vita implant solutions - auf der Mediendatenbank der VITA Zahnfabrik
Transcription
vita implant solutions - auf der Mediendatenbank der VITA Zahnfabrik
VITA IMPLANT SOLUTIONS The Concept VITA Farbkommunikation VITA Farbkommunikation VITA shade determination VITA shade communication VITA shade reproduction VITA shade control Date of issue: 10. 15 VITA shade, VITA made. VITA CAD/CAM MATERIALS – for best solutions. Proven a million times over. CONCEPT AND BENEFITS VITA IMPLANT SOLUTIONS are CAD/CAM blanks for time- and cost-efficient fabrication of implant crowns. More information on the concept and benefits can be found on the following pages. SYSTEM AND COMPONENTS FACTS AND EVIDENCE CLINICAL EXAMPLES CONCEPT AND BENEFITS VITA IMPLANT SOLUTIONS INCLUDE Implant screw + Crown + Adhesive/titanium base + Implant What? • VITA IMPLANT SOLUTIONS (IS) are blanks with an integrated interface to an adhesive/titanium base (e.g. TiBase) What for? • The blanks are used for CAD/CAM fabrication of implant-supported restorations With what? • They are available in three versions: VITA CAD-Temp IS, VITA ENAMIC IS and VITA SUPRINITY IS. CONCEPT AND BENEFITS hig h-s sol trengt utio h n VITA ENAMIC IS? • VITA ENAMIC is a hybrid ceramic with material properties to allow absorption of masticatory forces VITA SUPRINITY IS? • VITA SUPRINITY is a high-strength, zirconia-reinforced glass ceramic for effective durability VITA CAD-Temp IS? • VITA CAD-Temp is a composite blank for temporary restorations SYSTEM AND COMPONENTS VITA CAD-Temp® IS FACTS AND EVIDENCE temporary solution t ben r o abs lution so CLINICAL EXAMPLES VITA ENAMIC® IS VITA SUPRINITY® IS BENEFITS VITA ENAMIC® IS Hybrid ceramic (with dual-network structure) hi gh p nt rbe ab s o rec isio n fast absorbent • absorbent material properties thanks to dentin-like elasticity high precision • highly accurate results in thinning margin areas fast • faster processing since superstructure can be seated immediately after CAM fabrication/polishing CONCEPT AND BENEFITS VITA SUPRINITY® IS Glass ceramic (zirconia-reinforced lithium silicate ceramic) onia-reinforced zirc +ZrO2 Si2O im p s brilliant • brilliant esthetics based on integrated translucency, opalescence and fluorescence simple • simple processing thanks to good polishing characteristics and high firing stability high-strength • high-strength, zirconia-reinforced glass ceramic for effective durability SYSTEM AND COMPONENTS FACTS AND EVIDENCE gth en -str high le CLINICAL EXAMPLES Li2O brilliant BENEFITS VITA CAD-Temp® IS Composite simple at ur al ent effici n efficient • efficient fabrication of temporary restorations thanks to a digital process simple • simple shaping of the emergence profile through virtual design natural • natural shade effect thanks to impressive light optical properties SYSTEM AND COMPONENTS FACTS AND EVIDENCE CLINICAL EXAMPLES CONCEPT AND BENEFITS RESTORATIVE CONCEPT Step 1 Implant placement Step 2 Temporary superstructure What? What? VITA IMPLANT SOLUTIONS (IS) • compatible with systems of manufacturers listed below via TiBase interface CAD/CAM fabrication • temporary abutment crown (AC) What for? • Nobel Biocare • Straumann • Biomet 3i • Astra Tech • Friadent • Medentika Implant • ... and many others. • for healing period/restoring the masticatory function • for shaping/optimizing the emergence profile With what? VITA CAD-Temp® IS CONCEPT AND BENEFITS What? CAD/CAM fabrication • single-element solution • Two-element solution final abutment crown (AC)/IS-16 geometry final mesostructure (MS)/IS-14 geometry CLINICAL EXAMPLES Step 3 Final superstructure What for? for anterior superstructure: MS type + crown With what? FACTS AND EVIDENCE for posterior superstructure: AC type VITA ENAMIC® IS or SYSTEM AND COMPONENTS VITA SUPRINITY® IS CLINICAL EXAMPLES VITA IMPLANT SOLUTIONS blanks have proven their reliability in the clinical use. Discover examples of clinical use on the following pages. SYSTEM AND COMPONENTS FACTS AND EVIDENCE CLINICAL EXAMPLES CONCEPT AND BENEFITS VITA ENAMIC® IS IN THE CLINICAL USE CASE STUDY 1 1. Implant placement, tooth 25, 26 2. Placement of Scanbody 3. Digital planning/design 2. Placement of Scanbody 3. Digital planning/design © Associate professor Dr. Andreas Bindl Zurich, Switzerland CASE STUDY 2 1. Implant placement, tooth 16 © Peter Neumann, dental surgeon, Berlin, Germany CONCEPT AND BENEFITS 6. Result after the healing phase CLINICAL EXAMPLES 5. Seating VITA ENAMIC IS 4. Dental technical steps (exemplary) Polishing Applying composite Bonding to the base FACTS AND EVIDENCE Reworking 6. Result after the healing phase SYSTEM AND COMPONENTS 5. VITA ENAMIC IS crown FACTS AND EVIDENCE Numerous studies confirm the special benefits of VITA ENAMIC. Key facts and evidence can be found on the following pages. SYSTEM AND COMPONENTS FACTS AND EVIDENCE CLINICAL EXAMPLES CONCEPT AND BENEFITS 7 REASONS FOR HIGH DURABILITY VITA ENAMIC® IS is able to absorb masticatory forces! Absorption of masticatory forces compared to zirconia (ZrO2) A b s o r p ti o n o f m a s t i c a t o ry f o rc e s [ % ] 80 70 71.20 % 60 50 46.28 % 40 30 24.51 % 20 10 0 Hybrid ceramic VITA ENAMIC Gold alloy glass ceramic Material class Modulus of Force elasticity [GPa] transmission (N) Absorption of forces (%) compared to ZrO2 Zirconia 210 641.8 N (SD 6.8) glass ceramic 96 484.5 N (SD 5.5) -24.51 % Gold alloy 77 344.8 N (SD 5.7) -46.28 % VITA ENAMIC hybrid ceramic 30 184.9 N (SD 3.9) -71.20 % Source: University of Genoa, Department for fixed and implant-prosthetic restorations, Dr. Maria Menini et al., Genoa, Italy ([4], cf. p. 38) Summary: • The test shows that hybrid ceramic - compared to the comparatively stiff zirconia - absorbs or reduces forces (70 percent). • In addition, VITA ENAMIC - compared to glass ceramic and gold - also reveals a higher capacity of absorption of masticatory forces. CONCEPT AND BENEFITS 2. Applied forces are distributed more evenly! Force-path diagram 10 0 90 CLINICAL EXAMPLES Traditional silicate ceramic In d e n ta ti o n f o rc e [ N] 80 70 60 50 VITA YZ IPS e.max CAD VITABLOCS Mark II VITA ENAMIC 40 30 20 10 0 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 In d e n ta ti o n d e p th [µ m ] Summary: • The results indicate that occlusal forces applied are distributed over a relative large contact surface for VITA ENAMIC. • In addition, the force is more evenly distributed so that excess loading in individual areas is avoided. FACTS AND EVIDENCE Source: Internal study VITA R&D; Kraft-Wege-Diagramm für untersuchte dentale Restaurationsmaterialien, ([1], cf. p. 38) SYSTEM AND COMPONENTS VITA ENAMIC hybrid ceramic 7 REASONS FOR HIGH DURABILITY 3. VITA ENAMIC® superstructures feature superior load capacity! Static fracture load of implant crowns made of VITA EMAMIC IS 1200 F r a c tu re l o a d [ N] 1000 800 600 400 200 0 VITA ENAMIC IS L average masticatory force1 Source: Internal study: VITA R&D; Bruchlast VITA ENAMIC IS Kronen auf L-TiBase Klebebasen und Straumann Bone Level Implantatsystem, ([1], cf. p. 38) Summary: • Implant-supported molar crowns made from VITA ENAMIC withstand an average load of approx. 926 N in this test. • Compared to the average maximum masticatory force of approx. 490 N1, the molar crowns tested reached a higher level of load capacity. 1Körber K, Ludwig K (1983). Maximale Kaukraft als Berechnungsfaktor zahntechnischer Konstruktionen. Dent-Labor XXXI, Heft 1/83: 55 – 60. CONCEPT AND BENEFITS 4. VITA ENAMIC® achieves a high level of dynamic loading! CLINICAL EXAMPLES 700 600 500 400 300 200 100 0 VITA ENAMIC IS L Source: Internal study: VITA R&D; Dynamische Bruchlast VITA ENAMIC IS Kronen auf L-TiBase Klebebasen und Straumann Bone Level Implantatsystem, ([1], cf. p. 38) Summary: • In this test a level of permanent loading of 648 N (100 % survival rate) was achieved for implant-supported molar crowns made of VITA ENAMIC IS at 2 million cycles. FACTS AND EVIDENCE approx. level of permanent loading of ZrO2 abutments according to literature sources 1 – 3 • References for dynamic load tests indicate a level of permanent loading of approx. 400 N for zirconia abutments on implants.* * Note: Depending on the test setup, number of cycles and type of implant, test results vary and can only be compared to one another to a limited extent. 1 Gehrke et al.; Zirconium implant abutments: fracture strength and influence of cyclic loading on retaining-screw loosening; Quintessence Int. 2006 Jan; 37(1):19-26. 2 Mitsias et al.; Reliability and fatigue damage modes of zirconia and titanium abutments; Int J Prosthodont. 2010 Jan-Feb; 23(1):56-9. 3 Jiménez-Melendo et al.; Mechanical behavior of single-layer ceramized zirconia abutments for dental implant prosthetic rehabilitation; J Clin Exp Dent. 2014 Dec 1;6(5):e485-90 SYSTEM AND COMPONENTS L e v e l o f p e r m a n e n t l o a d i n g a t 2 m i l l i o n c y c l e s [ N] Dynamic fracture load of implant crowns made of VITA ENAMIC IS 7 REASONS FOR HIGH DURABILITY 5. VITA ENAMIC® features a damage-tolerant dual-network structure! Crack formation plastic deformation VITA ENAMIC hybrid ceramic Magnification Traditional silicate ceramic Source: Internal study VITA R&D; Querschnitt der Bruchfläche nach Vorschädigung mit einer Wolframcarbid-Kugel, ([1], cf. p. 38) Summary: • Following prior damage and loading, VITA ENAMIC reveals plastic deformation and, as a result, a certain level of damage tolerance in the test. • A relatively brittle and stiff material, such as traditional silicate ceramic, reveals cracks in this test following prior damage and loading. CONCEPT AND BENEFITS 6. In tests, VITA ENAMIC® demonstrates good abrasion resistance. Abrasion tests 250 CLINICAL EXAMPLES 150 100 50 0 Material abrasion IPS e. max CAD Paradigm MZ 100 Antagonist abrasion Source: University of Regensburg, Faculty of Medicine, Polyclinic for Dental Prosthetics, Prof. Martin Rosentritt, Technical and Scientific Documentation. VITA ENAMIC, VITA Zahnfabrik, Bad Säckingen, ([3], cf. p. 38). Summary: • In tests, VITA ENAMIC demonstrates high abrasion resistance comparable to that of proven dental ceramics. FACTS AND EVIDENCE VITA ENAMIC • These results can be achieved since the hybrid ceramic features a dominant ceramic network. SYSTEM AND COMPONENTS A b r a si o n [ µ m ] 200 7 REASONS FOR HIGH DURABILITY 7. Studies indicate good stability! Survival rate of VITA ENAMIC implant-supported crowns 100 98.7 % 95 after 45.6 months 90 Su r v i va l ra t e [ % ] 85 80 75 70 65 60 55 50 1 5 10 15 20 25 30 35 40 45 50 M o n th s Source: Multicenter clinical observational study; VITA Application Technology and VITA Product Management departments in cooperation with pilot users (= 11 practicing dentists, Germany/Austria/Switzerland), as of: 11.2014, ([2], cf. p. 38) Summary: • A survival rate of 98.7 % was determined for VITA ENAMIC implant crowns after a max. observation period of 45.6 months. • A total of 60 VITA ENAMIC implant crowns were inserted and observed. The average wearing period of the implant crowns in this study was 23.1 months (as of: 11.2014). CONCEPT AND BENEFITS 3 REASONS FOR EFFICIENT PROCESSING + Polishing/bonding: approx. 10 minutes = approx. 20 minutes • As a result, after CAM processing over a few minutes, the polished restoration can be directly seated. FACTS AND EVIDENCE Summary: • VITA ENAMIC IS superstructures can be fabricated in a way to save a tremendous amount of time and costs (e.g. no firing). SYSTEM AND COMPONENTS CAM fabrication: approx. 10 minutes CLINICAL EXAMPLES 1. Fabricating implant crowns in a short time with VITA ENAMIC® IS! 3 REASONS FOR EFFICIENT PROCESSING approx. 276 µm approx. 87.5 µm 2. VITA ENAMIC®: Accurate CAM results for precise marginal fit! IPS e.max CAD Magnification VITA ENAMIC Source: Internal study VITA R&D, top view of 30° wedge, manufactured with Sirona MC XL system, 200 x magnification, ([1], cf. p. 38) Summary: • VITA ENAMIC IS can be processed with incredible precision using CAD/CAM technology, particularly in thin marginal areas. • As a result, exact marginal fit can be achieved between the superstructure and the mesostructure or the adhesive/titanium base. CONCEPT AND BENEFITS 3. VITA ENAMIC® can be easily processed! • VITA ENAMIC IS ensures that if a screw becomes loose, for example, the integrated interface provides easy access to the screw canal. CLINICAL EXAMPLES Easy access VITA ENAMIC IS: Simple2 SYSTEM AND COMPONENTS • The screw canal can then be simply and reliably sealed again using composites. FACTS AND EVIDENCE Simple sealing 2 REASONS FOR A SIGNIFICANT ESTHETIC POTENTIAL 1. VITA ENAMIC® provides excellent photo-optical properties! Zirconia solution, non-colored Tooth-colored hybrid ceramic solution versus Summary: • VITA ENAMIC IS is a tooth-colored hybrid ceramic that provides excellent photo-optical properties. • As a result, dental practices and laboratories can fabricate highly-esthetic superstructures using this material solution. CONCEPT AND BENEFITS 2. Numerous options for characterization and surface texturing! • When fabricating VITA SUPRINITY restorations, VITA AKZENT Plus stains and VITA VM 11 veneering material are used to reproduce individual characteristic features. CLINICAL EXAMPLES • VITA ENAMIC Stains and VITA VM LC/VM LC flow provide numerous options for shade characterization and individualization of implantsupported hybrid ceramic restorations. SYSTEM AND COMPONENTS FACTS AND EVIDENCE • To create a surface texture and achieve a high level of gloss in implantsupported restorations, matched polishing instruments contained in the VITA ENAMIC or VITA SUPRINITY polishing sets are available. SYSTEM AND COMPONENTS The VITA IMPLANT SOLUTIONS restorative concept is comprised special blanks and components. You can find an overview in this publication. SYSTEM AND COMPONENTS FACTS AND EVIDENCE CLINICAL EXAMPLES CONCEPT AND BENEFITS MATERIALS AND GEOMETRIES VITA CAD-Temp® IS (temporary solution) Abutment crown (AC) VITA CAD-Temp IS-16 VITA IMPLANT SOLUTIONS (IS) VITA ENAMIC® IS (final solution) Mesostructure (MS) VITA ENAMIC IS-14 Abutment crown (AC) VITA ENAMIC IS-16 VITA SUPRINITY® IS (final solution) Mesostructure (MS) VITA SUPRINITY IS-14 Abutment crown (AC) VITA SUPRINITY IS-16 The suitable type for a variety of requirements! + = + Temporary and final solutions cleverly combined. = CONCEPT AND BENEFITS SHADES AND TYPES Available shades: • VITA ENAMIC IS-14 (MS type) with S- or L-interface in: 1M1-T, 1M2-T, 2M2-T, 3M2-T, 4M2-T CLINICAL EXAMPLES • VITA ENAMIC IS-16 (AC type) with S- or L-interface in: 1M1-HT, 1M2-HT, 2M2-HT, 3M2-HT, 4M2-HT • VITA SUPRINITY IS-14 (MS type) with S- or L-interface in*: A1-T, A2-T, A3-T, A3.5-T 0M1-T, 1M1-T, 1M2-T, 2M2-T, 3M2-T, 4M2-T • VITA SUPRINITY IS-16 (AC type ) with S- or L-interface in*: A1-HT, A2-HT, A3-HT, A3.5-HT 0M1-HT, 1M1-HT, 1M2-HT, 2M2-HT, 3M2-HT, 4M2-HT • VITA CAD-Temp IS-16 (AC type) with S- or L-interface in: 1M2T, 2M2T, 3M2T IS-14: 18 x 14 x 12 (for mesostructures) Note: with an integrated S- or L-interface for each geometry size IS-16 IS-16: 18 x 16 x 18 (for abutment crowns) *) The product information on VITA SUPRINITY IS is provisional; the blanks will probably be available at the end of the year. SYSTEM AND COMPONENTS IS-14 FACTS AND EVIDENCE Available geometries: PERFECTLY MATCHED SYSTEM SOLUTIONS! CAD/CAM systems? VITA offers VITA IMPLANT SOLUTIONS blanks with a specific holder system for the CAD/CAM system: • CEREC/inLab (Sirona Dental GmbH) from software version 4.4 (CEREC) or software 15.0 (inLab)* Implant systems? VITA IMPLANT SOLUTIONS are compatible** with implant systems from the manufacturers listed below via the integrated interface for the adhesive/ titanium base (TiBase, Sirona Dental GmbH): • Nobel Biocare • Straumann • Astra Tech • Friadent • Zimmer • Medentika Implant • CAMLOG • Biomet 3i *) VITA SUPRINITY IS will be integrated in a higher software version. **) A comprehensive, up-to-date overview of the implant systems compatible with TiBase is available at: http://www.sirona.com Shade determination • For digital shade determination, use VITA Easyshade V, and for visual shade determination the VITA Linearguide 3D-MASTER or VITA classical A1–D4, for example. CAD/CAM Fabrication • For CAD/CAM fabrication of superstructures, VITA offers you composite, hybrid ceramic and glass blanks – simply select the best material solution for your individual requirements. Shade modification* Firing* • For glass ceramics, use VITA AKZENT Plus stains and VITA VM 11 veneering material. Use VITA ENAMIC Stains for the hybrid ceramic and VITA VM LC for individualization. • Glaze, stains and/or dentine and crystallization firing are best carried out with the VITA VACUMAT 6000 M. • Note: When using hybrid ceramic/composite, firing must not be carried out. Polishing • For VITA glass and hybrid ceramics, VITA SUPRINITY / VITA ENAMIC polishing sets should ideally be used. Bonding • When bonding VITA glass and hybrid ceramics, you can use a bonding system recommended by VITA. *Note: The feldspar and hybrid ceramic materials can be seated directly after milling and polishing. Crystallization firing is mandatory for the glass ceramic. Note: The VITA product solutions mentioned above are registered trademarks of VITA Zahnfabrik. Firing is not carried out. WE WILL BE GLAD TO HELP More information about the products and processing is available at www.vita-zahnfabrik.com/cadcam and from the hotline/mail contacts below. Hotline Sales Support Phone +49 (0)7761 / 562-884, Fax +49 (0)7761 / 562-299 8 a.m. to 5 p.m. Mr. Udo Wolfner and his team (Internal Sales Department) will be glad to assist you when recording orders or if you have questions about the delivery, product data and advertising media. Mail contact You can email your questions and requests to [email protected]! Technical Hotline Phone +49 (0)7761 / 562-222, Fax +49 (0)7761 / 562-446 8 a.m. to 5 p.m. If you have technical questions concerning the VITA CAD/CAM product solutions, you can contact our technical specialists Mr. Ralf Mehlin or Mr. Daniel Schneider. VITA CAD/CAM MATERIALS – for best solutions. Proven a million times over. Best solutions for temporary restorations/auxiliaries Best solutions for substructures/ fully anatomical bridges Best solutions for single-tooth restorations VITA CAD/CAM MATERIALS VITA SUPRINITY IS VITA ENAMIC IS ® ® high -s solu trengt tion h ent orb ion s b a olut s temporary solution VITA CAD-Temp IS ® Best solutions for implant-supported restorations VITA IMPLANT SOLUTIONS (IS) are blanks comprised of hybrid ceramic, glass ceramic or composite for the CAD/CAM fabrication of implant-supported dental restorations. They feature an integrated interface for an adhesive / titanium base (e.g. TiBase). Bibliography 1. Internal studies, VITA R&D: VITA Zahnfabrik H. Rauter GmbH & Co. KG Ressort Forschung und Entwicklung Spitalgasse 3, 79713 Bad Säckingen With the unique VITA SYSTEM 3D-MASTER, all natural tooth shades can be systematically determined and perfectly reproduced. Dr.-Ing. Andrea Coldea, Materialentwicklung F&E, Bad Säckingen Prof. Dr. Dr. Jens Fischer, Ressortleiter F&E, Bad Säckingen Date of issue: 08/2015 For detailed test data see Technical and scientific publication - VITA ENAMIC; Download at www.vita-zahnfabrik.com/cadcam Clinical application study: VITA Anwendungstechnik und Produktmanagement: VITA Zahnfabrik H. Rauter GmbH & Co. KG Ressort Vertrieb Spitalgasse 3, 79713 Bad Säckingen Claus Pukropp, Leiter Technisches Marketing, Bad Säckingen Andreas Buchheimer, Leiter Anwendungstechnik, Bad Säckingen Date of issue: 11/2014 3. Priv.-Doz. Dr.-Ing. Martin Rosentritt, Head of Research Division, University Clinic, Regensburg, Polyclinic for Dental Prosthetics, Regensburg, 2011 4. Dr. Maria Menini, Department for fixed and implant-prosthetic restorations, University of Genoa, Italy, 01/2015 Please note: Our products must be used in accordance with the instructions for use. We accept no liability for any damage resulting from incorrect handling or usage. The user is furthermore obliged to check the product before use with regard to its suitability for the intended area of application. We cannot accept any liability if the product is used in conjunction with materials and equipment from other manufacturers that are not compatible or not authorized for use with our product. Furthermore, our liability for the accuracy of this information is independent of the legal basis and, in as far as legally permissible, shall always be limited to the value as invoiced of the goods supplied, excluding value-added tax. In particular, as far as legally permissible, we do not assume any liability for loss of earnings, indirect damages, ensuing damages or for third-party claims against the purchaser. Claims for damages based on fault liability (culpa in contrahendo, breach of contract, unlawful acts, etc.) can only be made in the case of intent or gross negligence. The VITA Modulbox is not necessarily a component of the product. Date of issue of this information: 10.15 After the publication of these information for use any previous versions become obsolete. The current version can be found at www.vita-zahnfabrik.com VITA Zahnfabrik has been certified in accordance to the Medical Device Directive : and the following products bear the CE mark VITA ENAMIC® IS, VITA SUPRINITY® IS, VITAVM®11, VITA AKZENT® Plus, VITA CAD-Temp® IS, VITAVM®LC The products/systems of other manufacturers mentioned in this document are registered trademarks of the respective manufacturers. 10149 E - 1015 (X.) S - Version (01) 2. VITA Zahnfabrik H. Rauter GmbH & Co.KG Postfach 1338 · D-79704 Bad Säckingen · Germany Tel. +49(0)7761/562-0 · Fax +49(0)7761/562-299 Hotline: Tel. +49(0)7761/562-222 · Fax +49(0)7761/562-446 www.vita-zahnfabrik.com · [email protected] facebook.com/vita.zahnfabrik