2007 De Cpea1 P01

Pearls for Your Practice: Admira Fusion x-tra by Voco

July 13, 2020
While doing some COVID-19 spring cleaning of his practice, Dr. Joshua Austin had to throw away $1,500 of expired composite, giving him a new appreciation for keeping a lean materials closet. He explains how Admira Fusion x-tra helps him achieve that.

During our extended COVID-19 shut down, my team and I did something that many of you probably did: spring cleaning! We spent several days going through and deep cleaning the entire office. We cleaned out the front. We cleaned out the back. We cleaned drawers. We cleaned cabinets. We cleaned bathrooms. We mopped. We dusted. We even did windows.

Along with this, we cleaned out the supply closet. I was saddened and disappointed when I saw we had to throw away what was probably $1,500 worth of expired composite. As I examined the detritus pile, I noticed that many of the compules we were throwing away were odd shades...A4, D3, Extra White Bleach. It made me wonder, could we make our composite kit more lean and mean? What if we had a universal shade for the posterior and some simple anterior situation while supplementing that universal shade with some basic common shades for anteriors? That sounds like a winning combination. Admira Fusion x-tra can be your universal shade!

Admira Fusion x-tra is a nanohybrid ORMOCER direct restorative material. ORMOCER stands for organically modified ceramic, where silica oxide forms the chemical base. ORMOCERs have no traditional monomers. This helps Admira Fusion x-tra have some really great physical properties, such as low shrinkage and color change. It can be reliably placed in 4 mm increments. When you mix that with the universal shade, you have a super simplified direct composite workflow on most of your posterior direct restorations. That is something we can all get behind these days!

Admira Fusion x-tra is compatible with all conventional bonding agents. That may seem like an odd statement, however there was a time in the mid to late 2000s where we saw new materials on the market that marketed low shrinkage but required a special “silorane” bonding agents. That is not the case here. Keep using whatever bonding agent you’ve been using in your practice. 

Voco recommends using Admira Fusion x-tra for class I, II, and V restorations. I think that is a great choice. I feel that this material works best in posterior applications. That doesn’t mean you can’t use it in the anterior from time to time, especially on class Vs. The strength of this material is simplifying the everyday posterior composites we all do. Admira Fusion x-tra handles and polishes well and comes in compules and syringes. It’s a great choice to keep that composite kit lean and mean without sacrificing quality. Line drive triple to left field for Voco!

Joshua Austin, DDS, MAGD, writes the Pearls for Your Practice column in Dental Economics. After graduating from the University of Texas Health Science Center Dental School, Dr. Austin associated for several years. In October of 2009, he opened a solo general practice in a suburban area of San Antonio, Texas. Dr. Austin is involved in all levels of organized dentistry and can be reached at [email protected].