Вы находитесь на странице: 1из 123

IPS e.

max comprises highly aesthetic and high-strength materials mate for both the PRESS and the CAD/CAM technique.

All Ceramic Products

IPS e.max

One System For Every Indication

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

IPS e.max System

Lithium disilicate glass ceramic

Zirconium oxide

(Nano-) Fluor-Apatite glass ceramic

IPS e.max System

Lithium disilicate glass ceramic


processing: fully anatomic, cut-back and framework strength: 360-400 MPa

Zirconium oxide
processing : framework strength: >900 MPa

(Nano-) Fluor-Apatite glass ceramic


processing: press-on / layering ceramic strength: 90-120 MPa

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

IPS e.max System Indication Overview

Lithium Disilicate (LS2)

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)

IPS e.max lithium disilicate material exhibit superior durability featuring 360400 MPa of flexural strength. When fabricated to full-contour, the monolithic structure is the most robust ceramic crown tested to date.

360-400 MPa
of flexural strength.

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

Lithium disilicate (LS2) for all single unit restorations

Lithium disilicate (LS2) for all single unit restorations

Lithium disilicate (LS2) for all single unit restorations

Study at the New York University

Mouth Motion Fatigue and Durability Study*

Objective: To evaluate the effect of on mouth-motion-step-stress-fatigue on reliability 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

Lithium disilicate (LS2) monolithic

Zirconium oxide (ZrO2) veneered

Zirconium oxide crown (veneered) with failure pattern

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

IPS e.max CAD Specimens tested to 1000 N and up to one million cycles! No chips, cracks or fractures!

Lithium disilicate (LS2) glass ceramcis Esthetic Characteristics

Dr. A. Kurbad / K. Reichel, Germany

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:

IPS e.max System Translucency Concept


HIGH TRANSLUCENCY

Staining and Cut-Back Technique

LOW TRANSLUCENCY
Contrast ratio %

MEDIUM OPACITY

Layering technique
HIGH OPACITY

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

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.

Material properties of various dental ceramics

Clinical Success

Multiple global IPS e.max lithium disilicate clinical trials Up to 9 years of documented clinical success 99% success rate

IPS e.max CAD:


All you need for the CAD/CAM technique in the future

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

IPS e.max CAD lithium disilicate (LS2) glass-ceramic bloc


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

Physical properties

Properties of IPS e.max CAD

In 30 min., the restoration is endowed with its final properties

Properties IPS e.max CAD

such as shade, opacity and strength.

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)

IPS e.max CAD Blocs

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)
18.0 mm

12.4 mm 14.5 mm

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

IPS e.max CAD HT high translucency

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

IPS e.max CAD LT low translucency

Dr. K. Hoederath/ V. Brosch, Germany

IPS e.max CAD blocs


IPS e.max CAD LT before and after the crystallization

IPS e.max CAD blocs


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 MO medium opacity

Dr. A. Kurbad / K. Reichel, Germany

Indications (consider bloc assortment)


Veneers Partial crowns Anterior and Posterior crowns Implant superstructures Primary telescope crowns

IPS e.max CAD

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.

Minimal invasive possibilities

1,0

Preparation Guidlines (dimensions in mm)


Veneer Anterior crown

Inlay

Onlay

Preparation Guidlines (dimensions in mm)


Partial crown Posterior crown

Layer thicknesses

J. Seger,IV/ Liechtenstein

Authorized CAD/CAM partners

IPS e.max CAD can be processed with a system of choice of the 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.

Processing options with the Staining Technique

Application of Object Fix

IPS Object Fix is available in 2 consistency. Putty: e.g. for crowns Flow: e.g. for Inlays, Onlays, Veneers

IPS e.max CAD Crystall./products

IPS e.max CAD Crystall./Glaze Paste and Spray There are 2 options available for glazing of the blue restoration: Glaze Paste for the standard application

Glaze Spray for easy and efficient handling

Processing of the layering technique

Cut-back and layering technique 1) 2) 3) 4) Milling of the blue framework Crystallization (crystallization firing) Veneering with IPS e.max Ceram layering materials Final glaze firing

IPS e.max CAD


Crystallization - labside All Ivoclar Vivadent furnaces are compatible, particularly P300, P500 und P700,

IPS e.max CAD - Kristallisation

IPS e.max CAD - Kristallisation

IPS e.max CAD Cementation


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

Inlays, Onlays, partial crowns adhesive Anterior/posterior crowns adhesive, self-adhesive or conventional

IPS e.max lithium disilicate options for cementation

IPS e.max CAD Lithium disilicate (LS2) glass-ceramic bloc


IPS e.max CAD IPS e.max CAD IPS e.max CAD IPS e.max CAD combines high strength and outstanding aesthetics combines efficient and economical processing combines crystallization and glaze in one step combines easy processing by conventional cementation

IPS e.max CAD Lithium disilicate (LS2) glass-ceramic bloc


PRODUCT FEATURES
Unique blue LS2 glass-ceramic of 360 MPa strength and translucency Maximum flexibility due to 3 different translucency levels (MO, LT, HT) Crystallization and glaze firing in one step Depends on the indication self-adhesive or conventional cementation

CUSTOMER BENEFITS
Conventional/self-adhesive cementable all-ceramic crown Cost-conscious and high-end aesthetics possible depending on the processing technique The fastest CAD/CAM all-ceramic from scanning to the completed crown in 1 hour Easy handling opens up new target groups

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

IPS e.max ZirCAD Yttrium-stabilized zirconium oxide bloc


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

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 and obtain 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.

IPS e.max ZirCAD

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 fulfilling the clinical requirements in the posterior region (bridges) by withstanding the high chewing forces in that area.

Indications

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)

INN-Keramik, Austria

J. Seger, IV/Liechtenstein

Physical properties

Processing

inLab System

Product concept

IPS e.max ZirCAD for inLab are available in 9 sizes C13, C15 and C15L (for single tooth copings) B40 and B40L B55 and B65 B65L and B85L (for 3- to 4-unit bridge frameworks) (for 4- to 6-unit bridge frameworks) (for up to 12-unit bridge frameworks or stack milling)

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

Preparation Guidelines (dimensions in mm)


Single Crowns to 3-unit Bridges

Multi-Unit Bridges

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:

Colouring Liquids Drying Times


- 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 - Application

Long-span bridge frameworks

from inLab Software 3D V 3.60 long span frameworks (> 5 units) stack milling

Long-span bridge frameworks


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 process several 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.

Long-span bridge frameworks

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

Long-span bridge frameworks

Place the framework in the firing sagger either on the sinter support structure or with the occlusal surface facing down.

Long-span bridge frameworks

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 carefully separated from each other with a diamond Do not separate long-span bridge frameworks from the sinter support structure.

Long-span bridge frameworks


For long-span bridge frameworks (> 5 bridge units), the following supplementary/different working steps have to be observed. Framework finishing after sintering
For sintering, an empty firing sagger without ZrO2 beads 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)

Sintering process

SINTERING ZrO2 CROWNS 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 on ZrO2 base structures can now be fabricated in one working day.

Sinterprozess

short sintering times the time-saving sintering process has a positive 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

Sintering Regeneration Firing (optional):


Basically, adjustments of sintered IPS ZirCAD frameworks should be kept to a minimum. A Regeneration firing is only recommended after: - Large-scale adjustment of the IPS e.max ZirCAD framework (e.g. reduction of cusps and overall thickness) - Use of grinding instruments not listed in the IPS e.max grinding tool recommendations. - Grinding with diamond grinding tools (graining >100 m). Please note: Fractures or cracks in the IPS e.max ZirCAD framework caused by rough finishing, e.g. blasting with high pressure, cannot be healed by a Regeneration firing.

Processing

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

Veneering of IPS e.max ZirCAD

Pressing onto IPS e.max ZirCAD

Firing parameters

lower heating rate slow cooling

IPS e.max ZirCAD Yttrium-stabilized zirconium oxide bloc

PRODUCT FEATURES
High-strength, high performance and biocompatible all-ceramic Choice between adhesive, selfadhesive and conventional cementation Veneering with IPS e.max Ceram or pressing over with IPS e.max ZirPress

CUSTOMER BENEFITS
Great range of indications (especially posterior bridges)

Advantage in many dental offices

Exceptional aesthetics and highest strength combined

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

Accessories

IPS Natural Die Material

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 the veneers on the firing pin.

IPS e.max Ceram:


All you need to achieve consistent esthetics and shading

IPS e.max Ceram Nano-fluorapatite layering ceramic


Nano-fluorapatite glass-ceramic for veneering and characterizing all-ceramic frameworks

IPS e.max Ceram Nano-fluorapatite layering ceramic

The low-fusing IPS 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

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 surface gloss 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

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

IPS e.max Ceram Layering Scheme

IPS e.max Ceram One for 4

IPS e.max Press


IPS e.max System IPS Empress Esthetic ProCAD

IPS e.max ZirPress


Befestigung glass ceramic

IPS e.max ZirCAD


zirconium oxide Klinische Langzeitstudien

IPS e.max CAD


Kommunikation

IPS e.max Ceram Glaze Spray


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 ZrO2

V. Brosch, Germany

IPS e.max Ceram on ZrO2

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

IPS e.max Ceram on LS2

Dr. A. Kurbad / K. Reichel, Germany

IPS e.max Ceram on LS2

Dr. K. Ogura / S. Sasaki, Japan

IPS e.max Ceram Gingiva

T. Michel, Germany

New Abutment technique IPS e.max Ceram Adaptation Emergence Profile

starting situation

ZirLiner

layering

glaze and stains

polishing

finished abutment

New Abutment technique IPS e.max Ceram Adaptation Emergence Profile

New Abutment technique IPS e.max Ceram Direct veneering

Maximum layering thickness of IPS e.max Ceram

New Abutment technique IPS e.max Ceram Direct veneering

starting situation

ZirLiner

Layering

Layering

polishing

glaze and stains

New Abutment technique IPS e.max Ceram Direct veneering

Straumann Anatomic IPS e.max Abutment directly veneered

IPS e.max Ceram


One layering ceramic for highly-aesthetic glass-ceramics and high-strength zirconium oxide

One layering scheme independent of the framework material

Highly aesthetic restorations, independent of the framework material

IPS e.max Ceram:


All you need to achieve consistent esthetics and shading
PRODUCT FEATURES CUSTOMER BENEFITS Low investment and stockkeeping; efficient and economical processing

One layering ceramic for glass and zirconium oxide ceramics

Nano-fluorapatite glass-ceramic

Highly aesthetic restorations, independent of the framework material

From the layered veneer to the ZrO2-supported bridge all veneered with one ceramic

Shade matching and same clinical properties due to a consistent materials composition

IPS e.max: All you need for cementation

IPS e.max: Preparing for cementation glass-ceramic

IPS e.max: Preparing for cementation zirconium oxide

IPS e.max: all you need for cementation

The cementation is conducted using the following materials: Variolink II, Variolink Veneer, Multilink Automix, SpeedCEM oder Vivaglass CEM

IPS e.max: All you need for cementation

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 cementation
when self-adhesively or conventionally cemented, conditioning is not needed

IPS e.max All you need for all-ceramics

IPS e.max System


PRODUCT FEATURES
Choice between highly aesthetic glass-ceramics (LS2) and high-strength zirconium oxide (ZrO2) One layering ceramic for glass-ceramics and zirconium oxide

CUSTOMER BENEFITS
Depending on the patient requirements, exceptional aesthetics and highest strength can be combined Exact shade match and same clinical behaviour (e.g. wear, gloss), independent of the framework

Conventional, self-adhesive and adhesive cementation

Flexible and versatile use