Directions

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" height=32 BGCOLOR="#000000" TEXT="#F7F7FF"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Arial" ><B>PSI DENTAL SUPPLY</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="PSI DENTAL SUPPLY"><U><B>home</B></U></A></div> <div> <A HREF="id28.htm" TARGET="_top" TITLE="Individual Syringe Products"><U>Individual  Syringe Products</U></A>   |   <A HREF="id110.htm" TARGET="_top" TITLE="Standard Bonding Kits"><U>Standard Bonding Kits</U></A>   |   <A HREF="id90.htm" TARGET="_top" TITLE="MiniKits for Cementing"><U>Mini-Kits for Cementing</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Opaquers"><U>Opaquers</U></A>   |   <A HREF="id71.htm" TARGET="_top" TITLE="Plastic Accessories brushes, spatulas, "><U>Plastic Accessories - brushes, spatulas, pads, wells, syringe tips</U></A>   |   <A HREF="id30.htm" TARGET="_top" TITLE="Porcelain Primer"><U>Porcelain Primer</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="One Part Dentin/Enamel Bonding Agent"><U>One Part Dentin/Enamel Bonding Agent</U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="Ceram Etch Repair Kit"><U>Ceram Etch Repair Kit</U></A>   |   <A HREF="id46.htm" TARGET="_top" TITLE="Composite Analysis"><U>Composite Analysis</U></A>   |   <B>Directions </B>   |   <A HREF="id107.htm" TARGET="_top" TITLE="Restoration Selection and Cementation Gu"><U>Restoration Selection and Cementation Guide</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=448 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Directions </I></div> <div> <A HREF="id75.htm" TARGET="_top" TITLE="Directions Page 2"><U>Next Page</U></A></div> <div> <A HREF="id46.htm" TARGET="_top" TITLE="Composite Analysis"><U>Previous Page</U></A></div> <div> <A HREF="products.htm" TARGET="_top" TITLE="Dentist Products "><U>Back to Dentist Products</U></A></div> <div> <B>Directions for use</B></div> <div> <B>Standard Bonding Kits and Mini-Kits</B></div> <div> Adherence Dual-Cure Composite Cement is a visible light cured, dual cured or self cured high strength resin cement compatible with light and dual cure dentin/enamel adhesive systems including Confi-Quick One Part Dentin/Enamel Primer/Adhesive. (Bonding Agent) This resin cement is used to adhesively bond and lute indirect restorations to tooth structure. This composite may not be compatible with some self etching systems, therefore, do not mix systems. Directions, composite analysis, MSDS Sheets and Restoration Selection and Cementation Guide may be found at www.psidental.com .</div> <bR> <div> Caution: U.S. federal law restricts this device to sale by or on the order of a dentist.</div> <div> <B> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="953" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 277 WIDTH="646"><div> <B>Indications:</B></div> <div> <B> </B>I. Adhesive cementation of ceramic, porcelain, composite inlays, onlays, veneers and crowns.</div> <div> 2. Adhesive cementation of all metal crowns, bridges, inlays/onlays including precious, semi-precious and non-precious metals.</div> <div> 3. Adhesive cementation of PFM (porcelain fused to metal) crowns and bridges.</div> <div> 4. Adhesive cementation of prefabricated and cast posts.</div> <div> 5. Adhesive cementation of resin-bonded retainer bridges (Maryland bridges).</div> <bR> <div> <B>Contraindications:</B></div> <div> 1. Mini-Kit should not be used as a base, liner, core buildup or filling material.</div> <div> 2. Resin Cement and  One Part Dentin/Enamel Primer/Adhesive are contraindicated for use with patients who have a history of severe allergic reaction to methacrylate resins.</div> <div> 3. Resin Cement and  One Part Dentin/Enamel Primer/Adhesive are contraindicated for direct application to dental pulp tissue (direct pulp capping).</div> <div> 4. 37% Tooth Etchant is contraindicated for use on soft tissue including oral mucosa, skin, eyes and dental pulp tissue.</div> <bR> </tD> <tD VALIGN=TOP><NOBR><div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="278" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 246 ><NOBR><div> <IMG SRC="3ea31ef0.png" border=0 width="49" height="239" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="196"><bR> <div> The Confi-Quick One Part Dentin/ Enamel Primer/ Adhesive is in the syringe as shown to left. Before placing the flocked syringe tip on the syringe, hold the syringe upright as shown, pull the syringe plunger back  slightly in order to pull any material out of the cap and back into the syringe. The adhesive may be placed directly on the tooth following directions</div> </tD> </tR> </TABLE></div> <bR> </NOBR></tD> </tR> </TABLE></B></div> <div> <B>Warnings:</B></div> <div> •    Resin cements and Bonding Agents contain polymerizable monomers which may cause skin sensitization (allergic contact dermatitis) in susceptible individuals.Wash thoroughly with soap and water after contact, If skin sensitization or other allergic reaction occurs, discontinue use.</div> <div> •    Resin cements and Bonding Agents contain methacrylates which may be irritating to the eyes. In case of contact with the eyes, rinse immediately with plenty of water and seek medical attention. Do not take internally.</div> <div> •     Flammable:  Porcelain Primer (Silane Coupling Agent) and Bonding Agents contain alcohol and/or acetone, keep away from sources of ignition. Do not breathe vapor.</div> <div> •    37% Tooth Etchant contains phosphoric acid which can cause burns of soft tissues. Avoid contact with oral soft tissues, eyes and skin. If accidental contact with the eyes occurs, immediately rinse with plenty of water and seek medical attention. Do not take internally.</div> <bR> <div> <B>Precautions:</B></div> <div> •     Eugenol containing materials should not be used in conjunction with this product because they may interfere with hardening and cause softening of the polymeric components of the material.</div> <div> •    Resin cements and Bonding Agents should be kept out of direct sunlight and stored in a well ventilated place at room temperature not exceeding 25C/77F.</div> <div> •    37% Tooth Etchant, Porcelain Primer and Resin Cement should extrude easily. DO NOT USE EXCESSIVE FORCE. Replace original cap tightiy after each use to avoid evaporation. Discard syringe needle tip after use.</div> <div> •    Esthetic Resin Cements, Porcelain Primer and One Part Dentin/Enamel Primer/Adhesive syringes should be capped immediately after use.</div> <bR> <div> <B>Adverse Reactions:</B></div> <div> Allergic contact dermatitis and other allergic reactions may occur in susceptible individuals.</div> <bR> <div> <B>Adverse Reactions:</B></div> <div> Allergic contact dermatitis and other allergic reactions may occur in susceptible individuals.</div> <bR> <div> <B>Step by Step Instructions:</B></div> <div> The following preparatory steps apply to cementation of all types of indirect restorations:</div> <bR> <div> Following removal of the temporary restoration and any remaining temporary cement, clean enamel and dentin with a rubber cup and pumice or a non fluoride cleaning paste. Wash thoroughly with water spray and lightly air dry.</div> <bR> <div> <B>Shading Requirements</B></div> <bR> <div> If the luting resin will affect shade, select composite to shade tab requirements. The mini-kit will contain a dominant hue and a modifying hue. The dominant hue may be the only shaded composite necessary. If a try in with the dominant hue indicates a need to alter the composite shade, add a small amount of modifying composite until the mixed composite closely matches the cervical 1/3 of the shade tab. Because tooth color, thickness and opacity of the restoration affects the final shade, it may be necessary to further adjust the composite mix lighter or darker accordingly. If catalyst is added, the shade will be slightly lighter. Veneers should not need the catalyst. Do not add catalyst during try-in stage. Catalyst should be added just prior to inserting the restoration. Don't expose composite to direct lighting source during try-in. </div> <bR> <div> <B>Treatment of the Restoration</B></div> <bR> <div> <B> </B>Check the fit and esthetics of the restoration. Use water for retention. Patient should not close on the restoration.  Occlusal adjustment of inlays/onlays is best accomplished after final cementation.</div> <bR> <div> The internal surface of the restoration should be clean and dry prior to cementation. Organic debris accumulated during try-in may be removed by cleaning with alcohol or acetone followed by cleaning in water in an ultrasonic cleaner. If acetone or other strong solvent is used, the restoration will need to be resilanated. The surfaces of porcelain or ceramic restorations may be further cleaned by using (Tooth Etchant) a phosphoric acid etchant followed by   thorough rinsing and drying.</div> <bR> <div> <B>   </B><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B> Metal Restorations</B></FONT></div> <div> Microetching (sandblasting with 50 micron alumina) the internal surfaces of a metal restoration is recommended.Tin plating of high noble or gold metals is not required but will augment retention.</div> <bR> <div> <FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B>Maryland Bridges:</B></FONT><B> </B>The use of 180° wrap of wings, rest seats, parallelism and slots or grooves is necessary for appropriate retention.The metal wings of the Maryland Bridge should be perforated, electrolytically etched, porcelain chemically etched with Ceram Etch or mechanically sandblasted with 50 micron alumina.  Etch should be verified under a microscope. For cementation,  use Dual Cure directions.</div> <bR> <div> <B>    Ceramlc/PorcelainlComposite Restorations</B></div> <div> Microetching (sandblasting) with 50p alumina or hydrofluoric acid chemical etching  (PSI Ceram Etch) of the internal surfaces of a ceramic restoration is recommended. If the restoration has not been silane treated by the laboratory or if the internal silanated surface has been disturbed during try-in, apply PSI Porcelain Primer according to the instructions.</div> <bR> <div> <FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B>Zirconia core or aluminous core restorations</B></FONT><B> </B>should NOT be treated with porcelain primer, unless the core surface has been treated with RF plasma spraying (hexamethyldisiloxane) or Rocatec (3-M) treatment, by tribochemical reaction, which coats the surface of the zirconia with small particles of silicium oxide. These will bind to the silanization agent and establish a chemical bond to the restoration and the adhesive resin cement.</div> <bR> <div> <B>Restoration Silanation (Porcelain Primer)</B></div> <div> <B>   </B>Treat inner surface of restoration as described above. Prior to applying the silane, clean the internal surface of the restoration as described above. Air-dry the internal surface of the restoration.</div> <div> Attach supplied needle tip to end of the Porcelain Primer syringe. Gently apply pressure to syringe plunger. DO NOT USE EXCESSIVE FORCE. Silane agent should express easily, one drop at a time. Directly apply the silane to the etched, clean internal surface of the restoration and allow to air dry. Drying time will be reduced and bond may be enhanced by using hot air to dry.</div> <bR> <div> <B>NOTE:</B></div> <div> Avoid application of the silane to the external surface of the restoration. Contact with the external surface will cause bonding of the cement resin to the external surface, complicating clean-up and necessitating removal of the glazed portion of the external surface of the restoration.</div> <bR> <div> If silanated surface becomes contaminated, clean surface with alcohol or acetone, allow to air dry and repeat application as outlined above.</div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="id75.htm" TARGET="_top" TITLE="Directions Page 2"><U>Next Page</U></A></div> <div> <A HREF="id46.htm" TARGET="_top" TITLE="Composite Analysis"><U>Previous Page</U></A></div> <div> <A HREF="products.htm" TARGET="_top" TITLE="Dentist Products "><U>Back to Dentist Products</U></A></div> </td> </tr></table></body>