Testimonial - Micerium

DR. LORENZO VANINI,THE CLINICIAN BEHINDTHE SYSTEMComposite enamel Enamel plus HRI/ Ena HRIthanks to its refractive index of 1,62 has opticalproperties very close to the one of naturalenamel: increasing the thickness also the valueincreases.With this composite enamel it is possible tomanage the relation between translucency andvalue and the aesthetic integration of the marginbecause the light goes through two bodies(natural enamel and composite enamel) with thesame refractive index and in this way it does notundergo any deviation, problem that on theclinical level gives a gray line on the margin.Furthermore, in restorations of free incisalenamel the composite is perfectly integratedreplacing the enamel in all the thickness with noneed of using dentine bodies, unlike with theother composite materials.LightAir (n1)Refracted LightNaturalEnamel(n 1,62)Reflected LightEnamelHRiTraditionalComposite(n 1,51)HRiTestimonial

Alexej BasovSan Petroburgo | RussiaEnamel plusEnamel plus is the best material to date. Easy to use and predictable results,here are his main characteristics. After mastering the method of stratificationLorenzo Vanini nothing is impossible! Any restoration becomes a work of art!Natural color does not allow the layman to distinguish between simplerestoration of the natural tooth! I am sure that every year the material will bebetter and better! Enamel plus-rest is a compromise!Clinical CaseTestimonial

Dr. Carmen AndingDR. MED. DENT, BERN | SWITZERLANDNATURAL ENAMEL IS FOR ME LIKE GOLD DUSTEnamel plus HFO •HRiIt is a pleasure for me to make patients happy with direct non-invasive compositerestorations. With the composite Enamel Plus HFO I have found in 1998the perfect material for restoring teeth with a high quality and a high esthetics.I use this composite for all my esthetical restorations since twelve years. I enjoythe follow-ups of my patients, because they show me the very good estheticaland functional results also many years later. For esthetical demands I am convinced,that well done non-invasive composite restorations are the best therapeuticalternative for the longevity of the teeth as well as for the restoration.Clinical caseDifferent clinical cases restored with Enamel Plus HFO / HRINatural tooth gaps and small lateral incisorsBuild up with compositeOrthodontic gap closure because of missing the lateral incisors Build up of the incisors and of the caninesOrthodontic treatment as an adult with old abrasions and small gaps after extraction in the lower archBuild up of the anterior teeth in the upper archErosions caused by nutritionYoung boy with traumatical injured anterior teethGap closure in the lower archBuild up with Enamel Plus HFOBuild up with Enamel Plus HFOTestimonial

Dr. Yiannis BrokosBrokos Smile Clinic, Rhodes | GreeceEnamel plus HRiA very demanding restoration like Class IV restoration is simplifiedwith Dr L Vanini significant contribution to the topic. The materialof Micerium “Enamel Plus” and the recommended layering techniqueare together a predictable way of solving such cavities.Clinical CasesTestimonial

DDS PhD Inês Caldeira FernandesMALO CLINIC Lisbon | PortugalAuxiliary Professor of Operative and Esthetic Dentistry, ISCSEMDental School, Lisbon, Portugal. Private Practice in Esthetic andRestorative Dentistry and ProsthodonticsEnamel plus HRi“Enamel Plus HRi allows us with an easy layering technique to achieveexcellent esthetic and mechanical results both in anterior and posteriorregions and also for direct and indirect restorations.Enamel Plus HRi is easier to work with and has a shorter learning curvethan Enamel Plus HFO because the optical characteristics, viscosity andlayering technique have been improved and because the thickness of theenamel layer is no longer a problem.”Casos clínicosTestimonial

Dr. Amir ChafaieMaître de Conférences des Universités - Marseille | FRANCEUne méthode, un outil, un enjeu !L’enseignement de Lorenzo VANINI nous a offert une démarche nouvelle,cohérente et rationnelle en odontologie restauratrice. En traçant ce nouveauchemin, en partageant l’outil qui nous a permis de nous y engager, LorenzoVANINI a bouleversé notre façon de faire.Observer plutôt que de voir, analyser plutôt que remarquer, exceller plutôtque faire, voilà l’essence de cet enseignement ; voici l’essentiel de cettedémarche ! Elle a permis de transformer la manière en méthode et decomprendre pour recréer, mais surtout pour créer au-delà des mimétismes.La restauration n’a jamais été aussi simple ; la dentisterie n’a jamais étéaussi belle ; la beauté n’a jamais été aussi accessible !HRiClinical caseRestauration en méthode directe - Enamel Plus HRiFacette sans préparation dentaire ; méthode semi-indirecte - ENAMEL PLUS HRiTestimonial

Dr. Lauro Delgado JúniorSão Paulo | Brasil"Em meu consultorio, utilizo como protocolo de trabalho a técnica de estratificaçãonatural de Lorenzo Vanini desde 1996 e a resina Enamel Plus HFOcom excelentes resultados que proporcionam alem do controle total deespessuras, reparo, repetitividade e amplo espectro de possibilidades clinicasque vão das restaurações diretas às indiretas .Era a minha preferencia de uso e ensino em meus cursos clínicos no Brasilaté 2007. Desde 2007, introduzi em meu protocolo clinico e de ensino anova resina Enamel Plus HRI juntamente com a técnica da "nova estratificação"de Lorenzo Vanini e os resultados são absolutamente fantasticos.Produzir facetas,restaurações diretas e indiretas com HRI tem sido uma experienciagratificante para mim e para meus pacientes e tenho certeza quea qualidade de reprodutibilidade do esmalte dental em polimento e brilhoda HRI são insuperáveis na odontologia atual."Casos clínicos2° Caso1° CasoTestimonial

Dr. Walter DevotoSestri Levante (GE) | ItalyProfessor of Restorative Aesthetic DentistryUniversity of Siena, ItalyVisiting Professor of Aesthetic DentistryUniversity Le Mediterranèe, Marseille, FranceProfessor of Conservative AdhesiveUniversity UIC, Barcelona, SpainHRi...I was born professionally with Enamel PlusI grow up with the development of Enamel Plus HFO and HRI…I’m proud to say that Enamel Plus HFO/ HRI system is today more than evermy first choiceClinical caseTestimonial

Dr. Alexander FetsychLviv | UkraineNowadays any experienced clinician can obtain more or less acceptable resultwith almost all of composite materials available on the market. Differentsubject is when it comes to aesthetic properties of each material. I was lucky,because almost from the start of my professional career i began working withEnamel Plus. Of course, not all went right from the start, but with experience,through the analysis of work and training predicted clinical outcomes came.With the advent of Enamel Plus HRi use the technique of stratification has becomemuch easier because it simply replaces the missing tissue correspondingcomposite shade of a full-thickness. The main advantage of the new compositeas an extension of the possibility of using noninvasive restoration techniqueswith the achievement of an ideal aesthetic result.HRiClinical Case HRiTestimonial

Dr. Rogério FulgêncioRio de Janeiro | BrazilDDS, MDS, PhD, Posdoctoral Fellow,Professor at Fluminense Federal University (UFF)HFO • HRi"Natural is the best definition for the results I have been obtainingusing composite resin Enamel Plus HFO/ Enamel Plus HRI and LorenzoVanini technique. What makes me enthusiastic about it is theeasiness and effectiveness of the technique combined with a naturallook as a result. The predictability of the results facilitates the layeringtechnique of the diversity of colors that the Enamel Plus compositeresins present, which allow obtaining practically invisibleaesthetic restorations."Casos clínicosTestimonial

Dr. Sergey GrishinPrivate Practice in Moscow | RussiaEnamel plus HRiA concept of ultraconservative restoration is very close to me. I have beenseriously interested in these techniques for over 15 years, and I’ve been cooperatingwith Micerium for six of these years. Any dentist who is engagedin optical restorations dreams about a material that could easily imitate alloptical properties of lost tooth tissues. Dr. L. Vanini's stratification techniqueminimizes the effort required for adequate restoration, whereas his restorationmaterial is suitable for the most difficult applications. It's hard to predicta positive outcome of restoration due to a vast number of variables thatmight go out of control at some moment. That is why one must pay greatattention to the choice of material and, more specifically, to predeterminedoptical properties of a composite. Enamel Plus HRi is a unique restorationmaterial. It helped make the technique of lost tissue restoration even easier.New enamels have an adaptive refraction index, so the tooth enamel andthe restoration enamel layer can now be integrated almost 1:1 for opticallyadequate restoration. Now one can be sure that in several years restorationwill be optically stable in the long view. Enamel Plus HRi gives every practicingdentist a chance to turn his/her restoration into a work of art.Clinical Case HRiTestimonial

Dr. Stephan HöferCologne | GermanyA General Dentist with post graduate education at Loma LindaUniversity, CA, practicing in his own office in Cologne for 16years and lectures on various subjects in dentistry nationally andinternationally.Enamel plus HRi“As a dentist in his own office for 16 years, I always believed in a generalpractice, trying to provide excellent and minimal invasive patient centereddental care in most all areas of our profession. The more treatment optionsone is able to provide on a high quality standard, the better and moreobjective is the individual treatment plan for our so very different patients.The direct placed composite restoration has proven to be one of the mostbeneficial treatments we can offer our patients, in terms of minimalinvasiveness, minimal treatment time, excellent benefit-cost relationship,longevity and repair ability. I have been working with Enamel HFO fromthe very beginning, when the handling was somewhat complicated and,with even mixing various colours prior to placing, quite time consuming andtechnique-sensitive. The actual Enamel HRI-system has not only made thingsmuch easier and predictable, but is also unsurpassed in adapting to naturaltooth colour. It enables the general practitioner, with his focus, not only onaesthetics, but on all the patients treatment needs, to provide his patientwith highly aesthetic composite restorations quickly and easily in his dentalroutine – Enamel HRI is a must, not only for the Aesthetic dentist, but evenmore for the general practitioner, because he can increase the beauty of hisrestorations, simply by using a material, that matches the refractory indexof natural dentition.”Testimonial

Dr. Karl ImmlerDr. med. univ. et med. dent.Hard |AUSTRIAEnamel plus HRiCrowns, in particular single crowns in the anterior region are quiteoften unsatisfactory in their esthetical outcome, concerning the“red” as well as the “white” aesthetics. Therefore I have beentrying for over 25 years to restore these teeth with composite. In1997 I got to know the composite of Micerium, well known as Enamelplus HFO, and also the stratification technique of Dr. LorenzoVanini, which really showed me what’s possible. It’s a lot more thanyou might think. Beauty that will last.Clinical CasesTestimonial

Dr. Mona KakarMumbai | IndiaEditor and Accredited member of the (IAACD Indian Academy of Aesthetic& Cosmetic Dentistry)- Certified member of the ESCD (European Society of CosmeticDentistry) and Country Chairperson of ESCD for IndiaHRi"In an era of composite inundation and focus on extra white teeth, MiceriumComposite offers a shade range that is usually available only from indirectrestorative options, making it a composite kit capable of recreating anytooth shade combination. Its wide range of just-right-opacity UD shadescombined with the translucents, allows the clinician to create lifelike andwell blended restorations chair side. I turn to Micerium to give me the wellblended direct restoration, especially in the darker-than-A4 shade range ofteeth. The material polishes easily to a smooth surface with either the polishingsystem provided with the kit or even any of the other well establishedcomposite finishing kits."Clinical Case HRiTestimonial

Dr. David KlaffLondon | UKI discovered HFO over 12 years ago and it changed my clinical practiceimmediately – the ability to match tooth colour in a predictable fashion wasmatched by the material’s ability to fulfil the demands placed on it both fordirect or indirect restorations – now with the new generation Hri, the limitsare infinite – keep it upEnamel plus HRiClinical Case HRiTestimonial

Dr. Michael J. MorganPrivate Practice Smiles by Morgan Hinsdale,IL | USAJosh traumatized his two lower anteriors in a sporting accident. Restoredwith stratified layering and characterization with ENA HRi. The patient andparents were thrilled with the resulting esthetics.HRiClinical Case HRiTestimonial

Joe C. Ontiveros, DDS, MSUNIVERSITY OF TEXAS - DENTAL BRANCH AT HOUSTONDirector, Clinical Esthetic Dentistry & Oral BiomaterialsDepartment of Restorative and BiomaterialsThe Ena HRI system applied with Dr. Lorenzo Vanini’s technique is what Icurrently recommend to my dental students and residents. Ena HRI representsa new level of excellence in dental composites—combining exquisiteoptical properties with a beautiful blend of natural colors. It is a grandaccomplishment for dentistry.ENA HRiClinical caseComposite Cusptip Non-prep Canine Non-prep CaninePorcelain Veneers Incisors HRi Composite CanineProtected OcclusionTestimonial

Prof. Dr. Abelardo Baez Rosales, MSUniversidad Andres BelloViña del Mar | ChileENA HRiLa evolución de la ciencia y tecnología nos ha permitido entregar a nuestrospacientes tratamientos cada vez más conservadores y estéticos. Eluso de restauraciones adhesivas se ha convertido en un trabajo clínico rutinariocon resultados altamente predecibles y duraderos, lo cual se ha sustentadopor múltiples publicaciones científicas en el ámbito de laodontología a nivel mundial. La resina Hri es un tremendo avance en elárea de la tecnología de los polímeros , logrando índices de refracciónmuy similares al esmalte logrando un efecto de mimetización insuperablecon el tejido natural y estética perfecta.Uso de Hri en restauración directa posterior e Inlays de cerámicafijadas con Ena Cem.La secuencia clínica que a continuación se presenta, muestra el recambiode restauraciones de amalgamas y resinas fracasadas, por dos incrustacionesde cerámica fijadas adhesivamente con Ena Cem y una resina directacon Hri.Caso clínicoFig 1. Imagen preoperatoria , se observa amalgamas en mal estado en los dientes 26-25 , y una resinacompuesta en las mismas condiciones del 24.Fig 2. Vista lateral preoperatoria.Fig 3. Técnica adhesiva del diente 25, realizando un grabado ácido selectivo de esmalte y luego dentina.Fig 4. Reconstrucción de la restauración OD con Hri, utilizando masa de dentina UD3 y luego terminación conesmalte UE3.También se caracteriza con pigmentos Ena Stain “flow” para imitar la naturaleza.Fig 5. Se observa el sellado de la dentina y la reconstrucción de la cavidades (UD3), mejorando de esta formala biomecánica y eliminando las zonas retentivas como se observa en el esquema.Fig 6. Preparación cavitaria con piedras diamantadas especialmente diseñadas para estos fines.Fig 7. Preparaciones dentarias concluidas.Fig 8. Técnica adhesiva para la cementación, utilizando ácido grabador y Ena-Bond Bonding.Fig 9. Fijación de la incrustación con Enacem UD3, y la posterior polimerización.Fig 10. Imagen postoperatoria de caso resuelto.Fig 11. Imagen postoperatoria en una vista lateral ,se observa la integración estética de Hri y de lasrestauraciones indirectas de cerámica.Testimonial

Odt. Daniele RondoniDental Laboratory in Savona | ItalyThe demand for aesthetic results in Dentistry was constantly increasing inrecent years and led the dental manufacturers to a growing commitment inscientific investigation and composite evolution, allowing the clinician to obtainideal long lasting, aesthetic results. The spreading of Dr. Lorenzo Vanini’scomposite techniques brought a development in the use of thesematerials involving more and more the dental laboratory more and morewith the indirect technique. Sharing clinical and technical experiences, compositehas been further optimized, becoming an ideal material for dentalrestorations not only for its aesthetic properties but also for its mechanicaland physical characteristics.Nowadays, the technological progress (CAD/CAM) and the deeper knowledgeof the materials allowed us to determine still more reliable solutionsthat can be achieved also with composite. In this manual the protocols forworking with composite are updated according to the application fields,suggesting also the ideal steps to optimize time and cost and how to applythe new generation composite materials with high refraction index, the resultof research and development of optical behaviour of aesthetic material.The experiences described in this manual are the results of my work in thelaboratory with my team and of the daily relationship with the clinicians.Case StudiesTestimonial

HRi • HRi • HRiDr. Pep SerraBarcelona | EspañaLa natura de les dents, ha estat, és i serà, el nostre gran repte, saber imitarla seva aparença ens portarà a la recerca de la seva essència, a l'art dental.L'evolució dels materials ens ha ajudat i ens ajuda en aquest repte.És en aquesta direcció on ha estat un plaer descobrir Micerium i el seu producteHRi. De l'experiència, no sempre satisfactoria, amb antics compositesde fa anys, he passat a tractar i conèixer un nou producte que m'hadonat la possibilitat de treballar amb materials amb un índex de reflexióigual a l'esmalt dental, assolint un valor més similar al de les dents naturalsi millorar així el mimetisme de les restauracions tant directes com indirectes.El polit de les restauracions que aconseguim amb aquest material, em permetobtenir una topografía i textura que fins ara no havia pogut assoliramb altres composites. Són aquests detalls el que ens permeten anar avançanten el camí de l'art dental. I espero que a mesura que l'aprofundimentdel material sigui més gran els avenços en aquest sentit encara siguin mésgrans.“La finalitat de l'art es donar cos a la essència secreta de les coses, no el copiar laseva aparença”. AristòtilLa naturaleza de los dientes ha sido, es y será nuestro gran reto; saber imitarsu apariencia nos llevará a la búsqueda de su esencia, al arte dental.La evolución de los materiales nos ha ayudado y ayudan en este reto.Es en esta dirección donde he tenido el placer de descubrir Micerium y suproducto HRi.De la experiencia –no siempre satisfactoria, con antiguos composites dehace años- he pasado a tratar y conocer un nuevo producto que me hadado la posibilidad de trabajar con materiales con un índice de refracciónigual al del esmalte dental, adquiriendo un valor más semejante a la delos dientes naturales, mejorando así el mimetismo de las restauracionestanto directas como indirectas.El pulido de las restauraciones que conseguimos con este material, nos permitenobtener una topografía y textura que hasta ahora no había podidoconseguir con otros composites.Son estos detalles los que nos permiten ir avanzando en el camino del artedental; y espero que a medida que se vaya profundizando más los avancessean incluso más considerables.“La finalidad del arte es dar cuerpo a la esencia secreta de las cosas, no el copiarsu apariencia”. AristótelesTestimonial

Dr. Ilya SklyarovSt. Petersburg | RussiaEnamel plus HRiI was amazed when I saw restorations by Lorenzo Vanini at first time. Icouldn't believe that composite restorations can look like great. After that,I came to Lorenzo Vanini for studying technique natural stratification. It wasa revelation. So I have used Enamel Plus since 2004. And I don't want totry other composites. Because Enamel Plus and technique by Vanini are allwhat I need for the best, predictable outcomes. Thanks a lot, Lorenzo Vaniniand Micerium.Clinical CasesTestimonial

Dr. David UriePrivate Practice Prague, focused on Esthesticsand Prosthodontics, Prague | Czech RepublicEnamel Plus HRi provides us with predictable results and easier workflowin everyday treatment in our office. It has not only outstanding mechanicalproperties for posterior restorations but brilliant esthetics, which helpsus to reproduce natural teeth as close as possible. This materialcontributes to our success in esthetic dentistry treatment.HRiClinical Case HRiAnterior odontoplasty after orthodontic treatmentPosterior indirect restorationsTestimonial

Dr. Van Den AkkerPrivate Practice | Netherlands“The layering system with HRi and HFO offers me very predictable resultsin simple but also complicated direct composite restorations in the frontalregion. The material is easy to work with and if you keep close to the advisehow to work with the material it is also remains a material of high quality.You can get a really nice and good polish.Also the material is strong enough to withstand even the more brutal forcesthat go with clenching.HRi Universal Enamels make the layering much more simple because of theopalescent properties of the material. Also we don't have a problem anymoreof restorations that will lose too much value if you use a thicker layerof enamel material. Especially when we compare this to the former HFOGeneric enamels.For me it is the perfect way to get connected tot high quality esthetic dentistryand this gives me lots of fun (also the patient benefits from this!)”.HRiClinical caseOld facings of composite which are worn out and have the wrong shape.Minimal invasive direct restoration according to Dr. Vanini techniqueTestimonial

Dr. Carol WaldmanToronto | CanadaWhen it comes to the choice of materials in my practice I strive to use the bestpossible materials in the industry. I pride myself on being up to date with thelatest research, techniques and treatment options that I can provide for my patients.When it comes to composites and restoring teeth in the past – thebiggest problem is spending the time to create a great restoration and endingup with not quite what you were looking for in the end. I recently struggledwith replacing a small chip on an upper central incisor. I tried in 3 separateappointments (unsuccessfully) to develop an invisible and seamless restoration.I then decided to try the restoration with the Ena system, and I was able toachieve the desired result in a single try. ENA HRI is amazing.Ena HRiTestimonial

Dr. Yuval WindHebrew University-Hadassah | JerusalemR.E Goldstein Center for Aesthetic Dentistry & Clinical ResearchProsthodontics Department, faculty of DentistryEnamel plus HRiThe five-dimension of color and anatomical built up technique.About a decade ago we were exposed to the five-dimension of color theoryand anatomical built up technique that was published by Dr. Lorenzo Vanini.After reading the articles we came to realize that were standing at the threshhold of a new era in adhesive and aesthetic dentistry. At the same time ENA-MEL PLUS HFO first generation had arrived in Israel. This new composite wasnot just another product but a revolutionary one which required a new andcomplete change in working techniques. We flew to San Fedele, Italy, in orderto participate in course at Dr. Vanini clinic. The course was a revolutionary,exciting and amazing. Dr. Vanini is a true pioneer, visionary, a doctor whosecontribution will forever remain in the field of aesthetic dentistry. During thoseyears, I was in charge of teaching operative dentistry at Tel - Aviv University.Following the course, we reorganized the curriculum for students as well asdentists and in the last decade we have executed dozens of practical coursesas well as hundreds of Lectures with Dr. Vanini's "signature". Over the years,with great appreciation at the thought and innovation invested in Micerium'sproducts, we have worked with the different generations of ENAMEL PLUS.For the past few years I am a member of the R.E Goldstein Center for AestheticDentistry and Clinical Research, Prosthodontics Department, faculty of Dentistry,Hebrew University-Hadassah. As part of the curriculum we have decidedto send our students, as a group, to a course at Dr. Vanini's clinic in Italy - realizingthis would be the best place to master this chapter of the seminar.Clinical CasesTestimonial

Dr. Xu BingShijiazhuang, Hebei | P.R. ChinaEnamel plus HRiDr. Vanini dedicatedly analyzed and restored the color of the teeth,which helps the dentists to realize the best esthetic restorations. HRicomposites simplified the restorative procedures, making the finalresults more conservative and predictable.Clinical CasesTestimonial

Dr. Birgül YerusalmiH FO• H R iDr.Galip Gurel's Clinic Senior Assoc. Dr.BirgulMetin Yerusalmi | IstanbulComposites on the anterior aesthetic zone are known as difficult to beplaced, time consuming and prone to colour change with external stimuli.However one of the major advantages of the composite restorations is thatit gives us the ability to mask the discolorations in thinner layers( when Iuse this system). Also when it comes to minimal invasive dentistry in theaesthetic zone it's so hard to complete with composites.I can so easily block out the dark areas, layer my composite enhance thefull control on the value of the restoration. Extremely smooth polishing conditionsallows me keep this composites in the mouth for many years withoutany colour changes. The variety in the system allows me to restore any kindof defect in the most natural way. I can restore an incisal chip; for example,with the HRI Universal Enamel which creates a great opalescent effect. Whereaswith HFO & HRI Universal Dentin, I can block tetracycline discolorations.At the end with these products you can guarantee high qualityaesthetic restorationsClinical Case HFOClinical Case HRiTestimonial