Tetric® N-plus

Simplified universal composite

Count on Tetric N-plus

4 shades for greater simplicity.
4 mm for higher efficiency.

Tetric N-plus is our new simplified universal composite that can be applied in layers up to 4 mm in thickness. It meets your requirements for a high-quality universal composite while offering even greater efficiency and simplicity.

Your benefits

4 shades

  • Easy shade matching – exceptional shade adaptation
  • Just 4 shades for all VITA*** classical shades and Bleach shades
  • Unique shades inspired by natural tooth colours

4 mm

  • 4-mm layer thicknesses for increased efficiency
  • Can be applied in individual layer thicknesses between 0.1 and 4 mm
  • Reliable curing, starting from 3 seconds

4 quadrants

  • Simplified universal composite
  • Suitable for all five cavity classes, including use in the anterior region

4 fillers

  • 4 fantastic fillers for high quality and convenient handling
  • Esthetics suitable even for the anterior region
Esthetics at 4 mm

High-quality universal composites have made monochromatic fillings increasingly popular even in the anterior region. However, bulk-fill composites – known for allowing larger layer thicknesses – have traditionally been seen as lacking in esthetics. With Tetric N-plus, we are setting a new standard: Its optimized formulation bridges the gap between esthetics and functionality, allowing layer thicknesses of up to 4 mm while maintaining excellent esthetics.

Class I cavity restored with Tetric N-plus Flow A2 plus and Tetric N-plus Fill A2 plus
Above: Filling with insufficient marginal adaptation on tooth 36​
Below: after the restorative procedure
 
Source: Dr Arnd Peschke, Ivoclar, Liechtenstein
Class II cavity restored with Tetric N-plus Flow A3 plus and Tetric N-plus Fill A3 plus
Above: Filling with insufficient marginal adaptation on tooth 35​
Below: after the restorative procedure
 
Source: Dr Ronny Watzke, Ivoclar, Liechtenstein

Class III cavity restored with Tetric N-plus Flow A3.5 plus, Tetric N-plus Fill A3 plus in combination with an additional dentin composite in shade A3.5

Above: Tooth 11 insufficient class III composite restoration​
Below: after restorative procedure
 
Source: Dr Carola-Sonia Pentelescu, Ivoclar, Liechtenstein

Class V cavity restored with Tetric N-plus Flow A3.5 plus

Above: Wedge-shaped defect and sensitivity to temperature on teeth 24, 25 
Below: after restorative procedure
 
Source: Dr Ronny Watzke, Ivoclar, Liechtenstein
Find the right solution for your practice

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High quality and convenient handling

Tetric N-plus Fill

Tetric N-plus is a sculptable universal composite that can be applied in layers up to 4 mm in thickness.

Handling

  • Sculptable viscosity that adapts well to cavity walls
  • 92% of dentists report high satisfaction with the cushioning effect[1]
  • Viscosity can be adjusted by heating the material, if desired

Mechanical properties

  • Reliable curing[2] of layers up to 4 mm, ensuring strength and longevity
  • High radiopacity[2] >200% Al for easy diagnostics
  • Very good mechanical properties for high strength:
    – High flexural strength[2] (133 MPa) and compressive strength (375 MPa)
    – Low wear
  • Low shrinkage stress for a reduced risk of marginal gaps
  • High bond strength with Adhese Universal for sound marginal integrity
  • Low water absorption[2] of 21 μg/mm3 for improved stability

Tetric N-plus Flow

Tetric N-plus Flow is a flowable universal composite that can be applied in layers up to 4 mm in thickness.

Handling

  • Universal viscosity thanks to exceptional thixotropic properties
    – Precise application and high stability[3]
    – Good flowability[4] for fast volume replacement
  • Adapts to cavity walls and has a self-levelling effect
  • Even with 4-mm layers, no additional covering layer is needed due to the material's very good mechanical properties[5]

Mechanical properties

  • Reliable curing[2] of layers up to 4 mm, ensuring strength and longevity
  • High radiopacity[2] >200% Al for easy diagnostics
  • Very good mechanical properties for high strength:
    – High flexural strength[2] (133 MPa) and compressive strength (375 MPa)
    – Low wear
  • Low shrinkage stress for a reduced risk of marginal gaps
  • High bond strength with Adhese Universal for sound marginal integrity
  • Low water absorption[2] of 21 μg/mm3 for improved stability

4 mm for higher efficiency. 4 shades for greater simplicity.

Short and consistent curing times

Efficient 4-mm composites are not a new thing. What is new, however, is that you can now use them for all cavity classes, further reducing the number of products needed for restorations. 

Even faster within the workflow

When combined with Tetric N-Bond Universal and Bluephase N G4, you benefit from a well-coordinated product portfolio. Including consistent and short curing times.

Optimized inventory management

Using one universal composite with fewer shades means fewer orders, less stock and fewer expired products. This saves both time and money.

Our technologies for greater esthetics, quality and efficiency

With Tetric N-plus, we have optimized every component, in particular the 4-filler technology. The combination of spherical and non-spherical fillers of various sizes enhances the material's handling, strengthens its mechanical properties and allows for quick polishing.

This combination also has a significant impact on the material's chameleon effect: The four different filler types are precisely coordinated to scatter incoming light optimally, while the monomer matrix intensifies this effect with carefully adjusted, intentionally varied refractive indices.

We have measured and analyzed the tooth colours of nearly 400 people. In doing so, we were able to identify four shade clusters that optimally cover the colour spectrum of natural teeth. Based on these four clusters and in line with the VITA*** shades, we formulated Tetric N-plus.

Tetric N-plus is designed to deliver an enhanced chameleon effect. With just four shades, you can cover the entire spectrum of natural tooth colours. In its cured state, Tetric N-plus absorbs and scatters light similarly to natural tooth structure, allowing it to blend almost seamlessly with the surrounding tooth colour. This effect is achieved through the ideal interaction between monomers, fillers and pigments.

Tetric N-plus is a light-curing dental material. To enable reliable and quick light-curing, Tetric N-plus is translucent before polymerization. The yellowish tint makes it easier to identify unpolymerized areas. 
After polymerization, Tetric N-plus appears more opaque and adapts well to the surrounding tooth colour due to its pronounced chameleon effect. 

Tetric N-plus Fill A3 plus
Translucency before polymerization: 36%
Translucency after polymerization: 12%

The requirements placed on 4-mm composites are more demanding, as the thicker layer must not cause increased shrinkage stress during polymerization.

Our solution: The patented chain regulator. Together with the shrinkage stress reliever — a special filler with an exceptionally low elasticity modulus — the chain regulator reduces both volumetric shrinkage and shrinkage stress. As a result, the shrinkage stress of Tetric N-plus is comparable to that of conventional composites.

Ivocerin is our patented light initiator, which we have already been using for Tetric N-Power-Fill 2 and Tetric N-Power-Flow 2. It provides for efficient curing of layer thicknesses up to 4 mm. The highly reactive light initiator enables fast and reliable polymerization – for durable, long-lasting restorations and a more efficient treatment workflow.

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