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Ceramage UP SBS UK

The document describes a light-curing flowable composite material for dental crowns, bridges, inlays and veneers. It provides information on the product components, characteristics, indications, application instructions, technical data and safety notes.

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0% found this document useful (0 votes)
49 views28 pages

Ceramage UP SBS UK

The document describes a light-curing flowable composite material for dental crowns, bridges, inlays and veneers. It provides information on the product components, characteristics, indications, application instructions, technical data and safety notes.

Uploaded by

doctorluco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 28

Light-Curing Flowable Composite for

Crowns & Bridges, Inlays and Veneers

INSTRUCTIONS FOR USE


As a manufacturer of direct and indirect filling as well as crown & bridge composites, SHOFU sets new stan-
dards for light-curing hybrid composites, which fulfill the clinical demands of dentists, dental technicians and
patients in physical and aesthetic respect with optimal satisfaction.

The acquired knowledge and many years of experience led to the development of new materials, which
combine the advantages of ceramic and composite – CERAMAGE UP.

Presented in a dispenser, the new flowable light-curing hybrid composite enables a free layering application
for high-quality aesthetic veneerings on metal frameworks and non metal restorations. CERAMAGE UP has
outstanding physical properties, allowing accurate shade reproduction, even where space is limited.

Due to its thixotropic properties, CERAMAGE UP flows bubble-free when applied from the dispenser and
features excellent build-up and modeling characteristics. While providing substantial material savings the
flowable composite can be processed quickly and accurately.

Moreover, CERAMAGE UP has a high abrasion resistance and elasticity, a tooth-like reflection index, translu-
cency and opalescence.

CERAMAGE UP is indicated for a wide range of clinical applications, including aesthetic anterior and molar
telescopic and implant superstructures that require long term durability.

Note:
Please read these instructions carefully before use to attain maximum benefits of the CERAMAGE UP system. Keep
this manual at hand for your future reference!

2
Contents
1. Notes on Use
1-1. Precautions………………………………………………………………………………………… 4
1-2. Hazard warnings…………………………………………………………………………………… 4
1-3. Notes on use……………………………………………………………………………………… 5
1-4. Cleaning Information……………………………………………………………………………… 6
2. System components
2-1. Indications………………………………………………………………………………………… 7
2-2. Characteristics……………………………………………………………………………………… 7
2-3. Components and shades………………………………………………………………………… 7
2-4. Components / Accessories……………………………………………………………………… 8
2-5. Shade charts………………………………………………………………………………………10
2-6. LITE ART Stains……………………………………………………………………………………10
3. Application
3-1. Layering diagram…………………………………………………………………………………… 11
3-2. Layering technique for metal-supported restorations…………………………………………13
3-3. Layering technique for metal free crowns………………………………………………………17
3-4. Layering technique for inlays and onlays………………………………………………………20
4. Special applications
4-1. Application of Opaque Dentin……………………………………………………………………22
4-2. Application of UNIVERSAL OXY-BARRIER Gel………………………………………………22
4-3. Additions after curing CERAMAGE UP…………………………………………………………23
4-4. Additions after curing CERAMAGE………………………………………………………………23
5. Contouring, finishing and polishing
5-1. Contouring…………………………………………………………………………………………24
5-2. Contouring of fissures………………………………………………………………………………24
5-3. Finishing and polishing……………………………………………………………………………24
5-4. Pre-polishing and high-gloss polishing…………………………………………………………25
5-5. Case examples ……………………………………………………………………………………25
5-6. Preparing for cementation of metal free restorations…………………………………………25
6. Technical data
6-1. Light-curing chart……………………………………………………………………………………26
6-2. Depth of cure (based on SHOFU test method)…………………………………………………27
6-3. Physical data………………………………………………………………………………………27
6-4. Bond strength to metal (semi-precious alloy) (MPa)……………………………………………27

3
1. Notes on Use

1-1. Precautions
• Do not use this product on patients with known allergies to this material and/or methacrylate monomer.
• Operators with known allergies to this material and/or methacrylate monomer must not use this product.
• If any inflammation or other allergic reactions occur on either the patient or operator, immediately discon-
tinue use and seek medical advice.
• Do not use this product on patients with malocclusion and bruxism (clenching, grinding and tapping).
• Do not handle unpolymerized material with bare hands. Use protective plastic gloves and glasses to avoid
sensitization to this product. Avoid contact of this material with skin and eyes. In case of accidental contact
with skin, immediately blot with alcohol moistened cotton ball and rinse with plenty of water. In case of
contact with eyes, immediately flush the eyes with plenty of water and seek medical advice.
• Use local dust extractor, dust protective mask, etc. while grinding this product to avoid harmful influence of
the dust on the human body.
• Give the patient proper instructions for daily cleaning to avoid getting stained or plaque adhesion.
• This product is intended for use by dental professionals only.
1-2. Hazard warnings
• Pre-Opaque (UNIVERSAL OPAQUE), Opaque (UNIVERSAL OPAQUE) contains UDMA
• CERAMAGE UP flowable composite contains UDMA
• M.L. Primer contains acetone
• CERAMAGE SEP contains ethanol
• CERAMAGE SPACER contains natural rubber latex

4
1-3. Notes on use
• Store in a dark place at room temperature (1-25°C / 34-77°F). Avoid high humidity and keep away from
direct sunlight and any source of ignition.
• Use separate brushes for Pre-Opaque (UNIVERSAL OPAQUE) and Opaque (UNIVERSAL OPAQUE). After
application, clean the brush with alcohol or ethanol.
• Don’t apply surface lustering or glazing agents to the surface of the CERAMAGE UP restoration.
• When using CERAMAGE UP for intraoral repair, dispense adequate amount of the material onto a paper
pad and apply with a suitable instrument.
• Average light-curing time for intraoral repair with CERAMAGE UP
Dental light-curing unit Halogen light-curing unit LED light-curing unit
Light-curing time 40 sec. 20 sec.

• When using a hand-held light-curing unit, operators must use protective glasses or light shielding plate to
avoid looking directly at the curing light. Operators must also protect patients' eyes from direct exposure to
the curing light.
• After using intraorally, disinfect the hand-held light-curing unit with alcohol to avoid cross-contamination.
• Follow the instructions for use of each dental material, instrument or equipment to be used in conjunction
with this product.
• Tightly close the cap immediately after each use.
• The paste dispensed onto the dish or paper pad should be shielded from ambient light by light-shielding
cover to avoid unintended polymerization of the material.
• Do not mix CERAMAGE UP with other materials including CERAMAGE to avoid degradation of the perfor-
mance of this material and entrapping air bubbles.
• Do not use this product in places with intense light such as close to a window or under the work light to
avoid unintended polymerization of the paste.
• Do not use this product for any purposes other than specifically outlined in the Indications in these instruc-
tions for use.
• Use this product within the expiration date indicated on the package and container.
(Example YYYY-XX→Shelf life: at the end of XX month, YYYY year)

5
1. Notes on Use

1-4. Cleaning Information


• Avoid cleaning with ultrasonic cleaning liquid, because they are highly aggressive. The composite surface
may begin to dissolve if the liquid is used inappropriately. Therefore, alkaline cleaning agents with a pH
higher than 8 should not be used.

6
2. System components

2-1. Indications
• Veneering of metal-supported crown and bridgeworks
• Veneering of telescopic combination dentures
• Veneering of fixed and removable implant superstructures
• Veneering of gingival areas of fixed and removable implant superstructures
• Veneering of CAD/ CAM fabricated metal and hybrid ceramic frameworks
• Anterior and posterior metal free crowns
• Inlays, onlays and veneers
• Indirect and direct repairs of crown restorations and defects in prosthetic restorations
2-2. Characteristics
• CERAMAGE UP is an easy to apply flowable hybrid composite in a dispenser
• Free layering technique for material and time saving application
• Accurate reproduction of the natural tooth shade, even where space is limited
• Wide color range of translucent and opalescent flowable composites, effect and gingival masses
• Its abrasion resistance ensures molars are protected from the opposing dentition
• In combination with M.L. Primer and UNIVERSAL OPAQUE a strong bond to any type of metal including
precious alloys is produced

2-3. Components and shades


Pre-Opaque (SHOFU UNIVERSAL OPAQUE) (1 shade, 2 mL)
Opaque (SHOFU UNIVERSAL OPAQUE) (28 shades, 2 mL)
WO, W2O, W3O, A1O, A2O, A3O, A3.5O, A4O, B1O, B2O,
B3O, B4O, C1O, C2O, C3O, C4O, D2O, D3O, D4O, rootAO,
MO, BGO, GO, InO, VpO, VrO, PO, GUM-O
CERAMAGE UP flowable composites for Crowns and Bridges (74 shades, 5 g)
Cervical (8 shades) AC1, AC2, BC1, BC2, CC1, CC2, DC1, DC2
Opaque Dentin (17 shades) ODA1, ODA2, ODA3, ODA3.5, ODA4, ODrootA, ODB1,
ODB2, ODB3, ODB4, ODC1, ODC2, ODC3, ODC4, ODD2,
ODD3, ODD4
Body (21 shades) W0B, W1B, W2B, W3B, A1B, A2B, A3B, A3.5B, A4B, rootAB,
B1B, B2B, B3B, B4B, C1B, C2B, C3B, C4B, D2B, D3B, D4B
Incisal (5 shades) 56, 57, 58, 59, 60
Translucent (8 shades) T, HVT, LVT, T-Glass, BG, GT, CT-A, CT-B
Concentrate (5 shades) MY, WE, OC, AM-Y, W
GUM (10 shades) GUM-L, GUM-D, GUM-Or, GUM-Br, GUM-V, GUM-R,
GUM-DP, GUM-LP, GUM-P, GUM-T

7
2. System components

2-4. Components / Accessories • GUM-O (Gum Opaque, dark pink)


For coloring and preparing the framework for GUM
M.L. Primer ( 1 bottle / 5 mL) colors
-- Metal Primer for stronger bond between the
metal frameworks and UNIVERSAL OPAQUE • PO (Pink Opaque, light pink)
For coloring and preparing the framework for GUM
-- Improved bond when applied to the surface colors
of precious alloys, semi precious alloys and
non-precious alloys CERAMAGE UP Flowable Composite
PRE-OPAQUE (SHOFU UNIVERSAL OPAQUE) •CERVICAL (8 shades / 5g)
(1 shade / 2 mL) For reproducing cervical shades
-- Paste Opaque for the first layer when veneering
on metal frameworks
• OPAQUE DENTIN (17 Shades / 5g)
-- Highly opacious dentine shade
-- Highly flowable, flows easily even into small -- For reproducing the dentin shade at thin layered
areas of retainers. Higher depth of cure ensures dentine areas
full light curing and a strong bond to the alloy.
OPAQUE(SHOFU UNIVERSAL OPAQUE) (28
• BODY (21 shades / 5g)
For reproducing dentine shades
shades / 2 mL)
Paste Opaque for masking the metal framework and
• INCISAL(5 shades / 5g)
For reproducing enamel shades
abutment teeth of jacket crowns. In addition to basic
shades following special colors are available: • TRANSLUCENT (8 shades / 5g)
• T (Translucent)
• MO (Margin Opaque) For reproducing translucent shades
Applied after Pre-Opaque in widths of 1mm • HVT (High-Value Translucent)
around the cervical margins for masking unwanted For reproducing bluish translucent shades with
shadows of the alloy higher brightess
• BGO (Blue-Gray Opaque, Incisal Opaque) • LVT (Low-Value Translucent)
For blue-gray characterization by mixing with For reproducing grayish translucent shades with
UNIVERSAL OPAQUE lower brightness
• GO (Gray Opaque) The translucent level is LVT > T > HVT
For transparent areas and for adjusting the bright- • T-Glass
ness of the UNIVERSAL OPAQUE For reproducing glass clear translucent shades
• InO (Incisal Opaque) (maximum translucency)
For gray characterization by mixing with
UNIVERSAL OPAQUE • BG (Blue Glass)
Light blue T-Glass
• VrO (Value Reduce Opaque) • GT (Gray Trans)
For reducing the value (brightness) of the Gray translucent effect shade
UNIVERSAL OPAQUES • CT (Cervical Trans)
• VpO (Value Plus Opaque) Translucent effect shade for cervical areas
For increasing the value (brightness) of the --CT-A
UNIVERSAL OPAQUES For A-shade range (orange tone)
• WO (White Opaque) --CT-B
For B-shade range (yellow tone)
For adjusting the brightness of the UNIVERSAL
OPAQUES

8
• CONCENTRATE (5 shades / 5 g) • ACCESSORIES
• WE (White Enamel) • UNIVERSAL OXY-BARRIER (1 jar / 10 g)
Slightly whitish translucent enamel effect shade for Creates an air barrier to guarantee a complete
occlusal ridges and proximal areas of anterior teeth polymerization of the composite and avoid an
inhibition layer.
• OC (Occlusal)
Slightly less translucent enamel shade for
occlusal surfaces on molars or proximal areas • PRO-PAD (2 x 30 sheets)
(anterior / posterior) Two colored paper pad for the optional use of
composites and light curing stains on a black or
The opacity level is WE > OC white area. The black area creates more contrast
and extends the working time of the composites.
• AM-Y (Amber Yellow)
For reproduction of translucent amber enamel effects • CERAMAGE UP TIPS + Caps (50 pcs.)
Tips for using with special CERAMAGE UP
• MY (Mamelon Yellow) dispenser.
For reproduction of yellowish mamelon effects
by mixing with Body shades • CERAMAGE SEP (1 bottle / 7 mL)
Separating Liquid for isolation between plaster
• W (White) and CERAMAGE UP. Used when fabricating
For reproduction of whitish effects by mixing with
metal free crowns, inlays, onlays and veneers.
Body or lncisal shades
• GUM (10 shades / 5 g) • CERAMAGE SPACER (1 bottle / 7 mL)
For reproduction of gingival shades Spacer for plaster models to form a silicone-like
layer and ensure space for cement between
--GUM-L metal free restorations, such as metal free
Gum Light (light color) crowns, inlays / onlays and veneers to the
--GUM-D prepared tooth.
Gum Dark (dark color) • Ceramage Finishing & Polishing Kit (1 set)
--GUM-Or Well matched instrument kit for systematically
Gum Orange (orange color) contouring and finishing of CERAMAGE UP and
other micro filled hybrid composites.
--GUM-Br
Gum Brown • DURA-POLISH (1 jar / 20 g)
Aluminum oxide impregnated (73% by weight)
--GUM-V
Gum Violet polishing paste for pre-polishing of CERAMAGE
UP and other micro filled hybrid composites.
--GUM-R
Gum Red • DURA-POLISH DIA (1 jar / 5 g)
Diamond impregnated (67% by weight) polishing
--GUM-DP paste for high gloss polishing of CERAMAGE
Gum Dark Pink UP and other micro filled hybrid composites after
--GUM-LP using DURA-POLISH
Gum Light Pink
• UNI BRUSH No.4
--GUM-P
Gum Pink • UNI BRUSH No.5
--GUM-T
Gum Translucent

9
2. System components

2-5. Shade charts


1. Basic Shade Composition
Shade A1 A2 A3 A3.5 A4 root A B1 B2 B3 B4
Opaque A1O A2O A3O A3.5O A4O rootAO B1O B2O B3O B4O
Cervical - AC1 AC2 - - BC1 BC2
Opaque Dentin ODA1 ODA2 ODA3 ODA3.5 ODA4 ODrootA ODB1 ODB2 ODB3 ODB4
Body A1B A2B A3B A3.5B A4B rootAB B1B B2B B3B B4B
Incisal 58 59 60 60 57 58 59 60

Shade C1 C2 C3 C4 D2 D3 D4
Opaque C1O C2O C3O C4O D2O D3O D4O
Cervical - CC1 CC2 DC1 DC2
Opaque Dentin ODC1 ODC2 ODC3 ODC4 ODD2 ODD3 ODD4
Body C1B C2B C3B C4B D2B D3B D4B
Incisal 58 59 60 59 60 59

2. Whitening Shade Composition


Shade W0 W1 W2 W3
Opaque WO W2O W3O
Body W0B W1B W2B W3B
Incisal 56 57

The supplementing four Whitening colors and root-A color form a meaningful extension of the “classical” color
range.
Root A (intensive A) has higher chroma than the color A4.

2-6. LITE ART Stains


For individual characterization of the CERAMAGE UP restorations the ready to use LITE ART stains are
recommended. LITE ART light curing stains are designed to recreate the color and shade characteristics
easily. In a very simple way the reproduction of every natural tooth characteristic can be created with a vital
appearance during the build-up of CERAMAGE UP.

Natural individualization with LITE ART light


curing stains during the build-up

10
3. Application

3-1. Layering diagram


Guidelines for the minimum thickness of the abutment tooth

Anterior
Metal free Crown Faced Crown
Cervical > 0.8 mm > 0.8 mm
Labial Surface > 1.2 mm > 1.2 mm
Lingual Surface > 1.2 mm -
Incisal Edge Height 1.5 - 2.5 mm 1.5 - 2.5 mm
Others The margins should be contoured The metal thickness should be
with a round or deep chamfer. > 0.3 mm. The labial margin
should be contoured with a
shoulder or rounded shoulder. The
proximal and lingual area should
be contoured with a deep chamfer.

1.5 - 2.5 mm


● ●





● ●

> 1.2 mm
● ●
● ●
● ●

> 1.2 mm
● ● ● ● ● ● ● ● ● ●

> 0.8 mm > 0.8 mm

Anterior jacket crown Anterior faced crown

11
3. Application

Posterior
Metal free Crown Faced Crown Inlay / Onlay
Cervical > 0.8 mm > 0.8 mm > 0.8 mm
Pits & Fissures > 1.2 mm > 1.2 mm > 1.0 mm
Tooth Cusp Premolar > 1.2 mm Premolar > 1.2 mm Premolar > 1.2 mm
Molar > 1.5 mm Molar > 1.5 mm Molar > 1.5 mm
Width of occlusal surface - - > 2 mm
Bevel - - -
Others The margins should be The margins should be The margins should be
contoured with a round or contoured with a shoulder contoured with a deep
deep chamfer. or round shoulder. chamfer. The cavity
margin should not be
The metal thickness bevelled.
should be > 0.3 mm. A box preparation should
be used for the cavity.
The edges of the cavity
should be rounded.
The cavity margins
should be prepared away
from the contact areas of
the opposing dentition.

Premolar > 1.2 mm Premolar > 1.2 mm


Molar > 1.5 mm Molar > 1.5 mm
> 1.2 mm > 1.2 mm

> 0.8 mm
Posterior jacket crown Faced crown

> 2.0 mm

Premolar > 1.2 mm


Molar > 1.5 mm
> 1.0 mm

Inlay / Onlay
> 0.8 mm

12
3-2. Layering technique for metal-supported restorations

Translucent
Incisal

Body
Translucent Incisal
Opaque
Body
Opaque
Cervical
Cervical

1. Pre-Treatments
• The design of the wax framework is made according to the generally accepted guidelines. In order to obtain
the correct shade with sufficient stability, the thickness of the veneer should be at least 1.0 mm. Then, apply
retention beads of 150 µm.
• After casting adjust the metal framework and create a tapered chamfer design at the cervical area and
polish the parts which are not veneered.
• The surface of the veneer area requires a blasting with aluminum oxide Al O (50-100 µm) with a pressure
2 3
of 2-3 bar.
• After sandblasting clean with steam cleaner or ultrasonic cleaner.
2. Conditioning of the framework with M.L. Primer
Dispense 1-2 drops of M.L. Primer on a dish and apply a thin layer M.L. Primer with UNI BRUSH No.5 on the
surface where Opaque (UNIVERSAL OPAQUE) is to be applied. Dry for 10 seconds and apply the first layer of
Pre-Opaque (UNIVERSAL OPAQUE).

Framework after cleaning and drying Application of M.L Primer with UNI
BRUSH No.5
Note: M.L. Primer contains solvents, close the cap tightly immediately after use. Dispensed liquid
should be used immediately.
After applying M.L. Primer, clean the brush with alcohol. The brush should not be cleaned
with self curing resin liquid.

13
3. Application

3. Application and light-curing of Universal Pre-Opaque


The special polymerization characteristics and viscosity of Pre-Opaque (UNIVERSAL OPAQUE) enables it to
cure completely even in undercuts and ensure secure bonding. Apply Pre-Opaque (UNIVERSAL OPAQUE) in
the undercuts of the retentions beads using a UNI BRUSH No. 4 and light-cure for 1 minute with the Solidilite
V light-curing unit. Ensure that Universal Pre-Opaque flows completely into these areas.

Apply Universal Pre-Opaque 10 Cover the framework evenly in a Cure for 1 minute with Solidilite V
seconds after M.L. Primer thin layer

4. Application and light-curing of Universal Opaque


The first thin masking layer of Opaque (UNIVERSAL OPAQUE) creates a good masking effect. Apply the first
Opaque layer uniformly with a brush and light-cure for 3 minutes with Solidilite V. After the application of the
second layer the framework is uniformly masked in the desired shade. Light-cure the second Opaque again for
3 minutes with Solidilite V.

First application of first Universal With the second Opaque layer the
Opaque framework is uniformly masked

14
5. Mounting of handle and tips on the dispenser
CERAMAGE UP is supplied in a ready to use dispenser with a tip. The system also contains handles which
make a free layering technique possible.

Attach Nozzle Tip securely After dispansing, cap with


the Nozzle Cap securely

Note: Due to the viscosity of CERAMAGE UP, it’s possible to apply the single composite in a free
build up technique directly out of the dispenser. The layering technique is carried out in
accordance with porcelain restorations, building up in the order of Cervical, Body Translucent
and Incisal. It’s recommended to build up the veneer segment by segment (tooth by tooth)
and to separate them during the build-up.

6. Application and light-curing of Cervical


Cervical composites are highly chromatic and reproduce cervical shade even in thin layers. The maximum
thickness of each individual layer should not exceed 1 mm. Dispense Cervical composite by turning the
dispenser sleeve clockwise to apply from the marginal area of the restoration towards to the centre in a half
moon shape and intermediate cure (fixation) for 5-20 seconds with Sublite V. Continue towards the proximal
area and pre-cure for 1 minute with Solidilite V.

Apply Cervical composite directly from Continue proximal and / or The composite can be smoothed
the dispenser to the cervical area palatal area with a brush before pre-curing

15
3. Application

7. Application and light-curing of Body


Build up Body composite step by step with the dispenser corresponding to the anatomical body shape of the
natural tooth. Fix the buildup for 5-20 seconds with Sublite V. Design the dentin in a way that mamelon shape
remains outlined.
Make sure to provide adequate space for the subsequent application of translucent and incisal materials and
cure for 1 minute with Solidilite V.

Apply Body composite and fix the Continue step by step directly with Design the dentin anatomically
build up the dispendser or brush

8. Application and light-curing of Translucent and Incisal


Apply translucent composite e.g. HVT for standard layering as intermediate layer to the incisal / interproximal
area and fix for 5-20 seconds with Sublite V. Then, complete the build up with incisal composite and fix for 5-20
seconds with Sublite V. After the layering procedure has been completed, apply UNIVERSAL OXY-BARRIER
gel on the entire veneering surface and light-cure for 3 minutes with Solidilite V.

Apply translucent composite HVT to Complete the build up with incisal Final build up before final curing
incisal and interproximal areas composite

16
3-3. Layering technique for metal free crowns

Translucent
Incisal

Body
Translucent Incisal
Opaque
Opaque Body
Cervical
Cervical

1. Pre-Treatments
• Fabricate the model with removable segments in a usual manner.
• Expose and mark the preparation margins.
• Ensure that the restoration can be removed after polymerization process without damaging the die.
2. Application of CERAMAGE SPACER and SEP
Apply CERAMAGE SPACER to mask the die. Avoid applying to marginal areas and dry for 1-2 minutes.
After drying, CERAMAGE SPACER becomes transparent. Then apply CERAMAGE SEP to the die and to
the proximal model surfaces that may come into contact with CERAMAGE UP. Remove excess material with
oil-free compressed air.

Avoid applying CERAMAGE After drying CERAMAGE Apply CERAMAGE SEP to the die
SPACER to marginal area SPACER becomes transparent and the proximal surfaces
Note: Shake the bottle well until the sediment disappears before applying CERAMAGE SEP. Since
the SPACER contains solvents, close the cap immediately after use. The contents may solid-
ify if the cap is not closed securely.

17
3. Application

3. Application and light-curing of UNIVERSAL OPAQUE


Apply the first thin masking layer of Pre-Opaque (UNIVERSAL OPAQUE) uniformly with a Uni Brush No. 4
and cure for 1 minute with Solidilite V. Avoid applying to marginal areas. After the application of the second
Opaque layer with UNIVERSAL OPAQUE, the die should be uniformly masked in the desired shade. Cure
the second layer again for 3 minutes with Solidilite V.

First application Uniformly mask with


UNIVERSAL OPAQUE
Note: After applying UNIVERSAL OPAQUE, clean the Uni Brush No 4 with alcohol. The brush should
not be cleaned with self- curing resin liquid.

4. Application and light-curing of Cervical


Cervical composites are highly chromatic and reproduce cervical shade even in thin layers. Maximum
thickness of each individual layer should not exceed 1 mm. Dispense Cervical composite by turning the
dispenser sleeve clockwise to apply from the marginal area of the restoration towards to the centre in a
half moon shape and intermediate cure (fixation) for 5-20 seconds with Sublite V. Continue toward to the
proximal area and pre-cure for 1 minute with Solidilite V.

Apply Cervical composite directly from Continue to proximal and / or


the dispenser to the cervical area palatal areas and light-cure for 1
minute

18
5. Application and light-curing of Body
Build up Body composite step by step with the dispenser corresponding to the anatomical body shape of
the natural tooth. Fix the build-up in between for 5-20 seconds with Sublite V. Design the dentin in a way
that mamelon shape remains outlined.
Make sure to provide adequate space for the subsequent application of translucent and incisal materials
and light-cure for 1 minute with Solidilite V.

Apply Body composite and fix the Continue step by step directly with
free build-up the dispenser or brush to design
the dentin anatomically

6. Application and light-curing of Translucent and Incisal


Apply translucent composite e.g. HVT for standard layering as intermediate layer to the incisal / interprox-
imal area and fix for 5-20 seconds with Sublite V. Then complete the build up with incisal composite and
fix for 5-20 second with Sublite V. After the layering procedure has been completed, apply UNIVERSAL
OXY-BARRIER gel on the entire veneering surface and light-cure for 3 minutes with Solidilite V.

Apply translucent composite e.g. Complete the build-up with Incisal Apply UNIVERSAL OXY-BARRIER
HVT at the incisal and interproximal composite completely on the entire veneering
areal surface before final curing

19
3. Application

3-4. Layering technique for inlays and onlays


> 1.2 mm

Premolar >1.2 mm
Molar >1.5 mm
>1.0 mm >1.2 mm

>0.8 mm

1. Pre-Treatments
• Fabricate the model with removable segments in a usual manner.
• Expose and mark the preparation margins.
• Block out undercuts with blocking wax or blocking out resin and ensure that the restoration can be removed
after polymerization process without damaging the die.

2. Application of CERAMAGE SPACER and SEP


Apply CERAMAGE SPACER to the cavity floor corners. Avoid applying to marginal areas and dry for 1-2
minutes. After drying, CERAMAGE SPACER becomes transparent. Then, apply CERAMAGE SEP in the
cavity and the margins. Remove excess material with oil-free compressed air.

Block out undercuts with wax After drying CERAMAGE Apply CERAMAGE SEP in the
or resin before application of SPACER becomes transparent cavity and the margins
CERAMAGE SPACER
Note: Shake the bottle well until the sediment disappears before applying CERAMAGE SEP. Since
the SPACER contains solvents, close the cap immediately after use. The contents may solid-
ify if the cap is not closed securely.

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3. Application and light-curing of Cervical, Body, Incisal / Occlusal
Apply the first layer of Cervical or Body composite to the cavity. Maximum thickness of each individual
layer should not exceed 1 mm. Then, pre-cure for 1 minute with Solidilite V. Make sure to provide space for
subsequent application of Incisal and Incisal Effect materials. Complete the restoration by using Incisal and
Incisal Effect materials (e.g. Occlusal). After the layering procedure has been completed, apply UNIVERSAL
OXYBARRIER gel on the entire inlay or onlay and cure for 3 minutes with Solidilite V. After removing the
UNIVERSAL OXYBARRIER gel, finish the restoration as described in the chapter “5. Contouring, finishing,
and polishing”.

Apply Cervical or Body compos- Cusps and ridges may be Finished restoration after
ite to the cavity. Ensure enough supplemented by Incisal or Incisal contouring and polishing
space for the subsequent applica- effect
tions

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4. Special applications

4-1. Application of Opaque Dentin


CERAMAGE UP Opaque Dentin shades are identical with Body shades, but slightly more opacious. They are
recommended for thin layers to achieve a labial or lingual harmonious and correct dentin shade. They also can
be used for characterizations e.g. application on Mamelons.

Opaque
Dentin

Opaque
Dentin

4-2. Application of UNIVERSAL OXY-BARRIER Gel


UNIVERSAL OXY-BARRIER is a masking gel that inhibits oxygen. It’s applied to the restoration before final
polymerization to minimize the formation of an inhibition layer on the surface of the veneering composite.
Consequently the gel ensures complete curing of CERAMAGE UP.

Application on the entire veneer- Application to the occlusal areas


ing surface ensures a sufficient of posterior restorations assists
curing of CERAMAGE UP subsequent contouring and
polishing
Note: After completing the final polymerization procedure, remove UNIVERSAL OXY-BARRIER gel
completely from the restoration using running water and / or steam cleaner.

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4-3. Additions after curing CERAMAGE UP
Polymerized and / or polished CERAMAGE UP surfaces must be roughened mechanically with diamond
burs, Dura-Green stones or blasting with aluminum oxide Al2O3 (50-100 µm) with a pressure of 1-2 bar before
further masses are applied. Scrub off any dust with a brush or blast it off with oil-free compressed air. Then,
apply CERAMAGE UP masses supplementaly on the dry surface without using any modelling or bonding
liquids.

Clean the roughed surface with Apply the supplement material


compressed air without using modelling liquid or
any other bonding liquid
Note: Cleaning with water or steam cleaner must be avoided in order to get sufficient bonding of
the supplement CERAMAGE UP layer. Don’t use modelling liquid or any other bonding liquid
before application of the supplement masses.

4-4. Additions after curing CERAMAGE


Polymerized and / or polished CERAMAGE surfaces must be roughened mechanically with diamond burs,
Dura-Green stones by blasting with aluminum oxide Al2O3 (50-100 µm) with a pressure of 1-2 bar before
further masses are applied. Scrub off any dust with a brush or blast it off with oil-free compressed air. Then
apply one layer of Cera Resin Bond (CRB) I on the entire surface with a brush. Leave it undisturbed for 10
sec. Then, apply one layer of CRB Bond II on the entire surface and light-cure for 1 min. with Solidilite V. Apply
CERAMAGE UP masses supplementaly on the dry surface.

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5. Contouring, finishing and polishing

5-1. Contouring
Due to its high ultrafine ceramic filler content, CERAMAGE UP composite is extremely wear resistant and
exhibits outstanding physical properties, just by light curing. Therefore, polymerized composite surfaces must
be trimmed with suitable rotary instruments. It is not recommended to use carbide cutters or coarse diamond
burs. The well suitable rotary instruments of the Ceramage Finishing & Polishing Kit allows you to contour,
finish and pre-polish ceramic reinforced micro hybrid composites systematically.
First use Dura-Green abrasives, available in various shapes to contour composites and to structure the
surface details with a rotation speed of approx. 10,000-15,000 rpm.

Contour the composite surface and structure


anatomical details with Dura-Green abrasives
Note: Don’t use carbide cutters or coarse diamond burs for contouring CERAMAGE UP.

5-2. Contouring of fissures


Fissure details of posterior restorations can be gently adjusted and smoothed in one step with the triangular
shaped Robot Carbide Fissure Bur. The shape is particularly suitable for post contouring of pits and fissure
with only minimal heat generation.

Contour with Robot Carbide Fissure Bur

5-3. Finishing and polishing


After contouring it’s essential to pre-polish and smooth the surface and anatomical details with diamond
impregnated silicone polishers e.g. CompoMaster coarse. These polishers contour and smooth rough compos-
ite surfaces in one working step, depending on the contact pressure. A speed of app. 10.000-15.000 rpm is
recommended. Then, perform final pre-polishing and high gloss polishing by using DURA-POLISH and DURA-
POLISH DIA polishing pastes.

Finish with CompoMaster Coarse

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5-4. Pre-polishing and high-gloss polishing
For pre-polishing, use the aluminum oxide impregnated polishing paste DURA-POLISH with a brush. With a
low pressure and a rotation speed of approx. 10,000 rpm it creates perfectly homogeneous surfaces even in
difficult to reach areas (occlusal /interproximal area).
For final high-gloss polishing use the micro fine diamond particle impregnated polishing paste DURA-POLISH
DIA at first with a brush with a low pressure and a rotation speed of app. 10.000 rpm. The particle size of
DURA- POLISH DIA is matched to the ceramic filler of CERAMAGE UP. The subsequent polishing with a felt
wheel or wool mop achieves long lasting high gloss and durable composite surfaces in a very short time.

The efficient two steps polishing Pre-polish with DURA-POLISH on DURA-POLISH DIA on a wool mop
system with DURA-POLISH and a brush with low pressure and a achieves long lasting high gloss
DURA-POLISH DIA polishing pastes rotation speed of app.10,000 rpm

5-5. Case examples

Anterior metal free crown Anterior metal supported crown

Inlay Posterior metal supported crown

5-6. Preparing for cementation of metal free restorations


In order to achieve an excellent bond between CERAMAGE UP composite, the cementation side of the resto-
ration has to be carefully blasted with Al2O3 (50-100 µm) at 1-2 bar pressure. Following the try-in in the dental
office and subsequent cleaning, the cementation side is again roughened with 50-100 µm diamond directly
prior the adhesive cementation. The surfaces need to be silanized to enable a chemical bond.

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6. Technical data

6-1. Light-curing chart


Procedure Solidilite V Solidilite EX
Curing of Pre-Opaque 1 min 1 min
Curing of Opaque 3 min 3 min
Preliminary curing 1 min 1 min
Curing of Pontic 3 min 3 min
Final light-curing 3 min 5 min

XS / UNI-XS
Procedure Eclipse Junior
HiLite Power
Curing of Pre-Opaque 1.5 min 1.5 min
Curing of Opaque 3 min 3 min
Preliminary curing 1.5 min 1 min
Curing of Pontic 3 min 3 min
Final light-curing 3 min 5 min

Note: CERAMAGE UP composites can be light-cured in all light-curing units recommended by


SHOFU. The types of the unit and light-curing times are displayed in the Light-curing chart.
In order to guarantee a sufficient light-curing of CERAMAGE UP materials, make sure that the
restoration is placed at optimal position for sufficient curing. Please refer to the manufactur-
er’s instructions of curing units you use.

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6-2. Depth of cure (based on SHOFU test method)
Material Shade Curing time Solidilite V (min.) Depth of cure (mm)
Pre-Opaque - 60 0.7
Opaque A1O 180 0.24
A3O 180 0.23
A4O 180 0.21
Cervical AC1 60-180 1.3-1.8
AC2 60-180 1.0-1.4
Opaque Dentin ODA1 60-180 1.8-2.5
ODA3 60-180 1.5-2.1
ODA4 60-180 1.2-1.6
Body A1B 60-180 2.5-3.4
A3B 60-180 1.8-2.6
A4B 60-180 1.8-2.5
Incisal 56 60-180 4.2-6.8
59 60-180 4.0-5.8
Translucent T 60-180 5.5-8.6
T-Glass 60-180 6.2-9.6
Concentrate MI 60-180 2.4-3.4
OC 60-180 3.7-6.3
AM-Y 60-180 3.2-4.6
MY 60-180 1.6-2.4
GUM-D 60-180 1.4-2.0

6-3. Physical data


CERAMAGE UP Test Method
Vickers hardness (HV) 40
Flexural strength (MPa) 140
Flexural modulus (GPa) 6.4
Based on SHOFU test method
Compressive strength (MPa) 300
Water absorbtion (µg/mm3) 24
Toothbrush abrasion (%) 0.69

6-4. Bond strength to metal (semi-precious alloy)


CERAMAGE UP Test Method
28.0 MPa Based on SHOFU test method

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