A solution for each restoration - Phibo® Lab CAD-CAM solutions.pdf · A solution for each...

CAD-CAM

Laboratory

Implant SystemsRegeneration CAD-CAM Digital

Solutions Services

A solution for each restoration

Laboratory

Contents

Our challenges, constant evolution page 3

Our products and services page 4

Our business model page 5

What is CAD-CAM? page 6

Phibo® CAD-CAM: the optimum solution for the laboratory page 7-9

Work flows in the laboratory: improving your productivity page 10

CAD-CAM tools: the integrated solution by Phibo®

Personalised CAD software page 11

CAD hardware: the most versatile scanner on the market page 12

Phibo® Labtrace: track your orders at any time page 13

Personalised CAM software page 13


Cemented solutions page 14-15

Restorations on implants page 16-17

Hybrid structures and removable bars on implants page 18-19

Attachments for removable prostheses page 18

Restorations in CAD-CAM page 20

All materials, all solutions

Adhoc®, versatility in screw-mounted Cobalt Chrome page 21

Cronia®, temporary anatomic restorations page 22

Titanium, the lightest material page 23

Zirconia, biocompatibility and aesthetics page 24

IPS e.max® CAD by Phibo®, high aesthetic standards and vanguard technology page 25

Scientific warranty page 26-27

The best results with Phibo® CAD-CAM: clinical case page 28

Quality assurance page 29

Our technology partners page 30

3CAD-CAM Catalogue

CAD-CAM

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Our challenges, constant evolutionFor Phibo® to want a different and more humane world is to evolve. To grow with and for people to improve things. For some it may be obvious, for us it is a necessity. Our commitment.

For Phibo® science is the foundation for everything; the tenacity of our character and the talent for producing high quality products find in science the vehicle capable of giving our dental solutions proven and significant value for our public and the sector in general.

Nevertheless, this is not enough for us. We are sure of the value of science, but we are also sure that this is lost if it does not lead to useful solutions that are accessible to people. And this conviction is what makes us different; it is not just about science, but above all conscience. Conscience, knowing that the responsibility of being able to improve people's quality of life is in our hands. Conscience, knowing that innovation must be within the reach of those who need it. Conscience, knowing that being in a privileged position entails an obligation to develop and share the knowledge. Conscience, knowing that clients do not just need a perfect product, but also a frank interpersonal relationship. Conscience, understanding that without science it is not possible to grow and lead. That science without conscience is a multiple of zero. And that we are all building Phibo®; with what we are and what we can be.

So this is Phibo®. This is what makes us unique and special; what makes us Phibo®. But it does not only reflect what we are, but also leads our future; it helps us to make decisions, it pushes us to evolve, it forces us to do so.

4 CAD-CAM Catalogue Laboratory

Our productsand services

With 20 years of experience behind us, at Phibo® we now offer solutions from bone regeneration to the final prosthesis itself, without neglecting implant systems, and always taking patients' health, comfort and aesthetics into consideration. From the most complex treatments to the simplest ones, there is a wide range of Phibo® solutions developed on a foundation of knowledge and science. We offer predictability in the results, optimisation of treatment times, reduction of the possibility of error, in short we ensure better quality for the patient.

At Phibo® we have developed dental products and services that are based on different areas of knowledge and science, from surgery, biotechnology, material physics and bioengineering, to digitisation and business management. For Phibo® investigation and development with scientific rigor and based on this knowledge are the present and future around which our whole range of products and services revolves.

For Phibo® it is not about offering isolated products and services that only cover part of the process and are unrelated to each other; what is really important is offering reliable and flexible integral solutions that improve the work of our clients, making difficult work easy.

Innovative dental solutions.From bone regenerationto the final tooth.

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Our businessmodel


The world of dental medicine is continually evolving, technically and scientifically, in all areas; and evidently the field of dental prosthetics is no exception. In recent years CAD-CAM technology has come to play a major role and has caused a revolution in terms of quality in the design and manufacture of dental restoration work. The CAD-CAM systems are a true revolution for everyday work with modern dental prosthetics. CAD-CAM = Computer Aided Design - Computer Aided Manufacturing. [Miy09]

What is CAD-CAM?

Computer Aided Design

CAD is a set of IT support tools for designing parts in 2D (drawings) or in 3D (solids and surfaces), originally used in engineering.

For dental restoration work, these tools are applied in the design of the prosthesis, replacing manual wax modelling with a digital design with perfect control of dimensions and aesthetics.

Computer Aided Manufacturing

CAM consists of using computers and calculation technology throughout the manufacturing process, from planning to production and quality control.

For dental restoration work, it is applied to the manufacture of the prostheses. For example, it replaces metal casting with numerically controlled machine processes, thus achieving great accuracy, function and aesthetic finish.

The combination of computer assisted design and manufacture processes allows geometric modelling, analysis, testing, documentation and control of manufacturing.

In addition, it allows work on the development of new products and solutions to be performed scientifically.Thus, we obtain prostheses with better fit, aesthetics and function that those made using the traditional procedure. [Liu09]

Computer aided design.

Computer aided manufacture

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Phibo® CAD-CAM: the optimum solution for the laboratory

1. A solution for each restoration

Phibo® offers fully customised solutions in CAD-CAM that ensure very attractive, precise results.

Phibo® offers you the widest range of products in CAD-CAM to satisfy all your clients' needs: from conventional prostheses to implant-mounted structures; from crowns to the most complex of bars.

2. Wide range of materials

Phibo® manufactures structures CAD-CAM using all types of materials: Zirconia in four colours, specially indicated for restorations where the aesthetic commitment is important, polymethyl methacrylate (PMMA) indicated for aesthetic temporary restorations, cobalt chrome, an innovative manufacturing process patented by Phibo® providing the best combination of different technology and titanium, a material that stands out for its lightness and excellent mechanical response, and IPS e.max® by Phibo® for single restorations like veneers, inlays/onlays, caps and anatomical crowns.

3. Guaranteed biocompatibility and bioinertia

The materials of the Phibo® CAD-CAM structures are biocompatible and bioinert. Thanks to this these materials can withstand long periods of time in a highly corrosive liquid environment.

4. Better fit that leads to greater profitability

The perfect fit of our intermediate structures CAD-CAM structures provides long-term results in terms of greater reliability and predictability. This often results in less chair time and therefore a greater number of patients. All of this helps to increase clinic productivity, which leads to greater client satisfaction and, consequently, to better results for you.

In addition, in the case of cemented structures on a natural stump, our CAD-CAM structures - thanks to the perfect fit - avoids leakage around the edges in the short and long term, which improves stump protection. This makes the prosthesis last longer.

5. The most attractive result

All Phibo® CAD-CAM structures are designed individually, depending on the needs of each patient. Phibo® ceramic materials such as Zirconia or IPS e.max® by Phibo® offer restorations with a high aesthetic quality, since they provide the colour and the translucence of the patient’s natural teeth.

6. complete versatility

Phibo ® Library allows you to increase your prosthetic possibilities because we can carry out any type of restoration on any implant system, whether by Phibo® or by any other brand on the market.

1. A personalised solution for each restoration.

2.All types of materials.

3.Biocompatible and bioinert.

4.The perfect fit that provides greater reliability, predictability and profitability.

5.Designed individually according to the needs of each patient.

6.On any implant system.

Phibo® structures CAD-CAM provide all types of advantages for the laboratory, from a wide range of products for all indications to the best materials with the best fit. All these advantages translate into more satisfied patients and clinicians. [Sai07, Sch10, Pje07].

IPS e.max® is a registered trademark of IVOCALR VIVADENT AG.


Phibo® CAD-CAM:the optimum solution for the laboratory

7. State-of-the-art CAD tools

Phibo® provides state-of-the-art software and a versatile scanner to obtain the highest productivity in your work.

8. Production centre equipped with the most advanced technology

Phibo® has a technology system that revolves around a culture of total quality. Our manufacturing processes are fully focused on R+D and include: laser sintering to work with both metal and plastic, milling centres with 5 simultaneous axes, processes for heat and surface treatments, digital microscopes, computer vision.

9. High level training

Phibo® provides ongoing and updated training prepared and delivered by a panel of experts, customised “one-on-one” according to their knowledge, covering both theory and practice.

10. “Premium” level services

Phibo® provides a customer service staffed by professionals of the highest level that includes a telephone customer service, manned by expert prosthetists, an online IT service, and an expert sales network that provides the prosthetist with immediate solutions, technical support and ongoing training in the laboratory. In addition, Phibo® provides all types of additional services: efficient delivery services, flexibility in returns and exchanges, software upgrades and maintenance (annual payment of licenses included), maintenance and replacement of the scanner. Finally, with Phibo® all the technology (both software as hardware) is open source.

11. The best quality controls

The reliability of the process guarantees good results. For this reason, all the products developed and manufactured by Phibo® are subject to strict quality controls. In addition, our processes and materials are strictly monitored and we maintain complete traceability. All this results in greater durability and complete predictability of the product in comparison with prostheses made following the conventional procedure. [Fis09]

12. The best guarantee

All Phibo® CAD-CAM products are guaranteed for five years (except provisional structures in PMMA).

7.Latest generation software for greater productivity.

8.Production centre equipped with the most advanced technology.

9.Ongoing and updated training.

10.“Premium” level services.

11.Strict quality controls.

12. The best guarantee.

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Work flows in the laboratory: improving your productivityPhibo® tools give the laboratories a complete overview of the processing of their orders. The CAD applications are very simple to use and guarantee that the generation of orders, the scanning process and the design of restorations can be carried out in parallel, making the most of the laboratory's resources.

The use of CAD-CAM technology in making dental prostheses leads to a reduction in processes by more than 50% in the first phase and 95% in the near future.

All of this comes with the ensuing impact on costs and productivity, and on the quality of the end product.

In addition, communication with both the clinic and Phibo® is transparent and fluent. Through Phibo® Inbox, you can place your orders with Phibo®. Thanks to Phibo® Labtrace, you can track your order in a simple manner at anytime and anywhere.

Traditional imprinting

Digital imprinting

Scanning of the model (traditional imprinting)

CAD design of the restoration

Sending CAD files via the internet

Fully integrated solution for the remote administration of orders in Dental ManagerTM.

Tool that allows customers to have a control and monitoring of all your orders in a web environment.

Production and quality control

Ceramics

Teeth inmouth

Laboratory

IMPROVING YOUR PRODUCTIVITY

Intermediatestructures

Final model (if digital imprinting)

Clinical Laboratory

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Customised CAD software

Thanks to our association with 3Shape, we offer one of the most powerful CAD modelling applications on the market: the Dental SystemTM of 3Shape by Phibo®.

With this system, dental prosthetists have the unique opportunity of creating, scanning and designing any type of restoration in the shortest time possible. For example, in less than two minutes you can move from the creation of an order to the complete design of a cap ready for manufacture. You will be able to design caps, bridges, anatomic models, sophisticated bars and implant-supported bridges, removable structures, temporary structures, structures in wax and any other restoration imaginable.

All of this leads to an increase in productivity given that it not only eliminates the time spent on traditional casting, but also improves the accuracy and aesthetic finish of the parts. You will therefore achieve greater profitability and greater satisfaction of the clinicians with whom you work.

And most importantly: Phibo® software is completely personalised, as it contains a unique library of implants (Phibo® Library), accessories and attachments. Thanks to this library, 100% internally developed and property of Phibo®, you can do restorations on any implant platform available on the market. In addition, we develop ongoing upgrades in accordance with our clients' needs.

Depending on your needs, the personalised Phibo® package offers the modules necessary to be able to do all types of restorations:

• Dental ManagerTM, for the creation and administration of orders.

Phibo® also incorporates Phibo® Inbox, a fully integrated solution for remote administration of orders in Dental ManagerTM. Phibo® Inbox is fully personalised and guarantees maximum transparency during the production process. In addition, Phibo® Inbox enables productive tracking of each part, providing total traceability for each order.

• Dental DesignerTM for the modelling and design of complete anatomic crowns and bridges.

• Abutment DesignerTM for the design of customised abutments.

• Implant Bar and Bridge DesignTM for the creation of all types of screw-mounted structures and bars on implants.



CAD hardware: the most versatile scanner on the market

The D700 scanner is designed for medium to large laboratories, where productivity and flexibility are key.

It is a scanner that is so easy to use that you can start scanning with a single click. The D700 will provide greater productivity due to its high performance for both standard and advanced indications.

Its key characteristics are:

• Optimised scanning of models in plaster and imprinting.

• Full range of dental indications: impressions, posts and stumps, bridges of 16 units, articulated antagonist models, bridges modelled in wax, implant bridges for wax modelling, etc.

• Fast scanning time (stump: 25 seconds, bridge of three units: 100 seconds).

• 2 cameras with reduced angle and 3-axis movement system: facilitates scanning from all viewpoints.

• High accuracy: 20 microns.

Technical characteristics of the D700

· Optimised for scanning of impressions.

· Fast: scanning of stump in 25 sec.

· Accurate: <20 microns, perfect fit in bridges of 14 parts.

· Flexibility.

· Quick installation.

· Functions with a single button.

· Easy scan of an antagonist.

· Scans and detects the position of the implants (thanks to the exclusive scanning posts by Phibo®).

· Scans all the colours - Automatic setting of the laser and camera parameters.

· 2 Cameras (reduced angle) - Greater coverage and accuracy.

· 3-axis movement system - Complete coverage of the object.

· Adaptive scanning - Smart capture of geometry.

· Automatic scanning of preparations for inlays and onlays.

· Low sensitivity to low temperatures.

· Low calibration time.

· Enables USB communication.

· Designed for use in dusty areas.

· High stability and minimum maintenance.

· Dimensions (W x H x D): 34 x 29 x 33 cm (14” x 11” x 13”).


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Personalised CAM software

At Phibo® we have the leading CAD-CAM software for post-processing, allowing us to manufacture any type of structure. Phibo® has designed its own programming application that transfers the information received from the laboratories to numeric monitoring machines to start production.

Thus, we obtain better accuracy, aesthetic results and functionality than if using the traditional model.

Computer aided manufacture

Phibo® Labtrace: track your orders at any timeThanks to Phibo® Labtrace, you can check and track all your orders anytime, anywhere. Labtrace is web-based tool that gives you all the information you need: how many orders you have placed, which products you requested in each of them, and their current status... Plus, thanks to Phibo® Labtrace, you can see statistics summarising your order history (how many orders placed, which materials requested, or an order status summary). Lastly, using Phibo® Labtrace you can send an e-mail to Phibo® about a particular order by clicking it.



The preservation and restoration of natural teeth with crowns or bridges is part of the clinician and prosthetist's everyday work. Phibo® offers a full range of products manufactured in CAD-CAM that provide the best fit, biocompatibility, predictability and aesthetics.

Phibo® cemented structures can be made with any number of parts invarious materials: Cobalt Chrome, Zirconia, Titanium and PMMA. With IPS e.max® CAD we can made different types of single rehabilitations.

Our structures made in cemented Cobalt Chrome are manufactured using the laser sintering technique. By combining cutting-edge technology, we obtain parts with a greater roughness than those manufactured using other processes, in both the internal and external areas of the structure. This roughness leads to better metal-ceramic adhesion outside and better cement-metal adhesion inside the structure. See table 1.

All these high quality materials provide exceptional fit, biocompatibility and aesthetics. [Liu09]

Phibo® makes all types of cemented structures that provide solutions for any type of restoration: caps, anatomic caps, multiple cemented structures, structures with attachments for fixed and removable prostheses, etc.

Table 1

Optical confocal contouring roughness

(PLμ− neox Optical Imaging Profiler,

Universitat Politècnica de Catalunya)

of one Co-Cr structure made using the

of Phibo® laser sintering process and

another by machining.

The table shows the values of Ra, average

roughness as an absolute value, of a machined

structure and a structure made with laser

sintering.

(Ra) Exterior 3.3μm 5.9μm

(Ra) Interior 3.0μm 3.6μm

Machined

structure

Structure with Co-Cr by Phibo®

Cemented solutionsA solution for each restoration

Cronia® cemented.Structure in

cemented Cobalt

Chrome.

Structure in cemented

Zirconia.


Titanium.


Zirconia.IPS e.max® CAD

anatomic crown.

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Cemented solutions

For any type of restoration

Caps and multiple structures.

Fully customised design

Depending on the needs of each

patient to achieve the most attrac-

tive result.

Better fit

Caps and structures that fit better

than those manufactured with

conventional casting techniques.

[Liu09]

Biocompatible materials

Zirconia and PMMA in four tones,

Cobalt Chrome and Titanium and

IPS e.max® CAD (single rehabilita-

tions).


Restoration on implants is increasingly more common in dental clinic practice. For restorations on implants, Phibo® provides a wide range of CAD-CAM solutions in all types of materials. All of these can be applied on any implant system because Phibo® has the most extensive library of connections on the market, the Phibo® Library.

Moreover, due to our excellent passive fit, the probability of implant failure is reduced, as there is greater stability in the prosthesis-implant connection, which leads to an absence of stresses, and better care and maintenance of the soft and hard tissues.

Phibo® screw-mounted structures can be manufactured with a maximum of 14 connections and can be made in various materials: Cobalt Chrome, Zirconia, Titanium and PMMA.

All these high quality materials provide exceptional biocompatibility and also help care for the soft tissue.

To guarantee better fit, Phibo® uses Titanium screwsmanufactured to the maximum quality standards.


Restorations on implants

· Nobel Biocare.

· Straumann.

· Astra Tech.

· Biomet 3i.

· Zimmer Dental.

· ...

Astra Tech is a registered trademark of Astra Tech AB.Nobel Biocare is a registered trademark of Nobel Biocare AG.Straumann is a registered trademark of Straumann AG.Biomet 3i is a registered trademark of Biomet 3i, Inc.Zimmer Dental is a registered trademark of Zimmer Dental Inc.

The most extensive library on the market.

More than 80 connections available with the main brands.

Restoration in

screw-mounted Zirconia.

Restoration in

screw-mounted Titanium.

Cronia® screw-mounted.

Adhoc®structure

with 12 parts.

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Restorations on implants

For any type of restoration

Caps and multiple structures.

On any implant system

Phibo® has the most extensive

library of connections on the

market.

Excellent passive fit

Greater stability in the implant-

prosthesis interface and better

care and maintenance of the soft

and hard tissues.

Fully customised design

Depending on the needs of each

patient to achieve the most

attractive result.

Biocompatible materials

Zirconia and PMMA in four tones,

Cobalt Chrome and Titanium.


With Phibo® you can make all types of bars and hybrid structures on implants in both Titanium and Cobalt Chrome.

Our milled Titanium bars are made with grade 5 ELI Titanium, a light and biocompatible material. These bars are delivered fully polished and prepared for use without porosity problems or veins caused by welding. Our bars and hybrid structures have an excellent fit that gives them optimum long-term results.

Thanks to the Implant Bar and Bridge DesignTM module, you can design all types of bars on any implant system:

• Dolder or Ackerman bars directly on the implant.

• Bars for removable overdentures with housing for Locator® abutments, Ceka® and Bredent® attachments, etc.


Hybrid structures and removable bars on implants

Dolder in Titanium.

Hybrid structure in Cobalt Chrome.

Phibo® manufactures the innovative machined attachments for removable prostheses, especially indicated for their cemented structures in Cobalt Chrome: Machined extra-crown clasps indicated for upper and lower arches (30° and 60° Bredent®, Roach®, etc.).

Their machined connection enables full accuracy thanks to an ideal fit (much better than that achieved with traditional casting procedures). In addition, this innovative system means that when the ball inevitably gets worn, it is only necessary to replace the ball of the attachments, without having to make a complete new structure.

Bredent® is a registered trademark of Bredent GmbH & Co.KG.Roach® is a registered trademark of Cendres+Métaux S.A.Locator® is a registered trademark of Zest Anchors, Inc.Ceka® is a registered trademark of Ceka Preci-Line.

Attachments for removable prostheses

Roach® type attachments. Bredent®type attachments.

Bredent®type attach-ments. With structure with loaded ceramic.

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Hybrid structures and removable bars on implants

Versatility in the attachments

system

Wide variety of bars and

attachment types to satisfy the

needs of every patient.

All types of bars and hybrids

Excellent passive fit

Greater stability in the implant-

prosthesis interface and better

care and maintenance of the soft

and hard tissues.

On any implant system

Phibo® has the most extensive

library of connections on the

market.

Overdenture bar with housing for Locator® abutments.Locator® is a registered trademark of Zest Anchors, Inc.


Restorations in CAD-CAM

Inlay/onlay

Veneer

Cemented

crowns and

caps

Multiple

cemented

structures

Multiple

screw-mounted

structures

Hybrids

Milled bars

Attachments

(removable

prostheses)

Customised

abutments

Anatomic

screw-mounted

crowns

Cobalt chrome Titanium Zirconia(4 colours)

PMMA(4 colours)

IPS e.max® CADby Phibo®

Possibility of

attachments

on milled

Titanium bars.

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Up to 4 parts with full guarantee.

Adhoc®

Adhoc®

Cronia®

Cronia®

Cronia®

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Relative density Approx. 100 %

Density Min. 8.50 g/cm3

Tensile strength Min. 900 MPa

Elastic limit (0.2%) Min. 700 MPa

Elongation at breakage Min. 2%

Young's modulus Min. 180 GPa

Hardness (HV10) Min. 350 HV

Coef. of thermal expansion (25-500°C) 14.0-14.5x10-6 m/m°C

Coef. of thermal expansion (20-600°C) 14.2-14.6x10-6 m/m°C

Melting point 1380-1440°C

Phibo® presents the most revolutionary product on the prosthetics market: Adhoc®, screw-mounted Cobalt Chrome by Phibo®.

For all screw-mounted ceramic metal restorations, Phibo® offers its most versatile product: our screw-mounted Cobalt Chrome. This product combines the best of different technologies to provide the best results where needed:

• The best ceramic grip where needed thanks to the greater roughness of the surface. [Liu10]

• The best fit for the connection area.

Adhoc® is a unique product in the prosthetics market because it is developed based on a manufacturing process owned by Phibo®, which is pending international patent.

In addition, the Cobalt Chrome that Phibo® uses in its structures is 100% biocompatible and highly resistant to corrosion. Similarly, it is a material noted for its high resistance.

Phibo® manufactures Cobalt Chrome for screw-mounted restorations for all types of structures: from single parts to anatomic structures with a maximum of 14 parts, and complicated hybrid structures to the simplest of bars. And all of this on any implant system.

Adhoc®,Versatility in screw-mounted Cobalt Chrome

The diagram shows the different surfaces of

a screw-mounted structure in Cobalt Chrome

according to their function. A perfect fit is

obtained in the connection area and the

roughness necessary in the area where the

ceramic load will be made (scanning electron

microscopy, Universidad de Barcelona).

nBetter ceramic grip.

nBetter fit for the connection area.

nBiocompatible and highly resistant to corrosion.

nHigh resistance.

nOn any implant system.

Cobalt (Co) 61.8-65.8 %

Chrome (Cr) 2 3.7-25.7 %

Molybdenum (Mo) 4.6-5.6 %

Tungsten (W) 4.9-5.9 %

Silicon (Si) 0.8-1.2 %

Iron (Fe) Max. 0.50 %

Manganese (Mn) Max. 0.10%

Properties

Composition

Adhoc® structure with 14 parts.



Density 1.18 g/cm3

Hardness (ball indentation) Approx. 200 MPa

Water absorption Approx. 23 µg/cm2

Solubility in water Approx. 0 µg/cm2

Bending strength Approx. 90 MPa

PMMA A1 White

PMMA B2 Pale

PMMA A3 Medium

PMMA A3.5 Intense

Acrylic copolymer based on Polymethyl methacrylate (PMMA) > 99.9 %

Pigmentation < 1 %

Properties

Tones

Composition On many occasions in dental medicine it is necessary to make a provisional prosthesis until the patient can be fitted with the final prosthesis.

These provisional prostheses must be manufactured with maximum rigour and quality because, in addition to playing a part in the success of the final prosthesis, they provide comfort and satisfaction for the patient. [San07]

Phibo PMMA (polymethyl methacrylate) is different from other plastic materials due to its greater translucence, ease of moulding and the possibility of surface repair in the event of scratching.

Cronia® temporary aesthetic prostheses provide the patient with numerous advantages:

• Aesthetics: Cronia® structures are anatomic; in other words, their shape is as similar as possible to natural teeth. In addition, Phibo® offers Cronia® in four tones: white, pale, medium and intense. This also helps them blend in exceptionally well with the natural teeth. [Has05]

• They help to care for, model and maintain the soft tissues. In addition, they help preserve problem dental parts. All of this also contributes to the exceptional aesthetics of these solutions. [Bra88]

• Reliable and sturdy. They are temporary or provisional structures while waiting for the definitive restoration to be carried out.

• 100% biocompatible and non-allergenic. PMMA is a material with

no residual monomer content and therefore does not cause allergies. PMMA also guarantees minimal irritation of the soft tissues with respect to other resins as it does not release monomers into the surrounding medium. [Bra88]

• Allows for correct functioning (phonetics, chewing load support, etc.), which is particularly significant in cases of complete edentulism.

Phibo® manufactures Cronia®, attractive temporary structures, for all types of restorations: cemented or screw-mounted, single or multiple (with the maximum number of necessary parts).

Cronia®,temporary anatomic restorations

Cronia® cemented.

nAesthetics, anatomy and natural colour.

nCare, modelling and maintenance of the soft tissues.

nReliable and sturdy.

nBiocompatible and non-allergenic

nFully functional.

Cronia® screw-mounted.


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After more than years of experience in the implant system, at Phibo® we know Titanium is highly compatible with biological processes. For this reason, Titanium has become the standard in the manufacture of implants and dental prostheses.

Phibo® CAD-CAM structures are manufactured in the Ti6Al4V alloy (Grade 5 ELI Titanium). It is an alloy composed of 90% Titanium, 6% Aluminium and 4% Vanadium, which results in a material that offers excellent mechanical resistance. In addition, this alloy has the common properties of Titanium: the material is light, biocompatible, stable in biological media and produces an excellent response in the soft tissues.

All the CAD-CAM structures that Phibo® manufactures in Titanium are milled starting with a homogenous titanium block, in a fully monitored process.

Phibo® manufactures all types of structures in Titanium: from single and multiple, cemented or screw-mounted structures, to hybrid structures and bars.

Similarly, all our screws are manufactured in Grade 5 ELI Titanium.

Titanium,the lightest material

Grain size ASTM E 112:7-13

Tensile strength (min.) 897 MPa

Elastic limit (min.) 795 MPa

Elongation (min.) 10 %

Density 4.43 g/cm3

Elastic module 114 GPa

Hardness (Vickers) 349

Tensile strength 860 (MPa)

Thermal expansion coefficient (TEC at 20°C) 8.6x10-6K-1

Thermal expansion coefficient (TEC at 250°C) 9.2 GPa

Melting point 1649°C ± 15°C

Element Maximum compression limits (% of mass)

Nitrogen (N) 0.050

Carbon (C) 0.080

Hydrogen (H) 0.015

Iron (Fe) 0.250

Oxygen (O) 0.130

Aluminium (Al) 5.5 - 6.5

Vanadium (V) 3.5 - 4.5

Titanium (Ti) Others

Properties

Composition and propertiesTitanium Ti6Al4V (Grade 5 ELI)

nExcellent mechanical resistance.

nLight.

nBiocompatible.

nExcellent response in the soft tissues.

Hybrid structure in Titanium



It is ever more common for the clinician to request that the prosthetist make restorations with high aesthetic requirements. Therefore, at Phibo® we make our structures in CAD-CAM with pre-sinterised Zirconia, with improved properties through the use of nanostructured starting materials.

It is actually tetragonal zirconium stabilised with yttrium (Y-TZP), a ceramic material that has been used for more than 35 years in the orthopedic field to manufacture prosthetic hips and most recently to manufacture dental prostheses.

Zirconium Y-TZP has the advantages -mainly biocompatibility and aesthetics-of ceramic materials used until now in the dental field without their disadvantages (low mechanical resistance, low translucence, opacity). [Den08, Sai07]

Phibo® CAD-CAM offers Zirconia in four colours: white, pale, medium and intense to provide a result that is as similar as possible to the patient's natural teeth.

Phibo® CAD-CAM offers everything from caps to complete cemented structures in Zirconia. For screw-mounted prostheses, Phibo® manufactures parts ranging from crowns to structures with a maximum of four parts with a full warranty.

Zirconia,biocompatibility and aesthetics

Density 6.05 g/cm3

Grain size < 600 nm

Porosity 0 %

Colour White

Bending strength 1000-1200 MPa

Vickers Hardness 13 GPa

SENB Tenacity (KIC) 6 MPa m1/2

Thresholdstress intensity factor(KIO) 3.2 MPa m1/2

Radioactivity 0.03 Bq/g

ZrO2 + HfO2 + Y2O3 > 99.9 %

Properties

Composition

Cemented and screw-mounted Zirconia.

nHigh aesthetic requirements.

nBiocompatibility.

nResistance

nFour tones

Base: Final:

ZR0 White White

ZR1 A1, B1, C1 Pale

ZR2 A2, B2, C2, D2 Medium

ZR3 A3, B3, C3, D3, B3.5, A4, B4, C4, D4 Intense

Tones

ZR0, ZR1, ZR2 and ZR3 base colours allow to get

the final colours, placed at right, after Lab does

ceramic loading.


25CAD-CAM Catalogue

CAD-CAM

Laboratory

IPS e.max® CAD is an innovative lithium disilicate ceramic system for creating structures using CAD-CAM techniques. IPS e.max® CAD gives you everything you need to create highly aesthetic CAD-CAM restorations easily. • Vanguard technology. • Easy to work with using different techniques: staining, cut-back and layering. • Saves time (a crown can be created in an hour). • Lets you make adjustments, because processing is done in a soft

intermediate state (in a bluish colour) to allow the structure to crystallise.

• Better fit to the natural tooth. [Gue06] IPS e.max® CAD allows you to create single restorations such as ve-neers, inlays/onlays, copings, partial crowns and anatomical crowns. In addition, IPS e.max® CAD delivers the tooth in an almost finished state (all it needs is staining and final glazing). The IPS e.max® CAD blocks are available in three degrees of translu-cency (HT, LT, MO), [Ape07]. Each of these blocks can be requested in different colours that that make it possible to achieve any tone you desire, from the purest white to the deepest tone. HT blocks Highly translucent blocks for creating small restorations such as inlays, onlays and veneers using staining or cut-back (small pieces) techniques. LT blocks Blocks with low translucency, suitable for creating partial crowns and crowns with full anatomic modelling. MO blocks Thanks to their opacity, these are suitable for creating structures over vital and slightly discoloured preparations using a layering technique.

IPS e.max® CAD by Phibo®, high aesthetic standards and vanguard technology

High resistance.

The highest aesthetic standards.

Combines vanguard technology with ease of use.

The best fit.

n

n

n

n

SiO2 + Li2O > 68 %

K2O+P2O5+ZRO2+ZnO+Al2O+MgO < 32 %

Composition

Physical property Totally crystallised

state

Biaxial flexural strength (ISO 6872) 360 ± 60 MPa

Fracture toughness (SEVNB) 2.0 - 2.5 MPa m1/2

Vickers hardness 5800 ± 100 MPa

Module E 95 ± 5 GPa

Coefficient of thermal expansion(CTE) (100-500˚ C) 10.45 ± 0.25 10-6K-1

Density 2.5 ± 0.1 g/cm3

Chemical solubility 30 - 50 µg/cm2

CTE (100-400˚ C) 10.15 ± 0.4 10-6K-1

CTE (100-500˚ C) 10.45 ± 0.25 10-6K-1

Properties (totally crystallised state)

Anterior crown IPS

e.max® CAD.

Posterior crown IPS

e.max® CAD.



Scientific warranty At Phibo® we do not work with science to provide answers, but always to offer the professional with useful solutions that improve patient quality of life.

Numerous studies have been obtained and published in well-known international journals stemming from internal scientific development and collaboration with universities. These studies provide scientific evidence that assesses the use of techniques and/or solutions in dental medicine to guarantee the results expected by professionals and patients.

To promote this scientific development we have the support of public and private institutions in Europe and beyond.

Bibliography[Bra88] Braden M, Some aspects of the chemistry and physics

of dental resins. Adv Dent Res (1988) Aug vol2 (1): 7-93.

[Den08] Denry I and Kelly J, State of the art of zirconia for

dental applications. Dent Mater (2008) Mar (24(3)): 299-307.

[Fis09] Fischer J, Stawarczyk B, Trottmann A and Hämmerle

C, Resistencia de los armazones para puentes sinterizados

por láser en aleación de CoCr. Quintessence Técnica (2009)

vol.20(01): 17-26.

[Has05] Haselton D, Diaz-Arnold A, Dawson D, Color

stability of provisional crown and fixed partial denture

resins. J Prosthet Dent (2005) Jan vol 93(1): 5-70.

[Liu09] Liu Y, Wang Z, Gao B, Zhao X, Lin X, Wu J Ucar Y,

Akova T, Akyil M and Brantley W, Internal fit evaluation

of crowns prepared using a new dental crown fabrication

technique: laser-sintered Co-Cr crowns. J Prosthet Dent

(2009) Oct (102(4)): 9-253.

[Liu10] Liu Y, Wang Z, Gao B, Zhao X, Lin X and Wu J,

Evaluation of mechanical properties and porcelain bonded

strength of nickel-chromium dental alloy fabricated by laser

rapid forming. Lasers Med Sci. (2010) Nov (25(6)): 799-804.

[Miy09] Miyazaki T, Hotta Y, Kunii J, Kuriyama S and

Tamaki Y, A review of dental CAD/CAM: current status and

future perspectives from 20 years of experience. Dent Mater

J (2009) Jan (28(1)): 44-56.

[Pje07] Pjetursson E, Sailer I, Zwahlen M and Hämmerle H,

A systematic review of the survival and complication rates

of all-ceramic and metal-ceramic reconstructions after an

observation period of at least 3 years. Part I: Single crowns.

Clin Oral Implants Res (2007) Jun(18) Suppl 3: 73-85.

[Sai07] Sailer I, Pjetursson E, Zwahlen M, Hämmerle H, A

systematic review of the survival and complication rates

of all-ceramic and metal-ceramic reconstructions after an

observation period of at least 3 years. Part II: Fixed dental

prostheses. Clin Oral Implants Res (2007) Jun(18)

Suppl 3: 86-96.

[Sch10] Schley S, Heussen N, Reich S, Fischer J, Haselhuhn

K and Wolfart S, Department of Prosthodontics and Dental

Materials, Medical Faculty, RWTH Aachen University,

Survival probability of zirconia-based fixed dental

prostheses up to 5 yr: a systematic review of the literature.

Eur J Oral Sci (2010) Oct (118(5)): 50-443.

Bibliografía adicional[Ala10] Al-Amleh B, Lyons K, Swain M, Department of

Oral Rehabilitation, Faculty of Dentistry, University of

Otago, Clinical trials in zirconia: a systematic review. J Oral

Rehabil (2010) Aug vol 37(8): 52-541.

27CAD-CAM Catalogue

CAD-CAM

Laboratory

[Ako08] Akova T, Ucar Y, Tukay A, Balkaya M, Brantley

W, Department of Prosthodontics, Faculty of Dentistry,

Cukurova University, Comparison of the bond strength of

laser-sintered and cast base metal dental alloys to porcelain.

Dent Mater (2008)Oct vol24 (10): 4-1400.

[Ako09] Akova T, Ucar Y, Tukay A, Balkaya M, Brantley W,

Department of Prosthetic Dentistry, College of Dentistry,

Cukurova University, Internal fit evaluation of crowns

prepared using a new dental crown fabrication technique:

laser-sintered Co-Cr crowns. J Prosthet Dent (2009) Oct vol

102(4): 9-253.

[Beh95] Behrendt U, Shellabear M, EOS GmbH, The EOS

rapid prototyping concept. Computers in Industry (1995) Dec

vol 28 (1): 57-61.

[Kap09] Kapos T, Ashy LM, Gallucci GO, Weber HP,

Wismeijer D, Department of Restorative Dentistry

and Biomaterials Science, Harvard School of Dental

Medicine, Computer-aided design and computer-assisted

manufacturing in prosthetic implant dentistry. Int J Oral

Maxillofac Implants (2009) vol 4 (Suppl): 7-110.

[Kel08] Kelly JR, Denry I, Department of Reconstructive

Sciences, Center for Biomaterials, University of Connecticut

Health Center, Stabilized zirconia as a structural ceramic:

an overview. Dent Mater (2008) Mar vol 24 (3): 98-289.

[Kha01] Khaing M, Fuh J, Lub L, TEC Electronics Singapore

Pte. Ltd., Department of Mechanical Engineering, National

University of Singapore, Direct metal laser sintering for

rapid tooling: processing and characterisation of EOS parts.

Journal of Materials Processing Technology (2001) vol 113

(1-3): 269-272.

[Kum07] Kumar S, Selective laser sintering: A qualitative

and objective Approach. JOM Journal of the Minerals,

Metals and Materials Society (2007) vol 55 (10): 43-37.

[Ort11] Ortorp A, Jönsson D, Mouhsen A, Vult von Steyern

P, Department Prosthetic Dentistry/Dental Materials

Science, Institute of Odontology, The Sahlgrenska Academy,

University of Gothenburg, The fit of cobalt-chromium three-

unit fixed dental prostheses fabricated with four different

techniques: A comparative in vitro study. Dent Mater (2011)

Apr vol 27(4): 63-356.

[Zar11] Zarone F, Russo S, Sorrentino R, Dept. of Fixed

Prosthodontics, University Federico II of Naples, From

porcelain-fused-to-metal to zirconia: clinical and

experimental considerations. Dent Mater (2011) Jan vol 27

(1): 83-96.


The best results with Phibo® CAD-CAM: clinical case

Fitting of Dual Press abutments for impressions on implants (maxilla). Fig. 1

Patient, 52 years of age, edentulate for more than 5 years. Implant surgery was performed with Phibo® TSA® Advance Series 3, 4 and 5, upper and lower to support fixed prostheses in the maxilla and mandible made using Cobalt Chrome and Titanium in CAD-CAM.

Fitting of impression caps for definitive imprinting (maxilla). Fig. 3

Splinting of the impression caps once the cuvette is placed in the mouth (mandible). Fig. 6

Fitting of impression caps for definitive imprinting (mandible). Fig. 4

Splinting of impression caps (maxilla). Fig. 5

Fitting of Dual Press abutments for impressions on implants in the mandible. Fig. 2

Fig. 2Fig. 1

Fig. 4 Fig. 5 Fig. 6

Fig. 3

Fig. 7

View of the imprinting. Fig. 7

Fig. 8

Test of teeth in wax to verify occlusion. Fig. 8

Structure in the plaster model. Fig. 9

Fig. 9

Fig. 10

Test of structure in the mouth. Test of fit. Fig. 10

Fig. 11 Fig. 12

Occlusal view of abutments (ProUnic).Fig. 11

Final result of the prosthesis in the mouth. Fig. 12

29CAD-CAM Catalogue

CAD-CAM

Laboratory

From the creation of the CAD-CAM structures division, our mission has been to offer customised restorations for each patient with a full warranty. Therefore, the solutions in CAD-CAM are accompanied by a warranty with maximum coverage. All Phibo® structures in CAD-CAM offer a five-year warranty (except Cronia® structures, that have a warranty of 6 months because they are indicated for provisional restorations).

Phibo® has a management system that revolves around total quality. The objective is excellence in all the company’s activities. The Phibo® Quality System is based on managing all the processes, from the most strategic to the most operational.

The products, services, installations and processes are based on ISO 9001 and EN-ISO 13485 standards.

Quality assurance

GARANTÍACobaltChrome

years5 Cromo-Cobalto

5 years

GARANTÍAZirconia

years5 Zirconia

5 years

GARANTÍATitanium

years5 Titanio

5 years

GARANTÍAPMMA

months6 PMMA

6 months

GARANTÍAIPS e.max®

CAD

years5 IPS e.max® CAD

5 years


Our technology partners • 3SHAPE is a Danish company and a world leader in dental design

software and scanners.

• EOS is a leading German company in laser sintering machinery metal and plastic (exclusive patent for dental use).

• BIOKER is a leading Spanish company in the development and transformation of ceramic products.

• DELCAM is a leader in CAD-CAM software solutions.

• DMG is a leading German company in machining centres. • ZAPP MEDICAL ALLOYS is a leading German company in the

manufacture and development of metal materials for medical ap-plications.

• IVOCLAR VIVADENT located in Liechtenstein principality, world leader in restorative materials and prothesis for clinicians

and dental technicians.

CAD-CAM

Laboratory

Phibo® Headquarters

P. I. Mas d’en CisaGato Pérez, 3-908181 SentmenatBarcelona | SpainT +34 937 151 978F +34 937 153 [email protected]

www.phibo.com

Phibo® Benelux

Hal Trade CenterBevelandseweg 201703 AZ HeerhugowaardNederlandT +31 (0) [email protected]

Phibo® Portugal

P. D. Nuno Álvares Pereira,nº 20, Fracção BC4450-218 Matosinhos | PortugalT +351 22 099 56 00F +351 22 099 56 [email protected]

Phibo® Italy

Via Galileo Galilei, 4720092 Cinisello BalsamoMilano | ItalyT +39 02 66594857F +39 02 [email protected]

Phibo® Middle East North Africa

Dubai Airport Free ZoneOffice 5WA 226Dubai | United Arab EmiratesT +971 528 350 [email protected]

Phibo® Deutschland

Schwanheimer Str. 15764625 BensheimDeutschlandT +49 [email protected]

Phibo® France

T +33 [email protected]

Phibo® Colombia

T +34 [email protected]

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