Finishing Diamonds REALITY S CHOICES

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1 REALITY S CHOICES 1. Esthetic Trimming (ET) Diamonds Brasseler 2. TDF NTI/Axis 3. Two Striper MFS Premier 4a. BluWhite Composite sds/kerr 4b. T & F Hybrid Points Shofu 2005 REALITY Publishing Co. Vol. 19 The Ratings 413

2 Cost/Diamond Burblock (µ) Preferred Esthetic Trimming (ET) Diamonds Brasseler $10.95 Autoclavable Aluminum 3: 30, 15, 8 DET3 Very short DET4 Slightly longer than DET3 DET6 Medium length, slightly longer than DET4 DET9 Long DOS1 Large football DOS2 Small, thin, rounded end DOS3 Small, very thin, rounded end TDF NTI/Axis $6.25 $8.66 Autoclavable Aluminum 2: 40, Medium-size football Short, rounded-end Short, pointed Short, pointed Medium, pointed Long, pointed Two Striper MFS Premier $9.49 None 3: 45, 20, Short, pointed, similar to ET3 265 Medium, slightly curved profile 799 Long, rounded-end 292 Small football 285 Large football 257 Long, thick, chamfer end 135 Medium round BluWhite Composite sds/kerr $7.75 $9.58 Autoclavable Stainless Steel 2: 40, Long, pointed, looks like ET9 205 Medium, pointed bullet 205L Long, pointed bullet 209 Short, pointed, looks like ET3 223 Long pear 250 Medium rounded football 255 Medium pointed football 201 Small round 274 Small football 400 Medium round 062 Medium, rounded end taper T & F Hybrid Points Shofu $5.85 Nonautoclavable Plastic 1: Short, pointed bullet 7903 Same as above, but somewhat thicker profile LT1 Medium length, very pointed LT2 Long, very pointed 7404 Small football, blunt end 7406 Medium football, blunt end 7803 Small, medium profile, rounded end 7104 Small teardrop, very pointed end 7106 Medium teardrop, very pointed end 7006 Round, medium Primarily used to contour, adjust, and smooth porcelain, finishing diamonds can also be used to smooth preparations and to finish composite restorations. As far as microleakage is concerned, we found very little difference when Class V hybrid and microfill restorations were finished with either finishing burs or diamonds. They are typically used with water spray, although some members of the Editorial Team use them dry, at least some of the time. And, even though they typically have a FG shank, they are really designed to be used at speeds less than 50,000 RPM. This means they should be used in a slowspeed handpiece, although most operators continue to use them in a highspeed handpiece. Finishing diamonds come in different grits, ranging from 8µ- 45µ. They should be used in sequence, starting with the coarsest and progressing to the finest grit. They are usually followed by rubber polishing instruments and, in some instances, diamond polishing paste. 414 The Ratings 2005 REALITY Publishing Co. Vol. 19

3 To test their effectiveness, we finished occlusal restorations in Ivorine teeth with the football or egg shapes of each manufacturer and rated them for gloss visually and smoothness by using an explorer. While smoothness (or actually roughness) is typically scored using a profilometer, the surface must be flat to use this instrument. Therefore, we attempted to rate the smoothness digitally as if you were checking a restoration in the mouth before dismissing a patient. The results revealed that there were minimal differences between the five brands of diamonds. Nevertheless, if you follow our advice and use a rubber polishing instrument or brush after contouring with one of these diamonds, then the differences between them become even more muted. All the surfaces created by these diamonds were rougher than those produced by finishing burs. (4.4) Esthetic Trimming (ET) Diamonds Brasseler 1 Cost: $229.89/21 ($10.95 ea) 21 diamonds (one of each size, shape and grit) Aluminum burblock Scored highest on smoothness Burblocks get better all the time 3 The grits and their color codes: 30µ (fine) Red. 15µ (extrafine) Yellow. 8µ (ultrafine) White. 7 DET3 DET4 DET6 DET9 DOS1 DOS2 DOS3 Very short, primarily for gingival margins. Slightly longer than DET3, good for gingival margins. Medium length, slightly longer than DET4. Long, indispensable for veneers. Large football, good for concave linguals of anterior teeth, somewhat large for occlusals of posteriors except for very large restorations. Small, thin, rounded end, good for carving secondary anatomy in occlusals. Small, very thin, rounded end, good for tertiary anatomy in occlusals. Gloss was on low end Small football is missing Slightly higher smoothness compared to other brands, but gloss was on low end. Aluminum burblock with numbers and drawings of the various instruments, plus identification of the micron grit. Very organized. There are also drawings on the intended use for each instrument REALITY Publishing Co. Vol. 19 The Ratings 415

4 2 TDF NTI/Axis (4.3) Giving Brasseler something to worry about Quality is good Cost: $103.95/12 ($8.66 ea) 12 diamonds Aluminum burblock Refills: Fine Cost: $31.25/5 ($6.25 ea) SuperFine Cost: $38.25/5 ($7.65 ea) Could use a third grit Is the slightly lower kit price enough incentive to switch? 2 The grits and their color codes: 40µ (fine) Red. 20µ (superfine) Yellow Medium-size football Short, rounded-end, looks like OS Short, pointed, looks like ET Short, pointed, looks like ET Medium, pointed, looks like ET Long, pointed, looks like ET9. Slightly lower gloss and smoothness compared to others. Rear-hinged, aluminum burblock. Includes the number and grit of each instrument for easy reordering and sterilizing, but no outlines of the burs for reassembly. 3 Two Striper Diamonds Premier (3.9) ENCORE Cost: $47.45/5 ($9.49 ea) 5 diamonds Excellent quality Best progression of grits For these prices (without burblock), we want D flawless Where s the burblock? 3 The grits and their color codes: 45µ (MF1) Violet. 20µ (MF2) Coral. 10µ (MF3) White Short, thin, pointed, similar to ET3, for trimming gingival margins 265 Medium length, slightly curved profile, can trim most Class V by itself. 799 Long, good for veneers, tip rounded rather than pointed. 292 Small football, good for occlusals. 285 Large football, good for concave linguals of anterior teeth, somewhat large for occlusals of posteriors except for very large restorations. 257 Long, relatively thick, chamfer-type end. 135 Medium round, good for adjustments where no other shape will fit. Slightly lower gloss and smoothness compared to ET. Five diamonds per pack foil cover over plastic container. 416 The Ratings 2005 REALITY Publishing Co. Vol. 19

5 (3.8) BluWhite Composite sds/kerr 4a Bur Kit Cost: $115.00/12 ($9.58 ea) 12 diamonds Porcelain Finishing- Sorensen Kit Cost: $65.40/8 ($8.18 ea) 8 diamonds Clear plastic box with white rubber burblock 2 The grits and their color codes: 40µ (fine) Yellow. 15µ (ultrafine) Rose Long, pointed, looks like ET Medium, pointed bullet. 205L Long, pointed bullet. 209 Short, pointed, looks like ET Long pear. 250 Medium rounded football. 255 Medium pointed football. Porcelain Finishing Cost: $66.65/7 ($9.52 ea) 7 diamonds Stainless steel burblock Individual Diamonds Cost: $7.75 ea Good, distinct color coding Nicely concentric Instrument numbers are hard to read on burblock Scored lowest on smoothness 201 Small round. 274 Small football. 400 Medium round. 062 Medium, rounded end taper. Slightly lower gloss and smoothness compared to ET. Bur Cassette is a small plastic case, similar to those holding cassette tapes. Inside is a flexible, rubber-like burblock (not autoclavable) that holds the diamonds. The Porcelain Finishing kit comes in a small, stainless steel burblock that identifies the instruments by number, but the printing can only be viewed with loupes and when the reflection of the rather shiny steel is muted. Individual instruments come in a small plastic container that is attached to the cardboard backing, which identifies the diamond. (3.8) T & F Hybrid Points Shofu 4b Cost: $58.50/10 ($5.85ea) 1 20µ 30µ. No confusion about which grit to use Very reasonable cost No aluminum burblock What do hybrids have to do with diamonds? 10 diamonds (one of each shape) Plastic burblock Short, pointed bullet, primarily for gingival margins Same as above, but somewhat thicker profile. LT1 Medium length, very pointed, similar to DET6. LT2 Long, good for veneers, very pointed, similar to DET Small football, blunt end, good for occlusals of posteriors Medium football, blunt end, good for occlusals of posteriors REALITY Publishing Co. Vol. 19 The Ratings 417

6 7803 Small, medium profile, rounded end, good for carving secondary anatomy in occlusals, similar to DOS Small teardrop, very pointed end, good for occlusals of posteriors Medium teardrop, very pointed end, good for occlusals of posteriors Round, medium (slightly smaller than a #6), good for adjustments where no other shape will fit. Slightly lower gloss and smoothness compared to ET. Plastic burblock with clear plastic hinged lid. Bur size, order number, and picture are included for reordering. Not autoclavable. Burblock enclosed in cardboard box with the same information for reordering. REALITY Esthetic Trimming (ET) Diamonds are high quality instruments with the much-copied shapes and autoclavable, well-identified burblock. They are the only ones in this category with three different grit versions and the burblock is still the best by identifying and outlining the bur shapes for easy reassembly and even giving an illustration of how each of them is supposed to be used. Other than a small football, the Combo kit has it all. In our comparison, they produced the smoothest surface, but were in the middle of the pack for gloss. TDF are ET clones. Although they could use a third grit, this kit is challenging ET s dominance by being wellmade and slightly less expensive. In our comparison, they were in the middle of the pack. Two Striper MFS brings along the high quality of Abrasive Technology. They have a good selection of shapes and grits, but no burblock for storage and autoclaving. In our comparison, they had slightly lower gloss and smoothness compared to ET. BluWhite Composite come in two popular grits, cut well, and are nicely concentric, but could use an intermediate grit. In our comparison, they produced a slightly lower gloss and smoothness compared to the other brands. T & F Hybrid Points are durable, available in 10 shapes, and keep their cutting effectiveness. However, they only have one grit and do not have an aluminum burblock. In our comparison, they scored high for smoothness, but were in the middle of the pack for gloss. OTHER PRODUCTS IN THIS CATEGORY Composite Dollar Diamonds Composite KG Sorensen Dentatus Composite Finishing Diamonds Almore Diatech Lasco NEODIAMOND Microcopy 418 The Ratings 2005 REALITY Publishing Co. Vol. 19

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