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IPS Empress® System – das Original A Presentation by David A James SRDT LBIST IPS Empress® System – das Original A Presentation by David A James SRDT LBIST AIMFT of Dentech FRC Postec ®¦ Glass fibre reinforced composite posts

IPS Empress® System – das Original Relationships between Dentists and Dental Technicians plus…. FRC IPS Empress® System – das Original Relationships between Dentists and Dental Technicians plus…. FRC Postec ®¦ Glass fibre reinforced composite posts

IPS ……. hoping to communicate to you Empress® System – das Original the basic IPS ……. hoping to communicate to you Empress® System – das Original the basic procedures used in the construction of an Empress® Esthetic Line Pressed Porcelain Veneer AND an introduction to the new IPS e. max CAD/CAM system from Ivoclar FRC Postec ®¦ Glass fibre reinforced composite posts

4 Many of you have probably have tried ‘all porcelain’ crowns and veneers with 4 Many of you have probably have tried ‘all porcelain’ crowns and veneers with varying degrees of success. In the past, pressed porcelain had to be at least 1 mm thick at its thinnest section to be sure of adequate strength, with a clearly visible rounded shoulder to ensure an acceptable marginal fit and then cemented according to the recommended procedure. Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

5 Kommunikation I’m sure that most of you will recognise this smile The success 5 Kommunikation I’m sure that most of you will recognise this smile The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

6 More than 15 years ago, IPS Empress revolutionized the all-ceramic market and has 6 More than 15 years ago, IPS Empress revolutionized the all-ceramic market and has since become its standard. Lets take a look at the products and impressive history Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

7 Since 1991, more than 25 million restorations speak for the successful method offered 7 Since 1991, more than 25 million restorations speak for the successful method offered by the IPS Empress System Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

8 A tried-and-tested system 1987 1991 Start of clinical studies 1992 A-D shades Speed 8 A tried-and-tested system 1987 1991 Start of clinical studies 1992 A-D shades Speed Investment material New investment material for Staining and Layering Technique Start IPS Empress 1993 New communication tools, IPS Connector, EP 600 Cosmo. Post & Cosmo Ingot CEM Kit Variolink 1994 1995 T 1 and T 2 Ingots 1996 1997 1998 1999 TL Ingot TC Ingot Impulse & Dentin Kit IPS Empress Esthetic IPS e. max 2000 2001 2002 2004 2005 If. U, Trouble Shooting Guide IPS Empress 2 IPS Empress Universal Shade/Stains/Glaze, EP 600 Combi, IPS Eris for E 2 Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

9 Of what does the IPS Empress System comprise? Kommunikation The success story Shade 9 Of what does the IPS Empress System comprise? Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

10 IPS Empress® 1 System – the original IPS Empress (1991) Technique IPS Empress 10 IPS Empress® 1 System – the original IPS Empress (1991) Technique IPS Empress Staining and Layering Technique Indication Veneers, Inlays, Partial and Full Crowns Type of ceramic Flexural strength The success story Given the strength values, only single restorations can be fabricated. Leucite-reinforced glass-ceramics 138 ± 12 MPa Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

11 IPS Empress® II System IPS Empress 2 (1998) IPS Empress 2 (framework & 11 IPS Empress® II System IPS Empress 2 (1998) IPS Empress 2 (framework & layering material) Technique Indication Full crowns, 3 -unit bridges IPS Empress 2 is suitable to fabricate bridge constructions in the anterior and premolar region. Framework material: lithium disilicate glass-ceramic Type of ceramic Layering ceramics: Apatite-containing glass-ceramics Flexural strength 350 ± 50 MPa IPS Eris for E 2 was launched in 2002 and is a further development of the IPS Empress IPS layering material. 2 Step-by-step The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

12 IPS Empress® Esthetic System IPS Empress Esthetic Line (2004) Technique IPS Empress Staining 12 IPS Empress® Esthetic System IPS Empress Esthetic Line (2004) Technique IPS Empress Staining Technique and Layering Technique Indication Veneers, inlays, partial and full crowns Type of ceramic Flexural strength The success story Leucite-reinforced glass-ceramics 160 ± 8 MPa Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

13 IPS e. max System IPS e. max Line 2005 Technique Staining, Layering and 13 IPS e. max System IPS e. max Line 2005 Technique Staining, Layering and CAD/CAM Technique Indication Veneers, Crowns, 3 and 4 unit Anterior, Pre-Molar and Molar Bridges, Inlay Retained Bridges Type of ceramic Leucite-reinforced glass-ceramics and Zirconium Oxide CAD Copings Flexural strength 400 ± 8 MPa The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS 14 Empress® Esthetic Line IPS Empress Esthetic is a further development of the IPS 14 Empress® Esthetic Line IPS Empress Esthetic is a further development of the proven IPS Empress Staining Technique. Ø Given the material composition, the results of the previous IPS Empress studies can also be extended to this material. Ø Due to the improved material properties and increased strength (from 138 ± 12 MPa to 160 ± 8 MPa) equal or better clinical results can be expected with IPS Empress Esthetic. Thema 2 The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

15 The new IPS Empress Esthetic Ingots are based on an extremely homogeneous leucite 15 The new IPS Empress Esthetic Ingots are based on an extremely homogeneous leucite glass-ceramic and are available in the 9 popular IPS Empress Staining Technique shades The 2 new shades (E TC 0 and E OC 1) have been developed particularly for the Veneer Technique and designed to complement a particularly bright tooth shade or after bleaching. Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

16 w Ne Ne w IPS Empress Esthetic Ingots are available in a wide 16 w Ne Ne w IPS Empress Esthetic Ingots are available in a wide range of Ivoclar Chromascope and Vita A-D shades Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

17 What's the difference between the new and the old ingots? IPS Empress Staining 17 What's the difference between the new and the old ingots? IPS Empress Staining Technique Ingots IPS Empress Esthetic Ingots Flexural strength 138 ± 12 MPa 160 ± 8 MPa CTE (100 -500°C) 18. 0 ± 0. 5 * 10 -6/K 18. 1 ± 0. 5 * 10 -6/K Press temperature 1075°C Press procedure (depending on the press object) 10 – 15 min 20 -25% shorter In a nutshell, the new ingots are much stronger, quicker to press and offer greater aesthetic flexibility during the manufacturing process. The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Kommunikation Communication

18 Step by Step Fabrication of an IPS Empress Esthetic Veneer The success story 18 Step by Step Fabrication of an IPS Empress Esthetic Veneer The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS 19 d. SIGN® The Preferred veneer preparation The success story Shade selection / IPS 19 d. SIGN® The Preferred veneer preparation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS 20 d. SIGN® The fully anatomical and contoured veneers are waxed up and IPS 20 d. SIGN® The fully anatomical and contoured veneers are waxed up and sprued The sprued veneers are attached to the investment ring base The correct shade of ingot is selected The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS 21 d. SIGN® The special investment is then mixed under vacuum and carefully IPS 21 d. SIGN® The special investment is then mixed under vacuum and carefully poured into the mould former. After setting and pre-heating, the ingot and plunger are positioned and the mould is placed in the pre-programmed pressing oven. The pressing cycle takes around 20 minutes, after which the mould is removed and slowly cooled. The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS 22 d. SIGN® The sand blasted veneers after pressing After fitting onto the IPS 22 d. SIGN® The sand blasted veneers after pressing After fitting onto the model, the incisal third is then „cut-back“ and reduced to a dentine-mamelon structure. Any internal characterization is applied with Wash Pastes The incisal third is then reconstructed using conventional porcelain crown build-up techniques Step-by-step IPS The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS 23 d. SIGN® Any other (known) Individual characterizations are applied using IPS Empress IPS 23 d. SIGN® Any other (known) Individual characterizations are applied using IPS Empress Universal Stains and subsequently fired in a conventional porcelain furnace The completed veneers are then seated back onto the model and admired by all, prior to sending back to you for fitting. Result – a very happy patient (and dentist), both with a confident smile The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

24 Just a quick look at the Micro-Structure comparison IPS Empress Staining Technique Ingots 24 Just a quick look at the Micro-Structure comparison IPS Empress Staining Technique Ingots IPS Empress Esthetic Ingots - Homogeneous distribution of leucite crystals - Small leucite grain sizes - Increased precipitation of crystal density of leucite IPS Empress Esthetic The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

25 Shade selection and preparation The success story Shade selection / IPS Empress Esthetic 25 Shade selection and preparation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

26 The proper shade is the basis for true-to-nature restorations. • The Chromascop shade 26 The proper shade is the basis for true-to-nature restorations. • The Chromascop shade guide is an invaluable help for exact shade determination. Shade selection / Adhesive preparation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

27 • It is important for the dental technician to know the shade of 27 • It is important for the dental technician to know the shade of the prepared tooth. • The main selection criteria for choosing the ingot are the shade of the die as well as the desired tooth shade. Shade selection / Adhesive preparation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

28 • The correct brightness value of the final shade is exclusively determined by 28 • The correct brightness value of the final shade is exclusively determined by the ingot material. • Masking of a dark die is usually achieved by using an ingot that exhibits both a high degree of opacity and a low colour intensity. • The correct final shade of the veneer is a combination of the die shade, the ingot material, the layering material as well as the staining procedure and the used cementation material. Shade selection / Adhesive preparation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

29 The IPS Empress Die Material closely resembles the natural dentine shade Some Colour 29 The IPS Empress Die Material closely resembles the natural dentine shade Some Colour examples: The success story ST 9 Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique ST 3 ST 2 Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

30 Examples of how an IPS Empress Esthetic Veneer appears using different die shades 30 Examples of how an IPS Empress Esthetic Veneer appears using different die shades (could this be important? ) IPS Empress Die Material Shades: The success story ST 9 Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique ST 3 Step-by-step IPS Empress Esthetic Veneer partial crown ST 2 Clinical long-term studies Communication

31 • Careful preparation is decisive for the durability and accuracy of fit of 31 • Careful preparation is decisive for the durability and accuracy of fit of the restoration. • It is important to properly design the margin with a circular shoulder or chamfer preparation and rounded inner aspects. • Transitions with sharp angles and feather edge margins should be always be avoided where possible. • In order to achieve a stable restoration, the minimum wall thicknesses have to be observed. Shade selection / Adhesive preparation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

32 Partial Crowns (Note the rounded internal surfaces) Specifications in mm The success story 32 Partial Crowns (Note the rounded internal surfaces) Specifications in mm The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

33 Full crowns Specifications in mm The success story Shade selection / IPS Empress 33 Full crowns Specifications in mm The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

34 Inlays Specifications in mm The success story Shade selection / IPS Empress Esthetic 34 Inlays Specifications in mm The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

35 Indications: anterior crowns Aesthetic layerings on pressed anterior crowns in the incisal region 35 Indications: anterior crowns Aesthetic layerings on pressed anterior crowns in the incisal region Ø Minimum thickness of pressed objects after the corresponding reduction = 0. 5 mm Ø Limited layering area Labial, incisal third Layering thickness = 0. 5 - 1 mm The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

36 Indications: anterior veneers Aesthetic layerings on pressed anterior veneers in the incisal region 36 Indications: anterior veneers Aesthetic layerings on pressed anterior veneers in the incisal region Ø Minimum thickness of pressed objects after the corresponding reduction = 0. 5 mm Ø Limited layering area: Labial, incisal third Layering thickness = 0. 5 - 1 mm The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

37 Step-by-step IPS Empress Esthetic Veneer Adhesive Technique The success story Shade selection / 37 Step-by-step IPS Empress Esthetic Veneer Adhesive Technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

38 Cementation IPS Empress Esthetic restorations require adhesive cementation Variolink II Esthetic Cementation System 38 Cementation IPS Empress Esthetic restorations require adhesive cementation Variolink II Esthetic Cementation System Ø Ivoclar recommend using Variolink II or Multilink resin cements for the adhesive cementation of inlays, partial crowns and full crowns. Ø For IPS Empress Esthetic Veneers, Variolink II is exclusively recommended. Variolink II Professional Set Multilink Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

39 Variolink II Its success speaks for itself… Ø Used in more than 20 39 Variolink II Its success speaks for itself… Ø Used in more than 20 million restorations, it is the market leader world-wide in the field of dual-curing luting composites. Ø Variolink II has twice been awarded a five-star rating in the category of Dual-Cure Resin Cements by the trade magazine 'Reality'. Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

40 Variolink II Aesthetics at its best Light and dual-curing luting composite in Ø 40 Variolink II Aesthetics at its best Light and dual-curing luting composite in Ø 6 shades Ø 3 consistencies Ø 3 degrees of translucency Ø Ideal shade simulation with the water-soluble pastes Variolink Ultra Variolink II highly viscous Variolink II Try-In (placed with ultrasound) Variolink II low viscosity Ø Double Push Syringe: The Variolink II Universal shade is now also available in the new double push syringe. Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

41 Shade simulation with Variolink II Try-In Ø The Variolink II Try-In pastes feature 41 Shade simulation with Variolink II Try-In Ø The Variolink II Try-In pastes feature the same optical properties as the subsequently used luting composite Variolink II. Ø Thus, the aesthetic effect of the luting composite on the restoration can be checked prior to adhesive cementation. Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

42 Multilink. . . … is a self-etching and self-curing paste-paste luting composite system 42 Multilink. . . … is a self-etching and self-curing paste-paste luting composite system for universal cementation of indirect restorations. Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

43 The Multilink System consists of. . . Ø Multilink paste-paste luting composite Ø 43 The Multilink System consists of. . . Ø Multilink paste-paste luting composite Ø Multilink-Primer A/B Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

44 Multilink - especially for clinical situations … Ø with limited or no light 44 Multilink - especially for clinical situations … Ø with limited or no light access Ø where high bond strengths are needed Ø dentine sealing is required Ø and minimal postoperative sensitivity are priorities Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

45 Multilink Ø 3 shades (Opaque, Yellow, Transparent) Ø base & catalyst (mix 1: 45 Multilink Ø 3 shades (Opaque, Yellow, Transparent) Ø base & catalyst (mix 1: 1) Ø available in double syringes only Ø filler matrix based on Variolink II Adhesive technique The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

46 Long-term studies The Experts agree Kommunikation The success story Shade selection / IPS 46 Long-term studies The Experts agree Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

47 A tried-and-tested system Ø Ivoclar Vivadent has 15 years of clinical experience with 47 A tried-and-tested system Ø Ivoclar Vivadent has 15 years of clinical experience with the IPS Empress Staining Technique. Ø Given the material composition, the results of the previous IPS Empress studies can also be extended to this material. Ø The improved material properties and in-vitro results compared to those of IPS Empress indicate that equal or even better clinical results can be expected with IPS Empress Esthetic. Clinical long-term studies The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

48 The IPS Empress success rate will convince you and your patients alike 10 48 The IPS Empress success rate will convince you and your patients alike 10 -year clinical performance IPS Empress restorations received high patient and dentist acceptance for resistance to fracture and wear and for excellent aesthetics. The Dental Advisor continues to highly recommend IPS Empress after 10 years in service. The Dental Advisor (2004); 21(3): 6 Clinical long-term studies The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

49 Clinical evaluation of leucite reinforced glass-ceramic crowns over 11 years Survival rate after 49 Clinical evaluation of leucite reinforced glass-ceramic crowns over 11 years Survival rate after 11 years: 95. 2% M. Fradeani, M. Redemagni, Quintessenz (2003); 54: 379 -386 Clinical long-term studies The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

50 Leucite-reinforced glass ceramic inlays and onlays after eight years in vivo Survival rate 50 Leucite-reinforced glass ceramic inlays and onlays after eight years in vivo Survival rate after 8 years: 92% N. Krämer, A. Petschelt, R. Frankenberger, J Dent Res Spec Iss (2002); 81: Abstr. #1696: A-224 Clinical long-term studies The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

51 Four-year survival rate study of IPS Empress restorations The postoperative sensitivity with Syntac/Variolink 51 Four-year survival rate study of IPS Empress restorations The postoperative sensitivity with Syntac/Variolink II and Syntac/Dual Cement is less than 1% L. Pröbster, HJ. Ulmer, E. Engel, Ann. Conf. DGZPW (1996); Abstr. #70: 59 Clinical long-term studies The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

52 Six-year follow-up with IPS Empress veneers Survival rate after 6 years: 98. 8% 52 Six-year follow-up with IPS Empress veneers Survival rate after 6 years: 98. 8% M. Fradeani, Int J Periodont Rest Dent (1998); 18: 217 -225 Clinical long-term studies The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS Empress® System – das Original Some ‘Before and After’ Examples FRC Postec ®¦ IPS Empress® System – das Original Some ‘Before and After’ Examples FRC Postec ®¦ Glass fibre reinforced composite posts

54 Case 1 Preoperative view The success story Shade selection / IPS Empress Esthetic 54 Case 1 Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. John Roberts / USA

55 Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation 55 Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. John Roberts / USA

56 Case 2 Preoperative view The success story Shade selection / IPS Empress Esthetic 56 Case 2 Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. John Roberts / USA

57 Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation 57 Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. John Roberts / USA

58 Case 1 Preoperative view The success story Shade selection / IPS Empress Esthetic 58 Case 1 Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

59 Postoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation 59 Postoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

60 Case 2 Preoperative view The success story Shade selection / IPS Empress Esthetic 60 Case 2 Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

61 Post Operative Maxillary veneers for teeth 14 -25 The success story Shade selection 61 Post Operative Maxillary veneers for teeth 14 -25 The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

62 Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation 62 Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

63 Case 3 Preoperative view The success story Shade selection / IPS Empress Esthetic 63 Case 3 Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

64 Maxillary veneers for teeth 16 -25 The success story Shade selection / IPS 64 Maxillary veneers for teeth 16 -25 The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication Images: Dr. Michael Miyasaki / USA

Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive Preoperative view The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Images: Dr. Arnd Peschke Communication / Liechtenstein 65

Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive Completed restorations The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Images: Dr. Arnd Peschke Communication / Liechtenstein 66

67 Just going back to Communication for a moment, Ivoclar Vivodent have a wide 67 Just going back to Communication for a moment, Ivoclar Vivodent have a wide variety of literature and demonstration aids available. Kindly direct any enquiries to Etienne or his staff at Bart Enterprises Ltd. Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

68 Communication tools for dentists Brochure Clinical Guide Patient Information Poster G: 562 752 68 Communication tools for dentists Brochure Clinical Guide Patient Information Poster G: 562 752 E: 562 753 G: 592 521 E: 592 522 G: 593 985 E: 593 986 Flow Chart CD-ROM G: 593 423 E: 593 424 590 268 Communication The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication FAQ

69 And finally, but probably the most important. . . A complete ceramic system 69 And finally, but probably the most important. . . A complete ceramic system that will solve almost ALL of your (Crown & Bridge) situations Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts

IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts

IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts

IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts

IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts IPS Empress® System – das Original FRC Postec ®¦ Glass fibre reinforced composite posts

75 The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique 75 The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication

76 Thank you for your kind attention. Should you have any technical questions (only 76 Thank you for your kind attention. Should you have any technical questions (only simple ones that I know the answers to please) feel free to ask. Kommunikation The success story Shade selection / IPS Empress Esthetic Adhesive preparation Adhesive technique Step-by-step IPS Empress Esthetic Veneer partial crown Clinical long-term studies Communication