Lab Tribune Middle East & Africa No. 3, 2016Lab Tribune Middle East & Africa No. 3, 2016Lab Tribune Middle East & Africa No. 3, 2016

Lab Tribune Middle East & Africa No. 3, 2016

The story behind IPS POWER / DAC UNIVERSAL: 10 Years of Maximum Hygienic Safety

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DTMEA_No.3. Vol.6_LT.indd





www.dental-tribune.me

Published in Dubai

May-June 2016 | No. 3, Vol. 6

The story behind IPS POWER
By Aiham Farah, Syria
IPS e.max® Ceram The versatile layering ceramic is optimally coordinated with the materials of the IPS
e.max System. Matching the shade
when using different framework
materials is clearly facilitated by the
universal layering diagram and the
precise shade coordination. After
all, the veneering ceramic is the key
to highly esthetic results within the
IPS e.max System – both on lithium
disilicate (LS2) and zirconium oxide (ZrO2) – particularly for the adaptation to the natural model. The
unique combination of translucen-

cy, brightness, and opalescence leads
to natural light scattering and a balanced relationship between brightness and chroma. (Fig. 2)

balanced relation between brightness and chroma results in the exact match with the respective shade
guide. (Fig. 2)

At the beginning of the all-ceramic
era, both lithium disilicate and zirconium oxide were only available
with medium or high opacity. These
opaquer framework structures reflect a lot of light, which increases
the brightness of the fabricated restoration. The conventional IPS e.max
Ceram Dentin and Incisal (Fig. 3) materials are exactly adjusted to this effect and are thus optimally suitable
for use on opaque substructures. The

Frequently Asked Questions
Why POWER dentin & Incisal initially
developed?
Mainly because of two factors that
raised over the past few years; (Fig. 4)
1st- The continuous development of
more translucent all-ceramic framework materials.
2nd- the general trend of patients’
desire of brighter restorations in the
overall.

Figure 2: Combination of different frames (bridge Zirconia zenostar & 2 veneer
e.max press) All layered by IPS e.max Ceram

ÿPage 2

Figure 4

Figure 1

Figure 5

LIFELIKE ESTHETICS –
EFFICIENTLY PRESSED

Figure 3

Figure 6 & 7: A comparison between the e.max ceram & e.max ceram POWER after 1st and 2nd firing

IPS e.max PRESS MULTI
®

THE WORLD’S FIRST POLYCHROMATIC PRESS INGOT

Figure 8

• Monolithic LS2 restorations showing a lifelike shade progression

amic
all cer need
u
all yo

• Exceptional combination of strength, esthetics and efficiency
• For crowns, veneers and hybrid abutment crowns
• Coordinated with high-precision Programat press furnaces
• Maximum cost effectiveness in the press technique

www.ivoclarvivadent.com
Ivoclar Vivadent AG

Figure 9
A shade comparison between IPS the e.max ceram Incisal (I)& IPS e.max ceram POWER Incisal (PI)

Bendererstrasse 2 | 9494 Schaan | Liechtenstein
Tel.: +423 235 35 35 | Fax: +423 235 33 60


[2] => DTMEA_No.3. Vol.6_LT.indd
2

lab tribune

Dental Tribune Middle East & Africa Edition | 3/2016

◊Page 1
Case Report in Pictures

Figure 10: Discolored grayish stump, and bright natural adjacent
central BL4.

How does it affect restorations?
With the modern translucent substructures less light would
reflect, what reduces the brightness of the fabricated restora-

Figure 11: Using IPS e.max Ceram Power Dentin BL4 & Power BL
incisal to build up the central, was imperative to help counteract
the grayish effect, and match the level of brightness exist in the
natural symmetrical central, IPS e.max Press MO0 frame was
used, and bleach XL try-in material from VarioLink II was also
used to do the try in before cementation.

tion. To counteract this effect, IPS e.max Ceram “Power Dentin”
and“Power Incisal” materials were developed (Fig. 5).
Where is IPS Power Dentin from Deep Dentin?
Deep Dentin is basically developed to enhance the Chroma dimension of a shade, and subsequently increases opacity and value of the
ceramic restoration, whereas Power
Dentin is developed to enhance the
Value dimension of a shade in the
first place, and indirectly and slightly
increase the chroma of a ceramic restoration.

register for

FREE

Figure 12: Picture was taken right after cementation, it shows
the matching in all shade dimensions and especially Value.

– education everywhere
and anytime
– live and interactive webinars
– more than 1,000 archived courses
– a focused discussion forum
– free membership
– no travel costs
– no time away from the practice
– interaction with colleagues and
experts across the globe
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scientific articles and case reports
– ADA CERP-recognized
credit administration

www.DTStudyClub.com

Dental Tribune Study Club

Join the largest
educational network
in dentistry!
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

What is the change needed on the layering diagram after POWER?
no change is required on the familiar
layering diagram, Power dentin is additional optional layer, just like Deep
dentin, but deep dentin enhance
the chroma, while Power dentin enhance the value, so it can be:
1- either placed bucckly as an intermediate layer between the frame
and the Dentin layer, and especially
in the cervical third where build up
ceramic at its maximum thickness.
2- or used instead of Dentin, for complete body build up.
In what case scenarios IPS POWER is
recommended? (Fig. 6,7)
1- patient cases when translucent
frameworks are used, Like Zenostar
(T or MT) zirconium oxide (ZrO2), or
lithium disilicate (LS2) IPS e.max (LT
or HT)
2- patient cases when natural teeth
clearly exhibit greater brightness.
3- patient cases when we have a thick
space bucckly, or extremely thin
space bucckly, to layer on with IPS
e.max Ceram.
4- patient cases when natural teeth
which need to be shade-matched exhibit high fluracense, what’s visually
interpreted as higher value effect .
5- patient cases when Bleach colors
of final restoration is required, Power
bleach dentin & Incisal range exhibit
higher value and subsequently higher bleach color stability.
6- patient cases when more lightfrom the inside out- required for the
restorations, knowing that intraoral
is a dark cavity, and slightly brighter
restorations are always recommended to compensate the lack of light
inside the mouth where restorations
will end up after cementation. fig
7- patient cases when stumps (prepared tooth) are not vital and exhibit
discoloration
What are the delivery forms of IPS
Power?
IPS e.max Ceram Power Dentin (PD)
materials are available in all A – D
shades and 4 Bleach BL shades. The
IPS e.max Ceram Power Incisal materials are available in 4 shades. Note in
(Fig. 8,9) a comparison in few shades
and incisals between before/after IPS
Power.
Contact Information
Ivoclar Vivadent AG
Bendererstrasse 2
9494 Schaan/Liechtenstein
Tel.: +423 235 35 35
E-mail: info@ivoclarvivadent.com
www.ivoclarvivadent.com


[3] => DTMEA_No.3. Vol.6_LT.indd
3

lab tribune

Dental Tribune Middle East & Africa Edition | 3/2016

DAC UNIVERSAL: 10 Years of
Maximum Hygienic Safety
For 10 years, Dentsply Sirona Instruments has satisfied the most stringent hygiene requirements imposed on dental practices with the DAC UNIVERSAL combination autoclave. Now, the addition of the new FLEX lid extends the requirements
profile for the device and closes the hygiene gap in mechanical reprocessing.

By DentsplySirona
Bensheim/Salzburg: After acquiring the hygiene division of Danish company Nitram 10 years ago,
Dentsply Sirona continued developing the DAC UNIVERSAL combination autoclave to create a reprocessing device with validation processes
for handpieces in dentistry. By 2006,
the Robert Koch Institute (RKI) recommended that medical devices
be reprocessed only with suitable,
validated procedures to prevent infection. This prompted Dentsply Sirona Instruments to document the
autoclave’s reprocessing procedures
so that the technical and hygienic
operation of the device, as well as
its processes, can be tested and validated. As a result, dentists and their
teams can practice safe dentistry.
“The technology of our DAC UNIVERSAL complies with the most
stringent requirements, so we can
offer dentists greater legal certainty,”
says Eric Berndt, hygiene product
manager at Dentsply Sirona Instruments, referring to the tougher demands for compliance with hygiene
guidelines imposed by the health
authorities. Simultaneously, the capacities of practice teams and the
space they have in many reprocessing rooms are limited; therefore, the
equipment required for mechanical
reprocessing should be simple, effective, safe and usable with verifiable
results for many different instruments.

syringes. The STANDARD lid can be
used for cleaning, maintaining and
sterilizing up to six wrapped handpieces, or a wire basket makes it possible to reprocess solid instruments
such as probes, mirrors or curettes.

The ultrasonic tips are reprocessed
together with their associated torque
wrenches and undergo a closed, fully
automated hygiene cycle so that
sources of error are excluded.
Various adapters also make it

possible to reprocess instruments
from other manufacturers in the
DAC UNIVERSAL. Yet another advantage is the graphical user interface
that enables simple, intuitive operation. The current status is shown

Experience new freedom in your lab processes breaking the chains of
former dependencies with inLab and the new 5 axis milling and grinding
unit inLab MC X5. Open for all restoration data, combining the largest
material range and the possibility to machine both wet and dry disks
and blocks – for no limitations to your production. Enjoy every day.
With Sirona.

INLABMCX5.COM

DAC UNIVERSAL FLEX lid

in the LCD display throughout the
hygiene cycle. All-important reprocessing parameters and confirmation of successful completion of the
program can be documented after
the cycle ends.

inLab MC X5:
DENTAL LAB
FREEDOM OF CHOICE.

Unsurpassed hygienic safety
with the DAC UNIVERSAL
Compared with other reprocessing methods, the DAC UNIVERSAL
offers not only process safety but
significant time advantages as well,
because it is the only device on the
market that can clean, lubricate
and sterilize up to six turbines, and
straight and contra-angle handpieces in 16 minutes. Using this device,
instruments are quickly ready for
use again, which lowers the dentist’s
investment cost in handpieces. Additionally, no chemical additives are
used during the cleaning process,
which is beneficial for the working
life of the instruments.
For IDS 2015, Dentsply Sirona Instruments expanded the reprocessing capabilities of the combination
autoclave to include more instruments. With the new FLEX lid on the
DAC UNIVERSAL, the device can now
be used for internal and external
cleaning, thermal disinfection of ultrasonic tips and handpieces as well
as the nozzles of multifunctional

DAC UNIVERSAL can be used for reprocessing many different instruments
simply by replacing the Standard lid with the FLEX lid


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