•
For DENTISTS: “Make it e.max” provides one solution for most single and multiple unit cases. “One smile chemistry” provides simplified prescriptions and treatment plans
• For TECHNICIANS: One overlay material for multiple substructures – simplifies inventory and techniques. Utilizes the best of Press and CAD/CAM technologies and offers versatile case planning.
inLab System
Everest System
IPS
e.max CAD
ďƒ˜ High strength Glass Ceramic Block for the CAD/CAM technology
Indications ďƒ˜ anterior single unit substructures ďƒ˜ premolar single unit substructures
Flexural strength (ISO 6872) after crystallization - 360 MPa
IPS
e.max CAD FEATURES
BENEFITS
Fastest framework material for CAD/CAM in the world
maximized productivity
Easy milling
Efficient, economic processing in a CAD/CAM system
Easily conductible crystallization without complex infiltration or shrinkage processes
Fast and convenient processing without waiting times to complete the restoration
ideal combination of IPS Highest esthetic and highest e.max CAD in the anterior flexural strength can be region and IPS e.max ZirCAD combined in the posterior region
inLab System
IPS
e.max ZirCAD
ďƒ˜ Yttrium
stabilized Zirconium Oxide Block for the CAD/CAM technology
2 block sizes for single unit or bridge applications
Indications anterior and posterior single unit substructures 3 to 4 unit bridge substructures inlay bridge substructures
Physical Properties CTE (100-400°C)
10.75 10-6/K
flexural strength (ISO 6872)
900 MPa
fracture toughness (SEVNB)
5,5 MPa m1/2
modulus of elasticity
210 GPa
vickers hardness
13000 MPa
solubility (ISO 6872)
1 µg/cm2
sintering temperature
1500°C
IPS e.max ZirCAD framework after milling
Sintramat ďƒ˜ Special furnace to sinter green body zirconium oxide restorations out of IPS e.max ZirCAD
sintered framework - complete support from the beads
complete the IPS e.max ZirCAD restoration using IPS e.max Ceram
IPS
e.max ZirCAD FEATURES
BENEFITS
High strength material for new all ceramic indications
extended indication range up to multiple posterior bridges
Conventional cementation
Easy, simplified placement
Ideal combination of the IPS e.max CAD in the anterior and the IPS e.max ZirCAD in the posterior
Combination of highest esthetics and highest strength
IPS e.max ZirPress Benefits of Pressing over Zirconium Oxide • Increased productivity – Labor shifted from ceramic department to waxing department
• Simplified fabrication process – Wax-up versus build-up technique – Detailed occlusal anatomy achieved more readily with wax-up technique
• Improved marginal fit
IPS
e.max ZirPress
ďƒ˜ Fluor-Apatite
Glass Ceramic Ingot for the press-on technique with zirconiumoxide frameworks
Indications press on single unit substructures out of IPS e.max ZirCAD press on IPS e.max ZirCAD bridge substructures press on IPS e.max ZirCAD inlay-bridge substructures press on zirconium oxide frameworks, implant substructures and implant abutments (green body / HIP) within a CTE range of 10.5 - 11.0 x 10-6 K-1 (100-400°C)
Physical Properties CTE (100-400°C)
9.75 10-6/K
flexural strength (ISO 6872)
110 MPa
vickers hardness
5400 MPa
solubility (ISO 6872)
30 µg/cm2
pressing temperature
900 / 910°C
Shades ingots have a larger diameter than IPS Empress ingots diameter 13 mm small ingots only
IPS
e.max ZirPress FEATURES
BENEFITS
Fast, easy and efficient processing technique
Economical processing results in accurately fitting zirconium oxide supported restorations
Combination of PRESS and CAD/CAM technology
Advantage both technologies combined in one restoration
Different levels of opacity
Flexible application, depending on the preferred processing technique
Fluorapatite glass-ceramic ingots
Optimum masking of the zirconium oxide framework translates into highly aesthetic restorations
Full anatomy technique
Finished IPS e.max ZirCAD framework with reduced margin
Full anatomy technique
No sandblasting – apply IPS e.max Ceram ZirLiner directly to the cleaned framework
Full anatomy technique
ZirLiner firing – necessary for bond strength, background color and fluorescence
Full anatomy technique
Wax-up directly to the fired ZirLiner – ensure accurate marginal fit
Full anatomy technique
Sprue each unit directly and control the height of the objects
Full anatomy technique
Divest with glass beads – starting at 4 bar (60 psi) and fine divesting at 2 bar (30 psi)
Full anatomy technique
Pressing cleaned with glass beads
Full anatomy technique
Finished IPS e.max ZirCAD, ZirPress and Ceram bridge
IPS
e.max Press
ďƒ˜ High strength Glass Ceramic ingot for the PRESS technology
Indications anterior and posterior single unit substructures 3-unit bridge substructures up to the 2nd pre-molar as abutment implant substructures (single units and 3-unit bridges)
Physical Properties CTE (100-400°C)
10.15 10-6/K
flexural strength (ISO 6872)
400 MPa
fracture toughness (SEVNB)
2.75 MPa m1/2
modulus of elasticity
95 GPa
vickers hardness
5800 MPa
solubility (ISO 6872)
40 µg/cm2
pressing temperature
915 / 920°C
Shades ingots are larger compared to IPS Empress ingots (same as e.max ZirPress) 50% more material per ingot diameter 13 mm small and large ingots
IPS
e.max Press FEATURES
strongest pressable glass ceramic ingot with 400 MPa
various opacity levels available years of clinical expierence with lithium-disilicate
BENEFITS conventional cemented crowns and bridges up to the 2nd premolar easy shade matching and high end esthetics independent of the preparation shade enhanced clinical efficacy
IPS
e.max Pressing...
Equipment EP 500 EP 600 EP 600 Combi
IPS
e.max Ceram
ďƒ˜ Nano-Fluor-Apatite
Glass Ceramic for veneering and characterization of all IPS e.max frameworks
Indications veneering and characterization of all IPS e.max materials
veneering of zirconium oxide frameworks (green body / HIP Zirconia) within a CTE range of 10.5 - 11.0 x 10-6 K-1 (100- 400°C) layered veneers
Physical Properties CTE (100-400°C)
9.5 10-6/K
flexural strength (ISO 6872 / >50)
90 MPa
vickers hardness
5400 Mpa
solubility (ISO6872; <100 µg/cm2)
15 µg/cm2
firing temperature
750°C
Zirconia Liner ZirLiner provides bond strength, color and fluorescence ZirLiner is used in combination with zirconium oxide (i.e. ZirPress, ZirCAD and other ZrO2)
9 ZirLiner powders are available – 5g each (ZL clear, ZL 1, ZL 2, ZL 3, ZL 4, Intensiv ZL yellow, orange, brown, incisal)
IPS
e.max Ceram
Competitor Ceramic
Restorations back-lit demonstrating the effect of e.max ZirLiner - allowing translucency
Processing
Comparison with and without ZirLiner
Processing High esthetic glass ceramic framework
High strength zirconium oxide framework
Processing Wash firing with Dentin, Deep Dentin or Shades and Essence
ZirLiner firing with ZirLiner and Intensive ZirLiner
Processing Wash firing for bond strength, foundation color and fluorescence
ZirLiner firing for bond strength, foundation color and fluorescence
Processing
Layering over lithium disilicate framework
Processing
Completed IPS e.max Ceram firing
Processing
Finished IPS e.max Ceram restoration â&#x20AC;&#x201C;
IPS
e.max Ceram Fabrication Options
IPS
e.max Ceram Fabrication Options
IPS
e.max Ceram Layering Diagram
IPS
e.max Ceram FEATURES
BENEFITS
One layering ceramic for an extended range of all metalfree substructure materials
One smile chemistry Simplified shade matching
Nano fluor-apatite glass ceramic
Framework independent high end esthetics
Outstanding opalescence
Resorations with a natural and vital appearance
IPS e.max Ceram One layering ceramic for high esthetic glass ceramic and high strength zirconiumioxide
Simplified layering technique independent from the framework material
Highly esthetic restorations
NEW Additions!!! IPS Natural Die Material
IPS Natural Die Material ď&#x192;&#x2DC; 9x IPS Natural Die Material 8g ď&#x192;&#x2DC; 3 new colors
Processing
Use IPS Natural Die Material to simulate the shade of the tooth preparation
Processing
A tooth colored die is the foundation for lifelike all ceramic restorations
Cement Recommendations
•Adhesive Self-Etch/Conventional •Multilink Automix •Total Etch •Variolink
Multilink Automix • Dual Cure. • Easy cleanup. • High initial bond strength. • High Radiopacity. • Mix primer A & B for self etch and bond. • Low sensitivity.
metal or metal -free metal, glass ceramic, zirconia
Opaque, Yellow,
immediate immediate shear shear bond bond strength strength Dr. Dr. Mark Mark Latta Latta MPa
34.1
35.0
17.5 12.2 5.4 0.0
MaxCEM
RelyX Unicem
Multilink A
Immediate bond. Light Cure - etched and silanted glass ceramic to dentin
immediate immediate shear shear bond bond strengths strengths -various various substrates substrates Dr. Dr. Carlos Carlos Munoz, Munoz, SUNY SUNY @ @ Buffalo Buffalo MPa
40
MaxCEM
RelyX Unicem
Panavia
Multilink
36
30
18.3
17.9
20 13.3
12 10 3.7
10.7 7.4
5.2 2
1.5
1.9
0
Ceramic
Zirconia
Non-Precious Metal
Immediate bond. Light Cure - dentin; surfaces treated according to instructions for use
shear shear bond bond strengths strengths light light cure cure vs. vs. self self cure cure
Drs. Jim Simon & Wald de Rijk, University of TN Drs. Jim Simon & Wald de Rijk, University of TN MPa
MaxCEM
40
35.1
RelyX UniCEM
Multilink 29
30
20
10
7.1 2.8
2.1
1.1
0 Light Cure
Self Cure
Light cure immediate vs. 10 minute self cure- etched and silanated glass ceramic to dentin
“I saw it for myself – 15 seconds of primer application provides five times the bond strength of competitive materials – it’s worth it to secure my patient’s restorations.”
Dr. James Simon Memphis, TN
immediate immediate shear shear bond bond strengths strengths by by operator operator 40
30
20
10
MPa
Latta Lowe Poticny & Conrad* Pierce & Gonzales* Tsotsos* Munoz Simon & De Rijk Klim & Jabuka* Touchstone* Ritter Schwartz Boscketti
0
M
U
Multilink Automix
Light Cure - glass ceramic to dentin; glass ceramic etched and silanated * smaller sample size n<10
Shear Shear bond bond strengths strengths zirconia zirconia to to dentin dentin 30
MPa
Self cure 10 minutes Self cure 24 hours Light cure immediate Light cure 24 hours 17
20
12
24 19 13 7
6
0
0
1
MaxCEM
13
11
10
2
28
27
6
2
Panavia F
RelyX Unicem
Multilink Automix
Internal data â&#x20AC;&#x201C; Ivoclar Vivadent, Inc. No surface priming of zirconia. Applied Testing Center
Dental with Multilink… Multilink… Dental Economics, Economics, with •“What you get is very high bonding values in a short time with outstanding marginal integrity.” •“Forget about sensitivity issues – there is no sensitivity!” •“This is a great cement that is strong, fast, easy and universal.”
•Dr. Joe Blaes Pearls for Your Practice September 2005
Dental Advisor +++++
•“Cement is very easy to use” •“…easy seating of restorations” •“Transparent shade blends well with ceramic inlays” •“There were no reports of post-operative sensitivity”
More Great Accessories for your e.max restorations from Ivoclar Vivadentâ&#x20AC;Ś
OptraGate
OptraGATE Jr.
bluephase
bluephase 16i
Bluephase 16i •
Same Lightweight, ergonomic design
•
1600 mW/cm2 Power
•
5 second cure for most composites shades
•
Three Power Settings; High, Low, Ramp
•
Lithium ion battery – long usage, quick recharge
•
Corded back-up power supply
•
Integrated radiometer