Zirconia

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• Zirconia Alumina Metal Primer

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BISCOs Z-PRIME Plus is a single-component
priming agent used to create adhesion between
indirect restorative materials and all resin
containing cements.
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Z-PRIME Plus - A proprietary Formula of
concentrated MDP/Carboxylate monomers has been
specifically formulated to address the current
weakness in competitors primers and create a
compelling reason to replace them immediately!
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Bisco Products v.s. Zirconia/Silane Competitors
Product Applications
Components
Z-PRIME Plus Bisco
BPDM, Phosphate, Ethanol Silane Phosphate,
Silane Ethanol Phosphate, Silane Ethanol
Zirconia, Alumina, Metal Silica-ceramics Zircon
ia, Alumina, Metal, Silica-ceramics Zirconia,
Alumina, Metal, Silica-ceramics
Porcelain Primer Bisco
Monobond Plus Ivoclar Vivadent
Clearfil Ceramic Kuraray
Silane is not stable in the presence of acidic
phosphate monomer.
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Issue of Silane Incorporation into Zirconia
Primers
Silane Primer
Zirconia/Silane Primer
Porcelain Primer Bisco
Monobond Plus Ivoclar Vivadent
Clearfil Ceramic Kuraray
Contain Silane Acidic Phosphate
Contain Silane
pH 5.0 3.1
3.7
Self-Condensation of Hydrolyzed Silane
Silane Methacrylate
De-activation of Silane
Pre-hydrolyzed Silane
To maintain a good shelf-life, pH of one-bottle
silane primer systems should be adjusted to 4-5.
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Z-PRIME PlusIndications For Use

• BISCOs Z-PRIME PLUS is intended for use as a
  surface treatment for the following indirect
  restoration substrates
• Zirconia (e.g. Lava, Cerec, Implant others)
• Alumina (e.g. Procera)
• Metal/alloy (Titanium, PFM, Non-Precious, High
  Noble)
• Composite (Direct Indirect)
• Endodontic Posts (Zirconia, Metal, Fiber)
• Intra-oral repairs

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Primer Effect on Bond Strength of Resin Cements
to Zirconia

Using the new primer had a significant effect on
increasing the bond strength to zirconia of the
tested cements between 86 and 160
 increase. G. MILLAN, M. RAAD, M. ATTAR, and D.
NATHANSON, Primer Effect on Bond Strength of
Resin Cements to Zirconia, J Dent Res 89(Spec
Issue A) Abstr. 1018, 2010

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Strong Bond Strengths to Different Substrates
Cement-Self Cured
Zirconia
23 MPa
4 MPa
Alumina
18 MPa
3 MPa
Titanium
22 MPa
Non-precious
23 MPa
Stainless Steel
24 MPa
Gold
20 MPa
Composite
27 MPa
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Unique Benefits

• Unparalleled bond strengths to Zirconia, Alumina
  and Metal Restorations

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High S/C L/C Bonds
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Biscos new DuoLink SE Kit including Z-PRIME
Plus and Bis-Silane offers a system that
provides Confidence in Indirect Adhesion. The
stability of the chemistry is demonstrated by
not requiring refrigeration
New
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Competitors
Product Applications
Components Shelf-life
2y/room temp. 2y/r.t.(Duolink) 2y/rom
temp. 2y/refrig.(ResiCem) 2y/room
temp. 2y/refrig.(Multilink) 2y/room
temp. 2y/refrig.(Multilink 2y/refrig 2y/refrig.
(Panavia)
Zirconia, Alumina, Metal Zirconia,
Alumina Zirconia, Alumina, Metal Zirconia,
Alumina, Metal, Silica-ceramics Zirconia,
Alumina, Metal, Silica-ceramics
Z-PRIME Plus Bisco Released 2009
BPDM, Phosphate, Ethanol Phosphonate, Acetone Ph
osphonate, t-butyl alcohol Phosphate,
Silane Ethanol Phosphate, Silane Ethanol
AZ Primer Shofu Released 2009
Metal/Zr Primer Ivoclar Vivadent
Monobond Plus Ivoclar Vivadent Released 2009
Clearfil Ceramic Kuraray
Silane is not stable in the present of
acidic phosphate monomer.
Shelf-life of its corresponding cement.
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Unique Benefits

• Compatible with light-cured and dual-cured resin
  luting cements

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Stronger Bonding SBS to Zirconia
Cement-Light Cured
Z-PRIME Plus Duolink Bisco
29 MPa
Clearfil Ceramic Panavia F2.0 Kuraray
8 MPa
AZ Primer ResiCem Shofu
21 MPa
Metal/Zr Primer Multilink Automix Ivoclar Vivadent
16 MPa
Monobond Plus Multilink Automix Ivoclar Vivadent
26 MPa
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Stronger Bonding SBS to Zirconia
Cement-Self Cured
Z-PRIME Plus Duolink Bisco
23 MPa
Clearfil Ceramic Panavia F2.0 Kuraray
9 MPa
AZ Primer ResiCem Shofu
13 MPa
Metal/Zr Primer Multilink Automix Ivoclar Vivadent
8 MPa
Monobond Plus Multilink Automix Ivaclar Vivadent
11 MPa
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Durable Bonding SBS to Zirconia After Aging
Aged 3 days in boiling water, equiv. to 6 years
at 37 C. Cement-Light Cured.
Z-PRIME Plus Duolink Bisco
29 MPa (Day 1) 28 MPa (6 years)
Clearfil Ceramic Panavia F2.0 Kuraray
8 MPa (Day 1) 3 MPa (6 years)
AZ Primer ResiCem Shofu
21 MPa (Day 1) 18 MPa (6 years)
Monobond Plus Multilink Automix Ivoclar Vivadent
26 MPa (Day 1) 16 MPa (6 years)
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Durable Bonding SBS to Zirconia After Aging
Aged 3 days in boiling water, equiv. to 6 years
at 37 C. Cement-Self Cured.
Z-PRIME Plus Duolink Bisco
23 MPa (Day 1) 16 MPa (6 years)
Clearfil Ceramic Panavia F2.0 Kuraray
9 MPa (Day 1) 2 MPa (6 years)
AZ Primer ResiCem Shofu
13 MPa (Day 1) 6 MPa (6 years)
Monobond Plus Multilink Automix Ivoclar Vivadent
11 MPa (Day 1) 7 MPa (6 years)
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Comparison of Zirconia Restoration Luting
Options SBS to Zirconia
Cement-Self Cured
Resin Modified Glass Ionomer Cements
RelyX Luting (3M ESPE) FujiCEM (GC) SmartCem2
(Dentsply) BisCem (Bisco) UniCem (3M
ESPE) Z-Prime Plus w/ Duolink
(Bisco) Duolink (Bisco)
4 MPa
8 MPa
Self-Adhesive Resin Cements
11 MPa
12 MPa
6 MPa
Primer w/ Resin Cement
23 MPa
Traditional Resin Cement without Primer (Control)
4 MPa
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Average Shear Bond Strength of Zirconia Primers
with their Corresponding Self-cure Resin Cements
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Contains Phosphate Monomer (MDP), BPDM,
ethanol Strong Bond between Resin-cements/composi
tes and Zirconia Alumina Metals Titanium,
Stainless steel, Rexilium, Option,
Gold Composites Instruction for Use Apply 1-2
coats Dry Proceed with cementation.
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Technique For Placement
Apply 1-2 coats of Z-PRIME Plus, uniformly
wetting the internal surface. Dry with an air
syringe for 3-5 seconds.
Proceed with cementation using a luting cement
(e.g. DUO-LINK).
Clean the internal surface of the restoration
rinse and air dry.
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Cementing Zirconia Crowns
Zr
D
BisCem
For Full/Retentive Zr Crowns use Biscem with
Z-PRIME Plus
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Bonding Zirconia Crowns
Zr
D
Adhesive
DuoLink Cement
Short/Tapered, Non-retentive Zr Crown adhesively
bond with Resin Cement
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Improved marginal adaptation, prevention of
microleakage, increased fracture strength, and
increased retention in situations where
mechanical retention does not exist constitute
the benefits of a stable and durable resin bond
to zirconia. Magne P, et al. New zirconia
primer improves bond strength of resin-based
cements. Dent Mater (2009), doi10.1016/j.denta
l.2009.12.005
New zirconia primer improves bond strength of
resin-based cements.

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New zirconia primer improves bond strength of
resin-based cements.

The groups where the experimental zirconia
primer (ZrP-groups) was used presented the
highest mean bond strength values. The
groups that did not receive the experimental
primer (NP groups) and the group treated with the
MDP-containing primer (CCP-group) presented the
lowest mean bond strength values Magne P,
et al. New zirconia primer improves bond strength
of resin-based cements. Dent Mater (2009),
doi10.1016/j.dental.2009.12.005
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• Confidence in Adhesion
• Proprietary MDP and carboxylic acid monomers
• Significantly enhances bond strengths of other
  resin cements
• Compatible with light-cured and dual-cured resin
  luting cement
• Convenient, single bottle delivery offers ease of
  dispensing
• Fast/Predictable Cementation
• Data on file, BISCO, Inc.