WIXLIB

DIRECT SYSTEMINNOVATIONThanks to their unique laser-sintering manufacturingprocess, the translucent enamel and occlusion shells(edelweiss VENEER & OCCLUSIONVD) stand outfor their inorganic, ceramic-like surface vitrificationand tempered composite body. The occlusionsrepresent the anatomic foundations for single orcomplete reconstructions and for increasing thevertical dimension (OVD) in the posterior region.Hence, a functioning anterior cuspid guidance canalso be obtained using edelweiss “VENEERs”.23

TheComposition

DIRECT SYSTEMPatient did not accept rubber dam placementStep by Step description on page 36 / 37147ADVANTAGESMinimally invasiveClinically effectiveNatural lookLong erior and posterior restorationsTooth discolorationsAnatomical deformitiesErosionAttritionLifting the vertical dimension (CMD)Semi- direct and indirect restorationsCrown Facings25

TheProgressiveTechnicalConceptedelweiss VENEER & OCCLUSIONVDThe laser-treated process combines the best of twoworlds: a homogenous, inorganic and high-glosssurface fused together with a thermally-tempered anddynamic composite core produce optimal integrationbetween function and esthetics. The difference is in itssimilarity to nature.smooth inorganic surfacewithout visible composite structure

DIRECT SYSTEMMARGINAL AREA:0.2 mmOCCLUSION AREA:0.6 - 1.3 mmOCCLUSIONVDdistinct layer of vitrified glassscale: 10 000 xFlexural Strength200 MPaCompressive Strength550 MPaFlexural Modulus19 GPaSurface Hardness95 HV(Source: University of Geneva / internal data edelweiss dentistry)27

TheTechnicalAspects& SizesMAXILLASHAPES & SIZESBased on a study of all shape and size variations of naturaltooth anatomy, prefabricated and contourable universalocclusion shapes for the upper and lower arches weredeveloped.THE SELECTION of the tooth shape is made using theavailable sizing guide (OCCLUSIONVD - Sizing Guide). Thesizing guide is positioned over the teeth to be restored,and the outline allows for proper selection of the bestfitting occlusion.MORPHOLOGY Ultra-thin, anatomical occlusionsin three sizes (S, M & L). The glass component in thecomposite filler and laser treatment of the surfacegive the material nature-like mechanical properties(biomechanics), and the material is also biocompatible(biology). Due to the natural morphology, the prefabricatededelweiss OCCLUSIONVDs are very easy to incorporateinto an existing occlusion.

DIRECT SYSTEMMANDIBULA34s2441254435545136Sizing Guide266164REF 13505 / 2013-3372771Upper3424M41254435545136Sizing Guide266174Lower64REF 13506 / 2013-33727Upper713424L412551266144355436Sizing Guide64REF 13507 / 2013-337277174LowerUpperLower7429

TheVerticalDimension

DIRECT SYSTEMFUNCTIONedelweiss VENEERs & OCCLUSIONVD allow forminimally invasive biomechanical and economicaltreatment of the cause as well as prevention of cranio-mandibular dysfunction (CMD). Furthermore,malocclusion and deep bites can also be corrected minimally invasively. By covering the occlusalsurfaces, usually in the mandible, the mandible isbrought into the correct position for the patientin relation to the maxilla. This makes it possible toattain functioning guidance of anterior teeth andcuspids by using edelweiss VENEERs.LIFTING THE VERTICAL DIMENSION.using edelweiss occlusal surfaces. In most casesthe mandible is appropriate. It can often beidentified by the great difference in height fromthe cuspid to the premolar (33 to 34 and 43 to 44).However, to ensure that lifting, and protrusionif necessary, is equal on the left and right, thisneeds to be tested using situation models on thearticulator. In the premolar region this can meancapping up to 5 mm, and up to a further 3 mm inthe molar region.31

TheVerticalDimension

DIRECT SYSTEMPROCEDUREThe maxilla and the mandible models are articulated head-adequate in habitual intercuspation.Protrusion is then performed as required and thesupporting pin of the articulator raised. Michigan orPartial bite splints with “stops” are prepared for themandibular quadrants. These are fixed temporarilyin the mouth, in other words, provisionally. Aftera few weeks this will already represent the idealposition of the mandible, possibly requiringre-occlusion. On the basis of these bite splints themandible is articulated anew against the maxilla.INDIRECT APPLICATIONBy relining the prefabricated occlusal surfaces onexisting model occlusal surfaces with composite,one can simply create a new functioning biomechanical, balanced and smoothly workingmasticular apparatus without irritations. Then theocclusions are transferred from the model to thepatient’s occlusions and attached via bonding andcomposite.33

TheVerticalDimension

DIRECT SYSTEMDIRECT PROCEDURE for advanced professionals:Instead of lining the occlusions on the model in thearticulator, a bite registration material (silicone) is usedto make an occlusal impression which accuratelyportrays the clearance between the maxilla and themandible in the articulator. Using the fixed siliconebite register, direct application of the prefabricatedocclusion can be performed. The silicone biteregister is in each case placed unilaterally (left orright) on the patient’s occlusion. In other words,when the left quadrant is restored with occlusions,the right quadrant sets the height and position ofthe bite elevation and thus the final position of thecomposite-lined and bonded occlusions on the leftwhen biting down (replacing the supporting pin whenclosing the articulator).Once the left quadrant has been restored, the rightquadrant is treated. Now one can optionally preparea further silicone register from the quadrant alreadyrestored with occlusions (left) in combination withthe silicone register (right) already prepared with thearticulator, which additionally guides and sets thealready attained occlusional relationship betweenthe maxilla and the mandible (left) during biting.Practised users can dispense with this siliconeregister (for example, on the left) as the patient nowalready bites on the newly gained occlusion or biteelevation during biting. After setting all occlusions,re-occlusion is performed until the desired contactpoints have been attained.35

Step by StepPatient did not accept rubber dam placement1Relined and customized OCCLUSIONVD bydental technician.2Application of VENEER Bond ontoOCCLUSIONVD.73Gently air dry inner surface.8920 secLight cure for 20 sec. with VALO (UPI) atApplication of N.-H. Dentin or Enamelstandard power. With other Light cure for 40 sec. Composite.13Adaptation of N.-H. Dentin/EnamelComposite.141520 secInsertion of the OCCLUSIONVD.Positioning of OCCLUSIONVD and removal of Floss interproximal areas then light cure for20 sec. with VALO (UPI) at standard power.surplus material. Adapt margins.With other Light cure for 40 sec.

DIRECT SYSTEM45630 sec20 secLight cure for 20 sec. with VALO (UPI) atEtching for 30 sec.standard power. With other Light cure for 40 sec.10Bonding (UPI, peak universal) / Flossinterproximal areas before light curing withVALO (UPI).111220 secPositioning and removal of surplus material. Floss interproximal areas then light cure for Finishing of interproximal area.20 sec. with VALO (UPI) at standard power.With other Light cure for 40 sec.16Finish and polish margins using finefinishing diamonds and Jiffy polishers.1817Relaxed bite position in verticaldimension.Front view / space for lower VENEERs.37

Step by StepPatient did not accept rubber dam placement1Shade Guide.2Select the dentin shade at cervical areawith dentin Shade Guide.7Placing the enamel VENEER shell overthe dentin core (for light refraction placeglycerine within enamel shell first).20 secPull Mylar Strips facially to achieve smoothmargins and cure through Mylar Strips for3 sec. (VALO UPI). With other Light cure for 6 sec.13Polish VENEER margins using siliconerubber polisher.Light cure lingual and facial side of tooth for20 sec. each (VALO UPI). With other Light curefor 40 sec.1514Visual observation.Visual observation.2019Trial fit visualization of edelweiss VENEERs.9983 secPlace Mylar Strips both mesial and distal ofall teeth to be treated.3Prepare tooth using minimally invasivetechniques.21Fit and adapt the edelweiss VENEER usingthe gingival margin as your guide.

DIRECT SYSTEMVENEEROCCLUSIOCOMPOSIT45620 secSelect edelweiss VENEER size usingedelweiss Sizing Guide (single or combinedVENEER Sizes may be used).Apply Ultra-Etch for 20 sec., then rinse andslightly dry, leaving surface slightly damp.10Finish cervical and interproximal marginsusing fine finishing diamonds.Reocclusion.12Finish interdental areas using Soflex Discs.1817Finish interproximal margins using a finefinishing diamond.22Sharpen the marginal edges and rougheninner surface of the edelweiss VENEER.11Finish incisal edge using fine finishingdiamonds.16First anterior VENEER in position.Proof of functional movements.23Sharpen the marginal edges and rougheninner surface of the edelweiss VENEER.24Trial fit visualization of edelweiss VENEERs.39

Step by Step252620 secInsert retraction cord. (00 ultrapak)2710 secPlace a puddle coat of Peak Universal BondPlace Mylar Strips both mesial and distal(UPI) on tooth and gently agigate for 10 sec.of all teeth to be treated. Apply Ultra-Etch(UPI) for 20 sec., then rinse and slightly dry,leaving surface damp.33313220 secLight cure for 20 sec. with VALO (UPI) atstandard power. With other Light cure for 40 sec.Gently air dry.37Dispense strip of edelweiss N.-H.Compositeonto inner surface of the VENEER.38393 secRemove excess edelweiss N.-H. Compositefrom incisal edge.Tack cure with VALO (UPI) near the incisaledge for 3 sec. using a Point cure lens tostabilize VENEER.444320 secLight cure with VALO (UPI) lingual and facialside of tooth for 20 sec each. With other Lightcure for 40 sec.Remove excess edelweiss N.-H. Compositefrom the rest of the margins.4510 secCemented VENEER.Place a puddle coat of Peak Universal Bond(UPI) on tooth and gently agigate for 10 sec.

DIRECT SYSTEMVENEEROCCLUSIOCOMPOSIT28293010 secBlow air using half pressure to thin andremove solvents. Surface will appear shiny.With VALO (UPI) cure for 10 sec. at standardpower. With other light cure for 20 sec.Place a puddle coat of VENEER Bond onedelweiss VENEER and gently agitate for10 sec. Blow air using half pressure to thinand remove solvents.363534Adapt N.-H. Composite into edelweissVENEER. (Optional: characterize using flowableEnamel Composite or Effect Shades, for highertranslucent on incisal area).VENEER ready for placement.Position and press the edelweiss VENEERinto place (Tip: reduce operatory light).414042sec33secPull Mylar Strips facially to achieve smoothmargins.Cure through Mylar Strips for 3 sec. (VALOUPI). With other Light cure for 6 sec.4647Bend Mylar Strip over interdental area.4810 secBlow air using half pressure to thin andremove solvents. Surface will appear shiny.With VALO (UPI) cure for 10 sec. at standardpower. With other light cure for 20 sec.Position and press the edelweiss VENEERinto place (Tip: Reduce operatory light).41

Step by Step49505120 secAfter positioning light cure with VALO (UPI)palatal and facial side of edelweiss VENEERfor 20 sec. each.Finish cervical and proximal margins usingfine finishing diamonds.55Visual observation.BEFORE56Polish VENEER margings using Jiffy siliconerubber polishers.AFTERRemoval of retraction cords.57For high shine polish VENEER margins withJiffy polishers (UPI).

DIRECT SYSTEMVENEEROCCLUSIOCOMPOSIT52Finishing of incisal edges.53Finish interproximal areas using finishingSoflex Discs.54Reocclusion.58Visual observation.BEFOREAFTER43

YESTERDAYTODAYTENSED SMILE BEFORE

DIRECT SYSTEMVENEEROCCLUSIOCOMPOSITRELAXED SMILE AFTER45

Full MouthRehabilitation

DIRECT SYSTEMVENEEROCCLUSIOCOMPOSIT47

YESTERDAYTODAY

DIRECT SYSTEMVENEEROCCLUSIOCOMPOSIT49

Metal CeramicCrown RepairAFTER ENDODONTIC TREATMENT1Preoperative situation.2Prepared and roughened crown.73Trial fit of OCCLUSIONVD on preparedcrown.8920 secLight Cure for 20 sec with VALO (UPI) atstandard power. With other Light cure for 40 sec.Cover metal area with edelweiss OpaqueWhite Effect Shade.13Dispense edelweiss N.-H. Composite ontoinner surface of the OCCLUSIONVD.14152040 secFloss interdental area.19Proof of functional movements.Visual observation.Light cure with VALO (UPI) for 20 sec. oneach side of crown. With other Light cure for40 sec.20Side view.21Occlusal view.

DIRECT SYSTEM4Trial fit of OCCLUSIONVD on preparedcrown.1011Position and press OCCLUSIONVD in place.16Reocclude.Placing a puddle coat of Peak Univ. Bond(UPI) on crown & inserting dental floss forseparation.Isolation with ultradent Opal Dam andetching with ultradent ceramic etch.Adapt edelweiss N.-H. Composite intoOCCLUSIONVD.6512Adapt edelweiss N.-H. Composite & removeexcess.17Visual observation after reocclusion.18Finish cervical and interproximalmargins using Soflex Discs.51

ToolboxesADVANCEDDIRECT SYSTEM VENEER & OCCLUSIONVD TOOLBOXREF 1370036edelweiss VENEERs1VENEER SET S up (1 x 14, 13, 12, 11, 21, 22, 23, 24 S)1VENEER SET M up (1 x 14, 13, 12, 11, 21, 22, 23, 24 M)1VENEER SET L up (1 x 14, 13, 12, 11, 21, 22, 23, 24 L)1VENEER SET S low (1 x 43, 42, 41, 31, 32, 33 S)1VENEER SET M low (1 x 43, 42, 41, 31, 32, 33 M)48edelweiss OCCLUSIONVD2OCCLUSIONVD SET S up (1 x 17, 16, 15, 14 S) (1 x 24, 25, 26, 27 S)2OCCLUSIONVD SET M up (1 x 17, 16, 15, 14 M) (1 x 24, 25, 26, 27 M)2OCCLUSIONVD SET L up (1 x 17, 16, 15, 14 L) (1 x 24, 25, 26, 27 L)2OCCLUSIONVD SET S low (1 x 47, 46, 45, 44 S) (1 x 34, 35, 36, 37 S)2OCCLUSIONVD SET M low (1 x 47, 46, 45, 44 M) (1 x 34, 35, 36, 37 M)2OCCLUSIONVD SET L low (1 x 47, 46, 45, 44 L) (1 x 34, 35, 36, 37 L)25edelweiss NANO-HYBRID COMPOSITEDENTIN SHADE5Dentin A0 0.3 g Tip5Dentin A1 0.3 g Tip5Dentin A2 0.3 g Tip5Dentin A3 0.3 g Tip5Dentin A3.5 0.3 g Tip5edelweiss NANO-HYBRID COMPOSITEENAMEL SHADE5Enamel 0.3 g Tip1edelweiss NANO-HYBRID COMPOSITE FLOW1Enamel Flowable 1.5 g Syringe2edelweiss EFFECT SHADES1Opaque White 1.5 g Syringe1Effect Blue 1.5 g Syringe1edelweiss BOND1VENEER Bond 5 ml BottleACCESSORIESDentin & Enamel Shade GuideVENEER & OCCLUSIONVD Sizing Guide up & lowFLOW Application Tips (10x)Removable cover for more flexibilityStep by Step BookletInstructions for use

DIRECT SYSTEMSTARTERDIRECT SYSTEM VENEER TOOLBOXREF 13710STARTERDIRECT SYSTEM OCCLUSIONVD TOOLBOXREF 1372020edelweiss VENEERs321VENEER SET S up(1 x 13, 12, 11, 21, 22, 23 S)2OCCLUSIONVD SET S up(1 x 17, 16, 15, 14 S) ( 24, 25, 26, 27 S)1VENEER SET M up(1 x 14, 13, 12, 11, 21, 22, 23, 24 M)2OCCLUSIONVD SET M up(1 x 17, 16, 15, 14 M) (1 x 24, 25, 26, 27 M)1VENEER SET L up(1 x 13, 12, 11, 21, 22, 23 L)2OCCLUSIONVD SET S low(1 x 47, 46, 45, 44 S) (1 x 34, 35, 36, 37 S)2OCCLUSIONVD SET M low(1 x 47, 46, 45, 44 M) (1 x 34, 35, 36, 37 M)25edelweiss NANO-HYBRID COMPOSITEDENTIN SHADE5Dentin A0 0.3 g Tip5Dentin A1 0.3 g Tip5Dentin A2 0.3 g Tip5Dentin A3 0.3 g Tip5Dentin A3.5 0.3 g Tip5edelweiss NANO-HYBRID COMPOSITEENAMEL SHADE5Enamel 0.3 g Tip1edelweiss NANO-HYBRID COMPOSITEFLOW1Enamel Flowable 1.5 g Syringe2edelweiss EFFECT SHADES1Opaque White 1.5 g Syringe1Effect Blue 1.5 g Syringe1edelweiss BOND1VENEER Bond 5 ml Bottle25edelweiss OCCLUSIONVDedelweiss NANO-HYBRID COMPOSITEDENTIN SHADE5Dentin A0 0.3 g Tip5Dentin A1 0.3 g Tip5Dentin A2 0.3 g Tip5Dentin A3 0.3 g Tip5Dentin A3.5 0.3 g Tip5edelweiss NANO-HYBRID COMPOSITEENAMEL SHADE5Enamel 0.3 g Tip1edelweiss NANO-HYBRID COMPOSITEFLOW1Enamel Flowable 1.5 g Syringe1edelweiss BOND1VENEER Bond 5 ml BottleACCESSORIESDentin & Enamel Shade GuideACCESSORIESDentin & Enamel Shade GuideVENEER Sizing Guide up & lowFLOW Application Tips (10x)OCCLUSIONVD Sizing Guide up & lowFLOW Application Tips (10x)Step by Step BookletInstructions for useStep by Step BookletInstructions for use53

Refillsedelweiss VENEER SET REFILLSREF 10161edelweiss VENEER 21 LREF 13000edelweiss VENEER SET 14-24 S up(1 x 14, 13, 12, 11, 21, 22, 23, 24 S)REF 14128edelweiss VENEER 22 XSREF 10162edelweiss VENEER 22 SREF 13010edelweiss VENEER SET 14-24 M up(1 x 14, 13, 12, 11, 21, 22, 23, 24 M)REF 10163edelweiss VENEER 22 MREF 13020edelweiss VENEER SET 14-24 L up(1 x 14, 13, 12, 11, 21, 22, 23, 24 L)REF 10164edelweiss VENEER 22 LREF 14129edelweiss VENEER 23 XSREF 10165edelweiss VENEER 23 SREF 10166edelweiss VENEER 23 Medelweiss VENEER 23 LREF 13030edelweiss VENEER SET 44-34 S low(1 x 44, 43, 42, 41, 31, 32, 33, 34 S)REF 13040edelweiss VENEER SET 44-34 M low(1 x 44, 43, 42, 41, 31, 32, 33, 34 M)REF 10167REF 13106edelweiss VENEER 24 SREF 14121edelweiss VENEER SET XS up(1 x 13, 12, 11, 21, 22, 23 XS)REF 13107edelweiss VENEER 24 MREF 13108edelweiss VENEER 24 Ledelweiss VENEER SET S up(1 x 13, 12, 11, 21, 22, 23 S)REF 13109edelweiss VENEER 25 SREF 10110edelweiss VENEER SET M up(1 x 13, 12, 11, 21, 22, 23, M)REF 13110edelweiss VENEER 25 MREF 13111edelweiss VENEER 25 LREF 10120edelweiss VENEER SET L up(1 x 13, 12, 11, 21, 22, 23 L)REF 10168edelweiss VENEER 31 SREF 10169edelweiss VENEER 31 Medelweiss VENEER SET S low(1 x 43, 42, 41, 31, 32, 33 S)REF 10170edelweiss VENEER 32 SREF 10171edelweiss VENEER 32 Medelweiss VENEER SET M low(1 x 43, 42, 41, 31, 32, 33 M)REF 10172edelweiss VENEER 33 SREF 10173edelweiss VENEER 33 MREF 13112edelweiss VENEER 34 SREF 13113edelweiss VENEER 34 MREF 13114edelweiss VENEER 35 SREF 13115edelweiss VENEER 35 MREF 10174edelweiss VENEER 41 SREF 10175edelweiss VENEER 41 MREF 10176edelweiss VENEER 42 SREF 10177edelweiss VENEER 42 MREF 10178edelweiss VENEER 43 SREF 10179edelweiss VENEER 43 MREF 13116edelweiss VENEER 44 SREF 13117edelweiss VENEER 44 MREF 13118edelweiss VENEER 45 SREF 13119edelweiss VENEER 45 MREF 10100REF 10130REF 10140edelweiss VENEER SINGLE REFILLSREF 14122edelweiss VENEER 11/2

cervical restorations of darker teeth for elderly patients. Dentin Body shades exhibit high opacity and fluorescence which correspond to natural shades of dentin. 1 ENAMEL Enamel shade intensi - fies the translucency, which increase the true opalescence for all op - tical variations found in natural dentition. Basic Tint: Enamel 3