New opportunities for your laboratory: the cara update for all elements of production.

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1 New opportunities for your laboratory: the cara update for all elements of production _cara_Labor_Fertigungszentrum_GB.indd :54

2 Contents Overview of services Page 4 cara Production Centre Page 6 Indications Page 10 Good innovations are multifaceted. As an innovative, strong partner for laboratories, Heraeus offers modern, future-orientated products and services matched to the needs of its customers: solutions to make your daily work easier, quicker and more precise. Discover our cara updates innovations like our translucent zirconium dioxide material, the cara I-Butments and our implant superstructures cara I-Bridge and cara I-Bar. Find out for yourself it s worth it! Materials Page 12 Implant Prosthetics Page 18 Scanners and software packages Page 24 cara Meeting Point Page 25 cara TRIOS intraoral scanner Page 26 Further cara solutions Page 28 cara Workflow Page 30

3 Everything from cara. Everything from one source. As a company operating throughout the world, Heraeus Kulzer has been a specialist in the international market for highly aesthetic dental solutions for decades. With our state-of-the-art cara production centre and our extensive product portfolio covering all elements of CAD/CAM, we offer innovative and customised solutions that are as comprehensive as your individual needs. This is how we continually set new standards and you obtain just the services you need. Take maximum advantage of the possibilities offered by digital dental technology: with cara and the harmonised system solutions for dental practices and dental laboratories. From digital impressions using dental scanners in the practice or laboratory to data processing with CAD software and the central production of restorations in the cara production centre right up to finishing in the dental laboratory, Heraeus enables the complete digital workfl ow. cara optimal for all those who feel strongly about top quality, reliability, outstanding service and a high degree of cost-effectiveness. The cara production centre Wide range of production technology: the optimum process for every indication Diverse range of materials from zirconium dioxide and and titanium through to plastics Diverse range of indications from inlays to classical crowns and bridges through to implant prosthetics, including the implant superstructures, cara I-Bridge The digital cara workflow Security with system: cara is a single source for everything from the cara TRIOS intraoral scanner to laboratory scanners and software packages to production Discover the digital cara workflow. Start video! Optimally harmonised components simplify data communications between laboratory and practice All components are also optionally available in open versions the cara production centre can also receive and process data from other systems The cara team always there for you Our specialised application technicians are available at all times to resolve questions or problems: in person on site or over the technical hotline Our production centre operates with multiple shifts for you and production continues over the weekend TRIOS 3Shape 4 5

4 Welcome to the cara production centre: Perfected technologies are our strength. Simply scan the code and immediately discover the cara production centre. Profit from the extensive knowledge of the experts at the cara production centre: our specialists master the complex workflows as well as the machines and technologies perfectly. The cara production centre takes your custom design and builds the prosthetic framework structures, ranging from fro complex geometries with undercuts to divergent dies. The benefits are clear: In production, you save ex expensive investments in milling machines and future technology systems You can use fast knowledge knowled transfer through a strong partner We place one of today s m most innovative production systems at your disposal _cara_Labor_Fertigungszentrum_GB.indd 6-7 Additive and subtractive production in Sweden and Germany The cara factory tour Have you always wanted to know how your cara frameworks are fabricated? Then why not take an exclusive look behind the scenes of the cara production centre? Find out all about the latest developments in the fields of software and materials as well as future trends in digital dental technology. For visiting dates and booking information, please contact our local sales representatives inbyour country :54

5 The right production technology for every material. The additive production methods. The cara production centres in Hanau, Germany, and Helsingborg, Sweden, employ the most modern and innovative processes for the production of your frameworks. That way you always stay up to date. A general distinction is made between two processing techniques: subtractive (= taking away) and additive (= building up) manufacturing. Subtractive manufacturing techniques. The grinding and milling of materials have taken on increased importance in dental technology since processing of all-ceramic materials such as zirconium dioxide began approximately 10 years ago. In addition to dental casting, these subtractive procedures are now established techniques for manufacturing frameworks. Milling strategies and methods have continually been perfected over the years in order to accommodate even more indications and to lower costs. The e-manufacturing of dental technology: additive manufacturing techniques. This build-up procedure is used in the cara production centre for the manufacturing of framework structures and resin models. In the selective laser melting/sintering process (SLM/SLS), the component is build up by applying and fusing layers of powdery material, and in general, the thinner the layer, the smoother the surface. The light exposure strategy specially developed for laser melting and the plastic laser sintering technique minimises the distortion of the component and guarantees a homogeneous and dense structure. Along with the three-axis milling used for standard tasks, complex restorations can now be using a simultaneous five-axis process: the milling spindle moves with three degrees of freedom while the workpiece is simultaneously controlled on two more axes. This makes it possible to handle even complex geometries with undercuts or divergent dies. The milling of complex constructions made of zirconium dioxide, and one-piece titanium abutments is continually optimised in the cara production centre. The material and indication spectra are also expanded. With its highly precise, perfect-fi tting and smooth surfaces, Heraeus sets standards on the market nowadays. In addition to traditional milling, the lathing techniques also form part of the subtractive processes. Turning lathes have been used in the production of implants for years in order to create complex geometries precisely. Our products are subjected to a number of quality checks. 8 9

6 Indications cara production centre. Single-tooth restoration cara inlays/onlays/veneers 1 Implant prosthetics cara I-Butment & cara I-Butment Zr/Ti base * Zr Zr tr LiSi 2 PMMA Zr Zr tr Ti Veneered and fully-anatomic crowns Superstructures cara C&B 1 * Zr Zr tr LiSi 2 PMMA cara I-Bridge 1 SLM Ti SLM Bridges cara C&B 1 Zr Zr tr PMMA cara I-Bar 1 SLM Ti Telescopic technology cara Telescope Zr Zr tr PMMA Models We cooperate with various model fabricators so we can offer the right model for every situation. For further information, please contact our local sales team. Zr Zirconium dioxide Ti Titanium Zr tr Zirconium dioxide Translucent SLM Cobalt-chrome SLM LiSi 2 * Lithium disilicate Cobalt-chrome PMMA Polymethyl methacrylate 1 This is only a general overview of materials and indications. An exact classifi cation of which materials are approved for which indications can be found on the following pages. As of May * Made of original IPS e.max CAD blanks by Ivoclar Vivadent

7 Classical zirconium dioxide is available in three shades: white, B-light and A-intensive. cara translucent zirconium dioxide in transmitted light. Colour spectrum: light, medium, intensive. Zirconium dioxide the ideal material for aesthetic restorations. On account of its outstanding material properties and good compatibility, the material zirconium dioxide has long been firmly established in dental technology and dentistry. Zirconium dioxide requires particularly careful processing to avoid subjecting the all-ceramic material to any type of stress. An individual milling programme tailored to the material and a sophisticated sintering process guarantee optimal precision and fi t. Heraeus sets the highest quality standards for processing this all-ceramic material in cara central production. This starts with the selection of the raw material and extends to the manufacture of blanks through to CAM processing and sintering: every step in the processing chain is precisely monitored. For example, regular batch checks and a wide range of tests on material properties are performed. Moreover, further quality controls before and after sintering ensure that the cara framework is supplied to the laboratory intact and in the highest quality. In addition, we carry out a geometry plausibility check as a means of excluding faults in the design. In vogue: monolithic restorations made of translucent zirconium dioxide. Profi t from our material update: cara translucent zirconium dioxide can be used to manufacture monolithic crowns and bridge constructions cost-effi ciently on the one hand and highly aesthetic frameworks for customised, ceramic veneering on the other. cara translucent zirconium dioxide allows simple and efficient aesthetic solutions as an alternative to non-precious metal all-cast crowns, especially in the posterior dental region. As a result of its extremely high natural translucency and the tooth-like shading, this material is ideal for meeting patient demands. In the combination with HeraCeram Universal stains in paste form and HeraCeram Zirkonia ceramics, you can offer natural and highly aesthetic prostheses for every indication. Little reworking thanks to smooth surfaces Due to the small milling radius, cara zirconium frameworks have an extremely smooth surface, which minimises reworking on fully anatomic, monolithic zirconium restorations in particular: allowing you to start staining and glazing them immediately. cara zirconium dioxide in 6 colours and 2 translucency levels cara zirconium dioxide is available in white, B-light and A-intensive in the classic opacity as well as in the three translucent colours light, medium and intensive. For a more detailed colour classifi cation, please refer to the processing instructions for zirconium dioxide and for translucent zirconium dioxide. cara Zirconium Dioxide Indications: Zr Crowns and bridges of up to 16 units with up to 2 pontics in the posterior region and up to 4 pontics in the mandibular anterior region cara Zirconium Dioxide translucent Indications: Implant bridges* Zr tr Fully-anatomic, monolithic zirconium crowns and frameworks** All around compelling: monolithic crowns: Fast and simple reproduction of 16 V shades with effi cient application of the new HeraCeram Universal stains Significantly higher light transmission than conventional zirconium dioxide The aesthetic and economical solution Tooth-friendly minimally invasive preparation with a minimum wall thickness of 0.4 mm Primary parts for telescopes/ conical crowns Inlays/Onlays/Veneers Two-piece abutments Crowns and bridges for veneering** Inlays/Onlays/Veneers Primary telescopes * available from Q3/2013 ** Currently approved for bridges with up to 7 units. As of January

8 Finished restoration, with HeraCeram LiSi 2. cara temporary restoration. Our material update: cara LiSi 2 *. To round off our all-ceramic product portfolio, the range now also includes cara Lithium Disilicate* for highly aesthetic single tooth restorations. The sophisticated and specially adapted grinding strategy ensures you receive top quality Lithium Disilicate* cara LiSi 2 *. The 3Shape DentalDesigner Software 2012 and 2013 allow you to design Inlays/Onlays/ Veneers and fully-anatomic and cutback crowns simply and effi ciently. You receive them back from the cara production centre back in an uncrystallised stage for individual characterisation. cara LiSi2* is available in the translucency class LT in all 16 V colours, BL 3 and OL Perfect combination: cara LiSi 2 * and the ceramic HeraCeram LiSi 2 with integrated SLS formula for reliability when veneering. HeraCeram LiSi 2 was specially developed for the framework material Lithium Disilicate*. The low firing temperature of HeraCeram LiSi 2 ensures precise further processing. cara LiSi 2 * glass ceramic: Strength of materials before crystallisation: MPa Crystallisation process takes mins Without signifi cant shrinkage 0.2 % Crystallisation temperature C During crystallisation a microstructural transformation takes place with controlled growth of lithium disilicate crystals Following crystallisation the fl exural strength is 360 MPa The processing versions cara Lithium Disilicate* Indications: Inlays/Onlays/Veneers Partial crowns LiSi 2 * cara acrylics: proven reliability. The tooth-coloured resins in the two colours cara Temp PMMA light and cara Temp PMMA medium are the ideal choice for laboratory fabricated temporary restorations. They are easy to design, economical to produce and fi t precisely and so they are also suitable for long-term temporary restorations. For this purpose, we recommend glass ionomer cements without bonding. The residue-free, burn-out plastic cara Cast PMMA is exclusively approved for extraoral use and is perfect for the production of crowns and bridges using the press to or casting techniques. Quick and easy to produce: the eggshell temporary restorations. Eggshell temporary restorations are manufactured from cara PMMA. They close the gaps in the digital cara workflow easily and efficiently. Firstly, a situation scan is made with the cara TRIOS intraoral scanner. This is then forwarded to the laboratory: The laboratory uses the 3Shape DentalManager software and backward planning to design an eggshell temporary restoration and then has this fabricated. The temporary restoration is already there in the dental practice for the preparation appointment. cara polymethyl methacrylate PMMA Temp PMMA light / PMMA medium: Crowns and bridges up to 16 units (no more than one pontic between two 2 pillars) Version 1 Version 2 Version 3 Cutback and fully-anatomic crowns in the anterior and posterior regions Cast PMMA: Crystallisation and stain/glaze firing in one step Crystallisation and separate stain/glaze firing Cutback technique Crowns and bridges with up to 16 units HeraCeram LiSi 2 Crystal Glaze HeraCeram LiSi 2 Crystal Glaze HeraCeram LiSi 2 Cutback HeraCeram Stains universal Primary telescopes for the casting and press to techniques * Made of original IPS e.max CAD blanks by Ivoclar Vivadent

9 Excellent fi t ( SLM). Very smooth and shiny surface ( ). From l. to r.: one-piece cara I-Butment, cara I-Bar and cara I-Bridge with implant also made of titanium. Optimised production strategies for all manufacturing techniques. Milled with cara SLM and. cara cobalt-chrome alloys are free of beryllium and cadmium ceramic bonding alloys. The frameworks produced with the SLM method are as homogeneous and fi t as exactly as perfectly-cast non-precious metal (NPM) crowns and bridges. The layered method for structuring offers maximum freedom of design. Layers as thin as 20 μm and a very fine laser focus enable the precise fabrication of highly detailed structures. The alternative for framework structures, telescopes and for fully anatomic units is characterised by its extremely smooth surfaces. Benefits for you: Homogeneous microstructure Distortion-free Practically no reworking thanks to perfectly manufactured surfaces Effortlessly produce a framework ready for veneering for whichever production process you decide for! Convincing features. cara Titanium the right material for implant prosthetics. Titanium has already been well established in medical engineering and dental technology, especially in the field of implantology, for over two decades. The element or rather the alloys, which are generally composed of approx. 90% pure titanium, are characterised in the medical fi eld by a wide range of positive features. One major advantage is excellent biocompatibility. The body shows no rejection reactions to titanium. In addition, in the event of injuries, the titanium surface is surrounded with a protective oxide layer that prevents chemical exchange between tissue and metal. What is therefore more obvious than to use this material for prosthetic superstructures on implants too? As such, only one metal/alloy needs to be used in the patient s mouth. This prevents corrosion, which can have a negative effect on the patient in the form of a metallic taste. cara cobalt-chrome SLM Indications: Veneered frameworks with up to 16 units and no more than 2 adjacent pontics between the abutments Implant superstructures SLM cara cobalt-chrome Indications: Crowns and bridges with up to 16 units and no more than 4 pontics between the abutments in the anterior region and no more than 3 pontics between the abutments in the posterior region Benefits for you: High strength, thus also suitable for large and complex structures The low specifi c weight increases the wearing comfort for the patient High corrosion resistance High thermal stability in ceramic veneering Low heat conductivity reduces thermal irritation of the pulp The relative x-ray transparency is particularly helpful for diagnostic purposes Excellent biocompatibility cara Titanium Indications: One-piece customised abutments Implant superstructures Implant bridges Ti Implant-supported bars* Implant-supported bars* Full anatomy and partial veneers Primary/secondary telescopes * available from Q4/2013 * available from Q4/

10 cara implant prosthetics. The safe way to enhanced aesthetics. Always the right prosthetic solution: with the cara I-Butments. Take advantage of the benefits of customised abutments over standard abutments for enhanced aesthetics and more satisfied patients. Depending on the indication and aesthetic situation, you have the choice between the two-piece abutments made of zirconium dioxide on a titanium interface and one-piece titanium abutments. Let yourself be amazed by the advantages of our customised abutments: Individual and natural contouring of the emergence profile The cement margin can be individually adapted to the gingiva level Easy compensation of divergent implants Angling of the core build-up possible Top precision with CAD/CAM fabrication Guaranteed quality and accuracy of fit Separate practice screw included High biocompatibility Reliable planning Laboratory analogue Interface Customised abutment Screw Zirconium coping Two-piece zirconium dioxide abutment on titanium interface. Laboratory analogue Customised titanium abutment Screw Coping One-piece titanium abutment. The cara I-Butments are available for the following implant systems: Implant manufacturer Implant system Two-piece abutments (zirconium dioxide) One-piece abutments (titanium) Nobel Biocare Replace Select cara I-Butments Ti-E series Biomet 3i Straumann Replace Nobel Active cara I-Butments Ti-F series Brånemark cara I-Butments Ti-K series Osseotite Certain cara I-Butments Ti-H series Osseotite cara I-Butments Ti-I series Bone Level cara I-Butments Ti-L series cara I-Butments Ti-N series SynOcta Implantology and aesthetic dentistry are inseparably linked in dental technology and dentistry. The bridge between the two areas is formed by implant prosthetics with custom abutments and superstructures as the foundation. They allow a highly aesthetic overall outcome thanks to the naturally shaped emergence profile and the possibility of individually designing the abutment. And that is the starting point for highly aesthetic and high quality dental restorations. Zimmer Tapered Screw-Vent cara I-Butments Ti-R series Astra Tech Osseo Speed cara I-Butments Ti-S series Dentsply Friadent Frialit/Xive cara I-Butments Ti-T series Camlog Camlog Thommen Element cara I-Butments offer decisive advantages, e.g., a predictable result thanks to backward planning, the simple adjustment of divergent implants, the possibility to angle the core build up and the fact that the entire design remains in your hands. The implant superstructures cara I-Bridge regular and angled are just as precise and accurately fitting as very homogeneous implant bridges. The patented cara I-Bridge angled makes it possible to angle the screw channel for an aesthetic direct screw connection. Both the manufacturing process and the work method are very easy yet cost-effective. With the new cara I-Bar bars, the range of implant superstructures has been expanded _cara_Labor_Fertigungszentrum_GB.indd :54

11 Our innovative prosthetics update: the cara I-Bridge implant superstructures. Now digital too! cara I-Bar : the implant bars for optimal positioning. In addition to the cara I-Butments, you can also purchase individual implant superstructures via the cara production centre. cara I-Bridge regular with straight screw channels and cara I-Bridge angled with angled screw channels are precisely manufactured and homogeneous implant bridges with a perfect fi t. They are produced using the latest CAD/CAM technology in our production centre in Helsingborg, Sweden, and are available for a range of leading implant systems. cara I-Bridge regular: perfect fit and highest quality. The superstructure in the version with straight screw channels is available in the materials and titanium. cara I-Bridge regular can be adapted with spacer sleeves or, if the implant is already well positioned, placed at implant level. The screw connection directly with the implant is effective and advantageous from an aesthetic perspective. The cara production centre takes your custom design and builds the prosthetic framework structures with state-of-the-art production technology and outstanding precision. The implant superstructures manufactured from titanium or impress with their high accuracy of fi t. Our entire knowledge and skills go into the manufacture of cara I-Bar. The individually fabricated CAD/CAM bars offer a wide variety of application options. They can be screwed on any number of implants on common implant systems and for every patient case. Your advantages with cara I-Bar : Precise, stress-free fi tting, thanks to impressive production technology Always the right bar for every patient case, as angling of the screw channel up to 15 is possible For common implant systems The laboratory itself decides on the design Available soon! Finished work. cara I-Bar. cara I-Bridge angled: the patented solution with angled screw channel cara I-Bridge angled is based on the patented production process with angled screw channels. It is a unique, precisely produced implant bridge with the possibility of angulating the screw channels up to 20. This allows optimal positioning of the implant superstructure without cost-intensive abutments consequently the implant bridge is both effective and aesthetically advantageous. cara I-Bridge angled is available in the materials and titanium and works as well with a wide range of leading implant systems. 20 Versatile prosthetic components Our prosthetic components are composed of abutments, cylinders, analogues and prosthetic screws, etc.. The wide range is available for all leading implant systems. Detailed information can be found in our prosthetic components product catalogue Produktübersicht 2012/2013 Prothetische Komponenten für cara I-Bridge : unser Zubehör-Update für Implantatbrücken. cara I-Bridge angled 20 21

12 Monolithic restorations with cara: just right for every indication. The cara system has the right solution at hand for every indication, for every taste and for every budget. For highly aesthetic restorations, we recommend cara LiSi 2, made of original IPS e.max CAD blanks by Ivoclar Vivadent. As a result of its outstanding translucency and good material properties, cara LiSi 2 * is the ideal solution for anterior tooth restorations with a high level of aesthetics due to the individual incisal layering as well as simple and efficient processing with perfect cutback design thanks to backward planing in the 3shape DentalDesigner TM. In addition, outstanding colour adaptation of the material in the posterior region using HeraCeram staining produces aesthetically high quality work. As an alternative especially in tight spaces translucent zirconium dioxide has proven itself in recent years, particularly in the posterior region and for bridge constructions. This is becoming ever more popular as a result of its high strength and its aesthetic appearance (in comparison with restorations). As a result of its extremely high natural translucency and the tooth-like shading as compared with conventional zirconium dioxide, this material is ideal for meeting patient demands. Our solutions in the digital cara workflow: always the right models and temporary restorations. cara models. cara connects you with various model suppliers directly within the cara system. We test all model suppliers thoroughly before we accept them into our cara system. Optimised workflow: The data from the intraoral scanner can be easily and quickly processed and optimised for the subsequent CAD design: with the Model Builder software from 3Shape in DentalManager. The finished model is then supplied directly by your selected model supplier. Your framework is manufactured in the cara production centre at the same time so that you receive both promptly. Reliable basis: The model suppliers we check and recommend offer us their different models and materials so the right model can be selected for every taste, every indication and every situation, which forms the reliable basis for finishing in the laboratory. You can find a current list of the available model suppliers on the Internet at Monolithic restorations in the cara system made from Zr tr. Restoration fi nished with HeraCeram Zirkonia. Dreve model. Available in two materials the monolithic restorations from cara. Decide depending on indication and budget on one of the two materials: LiSi 2 * Lithium Disilicate Highly aesthetic single tooth restorations, especially in the anterior region Zr tr * Made of original IPS e.max CAD blanks by Ivoclar Vivadent. Zirconium dioxide translucent For monolithic restorations of single teeth and bridges, mainly in the posterior region with good aesthetics cara temporaries. cara temporaries can be produced on the basis of a model scan of the prepared teeth or an intraoral situation scan. The intraoral situation scan is performed in the patient s first session prior to the preparation: the eggshell temporary restoration produced by the laboratory that corresponds to the final situation is then already available for the actual preparation session. This is also completely digitally produced. Patients try out the final restoration as a temporary The dentist sends digital impressions of the initial preparation to the partner laboratory and receives inexpensive temporary restorations and diagnostic wax-ups with a high level of aesthetics The temporary restorations are produced in the fully digital and model-free workfl ow in the form of the final crown The diagnostic wax-up is used for treatment planning and visualisation of the anticipated results for the patients The initial preparation scan is used again, which means that only the preparation region is captured for the final restoration 22 23

13 With classical digitalisation into the cara production centre. cara offers you the following lab side scanners: The cara D500 Scanner was specially developed for medium-sized laboratories. The cara D700/D710/D800/D810 scanners are the high-end scanners for laboratories with a large number of CAD/CAM units. The new cara D900 scanner with 4 cameras, 20 megapixels and a blue LED light beam offers considerably faster colour texture scanning, also working in parallel, and an intelligent, optimised multi-die scanning function. Your personal specialist in the field would be pleased to advise you and show you which scanner from our partner 3shape is the right one for you. Design dental restorations. With cara software packages of 3shape. DentalManager software Smile Composer Simple and highly aesthetic design of fully anatomic full-smile crowns and bridges AbutmentDesigner TM Virtual articulator Individually adjustable, masticatory movements can be simulated and understood virtually ModelBuilder TM Work simultaneously in the upper and lower jaw Design can be carried out at the same time in both jaws Implant Bars & Bridges TM Additional features Telescopic crowns Inlays/onlays/veneers File splitting, crown and bridge design, attachments Additional add-on modules Your software update. Welcome to cara Meeting Point. Cara Meeting Point is a web-based online software for the exchange of dental scan data e.g., for uploading the dentist s cara TRIOS data, for sending construction data from third-party systems to our production centre or for ordering cara I-Bridge. exocad cara TRIOS: The data are sent directly from cara TRIOS to cara Meeting Point. There the laboratory can download the scan data, edit them with its construction software and design the framework. Third-party systems: Construction data can be sent to cara Meeting Point from Dental Wings, 3Shape and Exocad scanners and then be subsequently produced in the cara production centre. In our cara production centre, the most modern and innovative processes are then employed for the production of your frameworks. cara I-Bridge: Quickly and easily ordered via cara Meeting Point log into our online shop and place the order. Enter the number of implants, the implant system, anchorages, system, material and specify whether cara I-Pack was used or not. At this point choose between cara I-Bridge regular and cara I-Bridge angled. Mark your model with the UP number that you receive after completing the order. Send the framework design and model to us.. In case of further questions, please contact our local sales representatives in your country. Read more on our website Here you will find detailed ordering and processing instructions as a PDF download. Add-on software module Individual abutments are easy and effi cient to produce 1 abutment = 9 CAD points (see below) Preparation of scan data, making saw cuts or dies and assigning the models Superstructures are quick and easy to design on implants 1 implant bars & bridges = 9 CAD points/implant (see below) Model casting, ortho software 1 model casting = 15 CAD points (see below) What services does your milling centre offer? Are you satisfied? TEST US! Software simply with a click: the CAD Points from cara. CAD Points the starter package for laboratories that wish to offer all indications without having to pay high licence fees. With CAD Points the laboratory only pays if it actually needs the software. This ensures you full fl exibility, because the CAD Points can be used for different indications. Advantages for the laboratory: Cost effi ciency the laboratory this has access to further indications without the direct investment costs for a software add-on module Minimum risk the safe and cost-efficient way for small laboratories to establish themselves in the CAD/CAM domain Flexibility CAD Points can be used immediately, for customised abutments, implant bars & bridges and model casting Longevity CAD Points have no expiry date Quick purchase simple and fast ordering and activation: please enter the customer number and the associated dongle number with the order (there are three different packages of 100, 200 and 500 points) The cara production centre is available to you in only 3 steps. 1. Register 2. Log In 3. Send data 24 25

14 Setting new standards of convenience in digital dental technology: with our cara TRIOS intraoral scanner. In addition to conventional impression-taking, which is often unpleasant for the patient, dentists have already been using intraoral scanners to achieve comfortable digital impressions for a number of years. In nearly no time at all, the oral situation is captured in three dimensions and stored in digital form. How your laboratory benefits: Further processing of the data in the laboratory. The further processing of intraoral scan data is performed in the laboratory in just a couple of steps to the finished design of the restoration. 1. cara Meeting Point The laboratory downloads the intraoral scan file via the web-based cara Meeting Point. Stronger laboratory-dentist relationship Greater productivity thanks to optimised workfl ow Connection and receipt of data are free of charge The intraoral scanner cara TRIOS was developed together with dental technicians and dentists. With its powder-free method of scanning, it renders digital impression-taking easy, quick and precise with real-time 3D imaging. 2. Importing the data You can import the cara TRIOS scan data into your dental CAD program. As a dental technician, you benefi t in a multitude of ways: you receive exact data from the partner practice. This facilitates cooperation and adjustments, which in turn makes the results more precise. This guarantees satisfi ed customers in the long term. The online transmission of the digital scan data saves time-consuming preparation work, such as the creation of a saw cut model. In addition, errors are avoided and the quality of the prosthesis increases. At the same time, you can increase your effi ciency and save working time that you can then employ more productively somewhere else. Your workflow stays the same cara TRIOS just makes it easier: You receive data that is already in digital form, define the preparation margin, extract the stump virtually from the alveolar model, articulate the models, check the overall structure and produce the dental restoration. No reworking necessary. Digital cara workflow 3. Model Builder software The data are then prepared in the 3Shape ModelBuilder software. This involves the trimming of the scan and the marking of the removable dies. 4. Dental Designer Preparation of the intraoral scan data is followed by the traditional design of the restoration in the 3Shape Dental Designer CAD software. 5. Production The data are then produced with the aid of computer and a highly precise workpiece is created. 6. Finished restoration Manual veneering is then performed in the dental laboratory. We will be happy to advise you about integration in the digital workflow. Give us a call: Our specialists in the field will be pleased to provide you with more information. TRIOS 3Shape TRIOS 3Shape 26 27

15 Heraeus Academies our courses for your success. An investment in knowledge always pays the best interest (Benjamin Franklin) What Benjamin Franklin recognised back then applies just as much today. If you want to stay on the ball in dental technology, you should keep expanding your knowledge. So we want to support you in your daily work routine with our expertise and further education courses. In our cara courses we demonstrate how dental restorations can be designed simply, quickly and precisely. We are there for you with our special service covering all elements of the cara system: With our knowledge and our digital expertise we familiarise you with the cara range, as well as all the ordering options and support you with installation and integration in the digital cara workfl ow. Contact your local sales team for further information on courses in your country. cara Service Please contact our local sales representatives in your country. Our specialists in the field will be pleased to provide you with information concerning all aspects of your update. Well-known instructors reveal their tricks. cara Technical Assistance Please contact our local sales representatives in your country. Our specialists in the field will be pleased to provide you with information concerning all aspects of your update. Our latest information and videos can be found at

16 cara customized solutions. Digital dental technology from Heraeus. Software/ Design 3Shape DentalDesigner esigner Servic e/production Materials: Zirconium Dioxide,, Titanium, Acrylic, Lithium Disilicate* Indications: Partial crowns, C & B, Telescope, Implant Prosthetics Veneering Ceramic: HeraCeram Composite: Signum Scanning Lab Impression scan Model scan Scanning Dental Office Intraoral scan: cara TRIOS Perfect End Result TRIOS 3Shape cara Workflow * Made of original IPS e.max CAD blanks by Ivoclar Vivadent. To exploit the possibilities of digital dental technology optimally, cara offers harmonised system solutions for dental practices and dental laboratories. From digital impressions using dental scanners in the practice or laboratory to data processing with CAD software and the central production of restorations in the cara production centre right up to the finishing in the dental laboratory, Heraeus offers the complete digital workfl ow. Optionally, all components are also available as individual components. TRIOS 3Shape * Made of original IPS e.max CAD blanks by Ivoclar Vivadent

17 GB D&B/ORT/RHM Our specialists in the field will be pleased to provide you with information concerning all aspects of your update. GIVE US A CALL! In compliance with European Directive 93/42/EEC, our medical devices carry the CE mark or custom designs, depending on their classification. Contact in Germany Heraeus Kulzer GmbH Grüner Weg Hanau cadcam@heraeus.com Contact in Scandinavia and in the Baltic States Heraeus Dental AB Box SE Helsingborg Phone Fax cara-nordic@heraeus.com Contact in Australia Heraeus Kulzer Australia Pty. Ltd. Rydecorp Unit 6, 2 Eden Park Drive Macquarie Park NSW 2113 Phone Fax sales.hkaus@heraeus.com

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