Telio CAD by Nobel Procera Location date Presenter

Telio® CAD by Nobel. Procera™ Location, date Presenter name

Telio® CAD Crown and Bridge by Nobel. Procera™ Key product features Temporary acrylic crowns and bridges (1 -6 units) Six shades with lifelike fluorescence for optimal esthetics Cost efficient Telio® CAD is a registered trademark of Ivoclar Vivadent AG. Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. Excellent occlusal detail and surface finish Outstanding precision of fit Exceptional strength 2

Telio® CAD Crown and Bridge by Nobel. Procera™ Key Benefits for Laboratories • Full contour milled temporary solutions (1 -6 units) • Esthetics and strength (natural fluorescence and six shades) • Kit for individualized cosmetics (build-up and staining) • Consistent precision of fit • High end surface finish and easy to polish • High milling stability in marginal areas Telio CAD Bridge designed and milled by Nobel. Procera Telio® CAD is a registered trademark of Ivoclar Vivadent AG. Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 3

Telio® CAD Crown and Bridge by Nobel. Procera™ Key Benefits for Clinicians • Milled temporary solution on natural teeth and implant abutments • Consistent marginal fit, esthetics and strength versus chair side temporaries up to 6 units • Esthetics - natural fluorescence and six shades • Ideal surrounding tissue support – due to virtual design options for lab • Less plaque accumulation due to high-end surface finish • Complete solution - additional support as veneer kit for corrections or reparations (in-mouth or chair-side) • Easy to polish • High milling stability in marginal areas Telio® CAD is a registered trademark of Ivoclar Vivadent AG. Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. Telio CAD Bridge designed and milled by Nobel. Procera 4

Telio® CAD Crown and Bridge by Nobel. Procera™ Superior strength Strength tests – Laboratory tests by Ivoclar Vivadent, December 2009 5

Telio® CAD – Composition & Indications • Acrylate Polymer blocks (PMMA) for the fabrication of temporary restorations • High strength: Ideal for long-term temporaries • Wear period up to 1 year 6

Telio® CAD 7

Telio® CAD – Features • Long-term indication • 12 month wear period for Telio CAD • 3 month wear period for chairside material (ex. Telio CS C&B) • No polymerization needed (milled restorations are fully polymerized) • Homogenous material (eliminates mixing errors, air bubbles, etc) • Laboratories can further characterize Telio CAD restorations • Labs will use Telio Lab LC veneering materials & stains • Best option for esthetically demanding cases 8

Telio® CAD – Shades & Strength • Available in 6 shades • Bleach BL 3, A 1, A 2, A 3 & A 3. 5, B 1 • Exhibit natural fluorescence • Flexural strength: 130 MPa • Flexural modulus: 3200 MPa 9

Telio® CAD – Characterization & Add-on • Laboratories can utilize Telio Stains or make simple adjustments with Telio Add-On flow • Telio Lab LC light-curing veneering materials can be used to maximize esthetics 10

Telio® CAD – Polishing • Pre-polish using rubber polishers & silicon wheels • Use Universal Polishing Paste (goat hair brush pictured) • Can further polish using wool or leather buffing wheels 11

Telio® CAD – Advanced Characterization Telio® Lab LC There are two light curing components in the Telio Lab system • Telio Lab LC incisal pastes for the cut-back technique • Transpa Incisal 1, 2, & 3 • Transpa Incisal neutral • Telio LC base • Telio Stains • Blue, light yellow, white, orange 12

Telio® Lab LC Veneer Kit • 4 Telio Lab LC Transpa Incisal (1, 2, 3, neutral) • 1 Telio Lab LC Base • 4 Telio Stains (blue, white, light-yellow, orange) • Telio Add-On Flow • Telio Activator • SR Composiv • SR Gel 13

Telio® CAD – Advanced Characterization • Cut-back Telio CAD restoration • Blast with Al 2 O 3 • Apply SR Composiv (resin bonding agent) and light cure • Apply desired Telio Stains and light cure • Apply an MMA-based monomer such as Telio Activator • Allow to react for 2 – 4 minutes 14

Telio® CAD – Advanced Characterization • Apply Telio Lab LC Transpa Incisal materials • Follow polishing protocol • Coat the contoured restorations with SR Gel and light cure 15

Telio® CAD – Advanced Characterization 16

What does a dentist do after receiving a Telio CAD restoration? 17

Telio® CS Telio CS C&B Telio CS Link Telio CS Desensitizer 18

Telio® CS Desensitizer • Telio CS Desensitizer • Glutaraldehyde containing dentin desensitizer • Can be used with temporary, direct, and indirect procedures 19

Chairside Relining Process Optional: Scrub in Telio Desensitizer: 10 sec. Disperse excess with air 20

Chairside Relining Process • Roughen the internal surface with a diamond bur or abrade with Al 2 O 3 • Agitate Telio Activator over the roughened surface for 30 sec. • Apply Heliobond • Disperse with air • • Allow to react for another 30 to 60 sec. • Light cure for 10 sec. Rinse and dry • (Heliobond is a resin bonding agent) 21

Chairside Relining Process • Place Telio CS C&B directly into the internal aspect of the restoration • Seat relined restoration • Remove excess material • Allow to partially cure intra-orally for 3 min. • Allow complete cure extra-orally for 2 additional min. 22

Telio® CS Link • Telio CS Link • Temporary resin cement • 2 translucent shades: Transparent & A 3 • Dual-curing • Eugenol-free 23

Chairside Relining Process • Finish adjustments with silicone carbide polisher • Apply Telio CS Link temporary cement into the restoration • Allow to self-cure or light-cure • Clean up excess cement • ex. ) Optra. Pol or Astro. Pol 24

Restoration with Telio® CAD Bridge by Nobel. Procera™ 3 -unit Telio® CAD Bridge used as temporary restoration for replacement of tooth no. 3 (16). Diagnosis and Preparation Telio CAD Bridge by Nobel. Procera provides an excellent long-term solution (up to 12 months). Clinical occlusal view of post extraction site prior to bone augmentation and implant placement. Conventional preparation design (slight chamfer) and rounded edges is ideal for clinical function of provisional restoration. Nobel. Procera Software 3 -unit Telio CAD Bridge designed using anatomic tooth library and deformation tools in Nobel. Procera Software. Ideal virtual adjustment of occlusal contact points eliminates time consuming adjustments in the laboratory. Case courtesy of Dr. Stefan Holst, University Erlangen/Germany, Dental. X ®, Munich/Germany. Telio® CAD is a registered trademark of Ivoclar Vivadent AG. 25

Restoration with Telio® CAD Bridge by Nobel. Procera™ Treatment Telio CAD Bridge by Nobel. Procera delivered ready-to-use. For standard applications only polishing is required. Available Telio Lab LC components allow for fast and easy esthetic characterization - if requested. The CAD/CAM machining features high material homogeneity and eliminates polymerization shrinkage or an inhibition layer. Results Clinical occlusal view of non characterized Telio CAD Bridge by Nobel. Procera. Material properties and industrial manufacture provide excellent marginal precision and integrity minimizing risk for secondary caries or fracture if recurrent removal is required. Case courtesy of Dr. Stefan Holst, University Erlangen/Germany, Dental. X ®, Munich/Germany. Telio® CAD is a registered trademark of Ivoclar Vivadent AG. 26

Restoration with Telio® CAD Bridge by Nobel. Procera™ 6 -unit Telio® CAD Bridge used as temporary restoration for no. 33 -43. Diagnosis and Treatment Decision Initial intraoral anterior view and following preparation of abutment teeth prior to impression taking. Non-restorable central incisors were maintained until manufacturing of long-term temporary restoration. Nobel. Procera Software 6 -unit Telio CAD Bridge designed using anatomic tooth library and deformation tools in Nobel. Procera Software. Ideal virtual adjustment of occlusal contact points eliminates time consuming adjustments in the laboratory. Case courtesy of Dr. Stefan Holst, University Erlangen/Germany, Dental. X ®, Munich/Germany. Telio® CAD is a registered trademark of Ivoclar Vivadent AG. Copyright Nobel Biocare Services AG 27

Restoration with Telio® CAD Bridge by Nobel. Procera™ Treatment Telio CAD Bridge by Nobel. Procera manufactured based on virtual design. The broad range of shades (A-D) available ensures optimal selection according to patient needs. Additional characterization with manual cut-back and Telio Lab LC material can be done for an excellent esthetic outcome. Results Intraoral anterior view of customized Telio CAD Bridge following extraction and ridge preservation. Material composition and homogeneity in combination with industrial manufacturing ensure precision and material strength. Case courtesy of Dr. Stefan Holst, University Erlangen/Germany, Dental. X ®, Munich/Germany. Telio® CAD is a registered trademark of Ivoclar Vivadent AG. 28