1. GHIL TARGIS / VECTRIS 1997 중앙 길 병원 치과 김 영 훈 TARGIS / VECTRIS 1997 중앙 길 병원 치과 김 영 훈

2. GHIL TARGIS The New CEROMER Material Ceramic optimized polymer

3. GHIL What is the Targis? Light activated veneering material made of CeromersLight activated veneering material made of Ceromers Ceramics ( esthetics ) + Resins (Flexual strength)Ceramics ( esthetics ) + Resins (Flexual strength) Unmatched Ceromer materialUnmatched Ceromer material –75-85 weight % of Inorganic filler –Ceramic particle –Organic matrix

4. GHIL Indications (Targis) Metal-free bridges with Vectris fmwkMetal-free bridges with Vectris fmwk Metal-free single posterior crowns with Vectris fmwkMetal-free single posterior crowns with Vectris fmwk Metal-reinforced crown, bridge, and implant veneersMetal-reinforced crown, bridge, and implant veneers Metal-free anterior crownsMetal-free anterior crowns Metal-free inlays,onlays, veneersMetal-free inlays,onlays, veneers Metal-reinforced combination denturesMetal-reinforced combination dentures

5. GHIL Contraindications Metal-free bridges with more than one pontic between two abutment teethMetal-free bridges with more than one pontic between two abutment teeth Allergic patientAllergic patient

6. GHIL Side effects Hypersensitivity on skin - uncured Targis materialHypersensitivity on skin - uncured Targis material Avoid eye contactAvoid eye contact

7. GHIL General Steps Shade selectionShade selection Preparation of ModelPreparation of Model –Sealing of die: Die hardener/Separating varnish –Drying is important –Check tolerance with separator

8. GHIL IsolationIsolation Two coat - 3 min dry on each coatTwo coat - 3 min dry on each coat Check the sharp edge area - thin coatCheck the sharp edge area - thin coat

9. GHIL Metal-reinforced crown, bridge, and implant veneers AlloysAlloys - Corrosion resistant alloys - Corrosion resistant alloys –Copper and/or silver content: < 50% –Gold, platinum content: < 90% High gold alloys containing more than 90% gold, platinum must only be used in combination with retentive elementsHigh gold alloys containing more than 90% gold, platinum must only be used in combination with retentive elements

10. GHIL Design and fabrication of frameworks without mechanical retentionwithout mechanical retention without metal backingwithout metal backing finish with tungsten carbide bursfinish with tungsten carbide burs blast with aluminum oxideblast with aluminum oxide clean with oil free compressed airclean with oil free compressed air –minimum thickness: 1.5 mm –avoid premature contact

11. GHIL Targis Link apply with brushapply with brush wait for 1 minutewait for 1 minute

12. GHIL Targis Opaquer Precure with Targis Quick for 20 secondsPrecure with Targis Quick for 20 seconds Apply second masking layerApply second masking layer Cure with Targis Power P2Cure with Targis Power P2 Remove the inhibited layer with disposable spongeRemove the inhibited layer with disposable sponge –Place the fmwk above the 2mm from the bottom

13. GHIL Procedure for shoulder veneers Mask with Targis Base and cure for 20 secMask with Targis Base and cure for 20 sec Targis Quick initial curingTargis Quick initial curing Remove inhibited layer with spongeRemove inhibited layer with sponge –Do not remove the crown from the die

14. GHIL Modelling and Layering Targis Dentin - maximum layer is 2mmTargis Dentin - maximum layer is 2mm Precure for 10 sec with Targis QuickPrecure for 10 sec with Targis Quick –Do not mix –Pat the material –Use Modelling liquid Targis Transparant and IncisalTargis Transparant and Incisal –2mm, 10 sec

15. GHIL Characterization Targis Stain, Impulse, GingivaTargis Stain, Impulse, Gingiva

16. GHIL Curing with Targis power Coat with Targis GelCoat with Targis Gel Curing P1 for 25 minutesCuring P1 for 25 minutes WashWash Finish with carbide tungsten, diamonds or finishersFinish with carbide tungsten, diamonds or finishers

17. GHIL Polishing pumice and goat’s hair brushpumice and goat’s hair brush low rpmlow rpm lot of waterlot of water no pressureno pressure –Tungsten carbide is excellent for prepolishing –Avoid instrument contamination Polish with pink hybrid polishers at 5000- 8000 rpm without pressurePolish with pink hybrid polishers at 5000- 8000 rpm without pressure

18. GHIL Adjustment of shape Finish with tungsten carbide or diamonds burFinish with tungsten carbide or diamonds bur Blast with 100 micrometer/Max. 2 barBlast with 100 micrometer/Max. 2 bar Clean and dryClean and dry Apply Targis Wetting agentApply Targis Wetting agent –Wait for 60sec –Dry with oil-free compressed air Targis Dentin, Incisal - 10 sec with Targis QuickTargis Dentin, Incisal - 10 sec with Targis Quick Targis GelTargis Gel

19. GHIL Curing with Targis Power P1 for 25 minutesP1 for 25 minutes Wash and polishWash and polish

20. GHIL Metal free single anterior crowns, inlays, onlays, veneers Application for Basic shade with Targis BaseApplication for Basic shade with Targis Base Precure 20 sec for with Targis QuickPrecure 20 sec for with Targis Quick Remove inhibited layer with spongeRemove inhibited layer with sponge –Do not remove Targis Base from the die –Remove the restoration while it is still warm

21. GHIL Life Like EstheticsLife Like Esthetics –Translucency –Fluorescence High Flexual strengthHigh Flexual strength Enamel-like AbrasionEnamel-like Abrasion

22. GHIL VECTRIS VECTRIS The New FRC Material Fibre-reinforced composite

23. GHIL What is Vectris? Light activated, translucent, tooth colored fmwk made from a fibre-reinforced material

24. GHIL Indication Metal-free bridges with Vectris fmwkMetal-free bridges with Vectris fmwk Metal-free single posterior crowns with Vectris fmwkMetal-free single posterior crowns with Vectris fmwk

25. GHIL Contraindication Metal-free bridges with more than one pontic between two abutment teethMetal-free bridges with more than one pontic between two abutment teeth Allergic patientAllergic patient

26. GHIL Advanced Framework MaterialAdvanced Framework Material - Fibre-reinforced Vectris material - Fibre-reinforced Vectris material - Metal-free, translucent frameworks - Metal-free, translucent frameworks

27. GHIL Proven fibre-reinforced technologyProven fibre-reinforced technology –Composed of several layers of fibre wafers –Uniaxially oriented fibre bundles –Organic polymer matrix –Excellent elasticity and distribution of strain

28. GHIL Outstanding translucencyOutstanding translucency –Metal-free, translucent Vectris High Flexual strengthHigh Flexual strength

29. GHIL 1. Modelling –Wax up a simple beam-like pontic on the model –3mm wax wire diameter –Check the interdental space 2. Fabricate a silicone key and remove the wax – Remove the remaining segment –Make the silicone key –Leave the occlusal area open –Remove the wax –Apply 2 more coat of Targis Model Separator –Vectris Glue apply

30. GHIL 3. Framework fabrication –Place a Vectris Pontic in the occlusal opening of the silicone key, according to the situation –Second pontic rope –Adjust the level; Highest point of Model=Below the level of container –Fill the pellets up to maximum 1 cm below the preparation margin –Place the transparent foil flat on the bridge –A process combining vacuum, pressure, and light in the state-of-art Vectris VS 1 produces highly accurate, bubble-free frameworks - P1 for 9 minutes

31. GHIL 3. Finishing –Finish Vectris Pontic with tungsten carbide bur –Blast with aluminum oxide 1 bar pressure –Steam clean Pontic dimension:Pontic dimension: Diameter: 2mm Diameter: 2mm Occlusal stop: 0.3 mm Occlusal stop: 0.3 mm –Apply Vectris Wetting agent –Wait for 60 sec and blow of the excess

32. GHIL –Trim the silicone key to expose the preparation margin –Make the silicone key convex. –4/5 of the crown length must be exposed. –Apply 2 more coat of separator –Replace it on the model

33. GHIL 4. Timming of Vectris Frames –Trim the Frames –Small cuts for optimum adaptation –Apply Vectris Glue –Adjust level –Optimum adaptation and curing is achieved with the fully automatic Vetrix VS 1 franework former

34. GHIL 5. Bridge Framework –The finished framework made of Vectris Pontic and Bectris Frame is ready for the esthetic Targis veneer –Remove cervical excess up to 2/3 of the crown length –Blast with aluminum oxide at 1 bar –Steam clean

35. GHIL Molar framework –Vectris Singles are used to fabricate esthetic single posterior frameworks easily and accurately

36. GHIL Prefabricated Vectris components Vectris singleVectris single Vectris ponticVectris pontic Vectris FrameVectris Frame

37. GHIL Vectris GlueVectris Glue ApplicatorApplicator

38. GHIL Vectris VS 1 Vectris VS 1 –Vaccum, Pressure, Light Furnace

39. GHIL Targis on Vectris / Targis on Metal Fabrication of metal-free framework with VectrisFabrication of metal-free framework with Vectris –Bond with translucent Targis Base Framework fabrication without mechanical retentionFramework fabrication without mechanical retention –Targis Link to reinforce the bond between the metal and the framework material –Targis Opaquer

40. GHIL Additive crown buildup and individualized shading Additive crown buildup and individualized shading –Targis quick –Targis stains –Targis impulse –Targis gingivae –Targis power Adhesive cementation Adhesive cementation Conventional cementation Conventional cementation

41. GHIL Targis PowerTargis Power – High-performance curing unit – Light and Heat Targis QuickTargis Quick – Initial curing light for quick precuring