. Avoid soft tissue contact.
      NOTE: Porcelock®/Revitalize Porcelain Etchant is only for porcelain.
    3. Apply Porcelain Conditioner to the porcelain surface for 30 seconds, then rinse
      and dry.
    4. Apply Cerinate Prime® (Kit No. 1399) and gently air dry.
    5. Mix together equal portions of Tenure® A/B and apply 3-5 coats.
    6. Use the Revitalize Modifier and Opaquer (a thin layer) on the metal to mask
      discoloration, if needed.
    7. Apply Revitalize Resin Cement inside LUMINEERSâ„¢
      and place LUMINEERS on the tooth surface.
    8. Light-cure for 1–2 seconds using the Ceri-Taper™ 2 mm or 4 mm tacking tip and
      the Sapphire Plasma Arc Curing Light. Remove excess Revitalize Resin Cement
      from the margins by using a soft brush coated with Tenure S. Using a 9 mm tip
      and the Sapphire PAC Light, completely cure all LUMINEERS, exposing each
      surface for 5 seconds.
    9. Maximum bonding occurs in 24 hours. Final finishing should be performed at
      next visit.
    10. Finishing—Adjust the occlusion and perform a routine finish on the margins.

    MATERIALS

    ALL THE TOOLS YOU NEED FOR LUMINEERSâ„¢ PLACEMENT
    IN ONE CONVENIENT, REUSABLE CONTAINER.

    This kit eliminates a cabinet of four to six different kits for your LUMINEERS
    placement. No more trying to remember everything you need and having it
    ready at chairside. In a convenient, ergonomically designed package, this kit
    takes you through impression, try-in, preparation, placement and finishing.
    Each tray is designed to fit your chairside as well.

    • ULTRA-BOND® PLUS BONDING CEMENT

      Ultra-Bond bonding cement is proven to
      prevent microleakage, cracking/crazing and
      pop-offs. LUMINEERS, bonded with Ultra-Bond
      and Tenure,® create a wear resistant, nonmicroleaking,
      highly esthetic restoration that is
      clinically proven in on-going studies to last
      over 20 years. Available in Syringeable or
      Powder-Liquid formulations.
    • ULTRA-BOND® PLUS TRY-IN PASTE

      LUMINEERS™ made of Cerinate® porcelain, if
      placed on the model, are intended to have a
      loose fit to allow room for the restorative,
      Ultra-Bond® Plus, an ADA Type II resin cement.
      Use to try-in restorations to verify shade.
    • TENURE®

      MULTI-PURPOSE BONDING SYSTEM
      Complete multi-surface bonding system.
    • SHADE MODIFICATION
      SYSTEM BY CERINATE®


      Color tints and opaquers in a variety of
      shades for customization.
    • LUMINEERSâ„¢ IMPRESSIONS

      Super hydrophilic, polyvinylsiloxane
      impression material that gives you the
      precision and speed you need for
      accurate impressions, time after time.
      Patients love the Berry-Berry flavor.
    • CERINATE PRIME® & CONDITIONER

      Bonding agent and etchant to bond
      porcelain to natural tooth structure.
    • GORGEOUS TEMPâ„¢

      Create beautiful provisionals faster and
      easier with this highly-rated, dual-cure
      provisional material.
    • SAPPHIRE PLASMA ARC LIGHT
      WITH CERI-TAPERâ„¢
      TACKING TIPS

      New 2 and 4 mm tips can shorten
      finishing time by 50%.
    • LUMINEERSâ„¢ FINISHING KIT

      Tools that make dentistry faster, easier,
      and better!

      This finishing system is the only one of
      its kind available to the dental profession.
      This is an all-inclusive kit that allows you to
      finish LUMINEERS without the need for shots
      or drilling. These simple tools save you time
      and are more comforting to the patient.
      Be a hero in your community.

    • LUMINEERSâ„¢ MAGNIFICATION SYSTEM

      Provides superior wide field of
      vision, plus–it’s lightweight.

    JOIN THE LUMINEERSâ„¢ PRACTICE SOLUTIONS PROGRAM TODAY!

    All of us at Den-Mat® Corporation wish to support and encourage dentists that
    share our philosophy of non-invasive cosmetic dentistry. That’s why we’ve created
    the LUMINEERS Practice Solutions Program.

    LUMINEERS™ BY CERINATE® IS REMOVING BARRIERS
    FOR CONSUMERS WHO WANT TO IMPROVE THEIR SMILES!

    Consumers are looking for a pain-free, non-invasive alternative to beautify their
    smiles and improve their appearance and overall self-image-without the shots and
    reduction of tooth structure associated with traditional veneers.

    LUMINEERS BY CERINATE has become an immediate consumer sensation with
    thousands of patients asking for a local dentist in their area and even more going
    directly to their dentist and asking for LUMINEERS.

    WHAT IS THE LUMINEERS PRACTICE SOLUTIONS PROGRAM?
    The 1-877-LUMINEERS begin_of_the_skype_highlighting 1-877-LUMINEERS FREE  end_of_the_skype_highlighting Marketing and Practice Development Program is designed
    to train you and your office staff on how to successfully promote and build your
    LUMINEERS practice.

    Join today and position yourself at the forefront of non-invasive cosmetic dentistry
    as a LUMINEERS Practice Solutions Program dentist by creating an office
    experience that is conducive to successfully promoting your services and increasing
    LUMINEERS production—
    call 1-800-445-0345 begin_of_the_skype_highlighting 1-800-445-0345 FREE  end_of_the_skype_highlighting to join.

    MORE THAN JUST A REFERRAL PROGRAM

    EXCLUSIVE MEMBERSHIP BENEFITS

    • National and local advertising
    • Exclusive LUMINEERS Referrals
    • Personal services
      Initial, onsite practice setup
      Monthly consultation call with your dedicated
      LUMINEERS representative.
    • Upscale, proven LUMINEERS marketing collateral
    • Members-only training opportunities
      50% off your workshop fee and 2 staff members free
    • 25% off all LUMINEERS restorative materials
    • Complimentary 4X magnification loupes
    • Complimentary joint advertising CD
    • Access to link with lumineers.com
    • Access to 1-877-LUMINEERS begin_of_the_skype_highlighting 1-877-LUMINEERS FREE  end_of_the_skype_highlighting Marketing Specialists
    • Local public relations package

    PATIENT MARKETING INCREASES YOUR CERINATE® BUSINESS

    To help you maximize this historic breakthrough in cosmetic dentistry, we’re here to
    offer you comprehensive marketing advice and support. Whether it’s in-office, staff
    salesmanship, ads, or direct mail—actively marketing LUMINEERS will bring people
    through your office doors.

    • COUNTER CARDS
    • PATIENT EDUCATION BROCHURES
    • DIRECT MAIL
    • POSTERS
    • APPOINTMENT CARDS
    • POST CARDS

    WARRANTY AND CONTACT INFORMATION

    FIVE YEAR LIMITED WARRANTY

    LUMINEERS™ BY CERINATE® is warranted against defects in workmanship
    and materials for a period of five (5) years from delivery date.

    Ultra-Bond® and Tenure® were specifically formulated to match the
    properties of Cerinate LUMINEERS. The Cerinate Trio System:
    LUMINEERS, Ultra-Bond and Tenure have been proven in an on-going
    study to produce no debondings for over 20 years. We are confident you
    will find success with LUMINEERS for your patients. When you use the
    Cerinate Trio System together, we guarantee your case for up to five years.

    For technical support, call your

    representative at 1-800-445-0345 begin_of_the_skype_highlighting 1-800-445-0345 FREE  end_of_the_skype_highlighting.

    • Cerinate Studios: 1-800-872-8384 begin_of_the_skype_highlighting 1-800-872-8384 FREE  end_of_the_skype_highlighting
    • Case photos can be e-mailed to
      cerinatestudios@denmat.com.
    • Lumismile (digital imaging service)
      lumismile@denmat.com
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