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  • December 18, 2003 at 1:46 am #3157 Reply

    Anonymous
    Guest

    Anyone else tried Gradia?

    Below is 1st use. Did distal 1st and learned a little about how translucent some of the shades are, tried adding some color over and could have got a better blend (not thrilled w/ the translucent halo). Did mesial next and was pleased with how the composite picked up the tooth color. Been using Gradia for about a week now and very pleased with the composite’s ability to blend into the tooth as well as how it polishes. Several times we thought there was no way we were going to match a tooth’s color and it seems like if you get reasonably close w/ this stuff it just picks up or adapts the tooth’s color.

    You might want to give this stuff a try.

    Preop
    toothpre.jpg toothprep.jpg
    er,cr:YSGG 2.50W 50/20 6mm

    posttooth.jpg

    The neat thing was this patient had first come in stating he was ‘usually pretty jumpy even when numbed up’ . He did the whole procedure w/o anesthesia and later told me he went back to work to show everyone he had got rid of his ‘black tooth’ and brag that he didn’t even have to get a shot.

    Is laser dentistry cool,or what?

    December 18, 2003 at 1:52 am #9002 Reply

    Robert Gregg DDS
    Spectator

    Nice Ron,

    Never heard of that material before??

    Who makes it?

    Bob

    December 18, 2003 at 2:21 am #8990 Reply

    Anonymous
    Guest

    G C America (link), Same people as Fuji IX

    December 18, 2003 at 2:48 am #8991 Reply

    dkimmel
    Spectator

    Ron great case. Gradia is great stuff. I really like the ablity to layer and the trans shade are the best. It handles great as well. The more I use it the better I like it.
    David

    December 18, 2003 at 4:13 am #8999 Reply

    Glenn van As
    Spectator

    Beautiful and I mean beautiful case.

    Really well handled and laser dentistry is great isnt it.

    Really nice shades and yes Gradia is nice and may reduce the amount of shades that you need in the office.

    Well done.

    Glenn

    December 18, 2003 at 7:25 am #8992 Reply

    drnewitt
    Spectator

    Nice looking case Ron.

    On a side note. for those of you using EsthetX. I have just heard there have been some bug fixes. Apparently, the material is less sensitive to curing under op lights, more consistent in its dispensing (some bits were flakey coming out of the compules), and the shade guide has been updated. Looking forward to trying it out. It would be nice to have to deal with less shades and better blending as you noted with the Gradia Ron.

    By the way. what shades did you end up using for each side?

    December 18, 2003 at 7:36 am #8998 Reply

    ASI
    Spectator

    Hi Ron,

    Very nice result. Good work indeed.

    Thanks for the info. GC makes pretty good materials.

    I have been using the 3M ESPE Elipar Freelight 2 LED on a trial basis this week. It handles very well and cures with a greater intensity than the Freelight 1. Would be interested to see how everyone else is doing with curing devices these days? Which LED light and your suggestions and comments will be most welcomed.

    Andrew
    Andrew

    December 18, 2003 at 1:51 pm #8988 Reply

    Anonymous
    Guest
    QUOTE
    Quote: from drnewitt on 2:25 am on Dec. 18, 2003

    By the way. what shades did you end up using for each side?

    We used A2 and CT for both sides.  Our kit actually has about 25 shades if you include all the opaques and translucents. I’ve found that I generally just use 2- a shade and a translucent. If its real deep, I now add a layer to match the dentin (probably what I should have done on the distal above to avoid the halo).

    Andrew, we use the Optilux 500 – been a very reliable light for alot of years. We just added a Demetron LED I , which is cordless and seems pretty good in the couple months we’ve had it.

    December 18, 2003 at 8:02 pm #8994 Reply

    drnewitt
    Spectator

    Hi Andrew

    The Freelight 2 has been improved over the 1 and reporst look good. I have had the Demetron for about a year now and it is also a very good light. While the Demetron is a much larger unit than the Freelight the one advantage I think it has over the Freelight is that the unit does not have to sit on a base charger whenever it is not in use as the battery is part of the unit. Makes it a little easier to move the light around the ops.

    The only issue I have had with the Demetron is when trying to get onto back molars. The light wand is a little short and you have to remove the eye shield to be able to reach these areas and not crunch the patients lips into their teeth. A little longer light wand would be nice. Other than that I have loved the Demetron. So much faster, and we tested all our composits with it.

    December 18, 2003 at 8:04 pm #8995 Reply

    drnewitt
    Spectator

    Of course I just realized as i was sending that last reply that the whole idea of dentistryreviews.com is to discuss these products smile.gif

    December 23, 2003 at 2:57 pm #8996 Reply

    marc andre gagnon
    Spectator

    Hi Andrew
    Before to buy a new lamp,try the Swiss Master Light from EMS.
    This is THE LAMP
    It only need 4 secondes in most of the time to cure all the type of composite with the possibility to use ramp cure
    I work with that lamp since 5 months
    and we had less post op pain than before with that lamp
    You can also use that lamp to do bleaching with contrast am .
    You can use that lamp on all the composite because the range of the light is between 390nm and 510nm.Your elipar lamp is curing only composites only on one wavelenght 465nm.
    If you want more information I can send you more information about that lamp.
    I came back from france to give courses about curing lamp and I can give you all the information about that.

    December 23, 2003 at 6:54 pm #9000 Reply

    Kenneth Luk
    Spectator

    Hi Marc,
    What is the website for this light?
    Ken

    December 23, 2003 at 9:10 pm #8993 Reply

    drnewitt
    Spectator

    Here you go Ken

    http://www.ems-dent.com/en/swiss_master_light.htm

    I was going to add it to dentistryreviews.com for marc and came across the site.

    December 30, 2003 at 10:09 pm #9001 Reply

    Kenneth Luk
    Spectator

    Ron,
    Very nice restorations!

    What shades did you use on the distal as compared to the mesial ?

    Ron and David,
    Gradia have 3 opaque and quite a number of translucent shades. Do you tend to use them if they claim that less shades are required for Gradia?
    Thanks,
    Ken

    (Edited by Kenneth Luk at 5:11 pm on Dec. 30, 2003)

    December 31, 2003 at 1:03 am #8989 Reply

    Anonymous
    Guest

    Ken, same shades mesial and distal, just different amounts of each. So far I’ve used the translucents much more often than any of the opaques.

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