Ivoclean is a universal cleaning paste specifically designed for removing contaminants, particularly proteins, from restoration surfaces after intraoral try-in. It is used for extraoral cleaning of pre-treated ceramic and metal restoration surfaces that have been contaminated during intraoral try-in.
Introduction
In the realm of dentistry, achieving a strong and durable bond between dental restorations and the underlying tooth structure is paramount. This is especially critical when working with materials like zirconia, which can be prone to contamination during the intraoral try-in process. Contamination with saliva, blood, or other organic matter can significantly compromise the bond strength of the restoration, leading to potential complications such as debonding and failure. To address this challenge, Ivoclar Vivadent has developed Ivoclean, a specialized cleaning paste designed to effectively remove contaminants from restoration surfaces, ensuring optimal bonding results.
Ivoclean plays a crucial role in preparing dental restorations for bonding by creating a clean and receptive surface. Its unique formulation and mechanism of action allow it to effectively remove organic contaminants, leaving behind a pristine surface that promotes a strong and lasting bond. The use of Ivoclean is particularly important for zirconia restorations, as it helps to ensure that the bonding agent can adhere properly to the ceramic surface, preventing premature debonding and enhancing the longevity of the restoration.
This comprehensive guide will delve into the intricacies of Ivoclean, providing a detailed understanding of its composition, working principle, and proper application. By following these instructions, dental professionals can effectively utilize Ivoclean to achieve optimal bonding results, ensuring the success and durability of dental restorations.
What is Ivoclean?
Ivoclean, a product of Ivoclar Vivadent, is a universal cleaning paste specifically formulated for the extraoral cleaning of pre-treated ceramic and metal restoration surfaces. Its primary function is to remove contaminants, particularly proteins, from these surfaces after intraoral try-in. The contamination can arise from saliva, blood, or other organic matter that may come into contact with the restoration during the fitting process.
Ivoclean’s effectiveness stems from its unique composition, which consists of an alkaline suspension of zirconium oxide particles. These particles are carefully sized and concentrated to ensure that phosphate contaminants are more likely to bond to them rather than the surface of the ceramic restoration. This mechanism allows Ivoclean to effectively absorb the phosphate contaminants, leaving behind a clean and receptive surface for bonding.
The use of Ivoclean is particularly important for zirconia restorations, as it helps to remove any phosphate residues that may have accumulated during the manufacturing or handling process. These residues can hinder the proper adhesion of bonding agents, compromising the strength and longevity of the restoration. By effectively cleaning the zirconia surface, Ivoclean ensures that the bonding agent can adhere optimally, promoting a strong and durable bond.
Areas of Application
Ivoclean finds its primary application in the realm of dental restorative procedures, specifically in the preparation of pre-treated ceramic and metal restorations for bonding. Its use is recommended for both extraoral and intraoral applications, ensuring optimal bonding results.
One of the key applications of Ivoclean is in the preparation of zirconia restorations. Zirconia, a highly biocompatible and aesthetic ceramic material, is increasingly used in dental restorations due to its strength and durability. However, the surface of zirconia can be susceptible to contamination, particularly from phosphate residues that may accumulate during manufacturing or handling. These residues can hinder the proper adhesion of bonding agents, compromising the bond strength and longevity of the restoration.
Ivoclean effectively removes these phosphate residues, creating a clean and receptive surface for the bonding agent. This ensures that the bonding agent can adhere optimally, resulting in a strong and durable bond between the restoration and the tooth structure. Ivoclean’s application in zirconia restorations is crucial for achieving optimal bonding results and ensuring the long-term success of the restoration.
Beyond zirconia restorations, Ivoclean can also be used for preparing other ceramic and metal restorations, including porcelain, lithium disilicate, and metal alloys. Its ability to remove contaminants and create a clean surface ensures optimal bonding outcomes for a wide range of restorative materials;
Working Principle
Ivoclean’s working principle revolves around the concept of selective adsorption, leveraging the properties of its unique formulation to effectively remove contaminants from restoration surfaces. The cleaning paste consists of an alkaline suspension of zirconium oxide particles, strategically engineered to target and bind phosphate contaminants.
The size and concentration of the zirconium oxide particles within the suspension play a crucial role in Ivoclean’s efficacy. The particles are specifically designed to have a higher affinity for phosphate contaminants than for the surface of the ceramic restoration. This selective affinity allows Ivoclean to effectively absorb the phosphate residues, effectively cleaning the surface without compromising its integrity.
The alkaline nature of the suspension further enhances Ivoclean’s cleaning action. The alkaline pH helps to break down and neutralize any organic contaminants that may be present on the restoration surface, further contributing to a clean and receptive surface for bonding. Ivoclean’s unique formulation, combining the selective adsorption properties of zirconium oxide particles with the cleaning power of an alkaline suspension, ensures a thorough and effective cleaning process.
The result is a surface that is free from contaminants, ready for the application of bonding agents, ensuring optimal adhesion and a durable bond between the restoration and the tooth structure. This principle of selective adsorption, combined with the alkaline cleaning action, makes Ivoclean an effective and reliable tool for preparing restorations for optimal bonding.
Ivoclean’s Mechanism of Action
Ivoclean’s mechanism of action is rooted in the principle of selective adsorption, which hinges on the unique properties of its zirconium oxide particle suspension. When applied to a contaminated restoration surface, the zirconium oxide particles actively seek out and bind to phosphate contaminants, effectively removing them from the surface.
This selective binding occurs due to the size and concentration of the particles, which are specifically engineered to have a higher affinity for phosphate contaminants than for the surface of the restoration. This means that Ivoclean acts like a sponge, absorbing the phosphate residues and leaving behind a clean and receptive surface.
The alkaline nature of the suspension further enhances Ivoclean’s cleaning action. The alkaline pH helps to break down and neutralize any organic contaminants that may be present on the restoration surface, further contributing to a clean and receptive surface for bonding. Ivoclean’s unique formulation ensures a thorough and effective cleaning process, removing both inorganic and organic contaminants from the restoration surface.
The end result is a restoration surface that is free from contaminants, ready for the application of bonding agents. This clean surface ensures optimal adhesion and a durable bond between the restoration and the tooth structure. Ivoclean’s mechanism of action, based on selective adsorption and alkaline cleaning, makes it an effective and reliable tool for preparing restorations for optimal bonding.
How to Use Ivoclean
Using Ivoclean is straightforward and requires a few simple steps to ensure effective cleaning and optimal bonding results. First, ensure the restoration surface is thoroughly rinsed with water to remove any loose debris or contaminants. Next, shake the Ivoclean bottle vigorously to ensure the suspension is well-mixed before applying it to the restoration surface.
Apply a thin layer of Ivoclean to the entire bonding surface of the restoration using a microbrush. Ensure that the entire surface is covered with the paste, allowing the cleaning action to take effect. Leave the Ivoclean in place for 20 seconds, allowing the particles to bind to and remove phosphate contaminants from the surface.
After 20 seconds, thoroughly rinse the restoration surface with water to remove all traces of Ivoclean and any contaminants that may have been loosened. Ensure that the surface is completely free of the cleaning paste. Drying the restoration surface with a clean, dry air source or a soft tissue is recommended to remove any residual moisture.
Following the rinsing and drying steps, the restoration surface is now ready for the application of bonding agents. Ensure that the bonding agent is compatible with the restoration material and follow the manufacturer’s instructions for its use. This thorough cleaning process ensures a clean and receptive surface for bonding, leading to a durable and long-lasting restoration.
Step-by-Step Instructions
Follow these detailed instructions for using Ivoclean to ensure a thorough cleaning process and optimal bonding results⁚
- Prepare the Restoration Surface⁚ Begin by thoroughly rinsing the restoration surface with water to remove any loose debris or contaminants. Ensure that the surface is free from any visible particles or residues.
- Shake the Ivoclean Bottle⁚ Vigorously shake the Ivoclean bottle to ensure that the suspension is well-mixed and ready for application. This step is crucial for consistent cleaning action.
- Apply Ivoclean⁚ Use a microbrush to apply a thin, even layer of Ivoclean to the entire bonding surface of the restoration. Ensure that the entire surface is coated with the cleaning paste.
- Allow Cleaning Action⁚ Leave the Ivoclean in place for 20 seconds, allowing the particles to bind to and remove phosphate contaminants from the surface. This contact time is essential for effective cleaning.
- Rinse Thoroughly⁚ After 20 seconds, rinse the restoration surface thoroughly with water to remove all traces of Ivoclean and any contaminants that may have been loosened. Ensure that the surface is completely free of the cleaning paste.
- Dry the Surface⁚ Dry the restoration surface using a clean, dry air source or a soft tissue to remove any residual moisture. This step ensures a dry and receptive surface for bonding.
Following these steps ensures a clean and prepared surface for bonding, leading to a durable and long-lasting restoration.
Cleaning Procedure
The cleaning procedure with Ivoclean is designed to effectively remove contaminants from the surface of ceramic and metal restorations, ensuring a clean and receptive surface for bonding. Here’s a detailed breakdown of the process⁚
- Initial Rinsing⁚ Begin by thoroughly rinsing the restoration surface with water to remove any loose debris or contaminants. This initial step prepares the surface for the cleaning action of Ivoclean.
- Ivoclean Application⁚ Apply a thin, even layer of Ivoclean to the entire bonding surface of the restoration using a microbrush. Ensure complete coverage of the surface with the cleaning paste.
- Cleaning Action⁚ Allow the Ivoclean to remain on the surface for 20 seconds. During this time, the particles within Ivoclean bind to and remove phosphate contaminants from the surface, leaving a clean and receptive surface for bonding.
- Thorough Rinsing⁚ After 20 seconds, thoroughly rinse the restoration surface with water to remove all traces of Ivoclean and any loosened contaminants. Ensure that the surface is completely free of the cleaning paste.
- Surface Drying⁚ Dry the restoration surface using a clean, dry air source or a soft tissue to remove any residual moisture. This step ensures a dry and receptive surface for bonding.
This cleaning procedure with Ivoclean ensures that the restoration surface is effectively cleaned and prepared for bonding, leading to a durable and long-lasting restoration.
Important Considerations
While Ivoclean is a valuable tool for cleaning restoration surfaces, it’s crucial to consider several key factors to ensure optimal results and minimize potential complications. Here are some important points to keep in mind⁚
- Contamination Prevention⁚ After cleaning with Ivoclean, it is absolutely essential to prevent contamination of the restoration surface with saliva or blood. Any such contamination can compromise the bond strength and potentially lead to restoration failure.
- Etching Procedures⁚ If the restoration has been pre-etched, it’s essential to use Ivoclean alone. Repeating the etching process can lead to the removal of more filler particles, ultimately weakening the restoration. Ivoclean’s cleaning action is sufficient for a pre-etched surface.
- Bonding Agent Compatibility⁚ Ivoclean is designed to work in conjunction with bonding agents like Monobond Plus. Ensure that the bonding agent used is compatible with Ivoclean and follows the manufacturer’s instructions for optimal bonding strength.
- Luting Material Considerations⁚ The choice of luting material can also influence the overall bond strength. Select a luting material that is compatible with the restoration material and the bonding agent used, following the manufacturer’s guidelines for proper application and curing.
By carefully considering these factors and following the recommended procedures, you can effectively utilize Ivoclean to achieve a clean and receptive surface for bonding, leading to durable and aesthetically pleasing restorations.
Precautions
While Ivoclean is generally safe and effective for cleaning dental restorations, certain precautions should be taken to ensure the safety of both the patient and the clinician. Here are some key precautions to keep in mind⁚
- Eye Protection⁚ Ivoclean is an alkaline suspension and can cause irritation to the eyes. Always wear appropriate eye protection, such as safety glasses or goggles, when handling and using Ivoclean.
- Skin Contact⁚ Direct contact with Ivoclean can cause skin irritation in some individuals. Wear gloves to minimize skin contact during application and clean any accidental spills immediately.
- Proper Ventilation⁚ Use Ivoclean in a well-ventilated area to avoid inhaling the vapors, which can cause respiratory irritation.
- Storage⁚ Store Ivoclean in a cool, dry place, away from direct sunlight and heat. Keep it out of reach of children and pets.
- Discontinuation⁚ If you experience any adverse reactions or irritation while using Ivoclean, discontinue use and consult a dental professional.
By adhering to these precautions, you can minimize the risk of complications and ensure a safe and successful cleaning procedure with Ivoclean.
Ivoclean and Zirconia
Zirconia, a highly durable ceramic material, is widely used in dental restorations due to its strength and biocompatibility. However, zirconia surfaces can be prone to contamination, particularly with phosphate ions, which can negatively impact the bonding strength of resin cements. Ivoclean plays a crucial role in preparing zirconia restorations for optimal bonding by effectively removing these contaminants.
The unique mechanism of Ivoclean, which involves an alkaline suspension of zirconium oxide particles, allows it to effectively bind to phosphate contaminants, preventing them from interfering with the bonding process. This action ensures a clean and receptive zirconia surface, facilitating a strong and durable bond with the resin cement.
The effectiveness of Ivoclean in enhancing bonding strength to zirconia has been confirmed by research conducted at THE DENTAL ADVISOR Biomaterials Research Center. Their studies demonstrated that using Ivoclean maintained or even improved the bond strength of resin cement to zirconia after surface contamination with saliva.
Therefore, when working with zirconia restorations, incorporating Ivoclean into your cleaning protocol is essential for achieving a robust and long-lasting bond, contributing to the overall success of the restorative procedure.
Ivoclean and Bonding Strength
The success of any dental restoration relies heavily on the strength of the bond between the restoration and the tooth structure. This bond is achieved through the use of resin cements, which require a clean and receptive surface for optimal adhesion. However, contamination of the restoration surface, often with saliva or blood during the intraoral try-in, can significantly compromise the bonding strength, leading to potential complications like restoration failure.
Ivoclean emerges as a critical solution in this scenario, effectively removing these contaminants and restoring the surface to its original condition. Its unique composition, an alkaline suspension of zirconium oxide particles, acts like a sponge, absorbing the phosphate contaminants that hinder proper bonding. This cleaning action creates a pristine surface, allowing the resin cement to adhere optimally, maximizing the bond strength.
Clinical studies have demonstrated the effectiveness of Ivoclean in enhancing bonding strength. Research conducted at THE DENTAL ADVISOR Biomaterials Research Center confirmed that using Ivoclean after contamination with saliva maintained or even improved the bond strength of resin cement to zirconia and lithium disilicate. This evidence underlines the importance of Ivoclean in achieving a durable and reliable bond, ensuring the longevity and success of the restoration.
