Ceramill Zolid Zirconia has a wide rage of indications and customization options for highly esthetic results. It is indicated for fully anatomical crowns and 3-unit to multi-unitit bridges in the anterior and posterior, anatomically reduced crowns in the anterior or posterior, 3-unit to multi-unit bridge frameworks, multi-unit and screw-retained restorations on Ti bases. This zirconia has a flexural strength of up to 1100 MPa.

Contraindications include:
When esthetic expectations are high and it is important that the restorations match surrounding natural dentition or other existing restorations
If bonding is necessary to retain the restoration, bond strength is weaker and less predictable than other ceramics

Shoulder preparation not needed. A mild champfer or a feather edge margin is good. 1mm buccal, lingual and occlusal reduction is ideal, but can go to .5mm in some areas, when reduction is limited.
Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.
Adjustments and polishing: Adjust Full-contour Zolid Whiterconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football-shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.
Polish Full-contour zirconia restorations with the porcelain polishing system of your choice.

Ceramill Zolid Zirconia may be cemented using a resin reinforced glass ionomer such as Relyx Luting cement. When a greater bond is needed do to the lack of a retentive preparation, use resin cement like Relyx Unicam or Relyx Ultimate.
Before cementing all Full-contour zirconia crowns, the interior surface of the crown needs to be cleaned with Ivoclean (Ivoclar Vivadent; Amherst N.Y.). This is critical in assuring maximum bond strength.

Zirconia requires a cast gold type preparation. If adjustments are needed, use zirconia specific diamonds and rubber wheels polishing with diamond paste.

D2740 Crown – Porcelain/Ceramic Substrate
D6245 Pontic Porcelain/Ceramic
D6740 Abutment Crown Porcelain/Ceramic

Ceramill Zolid FX is a super-high translucent zirconia with a flexural strength of up to 700 MPa. It is indicated for veneers, inlays, onlays, fully anatomical crowns and bridges (maximum 3 units extending to the molar region), anatomically reduced crown and bridge frameworks (maximum 3 units extending to the molar region).

Contraindications include:
When esthetic expectations are high and it is important that the restorations match surrounding natural dentition or other existing restorations
If bonding is necessary to retain the restoration, bond strength is weaker and less predictable than other ceramics

Shoulder preparation not needed. A mild champfer or a feather edge margin is good. 1mm buccal, lingual and occlusal reduction is ideal, but can go to .5mm in some areas, when reduction is limited.
Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.
Adjustments and polishing: Adjust Full-contour Zolid Whiterconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football-shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.
Polish Full-contour zirconia restorations with the porcelain polishing system of your choice.

Ceramill Zolid Zirconia may be cemented using a resin reinforced glass ionomer such as Relyx Luting cement. When a greater bond is needed do to the lack of a retentive preparation, use resin cement like Relyx Unicam or Relyx Ultimate.
Before cementing all Full-contour zirconia crowns, the interior surface of the crown needs to be cleaned with Ivoclean (Ivoclar Vivadent; Amherst N.Y.). This is critical in assuring maximum bond strength.

Zirconia requires a cast gold type preparation. If adjustments are needed, use zirconia specific diamonds and rubber wheels polishing with diamond paste.

D2740 Crown – Porcelain/Ceramic Substrate
D6245 Pontic Porcelain/Ceramic
D6740 Abutment Crown Porcelain/Ceramic

Lithium discilicate is indicated for thin veneers (0.3mm), veneers, occlusal veneers, inlays and onlays, partials crowns, full anterior or posterior crowns, hybrid abutment (cemented on a Ti base), hybrid crowns (cemented on a Ti base)

Bridges

For the preparation of all-ceramic restorations, the following principles apply:

• No angles or edges
• Shoulder preparation with rounded inner edges and/or chamfer preparation
• For CAD/CAM-fabricated restorations, the incisal edge of the preparation should be at least 1.0 mm (milling tool geometry) in order to permit optimum milling of the incisal area during CAD/CAM processing.

Veneer
Ensure that the minimum layer thickness of the thin veneer in the cervical and labial area is 0.3 mm for the PRESS, or 0.4 mm and 0.5 mm for the CAD technique. Make sure that the restoration thickness at the incisal edge is 0.4 mm for the PRESS and 0.5 mm for the CAD technique.

Veneer
Reduce the cervical and/or labial area by 0.6 mm, and the incisal edge by at least 0.7 mm.

Occlusal Veneer
Evenly reduce the anatomical shape while observing the stipulated minimum thicknesses. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 10 to 30 degrees. Ensure that the width of the circular shoulder/chamfer is at least 1.0 mm. Reduce the occlusal part by at least 1.0 mm.

Inlay, onlay
Make sure that the preparation margins are not located in the area of static or dynamic antagonist contacts. Ensure that the preparation depth is at least 1.0 mm and that the width of the isthmus is at least 1.0 mm in the fissure area. Prepare the proximal box with slightly diverging walls and observe an angle of 100 to 120 degrees between the proximal cavity walls and the prospective proximal inlay surfaces. Avoid marginal ridge contacts on the inlay in case of pronounced convex cavity walls without adequate support by the proximal shoulder. Round out internal edges in order to prevent stress concentration within the ceramic material. Do not prepare slice-cuts or feather edges. Provide at least 1.0 mm of space in the cusp areas for onlays.

Partial crown
Make sure that the preparation margins are not located in the area of static or dynamic antagonist contacts. Provide at least 1.5 mm of space in the cusp areas. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 20 to 30 degrees. Ensure that the width of the shoulder/chamfer is at least 1.0 mm.

Anterior crown
Evenly reduce the anatomical shape while observing the stipulated minimum thicknesses. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 10 to 30 degrees. Ensure that the width of the circular shoulder/chamfer is at least 1.0 mm. Reduce the incisal crown third by at least 1.5 mm. Reduce the vestibular and/or oral area by at least 1.2 mm. For conventional and/or self-adhesive cementation, make sure that the preparation demonstrates retentive surfaces and a sufficient preparation height of at least 4.0 mm.

Posterior crown
Evenly reduce the anatomical shape while observing the stipulated minimum thicknesses. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 10 to 30 degrees. Ensure that the width of the circular shoulder/chamfer is at least 1.0 mm. Reduce the occlusal crown third by at least 1.5 mm. Reduce the buccal or palatal/lingual area by at least 1.5 mm. For conventional and/or self-adhesive cementation, make sure that the preparation demonstrates retentive surfaces and a sufficient preparation height of at least 4.0 mm.

Lithium discilicate can be either cemented using a resin reinforced glass ionimer such as Relyx Luting cement. Or bonded using a resin cement, when extra strength is needed due to lack of retention on the prep, use a resin cement such as Relyx Unicem or Relyx Ultimate.

If adjustments are needed, use fine diamonds with water and light pressure. Always remove the crown when adjusting or bond/cement crown before adjustments are made.).

D2740 Crown
D2610 Inlay for 1 surface
D2620 Inlay for 2 surfaces
D2630 Inlay for 3 surfaces
D2962 Labial Veneer
D2783 Crown 3/4 Porcelain Ceramic (does not include veneers)

IPS e.max is indicated for thin veneers (0.3mm), veneers, occlusal veneers, inlays and onlays, partials crowns, full anterior or posterior crowns, hybrid abutment (cemented on a Ti base), hybrid crowns (cemented on a Ti base)

Bridges

For the preparation of all-ceramic restorations, the following principles apply:

• No angles or edges
• Shoulder preparation with rounded inner edges and/or chamfer preparation
• For CAD/CAM-fabricated restorations, the incisal edge of the preparation should be at least 1.0 mm (milling tool geometry) in order to permit optimum milling of the incisal area during CAD/CAM processing.

Veneer
Ensure that the minimum layer thickness of the thin veneer in the cervical and labial area is 0.3 mm for the PRESS, or 0.4 mm and 0.5 mm for the CAD technique. Make sure that the restoration thickness at the incisal edge is 0.4 mm for the PRESS and 0.5 mm for the CAD technique.

Veneer
Reduce the cervical and/or labial area by 0.6 mm, and the incisal edge by at least 0.7 mm.

Occlusal Veneer
Evenly reduce the anatomical shape while observing the stipulated minimum thicknesses. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 10 to 30 degrees. Ensure that the width of the circular shoulder/chamfer is at least 1.0 mm. Reduce the occlusal part by at least 1.0 mm.

Inlay, onlay
Make sure that the preparation margins are not located in the area of static or dynamic antagonist contacts. Ensure that the preparation depth is at least 1.0 mm and that the width of the isthmus is at least 1.0 mm in the fissure area. Prepare the proximal box with slightly diverging walls and observe an angle of 100 to 120 degrees between the proximal cavity walls and the prospective proximal inlay surfaces. Avoid marginal ridge contacts on the inlay in case of pronounced convex cavity walls without adequate support by the proximal shoulder. Round out internal edges in order to prevent stress concentration within the ceramic material. Do not prepare slice-cuts or feather edges. Provide at least 1.0 mm of space in the cusp areas for onlays.

Partial crown
Make sure that the preparation margins are not located in the area of static or dynamic antagonist contacts. Provide at least 1.5 mm of space in the cusp areas. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 20 to 30 degrees. Ensure that the width of the shoulder/chamfer is at least 1.0 mm.

Anterior crown
Evenly reduce the anatomical shape while observing the stipulated minimum thicknesses. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 10 to 30 degrees. Ensure that the width of the circular shoulder/chamfer is at least 1.0 mm. Reduce the incisal crown third by at least 1.5 mm. Reduce the vestibular and/or oral area by at least 1.2 mm. For conventional and/or self-adhesive cementation, make sure that the preparation demonstrates retentive surfaces and a sufficient preparation height of at least 4.0 mm.

Posterior crown
Evenly reduce the anatomical shape while observing the stipulated minimum thicknesses. Prepare a circular shoulder with rounded inner edges or a chamfer at an angle of approximately 10 to 30 degrees. Ensure that the width of the circular shoulder/chamfer is at least 1.0 mm. Reduce the occlusal crown third by at least 1.5 mm. Reduce the buccal or palatal/lingual area by at least 1.5 mm. For conventional and/or self-adhesive cementation, make sure that the preparation demonstrates retentive surfaces and a sufficient preparation height of at least 4.0 mm.

IPS e.max can be either cemented using a resin reinforced glass ionimer such as Relyx Luting cement. Or bonded using a resin cement, when extra strength is needed due to lack of retention on the prep, use a resin cement such as Relyx Unicem or Relyx Ultimate.

If adjustments are needed, use fine diamonds with water and light pressure. Always remove the crown when adjusting or bond/cement crown before adjustments are made.).

D2740 Crown
D2610 Inlay for 1 surface
D2620 Inlay for 2 surfaces
D2630 Inlay for 3 surfaces
D2962 Labial Veneer
D2783 Crown 3/4 Porcelain Ceramic (does not include veneers)

Ceramill Zolid Zirconia has a wide rage of indications and customization options for highly esthetic results. It is indicated for fully anatomical crowns and 3-unit to multi-unitit bridges in the anterior and posterior, anatomically reduced crowns in the anterior or posterior, 3-unit to multi-unit bridge frameworks, multi-unit and screw-retained restorations on Ti bases.

This zirconia has a flexural strength of up to 1100 MPa.

Contraindications include:
When esthetic expectations are high and it is important that the restorations match surrounding natural dentition or other existing restorations
If bonding is necessary to retain the restoration, bond strength is weaker and less predictable than other ceramics

Shoulder preparation not needed. A mild champfer or a feather edge margin is good. 1mm buccal, lingual and occlusal reduction is ideal, but can go to .5mm in some areas, when reduction is limited.
Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.
Adjustments and polishing: Adjust Full-contour Zolid Whiterconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football-shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.
Polish Full-contour zirconia restorations with the porcelain polishing system of your choice.

Ceramill Zolid Zirconia may be cemented using a resin reinforced glass ionomer such as Relyx Luting cement. When a greater bond is needed do to the lack of a retentive preparation, use resin cement like Relyx Unicam or Relyx Ultimate.
Before cementing all Full-contour zirconia crowns, the interior surface of the crown needs to be cleaned with Ivoclean (Ivoclar Vivadent; Amherst N.Y.). This is critical in assuring maximum bond strength.

Zirconia requires a cast gold type preparation. If adjustments are needed, use zirconia specific diamonds and rubber wheels polishing with diamond paste.

D2740 Crown – Porcelain/Ceramic Substrate
D6245 Pontic Porcelain/Ceramic
D6740 Abutment Crown Porcelain/Ceramic

Our PFMs can be used for crowns and bridges (up to fourteen units). PFMs can be manufactured to non-precious, semi-precious, and yellow high noble copings and can be used in conjunction with cast partials and implants.

Contraindicated when the patient has a metal allergy or when the size of the tooth pulp is negligibly smaller thus compromising the tooth preparation process. It is also contraindicated when the clinical tooth crown is very short and lacks the required stability including retention that is enough to provide the space for porcelain and metal.

The ideal preparation for PFMs is a chamfer margin preparation. If a porcelain labial margin is prescribed, then a shoulder margin preparation is required.
Feather-edge margin preparations are indicated for full-cast restorations.

Panavia 21 – tin plated
Glass ionomer cement (GC Fuji, GC America)
Zinc Phosphate Polycarboxylate
Resin Ionomer cement (RelyX, 3M ESPE)

If an adjustment is required on the ceramic, use a fine diamond with water and air to keep the crown cool. To contour the ceramic, polish with a pink rubber wheel and diamond polishing paste (Brasseler, Shofu, Vident).

D2750 Crown Porcelain fused to high noble
D2751 Crown Porcelain fused to non-precious
D2752 Crown Porcelain fused to semi-precious
D6750 Crown Porcelain fused to high noble (bridge units)
D6751 Crown Porcelain fused to non-precious (bridge units)
D6752 Crown Porcelain fused to semi-precious (bridge units)

A CAD/CAM substitute for traditional PFM our porcelain fused to zirconia can be used for anterior and posterior crowns, crowns over implants and bridges of up to fourteen unit

Attachment cases
Cases with less than 1 mm clearance
Bruxism
Patients who have broken a PFM crown
Cases that require bonding

The ideal preparation for PFZs is a chamfer margin preparation. If a porcelain labial margin is prescribed, then a shoulder margin preparation is required.
Feather-edge margin preparations are indicated for full-cast restorations.

Resin Ionomer cement (RelyX or RelyX Unicem, 3M ESPE)
Maxcem Elite (Kerr)
Panavia F 2.0 (Kuraray) -ideal for short, tapered preparations
Glass ionomer cement (GC Fuji, GC America)

If an adjustment is required on the ceramic, use a fine diamond with water and air to keep the crown cool.
To contour the ceramic, polish with a pink rubber wheel and diamond polishing paste (Brasseler, Shofu, Vident).

D2740 Crown – porcelain / ceramic substrate

Full-cast gold crowns are indicated for crowns, veneers, inlays, onlays and bridges.

Full-cast gold crowns are contraindicated for partials and implants.

Inlays and onlays can also be fabricated as a full-cast restoration. Feather-edge margin preparations are indicated for full-cast restorations, but any margin preparation may be used.

Panavia 21 (Must be tinplated if precious metal is used)
Glass ionomer cement (GC Fuji, GC America)
Zinc Phosphate Polycarboxylate Resin Ionomer cement (RelyX, 3M ESPE)

All castings are made with a metal alloy, be it non-precious, semi-precious or precious metals. Alloys are classified by their content.
Base – contents include non-precious, Chrome Cobalt or Titanium
Noble – consists of 25 percent precious alloy
High Noble – consists of 60 percent precious metal with at least 40 percent being gold
Alloy type refers to the hardness and/or softness of the material.
Type I – Extra soft
Type II – Soft
Type III– Hard
Type IV – Extra Hard (Rigid)
Non-Precious, Noble 20, White High Noble – Type IV – Very hard and rigid. These crowns are more difficult to adjust and re-polish than alloys with a high gold content.
Full Cast 40 – Type III – Yellow high noble alloy. Brand name currently used is Argenco 40 HN.
Full Cast 52 HN – Type III – Yellow high noble alloy. Brand name currently used is Argenco 52.
Full Cast 75- Type III – Yellow high noble and is an upgrade from full cast 52. The gold is slightly more yellow in color. Brand name currently used Argenco 75.

D2790 Crown Full-Cast Hi-Noble Metal
D2791 Crown Full-Cast Predominantly Base Metal
D2792 Crown Full-Cast Noble Metal

DuraFlex is recommended for use as removable partial dentures in place of traditional acrylic saddles on cast metal partials, flippers or stayplates. DuraFlex and similar flexible products are tissue borne appliances when not used with cast metal partials. Rest seats in are not recommended. DuraFlex and our other flexible products eliminate the need for invasive procedures.

DuraFlex should not be used with patients with poor oral hygiene, very short or heavily worn lower anteriors, over a closed vertical dimension or protruding tori. When there is minimal undercut on abutment teeth, metal clasp will be recommended. Our flexible products cannot be relined chairside; appliance needs to be returned to the lab for rebase.

After unpacking the case and immediately prior to insertion in the patient’s mouth, immerse the case in very hot tap water. Leave the case in the water for about one minute. Remove the case from the water and allow it to cool just to the point where the patient will tolerate it. Gently insert the appliance into the mouth.
The hot water treatment permits a smooth initial insertion and a good adaptation with the natural tissues in the mouth. If the patient senses any discomfort because of the tightness of a clasp, the clasp may be loosened slightly by immersing that area of the partial in hot water and bending the clasp outward. If a clasp requires tightening, the clasp area may be immersed in hot water and bent inward to tighten.
If any reduction is needed due to persistent irritation, the resin must be handled differently than acrylic. It is essential to use a fairly coarse grinding wheel or a parallel cut steel bur (vulcanite bur) for overall reduction. The resin will melt if there is prolonged contact with a bur or wheel; therefore it is essential to move the instrument over the surface continuously.
Minor Relief can be made with a rubber wheel or vulcanite bur. If there are any threads remaining, these can be removed with a sharp blade. Any roughness on the surface can be smoothed with a brown rubber wheel.
Repairing or rebasing can only be done at Arcari. We require the doctor to use a wash material under partial, then do a full pick-up impression and send in with an opposing model and a bite. Re-basing is pressure induced.

D5225 – Maxillary partial denture
D5226 – Mandibular partial denture

Indicated for use as a removable full or partial denture in place of traditional acrylic or saddles on cast-metal partial. A tissue borne appliance when not used with cast-metal partials; rest seats are not recommended. Can also be used in combination with metal framework or precision attachment cases.

Should not be used with patients with poor oral hygiene, very short or heavily worn lower anteriors, over a closed vertical dimension or protruding tori. When there is minimal undercut on abutment teeth, metal clasp will be recommended. Cannot be relined chairside; appliance needs to be returned to the lab for rebase.

Start with an accurate bite registration and void-free impression using a custom tray.

D5110 Complete upper
D5120 Complete lower
D5130 Immediate upper
D5860 Overdenture complete

Use manufacturer’s tooling to remove healing cap. For multiple units, start in the posterior and work toward anterior. Then, use manufacturer’s tooling to place transfer coping. Ensure components are fully engaged before tightening screw.
Take an X-ray to verify proper seating of components. Next, ensure transfer coping does not hit tray. Use heavy body polyvinylsiloxane impression material. Record impression. Finally, when impression tray is removed, the transfer coping stays in the mouth. Remove transfer coping and replace healing cap.
For multiple units, start in anterior and work toward posterior. Check fit of impression coping into impression. Send to lab.

Seat abutment. Torque screw into place per manufacturer’s recommendations. Next, use composite to fill over the implant screw.
Cement restoration over implant with a resin-reinforced ionomer (i.e., RelyX, 3M ESPE).

D6057 Implant Abutments