GENERAL INFORMATION
PYRAMID is a light-cured, hybrid composite indicated for the restoration of posterior primary and permanent teeth in stress bearing as well as non-stress bearing areas. The PYRAMID system incorporates two distinctly different radiopaque materials, DENTIN and ENAMEL. PYRAMID DENTIN is a highly filled (80% by weight), packable material that provides ease in establishing occlusal contours, proximal surfaces and interproximal contacts. It can be used alone or as the base increment up to the DEJ. PYRAMID ENAMEL is a sculptable, highly polishable, wear-resistant material that will produce a life-like restoration when used as the veneer on top of PYRAMID DENTIN. The PYRAMID system aids in creating highly aesthetic stratified restorations or shallow restorations with a single stratum. It is intended for use with 4th or 5th generation adhesives such as ALL-BOND^® 2* or ONE-STEP^®*.

The principal uses of PYRAMID are:
1. Class I restorations.
2. Class II restorations.
3. Core build-ups.

PYRAMID is available in DENTIN and ENAMEL shades that correspond with the VITA^®? shade guide. PYRAMID DENTIN may appear to be slightly dry upon dispensing from the syringe, but once manipulation begins, the composite becomes an ideal consistency.

In order to polymerize, PYRAMID ENAMEL NEUTRAL and TRANSLUCENT require a light source with a full spectrum (400-500 nanometer) wavelength, produced by conventional halogen curing lights. For other curing modalities (PAC or laser), check with manufacturer to determine output wavelength.

* ALL-BOND and ONE-STEP are registered trademarks of BISCO, INC. PYRAMID is a trademark of BISCO, INC.

VITA is a registered trademark of VITA ZAHNFABRIK H. Rauter GmblH & Co. KG Germany.

INSTRUCTIONS FOR USE
1. Select DENTIN and ENAMEL shades prior to tooth desiccation.

2. Isolate tooth and prepare the cavity in a conservative manner. Clean the entire surface with a slurry of pumice and a disinfectant such as CAVITY CLEANSER^TM* or water.

3. Etch using an etchant, such as ETCH-37^TM* or UNI-ETCH^®*, according to manufacturer's instructions.

4. Apply an adhesive, such as ALL-BOND 2 or ONE-STEP, according to the manufacturer's instructions.

5. For preparations with highly irregular internal surfaces, place a flowable composite, such as AELITEFLO^TM* LV, as the initial increment to maximize adaptation of PYRAMID DENTIN.

6. Dispense desired amount of previously selected shade of PYRAMID composite onto a light-protected mixing pad by turning the syringe handle clockwise. To prevent excess material escaping from the syringe, turn the handle counterclockwise immediately after the desired amount is dispensed.

7. Place 1-2 mm increments of composite into cavity preparation. Light-cure each increment for 20 seconds. Continue to build the composite incrementally until cavity preparation is filled to the cavosurface margin. The final increment should be light-cured for 30 seconds.

8. Check the occlusion and begin finishing procedures. After finishing and polishing have been completed, apply FORTIFY^TM* or FORTIFY PLUS surface sealant (sold separately) according to manufacturer's instructions, to improve marginal integrity and reduce wear and staining.

* UNI-ETCH is a registered trademark of BISCO, INC. CAVITY CLEANSER, ETCH-37, AELITEFLO, and FORTIFY are trademarks of BISCO, INC.

Storage: Store at room temperature (22°C/72°F). Refer to individual component labels for specific expiration dates.

Precautions: Unpolymerized resins may cause skin sensitization in susceptible persons. In case of contact with the skin, wash thoroughly with soap and water.

How Supplied:

Starter Kit
H-5120K
1 Syringe PYRAMID DENTIN A2 (2.5g), 1 Syringe PYRAMID ENAMEL Neutral (2.5g), Instructions/MSDS

Introductory Kit
H-5130K
3 Syringes PYRAMID DENTIN Shades: A2, A3.5, and C2 (2.5g ea.), 2 Syringes PYRAMID ENAMEL Shades: A1 and Neutral (2.5g ea.), Instructions/MSDS

Complete Kit
H-5140K
1 Syringe PYRAMID DENTIN A2 (2.5g), 1 Syringe PYRAMID ENAMEL Neutral (2.5g), 1 Bottle ONE-STEP (4ml), 1 Syringe UNI-ETCH with BAC (5g), 1 Syringe ÆLITEFLO LV A2 (1.5g), Accessories, Instr./MSDS

SINGLE SYRINGES (2.5g ea.), Instructions/MSDS

Warranty: Bisco, Inc. recognizes its responsibility to replace products if proven defective. Bisco, Inc. does not accept liability for any damages or loss, either direct or consequential, stemming from the use of or inability to use the products as described. Before using, it is the responsibility of the user to determine the suitability of the product for its intended use. The user assumes all risk and liability in connection therewith.

Caution: U.S. Federal law restricts this device to sale by or on the order of a dental professional.

Bisco, Inc.
1100 W. Irving Park Rd.
Schaumburg, IL 60193
1-(800)-BIS-DENT
847-534-6000

CE ADMINISTRATOR
Bisico France -
Mr. Fred Picavet
L'Opera- BP. 60
13680 Lancon De Provence
France
Phone: 33-490-42-9292
Fax: 33-490-42-9261

Rev. 04/01
IN-052R1