Dental Clinic CAD-CAM Catalog - Phibo

Digital odontology, prosthetic solutions in CAD-CAM

CAD-CAM

Dental clinic

Biomaterials

Implant systems

CAD-CAM

Digital solutions

Services

Contents Dental clinic Our challenges, constant evolution

page 3

Our products and services

page 4

Our business model

page 5

What is CAD-CAM?

page 6-7

The prosthetics solutions preferred by clinicians

page 8-11

Cemented solutions

page 12-13

Restorations on implants

page 14-15

Hybrid structures and removable bars on implants.

page 16-17

Attachments for removable prostheses

page 16

Restorations in CAD-CAM

page 18

Adhoc®, versatility in screw-mounted Cobalt Chrome

page 19

Cronia®, temporary anatomic restorations

page 20

Titanium, the lightest material

page 21

Zirconia, the most aesthetic material

page 22

Quality assurance

page 23

Scientific warranty

page 24-25

The best results with Phibo® CAD-CAM: clinical case

page 26-27

CAD-CAM

Our challenges, constant evolution For Phibo ® to want a different and more humane world is to evolve. To grow with and for people to improve things. For some it may be obvious, for us it is a necessity. Our commitment. For Phibo ® science is the foundation for everything; the tenacity of our character and the talent for producing high quality products find in science the vehicle capable of giving our dental solutions proven and significant value for our public and the sector in general. Nevertheless, this is not enough for us. We are sure of the value of science, but we are also sure that this is lost if it does not lead to useful solutions that are accessible to people. And this conviction is what makes us different; it is not just about science, but above all conscience. Conscience, knowing that the responsibility of being able to improve people's quality of life is in our hands. Conscience, knowing that innovation must be within the reach of those who need it. Conscience, knowing that being in a privileged position entails an obligation to develop and share the knowledge. Conscience, knowing that clients do not just need a perfect product, but also a frank interpersonal relationship. Conscience, understanding that without science it is not possible to grow and lead. That science without conscience is a multiple of zero. And that we are all building Phibo ®; with what we are and what we can be. So this is Phibo ®. This is what makes us unique and special; what makes us Phibo ®. But it does not only reflect what we are, but also leads our future; it helps us to make decisions, it pushes us to evolve, it forces us to do so.

Dental clinic CAD-CAM Catalogue

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Our products and services With 20 years of experience behind us, at Phibo® we now offer solutions from bone regeneration to the final prosthesis itself, without neglecting implant systems, and always taking patients' health, comfort and aesthetics into consideration. From the most complex treatments to the simplest ones, there is a wide range of Phibo® solutions developed on a foundation of knowledge and science. We offer predictability in the results, optimisation of treatment times, reduction of the possibility of error, in short we ensure better quality for the patient. At Phibo® we have developed dental products and services that are based on different areas of knowledge and science, from surgery, biotechnology, material physics and bioengineering, to digitisation and business management. For Phibo® investigation and development with scientific rigor and based on this knowledge are the present and future around which our whole range of products and services revolves. For Phibo® it is not about offering isolated products and services that only cover part of the process and are unrelated to each other; what is really important is offering reliable and flexible integral solutions that improve the work of our clients, making difficult work easy.

Innovative dental solutions. From bone regeneration to the final tooth.

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CAD-CAM

Our business model


5

What is CAD-CAM? The world of odontology is continually evolving, technically and scientifically, in all areas; and evidently the field of dental prosthetics is no exception. In recent years CAD-CAM technology has come to play a major role and has caused a revolution in terms of quality in the design and manufacture of dental restoration work. The CAD-CAM systems are a true revolution for everyday work with modern dental prosthetics. CAD-CAM = Computer Aided Design - Computer Aided Manufacturing. [Miy09]

Computer Aided Design CAD is a set of IT support tools for designing parts in 2D (drawings) or in 3D (solids and surfaces), originally used in engineering. For dental restoration work, these tools are applied in the design of the prosthesis, replacing manual wax modelling with a digital design with perfect control of dimensions and aesthetics.

Computer Aided Manufacturing CAM consists of using computers and calculation technology throughout the manufacturing process, from planning to production and quality control. For dental restoration work, it is applied to the manufacture of the prostheses. For example, it replaces metal casting with numerically controlled machine processes, thus achieving great accuracy, function and aesthetic finish. The combination of computer assisted design and manufacture processes allows geometric modelling, analysis, testing, documentation and control of manufacturing.

Computer aided design.

Computer aided manufacture.

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In addition, it allows work on the development of new products and solutions to be performed scientifically. Thus, we obtain prostheses with better fit, aesthetics and function than those made using the traditional procedure. [Liu09]

CAD-CAM

w Biocompatible w Predictable w Reliable w Stable w Precise w Attractive w Reproducible


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The prosthetics solutions preferred by clinicians Phibo® CAD-CAM prostheses have many advantages for clinicians, from a wide range of products for all indications to the best materials. All these advantages translate into more satisfied patients. [Sai07, Sch10, Pje07].

1. A solution for each restoration Phibo® offers fully customised solutions in CAD-CAM that ensure very attractive, precise results. Phibo® offers you the widest range of products in CAD-CAM to satisfy any clinician's needs: from conventional prostheses to implant-mounted prostheses; from crowns to the most complex of bars.

2. Wide range of materials Phibo® manufactures prostheses in CAD-CAM using all types of materials: Zirconia in four colours, specially indicated for restorations where the aesthetic commitment is important, polymethyl methacrylate (PMMA) indicated for temporary aesthetic restorations, cobalt chrome, an innovative manufacturing process patented by Phibo® providing the best combination of different technology and titanium, a material that stands out for its lightness and excellent mechanical response.

3. Guaranteed biocompatibility and bioinertia The materials of the prostheses in Phibo® CAD-CAM are biocompatible and bioinert. Thanks to this these materials can withstand long periods of time in a highly corrosive liquid environment.

4. Better fit that generates clinical profits… and greater profitability

1.

A personalised solution for each restoration

2. 3. 4.

All types of materials.

The perfect fit of our prostheses in CAD-CAM provides long-term results in terms of greater reliability and predictability. This often results in less chair time and therefore a greater number of patients. In addition, patients will be more satisfied. All this means that you will have more time for more patients, which will lead to greater profitability. Moreover, in the case of cemented structures on a natural stump, thanks to the perfect fit, our prostheses in CAD-CAM prevent leakage around the edges in the short and long term, which improves stump protection. This makes the prosthesis last longer.

Biocompatible and bioinert.

5. Optimum communication with the patient: Available soon.

The perfect fit that provides greater reliability, predictability and profitability.

5.

Optimum communication with the patient: Phibo® Communicate.

6.

On any implant system.

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Thanks to the new Phibo® Communicate tool, you can instantly view the design that your prosthetist has made and, if you wish, share it with your clients. You can also send comments to the prosthetist, if you feel it is necessary. In addition, with Phibo® Communicate you can view before and after images of the restoration in 3D, which is a very effective sales tool for your patients.

6.

complete versatility

Thanks to Phibo® Library, you can perform any type of restoration on any implant system.

CAD-CAM


9

The prosthetics solutions preferred by clinicians 7. The most attractive result All Phibo® CAD-CAM prostheses are designed individually, depending on the needs of each patient. Phibo® ceramic materials such as Zirconia offer restorations with high aesthetic quality, since they provide the colour and translucence of the patient's natural teeth.

8. Restorations on implants with greater versatility Phibo® alllows you to increase your prosthetic possibilities because we can carry out any type of restoration on any implant system, whether by Phibo® or by any other brand on the market.

9. The best quality controls

7.

Designed individually according to the needs of each patient.

8. 9.

10. The best guarantee

On any implant system.

All Phibo® CAD-CAM products are guaranteed for five years (except provisional prostheses in PMMA).

Strict quality controls. Greater durability and complete predictability of the product.

11. And without changing your normal way of working

10. 11.

When you request Phibo® prostheses in CAD-CAM, you will not have to change your working protocols at any time with respect to restorations made using conventional prostheses.

The best guarantee.

Thus, you can benefit from all the advantages of Phibo® prostheses in CAD-CAM without any additional effort.

Without changing your normal way of working. Without any additional effort.

12. Production centre equipped with the most advanced technology

12.

Culture of total quality. Our manufacturing processes are fully focused on R+D.

13.

Extensive network of collaborating laboratories.

10

The reliability of the process guarantees good results. This is why all the products developed and manufactured by Phibo® are subject to strict quality controls. In addition, our processes and materials are strictly monitored and we maintain complete traceability. All this results in greater durability and complete predictability of the product in comparison with prostheses made following the conventional procedure. [Fis09]

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Phibo® has a technology system that revolves around a culture of total quality. Our manufacturing processes are fully focused on R+D and include: laser sintering to work with both metal and plastic, milling centres with 5 simultaneous axes, processes for heat and surface treatments, digital microscopes, computer vision.

13. Extensive network of collaborating laboratories You can consult the Phibo® network of collaborating laboratories at www.phibo.com

CAD-CAM


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A solution for each restoration

Cemented solutions Table 1 Optical confocal contouring roughness (PLμ− neox Optical Imaging Profiler, Universitat Politècnica de Catalunya) of one Co-Cr structure made using the Phibo® laser sintering process and another by machining.

Machined structure

Structure with Co-Cr by Phibo®

(Ra) Exterior 3.3μm

5.9μm

(Ra) Interior 3.0μm

3.6μm

The table shows the values of Ra, average roughness as an absolute value, of a machined structure and a structure made with laser sintering.

The preservation and restoration of natural teeth with crowns or bridges is part of the clinician's everyday work. Phibo® offers a full range of prosthetic products manufactured in CAD-CAM that provide the best fit, biocompatibility, predictability and aesthetics. Phibo® cemented structures can be made with any number of parts in various materials: Cobalt Chrome, Zirconia, Titanium and PMMA. Our structures made in cemented Cobalt Chrome are manufactured using the laser sintering technique . By combining cutting-edge technology, we obtain parts with a greater roughness than those manufactured using other processes, in both the internal and external areas of the structure. This roughness leads to better metal‑ceramic adhesion outside and better cement-metal adhesion inside the structure. See Table 1. All these high quality materials provide exceptional fit, biocompatibility and aesthetics. [Liu09] Phibo® makes all types of cemented structures that provide solutions for any type of restoration: caps, anatomic caps, multiple cemented structures, structures with attachments for fixed and removable prostheses, etc.

Structure in cemented Cobalt Chrome.

Cronia® cemented.

Structure in cemented Titanium.

Structure in cemented Zirconia.

Structure in cemented Zirconia.

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CAD-CAM

Cemented solutions

For any type of restoration

Fully customised design

Caps and multiple structures.

Depending on the needs of each patient to achieve the most attractive result.

Better fit

Biocompatible materials

Caps and structures that fit better

Zirconia in four tones, Cobalt

than those manufactured with

Chrome, Titanium and PMMA.

conventional casting techniques. [Liu 09]


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The most extensive library on the market. More than 80 connections available with the main brands. · Nobel Biocare. · Straumann. · Astra Tech. · Biomet 3i. · Zimmer Dental. · ...

Restoration on implants is increasingly more common in dental clinic practice. For restorations on implants, Phibo® provides a wide range of CAD-CAM solutions in all types of materials. All of these can be applied on any implant system because Phibo® has the most extensive library of connections on the market, the Phibo® Library. Moreover, due to our excellent passive fit, the probability of implant failure is reduced, as there is greater stability in the prosthesisimplant connection, which leads to an absence of stresses, and better care and maintenance of the soft and hard tissues. Phibo® screw-mounted structures can be manufactured with any number of connections and can be made in various materials: Cobalt Chrome, Zirconia, Titanium and PMMA. All these high quality materials provide exceptional biocompatibility and also help care for the soft tissue. To guarantee better fit, Phibo® uses Titanium screws manufactured to the maximum quality standards.

Cronia® screw-mounted.

Restoration in screw-mounted Titanium. Adhoc® structure with 12 parts.

Restoration in screw-mounted Zirconia.

Astra Tech is a registered trademark of Astra Tech AB. Nobel Biocare is a registered trademark of Nobel Biocare AG. Straumann is a registered trademark of Straumann AG. Biomet 3i is a registered trademark of Biomet 3i, Inc. Zimmer Dental is a registered trademark of Zimmer Dental Inc. 14

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CAD-CAM


Fully customised design

For any type of restoration

Depending on the needs of each

Caps and multiple structures

patient to achieve the most attractive result.

Biocompatible materials Zirconia in four tones, Cobalt Chrome, Titanium and PMMA. Excellent passive fit Greater stability in the implant‑prosthesis interface and better care and maintenance of the soft and hard tissues.

On any implant system Phibo ® has the most extensive library of connections on the market.


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Hybrid structures and removable bars on implants With Phibo® you can make all types of bars and hybrid structures on implants in both Titanium and Cobalt Chrome. Our milled Titanium bars are made with grade 5 Titanium, a light and biocompatible material. These bars are delivered fully polished and prepared for use without porosity problems or veins caused by welding. Our bars and hybrid structures have an excellent fit that provide optimum long-term results. Phibo® offers all types of bars on any implant system, that offer solutions for any situation: Dolder in Titanium.

• Dolder or Ackerman bars directly on the implant. • B ars for removable overdentures with housing for Locator ® abutments and Ceka® and Bredent® attachments, etc.

Hybrid structure in Cobalt Chrome.

Attachments for removable prostheses Phibo® manufactures the innovative machined attachments for removable prostheses, especially indicated for their cemented structures in Cobalt Chrome: Machined extra-crown attachments indicated for upper and lower arches (30° and 60° Bredent®, Roach®, etc.).

Bredent®type attachment. With structure with loaded ceramic.

Roach® type attachment.

Their machined connection enables full accuracy thanks to an ideal fit (much better than that achieved with traditional casting procedures). In addition, this innovative system means that when the ball of the attachment inevitably gets worn, it is only necessary to replace the ball, without having to make a complete new structure.

Bredent® type attachment.

Bredent® is a registered trademark of Bredent GmbH & Co.KG Roach® is a registered trademark of Cendres+Métaux S.A. Locator ® is a registered trademark of Zest Anchors, Inc. Ceka® is a registered trademark of Ceka Preci-Line. 16

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Hybrid structures and removable bars on implants

All types of bars and hybrids Versatility in the attachment system Wide variety of bars and attachment types to satisfy the needs of every patient.

Excellent passive fit Greater stability in the implant‑prosthesis interface and better care and maintenance of the soft and hard tissues.

On any implant system Phibo® has the most extensive library of connections on the market.

Overdenture bar with housing for Locator ® abutments. Locator ® is a registered trademark of Zest Anchors, Inc.


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Restorations in CAD-CAM Cobalt chrome

Titanium

Zirconia

PMMA

(4 colours)

(4 colours)

Cemented caps

Cronia

®

Multiple cemented structures

Cronia

®

Cronia

®

Up to 4 parts with full guarantee.

Multiple anatomic screw‑mounted structures

Adhoc

Hybrids

Adhoc

®

---

---

---

---

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ask about Syntesis® by Phibo®



---



®

---

Milled bars

possibility of attachments on milled Titanium bars

Attachments (removable prostheses)

Customised abutments

Anatomic customised abutments

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CAD-CAM

Adhoc , versatility in screw‑mounted Cobalt Chrome ®

Phibo® presents the most revolutionary product in dental prostheses: Adhoc®, screw-mounted Cobalt Chrome by Phibo®. For all screw-mounted ceramic metal restorations that you request from your prosthetist, Phibo® offers you its most versatile product. Our screw-mounted Cobalt Chrome combines the best of different technologies to provide the best results where needed: • T he best ceramic grip where needed thanks to the greater roughness of the surface. [Liu10] • The best fit for the connection area.

Composition Cobalt (Co)

61.8-65.8 %

Chrome (Cr)

2 3.7-25.7 %

Molybdenum (Mo) Tungsten (W)

Silicon (Si) Iron (Fe)

4.6-5.6 % 4.9-5.9 %

0.8-1.2 % Max. 0.50 %

Manganese (Mn.)

Max. 0.10%

Properties

Adhoc® is a unique product in the prosthetics market because it is developed based on a manufacturing process owned by Phibo®, which is pending international patent. In addition, the Cobalt Chrome that Phibo® uses in its prostheses is 100% biocompatible and highly resistant to corrosion. Similarly, it is a material noted for its high resistance. Phibo® manufactures Cobalt Chrome for screw-mounted restorations for all types of structures: from single parts to anatomic structures with any number of parts, and complicated hybrid structures to the simplest of bars. And all of this on any implant system.

Relative density

Min. 8.50 g/cm3

Resistance to traction

Min. 900 MPa

Elastic limit (0.2%)

Min. 700 MPa

Elongation at breakage

Min. 2%

Young's modulus

Min. 180 GPa

Hardness (HV10)

Min. 350 HV

Coef. of thermal expansion (25-500°C)

14.0-14.5x10-6 m/m°C

Coef. of thermal expansion (20-600°C)

14.2-14.6x10-6 m/m°C

Melting point

n Better ceramic grip.

Approx. 100 %

Density

1380-1440°C

n Better fit for the connection area. n Biocompatible and highly resistant to corrosion. n High resistance. n On any implant system.

The diagram shows the different surfaces of a screw-mounted prosthesis in Cobalt Chrome according to their function. A perfect fit is obtained in the connection area and the roughness necessary in the area where the ceramic load will be made (scanning electron microscopy, Universidad de Barcelona). Adhoc® structure with 14 parts.


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Cronia , ®

temporary anatomic restorations Composition Copolymer acrylic based on polymethyl methacrylate (PMMA) > 99.9 % Pigmentation

99.9 %

Properties Density

6.05 g/cm

Grain size

3

450 nm

Porosity

0%

Colour White Bending strength

1000-1200 MPa

Vickers Hardness SENB Tenacity (KIC) Threshold stress intensity factor (KIO) Radioactivity

13 GPa 6 MPa m1/2

3.2 MPa m1/2 0.03 Bq/g

Tones ZR0

White

ZR1

Pale

ZR2

Medium

ZR3

Intense

More and more often the clinician needs to perform restorations with high aesthetic requirements. Therefore, at Phibo® we make our prostheses in CAD-CAM with pre-sinterised Zirconia, with improved properties through the use of nanostructured starting materials. It is actually tetragonal zirconium stabilised with yttrium (Y-TZP), a ceramic material that has been used for more than 35 years in the orthopedic field to manufacture prosthetic hips and most recently to manufacture dental prostheses. Zirconium Y-TZP has the advantages -mainly biocompatibility and aesthetics-of ceramic materials used until now in the dental field without their disadvantages (low mechanical resistance, low translucence, opacity). [Den08, Sai07] Phibo® CAD-CAM offers prostheses made in Zirconia in four colours: white, pale, medium and intense to provide a result that is as similar as possible to the patient's natural teeth. Phibo® CAD-CAM offers everything from caps to complete cemented structures in Zirconia. For screw-mounted prostheses, Phibo® manufactures parts ranging from crowns to structures with a maximum of four parts with a full warranty.

n High aesthetic requirements n Biocompatibility n Resistance n Four tones

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Cemented and screw-mounted Zirconia.

CAD-CAM

Quality assurance From the creation of the CAD-CAM prostheses division, our mission has been to offer customised restorations for each patient with a full warranty. Therefore, the solutions in CAD-CAM are accompanied by a warranty with maximum coverage. All Phibo® prostheses in CAD‑CAM offer a five-year warranty (except Cronia® structures, that have a warranty of 6 months because they are indicated for provisional restorations). Phibo® has a management system that revolves around total quality. The objective is excellence in all the company's activities. The Phibo® Quality System is based on managing all the processes, from the most strategic to the most operational. The products, services, installations and processes are based on ISO 9001 and EN-ISO 13485 standards. Phibo® is also FDA certified for some of our products.

ÍA RANT GA ium Titan

5

years

Titanium 5 years

ltÍA NT ba RA Co GA Chrome

5

Cobalt Chrome 5 years

years

ÍA NTia GA rcon ZiRA

5

years

Zirconia 5 years

NT RAM GA AÍA PM

6

months

PMMA 6 months


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Scientific warranty At Phibo® we do not work with science to provide answers, but always to offer the professional with useful solutions that improve patient quality of life. Numerous studies have been obtained and published in well-known international journals stemming from internal scientific development and collaboration with universities. These studies provide scientific evidence that assesses the use of techniques and/or solutions in odontology to guarantee the results expected by professionals and patients. To promote this scientific development we have the support of public and private institutions in Europe and beyond.

Bibliography [Bra88] Braden M, Some aspects of the chemistry and physics of dental resins. Adv Dent Res (1988) Aug vol2 (1): 7-93. [Den08] Denry I and Kelly J, State of the art of zirconia for dental applications. Dent Mater (2008) Mar (24(3)): 299-307. [Fis09] Fischer J, Stawarczyk B, Trottmann A and Hämmerle C, Resistencia de los armazones para puentes sinterizados por láser en aleación de CoCr. Quintessence Técnica (2009) vol.20(01): 17-26. [Has05] Haselton D, Diaz-Arnold A, Dawson D, Color stability of provisional crown and fixed partial denture resins. J Prosthet Dent (2005) Jan vol 93(1): 5-70. [Liu09] Liu Y, Wang Z, Gao B, Zhao X, Lin X, Wu J Ucar Y, Akova T, Akyil M and Brantley W, Internal fit evaluation of crowns prepared using a new dental crown fabrication technique: laser-sintered Co-Cr crowns. J Prosthet Dent (2009) Oct (102(4)): 9-253. [Liu10] Liu Y, Wang Z, Gao B, Zhao X, Lin X and Wu J, Evaluation of mechanical properties and porcelain bonded strength of nickel-chromium dental alloy fabricated by laser rapid forming. Lasers Med Sci. (2010) Nov (25(6)): 799-804. [Miy09] Miyazaki T, Hotta Y, Kunii J, Kuriyama S and Tamaki Y, A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J (2009) Jan (28(1)): 44-56. [Pje07] Pjetursson E, Sailer I, Zwahlen M and Hämmerle H, A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part I: Single crowns. Clin Oral Implants Res (2007) Jun(18) Suppl 3: 73-85. [Sai07] Sailer I, Pjetursson E, Zwahlen M, Hämmerle H, A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: Fixed dental prostheses. Clin Oral Implants Res (2007) Jun(18) Suppl 3: 86-96. [San07] Santosa R, Centre for Implant Dentistry, University of Florida, Provisional restoration options in implant dentistry. Aust Dent J (2007) Sep vol 52(3): 42-234. [Sch10] Schley S, Heussen N, Reich S, Fischer J, Haselhuhn K and Wolfart S, Department of Prosthodontics and Dental Materials, Medical Faculty, RWTH Aachen University, Survival probability of zirconia-based fixed dental prostheses up to 5 yr: a systematic review of the literature. Eur J Oral Sci (2010) Oct (118(5)): 50-443.

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Bibliografía adicional [Ala10] Al-Amleh B, Lyons K, Swain M, Department of Oral Rehabilitation, Faculty of Dentistry, University of Otago, Clinical trials in zirconia: a systematic review. J Oral Rehabil (2010) Aug vol 37(8): 52-541. [Ako08] Akova T, Ucar Y, Tukay A, Balkaya M, Brantley W, Department of Prosthodontics, Faculty of Dentistry, Cukurova University, Comparison of the bond strength of laser-sintered and cast base metal dental alloys to porcelain. Dent Mater (2008)Oct vol24 (10): 4-1400. [Ako09] Akova T, Ucar Y, Tukay A, Balkaya M, Brantley W, Department of Prosthetic Dentistry, College of Dentistry, Cukurova University, Internal fit evaluation of crowns prepared using a new dental crown fabrication technique: laser-sintered Co-Cr crowns. J Prosthet Dent (2009) Oct vol 102(4): 9-253. [Beh95] Behrendt U, Shellabear M, EOS GmbH, The EOS rapid prototyping concept. Computers in Industry (1995) Dec vol 28 (1): 57-61. [Kap09] Kapos T, Ashy LM, Gallucci GO, Weber HP, Wismeijer D, Department of Restorative Dentistry and Biomaterials Science, Harvard School of Odontology,

[Kum07] Kumar S, Selective laser sintering: A qualitative

Computer-aided design and computer-assisted

and objective Approach. JOM Journal of the Minerals,

manufacturing in prosthetic implant dentistry. Int J Oral

Metals and Materials Society (2007) vol 55 (10): 43-37.

Maxillofac Implants (2009) vol 4 (Suppl): 7-110.

[Ort11] Ortorp A, Jönsson D, Mouhsen A, Vult von Steyern

[Kel08] Kelly JR, Denry I, Department of Reconstructive

P, Department Prosthetic Dentistry/Dental Materials

Sciences, Center for Biomaterials, University of Connecticut

Science, Institute of Odontology, The Sahlgrenska Academy,

Health Center, Stabilized zirconia as a structural ceramic:

University of Gothenburg, The fit of cobalt-chromium three-

an overview. Dent Mater (2008) Mar vol 24 (3): 98-289.

unit fixed dental prostheses fabricated with four different

[Kha01] Khaing M, Fuh J, Lub L, TEC Electronics Singapore Pte. Ltd., Department of Mechanical Engineering, National

techniques: A comparative in vitro study. Dent Mater (2011) Apr vol 27(4): 63-356.

University of Singapore, Direct metal laser sintering for

[Zar11] Zarone F, Russo S, Sorrentino R, Dept. of Fixed

rapid tooling: processing and characterisation of EOS parts.

Prosthodontics, University Federico II of Naples, From

Journal of Materials Processing Technology (2001)

porcelain-fused-to-metal to zirconia: clinical and

vol 113 (1-3): 269-272.

experimental considerations. Dent Mater (2011) Jan vol 27 (1): 83-96.


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The best results with Phibo® CAD‑CAM: clinical case Patient, 52 years of age, edentulate for more than 5 years. Implant surgery was performed with Phibo® TSA® Advance Series 3, 4 and 5, upper and lower to support fixed prostheses in the maxilla and mandible using Cobalt Chrome and Titanium in CAD-CAM.

Fitting of Dual Press abutments for impressions on implants (maxilla). Fig. 1

Fitting of Dual Press abutments for impressions on implants in the mandible. Fig. 2

Fig. 1

Fitting of impression caps for definitive imprinting (maxilla). Fig. 3

Fig. 2

Fitting of impression caps for definitive imprinting (mandible). Fig. 4

Fig. 4

Fig. 3

Splinting of impression caps (maxilla). Fig. 5

Splinting of the impression caps once the cuvette is placed in the mouth (mandible). Fig. 6

Fig. 5

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Fig. 6

CAD-CAM

Test of teeth in wax to verify occlusion. Fig. 8

View of the imprinting. Fig. 7

Fig. 8

Fig. 7

Right side occlusion. Fig. 9

Structure in the plaster model. Fig. 10

Fig. 9

Test of structure in the mouth. Test of fit. Fig. 11

Fig. 10

Occlusal view of abutments in the mouth (cementing). Fig. 12

Fig. 12

Fig. 11

Occlusal view of abutments (ProUnic). Fig. 13

Final result of the prosthesis in the mouth. Fig. 14

Fig. 13

Fig. 14


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CAD-CAM Dental clinic

I+D+i & Production Center Av. Mediterráneo 202-206 03725 Teulada Alicante | Spain T +34 965 740 949 F +34 965 740 441 www.phibo.com

REF.: CATCADCAMCLEN_rev001

Pol. Ind. Mas d’en Cisa Gato Pérez, 3-9 08181 Sentmenat Barcelona | Spain T +34,937,151,978 F +34,937,153,997

This document was reviewed and approved on 15.03.12.

Phibo® Headquarters