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New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

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Page 1: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges
Page 2: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges
Page 3: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges
Page 4: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD C16

Page 5: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD – C16

• Larger Size Block

• Low translucency

• Shades: A1, A2, A3, A3.5, B1, B2, C1, C2, D2, BL2

• Indicated for single unit restorations• Full and partial coverage single units

• Large canines

• Restorations over custom abutments

Page 6: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD 3-unit bridge

Page 7: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Instructions for Use

Ordering # for Flow chart - 662640

Page 8: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Indications / contraindicationsIndications• Up to three-unit bridges up to the second premolar

as the abutment tooth

Contraindications• Inlay bridges• Parafunction (e.g. bruxism)• Cantilever bridges• Maryland bridges• Pontic width > 11 mm in the anterior region• Pontic width > 9 mm in the premolar region• Any other use not listed as an indication for IPS e.max CAD

Page 9: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Connector Dimensions

• Dimensions: 16 mm2

• Height >= Width

• Important: Currently, the new CEREC 4.2 software does NOT have a tool to measure the area of the connector

• The new E4D Software will have a measuring tool

Page 10: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Processing options

Page 11: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique using IPS e.max CAD Crystall

Page 12: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Bridge after CAD/CAM milling – approximately8 minutes per unit = 24 minutes

Actual times may vary

Smooth out the attachment point and take proximal contacts into account.

Page 13: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Do not use diamond discs for finishing, since this may result in predetermined breaking

points.

Finish interdental areas with fine-grit diamonds (grit size 40–50 µm). Make sure to observe the

connector dimensions.

Page 14: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Check occlusion, articulation and proximal contacts.

Surface-grind the outer surface, particularly the functional areas of the restoration, with a

fine diamond to smooth out the surface structure created by the CAD/CAM process.

Page 15: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Use the largest possible IPS e.max CAD Crystallization Pin for crystallization.

Fill the inside of the crowns of the previously cleaned bridge with IPS Object Fix Putty or Flow and press the appropriate IPS e.max CAD Crystallization Pin deeply into the IPS Object Fix material.

Page 16: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Place the bridge on the IPS e.max CADCrystallization Tray immediately.

Smooth out displaced IPS Object Fix Putty or Flow with a plastic spatula from the margin towards the support pin so that the pin is

secured in the paste and the crown wall is precisely supported.

Page 17: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Clean off any possible residue adhering to the outer surface of the restoration with a brush

moistened with water and then dry.

Apply IPS e.max CAD Crystall./Glaze paste evenly to the blue restoration.

Apply the mixed IPS e.max CAD Crystall./ Shades and Stains into the unfired IPS e.max

CAD Crystall./Glaze paste.

Page 18: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Combination Firing – Glaze & Crystallize – P1

Place the IPS e.max CAD Crystallization Tray with the glazed and stained restoration in the furnace and conduct the combination firing.

Use Program P1

Page 19: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Correction Firing – Use P1

If adjustments are required (shade, glaze, contact points), conduct a separate correctivefiring cycle on the IPS e.max CAD Crystallization Tray.

Use Program P1

Page 20: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Staining technique

Completed IPS e.max CAD LT bridge.

Page 21: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Firing parameters

Page 22: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Cementation

Page 23: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Conditioning of the restoration

Do not blast the restorations with Al2O3 or glass polishing beads.

Etch with 5% hydrofluoric acid (e.g. IPS®

Ceramic Etching Gel) for 20 seconds and rinse the acid off with water.

Page 24: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Conditioning of the restoration

Allow Monobond® Plus to react for 60 s and then blow dry with the air syringe. Silanization is not required for

conventional cementation procedures.

Page 25: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Dr. R. Watzke, Liechtenstein

Page 26: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Dr. R. Watzke, Liechtenstein

Page 27: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD 3­unit bridge, R. Watzke, Liechtenstein

Page 28: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD 3­unit bridge, R. Watzke, Liechtenstein

Page 29: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD 3­unit bridge, R. Watzke, LiechtensteinIPS e.max CAD 3­unit bridge, R. Watzke, Liechtenstein

Page 30: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

CEREC Owner Needs to do a Bridge

• Software version 4.2

• MCLX Mill

Page 31: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

New Blocks for CEREC

Page 32: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

all ceramic all options

Page 33: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Available Now

New

New

Page 34: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

Coming…

Page 35: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

New Blocks for CEREC – Key Points• C16 & B32 will be at Patterson shortly

• Owners NEED software version 4.2 to be able to design and mill anterior bridges with the B32 block

• Stain, Glaze, & Crystallization process is similar to a single unit

• Crystallize & correction fire on P1

• Cementation options

Page 36: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges

IPS e.max CAD Block Pricing

IPS e.max CAD Qty per Refill Whlse Retail

I12 5 $104.23 $161.50

C14 5 $104.23 $161.50

C16 5 $132.99 $205.00

B32 3 $214.83 $330.50

B40 ­ current 3 $197.04 $280.00

B40L 3 $230.75 $355.00

A14 5 $199.49 $307.00

A16 5 $232.73 $360.00

Page 37: New CADCAM Blocks for CEREC Overview - Aug 2013 CADCAM...Instructions for Use Ordering # for Flow chart -662640 . Indications / contraindications Indications • Up to three-unit bridges