Instructions for use

MULTI-REG

B-FORM

Technical information

MULTI-REG® is an occlusal registration and deprogramming device, developed by Prof. Stefano Pagano and Dr Francesco Tortorella, which is useful in many areas of dentistry whenever it is necessary to establish a stable and reproducible occlusal registration.

A light-curing material, available in preformed trays, which can be light-cured using any UV or halogen light unit. The preformed trays are supplied in a light-proof box, which can be reused as a container for transporting or storing models, etc.

PRODUCT FOR PROFESSIONAL USE

Scope of application

  • Dental.
  • Multidisciplinary (physiotherapy and/or osteopathy).

Dental: single-layer full arch (single thickness):

  • Registration at maximum intercuspation for assessment, diagnosis and monitoring during the initial consultation.
  • Registration for study models in various areas of dentistry.
  • Registration following crown and bridge preparation for interarch registrations.
  • Registration in the field of implant-prosthetics, both during the diagnostic phase and the prosthetic-rehabilitation phase.
  • Registration for bite splint prescriptions (simple Michigan type).
  • In orthodontics, for verification or improvement of occlusal contacts when using clear aligner methods.

Dental: full arch, multi-layered (variable thickness):

  • Fabrication of a temporary bite splint in a single session for acute temporomandibular disorders (emergency cases, repositioning splints, decompression of the temporomandibular joint (TMJ) and/or muscle deconditioning).
  • Registration during and/or following electromyographic/kinesiological assessment.
  • Registration prior to direct/indirect conservative treatment.

Dental: partial use (half-arch, anterior teeth) single- or multi-layered:

  • On a semi-circular arch during direct composite restorations.
  • In orthodontics, to improve occlusal alignment when using various treatment methods.
  • In gnathology, to identify mandibular posture and record that position.
  • Creation of a temporary muscle deconditioning gig.

Multidisciplinary (physiotherapy and/or osteopathy):

  • The ability to assess mandibular posture and, consequently, to reset pre-existing muscular engrams.
  • The ability to decompress the temporomandibular joint and manually analyse changes in muscular fascial tone.
  • Ability to use the material (i.e. deconditioning material or temporary splints) in a postural-tonic context during various cervical ROM tests (accelerometer/Baiobit®) and on a baropodometric platform, in accordance with the relevant procedures and protocols.
  • It can also be used in a kinesiological context, by carrying out various assessment and/or diagnostic tests in the presence of occlusal adaptations recorded and maintained using the material.

TARGET PATIENT GROUP: Anyone who requires individual occlusal registrations and deprogramming for various types of dental treatment.

INTENDED USER: Dentist, specialising in gnathology and/or orthodontics. Physiotherapist or osteopath, in consultation with the attending doctor.

Preparation and use

  • Remove the preformed tray from the packaging and reseal the packaging.
  • Place the tray on the model (if one is already available) and define the contours of the dental arch and, consequently, of the future occlusal registration (optional step).
  • If no model is available (e.g. during the initial consultation), apply an Optra-gate, fit the tray onto the patient’s lower arch after carefully removing any excess saliva, and use your fingers to mould the material onto the teeth (preferably only on the occlusal surface), taking care not to press too hard.
  • Have the patient close their mouth, take the impression, and then proceed with polymerisation, starting in the molar region and then moving to the incisal area. Complete the polymerisation of the entire arch in the vestibular direction; thereafter, have the patient open their mouth again, repeat the opening and closing a couple of times, and then polymerise the lingual surfaces. (Classic occlusal registration technique).
  • As regards multi-layer registration, it is advisable to carry out a classic registration, dry the resulting impression thoroughly and gradually apply further layers, curing each one as you go (no adhesives of any kind are required between the layers).

    • Curing times

    Curing using UV or halogen light, depending on the type of unit.

    Finish

    If necessary, finish the edges of the registration/plate using a tungsten carbide cutter and sand them down with sandpaper.

    Igiene

    Immerse the MULTI-REG® individual recording in a glutaraldehyde-based disinfectant solution. The duration varies according to the manufacturer’s instructions.

WARNING: This product has been designed for use in the dental sector and must be used in accordance with the instructions for use. The manufacturer accepts no liability for any damage resulting from any other use. Furthermore, the user is required to check for themselves that the product is suitable and can be used for its intended purposes before use, particularly if these are not specified in the instructions for use.

Thickness and size

This material is available in the following thickness and colour:

HORSESHOE + RECTANGLE

#5002 - Thickness 2,3 mm - Colour: Light Blue - 20 pieces
UDI-DI = 8057509251152

Composition

Qualitative information

Urethane acrylate oligomer, vinyl ester resin, 2,2-dimethoxy-1,2-diphenylethan-1-one or 2,2-dimethoxy-2-phenylacetophenone, (+-)-2,3-dioxo-1,7,7-trimethyl-bicyclo-(2,2,1) -heptane di-ornane-2,3-dione, diphenyl(2,4,6-trimethylbenzoyl)phosphine oxide, 2-hydroxy-2-methyl-1-phenyl-propan-1-one, 2-ethylhexyl 4-(dimethylamino)benzoate, 2,2-diethoxyacetophenone, soda-lime glass, amorphous silica, colourants (Pigment Blue CI 74160), flavourings (Optamint).

Quantitative information

100 g contain 19 g of acrylates/methacrylates and 80 g of glass.


WARNING: This product contains methacrylates. Do not use in patients who are allergic to methacrylates or to any other substances contained in the product.

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Warnings

Side effects

There are no known adverse side effects.

Interactions

There are no known interactions between this product and other medicines, drugs or substances.

Storage

The product must be stored at a temperature between 0°C and 22°C.

Durata minima

Do not use MULTI-REG® after the expiry date.

Disposal

The uncured material can be cured using light (sunlight or artificial light) and then disposed of as plastic waste.


WARNING: In the event of a serious accident, please contact BART MEDICAL S.R.L. - Telephone: +39 0544 523326 - E-mail: sales@bartmedical.com

FAQs

Would you like to know more? Read the frequently asked questions about the product.

No, the MULTI-REG® layer and its backing (pre-formed rectangle) require no preparation whatsoever and are already set up for any type of programming and deprogramming.
No, once the MULTI-REG® preformed layer has polymerised, it can be easily removed; care should be taken to avoid excessive undercuts, which could cause fractures.
It would be preferable to remove as much saliva as possible and apply the MULTI-REG® layer to the lower arch to improve management.
Absolutely not; the physical and chemical properties of the material allow the flaps to be readjusted so that the impression-taking can proceed, which in turn can be carried out in several stages (e.g. the incisor region and, separately, the premolar/molar region).
Of course, it is possible to make alterations using a simple laboratory handpiece and the relevant burs.
Absolutely not; you can handle the material calmly and carefully.
As with any dental splint and/or bite guard, you will need to clean it thoroughly and store it carefully in a container.
The single-layer or multi-layer MULTI-REG® registration can be sanitised in the same way as a standard impression or silicone registration; however, given the rigidity of the material, it is advisable to place it inside a transfer box.
The box containing the MULTI-REG® should be stored in a dry place, away from moisture and light sources.
Of course, once the MULTI-REG® layer or the (rectangular) support has been polymerised and optimal single- or multi-layer registration has been achieved, the clinician will be able to record the intermaxillary relationship using any commercially available scanner and transfer all the digital data to the laboratory.

Manufacturer

BART MEDICAL

BART MEDICAL S.R.L.
Viale Vincenzo Randi 118
48124 Ravenna (RA)
+39 0544 523326
sales@bartmedical.com
www.bartmedical.com

Support

For further information and technical support, please contact us by email at sales@bartmedical.com