Ivoclar Vivadent IPS Empress CAD Chairside - de-en-es-it-ru – страница 3

IPS

Empress CAD –

Allgemeine Informationen

Vorbereitung zum Befestigen

Die Konditionierung der Keramikoberfläche als Vorbereitung zur Befestigung ist für einen innigen Verbund zwischen dem

Befestigungsmaterial und der Vollkeramik-Restauration entscheidend. Folgende Vorgehensweise ist zu beachten:

– Leuzitverstärkte Glaskeramiken werden generell mit IPS Ceramic Ätzgel angeätzt und anschliessend mit Monobond-S

silanisiert.

IPS Empress CAD

Indikation Veneers, Inlays, Onlays,Teilkronen, Front- und Seitenzahnkronen

Befestigungsart Adhäsive Befestigung

Ätzen der Restauration 60 Sek. mit IPS Ceramic Ätzgel

Konditionieren / Silanisieren

Monobond-S

der Restauration

Befestigungssystem Variolink II oder Variolink Veneer

Multilink Automix

Konventionelle Zementierung und Abstrahlen von fertigen IPS Empress CAD Restaurationen

ist kontraindiziert!

41

Ivoclar Vivadent – worldwide

Ivoclar Vivadent AG

Ivoclar Vivadent

Ivoclar Vivadent s.r.l.

Ivoclar Vivadent S.A.

Bendererstrasse 2

Marketing Ltd.

Via dell’Industria 16

c/Emilio Muñoz, 15

FL-9494 Schaan

Rm 603 Kuen Yang

I-39025 Naturno (BZ)

Esquina c/Albarracín

Liechtenstein

International Business Plaza

Italy

E-28037 Madrid

Tel. +423 235 35 35

No. 798 Zhao Jia Bang Road

Tel. +39 0473 67 01 11

Spain

Fax +423 235 33 60

Shanghai 200030

Fax +39 0473 66 77 80

Tel. + 34 91 375 78 20

www.ivoclarvivadent.com

China

www.ivoclarvivadent.it

Fax + 34 91 375 78 38

Tel. +86 21 5456 0776

www.ivoclarvivadent.com

Ivoclar Vivadent Pty. Ltd.

Fax. +86 21 6445 1561

Ivoclar Vivadent S.A. de C.V.

1 – 5 Overseas Drive

www.ivoclarvivadent.com

Av. Mazatlán No.61,Piso 2

Ivoclar Vivadent AB

P.O. Box 367

Col. Condesa

Dalvägen 14

Noble Park,Vic. 3174

Ivoclar Vivadent

06170 México, D.F.

S-169 56 Solna

Australia

Marketing Ltd.

Mexico

Sweden

Tel. +61 3 979 595 99

Calle 134 No. 13-83, Of. 520

Tel. +52 (55) 5062-1000

Tel. +46 8 514 93 943

Fax +61 3 979 596 45

Bogotá

Fax +52 (55) 5062-1029

Fax +46 8 514 93 940

www.ivoclarvivadent.com.au

Colombia

www.ivoclarvivadent.com.mx

www.ivoclarvivadent.se

Tel. +57 1 627 33 99

Ivoclar Vivadent GmbH

Fax +57 1 633 16 63

Ivoclar Vivadent Ltd

Ivoclar Vivadent UK Limited

Bremschlstr. 16

www.ivoclarvivadent.com

12 Omega St,Albany

Ground Floor Compass Building

Postfach 223

PO Box 5243 Wellesley St

Feldspar Close

A-6706 Bürs

Ivoclar Vivadent SAS

Auckland, New Zealand

Warrens Business Park

Austria

B.P. 118

Tel. +64 9 914 9999

Enderby

Tel. +43 5552 624 49

F-74410 Saint-Jorioz

Fax +64 9 630 61 48

Leicester LE19 4SE

Fax +43 5552 675 15

France

www.ivoclarvivadent.co.nz

United Kingdom

www.ivoclarvivadent.com

Tel. +33 450 88 64 00

Tel. +44 116 284 78 80

Fax +33 450 68 91 52

Ivoclar Vivadent

Fax +44 116 284 78 81

Ivoclar Vivadent Ltda.

www.ivoclarvivadent.fr

Polska Sp. z.o.o.

www.ivoclarvivadent.co.uk

Rua Geraldo Flausino Gomes,

ul. Jana Pawla II 78

78 – 6.º andar Cjs. 61/62

Ivoclar Vivadent GmbH

PL-01-501 Warszawa

Ivoclar Vivadent, Inc.

Bairro: Brooklin Novo

Dr. Adolf-Schneider-Str. 2

Poland

175 Pineview Drive

CEP: 04575-060 São Paulo – SP

D-73479 Ellwangen,Jagst

Tel. +48 22 635 54 96

Amherst, N.Y. 14228

Brazil

Germany

Fax +48 22 635 54 69

USA

Tel. +5511 5102 2020

Tel. +49 (0) 79 61 / 8 89-0

www.ivoclarvivadent.pl

Tel. +1 800 533 6825

Fax. +5511 5102 4704

Fax +49 (0) 79 61 / 63 26

Fax +1 716 691 2285

www.ivoclarvivadent.com

www.ivoclarvivadent.de

Ivoclar Vivadent

www.ivoclarvivadent.us.com

Marketing Ltd.

Ivoclar Vivadent Inc.

Ivoclar Vivadent

180 Paya Lebar Road

2785 Skymark Avenue,Unit 1

Marketing Ltd

# 07-03 Yi Guang Building

Mississauga

114, Janki Centre

Singapore 409032

Ontario L4W 4Y3

Shah Industrial Estate

Tel. 65-68469183

Canada

Veera Desai Road,

Fax 65-68469192

Tel. +1 905 238 57 00

Andheri (West)

Fax +1 905 238 5711

Mumbai 400 053

www.ivoclarvivadent.us.com

India

Tel. +91 (22) 673 0302

Fax. +91 (22) 673 0301

www.ivoclarvivadent.firm.in

Erstellung der Verarbeitungsanleitung: 09/2006

Dieses Material wurde für den Einsatz im Dentalbereich entwickelt und muss gemäss Gebrauchsinformation

verarbeitet werden. Für Schäden, die sich aus anderweitiger Verwendung oder nicht sachgemässer

Verarbeitung ergeben, übernimmt der Hersteller keine Haftung. Darüber hinaus ist der Verwender verpflichtet,

das Material eigenverantwortlich vor dessen Einsatz auf Eignung und Verwendungsmöglichkeit für die vorge-

sehenen Zwecke zu prüfen, zumal wenn diese Zwecke nicht in der Gebrauchsinformation aufgeführt sind.

Dies gilt auch, wenn die Materialien mit Produkten von Mitbewerbern gemischt oder zusammen verarbeitet

werden.

Gedruckt in Liechtenstein

© Ivoclar Vivadent AG, Schaan / Liechtenstein

603097/1006/d/BVD

®

IPS

Empress

System

®

IPS

Empress

CAD

Instructions for Use

CHAIRSIDE

Table of Contents

IPS Empress CAD – Product Information 4

Material

Uses

Composition

Block concept

Product overview for CEREC

Product Information

Preparation guidelines and minimum thicknesses

IPS Empress CAD – Overview of the Treatment Procedure 13

Overview of the treatment procedure

Shade determination

Intra-oral imaging

Milling

Staining and veneering

Ceramic firing

Overview of the

Etching and silanating

Treatment Procedure

Cementation

Polishing

IPS Empress CAD – Inlays / Onlays – polished 20

Preparation

Finishing

Polishing

IPS Empress CAD – Inlays / Onlays – stained / glazed 24

Finishing and preparing for the stain and glaze firing

2-in-1 technique and staining and glaze firing in one step

Corrective firing

IPS Empress CAD – Veneers / Crowns – stained / glazed 27

Finishing

Preparing for staining

Stain and characterization firing

Glaze firing

Corrective firing

IPS Empress CAD – Veneers / Anterior Crowns – Cut-back and layered 32

Application of the IPS Empress Esthetic Veneer materials

Cut-back technique

Fabrication of the IPS Empress CAD Restorations

Preparing for veneering

Wash firing

Incisal / Transparent firing

Finishing and preparing for stain and glaze firing

Stain and glaze firing

Corrective firing

IPS Empress CAD – General Information 41

Preparing for cementation

Firing parameters

General

Information

Combination table

2

®

IPS

Empress

– the Original

Nearly 20 years ago, IPS Empress revolutionized the processing of ceramic and thanks

to its many advantages, such as aesthetics, IPS Empress has been established as the

"benchmark". More than 33 million restorations fabricated of IPS Empress throughout

the world and the use of "IPS Empress" as a synonym for all-ceramics speak for the

durable life-like appearance, the ongoing success, and the high quality standard of the

material.

In addition to the tried-and-tested PRESS technology, the CAD/CAM technology has

also developed in the area of all-ceramics. In order to supply the "benchmark" for

this technology as well, the future IPS Empress System will comprise products for both

processing technologies. You will be able to benefit from roughly 20 years of clinical

experience and convincing aesthetics, irrespective of whether the restorations were

fabricated with the PRESS or CAD/CAM technique.

IPS Empress Esthetic is available for the PRESS technology, while IPS Empress CAD

is used in the CAD/CAM technology. Both products consist of the highly aesthetic,

leucite-reinforced glass-ceramic that has been clinically tried-and-tested for many years.

The two ceramics are characterized by excellent strength values and outstanding

aesthetic appearance. They may thus be used for the fabrication of fully anatomic

single-unit restorations, such as inlays, onlays, veneers, and crowns.

Both products may subsequently be stained and/or glazed using IPS Empress

Universal Shades/Stains, or individually veneered using the IPS Empress Esthetic

Veneer layering ceramic.

In this way, the IPS Empress System will remain synonymous for highly aesthetic, fully

anatomical all-ceramic restorations, irrespective of the processing technology.

PRESS

CAD / CAM

Technology

Technology

IPS

Empress

IPS

EmpressCAD

Esthetic

IPS

Empress

Esthetic Veneer

IPS

Empress

Universal Shade/Stains

3

IPS

Empress CAD –

Product Information

Material

IPS Empress CAD is used for the fabrication of highly aesthetic, fully

anatomical single-unit restorations by means of the CAD/CAM

technology.

IPS Empress CAD blocks are made of a leucite-reinforced glass-

ceramic which consists of a glass and a crystal phase. Leucite crystals

of few microns evenly grow in a multi-stage process directly from the

amorphous glass phase. During the fabrication of the blocks, the

semi-finished product in powder form is pressed to blocks in a fully

automated procedure, which enables a maximum of homogeneity.

Given the difference in the coefficients of thermal expansion (CTE)

between the glass phase and the crystal phase (leucite), cooling after

sintering produces compressive stress in the glass phase. This

mechanism results in an increase in strength and enables IPS Empress

CAD to achieve a flexural strength of 160 MPa. This type of material

has been successful, as well as proven for almost 20 years. The

milled restorations feature excellent accuracy of fit and a

homogeneous surface. Subsequently, the restorations may be

stained using IPS Empress Universal Stains and/or veneered using

IPS Empress Esthetic Veneer.

CTE (100–400°C) [10

-6

/K] 16.6

CTE (100–500°C) [10

-6

/K] 17.5

Flexural strength (biaxial) [MPa]* 160

Fracture toughness [MPa m

0.5

] 1.3

Vickers hardness [MPa] 6200

Chemical resistance [µg/cm

2

]* 25

*according to ISO 6872

4

Uses

Indications

IPS Empress CAD blocks can be used for the following adhesively cemented restorations. Depending on

the type and size of the restoration, the respective HT (High Translucency), LT (Low Translucency), or

Multi Block is recommended. IPS Empress CAD restorations may be cemented and either polished,

stained/glazed, or veneered.

HT Blocks

LT Blocks

Multi Blocks

(High Translucency)

(Low Translucency)

Higher translucency and

Lower translucency and

True-to-nature transition

chameleon effect

chameleon effect

of shade, translucency, and

Lower brightness value

Higher brightness value

fluorescence

– Inlays

– Anterior and posterior crowns

– Anterior and posterior crowns

– Onlays

– Partial crowns

– Partial crowns

– Veneers

– Veneers

– Veneers

For further processing of IPS Empress CAD restorations, users have the following options:

– Aesthetic characterization and glazing of fully anatomical restorations using IPS Empress Universal

Shades, Stains, and Glaze pastes.

– Aesthetic veneering in the incisal third of reduced restorations (veneers and anterior crowns) using

IPS Empress Esthetic Veneer materials

Contraindications

– Bridge reconstructions

– Conventional cementation

– Very deep, subgingival preparations

– Patients with severely reduced residual dentition

– Bruxism

– Fully (circularly) veneered anterior and posterior crowns using IPS Empress Esthetic Veneer

Important processing restrictions

Failure to observe the following restrictions may compromise the success achieved with IPS Empress CAD:

– The fully anatomical IPS Empress CAD restorations must not fall below the required minimum

thickness

– The reduced (cut-back) IPS Empress CAD restorations must not fall below the required minimum

thickness

– The maximum layer thickness of IPS Empress Esthetic Veneers layering materials must not be exceeded

– IPS Empress CAD restorations must not be stained using materials other than IPS Empress Universal

Shades, Stains, and Glaze

– Powder materials must not be mixed with paste materials

– The blocks must not be milled in a non-compatible CAD/CAM system

Side effects

If patients are known to be allergic to any of the ingredients of IPS Empress CAD, the material should

not be used.

5

Composition

– IPS Empress CAD Blocks

Components: SiO

2

Additional contents: Al

2

O

3

, K

2

O, Na

2

O, CaO, and other oxides, pigments

– IPS Empress Esthetic Veneer

Components: SiO

2

Additional contents: Al

2

O

3

, K

2

O, Na

2

O, CaO, oxides and pigments

– IPS Empress Universal Shades, Stains, and Glaze Paste

Components: Oxides, glycerine, butandiol

– IPS Empress Esthetic Veneer Build-Up Liquid

Components: water, butandiol, chloride

– IPS Empress Universal Glaze and Stain Liquid

Components: Butandiol

– IPS Contrast Spray Chairside

Components: Pigment suspension in ethanol; the propellant is a fluoridated hydrocarbon

– IPS Natural Die Material

Components: Polyester urethane dimethacrylate, paraffin oil, SiO

2

and copolymers

– IPS Natural Die Material Separator

Components: Wax dissolved in hexane

– IPS Ceramic Etching Gel

Components: Hydrofluoric acid

Warnings

– Butandiol is irritating - avoid contact with skin and eyes and do not inhale the vapours.

– Hexane is highly flammable and detrimental to health. Avoid contact with skin and eyes. Do not

inhale the vapours and keep away from sources of ignition.

– Do not inhale ceramic grinding dust during processing - use suction equipment and a face mask.

– Etching gel contains hydrofluoric acid. Avoid contact with skin, eyes, and clothing at any time, since

the material is highly toxic and corrosive. The etching gel is intended for professional use only and

must not be applied intra-orally (in the oral cavity).

6

Block concept

IPS Empress CAD Blocks

The shading and translucency control of the IPS Empress CAD Blocks is based on a newly developed translucency concept

built on the A-D, Chromascop, and Bleach BL shade guides.

The IPS Empress CAD Blocks are available in two degrees of translucency and as a polychromatic block. The blocks are

precisely coordinated with the respective indications and thus enable excellent shade match with the corresponding shade

guide. Depending on the indication, the blocks provide a true-to-nature chameleon effect, life-like brightness value, or a

natural shade transition.

IPS Empress CAD HT (High Translucency)

These blocks are available in the 9 most popular A–D shades, 3 Chromascop shades, and 4 sizes. Given their high

translucency, HT blocks are ideally suitable for the fabrication of smaller restorations (e.g. inlays and onlays). Restorations

made of HT blocks convince users with their true-to-nature chameleon effect and outstanding adaptation to the residual

tooth structure. The blocks demonstrate life-like fluorescence in order to permit optimum integration into the natural

residual tooth structure under different light conditions.

A–D

Chromascop

IPS Empress CAD LT (Low Translucency)

These blocks are available in the 9 most popular A–D shades, 3 Chromascop shades, 4 Bleach BL shades, and 4 sizes. Given

their high brightness value compared to the HT blocks, the LT blocks are ideal for the fabrication of larger restorations (e.g.

anterior and posterior crowns). Restorations made of LT blocks convince users with their true-to-nature brightness value

and chroma, which prevents a greying of the incorporated restorations. The blocks demonstrate a life-like fluorescence in

order to enable optimum integration into the natural environment, even under varying light conditions. Restorations made

of LT blocks are also ideally suitable for the cut-back technique.

A–D

Chromascop Bleach BL

IPS Empress CAD Multi

These blocks are available in the 5 most popular A–D shades and 3 sizes. Given the

natural shade gradient from the dentin to the incisal areas, restorations made of

IPS Empress CAD Multi Blocks demonstrate a maximum of aesthetics and naturalness. In

conjunction with the flexible positioning of the restoration within the block, the true-to-

nature opacity and translucency gradient enables a multitude of aesthetic possibilities.

The IPS Empress CAD Multi Block features a transition of fluorescence very similar to that

of natural teeth, which results in excellent integration into the residual dentition. Given

the innovative combination of true-to-nature transition of shade, translucency, and

fluorescence, highly aesthetic restorations are fabricated in an easy way.

7

Overview of blocks - shades and sizes*

IPS Empress CAD Blocks are available in the following shades and sizes as Refill vials containing 5 blocks each.

HT

High Translucency

A–D

LT

Low Translucency

A1

A2

A3

A3.5 B1 B2 B3 C2 D3

Multi

V 12

I 8

I 10

I 12

C 14

C14L

HT

High Translucency

Chromascop Bleach BL

LT

Low Translucency

100

200

300

BL1 BL2 BL3 BL4

Multi

V 12

I 8

I 10

I 12

C 14

C14L

*The available product range may vary from country to country.

8

Overview of blocks – translucency

Translucency

Opacity

A–D Shades

A1 A2 A3 A3.5 B1 B2 B3 C2 D3

Translucency

Opacity

Chromascop

100 200 300

Bleach BL

BL1 BL2 BL3 BL4

HT Block LT Block

9