For Better Dentistry

ceram.x one UNIVERSAL

ceram.x one UNIVERSAL starter kit
ceram.x one UNIVERSAL syringe refill (1x3g)

Extremely simple and easy to use, ceram.x® one UNIVERSAL is a light cured, radiopaque restorative material for the restoration of anterior and posterior teeth.  ceram.x one UNIVERSAL covers the full VITA®[1] range with just 7 single translucency shades. With immediate translucency between natural enamel and dentin, ceram.x one UNIVERSAL has a powerful chameleon effect resulting in natural lifelike restorations ideal for everyday use. The simplified shading system of ceram.x one UNIVERSAL saves you time, inventory and guess work.



[1] VITA is a registered trade mark of Vita Zahnfabrik H. Rauter GmbH & Co

What is ceram.x one UNIVERSAL?
  • ceram.x one UNIVERSAL is a universal composite based on nano-ceramic technology: the combination of composite filler technology and advanced nano-technology.
  • The nano technology of ceram.x one UNIVERSAL contains an inorganic structure which is similar to technical ceramics. This results in excellent resistance to crack propagation and exceptionally high fracture toughness similar to that of natural dentin.
  • ceram.x one UNIVERSAL has been designed to match the VITA1 Classic shade range, the global standard in shade selection.
What makes ceram.x one UNIVERSAL different?
  • ceram.x one UNIVERSAL is different from other universal composites as it contains both nano fillers and nano particles which allow the resin content to be reduced from 25% to 12.5%. Reduced resin content means that there is a minimised chance of monomer diffusion. Reduced monomer leakage (monomer diffusion) results in excellent biocompatibility, decreasing the potential of an allergic reaction.
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Adding organically mobilised ceramic nano particles allows a reduction of correctional resin to about 50%.
 
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The reduced content of correctional resin results in minimised release of monomers compared to other compositions. 
 
Features and benefits 
FEATURE
 BENEFIT
SO WHAT?
WHAT DOES THIS MEAN FOR YOU?
Nano-ceramic effect Low monomor release - great biocompatibility Safety Both nano-ceramic fillers and nano-ceramic particles exhibit a silicium-oxide core. Once a composite restoration is placed and exposed to a curing light, the nano-ceramic fillers and particles
connect to the monomers and become a part of theproduct’s resin matrix. Unpolymerized, free monomers have the potential to cause an allergic reaction and should not come into contact with body tissue or the pulp. Although most of the monomers of regular composites are immobilised during the light curing process (as they link to the nano-ceramic fillers and particles), there is always a chance that 'unlinked' or mobile monomers remain as a part of the material. These mobile monomers can potentially leak or diffuse from the restoration, threatening the patient with a potential allergic reaction. 
Both ceram.x one UNIVERSAL and DENTIN & ENAMEL are considered to have excellent biocompatibility properties when compared to conventional composites1. This is because the resin content of ceram.x one UNIVERSAL and DENTIN & ENAMEL has been reduced from 25% to 12.5% (replaced with nano-ceramic fillers and particles) - this equates to a reduced risk of monomer leakage.
 
Fluorescence Visible under black light Aesthetics Fluorescence is a key feature of natural tooth substance. A composite restoration that does not exhibit fluorescence lacks the appearance of natural teeth. Both ceram.x one UNIVERSAL and DENTIN & ENAMEL contains fluorescent pigments that ensures a natural glow of the restoration under black light.
 
Long working time Relaxed restoration placement Convenience  Building a natural tooth anatomy with a composite restorative material can require a lot of time and effort, especially if a realistic and detailed restoration is desired. It is therefore important that a composite material offers a stable and consistent handling throughout the required time to achieve the desired outcome. Both ceram.x one UNIVERSAL and DENTIN & ENAMEL offers a long working time. ceram.x one UNIVERSAL & DENTIN shades can be manipulated for up to 120 seconds and ceram.x one ENAMEL shades can be used for up to 180 seconds before the material starts to set. This allows for a relaxed restoration placement, even in clinically and aesthetically demanding situations where the maximum amount of time is required to achieve the desired outcome. 
 
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Clinically proven Great clinical longevity Confidence and Safety ceram.x one restorations have proven clinical longevity. This was demonstrated in two clinical trials which took place at the University of Bologna, Italy, and the University of Umeå, Sweden. In both trials, the ceram.x one restorations were followed-up over a period of 8 years. According to the results of the trials, less than 2 ceram.x one restorations out of 100 placed will fail per year2,3. This equates to an annual failure rate of less than 2%.
 
For more detailed information on the clinical trials, please have a look at the Scientific Compendium of ceram.x one.
 
Single translucency system 7 single translucency shades cover the full VITArange Reduced inventory The ceram.x one UNIVERSAL composite is available in a single medium translucency which is intended to be used to complete the full restoration. It accommodates simple aesthetic demands allowing for natural, everyday results. The unique feature of ceram.x one UNIVERSAL is that it covers the full VITA®4 classic shade range in just 7 shades (a1, a2, a3, a3.5, a4, c1 and c2). This means that the dental office can hold a reduced inventory of composites, safe in the knowledge that all VITA4 shades can be matched, resulting in life-like everyday restorations. Shades can be selected via the ceram.x one UNIVERSAL shade guide which is made from genuine ceram.x one UNIVERSAL composite. Alternatively, if shade selection via the VITA4 system is preferred, the ceram.x one iShade label provides the correct ceram.x one shade from the desired VITA4 shade."

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1 Data on file
2 Van Dijken JW, Pallesen U. Eight-year randomized clinical evaluation of Class II nanohybrid resin composite restorations bonded with a one-step self-etch or a two-step etch-and-rinse adhesive. Clinical Oral Investigations 2014 Oct 31
3 Dondi dall’Orologio G, Lorenzi R. Clinical 8-year follow-up study on ceram.x one in class V restorations. Submitted for publication.
4 VITA® is a registered trademark of Vita Zahnfabrik H. Rauter GmbH & Co
 

Package Content

Part Number 

ceram.x one UNIVERSAL Syringe Starter Kit: 1x a1 3g, 1x a2 3g, 1x c1 3g, 1x c2 3g, 1x a3 3g, 1x a4 3g, 1x a3.5 3g, 1x 3.5 ml  prime&bond one ETCH & RINSE, 1 x 3ml DeTrey® Conditioner 36, 25 x Applicator Needles , 50 x Applicator Tips, 1x CliXdishTM  1x Shade Guide, 1x Illustrated Technique Guide, 1x iShade Label, 1x Instructions For Use  

60701590

ceram.x one UNIVERSAL Syringe a1 3g 

60701531

ceram.x one UNIVERSAL Syringe a2 3g 

60701532

ceram.x one UNIVERSAL Syringe c1 3g 

60701533

ceram.x one UNIVERSAL Syringe c2 3g 

60701534

ceram.x one UNIVERSAL Syringe a3 3g 

60701535

ceram.x one UNIVERSAL Syringe a4 3g 

60701536

ceram.x one UNIVERSAL Syringe a3.5 3g 

60701537

1.

Question:

What is ceram.x® one?

 

Answer:

ceram.x one is a universal composite based on a nano-ceramic technology: the combination of nano-technology and organic-modified ceramic.

2.

Question:

What is nano-ceramic technology?

 

Answer:

The inorganic structure which is similar to technical ceramics provides excellent resistance to crack propagation, resulting in exceptionally high fracture toughness as natural dentin.

3.

Question:

What is different in ceram.x one compared to other composites due to nano-ceramic technology?

 

Answer:

Different from other composites, ceram.x one contains organic and inorganic structures in the matrix, which reduces the resin content to 12.5% (instead of 25%). Together with the nano-particles, ceram.x one reduces monomer leakage significantly, resulting in excellent biocompatibility.

4.

Question:

What is the indication of ceram.x one UNIVERSAL and ceram.x one DENTIN & ENAMEL?

 

Answer:

Both versions can be used for all cavity classes. Depending on the preferred technique and aesthetic demand of the patient, the dentist can choose between the single (UNIVERSAL) or dual (DENTIN & ENAMEL) translucency system.

5.

Question:

What is the difference between ceram.x one UNIVERSAL and ceram.x one DENTIN & ENAMEL?

 

Answer:

ceram.x one UNIVERSAL offers 7 shades of a medium translucency (40-50%), which is comparable to conventional composites. It is often used for restorations of class I/II or for patients with an average aesthetic demand.

ceram.x one DENTIN & ENAMEL also provides 7 shades. 4 dentin shades with an opacity of >50% and 3 enamel shades with an opacity of about 20%. These shades have a translucency similar to natural dentin or enamel. ceram.x one DENTIN & ENAMEL is applied in a layering technique which mimics the anatomy of natural teeth.  

6.

Question:

What is special about ceram.x one UNIVERSAL and ceram.x one DENTIN & ENAMEL?

 

Answer:

Both versions are available with a simplified shading concept of only 7 shades covering the whole VITA® 1 shade range.

7.

Question:

How is the shade of a restoration determined?

 

Answer:

  1. The shade guide is made from original ceram.x one allowing dentists to see the true colour of cured composite (no plastic shade guide).
  2. The iShade label shows the ideal recipe of ceram.x one UNIVERSAL and ceram.x one DENTIN & ENAMEL. This recipe is confirmed by leading dental shade experts. 

8.

Question:

Is ceram.x one VITA based?

 

Answer:

The 7 shades of ceram.x one UNIVERSAL reference the VITA1 system and cover the full VITA1 range. The ishade label shows which VITA1 shade is covered by the corresponding ceram.x one UNIVERSAL shade or shade combination of ceram.x one DENTIN & ENAMEL.

9.

Question:

How can the dentist determine the thickness of enamel and dentin shades?

 

Answer:

The ceram.x one system is different from others that offer more than two translucencies as it mimics the natural tooth structure. DENTSPLY recommends that a slightly thinner enamel layer (than the natural tooth) is applied to avoid a restoration that has an appearance that is too greyish (the dark background of the mouth shines through an enamel layer that is too thick).  

10.

Question:

Which bonding agent is recommended for use with ceram.x one?

 

Answer:

ceram.x one is fully compatible with self-etch (e.g. prime&bond one SELECT) as well as with etch&rinse systems (e.g. prime&bond one ETCH & RINSE). 

11.

Question:

What kind of finishing & polishing instruments and flowable is recommended with ceram.x one?

 

Answer:

Enhance®  is proven to provide the best polishing results with ceram.x one. ceram.x one is also compatible with SDR® (available in Compula® Tips or Syringes).

12.

Question:

Why is ceram.x one packed in an aluminium layered pouch?

 

Answer:

ceram.x one should be stored at room temperature and a humidity of 50%. To ensure ideal paste consistency for the global market, ceram.x one is packed in a moisture protected pack for transportation and storage in the warehouse. We also recommend storing it in the pouch. After opening of the pouch, the material can last up to 3 months.

13.

Question:

What is the curing time of ceram.x one with LED lights?

 

Answer:

The curing time recommended by the manufacturer should always be followed:

UNIVERSAL shades
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DENTIN & ENAMEL shades

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14.

Question:

What is the content of the syringes?

 

Answer:

Syringes contain 3g of material.

15.

Question:

What is the working time of ceram.x one? 

 

Answer:

DENTSPLY is utilising a new photo inhibitor system that provides a prolonged working time of 180 seconds for ceram.x one ENAMEL shades. The ceram.x one UNIVERSAL and DENTIN shades have a working time of 120 seconds. 

16.

Question:

What is the recommended storage temperature for ceram.x one?

 

Answer:

The recommended storage temperature is 6-28°C.

17.

Question:

What is the shelf life of ceram.x one?

 

Answer:

2 years.

18.

Question:

How many shades does ceram.x one provide?

 

Answer:

ceram.x one UNIVERSAL: 7 shades (a1, a2, c1, c2, a3, a3.5, a4)
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ceram.x one DENTIN & ENAMEL: 7 shades (4 dentin shades: d1-d4) and 3 enamel shades: e1-e3)
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19.

Question:

How can ceram.x one UNIVERSAL cover the whole VITA1 range with 7 shades only?

 

Answer:

Many shades of the VITA1 classic shading system are quite similar and can be reduced into 7 shade groups by clustering similar shades together. Each one of the ceram.x one UNIVERSAL shades can replace all of the shades of each corresponding VITA1 shade group.
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20.

Question:

Is there a recipe available to “translate” VITA1 shades into ceram.x one shades?

 

Answer:

The iShade label (added to all Starter Kits as a sticky label intended to be stuck on the back of the VITA1 shade guide) shows which VITA1 shade is covered by the corresponding ceram.x one UNIVERSAL shade. 

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21.

Question:

How can ceram.x one DENTIN & ENAMEL cover the full VITA1 range with just 7 shades? 

 

 

ceram.x one DENTIN & ENAMEL offers a restoration procedure based on the natural configuration of dentin and enamel (morphological or anatomical layering concept). The ceram.x one DENTIN & ENAMEL shades closely imitate the translucencies and chromas of natural dentin and enamel.

The ceram.x one DENTIN & ENAMEL system comprises of only 4 dentin shades  (d1-d4) and 3 enamel shades (e1-e3). The provided shades cover the whole VITA1 shade range. The enamel shades are much more translucent than dentin shades, just like natural enamel.

VITA1 shades can be achieved by the combination of ceram.x one DENTIN & ENAMEL shades. The iShade label indicates the recommended combinations.

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 22.

 Question:

 How is the shade of a restoration determined?

 

 

There are 2 options :

  • Usage of the ceram.x one shade guide (which is made from original ceram.x one material): The shade guide allows dentists to see the true colour of originally cured ceram.x one.

  • Usage of the VITA1 shade guide: 

The VITA1 shade guide should be used as usual. The iShade label can be placed on the rear side of the VITAshade guide to provide the corresponding ceram.x one shade. 

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 23.

 Question:

 Are there other tools that support shade determination?

 

 Answer:

Yes. The following packaging components support the correct shade selection:

  • The syringes show the corresponding VITA1 shade:

(The labelling of the syringes is done by laser ensuring legibility even after multiple wipe disinfection)

  • Outer packaging: The boxes of the starter kits and refills have the iShade recipe included in the layout.

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 24.

 Question

What is the advantage of a simplified shading concept?

 

 

As 2 VITA1 shades (on average) are covered with 1 ceram.x one shade, it is easier and faster to find the best shade for each situation. 

 25.

 Question

When choosing an enamel shade, what factors have been taken into consideration?

 

 

There are 2 important facts to notice:

1.    Age of the patient: e1 is the ENAMEL shade with the lowest chroma and translucency. It is the ideal shade for younger patients, because young enamel is less chromatic and translucent than old enamel. After decades of use and incorporation of pigments, however, natural enamel will become abraded and discoloured and thus more translucent and chromatic, ENAMEL shade e3 will therefore normally be ideal for older patients.

 

2.    Layer thickness: as a rule, enamel shades should be used only in thin layers, because otherwise the whole restoration will appear too greyish. The thickness of the layer of the enamel shade should not exceed the natural enamel of the tooth.

VITA is a registered trade mark of Vita Zahnfabrik H. Rauter GmbH & Co