03 IPS e.max_Brix Special Edition_e

Page 1

special e.dition

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Step - by - step procedure

Milled and sintered single tooth coping made of zirconium oxide

IPS e.max Ceram ZirLiner 1 applied to the coping and the shade is modified with IPS e.max Ceram Shades

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Step - by - step procedure

Deep Dentin A2 and Dentin A2 are applied

The incisal area is built up using TI1, TI3, OE1 and T o-g. Mamelon structures are created with MM materials. OE3 is used to enhance the brightness value in selected areas.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Step - by - step procedure

Crown right after conducting the first firing cycle in the ceramic furnace. The result is impressive, even without further adjustments or finishing

Low shrinkage and a homogeneous surface

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Step - by - step

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Defective crowns compromise the aesthetic appearance of the smile

Pre- operative situation - labial aspect

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Pre- operative situation – palatal aspect

Lab- fabricated temporary

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Milled ZrO2 frameworks

Crown margins that have been shorted to accommodate the shoulder porcelain

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

ZirLiner and Margin material after firing

The ZirLiner technique enables the precise reproduction of shades and provides enhanced light reflection.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

IPS e.max Ceram Occlusal Dentin orange and Deep Dentin are applied in the proximal region. This enables me to create a basis for the desired depth of colour in spite of the high brightness value exhibited by the framework. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Subsequently, the framework is masked with a mixture of Deep Dentin and Dentin A3.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

To enhance the chroma in the cervical region and reduce the brightness value, a mixture of 50 % Dentin and 50 % Cervical Transpa orange is applied. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The dentin core is layered to full size with various dentin materials and subsequently reduced to its natural form, so that it represents around two thirds of the total layer thickness.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The inclination of the incisal plane creates an effect of depth and sufficient space for natural effects and the incisal layer. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

I lengthen the incisal area, which consists of various Incisal and Transpa materials, by approx. 1 mm. My selection of the materials as well as the way in which I layer them is closely guided by the structure of the adjacent teeth, to which I continuously refer during the build- up procedure. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Subsequently, I wash in expressive and natural effects with IPS e.max Ceram Impulse materials. To cover the labial aspect, I exclusively use Transpa Incisal and Transpa materials (Transpa Incisal TI 1 – TI 3, Transpa clear and Cervical Transpa orange) in layer of approx. 0.2 mm thickness. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The palatal view shows the build- up, its dimensions and the integrated framework. The transition between the framework and the ceramic is softened with IPS e.max Deep Dentin and small amounts of Essence material. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The Essence materials are ideally suited for this purpose. Even very thin layers suffice to achieve the desired result. Next, Dentin (A2 and A3) and Transpa (TI1 and TI2) are added to the palatal aspect. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

After firing, the restoration shows subtle, in- depth shading. The characteristics that have been incorporated are clearly visible but harmoniously blend into the natural surroundings and enhance the overall appearance. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Shade modification with IPS e.max Ceram ZirLiner ensures that the basic shade and chroma of the restoration are ideally supported by the zirconium oxide framework. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

Following corrective firing, I adjust the shape of the restoration and create surface texture. After glaze firing, the surface of the restoration exhibits a slight lustre. Nevertheless, the structure is still intact and no porosities are present. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The desired degree of lustre is achieved by mechanical polishing with rubber polishers after finishing all convex areas. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The post- operative view after incorporation of the restorations using a conventional cementation protocol (PD Dr. Daniel Edelhoff, Aachen/Germany) shows that oral harmony has been optimally restored, thanks to the perfect symbiosis of two trendsetting materials.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


First patient case

The natural- looking appearance produced by the shape and morphology of the restorations is further enhanced by the perfectly coordinated pink and white aesthetics. Transmitted light illumination shows the potential of the all- ceramic materials used.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Second patient case

Aesthetic restoration of the anterior teeth was accomplished despite the presence of severely discoloured tooth stumps and metal core build- up by placing all- ceramic restorations. The completed IPS e.max PRESS crowns were tried in using the Variolink II Try- in Paste (opaque white). Next, they were conventionally cemented. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Second patient case

Complete masking of the discoloured tooth stumps was achieved even without using an opaque metal framework. By using an IPS e.max HO ingot in conjunction with IPS e.max Ceram, a reduction of the brightness value of the restoration was avoided. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Age- specific layering technique with IPS e.max Ceram

ZirLiner and Margin firing

Cervical Dentin – 50/50- mixture of Dentin A2 and CT orange

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Age- specific layering technique with IPS e.max Ceram

Coverage with Dentin A2 – around two thirds of the original tooth form

A 50/50 mixture of Dentin A2 and Transpa neutral is applied to finalize the anatomical form.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Age- specific layering technique with IPS e.max Ceram

Cut back and mamelon design

Personalization of the incisal Impulse materials, e.g. MM light, T blue, OE 1, 2

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Age- specific layering technique with IPS e.max Ceram

Enhancement of the brightness value with OE 4

Transpa Incisal and a 50/50 mixture of OE 1 and T neutral is applied to the labial aspect.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Age- specific layering technique with IPS e.max Ceram

A halo effect is achieved by lengthening the incisal edge with Incisal Edge material.

MM materials are applied as light blockers at the transition between coping and ceramic build- up. Next, the build- up is finalized with Dentin and Transpa Incisal 1.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Age- specific layering technique with IPS e.max Ceram

The completed crown shows internal characteristics as well as a balanced shade effect and natural brightness.

Complete masking of the white zirconium oxide framework can be accomplished even if little space is available in the palatal region.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Third patient case

In the patient case shown below, the main focus was placed on an attractive overall appearance in addition to restoring tooth function, and thus on highly aesthetic restorations that blended harmoniously into the oral environment. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Third patient case

The prepared teeth showed slight discolouration. With IPS e.max ZirLiner, which is applied to the framework, this type of discolourations can be effectively masked without completely blocking light transmission.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Third patient case

By using zirconium oxide in conjunction with the IPS e.max Ceram veneering ceramic, the high- quality all- ceramic restoration desired by the patient could be provided with ease.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


Third patient case

To see the happy smile on the patient's face is a most gratifying experience.

IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


e.maximize your smile

Pre- operative situation

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


e.maximize your smile

Incorporated zirconium oxide- crowns in the oral environment. The curvature of the incisal line and the incisogingival length produce a harmonious impression. IPS e.max Ceram

IPS e.max System

Cementation

IPS e.max Press

IPS e.max ZirPress IPS e.max ZirCAD

IPS e.max CAD

IPS e.max Ceram

IPS Empress Esthetic/ IPS ProCAD


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