CliniCal Guide - Make it e.max · CliniCal Guide. 2. Contents 3 ... IPS e.max delivers...

all ceramic

all you need

CliniCal Guide

2

3Contents

IPS e.max® – all ceramics – all you need

•Onesystemforeveryindication •Indications Practical procedure for restorations with IPS e.max®

•Overview •Tooth–Shadedetermination •Preparation •Die–Shadedetermination •Impression •Cementation •Intraoraladjustments

Clinical cases

•Step-by-step – IPSe.maxlithiumdisilicateveneercementedwithVariolink®Veneer – IPSe.maxlithiumdisilicateinlaycementedwithMultilink®Automix – IPSe.maxlithiumdisilicateanteriorcrowncementedwithMultilink®Automix – IPSe.maxlithiumdisilicateposteriorcrowncementedwithMultilink®Automix – IPSe.maxlithiumdisilicateanteriorbridgecementedwithSpeedCEM® – IPSe.maxzirconiumoxidebridgecementedwithSpeedCEM®

– IPSe.maxlithiumdisilicatehybridabutmentandcrowncementedwithSpeedCEM®

– IPSe.maxlithiumdisilicatehybridabutmentcrown–screwed-in •Startingsituation–Finalresult

Aftercare

Results from more than 10 years of research

4

6

20

40

41

4

IPSe.max® isaninnovativeall-ceramicsystemwhichcoverstheentireall-ceramicindicationrange–fromthinveneerstolong-spanbridges.

IPSe.maxdelivershigh-strengthandhighlyestheticmaterialsforthePressandtheCAD/CAMtechnologies.Thesystemincludestheinnovativelithiumdisilicateglass-ceramicusedmainlyforsingle-toothrestorations,hybridabutmentsandsmallbridges,aswellasthehigh-strengthzirconiumoxideforlong-spanbridges.

All ceramic materials are based on an integrated material and shade concept for restorations as individual as your patients.

all ceramics – all you need

LS2Lithium disilicate glass-ceramic (LS2)

Lithiumdisilicate(LS2)glass-ceramicisideallysuitableforthefabricationofhybridabutments,aswellasmonolithicsingle-toothrestorationsandmayevenbeindicatedfor3-unitbridgesupto thepremolar region. Thepatentedglass-ceramichasbeen tried-and-tested inmillionsofcasessinceitsintroduction.Itisdistinguishedfromallpreviousceramicmaterialsmainlybyitsclearlyhigherstressresistanceanditsoutstandingestheticappearance.

ZrO2Zirconium oxide (ZrO2)

High-strengthzirconiumoxide(ZrO2)reallyprovesitsworthinlong-spanbridges. It isoneofthemostefficientall-ceramicmaterialsfordental-labapplications.Zirconiumoxideischaracter-izedbyitsexcellentbiocompatibilityandlowheatconductivityandcanbeindicatedforsingle-toothrestorationsandupto14-unitbridges.Zirconiumoxidecanbeveneeredwithnano-fluor-apatiteorlithiumdisilicateglass-ceramic.

FAPFluorapatite

Fluorapatite glass-ceramic (FAP)

IPSe.maxCeramisahighlyestheticlayeringceramicfortheIPSe.maxSystem.Thankstotheonecommonlayeringceramic,alltheveneeredIPSe.maxrestorationsexhibitthesamewearpropertiesandsurfacegloss.Zirconium frameworks pressed over with IPS e.max ZirPress, which are either stained orveneered,areanalternativetoconventionallyveneeredframeworks.

Afterall,IPSe.maxstandsforanall-ceramicsystemthatoffersanidealsolutionforallindications,whichnotonlyworksfromamaterialstandpoint,butisalsoconfirmedbyawealthofscientificdata.

Fromthebeginningofitsdevelopmentuntiltotoday,theIPSe.maxSystemhasbeenmonitoredbythescientificcommunityandmanyrenownedexpertshavecontributedtoanexcellentdatabasewiththeirstudies.

Theworldwidesuccessstory,theevergrowingdemand,aswellasmillionsoffabricatedrestorationsaretesta-menttothesuccessandthereliabilityoftheIPSe.maxall-ceramicsystem.

One system for every indication

5Indications

Indications

Cementation

adhesiveself-adhesive/ conventional

Thinveneers0.3mm

–

Variolink®Veneer,Variolink®II

–Veneers –

Occlusalveneers –

Inlays,onlays –

Multilink®Auto-mix,Variolink®II

–

Partialcrowns –

Anterior/posteriorcrowns 1)

SpeedCEM®,Vivaglass®CEM3-unitbridges 2) 1)

Multilink®Automix

4-andmulti-unit bridges

– 1)

Hybridabutments (cementedona Tibase)

–Multilink®Automix

3)

SpeedCEM® 3)4),Vivaglass®CEM3)

Hybridabutment crowns(cementedonaTibase)

– –5) –5)

1) IPS e.max ZirCAD (zirconium oxide) is veneered manually (fluorapatite) or digitally (lithium disilicate). 2) Up to the second premolar 3) For the cementation of the crown on the hybrid abutment 4) Only in conjunction with a suitable bonding agent 5) Hybrid abutment crowns are directly screwed on the implant.

Contraindications

–Verydeepsubgingivalpreparations–Patientswithseverelyreducedresidualdentition–Parafunctions,e.g.bruxism–Provisionalinsertion/trialwearperiod–Anyotherusesnotlistedintheindications

LS2 ZrO2

6

Practical procedure for restorations with

Working steps In the

dental officeIn the

laboratory Ivoclar Vivadent product

Shade determination, preparation, die shade determination, impression Tooth – Shade determination ontheunpreparedtoothand/oradjacentteeth

A-DShadeGuideChromascop ShadeGuide

Preparation withsuitablegrinding instruments

Recommended preparationfor all-ceramics

Die shade determination onthepreparedtooth/die

IPS®NaturalDieMaterialShadeGuide

LS2

ZrO2

FAPFluor-Apatit

Zirkoniumoxid

Lithiumdisilikat

LS2

ZrO2

FAPFluor-Apatit

Zirkoniumoxid

Lithiumdisilikat

Impression –Siliconeorpolyether–Digitalimpression

Virtual®

Fabricating the restoration

LS2 1)

IPSe.max®CAD

IPSe.max®Press

ZrO2IPSe.max®ZirCADIPSe.max®Ceram IPSe.max®ZirPressIPSe.max®CAD-on

Cementation

Etching2)IPS®CeramicEtchingGel

Cleaning(aftertry-in) Ivoclean

Conditioning3) Monobond®Plus

Cementation–adhesive Multilink®Automix Variolink®II Variolink®Veneer

Cementation– self-adhesive/conventional

SpeedCEM® Vivaglass®CEM

IntraoraladjustmentsRecommended grindinginstruments

Aftercare

Aftercareandpreventivecarewithprophypaste Proxyt®

1) With chairside CAD/CAM system2) One-time etching (in the dental office or laboratory) is sufficient. Zirconium oxide is not etched. 3) No conditioning is required for conventional cementation.

Overview

Layering ceramics /Schichtkeramik

Flexural strength / Biegefestigkeit 80–130 MPa

Type of ceramic /

Keramiktyp

Extensive corrections /

Grosse Korrekturen

Minor corrections /

Geringe Korrekturen

Endo AccessPolishing / Politur

(OptraFine)

extra fine /

extra fein

15–25 µm

extra fine /

extra fein

15–25 µm

medium

<_100 µm

extra fine /

extra fein

15–25 µm

extra fine /

extra fein

15–25 µm

medium

<_100 µm

fine / fein

40–50 µm

extra fine /

extra fein

15–25 µm

medium

<_100 µm

fine / fein

40–50 µm

fine / fein

40–50 µm

medium

<_100 µm

Leucite-reinforced glass-ceramic /Leuzitverstärkte Glasskeramik

Flexural strength / Biegefestigkeit 160 MPa

Lithium disilicate glass-ceramic /

Lithiumdisilikat-Glaskeramik


Zirconium oxide / Zirkoniumoxid


d.SIGN IPS ®

InLine PoM®

IPS

InLine ®IPS

Empress IPS ®

Esthetic Empress IP

S ®

CAD

before polishing / vor der Politur

Finisher F Polisher P High gloss

+ Polishing Paste

after polishing / nach der Politur



+ Polishing Paste




+ Polishing Paste


IPS

e.m

axIP

S In

Line

/IPS

InLi

ne P

oM

IPS

d.SI

GN

Recommended grinding instruments for ceramics – use in the dental practice

Schleifkörperempfehlung für Keramik – Anwendung in der zahnärztlichen Praxis

7

Practical procedure for restoration with IPS e.max | Tooth – Shade determination

Tooth – Shade determination

Optimum integration in theoral cavityof thepatient is theprerequisite fora true-to-natureall-ceramicrestoration.Toachievethis,thefollowingguidelinesandnotesmustbeobservedbyboththedentistandthelaboratory.

Theoverallestheticresultofanall-ceramicrestorationisinfluencedbythefollowingfactors:•Shade of the tooth stump(naturalstump,devitalizedstump,corebuild-up,abutment)• Shade of the cementation material•Shade of the restorative material(frameworkshade,translucency/opacity,brightness,veneer,

characterization)

Shade determination of the natural tooth

– Determinethetoothshadeofthenon-preparedtoothand/ortheadjacentteethaftertoothcleaning.

– Inaddition,determinethecervicalshadeifacrownpreparationisplanned,forexample.

– Determinetheshadeatdaylightandinfrontofaneutralbackground.– Avoidintensivelycolouredclothesand/orlipstickasthesemay

compromisetheresult.– UsetheA-DShadeGuideorChromascopShadeGuide.

8 Preparation

General preparation guidelines

SuccessfulresultscanonlybeachievedwithIPSe.maxifthepreparationguidelinesbelowandtheminimumlayerthicknessesarestrictlyobserved.

For the preparation of all-ceramic restorations, the following principles apply:– Noanglesoredges– Shoulderpreparationwithroundedinneredgesand/orchamferpreparation

ForCAD/CAM-fabricated restorations,theincisaledgeofthepreparationshouldbeatleast1.0mm(millingtoolgeometry)inordertopermitoptimummillingoftheincisalareaduringCAD/CAMprocessing.

The dimensions indicated in the paragraphs below reflect the minimum thickness for IPS e.max restorations.

1.0

1.5

Tip

Tobeabletoworkintheoralcavityduringpreparationwithaslittleinterferenceaspossible,werecommendusingalipandcheekretractorasanauxiliary.

OptraGate® ExtraSoft Version (lip/cheekretractor):–Even,circularretractionoflipsandcheeks– Considerablyenlargedtreatmentarea– Greaterview,betteraccess

Practical procedure for restorations with IPS e.max | Preparation

9Thin veneer, veneer

– Ifpossible,locatethepreparationintheenamel.– Donotlocatetheincisalpreparationmarginsintheareaoftheabrasionsurfacesordynamic

occlusalsurfaces.–Ifsufficientspaceisavailableanddependingonthefabricationmethod,youcanevenleaveoutthepreparationentirely.

Thin veneer–Ensurethattheminimumlayerthicknessofthethinveneerinthecervicalandlabialareais0.3mmforthe

PRESS,or0.4mmand0.5mmfortheCADtechnique.–Makesurethattherestorationthicknessattheincisaledgeis0.4mmforthePRESSand0.5mmforthe

CADtechnique.

Veneer–Reducethecervicaland/orlabialareaby0.6mm,andtheincisaledgebyatleast0.7mm.

Startingsituation Incisalorientationgrooves Marginalorientationgroove Centralandincisal orientationgrooves

Facialpreparationon 3levels

Initialproximal separation

Definitiveproximalpreparation

Finishingandsmoothing thepreparation


LS2

Thin veneer: PRESS Thin veneer: CAD Veneer: PRESS/CAD

0.3

0.3

0.4 0.5

0.5

0.4 0.6

0.7

0.6

Clinical pictures: Prof. Dr D. Edelhoff, Germany

10


Occlusal veneer

−Evenlyreducetheanatomicalshapewhileobservingthestipulatedminimumthicknesses.–Prepareacircularshoulderwithroundedinneredgesorachamferatanangleofapproximately

10to30degrees.–Ensurethatthewidthofthecircularshoulder/chamferisatleast1.0mm.–Reducetheocclusalpartbyatleast1.0mm.

Startingsituation Orientationgroove centralfissure

Orientationgrooves onthecusps

Shortening theocclusalsurface

Creatingthecircular preparationmargin

Proximalpreparation Finishingthepreparation Smoothingthepreparation

1.0 1.0

1.0

1.0

1.0

LS2


11


Inlay, onlay

–Makesurethatthepreparationmarginsarenotlocatedintheareaofstaticordynamic antagonistcontacts.

– Ensurethatthepreparationdepthisatleast1.0mmandthatthewidthoftheisthmusis atleast1.0mminthefissurearea.

–Preparetheproximalboxwithslightlydivergingwallsandobserveanangleof100to120degreesbetweentheproximalcavitywallsandtheprospectiveproximalinlaysurfaces.Avoidmarginalridgecontactsontheinlayincaseofpronouncedconvexcavitywallswithoutadequatesupportbytheproximalshoulder.

– Roundoutinternaledgesinordertopreventstressconcentrationwithintheceramicmaterial.– Donotprepareslice-cutsorfeatheredges.– Provideatleast1.0mmofspaceinthecuspareasforonlays.

Startingsituation Openingthecavity Opencavity Proximal extension

Proximal: boxpreparation

Proximal: boxpreparation

Smoothingthecavityandproximalboxes

Finishedandsmoothed preparation

1.0

1.0

6°

100-120°

6°

1,01,0

LS2


12Partial crown

–Makesurethatthepreparationmarginsarenotlocatedintheareaofstaticordynamic antagonistcontacts.

–Provideatleast1.5mmofspaceinthecuspareas.–Prepareacircularshoulderwithroundedinneredgesorachamferatanangleof

approximately20to30degrees.–Ensurethatthewidthoftheshoulder/chamferisatleast1.0mm.

Startingsituation Openingthecavity, occlusalorientationgrooves

Occlusalandoralreduction ofthecusp

Creatingthecircular preparationmargin

Smoothingthecusps Proximalpreparation Proximalpreparation Finishedandsmoothedpreparation

1.51.5

1.5

1.0

1.5


LS2


13Anterior crown

−Evenlyreducetheanatomicalshapewhileobservingthestipulatedminimum thicknesses.

– Prepareacircularshoulderwithroundedinneredgesorachamferatanangle ofapproximately10to30degrees.Ensurethatthewidthofthecircular shoulder/chamferisatleast1.0mm.

– Reducetheincisalcrownthirdbyatleast1.5mm.–Reducethevestibularand/ororalareabyatleast1.2mm.–Forconventionaland/orself-adhesivecementation,makesurethatthepreparationdemonstratesretentive

surfacesandasufficientpreparationheightofatleast4.0mm.

Startingsituation Incisalorientationgrooves Facialandoral: marginalorientationgroove

Facial:centralandincisalorientationgrooves

Facialpreparationon 3levels:

oralconcavity

Proximalseparation Incisalshortening ofthetoothlength

Finishingandsmoothing thepreparation

1.0

1.0

1.5

1.2 1.2


LS2

LS2

ZrO2

ZrO2


14

Startingsituation Openingthecentralfissure Occlusal orientationgrooves

Vestibularpreparation

Marginalpreparation Proximalpreparation Occlusalpreparation Finishingandsmoothing thepreparation

1.5

1.0 1.0

1.5

1.5

1.5

1.5

6°

1.0 1.0

1.5 1.5

6°

1.2

1.21.2


LS2 ZrO2

Posterior crown

−Evenlyreducetheanatomicalshapewhileobservingthestipulatedminimum thicknesses.

–Prepareacircularshoulderwithroundedinneredgesorachamferatan angleofapproximately10to30degrees.Ensurethatthewidthofthecircular shoulder/chamferisatleast1.0mm.

– Reducetheocclusalcrownthirdbyatleast1.5mm.−Reducethebuccalorpalatal/lingualareabyatleast1.5mmforLS2andbyatleast1.2mmforZrO2.–Forconventionaland/orself-adhesivecementation,makesurethatthepreparationdemonstratesretentive

surfacesandasufficientpreparationheightofatleast4.0mm.

LS2 ZrO2


153-unit bridge

Thepreparationoftheabutmentteethisthesameasforanteriorandposteriorcrowns.

Note regarding lithium disilicate glass-ceramic (LS2) bridges: Giventhedifferentmasticatoryforces,themaximumacceptableponticwidthisdifferentintheanteriorandposteriorregion.

Theponticwidthisdeterminedontheunpreparedtooth.–Intheanteriorregion(uptothecanine),theponticwidthshouldnotexceed11.0mm.–Inthepremolarregion(canineuptothesecondpremolar),theponticwidthshouldnotexceed9.0mm.

Maximum pontic width

9 mmPremolar area

up to the canine

Maximum pontic width

11 mmAnterior region

Bridge (4–andmulti-unitbridges)

−Evenlyreducetheanatomicalshapewhileobservingthestipulatedminimumthicknesses.– Prepareacircularshoulderwithroundedinneredgesorachamferatanangleofapproximately

10to30degrees.−Ensurethatthewidthofthecircularshoulder/chamferisatleast1.0mm.−Reducetheincisalorocclusalcrownthirdbyatleast2.0mm.−Reducethevestibularand/ororalareabyatleast1.5mm.


1.0

1.5

1.0

1.5

2.0

1.0

1.5

2.0

1.0 1.0

1.5

2.0

1.5

6°

ZrO2

LS2 ZrO2

16

Practical procedure for restoration with IPS e.max | Die – Shade determination

Die – Shade determination

TheIPSNaturalDieMaterialShadeGuideisusedtodeterminethedieshade.Determiningthedieshadeattheendofthepreparationisaveryimportantstepforthefabrica-tionofall-ceramicrestorations.Especiallywithseverelydiscolouredpreparationsthis isofut-mostimportance.Onlyifthedentistdeterminestheshadeofthepreparationandconsidersitintheselectionoftherestorativematerial,maythedesiredestheticsbeachievedinatargetedfashion.

Shade determination on the prepared tooth/die

– Carryouttheshadedeterminationatdaylight.– Carryouttheshadedeterminationonthepreparedtooth.– UsetheIPSNaturalDieShadeGuide.

Taketheimpressionasusual:– Silicone(e.g.Virtual®) – Polyether– Digitalimpression

Die shade Cementation material Restoration shade Desiredtooth shade

Die – Shade determination

Temporary restoration

Function,phoneticsandestheticsofthepermanentrestorationarepredefinedandmaystillbeadaptedanytime.Forthisessentialtreatmentstep,theTelio® productsystemprovidesamultitudeofapplicationoptions.

Important: The temporary restoration is cemented with a temporary, eugenol-free cement, such as the dual-curing Telio® CS Link.

LS2

ZrO2

FAPFluor-Apatit

Zirkoniumoxid

Lithiumdisilikat

LS2

ZrO2

FAPFluor-Apatit

Zirkoniumoxid

Lithiumdisilikat

Impression

17

Practical procedure for restorations with IPS e.max | Cementation

Cementation

Conditioning of the restoration

Material Lithium disilicate LS2 Zirconium oxide ZrO2

Indication

Thinveneers,veneers,occlusal

veneers,inlays,onlays,partialcrowns

Crownsand3-unitbridges uptothesecondpremolar Crownsandbridges

Cementation method adhesive adhesive self-adhesive/

conventional adhesive self-adhesive/conventional

Blasting – CleaningwithAl2O3atamaximumpressureof1bar

Etching 5%hydrofluoricacid(e.g.IPS®CeramicEtchingGel)20s –

Conditioning Monobond®Plus60s1)

Monobond®Plus60s1)

Cementation system

Variolink®Veneer, Variolink®II, Multilink® Automix

Multilink® Automix

SpeedCEM®

Vivaglass®CEMMultilink® Automix

SpeedCEM®

Vivaglass®CEM

1) With conventional cementation, conditioning is not necessary.

Please observe the corresponding Instructions for Use.

IPS® Ceramic Etching Gel–togenerateretentivebondingsurfacesonglass-ceramics– Itdecisivelyenhancesthebondingeffectbetweenthecementationmaterialandthe

ceramic.– IPSCeramicEtchingGelmustnotbeappliedintraorally!

Ivoclean–universalcleaningpastetoremoveproteins– Afterthetry-inofrestorationswithalreadyetchedsurfaces–Appliedbeforeconditioning

Monobond® Plus–universalsingle-componentbondingagent– Generatinganadhesivebond(e.g.oftheVariolinkandMultilinklineofproducts)– Forallindirectrestorativematerials(glass-andoxide-ceramics,metals,composites,fibre-

reinforcedcomposites)

18


Tip

Toprovidethenecessaryandabsoluteisolationofthetreatmentareaduringincorporation,werecommendusingarubberdamasanauxiliary.

OptraDam® Plus (rubberdam):– Absoluteisolationofthetreatmentarea– Anatomicalshapeandflexible,three-dimensionaldesign– Comfortabletowear,evenduringlengthyprocedures

Cementation Navigation System – CNS

TheCNSwillsupportyouintheselectionofthesuitablecementationmaterialinvirtuallyeverysituationwherecementationonnaturaltoothstructureor implantabutments isrequired.Moreover,theCNSshowsyoutheoptionsprovidedbythecementationmaterialsfromIvoclarVivadent.Detailedanimationsguideyouthroughthecomprehensiveapplicationprotocol–fromtheremovalofthetemporaryrestorationtothefinalfluorideapplication.

Availableasonlineapplication,CD-ROM,andAppforiPhoneandAndroid

www.cementation-navigation.com

CnS

19


Intraoral adjustments

Recommended grinding instruments for ceramics – use in the dental officeToachievetheexpectedclinicalpropertiesoftheceramicmaterials,exactpolishingafteradjustmentsbygrindingisimperative.

Layering ceramics /Schichtkeramik


Type of ceramic /

Keramiktyp

Extensive corrections /

Grosse Korrekturen

Minor corrections /

Geringe Korrekturen

Endo AccessPolishing / Politur

(OptraFine)

extra fine /

extra fein

15–25 µm

extra fine /

extra fein

15–25 µm

medium

<_100 µm

extra fine /

extra fein

15–25 µm

extra fine /

extra fein

15–25 µm

medium

<_100 µm

fine / fein

40–50 µm

extra fine /

extra fein

15–25 µm

medium

<_100 µm

fine / fein

40–50 µm

fine / fein

40–50 µm

medium

<_100 µm

Leucite-reinforced glass-ceramic /Leuzitverstärkte Glasskeramik


Lithium disilicate glass-ceramic /

Lithiumdisilikat-Glaskeramik


Zirconium oxide / Zirkoniumoxid


d.SIGN IPS ®

InLine PoM®

IPS

InLine ®IPS

Empress IPS ®

Esthetic Empress IP

S ®

CAD



+ Polishing Paste




+ Polishing Paste




+ Polishing Paste


IPS

e.m

axIP

S In

Line

/IPS

InLi

ne P

oM

IPS

d.SI

GN

Recommended grinding instruments for ceramics – use in the dental practice

Schleifkörperempfehlung für Keramik – Anwendung in der zahnärztlichen Praxis

TheprovidedgrainsizesofthediamondbursarerecommendationsforceramicmaterialsfromIvoclarVivadent.Thecorrespondingdirectionsofthemanufacturerofthegrindinginstrumentsregardingtheircorrectuse,e.g.speed,havetobeobserved.

20 IPS e.max® lithium disilicate veneer cemented with Variolink® Veneer

Clinical cases – step-by-step

Thetemporaryrestorationsareremoved.Theprepa-rationsarecleanedwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxyt®fluo-ride-free).Subsequently,thepreparationsarerinsedwithwatersprayanddriedwithoil-freeair.

Subsequently,thegelisthoroughlyrinsedoffwithavigorouswatersprayforatleast5seconds.Excessmoistureisremovedleavingthedentinsurfacewithaslightlyglossywetappearance(wetbonding).

Monobond®Plusisappliedontothepretreated surface,allowedtoreactfor60secondsandthenthoroughlydispersedwithair.

Fortheestheticinspection,Variolink®VeneerTry-inPastecanbeused.Afterthetry-in,theTry-InPasteisthoroughlywashedoffwithwaterspray,andtherestorationisdriedwithoil-andmoisture-freeair.

Syntac®Primerisappliedonthepreparationusing abrush,gentlyrubbedinandallowedtoreactforatleast15seconds.ExcessofSyntacPrimerisdispersedandthoroughlydried.Itisnotrinsedoff.

Thetreatmentfieldisisolatedwitharubberdam(e.g.OptraDam®)andthepreparationiscleanedagainaccordingtothestepsdescribedabove.Subsequently,thepreparationisdriedwithoil-freeair.Overdryingmustbeavoided.

Etchingisperformedwith5%hydrofluoricacid(e.g.IPS®CeramicEtchingGel)for20seconds.Subsequently,thepreparationisrinsedthoroughlywithwateranddriedwithoil-freeair.

SyntacAdhesiveisappliedandallowedtoreact for10seconds.Subsequently,thepreparationisthoroughlydriedwithanairsyringe.Itisnot rinsedoff.

TotalEtch(37%phosphoricacidgel)isapplied.Thephosphoricacidisallowedtoreactontheenamelfor15–30secondsandonthedentinfor 10–15seconds.

LS2

Dr Lukas Enggist / Jürgen Seger (DT), Principality of Liechtenstein

21

Clinical cases – step-by-step | IPS e.max® lithium disilicate veneer cemented with Variolink® Veneer

Heliobondisappliedanddispersedtoathinlayer. Heliobondisonlypolymerizedtogetherwiththecementationmaterial.

Inordertopreventoxygeninhibition,therestorationmarginsarecoveredwithglycerinegel/airblock (e.g.LiquidStrip)immediatelyafterremovalof excess.

VariolinkVeneerisapplieddirectlyontothepreparationand/orontotheinnersideoftherestoration,ifrequired.Subsequently,itisseatedandheldinplacemaintainingstablepressure.

Ifacuringlightwithanoutputofatleast 800mW/cm2isused,eachmmoftheceramic materialandsegmentispolymerizedforatleast 10seconds.Subsequently,LiquidStripisrinsedoff.Thecementationstepsarerepeatedforallveneers.

Proximalareasarereworkedusingfinishingand polishingstrips.Therestorationmarginsare polishedusingpolishers(Astropol®)ordisks.

AthinlayerofFluorProtectorisapplied,evenly dispersedanddriedwithanairsyringe.

Therestorationistackedinplacebylight-curing asmallareafor3–4seconds(e.g.Bluephase®, 650mW/cm2,LOWmode).Excessmaterialis removedusingasuitableinstrument.

22 IPS e.max® lithium disilicate inlay cemented with Multilink® Automix

Thetemporaryrestorationisremoved.Theprepara-tioniscleanedwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxyt®fluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.

ExcessMultilinkPrimerisdispersedwithairuntilthemobileliquidfilmisnolongervisible.

Monobond®Plusisappliedonthepretreatedsurface,allowedtoreactfor60secondsandthenthoroughlydispersedwithair.

Thepermanentrestorationistried-in.Theshade,fitandocclusionoftherestorationarechecked.Fortheestheticinspection,MultilinkAutomixTry-InPastecanbeused.Afterthetry-in,theTry-InPasteisthoroughlywashedoffwithwaterspray,andtherestorationisdriedwithoil-freeair.

MultilinkAutomixisdispensedfromtheautomix syringeandapplieddirectlyontherestoration.Subsequently,therestorationisseatedandheldinplacemaintainingstablepressure.

Reliableisolationofthetreatmentfield(e.g.OptraDam®)isindispensablefortheadhesivecementationwithcomposites.Thepreparationiscleanedagainwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxytfluoride-free).Subsequently,itisrinsedwith watersprayanddriedwithoil-freeair.Overdryingmustbeavoided.


Excesscementmaterialisremovedwithamicro-brush/brush/foampellet/dentalfloss.Alternatively,excessmaterialislight-curedwithapolymerizationdevice(650mW/cm2:3secondsor1,000mW/cm2:1–2secondsperquartersurface)atadistance of10mmusingthequartertechniqueand subsequentlyremovedwithascaler.

ThemixedMultilink®PrimerA/Bisappliedontheentirebondingsurface(startingfromtheenamelsurface)usingamicrobrushandrubbedinfor 30seconds.

LS2

Dr Ronny Watzke / Sandra Sulser (DT), Principality of Liechtenstein

23

Clinical cases – step-by-step | IPS e.max® lithium disilicate inlay cemented with Multilink® Automix

Inordertopreventoxygeninhibition,therestorationmarginsarecoveredwithglycerinegel/airblock(e.g.LiquidStrip)immediatelyaftertheremovalofexcess.

Proximalareasarereworkedusingfinishingandpolishingstrips.Theocclusionandfunctionarechecked.Restorationmarginsarepolishedusingpolishers(Astropol®)ordisks.

AthinlayerofFluorProtectorisapplied.Thevarnishisevenlyappliedanddriedwithanairsyringe.

Subsequently,allcementationjointsarelight-cured(approx.1,200mW/cm2)againfor20seconds.Ifnon-translucent,opaquerestorativematerialsareused,self-curingmustbecompleted.

Subsequently,LiquidStripisrinsedoffandtherubberdamisremoved.

24 IPS e.max® lithium disilicate anterior crown cemented with Multilink® Automix

Thetemporaryrestorationisremoved.Theprepara-tioniscleanedwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxyt®fluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.

ExcessMultilinkPrimerisdispersedwithairuntilthemobileliquidfilmisnolongervisible.


Thepermanentrestorationistried-in.Forthe estheticinspection,Multilink®AutomixTry-InPastecanbeused.Afterthetry-in,theTry-InPasteisthoroughlywashedoffwithwaterspray,andtherestorationisdriedwithoil-andmoisture-freeair.

MultilinkAutomixisdispensedfromtheautomix syringeanddirectlyappliedontherestoration.

Thepreparationiscleanedagainaccordingtothestepsdescribedabove.Subsequently,theprepara-tionisdriedwithoil-freeair.Overdryingmustbeavoided!


Therestorationisseatedandheldinplacemaintainingstablepressure.

ThemixedMultilink®PrimerA/Bisappliedontheentirebondingsurface(startingfromtheenamelsurface)usingamicrobrushandrubbedinfor 30seconds.

LS2

Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein

25

Clinical cases – step-by-step | IPS e.max® lithium disilicate anterior crown cemented with Multilink® Automix

Excesscementislight-curedwithapolymerizationdevice(650mW/cm2:3secondsor1,000mW/cm2:1–2secondsperquartersurface)atadistanceof 10mmusingthequartertechnique.

Subsequently,allcementationjointsarelight-cured(approx.1,200mW/cm2)againfor20seconds.Ifnon-translucent,opaquerestorativematerialsareused,self-curingmustbecompleted.Subsequently,LiquidStripisrinsedoff.

Proximalareasarereworkedusingfinishingandpolishingstrips.Theocclusionandfunctionarechecked.Restorationmarginsarepolishedusingpolishers(Astropol®)ordisks.

AthinlayerofFluorProtectorisapplied.The varnishisevenlydispersedanddriedwithanairsyringe.

Excessmaterialisnoweasilyremovedwithascaler. Inordertopreventoxygeninhibition,therestora-tionmarginsarecoveredwithglycerinegel/airblock(e.g.LiquidStrip)immediatelyaftertheremovalofexcess.

26 IPS e.max® lithium disilicate posterior crown cemented with Multilink® Automix

Thepreparationiscleanedwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxyt®fluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.

Subsequently,thepreparationisthoroughlyrinsedwithwaterspray...

Thepermanentrestorationistried-ininthenon-crystallizedstate.Anyadjustmentsoftheocclusioncontactscanbeeasilyperformedbeforecrystallization.Subsequently,thecombinationfiring(crystallization,glaze)isperformed.

...anddriedwithoil-freeair.

Etchingisperformedwith5%hydrofluoricacid(e.g.IPS®CeramicEtchingGel)for20seconds.

Monobond®Plusisappliedonthepretreated surface,allowedtoreactfor60secondsandthenthoroughlydispersedwithair.

LS2

Dr Arnd Peschke, Principality of Liechtenstein / Chairside

27

Clinical cases – step-by-step | IPS e.max® lithium disilicate anterior crown cemented with Multilink® Automix

Excesscementmaterialislight-curedwithapoly-merizationdevice(650mW/cm2:3secondsor 1,000mW/cm2:1–2secondsperquartersurface) atadistanceof10mmusingthequartertechnique.

Excessmaterialisnoweasilyremovedwithascaler.

Inordertopreventoxygeninhibition,therestora-tionmarginsarecoveredwithglycerinegel/airblock(e.g.LiquidStrip)immediatelyaftertheremovalofexcess.Subsequently,allcementationjointsarelight-cured(approx.1,200mW/cm2)againfor20seconds.Ifnon-translucent,opaquerestorativematerialsareused,self-curingmustbecompleted.

Proximalareasarereworkedusingfinishingandpolishingstrips.Theocclusionandfunctionarechecked.Restorationmarginsarepolishedusingpolishers(Astropol)ordisks.

AthinlayerofFluorProtectorisapplied.Thevarnishisevenlydispersedanddriedwithanairsyringe.

ThemixedMultilink®PrimerA/Bisappliedontheentirebondingsurface(startingfromtheenamelsurface)usingamicrobrushandrubbedinfor 30seconds.ExcessMultilinkPrimerisdispersedwithairuntilthemobileliquidfilmisnolongervisible.

MultilinkAutomixisdispensedfromtheautomixsyringeanddirectlyappliedontherestoration.

Therestorationisseatedandheldinplace maintainingstablepressure.

28 IPS e.max® lithium disilicate anterior bridge cemented with SpeedCEM®

Thetemporaryrestorationisremoved.Theprepara-tioniscleanedwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxyt® fluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.



Thepermanentrestorationistried-in.Theshade,fitandocclusionoftherestorationarenowchecked.

Excesscementmaterialislight-curedwithapoly-merizationdevice(approx.650mW/cm2)for 1secondperquartersurfaceatadistanceofapprox.0–10mm.

Thepreparationiscleanedagainwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxytfluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-andmoisture-freeair.Overdryingmustbeavoided.


Thegel-likeexcessmaterialisnoweasilyremovedwithascaler.

SpeedCEM®isdispensedfromtheautomixsyringeandthedesiredamountisapplieddirectlyonthebondingsurfaceoftherestoration.


LS2

29

Clinical cases – step-by-step | IPS e.max® lithium disilicate anterior bridge cemented with SpeedCEM®

Inordertopreventoxygeninhibition,therestorationmarginsarecoveredwithglycerinegel/airblock(e.g.LiquidStrip)immediatelyaftertheremovalofexcess.

Proximalareasarereworkedusingfinishingand polishingstrips.Theocclusionandfunctionarechecked.Restorationmarginsarepolishedusingpolishers(OptraPol®NextGeneration)ordisks.


Subsequently,allcementationjointsarelight-cured(approx.1,200mW/cm2)againfor20seconds.Ifnon-translucent,opaquerestorativematerialsareused,self-curingmustbecompleted.

Subsequently,LiquidStripisrinsedoff.

30 IPS e.max® zirconium oxide anterior bridge cemented with SpeedCEM®

Thetemporaryrestorationisremoved.Theprepara-tioniscleanedwithapolishingbrushandanoil- andfluoride-freecleaningpaste(e.g.Proxyt® fluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.

ThedesiredamountofSpeedCEM®isapplied directlyontothebondingsurfaceoftherestoration.

Thepermanentrestorationistried-in.Theshade, fitandocclusionoftherestorationarechecked. Theinnersurfaceoftherestorationiscleanedbyblastingit(e.g.IPSe.max®ZirCAD,1bar, Al2O3100μm).


Thepreparationiscleanedagainwithapolishingbrushandanoil-andfluoride-freecleaningpaste(e.g.Proxyt®fluoride-free).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.Over-dryingmustbeavoided.

Excesscementmaterialislight-curedwithapoly-merizationdevice(approx.650mW/cm2)for 1secondperquartersurfaceatadistanceof approx.0–10mm.

ZrO2

Dr Ronny Watzke / Pascal Scherrer (DT), Principality of Liechtenstein

31

Clinical cases – step-by-step | IPS e.max® zirconium oxide anterior bridge cemented with SpeedCEM®

Proximalareasarereworkedusingfinishingand polishingstrips.Theocclusionandfunctionarechecked.Restorationmarginsarepolishedusing polishers(OptraPol®NextGeneration)ordisks.


Excessmaterialisnoweasilyremovedwithascaler. Inordertopreventoxygeninhibition,therestora-tionmarginsarecoveredwithglycerinegel/airblock(e.g.LiquidStrip)immediatelyaftertheremovalofexcess.

Subsequently,allcementationjointsarelight-cured(approx.1,200mW/cm2)againfor20seconds.Ifnon-translucent,opaquerestorativematerialsareused,self-curingmustbecompleted.Subsequently,LiquidStripisrinsedoff.

32 IPS e.max® lithium disilicate hybrid abutment and crown cemented with SpeedCEM®

Theabutmentisscrewed-in.

SpeedCEM®isdispensedfromtheautomixsyringeandthedesiredamountisapplieddirectlyontherestoration.

AthinlayerofMonobond®Plusisappliedontheabutmentandallowedtoreactfor60seconds.Subsequently,theabutmentisdriedwithmoisture-andoil-freeair.

Thepermanentrestorationistried-in.Theshade,fitandocclusionoftherestorationarenowchecked.


Etchingisperformedwith5%hydrofluoricacid(e.g.IPS®CeramicEtchingGel)for20seconds.Next,thepreparationisrinsedthoroughlywithwateranddriedwithoil-freeair.

Theabutmentiscleanedwithapolishingbrush andanoil-andfluoride-freecleaningpaste(e.g.Proxyt®).Subsequently,itisrinsedwithwatersprayanddriedwithoil-freeair.

Excesscementmaterialislight-curedwithapoly-merizationdevice(e.g.Bluephase®,approx. 650mW/cm2,LOWmode)for1secondperquartersurfaceatadistanceofapprox.0–10mm.

MonobondPlusisappliedonthepretreated surface,allowedtoreactfor60secondsand thoroughlydispersed.

LS2

Dr Ronny Watzke / Jürgen Seger (DT), Principality of Liechtenstein

33

Clinical cases – step-by-step | IPS e.max® lithium disilicate hybrid abutment and crown cemented with SpeedCEM®

Thegel-likeexcessmaterialisnoweasilyremovedwithascaler.

Proximalareasarereworkedusingfinishingandpolishingstrips.Theocclusionandfunctionarecheckedandadjusted,ifrequired.Restorationmarginsarepolishedusingpolishers(Astropol®)ordisks.

AthinlayerofCervitec®Plusisapplied.Thevarnishislefttodryordriedwithanairsyringe.

Inordertopreventoxygeninhibition,therestora-tionmarginsarecoveredwithglycerinegel/airblock(e.g.LiquidStrip)immediatelyaftertheremovalofexcess.Subsequently,allcementationjointsarelight-cured(approx.1,200mW/cm2)againfor 20seconds.Ifnon-translucent,opaquerestorativematerialsareused,self-curingmustbecompleted.

Subsequently,LiquidStripisrinsedoff.

34 IPS e.max® lithium disilicate hybrid abutment crown – screwed-in

Thetemporaryrestorationisremoved.

Thescrewchannelisetchedfromtheocclusalsidewith5%hydrofluoricacidgel(IPS®CeramicEtchingGel)for20seconds.

Thehybridabutmentcrownisscrewedinmanuallywiththededicatedscrewforthetry-inofthe permanentrestoration.Theshade,fitandocclusionoftherestorationarenowchecked.Subsequently,thehybridabutmentcrownis carefullyremovedagainforextraoralcleaning.

Next,thepreparationisrinsedthoroughlywithwateranddriedwithoil-freeair.

Thehybridabutmentcrowniscleaned,rinsedwithwatersprayandthendriedwithoil-freeair.

Thehybridabutmentcrownisinsertedintothe implantintraorally.Itisscrewedinmanuallywiththeappropriatescrew,whichistightenedwithatorquewrench(theinstructionsofthemanufacturermustbeobserved).

LS2


35

Clinical cases – step-by-step | IPS e.max® lithium disilicate hybrid abutment crown – screwed-in

PolymerizationisperformedusinganLEDpoly-merizationdevice(e.g.Bluephase®).

Monobond®Plusisappliedonthepretreated surface,allowedtoreactfor60secondsandthenthoroughlydispersedwithair.

Theocclusion/articulationischeckedafterpoly-merizationandanyroughspotsareremovedwithsuitablefine-gritdiamonds.Therestorationispolishedtoahighglossusingsiliconepolishers(e.g.OptraFine).

Next,cottonorfoampelletsareinsertedintothescrewchannelandthebondingsystemisapplied(e.g.Heliobond).

Thescrewchannelissealedwithacomposite material(e.g.TetricEvoCeram®)intheappropriateshade.

AthinlayerofCervitec®Plusisapplied.Thevarnishislefttodryordriedwithanairsyringe.

36 Starting situation – Final result

IPS e.max lithium disilicate veneer cemented with Variolink® VeneerDr Lukas Enggist / Jürgen Seger (DT), Principality of Liechtenstein

IPS e.max lithium disilicate inlay cemented with Multilink® AutomixDr Ronny Watzke / Sandra Sulser (DT), Principality of Liechtenstein

37

Clinical cases | Starting situation – Final result

IPS e.max lithium disilicate anterior crown cemented with Multilink® AutomixDr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein

IPS e.max lithium disilicate posterior crown cemented with Multilink® AutomixDr Arnd Peschke, Principality of Liechtenstein / Chairside

38


IPS e.max lithium disilicate anterior bridge cemented with SpeedCEM® Dr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein

IPS e.max zirconium oxide anterior bridge cemented with SpeedCEM®

Dr Ronny Watzke / Pascal Scherrer (DT), Principality of Liechtenstein

39

IPS e.max lithium disilicate hybrid abutment and crown cemented with SpeedCEM®

Dr Ronny Watzke / Jürgen Seger (DT), Principality of Liechtenstein

IPS e.max lithium disilicate hybrid abutment crown – screwed-inDr Ronny Watzke / Franz Perkon (DT), Principality of Liechtenstein


40

Aftercare

Quality assurance by means of professional care

Like natural teeth, high-quality all-ceramic restorations need regular professional care. Theobjectiveistoobtainclean,smoothsurfacesonwhichthegrowthofbacterialbiofilmsandtheriskofsecondarycariesandgingivitisisminimized.

Proxyt®

Fluor Protector

Peri-implanttissueismoresensitivethangingivaltissue.ImplantrestorationsaregentlycleanedwiththefineProxytpasteandsoftrubbercupsorbrushes.

Theclear,colourlessprotectivevarnishFluorProtectorprotectsthenaturalteeth.

AthinlayerofFluorProtectorisevenlyappliedonthe previouslycleanedanddriedteeth.Subsequentlythe varnishisdriedwithair.Afterthetreatment,themouthisnotrinsedwithwater.

ThefineProxytpaste,whichdoesnotcontainpumice, enablesyoutoeffectivelycleanyourhigh-qualityceramicrestorations.Thepolishingpasteensuresanaturalglossandisgentletothesensitivegingivaltissue.

41

Results from more than 10 years of research

The IPSe.maxSystem isan innovativeall-ceramic system,which includesmaterialsmadeoflithium disilicate (LS2) glass-ceramic and zirconium oxide (ZrO2) for the press technique andCAD/CAMtechnology.Inaddition,auniversallyapplicablenano-fluorapatiteglass-ceramicforveneeringallthedifferentcomponentsoftheIPSe.maxSystemisavailable.

Fromthebeginningofitsdevelopmentuntiltotoday,theIPSe.maxSystemhasbeenmonitoredbythescientificcommunityandmanyrenownedexpertshavecontributedtotheestablishmentofanexcellentdatabasewith their studies.Theworldwide success story, theevergrowingdemand,aswellasthemorethan40millionfabricatedrestorationsaretestamenttothesuccessandthereliabilityofthesystem.

More than 20 clinical in-vivo studies to date and evenmore in-vitro studies, aswell as thecontinuouslyrisingnumberofclinicalstudiesinvolvingthee.maxSystemthroughouttheworldshowthelong-termsuccessoftheproductintheoralcavitiesofpatients.

Summary of the IPS e.max System

DataontheclinicaluseoftheIPSe.maxSystemoveraperiodofupto5yearsforZrO2andupto10yearsforLS2isavailable.

The survival rates from clinical studies on IPS e.max Press (6 studies), IPSe.maxCAD(6studies)andIPSe.maxZirCAD(8studies)weresumma-rizedandtheoverallsurvivalrateofthesystemwascalculated.Atotalof1071 IPS restorations from20clinical studieswere included.The resultrevealedanoverallsurvivalrateof96.8%fortheIPSe.maxSystem.

all ceramic

all you need

SCIENTIFIC REPORTVol. 02 / 2001 – 2013Deutsch

42

43

665082/en/2013-09-30

ivoclar Vivadent aGBendererstrasse 29494 SchaanLiechtensteinTel. +423 235 35 35Fax +423 235 33 60www.ivoclarvivadent.com

ivoclar Vivadent Pty. ltd. 1 – 5 Overseas DriveP.O. Box 367Noble Park, Vic. 3174AustraliaTel. +61 3 9795 9599Fax +61 3 9795 9645www.ivoclarvivadent.com.au

ivoclar Vivadent ltda.Alameda Caiapós, 723Centro Empresarial TamboréCEP 06460-110 Barueri – SPBrazilTel. +55 11 2424 7400Fax +55 11 3466 0840www.ivoclarvivadent.com.br

ivoclar Vivadent inc.1-6600 Dixie RoadMississauga, OntarioL5T 2Y2CanadaTel. +1 905 670 8499Fax +1 905 670 3102www.ivoclarvivadent.us

ivoclar Vivadent Shanghai Trading Co., ltd.2/F Building 1, 881 Wuding Road, Jing An District 200040 Shanghai ChinaTel. +86 21 6032 1657Fax +86 21 6176 0968www.ivoclarvivadent.com

ivoclar Vivadent Marketing ltd.Calle 134 No. 7-B-83, Of. 520BogotáColombiaTel. +57 1 627 3399Fax +57 1 633 1663www.ivoclarvivadent.co

ivoclar Vivadent SaSB.P. 118F-74410 Saint-JoriozFranceTel. +33 4 50 88 64 00Fax +33 4 50 68 91 52www.ivoclarvivadent.fr

ivoclar Vivadent GmbH Dr. Adolf-Schneider-Str. 2D-73479 Ellwangen, JagstGermanyTel. +49 7961 889 0Fax +49 7961 6326www.ivoclarvivadent.de

Wieland dental + Technik GmbH & Co. KGSchwenninger Strasse 13D-75179 PforzheimGermanyTel. +49 7231 3705 0Fax +49 7231 3579 59www.wieland-dental.com

ivoclar Vivadent Marketing (india) Pvt. ltd. 503/504 Raheja Plaza 15 B Shah Industrial Estate Veera Desai Road, Andheri (West) Mumbai, 400 053 IndiaTel. +91 22 2673 0302 Fax +91 22 2673 0301www.ivoclarvivadent.in

ivoclar Vivadent s.r.l. Via Isonzo 67/6940033 Casalecchio di Reno (BO)ItalyTel. +39 051 6113555Fax +39 051 6113565www.ivoclarvivadent.it

ivoclar Vivadent K.K.1-28-24-4F HongoBunkyo-ku Tokyo 113-0033JapanTel. +81 3 6903 3535Fax +81 3 5844 3657www.ivoclarvivadent.jp

ivoclar Vivadent ltd.12F W-Tower, 1303-37Seocho-dong, Seocho-gu,Seoul 137-855Republic of KoreaTel. +82 2 536 0714Fax +82 2 596 0155www.ivoclarvivadent.co.kr

ivoclar Vivadent S.a. de C.V.Av. Insurgentes Sur No. 863,Piso 14, Col. Napoles03810 México, D.F.MéxicoTel. +52 55 5062 1000Fax +52 55 5062 1029www.ivoclarvivadent.com.mx

ivoclar Vivadent BVDe Fruittuinen 322132 NZ HoofddorpNetherlandsTel. +31 23 529 3791Fax +31 23 555 4504www.ivoclarvivadent.com

ivoclar Vivadent ltd.12 Omega St, RosedalePO Box 303011 North HarbourAuckland 0751New ZealandTel. +64 9 914 9999Fax +64 9 914 9990www.ivoclarvivadent.co.nz

ivoclar Vivadent Polska Sp. z o.o.Al. Jana Pawla II 7800-175 WarszawaPolandTel. +48 22 635 5496Fax +48 22 635 5469www.ivoclarvivadent.pl

ivoclar Vivadent Marketing ltd. Prospekt Andropova 18 korp. 6/ office 10-06 115432 Moscow Russia Tel. +7 499 418 0300 Fax +7 499 418 0310 www.ivoclarvivadent.ru

ivoclar Vivadent Marketing ltd.Qlaya Main St.Siricon Building No.14, 2nd FloorOffice No. 204P.O. Box 300146Riyadh 11372Saudi ArabiaTel. +966 1 293 8345Fax +966 1 293 8344www.ivoclarvivadent.com

ivoclar Vivadent Pte. ltd.171 Chin Swee Road#02-01 San CentreSingapore 169877 Tel. +65 6535 6775Fax +65 6535 4991www.ivoclarvivadent.com

ivoclar Vivadent S.l.u.C/ Ribera del Loira nº 46, 5ª planta28042 MadridSpainTel. + 34 913 757 820Fax + 34 913 757 838www.ivoclarvivadent.es

ivoclar Vivadent aBDalvägen 14S-169 56 SolnaSwedenTel. +46 8 514 939 30Fax +46 8 514 939 40www.ivoclarvivadent.se

ivoclar Vivadent liaison Office: Tesvikiye Mahallesi Sakayik SokakNisantas’ Plaza No:38/2Kat:5 Daire:24 34021 Sisli – Istanbul Turkey Tel. +90 212 343 0802 Fax +90 212 343 0842www.ivoclarvivadent.com

ivoclar Vivadent limitedGround Floor Compass BuildingFeldspar CloseWarrens Business ParkEnderbyLeicester LE19 4SEUnited KingdomTel. +44 116 284 7880Fax +44 116 284 7881www.ivoclarvivadent.co.uk

ivoclar Vivadent, inc. 175 Pineview DriveAmherst, N.Y. 14228USATel. +1 800 533 6825Fax +1 716 691 2285www.ivoclarvivadent.us

Ivoclar Vivadent – worldwide

Date post:	21-Aug-2018
Category:	Documents
Upload:	phamdieu
View:	226 times
Download:	0 times

CliniCal Guide - Make it e.max · CliniCal Guide. 2. Contents 3 ... IPS e.max delivers...

Documents