Elements of Success - NEVO.indd
Contents
1. Click Show Features Areas with high contours are highlighted This can help identify the margin 14 Click Trace and mark the margin from the occlusal view Verify placement by rotating the prep model in different views 15 Edit the margin if needed Design Click the Design tab Follow the Design Workflow sheet Mill 1 Click the Mill tab The proposal turns white and shows the default position for the sprue 2 Change the location of the sprue on the restoration if desired by moving the placement indicator circled in orange below along the circle that represents the exterior of the restoration or by clicking one of the arrows Sprue Placement End of exercise Do not send your case to the mill 18 2014 E4D Technologies All Rights Reserved EDU1085 F Multiple Posterior Crowns Tooth 28 and 29 4 4 and 4 5 ISO pre scanned case Setup This case has already been created On a multiple restoration case each tooth requires a restoration type library material and shade Note that the currently selected tooth is orange while the other selected teeth are green Crown Inlay 2 Onlay a Veneer Pontic 3 Bite registration BuccalOpposing Margin tab Since this case has already been scanned we are going straight to the Margin tab 1 Click the Margin tab 2 Click Orientation to activate it 3 Adjust the Orientation for Tooth 29 4 5 ISO The highest tooth number is selected by def2. e Discuss how to continue with your education 3 No other patients scheduled 4 Focused on those who attended Elements course in Texas EN E4D UNIVERSITY Starter Kit Items from Premier 1 Diamond Twist Paste Kit 1 Traxodent Sample 2 Sample Prep Burs 1 Milling Tools Sample Pack 2 Ellipsoidal 2 Conical 2 Tapered 1 Sample Cord EN E4D UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1085 F Starter Kit Items from lvoclar Telio CAD IPS Empress CAD 4 Telio CAD Blocks 4 IPS Empress CAD Blocks Telio CS Link Transparent 2 Empress Shades Telio CS Desensitizer 5g 1 Empress Stain OptraPol Test Pack 1 Empress Glaze 1 Empress Glaze Liquid IPS e max CAD Misc items 4 e max CAD Blocks 2 Multilink Primer 2 e max Shades 1 Monobond Plus 1 e max Stain 1 Ceramic Etching Gel 1 e max Glaze Paste 1 Multilink Automix Trans 1 e max Glaze Liquid 1 Optrastick 1 e max Crystallization Tray 1 Optrafine Promo Pack 1 Object Fix Putty Cementation Navigation DVD D E4D UNIVERSITY Starter Kit Items from 3M Lava Ultimate 5 A2 LT C14 Blocks 5 A2 HT C14 Blocks Misc items 1 RelyX Ultimate Adhesive A1 1 Scotchbond Universal Adhesive 1 3M ESPE Retraction Capsule 1 CoJet Sand Blast Coating Agent 1 Lava Ultimate Guide EN E4D UNIVERSITY What s next Dont forget to order Contact your local representative today e Order blocks in shade values for upcoming patients e Order mil
3. the esthetic demands of your patients Multi Shade amp Translucency e Cut back and layer esthetics in a monolithic block e Multiple translucencies create the most natural looking esthetic restoration e Control incisal translucency and gingival color EN E4D UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1085 F IPS Empress CAD Leucite Reinforced Glass Ceramic Blocks High Translucency Excellent chameleon effect Blends easily with existing tooth structure Inlays virtually disappear 20 more translucent than the Low Translucency Block Low Translucency e Higher value e Block out capability Higher opacity level IPS Empress CAD Leucite Reinforced Glass Ceramic Blocks Efficient 200 MPa e IPS Empress CAD offers the option to simply mill and polish for maximum efficiency or glaze fire for up to a 50 increase in strength 100 MPa Clinician s Report October 2009 Volume 2 Issue 10 IPS Empress CAD Leucite Reinforced Glass Ceramic Blocks Multi e A1 A2 A3 A3 5 B1 e BL1 BL3 HT High Translucency e Al A2 A3 A3 5 B1 B2 B3 C2 D3 LT Low Translucency e Al A2 A3 A3 5 B1 B2 B3 C2 D3 e BL1 BL2 BL3 BL4 ivoclar vivadent passion vision innovation EN E4D UNIVERSITY ivoclar vivadent Passion vision inmowation ivoclar vivadent passion vision innovation D E4D UNIVERSITY 2014 E4D Technologies All Rights Re
4. Complete the scan pattern at the lingual of the mesial neighbor Evaluate the model 1 Click Generate Model or press M on the keyboard to finish building the model 2 Use the mouse to rotate move and zoom in and out to evaluate the model Select position pointer on item Rotate Model press and hold the and click left button to select right button then drag Zoom Model rotate the wheel Move Model button to change the size of the AM up down left right model on the screen press and hold the wheel button then drag 2 Click Data Density View Dark areas indicate low data There should be NO dark areas on the margin or axial walls of the preparation or on the contact areas of the neighboring teeth circled below 3 Fill in missing data on the margin or contact areas 2014 E4D Technologies All Rights Reserved EDU1085 F Ensure your model has 100 of the preparation 100 of the interproximal contact area and at least 90 of the occlusal data on the adjacent teeth Be sure to capture the full cusp tips of the adjacent teeth 4 Erase any unnecessary data such as adjacent teeth tongue cheek and cotton rolls Buccal Bite and Opposing The opposing teeth are scanned to acquire bite information for the proposal The buccal bite is scanned to align the preparation model with the opposing model Scan all of the teeth that are in opposition to the teeth in the preparation scans Note Many clinical operat
5. information for this case Tooth 30 4 6 ISO Crown Buccal Opposing Library A e max HT Select shade B1 Scan Prep Scan prep using the basic scan method Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the mesial neighbor Transition from the occlusal cusp axial wall to gingival surfaces The scanner should be held at close to 90 while scanning parallel to the buccal surface Use small rotations over the mesial proximal neighbor transition from occlusal cusp tip axial wall to gingival Scan along the lingual surface of the teeth Rotate the scanner to almost 90 from the occlusal table Watch as your model builds to see any areas that might require a different rotation or angle 2014 E4D Technologies All Rights Reserved EDU1085 F 13 Scan Opposing 1 Click Opposing 2 Starting with the distal tooth scan the occlusal data 3 Transition to the buccal and scan the buccal side of the opposing dentition Include 2 3 mm of gingival data do not stop halfway down the tooth Cusp tip axial wall gingival Goals 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 4 Erase any unnecessary data such as tongue cheek and cotton rolls Scan Buccal 1 Click Scan Buccal 2 Close the articulated model gently If it shifts during the scanning the alignment may be inco
6. ivoclar Lithium Disilicate Glass Ceramic Blocks vivadent pasion vision innovation e max CAD STEP BY STEP FOR EAD ivochar vivedent Banda be rra ERA ai a EN E4D UNIVERSITY IPS Empress CAD ann Leucite Reinforced Glass Ceramic Blocks vivadenl Pasion vision innovation OptraFine is a high performance diamond polishing system for ceramic restorations combining high efficiency with long lasting pleasing polishing results IPS Empress CAD ERES Leucite Reinforced Glass Ceramic Blocks vivadenl passion vision innowati n e EN E4D UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1085 F Lava Ultimate Resin Nano Ceramic Blocks AS CET A ee EA LE prama Ma a aE goes il dope ES min ee ee Me ea e A nemn mm EN E4D UNIVERSITY E4D TECHNOLOGIES Cementation amp Delivery Presentation IVOCLAR VIVADENT ALL CERAMICS PREPARING FOR CEMENTATION GLASS CERAMICS IPS Empress IPS e max IPS Empress Esthetic IPS e max Ceram IPS Empress CAD IPS e max Press IPS e max CAD IPS e max ZirPress Nano fluorapatite E Material Leucite glass ceramic Lithium disilicate glass ceramic Lithium disilicate glass ceramic glass ceramics Veneers inlays onlays Anterior and posterior crowns partial crowns f Cementation method adhesive adhesive adhesive adhesive Self adhesive adhesive conventional conventional Blasting A 60 sec
7. with 20 sec with IPS Ceramic Etching Gel PS Ceramic Etching Gel j Conditioning 60 sec with 60 sec with 60 sec with 60 sec with i 60 sec with 60 sec with Silanization Monobond S Monobond S Monobond S Monobond S Monobond S Monobond S E Variolink Veneer Variolink Venee te Variolink Veneer ES A Variolink Il Variolink Il Variolink i i iolink iolink et ariolink Veneer i Cementation system Variolink Il PEREN Variolink Il Multilink Vivaglass CEM STA Automix Multilink ili Automix Multilink Automix bar ie Multilink Automix Variolink 11 For self adhesive cementation silanization is necessary self adhesive powder liquid systems Ls Please read the corresponding Instructions for Use 1 Pre Troatmen of Lasa Wimais Pesioration ie cas ee ee ei ee es ee eg eee 5 ie 2 Pe Tineimeni of Tooth 2014 E4D Technologies All Rights Reserved EDU1085 F 43 Remember to always follow the manufacturer instructions provided with each material type Integration amp Starter Kit Presentation Integration Day Start Planning Today How to be a success on this 3 day of training 1 Day starts at 7 30am and ends 3pm 2 3Pre prepped Single Unit Posteriors e Scheduled patients at 8am 10am and 1pm e Allow 3 hours for the first appointment e Lunch and Learn e Mill maintenance e DDX amp SKY Setup
8. D2 e BL1 EN E4D UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1085 F LI 1 Ll IPS e max CAD Impulse w dar vivadenl Pasion vision innowation Lithium Disilicate Glass Ceramic Blocks Value blocks various brightness values e The Value blocks feature different brightness values 1 is the lowest and 3 the highest This allows optimum integration of the restoration into the intraoral situation regardless of whether the tooth shade is to be individually adjusted in the case of a given brightness value or whether the same brightness level is required for preparations with different shades Opal blocks lifelike opalescence effect The Opal blocks exhibit a decreasing opalescence and increasing brightness value from 1 to 2 Their unique opalescence and strength the Opal blocks can be used as an enamel replacement material Aesthetic and minimally invasive restorations thin veneers in particular LI 5 Ll IPS e max CAD Impulse oca vivadeni passion vision innovation Lithium Disilicate Glass Ceramic Blocks Advantages e Lithium disilicate glass ceramic LS2 with a 400 MPa strength of 360 MPa Opal blocks for highly esthetic minimally invasive veneers with a minimum thickness of 0 4 mm annie Value blocks for lifelike brightness value in j crowns LI a Telio CAD amen vivadeni passion vision innowati n Temporary Restorative Acrylic Polymer Blocks Stre
9. ELEMENTS OF SUCCESS gt d i A EA j y J Viner a HE 4 RTE ran Hesse val pP ma LAR L t P IEN FAS MARE E SE EN TECHNOLOGIES Table of Contents Connecting Disconnecting the NEVO Scanner coomccnccocccnnconcnnncnonnnncnnnnnnenancnnrnanenarnnnenannanenaanes 1 Removing the NEVO ID airada e cie 1 O II A 2 Premolar Crown with Buccal Bite cconconcconccoconncnoconncnancnnnnancnnnnnnennnnancnnn nan ennn narran nnnrnnnrnarnnannns 2 Posterior Crown with Selection Area c sccsscssscsscensenssensecssensessenssonsenssensessensenssensenssenssenss 13 Multiple Posterior CLOWNS sima its 19 Anterior Crown Using PER OD nn Gest een sense tin incida cesse cte cn 24 Posterior Crown IMpreSSlON assim 27 OAV RO SEC Re o eos rc 29 Posterior Crown with Bite Registration c sccsscesscsscesseescensenseensenssensenssenseessenssnsenssensenssenses 33 Prep Guidelines PreSentatiOn c scssscescensecssensenssensenssensennsenseensenssensenssenseussenseensenssensenssonses 36 Materials Presentation siria iii 37 Finishing Techniques Presentation ccsscssccnsccssensecnsenssensenssensenssenseensenseensenssensenssensessenses 42 Cementation amp Delivery Presentation c ccssscsscessensennsenseensenssensecssensenssenseensenseensenseensenss 43 Integration amp Starter Kit Presentation ccsscssscssccnsenssensenssenseensenseensenssenseessenseensenssensenses a Time Management Pre
10. U1085 F Introduction These instructions are intended as an outline to go along with the presenter s instructions and demonstrations For complete step by step instructions see the Exercise Workbook and User Manual Premolar Crown with Buccal Bite Tooth 5 1 4 ISO Home 1 Onthe Home screen click the and add your name as a patient ee Pa mas PL Cors ee ad hhii Po rs 2 Click Start New Restoration The Setup tab displays 2014 E4D Technologies All Rights Reserved EDU1085 F setup Enter the setup information for this case e Tooth 5 1 4 ISO e Crown e Buccal Opposing e Library A e Empress CAD LT e Select shade A1 For Your Information e Hold the scanner close to the tip like a handpiece or overhanded Rest the neck of the scanner on the adjacent teeth e The tip of the scanner should point towards the distal of the preparation 2014 E4D Technologies All Rights Reserved EDU1085 F Basic Scanning Pattern Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the mesial neighbor Transition from the occlusal cusp axial wall to gingival surfaces The scanner should be held as close to 90 while scanning parallel to the buccal surface Goals 100 of the prep and interproximal contact areas 90 of the adjacent teeth Good axial data for design 2 3 mm gingival tissue on buccal and lingual Overv
11. View Bite Registration again to deactivate the template a 11 Click Hide Model ec to remove the adjacent teeth from view 12 Rotate the model to view the interproximal contacts Adjust interproximal contacts as needed The goal is dark blue with a hint of aqua 2014 E4D Technologies All Rights Reserved EDU1085 F 11 13 Deactivate Hide Model 14 Deactivate View Contacts 15 Click View Material Thickness The desired material thickness is based on the block manufacturer s recommended thickness for your restoration type The desired material thickness for a crown is 1 1 5 mm along the axial walls bright green dark green and 1 5 2 mm on the occlusal table dark green blue 16 Evaluate the margin The material thickness should be yellow 0 5 mm around the margin with no red or orange Good example yellow margin 17 If there is red around the margin click Move Margin correctly The proposal becomes transparent so that the margin is visible Do NOT go back to the Margin tab to make the changes or you will lose all of the design work that has been done 18 Adjust the margin if needed 19 If the margin is in the correct place use the Dropper tool to add material thickness End of exercise Do not proceed to the Mill tab 12 2014 E4D Technologies All Rights Reserved EDU1085 F Posterior Crown with Selection Area Tooth 30 4 6 ISO with bite registration Setup Enter the setup
12. ault 4 Click Orientation to accept the position for the selected tooth 2014 E4D Technologies All Rights Reserved EDU1085 F 19 5 Click the Tooth 28 4 4 ISO tab 6 Click Orientation to activate it Adjust the Orientation for Tooth 28 4 4 ISO 8 Click Orientation to accept The margin for Tooth 29 4 5 ISO has already been marked 9 Click Show Features to activate it The tab for Tooth 28 4 4 ISO should still be selected 10 Click Trace Mark the margin where it can be seen on the stone model The mesial side of the preparation is not supragingival and cannot be clearly seen on the stone model 11 Click View ICE ICE appears over the model mgin ine and then click on the blue dot 20 2014 E4D Technologies All Rights Reserved EDU1085 F 12 From the occlusal view zoom in Use the ICE view to draw the remainder of the margin directly along the margin of the preparation Note ICE View can only be used on intraoral scans and should only be viewed from the occlusal angle 13 Deactivate ICE View 14 Evaluate and adjust the margin Note If you see the margin in Stone View you should mark it in Stone View Verify margin placement after deactivating ICE View Design Tab 1 Click the Design tab 2 Click the Tooth 29 4 5 ISO tab The preview tooth displays as an overly large tooth It must be resized and repositioned Click other lib
13. clusal View balance the model from buccal to lingual Lingual Lingual Lingual 2014 E4D Technologies All Rights Reserved EDU1085 F Mark the Marg n 1 Click Show Features Show Features highlights areas of high contour which helps define the margin g Zoom in on the preparation Click Trace and click on the inside of the green line along the margin 4 Moving in small increments click as you move around the preparation Don t worry if you make a mistake while drawing the margin It is easy to edit the margin 5 The margin is finished when the original point blue dot is clicked to finish the circle Ba _ 6 Practice adjusting the margin with both Move Margin and Add Segments Design 1 Click the Design tab The Tooth Libraries screen appears 10 2014 E4D Technologies All Rights Reserved EDU1085 F 2 Click Apply to generate the proposal 3 Click Incremental Tools for large adjustments es 4 Click Freeform Change Tools D 7 for small adjustments 5 Click Material Thickness i The material should be blue green with a yellow margin 6 Click Rubber Tooth L and adjust the axial walls marginal ridges and embrasures _ p 7 Click View Bite Registration proposal to see the opposing dentition model above the 8 Click View Bite Registration a second time to make the template translucent 9 Click View Contacts 10 Click
14. create a model and scan the bite registration on the model e Create an articulated model using both sides of the impression Use the articulated model to create and scan the buccal bite Onlay Restoration Tooth 3 1 6 150 This case has already been scanned into your system 1 Onthe Home screen select the Exercise Onlay patient 2 Select the Onlay 3 restoration ES y 3 Click Open Existing Restoration D Setup On the setup tab note that the Restoration Type is Onlay No actions are required on this tab Inlay 5 Onlay Veneer Pontic Bridges o Ed r hr 4 gt 2 7 Bite registration gt 8 2014 E4D Technologies All Rights Reserved EDU1085 F 29 Scan 1 Click the Scan tab 2 Evaluate the preparation model The same basic scan pattern is used for partial restorations 3 Click Buccal to view the previously scanned buccal bite model and evaluate Marg n 1 Click the Margin tab 2 Setthe Orientation for the onlay Use the remaining anatomy of the prepped tooth to aid your orientation 30 2014 E4D Technologies All Rights Reserved EDU1085 F 3 Activate Show Features 4 Draw the margin Once the margin is drawn a screen appears This only appears for inlays and onlays Note If this screen doesn t appear click Selection Area Please define a selection region for the Inlay using the Selection Area tool a Do not show this mosso
15. e individual proposals without switching tabs Freeform Change Tools e Rubber Tooth e Dropper e Smooth Surface Tools that you CANNOT use with ALL e Material Thickness e Paint Feature e Define Feature e Contact Refinement e Move Feature e Move Margin 12 Finish designing both proposals End of exercise Do not proceed to the mill tab 2014 E4D Technologies All Rights Reserved EDU1085 F 23 Anterior Crown Using Pre op Tooth 8 1 1 150 This case has already been scanned into your system 1 On the Home screen select the Pre op patient 2 Select the Crown 8 restoration 3 Click Open Existing Restoration Lee i testy Setup Note Select Pre op as the Library tooth when the patient s existing dentition or a wax up is being used as the model for creating the restoration On the setup tab note that the Library is Pre op No actions are required on this tab Scan 1 2 3 4 24 Library 1d res Material IPS Empress CAD Multi Shade Click the Sean tab Pre op is active Evaluate the Pre op model Click Scan Prep ue Evaluate the prep model Note that the same amount of data was captured on both models You need sufficient data on the adjacent teeth to match your preparation model Note There is no bite registration or buccal bite for this case because the Pre op scans will be used for occlusion In your office Time Saver prompts you to cop
16. e solid area around the margin is where Autogenesis used Library A to fill in any gaps Click View Pre op a second time to make the pre op model translucent Continue designing the proposal Follow the standard workflow Click Ctri Alt to view the proposal in Medusa View This turns the proposal the same color as the rest of the model making it easier to evaluate the overall shape Click Ctrl to deactivate Medusa View Mill tab 1 Click the Mill tab For this exercise we will change the material to an IPS Empress Multiblock 2 Click Settings in the upper right hand corner 3 Click Material Shade Settings vb Material IPS Empress CAD LT 4 4 A Shade 4 Click the arrows next to Material and select IPS Empress CAD Multi 26 2014 E4D Technologies All Rights Reserved EDU1085 F Click Save Because the IPS Empress Multiblock was selected as the material the amount of chroma and translucency can be adjusted Use the Restoration Positioning arrows to move the restoration up or down within the block End of exercise Do not Send to Mill Posterior Crown Impression Tooth 2 1 7 150 Setup Enter the setup information for this case This is a scanning exercise The case will not be fully designed and milled e Tooth 2 1 7 ISO e Crown e Library A e Select any material e Select any shade Scan 1 Click the Scan tab When scanning the impression ensure the tip of the scanner is pointin
17. ea of the opposing dentition within the bite registration material Proceed with the normal Margin tab and Design tab workflow 2014 E4D Technologies All Rights Reserved EDU1085 F 35 Prep Guidelines Presentation Prep Guidelines Manufacturer Specifications T R E A T Tapered Rounded Equi Supra Adequate Tissue Sides Angles Gingival Reduction Managed 4 AE STS f ff Y p a San f 1 Cee See 1 Sous Prep Guidelines Manufacturer Specifications E 5 Fi f a k 1 pon Pp A T 1 j 1 j 4 EA FX GM Knito Edge 1 i A i a i Ai 1 4 N gt h Parallel Axis Sharp incisal Top Height Difference Anterior Prep Guidelines Manufacturer Specifications PRL A EES AEN ETE ee CSTE PEE TET VEN PTA i su gt if hy m A 2014 E4D Technologies All Rights Reserved EDU1085 F Tissue Management amp Prep Reduction Requirements and Job Aids 3M ce Retraction Capsule qe EN E4D UNIVERSITY Materials Presentation Block Size Selection Material Size Chart Materials come in a variety of sizes The size of the designed restoration and sprue position will determine the available size to mill EN E4D UNIVERSITY IPS Empress CAD Rosie Leucite Reinforced Glass Ceramic Blocks vivadenl Passion vision innovation Beautiful Esthetics e IPS Empress CAD offers over 100 combinations of block size shades and translucencies to meet
18. g towards the distal so that the orientation of the model will be correct Be careful not to squeeze the impression while scanning or the scans will be distorted Note that this impression has already been trimmed Starting Position Perpendicular for Interproximals Backwards starting position 2014 E4D Technologies All Rights Reserved EDU1085 F 27 2 Scan the impression Make small rotations to capture the data on the buccal lingual walls Use the tail slide technique to fill in interproximal areas Note Tail slide technique Hold the scanner tip perpendicular to the impression rotate to the left and right to capture data Goals 100 of the prep and interprox contact areas 90 of the adjacent teeth Good axial data for design 2 3 mm gingival tissue on buccal and lingual The model is inverted since you scanned an impression Rotate to view the negative image 4 Click Data Density View and evaluate your model This can be done either before or after activating Impression Mode 28 2014 E4D Technologies All Rights Reserved EDU1085 F For this exercise we are not scanning the opposing dentition In clinical cases the data needs to be scanned using one of the following methods e In Scan Pre op scan the preoperative tooth intraorally or take a preoperative impression e Apply bite registration material and scan intraorally e Take a bite registration scan the impression pour up the impression to
19. go agmi 5 Click Take Me There to go to the Selection Area screen 6 Click Add to Selection and circle Tooth 3 1 6 ISO 7 Complete the Selection Area and return to the Margin Tool screen amp 2014 E4D Technologies All Rights Reserved EDU1085 F 31 Ma 8 Click Hide Model to isolate the preparation and to evaluate and adjust the margin EJ Design 1 Click the Design tab Autogenesis creates a proposal based on the Selection Area designated 2 Follow the basic design workflow to design the onlay In some situations it will be difficult to attain ideal occlusal contact strength and reach minimum material thickness In the example below the red material thickness around the margin indicates the margin is too thin 32 2014 E4D Technologies All Rights Reserved EDU1085 F 3 Click Dropper and add material thickness This will result in adequate material thickness strength but a strong contact with the opposing dentition This can be corrected intraorally Mill Click the Mill tab Click Hide Model The sprue is hidden when the model is visible Sprue placement options are limited In this situation the sprue must be placed on the interproximal contact area 4 Ensures the total circumference of the sprue is visible End of exercise Posterior Crown with Bite Registration Tooth 30 4 6 ISO with bite registration Setup Enter the setup information for this case e Too
20. iew 1 Click the Scan tab 2 Pick up the scanner 3 Activate Deactivate the scanner by clicking the button on the scanner or pressing the Spacebar on the keyboard Scan the model Click Generate Model or press M on the keyboard to finish building the virtual model 2014 E4D Technologies All Rights Reserved EDU1085 F Occlusal scans 1 Begin scanning directly over the preparation 2 Keep the scanner parallel to the occlusal table Move in a gradual continuous motion toward the mesial neighbor 3 Be sure to focus on the building model in the Design Center software Note You do not need to look at the model during scanning Keep your eyes on the screen and use the building model and the live view to track your progress and current position Mesial Buccal scans 1 Use small rotations over the mesial neighbor transition from occlusal cusp tip buccal wall to gingival 2 Scan along the buccal surface of the teeth Rotate the scanner to almost 90 from the occlusal table 3 Watch as your model builds to see any areas that might require a different rotation or angle Distal Tooth To capture the occlusal data of the distal tooth transition across the occlusal table until you reach the lingual surface 2014 E4D Technologies All Rights Reserved EDU1085 F Lingual scans 1 Scan along the lingual surface of the teeth Rotate the scanner to almost 90 from the occlusal table 2
21. intments e Anesthetic Scan e Prep Scan e Design Mill Try in Characterize and Firing e Delivery This technique is specific to materials that do not require firing e Assistant scanning design hand polish e Doctor delivers restoration EN E4D UNIVERSITY E E4D UNIVERSITY E4D TECHNOLOGIES Time flies It s up to you to be the navigator Robert Orben For additional information regarding the content in this presentation Please contact the manufacturer for the product in question 2014 E4D Technologies All Rights Reserved EDU1085 F ES NOTES 2014 E4D Technologies All Rights Reserved EDU1085 F 2014 E4D Technologies All Rights Reserved EDU1085 F NOTES 49 50 NOTES 2014 E4D Technologies All Rights Reserved EDU1085 F
22. l tools e 1sleeve of each Ellipsoidal and Tapered Stains and Shades for characterization Spray Glaze and speed tray for e max depending on order Deionized Water and Cidex Plus KimWipes lense tissue Lab handpiece and Finishing Kit Sand blaster if using Lava Ultimate Prep Kits recommended not required EN E4D UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1085 F Time Management Presentation Time Management Crawl Walk Run Fly EN E4D UNIVERSITY Time Management Crawl Walk Run Fly 3 hour appointments e Anesthetic Scan e Prep Scan e Design Mill Try in Characterize and Firing e Delivery 1 5 hours doctor time 1 5 Assistant time e Doctor helps with scanning design and finishing EN E4D UNIVERSITY Time Management Crawl Walk Run Fly 2 5 hour appointments e Anesthetic Scan e Prep Scan e Design Mill Try in Characterize and Firing e Delivery 1 hours doctor time 1 5 Assistant time e Doctor reviews scanning design and finishing EN E4D UNIVERSITY 2014 E4D Technologies All Rights Reserved EDU1085 F Time Management Crawl Walk Run Fly 2 hour appointments e Anesthetic Scan e Prep Scan e Design Mill Try in Characterize and Firing e Delivery 45 Minutes doctor time 1 25 Assistant time e Assistant scanning design and finishing e Doctor delivers restoration EN E4D UNIVERSITY Time Management Crawl Walk Run Fly 1 5 hour appo
23. nderbolt connector Gently pull apart to disconnect Leave the white Thunderbolt connector attached to the computer Note At E4D University the tip has already been placed on your scanner At your practice be sure to verify the scanner tip is completely dry before attempting to connect Keep the power adapter connected to the laptop while scanning gui cit the NEVOTip Grasp the grey portion of the scanner with one hand 2 Use the other hand to depress the black button and gently pull the tip from the scanner Properly connecting and disconnecting the NEVO Tip will prevent damage to your devices uci ONS GINS jk NER RTI P cL LEN gt an p amo TRA am pris o NOT PLACE a ns were ya ety to remove 9 D aidat de dis raser te 10 by ruc as q ers ur te sit ips note Th ye Pi ins wae ap ert cidex plus jonns on We Note The NEVO Tip should be disinfected according to the manufacturer instructions provided with the NEVO Scanner r run putes unde rto dis es gp for SM out on prior oof 60 g minut ur imu ini on goiution iora p aeionized Y 7 Test we g JOHNS infection 50 ms im ionns pater o a moun isin gm kusi AN rip i ecintectant parate copious y ight wii iep ne orse MT ais oap sepa A t 3 immer ninre ot 2 ne sand in ov contal ne ae r geioniz zea wW et it in tre 2014 E4D Technologies All Rights Reserved ED
24. ngth and Endurance e Long term temporary bridge material 12 mo e Flexural strength of 130 MPa Esthetic e Polyacrylate material technology allows for beautiful esthetic results simply by polishing or with the option to apply stains and glaze for a customized appearance Shades e A1 A2 A3 A3 5 B1 e BL3 2014 E4D Technologies All Rights Reserved EDU1085 F Lava Ultimate Resin Nano Ceramic Blocks Nano Technology High flexural strength 200 MPa adds durability to posterior restoration Excellent wear resistance Brilliant and long lasting polish Excellent stain resistance for color stability Shades A1 A2 A3 A3 5 B1 C2 D2 EN E4D UNIVERSITY Paradigm MZ100 Composite Blocks Versatile and Easy Created from 3M ESPE Z100 Materials High flexural strength and fracture toughness Enamel like wear characteristics are superior to that of ceramic blocks Easy to finish and polish Can be easily characterized with light cured composite stains and glazes Ideal material for CAD CAM where strength and occlusal wear properties are needed Easy to repair intraorally Shades A1 A2 A3 A3 5 B3 Enamel Choose the best option for your patient Call your manufacturer representative for more details View manufacturer websites for more specific indications and uses 2014 E4D Technologies All Rights Reserved EDU1085 F 41 Finishing Techniques Presentation IPS e max CAD
25. ors scan the Opposing while the patient is being anesthetized 2014 E4D Technologies All Rights Reserved EDU1085 F Scan Opposing 1 Click Opposing 2 Starting with the distal tooth scan the occlusal data 3 Transition to the buccal and scan the buccal side of the opposing dentition Include 2 3 mm of gingival data do not stop halfway down the tooth Cusp tip axial wall gingival Goals 100 of the occlusal and buccal surfaces 2 3 mm gingival tissue on the buccal surface Lingual data not necessary 4 Erase any unnecessary data such as tongue cheek and cotton rolls Scan Buccal 1 Click Scan Buccal 2 Close the articulated model gently If it shifts during the scanning the alignment may be incorrect 3 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Goals Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary Note Be sure to verify the status of the buccal alignment 2014 E4D Technologies All Rights Reserved EDU1085 F In most cases alignment will be done automatically by the software A green dot in the Buccal icon indicates a successful alignment Evaluate and Adjustthe Orientation 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to change the point of view A Inthe Oc
26. raries to view or change the anatomy 2014 E4D Technologies All Rights Reserved EDU1085 F 21 3 Press the Alt key and the up or down arrow on the keyboard until the preview tooth is similar in size to the adjacent tooth 4 Reposition the preview tooth over the center of the prep Rotate the model to the buccal view to verify positioning 5 Deselect Autogenesis f Autogenesis is active for the first proposal it will attempt to make contact with the preparation of the neighboring tooth and become distorted e Autogenesis _ _ j Detail j Slope JF Wear 6 Click Apply The proposal is generated 7 Use the design tools to create a good contour shape for the first tooth before generating the 8 Click Tooth Library 22 proposal for the second tooth 2014 E4D Technologies All Rights Reserved EDU1085 F 9 Click the Tooth 28 4 4 ISO tab The proposal for Tooth 29 disappears from view but the proposal has not been lost 10 Click Autogenesis to activate it Since the first tooth was already generated Autogenesis will create contact with the first proposal instead of the preparation 11 Click Apply The second proposal is generated and both proposals appear Follow the design workflow sheet You can adjust each proposal individually and some tools are available with the ALL tab Do NOT use Material Thickness on the ALL tab Manipulat
27. reen y r i i J J 1 J i a a o wo S H Reset Remove from zs Reset Selection Selection Add to Selection 6 Click Add to Selection Left click and hold to draw 7 Draw a circle around the preparation Do not include any part of the adjacent teeth ee LR ui EE a h E 2014 EAD Technologies All Rights Reserved EDU1085 F 9 To add more to the designated area click Add to Selection Ensure all of the margin is in the highlighted area 10 Rotate and evaluate the Selection Area Ensure none of the adjacent teeth are in the highlighted area Click Remove from Selection and circle the extra information if needed Poor Selection Area includes part of If part of an adjacent tooth is selected This piece of the adjacent tooth can the adjacent teeth This is sometimes that selection is part of what displays make it difficult to see the margin on not noticeable from the occlusal view when Hide Model is activated that side of the tooth Outlined in red above Poor If too much of the gingival tissue is selected the proposal will be distorted Selection Area should be close to the size of the final proposal 11 Click Margin Tool on the left The options on the bottom of the Design Center appear for marking and editing the margin 2014 E4D Technologies All Rights Reserved EDU1085 F 17 12 Click Hide Model Only the designated Selection Area displays The rest of the model is hidden 13
28. rrect 3 Scan the buccal surfaces of the teeth that were captured in the preparation and opposing models Ensure some gingival data is captured Goals Capture the buccal surface of the dentition in the prep and opposing 2 3 mm gingival data No rotations necessary Note Be sure to verify the status of the buccal alignment 14 2014 E4D Technologies All Rights Reserved EDU1085 F Marg n 1 Click the Margin tab 2 Evaluate and adjust the Orientation using View Controls to rotate the model A In the Occlusal View balance the model from buccal to lingual B In the Distal View align the buccal cusps of the neighbors C In the Buccal View evaluate marginal ridge alignment Lingual Mesial EAN je Gingival A Occlusal View Lingual B 4 Mesial Gingival B Distal View Lingual 4 Mesial Gingival C Buccal View 2014 E4D Technologies All Rights Reserved EDU1085 F 15 4 Click Orientation to accept the current position In some cases the adjacent teeth are close enough to the preparation to make the identification of the margin in the interproximal areas difficult For this exercise Selection Area is used to isolate the preparation This is an optional step for full coverage crowns Selection Area is required for partial restorations and will be discussed more later 5 Click Selection Area on the left side of the screen Ey New options appear at the bottom of the sc
29. sentatiON cconcconccnccnccnnnenonnnncnannnncnnnnancnnnnnnennnnnnrnnnrnnrnnnrnnrnnnrnnrrnnrnannnnas 46 ET E4D UNIVERSITY University Faculty Contact List E4D TECHNOLOGIES Gary Severance DDS Chief Marketing Officer 214 432 6378 Direct gseverance e4d com Joshua Bradley Product Trainer joradley e4d com Jeremy Hiser RDA CDD Clinical Educator jhiser e4d com Donna James Customer Account Specialist 214 432 6340 Direct 972 375 8725 Cell djames e4d com Elizabeth Pastrana RDA CDD Clinical Educator epastrana e4d com Windy Windland RDA CDD Clinical Educator wwindland e4d com Diane Mazzarella Director of Education 214 432 6345 Direct dmazzarella e4d com Angie Heick Senior Technical Writer aheick e4d com Marcie Howard Education Coordinator mhoward e4d com Audrey McCoy RDA CDD Clinical Educator amccoy e4d com Debbie Parker Customer Account Specialist 214 432 6438 Direct 214 901 4715 Cell dparker e4d com 2014 E4D Technologies All Rights Reserved EDU1085 F Connecting amp Disconnecting the NEVO Scanner Properly connecting and disconnecting the NEVO Scanner will prevent damage to your devices 1 Connect the red end of the NEVO scanner into the Thunderbolt connector Make sure the end is fully seated and a confirmation sound has been given from the Design Center When removing the NEVO scanner hold the red end with one hand and the other hand grasp the Thu
30. served EDU1085 F IPS e max CAD SEE Lithium Disilicate Glass Ceramic Blocks vivadenl passion vision innovation Beautiful Esthetics e IPS e max CAD offers a wide range of shades sizes and translucencies to allow the dental professional to provide beautiful esthetics and the durability to ensure clinical success for all indications The Highlights e True to nature shade behavior for highly esthetic solutions Versatile use and comprehensive range of indications Lifelike esthetics irrespective of the shade of the preparation EN E4D UNIVERSITY LJ a IPS e max CAD ivoclar Lithium Disilicate Glass Ceramic Blocks vivadent passion vision innovation Benefits e Durable restorations due to the high strength Adhesive self adhesive or conventional cementation depending on the indication New Materials e C16 Ideal for longer dentition and large restorations e B32 Up to three unit bridges up to the second premolar as the abutment tooth IPS e max CAD RS Lithium Disilicate Glass Ceramic Blocks vivadent Pasion vision innovation HT High Translucency e A1 A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 er Ig El BI i a AY MS M M e BL1 BL2 BL3 BL4 CELT EET ci Tt U nn Ww M LT Low Translucency e A1 A2 A3 A3 5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 pr e BL1 BL2 BL3 BL4 Ei Ed C16 amp B32 Blocks e A1 A2 A3 A3 5 B1 B2 C1 C2
31. th 30 4 6 ISO e Crown Bite Registration e Library A e e max HT e Select shade B1 2014 E4D Technologies All Rights Reserved EDU1085 F 33 Scan 1 Scan prep using the basic scan method Begin scanning directly over the occlusal surface of the preparation Move in a gradual continuous motion toward the mesial neighbor Transition from the occlusal cusp axial wall to gingival surfaces The scanner should be held at close to 90 while scanning parallel to the buccal surface Use small rotations over the mesial proximal neighbor transition from occlusal cusp tip axial wall to gingival Scan along the lingual surface of the teeth Rotate the scanner to almost 90 from the occlusal table Watch as your model builds to see any areas that might require a different rotation or angle 2 Erase any unnecessary data such as tongue cheek and cotton rolls 3 Apply bite registration material e Apply enough material vertically and horizontally e Do not smooth with fingers e Evaluate model and trim material away from adjacent teeth Good The marginal ridges are covered occlusal tables of Poor There are gaps between the bite registration the adjacent teeth are visible and the neighboring teeth 34 2014 E4D Technologies All Rights Reserved EDU1085 F 4 Scan the bite registration and evaluate model for sufficient data Goals 100 occlusal data No lingual or buccal data necessary 6 Paint the ar
32. y the data when moving from the Pre op to Prep scans This enables you to erase the pre op tooth and scan in the prep 2014 E4D Technologies All Rights Reserved EDU1085 F Margin 1 Click the Margin tab 2 Evaluate the Orientation e Are the surface indicators correct If you accidentally scanned with the wand pointing towards the mesial instead of the distal the surface indicators will be incorrect If this happens rotate the model until the Lingual Mesial Distal and Buccal labels are correct e Are the marginal ridges of the adjacent teeth straight across from mesial to distal Orange line used as an illustration below BUCCAL Click Orientation when you are satisfied with the position of the model Click Show Features Draw the margin 6 Click Pre op Editing N Use the Trace tool to designate the area of the model that you want to use as the Pre op library surface Stay away from rough areas and the margin 8 Use Move Curve and Add Segments to edit the Pre op if needed 2014 E4D Technologies All Rights Reserved EDU1085 F 25 Design 1 Click the Design tab Note that the Library at the bottom of the screen now includes Pre op 2 Click Apply Autogenesis creates a proposal based on the Pre op area that you designated Ty nai 3 Click View Pre op E to see the combination of the pre op model and the prep model The speckled area is where the proposal was created from the pre op designation Th
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