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22

INDEX

About us 3

Certificates 4

innoBlanc® htp 5

Colourshadeandfractiontest 8

IndicationsinnoBlanc®htpandinnoBlanc® splint 10

IndicationsinnoBlanc®occlusal 12

innoBlanc®medicalPEEKJuvora 17

IndicationsinnoBlanc®medicalPEEKJuvora 19

Characteristicsofhigh-performancePolymers 26

Partners 27

3

About usThe competence of innoBlancGmbH lies in the production of high perfor-mancepolymermaterialsandtheadditionalmaterialsrequiredfordenturesmadeinCAD/CAMtechnology.

innoBlanc GmbH develops, produces, commercializes and coaches its ownproducts aswell asOEM products and products that are launched on themarketunderprivatelabel.Amongotherthings,developmentsareexecutedin cooperationwith universities, institutes, other dental companies and asfundingprojects.

Inaddition,InnoBlancGmbHoffersservicesinformoftrainings,publiclecturesandpublications.TheorientationofinnoBlancGmbHisinternational.

CAD/CAMOnlybecauseoftheuseofproductionprocessesusedinCAD/CAMitbecamepossibletousehighlycompatibleresinsalsointhemedicalareabothinthesubtractive(milling,grinding,laser)andintheadditivesection(printing,ste-reolithography,laser-melting).

3

4

Certificate

Products: InnoBlanc htp and innoBlanc splint

Composition: Polymethyl methacrylate, colour pigments

Manufacturer: innoBlanc GmbH Gewerbepark 11 D-75331 Engelsbrand, Germany

Examinations

We confirm that the following examinations for the in-vitro test and for the assignment of the biocompatibility were made in accordance with the interna-tional norm EN ISO 10993-5:2009 “Biological judgment of medicinal device – tests for in-vitro Zyto toxicity”.

The examination was provided according to the GLP guidelines (Good Labora-tory Practice) by the test laboratory Dr. Zwisler, Konstanz.The potential effect was examined in vitro with L-929 fibroblasts. The examination and determination of the cell vitality and survival ratio was made with the help of the MTT test.

Result

All materials showed a very high cell-vitality ratio of up to 98%. innoBlanc htp and innoBlanc splint do not have any cell toxic potential and may be described as exceedingly biocompatible.

innoBlanc GmbH Engelsbrand, September 13, 2013

Examination of Biocompatibility Certificate

Products: innoBlanc htp and innoBlanc splint

Composition: Polymethyl methacrylate, colour pigments

Manufacturer: innoBlanc GmbH Gewerbepark 11 D-75331 Engelsbrand, Germany

ExaminationsWe confirm that the following examinations were made in accordance with the international norm EN ISO 20795-1 “Assignment of the remaining mono-mer content with the help of the Gas Chromatography Method ”.

The examination was provided in accordance with the GLP guidelines (Good Laboratory Practice) by the test laboratory mdt GmbH (medical device tes-ting), Ochsenhausen.

Result

All materials showed an extremely low content of MMA-remaining monomer (0,07%-0,10% at innoBlanc htp and 0,19% at innoBlanc splint).

The materials innoBlanc htp and innoBlanc splint fulfill the requirements described in the ISO 20795-1 in an extremely high degree.

innoBlanc GmbH Engelsbrand, Demand of the Regulation

Martin Weppler

Examination of the remaining Monomer Content

0,0

0,5

1,0

1,5

2,0

2,5

Demand of the Regulation

4

Certificate

innoBlanc® htp innoBlanc®gingiva

innoBlanc®occlusalinnoBlanc®modelinnoBlanc®medicalPEEKJuvora

innoBlanc® splint

5

innoBlanc® htp

innoBlanc® htp

- Veryhighbiocompatibilityratioofvitality96%-98%- Extremelylowremainingmonomercontent(0,07%-0,10%)- Alsosuitedforthepermanentstayintheoralcavity- Highrateoftranslucency–forlong-termrestorations, noenamelmassesarenecessary- Verydense,purestructure

innoBlanc®gingiva

innoBlanc®occlusalinnoBlanc®modelinnoBlanc®medicalPEEKJuvora

innoBlanc® splint

5

innoBlanc® htp

Revisionsstand0/3/2013

6

Considerableprostheticrestorationsparticularlyinimplantologyneedperiodswhicharefarmorethan6monthsupto2-3years.

Thethereforeneededlong-termtherapeutics(andprovisionalrestorations)wasuptonowonlypracti-cablecomplexlyandmetalsupported.Ourtranslucent,aestheticalinnoBlanc®htpclosesthisgap.

innoBlanc®htpisamedicalPMMAwhichisproducedintheindustrialinjectionmouldingmethodfortheCAD/CAMprocessing.CAD/CAMmilled,metal-freecrownsandbridgesachieve,incaseofcorrectconstructionandindication,exposuretimesofseveralyears.

WithinnoBlanc®htp,thebordersbetweenprovisional,semi-permanentandpermanentbecomeblur-red.

Facts–Advantages–Applications

Dentist and patient

• Biocompatible,noChemoplast!• Verygoodultimatestrengthandlongtimebendingstress• Nodiscolouration• Industriallypolymerized• Remainingmonomercontent<0.5%• Smallestwaterabsorption,compactstructurebecauseofin-

dustrialinjectionmoulding• Plaqueresistant• Verygoodaesthetics,hightranslucency• Nooxide>nogingivadiscolourations• Abrasionconsistent

Dental laboratory

• Canbemilledwitheverymillingmachine• Precisefits• Lowtoolimpact-longstandtimes• Fastmanufacturingprocess• Lowmaterialandproductioncosts• Excellentpolishingcharacteristics• Canbeveneeredwithcommoncomposites• Hightranslucency• Verygoodadhesionoftheveneering• Skintoleranceofthegrindingdusts


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i n n

o B

l a

n c

® h

t p

7

TranslucentPMMAMilledblowerin0,5mmstepstoshowthedifferenttranslucencies

innoBlanc® htpPMMAbaseddiscsatfirstsight

BiocompatiblerawgranulesUltrapure,especiallyinkedbiocompatiblerawgranuleasbasisforfirstclassblanks

i n n

o B

l a

n c

® h

t p

7

A0 A1 A2 A3 A3,5A4redshift

B1 B2 B3B4redshift

C1 C2 C3 C4 D2 D3 D4

BIO htp grey-yellow

BIO htpsunny

BIO htppearl

BIO htp aurora

BIO htpmaroon

occlusalbright

nano20almond i.V.

nano20milky i.V.

8

A0 A1 A2 A3 A3,5A4redshift

B1 B2 B3B4redshift

C1 C2 C3 C4 D2 D3 D4

BIO htp grey-yellow

BIO htpsunny

BIO htppearl

BIO htp aurora

BIO htpmaroon

occlusalbright

nano20almond i.V.

nano20milky i.V.

8

NoteandtipIncaseofmonolithicrestorations,thesolidbridgemembersareinprincipledarker(morechromatic) than theneighbouringcrownsondies.Here,acustomization ispossiblebyhollowingoutthebridgepartinsignificantlyandreplenishingitwithtrans-parentenamelmaterial.

UseofthecolourtableWemilledsampleteethfromtherespectivediscsthatcorrespondtotheteethoftheVitacolourshade.ThesemilledteetharecorrelatedtotheVitacolourscale.Thegreendotsdescribethemostidealconformity.Thebluepointsareanapproach.innoBlanchtp isaverytranslucentmaterial.Therefore it ispossibletoregulatethecolourofacrownbysuitablecementsandtocoverdiesthatarestronglydiscoloured.

ColourChart

9

N=Newton

ColourChart

Resultsofthebreakingtests

4-piecemonolithicstandardbridge,fullyanatomical

Theconnectorstrengthisapprox.22mm²

0

500

1000

1500

2000

2500

3000innoBlanc medical PEEK Juvora

innoBlanc htp

innoBlanc splint

9F

r a

c t

i o n

T e

s t

FractionTest

N=Newton

innoBlanc® htp

10

Combinedstructureforafemalepatientwithanallergyagainstmetal.Primarytelescopesaremadeofzirconiumdioxide+strengthenedbasemadeofinnoBlanc® PEEK+occlusalpartsofinnoBlanc® htp +setteeth+Luxenegingiva.ThecomponentsaregluedwithMultilinkImplant(Ivoclar)

Multi materials – metal-free

innoBlanc® htp

Bridgeintheupperjawofmo-nolithicinnoBlanc®htp(colour

grey-yellow)

Post&core18monthsinsitu Marylandbridge(fixedwithPanavia)

Egg-shellprovisionalrestoration,designedwiththe3shapeDentalDesigner,virtualpreparation

10

Thefutureisfreeofmetal

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Implant work on Camlog implants,Perfect backward planning in CAD/CAM procedure

Onthebasisofadefinitewax-up,aframeworkoftitaniumandhigh-perfor-mancePMMAwasmadeintheCADcopyingprocess.ThePMMAframewasusedaslong-termprovisionalrestorationandthenrevisedastravelprosthesis.

(bycourtesyofMDTHardiMink,AldenteDentalDesign)

Infuture,theframeworkmadeoftitaniumcanalsobemadeofinnoBlanc®medicalPEEKJuvora

11

DrillGuide

DrillguidemilledofhighlytransparentinnoBlanc® splint

innoBlanc®splintandhtp

12

innoBlanc®occlusalTableTops

Completerestorationofupper/lowerjaw,patientmale,46yearswithgeneralized,persistentabrasion.Thesupplyintheupperjawwasmadewithtabletopsofpressceramic,inthelowerjawwithCAD/CAMmilledtabletopsmadeofinnoBlanc®occlusal(nanoglass-ceramiccomposite).

Representationofthebitesituationandtheocclusalrelations.Thealreadymadepreparationwithchamferscanberecognized.

Settledtabletops.ThetabletopsweredesignedwiththeDentalDesignerof3shapeandmilledoutofinnoBlanc®occlusal.

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innoBlanc®occlusalTableTops

13

innoBlanc®occlusal

FullrestaurationmadeofinnoBlanc®occlusal10-year-oldboywiththediagnosisamelogenesisimperfecta.

ThequadrantswereprovidedwithTabletops.

13

innoBlanc®occlusal

14

innoBlanc®occlusal

Upper jaw Inlay restoration

Initialsituationwitholdamalgame-,compositeand

ceramicfillings

Perfectpreparationsandimpressions

Partofthemilled,inCADDesignmadeinlayoutofa

compositeblankInlaysinsituimmediately

afterinsertion

14

innoBlanc®occlusal

15

innoBlanc®occlusal

Semi permanent Crowns

SemipermanentcrownsonAstraimplantsmadeofinnoBlanc®occlusal(nanoglass-ceramiccomposite).

Thecrownswereanalogouslydesignedandincopyprocessmilled

15

MonolithiccrownmadeofinnoBlanc®occlusal(nanoglass-ceramiccomposite),discreetelypaintedwithShofuLiteArtcolours.

innoBlanc®occlusal

16

Table Tops

innoBlanc®occlusal

SuchextraordinarythintabletoprestorationscanbemilledofinnoBlanc®occlusal(nanoglass-ceramiccomposite).

Partly,thestructureisonly0,2mmthick.

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Table Tops

innoBlanc®occlusal

innoBlanc®occlusal

17

innoBlanc® htp innoBlanc®gingiva

innoBlanc®occlusalinnoBlanc®modelinnoBlanc® medical PEEK Juvora

innoBlanc® splint

innoBlanc®medicalPEEKJuvorainnoBlanc®occlusal

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innoBlanc® htp

Thepolymersteel

YettodaythetechnologyoftomorrowNewsolutionsfornon-preciousmetalindications

innoBlanc®gingiva

innoBlanc®occlusalinnoBlanc®modelinnoBlanc® medical PEEK Juvora

innoBlanc® splint

innoBlanc®medicalPEEKJuvora

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JUVORALtd.,TechnologyCentre,ThorntonCleveleys,Lancashire,FY54QD,UK

012018

OnthewaytothetechnologyoftomorrowisPEEK,thehigh-techpolymermaterial,oneofthemilestones.innoBlanc®medicalPEEKJuvoraisarawmaterialoutofthefamilyofpolyaryletherketone,developedby InvibioBiomaterialSolutions.Sincemanyyears,thismaterialgroupoccupiesgradualindicationsinthemechanicalen-gineeringandinmotorcartechnologywhichhavebeenreservedforthemetalsandceramicstillnow.

Alreadysomeyearsago, InvibioBiomaterialSolutionshasmanaged todevelopahighbio-compatible Peek for applications in surgery.More than4million surgicalimplants is situ (e.g. spinal columnscages,kneeendoprosthesisor implants) telltheirowntale.Thishigh-strength,inertbiomaterialistherawmaterialofwhichtheinnoBlanc®medicalPEEKJuvoradiscsaremanufactured.

Facts–Advantages–ApplicationsDentist and patient

• Highmodulusofelastic-substitutematerialfornon-preciousmetal• Highlybio-compatible-applicationinsurgery• Natureidentical-bonesimilarmechanicalvalues• Aslightasafeather-density1.32g/cm³• Canbeautoclaved-highmeltingpoint>340°Celsius• Highwearingcomfort–verylowheatconductivity• Nogalvaniceffects>nometaltaste• Nooxides>nogingivadiscolourations• Compatiblewithpicture-givingmethods(CT,DVT,MRT)• Noirritationse.g.atcardiacpacemakers• Allergyfree

Dental laboratory

• Ideallysuitedforalmostallfixedandremovableindications• Canbemilledwitheverymillingunit• Lowimpact-longstandtimes• Fastmanufacturingprocess• Lowmaterial-andproductioncosts• Dentincoloured-aestheticalternativetonon-preciousmetal• Antagonistfriendly• Nodiscolourationsandshadesofthegingiva• Canbeveneeredwithcommoncompositematerials• Verygoodadhesionoftheveneering• Skintoleranceofthegrindingdusts• Adhesionsarepossible(e.g.barbox)


JUVORALtd.,TechnologyCentre,ThorntonCleveleys,Lancashire,FY54QD,UK

0120

1919

FrameworksmadeofinnoBlanc®medicalPEEKJuvora

innoBlanc®iscertifiedpartnerofJuvora


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ü Clasp-impactedrestorations(“modelcaststructures”)

ü Telescopicworks

ü Intermediaryadhesioncapsasareplacementforgalvano

ü Barsandbarriders

ü Prosthesicbaseplates/coverdenture

ü Transversalribbon/sublingualbinder

ü Conditionallyremovable,screwedframeworkswithgluebasis

ü Crownsandbridges,post&corecrowns–alsofullyanatomic

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Indications

21


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Implant-guided, removable bar construction completely made of innoBlanc® medical PEEKPart 1

Description:BarconstructionmadeofinnoBlanc®medicalPEEKJuvoraontransgingivalXiveTGset3.8mmimplantswithimmediatestress.Inaddition,Precilineattachmentswereincorporated.DependingonthefrictionthatcanbeadjustedwiththecementgapinCAD-andthemillingparametersintheCAM,youcanalwaysworkwithoutanadditi-onalfrictionelement.

BarmadefrominnoBlanc® me-dicalPEEKJuvorainsitu,4daysafterinsertionoftheimplants

Idealangleofthefrictionareais0°

Barriderfrombasalwithmoun-tedPreciLineattachmentbeforegluing


WethankthedentallaboratoryLuckenwaldeforthegraphicalmaterial.

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GluedPreciLineattachmentsinthecomple-tedover-construction.

ThepartsofinnoBlanc®medicalPEEKJuvorahavetobeconditionedwithRocatecbeforecompletion.Thisgrantsanoptimumbondingbetweentheresinsusedinthefurtherpro-cessandtheframework

Generalviewfrombasalwithscrewedana-logous.Suchconstructionshaveaverymuchsmoothfrictionandashock-absorbingeffect.

Everythingismetal-freeexceptfortheim-plantsandaslightasthenaturalbone.

Implant-guided, removable bar construction completely made of innoBlanc® medical PEEKPart 2



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innoBlanc®medicalPEEKJuvorainnoBlanc®medicalPEEKJuvora

23

PalatinefreeAtasoliddimensioningandacorrespondingdesignofthepartstobevenee-red(e.g.garlands,backprotection,completeover-caps),youcanworkwiththeinnoBlanc®medicalPEEKJuvoramaterialpalatinefree.

WithoutsublingualBowsDuetotherigidityofthematerial,alsointhelowerjawconstructionswit-houtsublingualbowsarepossible.Ingeneral,werecommendacompleteor75%coveringveneeringofthePEEKpartsincaseofsecondarycrowns.Partsthatwillbecompletedwithsetteeth,werecommendtheadditionalmillingofretentionsorwatchglassframes.

ClaspconstructionsarepossibleAtmetal-free,clasp-impactedframeworkspreferringclaspstoopenclasps.Incaseofstronginterdentallyteeth,Bonwill-claspsetc.areofcoursepossi-blebutwithapartlystrongerdimensioning(10-20%incomparisontospringhardenednon-preciousmetal).

HighAbrasionResistanceinnoBlanc®medicalPEEKJuvoraisveryresistantagainstabrasionandisthereforeideallysuitedforpatientsthattendtobruxismorgrinding.

HighestBiocompatibilityinnoBlanc®medicalPEEKJuvoraishighlybiocompatibleandverytissuefriendlyandalsoideallysuitedforcompletepalatinecovers.Thepatienthastheadvantagethataconsiderablythinnerpalatineplatecanbeconstructedincomparisontotheclassicalprostheticresins.Thisclearlyraisesthewea-ringcomfortofthiskindofconstruction.Ofcourse,all“visible”areascanbeconditionedwithagingiva-colouredopaquer.


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24

WethankC.HannkerofBellmann&Hannkerforthegraphicalmaterial.


Frictionpart–runningsocket


25


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Densityg/cm3 Weightframework Costs

innoBlanc®medicalPEEKJuvora 1,32 0,5g 20,-€Galvanogold 19,3 3,7g 297,-€

Weight-andMoneySavings

innoBlanc®medicalPEEKJuvorahasalotofadvantages,amongothertheweight-andcostsavingisapositiveaspect,ifyoureplacethegalvanogoldofthefrictivepartsthroughinnoBlanc®medicalPEEKJuvora.

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CriteriaPMMAunfilled

innoBlanc® htp

PMMAfilledinnoBlancnano20

u.p.

CompositeinnoBlanc® occlusal

innoBlanc®

medicalPEEKJuvora

TranslucentinnoBlanc® splint plus

Mechanism

Initialbreakingstrength

Well-smallelasticity

Satisfactorily–brittle

Excellent–plastoelastic

Verywellplasto-elastic

Long-termben-dingstrength

Well Satisfactorily VerywellFracturetough-

ness

Abrasionbehaviour

Antagonist Physiological

Ownabrasion Moderate–well 25%<PMMAunfilled

Moderate–toothsimilar

Notavailable,noabrasionincaseof

telescopesVerysmall

Opticoftheabrasionarea Smooth Silk-mat Smooth

Esthetics

Translucency Veryhigh High Average None

TranspaColourshade Warm,bright Lightlyopaque Opaque Bone

Adaptiontotheenvironment

Verygoodchameleon-effect,

fluorescent

Chameleon-effect<asPMMAunfilled

Scarcelychamele-on-effect Noadaption

Biocompati-bility

Assesment accordingtoISO

10993

Verygoodbiocompatibility,lowremai-ningmonomercontent

Goodbiocompa-tibility

ExcellentChirurgicaluse

Verygoodbiocom-patibility

Machinability

Chippingcharac-teristics

Well,grainyspan,easychipping

Well,slightlyharderthanPMMA,unfilled,easychipping

Finespan,harderthanPMMA,moreabrasive,moreelaborate

Highthermalconsistency,finespan,highsurface

resistance

Well,grainyspan,goodthermalcon-

sistancy

Surfaceoptics Smooth,bright Smooth,discreetbrightness Smooth,silk-mat Smooth,silk-mat

(<composite) Smooth,bright

Durabilityofthemillinginstru-

mentsVerywell Well Moderate

Grindingsensitive

Well,considerablybetterthannon-preciousmetal

Verywell

Polishingt

Expenditureoftime

Expenditureoftime Extremelysmall Small Verysmall

Opticsafterpolishing

High,reflectiveglaze,homoge-

neous

Bright,homoge-neous

Bright,homoge-neous,discretelydimmerthanPMMA

Silk-matbright-ness,homogene-

ous

Bright,homoge-neous

Adhesion

Surfacecondi-tioning ExcellentlywithPMMA-primer,easyprocessing VerygoodwithRocatec

Sheraingbehaviour Excellent Verywell

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CharacteristicsoftheHigh-performancePolymersfortheCAD/CAMTechnology

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innoBlanc®CharacteristicsoftheHigh-performancePolymersfortheCAD/CAMTechnology

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innoBlanc®

innoBlancGmbHGewerbepark11D-75331EngelsbrandPhone:+49(0)708294295-0Fax: +49(0)[email protected]

innoBlancGmbHGewerbepark11D-75331EngelsbrandPhone:+49(0)708294295-0Fax: +49(0)[email protected]

UpperjawbridgeofmonolithicinnoBlanc®htp.Lowerjawnaturalremainingteeth.

CH2

CH3

CH2

0 0

CH3

C

CH3

0

0

CH3

CH2

CH3

CH2

0 0

CH3

C

CH3

0

0

CH3

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