Straumann CARES Guide. CARES Visual 8.8.

Transcription

1 Straumann CARES Guide. CARES Visual 8.8.

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3 How to use the S traumann CARES Guide. 1 Indication > Material You know the treatment indication and are looking for a suitable S traumann CARES material. First, go to the appropriate indication section: 'Tooth-borne applications' or 'Implant-borne applications' The S traumann CARES Guide shows you which materials are available for each indication. In the 'Leading material offering' section, you can find detailed information on each individual S traumann CARES material. Crown Lava Ultimate zerion IPS e.max CAD IPS Empress CAD VITA Mark II VITA TriLuxe polycon ae polycon cast 2 Material > Indication You are already familiar with a certain S traumann CARES material, but don't know what indications you can use it for. Start in the 'Leading material offering' section and the S traumann CARES Guide will show you the available indications for each S traumann CARES material. IPS e.max CAD Veneer Inlay Onlay Partial Crown Crown Coping CARES X-Stream

4 Tooth-borne Implantborne Single-tooth restorations Bridges Specials Coping Partial Crown Crown Veneer Inlay/Onlay 1 Inlay/Maryland bridge Maximum number of bridge elements 2 Maximum number of pontics in the anterior/posterior region Telescopic crown S traumann CARES Abutment S traumann CARES Screw-retained Bridge S traumann CARES Bars Resin Nano Ceramic 3M ESPE Lava Ultimate Restorative Ceramic zerion LT 16 4/2 zerion HT 3 1/1 Zirconium-dioxide for CARES Abutment IPS e.max CAD MO IPS e.max CAD LT IPS e.max CAD HT IPS Empress CAD Multi and LT IPS Empress CAD HT VITA Mark II VITA TriLuxe Metal ticon 16 4/3 Titanium for CARES Abutment Titanium for CARES SRBB TAN for CARES Abutment* coron 16 4/3 Polymers polycon ae 16 1/1 polycon cast 16 4/4 Strongly recommended application Possible application Acrylic burn-out 1 Veneerable inlay for the materials zerion, ticon, coron and polycon ae. 2 Availability of the maximum bridge elements can vary from country to country. * Availability can vary from country to country

5 Broad range of applications. Tooth-borne applications Veneer Inlay Onlay Partial Crown Crown Coping Bridge framework Maryland bridge Inlay bridge Full-contour bridge Telescopic crown Implant-borne applications CARES Abutment CARES Screwretained Bridge Cares Bars CARES X-Stream The one-step prosthetic solution: 1 scan, 1 design, 1 delivery CARES X-Stream

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7 Tooth-borne applications. S traumann CARES tooth-borne restorations are used to restore natural teeth or are placed on abutments. The applications provide treatment flexibility so that the needs of each individual patient can be met. Veneer Inlay Onlay Partial Crown Crown Coping Bridge framework Maryland bridge Inlay bridge Full-contour bridge Telescopic crown

8 Tooth preparation. For successful results, observe the general tooth preparation guidelines below. Also observe the additional tooth preparation guidelines, which apply specifically to 3M ESPE Lava Ultimate Restorative, zerion, IPS e.max CAD, IPS Empress CAD, VITA Mark II, VITA TriLuxe, ticon, coron and polycon ae see the relevant material-specific preparation guidelines. Preparing the surfaces incorrect Remove sufficient hard tooth material under fissures correct incorrect correct Block out with a dentine-adhesive build-up filling

9 Preparing the margins Do not prepare in a gutter shape Do not leave any sharp transitions correct incorrect correct incorrect correct incorrect Form transitions correctly toward oral/vestibular

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11 Veneer. 3M ESPE Lava Ultimate Restorative Veneer Broad range of ceramic materials for esthetic and efficient restorations High precision and very thin veneers possible Innovative materials for minimally invasive patient treatment Available in these S traumann CARES materials: Resin Nano Ceramic Lava Ultimate Ceramic IPS e.max CAD IPS Empress CAD VITA Mark II VITA TriLuxe

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13 Inlay and onlay. IPS Empress CAD Inlay Broad range of ceramic materials for esthetic and efficient restorations Easy handling Available in these S traumann CARES materials: Resin Nano Ceramic Metal Polymers Lava Ultimate ticon 1 polycon ae 1 Ceramic coron 1 polycon cast zerion LT 1 IPS e.max CAD IPS Empress CAD VITA Mark II 1 Veneerable inlay

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15 Partial Crown. IPS e.max CAD Partial Crown Broad range of ceramic materials for esthetic and efficient restorations Reliable materials for minimally invasive patient treatment Flexibility in patient treatment Available in these S traumann CARES materials: Resin Nano Ceramic Lava Ultimate Ceramic IPS e.max CAD IPS Empress CAD VITA Mark II VITA TriLuxe

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17 Crown. VITA Mark II Crown Broad range of materials for full-contour restorations Flexibility in patient treatment Available in these S traumann CARES materials: Resin Nano Ceramic Metal Polymers Lava Ultimate Ceramic ticon coron polycon ae polycon cast zerion HT IPS e.max CAD IPS Empress CAD VITA Mark II VITA TriLuxe

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19 Coping. coron Coping Broad range of materials Flexibility in patient treatment Available in these S traumann CARES materials: Ceramic Metal Polymers zerion LT zerion HT ticon coron polycon ae polycon cast IPS e.max CAD

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21 Bridges. zerion LT Bridge framework Excellent treatment flexibility Highly stable bridge frameworks for up to 16 elements Full-contour bridges with zerion HT up to 3 bridge elements Available in these S traumann CARES materials: Ceramic Metal Polymers zerion LT zerion HT ticon coron polycon ae polycon cast

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23 Telescopic crown. coron Telescopic crown Available in these S traumann CARES materials: Ceramic Metal Polymers zerion LT ticon polycon cast coron

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25 Implant-borne applications. S traumann implants and abutments complement each other in a precisely harmonized system combining excellent quality and flexibility. Our products are designed to deliver the esthetic results your patients demand with the time-tested reliability you count on. S traumann screw-retained abutments and S traumann implants are engineered to be used together to ensure a harmony of design (shapes and features), tolerances, surface qualities and materials used. CARES Abutment CARES Screwretained Bridge Cares Bars

26 S traumann CARES Abutments. Customized shape and emergence profile S traumann CARES Abutments are designed to offer patient-specific emergence profiles and an anatomic shape to support optimal soft tissue management. Control over the cement gap S traumann CARES Abutments help clearing excess cement because the cement margin can be ideally placed for each individual restoration. Optimized insertion path Flexible design parameters allow for angulation corrections and adjustments, which can simplify the insertion of the final restoration. Optimum convenience during restoration processes S traumann CARES Abutments provide precision, time and cost savings throughout the restoration process.

27 S traumann CARES Zirconium-dioxide Abutment Full-ceramic abutment designed for excellent esthetics Excellent material properties designed for high precision and reliability Maximum design flexibility (within design specifications) for efficiency Zirconium for CARES Abutment S traumann CARES Titanium Abutment Excellent material properties designed for high precision and reliability Maximum flexibility (within design specifications) for efficiency Titanium for CARES Abutment S traumann CARES TAN Abutment 1 A biocompatible titanium alloy for direct veneering Excellent material properties designed for increased design flexibility TAN for CARES Abutment 1 Pending FDA 510K clearance

28 S traumann CARES Screw-retained Bridge. Direct connection to the implant No additional abutment required (reduces complexity and costs) No cementing (reduced risk of periimplantitis due to residual cement) Abutment level connection Align the insertion axis of highly divergent implants Reduce soft tissue injuries when removing the framework for maintenance Easy maintenance The framework can be unscrewed for maintenance, if necessary Product characteristics 2 to 16 elements 1 Placement on 2 to 16 interfaces Tissue Level implant platforms Bone Level implant platforms Combination of Tissue Level and Bone Level platforms Straumann Screw-retained Abutment Delivered with machine-smoothed surface 1 Maximum number of anterior pontics: 4 Maximum number of posterior pontics: 3 Maximum number of free-end pontics: 1 per end

29 S traumann CARES Screw-retained Bridges are available for tissue level, bone level, mixed tissue level and bone level cases and the S traumann Screw-retained Abutment. S traumann CARES Screw-retained Bridges are screwed directly to the S traumann implant or the Straumann Screw-retained Abutment. Available in these S traumann CARES materials: Metal Titanium for CARES SRBB coron

30 Straumann Cares Bars. Direct connection to the implant No additional abutment required (reduces complexity and costs) No cementing (no risk of periimplantitis due to residual cement) Abutment level connection Align the insertion axis of highly divergent implants Reduce soft tissue injuries when removing the framework for maintenance Easy maintenance The framework can be unscrewed for maintenance, if necessary Product characteristics Placement on 2 to 10 interfaces Tissue Level implant platforms Bone Level implant platforms Combination of Tissue Level and Bone Level platforms Straumann Screw-retained Abutment Free-end extension possible Bars are delivered polished

31 Dolder Bar U-Shape (Standard and Mini) Dolder Bar Egg-Shaped (Standard and Mini) MP Clip Bar Ø 1.8 mm Ackermann Bar, Ø 1.9 mm Round Bar, Ø 1.8 mm Milled Bar* Locator Bar Abutment 0 6 Available in these S traumann CARES materials: Metal coron Titanium for CARES SRBB * Availability can vary from country to country

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33 S traumann CARES X-Stream The one-step prosthetic solution: 1 scan, 1 design, 1 delivery. CARES X-Stream provides a single-tooth full prosthetic solution to restore Staumann implants. With only one scan and design procedure, all required prosthetic components (e.g. abutment and its relevant crown) are manufactured in a Straumann-validated environment and arrive together in one packaged delivery with an excellent fit of the components. This optimization of the necessary processing steps reduces turnaround time and related costs considerably. CARES X-Stream

34 Efficiency the key to competitiveness ѹ ѹ Higher productivity thanks to simultaneous design, order and delivery of the prosthetic components required for a patient's case ѹ ѹ Increased efficiency due to the highly precise prosthetics ensuring excellent fit between components ѹ ѹ Validated long-term performance with the original Straumann implantabutment connection ѹ ѹ Consistent and re-producible quality with controlled design and milling environment Now available Straumann Variobase Abutment The Straumann Variobase Abutment is a strong foundation for flexible prosthetic restorations thanks to its minimal body size combined with an optimal force distribution 1. It is available within the CARES X-Stream solution with multiple restorative options, such as CARES customized coping Efficient hybrid abutment solutions CARES customized coping

35 CARES customized full-contour crown Cost effective prosthetic restorations CARES customized full-contour crown CARES X-Stream Restorative Options: 3M ESPE Lava Ultimate 5 (Resin Nano Ceramic available in 12 shades) zerion (Zirconium dioxide available in 13 shades) Full-contour crown or coping IPS e.max CAD (Lithiumdisilicate available in 45 shades) coron (Cobalt Chromium) ticon (Titanium) polycon ae (PMMA available in 5 shades) CARES Abutment, Zirconium dioxide 2 CARES Abutment, Titanium 3 NEW Straumann Variobase Abutment 4 1 Patent pending for the engaging mechanism between the Straumann CARES Variobase 2 Not available for the Soft Tissue Level NNC and WN Platforms; all copings or crowns are available without screw channel holes 3 Not available for the Soft Tissue Level NNC Platform; all copings or crowns are available without screw channel holes 4 Not available for the Soft Tissue Level NN Platform; all copings or crowns are available with or without screw channel holes 5 Only available for full-contour crowns

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37 Leading material offering. Lava Ultimate zerion Zirconium for CARES Abutment IPS e.max CAD IPS Empress CAD VITA Mark II VITA TriLuxe ticon coron Titanium for CARES Abutment TAN for CARES Abutment Titanium for CARES SRBB polycon ae polycon cast

38 Additional information on 3M ESPE LAVA Ultimate Restorative Preparation guidelines A traditional design is recommended for inlays and onlays. Do not prepare any undercuts. Bevel the cavity walls 5 6 degrees to the longitudinal axis of the preparation. Round all inner edges and angles. The incisal/occlusal reduction is carried out with 1.5 to 2 mm clearance with centric occlusion and all excursion movements. For veneers, the standard reduction is 0.6 mm on the labial surface and 0.4 mm in the gingiva, as the enamel is thinner there. The reduction in the incisal, labial-lingual angle is 0.5 to 1.5 mm. Leave the preparation margins in the enamel. The margins for veneers should pass above the gingiva. In addition, they should extend far enough into the approximal area so that the margins are not visible, and also should not have any approximal-gingival undercuts. For crowns and partial crowns, an axial reduction of 1.2 to 1.5 mm with a taper angle of 5 6 degrees is performed. The incisal/ occlusal reduction is carried out with 1.5 to 2 mm clearance with centric occlusion and all excursion movements. Shoulders must extend at least 1.0 mm to lingual in the approximal contact area. Non-beveled shoulder border lines are recommended. Available colors High translucency (HT) is available in the following colors: A1, A2, A3, B1. Low translucency (HT) is available in the following colors: A1, A2, A3, A3,5, B1, C2, D2, Bleach. Specifications Material Resin Nano Ceramic Density [g/cm 3 ] 2.1 Flexural strength [MPa] 204 ± 19

39 3M ESPE Lava Ultimate Restorative. (Resin Nano Ceramic, manufactured by 3M) 3M ESPE Lava Ultimate Restorative is a nanoceramic artificial resin containing approximately 80 % (by weight) nanoceramic particles, which strengthen a highly cross-linked polymer matrix. Product characteristics Designed for durability and reliability Brilliant esthetics with long-lasting shine High efficiency thanks to easy adjustment and polishing Tooth-preserving and abrasion - and impact-resistant, thus enabling maintenance of the functional balance Available in 8 LT (low translucency) and 4 HT (high translucency) colors Processing options Do not fire Can be used without further processing Polishing possible Coloring/characterization possible Attachment options Adhesive cementation Available applications Veneer Inlay Onlay Partial Crown Crown CARES X-Stream

40 Additional information on zerion Preparation guidelines The preparation must be free of sharp angles and edges. The shoulder preparation must have rounded inner edges and/or grooves. The preparation must have anchorage surfaces for conventional and/or self-adhesive cementing. Available colors zerion LT is available for frameworks in 9 colors: white, light 1, light 2, light 3, light 4, medium 1, medium 2, medium 3, dark zerion HT is available for full-contour restorations and bridge frameworks with a maximum of three elements in 4 colors: pure, light, medium, intense Chemical composition Specifications Elements Percentage Material Y-TZP-A ZrO 2 + HfO 2 + Y 2 O 3 99 % Y 2 O 3 > % HfO 2 5 % Al 2 O 3 > % Density [g/cm 3 ] 6.05 Flexural strength (3-point bend) [MPa] 800 CTE ( C) [K -1 ] 10.5 x 10-6 Other oxides 0.5 %

41 zerion. (zirconium-dioxide ceramic) Zerion is a high-performance ceramic suitable for a broad spectrum of applications. Product characteristics Broad range of applications, from frameworks to full anatomic restorations, for high flexibility Highly stable frameworks designed for a predictable prosthetic result 1 Available in 9 LT (low translucency) and 4 HT (high translucency) colors Processing options Veneering required for zerion LT Polishing required for zerion HT Attachment options Adhesive cementation Conventional cementation Available applications for zerion LT Inlay 2 Coping Bridge framework Maryland bridge Inlay bridge Telescopic crown Available applications for zerion HT Crown Coping Full-contour bridge CARES X-Stream 1 Up to 4 pontics in the anterior region and up to 2 pontics in the posterior region for zerion LT 2 Veneerable inlay

42 Additional information on IPS e.max CAD Preparation guidelines The preparation must have anchorage surfaces for conventional and/or self-adhesive cementing. For inlays, onlays and partial crowns, the static and dynamic antagonist contacts have to be taken into account and the preparation margin must not lie on the centric antagonist contacts. In the case of veneers, the preparation should lie in the enamel if possible, and the incisal preparation margins should not lie in the region of static or dynamic enamel contacts. Available colors High translucency (HT) is available in the following colors: A1, A2, A3, A3,5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4, BL1, BL2, BL3, BL4. Low translucency (LT) is available in the following colors: A1, A2, A3, A3,5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4, BL1, BL2, BL3, BL4. Medium opacity (MO) is available in the following colors: MO 0, MO 1, MO 2, MO 3, MO 4. Chemical composition Specifications After crystallization Elements Percentage Material Lithium-disilicate glass-ceramic SiO % LiO % K 2 O 0 13 % P 2 O % Flexural strength [MPa] 360 Fracture toughness [MPa m 0,5 ] 2 Chemical solubility [µm/cm 2 ] 50 CTE ( C) [K -1 ] 10.5 ± 0.5 x 10-6 ZrO % ZnO 0 8 % 0 12 % Others + coloring oxides

43 IPS e.max CAD. (lithium-disilicate glass-ceramic, manufactured by Ivoclar Vivadent AG) State before crystallization IPS e.max CAD is a lithium-disilicate glass-ceramic material that is suitable for manufacturing high-strength esthetic single-tooth restorations. Product characteristics All-ceramic restorations for efficient esthetics Versatility for easy handling High-strength product designed for reliable restorations Available in 5 MO (medium opacity), 20 LT (low translucency) and 20 HT (high translucency) colors Processing options Crystallization firing required Veneerable Attachment options Adhesive cementation Self-adhesive cementation for crowns Conventional cementation for crowns Available applications Veneer Inlay Onlay Partial Crown Crown Coping CARES X-Stream

44 Additional information on IPS Empress CAD Preparation guidelines The preparation must be free of sharp angles and edges, and the shoulder preparation must have rounded inner edges and/or grooves. For inlays, onlays and partial crowns, the static and dynamic antagonist contacts have to be taken into account and the preparation margin must not lie on the centric antagonist contacts. In the case of veneers, the preparation should lie in the enamel if possible, and the incisal preparation margins should not lie in the region of static or dynamic enamel contacts. Available colors High translucency (HT) is available in the following colors: A1, A2, A3, A3,5, B1, B2, B3, C2, D3. Low translucency (LT) is available in the following colors: A1, A2, A3, A3,5, B1, B2, B3, C2, D3, BL1, BL2, BL3, BL4. Multi is available in the following A- to D- and bleach (BL-) colors: A1, A2, A3, A3,5, B1, BL1, BL3. Chemical composition Specifications Elements Percentage Material Leucite glass-ceramic SiO % Al 2 O % K 2 O % Na 2 O % Other oxides % Pigments % Density [g/cm 3 ] 2.5 ± 0.1 Vickers hardness HV 6200 ± 250 Flexural strength [MPa] 160 ± 20 Fracture toughness [MPa m 0,5 ] 1.3 ± 0.1 Chemical solubility [μg/cm 2 ] 25 Modulus of elasticity [GPa] 62 ± 8 CTE ( C) [10-6 K -1 ] 17.5 x 0.25

45 IPS Empress CAD. (leucite glass-ceramic, manufactured by Ivoclar Vivadent AG) Product characteristics All-ceramic restorations for natural esthetics Simplicity for easy handling Tried-and-tested product for precisely predictable restorations Available in 7 Multi, 13 LT (low translucency) and 9 HT (high translucency) colors Processing options Can be used without further processing Polishing possible Glazing possible Coloring/characterization possible Veneerable Attachment options Adhesive cementation Available applications Veneer Inlay Onlay Partial Crown Crown

46 Additional information on VITA Mark II Tooth preparation guidelines The teeth need to be cooled sufficiently during preparation and must not be overheated by excessive pressure during grinding. Only use instruments with a good cutting performance. Rough preparation must be carried out before final preparation. The pulp must be protected against damage caused by grinding. Subgingival preparation margins must be avoided. The preparation must meet the following requirements: Tooth-specific preparation The upper and lower tooth axes are aligned with each other. The required residual thickness of the dentine layer of mm is ensured in all areas. Preparation information for anterior and posterior crowns: A groove or shoulder with a rounded inner edge must be prepared. The aim is to achieve a continuous gradation of 1 mm in depth. The vertical preparation angle must be at least 3. All transitions from the axial to the occlusal or incisal surfaces must be rounded. Subgingival preparation margins should generally be avoided. Preparation guidelines for veneers Avoid an approximal 'gutter-shaped' preparation. Available colors VITA Mark II is available in the following colors: 0M1C, 1M1C, 1M2C, 2M1C, 2M2C, 2M3C, 3M1C, 3M2C, 3M3C, 4M2C, A1C, A2C, A3C, in accordance with the VITA color system. Chemical composition Specifications Elements Percentage Material Fine-structure feldspar SiO % Al 2 O % K 2 O 6 8 % Na 2 O 6 9 % CaO % TiO % ceramic Density [g/cm 3 ] 2.44 ± 0.01 Flexural strength [MPa] 154 ± 15 CTE ( C) [10-6 K -1 ] 9.4 ± 0.1 Transformation range [ C] Chemical solubility (ISO 6872) with emphasis 30 on glazing substance [μg/cm 2 ]

47 VITA Mark II. (feldspar ceramic, manufactured by VITA Zahnfabrik H. Rauter GmbH & Co. KG) VITA Mark II restorations by S traumann offer maximum flexibility and a broad variety of applications so that each patient's individual needs can be met. Product characteristics Broad range of colors for natural esthetics Versatility for easy handling High-quality material designed for precisely predictable results Available in 13 colors Processing options Can be used without further processing Polishing possible Glazing possible Coloring/characterization possible Veneerable Attachment options Adhesive cementation Self-adhesive cementation for crowns Available applications Veneer Inlay Onlay Partial Crown Crown

48 Additional information on VITA TriLuxe Tooth preparation guidelines The teeth need to be cooled sufficiently during preparation and must not be overheated by excessive pressure during grinding. Instruments with a good cutting performance must be used. Rough preparation must be carried out before final preparation. The pulp must be protected against damage caused by grinding. Subgingival preparation margins must be avoided. The preparation must meet the following requirements: Tooth-specific preparation The upper and lower tooth axes are aligned with each other. The required residual thickness of the dentine layer of mm is ensured in all areas. Preparation information for anterior and posterior crowns: A groove or shoulder with a rounded inner edge must be prepared. The aim is to achieve a continuous gradation of 1 mm in depth. The vertical preparation angle must be at least 3. All transitions from the axial to the occlusal or incisal surfaces must be rounded. Subgingival preparation margins should generally be avoided. Preparation guidelines for veneers Avoid an approximal 'gutter-shaped' preparation. Available colors VITA TriLuxe is available in three multilayer colors: 1M2C, 2M2C, 3M2C, in accordance with VITA color system. Chemical composition Specifications Elements Percentage Material Fine-structure feldspar SiO % Al 2 O % K 2 O 6 8 % Na 2 O 6 9 % CaO % TiO % ceramic Density [g/cm 3 ] 2.44 ± 0.01 Flexural strength [MPa] 154 ± 15 CTE ( C) [10-6 K -1 ] 9.4 ± 0.1 Transformation range [ C] Chemical solubility (ISO 6872) with 30 emphasis on glazing substance [μg/cm 2 ]

49 VITA TriLuxe. (feldspar ceramic, manufactured by VITA Zahnfabrik H. Rauter GmbH & Co. KG) VITA TriLuxe restorations by S traumann are made of a multi-layer fine-structure feldspar ceramic that replicates the characteristic structure of teeth with neck, dentine and enamel. They enable high-quality esthetic fabrication of single-tooth restorations. Product characteristics Broad range of colors for natural-looking esthetics Versatility for easy handling High-quality material developed for predictable results Available in 3 colors Processing options Can be used without further processing Polishing possible Glazing possible Coloring/characterization possible Veneerable Attachment options Adhesive cementation Self-adhesive cementation for crowns Available applications Veneer Partial Crown Crown

50 Additional information on ticon Preparation guidelines The preparation must be free of sharp angles and edges. The shoulder preparation must have rounded inner edges and/or grooves. The preparation must have anchorage surfaces for conventional cementing. Chemical composition Specifications Elements Percentage Color Silver Ti Balance Material Grade 2 titanium O 0.25 % Fe 0.3 % N 0.03 % C 0.08 % H % Yield strength R p0,2 [MPa] 275 Tensile strength R m [MPa] 345 Elongation at break A 5 [%] 20 CTE ( C) [K -1 ] 9.6 x 10-6

51 ticon. (titanium) The titanium alloy ticon is an ideal alternative to noble casting alloys and is suitable for a broad range of applications: from single copings up to one-piece full-arch restorations. Product characteristics Milled frameworks 1 for great reliability and precision Veneering comparable to noble casting alloys for easy processing Ideal alternative to noble casting alloys Processing options Polishing possible Veneerable Attachment options Conventional cementation Available applications Inlay 2 Crown Coping Bridge framework Maryland Inlay bridge Telescopic CARES bridge crown X-Stream 1 Up to 4 pontics in the anterior region & up to 3 pontics in the posterior region 2 Veneerable inlay

52 Additional information on coron Preparation guidelines The preparation must be free of sharp angles and edges. The shoulder preparation must have rounded inner edges and/or grooves. The preparation must have anchorage surfaces for conventional cementing. Use suitable dental technology veneering techniques for S traumann CARES Screw-retained Bridges. Chemical composition Specifications Elements Co Percentage Balance Cr 28 % W 8.5 % Si 1.65 % Additional elements below 1 % Mn, N, Nb, Fe After thermal treatment Color Silver gray Material NPM alloy Yield strength R p0,2 [MPa] 360 Elongation at break 2 A 5 [%] CTE ( C) [K -1 ] 14.3 x 10-6

53 coron. (cobalt-chromium alloy) The cobalt-chromium alloy coron is suitable for a broad range of applications: from conventional full anatomic restorations and single and multi-unit frameworks to screw-retained bars and bridges. Product characteristics Milled frameworks for consistent high quality Broad range of applications for high flexibility Veneering comparable to noble casting alloys for easy processing Processing options Polishing possible Veneerable Attachment options Conventional cementation Available applications Inlay 1 Crown Coping Bridge framework Maryland bridge Inlay bridge Telescopic crown CARES Screwretained Bridge Cares Bars CARES X-Stream 1 Veneerable inlay

54 Additional information on polycon ae Preparation guidelines The preparation must be free of sharp angles and edges. The shoulder preparation must have rounded inner edges and/or grooves. The preparation must have anchorage surfaces for conventional cementing. Available colors The S traumann CARES polycon ae is available in 5 colors: A1, A2, A3, B1, B2. Chemical composition Specifications Elements Percentage Material PMMA Polymethyl methacrylate > 98 % (PMMA) Methyl methacrylate < 1 % Dibenzoyl peroxide < 1 % Flexural strength [MPa] 50 Water absorption [μg/mm 3 ] 40 Water solubility [μg/mm 3 ] 7.5 Pigments < 0.5 %

55 polycon ae. (PMMA-based acrylate resin) The IPN 1 resin polycon ae offers biocompatibility, color stability and excellent compound stability with non-ceramic veneering materials. It can be used for full anatomic temporary crowns and bridges in the anterior and posterior region. Product characteristics Specially designed for full anatomic temporary restorations and high efficiency Outstanding connection stability for easy handling Available in 5 colors Processing options Can be used without further processing Polishing possible Veneerable Attachment options Temporary cementing Available applications Inlay 2 Crown Coping Bridge framework Maryland Inlay bridge CARES bridge X-Stream 1 IPN = Highly cross-linked Interpenetrated Polymer Network A PMMA-based acrylate resin with significantly greater strength and considerably better abrasion values due to molecular cross-linking. 2 Veneerable inlay

56 Additional information on polycon cast Chemical composition Specifications Elements Percentage Color Colorless Polymethyl methacrylate > 98 % Material PMMA (PMMA) Methyl methacrylate < 1 % Dibenzoyl peroxide < 1 % Pigments < 0.5 %

57 polycon cast. (filler-free burn-out acrylate) 1 Polycon cast is a filler-free acrylic glass that represents an alternative to standard crown and bridge waxing in the casting technique. The resin PMMA, which can be burned out without residue, can be used instead of modeling wax. Polycon cast can be used in veneering and full cast techniques. Product characteristics Specially designed for standard waxing of crowns and bridges (can be burned out without residue) Available applications Inlay 2 Crown Coping Bridge framework Maryland bridge Inlay bridge Telescopic crown 1 Polycon cast must not be tried out in the patient's mouth to test the fit. Polycon cast is not a medical product! 2 Veneerable inlay

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59 Further information.

60 Processing steps. Depending on the indication, material and selected technique, various processing steps can be followed in order to achieve the final restoration. None Crystallization Polishing Glazing Coloring/characterization Layering Build-up/supplementation Resin Nano Ceramic 3M ESPE Lava Ultimate Restorative Ceramic zerion LT zerion HT IPS e.max CAD MO IPS e.max CAD HT / LT IPS Empress CAD Multi / HT / LT VITA Mark II VITA TriLuxe Metal ticon coron Polymers polycon ae polycon cast n. a. Necessary processing step and/or technique Possible processing step and/or technique (Note: depending on the material selected, some steps can be combined.) Use suitable dental technology veneering techniques for CARES Screw-retained Bridges.

61 a) Crystallization This processing step is only required (and also indispensable) for IPS e.max CAD restorations by S traumann CARES. The flexural strength of the supplied IPS e.max CAD restorations by S traumann CARES is 130 ± 30 MPa. To achieve its final flexural strength of 360 ± 60 Mpa and its final optical characteristics (color, translucency and brightness), the IPS e.max CAD restorations by S traumann CARES must undergo crystallization firing in a furnace at C for approximately 21 to 30 minutes. Further information on crystallization, compatible ovens, firing programs etc. can be found in the instructions for use. b) Polishing In this processing technique, the supplied full anatomic restoration is only polished. c) Glazing In this processing technique, the glazing substance is applied to the supplied full anatomic restoration and then the restoration is glaze-fired. For IPS e.max CAD restorations by S traumann CARES, the crystallization and glaze firing can be carried out in one step. d) Coloring In this processing technique, the color is applied to the supplied full anatomic restoration. Depending on the material, the restoration is either polished or glazed before undergoing color and glaze firing. For IPS e.max CAD restorations by S traumann CARES, the crystallization, color and glaze firing can be carried out in one step. e) Layering technique In this processing technique, various layering materials are fired onto the supplied framework. All commercially available veneering materials that are intended for veneering with the selected material and are suitable for the selected material's CTE value can be used. The veneering material manufacturers' processing instructions must be observed. Before application of the layering technique, the restoration must be cleaned with a steam jet. f) Build-up or application This processing step applies exclusively to S traumann CARES restorations made of 3M ESPE Lava Ultimate Restorative. It enables the restoration to be adapted by means of an additive technique. In this processing technique, a light-curing methacrylate-based filling material is applied to the supplied full anatomic restoration and then light-cured and polished.

62 Processing techniques. Depending on the processing technique and indication, the following recommendation can be given with regard to the selection of materials. Full contour Cut-back Layering Inlay / Onlay Veneer Partial Crown Crown Bridge Veneer Partial Crown Crown Bridge Veneerable inlay Coping Bridge Resin Nano Ceramic 3M ESPE Lava Ultimate Restorative Ceramic zerion LT zerion HT IPS e.max CAD HT IPS e.max CAD LT IPS e.max CAD MO 2 IPS Empress CAD HT IPS Empress CAD LT 1 IPS Empress CAD Multi VITA Mark II 1 VITA TriLuxe 1 Metal ticon coron Polymers polycon ae polycon cast Recommended Possible 1 For anterior crowns only 2 For anterior crowns and premolars only

63 Cementing. Depending on the indication and selected material, the tooth-borne prosthetic restorations by S traumann CARES can be fitted using adhesive, self-adhesive or conventional cementing (see table below). Adhesive Self-adhesive Conventional Temporary Resin Nano Ceramic 3M ESPE Lava Ultimate Restorative Ceramic zerion LT zerion HT IPS e.max CAD 1 1 IPS Empress CAD VITA Mark II 1 VITA TriLuxe 1 Metal ticon coron Polymers polycon ae polycon cast n. a. 1 For crowns only

64 Measuring points for minimum thicknesses. Inlay Onlay Partial Crown Fissure depth Cusp height Fissure depth Cusp height Fissure depth Circular Gingiva Isthmus width Isthmus width Isthmus width Veneer Steg Incisally applied veneer Steg Brücke Brücke verschraubter verschraubter Steg verschraubte Steg verschraubte Brücke Brüc Incisal Circular Gingiva Incisal Circular Gingiva Anterior crown Steg Steg Posterior crown Brücke Brücke verschraubter Steg verschraubter Steg Steg Brückeverschraubte verschraubter BrückeSteg v Inlay Inlay Onlay OnlayTeilkrone TeilkroneVeneer Veneer Krone Krone Customized Customized Abutments Incisal Incisal Circular Circular Gingiva Gingiva Bridge construction Inlay Inlay Inlay-Brücke Onlay Onlay Inlay-Brücke Teilkrone Inlay Maryland-Brücke Teilkrone Maryland-Brücke Veneer Onlay Veneer Primärkrone Krone Teilkrone Primärkrone Krone Customized Veneer Customized Geschiebelement Abutments Abutments Geschiebe KroneKa Incisal/occlusal Circular Brücke verschraubter Steg verschraubte Brücke Connector minimum cross-section Inlay-Brücke Inlay-Brücke Maryland-Brücke Maryland-Brücke Inlay-Brücke Primärkrone Primärkrone Maryland-BrückeGeschiebelement Geschiebelement Primärkrone ücke ne Veneer Krone Customized Abutments Kappe Variobase

65 Minimum thickness guidelines for full contour. Inlay/ Onlay Veneer Incisal overlapped veneer Partial Crown Anterior crown Posterior crown Bridge in anterior and posterior region Cusp height (mm) Fissure depth (mm) Isthmus width (mm) Gingiva (mm) Circular (mm) Incisal (mm) Gingiva (mm) Circular (mm) Incisal (mm) Gingiva (mm) Circular (mm) Cusp height (mm) Fissure depth (mm) Isthmus width (mm) Incisal (mm) Circular (mm) Gingiva (mm) Occlusal (mm) Circular (mm) Gingiva (mm) Incisal / Occlusal (mm) Circular (mm) Connector minimum crosssection Maximum number of pontics in the anterior/posterior region Resin Nano Ceramic 3M ESPE Lava Ultimate Restorative 1,5 0,4 0,6 0,5 0,4 0,6 1,5 1,0 1,5 1,5 1,0 1,5 1,0 Ceramic zerion HT 0,6 0,6 0,6 12 1/1 IPS e.max CAD HT 1,0 IPS e.max CAD LT 0,6 0,7 0,6 0,7 1,0 1,5 1,5 1,2 1,0 1,5 1,5 1,0 IPS Empress CAD HT 2,0 1,5 0,6 0,7 0,6 1,0 IPS Empress CAD LT and Multi 1,0 1,5 2,0 1,5 2,0 1,5 1,0 2,0 1,5 1,0 VITA Mark II 2,0 1,5 1,5 VITA TriLuxe 0,5 0,5 1,0 2,0 1,5 1,5 1,0 2,0 1,0 Metal ticon 0,4 0,4 0,4 5 4/3 coron 0,3 0,3 0,3 5 4/3 Polymers polycon ae 0,6 0,6 0,6 9 1/1 polycon cast 0,25 0,25 0,25 5 4/4

66 Minimum thickness guidelines for cut-back. Veneer 1 Partial Crown Anterior crown Posterior crown Bridge Gingiva (mm) Circular (mm) Incisal (mm) Gingiva (mm) Circular (mm) Cusp height (mm) Gingiva (mm) Circular (mm) Incisal (mm) Gingiva (mm) Circular (mm) Occlusal (mm) Wall thickness (mm) Connector minimum cross-section Maximum number of pontics in the anterior/posterior region Ceramic IPS e.max CAD HT and LT 0,6 0,4 1,0 1,5 1,3 1,0 1,2 0,4 1,5 1,0 2 IPS Empress CAD HT and Multi 0,6 0,5 IPS Empress CAD LT 0,5 1,5 1,0 VITA Mark II and TriLuxe 0,3 1,0 Metal ticon 0,4 0,4 0,4 5 4/3 coron 0,3 0,3 0,3 5 4/3 Polymers polycon ae 0,6 0,6 0,6 9 1/1 polycon cast 0,25 0,25 0,25 5 4/4 1 Includes incisally applied veneer 2 1,3 mm for molars

67 Minimum thickness guidelines for veneerable frameworks. Posterior and anterior region CARES Variobase Abutment Wall thickness (mm) Connector (mm) Connector minimum cross-section Maximum number of pontics in the anterior/posterior region Wall thickness (mm) Ceramic zerion LT for frameworks 0,5 9 4/2 0,4 zerion HT 0,6 9 1/1 IPS e.max CAD MO (up to the premolar) 0,8 1 n. a. n. a. Metal ticon 0,4 5 4/3 coron 0,3 5 4/3 Polymers polycon ae 0,6 9 1/1 0,5 polycon cast 0,25 5 4/4 1 1,0 mm occlusal for premolar

68 Guarantee. Quality from S traumann is a given, which is why we offer our customers the S traumann Guarantee 1. This ensures the rapid and efficient replacement of all system components, and provides you with the security of knowing that you can rely on S traumann at all times. S traumann Products covered by the S traumann Guarantee Implant Abutment attached to an implant 1 Tooth- and implantborne restoration 5-year guarantee period 10-year guarantee period Replacement with equivalent ceramic abutment 2 Replacement with equivalent metal abutment 2 Replacement with equivalent ceramic restoration 3 Replacement with equivalent metal or resin nano ceramic restoration 3 Lifetime guarantee period Replacement with equivalent implant and equivalent abutment, if necessary 1 In accordance with the S traumann Guarantee brochure 2 Including S traumann CARES Screw-retained Bridges and Bars. Excluding consumable products and retentive products such as ball anchors. 3 Including S traumann CARES copings, full-contour crowns and bridges. EXCLUDING all other products offered by S traumann, particularly S traumann CARES inlays, onlays, veneers, partial crowns and S traumann CARES Guided Surgery products.

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