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TECHNICAL DOCUMENTATION MODERN MASTERPIECES
Transcript

TECHN ICALDOCUMENTAT ION

M O D E R N M A S T E R P I E C E S

SR PHONARES – Overview of tooth lines

Anterior tooth selection

Posterior tooth selection

Model orientation

Model analysis

Anterior tooth setup SR PHONARES NHC

Posterior tooth setup SR PHONARESTyp NHC

Posterior tooth setup SR PHONARESLingual NHC

Tooth setup in implant prosthetics

Indications

Completion

TA B L E O F CON T E N T S

2

4

6

7

8

9

10

12

16

20

21

22

Conventional occlusionTooth setup in complete denture prostheticsIntercuspationGuidelines on grinding-in

Lingualized occlusionTooth setup in complete denture prostheticsIntercuspationGuidelines on grinding-in

P R E FA C E

3

The requirements and expectationsof these patients go beyond therestoration of basic oral functions,such as chewing efficiency.Individualized esthetics plays anincreasingly important role.

The SR PHONARES line of dentureteeth offers an exceptionally highdegree of durability as these teethare based on a nano-hybrid compo-site (NHC) material.The tooth moulds are shaped accord-ing to age-specific characteristics,

allowing the fabrication of highly in-dividualized dental prostheses.

The SR PHONARES line offers dentaltechnicians, prosthetists and dentistsa new generation of denture teeth,designed to optimally meet theindividual requirements of patients.This documentation offers guidelinesfor the application of SR PHONARESteeth, helping users to achieve anoptimum level of function andesthetics.

Removable denture prosthetics is increasingly directedtowards meeting the requirements of patients withsophisticated expectations.

Impressive esthetic qualities• Unparalleled surface texture

User-friendly and convenient• Easy setup of anterior teeth due toproximal “Set & Fit" design

• Enhanced “white esthetics” due tospecially designed interdentalclosures

YOUTHFUL

UDMA matrixHigh-density silanized SiO2Inorganically filled UDMA polymer

BOLDSOFT

S R P HONA R E S AN T E R I O R T E E T H

4

SilanizedSiO2 nanoparticlePMMA cluster

• Two basic types• Three different degrees of wear

UNIVERSAL MATURE

NHC

A range of tooth moulds designed to match the age andcharacteristics of the individual patient Nano-hybrid composite

Typ NHC

Innovative advantages

S R P HONA R E S PO S T E R I O R T E E T H

Innovative manufacturing

5

Cutting-edge advanced CAD/CAM technology provides:

• ideal symmetry in theanterior region

• symmetrical externalgeometry in the posteriorregion

• true-to-dimension en-largement ofposteriorteeth

• no production-relatedproximal flash

• consistent interdental contacts• esthetic interdental design

Lingual NHC

The lingualized occlusion ofthe SR PHONARES LingualNHC tooth line offers anideal occlusal scheme forremovable dental prostheses,where positional stability isrequired (e.g. implantprosthetics).

The SR PHONARES Typ NHCteeth are the classic dentureteeth suitable for universalapplication in partial,complete and hybriddenture prosthetics.

Source: Dr. Dipl.-Ing. (FH) Martin Rosentritt, 08/2009, University of Regensburg,Germany

500450400350300250200150100500

Depthofwear[µm],meanvalue

Cross-linkedPMMA

Highly cross-linked PMMA

IsositNHC-MaterialSRPhonares

In vitro wear test for denture tooth materialsPin-on-block with steatite antagonist, after 120,000 cycles

AN T E R I O R TOO TH S E L E C T I O N

In addition to the shade, the shape (form) and sizeof anterior teeth should in particular be matchedto the individual characteristics of the patient. TheSR PHONARES NHC tooth line offers 18 upper and4 lower tooth moulds for the anterior region.

CHA I R S I D E L A B S I D E

If possible, the anterior teeth should be selecteddirectly on the patient according to the patient’sanatomical and facial characteristics. The followingmethods are recommended to facilitate the toothselection procedure:

6

It is advisable to use previous models or photographs of thepatient as guides for designing the prosthetic reconstruction. Inaddition to the position of the teeth, the tooth shape can beadapted to the original appearance of the patient.

approx.7mm

approx. 9mm

Model analysis

The following reference points are deter-mined by analysing the model:

1] Position of the canines:Determine the first large pair of rugae;the centre of the labial surface of themaxillary canine is positioned at a distanceof 9mm.

2] Contact point of the two central incisors:The labial surface of the central incisors islocated at a distance of 7mm from thecentre of the incisive papilla.

Based on the length of the curve passingthrough these three reference points, youcan select an anterior set of appropriatewidth by means of the tooth mould chart.

FormSelector

The PHONARES FormSelector allows fast, easyand targeted selection of the appropriateanterior tooth mould.

Step 1 Determine the interalar width ofthe nose with the help of theFacialMeter. Select an appropria-tely sized tooth mould from theINTER-ALA table.

Step 2 Select the desired tooth form, softor bold, in line with the shape ofthe patient’s face.

Step 3 Select the appropriate age groupof the teeth according to the inci-sal wear and facial curvaturecharacteristics of the SR PHONA-RES NHC teeth.

The FormSelector is based on the relationshipbetween the interalar width of the nose andthe width of the maxillary anterior arch.Alongside a few other selection criteria, thecorrelation between the interalar width andwidth of the anterior arch is based on thestrongest scientific evidence amongstrelevant measurements.Mavroskoufis et al. (1980); Mavroskoufis et al. (1981)

PO S T E R I O R TOO TH S E L E C T I O N

The size of the posterior teeth is selected in linewith the anterior tooth moulds determined duringthe preceding stage. A variety of posterior toothmoulds are available to meet the specific require-

The SR PHONARESTyp NHC teeth are the classicdenture teeth for:

• partial denture prosthetics,• complete denture prosthetics• hybrid denture prosthetics

In addition to being suitable for universal applica-tions, the SR PHONARESLingual NHC teeth areespecially suited to meet the requirements of re-movable dental prostheses, where positional stabi-lity is required (e.g. implant prosthetics), as theseteeth are based on a lingualized occlusal scheme.

ments of individual indications and providepatients with dental prostheses that best meettheir needs.

S R P HONA R E S Ty p NH C S R P HONA R E S L i n g u a l NH C

Combination table of different tooth sizes

Small

Medium

Large

Soft

Bold

Soft

Bold

Soft

Bold

S61S71S81B61B71B81

S62S72S82B62B72B82

S63S73S83B63B73B83

SR PHONARES NHC SR PHONARESLingual NHC

SR PHONARESTyp NHCupper lower

L50L51L50, L51L50, L51L50, L51L50, L51

L51L51, L53L51, L53L51, L53L51L51, L53

L52, L53L52L52, L53L52, L53L52, L53L52

LU3 / LL3LU3 / LL3, LU5 / LL5LU3 / LL3, LU5 / LL5LU3 / LL3LU3 / LL3LU3 / LL3

LU5 / LL5LU5 / LL5, LU6 / LL6LU5 / LL5, LU6 / LL6LU5 / LL5, LU6 / LL6LU5 / LL5, LU6 / LL6LU3 / LL3, LU5 / LL5

LU6 / LL6LU6 / LL6LU6 / LL6LU6 / LL6LU6 / LL6LU6 / LL6

NU3 / NL3NU3 / NL3, NU5 / NL5NU3 / NL3NU3 / NL3NU3 / NL3, NU5 / NL5NU3 / NL3

NU3 / NL3, NU5 / NL5NU5 / NL5NU5 / NL5NU3 / NL3, NU5 / NL5NU3 / NL3, NU5 / NL5NU3 / NL3, NU5 / NL5

NU5 / NL5NU5 / NL5, NU6 / NL6NU5 / NL5, NU6 / NL6NU6 / NL6NU6 / NL6NU5 / NL5, NU6 / NL6

S HAD E S E L E C T I O N

Shade selection should be performed on thepatient under defined light conditions(5500K colour temperature) or in daylight.

An accompanying shade guide isavailable to enable consistent shadeselection in compliance with the A–Dshade system.

The tooth samples of the SR PHONARES shadeguide are based on the same layer structure andmaterials as the original SR PHONARES teeth.

Shade deviations are thereforeminimized. Shade selection mayalso be performed with the help ofa Vitapan Classical Universal*shade guide.

7*not a registered trademark of Ivoclar Vivadent

This combination table is recommended as a guideline. In case of particular anatomical conditions, deviations are possible.

MODE L O R I E N TAT I ON

The transfer of the patient specific jaw relationsis essential to achieving functionally effectivedentures.

I N D I V I D UA LMOD E L O R I E N TAT I ON

AV E RAG E - VA L U EMOD E L O R I E N TAT I ON

8

The UTS 3D transferbow is used for skull-relatedindividual model orientation.

The transfer of the patient‘s jaw relations withthe individually adjustable UTS 3D facebow isthe first important factor in the creation offunctional dentures. The accessories of theStratos articulator range also allow average-value mounting of the casts.

A horizontal guide is used to accomplish average-value orientation of the mandibular cast to thearticulator.

The Gnathometer Massists in the correctfinal recording of therelationship of theupper and lower jaw. A3D setup templateshould be used for thesetup in conjunctionwith skull-related modelorientation.

We recommend using a 2D or 2½D template.

MODE L ANA LY S I S

Marking:Raphe median planeRelevance:Reference plane to achievetransversal symmetry of theanterior tooth setup

Marking:Centre of the incisive papillaRelevance:• Anatomical midline of upper jaw• Labial positioning of the centralincisors at a distance of 7mmsagittally

Marking:Buccal demarcation lineRelevance:The line that extends from the outermargin of the tuberosity to thecanine represents the buccal limita-tion for the setup of the posteriordenture teeth

Marking:Lowest point of vestibuleRelevance:Starting point for determining thetotal vertical dimension

Marking:Upper third of the retromolar padRelevance:• Positioning of the template onthe dorsal aspect (corresponds tothe height of the occlusal plane).

• Dorsal positioning of the lateralwings of the horizontal guide

Marking:Deepest point of the vestibuleRelevance:Starting point for measuring thevertical dimension and the incisalheight of the central incisors

Marking:Anatomical midline of modelRelevance:• Bilateral orientation of theanterior setup

• Positioning of the symphysis forkof the horizontal guide

Marking:Crest of alveolar ridgeRelevance:The central fossa of theSR PHONARESTyp andSR PHONARESLingual denture teethrun along this line

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Marking:First large pair of rugaeRelevance:Labial positioning of the canineteeth at a distance of 9mm fromthe tip of the rugae

Marking:Crest of the alveolar ridgeRelevance:Provides orientation in thedetermination of the bite type

Marking:Outer contour of the tuberosityRelevance:Rounded bony protrusionbehind the last molar

Marking:Post damRelevance:Posterior palatal limit ofthe denture base

MANDIBLE

MAXILLA

S E T U P A C CO RD I N G TO MOD E L ANA LY S I S

The design of the anterior archsignificantly influences the facialexpression of the patient.

The characteristics of each individualare unique; the reference linesdetermined during the modelanalysis phase can be used as meaninitial guides for the setup of theSR PHONARES NHC denture teeth.

The BPS manual provides adetailed description of the modelanalysis and anterior tooth setupmethod.

The wax try-in of the setup to verify the phoneticand functional virtues represents the definitive oralreference.

The SR PHONARES anterior teeth are suitable forvarious anterior setup designs, ranging from con-ventional to highly individualized. Consequently,the anterior teeth support the natural estheticappearance of the individual patient.

The incisive papilla provides a reliablereference point for the setup of theanterior teeth because of itstransverse and sagittal resistance towear.

10

The position of the canine teeth plays a decisiverole in the creation of a harmonious facial expres-sion. In the dental arch, the canines are positionedin the area of the first large pair of palatine rugae,with the labial surface of the maxillary caninesbeing placed at a distance of approx. 9mm. Thevertical orientation of the canines significantly in-fluences the curvature of the smile line.

After the canines have been positioned, thelateral incisors are placed in the gap between thecentral incisors and the canines. By slightlyrotating or interlocking the lateral incisors, highlyindividualized effects can be achieved.

Starting with the canines, the mandibular incisorsare set up in a vertical and sagittal distance thatcorresponds with the respective occlusal positionand bite situation.

It can be checked if the smile line runs symmetricalto the arch of the lower lip by transferring themarkings on the bite rim to a silicone key.

In a normal bite situation, the central incisors arealigned with the incisive papilla by positioning thelabial surface approx. 7mm towards the front fromthe centre of the incisive papilla.

The raphe median plane determines the symmetryaxis of the anterior tooth setup in the upper jaw.The course of the incisal edges of the centralincisor teeth is determined by half the height ofthe overall vertical dimension plus 2mm of overlap.

NHC

AN T E R I O R TOO TH S E T U P

approx.7mm

approx. 9mm

The wide design of the tooth necks ofSR PHONARES NHC teeth permit metal structuresand abutments to be reliably covered.

The Set & Fit design is based on convex distalmargins and concave mesial proximal surfaces,which interlock like a joint. The Set & Fit designensures the natural closure of interdental spaces.

No matter which setup method is used, blacktriangles are prevented due to the widelydimensioned cervical portion of the teeth. Con-sequently, dental technicians can enjoy completefreedom in the design of the gingival portion (i.e.“pink esthetics”) of the dentures.

The SR PHONARES NHC anteriorteeth represent a new generationof denture teeth, offering lifelikeesthetics in prosthetics.

The texture of the labial surfacesreproduces the mild ripple effect seenon natural enamel surfaces. Theperikymata ensure a dynamic, true-to-nature appearance of the toothmoulds.

Harmonious Slightly individualized Highly individualized

S E T & F I T

11

S E T U P VA R I AT I O N S

Various methods can be used to set up the SR Phonares teeth. The Set & Fit design provides tightproximal contacts for all anterior setup options. This also promotes the hygiene capability of thedentures and enhances the overall esthetic appearance.

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Typ NHC

The SR PHONARESTyp NHC teeth continue the 40-year-old success story of the Orthotyp toothmoulds.

The Ivoclar Vivadent "Typ" tooth lines are basedon the principle of the group function of thelatero- and mediotrusion side according toDr. Strack.

The SR PHONARESTyp teeth are set up inaccordance with a normal bite situation in a one-to-two-tooth relation. Consequently, the primarycontacts in the centric position are located in thecentral fossae of the mandible and on themarginal ridges.

The SR PHONARESTyp NHC teeth are supported bya secondary contact area on the buccal cusps inthe mandible.

The SR PHONARESTyp NHC denture teeth aresuitable for universal applications.

1:2

PO S T E R I O R TOO TH S E T U P

CONV EN T I ONA L O C C L U S I ON

13

TOO TH S E T U P I N COMP L E T E D E N TU R E P RO S T H E T I C S

The first step involves aligning the template withthe height of the distal third of the retromolar padin the posterior region and with the height of thedistal angle of the mandibular canines in theanterior region. For the setup of theSR PHONARESTyp NHC teeth according to theBPS principles, the following criteria have to beobserved:

The use of a template ensures that the sagittal(Spee) and transverse (Wilson) compensatingcurves are taken into account. The compensatingcurves of the natural dentition are essential forbilateral balanced group guidance.

Seen from the occlusal side, the central fossae ofthe mandibular posterior teeth are positioned overthe crest of the alveolar ridge. The lingual borderof the posterior tooth setup is defined by Pound'sline (Pound's line extends from the mesial cornerof the mandibular canine to the lingual border ofthe trigonum on the same side).

The lines on the template facilitate the symmetricalsetup of posterior teeth.The setup of the mandibular teeth begins with thefirst premolars, followed by the second premolars,first molars and second molars.

Contact of the template table with the buccalcusp tips and mesio-lingual cusps must be ensured.

In the process, the vertical axes of the first andsecond molars are automatically aligned. Viewedfrom the buccal side, the axes of the first andsecond premolars have to be aligned perpendicularto the template.

The SR PHONARESTyp teeth were developed inaccordance with the principles of the BiofunctionalProsthetic System (BPS). The lower posterior teethare set up with the help of a setup template. Inline with the above notes on model orientation, a3D, 2½D, or 2D template is used.

14

• The mesio-palatal working cusp engages withthe central fossa of the mandibular first molar.

• The disto-palatal working cusp has marginalridge contacts with its antagonist.

• Viewed from the buccal side, the mesio-buccalcusp of the maxillary first molar points towardsthe mesio-buccal fissure of its antagonist. This isa typical characteristic of a conventional bitewith normal intercuspation.

The maxillary teeth can now be aligned with themandibular teeth in a 1-tooth-to-2-tooth relation-ship in optimum intercuspation.

• The mesio-palatal working cusp engages withthe central fossa of the mandibular secondmolar.

• The disto-palatal working cusp has marginalridge contacts with its antagonist.

• The palatal working cusp of the maxillary pre-molars has marginal ridge contacts with itsantagonist.

• The buccal corridor is created by the alignmentof the first premolar.

• The palatal working cusp of the maxillarypremolars has marginal ridge contacts with itsantagonist.

• The mandibular working cusps are in contactwith the marginal ridges of the maxillary secondpremolars.

Maxillary 1st molar:

Maxillary 2nd premolar:

Maxillary 1st premolar:

Maxillary 2nd molar:

I N T E R C U S PAT I ON

15

Relatively extensive guiding surfaces are desirableto ensure a balanced occlusion within thefunctional range; the following grinding-in guide-lines should be observed:

• The centric contacts must no longer be ground.• Working side (laterotrusion): mesio-buccal cuspsin the maxilla, lingual cusps in the mandible

• Balancing side (mediotrusion): mesio-buccalcusps in the mandible

• Protrusion disto-buccal cusps in the maxilla,mesio-buccal cusps in the mandible

• Retrusion: mesio-buccal cusps in the maxilla,disto-buccal cusps in the mandible.

The incisal edges of the anterior teeth should beground from the palatal side in the maxilla andfrom the lingual side in the mandible, inaccordance with the wear pattern occurring inthe natural dentition.

In complete denture prosthetics, no majoradjustments by grinding are made prior tocreating the resin base. If the packing or cold-pouring technique is used to produce the denturebase, an increase in vertical dimension has to beexpected. With the SR Ivocap Denture ProcessingSystem, however, an increase in the verticaldimension is prevented from the very start.

Increased vertical dimensions should be correctedprior to removing the polymerized dentures fromthe model whilst the centric lock is engaged. Thefollowing guidelines should be observed:

• Do not grind the working cusps.• Reduce premature contacts in the antagonistfossa.

After the height of the occlusal position has beenadjusted, all the centric contacts have to be inplace as determined by the setup.

Checking the centric contacts: Checking the functional movements:1 2

GU I D E L I N E S ON G R I N D I N G - I N

After a wear period of 2 to 6 weeks, a new bite record should be taken and adjustments by grindingperformed, if necessary.

Grinding-in areas to establishcentric contacts:

do not grind

apply contact by grinding

16

Lingual NHC

The basic principles of lingualized occlusion havebeen incorporated into the design of theSR PHONARESLingual NHC denture teeth.

The centric contacts with the maxillary palatalcusps are centred in the mandibular fossae. Thebuccal cusps are set up out of contact with eachother. An additional buccal contact relation canbe established on the first premolars if this isdesirable from the point of view of esthetics.

Hence, the SR PhonaresLingual NHC teethensure a particularly pronounced buccal supportmechanism.

1:1

1:2

L I N GUA L I Z E D O C C L U S I ON

The marginal ridges of the SR PHONARESLingualNHC teeth feature a reduced design so that thepalatal cusps of the maxilla can move freely in aprotrusive or retrusive direction.

PO S T E R I O R TOO TH S E T U P

optional

Depending on theocclusal position and thesetup of the anteriorarch, it is also possible toachieve a 1-to-2 inter-digitation.

17

In the mandible, the SR PHONARESTyp NHC teethcan be set up in either one of two versions: setupwithout curve of Wilson or setup with curve ofWilson.

Since all working contacts are lingualized and thebuccal surfaces do not occlude, there is somescope for variation in the degree of the curve ofWilson.

The following criteria should be considered whensetting up SR PHONARESLingual NHC teeth:

TOO TH S E T U P I N COMP L E T E D E N TU R E P RO S T H E T I C S

The SR PHONARESLingual teeth were developed inaccordance with the principles of the BiofunctionalProsthetic System (BPS). The posterior teeth are setup with the help of a setup template.

In line with the above notes on model orientation,a 3D, 2½D, or 2D template is used. The first stepinvolves aligning the template with the height ofthe distal third of the retromolar pad in theposterior region and with the height of the distalangle of the mandibular canines in the anteriorregion.

The characteristic of this setup method is the factthat the buccal cusps do not have any contactwith the template. It is necessary to ensure thatthe buccal and lingual cusp tips are on the sameplane.

The central fossae of the mandibular posteriorteeth are positioned over the crest of the alveolarridge. The mandibular posteriors must not extendbeyond Pound's line on the lingual aspect.

The contacts with the template are concentratedon the lingual cusp tips to achieve a setup thatonly has a sagittal compensating curve. Viewedfrom the buccal side, the vertical axes of theposterior teeth have to be aligned perpendicularto the template. To achieve a horizontal alignmentof the cusp tips on the first premolar, the buccalcusp may be brought into contact with thetemplate.

If the curve of Wilson is taken into account in thesetup of the SR PHONARESLingual NHC teeth,contacts between the template and the buccaland lingual cusps are required.

Setup method W I T HOU T curve of Wilson

Setup method W I T H curve of Wilson

optional

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I N T E R C U S PAT I ON

The maxillary teeth can now be aligned with themandibular teeth in a 1-tooth-to-1-tooth relation-ship in optimum intercuspation.

• After having set up the mandibular teeth incompliance with the findings of the modelanalysis, the mandibular first molar is usuallypositioned at the lowest point of the alveolarridge. The lingual cusps of the maxillary molarform the static mastication centre.

• The palatal cusp of the maxillary premolarengages with the fossa of the mandibularpremolar.

• It is optionally possible to establish a contactrelation between the mandibular buccal cuspand the central fossa of the maxillary premolarin order to achieve an esthetic transition fromthe canines as well as a buccal corridor.

• The buccal cusp distance along the tooth arch isextended due to the Monson curve.

Maxillary 1st molar:

Maxillary 2nd premolar:

Maxillary 1st premolar:

Maxillary 2nd molar:

19

GU I D E L I N E S ON G R I N D I N G - I N

To ensure a functional lingualized occlusal scheme,guiding surfaces as shown below are desirable:

Checking the centric contacts: Checking the functional movements:1 2

After a wear period of 2-6 weeks, a new bite record should be taken and adjustments by grindingperformed, if necessary.

Laterotrusion

Mediotrusion

Protrusion

Retrusion

Centric

Guiding contacts ofSR PHONARESLingual NHC teeth:

As a general rule, no major adjustments bygrinding are made prior to creating the resin basein complete denture prosthetics. If the packing orcold-pouring technique is used to produce thedenture base, an increase in vertical dimension hasto be expected. (With the SR Ivocap DentureProcessing System, however, an increase in thevertical dimension is prevented from the very start.)

Increased vertical dimensions should be correctedprior to removing the polymerized dentures fromthe model whilst the centric lock is engaged. Thefollowing guidelines should be observed:

• Do not grind the working cusps.• Reduce premature contacts in the antagonistfossa.

After the height of the occlusal position has beenadjusted, all the centric contacts have to be inplace as determined by the setup.

TOO TH S E T U P I N IM P L AN T P RO S T H E T I C S

20

Rationale for Choices of occlusal Schemaes for complete dentures supoorted by Implants, Nikolopoulou, Ktene-Aqapitou, Journal of Oral Implantology,Vol. XXXII/ No. Four/2006

Implant prosthetics placesnew requirements on thematerials and techniquesused in dental labtechnologies.

Competence in

Implant Esthetics

Cross-section:Removable lowerimplant-supportedrestoration with tertiaryconstruction

Force vector

The periodontium absorbs some of the stress towhich dental replacements on natural abutmentsare exposed.

However, in the case of implant-retained dentalprostheses, the stress is not cushioned by theperiodontal ligament. The proprioceptive functionis limited and the actual masticatory forces areconsiderably higher in edentulous patients withimplant-borne prostheses than in patients withnatural abutments.

Tooth replacements are constantly exposed toshear, compressive and tensile forces. However,compressive forces affect the implant interfaceconsiderably less than tensile or shear forces dueto torque.

The SR PHONARESLingual NHC teeth areparticularly suitable for use in implant prosthetics.

• It is possible to direct the masticatory forces tothe implant by a force vector in the longitudinalaxis, which results in a reduction of the shearand tensile forces.

• The occlusal design of the mandibularSR PHONARESLingual NHC teeth is characterizedby a flat morphology, reduced marginal ridges,and freeway space in the centric position. Highlateral loads are thus avoided.

• The specially developed nano-hybrid compositematerial offers outstanding wear resistance.

Lingualized contact

21

IMPLANT PROSTHETICS COMPLETE DENTURE PROSTHETICS

PARTIAL DENTURE PROSTHETICS HYBRID PROSTHETICS

I N D I C AT I ON S O F S R P HONA R E S T E E T H

COMP L E T I O N

22

Overheating should be prevented when finishingthe dentures. Polishing or cleaning agents con-taining solvents should not be used for cleaning.They may adversely affect the composite materialof the denture base and denture teeth and causewhite discolouration.

Grinding-in should be carried out with cross-cuttungsten carbide burs with adequately shapedattachments. Final polishing with UniversalPolishing Paste and a goat's hair brush providesthe surface of the NHC teeth with a finish thatensures a long service life.

Conditioning of the SR PHONARES teeth is re-commended before processing the denture base.Basically, the tooth surfaces should be clean andthe palatal, basal, and cervical areas should be

slightly roughened. The brochure “NHC ProcessingGuidelines” provides detailed instructions onbonding SR PHONARES teeth to denture basematerials.

Preparation

Completion

Finishing / Polishing

The SR Ivocap System is an idealhigh-quality supplement to theSR PHONARES line of denture teeth.

Accuracy of fit is decisive in achieving high-qualitydental prostheses. We recommend using theSR Ivocap injection system to process the denturebase. During controlled heat-pressure polymeriza-tion, the material shrinkage is compensated by theflow of the material.

The SR Ivocap System eliminates the spherical di-mensional changes in conjunction with the con-ventional polymerization methods identified byProf. Dr. K.H. Körber (Kiel, Germany).

23

SR PHONARES is a component of BPS, the futureoriented Ivoclar Vivadent brand prosthetic systemoffering customized marketing tools for dentallaboratories and professional support byspecialized BPS consultants.

A comprehensive package of informationalmaterial is available for the SR PHONARES toothline.

• Handbook of Complete Denture ProstheticsIvoclar Vivadent, 1994

• BPS-Totalprothetik, Kurt Fiedler,Verlag Neuer Merkur GmbH, 2003

• Mavroskoufis, F.; Ritchie, GM.:The face-form as a guide for the selection ofmaxillary central incisors.J Prosthet Dent. 1980 May; 43(5):501-5

• Mavroskoufis, F.; Ritchie, GM.:Nasal width and incisive papilla as guides for theselection and arrangement of maxillary anteriorteeth.J Prosthet Dent. 1981 Jun;45(6).592-7

Source of pictures: The technical pictures were supplied by courtesy of:MDT Kurt Fiedler, Ivoclar Vivadent GmbH, Ellwangen (Germany)MDT Thorsten Michel, Schorndorf (Germany)Wohlgenannt Zahntechnik KEG, Dornbirn (Austria)

Further information

Literature reference

The International Center for Dental Education(ICDE) offers further educational courses on theapplication of SR PHONARES teeth.

Further information on BPS and SR PHONARES canbe obtained from Ivoclar Vivadent or accessed atthe company’s website on the internet:www.ivoclarvivadent.com

TECHN ICALDOCUMENTAT ION

Ivoclar Vivadent AGBendererstr. 2FL-9494 SchaanFürstentum LiechtensteinTel. +423 / 235 35 35Fax +423 / 235 33 60www.ivoclarvivadent.com

Shade range16 A-D shades

Bleach shades

Delivery forms

SR PHONARES® NHC18 upper anterior moulds4 lower anterior moulds

SR PHONARES®Typ NHC3 maxillary sets3 mandibular sets

SR PHONARES®Lingual NHC3 maxillary sets3 mandibular sets

Physical data

Flexural strength ISO 10477 > 125 > 120 N/mm2

Modulus of elasticity ISO 10477 > 4500 > 3000 N/mm2

Ball indentation hardness ISO 2039-1 > 240 > 170 N/mm2

Water absorption ISO 10477 < 23 < 26 µg/mm3

Water solubility ISO 10477 0 < 0.1 µg/mm3

Vickers hardness HV 0.5/30 Internal directive > 260 > 190 N/mm2

Incisal anddentin

M O D E R N M A S T E R P I E C E S

This is a product from our“Implant Esthetics” compe-tence field. Products from thisfield are optimally coordinatedwith each other.

Competence in

Implant EstheticsBack incisal andcervical

Descriptions and data constitute no warrantyof attributes.Printed in Liechtenstein© Ivoclar Vivadent AG, Schaan/Liechtenstein628228/1009/e/BVD


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