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Introduction<strong>Cercon</strong> <strong>ht</strong>The new zirconia generationA wish comes trueExpectations of a contemporary prosthetic material includemultiple colouring and natural translucency.<strong>Cercon</strong> <strong>ht</strong>, with its outstanding translucency, combines 10 years of <strong>Cercon</strong> experiencewith current expectations of a state-of-the-art aesthetic shade result. For both the fullycontoured variety and for the combination with <strong>Cercon</strong> ceram love or <strong>Cercon</strong> ceram Kissa wish comes true for achieving individually tailored restorations with <strong>Cercon</strong>.Sincerely,Team Sirius2


SIRIUS NEWS 2/2011Scanning/design with<strong>Cercon</strong> eye or 3Shape+ multi-colouring technique+ <strong>Cercon</strong> body stains+ <strong>Cercon</strong> glazeTotal time 30 minutes (max)Fully contoured framework aspects can beprimed with soft-flowing colours.The shade-defining base was stained as perthe recipe.Additional staining with <strong>Cercon</strong> body stains(cf. page 13).Finished bridge after glazing. Tooth 35 isveneered; teeth 36 and 37 are fully contoured.3


<strong>Cercon</strong> <strong>ht</strong>customizedProcedures1. Staining the unsintered frameworkas per the formula (cf. page 10)2. Customizing the base shade in twostain firings3. Glazing the surface4<strong>Cercon</strong> <strong>ht</strong>Post-processing: approx. 5 minutesNote: Tool diameter must be at least 1 mm.


SIRIUS NEWS 2/2011Translucent and colour reliable✔ ✔ Significantly improved lig<strong>ht</strong> transmission<strong>Cercon</strong> <strong>ht</strong> offers a significantly improved lig<strong>ht</strong> transmission towards other zirconiaframework brands.✔✔Safe staining formulaThe foundation formula using staining liquids offers reliable guidance in reproducingthe 11 most common Vita shades. The formula has been fine-tuned specifically for<strong>Cercon</strong> <strong>ht</strong>; it is not transferable to other zirconia frameworks.✔✔Dipping and multi-colouring are availableYou have the choice between a single-shade dipped framework structure (dipping)or a multi-coloured undercoating.The multi-coloured shade system lets you create fully contoured restorations withreliable shades as per the shade guide. Multi-coloured <strong>Cercon</strong> <strong>ht</strong> frameworks forsubsequent veneering improve aesthetics and create additional depth. <strong>Cercon</strong> <strong>ht</strong>and <strong>Cercon</strong> ceram love veneering ceramics will always result in a highly naturalappearance, even with thin veneer layers.The special shade formula makes the reflection behaviour of zirconia more harmonized,bringing it very close to nature.<strong>Cercon</strong> <strong>ht</strong> is characterized by anexcellent penetration depth. Minorocclusal adjustments can be madewithout compromising restorationshade (no brig<strong>ht</strong> spots).The multi-colouring technique is a three-step technique.Results of the multi-colouring technique. The reflection effect is natural.The gradual colour transitions form the basis for the final shade.1–2 shade firings5 minutes for the foundation1–2 shade firings<strong>Cercon</strong> body stains5 minutes for stainingCreating lustre with <strong>Cercon</strong> glaze2 minutes for glazing5


SIRIUS NEWS 2/2011Allow the frameworks to dry sufficiently and place in the <strong>Cercon</strong>heat Plus as per the manufacturer’s instructions.The <strong>Cercon</strong> <strong>ht</strong>/DeguDent sintering parameters apply..SuggestionWeigh the framework on a gold scalebefore applying the liquid. The weig<strong>ht</strong> gainafter drying must not exceed 10%.!! Pre-dry all frameworks under infra-red lig<strong>ht</strong> for 45 to60 minutes.!! Excessive temperatures may result in mottled shadesor even damage the framework.9


<strong>Cercon</strong> <strong>ht</strong>customizedFormula for multi-colouringSHADE A1 A2 A3 A3.5 B1monochrome* 5 seconds 5 seconds 5 seconds 5 seconds 5 secondspolychrome**Before sintering1) Margin I 1 x A 3,5 C 2 x A 3,5 C 3 x A 3,5 C2) Margin II 2 x A 3 P 2 x A 3,5 P 2 x A 3,5 P 2 x A 3,5 P 2 x B 3 P3) Cervical 2 x A 2 P 2 x A 3 P 2 x A 3 P 2 x A 3 P 2 x B 2 P4)Dentin /enamel2 x A 2 PBrush out2 x A 2 PBrush out2 x A 2 PBrush out2 x A 3 PBrush out2 x B 2 PBrush out5) Occlusal 2 x A 2 P 2 x A 2 P 2 x A 2 P 2 x A 2 P 2 x B 2 PAfter sinteringBody I, II Body 1, 2 Body 1, 2 Body 1, 2 Body 1, 2 Body 1, 4* The entire framework has a uniform basic shade** Gradual colour transitions similar to those of the natural tooth for 11 Vita shadesC Colour Liquid, ZirkonzahnP Prettau, Zirkonzahn1), 2) 4)5)Margin areaBrush out occlusally3)4) 5)10CervicalDentin / enamel, brush outCentre of the occlusal area:Add a drop of Colour Liquid to the fissure.


<strong>Cercon</strong> <strong>ht</strong>customizedFinishing the shadeAfter the shade-sintering step, you can apply stain directly onto the framework.Perform any minor corrections to the framework using a water-cooledturbine. Following the multi-colouring <strong>Cercon</strong> <strong>ht</strong> staining, finish the shadingusing the <strong>Cercon</strong> body stains according to the combination chart related tothe Vita shade.Important notes!! Follow the manufacturer’s recommendations when applying the <strong>Cercon</strong> bodystains.!! Make sure the stains have a creamy consistency to prevent “islands” fromforming on the surface.!! Finishing the shade requires two firings (for shade assignments see page 11).!! The glaze firing is performed using <strong>Cercon</strong> glaze. Glaze firing is a necessarystep: the glaze is required to “seal” the surface.12


SIRIUS NEWS 2/2011General firing recommendationsFiringPreheating°CDrying°CHeating°C / min.Final temp°CHoldingmin.VacuumhPaCoolingmin.STAIN/GLAZE450 3:00 55 800 1:00 — 6:00Very minor corrections can be performed using <strong>Cercon</strong> ceram love correction material.Follow the firing recommendations for <strong>Cercon</strong> ceram love.13


<strong>Cercon</strong> <strong>ht</strong>customizedStep by stepThe multi-colouring technique creates the perfect shade base for the 11most popular Vita shades and for gradual colour transitions.A1 A2 A3 A3.5 B1Sintered1st stainapplication2nd stainapplicationfollows<strong>Cercon</strong> <strong>ht</strong> after glazingOcclusalVestibularMesial14


SIRIUS NEWS 2/2011Simple steps to successsB2 B3 C2 C3 D2 D315


<strong>Cercon</strong> <strong>ht</strong>customizedProcedureNatural appearanceThe <strong>Cercon</strong> <strong>ht</strong> multi-colouredtechnique can be applied for customframework staining to achieve anatural appearance with thin ceramiclayers.The shade of two-piece <strong>Cercon</strong>abutments can be customizedwith the result that colourshift is minimized in thegingival area.Minimized colour shiftDeceptively real<strong>Cercon</strong> <strong>ht</strong> framework+ Pressed-to gingiva portions+ <strong>Cercon</strong> <strong>ht</strong> crowns+ <strong>Cercon</strong> ceram loveIn oral implantology, <strong>Cercon</strong> <strong>ht</strong> canbe used to replicate missing hardand soft tissues in a very realisticmanner.16


SIRIUS NEWS 2/2011Finishing after occlusal adjustments!! Perform all occlusal adjustments using a watercooledturbine and appropriate diamond burs.!! Finishing after occlusal adjustments and subsequentpolishing are essential to protect the antagonist.!! Minor additions can be performed using <strong>Cercon</strong>ceram love correction material.Finishing <strong>Cercon</strong> <strong>ht</strong> frameworks aftersintering/polishingDIAMANT 40 µM/RED DIV.PRE-POLISH/BLUEHIGH-POLISH/REDB r u s h + D i a m o n dPasteSIRIUS CERAMICS40410 SIRIUS CERAMICs40420 SIRIUS CERAMICS40500 Sirius CeramicsAvoiding errors!! Insufficient drying times may cause frameworkdamage.!! Before sintering, thoroughly remove any dustor contamination (black spots).!! Unsuitable instruments or excessive pressuremay destroy the unsintered framework.!! Dry on a suitable surface in order to preventthe stain from running. Tissue is not suitable.!! Too strong staining may be caused by excessivedipping or staining times with the liquid.!! Metal surfaces or oxide contamination maycause framework discolouration.17


<strong>Cercon</strong> <strong>ht</strong>customizedClinical casesSingle crowns, teeth 15, 16, 17<strong>Cercon</strong> <strong>ht</strong>, fully contoured.From practitioners for practitionersWith <strong>Cercon</strong> <strong>ht</strong>, fluorescence can beindividually influenced.<strong>Cercon</strong> <strong>ht</strong>, fully contoured crown18All clinical photographs courtesy of Dr. Rafaela Jenatschke, Frankfurt.


SIRIUS NEWS 2/2011Multi-coloured <strong>Cercon</strong> <strong>ht</strong> framework,veneered with <strong>Cercon</strong> ceram love.12, crown; 11–22, bridge.Tailor-made aesthetics with <strong>Cercon</strong> <strong>ht</strong>Multi-coloured <strong>Cercon</strong> <strong>ht</strong> framework beforeshade finishing and intraorally.19


<strong>Cercon</strong> <strong>ht</strong>customized“<strong>Cercon</strong> <strong>ht</strong> strikes the rig<strong>ht</strong>balance between reliable standardsand customized aesthetics.”Carsten Fischer, May 2011My special thanks go to Tanja Wagner, Lilli Schermer, Jan Stiller and Dr. Rafaela Jenatschkefor their unbelievable performance to develop and realize this concept.Sirius Ceramics | Carsten FischerLyoner Straße 44 – 4860528 FrankfurtGermanyE-Mail info @ sirius-ceramics.comWeb www. sirius-ceramics.comwww. sirius-ceramicsshop.comFon 069 66366910Fax 069 66366911

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