All-Ceramic

For the past decade, Arcari Dental Laboratory has perfected the art of ceramic restorations. Our certified dental technicians have completed many training courses; both in-house and by expert trainers specializing in these highly esthetic, metal-free alternatives. Our all-ceramics offer superior strength and durability—from the single tooth restoration to a multi-unit posterior bridge. We look forward to working with you to provide the best-in-class solution that’s sure to please your patients.

Arcari is pleased to offer IPS e.max as an excellent and affordable, metal-free alternative to PFMs. IPS e.max provides world-class esthetics and outstanding marginal accuracy.

Its unique lithium disilicate framework has added strength (360 MPa) for single unit anterior or posterior crowns and 3-unit anterior bridges. IPS e.max can be cemented with low expanding glass ionomer cements or bonded with resin cements when indicated. Prescribe IPS e.max to achieve maximum esthetics, virtually perfect contacts and occlusion, and impressive strength.

We look forward to working with you to provide this best-in-class solution that’s sure to please your patients.

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IPS e.max® Press Prep Guide

IPS e.max® CAD Prep Guide

Indications

IPS e.max CAD is indicated for full anterior or posterior crowns. IPS e.max press is indicated for full anterior or posterior crowns and three-unit bridges having only one pontic with the second bicuspid as the most distal abutment. Veneers can also be indicated and are recommended when combining with adjacent IPS e.max crowns or bridges, provided ample reduction is achieved. Otherwise, original IPS Empress or IPS e.max CAD would be indicated for veneers, inlays and onlays.

Contraindications

IPS e.max should not be used on patients with malfunctional occlusion such as bruxers or clenchers. IPS e.max should not be used as abutments for cast partials. IPS e.max should not be used in situations when preparation requirements cannot be achieved. IPS e.max is not indicated for Maryland-type bridges.

Preparation

Anterior full-coverage crowns require a chamfer or shoulder margin. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. 1 mm. Facial reduction is 1.5 – 2 mm; 1 – 1.5 mm lingual contact clearance. Incisal reduction is 1.5 – 2 mm with rounded internal line angles, and an incisal edge at least 1mm wide to permit optimum milling of the incisal edge during CAD/CAM processing.

Posterior full-coverage crown requires a chamfer or shoulder margin. A circular shoulder is prepared with rounded inner edges or a chamfer at an angle of 10-30°: the width of the shoulder/chamfer is approx. 1 mm. Occlusal reduction is 1.5 – 2 mm: axial reduction (buccal, lingual and interproximal) is 1.5 mm with rounded internal line angles.

Cementation

For greatest strength, and where preparation allows for dry field (supra-gingiva margins), it is recommended to use adhesive bonding, such as VarioLink II (Ivoclar Vivadent) or similar dual cure materials (Insure, Cosmedent; Nexus, Kerr; Choice, Bisco, Inc.; Lute-It, Pentron).

For areas subgingival, or when a dry field cannot be achieved, Ivoclar Vivadent recommends a hybrid glass ionomer cement system with less than 0.5 percent expansion. (NOTE: Resin-reinforced glass ionomers (Advance, Vitremer) are not indicated for any all-ceramic restoration.)

Some recommended resin cements:

  • Vivaglass (Ivoclar Vivadent)
  • GC Fuji (GC America)
  • Ketec Cem (3M ESPE)
  • Panavia F (J. Morita)
  • C&B Metabond
  • Variolink (Ivoclar Vivadent)

Tech Notes

If you are a CEREC customer and would like to learn more about how to upload your CEREC file directly to us, please call 877-825-8001.

If adjustment is required on the ceramic, ALWAYS CEMENT OR BOND INTO PLACE BEFORE PROCEEDING, then use a fine diamond with water to keep the crown cool. To contour the crown, polish with a porcelain polishing wheel ( Brassler, Shofu and Vident) and diamond polishing paste.

Caution: Do NOT attempt to fire porcelain. IPS e.max ceramic requires specific stains and glaze, as well as precisely calibrated ovens at specific temperatures and vacuum settings.For best results, return crown for re-glaze firing to lab.

Codes

  • D2740 Crown
  • D2610 Inlay for 1 surface
  • D2620 Inlay for 2 surfaces
  • D2630 Inlay for 3 surfaces
  • D2962 Labial Veneer
  • D2783 Crown 3/4 Porcelain Ceramic (does not include veneers)

IPS Empress leucite-reinforced, pressed ceramic offers an alternative to traditional, metal-supported ceramic restorations. With more than 20 years of proven experience in the business of metal-free restorations, IPS Empress has proven to be one of the top choices among leading clinicians worldwide.

Trusting Arcari technicians to fabricate your next IPS Empress case guarantees natural looking results, giving your patient a healthy, natural and beautiful smile.

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IPS Empress® Prep Guide

Indications

IPS Empress is recommended for anterior single crowns, inlays, onlays and veneers. IPS Empress veneer is recommended for anterior restorations to block out mild staining, close diastemas or to just enhance esthetics.

Contraindications

IPS Empress should not be used on patients with malfunctional occlusion such as bruxers or clenchers. IPS Empress should not be used as abutments for cast partials. IPS Empress should not be used in situations when preparation requirements cannot be achieved. IPS Empress veneer is not to be used in the case of correcting severe stain situations such as tetracycline.

Preparation

IPS Empress should not be used on patients with malfunctional occlusion such as bruxers or clenchers. IPS Empress should not be used as abutments for cast partials. IPS Empress should not be used in situations when preparation requirements cannot be achieved. IPS Empress veneer is not to be used in the case of correcting severe stain situations such as tetracycline.

Anterior full-coverage crowns require a chamfer with 1.5 – 2 mm facial reduction, 1 – 1.5 mm lingual contact clearance, 1.5 – 2 mm incisal reduction 1 – 1.5 mm reduction at the gingival margin with rounded internal line angles; or a shoulder with 1 mm lingual reduction, 2 mm incisal reduction, 1.5 mm labial reduction, 1 mm 360° rounded shoulder.

Posterior full-coverage crowns require a chamfer margin with 1.5 – 2 mm occlusal reduction, 1.5 mm buccal and lingual reduction with rounded internal line angles; or a shoulder with 1.5 – 2 mm occlusal reduction, 1.5 mm buccal and lingual reduction and 1 – 1.5 mm gingival margin reduction with rounded internal line angles.

Inlays and onlays require 1.5 – 2 mm isthmus width, 1 – 1.5 mm wide gingival floor with rounded internal line angles and butt joint margins.

Veneers require a uniform preparation and lingual reduction to increase strength. A medium-grit round-ended diamond is used to join the depth cut grooves to establish a uniform preparation and porcelain thickness of at least 1 mm. The diamond is angled to eliminate undercuts and establish a butt joint on the lingual aspect of the preparation. The incisal edge should be rounded to eliminate sharp line angles.

Chamfer Margins – Correct preparation of the chamfer margins interproximally allows the appropriate bulk of porcelain.

A Slice Preparation – This technique enables the ceramist to close the space and avoid unnatural lingual contours.

Cementation

Adhesive bonding/dual cure materials including:

  • Variolink (Ivoclar Vivadent)
  • Choice (Bisco, Inc.) Insure
  • (Cosmedent, Inc.)

Tech Notes

If an adjustment is required on the ceramic, ALWAYS CEMENT OR BOND INTO PLACE BEFORE PROCEEDING, then use a fine diamond with water and air to keep the crown cool. To contour the ceramic, polish with a pink rubber wheel and diamond polishing paste (Brassler, Shofu and Vident).

Caution: Do NOT attempt to fire porcelain. It must be done in precisely calibrated ovens at special temperatures and vacuum settings.

For best results, return crown for reglaze firing to lab.

Codes

  • D2740 Crown
  • D2610 Inlay for 1 surface
  • D2620 Inlay for 2 surfaces
  • D2630 Inlay for 3 surfaces
  • D2962 Labial Veneer
  • D2783 Crown 3/4 Porcelain Ceramic (does not include veneers)

The high-strength zirconia Katana ML is a pre-shaded, pre-colored layered disc from Noritake that can provide highly aesthetic results while minimizing the production process in the laboratory. Because of these individual layers, our technicians can achieve natural coloration by only polishing or glazing the final restoration. No dipping or staining of the crowns is ever necessary.

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Indications

A highly versatile zirconia, Katana UTML is indicated for Ideal for posterior crowns and veneers, inlays/onlays and posterior single crowns.

Preparation

Shoulder preparation not needed. A mild champfer or a feather edge margin is good. 1mm buccal, lingual and occlusal reduction is ideal, but can go to .5mm in some areas, when reduction is limited.

Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.

Adjustments and polishing: Adjust zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football-shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish zirconia restorations with the porcelain polishing system of your choice.

Cementation

Katana UTML zirconia may be cemented using a resin reinforced glass ionomer such as Relyx Luting cement. When a greater bond is needed do to the lack of a retentive preparation, use resin cement like Relyx Unicam or Relyx Ultimate.

Before cementing all Katana UTML zirconia crowns, the interior surface of the crown needs to be cleaned with Ivoclean (Ivoclar Vivadent; Amherst N.Y.). This is critical in assuring maximum bond strength.

Tech Notes

Pearl Surface Z is a diamond paste ideal for polishing the zirconia surface to a final finish on Full Contour Zirconia Crowns. Specially developed for Katana zirconia, it is the simplest and fastest way to achieve finished Full Contour Zirconia Crowns.Polish solid zirconia restorations with the porcelain polishing system of your choice.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic

Arcari understands your patients’ increasing demand for restorations with clinically proven strength and exceptional beauty. BruxZir® restorations from Arcari deliver some of the strongest and most esthetic all-ceramic crowns and bridges to date, and now come in 16 classical VITA shades to match your patient’s natural dentition. Produced with the latest CAD/CAM technology, BruxZir® restorations combine the natural dentition characteristics your patients demand with the exceptional marginal fit you require.

We also offer other full-contour zirconia solutions, such as Pearl FC Zr® and Zirlux™.

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Indications

Indicated for posterior crowns, bridges, inlays and onlays. An esthetic solution for bruxers and grinders when PFM metal occlusal/lingual or full-cast restorations are not desired or when patient lacks the preparation space for a PFM or has broken a PFM in the past. Zirconia can also be used for anterior teeth with a facial veneer of porcelain for improved esthetics

Preparation

Shoulder preparation not needed, feather edge is okay. It is a conservative preparation similar to full-cast gold, so any preparation with at least 0.5 mm of occlusal space is accepted.

Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.

Adjustments and polishing: Adjust BruxZir zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish BruxZir restorations with the porcelain polishing system of your choice.

Cementation

  • Resin Ionomer cement (RelyX or RelyX Unicem, 3M ESPE)
  • Maxcem Elite (Kerr)
  • Panavia F 2.0 (Kuraray) -ideal for short, tapered preparations
  • Glass ionomer cement (GC Fuji, GC America)

Tech Notes

Solid zirconia requires a cast gold type preparation.

Anteriors may have a facial veneer of porcelain but the occlusion will remain in 100 percent zirconia. Final Zirconia restorations are glazed to a smooth surface to reduce plaque accumulation.

Adjust zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish solid zirconia restorations with the porcelain polishing system of your choice.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic

BruxZir® Anterior is the latest advancement in the BruxZir Solid Zirconia product line. This highly esthetic restorative material is designed specifically to satisfy the esthetic and functional requirements of the anterior region of the mouth. Exhibiting an average flexural strength of 650 MPa with translucency and color similar to natural dentition, BruxZir Anterior is an ideal, esthetic solution for your anterior cases. BruxZir® Anterior requires less reduction than monolithic glass ceramic restorations and does not create wear on the patient’s natural opposing dentition during occlusal and parafunctional activity.

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Indications

Indicated for anterior crowns, bridges, inlays and onlays. An esthetic solution for bruxers and grinders when PFM metal occlusal/lingual or full-cast restorations are not desired or when patient lacks the preparation space for a PFM or has broken a PFM in the past. Zirconia can also be used for anterior teeth with a facial veneer of porcelain for improved esthetics

Preparation

Shoulder preparation not needed, feather edge is OK. It is a conservative preparation similar to full-cast gold, so any preparation with at least 0.5 mm of occlusal space is accepted. A minimum occlusal reduction of 0.8 mm; 1.25 mm is ideal.

Cementation

Try BruxZir crown in mouth and make any necessary adjustments to contacts and occlusion. Rinse internal surface of BruxZir crown with air and water, and place Ivoclean (Ivoclar) inside of restoration and rinse off after 20 seconds. Mix and place Ceramir cement in crown, seat crown on tooth and proceed with cleanup as it enters doughy stage.

Tech Notes

Solid zirconia requires a cast gold type preparation.

Anteriors may have a facial veneer of porcelain but the occlusion will remain in 100 percent zirconia. Final Zirconia restorations are glazed to a smooth surface to reduce plaque accumulation.

Adjust zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish solid zirconia restorations with the porcelain polishing system of your choice.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic

Sinfony light-and vacuum cured, indirect lab composite has been a successful member of the Arcari metal free restoration team for many years.

Sinfony is a Microhybrid composite, designed to build and layer like porcelain. This allows Arcari’s technicians to apply each shade with the utmost accuracy for consistent esthetics. Sinfony posses inherent advantages in flexibility, impact strength and color stability.

Sinfony indirect lab composite from Arcari is the clear choice for dentists concerned with accuracy, consistency and esthetics results.

* Excellent esthetics/translucency * Superior wear characteristics * Ease of finishing and polishing * Plaque and stain resistant

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Indications

Sinfony™ is indicated for inlays, onlays, veneers and full coverage crowns. When used with fiber reinforcement, Sinfony is also indicated for Maryland bridges, inlay or onlay bridges and full coverage bridges reaching a maximum span of 15 mm.

Contraindications

Sinfony™ should not be used for patients who brux or clench their teeth. Sinfony should not be used for cases that have inadequate reduction or do not meet the preparation requirements. Sinfony should not be used for cases that have a span longer than 15 mm from abutment to abutment.

Preparation

Anterior Crowns require 1 – 1.5 mm lingual reduction with a chamfer margin.

Maryland bridges require 1.5 mm lingual clearance, 2 mm proximal boxes on the abutment teeth and 1 – 1.5 mm rounded shoulder reduction with a supra-gingival margin. Veneers require 1 mm facial reduction with a chamfer margin.

Posterior crowns or full coverage bridges require a reduction of 1 – 1.5 mm width at the gingival floor, 1.5 – 2 mm isthmus width and 1.5 mm depth. Inlay bridges require a butt joint margin and 1-1.5mm width at the gingival floor, 1.5 – 2 mm isthmus width, and 1.5 mm depth.

Cementation

All Sinfony™ restorations should be cemented using Silane and a dual-cure resin cement that matches the shade of the restoration. * Variolink II Dual-Cement * Nexus

Tech Notes

  • Flexural strength 105MPa
  • Compressive strength 400MPa
  • Impact strength 7.5mj/mm2
  • Water absorption 19μg/mm3 (60 days)
  • Flexural modulus 4.8 GPa

Codes

  • D2710 — Resin based composite (indirect)

Ultra-Translucent Multi-Layered zirconia is the industry’s leading all-ceramic restorative material. Available in a full variety of multi-layered colors with the highest possible translucency, Katana reaches esthetic levels never before reached by all-ceramic restorations. Ideal for anterior crown or veneer restorations, Katana achieves that high level of translucency required for a natural look with surrounding teeth and prevent noticeably white and unnatural appearance. Suitable for treating cases in which it is desirable to utilize abutment color to enhance final results.

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Indications

A highly versatile zirconia, Katana UTML is indicated for Ideal for anterior crowns and veneers, inlays/onlays and posterior single crowns.

Preparation

Shoulder preparation not needed. A mild champfer or a feather edge margin is good. 1mm buccal, lingual and occlusal reduction is ideal, but can go to .5mm in some areas, when reduction is limited.

Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.

Adjustments and polishing: Adjust zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football-shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish zirconia restorations with the porcelain polishing system of your choice.

Cementation

Katana UTML zirconia may be cemented using a resin reinforced glass ionomer such as Relyx Luting cement. When a greater bond is needed do to the lack of a retentive preparation, use resin cement like Relyx Unicam or Relyx Ultimate.

Before cementing all Katana UTML zirconia crowns, the interior surface of the crown needs to be cleaned with Ivoclean (Ivoclar Vivadent; Amherst N.Y.). This is critical in assuring maximum bond strength.

Tech Notes

Pearl Surface Z is a diamond paste ideal for polishing the zirconia surface to a final finish on Full Contour Zirconia Crowns. Specially developed for Katana zirconia, it is the simplest and fastest way to achieve finished Full Contour Zirconia Crowns.Polish solid zirconia restorations with the porcelain polishing system of your choice.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic

Available in pre-shaded discs to produce all 16 VITA classical shades, as well as three bleach shades, Zirlux® 16+ provides the superior strength of full-contour zirconia (1,200 MPa) with next-generation coloration options and translucency. Constructed entirely of monolithic zirconia, Zirlux® eliminates much of the gingival discoloration common in alloy restorations.

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Indications

Zirlux 16+ zirconia is so versatile, it can be used in almost any situation from singles, bridges with any combination of abutments and pontics, inlay bridges, Maryland type bridges and screw retained implants. Also an esthetic alternative to a PFM with metal occlusion due to limited space.

Preparation

Shoulder preparation not needed. A mild champfer or a feather edge margin is good. 1mm buccal, lingual and occlusal reduction is ideal, but can go to .5mm in some areas, when reduction is limited.

Minimum occlusal reduction of 0.5 mm; 1 mm is ideal.

Adjustments and polishing: Adjust Zirlux 16+ zirconia crowns and bridges using water and air spray to keep the restoration cool and to avoid micro-fractures with a fine grit diamond. If using air only, use the lightest touch possible when making adjustments. A football-shaped bur is the most effective for occlusal and lingual surfaces (on anterior teeth); a tapered bur is the ideal choice for buccal and lingual surfaces.

Polish Zirlux 16+ zirconia restorations with the porcelain polishing system of your choice.

Cementation

Zirlux 16+ zirconia may be cemented using a resin reinforced glass ionomer such as Relyx Luting cement. When a greater bond is needed do to the lack of a retentive preparation, use resin cement like Relyx Unicam or Relyx Ultimate.

Before cementing all Zirlux 16+ zirconia crowns, the interior surface of the crown needs to be cleaned with Ivoclean (Ivoclar Vivadent; Amherst N.Y.). This is critical in assuring maximum bond strength.

Tech Notes

Solid zirconia requires a cast gold type preparation. If adjustments are needed, use zirconia specific diamonds and rubber wheels polishing with diamond paste.

Codes

  • D2740 Crown – Porcelain/Ceramic Substrate
  • D6245 Pontic Porcelain/Ceramic
  • D6740 Abutment Crown Porcelain/Ceramic