inCoris ZI meso - Sirona - Technical Documentation
Contents
1. rona The Dental Company New as of 01 2010 inCoris ZI meso Zirconium oxide ceramic blocks for inLab Processing instructions Manufacturing mesostructures English Zd o zd osew jz SUODU e uot yes os w jZ SUODU euog TS sod yeni wy 8 15 S04 S osaw Z suogut e u 0115 Table of contents 10 Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab Table of contents erT EEE A A TE E E AT E T 3 SCOPE of SUPPLY screen a aa a a ER 4 Mate rallies ATE E E E ET E E on Meson bok eneses 5 Chemical composition cccccccccceececceeeeeeeeeeeeeeceeeeeeeeeeeeeeeeeeteeeeeeeeeetteeetieeiieieeeeee 6 aRt alalle I Eo k 1t A E EEEE E E EEES 7 Area of applicatiOM cr nere a ea a A aa E ERa a SEn eieae 8 6 1 Indication e a oe a a E ewe 8 6 2 Contraindication eee 8 Producing the mesostructure ccceneeeeeeeseeenecceeee tee tenesseneneeeeeeeseeenaeeeeeeteeseceneeetae 9 7 1 Scanning designing and mMilling 20 cccceccceeee ce eeeeeeceeneeeeeeeesseeeeeteneeeeennes 9 T2 Design 1WATORMAUION nn as eaten ee Sisk aceon Se Seen eae one dises 9 7 3 Reworking the milled restoration eeceeeceeeee eee eeeeeeneeeeeeeeteeeeeeeeeeeeeneeeaeees 9 T4 SSSIMOTING a raa ea Ra e E ASEE EEE esata bonne dead NETE aAa EEn stats 9 7 5 Additional notes procedure after sintering esseeeeeeeeeeeereerreeesrrrrrrreesrrnns 10 7 6 Reworking2. The surfaces of the titanium base intended for gluing to the zirconium oxide ceramics have to be sand blasted and cleaned Surfaces of the zirconium oxide ceramics and the titanium base to be glued must be free of dust and grease 1 Sand blast the gluing surfaces of the zirconium oxide ceramics and the titanium base with 50 um aluminum oxide and up to 2 0 bar 2 Clean the adhesive surfaces with alcohol or steam For easier handling during the gluing process it is recommended that the titanium base be screwed into a lab implant or a polishing tool 3 Cover the hex head of the abutment screw with wax NOTICE Use PANAVIA F 2 0 www kuraray dental de extraoral as the adhesive for connecting the titanium base and the zirconium oxide ceramics 4 Mix the glue according to the manufacturer s instructions and apply it to the titanium base 5 Press on the customized zirconium oxide ceramics as far as it will go Make sure it latches into the rotation and position stops Immediately remove any adhesive residue 7 Apply the Airblocker Oxygard to the junction where the ceramic and titanium surfaces meet and to the screw funnel for final hardening 8 Remove residue with a rubber polisher after hardening 62 29 418 D3487 D3487 201 05 03 02 01 2010 13 References Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab References Materials science Baltzer A Kaufmann Jinoian V The toughn
3. basic rules e Reworking in the sintered condition should be performed with a wet grin ding turbine approx 2 5 3 bar or rubber polishers low speed or for primary telescopes with a grinding unit using water cooling and with low grinding pressure As an alternative it is possible to rework with soft dia mond rubber polishers and a handpiece at low speed and low pressure The tool must be applied flat and must not chatter e New diamond burrs with varied grain size should be used if possible e Areas that are under tension in clinical use should not be milled e We recommend subjecting the framework to thermal treatment after the milling process to reverse any phase transformation which may have oc curred on the surface Microscopic cracks can not be regenerated The following firing adjustment should be selected for this purpose vere ca Temp VAC min min C min c min min Sand blast the surfaces on which a superstructure is to be conventionally at tached or glued using the one way blasting process with maximum 50 um corundum Al203 Pressure lt 2 5 bar Observe the operator manual of the respective restoration material as to the suitability of the fastening material 62 29 418 D3487 10 D3487 201 05 03 02 01 2010 Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab 62 29 418 D3487 D3487 201 05 03 02 01 2010 Producing the mesostructure NOTICE Observe usage inform
4. in the following documents e inLab 3D User Manual e inLab 3D for Abutments User Manual 1 Plug a scanbody onto the lab implant of the master model until it comes to rest on the shoulder of the implant without any gaps The scanbody is scannable without powder or scan spray 2 Record the situation using inEos inEos Blue CEREC 3 Acquisition Unit CEREC AC or from a duplicate model with the scanner inLab inLab MC XL 3 Use the inLab 3D for Abutments software to design the individual shape of the mesostructure and mill the shape from an inCoris ZI meso block see inLab 3D inLab 3D for Abutments User Manual The following infor mation must be observed when designing reworking and sintering zirco nium oxide Design information e Maintain a minimum wall thickness of 0 5 mm circularly around the screw channel e Design the outer form of the mesostructure in adherence to the prepara tion guidelines for the required superstructure e Ifthe mesostructure is to be veneered immediately make sure that this doesn t narrow the screw channel The connection point to the base and the screw channel should not be coated e Make sure that no sharp edges or corners are produced Reworking the milled restoration After finishing the milling process and prior to sintering the milled mesostruc ture separate it from the remaining block and remove the pin with a diamond point tool Sintering inCoris ZI mesostructures have to be sinte
5. 802 F0 5 62 31 828 S F2 62 31 828 S F2 62 31 810 L F0 5 62 31 810 L F0 5 62 31 836 L F2 62 31 836 L F2 The scanbodies are Sirona products and can be procured from dealers Lab implants and titanium bases can be procured from the implant manufac turer 62 29 418 D3487 D3487 201 05 03 02 01 2010 Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab WELGI Material inCoris ZI meso ceramics constitute blocks comprised of zirconium oxide The blocks are initially delivered partially sintered then enlarged by the inLab CAD CAM system they are individually processed to specification and final ly densely sintered The advantages of inCoris ZI meso are e High strength e Resistance to corrosion e Good biological compatibility of the product e Coloration of the blocks to match adjacent teeth 62 29 418 D3487 D3487 201 05 03 02 01 2010 5 Chemical composition Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab Chemical composition ZrO2 HfO2 Y203 gt 99 0 ZrO HfOn Y 203 gt 99 0 Al203 lt 0 5 Al203 lt 0 5 Other oxides lt 0 5 Other oxides lt 0 5 62 29 418 D3487 D3487 201 05 03 02 01 2010 Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab 62 29 418 D3487 D3487 201 05 03 02 01 2010 Technical data Technical data The following specifications apply to material that is densely sintered in an i
6. Telescope Line Siri us Dental Innovations Diamond porcelain polisher for handpiece green orange Hager amp Meisinger Art No HP 803 104 372 533 170 Diamond polisher for handpiece green and orange EVE Diacera e Other Suitable colored contact materials e Preparation sets Preparation set acc to Kupper Hager amp Meisinger Art No 2560 Preparation set acc to Baltzer and Kaufmann Hager amp Meisinger Art No 2531 62 29 418 D3487 12 D3487 201 05 03 02 01 2010 Sirona Dental Systems GmbH Gluing the mesostructure to the titanium base Zirconium oxide ceramic blocks for inLab Gluing the mesostructure to the titanium base Prior to gluing check to make sure that the mesostructure can be easily placed on the titanium base No gap should be visible between the me sostructure and the attachment surface of the titanium base The anti rotation groove has an especially narrow tolerance If the mesostruc ture cannot be easily positioned first check to see if a small amount of mate rial has to be removed from the groove see Reworking the sintered mesostructure gt 10 Observe the manufacturer s instructions for handling the titanium base The contact surfaces of the titanium base to the implant should not be sand blasted or otherwise processed The diameter of the titanium base should not be reduced e g by grinding Shortening the titanium base is not recommended
7. al ceramics Dissertation of Geoscientific Faculty Tubingen 1996 Tinschert J Natt G Spiekermann H Current positioning of dental cera mics Dental Praxis XVIII 9 10 293 309 2001 Vollmann M Innovative DeguDent full ceramic system as a benchmark for the processing of zirconium oxide IJCD 2004 7 279 291 Stephan M Corten A Aluminum oxide corundum mineralogical analyses of corundum Quintessenz Zahntech 31 2 128 133 2005 VITA In Ceram 2000 AL CUBES for inLab VITA full ceramics page16 62 29 418 D3487 14 D3487 201 05 03 02 01 2010 Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab 62 29 418 D3487 D3487 201 05 03 02 01 2010 References CEREC inLab Baltzer A Kaufmann Jinoian V CAD CAM in dentistry CEREC inLab Dental Labor XLIX Volume 5 2001 David A CEREC inLab The CAD CAM System with a Difference CJDT Spectrum September October 24 28 2002 Kurbad A Reichel K CEREC inLab State of the Art Quintessenz Zahntech 27 9 1056 1074 2001 Kurbad A Manufacturing In Ceram bridge frameworks with the new CEREC technology Quintessenz Zahntech 27 5 504 514 2001 Tsotsos St Giordano R CEREC inLab Clinical Aspects Machine and Ma terials CJDT Spectrum January February 64 68 2003 Preparation illustrations on p 5 accd to Dr Andres Baltzer CH Rheinfelden Kern M Computer aided crown and bridge technology with new perspe
8. ation Etching with hydrofluoric acid does not produce a retentive surface Silani zation is not required Please observe the information on use of the fastening materials of the cor responding manufacturers Before inserting the mesostructure into the patient s mouth it must be treated with commercially available disinfectants Veneer The areas of the mesostructures to be veneered that are made of inCoris Zl meso must not be sandblasted Sandblasting could lead to an undesirable phase transformation of the zirconia For the veneer this would cause com plex diffusions of stress along the interface which might lead to cracks or late cracks in the veneer after the restoration is inserted Mesostructures made of inCoris ZI meso can be veneered using all standard veneer ceramics for zirconium oxide ceramic In this case the processing instructions of the manufacturer must be observed without fail 11 Recommended tools and materials Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab Recommended tools and materials e Modeling wax Scan wax Sirona suitable for scans with the inLab scanner not for exposures with inEos e Wet grinding turbines KaVo K AIR plus KaVo IMAGO Steco System Technik GmbH amp Co KG NSK Presto Aqua Girrbach Turbo Jet Acurata e Grinding tools for reworking with the wet grinding turbine with handpiece Diamond grinding element sets Ceramic Line
9. cti ves Quint Zahnt 30 9 966 973 2004 Rudolph H Quaas S Luthard R G CAD CAM New technologies and developments in dentistry DZZ 58 2003 10 15 We reserve the right to make any alterations which may be required due to technical improvements Sirona Dental Systems GmbH 2010 Sprache englisch Printed in Germany D3487 201 05 03 02 01 2010 A Nr 112 276 E E Sirona Dental Systems GmbH in the USA Fabrikstra e 31 Sirona Dental Systems LLC Order No 62 29 418 D3487 64625 Bensheim 4835 Sirona Drive Suite 100 Germany Charlotte NC 28273 Www sirona com USA
10. ess of VITA In Ceram Quint essenz Zahntech 29 11 1318 1342 2003 Blatz M Sadan A Kern M Adhesive bonding of high strength full ceramic restorations Quintessenz 55 1 33 41 2004 Geis Gerstorfer J PaBler P Investigations of the fatigue behavior of dental ceramics zirconium dioxide TZP and In Ceram Dtsch Zahnartzl Z 54 692 694 1999 Kappert H F On the high strength of dental ceramics Zm 93 7 2003 Kern M Fracture quota lower than the divorce rate ZWL 04 2004 Luthard R Herold V et al Crowns made of high performance ceramics Dtsch Zahnarztl Z 53 4 280 285 1998 Luthard R Herold V et al Crowns made of high performance ceramics Dtsch Zahnarztl Z 53 4 280 285 1998 Luthard et al Comparison of various techniques for the manufacture of crown frameworks from high performance ceramics State of the art of the CAD CAM supported production of full ceramic crowns from oxide ceramics Swiss Dent 19 6 5 12 1998 Marx R et al Crack parameters and Weibull modules subcritical crack growth and long term strength of full ceramic materials Dtsch Zahnartzl Z 56 2 90 98 2001 Report by DGZMK DGZPW Are full ceramic crowns and bridges scientifically recognized Dtsch Zahnartzl Z 56 10 575 576 2001 Schweiger M Zirconium oxide High strength and break resistant structural ceramics Asth Zahnmedizin 5 2004 248 257 Stephan M Coating behavior of veneering materials on dent
11. n Fire HTC sintering furnace Density 6 06 g cm Density 6 06g cm3 Fracture toughness KIC 5 9 MPa m12 Fracture toughness KIC 5 9 MPa m1 2 Thermal expansion coefficient 20 500 C 11 0 10 K1 Thermal expansion coefficient 20 500 C 11 0 106K Bending strength 1200 MPa Bending strength 1200 MPa Colors The blocks are tinted in the colors e F0 5 e F2 Therefore it is not necessary to carry out subsequent coloring using a submer sion solution or liners Area of application Sirona Dental Systems GmbH Indication Zirconium oxide ceramic blocks for inLab Area of application Indication inCoris ZI mesostructures can only be used for the intended titanium bases or implants Please refer to the instructions provided for the titanium base to find out what connection size S or L is to be used for your inCoris ZI meso block Please observe the indications and contraindications of the implant Contraindication e Insufficient oral hygiene e Insufficient space available e Bruxism e For restorations with angulation correction of more than 20 to the implant axis e For individual tooth restorations with free end saddle e For restorations with a length to implant length ratio of more than 1 1 25 62 29 418 D3487 8 D3487 201 05 03 02 01 2010 62 29 418 D3487 D3487 201 05 03 02 01 2010 Producing the mesostructure Scanning designing and milling More details can be found
12. red in dry conditions The sintering process should be carried out exclusively in the high tempera ture Sirona inFire HTC furnace Use the SIRONA inCoris ZI program for this As an alternative the sintering process can be carried out in the compatible VITA Zyrcomat or lvoclar Vivadent Sintramat high temperature furnace Use a zirconium oxide program for this In any case the details in the manuals for the respective furnaces are to be adhered to Producing the mesostructure Sirona Dental Systems GmbH Additional notes procedure after sintering Zirconium oxide ceramic blocks for inLab Additional notes procedure after sintering In the case of yellow staining of inCoris ZI mesostructures after the sintering process the high temperature furnace should be cleansed by performing an empty run The details in the manuals for the respective furnaces are to be adhered to in this case Sintering beads that adhere are to be removed carefully After the sintering process the inCoris mesostructures must be cooled down to room temperature at atmosphere before further processing Reworking the sintered mesostructure The surface condition of ceramic materials is decisive for their bending strength Reworking sintered mesostructures with milling tools must be avo ided at all costs Therefore make corrections to the ground mesostructure if possible before sintering However if reworking should be necessary comply with the following
13. the sintered MeSOStrUCTULE eee eeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeenaaees 10 Ml gt NOM OC ine aa a e a Guia Dae Gene 11 Recommended tools and materials c c cccceeeececsceeecceeeeeeessececeneeeeeeeeeeeneeeenees 12 Gluing the mesostructure to the titanium base seeeseeeeeeeeeeeeeeeereerereeeerrrrrnesesrrnna 13 ReferenCe haseena aka aa E EA EE EEEE E E E Ea E EE 14 62 29 418 D3487 D3487 201 05 03 02 01 2010 Sirona Dental Systems GmbH General Zirconium oxide ceramic blocks for inLab General The product inCoris ZI meso bears the CE mark in accordance with the pro visions of Council Directive 93 42 EEC of June 14 1993 concerning medical devices 01 23 inCoris ZI meso blocks are intended for use in manufacturing individually de signed mesostructures which are glued to a fitting titanium base after milling and sintering Please also observe the instructions provided by the manufacturer of the tita nium base or the implant Rx on ly CAUTION Federal law USA restricts sale of this device to or on the order of a physician dentist or licensed practitioner 62 29 418 D3487 D3487 201 05 03 02 01 2010 3 Scope of supply Sirona Dental Systems GmbH Zirconium oxide ceramic blocks for inLab Scope of supply inCoris Zi meso blocks are each available in two different colors and in two different sizes for connecting to the titanium basis REF Connection size Color 62 31 802 S F0 5 62 31
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