Description
The highly customizable IPS e.max® is made out of lithium disilicate glass-ceramic and can be fabricated as a full-contour monolithic or cut-back and layered with porcelain. Due to its five levels of translucency, this option is the most esthetic all-ceramic solution. Due to its proven clinical success, this restoration is an industry standard. IPS e.max offers minimally invasive restorations with flexural strength of up to 500 MPa. Additional impulse ingots available for maximum flexibility.
Indications
IPS e.max is the premium lithium disilicate, glass-ceramic restoration. Combining lifelike materials and fracture resistant properties, IPS e.max is as durable as it is lifelike. The flexibility of IPS e.max makes it an excellent restorative method for anterior esthetics or posterior function.
Contraindications
Bridges which include molars, Maryland style bridges, and bridges which have a short vertical height that does not allow for adequate connector height.
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
IPS e.max layered – can be cemented using a resin reinforced glass ionimer such as RelyX Luting cement. Or bonded using a resin cement when extra strength is needed due to lack of retention on the prep, use a resin cement such as RelyX Unicem or RelyX Ultimate.
Tech Notes
If adjustments are needed, use fine diamonds with water and light pressure. Always remove the crown when adjusting or bond/cement crown before adjustments are made.
Reviews
There are no reviews yet.