Ivoclar Vivadent IPS e.max CAD-on User Manual

CAD-On
all ceramic
all you need
i n s t r u c t i o n s f o r u se
Table of Contents
3     IPS e.max system – one system for every indication
product
information
CAD-On
4     Product Information Description of the  IPS e.max CAD-on Technique      Materials for the  IPS e.max CAD-on Technique      Indications, Contraindications      Composition      Shade Concept      Block Concept 
13     Clinical Working Steps, Model Preparation Overview of the  Fabrication Process      Shade Determination –  Tooth Shade, Shade of  the Prepared Tooth      Preparation Guidelines     Model Preparation      Layer Thicknesses
19     CAD/CAM Processing
CAM Process with Sirona inLab MC XL 
24     Finishing of the Framework and Veneering Structure
Completing the IPS  e.max CAD Veneering Structure 
notes on processing
practical
-
tion
informa
CAD-On
32     Glass-ceramic Fusion Process Preparation      Fusion Process      Cleaning, Checking 
Fusion/Crystallization Firing 
39     Glaze, Characterization    Characterization/Glaze Firing 
   Optional – Adjustments  with IPS e.max CAD Crystall./Add-On     
43     Seating and Follow-Up Care Possibilities for Cementation   Preparing for Cementation   Care Notes
46   General Information
Frequently Asked Questions 
Materials Combination Table     Firing Parameters  
2
®
IPS
e.max
System –
all you need
IPS e.max – one system for every indication
IPS e.max is  an innovative all-ceramic system which covers the entire all-ceramic indication range – from  thin veneers to  12-unit bridges. 
The IPS e.max  system delivers high-strength and highly esthetic materials for the Press and the CAD/CAM  technologies. The system  comprises lithium disilicate glass-ceramic used primarily for single-tooth restora­tions, high-strength zirconium oxide for long-span bridges and the veneering ceramic IPS e.max Ceram. 
Every patient situation  presents its own requirements and treatment objectives. IPS e.max meets these  requirements, because due to the system components, you obtain exactly what you need in order to pro­vide the optimum  solution to every individual clinical case. –  The components of the Press technology include the highly esthetic IPS e.max Press lithium disilicate 
glass-ceramic ingots and  the IPS e.max ZirPress fluorapatite glass-ceramic ingots for the fast and   efficient press-on-zirconia technique.
–  Depending on the case requirements, two types of materials are available for CAD/CAM techniques: 
the innovative IPS  e.max CAD lithium disilicate blocks and the high-strength zirconium oxide IPS e.max  ZirCAD.
–  The nano-fluorapatite layering ceramic IPS e.max Ceram, which is used to characterize/veneer all  
IPS e.max components  – glass or oxide ceramics –, completes the IPS e.max ystem. 
IPS e.max CAD-on technique
The unique IPS  e.max CAD lithium disilicate glass-ceramic (LS2) combines a  high strength (360 MPa) and  outstanding esthetic properties to provide durable all-ceramic restorations.
The CAD-on technique  combines the advantages of IPS e.max CAD (LS2) with those  of IPS e.max ZirCAD  (ZrO2) in an  innovative way and allows single crowns and up to 4-unit posterior bridges with outstanding  strength to be fabricated. With its outstanding final strength (>900 MPa), IPS e.max ZirCAD is the material of choice for the fabri­cation of bridge  frameworks. The monolithic IPS e.max CAD HT veneering structure provides the   excellent esthetic properties and contributes to the high strength of the completed IPS e.max CAD-on  restoration.
The homogeneous glass-ceramic  bond between the ZrO2 framework and  the LS2 veneering structure is  achieved by means  of an innovative fusion glass-ceramic: IPS e.max CAD Crystall./Connect. The optimally  coordinated system allows a convenient fusion of the IPS e.max ZirCAD framework and the IPS e.max  CAD veneering structure. 
3
®
IPS
e.max
CAD-on
Product Information
Description of the IPS e.max CAD-on technique
The IPS e.max  CAD-on technique allows the lithium disilicate glass­ceramic (LS2) IPS e.max  CAD to be used for the fabrication of high­strength zirconium oxide-based restorations.  The CAD/CAM-based fabrication  technique IPS e.max CAD-on is  characterized by the  combination of the two materials: IPS e.max  CAD and IPS  e.max ZirCAD (zirconium oxide). The LS2 glass-ceramic  is already being very successfully used for single-tooth restorations,  e.g. monolithic crowns, and serves as veneering structure in the   IPS e.max CAD-on  technique. The zirconium oxide material IPS e.max  ZirCAD is used  for the fabrication of a high-strength framework.  Both components are designed in the software and milled to high  precision in the milling unit. The IPS e.max ZirCAD framework is then  sintered in the Programat® S1, for  instance. The homogeneous all­ceramic fusion between  the two separately milled parts is achieved  with a specially  developed innovative fusion glass-ceramic during the  crystallization of the  IPS e.max CAD material. 
Increasing speed and efficiency
The IPS e.max  CAD-on technique increases the efficiency and pro­ductivity in the  fabrication of tooth- or implant-borne posterior resto­rations. With this technique, zirconium oxide-supported IPS e.max  CAD restorations which are unmatched in terms of strength and  esthetics can be  fabricated with little manual work in one workday.  The IPS e.max  CAD-on technique can be applied as an alternative to  the layering or  press-on technique. 
IPS e.max CAD veneering structure
IPS e.max CAD Crystall. /Connect fusion glass- ceramic
IPS e.max ZirCAD framework
Zirconium oxide (ZrO2)
Layering technique
Press-on
technique
CAD-on technique
4
Nano-fluorapatite
glass-ceramic
Fluorapatite
glass-ceramic
Lithium disilicate (LS
Glass-ceramic
)
2
Materials for the IPS e.max CAD-on technique
IPS e.max CAD
IPS e.max CAD  is a lithium disilicate glass-ceramic  block for the  CAD/CAM technique. It is manu­factured using an innovative process which   provides an impressive homogeneity of the material.  The block can  be processed very easily in a CAD/ CAM unit in  this crystalline intermediate stage  (metasilicate). The typical  and striking colour of   IPS e.max CAD  ranges from whitish to blue and  bluish-grey. This shade is a result of the composi­tion and the  microstructure of the glass-ceramic.  The strength of the material in this processable  intermediate phase is  130–150 MPa.  The crystallization takes  places in a combined   IPS e.max CAD-on  Fusion/Crystallization firing in  an Ivoclar Vivadent ceramic furnace (e.g.  Programat® P700). This  leads to a change in the  microstructure in the IPS e.max CAD material,   during of which  lithium disilicate crystals grow. The  final physical properties, such as the flexural  strength of 360 MPa, and the desired optical   properties are achieved through the transformation  of the microstructure.
CTE (100-400°C) [10-6 /K]  10.2 
CTE (100-500°C) [10-6 /K]  10.5 
Flexural strength (biaxial) [MPa]*  360 
Fracture toughness [MPa m
Modulus of elasticity  [GPa]  95 
Vickers hardness [MPa]  5800 
Chem. solubility [µg/cm2]*  40 
Crystallization temperature [°C]  840 – 850
*according to ISO 6872
0.5
]  2.25 
IPS e.max ZirCAD
IPS e.max ZirCAD  is a pre-sintered yttrium-  stabilized zirconium oxide block for the CAD/CAM  technique. The blocks  are available both shaded  and unshaded. IPS  e.max ZirCAD can be processed  very easily in  a CAD/CAM unit in its partly sintered,  "chalk-like" state. Milling  is carried out with an  enlargement of the  framework of approximately  20–25%. Given the  controlled manufacturing  process of the blocks, combined with an coordi­nated sintering process in a high temperature   furnace (e.g. Programat S1) the shrinkage of the  enlarged milled frameworks  can be controlled in  such a way  that excellent accuracy of fit can be  achieved. During the  sintering procedure, the final  material-specific properties of IPS e.max ZirCAD  are achieved. In the process, a structure that is  densified to more than 99% is created, which   features a high  flexural strength (>900 MPa) com­bined with high  fracture toughness (5.5 MPa m
0.5
and thus fully  meets the clinical requirements   presented by masticatory  forces – particularly in  the posterior region.
CTE (100-400°C) [10-6 /K]  10.8 
CTE (100-500°C) [10-6 /K]  10.8    
Flexural strength (biaxial) [MPa]*  900
Fracture toughness [MPa m
) 
0.5
]  5.5
Vickers hardness [MPa]  13000
Chem. solubility [µg/cm2]*  1
Sinter temperature [°C]  1500
*according to ISO 6872
5
IPS e.max CAD Crystall./Connect
IPS e.max CAD  Crystall./Connect is a specially  developed fusion glass-ceramic  which is used to  create a homogeneous bond between the IPS e. max ZirCAD framework  and the IPS e.max CAD  veneering structure during the IPS e.max CAD-on  Fusion/Crystallization firing.
The shades of the fusion glass-ceramic are adjusted  in such a  way that the IPS e.max ZirCAD shades  MO 0 to  MO 4 combined with the IPS e.max CAD  shades correspond to the shades of the IPS e.max  shade concept. By  combining the brighter   IPS e.max ZirCAD  framework with the translucent  IPS e.max CAD  HT veneering structure and the   harmonizing IPS e.max CAD Crystall./Connect  material, restorations can be fabricated which  exhibit outstanding esthetic  properties.
IPS e.max CAD Crystall./Connect
CTE (100-400°C) [10-6 /K]  9.5 
CTE (100-500°C) [10-6 /K]  9.2   
Flexural strength (biaxial) [MPa]*  160
Chem. solubility [µg/cm2]*  10
Fusion temperature [°C]  840
*according to ISO 6872
1 µm
IPS e.max CAD  Crystall./Connect  is a pre-dosed,  ready-to-use powder/liquid system available in   single doses and nine shades.  The precisely adjusted powder/liquid mixture of   IPS e.max CAD  Crystall./Connect turns liquid when  vibrated (with the  Ivomix). This allows the  material  to be mixed  and the components to be joined on  the Ivomix. Without mechanical  influence (vibra­tion) IPS e.max  CAD Crystall./Connect turns stable  again, which enables  the joined restoration to be  checked in the  articulator. This special property is  known as thixotropy.
6
10 µm
After the IPS  e.max CAD-on Fusion/Crystallization  firing at 840°C  / 1544 °F the sintered material  exhibits a high  strength of 160 MPa and forms a  homogeneous bond both  to the IPS e.max ZirCAD  freamework and the IPS e.max CAD veneering  structure. This homogeneous bond is clearly visible  on both material  interfaces in SEM images.  The sintering temperature of IPS e.max CAD  Crystall./Connect has been  adjusted to the   crystallization temperature of IPS e.max CAD so  that the fusion  process and the crystallization of  IPS e.max CAD  can be conducted in one firing  (Fusion/Crystallization firing). 
IPS e.max CAD
IPS e.max CAD Crystall./Connect
IPS e.max ZirCAD
IPS e.max CAD-on fusion area
100 µm
10 µm
The IPS e.max  CAD crystallization program was  used as a  basis for the IPS e.max CAD-on Fusion/ Crystallization firing. The  pre-drying of the restora­tion including the  fusion area is an important par­tial step of  the firing process. As the even drying of the fusion glass-ceramic takes place through  the fusion gap,  the fused restoration must be pre- dried. The specific pre-drying takes place by  means of a  controlled process in a suitable ceramic  furnace. An insufficient  or too quick a  drying  might result in the veneering structure being   completely or partially  lifted off the framework.  Furthermore, the heating rate and the holding  time at 820  °C / 1508 °F have been adjusted so as  to ensure an even heating of the entire restora­tion. At the  end of the program cycle, the long­term cooling has been expanded to 600 °C / 1112 °F.  Due to the  complexity of the specially developed  firing program, the ceramic furnace must  meet  strict requirements.
7
Uses
Indications
−  Crowns
−  Splinted crowns 
−  3- to 4-unit bridges
−  Implant superstructure crown
−  Implant superstructure splinted crown 
−  Implant superstructure 3- to 4-unit bridges
Contraindications
−  Restorations with more than two connected bridge pontics
−  Two bridge pontics as extension units
−  Very deep sub-gingival preparations
−  Patients with severely reduced residual dentition
−  Patients suffering from bruxism
−  Any other use not listed in the indications.
−  Use of IPS e.max Ceram layering materials (layering technique,  cut-back technique) 
−  Use of IPS e.max Ceram Glaze, Shades, Essences (staining technique)
Side effects
If patients are known to be allergic to any of the components in the  materials, IPS e.max  restorations should not be used. 
Composition
–  IPS e.max C AD blocks    Components: SiO2  
Additional components: Li2O, K2O, MgO, Al2O3, P2O5 and other  oxides
–  IPS e.max ZirCAD blocks    Components: ZrO   Additional components: HfO2, A2O3, Y2O3 and other  oxides
–  IPS e.max ZirCAD Colouring Liquid   Components: Water, ethanol, colouring salts, additives
–  IPS e.max CAD Crystall. /Connect   Components: Oxides, water, butandiol and chloride
2
Important note:
The fabrication of IPS e.max CAD HT bridges which are not supported by a zirconium oxide structure is contraindicated.
Important processing restrictions
Failure to observe the following restrictions may result in failure and  defective restorations:
−  Milling of IPS e.max CAD and IPS e.max ZirCAD with non-  compatible CAD/CAM systems.
−  Failure to observe the necessary minimum connector and restoration  thicknesses
−  Sintering of IPS e.max ZirCAD in a non-compatible high-temperature  furnace
−  Conducting the Fusion/Crystallization firing or the  Characterization/Glaze firing in  a ceramic furnace which has not  been approved and which is not recommended
−  Conducting the Fusion/Crystallization firing or the  Characterization/Glaze firing with  deviating parameters
−  Conducting the Fusion/Crystallization firing or the  Characterization/Glaze firing in  a non-calibrated ceramic furnace
−  Conducting the Fusion/Crystallization firing or the  Characterization/Glaze firing in  a high-temperatur furnace (e.g.  Programat S1)
−  Mixing of IPS e.max CAD Crystall./Glaze, Shades and Stains with  other ceramic materials  (e.g. IPS e.max Ceram Glaze, Stains and  Essences).
−  Wetting or rewetting the IPS e.max CAD Crystall./Connect (fusion  glass-ceramic)
−  Mixing of IPS e.max CAD Crystall./Connect with other ceramic  materials in general
−  Using a vibrator other than Ivomix
–  IPS e.max C AD Crystall. /Glaze, Shades and Stains   Components: Oxide, glycols
IPS e.max CAD Crystall. /Glaze Liquid   Components: Butandiol
–  IPS e.max C AD Crystall. /Add-On Incisal, Dentin, Connect   Components: Oxides
– IPS e.max CAD Crystall. /Add-On Liquid allround
  Components: Water, butandiol and chloride
– IPS e.max CAD Crystall. /Add-On Liquid longlife
  Components: Water, butandiol and chloride
–  IPS Object Fix Putty / Flow    Components: Oxides, water, thickening agent
–  IPS Contrast Spray Labside     Components: Pigment suspension in ethanol, propellant:  
Propane/butane mixture
Warning
–  Do not inhale ceramic dust – use exhaust air discharge and mouth 
protection.
–  IPS Contrast Spray Labside must not be used intraorally.
8
Scientific Data
Further scientific data  (i.e. strength, wear, biocompatibility) are contained in the “Scientific Documentaion  IPS e.max CAD-on”.     This Scientific Documentation  can be obtained from Ivoclar Vivadent.
For further information  about all-ceramics in general, please refer to the Ivoclar Vivadent Report No. 16  and 17. 
Scientific Documentation
9
Shade Concept
In the CAD-on  technique, the desired restoration shade is the result of the combination of:  
−  the shade of the framework   (IPS e.max ZirCAD MO)  
−  the shade of the fusion glass-ceramic  (IPS e.max CAD Crystall./Connect)
−  the shade of the veneering structure  (IPS e.max CAD  HT)
−  characterizations    (IPS e.max CAD Crystall./Shades, Stains)
The desired esthetic properties can be specifically achieved if the correct materials which correspond to  the tooth shade  are selected.  Note: If other combinations are selected (e.g. different zirconium oxide shades), the final shade may   differ.
Desired tooth shade
BL1 BL2 BL3 BL4 A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4
IPS e.max ZirCAD 
shaded
IPS e.max ZirCAD
non-shaded
+ 
optional
IPS e.max ZirCAD  Colouring Liquid
IPS e.max CAD Crystall./Connect
IPS e.max CAD HT
IPS e.max CAD Crystall./Shade
*
BL11  BL2 BL31BL41A1 A2 A3 A3.5 A41B1 B2 B31B41C1 C2 C31C41D2 D31D4
MO 0 MO 1 MO 2 MO 1
MO 0
1 2 3 4 5 6 9 3 4 7 8 9 8 9
SH 0 SH 1 SH 2 SH 3 SH 4
MO 0
+
CL 1
MO 0
CL 2
MO 
MO 0
CL 4
0 +
CL 1
+
+ 
MO 0
CL 3
IPS e.max CAD Crystall./Shade
SH I1 SH I2 SH I1 SH I2
Incisal
IPS e.max CAD Crystall./Stains
*The range of available products may vary from country to country.
1
IPS e.max CAD HT B40 blocks are available in 10 shades. To create the desired tooth shade, select the closest block shade in the respective shade group and determine the final tooth shade by means of Stains.
white, creme, sunset, copper, olive, khaki, mahogany
MO 
1
MO 
CL 1
0  +
+
MO 0
+ 
CL 4
1
Note:
Do not use IPS e.max Ceram layering materials and Shades,
Essences or Glaze materials in conjunction with the IPS e.max CAD-on technique.
10
Block Concept
Block concept IPS e.max CAD
IPS e.max CAD is basically available in three levels of translucency (HT, LT, MO) and three block sizes  (I12, C14, B40).  Depending on the translucency level, different block sizes are available. For esthetic   reasons, IPS e.max  CAD HT blocks are used in the IPS e.max CAD-on technique. 
Translucency level
High Translucency
Low Translucency
Medium Opacity
CR %
Processing technique
Staining
technique
Cut-back
technique
Layering
technique
CAD-on
technique
Thin
veneers
Indications
Veneers Inlays Onlays Partial
crowns
** IPS e.max CAD-on technique in conjunction with IPS e.max ZirCAD
Anterior
crowns
Posterior
crowns
Splinted
3- to 4-unit
crowns
* up to the second premolar
posterior
bridges
IPS e.max CAD HT (High Translucency)
IPS e.max CAD HT (High Translucency) B40 blocks are available in  9 A–D shades and 1 Bleach BL shade. For the fabrication of IPS CAD-on bridge restorations, only B40 blocks are used. Due to their 
translucency, IPS e.max  CAD HT blocks are ideally suitable for the fabrication of IPS e.max CAD-on   restorations in the  staining technique. IPS e.max CAD-on restorations fabricated from HT blocks exhibit a  lifelike brightness value  and translucency. To  characterize and glaze IPS e.max CAD-on restorations, only  the IPS e.max  CAD Crystall./Shades, Stains and Glaze are used.
The entire IPS e.max delivery program can be found at
www.ivoclarvivadent.com.
11
IPS e.max ZirCAD block concept
IPS e.max ZirCAD  is currently supplied in 9 block sizes (see table) and 3 shades  (MO 0, MO  1, MO 2). This provides utmost flexibility during block selection, with regard   to both the  shade and the block size.
The following IPS  e.max ZirCAD blocks are available:
Block designation
Dimensions in mm  (width x length  x height)
IPS e.max ZirCAD for inLab
13.2 x 13.2  x 14.0
IPS e.max ZirCAD for inLab
14.5 x 15.5  x 18.5
IPS e.max ZirCAD for inLab
15.4 x 19.0  x 20.0
IPS e.max ZirCAD for inLab
14.2 x 15.5  x 40.0
IPS e.max ZirCAD for inLab
15.4 x 19.0  x 39.0
IPS e.max ZirCAD for inLab
15.5 x 19.0  x 55.0
IPS e.max ZirCAD for inLab
22.0 x 25.0  x 65.0
IPS e.max ZirCAD for inLab
17.0 x 40.0  x 65.0
Length
Width
Height
C 13
C 15
C 15 L
B 40
B 40L
B 55
B 65
B 65 L-17
MO 0 MO 1 MO 2
IPS e.max ZirCAD for inLab
22.0 x 40.0  x 85.0
The entire IPS e.max delivery program can be found at www.ivoclarvivadent.com.
B 85 L-22
12
®
IPS
e.max
CAD-on
Clinical Working Steps, Model Preparation
IPS e.max CAD-on technique
Preparation, shade determination,
CAM process
IPS e.max ZirCAD framework
Pre-shaded block
Shading with
Colouring Liquids
Drying
Sintering
Working steps
impression-taking
Model fabrication
Scan and design (CAD)
CAM process IPS e.max CAD veneering structure
Finishing/checking
fit of framework and
veneering structure
Ivoclar Vivadent Products
OptraGate
IPS® Natural Die Material
Shade Guide
®
IPS
Contrast Spray Labside
IPS e.max ZirCAD MO
IPS e.max ZirCAD Colouring Liquids
IPS e.max CAD HT
Programat
®
®
S1
Clinical Working Steps, Model Fabrication
*
Fusing framework and
veneering structure
Fusion/Crystallization firing
Characterization/Glaze firing
Preparing for cementation
Conditioning
Cementation
IPS e.max CAD Crystall./Connect
Ivomix
IPS e.max CAD Crystall./
Shades, Stains, Glaze, Add-On
IPS e.max CAD Crystallization
IPS Object Fix Putty and Flow
P300, P500, P700, EP 5000
Monobond
Multilink
Tray and Pins
Programat
®
Plus
®
Automix
SpeedCEM
Vivaglass® CEM
bluephase
®
Check of articulation / occlusion
+ polishing
(after intraoral adjustment)
Recall
®
OptraFine
Proxyt
13
*The range of available products may vary from country to country.
®
Shade Determination – Tooth Shade, Shade of the Prepared Tooth
Optimum integration in  the oral cavity of the patient is the prerequisite for a true-to-nature all-ceramic  restoration. To achieve this, the dentist must observe the following guidelines and notes. The overall esthetic  result of an all-ceramic restoration is influenced by the following factors: 
•  Shade of prepared tooth (natural preparation, core build-up, abutment, implant)
•  Shade of the restoration  (framework shade, veneer, characterization)
•  Shade of the cementation material
The optical effect of the preparation shade must not be underestimated during the fabrication of highly  esthetic restorations. For that reason, the shade of the preparation should be determined together with  the desired tooth shade in order to select the suitable block. Especially with severely discoloured prepara­tions or non-tooth-shaded build-ups, this is of utmost importance. In order to achieve the desired esthetics,  the shade of the prepared tooth must first be determined. 
Preparation Shade
–  Prepared natural tooth –  Core build-up –  Implant, abutment
Desired tooth shade
Cementation material
Responsibility of the Dental Office Responsibility of the Laboratory
Shade determination of the natural tooth
After tooth cleaning,  the tooth shade of the non-prepared tooth and/or the adjacent teeth is   determined with the help of a shade guide. Individual characteristics have to be considered when   determining the tooth shade. If a crown preparation is planned, for example, the cervical shade should  also be determined.  In order to achieve the best possible true-to-nature results, shade determination  should be carried  out at daylight. Furthermore, the patient should not wear clothes of intensive colours  and/or lipstick. 
Restoration Shade
–  Framework shade –  Veneer  –  Characterization 
Die shade selection
In order to facilitate the reproduction of the desired tooth shade, the shade of the preparation is   determined with the help of the IPS Natural Die Material shade guide. This enables the technician to  fabricate a model  die similar to the preparation of the patient, on the basis of which   the correct shade and brightness values of the all-ceramic restorations may   be selected.
14
Preparation Guidelines
Basic preparation guidelines for all-ceramic restorations
–  No angles or edges –  The incisal edge of the preparation, particularly for anterior teeth, should be at least 1.0 mm (milling 
tool geometry) in  order to permit optimum milling during CAD/CAM processing.
1.0
The following notes should also be observed when using the IPS e.max CAD-on technique:
The zirconium oxide framework is designed in the software with a circumferential collar on abutment  teeth / crown framework due to technical reasons. The height of this collar is mainly determined by the  shape of preparation and the designed fully anatomical tooth shape. –  A very pronounced shoulder/chamfer results in a thin zirconium oxide collar. –  A minor shoulder/chamfer results in a wider zirconium oxide collar.
A very pronounced shoulder/chamfer results in a thin zirconium oxide collar.
A minor shoulder/chamfer results in a wider
zirconium oxide collar.
1.5
Clinical Working Steps, Model Fabrication
15
1.0
1.5
1.0
1.5
2.0
1.0
1.5
2.0
1.0
1.0
1.5
2.0
1.5
1.0
1.0
1.5
1.5 1.5
1.0
1.0
1.0
1.5
1.5 1.5
1.0
1.5
1.5
1.0
1.0
1.5
1.5
1.5
Singe Crowns to 3-Unit Bridges
Anterior Crown
−  Reduce the anatomical shape and observe the stipulated  minimum thickness. Prepare a circular shoulder with  rounded inner edges or a chamfer at a degree of  approximately 10°-30°. Width of the circular shoulder/ chamfer at least  1.0 mm. 
−  Reduce the incisal crown third by approx. 1.5 mm.
  Reduce the vestibular and/or oral area by approx.  
1.5 mm.
−  For conventional and/or self-adhesive cementation,   the preparation must demonstrate retentive surfaces.
Posterior Crown
−  Reduce the anatomical shape and observe the stipulated  minimum thickness. Prepare a circular shoulder with  rounded inner edges or a chamfer at a degree of  approximately 10°-30°. Width of the circular shoulder/ chamfer at least  1.0 mm. 
−  Reduce the incisal crown third by approx. 1.5 mm.
  Reduce the vestibular and/or oral area by approx.  
1.5 mm.
−  For conventional and/or self-adhesive cementation,   the preparation must demonstrate retentive surfaces.
4-Unit Bridges
−  Evenly reduce the anatomical shape and observe the stipulated minimum thickness. Prepare a circular shoulder  with rounded inner edges or a chamfer with a width of at least 1.0 mm. 
−  Reduce the incisal crown third – incisal and/or occlusal - by approx. 1.5 mm. 
−  For anterior crowns, the reduction in the labial and/or palatal/lingual area is at least 1.5 mm. 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.
−  For posterior crowns, the reduction in the buccal and/or palatal/lingual area is at least 1.5 mm. 
−  For conventional and/or self-adhesive cementation, the preparation must demonstrate retentive surfaces 
16
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