vita suprinity – user interviews
Transcription
vita suprinity – user interviews
2.13 VITA SUPRINITY – USER INTERVIEWS Page 5 TABLE OF CONTENTS The perfect combination Interviews with VITA SUPRINITY users An international innovation: zirconia-reinforced lithium silicate ceramic Our export expert Trade show highlights from the Middle Kingdom Positive response to hybrid ceramics in North America Practical tips for practical applications … Validated laboratory processes for VITA CAD/CAM materials Concept-based process optimization Holistic dentistry - the success story continues Promoting outstanding dental research I like it! Practical guide 90 years of innovation! 4 5 7 10 11 13 15 17 18 20 21 22 23 24 THINKING THINGS OVER, THINKING LATERALLY, THINKING AHEAD ic VITA ENAMIC at the start of 2013 was a real coup. However, that was just the beginning, and was quickly followed by the next highlight – the presentation of a new generation of glass ceramics in the shape of VITA SUPRINITY, a zirconia-reinforced lithium silicate (ZLS) ceramic. A free thinker is someone who does not let themselves be limited in their thinking by tradition, custom or standard practice. Independent-minded at all times, a free thinker is not bound by any particular ideology. As a result, they can explore new avenues and develop innovative approaches to finding solutions. As a free thinker, VITA Zahnfabrik has already proven its worth twice this year in the area of CAD/CAM restoration materials. The introduction of the hybrid ceram- The considerable interest shown at the IDS press conference and at the VITA trade show booth clearly indicated one thing: the market is ready for a new generation of glass ceramics! Conventional lithium disilicate cannot meet increasing user expectations to the same extent as VITA SUPRINITY. The new generation of glass ceramics now meets the need for improved mechanical properties such as greater dynamic load capacity combined with improved usability thanks to optimized processing characteristics coupled with superb esthetic potential. What are the possibilities afforded by VITA SUPRINITY? This issue of VITA INFO provides detailed information – so let your imagination take flight! In addition to other fascinating topics, you will find exclusive background information, user opinions, case documentation and a whole lot more besides about zirconia-reinforced lithium silicate ceramic. Marion Rother Product Manager CAD/CAM Materials, Bad Säckingen, Germany 3 VITA INFO 2.13 THE PERFECT COMBINATION VITA SUPRINITY is not just the cornerstone of a new generation of glass ceramics; its development has also established a comprehensive system of tailored components (Fig. 1). contact points that are gentle on the material, reducing the risk of the formation of microscopic cracks. Removal can be easily controlled with minimal tool wear. Plaque-resistant surfaces with a brilliant shine can be achieved. The clinical instruments can also be sterilized. Stains With the 19 fluorescent VITA AKZENT Plus stains, you can stain and glaze VITA SUPRINITY restorations easily and effectively, both internally during layering and on the surface. You can choose between powder and ready-to-use pastes; BODY STAINS, GLAZE and GLAZE LT are also available as a spray. Fig. 1: VITA SUPRINITY – a system with tailored components. Material blanks VITA SUPRINITY is a pre-crystallized zirconia-reinforced lithium silicate (ZLS) that reaches full strength after crystallization firing. The material is suitable for anterior and posterior crowns, and can also be used on implants as well as for veneers, inlays, onlays and partial crowns. The material blocks are available in geometry size LS14 (18 x 14 x 12 mm). The shade range includes 0M1, A1, A2, A3, A3.5, B2, C2 and D2, each of which is available in T = Translucent and HT = Highly Translucent. These stains can be used to characterize any dental ceramic material, in addition to VITA SUPRINITY. Veneering ceramics The low-melting, fine-structure feldspar ceramic VITA VM 11 was developed specifically with the individualization of ZLS in mind (Fig. 3). The precisely adapted CTE values of the framework and veneering material ensure outstanding adhesion and reliable results with veneers that are not subject to warping or stress. 4 VITA INFO 2.13 VITA VM 11 features a high level of translucency as well as warm shade reproduction and offers outstanding strength, minimum shrinkage and high edge stability. Thanks to the excellent surface wettability of VITA SUPRINITY, layering can be applied directly without liner or washbake firing. VITA VM 11 also offers superb firing characteristics and remains dimensionally stable even after it has been fired several times. With the proven VITA VM fine structure, a smooth, densely compact surface is achieved that can be easily milled and quickly polished. Conclusion Product solutions for polishing, characterization and veneering that are adapted to the new generation of glass ceramics are the ideal complement to VITA SUPRINITY – providing practices and laboratories with outstanding results from a single supplier. Author: Philipp Sänger, Product Marketing Manager CAD/CAM, Bad Säckingen, Germany Polishing sets The VITA SUPRINITY Polishing Sets (clinical/technical) facilitate efficient, reliable and cost-effective surface processing (Fig. 2). The precise concentricity of the polishing instruments, matching grit sizes and the individual geometries enable polishing of occlusal surfaces, cusps, fissures and Fig. 3: VITA VM ® -11 Contact: [email protected] Fig. 2: VITA SUPRINITY Polishing Set INTERVIEWS WITH VITA SUPRINITY USERS ITY is transparent prior to firing (Fig. 3). As a result, direct visual verification of the thickness of the wall can be conducted while performing milling on the model. And the dentist can immediately see the fit on the tooth stump. My tip: using red occlusion paper rather than blue is easier to distinguish! Fig. 1: Gerwin Arnetzl, university professor. In your opinion, what are the differences compared to conventional glass dental ceramics? Fig. 2: Jens Richter, dental technician, Rochlitz, Germany. In this interview, Prof. Gerwin Arnetzl from Graz, Austria (Fig. 1) and Jens Richter, a dental technician from Rochlitz, Germany (Fig. 2) report on their experience with the CAD/CAM restoration material VITA SUPRINITY. Prof. Arnetzl, Mr. Richter, what do you personally consider special about the zirconia-reinforced lithium silicate ceramic VITA SUPRINITY, and what made you decide to use this glass ceramic in your own work? Prof. Gerwin Arnetzl: One of the characteristic properties of VITA SUPRINITY is excellent edge stability. This is more conducive to allowing in-vivo try-ins to be performed in the pre-crystallized state – proceeding with caution, is, however, nevertheless required. Very simple occlusal corrections can be carried out if necessary as the material is particularly easy to process at this point. Jens Richter, dental technician: In this class of materials, VITA SUPRINITY offers excellent edge stability and is easier to polish than lithium disilicate. A single-phase crystallization process is also implemented that can be performed using any dental vacuum furnace that offers slow cooling. Furthermore, no particular firing trays or firing pins are required, although the manufacturer does recommend platinum pins and honeycomb firing trays. Firing paste is then no longer required at all. The fact that edges and notches do not require stabilization is particularly beneficial in the case of inlays. What are your expectations: how much reliability can the new zirconia-reinforced lithium silicate ceramic material VITA SUPRINITY provide in terms of a long-lasting, reliable clinical outcome? Prof. Gerwin Arnetzl: Thanks to the superior stability of the new glass ceramic in terms of optical characteristics such as natural translucence, fluorescence and opalescence, an esthetic alternative to zirconia is now available for the fabrication of abutment crowns and implant crowns (Fig. 4). Jens Richter, dental technician: Based on the initial studies and acknowledged mechanical properties of the material, I am anticipating excellent long-term clinical results. Prof. Gerwin Arnetzl: Its composition comprising a high proportion of zirconia is what is unique, and, as a result, its material properties. In terms of the physical and mechanical characteristics such as flexural strength and load capacity, values superior to conventional glass ceramics were determined during laboratory testing. Jens Richter, dental technician: Also of benefit to the dental technician and dental surgeon is the fact that VITA SUPRIN- Fig. 3: The material structure of VITA SUPRINITY is clear prior to crystallization. VITA INFO 2.13 5 What are the benefits of VITA SUPRINITY? Prof. Gerwin Arnetzl: Thanks to the good edge stability, precise final results are achieved. The firing stability also improves process reliability. Thanks to the tailored veneering ceramic VITA VM 11, the highest demands in terms of esthetics can be met. Jens Richter, dental technician: The number of steps required in total is also reduced to a minimum, and the material offers superior shade effects. also be completed in just a few steps, using either the VITA SUPRINITY Polishing Set, for example, or using standard instruments (Fig. 5). Jens Richter, dental technician: Be it polishing, glazing or layering – work can be completed extremely efficiently either way. I am not a fan of just polishing when working with this class of materials, however, it is easy to quickly achieve results of above average quality. The elimination of liner or washbake firing during the cutback technique also saves time and money. How does VITA SUPRINITY simplify processing in practices and laboratories? Did you notice any particular aspects of interest during use? Prof. Gerwin Arnetzl: When I saw the VITA SUPRINTY blocks for the first time, I was surprised by their crystal-clear structure. During clinical use it then became apparent that during try-in in the patient‘s mouth, for example, the existing tooth and restoration structures were more clearly distinguishable as a result. Jens Richter, dental technician: Despite the comparatively high proportion of zirconia, the material features a superb chameleon effect. Moreover, the material also offers an appearance that is so natural, only minor details – at most – require layering using the cut-back technique. I also consider the veneering ceramic VITA VM 11 to be a great success. How would you judge VITA SUPRINITY in terms of its processing characteristics? Prof. Gerwin Arnetzl: The ceramic offers a very homogeneous structure, which provides the basis for precise and simple processing despite the comparatively high strength. High-gloss polishing can 6 VITA INFO 2.13 Fig. 5: Surfaces with exceptional shine can be quickly and easily achieved. Fig. 4: VITA SUPRINITY restorations are impressive thanks to natural esthetics. What are the benefits here in your view in comparison with conventional glass ceramics such as lithium disilicate, for example? Prof. Gerwin Arnetzl: In my opinion, the key benefits of VITA SUPRINITY lie in its physical and mechanical characteristics. Accordingly, the new material offers greater flexural strength, for example, as demonstrated in laboratory tests. Jens Richter, dental technician: Processing is easy in many ways. It is clear that the development of glass ceramics has reached a new milestone. Prof. Gerwin Arnetzl: Dental CAD/CAM technology with its standardized and automated steps in itself makes fabricating all-ceramic restorations easier. VITA SUPRINITY, on the other hand, was geared towards computer-aided machine-based processing using the subtractive milling technique right from the very beginning, and is thus perfectly tailored to suit the CEREC/inLab system. Jens Richter, dental technician: The glass ceramic rounds off the range of VITA materials for use with CAD/CAM technology perfectly, offering the user real added value. Contact: Prof. Gerwin Arnetzl Clinic for dental, oral and maxillofacial surgery at Graz University hospital, Austria E-mail: [email protected] Jens Richter, dental technician Dental Laboratory Kerstin Straßburger, in Rochlitz, Germany E-mail: [email protected] AN INTERNATIONAL INNOVATION: ZIRCONIA-REINFORCED LITHIUM SILICATE CERAMIC Fig. 1: Xavier Zahno, dental technician Fig. 2: Initial situation Fig. 3: Insertion of the preparation margin on the virtual model. Fig. 4: Insertion of the copy line on the digitalized wax-up. Fig. 5: Processing of the veneer construction. Fig. 6: Milling preview The Swiss esthetics specialist and dental technician Xavier Zahno (Fig. 1) is one of the first dental technicians in the world to have worked with the new VITA SUPRINITY glass ceramic. Here he presents the zirconia-reinforced lithium silicate ceramic – ZLS for short – using a patient case. Initial situation The patient is a man in his early forties. He is troubled by the large number of fillings in the visible anterior area (Fig. 2). These are fit for purpose from the perspective of an expert in dental medicine, however, they do compromise the visual appearance. The patient would like improved esthetics as well as a lighter tooth shade. Planning From the perspective of a dental technician, restoration of the upper and lower anterior area would be preferable. The patient chose to begin with upper-jaw restoration. Accordingly, the decision was taken to restore regions 13 to 23 using veneers. VITA SUPRINITY was selected as the restoration material. The ceramic scores highly thanks to natural translucency, fluorescence and opalescence, a combination that comparable products cannot offer in this form. Moreover, with VITA VM 11, a special veneering ceramic is available that is adapted specifically to VITA SUPRINITY, which also offers high translucency as well as very warm shade reproduc- tion. In terms of production costs and the duration of production, it is an advantage in this respect that a minimum amount of individualization following completion of cut-back is sufficient in order to achieve esthetic results with a vivid play of colors. Implementation The attending dental surgeon creates conventional impressions. In the laboratory, models are created upon which the veneers are to be waxed up. For the model, a laboratory scanner was used to first take a double scan of the models with, then without, a wax-up (Fig. 3 to 6). The veneers were milled from VITA SUPRINITY blocks in shade A1 and translucency HT (= highly translucent), see Fig. 7 and 8. VITA INFO 2.13 7 At this stage in processing, the material is still in its pre-crystallized, semi-transparent state. Cut-back can generally be carried out prior to crystallization firing. In this case, however, final crystallization was completed first as a basis for discussion with the patient, and try-in carried out of the fully anatomical veneers (now tooth colored), see Fig. 9. Fig. 7: Pre-crystallized VITA SUPRINITY veneers … As part of the next step, the restorations were reduced for individualization, in this case the incisal edge and the upper third (Fig. 10 and 11). Fig. 8: … with backlighting. Fig. 10: Reduction of the restorations … Fig. 9: Fully-crystallized veneers for try-in. Fig. 11: … using the cut-back technique. Fig. 12: Individualization … 8 VITA INFO 2.13 VITA SUPRINITY offers excellent milling results both in its pre-crystallized state and following final crystallization. VITA VM 11 is processed in the same way as other VITA VM ceramics. Effect Enamel, Window and Enamel (light) materials were used here (Fig. 12 to 14). Fig. 13: … using the materials … Fig. 14: … provided by the VITA VM 11 CREATIVE KIT. Fig. 15: Completed veneers … Finally, glaze firing and polishing were carried out. The VITA SUPRINITY Polishing Set is particularly suited to simple polishing. Figures 15 and 16 show the completed restorations on the model. Result Figure 17 shows the final result following permanent bonding. With comparatively little effort, the wishes and expectations of the patient were implemented perfectly. The patient is very happy with the result. Contact: Predentec Sàrl Avenue des Alpes 29 CH-1820 Montreux, Switzerland E-mail: [email protected] Fig. 16: … with backlighting. Fig. 17: The patient‘s desired outcome following adhesive bonding. VITA INFO 2.13 9 OUR EXPORT EXPERT Which brings us to your “new” position at VITA: what are your duties in this role? Dental technicians and dental surgeons in more than 150 countries now place their trust in materials, products and allin-one solutions from Bad Säckingen. Fig. 1: Erich Daniel (a graduate in business administration) with his wife Nacary and son Kevin in Spain, their home away from home. Fig. 2: The new VITA export manager with his father and son Erich. A graduate in business administration, Erich Daniel has been the new export manager at VITA Zahnfabrik since June 1st, 2013. In this interview, he reveals his origins, his goals, and what makes him unique as a person. Our sales activities are divided into three areas: Germany/Austria, the rest of Europe and – this is where I come in – all countries outside of Europe (with the exception of the USA). As export manager, I am responsible together with our small, dynamic export team for formulating and implementing our operative and strategic goals. Mr. Daniel, tell us a little about yourself! What experience do you bring to this role? Born in 1962 in Caracas, Venezuela, childhood spent all over the world, German father, Spanish mother, married, two children, and a salesman with a passion for sales. I am a conventional business administration graduate, specializing in marketing and foreign trade. I have been involved in international sales right from the start of my career, and so have unfortunately never had the opportunity to familiarize myself with the German market. What do you enjoy most about your work? I lived and worked in Peru for four years and for over three years in Venezuela; and in China, I helped establish a subsidiary for a German company. Having entered the chemical industry, I worked for several years in pharmaceuticals, and most recently spent a good ten years as the export manager at Lamy, a manufacturer of writing instruments in Heidelberg, Germany. How do you spend your time when you aren‘t traveling the world for VITA? As a youth, you had already lived in more countries than most people get to visit in their entire lifetime. How come? My father was a brewmaster, and what is known as an expatriate, so he was sent by his employer to work in different foreign locations. We moved with the family every three to four years – Latin America, Europe, Africa. That obviously has consequences – I‘m simply far too fond of being on the road and in this respect also at home in a way when I am abroad. VITA INFO 2.13 10 How has your experience been of VITA so far? VITA operates in a highly-dynamic sector of the health care market and is an established, successful player. The strengths of a family-run company such as short chains of command, a strong image, reliability, and solidarity with one another are also evident. A good choice. No country in which VITA exports its products is like any other. Each one presents a new challenge. You are never bored, that is the real attraction. My family is then obviously my priority, a large part of which lives in Spain by the way. I also love science fiction novels and enjoy country music as well as any music from the 1970s. Thank you for talking to us, Mr. Daniel! Contact: Erich Daniel, Bad Säckingen, Germany [email protected] TRADE SHOW HIGHLIGHTS FROM THE MIDDLE KINGDOM The China International Dental Exhibition & Scientific Conference is to Asia what the International Dental Show is to Europe. Known as Sinodental for short, it is traditionally the trade show for dental technology and dentistry products that attracts the most visitors. Fig. 1: Chen Xiaohong (former Deputy Minister at the Chinese Ministry of Health, left), and Michael Cheung (Marketing Director at TESCO DENTAL). Sinodental 2013 Sinodental has become the most important platform for the international dental industry in the Asian region. This year, 705 companies from 22 countries took part. As part of the trade fair from June 9th-12th, 2013, the German Federal Ministry of Economics and Technology (BMW-i) once again presented a “German Pavilion“. For the first time, this was accompanied by an exhibition showcasing the German dental industry, aimed at drawing attention to the leading role that it plays in innovation and research. This year, Germany‘s share of overall participation was around ten percent, with around a quarter of non-Chinese exhibitors coming from Germany. 40,000 visitors were registered. Special German exhibition Sinodental was opened by Chen Xiaohong, Deputy Minister at the time at the Chinese Ministry of Health (Fig. 1), and Stefan Kapferer, Secretary of State at the German Federal Ministry of Economics and Technology (Fig. 2). Directly afterwards, the latter visited the special German exhibition “Innovation and Research“, which attracted a lot of interest. Here, the latest processes and products for dental laboratories and dental practices were presented live in a futuristically designed, hands-on “Science Lab“. Stefan Kapferer was visibly impressed. According to the secretary of state, it is the fact that medium-sized businesses are ready to focus on markets abroad that makes the German economy so strong. The key factors in its success are its consistent strength of innovation and ultimately the outstanding quality of products “Made in Germany“. Digitalization is setting the pace in dental technology, with computer technology supporting processes from scanning the jaw through to final restoration. As a result of continuing improvements in production processes and materials, restorations are becoming more long-lasting and more natural in appearance. One example in this respect is the hybrid ceramic VITA ENAMIC. The German politician learned more about this material during his tour of the trade show booth set up by VITA Zahnfabrik‘s Chinese sales partner TESCO DENTAL. Fig. 3: Michael Cheung at the event marking the Chinese market launch of VITA ENAMIC. Market launch of VITA ENAMIC At Sinodental, the CAD/CAM restoration material VITA ENAMIC was officially launched on the Chinese market as part of a 3-hour event (Fig. 3 to 5). 300 laboratory and practice professionals who were in attendance were provided with further details as well as comprehensive background information about the innovative material concept that combines the best of what ceramic and composite materials have to offer (Fig. 6). The feedback provided by over a dozen dental technicians and dental surgeons from all over the world who had already gained experience at the time in using VITA ENAMIC (Fig. 7 and 8) met with particularly strong interest. Sinodental will take place again in China from June 9th-12th, 2014 at the National Convention Center in Beijing. Fig. 2: Stefan Kapferer (Secretary of State at the German Federal Ministry of Economics and Technology), Martin Göllner (Asia Pacific sales manager at VITA Zahnfabrik), Kenji Cheung (CEO at TESCO DENTAL) and Michael Cheung (from left to right). Contact: Martin Göllner, Bad Säckingen, Germany [email protected]/ Greg Luengen, Bad Säckingen, Germany [email protected] 11 VITA INFO 2.13 Fig. 6: 300 laboratory and practice professionals who were in attendance learned about the hybrid ceramic. Fig. 4: Greg Luengen (Head of Product Management at VITA Zahnfabrik) was also in attendance. Fig. 7: The consultant testers of VITA ENAMIC in China included Liu Feng (associate professor at the School of Stomatology at Peking University) … Fig. 5: “The official launch“ – TESCO DENTAL and VITA Zahnfabrik give the go-ahead for VITA ENAMIC in China. 12 VITA INFO 2.13 Fig. 8: … and Liu Weicai (associate professor at the School of Stomatology at Shanghai Tongji University). POSITIVE RESPONSE TO HYBRID CERAMICS IN NORTH AMERICA (Fig. 1). At www.cerecdoctors.com, the e-paper can be called up free of charge via the Magazine menu item. Fig. 1: Cover of issue 1-2013 of the CEREC Doctors magazine. Following the successful launch of VITA ENAMIC on the German market, this hybrid ceramic has also won the hearts and won over the milling machines of American users. Around 14,000 Sirona CEREC systems are installed in American practices – and this does not include the Sirona in Lab systems in laboratories. Accordingly, there is considerable interest in innovative new developments in the area of CAD/CAM restoration materials. The hybrid ceramic VITA ENAMIC has enjoyed a fantastic start in the land of opportunity, with the experts in the CEREC Doctor community also among those who have been impressed. This includes Dr. Mark Fleming, for example, a member of the Mentor Group who is responsible for the CEREC Doctors information magazine. The cover page of the first issue in 2013 shows Dr. Russel Giordano, who explains the VITA ENAMIC concept that he helped to develop in an interview included here Together with Prof. Werner Mörmann, the father of CAD/CAM technology, Dr. Robert Kelly from the University of Connecticut, and Dr. John Carson from Tucson, Arizona, both professionals explained the innovative material to their colleagues, also doing so at events such as the CEREC Doctors annual meeting in Scottsdale, Arizona (Fig. 2 and 3). To this end, a curriculum lasting half a day was presented, which comprised a live demonstration of a patient restoration using VITA ENAMIC – with a community member as the subject – and a podium discussion. For the participants, this was a unique opportunity to speak with not just one but several of the most important developers of CAD/CAM materials in the world. Prof. Mörmann in particular met with an enormous group of fans who cheered him almost like a rock star! Fig. 3: Participants at the CEREC Mentors Group meeting in Scottsdale, Arizona, USA. Active support Dental technicians and dental surgeons in more than 150 countries rely on materials, products and all-in-one solutions from Bad Säckingen. Thanks to an international sales network that is built on customer proximity, reliable local contacts are available throughout the world. Our competent partner in North America is the VITA subsidiary Vident, headquartered in Brea, California. In order to ensure that VITA users everywhere enjoy the same superior customer care, we collaborate very closely with all sales partners. Fig. 2: Dr. Robert Kelly, Prof. Werner Mörmann, Fred Ketcho (Vident CEO), Dr. Russell Giordano (from left to right). VITA INFO 2.13 13 For this reason, a Vident team comprised of staff members from application support, marketing, technical support and continuing education traveled to Bad Säckingen in January 2013. During their visit they were thoroughly familiarized with all VITA ENAMIC technical specifications and were provided with hands-on training that included staining and glazing of restorations, for example (Fig. 4). Presentation at the Chicago Midwinter Meeting As a result, it was possible as early as February 2013 to announce the launch of VITA ENAMIC during the Chicago Dental Society (CDS) Midwinter Meeting (Fig. 5). This year was the first time that Vident had an exhibition stand of this size, with the VITA ENAMIC displays providing the main attraction. They were identical to those used at the VITA exhibition stand at the International Dental Show (IDS) in March 2013 in Cologne, Germany. Fig. 4: The application specialists Lane Card and Trina Moskal during training in Bad Säckingen. Other highlights included the “Shade ID“ station, where shade measurements, for example, were performed using VITA Easyshade Advance 4.0. Participating visitors to the stand received a personalized badge with their photo and the result of the measurement as a souvenir. Vident expects that in the same way as the innovative hybrid ceramic VITA ENAMIC, the new glass ceramic VITA SUPRINITY will also be very well-received by users when it is launched in North America. Contact: Greg Luengen, Bad Säckingen, Germany [email protected] Fig. 5: Application specialist Larry Weimer speaking with a customer at the Vident exhibition stand during the CDS Midwinter Meeting. 14 VITA INFO 2.13 PRACTICAL TIPS FOR PRACTICAL APPLICATIONS Gerwin Arnetzl, university professor. … that is the motto of the VITA courses for dental surgeons and dental technicians (Fig. 1). A team of outstanding speakers who understand what really matters ensure that these expectations are reliably met. At the central locations of the VITA Academy in Langen near Frankfurt am Main and Bad Säckingen, a varied and challenging program of events is offered. Examples include practical training programs and courses, as well as after-business events and other events. At the same time, regional courses and workshops are held at 25 locations in Germany and Austria. In addition, it is also possible to hold training events directly in laboratories or dental practices. A highly qualified team of speakers ensures application-based training that is tailored to the individual participant structure by didactically adapting it to suit the knowledge and abilities of the individual participants. All interested parties will have the opportunity to get to know the VITA course instructors more closely. Beginning with this issue of VITA Info, they will be introduced in a series of articles, one after another and in alphabetical order. A short biography of each speaker is also available online at www.vita-zahnfabrik.com in the Education section. Axel Appel, master dental technician The master dental technician Axel Appel was employed from 1989 to 2001 as a dental technician and manager in a commercial laboratory. In 2001 he successfully passed the exams to become a master dental technician, and was then employed first in the Bonacina & Ve- Fig. 1: Axel Appel, master dental technician dovelli dental laboratory in Bergamo, Italy, then in the practice laboratory of Dr. Leitzbach in Hochheim/Main, Germany. Since July 2004, he has been working as an application consultant for VITA Zahnfabrik. Axel Appel, master dental technician: “I manage the events that are part of the official course program and support interested parties and users directly onsite on their premises. Should new questions arise following the introduction of VITA materials or if any kind of troubleshooting is required, I am happy to help or advise – long-term customer care is very important to me. The individual needs of each customer are paramount, both during a course and when it comes to onsite application support. Prof. Gerwin Arnetzl is a dental surgeon specializing in oral and maxillofacial surgery, as well as an expert in the adhesive and all-ceramic techniques. He has been head of the working group on restorative dentistry and adhesive prosthetics at the Clinical Department for Prosthetic Dentistry of the University of Graz, Austria since 1995. Since 2000, he has been President of the Austrian Society of Computerized Dentistry, and since 2007, Vice President of the International Society of Computerized Dentistry. He has published over 110 scientific articles and held more than 250 lectures at Fig. 2: Gerwin Arnetzl, university professor. A clear trend can be observed towards CAD/CAM. The corresponding training events, particularly for VITA ENAMIC and VITA SUPRINITY, are very much in demand. The topic of ceramics and composites is also always very popular. By directly comparing a zirconia crown veneered using VITA VM 9, a metal crown with VITA VM 13 layering and a metal crown individualized using VITA VM LC, for example, I particularly enjoy demonstrating how just consistent the results are that can be achieved using the VITA VM concept.“ home and abroad. His reference books on all-ceramics have been translated into six languages. Of particular benefit in his teaching role and in his engagements as a speaker is the fact that he not only has a scientific background, but that he continues to practice at his surgery “Ordination am Kai“. This ensures that he does not lose touch with everyday practice. Gerwin Arnetzl, university professor: “In my opinion, the ideal course should be VITA INFO 2.13 15 both informative and entertaining. For VITA, I generally hold seminars on all-ceramics that focus on design appropriate to the use of ceramics. This is both an important and fascinating topic as the preparation is the basis for every restoration and is entirely in the hands of the dental surgeon. My goal is to provide course participants with a compact overview of how all-ceramic restorations work, as well as to demonstrate in a simple, transparent fashion how mistakes can be avoided.“ Rosita Bacher, dental technician In 2012 the dental technician Rosita Bacher celebrated her 25th year at VITA Zahnfabrik. Since July 1st, 1987, she has been employed both in sales and as a speaker. She has been a course instruc- Fig. 4: VITA training center 16 VITA INFO 2.13 nary Islands“, which at the beginning of 2013 presented dental surgeons and dental technicians with an interesting program of events comprising presentations and live demonstrations on the subject of all-ceramics. Fig. 3: Rosita Bacher, dental technician tor since 2011 for the southern region and Austria as well as manager of the VITA CAD/CAM training center in Schwaig, Germany. On her days off, she likes to spend time in her home away from home on the Spanish island of Gran Canaria. This has developed into projects such as the workshop “Gran Dentissmo on the Ca- Rosita Bacher, dental technician: “I fully support the products as well as our corporate philosophy. I really enjoy my role as course instructor. For me, it is important to take care of customers on an individual basis and to train them according to their needs. I have guided many of our loyal customers who now operate their own master laboratory since their days as trainees – long-standing collaborations of this kind establish a strong bond.“ VALIDATED LABORATORY PROCESSES FOR VITA CAD/CAM MATERIALS New: The hybrid ceramic VITA ENAMIC can be processed using Ceramill Motion 2 from AmannGirrbach as well as the CAD/ CAM systems from KaVo dental (Fig. 1 to 4). There are currently 57,651 dentists in practice in Germany. Using CAD/CAM systems for chairside applications, they can process ceramic blanks that have been pre-colored in accordance with the tooth shade directly in their practice. However, it is a fact that firstly, not all indications can be treated using the chairside approach, and secondly, only approx. 7,000 dental practices are equipped with a milling unit. Any of the 50,000 other dental surgeons who wish to use all-ceramic prostheses must rely on the services of a dental laboratory. Targeted collaborations The Ceramill Motion 2, KaVo Everest and KaVo ARCTICA CAD/CAM systems are tried-and-tested in laboratory use. With these systems, the dental technician can avail of validated process chains, meaning that the software and hardware as well as the tools and materials are tailored to one another. As a result of its pioneering achievements in CAD/CAM technology, VITA Zahnfabrik is in considerable demand as a competent material supplier and supports corresponding collaborations with selected partner companies. After all, targeted collaborations provide the ideal foundation for flexible, simple and reliable use of VITA CAD/ CAM materials. New material option It has already been possible for some time now to use VITABLOCS Mark II and TriLuxe forte with Ceramill Motion 2. The KaVo Everest engine and ARCTICA engine also enable processing of VITABLOCS RealLife and VITA CAD-Temp. And now since September 2013, VITA ENAMIC is also available for all three machines. This dental composite material is suitable for all conventional single-tooth restorations such as inlays, onlays, veneers and crowns, for restorations subject to high occlusal load (molar area) in particular, as well as for minimally-invasive restorations. VITA ENAMIC is available in HT (HT = Highly Translucent) and T (T = Translucent) translucencies, as well as in the following five VITA SYSTEM 3D-MASTER shades in each case: 0M1, 1M1, 1M2, 2M2 and 3M2. The restorations can be polished using VITA ENAMIC Polishing Sets or characterized using the VITA ENAMIC STAINS KIT. Announcement By the middle of next year, the zirconia-reinforced lithium silicate ceramic (ZLS) VITA SUPRINITY will not only be available for the CEREC/inLab system from Sirona, but will also support processing using KaVo Everest and ARCTICA machines as well as using Ceramill Motion 2 from AmannGirrbach. Authors: Patrick Bayer, Product Manager Cooperation Management, Bad Säckingen, Germany Manfred Cordes, Manager Marketing and Services, Bad Säckingen, Germany Contact: [email protected]/ [email protected] VITA INFO 2.13 17 CONCEPT-BASED PROCESS OPTIMIZATION Fig. 2: inLab MC XL system from Sirona. Fig. 3: Patient case solved using VITA VM 9. There are increasingly fewer dental technicians, and they are required to fabricate restorations of increasingly superior quality within an increasingly short time frame. Working under significant pressure requires efficient production techniques that deliver reliably reproducible results. This is also true of veneers. as VITA Mark II. The tools used here to process these framework materials include the inLab MC XL milling machine from Sirona (Fig. 2). For individualization of veneers, VITA VM 9 (Fig. 3) and VITA VM 13 are used. A veneering system must meet a number of requirements in order to reflect current technological standards: excellent esthetics and perfect surfaces are required. Simple handling and a reliably reproducible shade concept are also required – regardless of the type of restoration selected, or whether all-ceramic, metal ceramic or acrylic material is used. Dental technology instructor Vanik Kaufmann-Jinoian of Cera-Tech, based in Liestal, Switzerland (Fig. 1) has chosen a veneering system that meets all of these requirements: VITA VM. I do it my way! Each patient is unique, as are their restorations, but one thing always remains the same: dental technology instructor Vanik Kaufmann-Jinoian has developed his own personal approach that creates a reliable basis for every veneer – regardless of the indication or framework material, etc. His approach to layering is similar to that of composite materials, in which the shape of the tooth is fully layered immediately. Starting at the center, a large quantity of Base Dentine is applied, followed by enamel. According to dental technology instructor Vanik Kaufmann-Jinoian, layering in this way using VITA VM BASIC is A uniform approach for all VITA VM materials allows him to use standardized processes as well as enabling accurate shade reproduction. At the Cera-Tech dental laboratory, 20% of the restorations fabricated are comprised of metal ceramics. All-ceramic solutions make up 80% and include zirconia restorations, for example, as well as those comprising feldspar ceramics such 18 VITA INFO 2.13 Fig. 4: Left: Posterior crowns with VITA VM BASIC layering. Right: Crown with backlighting. perfectly sufficient in order to achieve positive results (Fig. 4) when individualizing crowns and bridges for the posterior area. He modifies the approach for anterior restorations by also applying smaller quantities of Transpa Dentine in order to enhance the effect of depth. To perform firing, VITA VACUMAT 6000 M is used in accordance with the instructions of the manufacturer. Dental technology instructor Vanik Kaufmann-Jinoian: “A significant benefit of VITA VM materials is superior handling. Unlike competitor materials, they remain moist for longer so that even large-span restorations can be layered without drying out.“ He requires six minutes just to perform layering; the high strength of the materials in particular is an important prerequisite for fast layering of this kind (Fig. 5). This Swiss dental professional summarizes his approach to layering as follows: “Speed and moisture mean better esthetics!“ Glaze is also applied to each restoration on completion. The handy new VITA AKZENT Plus GLAZE SPRAY is used for this purpose (Fig. 6) – and this is not the only reason why dental technology instructor Vanik Kaufmann-Jinoian is a fan of the spray technique. Fig. 5: The materials are high-strength. Fig. 7a: VITA SPRAY ON spray guns. Fig. 7b: Wafer-thin opaquer application. At the touch of a button! This dental technician believes in efficiency and swears by the VITA SPRAY ON system (Fig. 7a). That‘s because this innovative tool offers fast, homogeneous and wafer-thin application of opaquer materials, for example (Fig. 7b), all at the touch of a button. Initial mixing of material for the spray technique should be performed using an ultrasonic unit in order to ensure effective mixing. Tip: Artificial fingernails make outstanding templates for this purpose. Author: Kerstin Kaltenbacher, Product Marketing Manager, Veneering Materials, Bad Säckingen, Germany In the case of VITA VM 9, WASHBAKE firing is recommended as the first step in order to achieve a secure bond between the zirconia and the VITA VM 9 material. Application at Cera-Tech is also carried out using the VITA SPRAY ON system. It can be performed using either BASE DENTINE, CHROMA PLUS or EFFECT LINER materials. It is also possible to spray on CHROMA PLUS material in the neck area in order to achieve a more intensive shade effect with VITA classical A1–D4 shades. Fig. 6: VITA AKZENT Plus GLAZE SPRAY. Conclusion The VITA VM veneering concept not only provides the right solution for any indication, it also creates the ideal basis for allowing all dental technicians to reliably achieve their goal quickly and easily using their preferred approach. Fig. 1: Dental technology instructor Vanik Kaufmann-Jinoian Contact: [email protected] HOLISTIC DENTISTRY - THE SUCCESS STORY CONTINUES tested with regard to sensitizing, inflammatory or allergic responses. Non-biocompatible substances, for example, in prostheses must be excluded. This requires detailed knowledge on the part of the dental technician with regard to materials and their constituents. Fig. 1: Petra Junk, master dental technician By offering custom biocompatible prostheses, practices and laboratories can reach new potential customers in the areas of holistic dentistry and dental technology. Specialist network Dental surgeons are required to place exogenous materials in the bodies of their patients on a permanent basis. Every material can, however, be the trigger for chronic inflammation. At the same time, dentists are increasingly dealing with patients who are already suffering from inflammatory conditions. In such cases, the non-biocompatible materials and sources of irritation must be specifically identified in order to prevent further inflammatory stimuli that could have a negative impact on the existing condition. Intolerances are determined by conducting medical laboratory tests on the patient using heparin blood testing and/or bioenergetic analysis. Individual substances as well as entire composite materials are Fig. 2: VITA VM 9 on a ZrO 2 framework based on a holistic firing concept with a polished edge margin. VITA INFO 2.13 20 Successfully providing patients who are predisposed to these difficulties with restorations can be achieved through networking between dental surgeons and specialists such as the master dental technician Petra Junk (Fig. 1) who operates the Ceradent dental laboratory. This professional laboratory is certified in holistic dental technology by the GZM and the DGUZ, two German professional associations for holistic dental medicine. She has spent almost 20 years focusing on the issue of biocompatibility in dental prosthetics and describes her recipe for success as follows: “In close collaboration with a dental surgeon who favors a holistic approach, we fabricate biocompatible prostheses, the composite materials of which are tailored specifically according to each particular individual patient and their diagnosis. Thanks to our specialization as well as the particular care that we take in our work – from the selection of the materials through to the procedures used during processing – we are a qualified and reliable partner.“ Only the appropriate processing using optimized processing techniques ensures that a material that is normally biocompatible does not result in further exposure of the patient due to the production/release of harmful substances. This includes modern metal processing techniques, as well as firing based on a holistic concept when veneering zirconia frameworks, and the processing of high-performance polymers. Fig. 3: Metal-free joint prosthesis with VITA VM 9 on ZrO 2 frameworks, VITA teeth, tested base acrylic and a large connector comprised of a high-performance polymer framework. Risk detected, risk eliminated! Before the master dental technician Petra Junk adds a material to her portfolio, she subjects it to comprehensive investigation and application testing. She has a particularly watchful eye when new “multi-functional“ materials come onto the market. In her experience, a broad range of indications is usually achieved by adding synthetic materials that demonstrate the greatest potential for risk. The goal of holistic dental technology is to limit the use of exogenous materials as far as possible, to test these in advance in terms of their biocompatibility, and to process them in accordance with their individual susceptibility. It is important for the dental technician to be able to rely on the manufacturer to provide a consistently high level of material quality that is tested on an ongoing basis. Fig. 4: Metal-free telescope prosthesis with VITA teeth, tested base acrylic and a large connector comprised of a high-performance polymer framework. Contact: Ceradent Zahntechnisches Labor GmbH Petra Junk Master dental technician Dorfstrasse 17 15345 Rehfelde, Germany Tel.: +49 33435/594 E-mail: [email protected] In the experience of the master dental technician Petra Junk, the materials supplied by VITA Zahnfabrik are more suitable than competitor products for patients who are predisposed to these difficulties. Examples of this include: •The veneering ceramic VITA VM 9 (Fig. 2 and 3) is comprised exclusively of na tural materials and does not contain any synthetic additives Fig. 5: Perfectly tailored combination of materials – VITA PHYSIODENS and VITA VM LC. •VITA acrylic teeth (Fig. 3 to 5) do not contain methyl methacrylate (MMA) •The VITA CAD-Temp composite blanks do not contain MMA either and facilitate particularly hypoallergenic long-term temporaries PROMOTING OUTSTANDING DENTAL RESEARCH VITA Zahnfabrik has established two research prizes that are awarded internationally on an annual basis. IADR Prosthodontics Group Student Research Fellowship: in collaboration with the Prosthodontics Group (PG) of the International Association for Dental Research (IADR), students and graduates of dental medicine are invited to submit research projects in the area of dental prosthetics. Further information is available at www. iadr.org and www.iadrprosthodontics.org. Further information is available at: www.scadent.org. SCAD VITA award: in collaboration with the Society for Color and Appearance in Dentistry (SCAD), research is promoted in the area of esthetic dentistry. Doctoral students, post-doctoral students and faculty members are eligible to apply. The winner is awarded a grant of $1,000 (US dollars) and invited to the SCAD annual meeting to present the results of their research. Author: Dr. Benjamin Just, Director, Clinical Affairs Department, Bad Säckingen, Germany Contact: [email protected] An expert committee of the IADRPG coordinates the evaluation of the submissions in terms of scientific content, significance for the professional community and feasibility. The winner is awarded $3,000 (US dollars) as well as a contribution to travel expenses in order to present the results of their research at an IADR General Session & Exhibition (Fig. 1). Fig. 1: IADR Prosthodontics Group Student Research Fellowship 2013 21 VITA INFO 2.13 I LIKE IT! The number of fans of the VITA Facebook fan page is growing daily. Social media is now the name of the game, and VITA is right in the thick of things! We are making the most of digital media and technologies in order to establish an interactive dialog with our users and offer a state-of-the-art range of services. As a whole, our offering is comprised of several individual building blocks, and here are just a few examples. YouTube Even more video content is available on YouTube: simply enter VITA Zahnfabrik as your keyword to call up an extensive list of short films. The search results include the VITA song “Beautiful“, an introduction to VITA VACUMAT New Generation furnaces, as well as instructions on how to determine tooth shades using the VITA Linearguide 3D-MASTER. A wide range of contributions from users is also provided, for example on VITA CAD/CAM restoration materials. Fig. 2: … you are always up-to-date! Fig. 1: With the VITA Facebook page … VITA Blog The strengths of the VITA Blog really made their mark during the 2013 International Dental Show, for example. The blog was updated several times each day, not just with text but also with photos. Product videos and other film content such as interviews with product managers directly at the trade show booth, and a lot more besides, provided users with up-to-the-minute details of what was happening at the IDS. The VITA Blog can be accessed online at: blog.vita-zahnfabrik.com. 22 VITA INFO 2.13 E-learning The VITA e-learning program covers a number of areas. These include live events on the one hand where a speaker is broadcast in real time, as well as online seminars using the conventional webinar format on the other. The principle behind e-learning and the various benefits it entails such as not being tied to a particular location are also applied to internal training events for VITA employees. Furthermore, pre-sales and after-sales activities are also supported by what are known as e-sales activities – meaning an even more comprehensive range of services for the user. Facebook The VITA Zahnfabrik Facebook page was and is the fastest-growing among comparable fan pages in the industry, with above-average reach and virality. With good reason: editors and online specialists maintain and update the page daily so that the content is always at the cutting edge of developments. The topics addressed go far beyond the items that are usually often covered such as details of available product lines, courses, career information, events and quizzes. As well as news directly from VITA, we also look at important issues in dentistry as a whole, as well as at new developments in science and research. Conclusion By consistently linking offline and online services across all media, VITA not only has its finger on the pulse but is also once again right at the forefront of developments in the dental industry. Ensuring that VITA and users throughout the world can enjoy fast and interactive communication. Author: Björn Kersten, Head of Corporate Communication, Bad Säckingen, Germany Contact: [email protected] PRACTICAL GUIDE For setup, browsing and reference purposes: the new setup guide for VITA MFT. No time for an in-depth introduction to lingualized occlusion? The new, practical VITA setup guide for VITA MFT front and posterior teeth has been created specifically with this and similar cases in mind. In addition to general product information on the tooth line, the guide also includes important fundamentals concerning lingualized occlusion and the VITA MFT tooth line, as well as a detailed, step-by-step description of setup for every tooth position. The content is illustrated using schematic diagrams and photos that were created with the assistance of the dental technician Karl-Heinz Körholz. The setup guide is available free of charge and can be ordered from your dealer. Fig. 1: Order now: setup guide for VITA MFT 23 VITA INFO 2.13 90 YEARS OF INNOVATION! VITA Zahnfabrik was founded on July 17th, 1924, and has since consistently advanced the cause of dentistry … What began in 1924 as the vision of one man has developed in the meantime into one of the leading companies internationally in the dental industry. For generations, VITA Zahnfabrik has stood for pioneering innovation and continued progress. As a family-run company with a long history, we also guarantee dependability and reliability. Our focus at VITA has always been on the needs and requirements of dental technicians, dental surgeons and patients – and to meet these needs only with products that offer quality above and beyond any conventional standards. With this in Looking back The upcoming 90th anniversary is a good opportunity to pause and reflect. One of the earliest major milestones in the company history was the development of the first VITA dental ceramic for the fabrication of custom dentures in 1930. And since 2003, dental technicians around the world have been benefiting from the uniform VITA VM concept for ceramics and acrylics. The vacuum-fired ceramic teeth VITA LUMIN VACUUM were introduced in 1956. Since 2001, the dental world has benefited from acrylic teeth with convincingly natural characteristics in the shape of VITA PHYSIODENS. Even today, the VITAPAN classical A1–D4 shade system introduced in 1983 remains an international benchmark. It was joined in 1998 by the VITA SYSTEM 3D-MASTER system – and since 2008, the VITA Linearguide 3D-MASTER and VITA Easyshade Compact have been making precise determination of the correct tooth shade even easier. Yet another highlight is the premium ceramic furnace VITA VACUMAT 6000 M, which was launched for the first time in 2009 together with the VITA vPad control unit that is available in three different models. VITA has also always been a pioneer in CAD/CAM technology. The introduction of VITA InCeram YZ pre-sintered zirconia blanks for the fabrication of all-ceramic crowns and bridges in 2002 as well as the launch of VITABLOCS RealLife with its three-dimensional block structure comprising a dentin core and enamel shell in 2010 are just some examples. More recently, VITA has once again lived up to its reputation as a trend setter with the development of the hybrid ceramic VITA ENAMIC and the new glass ceramic VITA SUPRINITY. Going forward While a lot has changed in the last 90 years in the world of dentistry, one thing remains the same – the reliability of VITA Zahnfabrik. And dental technicians and dental surgeons throughout the world can continue to rely on us. We may not be able to predict the future but we can play a crucial role in shaping it! Author: Björn Kersten, Head of Corporate Communication, Bad Säckingen, Germany Contact: [email protected] LEGAL NOTICE Publisher: VITA Zahnfabrik H. Rauter GmbH & Co. KG Postfach 1338 · D-79704 Bad Säckingen Tel. (+49)7761/562-0 · Fax (+49)7761/562-299 Internet: http://www.vita-zahnfabrik.com Email: [email protected] facebook.com/vita.zahnfabrik PLEASE NOTE: The testimonials by dental surgeons, dental technicians and scientists published in this magazine are based on practical experience with the specified VITA products gained during the course of pilot testing, processing in the practice or laboratory, and/or on manufacturer information based on the data published in technical and scientific documentation as well as on additional manufacturer documentation (VITA Zahnfabrik, Bad Säckingen, Germany). The testimonials from the VITA employees, scientists, dental surgeons and dental technicians named reflect the status as valid on 31.10.2013. 728/51E – 1113 (0.5) Si – Version (V01) mind, the best raw materials, technical expertise and innovative production procedures combined with permanent contact with the user provide the basis for the VITA product and service portfolio.