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TARGIS / TARGIS / VECTRISVECTRIS 19971997

중앙 길 병원 치과중앙 길 병원 치과

김 영 훈김 영 훈

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TARGIS The New CEROMER Material

Ceramic optimized polymer

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What is the Targis?What is the Targis?

• Light activated veneering material made of Light activated veneering material made of CeromersCeromers

• Ceramics ( esthetics ) + Resins (Flexual Ceramics ( esthetics ) + Resins (Flexual strength)strength)

• Unmatched Ceromer materialUnmatched Ceromer material– 75-85 weight % of Inorganic filler75-85 weight % of Inorganic filler

– Ceramic particleCeramic particle

– Organic matrixOrganic matrix

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Indications (Targis)Indications (Targis)• Metal-free bridges with Vectris fmwkMetal-free bridges with Vectris fmwk

• Metal-free single posterior crowns with Metal-free single posterior crowns with Vectris fmwkVectris fmwk

• Metal-reinforced crown, bridge, and Metal-reinforced crown, bridge, and implant veneersimplant veneers

• Metal-free anterior crownsMetal-free anterior crowns

• Metal-free inlays,onlays, veneersMetal-free inlays,onlays, veneers

• Metal-reinforced combination denturesMetal-reinforced combination dentures

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ContraindicationsContraindications

• Metal-free bridges with more than one Metal-free bridges with more than one pontic between two abutment teethpontic between two abutment teeth

• Allergic patientAllergic patient

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Side effectsSide effects

• Hypersensitivity on skin - uncured Targis Hypersensitivity on skin - uncured Targis materialmaterial

• Avoid eye contactAvoid eye contact

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General StepsGeneral Steps

• Shade selectionShade selection

• Preparation of ModelPreparation of Model– Sealing of die: Die hardener/Separating Sealing of die: Die hardener/Separating

varnishvarnish– Drying is importantDrying is important– Check tolerance with separatorCheck tolerance with separator

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• IsolationIsolation• Two coat - 3 min dry on each coatTwo coat - 3 min dry on each coat

• Check the sharp edge area - thin coatCheck the sharp edge area - thin coat

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Metal-reinforced crown, Metal-reinforced crown, bridge, and implant veneersbridge, and implant veneers

• AlloysAlloys

- Corrosion resistant alloys- Corrosion resistant alloys– Copper and/or silver content: < 50%Copper and/or silver content: < 50%– Gold, platinum content: < 90%Gold, platinum content: < 90%

• High gold alloys containing more than 90% High gold alloys containing more than 90% gold, platinum must only be used in gold, platinum must only be used in combination with retentive elements combination with retentive elements

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Design and fabrication of Design and fabrication of frameworksframeworks• without mechanical retentionwithout mechanical retention

• without metal backingwithout metal backing

• finish with tungsten carbide bursfinish with tungsten carbide burs

• blast with aluminum oxideblast with aluminum oxide

• clean with oil free compressed airclean with oil free compressed air– minimum thickness: 1.5 mmminimum thickness: 1.5 mm– avoid premature contactavoid premature contact

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Targis LinkTargis Link

• apply with brushapply with brush

• wait for 1 minutewait for 1 minute

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Targis OpaquerTargis Opaquer

• Precure with Targis Quick for 20 secondsPrecure with Targis Quick for 20 seconds

• Apply second masking layerApply second masking layer

• Cure with Targis Power P2Cure with Targis Power P2

• Remove the inhibited layer with Remove the inhibited layer with disposable spongedisposable sponge– Place the fmwk above the 2mm from the Place the fmwk above the 2mm from the

bottombottom

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Procedure for shoulder Procedure for shoulder veneersveneers

• Mask with Targis Base and cure for 20 Mask with Targis Base and cure for 20 secsec

• Targis Quick initial curingTargis Quick initial curing

• Remove inhibited layer with spongeRemove inhibited layer with sponge– Do not remove the crown from the dieDo not remove the crown from the die

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Modelling and Modelling and LayeringLayering• Targis Dentin - maximum layer is 2mmTargis Dentin - maximum layer is 2mm

• Precure for 10 sec with Targis QuickPrecure for 10 sec with Targis Quick– Do not mixDo not mix– Pat the materialPat the material– Use Modelling liquidUse Modelling liquid

• Targis Transparant and IncisalTargis Transparant and Incisal– 2mm, 10 sec 2mm, 10 sec

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CharacterizationCharacterization

• Targis Stain, Impulse, GingivaTargis Stain, Impulse, Gingiva

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Curing with Targis powerCuring with Targis power

• Coat with Targis GelCoat with Targis Gel

• Curing P1 for 25 minutesCuring P1 for 25 minutes

• WashWash

• Finish with carbide tungsten, diamonds oFinish with carbide tungsten, diamonds or finishersr finishers

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PolishingPolishing• pumice and goat’s hair brushpumice and goat’s hair brush

• low rpmlow rpm

• lot of waterlot of water

• no pressureno pressure– Tungsten carbide is excellent for prepolishingTungsten carbide is excellent for prepolishing

– Avoid instrument contaminationAvoid instrument contamination

• Polish with pink hybrid polishers at 5000Polish with pink hybrid polishers at 5000-8000 rpm without pressure-8000 rpm without pressure

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Adjustment of shapeAdjustment of shape

• Finish with tungsten carbide or diamonds burFinish with tungsten carbide or diamonds bur

• Blast with 100 micrometer/Max. 2 barBlast with 100 micrometer/Max. 2 bar

• Clean and dryClean and dry

• Apply Targis Wetting agentApply Targis Wetting agent

– Wait for 60secWait for 60sec

– Dry with oil-free compressed airDry with oil-free compressed air

• Targis Dentin, Incisal - 10 sec with Targis QuickTargis Dentin, Incisal - 10 sec with Targis Quick

• Targis GelTargis Gel

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Curing with Targis PowerCuring with Targis Power

• P1 for 25 minutesP1 for 25 minutes

• Wash and polishWash and polish

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Metal free single anterior crowns, inlaMetal free single anterior crowns, inlays, onlays, veneersys, onlays, veneers

• Application for Basic shade with Targis Application for Basic shade with Targis BaseBase

• Precure 20 sec for with Targis QuickPrecure 20 sec for with Targis Quick

• Remove inhibited layer with spongeRemove inhibited layer with sponge– Do not remove Targis Base from the dieDo not remove Targis Base from the die– Remove the restoration while it is still warmRemove the restoration while it is still warm

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• Life Like EstheticsLife Like Esthetics– TranslucencyTranslucency– FluorescenceFluorescence

• High Flexual strengthHigh Flexual strength

• Enamel-like AbrasionEnamel-like Abrasion

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VECTRISVECTRISThe NewThe New FRC FRC Material Material

FFibre-ibre-rreinforced einforced ccompositeomposite

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What is Vectris?What is Vectris?

Light activated, translucent, tooth colored Light activated, translucent, tooth colored fmwk made from a fibre-reinforced fmwk made from a fibre-reinforced

materialmaterial

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IndicationIndication• Metal-free bridges with Vectris fmwkMetal-free bridges with Vectris fmwk

• Metal-free single posterior crowns with VMetal-free single posterior crowns with Vectris fmwk ectris fmwk

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ContraindicationContraindication

• Metal-free bridges with more than one Metal-free bridges with more than one pontic between two abutment teethpontic between two abutment teeth

• Allergic patientAllergic patient

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• Advanced Framework MaterialAdvanced Framework Material

- - Fibre-reinforced Vectris material Fibre-reinforced Vectris material

- Metal-free, translucent frameworks- Metal-free, translucent frameworks

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• Proven fibre-reinforced technologyProven fibre-reinforced technology– Composed of several layers of fibre wafersComposed of several layers of fibre wafers

– Uniaxially oriented fibre bundlesUniaxially oriented fibre bundles

– Organic polymer matrixOrganic polymer matrix

– Excellent elasticity and distribution of strainExcellent elasticity and distribution of strain

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• Outstanding translucencyOutstanding translucency– Metal-free, translucent VectrisMetal-free, translucent Vectris

• High Flexual strengthHigh Flexual strength

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1. 1. ModellingModelling– Wax up a simple beam-like pontic on the modelWax up a simple beam-like pontic on the model

– 3mm wax wire diameter3mm wax wire diameter

– Check the interdental space Check the interdental space

22. Fabricate a silicone key and . Fabricate a silicone key and remove the waxremove the wax– Remove the remaining segmentRemove the remaining segment

– Make the silicone keyMake the silicone key

– Leave the occlusal area openLeave the occlusal area open

– Remove the waxRemove the wax

– Apply 2 more coat of Targis Model SeparatorApply 2 more coat of Targis Model Separator

– Vectris Glue applyVectris Glue apply

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33. Framework fabrication. Framework fabrication– Place a Vectris Pontic in the occlusal opening of the Place a Vectris Pontic in the occlusal opening of the

silicone key, according to the situationsilicone key, according to the situation

– Second pontic ropeSecond pontic rope

– Adjust the level; Highest point of Model=Below the Adjust the level; Highest point of Model=Below the level of containerlevel of container

– Fill the pellets up to maximum 1 cm below the Fill the pellets up to maximum 1 cm below the preparation marginpreparation margin

– Place the transparent foil flat on the bridgePlace the transparent foil flat on the bridge

– A process combining vacuum, pressure, and light in A process combining vacuum, pressure, and light in the state-of-art Vectris VS 1 produces highly the state-of-art Vectris VS 1 produces highly accurate, bubble-free frameworks - P1 for 9 minutesaccurate, bubble-free frameworks - P1 for 9 minutes

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3. 3. FinishingFinishing– Finish Vectris Pontic with tungsten carbide burFinish Vectris Pontic with tungsten carbide bur

– Blast with aluminum oxide 1 bar pressureBlast with aluminum oxide 1 bar pressure

– Steam cleanSteam clean

• Pontic dimension: Pontic dimension:

Diameter: 2mmDiameter: 2mm

Occlusal stop: 0.3 mmOcclusal stop: 0.3 mm

– Apply Vectris Wetting agentApply Vectris Wetting agent

– Wait for 60 sec and blow of the excessWait for 60 sec and blow of the excess

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– Trim the silicone key to expose the Trim the silicone key to expose the preparation marginpreparation margin

– Make the silicone key convex.Make the silicone key convex.– 4/5 of the crown length must be exposed.4/5 of the crown length must be exposed.– Apply 2 more coat of separatorApply 2 more coat of separator– Replace it on the modelReplace it on the model

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4. Timming of Vectris Frames4. Timming of Vectris Frames– Trim the FramesTrim the Frames– Small cuts for optimum adaptationSmall cuts for optimum adaptation– Apply Vectris GlueApply Vectris Glue– Adjust levelAdjust level– Optimum adaptation and curing is achieved Optimum adaptation and curing is achieved

with the fully automatic Vetrix VS 1 with the fully automatic Vetrix VS 1 franework formerfranework former

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5. 5. Bridge FrameworkBridge Framework– The finished framework made of Vectris The finished framework made of Vectris

Pontic and Bectris Frame is ready for the Pontic and Bectris Frame is ready for the esthetic Targis veneeresthetic Targis veneer

– Remove cervical excess up to 2/3 of the Remove cervical excess up to 2/3 of the crown lengthcrown length

– Blast with aluminum oxide at 1 barBlast with aluminum oxide at 1 bar– Steam cleanSteam clean

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Molar frameworkMolar framework– Vectris Singles are used to fabricate esthetic Vectris Singles are used to fabricate esthetic

single posterior frameworks easily and single posterior frameworks easily and accuratelyaccurately

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Prefabricated Vectris Prefabricated Vectris componentscomponents• Vectris singleVectris single

• Vectris ponticVectris pontic

• Vectris FrameVectris Frame

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• Vectris GlueVectris Glue

• ApplicatorApplicator

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• Vectris VS 1Vectris VS 1– Vaccum, Pressure, Light FurnaceVaccum, Pressure, Light Furnace

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Targis on Vectris / Targis on Vectris / Targis on MetalTargis on Metal• Fabrication of metal-free framework Fabrication of metal-free framework

with Vectriswith Vectris– Bond with translucent Targis BaseBond with translucent Targis Base

• Framework fabrication without Framework fabrication without mechanical retentionmechanical retention– Targis Link to reinforce the bond between the metal Targis Link to reinforce the bond between the metal

and the framework materialand the framework material

– Targis OpaquerTargis Opaquer

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• Additive crown buildup and Additive crown buildup and individualized shadingindividualized shading– Targis quickTargis quick

– Targis stainsTargis stains

– Targis impulseTargis impulse

– Targis gingivaeTargis gingivae

– Targis powerTargis power

• Adhesive cementationAdhesive cementation• Conventional cementationConventional cementation

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• Targis PowerTargis Power– High-performance curing unitHigh-performance curing unit– Light and HeatLight and Heat

• Targis QuickTargis Quick– Initial curing light for quick Initial curing light for quick

precuringprecuring