Ivoclar Vivadent SR Adoro User Manual

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COMPOSITES

SR Adoro

C&B

Adoro

Instructions for Use

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Table of Contents

Product

Information

SR Adoro – The Composite Veneering System

Product Information

Material Uses Composition Working Times Curing Depths The Product System SR Accessories Shade Determination

Practical Procedure for Framework-Free Restorations (Inlays/Onlays)

Preparation Guidelines and Minimum Layer Thicknesses Layering Diagram for Inlays / Onlays SR Adoro Step by Step Sealing the Die Starting Situation Applying the Liner Removing the Inhibition Layer Layering Polymerization / Tempering Finishing / Polishing Preparing for Cementation

Practical Procedure

Practical Procedure for Framework-Free Restorations (Anterior Crowns)

Preparation Guidelines and Minimum Layer Thicknesses SR Adoro Step by Step Starting Situation Sealing the Die and Adjoining Parts of the Model Applying the Liner Removing the Inhibition Layer Anterior Tooth Layering Final Polymerization / Tempering Finishing / Polishing Preparing for Cementation

Practical Procedure for Fixed Metal-Supported Restorations

Framework Design SR Adoro Step by Step Starting Situation / Framework Fabrication Casting and Finishing Conditioning of the Framework Layering Diagram Opaquer Layer Cervical, Dentin and Incisal Layering Final Polymerization / Tempering Finishing / Polishing

Practical Procedure for Framework-Supported Combination Dentures

Procedure for Combination Dentures Shade Matching of SR Adoro to Denture Teeth Masking of Model Cast Retentions with Gingiva Opaquer

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Practical Procedure for Fixed ZrO2-Supported Restorations

Framework Design SR Adoro Step by Step Starting Situation / Layer Thickness / Framework Design Framework Preparation / Conditioning Applying the Liner Layering Diagram for A–D and Chromascop Shades Dentin / Incisal Layering Final Polymerization / Tempering Finishing / Polishing

Practical Procedure

General

Information

Practical Procedure for Restorations with Gingiva Components

Framework Design SR Adoro Step by Step Example of a Possible Individual Layering Diagram Final Polymerization / Tempering Finishing / Polishing

General Information

Cementation Polymerization / Tempering Parameters Subsequent Adjustments Materials Combination Table Questions and Answers

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Adoro

The Composite Veneering System

In view of the versatile application possibilities of veneering composites, we have made it our objective to develop a universally applicable material system that not only offers a wide variety of design options for experienced specialists but also constitutes an optimum and economic alternative for first-time users and all-rounders.

The main thrust of development work on SR Adoro was towards designing a material that offers optimal physical properties, excellent esthetics, convenient handling properties and ample flexibility. Particular emphasis was also placed on coordinating the individual components of the SR Adoro system with each other, as well as with other Ivoclar Vivadent systems (IPS d.SIGN® or IPS InLine®).

Ivoclar Vivadent, who fostered the idea of integrated systems many years ago, has complemented its product range by introducing SR Adoro. A coordinated range of products encompassing alloys, ceramics, denture teeth, equipment, cements and composite veneering materials enables dental technicians to fabricate fixed, removable and combination dentures.

At the same time, the range of possible framework materials was extended with SR Adoro. Zirconium oxide frameworks are an attractive alternative to conventional metal frameworks that may be optimally veneered with SR Adoro. Furthermore, SR Adoro is ideally suitable if "pink esthetics" is an issue. With the use of SR Adoro Gingiva materials, it is possible to complete the soft tissue components easily and efficiently with composite.

The well-balanced assortment – coordinated with the Chromascop and A–D shade guides – and the various additional assortments, enable users the highly esthetic reconstruction of lost tooth structure with SR Adoro.

Your possibilities with the SR Adoro system:

Framework-free

Metal-supported ZrO2-supported

SR Adoro Materials

SR Adoro Gingiva

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Adoro

Product Information

Material

This composite is a tried-and-tested veneering system that offers several advantages over hybrid composite materials with regard to wear, handling, plaque resistance and surface gloss. This can be attributed to the high proportion of inorganic fillers in the nanoscale range. Furthermore, the matrix is based on a urethane dimethacrylate (UDMA), which is distinguished for its toughness, which is higher than that of its predecessors or the frequently used BisGMA. In order to achieve a non-sticky, homogeneous consistency and a low-shrinkage system, a special prepolymer was developed, which, in turn, is based on nanofillers and the new UDMA. The result is a virtually homogeneous material, which may well be called a microfilled composite.

500 µm

Physical properties of SR Adoro

The inorganic microfillers together with an innovative matrix impart homogeneous structure to the material. The coordinated ratio between these two components provides the best physical properties and promotes a high resistance against discolouration, plaque accumulation and wear.

200 µm

SR Adoro SR Adoro Dentin Incisal

Flexural strength [MPa]* 130 ± 10 120 ± 10

Vickers hardness [MPa] 490 ± 10 480 ± 10

Water absorption [µg /mm3]* 17 ± 1 17 ± 1

Wear (W illitec chewing simulator) – Volume abrasion

Modulus of elasticity [MPa] 7000 ± 500 7000 ± 500

<0.1 mm

*according to ISO 10477

Esthetic properties of SR Adoro

Highly esthetic results can be achieved even if a straightforward, basic layering procedure is used. Even the basic SR Adoro material exhibits an opalescent effect, which equals that of the natural tooth. Aspects such as brightness and chroma and/or opacity and translucency were taken into consideration for the colouration of SR Adoro. These characteristics are apparent in the individual components and endow the material with its highly esthetic properties.

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Uses

Indications

Fixed Denture Prosthetics

Metal-supported

– Veneering of metal-supported restorations with the application

of SR Adoro Thermo Guard

– Veneering of combination dentures (e.g. telescope veneers) with

the application of SR Adoro Thermo Guard

– Veneering of partially removable implant superstructures with the

application of SR Adoro Thermo Guard

– Veneering of Gingiva components in partially removable implant

superstructures with the application of SR Adoro Thermo Guard

– Fabrication of long-term temporaries with the application of

SR Adoro Thermo Guard

– Masking of model cast frameworks with SR Adoro Opaquer pink

Zirconium oxide-supported

– Veneering of ZrO – Characterization and veneering of frameworks and implant

superstructures made of yttrium oxide, partially stabilized, sintered or HIP zirconium oxide in a CTE range of

10.5–11.0 x 10-6 K-1 (100–500 °C).

Metal-free

– Inlays / onlays / veneers – Anterior crowns

– Long-term temporaries with Everest C-Temp Blanks (KaVo) with a

maximum wear period of 12 months

Removable Denture Prosthetics

– Surface characterizations with SR Adoro Stains of Ivoclar Vivadent

resin teeth (PMMA) with subsequent veneering with SR Adoro layering materials

– Shape and shade adjustments of Ivoclar Vivadent resin teeth

(PMMA) with SR Adoro layering materials in combination with SR Composiv

-supported restorations

Contraindications

– Veneering of metal-supported restorations without the applica-

tion of SR Adoro Thermo Guard

– Posterior crowns without framework support (ZrO

or alloys)

– Quadrant restorations without sufficient support by the residual

dentition

– Veneering of long-span, multi-unit, metal-supported bridges

(horseshoe) without sufficient support by the residual dentition – Conventional cementation of fixed, metal-free restorations – Framework-free long-term temporaries with a wear period of

more than 12 months – Patients with occlusal dysfunctions and/or parafunctions, such as

bruxism, etc. – Patients with inadequate oral hygiene – Any clinical applications that are not described as an indication by

the manufacturer – Removal of SR Adoro veneers and reuse of the zirconium oxide

framework – Veneering of zirconium oxide frameworks without the application

of SR Adoro Liners

General notes

As is generally known, composites have to meet different demands due to country-specific uses. Composite veneering materials show specific characteristics and properties and their performance and durability can therefore not be compared with that of other C&B materials. The composite restorations may require clinical repair over time, depending on the situation and the individual case. The restorations can be repaired by means of microfilled composites, as described in the section on "Subsequent Adjustments" on page 79.

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Composition

– SR Adoro layering materials

(Cervical, Dentin, Deep Dentin, Incisal, Transpa, Impulse and

Gingiva materials)

Dimethacrylate (17–19 wt.%); copolymer and silicon dioxide

(82–83 wt.%). Additional contents are catalysts, stabilizers and pigments (<1 wt%). The total content of inorganic fillers is 64–65 wt.%/46–47 vol.%. Particle size 10-100 nm.

– SR Adoro Liner

Dimethacrylate (48 wt.%); barium glass filler and silicon dioxide

(51 wt.%). Additional contents are catalysts, stabilizers and pigments (<1 wt%).

– SR Adoro Opaquer

Dimethacrylate (> 55 wt.%); inorganic fillers (43 wt.%). Additional contents are catalysts, stabilizers and pigments

(< 2.5 wt%).

– SR Adoro Stains

Dimethacrylate (47–48 wt.%); copolymer and silicon dioxide

(49–50 wt.%).

Additional contents are catalysts, stabilizers and pigments

(2–3 wt%).

– SR Adoro Add-On

Dimethacrylate (16–17 wt.%); copolymer and silicon dioxide

(82–83 wt.%). Additional contents are catalysts, stabilizers and pigments (<1 wt%).

– SR Model Separator

Polyglycol, polyethylene glycol in a water/alcohol solution.

– SR Link

Dimethacrylate, phosphate ester, solvent and benzoyl peroxide.

– SR Gel

Glycerine, silicon dioxide and aluminium oxide.

Warning

SR Adoro is intended for dental-lab use only. Contact of unpolymerized material (pastes) with the skin or eyes must be prevented. Skin contact of unpolymerized material may have a slight irritating effect and may lead to a sensitization against methacrylates. Many commercial medical gloves do not provide protection against the sensitizing effect of methacrylates. Do not inhale grinding dust. The safety notes on the individual primary packages and labels have to be observed.

General note

Failure to observe the stipulated contraindications and processing instructions may lead to clinical failure.

Side effects

There are no known side effects to date. In individual cases allergic reactions may occur. If a patient is known to be allergic to any of the ingredients, SR Adoro must not be used.

Storage instructions

– Store SR Link in the refrigerator (2–8 °C/36– 46 °F). – Store SR Adoro layering materials and SR Adoro Thermo Guard

at 12–28°C/54–82 °F.

– Close syringes immediately after usage (exposure to light causes

premature polymerization).

– Reseal SR Adoro Thermo Guard immediately after use

(exposure to light causes premature polymerization). – Protect the materials from direct sunlight. – Do not use the products after the indicated expiration date. – Keep material out of children’s reach.

How to clean SR Adoro restorations

Incorrect use of the ultrasound cleaning liquid may dissolve the composite surface due to the high aggressiveness of the liquids. Therefore, alkaline cleaners with a pH value higher than 8 should not be used.

– SR Adoro Thermo Guard

Diethylene glycol, water, inorganic fillers, synthetic fibres.

– SR Retention Adhesive

Copolymer, resin and softener (30 wt.%) dissolved in acetone

(70 wt.%).

– SR Micro Retention Beads 200–300 microns – SR Macro Retention Beads 400– 600 microns

Copolymer (99.5 wt.%) and titanium dioxide (0.5 wt.%).

– SR Composiv

Dimethacrylate; silicon dioxide (16–17 wt.%) Additional contents

are catalysts, stabilizers and pigments (<2.5 wt.%).

– Universal Polishing Paste

Emulsion of aluminium oxide, ammonium oleate, petroleum

distillate and water.

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Working Times

SR Adoro materials are sensitive to light. The working time depends on the layer thickness, shading and the prevailing light conditions. Light shades react more quickly than do dark ones. The times listed below represent mean values at a light intensity of 3000 lux, which corresponds to the light encountered in a well-lit working space. Bear the maximum time limit in minds, when extruding the material from the syringe.

SR Adoro

SR Adoro Liner

SR Adoro Opaquer

SR Adoro Intensive Opaquer

SR Adoro Stains

low viscosityhigh viscosity

SR Adoro Cervical

SR Adoro Deep Dentin

SR Adoro Dentin

SR Adoro Incisal / Transpa

SR Adoro Add-On

SR Adoro Impulse

SR Adoro Gingiva

Time

2–25 min

4–25 min

The Product System

Compatibility with Ivoclar Vivadent equipment

The high-performance Lumamat developed for the fabrication of high-quality composite restorations. The object holder of the furnace ensures that the SR Adoro restorations are appropriately positioned for optimum polymerization / tempering so that they can develop their physical properties to the full. The sensor-controlled Quick can be used for fast precuring processes. It can also be used for the intermediate polymerization of other light-curing veneering materials.

Compatibility with Ivoclar Vivadent alloys

All metal-supported restorations involve the veneering of a previously fabricated metal framework. Ivoclar Vivadent offers customers a wide range of different high-quality alloys, which are purposedesigned for their specific field of application. The selection includes high gold, reduced-gold and base metal alloys. The SR Link bonding system provides a sound bond between the metal and composite.

100 light furnace was especially

Curing Depths

Given the material's sensitivity to light, the curing depth of SR Adoro (i.e. precuring with Quick initial light unit) depends on the shade and, above all, the layer thickness applied. Light and translucent shades cure more readily, as light can penetrate them more easily than it does darker and more opaque shades. The curing depths listed below represent values achieved with the Lumamat 100/ Targis Power Upgrade with a precuring step of 20 seconds using the Quick initial light unit. It is paramount to bear these values in mind when layering the individual materials.

SR Adoro

SR Adoro Opaquer

SR Adoro Stains

SR Adoro Pastes

(final polyme rization with pr ior prec uring for 20 seconds with the Quic k)

(depending on the shade)

Curing depth in mm

max. 0.05

0.2 – 0.8

1.0 – 2.0

If you use other alloys, please contact the corresponding manufacturer to make sure that the alloy used is compatible with SR Link and its components.

Alloys

High Gold Content

Academy Gold

Harmony

Academy Gold XH

Reduced Gold

Harmony® X-Hard

XL-X Maxigold

Midigold® 50 Magenta Minigold

Harmony® 3

Universal Alloys

BioUniversal PdF

77.2

72.0

70.7

68.3

62.8

59.5

50.0

40.0

3.5

71.1

< 1.0

3.6

2.9 – – – – – –

9.2

– – –

3.6

3.9

2.7

3.5

6.5

4.0

25.9

–

12.7

13.7

13.8

16.1

26.3

35.0

21.0

47.0

50.8

11.7

Co Ni Cr Mon

Base Metal

IPS d.SIGN® 30

CC NC

Colado Colado 4all

60.2

59.0 – –

– –

65.1

61.4

30.1

25.5

20.2

25.7

Values in percent (%)

< 1.0

5.5

1.8

11.0

*The range of available alloys may vary

from country to country

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Compatibility with Ivoclar Vivadent tooth lines

Especially in partial and removable denture prosthetics, the compatibility between denture teeth and composite veneering material plays a particularly essential role. For this reason, we paid particular attention to developing a material that is capable of reproducing the shade of the Ivoclar Vivadent denture teeth.

Compatibility with IPS d.SIGN

and IPS InLine

The shade concept of SR Adoro, the IPS InLine System, as well as IPS e.max Ceram follows that of IPS d.SIGN. This means that there is an Opaquer, Dentin, Deep Dentin and matching Incisal materials for each tooth shade. The shading of the Impulse, Gingiva, and Stains materials follows that of the IPS d.SIGN, IPS InLine and IPS e.max Ceram materials so that the additional materials that are independent of any shade system permit a similarly esthetic appearance. This allows users to work more efficiently. Consequently, the processing of combined restorations is easier and faster and shade adaptation to existing ceramic restorations is more efficient.

SR® Accessories

SR Link, 5 ml

SR Link is a metal /ZrO provides a covalent bond between the metal and ZrO

frameworks and SR Adoro. SR Link is an easy-

to-use and, above all, tried-and-tested bonding system that can be used in conjunction with a wide selection of alloys and ZrO2 frameworks. The bonding system is suitable for use on frameworks made of – alloys that contain less than 90% gold, palladium and platinum – alloys that contain less than 50% copper and/or silver – base metal alloys – titanium alloys – ZrO

SR Link must not be used on electroformed (Galvano) frameworks, as the reactivity of the components partaking in the chemical reaction decreases with increasing contents of precious metal (Galvano,

99.9% fine gold). Consequently, not enough metal-phosphate bonds are formed.

SR Gel, 30 ml

SR Gel is a glycerine-based masking gel that is impervious to oxygen. The gel is applied to the restoration before polymerization / tempering to minimize the formation of an inhibition layer on the surface of the veneering composite. Consequently, the gel ensures complete curing of the restoration surface.

/composite bonding agent that

SR Adoro Gingiva concept

The shades of SR Adoro Gingiva are coordinated with those of the Ivoclar Vivadent Gingiva concept of the IPS InLine, IPS d.SIGN and IPS e.max systems. In this way, the shade design of true-to-nature gingiva components, particularly in conjunction with implant superstructures, is possible according to the same method with all veneering systems.

Compatibility with Ivoclar Vivadent cementation systems

Choose an adequate cementation option from the Ivoclar Vivadent range. Suitable luting composites or cements are available for both the adhesive cementation of framework-free restorations and the conventional cementation framework-supported restorations.

Framework-free restorations:

– Variolink

Veneer – Variolink® II – Multilink® Automix

Metal- / zirconium oxide-supported restorations:

– Multilink® Automix – SpeedCEM

– Vivaglass® CEM

SR Adoro Thermo Guard, 175 g

SR Adoro Thermo Guard is a diethylene glycol- and water-based paste. The paste, which is applied to all exposed metal parts, provides a thermally absorbing (cooling) effect, thereby minimizing the internal tension at the interface between metal and SR Adoro. As a

result, SR Adoro Thermo Guard helps reduce the risk of hairline cracks.

SR Model Separator, 10 ml

The SR Model Separator is suitable for separating working dies during the fabrication of metal-free restorations and adjoining stone surfaces during composite veneering.

SR Retention Adhesive, 20 ml

This adhesive varnish is utilized to affix micro- and macroretention beads to the restoration surfaces after contouring.

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SR Micro Retention Beads, 15 ml

SR Macro Retention Beads, 15 ml

Two different sizes of retention beads are available, depending on space conditions. – Micro retention beads: 200–300 microns – Macro retention beads: 400 –600 microns

SR Mixing Pad, small

SR Mixing Plate, small

The SR mixing pad and SR mixing plate are used for different materials. The pad is mainly used to process liquid materials so that time-consuming cleaning of the plate can be avoided. By contrast, the plate is used to mix the composite components. The light-protective cover of the plate extends the working time of the materials.

SR Modelling Instruments

A (yellow), B (red), C (blue) The classic Ivoclar Vivadent modelling instruments for composite materials, which are provided in a new, user-friendly design, facilitate the adaptation and contouring of composite materials. They are available with 6 different tips and can be used for a variety of applications.

Universal Holder

Used to handle disposable brushes and sponges and thereby help to facilitate the working procedures in the dental laboratory.

Disposable Brushes, 50x

The disposable brushes are particularly suitable for the application of liquid materials, such as SR Model Separator, SR Link, and SR Adoro Opaquer.

Disposable Sponges, 50x

The disposable sponges have been modified to fit into the universal holder. They are used to remove the inhibition layer after polymerization of the Opaquer and Liner.

Cannulas, 10x

These applications can be attached to Liner, Opaquer and Stains syringes. They help achieve more accurate dosing and cleaner application procedures as the extrusion pressure can be controlled.

Universal Polishing Paste, 100 ml

The SR Universal polishing paste enables quick and efficient polishing of composite and metal restorations to a high gloss. The paste is particularly suitable for prepolishing and principal polishing of SR Adoro veneers.

SR Composiv, 2.5 g

This ivory-coloured bonding paste is the ideal light-curing microfilled composite to optimize the bond of various resins and composite materials. The paste is mainly applied to promote the bond between Ivoclar Vivadent denture teeth and the SR Adoro veneering material.

Cannula Caps, 20x

The cannula caps prevent the material from drying out or polymerizing prematurely while it is is in the cannula and provide protection against contamination.

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Shade Determination

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-tonature results, shade determination should be carried out at daylight. Furthermore, the patient should not wear clothes of intensive colours and/or lipstick.

SR Adoro – Individualized shade determination

It goes without saying that the materials shade guides are an integral part of the SR Adoro product concept. The dentin shade tabs feature a textured surface and anatomical shape for light refraction purposes. The other shade tabs are slightly wedge-shaped to take account of the translucency of the individual materials. All shade tabs feature a smooth, i.e. untextured, reverse side to assist users in comparing the shades against the prepared tooth and coloured cements and adhesives. The smooth side of the shade tabs may be individually ground to determine the layering. The individual shade tabs are made of ceramic for reasons of shade stability. They are fired of specially coloured ceramic materials to ensure that they comply with the individual SR Adoro materials. As the materials shade guides have been modelled on the IPS d.SIGN and IPS InLine system shade guides, the sample holders of the SR Adoro shade guides are coloured light grey to distinguish them from the shade guides of other materials.

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Adoro® – Practical Procedure

for Framework-Free Restorations (Inlays/Onlays)

Preparation Guidelines and Minimum Layer Thicknesses

As framework-free SR Adoro restorations are placed using an adhesive cementation method, a toothconserving and defect-oriented preparation technique can be used.

Inlays

Provide a preparation depth of at least 1.5 mm in the fissure area (central fissure). The isthmus width should be at least 1.5 mm. The walls of the box should be slightly flared. Round out internal line angles to enable accurate fit of the inlay. Avoid preparation margins in functional or abrasion surfaces. Avoid proximal contacts areas. Do not prepare slice-cuts or feather edges.

1.5

Onlays

Allow for a preparation of at least 1.5 mm in the area of the fissures, an isthmus width of at least

1.5 mm and provide 1.5 mm space in the area of the cusps. The shoulder may be prepared with a chamfer (10°–30°) to improve the esthetic appearance of the transition between the composite and the tooth. Onlays are indicated if the preparation margin is less than approximately 0.5 mm away from the cusp tip, or if the enamel is severely undermined.

1.5

>90°

60°–80°

10°-30°

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Layering Diagram for Inlays/Onlays

Inlay layering

Practical Procedure for Framework-Free Restorations (Inlays/Onlays)

Onlay layering

Apply the liner up to the margin

Liner

Dentin

Incisal

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SR Adoro Step by Step

Starting Situation

Fabricate a master model or a model with detachable segments according to the impression in the usual manner. Expose and mark the preparation margin. Block out undercuts with blocking out wax or block out resin to ensure that the restoration can be removed after the polymerization process without damaging the die. Basically, the application of a sealer is recommended to harden the surface and to protect the stone die. However, the sealer layer must not result in any changes of the dimensions of the stone die. It is not mandatory to utilize a spacer, as two coats of SR Model Separator will be applied. If you use a spacer, check as to whether it is compatible with SR Model Separator.

Fabrication of a working model with removable segments. The die is coated with sealer.

Sealing the Dies and Adjoining Parts of the Model

SR Model Separator is applied in two thin coats. Apply the first coat generously and make sure that all areas of the cavity are well covered. Watch out for sharp edges in particular. Allow the layer to react for 3 minutes. After the reaction time, apply a second layer in a thin coat, invert the model, and allow to dry for 3 minutes. Additionally, apply SR Model Separator to adjoining model surfaces that may come into contact with SR Adoro (including counterbite), allow to react for a short time, and then disperse excess material with oil-free compressed air.

Apply first coat of SR Model Separator generously, watch out for sharp edges, and allow to react for 3 minutes.

Apply second layer of SR Model Separator in a thin coating and allow to dry for 3 minutes in an upside down position.

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Liner Application

Procedure for

non-discoloured cavities

– Apply Liner clear to the cavity

walls and the cavity floor (dentin area) for an optimum chameleon effect.

– Apply Liner incisal in the margin-

al areas (course of natural enamel) to achieve a harmonious transition between the shade of the restoration and natural tooth structure without grey lines.

Procedure for

slightly discoloured cavities

– Mask dark areas using a liner in

an appropriate shade (050-500).

– Coat the remaining portions of

the cavity, except the marginal areas, with Liner clear.

– Apply Liner incisal in the marginal

areas (course of natural enamel) to achieve a harmonious transition between the shade of the restoration and natural tooth structure without grey lines.

Procedure for

severely discoloured cavities

– Mask the entire cavity, except the

marginal areas, using a liner in a corresponding shade (050–500).

– Apply Liner incisal in the marginal

areas (course of natural enamel) to achieve a harmonious transition between the shade of the restoration and natural tooth structure without grey lines.

Practical Procedure for Framework-Free Restorations (Inlays/Onlays)

Liner clear

1st Liner layer– 050–500, clear

Extrude the desired amount of the ready-to-use Liner paste from the syringe and spread it out slightly on the mixing pad using a disposable brush. First, apply the Liner to the cavity walls and cavity floor in a thin coat and precure each segment for 20 seconds using a Quick curing light. Make sure to fully cover all areas, as the Liner provides an essential bonding surface to the luting composite. Do not cover marginal areas at this stage (course of natural enamel).

Liner incisal

Liner 050–500

Fully cover the cavity walls and cavity floor with the first Liner coat.

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Precure each segment for 20 seconds using a Quick curing light.

2nd Liner layer– incisal

After the application of the first Liner layer, apply Liner incisal in the marginal areas so that all cavity surfaces are coated with Liner. Apply Liner incisal up to the preparation margin in order to ensure a reliable bond between the preparation margins and the luting composite. This measure helps to reduce premature discolouration between the restoration margins and tooth structure.

Apply Liner incisal in the marginal areas, i.e. along the course of the natural enamel ...

Polymerizing the Liner Apparatus Time Program

Precuring time per segment

... and precure each segment for 20 seconds.

Quick 20 s –

– The entire inner surface of the restoration has to be covered with SR Adoro Liner. The layer

thickness should be at least 150 microns. Thin out the Liner towards the preparation margin.

– Do not detach hardened SR Adoro Liner from the die, as the layer may become deformed or

break in the process.

– If desired, the translucency of the Liners 050-500 may be increased by using Liner clear or Liner

incisal.

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Removing the Inhibition Layer

Thoroughly remove the resulting inhibition layer using a disposable sponge (do not use a solvent); make sure that the Liner surfaces are free of residue and exhibit a mat finish.

Thoroughly remove the inhibition layer with clean disposable sponges.

Practical Procedure for Framework-Free Restorations (Inlays/Onlays)

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Inlay / Onlay Layering

Adapt the first layer firmly (press into place) to ensure an effective bond between the Liner and composite and precure each segment for 20 seconds using a Quick curing light. The shade effect in the interdental area and cavity may be increased by means of Occlusal Dentin orange. Slightly emphasize the marginal ridges and cusps with Deep Dentin. Subsequently, begin the process of building up the cavity with Dentin materials. Make sure to provide adequate space for the subsequent application of Incisal and Transpa materials. The translucency of the restoration may be increased by means of coloured Transpa materials, such as Transpa orange-grey and Transpa brown-grey. Layer SR Adoro layering materials step by step and precure each individual layer. After building up and precuring the dental plateau, apply characterizations with SR Adoro Stains and precure for 20 seconds. Next, complete the restoration using Incisal and Transpa materials. The cusp tips and triangular ridges may be supplemented with a fine layer of Opal Effect 3 and 4. Adapt firmly and create smooth, rounded transitions between the layers using SR modelling instruments and synthetic brushes.

Increase the shade effect in the interdental and cavity area with Occlusal Dentin ...

... and slightly emphasize the marginal ridges and cusps with Deep Dentin.

Build up a plateau using various Dentin materials ....

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... and apply characterizations using SR Adoro Stains.

Precure with the Quick curing light and apply Incisal and ...

Practical Procedure for Framework-Free Restorations (Inlays/Onlays)

... Transpa materials to cover the characterizations and create a true-to-nature occlusal morphology.

Complete the procedure by precuring each segment for 20 seconds using the Quick curing light.

– It is essential to observe the stipulated curing depth and maximum layer thickness of the

individual materials during the layering procedure.

– If the maximum layer thickness is exceeded, break up large portions into several increments and

precure each increment for 20 seconds.

– SR Adoro Stains have to be coated with layering material (e.g. Incisal, Transpa).

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Polymerization / Tempering

Preparing for polymerization / tempering

After the layering procedure has been completed, all layers must be precured. To make sure that this is the case precure each segment for 20 seconds using a Quick curing light. Next, apply SR Gel on the entire veneering surface ensuring that all areas are fully covered and the layer is not too thick.

If necessary, precure one more time and apply a fully covering but not inappropriately thick coat of SR Gel.

General notes on polymerization / tempering

– 2 programs (P1 and P3) are available for polymerizing / tempering SR Adoro restorations with and without model. – Framework-supported SR Adoro restorations are permanently polymerized / tempered without model dies and without

model using Program P3.

– Framework-free SR Adoro restorations are permanently polymerized / tempered on the model dies without model base.

If up to 3 restorations are permanently polymerized /tempered together, Program P3 has to be used. For the permanent polymerization / tempering of more than 3 framework-free SR Adoro restorations, Program P1 is used.

– If SR Adoro restorations are to be permanently polymerized on the model using Program P1 (e.g. bridges), all removable

model components (pontic rests, neighbouring teeth) have to be removed from the working model. The remaining weight of the working model must not exceed 400 g.

Lumamat 100 / Targis Power Upgrade

Program 1

Program 3

Framework-supported Framework-free

– 4 or more inlays, onlays and/or

Metal

– Crowns and multi-unit bridges

with applied SR Adoro Thermo Guard

Zirconium oxide

– Crowns and multi-unit bridges

without applied SR Adoro Thermo Guard

crowns on dies

– up to 3 inlays, onlays and/or

crowns on dies

Page 21

... select Program 3 and start.

Mount the dies on the object holder and position correctly.

Make sure that the restorations are not located outside the marked polymerization/tempering zone ...

Inlays/onlays Apparatus Time Program

Precuring time per segment

Final polymerization / tempering

Quick 20 s

Lumamat

100/ Targis

Power

Upgrade

Practical Procedure for Framework-Free Restorations (Inlays/Onlays)

–

25 min 3

– Calibrate the furnace on a regular basis by means of the L 100 test set. Observe the corresponding

manufacturer's instructions.

Page 22

Finishing / Polishing

Finishing

After completion of the polymerization / tempering procedure, completely remove SR Gel from the restoration using running water and/or a steamer. Carefully remove the restoration from the die while it is still warm. If the restoration is removed at a later stage, it is advisable to warm up the stone die by means of water vapour. Finish the restoration with cross-cut tungsten carbide burs and fine diamonds. It is advisable to use low speed and light pressure. Make sure to rework the entire restoration to remove the inhibition layer of approximately 30 microns from all surfaces. Carefully taper the margins of the restoration, lightly grind the margins, and adjust proximal and occlusal contact points. Subsequently, recreate a lifelike tooth shape and surface structure.

Remove SR Gel and carefully lift the restorations off the die.

Finish the surface with cross-cut burs and remove the inhibition layer.

Lightly grind the margins using fine diamonds and tungsten carbide burs ...

... and re-create a true-to-nature surface structure.

Page 23

Polishing

Prepolishing

Carefully smooth out the ridges on the occlusal surface and proximal surfaces with rubber polishers and silicone polishing wheels. Pay particular attention to the margins in order to avoid rendering them too short.

High-gloss polishing

The restorations are polished to a high gloss using cotton or leather buffing wheels, as well as the Universal Polishing Paste. Use low speed and slight pressure for high-gloss polishing. Adjust the pressure at the handpiece, not with the polishing motor. In order to optimally polish the occlusal surfaces, we recommend modifying the goat hair brushes to become starshaped so that only the desired areas can be polished due to the smaller size of the brush. Depending on the type of high gloss desired, leather buffing wheels can be used to achieve a high shine, while cotton buffers are used to achieve a lesser degree of lustre.

Practical Procedure for Metal-Free Restorations (Inlays/Onlays)

SR Adoro inlay and onlay polished to a high gloss

Preparing for Cementation

It is essential to cement SR Adoro restorations using an adhesive cementation technique.

In order to achieve a chemical bond with the luting composite, the cavity side of the restoration has to be carefully blasted with Al the contact surfaces are again roughened with a 25 micron finishing diamond. Finally, the surfaces are silanized (e.g. with Monobond® Plus) to enable a chemical bond.

at 1 bar (15 psi) pressure in the laboratory. Following the try-in in the dental office and subsequent cleaning,

2O3

Page 24

Adoro® – Practical Procedure

for Framework-Free Restorations (Anterior Crowns)

Preparation Guidelines and Minimum Layer Thicknesses

Veneer

If possible, the preparation should be entirely located in the enamel. Either design a classical preparation with oro-incisal, chamfer-type embrasure of the incisal edge, or a simple incisal reduction without embrasure of the incisal edge. Avoid incisal preparation margins in functional or abrasion surfaces. The minimum preparation thickness is approx. 0.6–1.0 mm depending on the preparation technique selected. Dissolution of the proximal contacts is not required. Discoloured teeth may require more preparation. The extent of the incisal reduction depends on the desired translucency. The more translucent the incisal edge of the intended veneer is to appear, the more pronounced the reduction should be.

0.6

0.7

1.0

10°-30°

Anterior crown

Evenly reduce the anatomical shape and observe the stipulated minimum thickness. Prepare a circular shoulder with rounded inner edges or a pronounced chamfer of at least 0.8 mm. In the anterior region, reduce the labial and/or palatal / lingual surfaces by at least

1.0 mm. Reduce the incisal crown third by at least 1.5 mm. Design transitions in such a way that no angles or edges are present.

0.8

≥1

1.5

≥ 1

0.8 10°-30°

Page 25

SR Adoro Step by Step

Starting Situation

Fabricate a master model or a model with detachable segments according to the impression in the usual manner. Expose and mark the preparation margin. Block out undercuts with blocking out wax or block out resin to ensure that the restoration can be removed after the polymerization / tempering process without damaging the die. Basically, the application of a sealer is recommended to harden the surface and to protect the stone die. However, the sealer layer must not result in any changes of the dimensions of the stone die. It is not mandatory to utilize a spacer, as two coats of SR Model Separator will be applied. If you use a spacer, check as to whether it is compatible with SR Model Separator.

A master model is used as the working model. Fabrication of a working model with removable segments. The die is coated with sealer.

Practical Procedure for Framework-Free Restorations (Anterior Crowns)

Sealing the Die and Adjoining Parts of the Model

SR Model Separator is applied in two coats. Apply the first coat generously and make sure that all areas of the die are well covered. Watch out for sharp edges (incisal edges) in particular. Allow the layer to react for 3 minutes. After the reaction time, apply a second layer in a thin coat, invert the model, and allow to dry for 3 minutes. Additionally, apply SR Model Separator to adjoining model surfaces (including counterbite), allow to react for a short time, and then disperse excess material with oil-free compressed air.

Apply first coat of SR Model Separator generously, pay special attention to the incisal edges, and allow to react for 3 minutes.

Apply second layer of SR Model Separator in a thin coating and allow to dry for 3 minutes in

an upside down position.

Isolate adjoining model parts, as well as neighbouring teeth and counterbite.

Page 26

Liner Application

Extrude the desired amount of the ready-to-use Liner paste from the syringe and spread it out slightly on the mixing pad using a disposable brush. First, apply the Liner thinly on the die surfaces. Make sure to fully cover all areas, as the Liner provides an essential bonding surface to the luting composite. The Liner layer must be at least 150 microns thick and has to be precured for 20 seconds per segment using the Quick.

Apply the Liner on the entire die surface; observe a minimum layer thickness of 150 microns.

TIP

– Liner incisal may be applied to the marginal area to facilitate the transmission of light in the cervical area. This

measure provides a harmonious transition between the gingiva and the restoration.

Procedure for non-vital dies

– Mask the entire die with Liner 050 to block out the dark colour of the underlying tooth stratum and, at the same

time, to attain an adequate degree of brightness.

– Additionally, Stains white or Stains crackliner may be applied locally to the Liner surface to further increase the

degree of brightness.

Liner Apparatus Time Program

Precuring time per segment

Precure each segment for 20 seconds using a Quick curing light.

Quick 20 s –

– The entire die surface has to be covered with an SR Adoro Liner layer of at least 150 microns. Thin out the

Liner towards the preparation margin.

– Do not detach hardened SR Adoro Liner from the die, as the Liner coping may become deformed or break in

the process.

– If desired, the translucency of the Liners 050-500 may be increased by using Liner clear or Liner incisal.

Removing the Inhibition Layer

Thoroughly remove the resulting inhibition layer using a disposable sponge (do not use a solvent); make sure that the Liner surfaces are free of residue. Make sure that the Liner shows a mat surface.

Page 27

Anterior Tooth Layering

Adapt the first layer firmly (press into place) to ensure an effective bond between the Liner and composite and precure each segment for 20 seconds using a Quick curing light. The shade effect in the interdental area and palatal fossa may be increased by means of Stains orange or Occlusal Dentin orange. Build up the labial surface using various Dentin materials. Reproduce areas of higher brightness with Opal Effect 3 (cervical) and Inter Incisal white-blue (incisal). Apply the appropriate Transpa materials to the dentin core. Build up and precure the incisal extension using Opal Effect materials (OE 1 and OE 2). Mimic mamelons using Mamelon materials and Stains and precure. Next, complete the restoration step by step using Incisal and Transpa materials. Build up the palatal ridges using Dentin materials. The triangular ridges may be coated with a fine layer of Opal Effect 3 and 4. Adapt firmly and create smooth, rounded transitions between the layers using SR Modelling Instruments and synthetic brushes.

Practical Procedure for Framework-Free Restorations (Anterior Crowns)

Complete marginal areas with Deep Dentin and Dentin; enhance the shade effect in the palatal region by means of Stains and Occlusal Dentin ...

... and precure for 20 seconds using the Quick curing light. Complete the dentin core with Transpa materials ...

and build up the incisal area using Opal Effect 1.

Page 28

Reproduce mamelons using Mamelon materials and Stains and precure. Contour the tooth shape using Incisal materials.

Mimic enamel cracks between the lateral segmentation ...

... using Stains crackliner. Complete the labial and ...

... palatal tooth shape using Incisal and Transpa materials and precure for 20 seconds, using the Quick curing light.

– It is essential to observe the stipulated curing depth and maximum layer thickness of the individual

materials during the layering procedure.

– If the maximum layer thickness is exceeded, break up large portions into several increments and precure

each increment for 20 seconds.

Page 29

Final Polymerization / Tempering

Preparing for polymerization / tempering

After the layering procedure has been completed, all layers must be precured. Apply SR Gel on the

entire veneering surface ensuring that all areas are fully covered and the layer is not too thick. Make

sure that all areas are covered and mount the restoration with the die on the object holder.

Apply a fully covering but not inappropriately thick coat of SR Gel to the restoration ...

... and mount it on the object holder.

General notes on polymerization / tempering

After the application of SR Gel, mount the restoration on the object holder and place it in the Lumamat 100 or Targis Power Upgrade furnace in the correct position. The following points must be observed for polymerization / tempering: – 2 programs (P1 and P3) are available for polymerizing / tempering SR Adoro restorations with and without model. – Framework-supported SR Adoro restorations are permanently polymerized / tempered without model dies and without

model using Program P3.

– Framework-free SR Adoro restorations are permanently polymerized / tempered on the model dies without model base.

If up to 3 restorations are permanently polymerized / tempered together, Program P3 has to be used. For the permanent polymerization / tempering of more than 3 framework-free SR Adoro restorations, Program P1 is used.

– If SR Adoro restorations are to be permanently polymerized on the model using Program P1 (e.g. bridges), all removable

model components (pontic rests, neighbouring teeth) have to be removed from the working model. The remaining weight of the working model must not exceed 400 g.

Lumamat 100 /

Framework-supported Framework-free

Targis Power Upgrade

– 4 or more inlays, onlays and/or

Program 1

Program 3

Metal

– Crowns and multi-unit bridges

with applied SR Adoro Thermo

crowns on dies

– up to 3 inlays, onlays and/or

crowns on dies

Guard

Zirconium oxide

– Crowns and multi-unit bridges

without applied SR Adoro Thermo Guard

Practical Procedure for Framework-Free Restorations (Anterior Crowns)

Anterior Crown Apparatus Time Program

Precuring time per segment

Final polymerization / tempering

Call up Program 3 and start.

Quick 20 s

Lumamat

100 /Targis

Power

Upgrade

– Calibrate the furnace on a regular basis by means of the L 100 test set. Observe the corresponding

manufacturer's instructions.

–

25 min 3

Page 30

Finishing and Polishing

Finishing

After completion of the polymerization / tempering procedure, completely remove SR Gel from the restoration using running water and/or a steamer. Carefully remove the restoration from the die while it is still warm. If the restoration is removed at a later stage, it is advisable to warm up the stone die by means of water vapour. Finish the restoration with cross-cut tungsten carbide burs and fine diamonds. It is advisable to use low speed and light pressure. Make sure to rework the entire restoration to remove the inhibition layer of approximately 30 microns from all surfaces. Carefully taper the margins of the restoration, lightly grind the margins, and adjust proximal and occlusal contact points. After that, create a lifelike surface structure, such as incremental lines and convex /concave areas.

Prepolishing

Smooth out the surface (convex areas) of the natural structures, as well as the marginal ridges with rubber polishers and silicone polishing wheels so that they exhibit an extra lustre after high-gloss polishing.

High-gloss polishing

The restorations are polished to a high gloss using cotton or leather buffing wheels, as well as the Universal Polishing Paste. Use low speed and slight pressure for high-gloss polishing. Adjust the pressure at the handpiece, not with the polishing motor. In order to optimally polish the distinctive areas (palatal fossa), we recommend modifying the goat hair brush to become star-shaped so that only the desired areas can be polished due to the smaller size of the brush. Depending on the type of high gloss desired, leather buffing wheels can be used to achieve a high shine, while cotton buffers are used to achieve a lesser degree of lustre.

SR Adoro anterior crown polished to a high gloss.

– Microroughness on the finished veneering surface is conductive to plaque accumulation. Therefore, polish

carefully.

– Pay particular attention to crown margins, proximal areas and palatal surfaces.

Preparing for Cementation

It is essential to cement framework-free SR Adoro restorations using an adhesive cementation technique.

at 1 bar (15 psi) pressure in the laboratory. Following the try-in in the dental office and subsequent cleaning,

2O3

Page 31

Adoro® – Practical Procedure

for Fixed, Metal-Supported Restorations

Framework Design

The following points must be observed for the design of frameworks for composite veneers:

1. Framework design for full-coverage veneers (ideal space conditions)

With full-coverage veneers, the framework has to reflect the shape of the tooth in a reduced form. Design the framework in such a way that it supports the cusps resulting in a virtually even layer thickness of the veneering composite in the cusp-fissure area. In this way, the masticatory forces occurring during functional chewing are exerted on the framework rather than on the veneering composite. In case of unfavourable preparations, the missing tooth structure has to be compensated by the design of the framework and not the veneering composite. Furthermore, an even layer thickness facilitates the creation of a harmonious shade effect while full-coverage veneering provides a maximum level of esthetic beauty and function. All areas of the framework should be smooth and rounded to prevent delamination and cracking. Angles and edges should be rounded out already in the wax-up and not in the metal in order to avoid undermining the minimum framework thickness. The thickness of the metal framework for single crowns must not be less than 0.3 mm and 0.5 mm for bridge abutments after finishing (see diagram).

Anterior crowns

Practical Procedure for Fixed Metal-Supported Restorations

Premolar crowns

Molar crowns

Page 32

2. Framework design for partial veneers (limited space conditions)

A different framework design is required for partial veneers (e.g. telescope and conus crowns). As the space in the occlusal, palatal and lingual area in particular tends to be limited in many cases, this area of the restoration must be designed in the metal in such a way that cracks or delamination cannot occur because of too thin layer thicknesses of the veneering composite. In this design, the transition between the metal framework and the veneering composite should be clearly defined and it should incorporate a right angle finish line. The transition areas between the metal framework and the veneering composite must not be located in the contact point areas, nor on surfaces involved in masticatory functions. A chamfer or wraparound technique is required in partial veneer preparations to provide adequate support for the veneer. Observe the palatal area in upper canines (canine guidance) and the occlusal area in posterior teeth. To obtain a balance between esthetic and functional properties, it is advisable to reduce the medial corner of the occlusal surface in upper posterior teeth in particular to attain a harmonious esthetic appearance, especially when the buccal corridor is exposed. The thickness of the metal framework for single crowns must not be less than 0.3 mm and 0.5 mm for bridge abutments after finishing (see diagram).

For further information, please refer to the Instructions for Use of the corresponding alloy.

Anterior crowns

Premolar crowns

Molar crowns

Page 33

3. Design of bridge pontics

Bridge pontics are designed taking esthetic and functional aspects as well as oral hygiene into consideration. The area of the pontic that contacts the alveolar ridge should be made entirely of metal (polished to a high gloss) or composite. The transition between the metal and composite should always be located in an area where efficient oral hygiene is ensured. If adequate space is available, the contact area is made of composite. In order to ensure adequate stability between the bridge pontic and bridge abutment, a palatal and/or lingual scallop is recommended. If space is limited, the contact area is made of metal burnished to a high gloss. The palatal and/or lingual areas are made of metal to ensure adequate stability. To prevent shrinkage cavities from forming in extensive pontics, it is advisable to hollow out the pontic. A wax wire is placed in the hollowed space (ample space available) and formed in such a way that it is level with the abutment teeth. This measure provides additional retention and helps achieve an even colour effect in the bridge pontic and abutment.

Ideal space available Limited space available

Practical Procedure for Fixed Metal-Supported Restorations

Page 34

4. Interface between metal and composite

The interface between the metal framework and the veneering composite must be clearly defined; incorporate a right angle finish line and use a chamfer or wraparound technique. The transition areas between the metal framework and the veneering composite must not be located in the contact point areas, nor on surfaces involved in masticatory functions. Furthermore, make sure that the interface in the marginal area does not come into contact with the gingiva, particularly if a tapered crown margin is used (e.g. no metal margin). In this way, irritation of the gingiva can be prevented. The interface in the interdental area should be designed in such a way that cleaning of these difficult-to-access areas is possible.

5. Correct application of retention beads

It is generally advisable to apply retention beads to provide mechanical retention in addition to the chemical bond with SR Link. If space is limited, it may not always be possible to apply retention beads or they may only be applied in certain areas. Therefore, retention beads can be applied locally to the bonding surfaces without compromising the space available or the esthetic appearance of the restoration in particular. The retention adhesive should be applied in as thin a coating as possible so that the retention beads are not completely immersed in adhesive and enough surface area for mechanical retention is provided. After casting, the retention beads may be reduced by half of their size (equator) to preserve a sufficiently large retentive area.

Retention Adhesive (schematic)

Page 35

SR Adoro Step by Step

Starting Situation / Framework Fabrication

Starting situation

Fabricate a master model or a model with detachable segments according to the impression in the usual manner. Expose and mark the preparation margin. Basically, the application of a sealer is recommended to harden the surface and to protect the stone die. However, the sealer layer must not result in any changes of the dimensions of the stone die. Next, a spacer may be applied depending on the respective working habit.

Fabrication of a working model with removable segments and with the sealer and spacer applied.

Framework design

There are two types of frameworks, i.e. frameworks for full-coverage veneers (ideal space) and frameworks for partial veneers (limited space). Basically, it is advisable to design a full wax-up and then fabricate a silicone key to check the space conditions during contouring. When fabricating the frameworks, make sure that the minimum wall thickness after finishing is 0.3 mm for single crowns and 0.5 mm for bridge abutments. These dimensions are the prerequisite for a stable metal framework and a durable bond between the metal and composite. If the stipulated framework and connector dimensions are not obser ved, delamination and cracking may occur.

Practical Procedure for Fixed Metal-Supported Restorations

Full contouring of the anatomical tooth shape ...

... and fabrication of a silicone key for checking.

Page 36

Wax-up

On the following pages, two versions of framework design are shown stage by stage up to and including the application of the opaquer (ideal and limited space). The framework introduced in version A will be veneered and completed.

The framework reflects the reduced anatomical tooth shape (see page 32 for tooth shape-supporting contouring). As a result, the composite can be applied in an even layer and will consequently be appropriately supported. The requirements of the different alloys have to be taken into account.

Full-coverage veneer (ideal space)

Reducing the framework on the labial ...

Version A:

Version B:

Partial veneer (limited space)

Reducing the framework only on

the labial side.

... and palatal side.

Checking the labial side using the silicone key. Shaping the wax wire in such a way

On the palatal side, the fully anatomical

shape of the framework is maintained.

that it is level with the abutments.

If the metal framework is too small, the veneering composite is not adequately supported, which may lead to

cracks, delamination and esthetically compromised results.

Page 37

Casting and Finishing

After having cast the framework (e.g. with Academy Gold XH), carefully divest, sandblast / pickle and fit it on the model. After separating, the metal framework is finished using tungsten carbide burs. If softer alloys are used, it is recommended to work with limited pressure. A correct marginal design is paramount to attaining a reliable composite-metal bond. If possible, create a tapered chamfer or wraparound design in the cervical area.

Version A:

Full-coverage veneer (ideal space)

Version B:

Partial veneer (limited space)

Practical Procedure for Fixed Metal-Supported Restorations

Carefully divest, sandblast or pickle ...

... and fit to the model.

Using a tungsten carbide bur, create a tapered cervical margin,

preferably by using a wraparound technique or a chamfer preparation.

Polish metal portions not to be veneered to a high gloss.

Page 38

Conditioning of the Framework

Conditioning with SR Link

After finishing, carefully blast the framework with aluminium oxide (Al Instructions for Use of the corresponding alloy). Sandblasting improves the mechanical bond. It roughens and thus substantially increases the surface of the object. After blasting, remove blasting medium residue by tapping off and not by cleaning with steam or an air gun. Apply SR Link immediately after having tapped off the residue. Use a clean disposable brush to apply SR Link and allow to react for 3 minutes. Do not "soak" metal surface in SR Link.

Carefully blast the framework with Al2O3 , 80–100 microns at max. 2 bar (29 psi) pressure.

), 80–100 microns at 2 bar (29 psi) pressure (see

2O3

After blasting, do neither clean with steam, nor with an air gun ...

... but instead tap off residue with an instrument.

Page 39

Version A:

Full-coverage veneer (ideal space)

Version B:

Partial veneer (limited space)

Practical Procedure for Fixed Metal-Supported Restorations

Blasted and conditioned bridge on the model.

SR Link is applied immediately after the blasting procedure using a disposable brush.

Allow SR Link to react on the conditioned bridges for 3 minutes.

– When using SR Link, do NOT clean the framework with steam or with an air gun after blasting. – Do not touch clean surfaces. – Do not use SR Link in conjunction with alloys that contain more than 50% silver and/or copper or alloys

with more than 90 % gold, palladium and platinum.

Page 40

Layering Diagram

for crowns and bridges

Chromascop – ideal space conditions Chromascop – limited space conditions

With the Chromascop layering, the incisal area extends to the centre of the tooth. The indications on the right are reference values.

Framework

Opaquer

Deep Dentin

Cervical

Incisal

Dentin

Cervical

Incisal

Ideal space conditions

0.3 mm

0.1 mm

–

1.2 mm

0.7 mm

0.5 mm

Limited space conditions

0.3 mm

0.1 mm

0.3 mm

0.1 mm

0.6 mm

0.3 mm

0.4 mm

Page 41

A–D – ideal space conditions

A–D – limited space conditions

Practical Procedure for Fixed Metal-Supported Restorations

With the A–D layering, the incisal area extends to the centre of the cervical third. The indications on the right are reference values.

Framework

Opaquer

Deep Dentin

Cervical

Incisal

Dentin

Cervical

Incisal

Cervical

Incisal

Ideal space conditions

0.3 mm

0.1 mm

–

0.9 mm

0.7 mm

0.2 mm

0.5 mm

Limited space conditions

0.3 mm

0.1 mm

0.3 mm

0.1 mm

0.5 mm

0.3 mm

0.1 mm

0.4 mm

Page 42

Application of the Opaquer

1st opaquer layer (wash)

Extrude the desired amount of the ready-to-use opaquer paste from the syringe and spread it out slightly on the mixing pad using a brush. Apply the first opaquer layer (wash) thinly using a brush. Make sure to thoroughly smooth out any roughness and the retention beads (micro- and macroretention beads) on the metal surface, since the wash layer represents the most important bond between the metal and the composite. Subsequently, precure the wash for 20 seconds per segment using the Quick.

Version A:

Full-coverage veneer (ideal space)

Apply the first opaquer layer (wash) thinly using a brush ...

Version B:

Partial veneer (limited space)

... and level / fill retentions and any roughness.

1st opaquer layer Apparatus Time Program

Precuring time per segmen t

Quick 20 s –

Page 43

2nd opaquer layer and building up the bridge pontic

Apply the second opaquer layer in such a way that the metal framework, and particularly the retention beads, are entirely covered with opaquer, i.e. as much as required and as little as possible. After that, precure the opaquer for 20 seconds per segment using the the Quick and then directly polymerize it in the Lumamat 100 or Targis Power Upgrade (Program 2, 11 minutes). Four Intensive Opaquers are available for the individualization of the opaquer layer. The degree of brightness can be heightened by applying Intensive Opaquer white.

Procedure for the bridge pontic

Apply the second opaquer layer in such a way that the framework is completely covered and precure each segment for 20 seconds. Next, build up the hollowed out space on the bridge pontic to the level of the abutment teeth using Transpa clear and precure for 40 seconds using the Quick curing light. Then, apply a layer of opaquer directly on the inhibition layer of Transpa clear and precure for 20 seonds. Polymerize immediately in the Lumamat 1000 or Targis Power Upgrade using Program 2.

Practical Procedure for Fixed Metal-Supported Restorations

Version A:

Full-coverage veneer (ideal space)

Apply the second opaquer layer in such a way that it entirely covers the retention beads, ... Apply the second opaquer layer ...

Partial veneer (limited space)

Version B:

... individualize using Intensive Opaquer ... ... build up the bridge pontic with Transpa clear,

... and precure each segment for 20 seconds.

check against the silicone key, precure

... and completely cover with opaquer.

for 40 seconds ...

Page 44

Polymerizing the Opaquer

Place the restoration without the model on the object holder.

– To obtain a smooth transition between the

metal and composite, thin out the opaquer at the metal margin.

– If a smooth surface is preferred, lightly tap

top of the surface with a spatula.

– Check opaquer for complete polymerization

in critical areas, using a probe.

Polymerize the restoration without the model using Program 2.

Opaquer Apparatus Time Program

Precuring time per segment

Conduct final polymerization

Quick 20 s

Lumamat

100 /Targis

Power

Upgrade

–

11 min 2

Page 45

Cervical, Dentin and Incisal Layering

Sealing the model

Before building up the Dentin and Incisal materials, all parts of the model that may come into contact with SR Adoro are sealed. This step helps to prevent the composite from sticking to the model. Use SR Model Separator to seal adjoining parts of the model (e.g. stone die and pontic rests). Apply SR Model Separator in a thin layer, allow to react for a short time, and remove excess with oil-free compressed air.

Removing the inhibition layer

Thoroughly remove the resulting inhibition layer using a disposable sponge (do not use a solvent); make sure that the opaquer surfaces are free of residue. Make sure that the Opaquer shows a mat-shiny surface.

Practical Procedure for Fixed Metal-Supported Restorations

Tip

Characterizing the opaquer

After the inhibited layer has been removed, you may individualize sections of the opaquer surface with SR Adoro Stains. It is advisable to apply a thin layer of Stains in the marginal and interdental area, particularly if space is limited, to enhance the in-depth shade effect. Subsequently, precure SR Adoro Stains for 20 seconds using the Quick.

Charac terization Apparatus Time Program

Precuring time per segment

Quick 20 s –

Page 46

Tips for layering

Before layering, avoid mixing and overlapping the pastes to prevent air from

being trapped. Do not mix high- and low-viscosity materials with each other.

It is advisable to apply Deep Dentin of the next brighter shade or highly opaque pastes, e.g. Mamelon light, to the pontic rest to ensure adquate shade stability. After that, layer these areas using Cervical, Deep Dentin and/or Dentin materials.

It is recommended to build up the veneer segment-by-segment (tooth-by-tooth) and separate from each other and then to precure. Finally, the individual veneers are joined.

Opal Effect pastes provide a true-to-nature opalescent effect in the incisal third. Opal Effect 1 is applied to the cut-back dentin as extension of the dentin core and then precured. Opal Effect 5 is suitable to create secondary dentin.

Use the shaded Transpa materials to complete and enhance the vitality in the incisal area. Transpa blue is suitable for the mesial and distal aspects.

Use Mamelon materials to create a lifelike shade effect in the incisal third. They are applied on the completed incisal area. Create smooth transitions. Avoid edges, since they may look like stubs after polymerization and the mamelons may appear too pronounced.

Page 47

Dentin / Incisal layering

The layering procedure of the individual SR Adoro pastes is carried out in accordance with the layering diagram (shade guide layering). Adapt the first layer firmly (press into place) to ensure an effective bond between the composite and the opaquer surface and precure each segment for 20 seconds using a Quick curing light. Cervical or Deep Dentin material may be applied in a half-moon shape to cervical areas, pontics and crown margins that are thinning towards the metal. Adapt firmly and create smooth, rounded transitions between the layers (Cervical – Dentin – Mamelon – Incisal) using SR modelling instruments or synthetic brushes.

Stabilize the pontic area with Deep Dentin and apply Cervical material in a half-moon shape in the cervical area.

After that, build up the dentin layers step by step and precure each segment for 20 seconds. The shade effect in the interdental area may be enhanced by means of chromatic materials, such as Occlusal Dentin orange. Design the dentin core in such a way that the mamelon shape remains outlined. Make sure to provide adequate space for the subsequent application of the Incisal and Transpa materials. The mamelons can be individually designed with either Mamelon material or SR Adoro Stains. After that, the restoration is completed layer by layer using Incisal and Transpa materials. The coordinated consistency of the material ensures that modelled contours are maintained and enables easy layering. The Incisal materials are coordinated with the Dentin materials so that delicate transitions can be designed. Subsequently, precure each segment for 20 seconds using the Quick.

Practical Procedure for Fixed Metal-Supported Restorations

Apply the first layer on the Opaquer firmly, build up step by step, and precure.

– It is essential to observe the stipulated curing depth and maximum layer thickness of the individual

materials during the layering procedure.

– If the maximum layer thickness is exceeded, break up large portions into several increments and precure

each increment for 20 seconds.

Page 48

Labial layering

Increase the shade effect in the interdental area with Occlusal Dentin ...

... complete the dentin core up to the mamelon structure ...

... by precuring with the Quick. Build up the incisal surface with incisal materials ...

... and complete with Opal Effect 1. Add Mamelon materials.

Page 49

Complete the labial surfaces with alternate layers ...

... of Incisal materials up to the canine.

Practical Procedure for Fixed Metal-Supported Restorations

Precure the individual layers with the Quick. Finally, complete the incisal edge ...

... using Incisal Edge material and precure.

Page 50

Palatal layering

Line the palatal fossa with Occlusal Dentin. Complete the pontic and marginal ridges with Dentin material.

Build up the marginal ridges and the tuberculum with Incisal and Transpa materials and slightly coat with Opal Effect 3 and 4.

Final Polymerization / Tempering

Preparing for final polymerization / tempering

It is imperative to observe the following steps when preparing metal-supported SR Adoro restorations for final polymerization / tempering:

Step 1 – Applying SR Gel

After the layering procedure has been completed, all layers must be precured. To make sure that this is the case precure each segment for 20 seconds using a Quick curing light. Apply SR Gel on the entire veneering surface ensuring that all areas are fully covered and the layer is not too thick to prevent the formation of an inhibited layer.

If necessary, precure one more time and apply a fully covering but not inappropriately thick coat of SR Gel.

Page 51

Step 2 – Applying SR Adoro Thermo Guard

Once SR Gel has been applied, cover all exposed metal parts with SR Adoro Thermo Guard. Open SR Adoro Thermo Guard syringes only immediately before use to prevent admission of air. Quickly start by filling the internal aspects and/or basal surface of the crowns and then cover the exposed metal parts, such as scallops, occlusal surfaces and margins, and smooth out SR Adoro Thermo Guard. Ensure homogeneous application and thorough wetting of the metal. Prevent large amounts of SR Adoro Thermo Guard on the veneering surfaces. Close syringes immediately after use, position the restoration on the object holder and polymerize / temper in the Lumamt 100 or Targis Power Upgrade.

Version A:

Application of SR Adoro Thermo Guard

on full-coverage veneers

Cover exposed metal portions, such as inner aspects of crowns and palatal surfaces.

Version B:

Application of SR Adoro Thermo Guard

on partial veneers

Practical Procedure for Fixed Metal-Supported Restorations

Ensure optimum wetting and smooth out SR Adoro Thermo Guard.

Place restorations with applied SR Adoro Thermo Guard on the object holder.

Apply SR Adoro Thermo Guard immediately before polymerization / tempering. Unnecessary drying out of the

applied paste must be prevented.

Page 52

General notes on polymerization / tempering

model using Program P3.

– Framework-free SR Adoro restorations are permanently polymerized / tempered on the model dies without model base.

If up to 3 restorations are permanently polymerized / tempered together, Program P3 has to be used. For the permanent polymerization / tempering of more than 3 framework-free SR Adoro restorations, Program P1 is used.

– If SR Adoro restorations are to be permanently polymerized on the model using Program P1 (e.g. bridges), all removable

model components (pontic rests, neighbouring teeth) have to be removed from the working model. The remaining weight of the working model must not exceed 400 g.

Lumamat 100 / Targis Power Upgrade

Program 1

Program 3

Framework-supported Framework-free

– 4 or more inlays, onlays and/or

Metal

– Crowns and multi-unit bridges

crowns on dies

– up to 3 inlays, onlays and/or

crowns on dies with applied SR Adoro Thermo Guard

Zirconium oxide

– Crowns and multi-unit bridges

without applied SR Adoro Thermo Guard

.... and select Program 3 and start.

Conduct the calibration using the Test Set L100. Observe the corresponding manufacturer's instructions.

Mount the restoration without the model on the object holder ...

Dentin / Incisal Apparatus Time Program

Precuring time per segment

Final polymerization / tempering

Quick 20 s –

Lumamat

100 / Targis

Power

Upgrade

25 min 3

Page 53

Finishing / Polishing

Finishing

After completion of the polymerization / tempering procedure, completely remove SR Adoro Thermo Guard from the restoration using running water and/or a steam jet. Finish the restoration with cross-cut tungsten carbide burs, fine diamonds and flexible disks. It is advisable to use low speed and light pressure. Make sure to rework the entire restoration to remove the inhibition layer of approximately 30 microns from all surfaces. Fit the restoration on the model and adjust proximal and occlusal contact points. After that, create a lifelike surface structure, such as incremental lines and convex / concave areas.

Remove SR Gel and SR Adoro Thermo Guard, adjust contact points, and place the restoration on the model.

Practical Procedure for Fixed Metal-Supported Restorations

Remove the inhibited layer with cross-cut burs and disks ...

... and re-create a true-to-nature shape and surface structure.

Page 54

Polishing

Prepolishing

Use customary polishers, such as rubber polishers ...

... and silicone wheels to polish the convex areas and the interface between the metal and composite.

Ideal prepolishing with a silky-mat gloss.

Page 55

High-gloss polishing

The restorations are polished to a high gloss using a goat hair brush, cotton or leather buff, as well as Universal Polishing Paste. Use low speed and limited pressure for high-gloss polishing. Adjust the pressure with the handpiece, not the polishing motor. In order to optimally polish the interdental areas and occlusal surfaces, we recommend modifying the goat hair brushes to become star-shaped so that only the desired areas can be polished due to the smaller size of the brush. Depending on the type of high gloss desired, leather buffing wheels can be used to achieve a high shine, while cotton buffs are used to achieve a lesser degree of lustre.

Polish the surface with Universal Polishing Paste, goat hair brush ...

Practical Procedure for Fixed Metal-Supported Restorations

... and a modified goat hair brush.

Polishing to a slight gloss, high-gloss polishing with a cotton buff.

– Microroughness on the finished veneering surface is conductive to plaque accumulation. Therefore, polish

carefully.

– Pay particular attention to crown margins, interdental areas, occlusal surfaces and the basal rest of

pontics.

Page 56

The result

Homogeneous surface with true-to-nature shade effect ...

... and enamel-like high gloss.

True-to-nature opalscent effect for highly esthetic solutions

Page 57

Adoro® – Practical Procedure

for Framework-Supported Combination Dentures

Procedure for Combination Dentures

In combined denture prosthetics, the composite veneer is the measure of choice. Depending on the type of polymerization process, different working procedures apply. SR Adoro veneers can be fabricated in two different ways and can therefore match every working procedure in the dental laboratory. Ivoclar Vivadent recommends Version A, as this method prevents the denture saddle from being exposed to excessively high temperatures.

Variant A: Veneering with SR Adoro BEFORE setting up and completing the denture saddles

1. Fabricate the primary and secondary components (e.g. telescope crowns)

2. Fabricate the model casting (transversal connector, sublingual saddle bar)

3. Connect the secondary components with the model casting by adhesive joining, soldering, or laser technique.

4. Veneer the secondary components with SR Adoro.

5. Polymerize / temper, finish and polish the SR Adoro veneer.

6. Mask the retentions of the model casting with SR Adoro Gingiva Opaquer.

7. Set up and complete the denture with denture base material (e.g. ProBase Cold).

Variant B: Veneering with SR Adoro AFTER setting up and completing the denture saddles

1. Fabricate the primary and secondary components (e.g. telescope crowns)

2. Fabricate the model casting (transversal connector, sublingual saddle bar)

3. Connect the secondary components with the model casting by joining (adhesive joining), soldering, or laser technique.

4. Mask the retentions of the model casting with SR Adoro Gingiva Opaquer.

5. Set up and complete the combination denture.

6. Veneer the secondary components with SR Adoro.

7. Completely cover the denture saddles and teeth with SR Adoro Thermo Guard because of the polymerization/ tempering temperature of 104 °C (219 °F). All resin areas must be entirely covered.

8. Polymerize / temper, finish and polish the SR Adoro veneer.

Practical Procedure for Framework-Supported Combination Dentures

Page 58

Shade Matching of SR Adoro to Denture Teeth

In combined denture prosthetics, matching the shade of composite veneers and denture teeth is very important. The SR Adoro materials and the specially developed cervical materials permit efficient shade matching.

Chromascop shade guide (in conjunction with SR Antaris, SR Postaris denture teeth)

Cervical, Dentin and Incisal layering

The layering procedure of the individual SR Adoro pastes is carried out in accordance with the layering diagram for the Chromascop shade guide. Adapt the first layer firmly (press into place) to ensure an effective bond between the composite and the opaquer surface and precure each segment for 20 seconds using a Quick curing light. In the cervical area, build up Deep Dentin in a half-moon shape to stabilize the shade. Create smooth and rounded transitions between the individual layers (Deep Dentin – Dentin – Incisal) using the SR Modelling Instruments and synthetic brushes. After that, build up the dentin layers step by step and precure each segment for 20 seconds. Design the dentin core in such a way that the mamelon shape remains outlined. Make sure to provide adequate space for the subsequent application of the Incisal and Transpa materials. After that, the restoration is completed step-by-step using the corresponding Incisal materials. Subsequently, precure each individual layer for 20 seconds per segment using the Quick curing light.

The basic working procedure (contouring, casting, finishing, framework conditioning, opaquer application,

etc.) and the removal of the inhibited layer are carried out as described on page 31 for crowns and bridges.

Page 59

SR Vivodent PE shade guide (in conjunction with SR Vivodent PE, SR Orthotyp PE denture teeth)

Cervical, Dentin and Incisal layering

The individual SR Adoro pastes are layered in accordance with the layering diagram for the PE shade guide. Adapt the first layer firmly (press into place) to ensure an effective bond between the composite and the opaquer surface and precure each segment for 20 seconds using a Quick curing light. Apply Cervical material in a half-moon shape and spread out to a thin layer using SR Modelling Instruments and synthetic brushes. The Cervical material is not covered with Dentin. After that, build up the Dentin material step by step and precure each segment for 20 seconds. Design the dentin core in such a way that the mamelon shape remains outlined. Make sure that the marginal ridges in the dentin are positioned slightly more to the back compared to the Chromascop layering method. After that, the restoration is completed step by step using the corresponding Incisal materials. Subsequently, precure each individual layer for 20 seconds per segment using the Quick curing light.

Practical Procedure for Framework-Supported Combination Dentures

The basic working procedure (contouring, casting, finishing, framework conditioning, opaquer application,

etc.) and the removal of the inhibited layer are carried out as described on page 31 for crowns and bridges.

Page 60

Masking of Model Cast Retentions with Gingiva Opaquer

Conditioning with SR Link

After finishing the model casting, carefully blast the retentions with aluminium oxide (Al (44 psi) pressure (see Instructions for Use of the corresponding alloy). Sandblasting improves the mechanical bond. It roughens and thus substantially increases the surface of the object. After blasting, remove blasting medium residue by tapping off and not by cleaning with steam or an air gun. Apply SR Link immediately after having tapped off the residue. Apply SR Link with a clean disposable brush and allow it to react for 3 minutes. Do not "soak" metal surface in SR Link.

Carefully blast the retentions with Al2O3 , 80–100 microns at max. 3 bar (44 psi) pressure; then remove any residue by careful tapping with an instrument.

), 80–100 microns at 3 bar

2O3

Apply SR Link immediately after the blasting procedure using a disposable brush and allow to react for 3 minutes.

– When using SR Link, do NOT clean the framework with steam or with an air gun after blasting.

– Do not touch the surface once it has been cleaned!

Page 61

Applying Gingiva Opaquer

Gingiva opaquer layer (wash)

Extrude the desired amount of the ready-to-use opaquer paste from the syringe and spread it out slightly on the mixing pad using a disposable brush. Apply the first opaquer layer (wash layer) thinly using a disposable brush. Make sure to thoroughly smooth out any roughness on the metal surface, since the wash layer represents the most important bond. Subsequently, precure the wash for 20 seconds per segment using the Quick.

Apply the first Opaquer layer (wash) thinly with a disposable brush and level / fill any roughness ...

Practical Procedure for Framework-Supported Combination Dentures

... and precure for 20 seconds with the Quick.

1st opaquer layer (wash)

Precuring time per segment

Apparatus Time Program

Quick 20 s –

Page 62

2nd Gingiva opaquer layer

Apply the second opaquer layer in such a way that the retentions are entirely covered with opaquer, i.e. as much as required and as little as possible. After that, precure the opaquer for 20 seconds per segment using the the Quick, immediately mount the restoration on the object holder (without model), and polymerize it in the Lumamat 100 or Targis Power Upgrade using Program 2.

Apply a fully covering 2nd opaquer layer and precure each segment for 20 seconds.

Polymerize / temper the restoration without the model using Program 2.

When positioning the model casting on the

object holder, make sure that enough light can reach them (no shadow casting) . After polymerization, check the curing depth with a probe. If necessary, repeat the polymerization cycle.

Preparing for completion

After polymerization check the curing depth with a probe. Then, remove the inhibited layer using the monomer of the corresponding denture base material and a disposable sponge. This is necessary to prevent streak formation while completing the restoration. Make sure that the Opaquer shows a mat-shiny surface. The monomers of cold-curing denture base materials, such as ProBase Cold, are best suited to remove the inhibited layer.

2nd opaquer layer (wash)

Precuring time per segment

Final polymerization / tempering

Apparatus Time Program

Quick 20 s –

Lumamat

100 / Targis

Power

Upgrade

11 min 2

Page 63

Adoro® – Practical Procedure

for Fixed ZrO2-Supported Restorations

Framework Design

The framework design is key to the success of durable restorations. The more attention is given to the framework design, the better the final results and the clinical success will turn out to be.

Anterior and posterior Crowns

-Supported Restorations

Practical Procedure for Fixed ZrO

correc t

Bridges

correc t

correc t correc t

correc t

wrong

wrong wrong

wrong

Framework stability

Always observe the relation between width and height as well as the suitable dimensions when designing the connectors.

Basically, the following applies: Height ≥ Width

Height ≥ Width

Width

Page 64

SR Adoro Step by Step

Starting Situation / Layer Thickness / Framework Design

Starting situation

Fabricate a working model with removable segments as usual. The directions of the manufacturers of the different CAD/CAM systems regarding the plaster to be used must be observed.

Important for die preparation: – Check the radius of the incisal/occlusal edge on the

prepared dies (maxilla and mandible).

– The prepared incisal edge should be at least as thick as

the diameter of the bur used in the cavity during the CAD/CAM process.

– If the incisal edge of the prepared die is thinner than the

diameter of the bur, the incisal edge has to be blocked out accordingly.

– Also observe the information provided by the

manufacturer of the CAD/CAM system regarding the die geometry.

– Basically, only frameworks and implant superstructures of

yttrium oxide, partially stabilized, sintered, or HIP zirconium oxide in a CTE range of 10.5–11.0 x 10

-6 K-1

(100–500 °C) may be fabricated.

A model with detachable segments is used as the basis

Framework design

Design the framework in a reduced supported shape.

Milled IPS e.max ZirCAD framework Starting situation for ZrO2-supported SR Adoro restorations

Page 65

Framework Preparation / Conditioning

Framework preparation

The stipulations of the manufacturer of the zirconium oxide regarding framework fabrication and preparation for veneering must be observed. When using, for example, IPS e.max ZirCAD, please observe the notes on finishing and regeneration firing in the respective Instructions for Use. The completely sintered zirconium oxide framework is fitted on the model. Do not shorten the cervical margin to the inner edge of chamfer or shoulder preparation (see image of the premolar).

Please observe the following procedure: – Make sure that the minimum framework thickness is maintained even after minor adjustments. – Check marginal areas and slightly finish, if necessary. – Do not “post-separate” the bridge framework with separating disks after sintering, since this may result in

predetermined breaking points, which will subsequently compromise the stability of the restoration.

– Thoroughly blast the framework with Al

(15 psi) pressure. – Only tap off any residue; do not blast or rinse with water to clean the framework. – The framework must be free of dirt and grease. Any contamination after cleaning must be prevented.

Sandblasting improves the mechanical bond. After blasting, remove blasting medium residue by tapping off and not by cleaning with steam or an air gun.

, 80 -100 microns (Ivoclar Vivadent Special Jet Medium) at max. 1 bar

2O3

-Supported Restorations

Practical Procedure for Fixed ZrO

Correct margin design

Blast the framework with Al

, 80-100 microns at max. 1 bar (15 psi) pressure.

2O3

Incorrect margin design

Do not blast the framework.

Remove residue from the framework by tapping it.

Page 66

Conditioning with SR Link

Apply SR Link immediately after having tapped off the residue. Use a clean disposable brush to apply SR Link to the veneering surfaces and allow to react for 3 minutes. Do not "soak" zirconium oxide surface in SR Link.

Apply SR Link immediately after the blasting procedure ... ... and allow it to react for 3 minutes.

Do not blast the zirconium oxide framework with compressed air or clean with water when using SR Link! Do

not touch the surfaces once they have been cleaned!

Applying the Liner

Extrude the desired amount of the ready-to-use Liner paste from the syringe and spread it out slightly on the mixing pad using a disposable brush. Make sure to fully cover all areas, as the Liner provides an essential bonding surface to the luting composite. The Liner layer must be at least 150 microns thick and has to be precured for 20 seconds per segment using the Quick.

Liner Combination Table for IPS e.max ZirCAD

Given the "tooth-type" colour of zirconium oxide materials, Opaquers are not used, but translucent Liners. The following tables show the shade combinations for SR Adoro and IPS e.max ZirCAD:

Chrom ascop 110 120 130 140 210 22 0 230 240 310 320 330 34 0 410 420 430 440 510 520 530 540

non-shaded zirconium oxide

shaded zirconium oxide

Liner 050 100 100 100 200 200 200 20 0 300 300 300 300 4 00 400 400 400 500 500 5 00 500

A–D A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D 4

non-shaded zirconium oxide

shaded zirconium oxide

Liner 050 100 200 200 500 050 100 400 4 00 400 400 500 500 400 4 00 500

MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0

MO 1 MO 1 MO 1 MO 1 MO 2 MO 2 MO 2 MO 2 MO 3 MO 3 MO 3 MO 3 MO 4 MO 4 MO 4 MO 4 MO 4 MO 4 MO 4 MO 4

MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0 MO 0

MO 1 MO 1 MO 2 MO 2 MO 4 MO 1 MO 1 MO 3 MO 3 MO 1 MO 4 MO 4 MO 4 MO 4 MO 4 MO 4

Tip

Liner incisal may be applied to the marginal area to facilitate the transmission of light in the cervical area. This measure provides a harmonious transition between the gingiva and the restoration.

Page 67

Apply the Liner on the entire zirconium oxide framework. Precure the Liner with the Quick after application.

Coat all areas with a layer of SR Adoro Liner of at least 150 microns. Thin out the Liner towards the preparation margin. If desired, the translucency of the Liners 050–500 may be increased by using Liner clear or Liner incisal.

Liner Apparatus Time Program

Precuring time per segment

Quick 20 s –

Removing the inhibition layer

Thoroughly remove the corresponding inhibition layer using a disposable sponge (do not use a solvent); make sure that the Liner surfaces are free of residue. Make sure that the Liner shows a mat surface.

-Supported Restorations

Practical Procedure for Fixed ZrO

Remove the inhibition layer with a disposable sponge.

Page 68

Layering Diagram for A–D and Chromascop Shades

A–D – ideal space conditions Chromascop – ideal space conditions

Framework

Ideal space conditions

0.3 mm

Liner

Dentin

Cervical

With the A-D layering, the

incisal area extends to the

centre of the cervical third.

The indications on the right

are reference values.

With the Chromascop layering, the incisal area extends to the centre of the tooth. The indications on the right are reference values.

Incisal

Cervical

Incisal

Dentin / Incisal Layering

The individual SR Adoro pastes are layered in accordance with the layering diagram or individually. Adapt the first SR Adoro layer (e.g. Dentin) firmly to ensure an effective bond between the composite and the Liner surface and precure each segment for 20 seconds using a Quick curing light. For pontics, apply Deep Dentin and Cervical material in a half-moon shape in the cervical area to enhance the shade intensity. The shade effect in the proximal area may be enhanced by means of Occlusal Dentin (orange). After that, complete the restoration step by step using various Opal Effect and Incisal materials.

< 1.0 mm

0.9 mm

0.7 mm

0.2 mm

0.5 mm

Deep Dentin to stabilize the shade. Complete with Incisal materials and Opal Effect. Enhance the shade effect in the interdental area with

It is essential to observe the stipulated curing depth and maximum layer thickness of the individual materials during the

layering procedure. If the maximum curing depth is exceeded, break up large portions into several increments and precure each increment for 20 seconds.

Occlusal Dentin orange.

Page 69

Final Polymerization / Tempering

After the layering procedure has been completed, all layers must be precured. Apply SR Gel on the entire veneering surface ensuring that all areas are fully covered and the layer is not too thick. Make sure that all areas are covered and mount the restoration on the object holder.

General notes on polymerization / tempering

SR Adoro restorations with and without model.

– Framework-supported SR Adoro restorations are permanently polymerized / tempered without model dies and without

model using Program P3.

– Framework-free SR Adoro restorations are permanently polymerized / tempered on the model dies without model base.

If up to 3 restorations are permanently polymerized / tempered together, Program P3 has to be used. For the permanent polymerization / tempering of more than 3 framework-free SR Adoro restorations, Program P1 is used.

– If SR Adoro restorations are to be permanently polymerized on the model using Program P1 (e.g. bridges), all removable

model components (pontic rests, neighbouring teeth) have to be removed from the working model. The remaining weight of the working model must not exceed 400 g.

Apply a fully covering but not inappropriately thick coat of SR Gel to the

restoration and mount on the object holder.

-Supported Restorations

Practical Procedure for Fixed ZrO

Lumamat 100 / Targis Power Upgrade

Program 1

Program 3

Select Program 3 and start.

Framework-supported Framework-free

– 4 or more inlays, onlays and/or

Metal

– Crowns and multi-unit bridges

crowns on dies

– up to 3 inlays, onlays and/or

crowns on dies with applied SR Adoro Thermo Guard

Zirconium oxide

– Crowns and multi-unit bridges

without applied SR Adoro Thermo Guard

Dentin / Incisal Apparatus Time Program

Precuring time per segment

Final polymerization / tempering without model

Quick 20 s –

Lumamat

100 / Targis

Power

Upgrade

25 min 3

Page 70

Finishing / Polishing

After completion of the polymerization/ tempering procedure, completely remove SR Gel from the restoration using running water.

Finish the restoration with cross-cut tungsten carbide burs, fine diamonds and flexible disks. Fit the restoration on the model and adjust proximal and occlusal contact points. After that, create a lifelike shape and surface structure, such as incremental lines and convex / concave areas.

For prepolishing, smooth out the surface of the natural structure, as well as the marginal ridges with rubber polishers and silicone polishing wheels. High-gloss polishing is performed with a goat hair brush, cotton or leather buff, as well as Universal Polishing Paste.

– Microroughness on the finished veneering surface is conductive to plaque accumulation. Therefore, polish

carefully.

– Pay particular attention to crown margins, interdental areas, occlusal surfaces and the basal rest of

pontics.

Polish carefully using customary polishers.

The result

Completed SR Adoro restoration on the model. Homogeneous surface with true-to-nature shade effect.

Page 71

Adoro® – Practical Procedure

for Restorations with Gingiva Components

The shades of SR Adoro Gingiva are coordinated with those of the Ivoclar Vivadent Gingiva concept of IPS InLine, IPS d.SIGN and IPS e.max Ceram. In this way, the shade design of true-to-nature gingiva components, particularly in conjunction with implant superstructures, is possible according to the same method with all veneering systems. Especially in implant prosthetics and in conjunction with metal-ceramic restorations, the use of SR Adoro permits an efficient treatment concept. Given the polymerization in the Lumamat 100 light furnace, the shape and shade of the gingiva components may be modified quickly and without any additional heat treatment.

Gingiva shade determination

Five Gingiva shades (G1–G5), 4 Intensive Gingiva materials (IG2–IG4), as well as one SR Adoro Gingiva Opaquer (pink) are available for the design of the gingiva components. For the individual determination of the gingiva shade / characteristics, a shade guide of the various Gingiva materials is available.

Framework Design

Framework design criteria

The portion to be veneered with Gingiva material has to be included into the contouring of the framework. Make sure that the transition between the framework and SR Adoro is not located on the contact surface to the mucous membrane. Ideally, the contact surface is entirely designed in metal or in composite. Always ensure adequate hygiene capability.

Practical Procedure for Restorations with Gingiva Components

Framework design for Ivoclar Vivadent ceramic veneers with gingiva components (SR Adoro)

Framework preparation for the metal-ceramic and the gingiva components

To provide additional support for the framework, the ceramic opaquer is applied on both the area of the veneer and the gingiva components (Gingiva Opaquer). The bond between the metal-ceramic surface and SR Adoro is generated with the help of a silane bond preceded by surface conditioning. The application of SR Adoro Gingiva on the ceramic surface consists of 3 steps.

Pink and white esthetics Completing the veneers of IPS InLine metal-ceramic

Page 72

Activating the ceramic surface

1. Condition the ceramic surface by blasting it with Al

O3 (2 bar / 29 psi, 100 microns) or etching it with IPS Ceramic

Etching Gel. The reaction time of IPS Ceramic Etching Gel is 60 seconds.

2. Then, apply Monobond Plus and let it react for 60 seconds.

3. Apply Heliobond in a thin layer immediately after that, disperse with compressed air, and cure for 60 seconds with the Quick.

Application of Monobond Plus and Heliobond.

Note: Blast or etch only those surfaces that are

subsequently veneered with SR Adoro.

SR Adoro Step by Step

Application of the SR Adoro Gingiva materials

Once the veneering surface has been conditioned, directly commence with the application of the SR Adoro Gingiva materials in accordance with the individual shade selection. Given the different gingiva thickness, blood circulation, and pigmentation, the gingiva exhibits different shade effects. These effects have to be translated with SR Adoro. The individual layering of the different Gingiva shades enables a highly esthetic appearance to be achieved.

Heliobond Apparatus Time Program

Precuring time per segment

Quick 60 s –

Page 73

Example of a Possible Individual Layering Diagram

Gingiva shade 3 = G3

Gingiva shade 4 = G4

Gingiva shade 5 = G5

Intensive Gingiva shade 2 = IG 2

Gingiva shade 1 = G1

Practical Procedure for Restorations with Gingiva Components

Secti on 1 Secti on 2

Schnitt 1

Schnitt 2

Section 1 Section 2

Start with the more intensive gingiva shades (Intensive Gingiva) applied on the fired opaquer to achieve the corresponding in-depth effect. Towards the surface, lighter, more transparent materials provide for a lifelike appearance. Subsequently, precure each individual layer for 20 seconds per segment – using the Quick curing light.

Gingiva layering with SR Adoro Intensive Gingiva (IG2) Gingiva layering with SR Adoro Gingiva materials (G1–G5)

Gingiva Apparatus Time Program

Precuring time per segment

Quick 20 s –

Page 74

Final Polymerization / Tempering

Apply SR Gel on the entire veneering surface ensuring that all areas are fully covered and the layer is not too thick to prevent the formation of an inhibited layer before polymerization / tempering in the Lumamat 100 or Targis Power Upgrade with light and heat at 104 °C (219 °F). The final finishing of SR Adoro Gingiva is limited to minor adjustments of shape and polishing of the surface.

Coating with SR Gel and positioning in the Lumamat 100

Gingiva Apparatus Time Program

Precuring time per s egment

Final polymerization / tempering

Select Program 3 and start.

Quick 20 s –

Lumamat

100 / Targis

Power

Upgrade

25 min 3

Page 75

Finishing / Polishing

Rubber polishers are used for prepolishing and silicone polishing wheels to smooth the surface. High-gloss polishing is performed with a goat hair brush, cotton or leather buff, as well as Universal Polishing Paste.

The result is an individual, lifelike gingiva created without any additional thermal stress to the alloy and the veneering ceramic. Adjustments of shade and shape of the gingiva components are thus possible at any time. It goes without saying that this technique can also be used for all popular Ivoclar Vivadent metal-ceramic materials, such as IPS d.SIGN and IPS Classic.

Polishing with customary rotary instruments

Practical Procedure for Restorations with Gingiva Components

Completed restoration after polishing

Dental-lab work: MDT Jörg Richter, Freiburg (Germany)

Page 76

Adoro®

General Information

Cementation

Esthetic cementation options are decisive for the harmonious shade effect of composite veneers. Depending of the indication, SR Adoro restorations can be seated using either adhesive, self-adhesive or conventional cementation methods.

Material SR Adoro

(framework-

free)

Indication

Cementation method

Blasting

Conditioning / silanizing

Cementation system

The range of available products may vary from country to country.

* Conditioning is not necessary for conventional cementation.

Please read the corresponding Instructions for Use.

Inlays, onlays,

anterior crowns

adhesive adhesive

Cleaning with

O3 at max.

1 bar (15 psi)

60 s with

Monobond

Variolink

Veneer,

Variolink® II,

Multilink®

Automix

Plus

Cleaning with

to manufactur-

er's instructions

Monobond® Plus

O3 according

60 s with

Multilink®

Automix

SR Adoro

(metal-supported)

Crowns, bridges Crowns, bridges

self-adhesive / conventional*

–

SpeedCEM®,

Vivaglass® CEM

adhesive

Cleaning of the ZrO

60 s with

Monobond

Multilink®

Automix

SR Adoro

(ZrO2-supported)

max. 1 bar (15 psi)

Plus

Vivaglass® CEM

self-adhesive / conventional*

with Al2O3 at

–

SpeedCEM®,

Observe the following procedure for zirconium oxide frameworks:

– The surface of zirconium oxide-supported restorations may be cleaned with max. 1 bar (15 psi) pressure before

cementation.

– High-strength zirconium oxide ceramics cannot be etched with hydrofluoric acid gel (IPS

no etching pattern is produced. – Thoroughly clean the restoration with water and blow dry. – For adhesive cementation, condition the bonding surface of the restoration using Monobond Plus.

Zinc oxide temporary cements are used for the provisional cementation of framework-supported long-term temporaries with a maximum wear period of 12 months.

Ceramic Etching Gel), since

Page 77

Polymerization / Tempering Parameters for Framework-free Restorations

Single-tooth restorations on working dies

General Information

Precure the Liner

Precure the Liner characterization

Precure Dentin / Incisal

Final polymerization / tempering Dentin / Incisal up to 3 objects on working dies

Final polymerization / tempering Dentin / Incisal more than 4 objects on working dies

Add-On polymerization

Apparatus

Quick

Lumamat 100 /

Targis Power Upgrade

Lumamat 100 /

Targis Power Upgrade

Lumamat 100 /

Targis Power Upgrade

Time

20 s

25 min

11 min

Program

–

Polymerization / Tempering Parameters for Framework-supported Restorations

Crowns and bridges

Precure the Opaquer (wash) and/or Liner

Final polymerization Opaquer

Precure the Opaquer and/or Liner characterization

Precure Dentin / Incisal

Final polymerization / tempering Dentin / Incisal

Add-On polymerization

Apparatus

Quick

Lumamat 100 /

Targis Power Upgrade

Quick

Lumamat 100 /

Targis Power Upgrade

Lumamat 100 /

Targis Power Upgrade

Time

20 s

11 min

20 s

25 min

11 min

Program

–

Page 78

Gingiva Opaquer

Precure the Gingiva Opaquer (wash)

Final polymerization Gingiva Opaquer

– Calibrate the furnace on a regular basis by means of the L 100 test set. Please observe the corresponding



– Do not exceed a distance of 2 cm between the curing light (Quick) and the object when precuring.

Instructions for Use

Apparatus

Quick

Lumamat 100 /

Targis Power Upgrade

Time

20 s

11 min

Program

–

Page 79

Subsequent Adjustments

Subsequent adjustments after final polymerization / tempering in the laboratory

If subsequent adjustments are necessary (after 25 min of polymerization / tempering), there are 2 options.

Version A: Adjustments with SR Adoro Add-On

1. Roughen the areas to be supplemented with a tungsten carbide bur or carefully blast with Al

2 bar (29 psi) pressure. Sandblasting improves the mechanical bond. It roughens and thus substantially increases the

surface of the object.

2. Remove jet medium residue with oil-free compressed air after blasting.

3. Do not apply any connector or bonding liquids on the blasted surface.

4. Build-up the necessary supplements using SR Adoro Add-On materials immediately after sandblasting and precure

for 20 seconds per segment with the Quick.

5. Coat the entire veneer with SR Gel.

6. Place the restoration on the object holder.

7. Polymerize the restoration in the Lumamat 100 or Targis Power Upgrade using Program 2 (11 minutes).

8. After polymerization, remove SR Gel under running water.

9. Finish and polish the restoration as described before.

Version B: Adjustments with SR Adoro Dentin and Incisal materials

1. Roughen the areas to be supplemented with a tungsten carbide bur or carefully blast with Al

2 bar (29 psi) pressure. Sandblasting improves the mechanical bond. It roughens and thus substantially increases the

surface of the object.

2. Remove jet medium residue with oil-free compressed air after blasting.

3. Do not apply any connector or bonding liquids on the blasted surface.

4. Build-up the necessary supplements using SR Adoro Dentin and Incisal materials immediately after sandblasting

and precure for 20 seconds per segment with the Quick.

5. Coat the entire veneer with SR Gel and cover the exposed metal parts with SR Adoro Thermo Guard.

6. Place the restoration on the object holder.

7. Conduct final polymerization / tempering in the Lumamat 100 or Targis Power Upgrade using Program 3

(P3, 25 minutes).

8. After completion of the polymerization / tempering procedure, completely remove SR Adoro Thermo Guard from the

restoration using running water.

9. Finish and polish the restoration as described before.

(80–100 microns) at

2O3

(80–100 microns) at

2O3

General Information

– Use SR Adoro Add-On only for small supplements, such as pontic rests and contact points.



– Do not use SR Adoro Add-On for surface-covering layers. – Take note of the limited processing time of SR Adoro Add-On.

Subsequent adjustments in the dental office

If subsequent adjustments are required, this can be carried out with a microfilled restorative composite of the Heliomolar group. For this purpose, microfilled composites are better suited than glass-filled composites.

Adjustments with Heliomolar

1. Roughen the area to be supplemented using a finishing diamond (80–100 microns) and carefully clean without water.

2. Apply Heliobond immediately after cleaning and disperse to a thin film with compressed air.

3. After that, apply Heliomolar and cure for 15 seconds with a polymerization light (e.g. bluephase

4. Build-up the missing areas generously with Heliomolar and cure for 15 seconds with a polymerization light (e.g. bluephase).

5. After polymerization, remove excess using suitable finishers.

6. Polish with Astropol® or OptraPol® NG. Make sure to observe the individual polishing steps so that a smooth surface with a high gloss can be achieved.

– Please read the corresponding Heliomolar Instructions for Use.



– Cleaning pastes that are used after oral hygiene measures must not be used on SR Adoro restorations, since

they roughen the surface and result in loss of gloss.

Page 80

Materials Combination Table Chromascop Shades

Shade Group

Tooth shade

Liner

Opaquer

Intensive Opaquer

100 200

110

050 100 100 100 200

110 120 130 140

120

130

140

210

210 220

white

220

230

240

310

clear

310

violet

Cervical

Deep Dentin

Dentin

Incisal

Transpa

DD 420

110 120

110 120 130 140

100

130

100 200

140

210 220

210 220 230 240

S2 S2

230 240

310

Add-On

Page 81

– Generally, the Cervical materials are only used for SR Vivodent PE layering procedures. In a traditional

Chromascop layering procedure, no Cervical materials are required. – Information about the adjustment of denture teeth can be found on page 58. – Deep Dentin 420 has to be used for the cervical area if tooth shade 110/01 is used.

General Information

420

400

430

incisal

440

510

510 520 530 540

300

320

330

300 400 500

340

brown

410

incisal

410 420 430 440

520

500

530

540

300 400 500

410 420 430

410 420

clear

S3 S3

430

440

510 520 530 540

510

520

530 540

neutral

Page 82

Materials Combination Table A–D Shades

Shade Group

Tooth shade

Liner

Opaquer

Intensive Opaquer

A1 A2 A3 A3.5 A4 B1 B2 B3

050

100 200 200 500

A2 A3 A3.5 A4

white

050

100

clear

violet

400

Cervical

Deep Dentin

Dentin

Incisal / Transpa Incisal

Transpa

Add-On

T-S1

2 2 3 3

T-S1

T-S2

A3.5

T-S2

T-S3

DD D2

T-S1

B2 B3

T-S1

Page 83

– For the A–D shades D2 and D3, it is recommended to use a little Deep Dentin in the respective tooth shade

under the Dentin material in the cervical region to stabilize the tooth shade.

– For tooth shades B1 and C1, Deep Dentin D2 and/or Deep Dentin C1 is to be used for the cervical region.

C D

B4 C1 C2 C3 C4 D2 D3 D4

General Information

400

incisal

C1 C2 C3 C4 D2 D3

DD C1 2 5 5 1 2

400

brown

500

incisal

400

500

T-S2

clear

neutral

T-S1

C2 C3

T-S3 T-S3

T-S3

Page 84

Materials Combination Table Independent of Any Shade System

SR Adoro Impulse Kit

Occlusal Dentin

orange

Mamelon

brown

Opal Effect

Incisal Edge

Transpa

Special Incisal

Inter Incisal

light

OE 1

Incisal Edge

blue

yellow

white-blue

orange

OE 2 OE 3

brown-grey

grey

yellow-orange

orange-grey

OE 4

OE 5

OE v

Cervical Transpa

yellow

orange-pink

khaki

orange

Page 85

Materials Combination Table Independent of Any Shade System

SR Adoro Gingiva Kit

Gingiva Opaquer

pink

Gingiva

General Information

Intensive Gingiva

SR Adoro Stains Kit

Stains

IG1

clear

white

/G2

IG2

crackliner

IG3

yellow

G4 G5

IG4

orange

black

red

olive

khaki

maroon

mahogany

blue

grey black

Page 86

Questions and Answers

What is SR Adoro Thermo Guard?

For what restorations does SR Adoro Thermo Guard have to be used?

SR Adoro Thermo Guard has to be used for all metal-supported restorations. Additionally, SR Adoro Thermo Guard is used in combination dentures to cover the resin saddles, as well as for the repair of metal-supported restorations.

Does SR Adoro Thermo guard also have to be used for veneered zirconium oxide frameworks?

No. SR Adoro Thermo Guard has to be used for all metal-supported restorations.

How can hairline fractures in composite restorations be prevented?

Always observe the curing depths, build up in small increments, and always observe the indicated precuring times. Separate the bridge units in the proximal areas, similar as with other light-/heat-curing and heat-/pressure-curing veneering composites. If such hairline fractures develop nonetheless, they can be repaired in the usual manner as described in the section on "Subsequent Adjustments".

Why does SR Adoro Thermo Guard have to be used?

SR Adoro is not a purely light-curing, but a light-/heat-curing veneering composite. Only through tempering with light and heat (thermal treatment) does SR Adoro obtain its optimum material properties and surface quality. Due to the high tempering temperature of 104 °C (219 °F), the CTE values, e.g. of the ceramic, play a decisive role. The CTEs of composite and alloy strongly differ (alloys: approx. 13.5 –16.5 x 10

-6

/K; SR Adoro: 60 x 10-6 /K). The method with SR Adoro Thermo Guard enables even heating, tempering and cooling phases during the tempering with light and heat. In this way, the risk that microscopic hairline fractures develop is reduced.

What is the action principle of SR Adoro Thermo Guard?

With the application of SR Adoro Thermo Guard on all exposed metal parts, the metal cannot heat up to the same extent as the ambient temperature and the veneering composite itself. The heatdampening (cooling) effect of SR Adoro Thermo Guard helps minimize internal stress at the interface between the metal and SR Adoro. This, in turn, reduces the risk of hairline fractures.

What happens if SR Adoro Thermo Guard is not used?

If it is not used, even heating, tempering and cooling phases do not take place due to the different CTE values of the materials as well as the different heat conductivity (metal = good heat conductor, composite = poor heat conductor and/or insulator). Stress may occur, which may manifest itself after light/heat tempering or later. This may result in microscopic hairline fractures.

For what other purposes should SR Adoro Thermo Guard be used?

SR Adoro Thermo Guard is used to cover denture saddles during the completion of combination dentures as well as repairs. SR Adoro Thermo Guard protects denture saddles (thermoplastic) and denture teeth from deformation during light/heat tempering in the Lumamat 100 or Targis Power Upgrade.

What are the connector dimensions for metal-supported bridges?

The connector dimensions for bridges must be at least 3 x 3 mm.

How must SR Link be stored?

Store SR Link in the refrigerator (2–8 °C / 36– 46 °F).

On what alloys can SR Link be used?

– On alloys that contain up to 90% gold, palladium and platinum – On alloys that contain up to 50% copper and/or silver – On base metal alloys – On titanium alloys

Can SR Link be used on high- gold and copper-free bio alloys and electroformed (galvano) frameworks?

Given the high precious metal content (Au, Pt, Pd, Ag) of bio alloys and the fine gold content (99.9%) of galvano frameworks SR Link cannot be used.

Does SR Adoro Thermo guard also have to be used for the repeated tempering of metal-supported restorations?

SR Adoro Thermo Guard has to be applied before every final and repeated tempering cycle of metal-supported restorations for 25 minutes at 104 °C (219 °F) in the Lumamat 100 or Targis Power Upgrade.

What needs to be given particular attention during blasting (conditioning)?

A grain size of 80–100 microns for the Al

O3 has to be used. The

blasting pressure depends on the alloy used. Use max. 1 bar (15 psi) for ZrO2 frameworks.

Page 87

Can SR Adoro pastes (high viscosity and low viscosity) be mixed with each other?

High- and low-viscosity materials must not be mixed with each other because they would develop bubbles. SR Adoro must not be processed or mixed with other veneering materials.

What are the layer thicknesses permitted for SR Adoro?

A layer thickness of 2 mm in the incisal and occlusal area must not be exceeded.

Can SR Adoro Stains be applied on the surfaces?

SR Adoro Stains must also be covered with layering materials, such as Incisal and Transpa materials.

Are the connector and bonding liquids required for subsequent adjustments?

Connector and/or bonding liquids must not be used since they minimize the bond of SR Adoro.

In which furnaces can SR Adoro be polymerized / tempered?

SR Adoro can only be polymerized / tempered in a Targis Power Upgrade and a Lumamat 100.

Can the restorations be polymerized / tempered on the model?

The following basic rule applies: The less mass in the furnace (on the object holder), the more targeted polymerization / tempering will be executed. Therefore, it is recommended to remove the adjoining model components from the model before the polymerization / tempering of metal-free restorations to reduce the mass. For metal-supported and zirconium-supported restorations, only ever mount the object on the object holder, if possible. The maximum weight of the working model must not exceed 400 g (corresponds with a large working model incl. Splitcast base block).

Does the colour of the stone (e.g. blue, brown, white, etc.) influence the polymerization / tempering of SR Adoro?

Stone colours do not influence polymerization / tempering. Hence, any colour stone can be used.

Can intermediate polymerization be conducted?

Yes, with Program 2, intermediate polymerization may be conducted for e.g. the Dentin layering (with the use of SR Gel). After that, cut back the restoration and thoroughly clean it before renewed layering (do not blast). Do not use any bonding and/or connector liquids.

General Information

What happens if the curing depths are not observed?

If the stipulated curing depths are not observed, the material can no longer be completely polymerized / tempered, which may result in delamination.

What distance to the light emission window of the Quick initial curing light must be observed to precure the segments?

The smaller the distance between the light and the objects, the more thorough the polymerization of the material will be. The distance must not exceed 2 cm.

Does SR Gel always have to be used?

For the tempering of SR Adoro in the Targis Power Upgrade or Lumamat 100, SR Gel must always be used. If this is not done, the inhibited layer will be too thick, which may lead to clinical failure.

Can working models with plastic base blocks be used?

We advise against the use of such model systems due to the polymerization / tempering temperatures of 104 °C (219 °F).

How can it be checked if the polymerization/tempering temperature of 104 °C (219 °F) has been reached?

Regularly calibrate the light furnace with the Test Set L100. Observe the Operating Instructions

Can the zirconium oxide framework be reused once the SR Adoro veneer has been removed?

Removing SR Adoro and reusing the zirconium oxide framework is not recommended. Removing the veneering composite bears the risk of causing sustained damage to the framework, particularly its surface. This damage may negatively influence the fatigue behaviour and mechanical properties of the framework.

What zirconium oxide materials can be used as framework material?

Basically, only yttrium oxide partially stabilized, sintered, or HIP zirconium oxide in a CTE range of 10.5–11.0 x 10

-6 K-1

(100–500 °C)

may be used to fabricate frameworks and implant superstructures.

Page 88

Ivoclar Vivadent – worldwide

Ivoclar Vivadent AG

Bendererstrasse 2 FL-9494 Schaan Liechtenstein Tel. +423 235 35 35 Fax +423 235 33 60 www.ivoclarvivadent.com

Ivoclar Vivadent Pty. Ltd.

1 – 5 Overseas Drive P.O. Box 367 Noble Park, Vic. 3174 Australia Tel. +61 3 979 595 99 Fax +61 3 979 596 45 www.ivoclarvivadent.com.au

Ivoclar Vivadent Ltda.

Rua Geraldo Flausino Gomes, 78 – 6.º andar Cjs. 61/62 Bairro: Brooklin Novo CEP: 04575-060 São Paulo – SP Brazil Tel. +55 11 3466 0800 Fax +55 11 3466 0840 www.ivoclarvivadent.com.br

Ivoclar Vivadent Inc.

2785 Skymark Avenue, Unit 1 Mississauga Ontario L4W 4Y3 Canada Tel. +1 905 238 5700 Fax +1 905 238 5711 www.ivoclarvivadent.com

Ivoclar Vivadent Marketing Ltd.

Rm 603 Kuen Yang International Business Plaza No. 798 Zhao Jia Bang Road Shanghai 200030 China Tel. +86 21 5456 0776 Fax +86 21 6445 1561 www.ivoclarvivadent.com

Ivoclar Vivadent Marketing Ltd.

Calle 134 No. 7-B-83, Of. 520 Bogotá Colombia Tel. +57 1 627 33 99 Fax +57 1 633 16 63 www.ivoclarvivadent.co

Ivoclar Vivadent SAS

B.P. 118 F-74410 Saint-Jorioz France Tel. +33 450 88 64 00 Fax +33 450 68 91 52 www.ivoclarvivadent.fr

Ivoclar Vivadent GmbH

Dr. Adolf-Schneider-Str. 2 D-73479 Ellwangen, Jagst Germany Tel. +49 (0) 79 61 / 8 89-0 Fax +49 (0) 79 61 / 63 26 www.ivoclarvivadent.de

Ivoclar Vivadent Marketing (India) Pvt. Ltd.

503/504 Raheja Plaza 15 B Shah Industrial Estate Veera Desai Road, Andheri (West) Mumbai, 400 053 India Tel. +91 (22) 2673 0302 Fax +91 (22) 2673 0301 www.ivoclar-vivadent.in

Ivoclar Vivadent s.r.l.

Via Isonzo 67/69 40033 Casalecchio di Reno (BO) Italy Tel. +39 051 611 35 55 Fax +39 051 611 35 65 www.ivoclarvivadent.it

Ivoclar Vivadent K.K.

1-28-24-4F Hongo Bunkyo-ku Tokyo 113-0033 Japan Tel. +81 3 6903 3535 Fax +81 3 5844 3657 www.ivoclarvivadent.jp

Ivoclar Vivadent Ltd.

12F W-Tower, 1303-37 Seocho-dong, Seocho-gu, Seoul 137-855 Republic of Korea Tel. +82 (2) 536 0714 Fax +82 (2) 596 0155 www.ivoclarvivadent.co.kr

Ivoclar Vivadent S.A. de C.V.

Av. Insurgentes Sur No. 863, Piso 14, Col. Napoles 03810 México, D.F. México Tel. +52 (55) 50 62 10 00 Fax +52 (55) 50 62 10 29 www.ivoclarvivadent.com.mx

Ivoclar Vivadent Ltd.

12 Omega St, Albany PO Box 5243 Wellesley St Auckland, New Zealand Tel. +64 9 914 9999 Fax +64 9 814 9990 www.ivoclarvivadent.co.nz

Ivoclar Vivadent Polska Sp. z o.o.

Al. Jana Pawla II 78 00-175 Warszawa Poland Tel. +48 22 635 54 96 Fax +48 22 635 54 69 www.ivoclarvivadent.pl

Ivoclar Vivadent Marketing Ltd.

Derbenevskaja Nabereshnaya 11, Geb. W 115114 Moscow Russia Tel. +7 495 913 66 19 Fax +7 495 913 66 15 www.ivoclarvivadent.ru

Ivoclar Vivadent Marketing Ltd.

171 Chin Swee Road #02-01 San Centre Singapore 169877 Tel. +65 6535 6775 Fax +65 6535 4991 www.ivoclarvivadent.com

Ivoclar Vivadent S.L.U.

c/ Emilio Muñoz Nº 15 Entrada c/ Albarracin E-28037 Madrid Spain Tel. + 34 91 375 78 20 Fax + 34 91 375 78 38 www.ivoclarvivadent.es

Ivoclar Vivadent AB

Dalvägen 14 S-169 56 Solna Sweden Tel. +46 (0) 8 514 93 930 Fax +46 (0) 8 514 93 940 www.ivoclarvivadent.se

Ivoclar Vivadent Liaison Office

Ahi Evran Caddesi No 1 Polaris Is Merkezi Kat: 7 80670 Maslak Istanbul Turkey Tel. +90 212 346 04 04 Fax +90 212 346 04 24 www.ivoclarvivadent.com

Ivoclar Vivadent Limited

Ground Floor Compass Building Feldspar Close Warrens Business Park Enderby Leicester LE19 4SE United Kingdom Tel. +44 116 284 78 80 Fax +44 116 284 78 81 www.ivoclarvivadent.co.uk

Ivoclar Vivadent, Inc.

175 Pineview Drive Amherst, N.Y. 14228 USA Tel. +1 800 533 6825 Fax +1 716 691 2285 www.ivoclarvivadent.us

Date info rmation p repared: 03/ 2011

These ma terials have been developed solely for use in denti stry. Proce ssing shoul d be carrie d out strictly according t o the Instr uctions for Use. Liability cannot be a ccepted for da mages result ing from failure to observ e the Instr uctions or the s tipulated area of application . The user is responsib le for testing the material for its s uitability and use for any pur pose not explic itly state d in the Ins tructions. Des criptions an d data constitute n o warranty of att ributes. These regulations also apply if the materi als are used in conjunction w ith product s of other manufac turers.

Ivoclar Vivadent SR Adoro User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual