BeCe® Temp Processing information for CAD/CAM-produced restorations Partners in Progress CAD/CAM-PRODUCED RESTORATIONS MADE OF BeCe® Temp BeCe® Temp BeCe® Temp is a tooth-coloured composite based on PMMA (highly cross-linked polymethyl methacrylate) for the production of composite crowns, bridges and frames for restoration within the scope of provisional and preprosthetic restorations in the anterior and posterior regions. Restorations made from BeCe® Temp are characterised by special highly cross-linked polymers. These polymers give them high fracture resistance with a smooth and thus plaque-resistant surface at the same time, which guarantees reliable soft tissue management, particularly in implant restorations. The BeCe® Temp restorations produced by BEGO Medical GmbH thus ensure preprosthetic restorations of unbeatable quality. CAD/CAM products manufactured by BEGO Medical GmbH are custom products for individual patients. Indications Provisional, long-term temporary and semi-permanent single tooth and bridge restorations, such as: • Frames for partially and fully veneered solutions with up to two pontics (including fully anatomical) • For aesthetic trial fittings • Table tops (partial crowns placed on the top third of the tooth and cemented) • Eggshell temporary restorations (CAD/CAM-milled immediate restorations) • Metal-supported long-term temporary restorations Blanks made of BeCe® Temp Contraindications Undesirable biological reactions (such as allergies to material components) can occur in isolated cases. BeCe® Temp restorations are contraindicated in case of known incompatibilities or known allergies to material components. Shade chart BeCe® Temp restorations are available in 2 different shades. The following BEGO chart is available for selecting the shades and the corresponding final result according to the VITA* classical shade system: Shade allocation A0 A00 B0 B00 A1 A2 B1 B2 C1 D2 A3 K1 *VITA is a registered trademark of Vita Zahnfabrik H. Rauter GmbH & Co. KG, Bad Säckingen, Germany. 2 A3.5 A4 B3 B4 C2 K2 C3 C4 D3 D4 INFORMATION FOR DENTAL TECHNICIANS Wall thicknesses / CAD wax-up In order to achieve the clinically necessary stability, a minimum wall thickness of 1 mm is required for the objects. The wall thickness should be increased at critical points on the objects, e.g., at the transition between a connector and a terminal pontic. Terminal pontics should not be larger than the width of a pre-molar. Modelling of a 5-unit provisional bridge in 3Shape DentalDesigner Anterior regions Restoration Single crown Splinted crowns 3-unit bridge 4-unit bridge with 2 pontics Wall thickness in mm 1.0 1.0 1.0 1.0 1.0 1.0 1.0 1.0 Posterior regions Connector design The design of the connector is based on the size and indication of the restoration to be inserted. A distinction is made between anterior and posterior bridges. A connector cross section of at least 9 mm2 must be maintained. The connector cross section must be increased for posterior bridges, large bridges with a large number of pontics or successive pontics and/or restorations with a terminal pontic. For bridge constructions with a span size of up to two pontics, the connector cross section between the crown and bridge units must not be less than 12 mm2. Connector stability is achieved more through height than width. Abutment design We recommend paying attention to the minimum wall thickness around the adhesive abutment when waxing up two-piece abutments. Please use the thickness representation in the Assembly step in the 3shape™ software or measure the wall thickness with the 2D cross-section to check the data record. Avoid points and sharp edges in the entire design. For further information concerning the abutment design, please consult the Scan and Design Centre guidelines. 3 INFORMATION FOR DENTAL TECHNICIANS Metal-supported long-term temporary restorations For stability reasons, fixed long-term temporary restorations are often equipped with a “metal core” (metal-supported). This type of restoration and non-metal-supported temporary restorations can be produced quickly and easily with the Bego Medical CAD/CAM system using 3Shape software. Note: For modelling recommendations, please refer to the special recommendation for metal-supported long-term temporary restorations. This can be found on the BEGO Medical homepage in the download section. Metal-supported BeCe® Temp long-term temporary restorations Table tops Table tops are partial crowns placed on the top third of the tooth. It is a synonym for an onlay, but is not usually prepared. It is also a cost-effective alternative for allowing a patient to adapt to a new bite situation. The procedure is far superior to standard splint therapy, as the patient wears the new bite situation permanently (masticatory cycle, etc.). In addition, the method is mini- mally invasive and thus very comfortable for the patient. Note: For further modelling recommendations, please refer to the special recommendation for table tops. This can be found on the BEGO Medical homepage in the download section. Eggshell temporary restorations Eggshell temporary restorations are milled immediate restorations. CAD/CAM can be used to produce this temporary restoration for the patient quickly, easily and with attractive aesthetics and quality. This makes it possible to cut the time required for producing a temporary restoration in half. Thanks to their thin minimum wall thickness, the eggshell temporary restorations can be customised easily and can be used to show the patient the corrected tooth position, tooth colour or tooth shape in advance. In addition, it also functions as a preparation aid for the practitioner to create space for a correct restoration. It is also a cost-effective alternative for allowing the patient to adapt to a new bite situation. Note: For further modelling recommendations, please refer to the special recommendation for CAD/CAM-milled eggshell temporary restorations made from BeCe® Temp. This can be found on the BEGO Medical homepage in the download section. Finishing of objects The produced BeCe® Temp should be processed with a suitable cross-cut carbide cutter or suitable cutting discs for composites. In addition, subsequent polishing of the restorations is essential to avoid plaque deposits. Goat-hair brushes with corresponding polishing pastes can be used for the polishing. 4 Considerable heat development should be avoided during the finishing and polishing in order to avoid inaccurate fits after the frames are produced. INFORMATION FOR DENTAL TECHNICIANS Cleaning the objects Due to the high degree of heat development, the cleaning of the objects prior to further processing should not be performed with steam. Use an ultrasound bath with a max. temperature of approx. 35°C for this purpose. Cleaning solutions are not recommended. Composite veneering A milled BeCe® Temp frame can be coated with conventional cold-cure resins such as Combipress N/LM, Weropress®(1) or artConcept®(1). Materials based on MMA should be given preference. When veneering with composites, the connection to the PMMA must always be performed in accordance with the specifications of the respective manufacturer. Note: It is imperative to follow the specifications in the instructions for use supplied by the veneer manufacturer. Example: • Vita VM LC • Shofu® Solidex • 3M Espe Sinfony TM Preparation Generally speaking, anatomically reduced preparation should be performed and the conventional preparation guidelines apply. Cementing Restorations made from BeCe® Temp as a long-term temporary restoration are intended for a maximum wearing period of 12 months. Please use a conventional, eugenol-free provisional cement for cementing BeCe® Temp. Preparations containing eugenol impede the polymerisation of composite-based, definitive cements for the subsequent restoration. The following is generally applicable: • Temporary cements for the temporary restoration • Glass ionomer cements without bonding for the long-term temporary restoration Cementing of table tops and eggshell temporary restorations Table tops and eggshell temporary restorations should be fixed in place with adhesive, as it is otherwise not possible to achieve sufficient fixation. • Condition frames with Rocatec • Temporary fixation with eugenol-free, conventional fixation cement following the manufacturer’s specifications, without enamel/dentine adhesive technique (1) Product of Merz Dental GmbH, Lütjenburg, Germany. 5 GENERAL INFORMATION BeCe® Temp composition and physical data Composition Material data Polymethyl methacrylate (PMMA) and cross-linked polymers based on methacrylic acid residues • Dyes • Residual peroxide Methyl methacrylate (MMA) can be included as a residual monomer up to max. 1%. Density 1.19 g/cm3 DIN ISO 10477 Solubility 0.2 µg/mm3 DIN ISO 10477 Flexural strength 91.5 MPa / 96.6 MPa DIN ISO 10477 / DIN IN ISO 20795-1 Water absorption 26.5 µg/mm3 DIN ISO 10477 Flexural modulus 2773 MPa DIN EN ISO 20795-1 Water solubility Insoluble DIN ISO 10477 Solubility (qualitative) Poorly soluble in organic solvents Milled bridges made of BeCe® Temp 6 GENERAL INFORMATION Note Restorations are custom products in accordance with Directive 93/42/EEC. Specify batch no. for every procedure which requires identification of the material. Storage No special measures required. Information on hazards The processing of BeCe® Temp produces dusts, which can irritate the eyes, skin and airways. For this reason, please always ensure that the extraction systems at your workstation are in perfect working order. Disposal BeCe® Temp restorations are not water soluble, are inactive, pose no risk for the groundwater and can thus be disposed of as normal household waste. Warranty Our recommendations for use, whether given verbally, in writing, or by practical instruction, are based upon our own experience and trials and can therefore only be regarded as guidelines. Our products are subject to continuous development. We thus reserve the right to make modifications in design, appearance and materials without notice. Labelling Manufacturer Use Only to be used by dental staff Rx only 7 BEGO Medical GmbH Wilhelm-Herbst-Str. 1 · 28359 Bremen, Germany Tel. +49 (0)421 20 28-0 · Fax +49 (0)421 20 28-174 www.bego-medical.de · E-mail: [email protected] REF 800062/01 · D4M14018 · © 2014 by BEGO · 2014-09 www.bego.com
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