InLine IPS. Instructions for Use. InLine Conventional Metal-Ceramic InLine PoM Press-on-Metal Ceramic

Transcription

1 IPS InLine InLine Conventional Metal-Ceramic InLine PoM Press-on-Metal Ceramic IPS IPS Instructions for Use 1

2 Table of Contents 4 Product Information IPS InLine the conventional metal-ceramic IPS InLine PoM the press-on technique The systems concept The coordinated Ivoclar Vivadent alloys Preparation guidelines and minimum thicknesses Composition Product overview and description IPS InLine Conventional Layering Criteria for framework design Step-by-step procedure Opaquer firing 1 st +2 nd Margin firing IPS InLine layering diagram 1 st Dentin and Incisal firing 2 nd Dentin and Incisal firing Individual finishing IPS InLine Veneer Fabrication 46 IPS InLine PoM Precision Press-on-Metal Technique Criteria for framework design Step-by-step procedure Opaquer firing Wax-up Sprueing Investing Preheating Selection of ingots Pressing Divesting Separating / Finishing Individual finishing 67 IPS InLine/IPS InLine PoM General Information Cementation IPS InLine Conventional Metal-Ceramic Firing parameters IPS InLine Veneer Firing parameters IPS InLine PoM Mixing ratio of investment material IPS InLine PoM Press parameters IPS InLine PoM Firing parameters Materials combination table 2

3 IPS InLine Conventional Metal-Ceramic IPS InLine Press-on-Metal Ceramic PoM Make it InLine! Streamline your working procedures and increase the productivity and cost-efficiency of your laboratory operations. The new IPS InLine/IPS InLine PoM leucite metal-ceramic gives you exceptional flexibility. After applying the opaquer, you select the suitable processing procedure based on your personal preferences and the requirements of the individual case. Conventional layering or the precision press-on technique: IPS InLine or IPS InLine PoM always offers an appropriate solution! EITHER: OR: IPS InLine IPS InLine PoM CONVENTIONAL Metal-Ceramic PRESS-ON-METAL Ceramic Conventional veneering ceramic for the most popular alloys in the CTE range of x 10-6 K C Veneers on refractory dies Ceramic for pressing fully anatomical restorations on metal crown and bridge frameworks after the application of an opaquer, mainly for the posterior region. CTE range: x 10-6 K C < 10% silver Both products can be finally stained and glazed using IPS InLine/IPS InLine PoM Shade/Stains. 3

4 Product Information IPS InLine The Conventional Metal-Ceramic Description of the material IPS InLine is a leucite ceramic which is based in part on natural raw materials (feldspar). Natural feldspars are mixtures of potassium feldspar (KAISi3O8; orthoclase) and sodium feldspar (NaAlSi3O8; albite). The potassium feldspar provides the dental ceramic with ideal abrasion resistance, higher thermal expansion (leucite), as well as chemical resistance. The leucite crystals embedded in the glass matrix increase the strength of the restoration. The propagation of cracks is slowed or deflected by the leucite crystals. In the process, the crystalline phase absorbs fracture energy. As a result, the propagation of cracks is arrested or slowed down. In the development of IPS InLine, Ivoclar Vivadent has harnessed the experience gained over the past few years to achieve simplified ceramic processing. The targeted grain size distribution and the fabrication procedure represent the basis for the extraordinary advantages of IPS InLine. ACCURATE shade matching! IPS InLine facilitates the application of the opaquer and speeds up the placement of Dentin and Incisal materials. The result is excellent shade matching with minimal time and effort. FAST results! Given the favourable firing properties of the ceramic, restorations can be completed with one to two main firings. IPS InLine shows optimum sintering behaviour, which makes complicated and repetitive corrective firings a thing of the past. BEAUTIFUL restorations! Restorations made of IPS InLine ceramic materials impress users with their overall natural appearance. Moreover, there are various additional materials to achieve special effects. For example, individual details and special shade characteristics can be easily reproduced using the Opal and Translucent materials. 5 µm CTE ( C) [10-6 /K] 2 firing cycles 12.6 CTE ( C) [10-6 /K] 4 firing cycles 13.2 Flexural strength (biaxial) [MPa]* 80 Chem. durability [µg/cm 2 ]* < 100 Firing temperature [ C] *according to ISO 9693 Indications Conventional veneering ceramic for the most popular alloys in the CTE range of x 10-6 K C Veneers on refractory dies Contraindications If patients are known to be allergic to any of the ingredients, IPS InLine should not be used. Bruxism Important processing restrictions Combination with any other ceramic materials The frameworks and connectors must not fall below the required minimum thickness Side effects If patients are known to be allergic to any of the components in the materials, IPS InLine restorations should not be used. 4

5 IPS InLine PoM Press-on-Metal Ceramic The Touch Up materials are leucite-containing glass-ceramics, which are pigmented according to the ingot shade concept. The coefficient of thermal expansion and firing temperature of the materials are adjusted for application in the cervical area after pressing and prior to the characterization firing cycles. The press-on technique is an ideal solution to meet the changes in the dental market and an increasing interest in optimizing working procedures. The Press-on-Metal technique! IPS InLine PoM ideally combines the advantages of the press technique with the casting technique that has been proven for years using popular laboratory equipment. The result is a leucite ceramic that can be pressed with precision fit on stable metal frameworks. What does Press-on-Metal mean for your laboratory? The Press-on-Metal technique helps to streamline working procedures without compromising the quality of the work. You can concentrate on the essentials, such as shade selection, function and surface structure of the restoration. Thus, you are able to easily achieve consistent, reproducible quality. The wax-up corresponds to the final shape. The shrinkage behaviour associated with conventional metal-ceramics is a thing of the past. As easy as that The restoration is processed according to the lost wax technique. The opaqued metal framework is first waxed up in the desired shape and function and invested with the IPS PressVEST (conventional) or IPS PressVEST Speed investment materials. After investment and burning out of the wax restoration, the IPS InLine PoM ingot is pressed into the investment mould using the EP500, EP600, EP600 Combi or Programat EP 5000 press furnace. After divesting the pressed objects, they are individually finished and characterized. The new Shade/Stains and Glaze materials endow the restorations with their final shade. CTE ( C) [10-6 /K] 13.4 Flexural strength (biaxial) [MPa]* 130 Chem. durability [µg/cm 2 ]* <100 Press temperature [ C] *according to ISO 6872 Indications Ceramic for pressing fully anatomical restorations on metal crown and bridge frameworks after the application of an opaquer, mainly for the posterior region. CTE range of the alloy onto which the ingot is pressed: x 10-6 K C / < 10% silver Contraindications Pressing over metal frameworks beyond the CTE range and composition Alloys with a silver content of more than 10% Very deep subgingival preparations Patients with substantially reduced residual dentition Bruxism 1 µm Description of the material The Press-on-Metal ingot is composed of a leucite ceramic, the optical properties of which are optimized by translucent and opalescent glass-ceramics. Consequently, it meets the highest aesthetic demands. The colour of the press material is completed by colour pigments. The base material in powder form is processed to monolithic press ingots after shaping them under vacuum. The structure of the processed material is homogeneous and free of pores. The firing stability of the ingot allows Touch Up materials, Shades, Stains and Glaze materials to be applied without compromising the accuracy of fit of the restoration. 5 Important processing restrictions Combination with any other ceramic materials The frameworks and connectors must not fall below the required minimum thickness The press ceramic must not fall below the required minimum thickness Layering with IPS InLine Dentin, Incisal, Deep Dentin, Margin, Impulse and Gingiva materials Pressing over metal frameworks that do not exhibit the required minimum thickness Side effects If patients are known to be allergic to any of the components in the materials, IPS InLine PoM restorations should not be used.

6 The systems concept IPS InLine IPS InLine PoM CONVENTIONAL METAL-CERAMIC PRESS-ON-METAL CERAMIC Opaquer NEW BL SHADES Dentin Incisal Margin Deep Dentin Impulse Gingiva NEW NEW 7 ingots 7 Touch Ups NEW Shade / Stains / Glaze ADDITIONALLY Add-On 690 C/1274 F Processing steps Starting situation IPS InLine Conventional Metal-Ceramic Framework fabrication IPS InLine PoM Press-on-Metal Ceramic Oxidation Opaquer 1 st Margin Wax-up 2 nd Margin Investing 1 st Dentin / Incisal Pressing Divesting 2 nd Dentin / Incisal Touch Up Staining Glazing 6

7 The coordinated Ivoclar Vivadent alloys IPS InLine... is suitable for alloys with a CTE of approx to 15.0 x 10-6 K -1 at C. If the recommendations regarding scallop-type framework design (as described on page 28) are observed, and ceramic layers do not exceed 1.5 mm, these alloys may be processed in the Programat furnaces using standard cooling. IPS InLine PoM... is suitable to be pressed on alloys with a CTE of 13.8 to 14.5 x 10-6 K -1 at C and up to max. 10% silver. The following Ivoclar Vivadent alloys have been tested regarding their compatibility with IPS InLine/IPS InLine PoM. Alloy High gold content Brite Gold Brite Gold XH Golden Ceramic Aquarius Hard Aquarius IPS d.sign 98 Y Aquarius XH Y-2 Y-Lite Sagittarius Y-1 IPS d.sign 96 Reduced gold content IPS d.sign 91 W W-5 Lodestar W-3 Leo W-2 Evolution Lite Palladium-based Capricorn 15 IPS d.sign 84 Capricorn Protocol IPS d.sign 67 Spartan Plus Spartan Aries IPS d.sign 59 IPS d.sign 53 W-1 Callisto CP Implant Alloys Callisto Implant 78 IS-85 IS-64 Callisto Implant 60 Base metal Lite-Cast Pisces Plus 4all IPS d.sign 15 IPS d.sign 30 IPS InLine IPS InLine PoM Colour * * * * * * * * * ** * ** * ** * cool to 800 C ** cool to 700 C ) - 1) ) 2) ) 2) 1) Single restorations 2) See «Important» next page rich yellow rich yellow rich yellow rich yellow rich yellow rich yellow yellow yellow yellow white yellow yellow yellow white white white white white white white white white white white white white white white white white white white white white white white white white white white white white CTE C The range of alloys may vary from country to country. 7

8 Important IPS InLine If these minimum requirements cannot be observed, cooling to *800 C, or **700 C (depending on the alloy type), is required in conjunction with all main firings and glaze firings. In the case of ceramic layers thicker than 1.5 mm up to max. 2.5 mm, as well as extensive reconstructions (e.g. implant-borne restorations) in combination with high gold alloys and predominantly base alloys, cooling to *800 C, or **700 C, is required. This also applies to soldered restorations. Important IPS InLine PoM In conjunction with alloys in the CTE range of below 13.8 (x 10-6 K -1 at C) and above 14.5 (x 10-6 K -1 at C), no ceramic shoulders should be applied. For this framework design (ceramic shoulder) or if non-metal supported areas are present, the cooling and tension conditions are critical. If ceramic shoulders are applied, alloys in the CTE range of approx (x 10-6 K -1 at C) should be used. In the case of single restorations, in particular if ceramic shoulders are present, the 200-g investment ring should be exclusively used, as it ensures optimum expansion values as well as ideal cooling and tension conditions. 8

9 Preparation guidelines and minimum thicknesses A stable and aesthetic metal-ceramic restoration is achieved by preparation with sufficient space available. The usual preparation guidelines known for metal-ceramics apply for IPS InLine/IPS InLine PoM. Your dentist can apply a conventional cementation protocol as usual. A ceramic shoulder provides an aesthetic advantage for single and bridge abutment crowns. For this purpose, shoulder preparation is required. It is also possible to restore preparations with a tapered metal margin, for which a chamfer preparation is suitable. For metalsupported inlays, partial crowns and inlay-retained bridges that are conventionally cemented, a bevel should be prepared to reduce the cement margin; the margin, however, should be made of metal. For adhesive cementation, the margin can be kept in ceramic. However, the margin must not be bevelled, since bevelled ceramic margins that are not supported by metal are susceptible to fracture. IPS InLine - the conventional metal-ceramic IPS InLine PoM - the Press-on-Metal ceramic Minimum thickness of metal frameworks: Crowns min. 0.3 mm Abutment crowns min. 0.5 mm Due to the optical properties, the following layer thicknesses have to be observed if IPS InLine PoM is pressed onto metal frameworks: Metal framework: crowns min. 0.3 mm, abutment crowns 0.5 mm IPS InLine PoM ceramic: min. 0.8 mm >1, > >1.2 > With conventional cementation, a minimum height of 3 mm of the prepared tooth and a convergence angle of approx. 6 must be observed. Observe the minimum connector dimensions for bridges. The connector dimension depends on the selected alloy and the pontic width (see Manual on Framework Design, page 9). Veneers on refractory dies 9 Dimensions in mm

10 Composition IPS InLine IPS InLine PoM IPS InLine/IPS InLine PoM opaquer pastes, Shade, Stains and Glaze materials contain ceramic material and glycols IPS InLine/IPS InLine PoM Build-Up Liquids L and P Water, glycols and chloride IPS InLine/IPS InLine PoM Glaze and Stains Liquid Butandiol IPS Model Sealer Ethyl acetate, softener and nitro-cellulose IPS Ceramic Separating Liquid Paraffin oil IPS Margin Sealer Wax dissolved in hexane IPS InLine ceramic materials Alkali aluminosilicate glass IPS InLine PoM ingots Leucite and alkali aluminosilicate glass IPS InLine Margin Build-Up Liquid Water and cellulose derivative IPS InLine PoM Touch Up materials Alkali aluminosilicate glass IPS e.max AlOx Plunger Al2O3 IPS e.max AlOx Plunger Separator Boron nitride IPS PressVEST Powder SiO2 (quartz powder), MgO and NH4H2PO4 IPS PressVEST Liquid Colloidal silicic acid in water IPS PressVEST Speed Powder SiO2 (quartz powder), MgO and NH4H2PO4 IPS PressVEST Speed Liquid Colloidal silicic acid in water Warnings - Butandiol is irritating. Avoid contact. Do not inhale vapours. - Ethyl acetate is highly flammable. Keep it away from sources of ignition. Do not inhale vapours. - Hexane is easily flammable and detrimental to health. Avoid contact of the material with skin and eyes. Do not inhale vapours. Keep it away from sources of ignition. - Avoid inhaling grinding dust when working on ceramic restorations. Use suction equipment and protective masks. 10

11 Product overview and description The balanced basic assortments offer you the possibility of covering the entire range of lifelike and aesthetic metal restorations. IPS InLine is available in 20 Chromascop, 16 A D and in 4 new, modern Bleach shades. Seven IPS InLine PoM ingots are enough to reproduce all the 20 Chromascop, 16 A-D and 4 modern Bleach shades. The final tooth shade is achieved by individual characterization using the new Shade/Stains and Glaze materials. The assortments are equipped with the most popular shades and can be individually supplemented. IPS InLine IPS InLine PoM CONVENTIONAL METAL-CERAMIC PRESS-ON-METAL CERAMIC Basic Kit NEW Basic Kit Deep Dentin Kit A D Margin Kit Trial Kit Basic Kit NEW Basic Kit CHROMASCOP Deep Dentin Kit Margin Kit Trial Kit NEW Bleach Kit BL INDEPENDENT OF ANY SHADE SYSTEM Impulse Kit NEW Shade/Stains Kit Gingiva Kit 11

12 IPS InLine - CONVENTIONAL Metal-Ceramic IPS InLine Trial Kit The Starter Kit will give you the chance to try out the new metalceramic system. This assortment covers all the important material components. Delivery form: IPS InLine Trial Kit A-D A1 1x 3 g IPS InLine/IPS InLine PoM Opaquer; Shade A1 1x 5 g IPS InLine Dentin; Shade: A1 1x 5 g IPS InLine Transpa Incisal; TI1 1x 5 g IPS InLine Transpa; Shade: clear 1x 5 g IPS InLine Deep Dentin; Shade A1 1x 5 g IPS InLine Occlusal Dentin; Shade: orange 1x 5 g IPS InLine Margin; Shade A1 1x 5 g IPS InLine Mamelon; Shade: light 2x 5 g IPS InLine Opal Effect; Shades: 1, 3 1x 3 g IPS InLine/IPS InLine PoM Shade; Shade: 1 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 5 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 1x 5 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 5 ml IPS InLine Margin Build-Up Liquid 1x IPS InLine Trial Kit material shade guide A D A1 IPS InLine Trial Kit A-D A3 1x 3 g IPS InLine/IPS InLine PoM Opaquer; Shade A3 1x 5 g IPS InLine Dentin; Shade: A3 1x 5 g IPS InLine Transpa Incisal; TI2 1x 5 g IPS InLine Transpa; Shade: clear 1x 5 g IPS InLine Deep Dentin; Shade: A3 1x 5 g IPS InLine Occlusal Dentin; Shade: orange 1x 5 g IPS InLine Margin; Shade: A3 1x 5 g IPS InLine Mamelon; Shade: light 2x 5 g IPS InLine Opal Effect; Shades: 1, 3 1x 3 g IPS InLine/IPS InLine PoM Shade; Shade: 2 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 5 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 1x 5 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 5 ml IPS InLine Margin Build-Up Liquid 1x IPS InLine Trial Kit material shade guide A D A3 IPS InLine Trial Kit Chromascop 210 1x 3 g IPS InLine/IPS InLine PoM Opaquer; Shade: 210 1x 5 g IPS InLine Dentin; Shade: 210 1x 5 g IPS InLine Incisal; I2 1x 5 g IPS InLine Transpa; Shade: clear 1x 5 g IPS InLine Deep Dentin; Shade: 210 1x 5 g IPS InLine Occlusal Dentin; Shade: orange 1x 5 g IPS InLine Margin; Shade: 210 1x 5 g IPS InLine Mamelon; Shade: light 2x 5 g IPS InLine Opal Effect; Shades: 1, 3 1x 3 g IPS InLine/IPS InLine PoM Shade; Shade: 2 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 5 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 1x 5 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 5 ml IPS InLine Margin Build-Up Liquid 1x IPS InLine Trial Kit material shade guide 210 IPS InLine Basic Kit In order to facilitate starting with the kit, the IPS InLine Basic Kit contains the most popular Dentin and Opaquer shades (8x A D / 10x Chromascop), the respective Incisal materials, as well as the required processing accessories. The Basic Kit as well as all the other additional assortments will be delivered in the new material box and can be complemented with other IPS InLine Kits. Delivery form: IPS InLine Basic Kit A-D 8x 3 g IPS InLine/IPS InLine PoM Opaquer; Shades: A1, A2, A3, A3.5, B2, B3, C2, D3 4x 3 g IPS InLine/IPS InLine PoM Intensive Opaquer; Shades: white, violet, brown, incisal 8x 20 g IPS InLine Dentin; Shades: A1, A2, A3, A3.5, B2, B3, C2, D3 1x 20 g IPS InLine Cervical Dentin; Shade: D2/D3 3x 20 g IPS InLine Transpa Incisal; Gradations: TI1, TI2, TI3 1x 20 g IPS InLine Transpa; Shade: clear 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 20 g IPS InLine Add-On 1x 15 ml IPS InLine/IPS InLine PoM Opaquer Liquid 2x 60 ml IPS InLine/IPS InLine PoM Build-Up Liquid; L and P 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 50 ml IPS Model Sealer 1x 15 ml IPS Ceramic Separating Liquid with Brush 3x IPS InLine material shade guide; Opaquer A D, Dentin A D, Incisal A-D IPS InLine Basic Kit Chromascop 10x 3 g IPS InLine/IPS InLine PoM Opaquer; Shades: 130, 140, 210, 220, 230, 310, 410, 420, 430, 510 4x 3 g IPS InLine/IPS InLine PoM Intensive Opaquer; Shades: white, violet, brown, incisal 10x 20 g IPS InLine Dentin; Shades: 130, 140, 210, 220, 230, 310, 410, 420, 430, 510 3x 20 g IPS InLine Incisal; Gradations: I1, I2, I3 1x 20 g IPS InLine Transpa; Shade: clear 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 20 g IPS InLine Add-On 1x 15 ml IPS InLine/IPS InLine PoM Opaquer Liquid 2x 60 ml IPS InLine/IPS InLine PoM Build-Up Liquid; L and P 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 50 ml IPS Model Sealer 1x 15 ml IPS Ceramic Separating Liquid with Brush 3x IPS InLine material shade guide; Opaquer, Dentin, Incisal 1x Chromascop shade guide 12

13 IPS InLine/IPS InLine PoM Opaquer The consistency and excellent stability of paste opaquers enables outstanding masking capabilities, even when applied in thin layers. The paste opaquers are characterized by fast and economical processing. One opaquer for the conventionally layered and the precision press-on metal-ceramic restoration. Delivery form: 16x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Opaquer A D; Shades: A1, A2, A3, A3.5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4 20x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Opaquer Chromascop; Shades: 110, 120, 130, 140, 210, 220, 230, 240, 310, 320, 330, 340, 410, 420, 430, 440, 510, 520, 530, 540, 2x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Opaquer BL; Shades: BL1/BL2, BL3/BL4 4x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Intensive Opaquer; Shades: white, violet, brown, incisal IPS InLine/IPS InLine PoM Opaquer F You can easily achieve outstanding aesthetic in-depth effects with the Opaquer F. Due to the increased fluorescence, the restoration seems to shine from within. Delivery form: 1x 1 g IPS InLine/IPS InLine PoM Opaquer F IPS InLine Dentin The coordinated grain size distribution is responsible for the vitality and shade brilliance of the Dentin materials. Delivery form: 17x 20 g or 100 g IPS InLine Dentin A-D; Shades: A1, A2, A3, A3.5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4, Cervical D2/D3 20x 20 g or 100 g IPS InLine Dentin Chromascop; Shades: 110, 120, 130, 140, 210, 220, 230, 240, 310, 320, 330, 340, 410, 420, 430, 440, 510, 520, 530, 540 4x 20 g or 100 g IPS InLine Dentin BL; Shades: BL1, BL2, BL3, BL4 13

14 IPS InLine Incisal The shade gradation of the Incisal materials has been adjusted to the Chromascop and A-D shade guides, as well as the natural incisal material. The coordinated grain size distribution and opal effect are responsible for the vitality and shade brilliance of the materials. In addition, Transpa clear and neutral are available. Delivery form: 3x 20 g or 100 g IPS InLine Transpa Incisal; Gradations: TI1, TI2, TI3 3x 20 g or 100 g IPS InLine Incisal; Gradations: I1, I2, I3 4x 20 g IPS InLine Transpa; Shades: clear*, neutral*, blue, brown-grey *also available in the 100 g jar IPS InLine Add-On (860 C/1580 F) IPS InLine Add-On is an add-on material for small corrections and adjustments of shape on already fired conventionally layered IPS InLine restorations. Delivery form: 1x 20 g IPS InLine Add-On ADDITIONALLY IPS InLine/InLine PoM Add-On 690 C/1274 F This low-fusing Add-On material has been especially developed for IPS InLine PoM. The material is used for subsequent corrections and adjustments of shape on already fired IPS InLine or IPS InLine PoM restorations. Delivery form: 1x 20 g IPS InLine/InLine PoM Add-On 690 C/1274 F NEW IPS InLine/IPS InLine PoM Glaze IPS InLine/IPS InLine PoM Glaze and Stains Liquid Restorations with a lifelike gloss can be easily achieved using the IPS InLine/IPS InLine PoM Glaze material in combination with the IPS InLine/IPS InLine PoM Glaze and Stains Liquid. Delivery form: 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 10 g IPS InLine/IPS InLine PoM Glaze 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 14

15 IPS InLine Deep Dentin Kit The Deep Dentin materials allow you to fabricate lifelike restorations even in layers of limited thickness. They are used for low layer thicknesses in order to achieve the basic tooth shade and to intensify the chroma. The kit contains the most popular shades (8x A D / 10x Chromascop). Delivery form: IPS InLine Deep Dentin Kit A D 8x 20 g IPS InLine Deep Dentin; Shades: A1, A2, A3, A3.5, B2, B3, C2, D2/D3 1x IPS InLine Deep Dentin material shade guide A D IPS InLine Deep Dentin Kit Chromascop 10x 20 g IPS InLine Deep Dentin; Shades: 130, 140, 210, 220, 230, 310, 410, 420, 430, 510 1x IPS InLine Deep Dentin material shade guide A-D Refills 15x 20 g IPS InLine Deep Dentin A D; Shades: A1, A2, A3, A3.5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2/D3, D4 20x 20 g IPS InLine Deep Dentin Chromascop; Shades: 110, 120, 130, 140, 210, 220, 230, 240, 310, 320, 330, 340, 410, 420, 430, 440, 510, 520, 530, 540, 2x 20 g IPS InLine Deep Dentin BL; Shades: BL1, BL4 The shades BL2 and BL3 are achieved with the following mixing ratios: BL2: 2/3 BL1 : 1/3 BL4 BL3: 1/3 BL1 : 2/3 BL4 IPS InLine Margin Kit The Margin materials are suitable for designing ceramic shoulders. The most popular shades (8x A-D / 10x Chromascop), the respective Intensive materials, as well as the required liquids are integrated in the kit. Delivery form: IPS InLine Margin Kit A D 8x 20 g IPS InLine Margin; Shades: A1, A2, A3, A3.5, B2, B3, C2, D2/D3 4x 20 g IPS InLine Intensive Margin; Shades: yellow, orange, orange-pink, opaque 1x 20 g IPS InLine Margin Add-On 1x 60 ml IPS InLine Margin Build-Up Liquid 1x 20 ml IPS Margin Sealer 1x 15 ml IPS Ceramic Separating Liquid with Brush 1x IPS InLine Margin material shade guide A D IPS InLine Margin Kit Chromascop 10x 20 g IPS InLine Margin; Shades: 130, 140, 210, 220, 230, 310, 410, 420, 430, 510 4x 20 g IPS InLine Intensive Margin; Shades: yellow, orange, orange-pink, opaque 1x 20 g IPS InLine Margin Add-On 1x 60 ml IPS InLine Margin Build-Up Liquid 1x 20 ml IPS Margin Sealer 1x 15 ml IPS Ceramic Separating Liquid with Brush 1x IPS InLine Margin material shade guide Refills 15x 20 g IPS InLine Margin A D; Shades: A1, A2, A3, A3.5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2/D3, D4 20x 20 g IPS InLine Margin Shades: 110, 120, 130, 140, 210, 220, 230, 240, 310, 320, 330, 340, 410, 420, 430, 440, 510, 520, 530, 540, 2x 20 g IPS InLine Margin BL Shades: BL1, BL4 The shades BL2 and BL3 are achieved with the following mixing ratios: BL2: 2/3 BL1 : 1/3 BL4 BL3: 1/3 BL1 : 2/3 BL4 4x 20 g IPS InLine Intensive Margin; Shades: yellow, orange, orange-pink, opaque 15

16 INDEPENDENT OF ANY SHADE SYSTEM NEW IPS InLine Bleach Kit BL The ideally graded shades meet exacting demands on modern "white aesthetics". Delivery form: IPS InLine Bleach Kit BL 2x 3 g IPS InLine/IPS InLine PoM Opaquer; Shades: BL1/BL2, BL3/BL4 4x 20 g IPS InLine Dentin; Shades: BL1, BL2, BL3, BL4 1x 20 g IPS InLine Incisal BL 2x 20 g IPS InLine Margin; Shades: BL1, BL4* 2x 20 g IPS InLine Deep Dentin; Shades: BL1, BL4* 1x 20 g IPS InLine Add-on BL 2x material shade guides Refills 2x 3 g InLine/IPS InLine PoM Opaquer; Shades: BL1/BL2, BL3/BL4 4x 20 g IPS InLine Dentin; Shades: BL1, BL2, BL3, BL4 1x 20 g IPS InLine Incisal BL 2x 20 g IPS InLine Margin; Shades: BL1, BL4 2x 20 g IPS InLine Deep Dentin; Shades BL1, BL4 * The Margin and Deep Dentin materials are only available in shades BL1 and BL4. The shades BL2 and BL3 are achieved with the following mixing ratios: BL2: 2/3 BL1 : 1/3 BL4 BL3: 1/3 BL1 : 2/3 BL4 IPS InLine Impulse Kit The Impulse Kit features 16 different materials for individual characterization. They facilitate the application of true-to-nature effects, e.g. in the occlusal, incisal or cervical area. The IPS InLine Impulse materials can be used for both Chromascop and A D shades. Delivery form: IPS InLine Impulse Kit 2x 20 g IPS InLine Occlusal Dentin; Shades: orange, brown 2x 20 g IPS InLine Cervical Incisal; Shade: orange, yellow 3x 20 g IPS InLine Mamelon; Shade: yellow-orange, light, salmon 6x 20 g IPS InLine Opal Effect; Shades: 1, 2, 3, 4, 5, violet 3x 20 g IPS InLine Transpa; Shades: neutral, blue, brown-grey 1x IPS InLine Impulse material shade guide Refills 2x 20 g IPS InLine Occlusal Dentin; Shades: orange, brown 3x 20 g IPS InLine Mamelon; Shades: light, yellow-orange, salmon 6x 20 g IPS InLine Opal Effect; Shades: 1, 2, 3, 4, 5, violet 2x 20 g IPS InLine Cervical Incisal; Shades: orange, yellow 16

17 NEW IPS InLine/IPS InLine PoM Shade/Stains Kit The ready-to-use, intensive stains in paste form are available in 14 shades to reproduce natural characteristics on the ceramic surface. With the 3 complementary shades basic blue, basic red, basic yellow the shades can be individually adjusted. The 7 Dentin stains in paste form allow subsequent shade adjustments on IPS InLine/IPS InLine PoM restorations. The IPS InLine/IPS InLine PoM Shades, Stains and Glaze materials can be used for the conventional metal-ceramic as well as the Presson-Metal ceramic. IPS InLine PoM The final tooth shade is achieved by individual characterization using the new Shade/Stains and Glaze materials. Delivery form: IPS InLine/IPS InLine PoM Shade/Stains Kit 7x 3 g IPS InLine/IPS InLine PoM Shade; Shades: 1, 2, 3, 4, 5, 6, 7 14x 1 g IPS InLine/IPS InLine PoM Stains; Shades: white, mahogany, khaki, orange, grey, vanilla, crackliner, olive, yellow, black, maroon, basic blue, basic red, basic yellow 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid Refills 7x 3 g IPS InLine/IPS InLine PoM Shade; Shades: 1, 2, 3, 4, 5, 6, 7 14x 1 g IPS InLine/IPS InLine PoM Stains; Shades: white, mahogany, khaki, orange, grey, vanilla, crackliner, olive, yellow, black, maroon, basic blue, basic red, basic yellow Shade combination table for IPS InLine/IPS InLine PoM Shade Classification A-D Chromascop 1 A1, B1, B2 110, 120, 130 BL1, BL2, BL3, BL4 2 A2, A3, A , 210, 220, 230, B3, B4, D4 310, 320, A4 340, C1, D2, D3 6 C2, C3, C4 410, 420, 430, 440, , 530 IPS InLine Gingiva Kit These special Gingiva materials are used in combination with the Intensive Gingiva materials depending on the individual situation of the patient. The shade gradations range from orange to reddish to bluish. The IPS InLine Gingiva materials can be used for both Chromascop and A-D shades. Delivery form: IPS InLine Gingiva Kit 1x 3 g IPS InLine Gingiva Opaquer; Shade: pink 5x 20 g IPS InLine Gingiva; Shade: 1, 2, 3, 4, 5 4x 20 g IPS InLine Intensive Gingiva; Shades: 1, 2, 3, 4 1x IPS InLine Gingiva material shade guide Refills 1x 3 g IPS InLine Gingiva Opaquer pink; 5x 20 g IPS InLine Gingiva; Shades: 1, 2, 3, 4, 5, 4x 20 g IPS InLine Intensive Gingiva; Shades: 1, 2, 3, 4 17

18 LIQUIDS IPS InLine/IPS InLine PoM Opaquer Liquid This liquid is used to adjust the consistency of the opaquer. Caution: Do not dilute the opaquer too much. Delivery form: 1x 15 ml IPS InLine/IPS InLine PoM Opaquer Liquid IPS InLine Margin Liquid The liquid is used to mix the IPS InLine Margin materials. Delivery form: 1x 60 ml IPS InLine Margin Liquid Build-Up Liquids Both liquids exhibit the same evaporation behaviour. The only difference is their stability. IPS InLine/IPS InLine PoM Build-Up Liquid L The liquid is suitable to mix IPS InLine/IPS InLine PoM ceramic powders for smaller restorations or smaller portions. The Build-Up Liquid L is particularly suitable for dental technicians who prefer a drier working consistency - i.e. without continuous blotting since the liquid evaporates much quicker. In this way, IPS InLine, IPS InLine PoM Touch Up materials can be easily manipulated with an instrument. Delivery form: 1x 60 ml IPS InLine/IPS InLine PoM Build-Up Liquid L 1x 250 ml IPS InLine/IPS InLine PoM Build-Up Liquid L IPS InLine/IPS InLine PoM Build-Up Liquid P The liquid is suitable for mixing IPS InLine/IPS InLine PoM materials that will be used for fabricating larger restorations where a longer working time and smooth consistency is desired. The Build-Up Liquid P is suitable for technicians who prefer a long working time and moist material coupled with high stability. Delivery form: 1x 60 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 1x 250 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 18

19 IPS Model Sealer The IPS Model Sealer is used to isolate the stone model. It seals the stone pores and thus prevents the moisture of the ceramic from being absorbed by the stone. Delivery form: 1x 50 ml IPS Model Sealer IPS Margin Sealer The IPS Margin Sealer is used to isolate the stone die during the fabrication of a ceramic shoulder using Margin materials. Delivery form: 1x 20 ml IPS Margin Sealer IPS Ceramic Separating Liquid with Brush The liquid is used to coat those areas that have previously been impregnated with IPS Model Sealer or IPS Margin Sealer. A clean separation of the ceramic material and the stone model or stone die is thus possible. Delivery form: 1x 15 ml IPS Ceramic Separating Liquid with Brush 19

20 IPS InLine PoM PRESS-ON-METAL Ceramic NEW IPS InLine PoM Basic Kit The IPS InLine PoM Basic Kit comprises the most popular opaquer shades, all 7 ingot shades in sizes XS and S, the 7 Touch Up materials, as well as the required processing accessories. The Basic Kit is supplied in the new material box and can be supplemented with any other kits. Delivery form: IPS InLine PoM Basic Kit A-D 8x 3g IPS InLine/IPS InLine PoM Opaquer; Shades: BL1/BL2, A2, A3, A3.5, B1, B3, C2, C4 7x 5 IPS InLine PoM Ingot XS; Shades BL, 1, 2, 3, 4, 5, 6 7x 5 IPS InLine PoM Ingot S; Shades: BL, 1, 2, 3, 4, 5, 6 7x 20 g IPS InLine PoM Touch Up; Shades: BL, 1, 2, 3, 4, 5, 6 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 20 g IPS InLine/IPS InLine PoM Add-On 690 C/1274 F 1x 60 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 15 ml IPS InLine/IPS InLine PoM Opaquer Liquid 1x IPS InLine PoM material shade guide 1x 100 g IPS e.max investment ring system 1x 200 g IPS e.max investment ring system 1x IPS Silicone Ring 100 g 1x IPS Silicone Ring 200 g 2x IPS e.max AlOx Plunger 1x IPS e.max AlOx Plunger Separator 1x IPS Sprue Guide 100 g 1x IPS Sprue Guide 200 g IPS InLine PoM Basic Kit Chromascop 10x 3 g IPS InLine/IPS InLine PoM Opaquer; Shades: BL1/BL2, 130, 140, 210, 220, 230, 310, 410, 420, 510 7x 5 IPS InLine PoM Ingot XS; Shades: BL, 1, 2, 3, 4, 5, 6 7x 5 IPS InLine PoM Ingot S; Shades: BL, 1, 2, 3, 4, 5, 6 7x 20 g IPS InLine PoM Touch Up; Shades: BL, 1, 2, 3, 4, 5, 6 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 20 g IPS InLine/IPS InLine PoM Add-On 690 C/1274 F 1x 60 ml IPS InLine/IPS InLine PoM Build-Up Liquid P 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 1x 15 ml IPS InLine/IPS InLine PoM Opaquer Liquid 1x IPS InLine PoM material shade guide 1x 100 g IPS e.max investment ring system 1x 200 g IPS e.max investment ring system 1x IPS Silicone Ring 100 g 1x IPS Silicone Ring 200 g 2x IPS e.max AlOx Plunger 1x IPS e.max AlOx Plunger Separator 1x IPS Sprue Guide 100 g 1x IPS Sprue Guide 200 g IPS InLine/IPS InLine PoM Opaquer Paste opaquers the consistency and excellent stability of which enables outstanding masking capabilities, even when applied in thin layers. The paste opaquers are characterized by fast and economical processing. One opaquer for the conventionally layered and the precision press-on metal-ceramic restoration. Delivery form: 16x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Opaquer A D; Shades: A1, A2, A3, A3.5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4 20x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Opaquer Chromascop; Shades: 110, 120, 130, 140, 210, 220, 230, 240, 310, 320, 330, 340, 410, 420, 430, 440, 510, 520, 530, 540, 2x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Opaquer BL; Shades: BL1/BL2, BL3/BL4 4x 3 g syringes or 9 g jars IPS InLine/IPS InLine PoM Intensive Opaquer; Shades: white, violet, brown, incisal IPS InLine/IPS InLine PoM Opaquer F You can easily achieve outstanding aesthetic in-depth effects with the Opaquer F. Due to the increased fluorescence, the restoration seems to shine from within. Delivery form: 1x 1 g IPS InLine/IPS InLine PoM Opaquer F 20

21 NEW IPS InLine PoM ingots The shade concept The ingot concept has been deliberately kept "slim". Only seven shades are sufficient to reproduce all the Chromascop, A D and new Bleach shades. Therefore, it is possible to press fully anatomical restorations for different patient cases in one press cycle. Due to two ingot sizes unnecessary material waste is a thing of the past with IPS InLine PoM. The final tooth shade is achieved by individual characterization using the new Shade/Stains and Glaze materials. BL S & XS Ingots Rohlinge Ingots Rohling & & Touch Up Up BL1,BL2,BL3,BL4 A1, B1 110,120,130,140 A2, B2, C1, D2 210,220,230,240 A3, A3.5 B3,B4 310,320,330,340 C2,D3,D4 410,420,430,440 A4,C3,C4 510,520,530,540 Delivery form: IPS InLine PoM ingots 7x 5 IPS InLine PoM ingots XS; Shades: BL, 1, 2, 3, 4, 5, 6 7x 5 IPS InLine PoM ingots S; Shades: BL, 1, 2, 3, 4, 5, 6 NEW IPS InLine PoM Touch Up The 7 Touch Up materials which are especially coordinated with the ingot shades are ideal for final shape adjustments. Delivery form: 7x 20 g IPS InLine PoM Touch Up; Shades: BL, 1, 2, 3, 4, 5, 6 ADDITIONALLY IPS InLine/InLine PoM Add-On 690 C/1274 F This low-fusing Add-On material has been especially developed for IPS InLine PoM. The material is used for subsequent corrections and adjustments of shape on already fired IPS InLine or IPS InLine PoM restorations. Delivery form: 1x 20 g IPS InLine/InLine PoM Add-On 690 C/1274 F 21

22 NEW IPS InLine/IPS InLine PoM Shade/Stains Kit The ready-to-use, intensive stains in paste form are available in 14 shades to reproduce natural characteristics on the ceramic surface. With the 3 complementary shades basic blue, basic red, basic yellow the shades can be individually adjusted. The 7 Dentin stains in paste form allow subsequent shade adjustments on IPS InLine/IPS InLine PoM restorations. The IPS InLine/IPS InLine PoM Shades, Stains and Glaze materials can be used for the conventional metal-ceramic as well as the Presson-Metal ceramic. IPS InLine PoM The final tooth shade is achieved by individual characterization using the new Shade/Stains and Glaze materials. Delivery form: IPS InLine/IPS InLine PoM Shade/Stains Kit 7x 3 g IPS InLine/IPS InLine PoM Shade; Shades: 1, 2, 3, 4, 5, 6, 7 14x 1 g IPS InLine/IPS InLine PoM Stains; Shades: white, mahogany, khaki, orange, grey, vanilla, crackliner, olive, yellow, black, maroon, basic blue, basic red, basic yellow 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid Refills 7x 3 g IPS InLine/IPS InLine PoM Shade; Shades: 1, 2, 3, 4, 5, 6, 7 14x 1 g IPS InLine/IPS InLine PoM Stains; Shades: white, mahogany, khaki, orange, grey, vanilla, crackliner, olive, yellow, black, maroon, basic blue, basic red, basic yellow Shade combination table for IPS InLine/IPS InLine PoM Shade Classification A-D Chromascop 1 A1, B1, B2 110, 120, 130 BL1, BL2, BL3, BL4 2 A2, A3, A , 210, 220, 230, B3, B4, D4 310, 320, A4 340, C1, D2, D3 6 C2, C3, C4 410, 420, 430, 440, , 530 NEW IPS InLine/IPS InLine PoM Glaze IPS InLine/IPS InLine PoM Glaze and Stains Liquid Restorations with a lifelike gloss can be easily achieved using the IPS InLine/IPS InLine PoM Glaze material in combination with the IPS InLine/IPS InLine PoM Glaze and Stains Liquid. Delivery form: 1x 3 g IPS InLine/IPS InLine PoM Glaze 1x 10 g IPS InLine/IPS InLine PoM Glaze 1x 15 ml IPS InLine/IPS InLine PoM Glaze and Stains Liquid 22

23 ACCESSORIES IPS InLine PoM IPS e.max AlOx Plunger The IPS InLine PoM ingot, in its softened state, is pressed into the hollow space in the investment ring by means of the IPS e.max Alox plunger. It features a larger diameter and is slightly shorter than the IPS Empress Alox plunger and is thus only suitable for the IPS e.max investment ring system. Both ends of the Alox plunger are rounded, which makes both sides suitable for pressing. In this respect, the new plunger is different from the existing plungers. Delivery form: 2x IPS e.max Alox Plunger IPS e.max AlOx Plunger Separator The IPS e.max Alox Plunger Separator prevents the ingot from sticking to the Alox plunger during pressing and cooling in the investment ring. The cold Alox plunger is inserted into the recess and rotated. The powder adheres to the surface and thus forms a separating layer. A very small amount of Separator is sufficient. The cold, prepared Alox plunger is subsequently inserted into the preheated investment ring immediately before pressing. Delivery form: 1x 200 mg IPS e.max Alox Plunger Separator IPS e.max Investment Ring System The IPS e.max investment ring system is used to sprue the contoured IPS InLine PoM restorations. The base has been enlarged so that the IPS Silicone Ring optimally fits onto the base. The larger IPS e.max investment ring base thus substantially differs from the IPS Empress investment ring base, which prevents the two bases from being confused. Delivery form: 100 g IPS e.max investment ring system 3x IPS e.max investment ring bases, 100 g 3x IPS e.max investment ring gauges, 100 g 200 g IPS e.max investment ring system 3x IPS e.max investment ring bases, 200 g 3x IPS e.max investment ring gauges, 200 g IPS Silicone Rings The IPS Silicone Rings 100 g and 200 g are available for investment. Delivery form: IPS Silicone Ring small, 100 g IPS Silicone Ring big, 200 g 23

24 IPS Sprue Guide The IPS Sprue Guide helps to check the correct sprueing of the objects to be pressed on the ring base. Refills: IPS Sprue Guide 100 g IPS Sprue Guide 200 g IPS PressVEST Investment Material IPS PressVEST is an optimized, phosphate-bonded investment material for the conventional heating method (overnight). It produces pressings that fit accurately and can be used with the following Ivoclar Vivadent pressed ceramics to be pressed in the EP 500, EP 600, EP 600 Combi and Programat EP 5000 press furnaces: IPS InLine PoM IPS e.max Press IPS e.max ZirPress IPS Empress Esthetic IPS Empress Cosmo IPS PressVEST cannot be used for metal casting due to the high temperatures. Delivery form: IPS PressVEST investment material, 2.5 kg 25x 100 g IPS PressVEST investment material powder 1x 0.5 l IPS PressVEST Liquid IPS PressVEST investment material, 5 kg 50x 100 g IPS PressVEST investment material powder 1x 1 l IPS PressVEST Liquid IPS PressVEST Speed Investment Material IPS PressVEST Speed is a phosphate-bonded investment material for the rapid heating method. It can be used with the following Ivoclar Vivadent pressed ceramics to be pressed in the EP 500, EP 600, EP 600 Combi and Programat EP 5000 press furnaces: IPS InLine PoM IPS e.max Press IPS e.max ZirPress IPS Empress Cosmo IPS PressVEST Speed cannot be used for metal casting due to the high temperatures. Delivery form: IPS PressVEST Speed investment material, 2.5 kg 25x 100 g IPS PressVEST Speed investment material powder 1x 0.5 l IPS PressVEST Speed Liquid IPS PressVEST Speed investment material, 5 kg 50x 100 g IPS PressVEST Speed investment material powder 1x 1 l IPS PressVEST Speed Liquid 24

25 Investment Tongs The investment tongs ensure safe working with the investment rings. They are used to place the ingots and Alox plungers into the investment ring before the press procedure is started. Delivery form: 1x investment tongs ACCESSORIES IPS InLine/IPS InLine PoM IPS UniTray The IPS UniTray is a universal firing tray that has been designed to accommodate objects to be fired, or pressed ingots and other auxiliaries. If the IPS UniTray is used in the ceramic furnace, the enclosed metal pins are available to place the restorations properly. Delivery form: 1x IPS UniTray 3x 4 Metal Pins 25

26 IPS InLine Conventional Layering Criteria for framework design The framework design is the key to the success of durable metal-ceramic restorations. The more attention given to the framework design, the better the final results and the clinical success will turn out to be. 1. Functional support of the veneering ceramic The framework reflects the shape of the tooth in a reduced form. It should be designed in such a way that it supports the cusps and incisal edges so that a nearly even layer thickness of the veneering ceramic can be achieved in the cusp-fissure area. In this way, the masticatory forces occurring during functional chewing are exerted on the framework rahter than on the veneering ceramic. Therefore, the framework should not exhibit any sharp angles or edges (see diagram), so that the masticatory forces do not cause stress peaks, which may result in cracks or delamination. Any sharp angles or edges should be removed in the wax-up rather than grinding the metal framework. The wall thickness of the metal framework for single crowns after finishing should be at least 0.3 mm and 0.5 mm for bridge abutments (see diagram). For further information, please refer to the Instructions for Use of the corresponding alloy. Anterior crowns correct wrong Premolar crowns correct wrong Molar crowns correct wrong 26

27 2. Framework design for ceramic shoulders When fabricating ceramic shoulders, make sure that the framework rather than the veneer is supported by the prepared tooth. To achieve this, the framework is reduced exactly to the inner edge of the chamfer or shoulder preparation. In this way, functional support of the framework by the prepared tooth is achieved. A framework that accurately fits the prepared tooth is essential in order to keep the shoulder material from reaching the inner surface of the framework. IPS InLine Conventional Layering correct wrong 3. Framework stability The dimensions of the interproximal connector surface greatly influences the stability of the restoration during the laboratory procedure, as well as the clinical long-term success after cementation. Therefore, the connectors must be adequately dimensioned in accordance with the alloy being used (particularly if bio-alloys or high gold alloys are used). The thermal behaviour of the selected alloy during the laboratory procedures has to be taken into consideration for the design of the framework. Single connector width = single stability Double the connector width = double the stability Double the connector height at single width = eightfold stability 27

28 4. Framework design for bridges Frameworks veneered with ceramic materials are subject to thermal stress during the firing procedures and to masticatory stress after cementation. Therefore, the corresponding forces must be transferred to the framework rather than the veneer. Particularly in bridge reconstructions, the stability in the connector area between the abutment and the pontic must be ensured by the framework design and its adequate thickness. The design of the framework and its thickness must meet the visual, functional and periodontal hygiene requirements of the patient. A full wax-up reduced to allow space for the ceramic material is the optimum prerequisite. During the laboratory procedures, the framework is repeatedly exposed to high temperatures. These firing temperatures may cause the framework to distort and compromise the accuracy of fit if it has not been properly designed and if the required thickness has not been observed. A scallop-type design with interproximal reinforcements will provide the necessary strength needed to avoid deformation of the framework. Also, proper framework design (e.g. using cooling vents) will ensure even cooling of the restoration during the cooling phase. This is particularly important if high gold alloys are used. The corresponding failures can be prevented as described under point 1. In order to ensure proper oral hygiene with bridges, the design of the interdental areas should be given special attention. Adequate opening of the interdental area should be considered when designing the framework without creating black triangles. In this way, periodontal hygiene may be performed using interdental brushes and dental floss. correct wrong correct 28

29 5. Design of bridge pontics Bridge pontics are designed taking aesthetic and functional aspects into account, as well as oral hygiene. The area of the pontic that contacts the alveolar ridge should be made of ceramic. In order to ensure adequate stability between the bridge pontic and the bridge abutments, a palatal and/or lingual scallop is recommended. Furthermore, to ensure even cooling of the bridge pontic, the addition of a lingual metal band to aid in cooling is advantageous. IPS InLine Conventional Layering Bridge pontic design - ovate pontic Bridge pontic design - saddle-type pontic 6. Interface between metal and ceramic The interface between the metal framework and the veneering ceramic must be clearly defined. If possible, incorporate a right angle finish line. The juncture between the metal framework and the veneering ceramic must not be located in the contact area nor on surfaces involved in masticatory functions. The interface in the interdental area should be designed in such a way that cleaning of these difficult-to-access areas is possible. 29

30 Retention For crown and bridge frameworks, a retention in the area of the pontic has to be applied in the press-on-metal technique. Advantages of the retentions: 1. Ideal as cooling fins in the casting technique 2. Retention for improved fixation in the investment material during the press-on procedure 3. Handling aid for further processing Here are some examples possibilities for a retention made of, for example, a wax wire with a diameter of mm: If straight wax wires are used, 2 diverging wires have to be applied for bridges. A profile has to be positioned in the area of the pontic. For improved heat distribution and cooling, the pontics can also be designed as hollow bodies, e.g. as Inzoma. Important The retention should be carefully removed without overheating not earlier than after glaze firing. For details and background information, please refer to the "Framework design for metal-ceramic restorations" Manual. The manual is available from your Ivoclar Vivadent contact address. 30

31 Step-by-step procedure Preoperative situation IPS InLine Conventional Layering Upper and lower jaw mounted in the Stratos 200 articulator. Preoperative situation for the metal-supported IPS InLine or IPS InLine PoM restoration 31

32 Wax-up of the metal frameworks The frameworks are waxed up according to the principles of the conventional metal-ceramic. Design the frameworks in a reduced anatomical shape taking the planned layering or press-on procedure into account. The wall thickness of single crowns should be at least 0.3 mm and at least 0.5 mm for abutment crowns. Make sure to provide sufficient stability of shape for the framework. Avoid sharp transitions and edges. Design the connector areas between the individual units in such a stable way that they meet the requirements for interdental hygiene and the alloy used. Design the framework in a reduced supported shape. 32

33 Preparing the framework IPS InLine Conventional Layering Example of a predominantly base alloy Example of a precious metal alloy The cast metal framework is finished using tungsten carbide metal burs or ceramic-bonded grinding instruments. The marginal area of the framework is reduced up to the inner edge of the chamfer or shoulder preparation (labial or circular) to make room for the ceramic shoulder. After finishing, carefully blast the framework with type aluminium oxide Al2O3 (Ivoclar Vivadent Special Jet Medium). After sandblasting, clean the metal framework with a steam jet and allow to dry. Oxide firing may now be conducted according to the alloy in use. 33

34 After oxide firing, the framework should exhibit an even oxidized surface. Subsequently, thoroughly clean the framework. Opaquer firing 1 st Opaquer firing (wash firing) Select the IPS InLine/IPS InLine PoM Opaquer in paste form according to the respective tooth shade. Extrude the desired amount from the syringe or jar and mix thoroughly. Apply a thin layer Tip: You can use the Opaquer Liquid to individually adjust the consistency. 34

35 2 nd Opaquer firing IPS InLine Conventional Layering Apply the second opaquer layer in such a way that the metal framework is entirely covered with opaquer. The fired opaquer should have a silky-mat appearance. Tip: After firing, the opaquer should exhibit a thickness of approx mm. This is particularly important for dark oxides. Firing in the Programat furnace: Firing parameters for the 1 st and 2 nd Opaquer firing T C / F B C / F S min. t C / F H min. V 1 C / F V 2 C / F 930 / / / / / 1704 IPS InLine/IPS InLine PoM Opaquer F The Opaquer F can be used to reinforce the in-depth fluorescence. Either: Apply the Opaquer F as a thin, third opaquer layer and fire (930 C/1706 F). Or: Mix up to 20% of Opaquer F with the conventional IPS InLine/IPS InLine PoM Opaquer before the second layer is applied and fire at 930 C/1706 F. 35

36 1 st and 2 nd Margin firing A ceramic shoulder can be fabricated on the metal framework after the opaquer firing, if the necessary space has been provided during finishing. First, seal the stone die with IPS Margin Sealer and then, after drying, with IPS Ceramic Separating Liquid. correct wrong After that, generously apply the IPS InLine Margin material in the desired tooth shade in the cervical area in the shape of a drop (i.e. the outer surface of the ceramic material is given a convex shape) and dry. Then, carefully remove the framework with the dried shoulder material from the die. Tip: When designing a ceramic shoulder (particularly for bridges), the Margin material may be applied slightly higher up in the proximal areas. This will reduce the interdental shrinkage during the subsequent Dentin and Incisal firings. 36

37 IPS InLine - conventional layering After firing, the margin shoulder may have to be slightly adjusted by grinding. The accuracy of fit (sinter shrinkage) has to be optimized by means of a 2 nd Margin firing. Use the same Margin materials as for the 1 st Margin firing for that purpose. First, however, isolate the die again using IPS Ceramic Separating Liquid. Then, supplement the missing areas by carefully applying the Margin material in the space created by the 1 st Margin firing, thus providing the ceramic shoulder with optimum accuracy of fit. After that, complete the ceramic shoulder and dry. Carefully remove the framework from the die and place it on the firing tray. Firing in the Programat furnace: Firing parameters for the 1 st and 2 nd Margin firing T B S min. t H min. V 1 V / / / / /

38 IPS InLine layering diagram Opaquer mm Ideal space Limited space Framework mm mm Dentin material 1.5 mm Opaquer 0.1 mm 0.1 mm Deep Dentin cervical incisal 0.3 mm 0.1 mm Dentin cervical incisal 1 mm 0.7 mm 0.5 mm 0.3 mm Incisal cervical incisal 0.2 mm 0.5 mm 0.1 mm 0.4 mm Thickness of metal framework: Crowns min. 0.3 mm Bridge abutments min. 0.5 mm These figures are drawn from past experience and they may vary in certain situations. Depending on the requirements placed on the restoration, shade system and materials used, various effects may be achieved. With Chromascop shades, for example, the Incisal materials are only layered up to the beginning of the cervical third. In contrast, the Incisal materials in A D shades are applied up to the center of the cervical third. e.g. A D e.g. Chromascop 38

39 1 st Dentin and Incisal firing Before layering the Dentin and Incisal materials, sealing the model is a very important working step. In this way, the ceramic material is prevented from drying out or sticking to the model respectively. Use IPS Model Sealer followed by IPS Ceramic Separating Liquid to seal the stone die and the adjoining areas of the model. IPS InLine Conventional Layering Tip: To achieve an optimum bond between the ceramic material and the opaquer surface, apply IPS InLine Deep Dentin or Dentin material in small increments in the cervical and interdental areas (for bridges) and slightly roughen it. In this way, the adaption of the ceramic material on the opaquer surface is enhanced. Make sure to over-contour the restoration when layering so that the required tooth shape is achieved after firing. Condense the ceramic surface (after contouring) using a large, dry brush to make it more homogeneous. This prevents the ceramic from pulling away from the cervical margin. After lifting the bridge off the model, supplement the contact points using Dentin and Incisal materials. Additionally, the interdental area must be separated using a thin blade and cutting through the ceramic down to the opaquer before firing. The ceramic material is applied according to the layering diagram. For an optimum firing result, the interdental area must be separated. Firing in the Programat furnace: Firing parameters for the 1 st Dentin and Incisal firing T B S min. t H min. V 1 V / / / / /

40 2 nd Dentin and Incisal firing Important note The restoration must be thoroughly cleaned, e.g. with steam, before the 2 nd Dentin and Incisal firing. After the 1 st Dentin firing, the restoration is contoured and cleaned. After that, any deficient areas are supplemented with the same materials used for the 1 st Dentin and Incisal firing. The interdental areas and proximal contact points must be given special attention. Fire the restoration using the firing parameters for the 2 nd Dentin and Incisal firing. Place the completely layered restoration on the firing tray and make sure it is adequately supported. Place the firing tray with the restoration into the firing chamber only after the furnace head is completely open and the buzzer has sounded. Use the firing parameters stipulated below to fire the restoration. Supplement the contact points using Dentin and Incisal material Final design of the occlusal surface Firing in the Programat furnace: Firing parameters for the 2 nd Dentin and Incisal firing T B S min. t H min. V 1 V / / / / / 1650 Margin Add-On firing Margin Add-On is an add-on material for the ceramic shoulder area, which is applied after the main or add-on firing cycles with Dentin and Incisal materials. Thus, it is possible to adjust the accuracy of the marginal shoulder. Subsequently, the restoration is completed with the new Shades/Stains and Glaze materials. Firing in the Programat furnace: Firing parameters for the Margin Add-On firing T B S min. t H min. V 1 V / / / / /

41 Individual finishing Final finishing and preparing for Stain and Glaze firing IPS InLine Conventional Layering Finally, the restoration is finished. Provide a true-to-nature surface structure, such as growth lines and convex/concave areas. If gold and/or silver dust was used to visualize the surface texture, the restoration has to be thoroughly cleaned with steam. Make sure to remove all gold or silver dust in order to avoid any discolouration. Provide a true-to-nature shape and surface structure Stain and Characterization firing The restoration must be free of dirt and grease before the Stain and Characterization firing. Any contamination of the restoration after cleaning must be prevented. Please observe the following procedure: For better wetting of the stains, a small quantity of IPS InLine/IPS InLine PoM Glaze and Stain Liquid may be slightly rubbed into the surface. More intensive shades are achieved by repeated staining, rather than by applying thicker layers. The cusps and fissures can be individualized using stains. Shade Shade combination table for IPS InLine/IPS InLine PoM Classification A-D Chromascop 1 A1, B1, B2 110, 120, 130 BL1, BL2, BL3, BL4 2 A2, A3, A , 210, 220, 230, B3, B4, D4 310, 320, A4 340, C1, D2, D3 6 C2, C3, C4 410, 420, 430, 440, , 530 Additional Stain and Characterization firing cycles can be conducted with the same firing parameters. 41

42 Add-On firing Before the completion of a restoration, small adjustments, such as contact points, pontic rests, shoulder adjustments, may be necessary. In order to employ a lower firing temperature, IPS InLine Dentin/Incisal powder can be mixed with IPS InLine Add-On in a 1:1 ratio and subsequently applied. Firing in the Programat furnace: Firing parameters for Add-On firing T B S min. t H min. V 1 V / / / / / 1578 Shade adjustments with IPS InLine/IPS InLine PoM Shade and Stains These stains may be fired with a separate Stain firing. If only minor shade adjustments and individual characterizations are applied, the materials may be fired together with the Glaze firing. Extrude the desired amount of IPS InLine/IPS InLine PoM Shade from the syringe and mix with the IPS InLine/IPS InLine PoM Glaze and Stains Liquid to the desired consistency. Avoid pooling and applying excessively thick layers. More intensive shades are achieved by repeated staining and firing, rather than by applying thicker layers. Firing in the Programat furnace: Firing parameters for the Shade/Stains firing (Stain and Characterization firing) NEW T 800 / 1472 B 403 / 757 S min. 6 t 60 / 108 H min. 1 V / 842 V /1470 Additional Stain and Characterization firing cycles can be conducted with the same firing parameters. 42

43 Glaze firing If a Shade/Stains and Characterization firing has been conducted, a one-time Glaze firing is conducted according to the description below. Remove IPS InLine/IPS InLine PoM Glaze paste from its container and mix thoroughly. If another consistency is desired, the material can be slightly diluted with IPS InLine/IPS InLine PoM Glaze and Stains Liquid. Next, apply the glazing material in the usual manner using a brush. Avoid excessively thick layers of glazing material, as well as thinning the glaze with too much Glaze and Stains Liquid. Small shade adjustments can be made together with the Glaze firing cycles. If no Shade/Stains and Characterization firing is required, the glazing material is first applied as a Wash layer, followed by a second Glaze firing. IPS InLine Conventional Layering Firing in the Programat furnace: Firing parameters for the Glaze firing NEW T 800 / 1472 B 403 / 757 S min. 6 t 60 / 108 H min. 2 V / 842 V /1470 If furnaces from other manufacturers are used, these parameters have to be adjusted accordingly. Finally, check the shade of the completed restoration. If the gloss is unsatisfactory after the first Glaze firing, further glaze firing procedures may be conducted using the same firing parameters. Add-On after Glaze firing Mix IPS InLine/IPS InLine PoM Add-On 690 C/1274 F (alone) with the desired modelling liquid, apply the material in the missing areas, and fire. Firing in the Programat furnace: Firing parameters for Add-On after Glaze firing NEW T 690 / 1274 B 403 / 757 S min. 4 t 60 / 108 H min. 1 V / 842 V / 1272 Individually finished and characterized bridge 43

44 IPS InLine Veneer fabrication The following chapter shows the step-by-step layering of veneers on refractory dies. Important: After each working step, the master model has to be immersed in water for about 5 10 minutes, depending on the size. Tip: For the veneer fabrication, smaller working steps and several intermediate firing cycles are recommended. Model fabrication Fabricate a duplicate model using commercially available refractory die material, e.g. BegoForm from Bego, Cosmotech VEST from GC or G-CERA TM VEST from GC (observe the instructions of the manufacturer). Important: Correct processing and properly degassed dies are an important prerequisite for accurately fitting veneers. Wash firing After degassing the refractory dies, apply IPS InLine Add-On mixed with the IPS InLine Stains Liquid in a thin layer and fire. T B S min. t H min. V 1 V 2 830/ / / / /1525 Cervical firing Build up the marginal areas using a mixture of Dentin and, for example, Occlusal Dentin brown. T B S min. t H min. V 1 V 2 940/ / / / /1722 Dentin/Impulse firing Internal layering is modelled on the natural characteristics and consists of a dentin build-up and various effects. Individual layering with the Impulse materials enables mamelons, opalescence and translucent effects to be achieved. T B S min. t C / F H min. V 1 V 2 940/ / / / /

45 Incisal firing Subsequently, build up the outer enamel layer and fire. T B S min. t H min. V 1 V 2 C / F 930/ /757 8 min. 60/108 1 min. 450/ /1704 Glaze firing Apply IPS InLine Glaze paste to the surface and fire. NEW T B S min. t H min. V 1 V 2 C / F 860/ / / / /1578 Divesting of laminate veneers Remove large amounts of die material using a grinding disk. Next, clean the veneers with Ivoclar Vivadent jet polishing medium at approx. 1 bar pressure. Pretreatment of the veneer for adhesive luting Etch the inner aspects of the restoration with hydrofluoric acid (IPS Ceramic Etching Gel) for 120 seconds, thoroughly rinse with water and dry. 45

46 IPS InLine PoM precision Press-On-Metal technique Criteria for framework design The framework design is the key to the success of durable metal-ceramic restorations. The more attention given to the framework design, the better the final results and the clinical success will turn out to be. 1. Functional support of the veneering ceramic The framework reflects the shape of the tooth in a reduced form. It should be designed in such a way that it supports the cusps and incisal edges so that a nearly even layer thickness of the veneering ceramic can be achieved in the cusp-fissure area. In this way, the masticatory forces occurring during functional chewing are exerted on the framework rather than on the veneering ceramic. Therefore, the framework should not exhibit any sharp angles or edges (see diagram), so that the masticatory forces do not cause stress peaks, which may result in cracks or delamination. Any sharp angles or edges should be removed in the wax-up rather than grinding the metal framework. The wall thickness of the metal framework for single crowns after finishing should be at least 0.3 mm and 0.5 mm for bridge abutments (see diagram). For further information, please refer to the Instructions for Use of the corresponding alloy. Anterior crowns correct wrong Premolar crowns correct wrong Molar crowns correct wrong 46

47 2. Framework design for ceramic shoulders When fabricating ceramic shoulders, make sure that the framework rather than the veneer is supported by the prepared tooth. To achieve this, the framework is reduced exactly to the inner edge of the chamfer or shoulder preparation. In this way, functional support of the framework by the prepared tooth is achieved. A framework that accurately fits the prepared tooth is essential in order to keep the shoulder material from reaching the inner surface of the framework. IPS InLine PoM Precision press-on technique correct wrong 3. Framework stability The dimensions of the interproximal connector surface greatly influences the stability of the restoration during the laboratory procedure, as well as the clinical long-term success after cementation. Therefore, the connectors must be adequately dimensioned in accordance with the alloy being used (particularly if bio-alloys or high gold alloys are used). The thermal behaviour of the selected alloy during the laboratory procedures has to be taken into consideration for the design of the framework. Single connector width = single stability Double the connector width = double the stability Double the connector height at single width = eightfold stability 47

48 4. Framework design for bridges Frameworks veneered with ceramic materials are subject to thermal stress during the firing procedures and to masticatory stress after cementation. Therefore, the corresponding forces must be transferred to the framework rather than the veneer. Particularly in bridge reconstructions, the stability in the connector area between the abutment and the pontic must be ensured by the framework design and its adequate thickness. The design of the framework and its thickness must meet the visual, functional and periodontal hygiene requirements of the patient. A full wax-up reduced to allow space for the ceramic material is the optimum prerequisite. During the laboratory procedures, the framework is repeatedly exposed to high temperatures. These firing temperatures may cause the framework to distort and compromise the accuracy of fit if it has not been properly designed and if the required thickness has not been observed. A scallop-type design with interproximal reinforcements will provide the necessary strength needed to avoid deformation of the framework. Also, proper framework design (e.g. using cooling vents) will ensure even cooling of the restoration during the cooling phase. This is particularly important if high gold alloys are used. The corresponding failures can be prevented as described under point 1. In order to ensure proper oral hygiene with bridges, the design of the interdental areas should be given special attention. Adequate opening of the interdental area should be considered when designing the framework without creating black triangles. In this way, periodontal hygiene may be performed using interdental brushes and dental floss. correct wrong correct 48

49 5. Design of bridge pontics Bridge pontics are designed taking aesthetic and functional aspects into account, as well as oral hygiene. The area of the pontic that contacts the alveolar ridge should be made of ceramic. In order to ensure adequate stability between the bridge pontic and the bridge abutments, a palatal and/or lingual scallop is recommended. Furthermore, to ensure even cooling of the bridge pontic, the addition of a lingual metal band to aid in cooling is advantageous. IPS InLine PoM Precision press-on technique Bridge pontic design - ovate pontic Bridge pontic design - saddle-type pontic 6. Interface between metal and ceramic The interface between the metal framework and the veneering ceramic must be clearly defined. If possible, incorporate a right angle finish line. The juncture between the metal framework and the veneering ceramic must not be located in the contact area nor on surfaces involved in masticatory functions. The interface in the interdental area should be designed in such a way that cleaning of these difficult-to-access areas is possible. 49

50 Retention For crown and bridge frameworks, a retention in the area of the pontic has to be applied in the press-on-metal technique. Advantages of the retentions: 1. Ideal as cooling fins in the casting technique 2. Retention for improved fixation in the investment material during the press-on procedure 3. Handling aid for further processing Here are some examples possibilities for a retention made of, for example, a wax wire with a diameter of mm: If straight wax wires are used, 2 diverging wires have to be applied for bridges. A profile has to be positioned in the area of the pontic. For improved heat distribution and cooling, the pontics can also be designed as hollow bodies, e.g. as Inzoma. Important The retention should be carefully removed without overheating not earlier than after glaze firing. For details and background information, please refer to the "Framework design for metal-ceramic restorations" Manual. The manual is available from your Ivoclar Vivadent contact address. 50

51 Step-by-step procedure Preoperative situation IPS InLine PoM Precision press-on technique Upper and lower jaw mounted in the Stratos 200 articulator. Preoperative situation for the metal-supported IPS InLine or IPS InLine PoM restoration 51

52 Wax-up of the metal frameworks The frameworks are waxed up according to the principles of the conventional metal-ceramic. Design the frameworks in a reduced anatomical shape taking the planned layering or press-on procedure into account. The wall thickness of single crowns should be at least 0.3 mm and at least 0.5 mm for abutment crowns. Make sure to provide sufficient stability of shape for the framework. Avoid sharp transitions and edges. Design the connector areas between the individual units in such a stable way that they meet the requirements for interdental hygiene and the alloy used. Design the framework in a reduced supported shape. Due to the optical properties, the ceramic should feature a thickness of at least 0.8 mm in connection with the press-on-metal technique. Especially for frameworks onto which the restorations are pressed, it is recommended to apply a retainer/retention pin in the palatal/lingual area. 52

53 Preparing the framework IPS InLine PoM Precision press-on technique Example of a predominantly base alloy Example of a precious metal alloy The cast metal framework is finished using tungsten carbide metal burs or ceramic-bonded grinding instruments. The marginal area of the framework is reduced up to the inner edge of the chamfer or shoulder preparation (labial or circular) to make room for the ceramic shoulder. After finishing, carefully blast the framework with type aluminium oxide Al2O3 (Ivoclar Vivadent Special Jet Medium). After sandblasting, clean the metal framework with a steam jet and allow to dry. Oxide firing may now be conducted according to the alloy in use. 53

54 After oxide firing, the framework should exhibit an even oxidized surface. Subsequently, thoroughly clean the framework. Opaquer firing 1 st Opaquer firing (wash firing) Select the IPS InLine/IPS InLine PoM Opaquer in paste form according to the respective tooth shade. Extrude the desired amount from the syringe or jar and mix thoroughly. Apply a thin layer Tip: You can use the Opaquer Liquid to individually adjust the consistency. 54

55 2 nd Opaquer firing IPS InLine PoM - precision press-on technique Apply the second opaquer layer in such a way that the metal framework is entirely covered with opaquer. The fired opaquer should have a silky-mat appearance. Tip: After firing, the opaquer should exhibit a thickness of approx mm. This is particularly important for dark oxides. Firing in the Programat furnace: Firing parameters for the 1 st and 2 nd Opaquer firing T C / F B C / F S min. t C / F H min. V 1 C / F V 2 C / F 930 / / / / / 1704 IPS InLine/IPS InLine PoM Opaquer F The Opaquer F can be used to reinforce the in-depth fluorescence. Either: Apply the Opaquer F as a thin, third opaquer layer and fire (930 C/1706 F). Or: Mix up to 20% of Opaquer F with the conventional IPS InLine/IPS InLine PoM Opaquer before the second layer is applied and fire at 930 C/1706 F. 55

56 Wax-up Fabricate the wax-up using wax that burns out without leaving residue. The following procedure has to be observed for the fully anatomical technique: Separate the dies with a commercial wax separator, particularly in the marginal area. Weigh the opaquered metal framework and write down the weight. The weight serves to determine the wax weight after the wax-up. Subsequently, secure the framework on the model in the proper position and wax the margins first. Design a fully anatomical wax-up as usual. Observe a layer thickness of at least 0.8 mm. Make sure not to exceed a thickness of 1.5 mm in order to ensure optimum shade reproduction. The wax thicknesses of at least 0.8 mm have to be observed, as otherwise miscasts e.g. incomplete pressing may be the result. Design a fully anatomical wax-up on the metal framework. 56

57 Sprueing The sprue diameter should be 3 mm. For multi-unit bridges, each bridge unit must be provided with a sprue. Always place the sprues in the direction of flow of the ceramic and at the thickest part of the wax-up in order to ensure unimpeded flow of the viscous ceramic. Depending on the number of objects to be invested, either a 100-g or 200-g investment ring base is selected. Bridges must be pressed using the 200-g investment ring system. The following sprueing guidelines have to be observed: Single tooth crowns, bridges IPS InLine PoM - precision press-on technique Investment ring base 100 g and 200 g Wax sprue Ø 3 mm Length of wax sprue min. 3 mm, max. 10 mm Length of wax object including sprue max mm Attachment point at the wax object Sprueing angle to the wax object Sprueing angle to the investment ring base Design of the attachment points thickest part of the wax-up; every bridge unit in the direction of flow of the ceramic; observe the cusp angles rounded, no angles or edges Distance between objects min. 3 mm Distance to the silicone ring crowns: min. 10 mm; bridges: 5 8 mm Important Larger bridges can also be placed rather in the center of the investment ring Provide sprues on the IPS e.max ring base always in the direction of flow of the ceramic and at the thickest spot. 57

58 Investing Investing is carried out using either IPS PressVEST (e.g. overnight) or IPS PressVEST Speed. For that purpose, the IPS Silicone Ring with the matching investment ring gauge is used. Determine the precise wax weight as follows: Weigh the investment ring base (seal the opening of the investment ring base with wax). Position the waxed-up objects on the investment ring base and secure with wax and weigh again. The wax weight is calculated as follows: Total weight minus the weight of the investment ring base minus the framework weight (including opaquer). Mixing ratio of the investment material 100-g investment ring 200-g investment ring IPS PressVEST 13 ml liquid 9 ml dist. water 26 ml liquid 18 ml dist. water IPS PressVEST Speed 16 ml liquid 11 ml dist. water 32 ml liquid 22 ml dist. water Please refer to the Instruction for Use of the corresponding investment material regarding the detailed processing parameters. The following procedure is recommended: Do not apply debubblizer to the wax objects. Remove separator thoroughly with oil-free compressed air. Mix the investment material. The investment material contains quartz powder. Therefore, the inhalation of dust must be avoided. Use a suitable instrument for filling the cavity of the wax pattern. Make sure that the delicate wax margins are not damaged. Carefully position the IPS Silicone Ring on the investment ring base without damaging the wax objects. The silicone ring must sit flush on the investment ring base. Subsequently, carefully fill the investment ring with investment material up to the marking and position the ring gauge with a hinged movement. Allow the investment material to set without manipulating the investment ring. Do not use IPS PressVEST for investment over the weekend to prevent crystallization. 58

59 Preheating After the stipulated setting time of the respective investment material (IPS PressVEST or IPS PressVEST Speed), the investment ring is prepared for preheating as follows: Remove the ring gauge and ring base with a turning movement. Carefully push the investment ring out of the IPS Silicone Ring. Remove rough spots on the bottom surface of the investment ring with a plaster knife and check the 90 angle. Investment material residue must not enter the sprues. Blow into the sprues if necessary. If several investment rings are preheated together, mark them with the respective ingot shade. When placing several investment rings in the preheating furnace using the Speed method, make sure that the furnace temperature does not drop too much. IPS InLine PoM Precision press-on technique Setting time Temperature of preheating furnace Position of the investment ring in the furnace IPS PressVEST min. 60 minutes Start at room temperature, heat up to 850 C (1562 F) / 5 C (9 F)/min. Towards the rear wall; tipped with the opening facing down IPS PressVEST Speed min. 30 minutes, max. 45 minutes Directly 850 C (1562 F) Towards the rear wall; tipped with the opening facing down IPS InLine PoM ingots IPS e.max AlOx Plunger Do not preheat Do not preheat Important If several Speed investments are required, they should be invested with a time difference and placed in the preheating furnace at intervals of approx. 20 minutes. When placing the investment rings in the preheating furnace, make sure that the furnace temperature does not drop too much. The indicated holding time starts when the preheating temperature is reached. Place the investment ring towards the rear wall; tipped with the opening facing down. Do not preheat the IPS InLine PoM ingot and the IPS e.max Alox plunger. In order to ensure smooth working procedures in the laboratory on a daily basis, impeccable functioning of the infrastructure and the preheating furnaces is essential. This includes their maintenance, cleaning with a vacuum cleaner in a cool state as well as regular checks of the temperature controls and heating elements, etc., by the manufacturer. 59

60 Selection of ingots Select the proper ingot. Only seven shades are sufficient to reproduce all the Chromascop, A-D and Bleach shades. Therefore, it is possible to press fully anatomical restorations for different patient cases in one press cycle. The final tooth shade is achieved by individual characterization using the new Shade/Stains and Glaze materials. BL S & XS Rohlinge Ingots Ingots Rohling && Touch Up BL1,BL2,BL3,BL4 A1, B1 110,120,130,140 A2, B2, C1, D2 210,220,230,240 A3, A3.5 B3,B4 310,320,330,340 C2,D3,D4 410,420,430,440 A4,C3,C4 510,520,530,540 Due to two ingot sizes unnecessary material waste is a thing of the past with IPS InLine PoM. XS S Pressing Provide a cold and isolated IPS e.max AlOx plunger and cold IPS InLine PoM ingot in the desired shade. After that, dip the cold IPS e.max AlOx plunger into the opening of the IPS e.max AlOx Plunger Separator and keep ready for use. Insert the cold IPS InLine PoM ingot with the ingot shade facing upwards into the hot investment ring. Subsequently, place the powder-coated (with IPS e.max Alox Plunger Separator) IPS e.max Alox plunger into the hot investment ing. Place the hot and completed investment ring at the center of the hot press furnace using the investment tongs. Press START to start the selected program. 60

61 Press parameters for IPS InLine PoM ingots B T H t V1 V2 N/E C / F C / F 100 g 200 g C / F C / F C / F EP 500 / V / / ' 20' 60 / / / Program EP 600 / EP 600 Combi 700 / / ' 20' 60 / / /1724 Programat EP / / ' 20' 60 / / / µm/min. * 250 µm/min. * *Important: If you enter the program manually, observe the abort criterion (stop speed). IPS InLine PoM - precision press-on technique 100-g investment ring 200-g investment ring XS S XS + XS S + XS S+S Up to max. 0.4 g Up to max. 0.6 g Up to max. 1.0 g Up to max. 1.5 g Up to max. 2.0 g wax weight wax weight wax weight wax weight wax weight 1 object 2 3 objects 3 4 objects 4 5 objects 5 6 objects 3-unit bridge 3- to 4-unit bridge 4- to 6-unit bridge IPS InLine PoM ingots cold ingot IPS e.max Alox Plunger IPS e.max Alox Plunger Separator cold plunger After the press program has ended, remove the hot investment ring from the furnace with the investment tongs and place the ring on a wide-meshed cooling grid, where it is left to cool to room temperature. The grid ensures quick and even cooling of the investment ring and prevents undesired heat accumulation. 61

62 Divesting After cooling of the investment ring (approximately 1 hour), remove the investment material at the height of the Alox plunger using a separating disk. After that, remove the investment ring around the pressed object using a polishing jet medium. The following parameters must be observed: After removing the Alox plunger area, a polishing jet medium at approximately 4 bar pressure can be used until the pressed objects become visible. For fine divestment, reduce the blasting pressure to approximately bar and carefully blast the object. Make sure that the edges or shoulders are not damaged or even lost. Cover the marginal areas thoroughly with the glove. Mark the length of the Alox plunger. Separate the investment ring using a separating disk. Tip: The Alox plunger is already very clean if it is removed with tongs from the investment material. Check the cleanness and blast with Al2O3, if required. Sandblasting the objects 62

63 Separating / Finishing After separation of the sprues and smoothing of the attachment points, the pressed object is fitted to the master model. For that purpose, the usual rotary instruments (as those used for IPS Empress) are used (without pressure and over-heating). After that, carefully sandblast the restoration. Finally, clean the restoration under running water or with steam. Dry thoroughly with oil-free air. IPS InLine PoM Precision press-on technique Bridge with sprues Special attention is required for separating the palatal metal retainer. Make sure to separate the retainer carefully after glazing without creating too much heat and polish. Adjustments with IPS InLine PoM Touch Up For minor shape adjustments, the 7 Touch Up materials are available in the respective ingot shade. The Touch Up materials must only be used for metal-supported IPS InLine PoM restorations. Processing The restoration must be free of dirt and grease prior to adjustment. For that purpose, clean the restoration thoroughly with a steam jet. Mix IPS InLine PoM Touch Up material with IPS InLine/IPS InLine PoM Build-Up Liquid, apply the material in the necessary areas using a brush and slightly blot them with an absorbent cloth. Place the restoration on the firing tray and fire it. Next, finish the restoration or apply second Touch Up adjustments with the same parameters. Firing in the Programat furnace: Firing parameters for IPS InLine PoM Touch Up Adjustments with IPS InLine PoM Touch Up T C / F B C / F S min. t C / F H min. V 1 C / F V 2 C / F 840 / / / / /

64 Individual finishing Final finishing and preparing for Stain and Glaze firing Finally, the restoration is finished. Provide a true-to-nature surface structure, such as growth lines and convex/concave areas. If gold and/or silver dust was used to visualize the surface texture, the restoration has to be thoroughly cleaned with steam. Make sure to remove all gold or silver dust in order to avoid any discolouration. Provide a true-to-nature shape and surface structure Stain and Characterization firing The restoration must be free of dirt and grease before the Stain and Characterization firing. Any contamination of the restoration after cleaning must be prevented. Please observe the following procedure: For better wetting of the stains, a small quantity of IPS InLine/IPS InLine PoM Glaze and Stain Liquid may be slightly rubbed into the surface. More intensive shades are achieved by repeated staining, rather than by applying thicker layers. The cusps and fissures can be individualized using stains. Shade Shade combination table for IPS InLine/IPS InLine PoM Classification A-D Chromascop 1 A1, B1, B2 110, 120, 130 BL1, BL2, BL3, BL4 2 A2, A3, A , 210, 220, 230, B3, B4, D4 310, 320, A4 340, C1, D2, D3 6 C2, C3, C4 410, 420, 430, 440, , 530 Additional Stain and Characterization firing cycles can be conducted with the same firing parameters. 64

65 Shade adjustments with IPS InLine/IPS InLine PoM Shade and Stains These stains may be fired with a separate Stain firing. If only minor shade adjustments and individual characterizations are applied, the materials may be fired together with the Glaze firing. Extrude the desired amount of IPS InLine/IPS InLine PoM Shade from the syringe and mix with the IPS InLine/IPS InLine PoM Glaze and Stains Liquid to the desired consistency. Avoid pooling and applying excessively thick layers. More intensive shades are achieved by repeated staining and firing, rather than by applying thicker layers. IPS InLine PoM Precision press-on technique Firing in the Programat furnace: Firing parameters for the Shade/Stains firing (Stain and Characterization firing) NEW T 800 / 1472 B 403 / 757 S min. 6 t 60 / 108 H min. 1 V / 842 V /1470 Additional Stain and Characterization firing cycles can be conducted with the same firing parameters. Glaze firing - If a Shade/Stains and Characterization firing has been conducted, a one-time Glaze firing is conducted according to the description below. - Remove IPS InLine/IPS InLine PoM Glaze paste from its container and mix thoroughly. If another consistency is desired, the material can be slightly diluted with IPS InLine/IPS InLine PoM Glaze and Stains Liquid. Next, apply the glazing material in the usual manner using a brush. Avoid excessively thick layers of glazing material, as well as thinning the glaze with too much Glaze and Stains Liquid. Small shade adjustments can be made together with the Glaze firing cycles. - If no Shade/Stains and Characterization firing is required, the glazing material is first applied as a Wash layer, followed by a second Glaze firing. Firing in the Programat furnace: Firing parameters for the Glaze firing NEW T 800 / 1472 B 403 / 757 S min. 6 t 60 / 108 H min. 2 V / 842 V /1470 If furnaces from other manufacturers are used, these parameters have to be adjusted accordingly. Finally, check the shade of the completed restoration. If the gloss is unsatisfactory after the first Glaze firing, further glaze firing procedures may be conducted using the same firing parameters. 65

66 Add-On firing After the completion of a restoration, small adjustments, such as contact points, pontic rests, shoulder adjustments, may be necessary. Depending on your working habits, the IPS InLine/IPS InLine PoM Add-On 690 C/1274 F material may be used. Mix IPS InLine/IPS InLine PoM Add-On 690 C/1274 F (alone) with the desired modelling liquid, apply the material in the missing areas, and fire. Firing in the Programat furnace: Firing parameters for Add-On firing NEW T 690 / 1274 B 403 / 757 S min. 4 t 60 / 108 H min. 1 V / 842 V / 1272 Important: Special attention is required for separating the "palatal metal retainer" (retention). Make sure to separate and polish the retainer carefully after glazing without creating too much heat. Individually finished and characterized bridge 66

67 IPS InLine / InLine PoM General information Cementation IPS Your dentist can apply either a conventional or adhesive cementation protocol for placing IPS InLine/IPS InLine PoM restorations. For conventional cementation, the self-adhesive Multilink Sprint resin cement or a glass ionomer cement, such as Vivaglass CEM, is suitable. For an adhesive cementation protocol, we recommend the Multilink Automix universal composite. Variolink Esthetic Resin Cements Multilink Universal Resin Cements Cement Variolink Veneer Variolink II Multilink Automix Multilink Sprint Curing Mode Light-cure Light/Dual-cure Dual-cure Dual-cure Cementation Method Adhesive: Adhesive: Adhesive: Conventional: Syntac or Excite Syntac or Excite DSC Multilink Primer A/B self-adhesive total-etch total-etch self-etch self-etch IPS InLine Conventional Metal-Ceramic IPS InLine PoM Press-On-Metal Ceramic IPS InLine Veneer Recommended product combination Not recommended Conditioning of the restoration High gold alloys require silicatization and subsequent silanization with Monobond-S. For reduced gold, palladium-based and predominantly base alloys, we recommend the Metal/Zirconia Primer. 67

68 IPS InLine The Conventional Metal-Ceramic Firing parameters IPS InLine T B S t H V1 V2 Conventional metal-ceramic min. min. 1 st +2 nd Opaquer firing 930/ /757 6' 100/180 2' 450/ / st + 2 nd Margin firing 930/ /757 4' 60/108 1' 450/ / st Dentin and Incisal firing 910/ /757 4' 60/108 1' 450/ / nd Dentin and Incisal firing 900/ /757 4' 60/108 1' 450/ /1650 Margin Add-On firing 900/ /757 4' 60/108 1' 450/ /1650 NEW NEW NEW Add-on firing after Dentin/Incisal firing Add-On firing Shade / Stains firing Glaze firing Add-on firing contact point Add-On 690 C/1274 F T = Firing temperature B = Stand-by temperature S = Closing time in minutes t = Temperature increase per min. 860/ /757 4' 60/108 1' 450/ / / /757 6' 60/108 1' 450/ / / /757 6' 60/108 2' 450/ / / /757 4' 60/108 1' 450/ /1272 H = Holding time V1 = Vacuum on temperature V2 = Vacuum off temperature The IPS InLine Gingiva materials are processed and fired according to the IPS InLine Opaquer, Dentin and Incisal materials (930 C, 910 C, 900 C / 1706 F, 1670 F, 1652 F). These firing parameters are guidance values. They are valid for the Programat furnaces from Ivoclar Vivadent. Deviations (approx. +/- 10 C/18 F) may occur, depending on the furnace generation if ceramic furnaces from other manufacturers are used in case of regional differences in the power supply or if several electrical devices are operatated on the same circuit. 68

69 IPS InLine Veneer Firing parameters IPS InLine T B S t H V1 V2 Veneer min. min. Wash firing 830/ /757 4' 60/108 1' 450/ /1524 Cervical firing 940/ /757 8' 60/108 1' 450/ /1722 Dentin/Impulse firing 940/ /757 8' 60/108 1' 450 / /1722 Incisal firing 930/ /757 8' 60/108 1' 450/ /1704 NEW Glaze firing 860/ /757 8' 60/108 1' 450/ /1578 T = Firing temperature B = Stand-by temperature S = Closing time in minutes t = Temperature increase per min. H = Holding time V1 = Vacuum on temperature V2 = Vacuum off temperature These firing parameters are guidance values. They are valid for the Programat furnaces from Ivoclar Vivadent. Deviations (approx. +/- 10 C/18 F) may occur, depending on the furnace generation if ceramic furnaces from other manufacturers are used in case of regional differences in the power supply or if several electrical devices are operatated on the same circuit. 69

70 IPS InLine PoM Press-on-Metal Ceramic Mixing ratio of the investment material 100-g investment ring 200-g investment ring IPS PressVEST 13 ml liquid 9 ml dist. water 26 ml liquid 18 ml dist. water IPS PressVEST Speed 16 ml liquid 11 ml dist. water 32 ml liquid 22 ml dist. water Press parameters B T H t V1 V2 N/E C / F C / F 100 g 200 g C / F C / F C / F EP 500 / V / / ' 20' 60 / / / Program EP 600 / EP 600 Combi 700 / / ' 20' 60 / / / µm/min. * Programat EP / / ' 20' 60 / / / µm/min. * *Important: If you enter the program manually, observe the abort criterion /stop speed). 70

71 Firing parameters IPS InLine PoM T B S t H V1 V2 Press-on-Metal ceramic min. min. 1 st +2 nd Opaquer firing 930/ /757 6' 100/180 2' 450/ /1704 Touch Up firing 840/ /757 4' 60/108 1' 450/ /1542 NEW NEW NEW Shade / Stains firing Glaze firing Add-on firing Add-On 690 C/1274 F 800/ /757 6' 60/108 1' 450/ / / /757 6' 60/108 2' 450/ / / /757 4' 60/108 1' 450/ /1272 T = Firing temperature B = Stand-by temperature S = Closing time in minutes t = Temperature increase per min. H = Holding time V1 = Vacuum on temperature V2 = Vacuum off temperature These firing parameters are guidance values. They are valid for the Programat furnaces from Ivoclar Vivadent. Deviations (approx. +/- 10 C/18 F) may occur, depending on the furnace generation if ceramic furnaces from other manufacturers are used in case of regional differences in the power supply or if several electrical devices are operatated on the same circuit. 71

72 IPS InLine Materials combination table A D shades reddish-brownish reddish-yellowish Opaquer A1 A2 A3 A3.5 A4 B1 B2 B3 B4 Intensive Opaquer white violet Margin A1 A2 A3 A3.5 A4 B1 B2 B3 B4 Intensive Margin yellow orange-pink Cervical Dentin Deep Dentin A1 A2 A3 A3.5 A4 B1 B2 B3 B4 Dentin A1 A2 A3 A3.5 A4 B1 B2 B3 B4 Transpa Incisal TI1 TI1 TI2 TI2 TI3 TI1 TI1 TI1 TI2 Transparent clear clear 72

73 greyish reddish-grey C1 C2 C3 C4 D2 D3 D4 brown incisal C1 C2 C3 C4 D2/D3 D4 add-on opaque orange D2/D3 D2/D3 C1 C2 C3 C4 D2/D3 D4 C1 C2 C3 C4 D2 D3 D4 TI1 TI3 TI3 TI3 TI3 TI3 TI3 clear clear 73

74 IPS InLine Chromascop shades white yellow Opaquer Intensive Opaquer white violet Margin Intensive Margin yellow orange-pink Deep Dentin Dentin Incisal I1 I1 I1 I2 I2 I2 I3 I3 I3 Transparent clear clear 74

75 light-brown grey dark-brown brown incisal add-on opaque orange I3 I3 I3 I3 I3 I3 I3 I3 I3 I3 I3 clear clear clear 75

76 Independent of any shade system Impulse Kit Occlusal Dentin orange brown Mamelon light salmon yellow-orange Opal Effect OE 1 OE 2 OE 3 OE 4 OE 5 OE violet Transparent neutral blue brown-grey Cervical Incisal Gingiva Kit orange yellow Gingiva Opaquer Gingiva pink G1 G2 G3 G4 G5 Intensive Gingiva IG1 IG2 IG3 IG4 Shade / Stains Kit Shade A D Shades Chromascop A1, B1, B2 A2, A3, A3.5 B3, B4, D4 A4 C1, D2, D3 C2, C3, C4-110, 120, , 210, 310, 320, , , 420, 520, 530 BL1, BL2, 220, 230, , 440, 510 BL3, BL4 Stains basic blue basic red basic yellow black crackliner grey khaki mahogany maroon olive orange vanilla white yellow 76

77 Bleach Kit BL Opaquer BL1/BL2 BL3/BL4 Margin The Margin materials are only available in shades BL1 and BL4. The shades BL2 and BL3 are achieved with the following mixing ratios: Deep Dentin BL1 BL1 BL4 BL4 - BL2 = 2/3 BL1 : 1/3 BL4 - BL3 = 1/3 BL1 : 2/3 BL4 The Deep Dentin materials are only available in shades BL1 and BL4. The shades BL2 and BL3 are achieved with the following mixing ratios: - BL2 = 2/3 BL1 : 1/3 BL4 - BL3 = 1/3 BL1 : 2/3 BL4 Dentin BL1 BL2 BL3 BL4 Incisal BL Add-On BL 77

78 IPS InLine PoM BL S & XS Ingots Rohlinge Ingots Rohling & & Touch Up Up BL1,BL2,BL3,BL4 A1, B1 110,120,130,140 A2, B2, C1, D2 210,220,230,240 A3, A3.5 B3,B4 310,320,330,340 C2,D3,D4 410,420,430,440 A4,C3,C4 510,520,530,540 78

79 IPS InLine Conventional Metal-Ceramic IPS InLine Press-on-Metal Ceramic PoM Finished metal, shape and shade 79 The dental lab work was carried out by Dieter Grübel, ICDE/Schaan.