Ortho Bite is a light-curing resin composite for occlusal stops and band cementation.
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Description

Ortho Bite is a light-curing, self-adhesive and self-leveling resin composite with a high level of surface hardness indicated for temporary dental disocclusion during orthodontic treatments and cementation of orthodontic bands. The product also includes colorants to facilitate the identification of the product during application and removal.

Presentation

• 1 syringe with 4g of product available in the colors: blue, pink or colorless (UV trace)
• Instructions for Use

Characteristics and Advantages

• Versatility: Due to its balanced viscosity, it allows you to make occlusal stops and cement orthodontic bands with a single product.

• Ready for use: it can be applied directly on the band.

• Self-adhesive formula: no need for prior adhesive application.

• Self-leveling resin: rheology that allows good leveling and facilitates sculpting.

• Highly smooth resin: The nanofilled spherical particles in the formulation associated with self-leveling properties confer a high level of smoothness to the composite, dispensing with finishing/polishing. This means there is a reduction in friction, facilitating slippage during the occlusal function, bringing more comfort to the patient.

• Mechanical resistance: The product is composed of nanofilled spherical particles which result in excellent mechanical properties and a surface with an extremely low level of friction. These properties provide longevity and collaborate with greater comfort to the patient submitted to disocclusion, enabling slips to occur more efficiently.

• Easy application and removal: three versions of the product are available: Blue, Pink and UV Trace. The presence of colorant and UV tracer in the product allows easy removal of cement residues during removal of bands or occlusal stops.

• Light curing: provides control of the working time.

Indications

• Temporary dental disocclusion during orthodontic treatments.
• Cementation of orthodontic bands.

Step by Step

Note

The method for applying the resin to the tooth is described below. However, the Orthodontist is responsible for defining the best strategy to use the resin in accordance with the occlusion problem presented by the patient. The application location, amount of resin to be applied, format of the increments and resin amount of time in the mouth may vary significantly.

For occlusal stops

Passo 1

Select the tooth that will receive the occlusal stop according to the established orthodontic plan.

Passo 2

Carry out suitable prophylaxis of the occlusal region of the selected tooth with a Robson brush and pumice or prophylactic paste. After cleaning, dry the area.

Passo 3

Etch the surface with 37% phosphoric acid (e.g. Condac 37 – FGM) for approximately 30 seconds. After this period, wash the region and dry the surface with suitable isolation from fluids via absolute or relative isolation.

Passo 4

Apply Ortho Bite to the occlusal surface of the tooth in increments of up to 2mm each until the desired disocclusion is reached.

Note: Normally, the height of the increment is the lowest possible to produce disocclusion of around 1mm from the other teeth. Excess resin may lead to excessively strong occlusal contact that could lead to occlusal dysfunctions and pain.

Passo 5

Light cure each increment for 20 seconds with a light curing device with a minimum power of 600 mW/cm2.

Passo 6

When concluding, check the height of the occlusal stop with the aid of articulating paper.

Passo 7

The Ortho Bite composite should be applied as a temporary measure. Its removal should be carried out using multi-fluted drills as soon as its purpose within the orthodontic treatment is completed.

Note 1

if additional increments of resin are required these may be done in accordance with the following procedure:

1. Dry the region and conduct suitable relative isolation.
2. Apply dental adhesive (e.g. Ambar – FGM) to the area to receive additional increments. Apply the first layer actively for 10 seconds on the surface and then apply another layer of adhesive to the same region for 10 seconds. Apply light jets of air for 10 seconds and then light cure for 10 seconds.
3. Apply Ortho Bite as required and light cure for 20 seconds for each new increment. The occlusion should then be checked again.

Nota 2

Ortho Bite composite is self-adhesive on etched enamel, dispensing with the use of adhesive. Not using the adhesive prior to the resin provides sufficient enamel adherence levels for good performance of the material during chewing in most patients. However, in cases where the resin undergoes excessive occlusal stress (e.g. parafunction, overbite, brachyfacial patients etc.) or the tooth has an occlusal surface with very deep and irregular grooves, the use of adhesive is recommended prior to application of the resin since there is increased adherence through the infiltration of the adhesive throughout the area that had been etched. As such, apply the adhesive according to the protocol suggested in the respective Instructions for Use.

For Orthodontic Bands Cementation

Passo 1

Conduct local prophylaxis of the tooth to receive the orthodontic band with the aid of a Robinson brush, pumice and water.

Passo 2

Carry out acid etching on the free surfaces (Vestibular and Lingual/Palatal) of the tooth with 37% phosphoric acid (e.g. Condac 37 – FGM) for 30 seconds. Then, wash with plenty of water and dry the surface.

Passo 3

Isolate the area with effective relative isolation;

Passo 4

Roughen the inside of the orthodontic band with the aid of an abrasive stone for greater retention of the cement.

Passo 5

Apply a small amount of Ortho Bite along the entire internal perimeter of the band and then position it on the tooth, checking if it is settled correctly (note: if necessary use a bite stick).

Passo 6

Remove the excess cement on the occlusal and cervical surfaces with the aid of an exploratory probe or spatula.

Passo 7

Light cure for 40 seconds on the occlusal surface and 40 seconds on the cervical surface (considering a light curing unit with a minimum power of 400mW/cm2).

Note: ask the patient no to eat or drink for a minimum of 30 minutes after cementation of the orthodontic band.

FAQ

Why is Ortho Bite presented in the colors blue, pink and UV Trace?

The colors enable better visualization upon application and removal, preventing unnecessary wear of the tooth structure. The UV Trace version is colorless and can be seen when a UV light source is applied.

How long should the occlusal stopremain in the mouth?

The time that the occlusal stop should remain in the mouth during orthodontic treatment should be assessed case by case. As soon as its function is completed, it should be removed.

Where should Ortho Bite be applied?

Usually the product is applied to the second upper molars, in case of full dentition. However, this may vary according to the case and the poor occlusion presented by the patient. For example, in cases of an open anterior bite, the application is recommended on the second lower molars.

How many teeth should Ortho Bite be applied to?

Normally two teeth. However, the occlusal stop may be distributed on the molars and pre-molars as required.

What is the height of the build-up to be done?

The height should be as low as possible to produce disocclusion of around 1mm from the other teeth in the arch and the molar tubes, avoiding interference. Excessive height in the stop may lead to pain and occlusal discomfort.

How should the resin be removed from the teeth?

The use of multi-fluted drills is recommended, avoiding unnecessary wear of the enamel.

What are the advantages of using Ortho Bite for cementing orthodontic bands?

Ortho Bite is ready to use, unlike other conventional cements intended for this purpose, bringing convenience and saving the professional’s time in addition to other benefits already mentioned: being self-adhesive, having a different coloration from the tooth, which facilitates its removal and being light curing, which provides the professional with suitable working time.

Ortho Bite is indicated for cementation of orthodontic bands. How do I remove the band from the tooth after completing the treatment?

The removal is a little more difficult due to the greater adhesion of this type of cement when compared to glass ionomer. However, it is possible to use the band removal pliers successfully to remove the band from the tooth. The excess cement that may remain on the enamel can be removed with multi-fluted drills.

Can Ortho Bite be used without an adhesive system?

Yes, Ortho Bite composite is self-adhesive on the etched enamel, dispensing with the use of adhesive. In cases where the resin undergoes excessive occlusal stress (e.g. parafunction, overbite, brachyfacial patients etc.) or the tooth has an occlusal surface with very deep and irregular grooves, the use of adhesive is recommended prior to application of the resin since there is increased adherence through the infiltration of the adhesive throughout the area that had been etched. As such, apply the adhesive according to the protocol suggested in the respective instruction manual.

Information for the Professional

Precautions and Contraindications

• Use Ortho Bite only as informed in these instructions.
• The product is indicated for professional use only.
• Read the indications and instructions carefully.
• Do not use the product as dental restorative material or purposes other than those listed.
• Do not use the product in those with sensitivity to methacrylate.
• Avoid contact with skin and eyes. Wear gloves when handling the product.

Preservation and Storage

• The packaging of the product should be closed immediately after use.
• Store the product in a clean and dry location in its original packaging.
• Do not expose the product to high temperatures or direct sunlight.
• Store the product at temperatures between 5°C and 27°C – 41° to 80.6°F
• Do not freeze the product.
• The validity period of the product is 3 years from the production date.
• Do not use the product after its expiration date.
• Follow the legislation of your country for disposal of the product.
• Do not reuse empty packaging.
• Keep out of reach of children.
• Protect the product from external contamination.

Side effects

• As a product with a well-known monomer composition and of exclusive use on the enamel (non-invasive), no side effect is expected if the product is used as recommended.