8 exhibitors Hinman Dental Meeting — March 24, 2018 REVEAL HD Bulk: When you need speed but don’t want to sacrifice strength or esthetics By Dr. Joseph Kim n When it comes to composite res- torations, dentists are often asked to sacrifice speed for quality or quality for speed. This has been especially true when it comes to bulk fill com- posites, which brought the promise of larger increment sizes but required specialized equipment or were other- wise difficult to handle. Now, clinicians can have a com- posite that easily adapts to the tooth and can be used in a true bulk fill technique. REVEAL® HD Bulk is BISCO’s new bulk fill light-activated restorative composite, optimized for simpler and faster posterior restora- tions. REVEAL HD Bulk combines appropriate handling, depth of cure and polishability, allowing clinicians to provide patients with functional and esthetic composites while saving valuable chair time. REVEAL HD Bulk allows for layer- ing increments up to 5 mm because of its predictable depth of cure. This fea- ture is accompanied by low volumet- ric shrinkage, high flexural strength and excellent radiopacity, resulting in long-lasting, durable restorations. While REVEAL HD Bulk is indicated for all direct and indirect restora- tions, clinicians will appreciate the significant time savings that bulk fill- ing provides, especially in posterior teeth. Like other restorative composites, it is important to maintain adequate isolation to prevent contamination of the tooth from saliva and blood. When indicated, use of a sectional matrix system with significant separating force will ensure excellent adapta- tion to the proximal margins, as well as minimize interproximal food impaction. After excellent isolation has been achieved, a universal bonding agent, such as ALL BOND UNIVERSAL,® is applied to all prepared surfaces according to manufacturer instruc- tions. When possible, it is ideal to selectively etch the enamel surfaces where the composite in intended prior to application of the bonding agent, resulting in minimal long-term mar- 5 (Photo/Provided by BISCO ginal leakage and dentinal sensitivity issues. Depending on operator prefer- ence, a flowable composite resin may be used in the deepest and least accessible areas of the preparation, including undercuts and the cavosur- face margins of proximal boxes. The appropriate shade of REVEAL HD Bulk can be placed in a single incre- ment for most Class 1, 2 and 3 restora- tions. For preparations that include areas that are deeper than 5 mm, it is advisable to build the restoration in appropriately sized increments. Keep in mind that because of its unique chemistry, care should be taken to avoid unnecessary exposure to light, including from ambient and overhead sources, in order to avoid Here in Atlanta Stop by the BISCO booth, No. 1337, to learn more or visit reveal.bisco.com or call (800) 247-3368. premature hardening of the material. Finally, the restoration can be fin- ished with fine diamonds and finish- ing carbides, followed by finishing points. It is worth noting that since REVEAL HD Bulk’s viscosity has been tuned for bulk fill applications, it is preferable to limit occlusal carv- ing and shaping to primary anatomy prior to curing. After curing, greater detail may be added with finishing burs, as needed. Alternatively, when darker or restorative opaceous composite shades are required, REVEAL HD Bulk can by placed and cured short of the occlusal cavosurface margins. The final layer can be a traditional restorative composite in an ideal shade and opacity. Because REVEAL HD Bulk is universally compatible, it will serve as an excellent base under all light-activated restorative composites. REVEAL HD Bulk has been specifi- cally designed to address the needs of clinicians who require the speed of a bulk fill restorative composite with- out sacrificing strength and ignoring esthetics. It is currently available in the most commonly used shades, from A3 to B1, in both syringe and unit dose form.