Instructions for Use
2
PRODUCT
INFORMATION
T able of Contents
4 Product information
Material
Usage
Composition
Working times /curing depths
Definitions and description
10 Shade determinat ion – tooth shade, stump sha de
Preparation gui delines and minimum thic kness
13 Framework-fre e restorat ions (inl ay/onlay )
Model iso lation
Liner application
Inlay/ onlay layering
Final polyme rization
Finishing/ polishing
Preparing for ceme ntation
20 Framework-f ree restorations (anterior crown)
Model iso lation
Liner application
Anterior crown lay ering
Final polyme rization
Finishing/ polishing
Preparing for ceme ntation
26 Fixed, metal-supported restorations
Framework design
Framework fabrication
Casting and finishing
Conditioning of the frame work
Layering diagram
Optional : Application o f SR Nexco Retention Fl ow
Opaquer application
Cervical, De ntin and Incisal layerin g
Final polyme rization
Finishing/ polishing
42 Fram ework-supp orted co mbinatio n dentures
Procedure for combi nation dentures
Matching the shade of SR N exco to the shade of SR Pho nares
®
II
47 Modificat ion and cha racteriz ation of den ture teeth
Conditioning of the sur face
Characterizatio n and customization w ith Effect and I ncisal materials
Final polyme rization
Finishing/ polishing /outcome
PRACTICAL PROCEDURE
3
PRACTICAL PROCEDURE
GENER A L
INFORMATION
50 Restorat ions with gi ngiva por tions
Framework design
Starting situati on
Framework design criteria
Conto uri ng
Finishing
Conditioning of the frame work
Opaquer application
Cervical, De ntin and Incisal layerin g
Gingiva layering
Final polyme rization
Finishing/ polishing
56 General i nformatio n
Cementation
Polymerization parameters
Subsequent adjustments
Materials combinati on table A –D shade s
Frequently Asked Questions
4
Product Information
MA TERIAL
SR Nexco Paste is a pure ly light-curing lab com posite with micro -
opal fillers for f ramework-based and fram ework-free dental
restorations.
As the des ired shades can be re produced even wit h varying layer
thickness es, a true-to -nature appeara nce can be achieved for
fixed and removable dental restorations, even with artificial
gingiva. The high co ntent of inorganic opal fille rs affords optim um
benefit s in terms of abrasion, discol ouration, process ing and surface
gloss.
Physical properties of SR Nexco Paste
Together with the respective matrix the inorganic m icro-opal fillers
impart a hom ogeneous st ructure to the materia l. The balanced ratio
betwee n these two com ponents result s in outst anding physical
propert ies achieved wit h the most popul ar polymeriz ation units
available on the market.
Esthetic properties of SR Nexco Paste
In transmitte d light, the full range of light- optical proper ties of
SR Nexco Paste be comes evident : The opales cence and translucenc y
of SR Nexco restorat ions correspond to t he dynamic light ef fects of
natural teeth.
The light behavi our is very similar to that of n atural teeth in all
areas: the toot h neck, the dentin are as and the incisal area.
This image taken wi th incident light show s the fluorescence and
luminosity of S R Nexco restoratio ns. Natural teeth der ive a major
part of their b rightness ef fect from their flu orescence. This
fluorescence play s an import ant role in the true -to-nature light
behaviour of SR N exco restorations.
SR Nexco Past e
Modulus of elas ticity [M Pa] 650 0 ± 500
Flexural stren gth [MPa ] 90 ± 10
Hardness ( Vickers) [ MPa] 440 ± 10
Water absorption [ µg /mm³] 15 ± 1
Water solubility [ µg /mm³ ] 1 ± 0.5
Margin
Margin
Dentin
Dentin
Incisal
Incisal
5
General n ote
As is genera lly known, composi tes have to meet differe nt demands
due to country-specific uses. Composite veneering material s show
specific characteristics and properties and their performance and
durability ca n therefore not be compar ed with that of other C& B
materials. The com posite restorati ons may require clinical rep air over
time, depending o n the situation and the in dividual case. Th e
restorations c an be repaired by means of m icrofilled composi tes, as
describe d in the secti on on "Subsequent Adjus tments" on page 58.
USES
Indications
Fixed denture prosthetics
Framework-based
– V eneering of metal-supported restorations
– Veneering of combination dentures ( e.g. telescope crow n
veneers)
– V eneering of fixed-removable implant superstructures
– Veneering of gingiva port ions in fixed- removable implant
superstructures
– Veneering of CAD/ CAM -fabricated met al frameworks
– Masking of model cast f rameworks wi th SR Nexco Opaque r pink
Framework-free
– Inlays/ onlays /veneers
– Anterior crowns
Modification /characterization
– Superficial charac terization of Ivo clar Vivadent re sin teeth with
SR Nexco Stains in conjunc tion with SR Connec t and subsequent
layering with SR N exco Paste layering material s
– Shape and shade modific ations of Ivoclar V ivadent resin teet h
with SR Nexco Pas te layering materials in conjunc tion with
SR Connect
– Modification and characterization of Telio
®
CAD and Telio Lab
with SR Nexco Stains , Dentin, Incisal and Ef fect Shades in co n-
junction w ith SR Connect
Contraindications
– Posterior crowns without fr amework support
– Conventional cementation of fixed, m etal-free res torations
– Fra mework-free long-term temporaries worn for longer than
12 m o nt hs
– Patients with occlusal d ysfunct ions or parafuncti ons, such as
bruxism, etc.
– Patients with inadequ ate oral hygiene and subst antial drug intake
(e.g. drugs that reduce s alivary flow )
– All the clinical applicat ions that are not desc ribed as an indicat ion
by the manufacturer
– Veneering of metal framework s without the us e of SR Link and
SR Nexco Opaqu er
– The use of non-reco mmended poly merization d evices or bonding
agents
– Repairing of chipped denture te eth
6
C OMPOSITION
– SR Nexco Pa ste layering mat erials
(Margin, De ntin, Incisal, Effec t, Gingiva and Intens ive Gingiva
materials)
Dimethacr ylates (17– 19 wt.%); copolymer and silico n dioxide
(82– 83 wt.%). Additio nal contents are stab ilizers,
catalys ts and pigment s (<1 wt.%).
The total content of inor ganic fillers is 6 4– 65 wt.% /
46 –47 vol.%. Part icle size: 10–100 nm.
– SR Nexco Liner
Dimethacr ylates (48 w t.%); barium glass fill er, silicon dioxide
(51 wt%). Additiona l contents are catal ysts, st abilizers and
pigments (<1 wt .%).
– SR Nexco Opaqu er
Dimethacr ylates 65–70 wt.%), inorg anic filler (<43 w t.%).
Additional content s are catalys ts, stab ilizers and pigment s
(< 2 w t .%) .
– SR Nexco Stains
Dimethacr ylates (47–4 8 wt.%); copol ymer and silicon diox ide
(4 9 – 50 w t.% ).
Additional content s are catalys ts, stab ilizers and pigment s
(2 –3 wt .%) .
– SR Modelling L iquid
Dimethacr ylate (approx. 9 9%). Additiona lly, initiators and
catalysts are contain ed.
– SR Nexco Retenti on Flow
Dimethacr ylates (65 –70 wt.%), inorganic filler (3 0–35 w t.%).
Additional content s are catalys ts, stab ilizers (<2 wt .%).
– SR Link
Dimethacrylate, phosphate ester , solvents and benzol peroxide
– SR Gel
Glycerine, silicon diox ide and aluminium oxide
– SR Retention Ad hesive
Copolymer, resin and sof tening agent (30 w t.%) solved in
acetone (70 wt.%).
– SR Microrete ntions : 200 –3 00 µm
– SR Macrorete ntions : 40 0– 60 0 µm
Copolymer ( 99.5 wt.%) and titanium dioxid e (0.5 wt .%).
– SR Conne ct
Methyl methacrylate (60 –70% ), polymethyl methacrylat e (<1 0%),
dimethacr ylate (20–3 0%) and cataly sts (3 –5%).
– Universal Poli shing Pas te
Emulsion of aluminium oxid e, ammonium oleate, petrol eum
distillate and water.
Warning
SR Nexco is intended fo r use in dentistr y and dental techn ology.
Contact of unpol ymerized material ( pastes) wi th the skin or eyes
must be prevented. Conta ct with unpol ymerized material may
have a slight irritating e ffect and may l ead to a sensitizatio n
against methac rylates. Customar y medical gl oves do not provide
protection ag ainst the sensitizing ef fect of methacr ylates.
SR Connect contains m ethyl methacr ylate (MM A). MM A is highly
flammable. There fore, keep away from sources of igniti on and do
not smoke. MMA is an irri tant and is irritatin g to eyes, respirator y
organs and skin. Do not inha le vapours.
Do not inhale grinding d ust. The safet y notes on the indivi dual
primary pa ckages and labels have to b e observe d.
General n ote
Failure to observe t he stipulated contraind ications and proce ssing
restric tions might lead to clinic al failure in certain ca ses.
Side effects
Systemic side ef fects ar e not known to date. In indivi dual cases
allergic reac tions may occur. In case of a suspe cted or confirme d
allergy to one of the co mponents, SR N exco Paste or respe ctive
other sys tem components mus t not be used.
Storage instructions
– Store SR Link in the refrigerator (2– 8 °C / 36 –4 6 °F).
– Store SR Nexco Paste layering materials, S R Model Iso lation,
SR Connect at 2–28 °C (36 – 82 °F) .
– Syringes should be clos ed immediately af ter use (exp osure to
light causes prematu re polymeriz ation).
– Protect the materials from direc t sunlight.
– Do not use the product s after the indic ated expiration d ate.
– Keep material out of children’s reach.
Note on th e cleaning of S R Nexco Paste re storation s
As the ultras onic cleaning liquids a re highly aggressi ve, the
composite sur face may begin disso lve if the liquid is used
inappropriatel y. Therefore, alkaline cleaning agent s with a pH
higher than 8 must not b e used.
7
DEFINITIONS AND D ESC RIPTION
Compatibility with pol ymerization units
High-p erformance po lymerizatio n is requisite in the fabrica tion of
high-qua lity lab composi te restorations. W ith the excellent light-
curing appliance Lumamat
®
100 from Ivocla r
Vivadent, yo u can achieve an optimum
polymeriz ation of SR Nexco res torations and
thus benefit from t he full potential of this
material's physical properties. In addition,
the sensor-controll ed Quick app liance is
available to quickly precure t he material. The
Quick can also b e used for the intermed iate
polymerization of other light-curing veneering
materials.
Apart fro m Lumamat 100, other poly -
merization ap pliances may also be us ed for
complete or interme diate polymer ization. An over view of the tes ted
appliances and th e respecti ve polymeriz ation parameters c an be
found on page 57.
The range o f available all oys may vary fro m country t o country.
WORKING TIMES/ CURING DEPTHS
Working tim es
SR Nexco materials are s ensitive to light. The wo rking time depe nds
on the layer thickne ss, the shade and th e environmental light
conditions. Brighter sha des react more q uickly than darker ones .
The values indic ated below are averag e values at a light intensit y of
3000 L ux, which corres ponds to a bright work sp ace lighting. These
maximum values mus t be taken into considerati on when extr uding
the respective amount of veneering material.
2–25 min
low viscosity
4– 25 min
SR Nexco M argin
SR Nexco D entin
SR Nexco I ncisal
SR Nexco E ffect
SR Nexco G ingiva
high viscosity
SR Nexco L iner
SR Nexco O paquer
SR Nexco Stai ns
SR Nexco
Time
Curing depths
Due to the light sensit ivity, the curing depth ( intermediate curing
with the Quick ini tial curing light) of SR Ne xco materials depends o n
the shade and abo ve all the layer thicknes s. Bright and translucent
shades cure bet ter, as light can penetrate through th ese shades
more easily than thro ugh darker and more opaqu e shades. Thes e
values must be t aken into consideration during t he layering of the
different materials.
SR Nexco
Curing depths
(20 seco nds with t he Quick )
SR Nexco O paquer max. 0. 05 mm
SR Nexco Stains 0.2 – 0. 8 mm
SR Nexco P aste
Incisal, Dentin, Ef fect
min. 2. 0 mm
SR Nexco P aste
Margin, Gingiva, Intensive Gingiva
min. 1.0 mm
Compati bility wi th Ivoclar V ivadent alloy s
A metal framewo rk is the basis for any venee red metal- based resto-
ration. To this end, Ivoclar Vi vadent offers a w ide range of differ ent
high-qua lity alloys whi ch are specifica lly designed to match th eir
area of indicatio n. This range includes hi gh-gold, re duced gold and
base metal all oys. In conjunc tion with the SR L ink bonding sys tem,
the alloys es tablish an ideal me tal/ composite bon d.
When using other all oys, please ask y our
alloy manufacturer about the
compatibilit y with SR Link and it s
system components.
Alloys Au Pt Pd Ag
High-gold
Academy Gold 77.2 <1.0 – 12.7
Harmony
®
PF 72.0 3.6 – 13.7
Academy Gold XH 70.7 3.6 – 13.7
Reduced gold
Harmony
®
X-Hard 68.3 2.9 3.6 10.0
XL-X
®
62.8 – 3.9 16.1
Maxigold
®
59.5 – 2.7 26.3
Midigold
®
50 50.0 – 3.5 35.0
Magenta 50.0 – 6.5 21.0
Minigold
®
40.0 – 4.0 47.0
Harmony
®
3 3.5 – 25.9 50.8
Universal alloys
BioUniversal PdF 71.1 9.2 – 11.7
Co Ni Cr Mon
Base metal
d.SIGN
®
30 60.2 – 30.1 <1.0
Colado
®
CC 59.0 – 25.5 5.5
Colado
®
NC – 65.6 20.1 1.3
4all – 61.4 25.7 11.0
8
SR
®
Accessories
SR Link, 5 ml
SR Link is a metal /com posite bonding ag ent that
provides a covalent bon d between m etal framework s
and SR Nexco. SR Link is an e asy-to- use and, above
all, tried-an d-tested bo nding system that c an be used
in conjunction w ith a wide sele ction of alloy s.
The bonding s ystem is suitab le for use on frame-
works made of
– alloys that contain less tha n 90% gold, pa lladium and platinum
– alloys that contain less tha n 50% copper and /o r silver
– base metal alloys
– titanium and titanium alloy s
SR Connec t, 5 ml
SR Connect is a light- curing conditioner to b ond light-curing
veneering materi als to PMMA, h eat- or cold-cur ing poly-
mers and resin d enture teeth. Thes e are the areas of
application:
Establishin g a bonding layer in the ca se of
– individual shade and shape m odifications o f pre-
fabricated teeth and different veneering m aterials,
such as T elio
®
CAD and Telio Lab.
– individual shade adjust ments of denture bas e resins.
SR Modelli ng Liquid , 5 ml
SR Modelling L iquid is used to wet the d ental technician's
instruments durin g modelling and as a mo delling aid (wet ting of
the brush to disper se the material, etc.) . SR Modelling L iquid must
not be used as a bo nding agent for the purp ose of
modifying the co nsistency or in t he case of subsequ ent
adjustment s. Use SR Mode lling Liquid only in ver y low
quantities.
SR Gel, 30 ml
SR Gel is a glycerine -based m asking gel that is impe rvious to
oxygen. The gel i s applied to the resto ration before poly merization
to minimize the formation of an i nhibition layer on the sur face of
the veneering composite. C onsequently, the gel en sures
complete curing of the res toration surface. Do not
apply too thick a laye r of SR Gel.
Compatibility of SR Phonares
®
II
Compatibility b etween denture te eth and
lab composite is an imp ortant crite rion
particularly in th e fields of part ial and
removable denture prosthetics. Therefore ,
the shade of SR Ne xco has been specif ically
coordinated with t he shades of SR P honare s II.
Compatibility with IP S d.SIGN
®
and IPS InLine
®
The shade conce pt of SR Nexco and the
IPS InL ine system has b een modelle d
after the shad e system used fo r
IPS d.SI GN. Thus, an Opa quer, a Dentin
and a suitable In cisal material are allo cated
to each tooth shade. Th e shades of the
Effect, Gin giva and Stains materials are
coordinated with t he shade sys tems of
Ivoclar Viv adent ceramic produc ts, so that
a similar estheti c outcome can be achi eved with the shade -
independent additional materials. Users are thus o ffered an efficient
work procedure.
The benefit s include an eas y and quick processin g in the fabrication
of combination dentu res and a simplified sha de match with exist ing
ceramic restorati ons.
SR Nexco Gi ngiva concep t
The SR Nexco Pas te Gingiva shades are co ordinated with
the Ivoclar V ivadent Gingiva conce pt of
the IPS In Line syste m,
IPS d.SI GN and IPS e.max.
Thus, gingiva wit h a lifelike
shade effec t can be created a ccording to the same diagram w ith all
veneering systems particularly in implant superstructures.
In addition to th e conventional Ivocla r Vivadent Gingiva co ncept,
SR Nexco Paste of fers a new Intensive G ingiva shade ( IG5) and a
Basic Gingiva shad e (BG34 ). These ma terials can be used for
modifications and chara cterizations of e.g. IvoB ase
®
dentures even
more quickly and ea sily.
SR Nexco Ret ention Flow
SR Nexco Retentio n Flow is a low-
viscosity opaquer component,
which can be ap plied into the
undercuts of th e retention beads.
SR Nexco Retentio n Flow demonstrate s a higher curing depth t han
the shaded SR N exco Opaquers an d can be quickly and e asily
applied due to it s flowable consis tency. The applica tion of SR Nexco
provides for a relia ble bond bet ween the metal fra mework and the
first opaq uer layer.
9
SR Mode l Seperato r, 10 ml
The SR Mode l Separator is suitab le for separating
working dies during the fab rication of met al-free
restorations and adjo ining stone surface s during lab
composite veneering.
SR Retentio n Adhesive, 2 0 ml
This adhesive va rnish is utilized to affi x micro- and
macroreten tion beads to the restora tion surfaces after
contouring.
SR Microre tention B eads, 15 ml
SR Macrore tention B eads, 15 ml
Two different sizes of retention b eads are available,
depending on s pace conditions.
– Microretention: 200 –300 microns
– Macroret ention: 400 –60 0 microns
SR Mixing Pa d, small
SR Mixing P late, small
Depending on t he material to be
processed, the SR M ixing Pad and
SR Mixing Plate may b e used. The pad is
mainly used to proce ss liquid SR Nexco
materials so that time -consuming
cleaning of the plate can be avo ided. In
contrast, the plate is u sed to mix the more vis cous composite
component s. The light protec tive cover of the plate ex tends the
working time of the ma terials.
Univers al Polishin g Paste, 10 0 ml
The SR Univer sal Polishing Paste
enables quick and efficient polish-
ing of composite and m etal
restorations.
The paste is par ticularly suit able for prepolishi ng and principal
polishing of SR Nexco vene ers.
Universal Holder
Used to handle disp osable brushe s and
sponges and th ereby help facilitate th e
working procedu res in the dental lab oratory.
Disposable Brushes, 50x
The dispos able brushes are par ticularly
suitable for the a pplication of liqui d
materials, such as SR Mod el Separator,
SR Link and SR Nexco O paquer.
Disposable Sponges, 50x
The dispos able sponges have b een
modified to fit i nto the universal ho lder.
They are used to rem ove the inhibition
layer after pol ymerization of t he
Opaquer and L iner.
Cannula s, 10x
These appl ication aids can b e attached to
Liner, Opaquer and Stains s yringes. The y
help achieve more a ccurate dosing and
cleaner applic ation procedure s as the
extrusion pres sure can be controlle d.
Cannula C aps, 20 x
The cannula cap s prevent the material from
drying out o r polymerizing p rematurely while
it is in the cannula and prov ide protecti on
against contamination.
10
SHADE DETERMINA TION – TOOTH S HADE,
STUMP SHADE
Shade de terminati on of the natura l tooth
After tooth clean ing, the tooth shade of the n on-prepare d tooth
and/ or the adjacent te eth is determined w ith the help of a shade
guide. Individu al characterist ics have to be considere d when
determining the tooth shad e. If a crown preparatio n is planned, for
example, the cer vical shade s hould also be deter mined. In order to
achieve the bes t possible tr ue-to- nature results, shad e determination
should be carr ied out at daylight. Fur thermore, the pati ent should
not wear clothes of intens ive colours and /or lip stick.
Die shade selection
Based on the I PS Natural Die sha de guide, a die for a framewor k-
free restoratio n is fabriacated. This d ie is used as control die in
conjunction with t he restoration to che ck the shade.
Practical procedur e
11
Application procedure – Shade Determination | Preparation Guidelines and Minimum Thickness
PREP ARA TION GUIDELINES AND MIN IMUM LAYE R THICKNESS ES
Successful result s can only be achi eved with SR Nexco ve neering material if th e guidelines and minimum
layer thicknesses are strictly observed.
As framewor k-free SR Nexco restorations a re placed using an adhesi ve cementation me thod, a tooth-
conserv ing and defect- oriented preparati on technique can be u sed.
Inlays and onlays
Static and dynamic a ntagonist conta cts must b e taken into consideration. T he preparation margins
must not be loc ated on centric antag onist contac ts. A preparatio n depth of at least 1.5 mm and an
isthmus width of at l east 1.5 mm must be obser ved in the fissure are a. Prepare the proximal b ox with
slightly diverging wa lls and obser ve an angle of >9 0° betwe en the proximal cavit y walls and the
prospectiv e proximal inlay surfaces . For inlays with pron ounced convex cavit y walls without a dequate
support by t he proximal shoulder, marginal ridg e contacts s hould be avoided. Ro und out internal edge s
and transitions in ord er to prevent stress co ncentration within the co mposite material. Eliminate th e
proximal contac ts on all sides . Do not prepare slice -cuts or fea ther edges.
For onlays, prov ide at least 2 mm of spa ce in the cusp areas. On th e vestibular side, prep are a bevel
(10°–30° ) to improve the esthe tic appearance of the tra nsition betw een the composite a nd the tooth.
Onlays are indic ated if the preparatio n margin is less than app roximately 0.5 mm away from the cus p
tip, or if the enamel is se verely undermine d.
Anterior crowns
Evenly reduce the anatom ical shape and obs erve the st ipulated
minimum thickness. P repare a circular shoulde r with rounded inner
edges or a pron ounced chamfer of at least 0. 8 mm. In the anterior
region, reduce the la bial and /or palatal /ling ual surfaces by at leas t
1.0 mm. Reduce the incisal crown t hird by at least 1.5 mm. Design
transitions in such a way that n o angles or edge s are present.
≥1.5
6°
>90°
60°–80°
≥1.5
≥2.0
≥1.5
6°
10–3 0°
≥1.5
0.8
0.8
≥1.0
1.5
>1.0
12
Veneers
If possibl e, the preparation shoul d be entirely locate d in the enamel,
either in the form of a sim ple incisal reduc tion withou t incisal over-
lap or conventional pre paration with incis al, chamfer-type incisa l
overlap. Make sure that the incis al preparation margin i s not located
in the area of the abrasi on surfaces. Th e extent of the incis al reduc-
tion depend s on the desired translu cency of the incis al area to be
built up. The more trans parent the incisal ed ge of the intended
veneer, the more pronounce d the incisal reduc tion should be. Th e
incisal edge sh ould be reduced by at le ast 1.0 mm. By preparing ori-
entation grooves using a depth mark er, c ontrolled enamel reduction
can be achieve d. The minimum preparati on thickness is ap prox.
0.6–1.0 mm, depending on th e preparation techniq ue selecte d.
Elimination of the proxima l contacts is n ot required. Discolo ured
teeth may require more p reparation. In the ce rvical area, p repare a
ch am fe r.
≥0.6
≥0.7
1.0
13
Practical Procedure – Framework-free Restorations (Inlay/Onlay)
Framework-free r estorations (inlay/onlay)
MODEL IS OLATION
Sealer application
Fabricate a master mo del or a model w ith detachabl e
segments according to t he impression in the u sual manner.
Expos e and mark the preparati on margin. Block out und er-
cuts with bl ocking- out wax or blockin g-out res in to ensure
that the restorati on can be removed af ter the polym eriza-
tion process without damaging the die. Basically , the appli-
cation of a seal er is recommended to har den the surface
and to protect the s tone die. However, the sealer laye r
must not result in any chang es of the dimensions of th e
stone die. It is not man datory to utilize a space r, as two
coats of SR Mo del Separator will b e applied. If you us e a
spacer, check as to whether it is co mpatible with SR M odel
Se p ar at or.
Sealing t he dies and a djoining p arts of th e model
SR Model Se parator is applied in t wo thin coats. A pply the firs t coat generously an d make sure that all areas of the die are
well covered. Watch out for sharp e dges (incisa l edges) in par ticular. Then allow to reac t for 3 minutes. After the re action
time, apply a seco nd layer in a thin coat, inver t the model and allo w to dry for 3 minutes.
Additionally, apply SR M odel Separato r to adjoining model su rfaces that may come into cont act with SR N exco including
counterbite, allow to reac t for a short tim e, and then dispers e excess material with o il-free compres sed air.
Inlay (a nd onlay)
Fabrication of a die coated with sealer as the working basis.
Apply first coat of SR Model Separator generously, w atch out for sharp edges, and allow to react for 3 minutes . Isolate model areas.
14
APPL YING THE LINER
SR Nexco Lin er combina tion tab le
BL A B C D
Tooth BL3 BL4 A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4
Liner BL BL 1 2 2 3 4 1 2 3 3 1 5 5 4 5 5 5
Procedure for
non-discoloured cavitie s
– Apply Lin er clear to the cavit y
walls and the cavit y floor (d entin
area) for an optimum c hameleon
effec t.
– Apply Lin er incisal in the
marginal areas (cours e of natural
enamel) to achie ve a harmonious
transition bet ween the shade o f
the restoratio n and natural tooth
structure without grey lines.
Procedure for
slightly discoloured cavities
– Mask dark areas us ing a Liner in
an appropriate shad e (1–5).
– Coat the remaining por tions of
the cavit y, except the marginal
areas, with Liner clear.
– Apply Lin er incisal in the marginal
areas (cours e of natural enamel)
to achieve a harmon ious transition
betwee n the shade of the resto ra-
tion and natural tooth s tructure
without grey lines.
Procedure for
severely discolour ed cavities
– Mask the entire c avity, except
the marginal areas, usin g a Liner
in a correspondin g shade (1–5).
– Apply Lin er incisal in the marginal
areas (cours e of natural enamel)
to achieve a harmonio us transi-
tion bet ween the shade of the
restoration and na tural tooth
structure without grey lines.
Liner clear
Liner incisal
Liner 1–5
1
st
Liner application (Clear, 1–5)
Extru de the desired amo unt of the ready-to -use Liner pas te from the syring e and spread it out slight ly on the mixing pad
using a disposa ble brush. First , apply the Liner to th e cavity walls and c avity flo or in a thick coat and precure e ach
segment for 20 seco nds using a Quick curing light. M ake sure to fully cover all areas, as the L iner provides an es sential
bonding surfa ce to the luting composite. Do no t cover marginal areas at this st age (cours e of natural enamel).
Generously cover the cavity walls and floor with the 1
st
liner cover and precure with Quick for 20 seconds for each segment.
15
Practical Procedure – Framework-free Restorations (Inlay/Onlay)
2
nd
Liner inc isal app lication i n the margin al area
After the appli cation of the firs t Liner layer to the cav ity walls and flo or, apply Liner incisal in the m arginal areas so that all
cavity sur faces are coated wit h Liner. Apply Liner incis al up to the preparation ma rgin in order to ensure a reliable b ond
betwee n the preparation margi ns and the luting composi te. This measure helps to redu ce premature discolourati on
between the restoration margins and tooth structure.
Apply Liner incisal to the marginal areas or the course of the natural enamel and precure each segment for 20 seconds
Thoroughly remove the inhibition layer with clean disposable sponges.
Polymerizing the Liner Appliance Time Program
Precuring time p er segment Quick 20 s –
– The entir e inner sur face of the re storation ha s to be covered w ith SR Nexco L iner. The layer
thickne ss should b e at least 150 µ m. Thin out t he Liner towar ds the pre paration ma rgin.
– Do not separat e polymeri zed SR Nexco L iner from th e die.
Removing the inhibition layer after polymerization of the Liner
Thoroughly rem ove the resulting inhibit ion layer using a
disposabl e sponge (do n ot use a solvent) ; make sure that
the Liner sur faces are free of residue. Make sure that t he
Liner shows a mat su rface.
16
INLA Y/ONLA Y LA YE RING
Adapt the firs t layer firmly (pre ss into place) to ensure an ef fective bo nd between th e Liner and lab compo site and pre-
cure each segme nt for 20 seconds using a Quick cur ing light. The shade ef fect in the interde ntal area and cavit y may be
increased by mea ns of Occlusal Dentin orang e. Slightly emphasize the marg inal ridges and cusps w ith Dentin.
Subsequently, begin th e process of building up t he cavity wi th Dentin materials. Ma ke sure to provide adequate spa ce for
the subsequent a pplication of In cisal and Effec t materials. The translu cency of the res toration may be increas ed by means
of coloured Transpa materials, such as Transpa orang e-grey and Transpa brown -grey. Layer SR Ne xco Paste layering
materials step by step and p recure each individu al layer. After building up and precuring t he dental plateau, app ly
characterization s with SR Nexco Stains and pre cure for 20 seconds. N ext, complete t he restoration using I ncisal and
Transpa materials. The cusp tips a nd triangular ridge s may be supplemented w ith a fine layer of Opal Ef fect 3 and 4.
Adapt firmly and cre ate smooth, rounded trans itions betw een the layers using SR m odelling instrum ents and synth etic
brushes.
Increase the shade effect in the interdental and cavity area with Occlusal Dentin. Outline the marginal ridges with Dentin and create a plateau with various Dentin materials.
Precure each intermediate segment for 20 seconds using the Quick curing light.
Apply characterizations with SR Nexco Stains, precure with the Quick and cover with Incisal and Tr anspa materials.
Design a lifelike occlusal morphology and subsequently precure all areas for 20 seconds using
Quick.
– It is esse ntial to obs erve the st ipulated c uring dept hs and max imum layer thic kness of th e
individual materials during the layering procedure.
– If the maximu m layer thickn ess is exce eded, br eak up large p ortio ns into several in crement s
and prec ure each inc rement fo r 20 second s.
– SR Nexco Stains a lways have to be coat ed with layerin g material ( e.g. Inc isal, Transpa ).
17
Practical Procedure – Framework-free Restorations (Inlay/Onlay)
C ONDUCT F INAL POL YME RIZA TION
After the layering p rocedure has been com pleted, all layers mus t be precured. To make sure that this is the cas e precure
each segment for 20 se conds using a Quick curing l ight. Next, a pply SR Gel on the entire ven eering surface ensur ing that
all areas are fully covered a nd the layer is not too t hick .
Apply a covering, but not too thick layer of SR Gel and secure the dies on the object holder in the correct position.
Polymerization
Inlay/ onlay
Appliance Time P rogram
Precuring time p er segment Quick 20 s –
Conduct final polymerization Lumamat 100 11 m i n P2
For the parameters of other polymerization devices, please go to page 57.
18
FINISHING / POLISHING
After complet ion of the polym erization proce dure, completely remove SR G el from the restorati on using running water
and/ or a steamer. Carefully remove th e restoration from the d ie. If the restoratio n is removed at a later sta ge, it is
advisable to warm u p the stone die by means of s team/ hot water. Finish the restoratio n with cross- cut tungsten car bide
burs and fine diam onds. It is advis able to use low spe ed and light pressure. Make sure to rewo rk the entire restorati on to
remove the inhibiti on layer of approximately 3 0 µm. Carefully taper th e margins of the restorati on, lightly grind the
margins, and adjust proximal a nd occlusal contac t points. Subs equently, recreate a lifelike tooth shap e and surface
structure. T he inhibition layer mus t be removed from the ent ire SR Nexco surface.
Polishing
Finishing
Carefully smooth out t he ridges of the occlu sal surface and
proximal surface s with rubber po lishers and silicone
polishing wheels. Pay p articular at tention to the margins in
order to avoid rend ering them too shor t.
Prepolishing and high-gloss polishing
The restorati ons are prepolished a nd polished to a high
gloss using a go at hair brush, cotton or leat her buff as
well as Univers al Polishing Paste. Use l ow speed and slight
pressure for prepolishing and high -gloss po lishing. Adjust
the pressure at t he handpie ce, not with t he polis hing
motor. In order to optimally polish the o cclusal surfaces,
we recommend mo difying the g oat hair brushes to
become st ar-shaped so that only th e desired areas can b e
polished due to th e smaller size of the brush. De pending
on the typ e of high gloss desir ed, leather buf fing wheels
can be used to achi eve a high shine, while cotto n buffs are
used to achieve a le sser degree of lus tre.
Remove SR Gel and carefully remove the restoration from the die. Remove the inhibition layer and finish the surface with cross-cut burs .
19
Results
Adhesive cementation is mandatory for framework -free SR Nexco Paste restor ations.
In order to achieve a n excellent bond with t he luting composite, the c avity side of th e restoration has to be c arefully
blasted with Al
2
O
3
(80 –100 µm) at 1 bar / 15 psi pressure in the la boratory. Followi ng the try- in in the dental prac tice and
subsequent clea ning, the cavit y side is again roughene d with a 50 –100 µm diamond directl y prior to the adhesi ve
cementation. Finally, the sur faces are silanized (e.g. with M onobond
®
Plus) to enable a che mical bond.
PREP ARING FOR C EMENT A TION
Practical Procedure – Framework-free Restorations (Inlay/Onlay)
20
MODEL IS OLATION
Applying the sealer
Fabricate a master mo del or a model w ith detachabl e segments accord ing to the impression in t he usual manner. Expose
and mark the preparat ion margins. Block o ut undercuts wi th blocking- out wax or blo cking-ou t resin to ensure that the
restoration c an be removed afte r the polymeriz ation process w ithout damaging th e die. Basically, the applicat ion of a
sealer is recomm ended to harden the sur face and to protect t he stone die. Howeve r, the sealer layer must not result in
any changes of the dime nsions of the stone die. I t is not mandatory to uti lize a spacer, as two coats of SR Mo del
Separator will b e applied. If you use a s pacer, check as to whether it is comp atible with SR Mo del Separator.
Sealing t he dies and a djoining p arts of th e model
SR Model Se parator is applied in t wo thin coats. A pply the firs t coat generously an d make sure that all areas of the die
are well covered. Watch out for sharp e dges (incis al edges) in par ticular. Allow the layer to reac t for 3 minutes. After th e
reaction t ime, apply a second layer i n a thin coat, invert the m odel and allow to dr y for 3 minutes. Additi onally, apply
SR Model Se parator to adjoining mo del surfaces that may co me into contact wit h SR Nexco including counterb ite, allow
to react for a shor t time, and then disp erse excess mate rial with oil-fre e compressed air.
APPL YING THE LINER
Extru de the desired amo unt of the ready-to -use Liner pas te from the syring e and spread it out slight ly on the mixing pad
using a disposa ble brush. First , apply the Liner th inly on the die surface s. Make sure to fully cover all areas, as t he Liner
provides an es sential bonding sur face to the luting compo site. The Liner layer mus t be at least 150 µm thick and has to be
precured for 20 secon ds per segment using t he Quick.
Framework-free r estorations (anterior crown)
Fabrication of a die coated with sealer as the working basis
Apply the Liner in a minimum layer thickness of 150 µm. Precure each segment for 20 seconds using a Quick curing light.
Applying two layers of SR Model Separator