Name: BRILLIANT EverGlow: Innovative Approach To Teeth Restoration

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The new era of adhesive methods has been started in restorative dentistry since 1983, when according to the developments of professor Nabashyami the effective adhesive systems were implemented in clinical practice.

This period is rightly called the “composite revolution” by many researches. The widespread implementation of the adhesive technology gave a powerful impetus for the technological improvement of composite materials, which have almost completely replaced Amalgam and cements from the arsenal of practical work of dentists.

Accordingly, the term “filling” was replaced by the term “direct composite restoration”, the technique that was also constantly improved during the evolutionary development of composites. However, the abrupt development of composites, observed from mid-1980s to mid-1990s, slowed down with the advent of fine-hybrid composites.

And almost ten years to the mid-2000s they completely dominated the dental market and in the practice of dentists restorers. Many sources were suggested that from the physicochemical point of view all evolution was obtained from the composites and their further development is impractical and impossible.

The main characteristic feature of these composites was their universal application. In the optical and esthetic terms, most of them were very similar.

Since the mid-2000s with the development of nanotechnology, a new stage in the development of composite materials has been started. This stage is characterized by the appearance of nanofilling hybrid composites, the advent of pre-polymerization forms, etc.

JADA characterizes the current stage as “the second composite revolution”. In the decade of the existence of nanohybrid materials, they were constantly improved: from the original size of the basic particles – 400-500 nm, they declined to 50-100 nm. In 2015, the company Coltène/Whaledent AG (Switzerland) presented the composite BRILLIANT EverGlow (Fig. 1) with the base particle size of 20 nm.

In our opinion, the company is an example of the most methodical approach to solving the issue of training and adapting practitioners to the most efficient color evaluation system and the optical parameters of dental hard tissue in esthetic regard L*a*b*.

The line of composites, proposed by this system, can be described as a smooth, step-by-step transition from classical, accessible and understandable to the majority of dentists VITA system to L*a*b* system of color evaluation of teeth and the relevant building of the restoration. The micro filled hybrid SwissTEC is located at the bottom of the line and can be presented as the VITA system.

This composite can help to “catch” the material. The next in line is a nano-hybrid composite BRILLIANT NG, in which the company has pioneered the use of a system of “double” color Duo Shade. The base material for the “most widespread” restorations for the company is nano hybrid composite SYNERGY D6, which can be called a simplified MIRIS version.

MIRIS is located on the top of the composite pyramid. It is the composite of the premium segment, which optically able to recover any clinical situation.

On the basis of SYNERGY D6 in 2011 the system of direct prepolymerized composite veneers COMPONEER was developed by the company, which had no analogues in the world at that time. Taking into account the wishes of practical dentistry, a unique submicron composite BRILLIANT EverGlow (Fig. 4) was developed by the company in 2015, in which these problems have been eliminated due to its unique manufacturing technology.

Physical properties of the new composite are presented in Table 1.

Optically, the composite is built on the principle of SYNERGY D6 using Duo Shade system and is available in the following colors: Universal, Translucent and Opaque (low translucent). Universal shades (Bleach, A1/B1, A2/B2, A3/D3, A3,5/B3, C2/C3 and A4/C4) represent an analogue of the dentin masses SYNERGY D6 and they are designed to:

* Direct restorations of the cavities of I, 
II, III, IV and V classes

* Filling and repair of composite and 
ceramic restorations (for example, COMPONEER)

Translucent shades of BRILLLIANT EverGlow – Translucent (Trans) and Bleach Translucent (BL Trans) are also similar in the optical component with enamel masses SYNERGY D6 and they are designed for:

* Correction of shape and color of restorations in order to improve individual esthetics

* Restoration of cutting edges

* Filling and repair of composite and ceramic restorations (for example, 
COMPONEER)

Undoubtedly a positive point was the creation of special opaque masses, which are produced in shades Opaque Bleach (OBL), Opaque A1 (OA1) and Opaque A3 (OA3), and which are intended for:

* Esthetic correction (for example, in case of deviation of tone saturation)

* Masking discoloration areas

* Restoring the tooth stump from dentin mass.

While working with the BRILLIANT EverGlow all rules of pre-adhesive and adhesive preparation of the cavity are followed as with any other composite. There is a common protocol and for modeling composite of the cavity.

Of course, with the appearance of any new material, especially declared as highly esthetic, the main interest lies in the clinical examples of its use.

During the period of October to December 2015, 23 restorations of anterior teeth were carried out. We were moving step by step from the most minimal optical disorders of dental hard tissues, where respectively, the simplest technique of constructing of the restoration is presented, to the more complex including the treatment of teeth after endodontic treatment and combined restorations (direct and indirect methods). The results of the restoration are presented below.

Authors: Bogdan R. Shumilovich, Andrey V. Sushenko, Alexey N. Morozov, Elena A. Lesh-Cheva Voronezh N.N. Burdenko State Medical University, Russia

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