Zirox Guidelines. Supplement to the ZIROX Instructions for Use (dated 07/05)

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Transcription:

Zirox Guidelines Supplement to the ZIROX Instructions for Use (dated 07/05) - 03 Technical Hotline Germany +9 60 07 / 9 76-222

Working with ZrO 2 and Zirox Indications and contraindications ZIROX veneering ceramic is suitable for all densely veneering hard-sintered all-ceramic substructures based on ZrO 2 (zirconium oxide) with a CTE of approx. 0.5 x 0-6 K - (25 500 C). If the preparation is not suitable (e.g. tangential preparations) or if the patient suffers from parafunctional habits (such as bruxism) or in cases where space is restricted, an alternative form of restoration should be chosen. Important! All-ceramic substructures should only be finished with suitable grinding tools (mediumgrain diamond burs) applied at a low contact pressure and making use of water cooling. As a rule, avoid grinding the restoration (substructure and veneering ceramic) to any great extent or using a cutting disc to separate the units. After using rotary instruments on the veneering ceramic, a glaze bake must always be carried out. This process reduces stress and microcracks in the veneer. These recommendations apply to both the dental technician and the practitioner. We recommend the use of zirconium oxide substructures from the ZENO Tec System. Substructure design The substructure must be anatomical in shape and above all should support the veneer in the area of the cusps. This principle should also be observed when designing restorations in the incisal area. Under no circumstances should the thickness of the substructure be less than 0. 0.6 mm. Any excessive absence of tooth substance must be made up for by the substructure and must not be compensated for by a correspondingly thicker veneer. Please ensure that the connectors are large enough in cross-section. For posteriors, the cross-section of the connectors should not be less than 9.0 mm 2 and for anteriors not less than 7.0 mm 2. In addition, the veneering ceramic on the occlusal / incisal area must have a minimum thickness of.0 mm and a maximum thickness of 2.0 mm. The basal area should be designed with a minimum thickness of.0 mm and a maximum thickness of.5 mm. Conditioning the substructure before veneering Gentle sandblasting is recommended for zirconium oxide substructures. This cleans the area of the framework and ensures better wetting by the veneering ceramic. The trimmed zirconium oxide substructure should therefore be blasted with approx. 0 µm aluminium oxide abrasive at approx. bar. Carrying out additional heat treatment (cleaning bake) on the substructure delivers no further benefits. Ensure that the substructure is free of dirt and grease. Always round off sharp edges and corners. The substructure must fit on the tooth die without stress. Veneer min..0 / max. 2.0 mm Veneer min..0 / max. 2.0 mm Veneer thickness incisal / occlusal min..0 mm and max. 2.0 mm,0*2,0*.0*2.0*,0*2,0*,0*2,0*,0*2,0* Framework wall min. 0. 0.6 mm Framework wall min. 0. 0.6 mm,0*,5* Veneer thickness basal min..0 mm and max..5 mm

Recommendations for firing. Zirconium oxide is a poor thermal conductor. For this reason it should be pre-heated in the closed furnace for at least 3 minutes. It is absolutely essential to observe the recommended firing parameters. 2. The heat rise must not exceed C per minute. 3. Solid firing trays absorb more heat during firing and can therefore influence the effect of firing on the ceramic. For this reason and to obtain the best possible results, use honeycomb firing trays or if solid ones are used increase the firing temperatures by 0 C. Best results are obtained by using honeycomb firing trays and fan-type firing pins.. With larger substructure designs, solid pontics or several small units, the firing temperatures for the first and second dentine bakes should be increased according to the following formula: Important! You can avoid underfiring the veneering ceramic by regularly calibrating your furnace. This can easily be done by using the ZIROX Calibration Set (Ref. No. 5950SET). Rule of thumb! The end temperature should be increased by 2 C for each additional unit of the substructure (crown, pontic). 6. In order to minimise the risk of thermal stresses caused by too rapid cooling, it is essential to open the firing chamber gradually (slow cooling). Following the ceramic bake, the veneered zirconium substructures should be left on the firing tray and allowed to cool slowly to room temperature next to the furnace. Example st dentine bake 6-unit bridge or 6 single crowns = 5 additional units -> 900 C + (5 x 2 C) => 90 C end temperature 5. Do not overfill the firing trays, since increasing the number of items necessitates a considerably higher firing temperature (see rule of thumb). Circular heating element in the furnace and substructures correctly arranged within the recommended temperature range. Make sure that no draughts or cold air from outside can cause the work to cool too quickly, since this can also lead to thermal stress. The work should not be positioned in the centre of the firing tray but always aligned to the heating elements.

Firing programme for ZIROX with slow cooling The ZIROX firing programmes with slow cooling for the DEKEMA dental ceramic furnaces can be found under. The firing temperatures given are for guidance only. Actual temperatures may differ depending on the furnace used. st shoulder bake 2st shoulder bake Liner bake st dentine bake 2nd dentine bake Glaze Correction Preheat temperature ( C) Drying time 9 5 5 Temperature rise ( C / min.) 90 960 930 900 + X 90 + X 0 50 Firing temperature ( C) 2 2 Holding time Vacuum (%) Slow cooling Calculating the value of X Along with incorrect framework design, too low a setting on the furnace is the most common cause of failure. In other words, it is absolutely crucial to set the firing temperature of your furnace correctly. This is very easy to do by means of a firing sample with the aid of the ZIROX calibration set (Ref. No. 5950SET). In order to adjust the firing temperature of each individual furnace used, the actual firing temperature of the furnace must first be determined, since this can differ from the temperature shown in the display. It is not unusual to find a deviation of 20 30 C. To do this, a firing sample of ZIROX Transpa Clear is fired in the lab and compared with the reference sample supplied. Transparency values and surface roughness should be the same for the firing sample and the reference sample. If this is not the case, then the firing temperature must be adjusted until the required degree of firing is attained. The difference in temperature between the value indicated and the actual temperature corresponds to the value X and must accordingly be added to the value given in the table for each individual firing. WIELAND Dental +Technik GmbH & Co. KG Schwenninger Straße 3 7579 Pforzheim, Germany Fon +9 72 3/37 05-0 Fax +9 72 3/35 79 59 info@wieland-international.com International Representations WIELAND Dental + Technik is worldwide lrepresented. Find your contact person in your country under or call us under telephone number +9 72 3/37 05-0. 53502e.00.09/0

Additional information for dentists Recommendations for handling all-ceramic restorations in zirconium oxide Contraindications If space is restricted or in the case of patients with parafunctional habits (e.g. bruxism), an alternative type of restoration should be chosen. Similarly, grinding the interior of the crown substructure is contraindicated. Preparation Due to the physical properties of the zirconium oxide material, the tooth must be prepared with a pronounced chamfer or shoulder. A tangential preparation of the tooth dies is contraindicated (cf. ZENO Preparation Guide). Trimming the occlusal and approximal contact points If correction work has been carried out on the ceramic veneer with rotary instruments, then this absolutely must be followed by a glaze bake. This reduces stresses and may correct any damage that the veneer has suffered in the form of microcracks. The restoration should not be subjected to extensive grinding. Checking the fit of the framework There must be no discernible independent friction at the tooth die. In order to prevent the ceramic from failing as a result of corrective grinding of the framework, e.g. on the inner surface of the crown, we recommend an initial try-in of the framework either before or just after firing. Furthermore, zirconium oxide frameworks must not be subjected to excessive contact pressure during grinding. Please use only the abrasives (fine-grain diamond burs) specifically recommended for zirconium oxide and ensure that there is adequate cooling (e.g. by using a water-cooled turbine handpiece). Conditioning the inside of the framework before cementing Gentle sandblasting of the zirconium oxide substructure is recommended. This cleans the inner surface of the substructure and guarantees a better bond for the veneering ceramic. The trimmed zirconium oxide substructure should therefore be blasted with approx. 0 µm aluminium oxide abrasive at approx. bar. Ensure that the inner surfaces of the substructure are free of dirt and grease. Recommended fixing method Zirconium oxide substructures can be fixed conventionally with phosphate or glass ionomer cement, but they can also be fixed with composite bonding materials (e.g. RelayX / Unicem from 3M ESPE or Panavia F 2.0 from KURARAY). We advise against using compomers, acrylic modified glass ionomer cements with a high coefficient of expansion. If the recommendations for working with this material are not followed, this can cause the ceramic veneer to cracks or flake off or can even cause the restoration to fracture! Photos: Dr. von Blanckenburg, ZENO Preparation Guide A diamond instrument was used to customise the contour of this ceramic bur for use in special cases Finished preparation High translucency and light transmission all the way to the sulcus and the gingiva Further information can be obtained from the Download Center at www.wieland-dental.com