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Digital odontology, prosthetic solutions in CAD-CAM - Phibo® clinic Prosthetic solutions CAD... · The CAD-CAM systems are a true revolution for everyday work with modern dental

Feb 15, 2019

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Page 1: Digital odontology, prosthetic solutions in CAD-CAM - Phibo® clinic Prosthetic solutions CAD... · The CAD-CAM systems are a true revolution for everyday work with modern dental

CAD-CAM

Dental clinic

Implant systemsBiomaterials CAD-CAM Digital

solutions Services

Digital odontology, prosthetic solutions in CAD-CAM

Page 2: Digital odontology, prosthetic solutions in CAD-CAM - Phibo® clinic Prosthetic solutions CAD... · The CAD-CAM systems are a true revolution for everyday work with modern dental

Dental clinic

Contents

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

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3CAD-CAM Catalogue

CAD-CAM

Dental clinic

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.

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4 CAD-CAM Catalogue Dental clinic

Our productsand 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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5CAD-CAM Catalogue

CAD-CAM

Dental clinic

Our business model

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6 CAD-CAM Catalogue Dental clinic

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]

What is CAD-CAM?

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.

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]

Computer aided design.

Computer aided manufacture.

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7CAD-CAM Catalogue

CAD-CAM

Dental clinic

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

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8 CAD-CAM Catalogue Dental clinic

The prosthetics solutions preferred by clinicians

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

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.

5. Optimum communication with the patient: Available soon. 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.

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 personalised solution for each restoration

2.All types of materials.

3.Biocompatible and bioinert.

4.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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9CAD-CAM Catalogue

CAD-CAM

Dental clinic

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10 CAD-CAM Catalogue Dental clinic

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

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]

10. The best guarantee

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

11. And without changing your normal way of working

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.

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

12. Production centre equipped with the most advanced technology

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

7.Designed individually according to the needs of each patient.

8.On any implant system.

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

10.The best guarantee.

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

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

13. Extensive network of collaborating laboratories.

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11CAD-CAM Catalogue

CAD-CAM

Dental clinic

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12 CAD-CAM Catalogue Dental clinic

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.

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.

The table shows the values of Ra, average

roughness as an absolute value, of a

machined structure and a structure

made with laser sintering.

(Ra) Exterior 3.3μm 5.9μm

(Ra) Interior 3.0μm 3.6μm

Machined structure

Structure with Co-Cr by Phibo®

Cemented solutionsA solution for each restoration

Cronia® cemented.Structure

in cemented

Cobalt Chrome.

Structure in cemented

Zirconia.

Structure in cemented

Titanium.

Structure in cemented

Zirconia.

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13CAD-CAM Catalogue

CAD-CAM

Dental clinic

Cemented solutions

For any type of restoration

Caps and multiple structures.

Fully customised design

Depending on the needs

of each patient to achieve

the most attractive result.

Better fit

Caps and structures that fit better

than those manufactured with

conventional casting techniques.

[Liu 09]

Biocompatible materials

Zirconia in four tones, Cobalt

Chrome, Titanium and PMMA.

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14 CAD-CAM Catalogue Dental clinic

Restoration in screw-mounted

Zirconia.

Restoration in screw-mounted

Titanium.

Cronia® screw-mounted.

Adhoc® structure with 12 parts.

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 prosthesis-implant 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.

A solution for each restoration

Restorations on implants

· Nobel Biocare.

· Straumann.

· Astra Tech.

· Biomet 3i.

· Zimmer Dental.

· ...

The most extensive library on the market.

More than 80 connections available with the main brands.

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.

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15CAD-CAM Catalogue

CAD-CAM

Dental clinic

Restorations on implants

For any type of restoration

Caps and multiple structures

On any implant system

Phibo® has the most extensive

library of connections on

the market.

Excellent passive fit

Greater stability in the

implant-prosthesis interface

and better care and maintenance

of the soft and hard tissues.

Fully customised design

Depending on the needs of each

patient to achieve the most

attractive result.

Biocompatible materials

Zirconia in four tones, Cobalt

Chrome, Titanium and PMMA.

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16 CAD-CAM Catalogue Dental clinic

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 or Ackerman bars directly on the implant.

• Bars for removable overdentures with housing for Locator® abutments and Ceka® and Bredent® attachments, etc.

A solution for each restoration

Hybrid structures and removable bars on implants

Dolder in Titanium.

Hybrid structure in Cobalt Chrome.

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.).

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.

Roach® type attachment.

Bredent®

type attachment.

Bredent®type attach-ment. With structure with loaded ceramic.

Bredent® is a registered trademark of Bredent GmbH & Co.KGRoach® 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.

Attachments for removable prostheses

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17CAD-CAM Catalogue

CAD-CAM

Dental clinic

Hybrid structures and removable bars on implants

Versatility in the attachment

system

Wide variety of bars and attach-

ment types to satisfy the needs of

every patient.

All types of bars and hybrids

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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18 CAD-CAM Catalogue Dental clinic

Cemented caps

Multiple cemented structures

Multiple anatomic screw-mounted structures

Hybrids

Milled bars

Attachments (removable prostheses)

Customised abutments

Anatomic customised abutments

Cobalt chrome Titanium Zirconia(4 colours)

PMMA(4 colours)

Restorations in CAD-CAM

ask about

Syntesis®

by Phibo®

possibility of

attachments on

milled Titanium

bars

---

---

--- ---

---

---

---

---

ask about

Syntesis®

by Phibo®

ask about

Syntesis®

by Phibo®

ask about

Syntesis®

by Phibo®

ask about

Syntesis®

by Phibo®

ask about

Syntesis®

by Phibo®

Up to 4 parts with full guarantee.

Adhoc®

Adhoc®

Cronia®

Cronia®

Cronia®

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19CAD-CAM Catalogue

CAD-CAM

Dental clinic

Relative density Approx. 100 %

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 1380-1440°C

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:

• The best ceramic grip where needed thanks to the greater roughness of the surface. [Liu10]

• The best fit for the connection area.

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.

Adhoc®, versatility in screw-mounted Cobalt Chrome

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).

Better ceramic grip.

Better fit for the connection area.

Biocompatible and highly resistant to corrosion.

High resistance.

On any implant system.

n

n

n

n

n

Cobalt (Co) 61.8-65.8 %

Chrome (Cr) 2 3.7-25.7 %

Molybdenum (Mo) 4.6-5.6 %

Tungsten (W) 4.9-5.9 %

Silicon (Si) 0.8-1.2 %

Iron (Fe) Max. 0.50 %

Manganese (Mn.) Max. 0.10%

Properties

Composition

Adhoc® structure with 14 parts.

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20 CAD-CAM Catalogue Dental clinic

Density 1.18 g/cm3

Hardness (ball indentation) Approx. 200 MPa

Water absorption Approx. 23 µg/cm2

Solubility in water Approx. 0 µg/cm2

Bending strength Approx. 90 MPa

PMMA A1 White

PMMA B2 Pale

PMMA A3 Medium

PMMA A3.5 Intense

Copolymer acrylic based on polymethyl methacrylate (PMMA) > 99.9 %

Pigmentation < 1 %

Properties

Tones

Composition On many occasions in odontology it is necessary to make a provisional prosthesis until the patient can be fitted with the final prosthesis.

These provisional prostheses must be manufactured with maximum rigour and quality because, in addition to playing a part in the success of the final prosthesis, they provide comfort and satisfaction for the patient. [San07]

Phibo® PMMA (polymethyl methacrylate) is different from other plastic materials due to its greater translucence, ease of moulding and the possibility of surface repair in the event of scratching.

Cronia® temporary aesthetic prostheses provide the patient with numerous advantages:

• Aesthetics: Cronia® prostheses are anatomic; in other words, their shape is as similar as possible to natural teeth. In addition, Phibo® offers Cronia® prostheses in four tones: white, pale, medium and intense. This also helps them blend in exceptionally well with natural teeth. [Has05]

• They help to care for, model and maintain the soft tissues. In addition, they help preserve problem dental parts. All of this also contributes to the exceptional aesthetics of these solutions. [Bra88]

• Reliable and sturdy. They are temporary or provisional structures while waiting for the definitive restoration to be carried out.

• 100% biocompatible and non-allergenic. PMMA is a material with no residual monomer content and therefore does not cause allergies. PMMA also guarantees minimal irritation of the soft tissues with respect to other resins as it does not release monomers into the surrounding medium. [Bra88]

• Allows for correct functioning (phonetics, chewing load support, etc.), which is particularly significant in cases of complete edentulism.

Phibo® manufactures Cronia®, attractive temporary prostheses, for all types of restorations: cemented or screw-mounted, single or multiple (with the maximum number of necessary parts).

Cronia®,temporary anatomic restorations

Cronia® cemented.

Aesthetics, anatomy and natural colour.

Care, modelling and maintenance of the soft tissues.

Reliable and sturdy.

Biocompatible and non-allergenic

Fully functional.

n

n

n

n

n

Cronia® screw-mounted.

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21CAD-CAM Catalogue

CAD-CAM

Dental clinic

After more than 20 years of experience in the implant system, at Phibo® we know Titanium is highly compatible with biological processes. For this reason, Titanium has become the standard in the manufacture of implants and dental prostheses.

Phibo® prostheses in CAD-CAM are manufactured in the Ti6Al4V alloy (Grade 5 Titanium). It is an alloy composed of 90% Titanium, 6% Aluminium and 4% Vanadium, which results in a material that offers excellent mechanical resistance. In addition, this alloy has the common properties of Titanium: the material is light, biocompatible, stable in biological media and produces an excellent response in the soft tissues.

All the prostheses in CAD-CAM that Phibo® manufactures in Titanium are milled starting with a homogenous titanium block, in a fully monitored process.

Phibo® manufactures all types of structures in Titanium: from single and multiple, cemented or screw-mounted structures, to hybrid structures and bars.

Similarly, all our screws are manufactured in Grade 5 Titanium.

Titanium, the lightest material

Grain size ASTM E 112:7-13

Tensile strength (min.) 897 MPa

Elastic limit (min.) 795 MPa

Elongation (min.) 10 %

Density 4.43 g/cm3

Elastic module 114 GPa

Hardness (Vickers) 349

Tensile strength 860 (MPa)

Thermal expansion coefficient (TEC at 20°C) 8.6x10-6K-1

Thermal expansion coefficient (TEC at 250°C) 9.2 GPa

Melting point 1649°C ± 15°C

Element Maximum compression

limits (% of mass)

Nitrogen (N) 0.050

Carbon (C) 0.080

Hydrogen (H) 0.015

Iron (Fe) 0.250

Oxygen (O) 0.130

Aluminium (Al) 5.5 - 6.5

Vanadium (V) 3.5 - 4.5

Titanium (Ti) Others

Properties

Composition and propertiesTitanium Ti6Al4V (Grade 5)

Excellent mechanical resistance.

Light.

Biocompatible.

Excellent response in the soft tissues.

n

n

n

n

Hybrid structure in Titanium

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22 CAD-CAM Catalogue Dental clinic

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.

Zirconia,the most aesthetic material

Density 6.05 g/cm3

Grain size 450 nm

Porosity 0 %

Colour White

Bending strength 1000-1200 MPa

Vickers Hardness 13 GPa

SENB Tenacity (KIC) 6 MPa m1/2

Threshold stress intensity factor (KIO) 3.2 MPa m1/2

Radioactivity 0.03 Bq/g

ZrO2 + HfO2 + Y2O3 > 99.9 %

Properties

Composition

ZR0 White

ZR1 Pale

ZR2 Medium

ZR3 Intense

Tones

Cemented and screw-mounted Zirconia.

High aesthetic requirements

Biocompatibility

Resistance

Four tones

n

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23CAD-CAM Catalogue

CAD-CAM

Dental clinic

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.

GARANTÍAZirconia

years5

GARANTÍACobaltChrome

years5 Cobalt Chrome 5 years

Zirconia 5 years

PMMA 6 months

Quality assurance

GARANTÍATitanium

years5 Titanium 5 years

GARANTÍAPMMA

months6

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24 CAD-CAM Catalogue Dental clinic

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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25CAD-CAM Catalogue

CAD-CAM

Dental clinic

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,

Computer-aided design and computer-assisted

manufacturing in prosthetic implant dentistry. Int J Oral

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

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

Sciences, Center for Biomaterials, University of Connecticut

Health Center, Stabilized zirconia as a structural ceramic:

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

[Kha01] Khaing M, Fuh J, Lub L, TEC Electronics Singapore

Pte. Ltd., Department of Mechanical Engineering, National

University of Singapore, Direct metal laser sintering for

rapid tooling: processing and characterisation of EOS parts.

Journal of Materials Processing Technology (2001)

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

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

and objective Approach. JOM Journal of the Minerals,

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

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

P, Department Prosthetic Dentistry/Dental Materials

Science, Institute of Odontology, The Sahlgrenska Academy,

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

unit fixed dental prostheses fabricated with four different

techniques: A comparative in vitro study. Dent Mater (2011)

Apr vol 27(4): 63-356.

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

Prosthodontics, University Federico II of Naples, From

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

experimental considerations. Dent Mater (2011) Jan

vol 27 (1): 83-96.

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26 CAD-CAM Catalogue Dental clinic

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

Fitting of Dual

Press abutments

for impressions

on implants

(maxilla). Fig. 1

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

impression caps

for definitive

imprinting

(maxilla). Fig. 3

Splinting of the

impression caps

once the cuvette

is placed in the

mouth (mandible).

Fig. 6

Fitting of

impression caps

for definitive

imprinting

(mandible). Fig. 4

Splinting of

impression caps

(maxilla). Fig. 5

Fitting of Dual

Press abutments

for impressions

on implants in the

mandible. Fig. 2

Fig. 2Fig. 1

Fig. 4

Fig. 5 Fig. 6

Fig. 3

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27CAD-CAM Catalogue

CAD-CAM

Dental clinic

View of the

imprinting. Fig. 7

Right side

occlusion. Fig. 9

Test of structure

in the mouth. Test

of fit. Fig. 11

Occlusal view

of abutments

(ProUnic).

Fig. 13

Occlusal view

of abutments

in the mouth

(cementing).

Fig. 12

Final result of the

prosthesis in the

mouth. Fig. 14

Test of teeth in

wax to verify

occlusion. Fig. 8

Structure in the

plaster model.

Fig. 10

Fig. 7 Fig. 8

Fig. 9 Fig. 10

Fig. 11 Fig. 12

Fig. 14Fig. 13

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CAD-CAM

Phibo® Headquarters

Pol. Ind. Mas d’en CisaGato Pérez, 3-908181 SentmenatBarcelona | SpainT +34,937,151,978F +34,937,153,997

I+D+i & Production Center

Av. Mediterráneo 202-20603725 TeuladaAlicante | SpainT +34 965 740 949F +34 965 740 441

www.phibo.com

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