Ips e.max Cad Zircad Ceram

7/29/2019 Ips e.max Cad Zircad Ceram

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IPS e.maxcomprises highly aesthetichighly aesthetic

and high-strengthhigh-strength matematerials

for both the PRESSPRESSand the

CAD/CAM techniqueCAD/CAM technique.


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All Ceramic Products


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IPS e.max

One System For Every Indication


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IPS e.max System

one system that covers the entire spectrum of all-ceramic restorations

maximum versatility due to the modular design of the system

Possibility of combining lithium disilicate (LS2) and

zirconium oxide (ZrO2)

One layering ceramic for the IPS e.max-System

various cementation options dependent upon the indication


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IPS e.max System

Lithium disilicate

glass ceramicZirconium

oxide

(Nano-) Fluor-Apatite

glass ceramic


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IPS e.max System

Lithium disilicate

glass ceramicZirconium

oxide

(Nano-) Fluor-Apatite

glass ceramic

processing:

fully anatomic, cut-back and

framework

strength:

360-400 MPa

processing:

press-on / layering ceramic

strength:

90-120 MPa

processing:

framework

strength:

>900 MPa


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IPS e.max System

The right material for every indication

Lithium disilicate (LS2) for single-unit restorations

and up to three-unit premolar bridges

High strength Zirconium IPS e.max ZirCAD (ZrO2) for wide-span bridges

up to 12 units


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IPS e.max System Indication Overview


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Ivoclar Vivadents patented lithium disilicate material is

truly a revolution for the dental industry.

Never before has a material been able to combine high

strength, high esthetics and ease of use into one

product, until now.

Lithium Disilicate (LS2)


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Lithium disilicate (LS2)

IPS e.max lithium disilicate material

exhibit superior durability featuring 360-

400 MPa of flexural strength.

When fabricated to full-contour, the

monolithic structure is the most robust

ceramic crown tested to date.

360-400 MPaof flexural strength.


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Why lithium disilicate (LS2) for single-unit restorations?

- Lithium disilicate combines high strength and high esthetics

- Broad indication range because of the high strength of 360-400 MPa

- depending upon on the indication Lithium disilicate offers flexibility

when it comes to cementation

- Various translucency levels and a comprehensive shade range allow

versatile esthetic options


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Lithium disilicate (LS2) for all single unit restorations


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Study at the New York University

Mouth Motion Fatigue and Durability Study*

Objective:

To evaluate the effect of on mouth-motion-step-stress-fatigue onreliability and failure modes of monolithic lithium disilicate full crowns

(IPS e.max CAD) and to compare these results with hand-layer veneered

Y-TZP based crowns (IPS e.max ZirCAD/Ceram).

*Mouth Motion Fatigue and Durability Study

Petra C Guess, Ricardo Zavanelli, Nelson Silva and Van P Thompson,

New York University, March 2009


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Lithium disilicate (LS2)

monolithic

Zirconium oxide (ZrO2)veneered


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Zirconium oxide crown (veneered) with failure pattern


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Durability of IPS e.max CAD Lithium Disilicate (LS2) crowns (monolithic)


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IPS e.max CAD Specimens tested

to 1000 N and up to one million

cycles!

No chips, cracks or fractures!


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Dr. A. Kurbad / K. Reichel, Germany

Lithium disilicate (LS2) glass ceramcis Esthetic Characteristics


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Shade Taking

Optimum integration in the oral cavity of the patient is the prerequisite for a

true-to-nature all-ceramic restoration.

The overall esthetic result of an all-ceramic restoration is influenced by the

following factors:


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Contrast ratio %

HIGH

OPACITY

IPS e.max System Translucency Concept

MEDIUM

OPACITY

LOW

TRANSLUCENCY

Layering

technique

HIGHTRANSLUCENCYStaining and

Cut-Back

Technique


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IPS e.max lithium disilicate (LS2) offers esthetic options regardless

of fabrication technique.

Lithium disilicate is available in 16 A-D shades and 4 bleach

shades with 4 translucencies to choose from for creating

exceptional true-to-nature restorations.

Prof. Dr. D. Edelhoff / O. Brix, Deutschland


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Material properties of various dental ceramics


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Clinical Success

Multiple global IPS e.max lithium disilicate clinical trials

Up to 9 years of documented clinical success

99% success rate


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IPS e.max CAD:All you need for the CAD/CAM technique in the future


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IPS e.max CAD

Lithium-Disilicate (LS2) glass ceramic

Innovative, unique lithium disilicate (LS2) glass ceramic

IPS e.max CAD is being milled in an intermediate state, when it shows its

typical blue colour. In this state it can be milled easily, quickly and

precisely.

The material strength and the esthetic properties are reached by a fast

and easy crystallization process


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Lithium disilicate (LS2) blocs for the CAD/CAM technique

High strength (360 MPa)

Available in 3 levels of translucency

3 fabrication methods (layering, cut-back, staining technique) Restorations can be adhesively, self-adhesively and conventionally

cemented.

authorized CAD/CAM partners

IPS e.max CAD

lithium disilicate (LS2) glass-ceramic bloc


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Physical properties


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In 30 min., the restoration is endowed

with its final properties

Properties of IPS e.max CAD


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such as shade, opacity and strength.

Properties IPS e.max CAD


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IPS e.max CAD

Lithium disilicate (LS2) glass-ceramic bloc

Available in 3 levels of translucency:

HT-High Translucency (16 A-D and 4 Bleach BL shades)

LT Low Translucency (16 A-D and 4 Bleach BL shades)

MO Medium Opacity (5 shade groups)


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IPS e.max CAD blocs are available in 2 sizes.

C14 (12.4 x 14.5 x 18.0 mm)

I12 (10.4 x 12.0 x 15.0 mm)

IPS e.max CAD Blocs

18.0mm

14.5

mm

12.4

mm


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IPS e.max CAD Blocs

IPS e.max CAD HT

Blocs with high translucency (compared to LT)

20 shades in 2 sizes (I12 und C14)

16 A-D shades A1, A2, A3, A3,5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4

4 Bleach BL shades BL1, BL2, BL3, BL4

suitable for the fabrication of restorations of the staining technique


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IPS e.max CAD HT high translucency


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IPS e.max CAD Blocs

IPS e.max CAD LT

Blocs with increased translucency (compared to MO)

20 shades in 2 sizes (I12 und C14)

16 A-D shades A1, A2, A3, A3,5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4

4 Bleach BL shades BL1, BL2, BL3, BL4

suitable for the fabrication of restorations of the staining and the

cut-back technique

Veneering with IPS e.max Ceram


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IPS e.max CAD LT low translucency

Dr. K. Hoederath/ V. Brosch, Germany


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IPS e.max CAD blocs

IPS e.max CAD LT before and after the crystallization


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IPS e.max CAD MO (medium opacity) 5 shade groups in 1 size (MO 0, MO 1, MO 2, MO 3, MO 4)

Ideal for fabricating frameworks for the layering technique with

IPS e.max Ceram

Suitable for vital and slightly discoloured teeth

Gives the basis for true-to-nature restorations in A-D, Chromascop

and Bleach BL shades.

IPS e.max CAD blocs


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IPS e.max CAD MO medium opacity



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Indications(consider bloc assortment)

Veneers

Partial crowns

Anterior and Posterior crowns

Implant superstructures

Primary telescope crowns


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IPS e.max CAD


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IPS e.max CAD lithium disilicate (LS2)

Basically all restorations can be fabricated with any bloc!

For reasons of esthetics, the following blocs are recommended.


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Minimal invasive possibilities

1,0


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Preparation Guidlines (dimensions in mm)

Veneer Anterior crown

Inlay Onlay


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Preparation Guidlines (dimensions in mm)

Partial crown Posterior crown


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Layer thicknesses


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J. Seger,IV/ Liechtenstein


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Authorized CAD/CAM partners

IPS e.max CAD can be processed with a system of choice ofthe global authorized CAD/CAM partners.

D4D is only in the USA, Canada, Australia, New Zealand and South Africa available.

Diadem is only in the USA, Canada, Italy and France available.


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Processing options with the Staining Technique


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Application of Object Fix

IPS Object Fix is available in 2 consistency.

Putty: e.g. for crownsFlow: e.g. for Inlays, Onlays, Veneers


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IPS e.max CAD Crystall./Glaze Paste and Spray

There are 2 options available for glazing of the blue restoration:

Glaze Paste for the standardapplication

Glaze Spray for easy andefficient handling

IPS e.max CAD Crystall./products


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Processing of the layering technique

Cut-back and layering technique

1) Milling of the blue framework

2) Crystallization (crystallization firing)

3) Veneering with IPS e.max Ceram layering materials4) Final glaze firing


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Crystallization - labside

All Ivoclar Vivadent furnaces are compatible, particularly

P300, P500 und P700,

IPS e.max CAD


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IPS e.max CAD - Kristallisation


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IPS e.max CAD - Kristallisation


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Cementation (adhesive, self-adhesive or conventional) Veneers adhesive

Inlays, Onlays, partial crowns adhesive

Anterior/posterior crowns adhesive, self-adhesive or conventional

IPS e.max CAD Cementation


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IPS e.max lithium disilicate options for cementation


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IPS e.max CAD


IPS e.max CADIPS e.max CAD combines high strength and outstanding aesthetics

IPS e.max CADIPS e.max CAD combines efficient and economical processing

IPS e.max CADIPS e.max CAD combines crystallization and glaze in one step

IPS e.max CADIPS e.max CAD combines easy processing by conventional

cementation


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PRODUCT FEATURES CUSTOMER BENEFITS

Unique blue LS2 glass-ceramic

of 360 MPa strength andtranslucency

Conventional/self-adhesivecementable all-ceramic crown

Maximum flexibility due to 3different translucency levels

(MO, LT, HT)

Cost-conscious and high-endaesthetics possible depending on

the processing technique

Depends on the indicationself-adhesive or conventional

cementation

Easy handling opens up new

target groups

IPS e.max CAD


Crystallization and glaze firing inone step

The fastest CAD/CAM all-ceramic from scanning to the completed

crown in 1 hour


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IPS e.max ZirCAD: Alles fr die CAD/CAM Technik


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IPS e.max ZirCAD

Yttrium-stabilized zirconium oxide bloc

Yttrium-stabilized zirconium oxide block for the CAD/CAM technique


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IPS e.max ZirCAD

- Ideally suitable for indications, that require high strength, such as

anterior and posterior (widespan) bridges

- frameworks are milled to contour approximately

20-25% larger than required and subsequently

sintered. At this, they shrink to their final size andobtain their typical, high fracture toughness.

- Finally IPS e.max ZirCAD frameworks are conventionally veneered

using the IPS e.max Ceram layering ceramic or pressed over using

the IPS e.max ZirPress fluorapatite ingots.


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Product information

High performance all-ceramic for dental applications(>900 MPa)

Excellent biocompatibility and low heat conductivity

Delicate framework design

adhesive, self-adhesive or conventional cementation

Due to its excellent final strength, the material is capable of fulfillingthe clinical requirements in the posterior region (bridges) bywithstanding the high chewing forces in that area.

IPS e.max ZirCAD


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Up to 12-unit bridge frameworks for anterior and posterior regions

Crown copings in the anterior and posterior

Inlay-retained bridge frameworks

Primary telescope crowns

Implant superstructures (single tooth and bridge frameworks)

Indications

INN-Keramik, Austria J. Seger, IV/Liechtenstein


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Physical properties


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Processing

inLab System


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Product concept

IPS e.max ZirCAD for inLab are available in 9 sizes

C13, C15 and C15L (for single tooth copings)

B40 and B40L (for 3- to 4-unit bridge frameworks)

B55 and B65 (for 4- to 6-unit bridge frameworks)

B65L and B85L (for up to 12-unit bridge frameworks

or stack milling)


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Product concept

IPS e.max ZirCAD for inLab in 3 shades

MO O (uncoloured)

MO 1 und MO 2 (pre-coloured)

The shade concept is based on IPS e.max Press and CAD MO

shades MO 3 und MO 4 can be realized with the Colouring Liquids


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Preparation Guidelines (dimensions in mm)

Single Crowns to 3-unit Bridges

Multi-Unit Bridges


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Layer thicknesses

- The IPS e.max ZirCAD framework material is the high-strength

component of your restoration and must always be given a design that

supports the overall shape of the restoration and the cusps.

- In large preparations, the excess available space must be compensated

by the corresponding dimensions of the high-strength IPS e.max ZirCAD

component and not by the pressed-on or layered-on materials.- The following minimum thicknesses have to be observed:


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- with targeted drying (e.g. infrared, convection,warm air stream) the drying time can be

clearly reduced.

- Drying times are to be considered after milling and

after colouring with liquids

Colouring Liquids Drying Times


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Colouring Liquids - Application


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Long-span bridge frameworks

from inLab Software 3D V 3.60

long span frameworks (> 5 units)

stack milling


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For long-span bridge frameworks (> 5 bridge units), the following

supplementary/different working steps have to be observed.

CAM construction

The IPS e.max ZirCAD B65L-17 and IPS e.max ZirCAD B85L-22 are

processed using inLab MC XL (from Software version: inLab 3D V 3.60).

Users have the option to either mill long-span frameworks or to processseveral frameworks in one milling procedure by means of stack milling.

After the selection of various frameworks (milling data) they are automatically

placed within the bloc and the milling procedure can be started.


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Use the one-piece milling tools and the manual bloc chuck to process

the large blocks.


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Place the framework in the firing sagger either on the sinter support

structure or with the occlusal surface facing down.


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For long-span bridge frameworks (> 5 bridge units), the following

supplementary/different working steps have to be observed.

Finishing and Preparation for sintering

after stack milling, the frameworks must be separated very carefully

observe the following sequence when separating:

- 1. Connection at the outermost end

- 2. Attachment point to the bloc

- 3. Attachment point to the bloc

- 4. Individual units from each other

Single-tooth frameworks as well as smaller bridges frameworks are carefullyseparated from each other with a diamond

Do not separate long-span bridge frameworks from the sinter support structure.


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For long-span bridge frameworks (> 5 bridge units), the followingsupplementary/different working steps have to be observed.

Framework finishing after sintering

For sintering, an empty firing saggerwithout ZrO2beads is used.

Place the framework in the firing sagger either on the sinter support structure

or with the occlusal surface facing down. Separate the sinter structure with a diamond separating disk

(under water cooling)


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Sintering process

SINTERING ZrO2CROWNS IN JUST 90 MINUTES

Short sintering process saves a lot of time:

approx. 90 minutes instead of 5-8 hours for

a single-unit framework

More efficiency, because crowns and bridges onZrO2base structures can now be fabricated in

one working day.


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short sintering times

the time-saving sintering process has apositive effect on the production costs

(less energy is consumed power Saving Technology)

Graphic display with proven membrane-sealed keypad

OSD operating status display

Easily accessible sintering chamber

Compact design and light weight

Sinterprozess


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Sintering

Regeneration Firing (optional):

Basically, adjustments of sintered IPS ZirCAD frameworks should be keptto a minimum.

A Regeneration firing is only recommended after:

- Large-scale adjustment of the IPS e.max ZirCAD framework (e.g. reductionof cusps and overall thickness)

- Use of grinding instruments not listed in the IPS e.max grinding toolrecommendations.

- Grinding with diamond grinding tools (graining >100 m).

Please note:

Fractures or cracks in the IPS e.max ZirCAD framework caused by roughfinishing, e.g. blasting with high pressure, cannot be healed by aRegeneration firing.


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IPS e.max Ceram ZirLiner

The specially developed zircon liners mediate an optimum bond, both

for the veneering and the press-on technique

High light transmission and high fluorescence

They allow you to give the frameworks some colour and a natural shade

and in-depth effect

Special Gingiva Liner for the use in

implant prosthetics

Processing


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Veneering of IPS e.max ZirCAD


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Pressing onto IPS e.max ZirCAD


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Firing parameters

lower heating rate slow cooling

IPS e max ZirCAD


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High-strength, high performance

and biocompatible all-ceramic

Great range of indications(especially posterior bridges)

Choice between adhesive, self-adhesive and conventional

cementationAdvantage in many dental offices

Veneering with IPS e.max Ceram orpressing over with IPS e.max

ZirPress

Exceptional aesthetics andhighest strength combined

IPS e.max ZirCAD

Yttrium-stabilized zirconium oxide bloc

A i


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Accessories

IPS Natural Die Material

Simulates the shade of the prepared tooth

Provides the optimum basis for a natural

shade reproduction of the given oral situation

A i


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Accessories

IPS Natural Die Material

A i


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Accessories

IPS Object Fix (Flow / Putty)

available in 2 consistencies: Flow und Putty

The auxiliary firing pastes can be used for

all-ceramics restorations, e.g. to secure theveneers on the firing pin.

IPS e max Ceram:


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IPS e.max Ceram:

All you need to achieve consistent esthetics and shading

IPS e max Ceram


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IPS e.max Ceram

Nano-fluorapatite layering ceramic

Nano-fluorapatite glass-ceramic for veneering and characterizing

all-ceramic frameworks

IPS e max Ceram


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IPS e.max Ceram

Nano-fluorapatite layering ceramic

The low-fusing IPS e.max CeramIPS e.max Ceram combines the elements of the

IPS e.max System.

Veneering of lithium disilicate glass and zirconium oxide ceramics

with highly aesthetic results

One common layering scheme for predictable shade results

Restorations veneered with IPS e.max Ceram exhibit the same clinical

behaviour, e.g. regarding wear and gloss.

Physical properties


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Physical properties

IPS e.max Ceram


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IPS e.max Ceram

Veneering of lithium disilicate glass ceramic (LS2) as well as

zirconium oxide (ZrO2)

One common layering scheme and accurate shade matching.

same clinical behaviour and therefore, comparable wear and surfacegloss of the veneered restorations

Comprehensive range of supplementary materials (shades,

essences) for individual esthetics

Gingiva masses for the realization of true-to-nature gingival areas,

which are particularly important for implant-retained restorations.

Indications


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Indications

Veneering and characterization of all IPS e.max components

Veneering of frameworks, implant abutments and implant

superstructures made of zirconium oxide (green body/HIP) in a CTE

range of 10.5 - 11.0 x 10-6 K-1 (100-500 C)

Layered veneers

IPS e max Ceram Layering Scheme


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IPS e.max Ceram Layering Scheme

IPS e max Ceram Layering Scheme


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IPS e.max Ceram Layering Scheme

IPS e.max Ceram One for 4


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IPS Empress

Esthetic ProCAD Befestigung glass ceramic zirconium oxide

Klinische

Langzeitstudien KommunikationIPS e.max System

IPS e.max Press IPS e.max ZirPress IPS e.max ZirCAD IPS e.max CAD

IPS e.max Ceram Glaze Spray


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p y

For the easy and fast glazing of fully anatomical pressed/milled or

layered IPS e.max restorations

IPS e.max Ceram Spray Glaze 270 ml

with uncrystallized/blue IPS e.max CAD restorations

the special IPS e.max CAD Crystall./Glaze Spray must be used

IPS e max Ceram on ZrO


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IPS e.max Ceram on ZrO2

V. Brosch, Germany

IPS e max Ceram on ZrO


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IPS e.max Ceram on ZrO2

Prof. Dr. D. Edelhoff/ O. Brix,

Germany

IPS e.max Ceram on LS2


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Dr. K. Ogura / S. Sasaki, Japan

IPS e.max Ceram Gingiva


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T. Michel, Germany

IPS e.max Ceram Gingiva

New Abutment technique IPS e.max Ceram


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New Abutment technique IPS e.max CeramAdaptation Emergence Profile

ZirLinerstarting situation

glaze and stains finished abutmentpolishing

layering

NewAbutment technique IPS e.max Ceram


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qAdaptation Emergence Profile



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qDirect veneering

Maximum layering thickness of IPS e.max Ceram



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qDirect veneering

ZirLinerstarting situation

Layering glaze and stainspolishing

Layering



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qDirect veneering

Straumann Anatomic IPS e.max Abutment

directly veneered

IPS e.max Ceram


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One layering ceramic for highly-aesthetic

glass-ceramics and high-strength zirconiumoxide

Highly aesthetic restorations,independent of the framework

material

One layering scheme independent of the framework

material

IPS e.max Ceram:


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One layering ceramic for glassand zirconium oxide ceramics

Low investment and stock-keeping; efficient and economical

processing

Nano-fluorapatite glass-ceramicHighly aesthetic restorations,independent of the framework

material

From the layered veneer to theZrO2-supported bridge all

veneered with one ceramic

Shade matching and same clinicalproperties due to a consistentmaterials composition

All you need to achieve consistent esthetics and shading

IPS e.max: All you need for cementation


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IPS e.max: Preparing for cementation glass-ceramic


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IPS e.max: Preparing for cementation zirconium oxide


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IPS e.max: all you need for cementation


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The cementation is conducted using the following materials:

Variolink II, Variolink Veneer, Multilink Automix, SpeedCEM oderVivaglass CEM

IPS e.max: All you need for cementation


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Glass-ceramics are generally etched(IPS Ceramic Etching Gel)

Glass-ceramics are generally silanized (Monobond Plus).only when followed by conventional cementation (glass ionomer)conditioning is not needed

Oxide ceramics are not etched

Oxide ceramics are silanized for adhesive cementationwhen self-adhesively or conventionally cemented,

conditioning is not needed

IPS e.max All you need for all-ceramics


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IPS e.max System


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Choice between

highly aestheticglass-ceramics(LS2) and

high-strength zirconium oxide (ZrO2)

Depending on the patientrequirements,

exceptional aesthetics and

highest strength can be combined

One

layering ceramic for

glass-ceramics and zirconium oxide

Exact shade match and

same clinical behaviour(e.g. wear, gloss),

independentof the framework

Conventional, self-adhesive and

adhesive cementation

Flexible and versatile use


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Ips e.max Cad Zircad Ceram

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