For comparison purposes: Dentin Enamel-dentin PFM 40-60 MPa 80-120 MPa 90-110 MPa (developed in the late 1950s by Abraham Weinstein) 24 CEREC Material Choices (for Chairside 4.2 Software; italicized block sizes refers to the MC X and MC XL Practice Lab mills) I. Crowns/Inlays/Onlays/Veneers/(bridges for MC X and MC XL Practice Lab only) Sirona – Blocs (25+ years) Sirona – Blocs PC (2003) Sirona – Blocs C In (2013) Sirona – InCoris TZI2 (2011) 120-160 MPa1 120-160 120-160 950 Feldspathic porcelain (same as Mark II) Feldspathic porcelain (same as Triluxe) Feldspathic porcelain (similar to RealLife) Translucent Zirconium Oxide 8, 10, 12, 14 12, 14, 14/14 size M in 11 colors mono, 40, 55 Vita – Mark II (25+ years, 14M restorations) Vita – Triluxe (2003) Vita – Triluxe Forte (2007) Vita – RealLife (2010) Vita – Enamic (2012) Vita – Suprinity3 (2013) Vita – Suprinity FC (pre-crystallized) (2013) Vita – CAD Temp Block (mono) Vita – CAD Temp Block (multi) 120-160 120-160 120-160 120-160 150-160 450-500 210-370 75-80 75-80 Feldspathic porcelain Feldspathic porcelain Feldspathic porcelain Feldspathic porcelain (for anteriors) Ceramic matrix (86% by weight) infused with resin Zirconia (10% by weight) reinforced lithium silicate Zirconia (10% by weight) reinforced lithium silicate Acrylate polymer with microparticle filler (MRP) Acrylate polymer with microparticle filler (MRP) 8, 10, 12, 14 12, 14 12, 14, 40 for Rapid Layer CAD On 14/14 14 14 14 40, 55 (up to 12 month in mouth) 40 (up to 12 months in mouth) Ivoclar – Empress (2001) Ivoclar – Empress Multi (2006) Ivoclar – e.max5 (2007) Ivoclar – Telio CAD Temporary Block (2010) 160 160 360 120-140 Leucite reinforced porcelain (40% by volume)4 Leucite reinforced porcelain (40% by volume) Lithium Disilicate Polymethyl methacrylate (PMMA) 8, 10, 12, 14 12, 14 12, 14, 16, B32 (anterior bridge) B40, B40 L6 40, 55 (6-12 months in mouth) Dentsply – Celtra (2013) Dentsply – Celtra Duo (pre-crystallized) (2013) 450-500 210-3707 Zirconia (10% by weight) reinforced lithium silicate Zirconia (10% by weight) reinforced lithium silicate 14 14 3M ESPE – Paradigm MZ100 (2001) 3M ESPE – Lava Ultimate (2011) 150 210 Made from cured Z100 Restorative material Nano ceramic Zirconia (80% by wt.) in resin matrix 10, 14 12, 14L (ten-year limited warranty) 150-160 MPa if polished or glazed and bonded. Survival rates of 97% for crowns after 5 years, 95.5% after 9 years and 84.4% after 18 years for inlays. Requires a separate sintering furnace. Single crowns or copings can now use the 10-minute Super Speed sintering cycle. 3 Suprinity requires a separate ceramic furnace. Suprinity FC is ready without the need of a furnace . 4 Leucite crystals add additional reflective properties to the porcelain for enhanced aesthetics. 5 Requires a separate ceramic furnace for crystallization. 6 Journal of Am. Dent. Assoc, March 2012: 87.3% survival rate after 10 years with 16mm connectors on unsupported posterior bridges (no substructure). 7 210 if polished after milling; 370 if glazed and crystallized in a ceramic oven after milling. 1 2 II. Abutments8 (MC X and MC XL Practice Lab only with either Chairside 4.2 or inLab 4.2) Sirona – inCoris ZI Meso (2010) Ivoclar – e.max abutments (2013) 1000 360 Zirconia Lithium Disilicate 14mm 14 III. Surgical Guides (MC X and MC XL Practice Lab only with either Chairside 4.2 or inLab 4.2) Sirona – CEREC Guide9 Single-Site Drill Body (2012) Acrylic Bloc S, M, L IV. Wax for cast gold (inLab 4.2 Software with either MC C or MC XL Practice Lab) Vita – CAD Waxx (for cast gold)10 (2010) Acrylic 40 Cobalt Chrome (non-precious metal) 4 sizes, for bridges up to four units IV. Metal (inLab 4.2 Software with MC XL Practice Lab) DENTSPLY Crypton Cobalt 11 (2013) 8 Supported implant systems: Nobel Biocare: Replace (NP, RP, WP, 6.0), Nobel Active (NP, RP), Branemark; Straumann: SynOcta (NN, RN, WN), Bone Level (NC, RC); Astra Tech: OsseoSpeed; Friadent: Frialit / Xive; BioMet 3i: external hex, Certain; Zimmer: Tapered Screw-Vent; Medntika: M-Implant. 9 Requires a Galileos CBVT scan as part of the process. Supported guide systems: Straumann, Camlog, Nobel Biocare: Branemark, NobelReplace Straight or Tapered, Nobel Active, Astra Tech Facilitate, and Biomet 3i Navigator. Each company has a required drill key set the doctor needs to purchase (sets range from $350 - $2500). 10 The digital file is usually sent the lab to be mill there in this block and then invested as part of the lost-wax technique. 11 Requires a separate sintering furnace (4.5 hour sintering cycle). To mill copings, frameworks, bars, telescopes, and attachments.