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Full Contour Zirconia

Standard in-lab turn-time: 3 Days

An innovative full-contour zirconia formulated to surpass the translucency of traditional monolithic zirconia, our Full Contour Zirconia benefits from flexural strength about three times that of natural enamel. Available in 16 pre-shaded VITA® blocks for consistent, natural coloration on every restoration.

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Metal Free Crowns

Indications

Indicated for posterior crowns, bridges, inlays and onlays. An esthetic solution for bruxers and grinders when PFM metal occlusal/lingual or full-cast restorations are not desired or when patient lacks the preparation space for a PFM or has broken a PFM in the past. Zirconia can also be used for anterior teeth with a facial veneer of porcelain for improved esthetics

Preparation

Shoulder preparation not needed, feather edge is okay. It is a conservative preparation similar to full-cast gold, so any preparation with at least 0.5 mm of occlusal space is accepted. Medium Chamfer margin is recommended.

Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.

Adjustments and polishing:

Adjust Full Contour Zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish Full Contour Zirconia restorations with the porcelain polishing system of your choice.

Cementation

  • Resin Ionomer cement (RelyX or RelyX Unicem, 3M ESPE)
  • Maxcem Elite (Kerr)
  • Panavia F 2.0 (Kuraray) -ideal for short, tapered preparations
  • Glass ionomer cement (GC Fuji, GC America)

Tech Notes

Solid zirconia requires a cast gold type preparation.

Anteriors may have a facial veneer of porcelain but the occlusion will remain in 100 percent zirconia. Final Zirconia restorations are glazed to a smooth surface to reduce plaque accumulation.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic
IPS e.max® CAD

Standard in-lab turn-time: 3 Days

The industry-leading esthetics of IPS e.max® with DIL’s precision-milled craftsmanship make this one of our most popular restorations. Milled from a monolithic block of lithium disilicate, many doctors favor e.max for smile design and anterior restorations when only the most lifelike reconstructions will suffice. A wide variety of shades and translucency allows for maximum cosmetic flexibility.

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Metal Free Crowns

Indications

IPS e.max® CAD is indicated for full anterior or posterior crowns. IPS e.max® press is indicated for full anterior or posterior crowns and three-unit bridges having only one pontic with the second bicuspid as the most distal abutment. Veneers can also be indicated and are recommended when combining with adjacent IPS e.max® crowns or bridges, provided ample reduction is achieved.

Contraindications

IPS e.max® should not be used on patients with malfunctional occlusion such as bruxers or clenchers. IPS e.max® should not be used as abutments for cast partials. IPS e.max® should not be used in situations when preparation requirements cannot be achieved. IPS e.max® is not indicated for Maryland-type bridges.

Preparation

Anterior full-coverage crowns require a chamfer or shoulder margin. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. 1 mm. Facial reduction is 1.5 – 2 mm; 1 – 1.5 mm lingual contact clearance. Incisal reduction is 1.5 – 2 mm with rounded internal line angles, and an incisal edge at least 1mm wide to permit optimum milling of the incisal edge during CAD/CAM processing.

Posterior full-coverage crown requires a chamfer or shoulder margin. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. 1 mm. Occlusal reduction is 1.5 – 2 mm: axial reduction (buccal, lingual and interproximal) is 1.5 mm with rounded internal line angles.

Cementation

For greatest strength, and where preparation allows for dry field (supra-gingiva margins), it is recommended to use adhesive bonding, such as VarioLink II (Ivoclar Vivadent) or similar dual cure materials (Insure, Cosmedent; Nexus, Kerr; Choice, Bisco, Inc.; Lute-It, Pentron).

For areas subgingival, or when a dry field cannot be achieved, Ivoclar Vivadent recommends a hybrid glass ionomer cement system with less than 0.5 percent expansion. (NOTE: Resin-reinforced glass ionomers (Advance, Vitremer) are not indicated for any all-ceramic restoration.)

Some recommended resin cements:

  • Vivaglass (Ivoclar Vivadent)
  • GC Fuji (GC America)
  • Ketec Cem (3M ESPE)
  • Panavia F (J. Morita)
  • C&B Metabond
  • Variolink (Ivoclar Vivadent)

Tech Notes

If adjustment is required on the ceramic, ALWAYS CEMENT OR BOND INTO PLACE BEFORE PROCEEDING, then use a fine diamond with water to keep the crown cool. To contour the crown, polish with a porcelain polishing wheel ( Brassler, Shofu and Vident) and diamond polishing paste.

Caution: Do NOT attempt to fire porcelain. IPS e.max® ceramic requires specific stains and glaze, as well as precisely calibrated ovens at specific temperatures and vacuum settings.For best results, return crown for re-glaze firing to lab.

Codes

  • D2740 Crown
  • D2610 Inlay for 1 surface
  • D2620 Inlay for 2 surfaces
  • D2630 Inlay for 3 surfaces
  • D2962 Labial Veneer
  • D2783 Crown 3/4 Porcelain Ceramic (does not include veneers)
Porcelain Fused to Zirconia

Standard in-lab turn time: 5 Days

An updated take on conventional PFM, porcelain fused to zirconia crowns place esthetic layered porcelain on a zirconia coping. Digitally fabricated for ultimate precision, the zirconia coping also improves esthetics, eliminating dark areas at the margin and allowing porcelain to appear more lifelike.

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Metal Free Crowns

Indications

A CAD/CAM substitute for traditional PFM our porcelain fused to zirconia can be used for anterior and posterior crowns, crowns over implants and bridges of up to fourteen units.

Preparation

The ideal preparation for PFZs is a chamfer margin preparation. If a porcelain labial margin is prescribed, then a shoulder margin preparation is required.

Feather-edge margin preparations are indicated for full-cast restorations.

Cementation

  • Resin Ionomer cement (RelyX or RelyX Unicem, 3M ESPE)
  • Maxcem Elite (Kerr)
  • Panavia F 2.0 (Kuraray) -ideal for short, tapered preparations
  • Glass ionomer cement (GC Fuji, GC America)

Tech Notes

If an adjustment is required on the ceramic, use a fine diamond with water and air to keep the crown cool.

To contour the ceramic, polish with a pink rubber wheel and diamond polishing paste (Brasseler, Shofu, Vident).

Codes

  • D2740 Crown - porcelain / ceramic substrate
IPS e.max® Press

Standard in-lab turn-time: 5 Days

With the same sparkling esthetics as milled e.max®, pressed e.max® boasts a higher fractural strength than when milled, allowing you more confidence to prescribe it. With the highest translucency available, it’s available in all 16 standard VITA A-D shades and four bleach BL shades.

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Metal Free Crowns

Indications

. IPS e.max® press is indicated for full anterior or posterior crowns and three-unit bridges having only one pontic with the second bicuspid as the most distal abutment. Veneers can also be indicated and are recommended when combining with adjacent IPS e.max® crowns or bridges, provided ample reduction is achieved.

Contraindications

IPS e.max® should not be used on patients with malfunctional occlusion such as bruxers or clenchers. IPS e.max® should not be used as abutments for cast partials. IPS e.max® should not be used in situations when preparation requirements cannot be achieved. IPS e.max® is not indicated for Maryland-type bridges.

Preparation

Anterior full-coverage crowns require a chamfer or shoulder margin. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. 1 mm. Facial reduction is 1.5 – 2 mm; 1 – 1.5 mm lingual contact clearance. Incisal reduction is 1.5 – 2 mm with rounded internal line angles, and an incisal edge at least 1mm wide to permit optimum milling of the incisal edge during CAD/CAM processing.

Posterior full-coverage crown requires a chamfer or shoulder margin. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. 1 mm. Occlusal reduction is 1.5 – 2 mm: axial reduction (buccal, lingual and interproximal) is 1.5 mm with rounded internal line angles.

Cementation

For greatest strength, and where preparation allows for dry field (supra-gingiva margins), it is recommended to use adhesive bonding, such as VarioLink II (Ivoclar Vivadent) or similar dual cure materials (Insure, Cosmedent; Nexus, Kerr; Choice, Bisco, Inc.; Lute-It, Pentron).

For areas subgingival, or when a dry field cannot be achieved, Ivoclar Vivadent recommends a hybrid glass ionomer cement system with less than 0.5 percent expansion. (NOTE: Resin-reinforced glass ionomers (Advance, Vitremer) are not indicated for any all-ceramic restoration.)

Some recommended resin cements:

  • Vivaglass (Ivoclar Vivadent)
  • GC Fuji (GC America)
  • Ketec Cem (3M ESPE)
  • Panavia F (J. Morita)
  • C&B Metabond
  • Variolink (Ivoclar Vivadent)

Tech Notes

If adjustment is required on the ceramic, ALWAYS CEMENT OR BOND INTO PLACE BEFORE PROCEEDING, then use a fine diamond with water to keep the crown cool. To contour the crown, polish with a porcelain polishing wheel ( Brassler, Shofu and Vident) and diamond polishing paste.

Caution: Do NOT attempt to fire porcelain. IPS e.max® ceramic requires specific stains and glaze, as well as precisely calibrated ovens at specific temperatures and vacuum settings.For best results, return crown for re-glaze firing to lab.

Codes

  • D2740 Crown
  • D2610 Inlay for 1 surface
  • D2620 Inlay for 2 surfaces
  • D2630 Inlay for 3 surfaces
  • D2962 Labial Veneer
  • D2783 Crown 3/4 Porcelain Ceramic (does not include veneers)
Enamic

Standard in-lab turn-time: 3 Days

New Product!

The first dental CAD/CAM hybrid ceramic on the market, Vita Enamic® features traditional ceramics completely integrated with polymers. The result is highly esthetic restorations more durable than conventional ceramics thanks to the elasticity provided by its polymer network. Available in two levels of translucency and five Vita system 3D-Master shades, it’s a cutting-edge restorative material.

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Metal Free Crowns

Indications

A CAD/CAM substitute for traditional PFM, Enamic® can be used for anterior and posterior crowns, crowns over implants and bridges of up to fourteen units. The superior reliability of VITA ENAMIC®, as well as its precision, edge stability and corresponding milling accuracy are also excellent features. Finally, this tooth-colored hybrid material offers material properties that are almost identical to those of natural teeth, ensuring a natural play of colors thanks to its excellent light conductivity.

Preparation

The ideal preparation for is a chamfer margin preparation. If a porcelain labial margin is prescribed, then a shoulder margin preparation is required.

Feather-edge margin preparations are indicated for full-cast restorations.

Cementation

  • Resin Ionomer cement (RelyX or RelyX Unicem, 3M ESPE)
  • Maxcem Elite (Kerr)
  • Panavia F 2.0 (Kuraray) -ideal for short, tapered preparations
  • Glass ionomer cement (GC Fuji, GC America)

Tech Notes

If an adjustment is required on the ceramic, use a fine diamond with water and air to keep the crown cool.

To contour the ceramic, polish with a pink rubber wheel and diamond polishing paste (Brasseler, Shofu, Vident).

Codes

  • D2740 Crown - porcelain / ceramic substrate
Cubex2

New Product!

Cubic zirconia redefines everything you thought you knew about zirconia crowns. A revolutionary new approach to zirconia, cubeX2, combines the durability of full-contour zirconia with translucency on par with IPS e.max®. Its 720 MPa fractural strength makes it strong enough for posterior crowns, while its lifelike shading and light transmission makes cubeX2 an ideal solution for premolar and incisal indications.

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Metal Free Crowns

Indications

A high-esthetic alternative to IPS e.max® restorations, cubeX2 cubic zirconia is indicated for single crowns and three-unit bridges in anterior and posterior restorations. Its high resiliency makes it suitable for posterior restorations when esthetics demand more translucency than conventional full-contour zirconia.

Preparation

The ideal preparation is a 0.8 mm chamfer or rounded shoulder. A feather-edge margin with 1.0-1.5 mm of occlusal reduction is also acceptable.

Cementation

  • Ceramir® Crown & Bridge (Doxa Dental)
  • RelyX™ Luting Cement (3M ESPE)
  • GC Fuji Plus™ (GC America)

Tech Notes

DAL recommends the Brasseler USA® Dialite® ZR Kit for finishing and polishing cubeX2. This two-step system allows you to quickly achieve maximum surface smoothness, enhancing your restoration’s longevity and minimizing wear to opposing dentition. Use adequate water when adjusting.

To successfully remove saliva, the crown should be cleaned with Ivoclean, a zirconia oxide solution from Ivoclar Vivadent. This zirconia oxide solution is placed inside the restoration for 20 seconds and then rinsed out.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic