Bioclear - Brochure

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REJUVENATE.

CONSERVE.
PROTECT.
The Bioclear Method — expanding
the possibilities of dentistry
I hated the black spaces between my
lower teeth and was repeatedly told
that there was nothing that anyone
could do. I am a person that laughs
all the time and the spaces were
becoming noticeable. Now that the
Bioclear treatment is finished the teeth
feel perfect! They feel like my natural
teeth but smoother.”
- B. Westphal

BEFORE

7 YEARS AFTER
After treatment, my first response was
‘wow!’ I didn’t expect it to be so easy and TABLE OF CONTENTS
look so nice. One of the biggest things About Bioclear..........................................5
for me was the feel; my tongue used to 6 Bioclear Method Steps............................6
be drawn to the gaps and now it feels Smile Design.............................................8
so smooth. I am really pleased with
Black Triangles........................................10
the results.”
Diastema Closure....................................18
- B. Johnstone
Undersized Teeth (Peg Laterals)...............22
Bioclear 360° Veneers................................28
Bioclear vs. Bonding................................36
Root Overlay..........................................38
Orthodontic Correction..........................40
The treatment was done in a single
Bioclear vs. Crowns and Veneers..............42
session and the results far surpassed
Posterior Restorations.............................44
my expectations. My teeth are now very
natural in appearance and the thinning Common Questions................................58
enamel has been reinforced with a layer Glossary.................................................60
of composite. My teeth are much easier
to clean and remain essentially
tartar free.”
- M. Hooker
Your smile is
your introduction
to the world.

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ABOUT BIOCLEAR
The Bioclear Method and modern smile design can correct
many aesthetic dilemmas in a permanent and less invasive
manner than traditional treatments such as porcelain crowns
or veneers. Discover Bioclear’s rejuvenating possibilities.

The Bioclear Matrix is an innovative minimally invasive tool that


dentists can use to help improve the strength and aesthetics
of patients’ teeth. Until the invention of the Bioclear Matrix,
dentists did not have an ultra thin, tooth-shaped form that
allowed permanent reconstruction of teeth with composite.

The Bioclear Method was developed after extensive research


and testing. When combined with the Bioclear Matrix, it allows
dentists to maximize efficiency and aesthetic outcomes for a
conservative yet beautiful smile.

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1. DISCLOSE
Disclosing solution is applied to identify biofilm that

BIOCLEAR
naturally accumulates on the surface of the tooth.

METHOD
STEPS
Because there are only six
steps, most procedures take
just one or two visits.

4. ETCH
Etch material is placed to open the pores of the
tooth for proper adhesion.

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2. BLASTING 3. MATRIX PLACEMENT
The biofilm and disclosing solution is gently blasted The preferred matrix (which is as thin as a human
away with the use of a very fine aluminum hair) is selected and placed along the tooth, resting
trihydroxide powder. below the gum line.

5. INJECT 6. REMOVE FORMS & POLISH


Heated composite material is injected into the matrix The matrix is removed, restoration is shaped and
providing a beautiful infinity margin restoration. polished to the desired shape.

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THE BUILDING
BLOCKS OF A
BIOCLEAR SMILE

• Symmetrical upper central incisors • Central incisors should be 1-2 mm


longer than the lateral incisors
• Midline is centered and perpendicular
to the occlusal plane • Central incisors are rectangular
and in proportion
• The front teeth follow the lower lip
in the smile pose • No “Black Triangle”

• Central incisors are even with the canines

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BEFORE

Right central incisor


shorter than the
lateral incisor

Maxillary teeth
create a negative
smile line

AFTER

Follows the 75-80%


width to height
Golden Rule of
anterior arch form

Maxillary teeth now


follow the lower lip
in the smile pose and
central incisors are
even with canines

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BLACK
TRIANGLES BEFORE

CLOSURE
30% of adults have black triangles—clinically
known as open gingival embrasures. This can
result from bone loss, recession of the gum line,
and sometimes movement of the teeth. Dark
spaces between teeth can age a smile.
AFTER
Teeth with black triangles are also prone to food
accumulation and tartar build-up. In cases where
the enamel is perfectly healthy, it does not need
to be masked with veneers. Using the Bioclear
Method, your dentist can conservatively close
these gaps to rejuvenate your smile.

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Bioclear matrices in place Injecting material into the matrices

Bioclear’s patented process allows the white composite material to go between the
tooth and gum to “grow the tooth” and restore the pink papilla—the black triangle
becomes a pink triangle.

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BEFORE AFTER

BEFORE AFTER

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BEFORE AFTER

6-YEARS LATER

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SAMPLE
CASE

Black Triangle Closure BEFORE


After Orthodontics
Erica had ortho as a kid, and then again in her 40’s after the
ortho relapsed. The orthodontist tried some sanding on the
sides of the teeth to minimize the black triangles but then
“gave up”. When the case was finished, her lower teeth felt
loose. She was afraid to bite into an apple fearing that her
teeth would literally fall out and get stuck in the apple.
BEFORE
She had a consultation with her general dentist who told her
the only good option she had was to extract her lower incisor
teeth. After just completing her ortho treatment, she was not
going to do that.
Her periodontist gave her 4 choices; veneers, bonding, more
surgeries (she already had a graft), or Bioclear. She then did
an online search for a trained Bioclear Dentist. Happily today,
her teeth feel strong, secure, and attractive. Additionally,
the Bioclear approach comprehensively addressed other AFTER
problems such as the small gouges left in her enamel when
the orthodontist drilled off the bracket cement.

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GAUGING THE SIZE OF 5 BLACK TRIANGLES

DISCLOSE BLASTING MATRIX PLACEMENT


Disclosing solution is applied to A gentle water and powder mixture The preferred matrix (which is as
identify biofilm that naturally blast the teeth. No drilling of the thin as a human hair) is selected
accumulates on the surface of tooth is necessary. and placed along the tooth, resting
the tooth. below the gum line.

FIRST TOOTH MOLDED STEPS REPEATED FOR RESULTS


Note the dramatic change in shape EACH TOOTH Immediately following the procedure.
and the miracle of additive dentistry.

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BEFORE BEFORE

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AFTER AFTER

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DIASTEMA BEFORE

CLOSURE
The Bioclear Method is also perfect for closing
diastemas (the vertical gap between two teeth).

Many celebrities have a diastema including


Madonna, Eddie Murphy, Jack Black, Lauren
Hutton, and Willie Nelson. For many people, a AFTER
diastema makes their smile unique, and they
choose to keep the charming midline gap.

Though a diastema is considered harmless,


meaning it rarely affects dental health, some
people choose to close those smile gaps for
esthetic reasons. Using the Bioclear Method and
matrices, your dentist can transform your smile
and create a very natural finish.

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BEFORE BEFORE

AFTER AFTER

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BEFORE AFTER

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BEFORE

AFTER

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UNDERSIZED
TEETH BEFORE

(Peg Laterals)
Another common dislike among patients is
undersized laterals (or peg laterals). This is where
the tooth has not grown to its full capacity, leading
to an uneven smile.

Combining the Bioclear Method with the excellent


quality of shaded composite materials, these AFTER
teeth can be built up to reveal an esthetically
pleasing and symmetrical smile.

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BEFORE

AFTER

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SAMPLE CASE
Peg lateral restoration for identical twins.

BEFORE

Willow Sydney

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AFTER

Willow Sydney

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BEFORE

IMMEDIATELY AFTER

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7-YEARS AFTER

10-YEARS AFTER

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BIOCLEAR BEFORE

360° VENEERS
The Bioclear 360° Veneer matrices are fantastic
for rejuvenating and repairing teeth without
needing to remove the same amount of your
remaining tooth structure as crowns or veneers.

These matrices are specially designed to create


a 2-part anatomical mold around the tooth. AFTER
This mold allows your dentist to add composite
to create a monolithic, solid structure, which is
esthetically pleasing and is as functional as your
natural tooth.

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BEFORE AFTER

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BIOCLEAR
BEFORE
360° VENEERS:
WORN TEETH
As teeth age, they begin to show wear. The Bioclear
Method allows your dentist to add composite to
compensate for the loss of enamel without needing
to remove as much of your remaining tooth
structure as crowns or veneers.

AFTER

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BEFORE DURING

AFTER AFTER

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BEFORE AFTER

BEFORE AFTER

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BEFORE AFTER

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BIOCLEAR
360° VENEERS:
BROKEN TEETH

BEFORE AFTER

BEFORE AFTER

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BEFORE AFTER

BEFORE AFTER

BEFORE AFTER

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BIOCLEAR
VS. BONDING
Conventional “bonding”—as most people know
it—has been around since the ‘70s. Bonding,
along with composite resins (tooth colored
filling material), is used to treat dental esthetic
problems. Bonding

Although composite resins and adhesives


have advanced, the older technique of hand-
manipulating filling material directly onto the
tooth still persists.

Bioclear

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ISSUES WITH CONVENTIONAL BONDING
Hand spackling composite introduces gaps and voids
that contribute to weakness in the composite material,
tendency for stains, discolorations, roughness, and
poor margins.
Traditional “bonding” can be an invasive, temporary
solution, often associated with inflamed and bleeding
gums. Notice the rough edge in the top photo.

Rough edge left by traditional bonding

THE BIOCLEAR METHOD HAS


MODERNIZED THE TECHNIQUE
FOR COMPOSITE SOLUTIONS
This patented and revolutionary method produces a
3-dimensional, monolithic, injection overmolded tooth.
Special anatomic forms are used with an injection
molded technique to produce beautiful, infinity
margin restorations that are solid, strong, smooth, and
stain resistant. Notice the smooth interface in
the bottom photo.

Smooth interface created with Bioclear

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BIOCLEAR Bioclear Root Overlay covers areas of recession
and root abrasions. The Bioclear Root Overlay is

ROOT the transition of the Bioclear Black Triangle or the


Bioclear 360° Veneer overlay to the root without

OVERLAY leaving a size discrepancy in the presence of recession


and root abrasions.

5 Purposes Of Root Overlay


1. Mask dark root
2. Rejuvenate exposed worn roots
3. Blend the matrix curve to the root form
4. Root overlay for instant ortho (visually upright a flared front tooth)
5. Gum lift to correct an overly gummy smile

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Mild root Moderate root
exposure exposure

BEFORE

AFTER

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ORTHODONTIC BEFORE
CORRECTION
Bioclear can often solve issues of mild to moderate
crowding, or other orthodontic problems, in one
sitting. However, in some cases, orthodontic
treatment will still be required.

AFTER

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BEFORE

Tooth is undersized and


rotated leaving a gap
between upper and lower
teeth—previous orthodontic
treatment fell short of the
desired outcome

AFTER

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BIOCLEAR Bioclear is an alternative to traditional dental methods

VS. CROWNS for enhancing a smile. Rather than grinding down a tooth
to prepare for a crown or veneer, the Bioclear Method of

AND VENEERS
ensconcing the natural tooth structure retains the natural
tooth enamel and tooth durability.

BIOCLEAR PREPARATION CROWN PREPARATION


Bioclear allows dentists to conserve Crowns require dentists to remove an average of 76%
healthy tooth structure of the tooth structure prior to the procedure

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AN HONEST
LOOK AT CROWN
PREPARATIONS
As illustrated below, crowns, veneers, and
onlays require the removal of a significant
amount of healthy tooth structure.
Bioclear dentists can leave most or all
of the tooth structure. Bioclear is a very
attractive option to patients.

~3/4 Crown Full Crown


47% of tooth 76% of tooth
removed removed

VENEER PREPARATION
Veneers require dentists to remove an average of 47% Tooth removed
of the tooth structure prior to the procedure
Remaining tooth

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POSTERIOR
RESTORATIONS
Bioclear represents the evolution of
BEFORE
dentistry—conserving and protecting
teeth from the beginning in a way that
traditional fillings and crowns do not.

When repairing or restoring teeth, dentists have always


faced the fundamental mechanical problem of how to
adhere fillings to the underlying tooth.

Traditionally, the answer has been to first remove the


decayed portion of the tooth, and then either hollow
out a notch in the tooth like a jigsaw puzzle piece
in order to get amalgam to stay in place, or create a
box prep to receive a composite filling. Either way,
Tooth prior to the Bioclear Method procedure
the dentist is grinding away otherwise healthy tooth
structure, just to get the filling to adhere.

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Bioclear matrices are an
anatomically advanced design
that mimics the complex and
beautiful shapes of natural teeth

DURING AFTER

Tooth after initial preparation; decay removed Bioclear result


and older white filling disassembled

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First-generation jigsaw
puzzle-style preparation
mechanically locks the
filling into place

ENGINEERING Bioclear is based on principles of This keeps the filling in place, but
structural engineering. Looking at stresses the tooth.
CONSERVATIVE posterior restorations through an
Another critical engineering principle
RESTORATIONS engineering lens allows us to see
not typically taught in dental school is
unintentional flaws in their design.
that of mechanical forces. These are the
G. V. Black’s first-generation jigsaw forces created by the direct interaction
puzzle-style preparation is a classic of two objects. Tension is one of these;
mortise-and-tenon or “dovetail” joint. compression is another. Tension is the
Developed in 1897 and still used today, result of two objects pulling away from
it mechanically locks the filling— each other. Compression is the result of
originally made of wood—into place. two objects being pushed together.

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Jigsaw puzzle-style Bioclear ensconces
preparations inadvertently the tooth creating
create tension joints compression joints

Traditional preparations inadvertently To this day, dentists are removing—


create tension joints. Tension causes again, inadvertently—more of the tooth
tiny fractures in teeth over time, than they need to for these composite
weakening them further. And that’s restorations and creating a fracture-
because of the way cavity preparations prone tooth-material complex.
are taught in dental schools.
When dentists moved from amalgam
to white composite material, most did
not transition to an appropriate modern
prep, because the legacy was that we
had to have this mechanical lock.

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Preserves more healthy tooth
with conservative preps

Ensconces the tooth,


strengthens it and
seals out bacteria

Creates a compression joint that


is both long-lasting and protects
the tooth from further damage

Creates an
infinity edge into
the gum line

Bioclear Tooth Preparation

BIOCLEAR In engineering, by definition the word filling composite resin completely enveloping the
implies a tension joint. This is why we tooth. These restorations are thus said to be
VS. devalue the term “filling,” preferring instead overlays. Smaller restorations use the Calla
“FILLINGS” to use restoration. Lily preparation, a design that still shifts the
forces from tension to compression.
Instead, Bioclear restorations avoid tension
altogether. It relies instead on compression Not only does compression shield the
joints, where forces push the two materials tooth from further damage, it also means
together. less dentin needs to be removed for the
restoration to stay. Patients retain more of
In the case of third-generation Bioclear Class their original tooth structure, and both it and
II preparations, for example, this compression the restoration will last much, much longer.
comes from all sides, with injection-molded

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Top View Top View Side View Side View
of Prep of Result of Prep of Result

Traditional Methods
Generation 1
• Require removal of otherwise
TRADITIONAL

jigsaw
(dovetail)
PREPARATION

ca. 1897 healthy tooth structure, to create a


mechanical lock
• Fillings sit in the prep, creating a
Generation 2
tension joint between the tooth
slot prep and the filling material
ca. 1990
• Tension joints are prone to loosen
and can create small fractures in
the underlying tooth
BIOCLEAR
PREPARATION

Generation 3
The Bioclear Method
Bioclear • Conserves more tooth structure
ca. 2000
• Composite ensconces the tooth,
creating a compression joint
• Composite extends below the
gumline creating an infinity edge
with no seams
• Compression joint strengthens the
tooth and protects it from further
decay, damage or fracturing

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SELECTIVE CARIES
REMOVAL AND THE
BIOCLEAR METHOD
(Modified Hall Technique)

The Modified Hall Technique is a new advancement


in dentistry which is now beginning to be taught BEFORE
in dental schools. It is described as selective decay
removal with the deep decay left near the nerve of
the tooth. The tooth is then sealed from the oral
environment.
If properly sealed, the pulp, (commonly referred to
as the nerve of the tooth) with its good circulatory
system, helping enzymes, antibodies, and
calcification process, can heal the deep decay.
Within a few months, the tooth becomes hardened
and essentially bacteria free. In other words, it
becomes naturally healed dentin via the healing
mechanisms of blood supply and tooth together.
With proper case selection, the success rates are
shown at well above 90%.1
Tooth prior to the Bioclear Method procedure

1
Long-term survival of indirect pulp treatment performed in primary and permanent teeth with clinically
diagnosed deep carious lesions. Gruythuysen RJ, van Strip AJ, Wu MK. J Endod 2010 Dec;36(9):1490-3

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DURING AFTER

Tooth after initial preparation Bioclear result

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Enamel

Healthy dentin

Loose dentin

Soft dentin

Caries affected hard dentin

Nerve

REMOVING Using Selective Carries Removal (SCR), When properly sealed, the dentin will
intact dentin—which in other methods harden and the decay can heal, thanks
LESS would have been scraped away— to the pulp’s incredible circulatory
DENTIN becomes a layer of natural insulation system—with its enzymes and
between the composite and the nerve. antibodies—and the tooth’s own
This also virtually eliminates the chance of calcification process.
postoperative pain.

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Nerve exposure Nerve exposure
is common is rare

Tooth structure
Tooth structure retained with
retained with the Bioclear
SCR alone version of SCR

Within a few months, the dentin will be


hardened and essentially bacteria-free.
Not only does that conserve more of the After Bioclear treatment the soft
underlying structure, but it means dentin and carries affected hard
a younger, healthier tooth overall. dentin will be healed

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REJUVENATION
AFTER DISASSEMBLY
OF EXISTING
RESTORATION Traditional fillings sit in a
Existing restorations (typically old amalgam or layered hollowed space of the tooth,
composite) are removed and replaced with Bioclear creating a tension joint
overlay restorations. It is important to remove the old
materials first, as a separate procedure, in order to
ensure monolithic color uniformity and strength to the
Bioclear restoration.

There are four reasons why patients and dentists


will choose to disassemble an existing restoration
and replace it with Bioclear:
• Decay is present beneath the existing restoration
• Esthetics are unappealing in existing restoration
(stained, brown edges, etc)
• The existing restoration causes pain when chewing,
or exposure to cold because the tooth is cracked
• High risk of breakage due to microscopic cracks

Pain is clearly an urgent indicator, but the last point Tiny fractures in
is also important. Up to 70% of cracked teeth are otherwise healthy
asymptomatic. Therefore, we can take a proactive tooth structure.
approach before it has symptoms and requires a root
canal. Thus Bioclear is an outstanding preventative
option that rejuvenates and strengthens the tooth.

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BEFORE AFTER

BEFORE AFTER

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BEFORE DURING AFTER

Teeth prior to the Bioclear Method Tooth after initial preparation Bioclear result
procedure with the old restoration using the Calla Lily prep
still in place

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BEFORE BEFORE

AFTER AFTER

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COMMON PATIENT QUESTIONS
How long will a Bioclear restoration last Will my teeth look or feel bulky?
compared to a crown? Bioclear is an additive procedure. Traditional methods
A better question is: Which option—a crown or a Bioclear of dentistry reduce your natural tooth structure to make
restoration—will allow me to keep my tooth the longest? space for the crown, veneer, or filling.

The answer is: the Bioclear restoration. Bioclear provides The Bioclear restoration overlays and ensconces the
the best chance to keep your natural tooth for a lifetime. tooth. Your teeth may temporarily feel slightly thicker
than your existing teeth due to the ensconcement of the
Why? Traditional crown preparations remove about 76% composite around the tooth. Patients often comment
of the tooth. Bioclear’s less invasive technique minimizes that the teeth feel smoother and stronger after Bioclear.
reduction of tooth structure and decreases the potential
of future root canals or snap off fractures. As we age, Will Bioclear restorations stain?
crowned teeth later can require extraction. Bioclear
offers an innovative option to avert this outcome. Bioclear restorations are very resilient against staining.
With that said, the Bioclear restoration may stain like
your natural enamel. Smoking, heavy consumption of
Can I get decay under a Bioclear restoration? black coffee or dark juice can permanently stain natural
Crowns rely on a glue which slowly deteriorates over tooth enamel and Bioclear restorations. We recommend
time. When crowns fall off it is a very disruptive and that you drink a cup of water and brush your teeth after
frightening occurrence. Instead of cementing or gluing, consumption or avoid these habits altogether.
Bioclear becomes essentially one with the tooth, similar
If you do get surface stains, typically they can be polished
to a shrink-wrapping process. Because the weak link is
away during a routine dental cleaning. Most patients
removed, Bioclear can more readily prevent decay.
making this type of investment in their smile maintain
them regularly with cleanings and examinations with
their local dentist.

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How do I maintain Bioclear? Matrices aren’t new to dentistry, but the Bioclear Matrix is
the only one designed to look like a real tooth. It requires
Avoid use of a cavitron or electronic scaler on Bioclear
less sanding and polishing, and results in a better patient
restorations. Hand scaling is acceptable. Use low
experience and superior results.
abrasive toothpaste in lieu of traditional prophy paste.
Final buff with Bioclear diamond impregnated Rockstar The Bioclear Method can be learned by any dentist who
Polisher. is already skilled at restorations and dentists can become
certified in a range of specific applications. And it does
Note: Patients can order a maintenance kit through
require learning: the Bioclear Method is based as much
Bioclear website.
on principles of structural engineering and state-of-the-
art materials science as on traditional dental tools
Why doesn’t every dentist use Bioclear? and techniques.
The Bioclear Method is gaining in popularity and is now
being taught in several dental schools. Major changes in
dentistry and medicine often take many years to reach all
doctors. However, the patient-centered results speak for
themselves. Bioclear is catching on around the world.

What’s the difference between the Bioclear


Method and Bioclear Matrix?
The word Bioclear refers to both a method and its related
tools and materials. Dr. David Clark is the inventor of
both the Bioclear Matrix and the Bioclear Method.

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GLOSSARY OF REJUVENATING
BIOCLEAR RESTORATIONS
Bioclear Black Triangle Closure Bioclear Root Overlay
Closes negative space between teeth and rejuvenates the Covers areas of recession and root abrasions. The Root
tooth to its youthful appearance. Overlay is the transition of the Bioclear Black Triangle/
Patients seek treatment of black triangles for many Bioclear 360° Veneer Overlay to the root without leaving
reasons that include: a size discrepancy in the presence of recession and
root abrasions.
• Esthetics—Black triangles prematurely age the smile
• Elimination of painful and or socially embarrassing Bioclear Diastema Closure
areas of food impaction
Placed when the open contacts and/or open spaces on
• To reduce looseness of the tooth (provide orthodontic either side of the tooth are too large to allow the Bioclear
stability). “Point contacts” (or very narrow areas of Black Triangle, or Bioclear 360 Veneer Overlay restoration
contact between teeth) predispose teeth to movement alone to close the space.
and possible orthodontic relapse. The broad contacts
created with Bioclear lock the teeth into the correct
position Bioclear Peg Lateral Overmolding
• Black Triangle closure is a side benefit when restoring or Treatment
another area of the tooth such as a chipped or worn Another common dislike among patients is undersized
incisal edge laterals (or peg laterals). This is where the tooth has not
grown to its full capacity, leading to an uneven smile.
Combining the Bioclear Method with the excellent
quality of shaded composite materials, these teeth
can be built up to reveal an esthetically pleasing and
symmetrical smile.

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Bioclear 360° Veneer Overlay The tooth is then sealed from the oral environment.
When properly sealed, the pulp’s circulatory system,
Rejuvenates tooth to its youthful appearance, treats worn
healing enzymes, antibodies and calcification process
edges, corrects negative space, masks color, wraps 360°
can heal the deep decay. Within a few months, via
ensconcing the entire tooth.
the healing mechanisms of blood supply and tooth
together, the essentially bacteria-free dentin will
Bioclear Posterior Overlay be hardened.
Including the Calla Lily Prep, Flattened Calla Lily,
• Disassembly of Existing Restoration
and Full Cuspal Overlay
Existing restorations (typically old amalgam or layered
The Bioclear Posterior Overlay ensconces the entire composite) are removed and replaced with Bioclear
tooth, prevents fracturing in weak and cracked teeth, and overlay restorations. It is important to remove the
rejuvenates the tooth appearance, color, and volume. old materials first in order to ensure monolithic color
This technique can be used to treat Class I and Class II uniformity and strength to the Bioclear restoration.
problems including: replacement of a failed restoration,
an incomplete fracture, severe decay, a fully fractured
tooth, broken cusp, failing restorations, or when adding
volume (opening the vertical dimension).
Treatments used in Bioclear Posterior Cases:
• Bioclear SCR
SCR (Selective Caries Removal) is a new advancement
in dentistry. SCR is described as selective removal of
deep decay left near the nerve of the tooth.

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Talk to your dentist for questions relating to your own
personal treatments using the Bioclear Method.

For more information visit the Bioclear Matrix


website at www.bioclearmatrix.com

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bioclearmatrix.com

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