CLINICAL GUIDE Klausz Dental Lab
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CLINICAL
GUIDE
amic
all cer need
u
all yo
2
Contents 3
4 IPS e.max® – all ceramics – all you need
6 Practical procedure for restorations with IPS e.max®
20 Clinical cases
®
®
®
®
®
®
®
40 Aftercare
41 Results from more than 10 years of research
all ceramics – all you need
4 One system for every indication
®
All ceramic materials are based on an integrated material and shade concept for restorations as
individual as your patients.
Lithium disilicate glass-ceramic (LS2)
LS2 2
Zirconium oxide (ZrO2)
ZrO2 2
Fluorapatite glass-ceramic (FAP)
FAP
Fluorapatite
Indications
5
Cementation
LS2 ZrO2
Indications self-adhesive/
adhesive
conventional
®
®
®
®
®
2)
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® ®
®
5) 5)
1) IPS e.max ZirCAD (zirconium oxide) is veneered manually (fluorapatite) or digitally (lithium disilicate).
2) Up to the second premolar
3) For the cementation of the crown on the hybrid abutment
4) Only in conjunction with a suitable bonding agent
5) Hybrid abutment crowns are directly screwed on the implant.
Contraindications
Practical procedure
for restorations with
Overview
6
In the In the
Working steps dental office laboratory Ivoclar Vivadent product
Shade determination, preparation, die shade determination, impression
LS2 LS2 Tooth –
Lithiumdisilikat Lithiumdisilikat
Shade determination
ZrO2
Zirkoniumoxid
ZrO2
Zirkoniumoxid Preparation
FAP
Fluor-Apatit
FAP
Fluor-Apatit ®
Die shade determination
Impression
®
Fabricating the restoration
®
LS2
®
®
ZrO2 ®
®
®
Cementation
2)
®
Silane
®
®
®
®
®
®
Recommended grinding instruments for ceramics – use in the dental practice
Schleifkörperempfehlung für Keramik – Anwendung in der zahnärztlichen Praxis
Type of ceramic / Extensive corrections / Minor corrections / Polishing / Politur Endo Access
Keramiktyp Grosse Korrekturen Geringe Korrekturen (OptraFine)
IPS InLine/IPS InLine PoM
Layering ceramics / before polishing / after polishing /
vor der Politur nach der Politur
Schichtkeramik
IPS d.SIGN
IPS e.max
extra fine / extra fine /
medium
Flexural strength / extra fein extra fein
InLine
IPS IPS
®
d.SIGN
IPS
Biegefestigkeit
®
InLine PoM
®
Practical procedure for restoration with IPS e.max | Tooth – Shade determination
Tooth – Shade determination
7
Shade of the tooth stump
Shade of the cementation material
Shade of the restorative material
Shade determination of the natural tooth
Practical procedure for restorations with IPS e.max | Preparation
Preparation
8
General preparation guidelines
For the preparation of all-ceramic restorations, the following principles apply:
CAD/CAM-fabricated restorations
The dimensions indicated in the paragraphs below reflect the minimum thickness for IPS e.max
restorations.
1.0
1.5
Tip
OptraGate® ExtraSoft Version
Practical procedure for restorations with IPS e.max | Preparation
Thin veneer, veneer
LS2 9
not
Thin veneer
Veneer
Thin veneer: PRESS Thin veneer: CAD Veneer: PRESS/CAD
0.3 0.4 0.6
0.3 0.5 0.6
0.4 0.5 0.7
Clinical pictures: Prof. Dr D. Edelhoff, Germany
Practical procedure for restorations with IPS e.max | Preparation
Occlusal veneer
10 LS2
1.0 1.0
1.0
1.0 1.0
Clinical pictures: Prof. Dr D. Edelhoff, GermanyPractical procedure for restorations with IPS e.max | Preparation
Inlay, onlay
LS2 11
1.0 6° 6°
1,0
1,0
1.0 100-120°
Clinical pictures: Prof. Dr D. Edelhoff, GermanyPractical procedure for restorations with IPS e.max | Preparation
Partial crown
12 LS2
1.5 1.5
1.5
1.5
1.0
Clinical pictures: Prof. Dr D. Edelhoff, GermanyPractical procedure for restorations with IPS e.max | Preparation
Anterior crown
LS2 ZrO2 13
LS2
1.0
1.0
ZrO2
1.2 1.2
1.5
Clinical pictures: Prof. Dr D. Edelhoff, GermanyPractical procedure for restorations with IPS e.max | Preparation
Posterior crown
14 LS2 ZrO2
2 2
LS2 ZrO2
1.5 1.5 1.5 1.5
1.5 1.2
1.5 1.5 1.2 1.2
1.0 1.0 1.0 1.0
6° 6°
Clinical pictures: Prof. Dr D. Edelhoff, GermanyPractical procedure for restorations with IPS e.max | Preparation
3-unit bridge
LS2 ZrO2 15
Note regarding lithium disilicate glass-ceramic (LS2) bridges:
not
not
Maximum Maximum
pontic width pontic width
9 mm 11 mm
Premolar area Anterior region
up to the canine
Bridge
ZrO2
1.0
2.0 2.0
1.0 1.5
1.5 1.5
1.5 1.0 1.0
1.0 1.5
6°
2.0Practical procedure for restoration with IPS e.max | Die – Shade determination
Die – Shade determination
16
Shade determination on the prepared tooth/die
Die – Shade determination
Die shade Cementation material Restoration shade Desired
tooth shade
Impression
®
)
Temporary restoration
®
Important: The temporary restoration is cemented with a temporary, eugenol-free cement, such
as the dual-curing Telio® CS Link.Practical procedure for restorations with IPS e.max | Cementation
Cementation
17
Conditioning of the restoration
Material Lithium disilicate LS2 Zirconium oxide ZrO2
Indication
Cementation
method
2
Blasting
®
Etching
® ®
Conditioning
®
Cementation ® ® ® ® ®
system ® ® ®
1) With conventional cementation, conditioning is not necessary.
Please observe the corresponding Instructions for Use.
IPS® Ceramic Etching Gel
not
Ivoclean
Monobond® PlusPractical procedure for restorations with IPS e.max | Cementation
Cementation Navigation System – CNS
18
CNS
www.cementation-navigation.com
Tip
OptraDam® PlusPractical procedure for restorations with IPS e.max | Cementation
Intraoral adjustments
Recommended grinding instruments for ceramics – use in the dental office
19
Recommended grinding instruments for ceramics – use in the dental practice
Schleifkörperempfehlung für Keramik – Anwendung in der zahnärztlichen Praxis
Type of ceramic / Extensive corrections / Minor corrections / Polishing / Politur Endo Access
Keramiktyp Grosse Korrekturen Geringe Korrekturen (OptraFine)
IPS InLine/IPS InLine PoM
Layering ceramics / before polishing / after polishing /
vor der Politur nach der Politur
Schichtkeramik
IPS d.SIGN
IPS e.max
extra fine / extra fine /
medium
Flexural strength / extra fein extra fein
InLine
IPS IPS
®
d.SIGN
IPS
®
Biegefestigkeit InLine PoM
®Clinical cases – step-by-step
20 LS2 IPS e.max® lithium disilicate veneer cemented
with Variolink® Veneer
Dr Lukas Enggist / Jürgen Seger (DT), Principality of Liechtenstein
®
®
®
®
®
®Clinical cases – step-by-step | IPS e.max® lithium disilicate veneer cemented with Variolink® Veneer
21
®
2
2
®22 LS2 IPS e.max® lithium disilicate inlay
cemented with Multilink® Automix
Dr Ronny Watzke / Sandra Sulser (DT), Principality of Liechtenstein
®
®
® ®
®
2 2Clinical cases – step-by-step | IPS e.max® lithium disilicate inlay cemented with Multilink® Automix
23
2
®24 LS2 IPS e.max® lithium disilicate anterior crown
cemented with Multilink® Automix
Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein
® ®
®
® ®Clinical cases – step-by-step | IPS e.max® lithium disilicate anterior crown cemented with Multilink® Automix
25
2 2
2
®26 LS2 IPS e.max® lithium disilicate posterior crown
cemented with Multilink® Automix
Dr Arnd Peschke, Principality of Liechtenstein / Chairside
®
®
®Clinical cases – step-by-step | IPS e.max® lithium disilicate anterior crown cemented with Multilink® Automix
27
®
2
2
228 LS2 IPS e.max® lithium disilicate anterior bridge
cemented with SpeedCEM®
Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein
®
®
® ®
2Clinical cases – step-by-step | IPS e.max® lithium disilicate anterior bridge cemented with SpeedCEM®
29
2
®30 ZrO2 IPS e.max® zirconium oxide anterior bridge
cemented with SpeedCEM®
Dr Ronny Watzke / Pascal Scherrer (DT), Principality of Liechtenstein
® ®
®
2
®
2Clinical cases – step-by-step | IPS e.max® zirconium oxide anterior bridge cemented with SpeedCEM®
31
2
®32 LS2 IPS e.max® lithium disilicate hybrid abutment
and crown cemented with SpeedCEM®
Dr Ronny Watzke / Jürgen Seger (DT), Principality of Liechtenstein
®
®
®
®
2Clinical cases – step-by-step | IPS e.max® lithium disilicate hybrid abutment and crown cemented with SpeedCEM®
33
2
®
®34 LS2 IPS e.max® lithium disilicate hybrid abutment
crown – screwed-in
Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein
®Clinical cases – step-by-step | IPS e.max® lithium disilicate hybrid abutment crown – screwed-in
35
®
®
®
®36 Starting situation – Final result
IPS e.max lithium disilicate veneer cemented with Variolink® Veneer
Dr Lukas Enggist / Jürgen Seger (DT), Principality of Liechtenstein
IPS e.max lithium disilicate inlay cemented with Multilink® Automix
Dr Ronny Watzke / Sandra Sulser (DT), Principality of LiechtensteinClinical cases | Starting situation – Final result
37
IPS e.max lithium disilicate anterior crown cemented with Multilink® Automix
Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein
IPS e.max lithium disilicate posterior crown cemented with Multilink® Automix
Dr Arnd Peschke, Principality of Liechtenstein / ChairsideClinical cases | Starting situation – Final result
38
IPS e.max lithium disilicate anterior bridge cemented with SpeedCEM®
Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein
IPS e.max zirconium oxide anterior bridge cemented with SpeedCEM®
Dr Ronny Watzke / Pascal Scherrer (DT), Principality of LiechtensteinClinical cases | Starting situation – Final result
39
IPS e.max lithium disilicate hybrid abutment and crown cemented with SpeedCEM®
Dr Ronny Watzke / Jürgen Seger (DT), Principality of Liechtenstein
IPS e.max lithium disilicate hybrid abutment crown – screwed-in
Dr Ronny Watzke / Franz Perkon (DT), Principality of LiechtensteinAftercare
Quality assurance by means of professional care
40
Proxyt®
Fluor ProtectorResults
from more than 10 years of research
2 2
41
Summary of the IPS e.max System
2
2
SC IE N TI FI
C RE PO RT
Vol. 02 /
2001 – 2013
Deutsch
all ceramic
all you need42
43
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