Straumann® CARES® Guide.
CARES Visual 8.8.
How to use the S­traumann® CARES® Guide.
1 Indication > Material
You know the treatment indication and are looking for a suitable S­traumann CARES
material. First, go to the appropriate indication section: 'Tooth-borne applications' or
'Implant-borne applications' The S­traumann CARES Guide shows you which materials
are available for each indication. In the 'Leading material offering' section, you can
find detailed information on each individual S­traumann CARES material.
Crown
Lava™ Ultimate
zerion®
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
VITA TriLuxe
polycon® ae
polycon® cast
2 Material > Indication
You are already familiar with a certain S­traumann CARES material, but don't know
what indications you can use it for. Start in the 'Leading material offering' section
and the S­traumann CARES Guide will show you the available indications for each
S­traumann CARES material.
IPS e.max® CAD
Veneer
Inlay
Onlay
Crown
Coping
CARES®
X-Stream™
Partial Crown
4/3
16
4/3
polycon® ae
16
1/1
polycon® cast
16
4/4
Resin Nano Ceramic
3M™ ESPE™ Lava™ Ultimate Restorative
Ceramic
Zirconium-dioxide for CARES Abutment
IPS e.max® CAD – MO
IPS e.max® CAD – LT
IPS e.max® CAD – HT
IPS Empress® CAD – Multi and LT
IPS Empress® CAD – HT
VITA Mark II
VITA TriLuxe
Metal
ticon®
Titanium for CARES Abutment
Titanium for CARES SRBB
TAN for CARES Abutment*
coron®
Polymers
Strongly recommended application
Possible application Acrylic burn-out
Veneerable inlay for the materials zerion®, ticon®, coron® and polycon® ae.
2
Availability of the maximum bridge elements can vary from country to country.
* Availability can vary from country to country
1
S­traumann CARES Bars
16
Specials
S­traumann® CARES® Abutment
Maximum number of pontics in the
anterior/posterior region
1/1
Inlay/Maryland bridge
3
Inlay/Onlay1
zerion® HT
Veneer
4/2
Crown
16
Partial Crown
zerion® LT
Coping
Maximum number of bridge elements2
Bridges
Telescopic crown
Single-tooth
restorations
S­traumann CARES Screw-retained Bridge
Implantborne
Tooth-borne
Broad range of applications.
Tooth-borne applications
Veneer
Inlay
Onlay
Partial Crown
Crown
Bridge framework
Maryland bridge
Inlay bridge
Full-contour
bridge
Telescopic crown
Implant-borne applications
CARES®
Abutment
CARES Screwretained Bridge
Cares Bars
CARES® X-Stream™ – The one-step prosthetic solution: 1 scan, 1 design, 1 delivery
CARES
X-Stream
Coping
Tooth-borne applications.
S­traumann® CARES® tooth-borne restorations are used to restore natural teeth or
are placed on abutments. The applications provide treatment flexibility so that the
needs of each individual patient can be met.
Veneer
Inlay
Onlay
Partial Crown
Crown
Coping
Bridge
framework
Maryland
bridge
Inlay bridge
Full-contour
bridge
Telescopic
crown
Tooth preparation.
For successful results, observe the general tooth preparation guidelines below.
Also observe the additional tooth preparation guidelines, which apply specifically
to 3M™ ESPE™ Lava™ Ultimate Restorative, zerion®, IPS e.max® CAD, IPS Empress®
CAD, VITA Mark II, VITA TriLuxe, ticon®, coron® and polycon® ae – see the relevant
material-specific preparation guidelines.
incorrect
correct
Preparing the surfaces
incorrect
correct
Remove sufficient hard tooth material under fissures
Block out with a dentine-adhesive build-up filling
correct
incorrect
Preparing the margins
correct
incorrect
Do not prepare in a gutter shape
incorrect
correct
Do not leave any sharp transitions
Form transitions correctly toward oral/vestibular
Veneer.
3M™ ESPE™ Lava™ Ultimate Restorative Veneer
ѹѹ Broad range of ceramic materials for esthetic and efficient restorations
ѹѹ High precision and very thin veneers possible
ѹѹ Innovative materials for minimally invasive patient treatment
Available in these S­traumann® CARES® materials:
Resin Nano Ceramic
Lava™ Ultimate
Ceramic
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
VITA TriLuxe
Inlay and onlay.
IPS Empress® CAD Inlay
ѹѹ Broad range of ceramic materials for esthetic and efficient restorations
ѹѹ Easy handling
Available in these S­traumann® CARES® materials:
Resin Nano Ceramic
Metal
Polymers
Lava™ Ultimate
ticon®1
polycon® ae1
coron®1
polycon® cast
Ceramic
zerion® LT 1
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
1
Veneerable inlay
Partial Crown.
IPS e.max® CAD Partial Crown
ѹѹ Broad range of ceramic materials for esthetic and efficient restorations
ѹѹ Reliable materials for minimally invasive patient treatment
ѹѹ Flexibility in patient treatment
Available in these S­traumann® CARES® materials:
Resin Nano Ceramic
Lava™ Ultimate
Ceramic
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
VITA TriLuxe
Crown.
VITA Mark II Crown
ѹѹ Broad range of materials for full-contour restorations
ѹѹ Flexibility in patient treatment
Available in these S­traumann® CARES® materials:
Resin Nano Ceramic
Metal
Polymers
Lava™ Ultimate
ticon®
polycon® ae
coron®
polycon® cast
Ceramic
zerion® HT
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
VITA TriLuxe
Coping.
coron® Coping
ѹѹ Broad range of materials
ѹѹ Flexibility in patient treatment
Available in these S­traumann® CARES® materials:
Ceramic
Metal
Polymers
zerion® LT
ticon®
polycon® ae
zerion® HT
coron
polycon® cast
IPS e.max® CAD
Bridges.
zerion® LT Bridge framework
ѹѹ Excellent treatment flexibility
ѹѹ Highly stable bridge frameworks for up to 16 elements
ѹѹ Full-contour bridges with zerion® HT up to 3 bridge elements
Available in these S­traumann® CARES® materials:
Ceramic
Metal
Polymers
zerion LT
ticon®
polycon® ae
zerion HT
coron®
polycon® cast
Telescopic crown.
coron® Telescopic crown
Available in these S­traumann® CARES® materials:
Ceramic
Metal
Polymers
zerion® LT
ticon®
polycon® cast
coron
Implant-borne applications.
S­
traumann® implants and abutments complement each other in a precisely
harmonized system combining excellent quality and flexibility. Our products are
designed to deliver the esthetic results your patients demand with the time-tested
reliability you count on.
S­traumann screw-retained abutments and S­traumann implants are engineered to
be used together to ensure a harmony of design (shapes and features), tolerances,
surface qualities and materials used.
CARES®
Abutment
CARES Screwretained Bridge
Cares Bars
S­traumann® CARES® Abutments.
Customized shape and emergence profile
S­traumann CARES Abutments are designed to offer patient-specific emergence
profiles and an anatomic shape to support optimal soft tissue management.
Control over the cement gap
S­traumann CARES Abutments help clearing excess cement because the cement
margin can be ideally placed for each individual restoration.
Optimized insertion path
Flexible design parameters allow for angulation corrections and adjustments, which
can simplify the insertion of the final restoration.
Optimum convenience during restoration processes
S­traumann CARES Abutments provide precision, time and cost savings throughout
the restoration process.
S­traumann® CARES® Zirconium-dioxide Abutment
ѹѹ Full-ceramic abutment designed for excellent esthetics
ѹѹ Excellent material properties designed for high
precision and reliability
ѹѹ Maximum design flexibility (within design
specifications) for efficiency
Zirconium for CARES
Abutment
S­traumann CARES Titanium Abutment
ѹѹ Excellent material properties designed for high
precision and reliability
ѹѹ Maximum flexibility (within design specifications)
for efficiency
Titanium for CARES
Abutment
S­traumann CARES TAN Abutment 1
ѹѹ A biocompatible titanium alloy for direct veneering
ѹѹ Excellent material properties designed for increased
design flexibility
TAN for CARES
Abutment
1
Pending FDA 510K clearance
S­traumann® CARES® Screw-retained Bridge.
Direct connection to the implant
No additional abutment required (reduces complexity and costs)
No cementing (reduced risk of periimplantitis due to residual cement)
Abutment level connection
ѹѹ Align the insertion axis of highly divergent implants
ѹѹ Reduce soft tissue injuries when removing the framework for maintenance
Easy maintenance
The framework can be unscrewed for maintenance, if necessary
Product characteristics
ѹѹ 2 to 16 elements1
ѹѹ Placement on 2 to 16 interfaces
ѹѹ Tissue Level implant platforms
ѹѹ Bone Level implant platforms
ѹѹ Combination of Tissue Level and Bone Level platforms
ѹѹ Straumann Screw-retained Abutment
ѹѹ Delivered with machine-smoothed surface
1
Maximum number of anterior pontics: 4
Maximum number of posterior pontics: 3
Maximum number of free-end pontics: 1 per end
S­traumann® CARES® Screw-retained Bridges are available for tissue
level, bone level, mixed tissue level and bone level cases and the
S­traumann Screw-retained Abutment.
S­traumann CARES Screw-retained Bridges are screwed directly to the
S­traumann implant or the Straumann Screw-retained Abutment.
Available in these S­traumann CARES materials:
Metal
Titanium for CARES SRBB
coron®
S­traumann® Cares® Bars.
Direct connection to the implant
No additional abutment required (reduces complexity and costs)
No cementing (no risk of periimplantitis due to residual cement)
Abutment level connection
ѹѹ Align the insertion axis of highly divergent implants
ѹѹ Reduce soft tissue injuries when removing the framework for maintenance
Easy maintenance
The framework can be unscrewed for maintenance, if necessary
Product characteristics
ѹѹ Placement on 2 to 10 interfaces
ѹѹ Tissue Level implant platforms
ѹѹ Bone Level implant platforms
ѹѹ Combination of Tissue Level and Bone Level platforms
ѹѹ Straumann Screw-retained Abutment
ѹѹ Free-end extension possible
ѹѹ Bars are delivered polished
Dolder® Bar U-Shape (Standard and Mini)
Dolder® Bar Egg-Shaped (Standard and Mini)
MP Clip® Bar Ø 1.8 mm
Ackermann Bar®, Ø 1.9 mm
Round Bar, Ø 1.8 mm
Milled Bar*
Locator® Bar
Abutment
Available in these S­traumann® CARES® materials:
Metal
coron®
Titanium for CARES SRBB
* Availability can vary from country to country
0 – 6°
S­traumann® CARES® X-Stream™ –
The one-step prosthetic solution: 1 scan, 1 design, 1 delivery.
CARES X-Stream provides a single-tooth full prosthetic solution to restore
Staumann implants. With only one scan and design procedure, all required prosthetic
components (e.g. abutment and its relevant crown) are manufactured in a
Straumann-validated environment and arrive together in one packaged delivery
with an excellent fit of the components. This optimization of the necessary processing
steps reduces turnaround time and related costs considerably.
CARES
X-Stream
Efficiency – the key to competitiveness
ѹѹ Higher productivity thanks to simultaneous design, order and delivery of the
prosthetic components required for a patient's case
ѹѹ Increased efficiency due to the highly precise prosthetics ensuring excellent fit
between components
ѹѹ Validated long-term performance with the original Straumann® implantabutment connection
ѹѹ Consistent and re-producible quality with controlled design and milling
environment
Now available – Straumann® Variobase™ Abutment
The Straumann Variobase™ Abutment is a strong foundation for flexible
prosthetic restorations thanks to its minimal body size combined with an optimal
force distribution1. It is available within the CARES® X-Stream™ solution with multiple
restorative options, such as
CARES® customized coping
ѹѹ Efficient hybrid abutment solutions
CARES customized
coping
CARES® customized full-contour crown
ѹѹ Cost effective prosthetic restorations
CARES customized
full-contour crown
CARES X-Stream™ Restorative Options:
Full-contour crown or coping
zerion®
IPS e.max® CAD
3M™ ESPE™
(Zirconium
(LithiumLava™
5
dioxide available
disilicate
Ultimate
(Resin Nano
in 13 shades)
available in
Ceramic available
45 shades)
in 12 shades)
coron®
(Cobalt
Chromium)
ticon®
(Titanium)
polycon® ae
(PMMA
available in
5 shades)
CARES Abutment,
Zirconium dioxide2
CARES Abutment,
Titanium3
Straumann®
Variobase™
Abutment4
NEW
Patent pending for the engaging mechanism between the Straumann® CARES Variobase
Not available for the Soft Tissue Level NNC and WN Platforms; all copings or crowns are available without
screw channel holes
3
Not available for the Soft Tissue Level NNC Platform; all copings or crowns are available without screw channel holes
4
Not available for the Soft Tissue Level NN Platform; all copings or crowns are available with or without screw channel holes
5
Only available for full-contour crowns
1
2
Leading material offering.
Lava™ Ultimate
zerion®
Zirconium for CARES®
Abutment
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
VITA TriLuxe
ticon®
coron®
Titanium for CARES
Abutment
TAN for CARES
Abutment
polycon® ae
polycon® cast
Titanium for CARES
SRBB
Additional information on 3M™ ESPE™ LAVA™ Ultimate Restorative
Preparation guidelines
ƒƒ A traditional design is recommended for inlays and onlays. Do not prepare any undercuts. Bevel the cavity walls 5 – 6 degrees to
the longitudinal axis of the preparation. Round all inner edges and angles. The incisal/occlusal reduction is carried out with 1.5 to
2 mm clearance with centric occlusion and all excursion movements.
ƒƒ For veneers, the standard reduction is 0.6 mm on the labial surface and 0.4 mm in the gingiva, as the enamel is thinner there. The
reduction in the incisal, labial-lingual angle is 0.5 to 1.5 mm. Leave the preparation margins in the enamel. The margins for veneers should pass above the gingiva. In addition, they should extend far enough into the approximal area so that the margins are
not visible, and also should not have any approximal-gingival undercuts.
ƒƒ For crowns and partial crowns, an axial reduction of 1.2 to 1.5 mm with a taper angle of 5 – 6 degrees is performed. The incisal/
occlusal reduction is carried out with 1.5 to 2 mm clearance with centric occlusion and all excursion movements. Shoulders must
extend at least 1.0 mm to lingual in the approximal contact area. Non-beveled shoulder border lines are recommended.
Available colors
ƒƒ High translucency (HT) is available in the following colors: A1, A2, A3, B1.
ƒƒ Low translucency (HT) is available in the following colors: A1, A2, A3, A3,5, B1, C2, D2, Bleach.
Specifications
Material
Resin Nano Ceramic
Density [g/cm3]
2.1
Flexural strength [MPa]
204 ± 19
3M™ ESPE™ Lava™ Ultimate Restorative.
(Resin Nano Ceramic, manufactured by 3M)
3M™ ESPE™ Lava™ Ultimate Restorative is a nanoceramic artificial resin containing
approximately 80 % (by weight) nanoceramic particles, which strengthen a highly
cross-linked polymer matrix.
Product characteristics
ѹѹ
ѹѹ
ѹѹ
ѹѹ
Designed for durability and reliability
Brilliant esthetics with long-lasting shine
High efficiency thanks to easy adjustment and polishing
Tooth-preserving and abrasion - and impact-resistant, thus enabling
maintenance of the functional balance
ѹѹ Available in 8 LT (low translucency) and 4 HT (high translucency) colors
Processing options
ѹѹ
ѹѹ
ѹѹ
ѹѹ
Attachment options
Do not fire
Can be used without further processing
Polishing possible
Coloring/characterization possible
ѹѹ Adhesive cementation
Available applications
Veneer
Inlay
Onlay
Partial Crown
Crown
CARES®
X-Stream™
Additional information on zerion®
Preparation guidelines
ƒƒ The preparation must be free of sharp angles and edges.
ƒƒ The shoulder preparation must have rounded inner edges and/or grooves.
ƒƒ The preparation must have anchorage surfaces for conventional and/or self-adhesive cementing.
Available colors
ƒƒ zerion® LT is available for frameworks in 9 colors:
white, light 1, light 2, light 3, light 4, medium 1, medium 2, medium 3, dark
ƒƒ zerion® HT is available for full-contour restorations and bridge frameworks with a maximum of three elements in
4 colors: pure, light, medium, intense
Chemical composition
Specifications
Elements
Percentage
Material
Y-TZP-A
ZrO2 + HfO2 + Y2O3
≥ 99 %
Density [g/cm3]
≥ 6.05
Y 2 O3
> 4.5 – ≤ 6 %
Flexural strength (3-point bend) [MPa]
≥ 800
HfO2
≤ 5 %
CTE (20 – 500 °C) [K-1]
10.5 x 10 -6
Al2O3
> 0.05 – ≤ 0.5 %
Other oxides
≤ 0.5 %
zerion®.
(zirconium-dioxide ceramic)
Zerion is a high-performance ceramic suitable for a broad spectrum of applications.
Product characteristics
ѹѹ Broad range of applications, from frameworks to full anatomic restorations,
for high flexibility
ѹѹ Highly stable frameworks designed for a predictable prosthetic result1
ѹѹ Available in 9 LT (low translucency) and 4 HT (high translucency) colors
Processing options
Attachment options
ѹѹ Veneering required for zerion® LT
ѹѹ Polishing required for zerion® HT
ѹѹ Adhesive cementation
ѹѹ Conventional cementation
Available applications for zerion LT
Inlay2
Coping
Bridge
framework
Maryland
bridge
Inlay bridge
Telescopic
crown
Available applications for zerion HT
Crown
1
2
Coping
Full-contour
bridge
CARES®
X-Stream™
Up to 4 pontics in the anterior region and up to 2 pontics in the posterior region for zerion LT
Veneerable inlay
Additional information on IPS e.max® CAD
Preparation guidelines
ƒƒ The preparation must have anchorage surfaces for conventional and/or self-adhesive cementing.
ƒƒ For inlays, onlays and partial crowns, the static and dynamic antagonist contacts have to be taken into account and the
preparation margin must not lie on the centric antagonist contacts.
ƒƒ In the case of veneers, the preparation should lie in the enamel if possible, and the incisal preparation margins should not
lie in the region of static or dynamic enamel contacts.
Available colors
ƒƒ High translucency (HT) is available in the following colors: A1, A2, A3, A3,5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4, BL1, BL2, BL3, BL4.
ƒƒ Low translucency (LT) is available in the following colors: A1, A2, A3, A3,5, A4, B1, B2, B3, B4, C1, C2, C3, C4, D2, D3, D4, BL1, BL2, BL3, BL4.
ƒƒ Medium opacity (MO) is available in the following colors: MO 0, MO 1, MO 2, MO 3, MO 4.
Chemical composition
Specifications
After crystallization
Elements
Percentage
Material
Lithium-disilicate glass-ceramic
SiO2
57 – 80 %
Flexural strength [MPa]
≥ 360
LiO2
11 – 19 %
Fracture toughness [MPa m0,5]
≥2
K 2O
0 – 13 %
Chemical solubility [µm/cm2]
≤ 50
P 2O 5
0 – 11 %
CTE (100 – 500 °C) [K-1]
10.5 ± 0.5 x 10 -6
ZrO2
0 – 8 %
ZnO
0 – 8 %
Others + col-
0 – 12 %
oring oxides
IPS e.max® CAD.
(lithium-disilicate glass-ceramic, manufactured by Ivoclar Vivadent AG)
State before crystallization
IPS e.max® CAD is a lithium-disilicate glass-ceramic material that is suitable for
manufacturing high-strength esthetic single-tooth restorations.
Product characteristics
ѹѹ
ѹѹ
ѹѹ
ѹѹ
All-ceramic restorations for efficient esthetics
Versatility for easy handling
High-strength product designed for reliable restorations
Available in 5 MO (medium opacity), 20 LT (low translucency) and 20 HT
(high translucency) colors
Processing options
Attachment options
ѹѹ Crystallization firing required
ѹѹ Veneerable
ѹѹ Adhesive cementation
ѹѹ Self-adhesive cementation for crowns
ѹѹ Conventional cementation for crowns
Available applications
Veneer
Inlay
Onlay
Partial Crown
Crown
Coping
CARES®
X-Stream™
Additional information on IPS Empress® CAD
Preparation guidelines
ƒƒ The preparation must be free of sharp angles and edges, and the shoulder preparation must have rounded inner edges
and/or grooves.
ƒƒ For inlays, onlays and partial crowns, the static and dynamic antagonist contacts have to be taken into account and the
preparation margin must not lie on the centric antagonist contacts.
ƒƒ In the case of veneers, the preparation should lie in the enamel if possible, and the incisal preparation margins should not
lie in the region of static or dynamic enamel contacts.
Available colors
ƒƒ High translucency (HT) is available in the following colors: A1, A2, A3, A3,5, B1, B2, B3, C2, D3.
ƒƒ Low translucency (LT) is available in the following colors: A1, A2, A3, A3,5, B1, B2, B3, C2, D3, BL1, BL2, BL3, BL4.
ƒƒ Multi is available in the following A- to D- and bleach (BL-) colors: A1, A2, A3, A3,5, B1, BL1, BL3.
Chemical composition
Specifications
Elements
Percentage
Material
Leucite glass-ceramic
SiO2
60 – 65 %
Density [g/cm3]
2.5 ± 0.1
Al2O3
16 – 20 %
Vickers hardness HV
6200 ± 250
K 2O
10 – 14 %
Flexural strength [MPa]
160 ± 20
Na2O
3.5 – 6.5 %
Fracture toughness [MPa m0,5]
1.3 ± 0.1
Other oxides
0.5 – 7 %
Chemical solubility [μg/cm2]
25
Pigments
0.2 – 1 %
Modulus of elasticity [GPa]
62 ± 8
CTE (100 – 500 °C) [10 -6 K-1]
17.5 x 0.25
IPS Empress® CAD.
(leucite glass-ceramic, manufactured by Ivoclar Vivadent AG)
Product characteristics
ѹѹ
ѹѹ
ѹѹ
ѹѹ
All-ceramic restorations for natural esthetics
Simplicity for easy handling
Tried-and-tested product for precisely predictable restorations
Available in 7 Multi, 13 LT (low translucency) and 9 HT (high translucency) colors
Processing options
Attachment options
ѹѹ
ѹѹ
ѹѹ
ѹѹ
ѹѹ
ѹѹ Adhesive cementation
Can be used without further processing
Polishing possible
Glazing possible
Coloring/characterization possible
Veneerable
Available applications
Veneer
Inlay
Onlay
Partial Crown
Crown
Additional information on VITA Mark II
Tooth preparation guidelines
ƒƒ The teeth need to be cooled sufficiently during preparation and must not be overheated by excessive pressure during grinding.
ƒƒ Only use instruments with a good cutting performance.
ƒƒ Rough preparation must be carried out before final preparation.
ƒƒ The pulp must be protected against damage caused by grinding.
ƒƒ Subgingival preparation margins must be avoided.
The preparation must meet the following requirements:
ƒƒ Tooth-specific preparation
ƒƒ The upper and lower tooth axes are aligned with each other.
ƒƒ The required residual thickness of the dentine layer of 0.7 – 1.0 mm is ensured in all areas.
Preparation information for anterior and posterior crowns:
ƒƒ A groove or shoulder with a rounded inner edge must be prepared. The aim is to achieve a continuous gradation of 1 mm
in depth.
ƒƒ The vertical preparation angle must be at least 3°.
ƒƒ All transitions from the axial to the occlusal or incisal surfaces must be rounded.
ƒƒ Subgingival preparation margins should generally be avoided.
Preparation guidelines for veneers
ƒƒ Avoid an approximal 'gutter-shaped' preparation.
Available colors
ƒƒ VITA Mark II is available in the following colors: 0M1C, 1M1C, 1M2C, 2M1C, 2M2C, 2M3C, 3M1C, 3M2C, 3M3C, 4M2C, A1C, A2C, A3C,
in accordance with the VITA color system.
Chemical composition
Elements
Specifications
Percentage
Material
Fine-structure feldspar
SiO2
56 – 64 %
Al2O3
20 – 23 %
Density [g/cm3]
2.44 ± 0.01
K 2O
6 – 8 %
Flexural strength [MPa]
154 ± 15
Na2O
6 – 9 %
CTE (25 – 500 °C) [10 -6 K-1]
9.4 ± 0.1
CaO
0.3 – 0.6 %
Transformation range [°C]
780 – 790
TiO2
0.0 – 0.1 %
Chemical solubility (ISO 6872) with emphasis on glazing substance [μg/cm2]
≈30
ceramic
VITA Mark II.
(feldspar ceramic, manufactured by VITA Zahnfabrik H. Rauter GmbH & Co. KG)
VITA Mark II restorations by S­traumann offer maximum flexibility and a broad variety
of applications so that each patient's individual needs can be met.
Product characteristics
ѹѹ
ѹѹ
ѹѹ
ѹѹ
Broad range of colors for natural esthetics
Versatility for easy handling
High-quality material designed for precisely predictable results
Available in 13 colors
Processing options
Attachment options
ѹѹ
ѹѹ
ѹѹ
ѹѹ
ѹѹ
ѹѹ Adhesive cementation
ѹѹ Self-adhesive cementation for crowns
Can be used without further processing
Polishing possible
Glazing possible
Coloring/characterization possible
Veneerable
Available applications
Veneer
Inlay
Onlay
Partial Crown
Crown
Additional information on VITA TriLuxe
Tooth preparation guidelines
ƒƒ The teeth need to be cooled sufficiently during preparation and must not be overheated by excessive pressure during grinding.
ƒƒ Instruments with a good cutting performance must be used.
ƒƒ Rough preparation must be carried out before final preparation.
ƒƒ The pulp must be protected against damage caused by grinding.
ƒƒ Subgingival preparation margins must be avoided.
The preparation must meet the following requirements:
ƒƒ Tooth-specific preparation
ƒƒ The upper and lower tooth axes are aligned with each other.
ƒƒ The required residual thickness of the dentine layer of 0.7 – 1.0 mm is ensured in all areas.
Preparation information for anterior and posterior crowns:
ƒƒ A groove or shoulder with a rounded inner edge must be prepared. The aim is to achieve a continuous gradation of 1 mm
in depth.
ƒƒ The vertical preparation angle must be at least 3°.
ƒƒ All transitions from the axial to the occlusal or incisal surfaces must be rounded.
ƒƒ Subgingival preparation margins should generally be avoided.
Preparation guidelines for veneers
ƒƒ Avoid an approximal 'gutter-shaped' preparation.
Available colors
ƒƒ VITA TriLuxe is available in three multilayer colors: 1M2C, 2M2C, 3M2C, in accordance with VITA color system.
Chemical composition
Specifications
Elements
Percentage
Material
SiO2
56 – 64 %
Fine-structure feldspar
Al2O3
20 – 23 %
Density [g/cm ]
K 2O
6 – 8 %
Flexural strength [MPa]
154 ± 15
Na2O
6 – 9 %
CTE (25–500 °C) [10 -6 K-1]
9.4 ± 0.1
CaO
0.3 – 0.6 %
Transformation range [°C]
780 – 790
TiO2
0.0 – 0.1 %
Chemical solubility (ISO 6872) with
emphasis on glazing substance [μg/cm2]
≈30
ceramic
3
2.44 ± 0.01
VITA TriLuxe.
(feldspar ceramic, manufactured by VITA Zahnfabrik H. Rauter GmbH & Co. KG)
VITA TriLuxe restorations by S­traumann are made of a multi-layer fine-structure
feldspar ceramic that replicates the characteristic structure of teeth with neck,
dentine and enamel. They enable high-quality esthetic fabrication of single-tooth
restorations.
Product characteristics
ѹѹ
ѹѹ
ѹѹ
ѹѹ
Broad range of colors for natural-looking esthetics
Versatility for easy handling
High-quality material developed for predictable results
Available in 3 colors
Processing options
Attachment options
ѹѹ
ѹѹ
ѹѹ
ѹѹ
ѹѹ
ѹѹ Adhesive cementation
ѹѹ Self-adhesive cementation for crowns
Can be used without further processing
Polishing possible
Glazing possible
Coloring/characterization possible
Veneerable
Available applications
Veneer
Partial Crown
Crown
Additional information on ticon®
Preparation guidelines
ƒƒ The preparation must be free of sharp angles and edges.
ƒƒ The shoulder preparation must have rounded inner edges and/or grooves.
ƒƒ The preparation must have anchorage surfaces for conventional cementing.
Chemical composition
Specifications
Elements
Percentage
Color
Silver
Ti
Balance
Material
Grade 2 titanium
O
≤ 0.25 %
Yield strength Rp0,2 [MPa]
≥ 275
Fe
≤ 0.3 %
Tensile strength Rm [MPa]
≤ 345
N
≤ 0.03 %
Elongation at break A 5 [%]
≥ 20
C
≤ 0.08 %
CTE (25 – 500 °C) [K-1]
9.6 x 10 -6
H
≤ 0.015 %
ticon®.
(titanium)
The titanium alloy ticon is an ideal alternative to noble casting alloys and is suitable for a broad
range of applications: from single copings up to one-piece full-arch restorations.
Product characteristics
ѹѹ Milled frameworks1 for great reliability and precision
ѹѹ Veneering comparable to noble casting alloys for easy processing
ѹѹ Ideal alternative to noble casting alloys
Processing options
Attachment options
ѹѹ Polishing possible
ѹѹ Veneerable
ѹѹ Conventional cementation
Available applications
Inlay2
1
2
Crown
Coping
Bridge framework
Maryland
bridge
Up to 4 pontics in the anterior region & up to 3 pontics in the posterior region
Veneerable inlay
Inlay bridge
Telescopic
crown
CARES®
X-Stream™
Additional information on coron®
Preparation guidelines
ƒƒ The preparation must be free of sharp angles and edges.
ƒƒ The shoulder preparation must have rounded inner edges and/or grooves.
ƒƒ The preparation must have anchorage surfaces for conventional cementing.
ƒƒ Use suitable dental technology veneering techniques for S­traumann® CARES® Screw-retained Bridges.
Chemical composition
Specifications
After thermal treat-
Balance
Color
Silver gray
Cr
28 %
Material
NPM alloy
W
8.5 %
Yield strength Rp0,2 [MPa]
≥ 360
Si
1.65 %
Elongation at break
≥2
Additional elements
below 1 %
Mn, N, Nb, Fe
A 5 [%]
Elements
Percentage
Co
ment
CTE (25 – 500 °C) [K-1]
14.3 x 10-6
coron®.
(cobalt-chromium alloy)
The cobalt-chromium alloy coron is suitable for a broad range of applications: from conventional
full anatomic restorations and single and multi-unit frameworks to screw-retained bars and bridges.
Product characteristics
ѹѹ Milled frameworks for consistent high quality
ѹѹ Broad range of applications for high flexibility
ѹѹ Veneering comparable to noble casting alloys for easy processing
Processing options
Attachment options
ѹѹ Polishing possible
ѹѹ Veneerable
ѹѹ Conventional cementation
Available applications
Inlay1
Crown
CARES® Screw- Cares Bars
retained Bridge
1
Veneerable inlay
Coping
CARES
X-Stream™
Bridge framework
Maryland
bridge
Inlay bridge
Telescopic
crown
Additional information on polycon® ae
Preparation guidelines
ƒƒ The preparation must be free of sharp angles and edges.
ƒƒ The shoulder preparation must have rounded inner edges and/or grooves.
ƒƒ The preparation must have anchorage surfaces for conventional cementing.
Available colors
ѹѹ The S­traumann® CARES® polycon® ae is available in 5 colors: A1, A2, A3, B1, B2.
Chemical composition
Specifications
Elements
Percentage
Material
PMMA
Polymethyl methacrylate
> 98 %
Flexural strength [MPa]
≥ 50
Water absorption [μg/mm3]
≤ 40
Water solubility [μg/mm ]
≤ 7.5
(PMMA)
Methyl methacrylate
< 1 %
Dibenzoyl peroxide
< 1 %
Pigments
< 0.5 %
3
polycon® ae.
(PMMA-based acrylate resin)
The IPN1 resin polycon ae offers biocompatibility, color stability and excellent compound
stability with non-ceramic veneering materials. It can be used for full anatomic temporary crowns
and bridges in the anterior and posterior region.
Product characteristics
ѹѹ Specially designed for full anatomic temporary restorations and high efficiency
ѹѹ Outstanding connection stability for easy handling
ѹѹ Available in 5 colors
Processing options
Attachment options
ѹѹ Can be used without further processing
ѹѹ Polishing possible
ѹѹ Veneerable
ѹѹ Temporary cementing
Available applications
Inlay2
Crown
Coping
Bridge framework
Maryland
bridge
Inlay bridge
CARES®
X-Stream™
IPN = Highly cross-linked Interpenetrated Polymer Network
A PMMA-based acrylate resin with significantly greater strength and considerably better abrasion values due to
molecular cross-linking.
2
Veneerable inlay
1
Additional information on polycon® cast
Chemical composition
Specifications
Elements
Percentage
Color
Colorless
Polymethyl methacrylate
> 98 %
Material
PMMA
(PMMA)
Methyl methacrylate
< 1 %
Dibenzoyl peroxide
< 1 %
Pigments
< 0.5 %
polycon® cast.
(filler-free burn-out acrylate)1
Polycon cast is a filler-free acrylic glass that represents an alternative to standard crown and bridge
waxing in the casting technique. The resin PMMA, which can be burned out without residue, can
be used instead of modeling wax. Polycon cast can be used in veneering and full cast techniques.
Product characteristics
ѹѹ Specially designed for standard waxing of crowns and bridges
(can be burned out without residue)
Available applications
Inlay2
1
2
Crown
Coping
Bridge
framework
Maryland
bridge
Inlay bridge
Telescopic
crown
Polycon cast must not be tried out in the patient's mouth to test the fit. Polycon cast is not a medical product!
Veneerable inlay
Further information.
Processing steps.
Build-up/supplementation
Layering
Coloring/characterization
Glazing
Polishing
Crystallization
None
Depending on the indication, material and selected technique, various processing steps can
be followed in order to achieve the final restoration.
Resin Nano Ceramic
3M™ ESPE™ Lava™ Ultimate Restorative
Ceramic
zerion® LT
zerion® HT
IPS e.max® CAD – MO
IPS e.max® CAD – HT / LT
IPS Empress® CAD – Multi / HT / LT
VITA Mark II
VITA TriLuxe
Metal
ticon®
coron®
Polymers
polycon® ae
polycon® cast
n. a.
Necessary processing step and/or technique
Possible processing step and/or technique
(Note: depending on the material selected, some steps can be combined.)
Use suitable dental technology veneering techniques for CARES® Screw-retained Bridges.
a) Crystallization
This processing step is only required (and also indispensable) for IPS e.max® CAD restorations
by S­traumann® CARES®. The flexural strength of the supplied IPS e.max® CAD restorations by
S­traumann CARES is 130 ± 30 MPa. To achieve its final flexural strength of 360 ± 60 Mpa and its
final optical characteristics (color, translucency and brightness), the IPS e.max® CAD restorations
by S­traumann CARES must undergo crystallization firing in a furnace at 840 – 850 °C for
approximately 21 to 30 minutes. Further information on crystallization, compatible ovens, firing
programs etc. can be found in the instructions for use.
b) Polishing
In this processing technique, the supplied full anatomic restoration is only polished.
c) Glazing
In this processing technique, the glazing substance is applied to the supplied full anatomic
restoration and then the restoration is glaze-fired. For IPS e.max® CAD restorations by S­traumann
CARES, the crystallization and glaze firing can be carried out in one step.
d) Coloring
In this processing technique, the color is applied to the supplied full anatomic restoration. Depending
on the material, the restoration is either polished or glazed before undergoing color and glaze firing.
For IPS e.max® CAD restorations by S­traumann CARES, the crystallization, color and glaze firing can
be carried out in one step.
e) Layering technique
In this processing technique, various layering materials are fired onto the supplied
framework. All commercially available veneering materials that are intended for veneering with
the selected material and are suitable for the selected material's CTE value can be used. The
veneering material manufacturers' processing instructions must be observed. Before application
of the layering technique, the restoration must be cleaned with a steam jet.
f) Build-up or application
This processing step applies exclusively to S­traumann CARES restorations made of 3M™ ESPE™
Lava™ Ultimate Restorative. It enables the restoration to be adapted by means of an additive
technique. In this processing technique, a light-curing methacrylate-based filling material is applied
to the supplied full anatomic restoration and then light-cured and polished.
Processing techniques.
Depending on the processing technique and indication, the following recommendation can
be given with regard to the selection of materials.
Bridge
Coping
Veneerable inlay
Layering
Bridge
Crown
Partial Crown
Veneer
Cut-back
Bridge
Crown
Partial Crown
Veneer
Inlay / Onlay
Full contour
Resin Nano Ceramic
3M™ ESPE™ Lava™ Ultimate Restorative
Ceramic
zerion® LT
zerion® HT
IPS e.max® CAD – HT
IPS e.max® CAD – LT
IPS e.max® CAD – MO
2
IPS Empress® CAD – HT
IPS Empress® CAD – LT
1
IPS Empress® CAD – Multi
VITA Mark II
1
VITA TriLuxe
1
Metal
ticon®
coron®
Polymers
polycon® ae
polycon® cast
Recommended
Possible
1
For anterior crowns only 2
For anterior crowns and premolars only
Cementing.
Conventional
1
1
Resin Nano Ceramic
3M™ ESPE™ Lava™ Ultimate Restorative
Ceramic
zerion® LT
zerion® HT
IPS e.max® CAD
IPS Empress® CAD
VITA Mark II
1
VITA TriLuxe
1
Metal
ticon®
coron®
Polymers
polycon® ae
polycon® cast
For crowns only
1
n. a.
Temporary
Self-adhesive
Adhesive
Depending on the indication and selected material, the tooth-borne prosthetic restorations
by S­traumann® CARES® can be fitted using adhesive, self-adhesive or conventional cementing
(see table below).
Measuring points for minimum thicknesses.
Inlay Onlay
OnlayTeilkrone
TeilkroneVeneer
Veneer
Krone
Krone
CustomizedCus
Ab
Onlay
Partial Crown
Cusp height
Fissure
depth
Inlay
Inlay
Cusp height
Fissure
depth
Fissure depth
Circular
Gingiva
Steg Brücke
Brücke
verschraubter
verschraubter
Steg
verschraubte
Steg
verschrau
Brücke
Steg
Veneer
Isthmus
width
Steg
Isthmus
width
Isthmus
width
Steg Brücke
verschraubter
Brücke
Steg
verschraubter
verschraubte
Steg
Brücke verschraubte
Brüc
Steg Brücke
verschraubter
Steg
verschraubte
Brücke
Incisally applied veneer
Incisal
Incisal
Circular
Circular
Gingiva
Gingiva
Steg
Steg Brücke
Brücke
verschraubter
Steg
verschraubter
Steg
verschraubte
Steg
Brückeverschraubte
Brücke
verschraubter
BrückeSteg
v
Anterior crown
Posterior crown
Inlay
Inlay OnlayTeilkrone
OnlayTeilkroneVeneer
TeilkroneVeneerKroneVeneer
Customized
Krone
AbutmentsCustomized
Ka
Inlay Onlay
Krone
Customized
Abutments
Incisal
Incisal
Circular
Circular
Gingiva
Gingiva
Bridge construction
Inlay Inlay-Brücke
Inlay Inlay-Brücke
Onlay
Onlay
Teilkrone
Inlay
Teilkrone
Veneer
Onlay
Veneer
Krone
Teilkrone
Krone
Customized
Veneer
Customized
Abutments Abutments
KroneKa
Inlay-Brücke
Maryland-Brücke
Maryland-Brücke
Primärkrone
Primärkrone
Geschiebelement
Geschiebe
Maryland-Brücke
Primärkrone
Geschiebelement
Incisal/occlusal
Circular
rschraubte
Brücke Brücke
verschraubter Steg
verschraubte Brücke
Connector minimum
cross-section
Inlay-Brücke
Inlay-Brücke Maryland-Brücke
Maryland-Brücke
Inlay-Brücke Primärkrone
Primärkrone
Maryland-BrückeGeschiebelement
Geschiebelement
Primärkrone
rücke
oneCustomizedVeneer
Abutments
Krone
Kappe
Customized
Variobase
Abutments
Kappe
Variobase
Minimum thickness guidelines for full contour.
Maximum number of pontics
in the anterior/posterior region
0,6
12
1/1
Circular (mm)
Connector minimum crosssection
Bridge in anterior
and posterior
region
Incisal / Occlusal (mm)
Gingiva (mm)
Circular (mm)
Posterior
crown
Occlusal (mm)
Gingiva (mm)
Circular (mm)
Anterior
crown
Incisal (mm)
Isthmus width (mm)
Fissure depth (mm)
Cusp height (mm)
Circular (mm)
Partial Crown
Gingiva (mm)
Incisal (mm)
Circular (mm)
Incisal
overlapped
veneer
Gingiva (mm)
Incisal (mm)
Circular (mm)
Veneer
Gingiva (mm)
Isthmus width (mm)
Fissure depth (mm)
Cusp height (mm)
Inlay/
Onlay
Resin Nano Ceramic
3M™ ESPE™ Lava™
1,5
Ultimate Restorative
0,4 0,6 0,5 0,4 0,6 1,5 1,0
1,5
1,5
1,0
1,5
1,0
Ceramic
zerion® HT
0,6
IPS e.max® CAD – HT
1,0
0,6
IPS e.max® CAD – LT
IPS Empress® CAD – HT
2,0
1,5
IPS Empress® CAD – LT and Multi
VITA Mark II
VITA TriLuxe
2,0 1,5
1,5
0,6
0,7
0,7
0,5
0,6
0,6
0,7 1,0
1,0
0,5
1,5
1,0 1,5 2,0
1,0
2,0
0,6
1,5 1,2 1,0 1,5
1,5 1,0
1,5
2,0 1,5 1,0 2,0 1,5 1,0
1,5
1,5
1,0
2,0
1,0
Metal
ticon®
0,4
0,4
0,4
5
4/3
coron®
0,3
0,3
0,3
5
4/3
polycon® ae
0,6
0,6
0,6
9
1/1
polycon® cast
0,25
0,25
0,25
5
4/4
Polymers
Minimum thickness guidelines for cut-back.
1,0
anterior/posterior region
1,5
Maximum number of pontics in the
0,5
Connector minimum cross-section
0,4
Bridge
Wall thickness (mm)
1,2
Occlusal (mm)
1,0
Circular (mm)
0,5
1,3
Posterior
crown
Gingiva (mm)
0,6
Incisal (mm)
1,5
Circular (mm)
Circular (mm)
1,0
Gingiva (mm)
Gingiva (mm)
0,4
Anterior
crown
Cusp height (mm)
Incisal (mm)
Partial
Crown
0,6
Gingiva (mm)
Circular (mm)
Veneer1
Ceramic
IPS e.max® CAD – HT and LT
IPS Empress® CAD – HT and Multi
IPS Empress® CAD – LT
VITA Mark II and TriLuxe
0,3
1,5
1,02
1,0
Metal
ticon®
0,4
0,4
0,4
5
4/3
coron®
0,3
0,3
0,3
5
4/3
polycon® ae
0,6
0,6
0,6
9
1/1
polycon® cast
0,25
0,25
0,25
5
4/4
Polymers
1
2
Includes incisally applied veneer
1,3 mm for molars
Minimum thickness guidelines for
veneerable frameworks.
Maximum number of pontics in the
anterior/posterior region
Wall thickness (mm)
CARES® Vario­
base™ Abutment
Connector minimum cross-section
Connector (mm)
Wall thickness (mm)
Posterior and
anterior region
9
4/2
0,4
Ceramic
zerion® LT for frameworks
0,5
zerion® HT
0,6
9
1/1
IPS e.max® CAD – MO (up to the premolar)
0,81
n. a.
n. a.
ticon®
0,4
5
4/3
coron®
0,3
5
4/3
polycon® ae
0,6
9
1/1
polycon® cast
0,25
5
4/4
Metal
Polymers
1
1,0 mm occlusal for premolar
0,5
Guarantee.
Quality from S­traumann is a given, which is why we offer our customers the S­traumann® Guarantee1.
This ensures the rapid and efficient replacement of all system components, and provides you with
the security of knowing that you can rely on S­traumann at all times.
S­traumann Products covered by the S­traumann Guarantee
Implant
Abutment attached
to an implant1
Tooth- and implantborne restoration
5-year
guarantee
period
–
Replacement with
equivalent ceramic
abutment2
Replacement with
equivalent ceramic
restoration3
10-year
guarantee
period
–
Replacement with
equivalent metal
abutment2
Replacement with
equivalent metal or
resin nano ceramic
restoration3
Lifetime
guarantee
period
Replacement with
equivalent implant
and equivalent abutment, if necessary
–
–
1
In accordance with the S­traumann Guarantee brochure
2
Including S­traumann CARES® Screw-retained Bridges and Bars. Excluding consumable products and retentive
products such as ball anchors.
3
Including S­traumann CARES copings, full-contour crowns and bridges.
EXCLUDING all other products offered by S­traumann, particularly S­traumann CARES inlays, onlays, veneers,
partial crowns and S­traumann CARES Guided Surgery products.
© Straumann USA, LLC 2014. All rights reserved.
Straumann® and/or other trademarks and logos from Straumann® that are mentioned herein are the trademarks
or registered trademarks of Straumann Holding AG and/or its affiliates. All rights reserved.
5/14
Straumann North American Headquarters
Straumann USA, LLC
60 Minuteman Road
Andover, MA 01810
Phone 800/448 8168 (US)  800/363 4024 (CA)
Fax
978/747 2490
www.straumann.us  www.straumann.ca
NAMLIT 1002
International Headquarters
Institut Straumann AG
Peter Merian-Weg 12
CH-4002 Basel, Switzerland
Phone +41 (0)61 965 11 11
Fax
+41 (0)61 965 11 01