The product must be only used by specifically trained personnel and under the relevant application by proven techniques.

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Instruction manual Intended use: DD Bio ZX² monolith zero Liquids are indicated for coloring of pre-sintered Dental Direkt Zirconia milling blanks for the manufacture of dental restorations. Application: DD Bio ZX² monolith zero is a special dying solution for the individualization of full anatomical dentures and is also suitable for partial or complete coloring of dental restorations made of Dental Direkt Zirconium milling blanks. The product must be only used by specifically trained personnel and under the relevant application by proven techniques. A trouble free application in combination with zirconia blanks from other manufacturers can not be guaranteed. Symbol explanations : Consult instructions for use! Date of manufacture Use by Professional use only Manufacturer Batch code Catalog number Upper limit of temperature Irritant 1 von 19

Handling, storage and safety recommendation General handling instructions it is necessary to wear personal safety equipment, consisting of safety glasses and safety gloves, when using our DD Bio ZX² monolith zero liquid. please do not eat, drink or smoke while processing the liquid. make sure there is enough air ventilation at your working place during the processing and drying of the zirconium construction. Handling Safe handling advice: Take measures against spillage Information about firing - and explosion protection: no special measures required Storage store in tightly closed original bottle. general storage at room temperatur (not above 25 C). optimum storage in the refrigerator (6-8 C). shelf-life: when stored correctly in original bottle at least 2 years. after using DD Color Box it is recommended to pour liquid into original bottle again for storage. First aid measures in case of contact with eyes rinse immediately with plenty of water and seek medical advice if irritation persists. in the event of skin contact, wash the skin thoroughly with water and soap. swallowing: rinse out mouth with copious amounts of water. do not induce vomiting. inhalation: breathe in fresh air. further details: consult a doctor should you feel unwell (present a copy of the safety data sheet). Please do not use liquid if the liquid bottle is unlocked for longer than 24 hours. To avoid contamination do not fill back the used liquid into a new liquid bottle. Failing to observe these rules may lead to color changes and varying sinter behavior. 2 von 19

Milling construction DD Bio ZX² monolith zero - liquid is suitable for framework construction for our DD Bio ZW zirconium oxide, as well as for individualization of partially or fully anatomical construction of DD Bio ZX² or DD cubex² zirconium oxide. Cut out the construction Reducing of bars Smooth the construction Smooth toolpath (use a rubber polisher) Clean construction Compressed air- only clean and free of oil 3 von 19

Color selection The product range DD Bio ZX² monolith zero contains the following dentin and incisal colors: Dentin colors Bleached shades 0M1, 0M2, 0M3 VITA * classical shades A1 D4 Plus-shades A4+, B4+, C4+, D3+, D4+ Incisal colors SA1, SA2 (reddish/ brownish) SC1, SC2 SO (greyish) (specially for the dipping technique) *VITA is a registered trademark of the manufacturer With the DD Bio ZX² monolith zero coloring liquid system, all zirconium oxide materials from Dental Direkt can be colored reproducibly according to VITA shades. It is important to note that the colors at the material DD cubex² appear in brighter shades compared to DD Bio ZX² and DD Bio ZW. Therefore we recommend to choose a shade darker when coloring DD cubex² with DD Bio ZX² monolith zero. The Plus- Dentin shades have been developed specially to complete the A-, B-, C- and D-series according to VITA for coloring of DD cubex². When using the dipping method, it is necessary to achieve a Incisal-Dentin-Effect by using incisal color SO. The use of incisal colors SA and SC is recommended for coloring by painting. Please note the color combination chart on the following page. This chart is a guideline for the selection of dentin and incisalliquid depending on the used zirconia material and selected coloring method. 4 von 19

Color selection combination chart Combination chart of shades: for Dental Direkt Zirconia products and varios coloring technique. VITA * shades Select DD Bio ZX² monolith zero dentin-liquid depending on the chosen zirconia material: Zirconia material Select DD Bio ZX² monolith zero incisal-liquid depending on the chosen coloring technique: Coloring technique DD Bio ZX² DD Bio ZW DD cubex² dyeing painting 0M1 0M1 0M1 0M1 SO SO 0M2 0M2 0M2 0M2 SO SO 0M3 0M3 0M3 0M3 SO SA1 A1 A1 A1 A2 SO SA1 A2 A2 A2 A3 SO SA1 (SA2 for DD cubex²) A3 A3 A3 A3,5 SO SA2 A3,5 A3,5 A3,5 A4 SO SA2 A4 A4 A4 A4+ SO SA2 B1 B1 B1 B2 SO SA1 B2 B2 B2 B3 SO SA1 (SA2 for DD cubex²) B3 B3 B3 B4 SO SA2 B4 B4 B4 B4+ SO SA2 C1 C1 C1 C2 SO SC1 C2 C2 C2 C3 SO SC1 (SC2 for DD cubex²) C3 C3 C3 C4 SO SC2 C4 C4 C4 C4+ SO SC2 D2 D2 D2 D3 SO SC1 (SC2 for DD cubex²) D3 D3 D3 D3+ SO SC2 D4 D4 D4 D4+ SO SC2 DD Bio ZX² monolith zero dentin DD Bio ZX² monolith zero incisal *VITA is a registered trademark of the manufacturer 5 von 19

Color selection Color gradation Color gradation with DD Bio ZX² monolith Vario Color intensity of DD Bio ZX² monolith zero dentin liquids can be brightened to individual expectations by mixing with DD Bio ZX² monolith zero Vario. For diluting DD Bio ZX² monolith zero liquid we reccommend using the dosing syringe which is attached to DD Bio ZX² monolith zero vario in order to gain consistent color results. Examples of mixing ratios for brightening DD Bio ZX² monolith zero Liquids in % DD Bio ZX² monolith zero Vario 0 % 5 % 10 % 15 % 20 % 25 % DD Bio ZX² monolith zero Dentin 100 % 95 % 90 % 85 % 80 % 75 % Examples of mixing ratios for 30 ml DD Bio ZX² monolith zero Liquid DD Bio ZX² monolith zero Vario 0,0 ml 1,6 ml 3,3 ml 5,3 ml 7,5 ml 10,0 ml DD Bio ZX² monolith zero Dentin 30 ml 30 ml 30 ml 30 ml 30 ml 30 ml Examples of mixing ratios for 100 ml DD Bio ZX² monolith zero Liquid DD Bio ZX² monolith zero Vario 0,0 ml 5,3 ml 11,1 ml 17,6 ml 25,0 ml 33,3 ml DD Bio ZX² monolith zero Dentin 100 ml 100 ml 100 ml 100 ml 100 ml 100 ml The given mixing ratios serve as a guideline for brightening DD Bio ZX² monolith zero dentin liquids with DD Bio ZX² monolith zero Vario. It is recommended to make color samples before using the mixture. 6 von 19

Color selection - Effect colors Effect colors: DD Bio ZX² monolith zero value+ light pink DD Bio ZX² monolith zero value+ dark pink DD Bio ZX² monolith zero value+ light grey DD Bio ZX² monolith zero value+ dark grey DD Bio ZX² monolith zero value+ light brown DD Bio ZX² monolith zero value+ dark brown The DD Bio ZX² monolith zero value+ Effect colors can be used in undiluted form for individualization. The addition of DD Bio ZX² monolith zero value+ Effect liquid into DD Bio ZX² monolith zero Dentin colors lead you to a change of the color basic shades. When using value+ together with dentin dyes, you should always add a defined quantity to a total unit (50 ml or 100 ml) of the dentin dye. Only this ensures consistent, reproductible color results. Pigmentation of the color liquids All colors are provided with a special pigmentation in order to simplify the coloring construction for the user. Dentine: Incisal: Effect light pink: Effect brown: Effect grey: red yellow orange turquoise grey-violet 7 von 19

Coloring Shake well before use! It is recommended to use DD Color Box for a simplified liquid use. Hold the DD Color box closed when not in use.this prevents contamination of DD Bio ZX² zero liquids. We recommend to use the tight lidded original container for storage. We recommend using plastic instruments to avoid metal residues on the restorations. 8 von 19

1. Coloring by dipping Incisal dyes Incisal SO The Incisal dye can be applied with an applicator such as e.g. snowflake or paint brush. It should be ensured that the applicator is moderately wetted in order to prevent any running off of a larger volume of liquid over the construction. The liquid should be applied through a two to threefold application in the upper cusp or incisal edge area. The incisal dyes prevent an intensive infiltration with dentin dye. It should be dipped directly after the application of the incisal dye. When dipping, there is a comingling of dentin dye and incisal dye, which creates a transition between both areas. However, excessively generous application of the incisal dye leads to the lightening of the dentin dye overall. 9 von 19

1. Coloring by dipping Dentin dyes For dipping the construction, it is recommended to use the DD Color Box. When using less than 100 ml liquid, the necessary dipping volume can easily be reached by tilting the box. The construction is placed carefully into the sieve insert of the box. It should be ensured that the construction is completely covered with dentin dye. After the end of the dipping time, the construction can easily be lifted from the DD Color Box with the help of the sieve insert. Carefully dab excess liquid (especially inside the crown and in the occlusal area) with an absorbent cloth or blow this off with pressurised air. Store dyed construction on a non-absorbent underlay! 10 von 19

2. Coloring by painting 1. Dentin 2. Incisal 3. Individualization by Effect colors Incisal SA/ SC Dark Brown Light Grey With regard to the painting technique, the dye is gradually applied to the construction. A basic approach is shown schematically in the illustrations and serves as a guideline. Monolithic constructions can be individualized through the use of various (effect-) dyes and/or dentin and incisal dyes mixed with these. Accurately wash and dry the brush before using a new color. 11 von 19

2. Coloring by painting 4. Dentin Massive pontics To obtain an optimal dyeing result, the inside walls of crowns must finally be dyed with dentin liquid. The dyeing solution should be applied several times for this in order to infiltrate completely into the material. Store dyed construction on a non-absorbent underlay! With massive pontics, the frequency of the application of dye should be increased. This also applies to crowns, partial crowns and caps with thick wall strength. 12 von 19

Drying Drying For pre-drying of zirconia construction we recommend the use of a small household oven which includes convection and a time clock, because unlike other pre-drying methods a uniform heat distribution is guaranteed. Only use this oven for drying zirconium construction and never for food preparation. Place your restoration on a ceramic underlay in the oven in such a way that they can be "washed around" by the circulating air. To achieve homogenous colors it is necessary to dry restorations directly after coloring. It is recommended to dry crowns and bridges on the occlusal surface in order to obtain an even dyeing result. 13 von 19

Sintering Sinter after recommended sintering instruction DD Bio Z / DD Bio ZX²/ DD cubex² For optimum color results: final temperature:1450 C holding time: 2 h For increased light transmission: final temperature:1550 C holding time: 2 h Brighter color results at elevated sintering temperature! 14 von 19

Finishing - monolithic restorations Polishing monolithic restorations Crown after sintering Pre-polishing with a white lens Polishing finish with brush and polishing paste approx. 5000 U/min The occlusal surface of monolithic constructions must always be polished very carefully to a high gloss. Use rotary instruments at a speed of approx. 10.000 rqm. Deep grooves and harsh surfaces can cause excessive abrasion of the opposing teeth and need to be avoid. 15 von 19

Finishing - monolithic restorations Alternative techniques with DD Nature Zr Glazing: Instead of polishing as described, the restauration can be finalized by glaze with glaze firing. Please consult us and note current studies about abrasion of the natural antagonist. Painting: The sintered restoration can be individualized by using appropriate stains. Cut Back: For maximized esthetic values it is possible to build up the reduced (cutback) fullanatomical construction with incisal ceramic powders. 16 von 19

Finishing - Ceramic Veneering For veneering sintered restorations we recommend DD Nature Zr, a veneering porcelain which is optically and technically perfectly attuned to zirconia (Y-TZP) frameworks 17 von 19

Finished crown A3 A3 In case of very thin wall thicknesses the color may appear brighter. It is important for the dentist to use a appropriate mounting material. Fixing: It is advisable to use translucent, polymer modified, self-adhesive or composed cements. 18 von 19

Manufacturer: Dental Direkt GmbH Industriezentrum 106 108 32139 Spenge Germany Tel. +49-5225 86 31 9 0 Fax. +49-5225 86 31 9 99 info@dentaldirekt.de www.dentaldirekt.de The Manufacturer maintains a quality management system confirming to: DIN EN ISO 13485 19 von 19