SonicFill
A testimonial by Dr. Michael Colleran
When I first heard of Kerr’s efforts to produce a bulk-fill
product that could make posterior composites quick enough to
be profitable, yet clinically sound enough to satisfy the clinician
and patient, I was skeptical. Other major dental manufacturers
have treaded the bulk-fill posterior road, and the resulting solutions
were either not popular, too complex or didn’t work.
I still have vivid memories of the flowable composites of the
1990s, which looked bad and didn’t last. The percentage of fill in
those flowables was so low that the carrier resin would wear out
very quickly, and frequently require replacing within two years.
Recently, a number of reliable “dental endorsement” in the
industry started rating Kerr’s bulk-fill solution – the SonicFill
system – very highly.
Now, after using the material three months, I’ve found both
the material and the delivery system perform way beyond expectations.
Initial clinical appearance of restorations is very similar to
a filling that would have taken an additional 10 to 15 minutes to
complete using a conventional multi-increment method.
The way I see it, SonicFill offers three big and distinct advantages
over conventional composites: initial flowability that enables
good marginal adaptation, low shrinkage and depth of cure.
In regard to flowability, the sonic energy emitted from the
SonicFill handpiece makes the material flow three times as much
as conventional composite. Even though the material is very
flowable when extruded with the sonic vibration, it soon stays
where you put it. It adapts to the preparation and is soon ready
to carve anatomy.
Giving the qualities of excellent depth of cure and low
shrinkage to a restoration creates longevity. Kerr was able to
achieve both. The depth of cure is very predictable at 5mm and
1.6 percent shrinkage due to an 83 percent filled by weight
(most composites are 75 to 70 percent or less).
Aside from the fact that it was a new product, I was also initially
hesitant about the cost of getting into the new system since
a handpiece is required.
The handpiece is key to the system’s success, and is quite a
marvel of design and function. The handpiece both extrudes the
material and creates the sonic energy, making the material highly
flowable. The upfront cost of the handpiece made me hesitate.
But in retrospect, it was absolutely worth it. The first time I used
it, I was amazed with the effectiveness and speed of this system.
Looking forward, I see an easy payoff of the SonicFill
investment in a number of areas, including ease of use and lowering
the stress and risk from those monster fills. It’s saving
between three and 15 minutes or more per procedure. It easily
seals margins with no voids.
With SonicFill, I now find that
the hardest part of a large filling is
the prepping, instead of a difficult,
tedious, technique-sensitive restorative
material procedure.
SonicFill is easier, better, faster.
And that’s what it’s all about.
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