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Incisal - Clear, Neutral, Grey Dentin Pellets & Avant Z Press Powders: Cutback and Layer Technique
Compatible with all YTZP zirconia frameworks 55 OU pellets simulate dentin layer of natural teeth 7 Z-Stains and 4 Z-Stain Modifiers for shading white zirconia cores 19 Pellet Shades (16 Classic + 3 Bleach) Layer using Opal Press Incisals: Clear, Light, Neutral, White, Blue, Grey, Dark Grey, Blue/White, Ivory Characterize restorations using artiStains LFS and Avant Z Glaze
Technical Data:
Coefficient of Thermal Expansion: 25-500C (10-6 K-1): 9.70.5 Flexural Strength, MPa: 125-130 Solubility, g/cm2: 1720
Table of Contents
Avant Z- See the Difference ....................................................................................................................................................................2 Indications and Contraindications ............................................................................................................................................................3 Avant Z System- Product Offering ....................................................................................................................................................4-5 Preparation and Cementation ................................................................................................................................................................6-7 Substructure Design and Preparation ..................................................................................................................................................8-9 Avant Z Stain ........................................................................................................................................................................................10-11 Pressing Guidelines: Wax-up/Spruing/Investing/Pressing/Divesting ....................................................................................12-13 Avant Z Translucent Pellets: Stain and Glaze Technique........................................................................................................14-15 Avant Z Dentin Pellets & Avant Z Press Powders: Cutback and Layer Technique ......................................................16-17 Avant Z Layering Powders ................................................................................................................................................................18-19 Shade Coordination Charts ................................................................................................................................................................20-21 Pressing and Firing Programs ............................................................................................................................................................22-23 Troubleshooting ......................................................................................................................................................................................24-31 Avant Z Kits ..........................................................................................................................................................................................32-34 Photo Gallery..................................................................................................................................................................................................35
[1]
FLUORESCENCE
Natural dentition exhibits fluorescent properties which contribute to the visual aesthetics of natural teeth. In order for a dental restoration to provide the highest aesthetics, the restorative material must fluoresce light at the same wavelength as the surrounding natural dentition. Natural teeth generally fluoresce in the blue-white region of the visible light spectrum. Avant Z porcelain was designed with true-to-nature fluorescence that closely resembles the fluorescence of natural teeth.
OPALESCENCE
Opalescent materials appear orange in light transmission and blue in light reflectance; opalescent porcelains contain particles that scatter, reflect, and refract incident light. As a result, opalescent porcelain creates vitality in dental restorations and provides the translucency of a natural tooth without unnatural greyness or whiteness. The result is a natural-looking restoration that blends extremely well with the patients own teeth under a variety of light sources.
SHADING
The Avant Z porcelain shade system is spectrophotometrically engineered to provide predictable accuracy in hue, chroma, and value. Each component (eg. Z Stain, dentin pellet, translucent pellet, press incisal, opaceous body, body, incisal, modifiers) is coordinated to ensure the utmost shade accuracy in the final restoration. In addition, the aesthetic characteristics of Avant Z porcelain promote a natural match to adjacent dentition by way of three fabrication techniques: Avant Z Translucent Pellets: Stain and Glaze Technique, Avant Z Dentin Pellets: Cutback and Layer Technique, and Avant Z Layering Technique. The coordinated shading, fluorescence, and opalescence of Avant Z porcelain enable the fabrication of aesthetic multi-unit cases regardless of technique. Please note that Avant Z Shades are formulated to coordinate with both white zirconia cores using Z Stain and Lava* shaded zirconia cores. When using other manufacturers shaded zirconia, please select the ones which match closest to Lava shades. * Not a registered trademark of Pentron Ceramics, Inc.
[2]
INDICATIONS
Avant Z Porcelain is indicated for use with 100% dense Y-TZP zirconia frameworks* with a CTE of (10-11) x 10-6/C. Single crowns Implant abutments
Can be pressed to full contour without a zirconia substructure using the Stain and Glaze Technique only.
* Not all Y-TZP-zirconium oxide frameworks are the same. Please refer to zirconia manufacturers guidelines for specific indications.
CONTRAINDICATIONS
Pressing or veneering crowns and bridges without a zirconia substructure Improper preparations Preparations which do not provide adequate reduction Bruxism or clenching
[3]
THE AVANT Z
[4]
PORCELAIN SYSTEM
[5]
Not all Y-TZP-zirconium oxide frameworks are the same. Please refer to zirconia manufacturers instructions for specific preparation and cementation guidelines.
[6]
Not all Y-TZP-zirconium oxide frameworks are the same. Please refer to zirconia manufacturers instructions for specific preparation and cementation guidelines.
[7]
Not all Y-TZP-zirconium oxide frameworks are the same. Please refer to zirconia manufacturers instructions for specific design and preparation guidelines. Since Avant Z Porcelain is indicated for use with 100% dense Y-TZP zirconia frameworks with a CTE of (10-11) x 10-6/C, it is important to follow the specific zirconia manufacturers instructions for design. Observing the prescribed design, minimum thicknesses and connector dimensions contributes to the success of the restoration.
GENERAL GUIDELINES:
The zirconia substructure must be designed to provide support for porcelain overlay. It should be designed following the anatomy of the tooth. In large preparations, the excess space must be compensated by the designed zirconia rather than the porcelain material. Minimum thickness: 0.3 mm in the anterior region; 0.6 mm in the posterior region Connector Dimensions: 7 12 mm2 in the anterior region; 9 12 mm2 in the posterior region
[8]
If grinding of the Zirconia framework was done prior to pressing, sandblast the framework with alumina not coarser than 50 microns and pressures not exceeding 50 psi. Clean the framework thoroughly by steam cleaning and/or ultrasonically cleaning. This step is VERY IMPORTANT.
[9]
Avant Z Stain
Avant Z Stains are compatible with all YTZP Zirconia frameworks. Their thin application (10-30 microns) on white zirconia substructures enhances the bonding and aesthetics of both layered and pressed restorations. Avant Z Stains (Z1-Z7) were designed to simulate Lava* shaded frameworks. Visual comparison to a Lava framework or Avant Z Stain shade guide pictured above is necessary to ensure its proper application. Avant Z Stain is not required for making bleach shades (A00, B00, and Superbleach). For additional characterization, Avant Z Stains and Modifiers can be applied to any white or shaded zirconia substructure.
[ 10 ]
Avant Z Stain
Avant Z Stains applied on a white zirconia core will have the same shade appearance after it is fired.
[ 11 ]
Wax crowns to full contour anatomy onto the prepared zirconia substructure and maintain a minimum wax thickness of 0.7mm. Waxing up in the reduced form can also be done for the Cutback and Layer technique. Use 8 gauge wax sprues (48 mm in length) to attach crowns to sprue base. When spruing a bridge, use one sprue per unit. To determine the amount of pellets to use, weigh the zirconia framework before waxing. Once the wax-up is complete, weigh the restoration again including sprues. The difference in weight is the WEIGHT of WAX.
Number of Pellets 1 x 2g 2 x 2g 3 x 2g
[ 12 ]
Invest and burnout ring according to investment manufacturers instructions. DO NOT pre-heat Avant Z pellets. Following proper burnout time, rapidly place pellet/s and pre-heated disposable plunger into ring. Transfer immediately onto pressing furnace platform and begin pressing program. See page 22 for pressing parameters. Once ring has cooled down to room temperature, divest by scoring the ring lengthwise. Carefully pry apart sections with lab knife. Use 50 micron glass beads at 40psi to remove remaining investment. Blasting at pressures greater than 40psi is too abrasive and will damage the surface of the crown. Keeping the restorations wet with water, cut off sprues using a diamond disc. Use only fine diamond burs for final contouring. Do not generate excessive heat or vibration as it may cause cracks. If contacts are missing or additional contour is required, they may be added using Avant Z Repair Porcelain.
[ 13 ]
SHADE COORDINATION CHART FOR AVANT Z TRANSLUCENT PELLET RESTORATIONS Lava* Shade FS1 FS3 FS3 FS4 FS4 FS1 FS2 FS5 FS5 FS2 FS6 FS6 FS6 FS7 FS7 FS7 NS NS NS Avant Z Stain Z1 Z3 Z3 Z4 Z4 Z1 Z2 Z5 Z5 Z2 Z6 Z6 Z6 Z7 Z7 Z7 Avant Z Trans Pellet A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 A00 B00 SB Cervical Chroma Stain A A B A A B B B B C C C C D A B Complex Grey A B Blue/Grey Pink Pink Pink Pink Dark Orange Pink Pink Pink Dark Orange Grey Incisal Stain Characterization Stain White Pink Dark Orange Pink Dark Orange
[ 14 ]
After sprue removal, clean the crown thoroughly by steam cleaning and/or ultrasonically cleaning before applying surface stains. artiStains LFS stains are mixed with Stain and Glaze liquid to a creamy consistency. Use a shade tab to plan the amount and position of color on the restoration. To achieve a basic shade, follow the Shade Coordination Chart and apply the recommended Cervical Stain and Incisal Stain. The extent of color applied to the cervical, middle, and incisal third of the crown is dictated by your shade guide sample. For example, B1 will have a slight amount of color at the cervical edge, whereas D4 will have color drawn up to the end of the cervical half. For darker shades, hue and chroma can be intensified by multiple layers of stain instead of a single, thick application. For posterior teeth, apply stain to occlusal fossae, pits, and fissures to characterize the restoration. Once proper hue, chroma, and value are achieved with stains, clean the restoration in an ultrasonic cleaner with distilled water or steam clean before glazing. Apply Avant Z Paste Glaze onto the entire surface of the restoration. Avant Z Glaze has been formulated in paste form to provide the correct viscosity to achieve proper thickness and coverage of glaze. If necessary, Avant Z Glaze can be diluted by using Stain and Glaze Liquid. Please note that over-dilution with Stain and Glaze Liquid will result in an underfused appearance.
[ 15 ]
SHADE COORDINATION CHART FOR AVANT Z DENTIN PELLET RESTORATIONS Lava* Shade FS1 FS3 FS3 FS4 FS4 FS1 FS2 FS5 FS5 FS2 FS6 FS6 FS6 FS7 FS7 FS7 NS NS NS Avant Z Stain Z1 Z3 Z3 Z4 Z4 Z1 Z2 Z5 Z5 Z2 Z6 Z6 Z6 Z7 Z7 Z7 Avant Z Body A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 A00 B00 SB Avant Press Incisal Opal Neutral Opal Light Opal Grey Opal Grey Opal Grey Opal Neutral Opal Light Opal Light Opal Light Opal Grey Opal Grey Opal Grey Opal Grey Opal Light Opal Grey Opal Grey Opal White Opal White Opal White
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ACCEPTABLE
[ 17 ]
SHADE COORDINATION CHART FOR AVANT Z LAYERED RESTORATIONS Lava* Shade FS1 FS3 FS3 FS4 FS4 FS1 FS2 FS5 FS5 FS2 FS6 FS6 FS6 FS7 FS7 FS7 NS NS NS Avant Z Stain Z1 Z3 Z3 Z4 Z4 Z1 Z2 Z5 Z5 Z2 Z6 Z6 Z6 Z7 Z7 Z7 Avant Z Body A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 A00 B00 SB Avant Z Opal Incisal Neutral Light Grey Grey Grey Neutral Light Light Light Grey Grey Grey Grey Light Grey Grey White White White
[ 18 ]
Easy and reliable shade reproduction can be achieved by layering Avant Z body and opal incisal powders using traditional layering techniques. Natural looking restorations can be created through the use of Opaceous shades and modifiers, Opal ITIs, and Translucent Blush Modifiers. These options enable ceramists to control translucency, opacity, hue, chroma, and value in every layer. Additional characterizations can be achieved using artiStains LFS stains and Avant Z Glaze.
It is important to determine the ideal fusion temperature in your furnace through visual confirmation. Properly fused restorations exhibit preserved surface texture and anatomy with a high surface shine.
[ 19 ]
Grey
Blue/Grey
[ 20 ]
SHADE COORDINATION CHART FOR AVANT Z LAYERED RESTORATIONS Lava* Shade FS1 FS3 FS3 FS4 FS4 FS1 FS2 FS5 FS5 FS2 FS6 FS6 FS6 FS7 FS7 FS7 NS NS NS Avant Z Stain Z1 Z3 Z3 Z4 Z4 Z1 Z2 Z5 Z5 Z2 Z6 Z6 Z6 Z7 Z7 Z7 Avant Z Body A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 A00 B00 SB Avant Z Opal Incisal Neutral Light Grey Grey Grey Neutral Light Light Light Grey Grey Grey Grey Light Grey Grey White White White
[ 21 ]
PRESSING PARAMETERS
100g Ring T1: Start Temp T2: High/pressing Temp R: Heating Rate H1: Time@T2 before pressing H2:Pressing Time V: Vacuum 700C 870C 60C 10 min 12 min 28 (710mm) 200g Ring 700C 870C 60C 15 min 12 min 28 (710mm) 250g Ring 700C 870C 60C 20 min 15 min 28 (710mm)
It is recommended that you adjust high temperature and leave all other parameters the same (adjust vacuum release accordingly if high temperature is changed.) These firing/pressing parameters are guidance values. Normally, deviations of up to 15C or about 25F may occur due to: Variations from furnace to furnace; Regional and seasonal differences in power supply; Several electrical devices are operated on the same circuit. Overcrowded circuits can cause deviations above normal.
[ 22 ]
Low Temp
425C (800F)
425C (800F)
425C (800F)
425C (800F)
425C (800F)
Pre-Dry
Heat Rate
Vac
Vac Start
480C (900F)
480C (900F)
480C (900F)
N/A
480C (900F)
480C (900F)
Vac Stop
1000C (1830F)
800C (1470F)
785C (1445F)
N/A
765C (1410F)
770C (1420F)
Hi Temp
1000C (1830F)
855C (1570F)
840C (1545F)
820C (1510F)
765C (1410F)
770C (1420F)
Hold
Cool
It is recommended that you adjust high temperature and leave all other parameters the same (adjust vacuum release accordingly if high temperature is changed). These firing/pressing parameters are guidance values. Normally, deviations of up to 15C or about 25F may occur due to: Variations from furnace to furnace; Regional and seasonal differences in power supply; Several electrical devices are operated on the same circuit. Overcrowded circuits can cause deviations above normal.
[ 23 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
Clean spray nozzle before spraying a new shade. Regularly rinse out with water. Ensure that the mixture is homogenous and that individual pigments do not separate.
[ 24 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
The investment was not properly prepared; the dilution factor used was greater than or less than the prescribed amount Pressing platform has debris causing an uneven surface The plunger was not properly seated in the ring The pressure setting of the compressed air source is too high Improper burnout process was used The shape of the prepared wax up is jagged with sharp edges Too many pellets were used in the 100g ring The pellet material is not soft enough during pressing
Clean the surface of the pressing platform so it is free of any debris. Make sure the plunger is upright, clean and perpendicular to the pressing surface before starting the pressing cycle. Ensure the compressor is set at 120 psi and that the pressure setting on the pressing furnace is between 4.5 and 5.5 bars (68-83 psi, average 75 psi). Refer to the refractory investment instructions for proper burnout cycle. Round off the edges of the wax ups and the sprue connections. Use only 1 pellet for a 100g press. Increase the pressing temperature (T2) by increments of 5C. To fine tune, increase the pressing time (H2) by 35 minutes.
[ 25 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
The CTE of the Zirconia substructure is not compatible with Avant Z pellets. Divesting with materials other than glass beads The sprue length is too long or too short
Use only glass beads for divesting patterns. Observe the correct pressure in sandblaster. The sprue length must be at least 4mm and should not exceed 8mm length. The total height of units and sprues together should be less than 18mm. Lower the pressing temperature (T2) by increments of 5C.
Incorrect pressing temperature used. Overheating of the core during pressing is a common cause for cracking. The pressure setting of the compressed air source is too high Too much heat was produced during grinding
Ensure the compressor is set at 120 psi and that the pressure setting on the pressing furnace is between 4.5 and 5.5 bars (68-83 psi, average 75 psi). Always wet the core before and during grinding to prevent excessive heat.
[ 26 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
An excessively oily lubricant was used when fabricating the wax patterns
[ 27 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
Ring former was not properly prepared with petroleum jelly Contaminant in burnout oven, refractory investment, pressing furnace platform or furnace muffle
[ 28 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
Low Chroma
TROUBLESHOOTING: Dentin Pellets & Press Powders: Cutback & Layer Technique
Press incisals appear overfused Firing temperature is too high Firing temperature of glaze is too high Margins round off Zirconia margin was shortened >1.0mm and Layering powders were used Reduce temperature by 5C (9F) Reduce temperature by 5C (9F)
[ 29 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
Porcelain was reconstituted with more build-up liquid or modeling liquid Vacuum was released too early Poor vacuum in furnace
Very thin porcelain build up adjacent to a thick build up. Insertion temperature is too high Dry time is too short Porcelain is too wet Firing rate is too rapid
[ 30 ]
Troubleshooting
PROBLEM
CAUSE
SOLUTIONS
Interproximal Cracking
[ 31 ]
Avant Z Kits
BUNDLED KITS
Avant Z Complete System (M70KB) Includes the following Avant Z kits: Z-Stains Kit (M70KD) Layering Body Kit (M70KE) Opaceous Body Kit (M70KS) Layering Incisal Kit (M70KF) Translucent Pellet Kit (M70KG) Dentin Pellet Kit (M70KH) Avant Z Overlay System (M70KA) Includes the following Avant Z kits: Layering Body Kit (M70KE) Layering Incisal Kit (M70KF) Avant Z Dentin Pellet System (M70KC) Includes the following Avant Z kits: Dentin Pellet Kit (M70KH) Press Incisals Kit (M70KJ) Avant Z Translucent Pellet System (M70KB) Includes the following Avant Z kits: Translucent Pellet Kit (M70KG) artiStains for Avant Z Kit (M70KL) Z-Stains Kit (M70KD) Pressing Accessories Kit (M70KK) Z-Stains Kit (M70KD) Pressing Accessories Kit (M70KK) Z-Stains Kit (M70KD) Press Incisals Kit (M70KJ) Pressing Accessories Kit (M70KK) Modifier Kit (M70KM) Repair Kit (M70KN) artiStains for Avant Z Kit (M70KL)
PORCELAIN KITS
Avant Z Layering Body Kit (M70KE) Includes 20 Body shades: A1-D4, A-00, B-00, Super Bleach and Modifier White (20g) plus Avant Z Build-up liquid (30ml) Avant Z Opaceous Body Kit (M70KS) Includes 20 Opaceous Body shades: A1-D4, A-00, B-00, Super Bleach and Modifier White (20g) Avant Z Layering Incisal Kit (M70KF) Includes 9 Avant Z Opal Incisal Powders: Clear, Light, Neutral, White, Grey, Dark Grey, Blue, Blue/White and Ivory (20g)
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Avant Z Kits
[ 33 ]
Avant Z Kits
PELLET KITS
Avant Z Dentin Pellet Kit (M70KH) Includes 20 Dentin Pellet shades: A1-D4, A-00, B-00, Super Bleach and I-55 (10g) Avant Z Translucent Pellet Kit (M70KG) Includes 21 Translucent Pellet shades A1-D4, A-00, B-00, Super Bleach, I-30 & I-40 (10g) Avant Z Pellet Prover Kit (M70KP) Includes Avant Z A2 shade Dentin Pellet (10g) and Translucent Pellet (10g) Avant Z Press Incisal Opal Light (12g) Avant Z Stain Z3 (20g) 3 artiStains LFS shades: Chroma A, Grey and Blue Grey (3g) Avant Z Paste Glaze (4g) Universal Glaze Medium (30ml) Avant Z Build-up Liquid (30ml)
[ 34 ]
Photo Gallery
AVANT Z DENTIN PELLETS & PRESS POWDERS: CUTBACK & LAYER TECHNIQUE
Special thanks to: Francesco Ferretti, MDT Estech Dental Studios, Rome, Italy; Dr. Marco Nicastro, Rome, Italy and Klaus Schmidt, JP Deutchland, Germany for laboratory, dentistry and photography contributions.
[ 35 ]
Notes
[ 36 ]
Pentron Ceramics, Inc. 500 Memorial Drive Somerset, NJ 08873 USA TECHNICAL SERVICE (800) 243-3100 / (203) 303-2010
EC REP
CEpartner4U, Esdoornlaan 13, 3951DB Maarn. The Netherlands Tel: +31 (0)6-516.536.26