Ivoclar-vivadent IPS e.max Ceram Instrukcja Użytkownika

I N S T R U C T I O N S F O R U S ECeramall ceramicall you need

10Shade determination of the natural toothAfter tooth cleaning, the tooth shade of the non-prepared tooth and/or the adjacent teeth isdetermined with

11Practical UseLayering DiagramThe layering diagram of IPS e.max Ceram has been designed in such a way that easy and reliable shade reproduction is po

12Framework DesignFailure to observe the stipulated framework design criteria and minimum thicknesses may result in clinical failure, such as cracks,d

13Practical UseTips and tricks on layeringApplication of the Impulse materialsIncreasing the brightness valueBy applying Opal Effect 4 or Deep Dentin

Designing a true-to-nature incisal thirdThe Mamelon materials permit a true-to-nature interplay of shadesin the incisal third. They are applied on the

15Practical UseEnhancing the in-depth effect – externalThe Cervical Transparent materials with their slightly higher fluores-cence are used to complete

Applications for the Essence powdersEssence powders are intensively shaded and should, therefore, only be used in very small quantities.Essence – mixi

17Practical UseEssence – internalInternal characterizations should only be applied on thoroughly moist areas.To design Mamelons, e.g. E 02cream or E 1

Essence – externalSuperficial deposits, such as the ones caused by coffee or tea, can be imitated using, e.g. E 13 espresso.Fissures and occlusal surfa

19Framework preparationThe stipulations of the manufacturer of the zirconium oxide regarding framework fabrication and preparationfor veneering must b

2Table of contents3 IPS e.max System – one system fo every indication4 Product InformationMaterialUsageCompositionFiring behaviour and firing processSc

20ZirLiner firingBefore ZirLiner is applied, the framework must be free of dirt and grease. Avoid any contamination aftercleaning. Observe the followi

211stMargin firing (optional)A ceramic shoulder is applied to the reduced premolar bridge abutment after the ZirLiner firing. Observe the followingproce

22Before firing, carefully remove the framework with the applied and dried shoulder materialfrom the die and fire.Ceramic shoulder after firing. Compensa

232ndMargin firing (optional)After firing, the shoulder may require minor adjustments by grinding. Observe the following procedure for the 2ndMarginfirin

24Firing parameters for Wash firing (Foundation) (note the temperature control)Wash firing (Foundation)Begin the veneering process by conducting a wash

251stDentin and Incisal firingIn order to fabricate highly esthetic restorations, please observe the following procedure:– Before layering, apply IPS M

26Underlay the pontic areas with Deep Dentin in the next lighter shade and make sure that a good rest is reached.Observe the necessary layer thickness

27Firing parameters for the 1stDentin/Incisal firing (note the temperature control)Carefully reduce the completed dentin layering and provide sufficient

Thoroughly dry the restoration and complete any missing areas. Interdental areas and contact points should be given special attention.Fired restoratio

29Create a natural shape and surface structure with finishing diamonds.Finished restoration ready for stain and glaze firing.Finishing and preparation f

3e.max®System –A L L Y O U N E E DIPSIPS e.max – one system for every indicationIPS e.max is an innovative all-ceramic system which covers the entire

30Stain and Glaze firingStain firing is conducted with Essence or Shade material, while Glaze firing is carried out with Glaze powder. Depending onthe s

31Apply Glaze material in an even layer on the entire restoration. Basal area and the pontic should be given particular attention.Characterize the fiss

32OptionalStain and Glaze firing with IPS e.max Ceram Glaze SprayAs an alternative to IPS e.max Ceram Glaze Paste and Powder, IPS e.max Ceram Glaze Spr

33Add-On firingThere are 3 IPS e.max Ceram Add-On materials available for adjustments. Depending on the individual application, thematerials are proces

34Completed IPS e.max Ceram restorationHomogeneous, true-to-nature surface and glossHigh-gloss basal area of the pontics for optimum cleaningThe denta

35Abutment Techniquee.max®CeramAbutment TechniqueIPSOverview of the processing possibilities of theStraumann®Anatomic IPS e.max®AbutmentStraumann Anat

36Preparing the Straumann®Anatomic IPS e.max®AbutmentThe Straumann Anatomic IPS e.max Abutment is prepared according to the step-by-step instructions.

37Adaptation of the emergence profileIf there is a gap between the "gingiva" (gingiva mask) and the abutment on the model with the abutment

38Before the application of the ZirLiner, clean the abutment with the steam jet. Do not blast with Al2O3or glass polishing beads.Cover the entire abut

39Abutment TechniqueFiring parameters for the Dentin firingIPS e.max Ceram on Straumann®B StÀ T HV1 V2 LAnatomic IPS e.max®Abutment °C/°F min °C/°F/min

4e.max®CeramProduct InformationIPSMaterialIPS e.max Ceram is a low-fusingnano-fluorapatite glass-ceramicwhich permits the veneering andcharacterization

4040Check of the restoration on the model. The fired emergence profile must rest flush againstthe gingiva.finishing the layered areas with fine-grain diamo

4141Abutment TechniqueFiring parameters for the Glaze firing – note the slow cooling!IPS e.max Ceram on Straumann®B StÀ T HV1 V2 LAnatomic IPS e.max®Ab

42Direct firing of IPS e.max CeramIPS e.max Ceram offers the possibility to directly veneer the Straumann®Anatomic IPS e.max®Abutment. The veneeredabu

43Abutment TechniqueBefore the application of the ZirLiner, clean the abutment with the steam jet. Do not blast with Al2O3or glass polishing beads.Cov

44Wash FiringThe low heat conductivity of zirconium oxide requires a Wash firing. The Wash firing ensures controlled sintering of theceramic onto the fr

45Abutment Technique1st/2ndDentin and Incisal firingFor the application of the layering materials on the fired Wash, observe the following procedure:–

46Check the restoration on the model. The fired emergence profile must rest flush against the"gingiva" without exerting pressure.Finish the lay

47Abutment TechniqueGlaze firingStain firing is conducted with Essence and/or Shades, while glaze powder or paste is used for Glaze firing. Depending on

48Firing parameters for the Glaze firing – note the slow cooling!If the gloss is unsatisfactory after the first Glaze firing, further Glaze firing procedu

49Note: As with the tooth-shaded layering materials, gingival portions made of IPS e.max Ceram have to beadequately supported by a respective zirconiu

5CompositionIPS e.max Ceram and the processing accessories consist of thefollowing main components:– IPS e.max CeramComponents: SiO2Additional content

50Apply the Gingiva materials according to the clinical situation.Gingiva G1 Gingiva G2 Essence E22 Gingiva G3 Gingiva G5Complete the tooth-shaded por

51Completed restoration after Glaze firingThe dental lab work was carried out byMDT Thorsten Michel, Schorndorf/GermanyFiring parameters for IPS e.max

52Fabricate a duplicate model and subsequently cast it withcommercially available refractory die material, e.g. BegoForm®fromBego or Cosmotech VEST, G

53Layer the restoration according to the clinical requirements usingIPS e.max Ceram Dentin and IPS e.max Ceram Incisal.Individual layering with the Im

54Versatility and simplicity of IPS e.max Ceram on the various IPS e.max framework materialsGlass-ceramic framework prepared for the wash applicationZ

55Framework prepared for the wash applicationFramework prepared for the ZirLiner applicationWash applicationZirLiner applicationFired washFired ZirLin

56Reducing the tooth shape to the dentin coreCompleting the layering with Incisal materialsLabial view of the completed restoration after glaze firingP

57Reducing the tooth shape to the dentin coreCompleting the layering with Incisal materialsLabial view of the completed restoration after glaze firingP

58Uniform layering diagramUniform esthetic appearance irrespective of the framework materialMaximum efficiency and performance through one layering cer

59Seating and Follow-Up Caree.max®CeramSeating and Follow-Up CareIPSPossibilities for CementationPossibilities for esthetic cementation are decisive f

6Firing behaviour and firing processShade stabilityIPS e.max Ceram is a low-fusing nano-fluorapatite glass-ceramic. The new material generation contain

60Preparing for CementationConditioning of the restoration and preparation depends on the cementation method used as well as the cementationmaterial.

61b. Conditioning of the preparationThoroughly clean the preparation once the temporary has been removed. Before it is conditioned, the restoration is

62Is IPS e.max Ceram also suitable to veneer frameworks madeof other glass-ceramic materials?IPS e.max Ceram is not suitable to veneer and characteriz

63How are the IPS e.max Ceram Add-On materials correctlyused?There are 3 Add-On materials available for final adjustments. Add-On Margin with a firing t

e.max®Ceram – Combination TableIPS64

A–D65

66e.max®Ceram – Combination TableIPS

67Chromascop

68Firing of lithium disilicate glass-ceramic (LS2)-supported restorations– Use the honey-combed firing tray and the corresponding support pins to fire t

69Depending on the furnace type, the firing temperature can be reduced by 5 °C to max. 10 °C (9 °F to max. 18 °F) for the2ndDentin / Incisal firing.Firi

7Firing of lithium disilicate-supported restorations– Use the honey-combed firing tray and the corresponding support pins to fire the restorations.– Do

70Depending on the furnace type, the firing temperature can be reduced by 5 °C to max. 10 °C (9 °F to max. 18 °F) for the2ndDentin / Incisal firing.IPS

71IPS e.max Ceram B StÀ T H V1 V2Veneer °C/°F min °C/°F/min °C/°F min °C/°F °C/°FWash firing with IPS e.max Ceram Add-On403/ 8:00 50/ 720/ 1:00 450/ 71

Ivoclar Vivadent AGBendererstrasse 2FL-9494 SchaanLiechtensteinTel. +423 235 35 35Fax +423 235 33 60www.ivoclarvivadent.comIvoclar Vivadent Pty. Ltd.1

8Scientific DataFurther scientific data (i.e. strength, wear, biocompatibility) are contained in the “ScientificDocumentation IPS e.max Ceram”. The Do

9e.max®CeramPractical UseIPSPractical UseShade Determination – Tooth Shade, Shade of the PreparedToothOptimum integration in the oral cavity of the pa