Ivoclar-vivadent IPS e.max CAD Abutment Solutions Manuel d'utilisateur

Instructions for UseCADall ceramicall you needAbutment Solutions all ceramicall you need

10Shade – tooth shade and abutment shadeOptimum integration in the oral cavity of the patient is the prerequisite for a true-to-nature all-ceramic res

Preparation for the CAD/CAM processScanningFor the fabrication of IPS e.max CAD Abutment Solutions and depending on the CAD/CAM system used, the clini

12Layer thicknesses of the ceramic componentsObserving the geometry requirements of the IPS e.max CAD ceramic structures is the key to success for a d

13Clinical Working Steps | Layer Thicknesses | Block Selection | Finishing – Fabrication Hybrid Abutment and Hybrid Abutment CrownBlock selectionAn IP

14Finishing It is of critical importance to use the correct grinding instruments for finishing and adjusting the IPS e.max CAD ceramic structure. If u

15Finishing Important! – Do not finish the shoulder of the ceramic structure to prevent negatively affecting the Ti base.– Finish the emergence prof

16The attachment point to the block is smoothed out taking the shape of the emergence profile and the crown margin into account. The attachment point

17Optional – Clinical Try-InA clinical try-in to check the accuracy of fit can be conducted prior to further processing. Clinical try-in may also take

18Virtual Extra Light Body Fast Set is applied to the Ti base ...The Ti base is introduced into the ceramic structure. In doing so, the alignment of t

19Optional – Clinical Try-InClinical try-inHybrid abutment and dedicated crownImportant note: Any intraoral inspection of the occlusion/articulation a

2Table of Contents 3 IPS e.max System 4 IPS e.max CAD 5 Product Information Description of IPS e.max CAD Abutment Solutions Materia

20Tip: The inner aspect of the crown can be isolated with glycerine gel.Virtual Extra Light Body Fast Set is applied to the inner aspect of the crown.

21Optional – Clinical Try-InHybrid abutment crownThe following procedure should be observed during the clinical try-in:– The prepared and cleaned hyb

22Depending on the desired processing technique and materials, the way to complete the ceramic structure is selected. Basically, two ways to complete

23Polishing technique Polishing Crystallization without characterization and glaze:Polishing technique Polishing of the "blue"

24Pre-polishing by means of diamond rubber polishers High-gloss polishing with brushes and polishing paste ...or with the steam jet.Fine polishing by

25The interface of the ceramic structure is slightly overfilled with IPS Object Fix Putty or Flow. Then the ceramic structure is placed in the centre

26… or with the steam jet. Residue must not be removed with Al2O3 or glass polishing beads.Polished, crystallized ceramic structure next working step

27Staining technique on the "blue restoration" Combination Firing with IPS e.max CAD Crystall./ materials Staining technique on

28Preparing for Combination firing (Crystallization and Stain/Glaze firing in one step) – Clean the ceramic structure with the steam jet to remove an

29Combination firing (Crystallization and Stain/Glaze firing in one step)Please observe the following procedure for the combination firing:– Extrude

3 SystemIPS e.max is an innovative all-ceramic system which covers the entire all-ceramic indication range – from thin veneers to 14-unit bridges.IPS

30IPS e.max CAD Crystall./Glaze Paste is extruded from the syringe and mixed. If required, the paste can be thinned with IPS e.max CADCrystall./Glaze

31IPS e.max CAD Crystall./Shade Incisal is applied to imitate the incisal area.The ceramic structure is placed in the centre of the IPS e.max CAD Crys

32The ceramic structure is removed from the IPS e.max CAD Crystallization Pin XS.… or with the steam jet.Residue is removed with ultrasound in a water

33Optional Shape adjustments with IPS e.max CAD Crystall./Add-OnFor minor shape adjustments (e.g. proximal contact points), IPS e.max CAD Crystall./

34Staining technique on the "tooth-coloured" restoration Crystallization Characterization/Glaze firing IPS e.max CAD Crystall.

35Completing the IPS e.max CAD Ceramic Structure – Staining Technique on the Tooth-Coloured RestorationDisplaced auxiliary firing paste is smoothed ou

36Characterization/Glaze firing with IPS e.max CAD Crystall./…The following paragraphs will explain the steps of characterizing and glazing with IPS e

37Completing the IPS e.max CAD Ceramic Structure – Staining Technique on the Tooth-Coloured RestorationPlease observe the following procedure for the

38Important: The glazing material must reach neither the bonding surface to the Ti base nor the screw channel or the bonding surface to the crown, as

39Completing the IPS e.max CAD Ceramic Structure – Staining Technique on the Tooth-Coloured RestorationGlazed and characterized ceramic structures (hy

4 CAD Three solutions for maximum flexibilityI12 C14 B40 B40LC16 B32 A14 A16IPS e.max CAD stands for individuality. Depending on the indication,

40Characterization/Glaze firing with IPS e.max CeramThe following paragraphs will explain the steps of characterizing and glazing with IPS e.max Ceram

41Completing the IPS e.max CAD Ceramic Structure – Staining Technique on the Tooth-Coloured RestorationIPS e.max CAD Crystall./Shades, Stains, Glaze a

42The following procedure is recommended:– For easier handling, the ceramic structure can be positioned on the Ti base for glazing. For that purpose,

43– Remove restoration from the furnace after completion of the firing cycle (wait for the acoustic signal of the furnace).– Allow the objects to co

44The crown on the IPS e.max Hybrid Abutment can be completed using either the staining technique or the cut-back technique. To characterize and glaz

45Crown on an IPS e.max CAD Hybrid Abutment Completion of the anatomical shape of the reduced areas using IPS e.max Ceram Incisal and Opal materialsFi

Careful preparation of the bonding surface is a prerequisite for the successful adhesive cementation of the base and the ceramic structure. The follow

47Application Procedure – Permanent Cementation The Ti base is screwed on the model analog. The relative position to the ceramic structure is marked

48The ceramic structure must not be blasted. Etching with IPS Ceramic Etching Gel for 20 seconds. Subsequently, the restoration is rinsed with water a

49Application Procedure – Permanent Cementation Cementation with Multilink® Hybrid Abutment The following instructions must be observed in the cemen

5Description IPS e.max® CAD Abutment Solutions are CAD/CAM-fabricated, implant-supported hybrid restorations for single teeth. These hybrid restorati

50A thin layer of Multilink Hybrid Abutment is directly applied from the mixing tip to the bonding surface of the Ti base.The ceramic structure is pla

51Application Procedure – Permanent Cementation After the completion of auto-polymerization, the glycerine gel is rinsed off with water.Any remaining

52SterilizationThe hybrid abutments or hybrid abutment crowns must be sterilized prior to insertion. Furthermore, the locally applicable legal regula

53Seating the hybrid abutment and crownPreparing/conditioning the hybrid abutment with dedicated crownConditioning of the ceramic surface, i.e. the bo

54Seating the hybrid abutment and dedicated crown Note: Temporary insertion of the IPS e.max CAD crown on the IPS e.max CAD hybrid abutment is con

55 Seating and AftercareThe implant screw is tightened with a torque wrench (the instructions of the manufacturer must be observed).The screw channel

56The restoration margins and the cementation joint are polished (e.g. OptraPol, OptraFine).Completed IPS e.max CAD hybrid abutment and crown The glyc

57 Seating and AftercareSeating the hybrid abutment crownPreparing/Conditioning the Hybrid Abutment CrownPlease observe the following notes to prepar

58The hybrid abutment crown is inserted into the implant intraorally.The implant screw is tightened with a torque wrench (the instructions of the manu

59 Seating and AftercareCare notes – Implant CareImplant Care comprises a range of coordinated products for the professional care of patients during

6CTE (100–500°C) [10-6/K] 10.5 ± 0.5Flexural strength (biaxial) [MPa] ≥ 360 according to ISO 6872 Fracture toughness [MPa m0.5] ≥ 2.0 according to

60Frequently Asked QuestionsIn addition to the desired tooth shade, why should the root shade also be defined/ determined upon shade determination?IPS

61General Information – Frequently Asked Questions Can a glaze spray be used for glazing IPS e.max CAD ceramic structures (e.g. IPS e.max CAD Crystall

62Material Selection Table Desired tooth shade Bleach BL and A-D Shade Guide BL1 BL2 BL3 BL4 A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4Material

63Clinical CasesIPS e.max CAD hybrid abutment / IPS e.max CAD-crown Dr. R. Watzke / F. Perkon, Ivoclar Vivadent, LiechtensteinIPS e.max CAD hybrid abu

64Crystallization and Firing Parameters Crystallization/Combination firing: IPS e.max CAD MO – optional for LT with or without application of IPS e.m

65Crystallization and Firing Parameters The following points should be observed for ceramic furnaces used for the crystallization of IPS e.max CAD:–

Ivoclar Vivadent – worldwide Date information prepared: 2013-04/Rev. 0Some products and/or indications may not be regulatory cleared/released in all m

7Uses Indications– Hybrid abutments for anterior and posterior single-tooth restora-tions– Hybrid abutment crowns for anterior and posterior restora

8Scientific data Further scientific data (i.e. strength, wear, biocompatibility) are contained in the Scientific Documentation IPS e.max CAD. The IPS

9 CAD Abutment Solutions Fabrication of IPS e.max CAD hybrid abutment and hybrid abutment crownClinical Working Steps | Layer Thicknesses | Block S