LEADING LASTING LOVED

12
LEADING LASTING LOVED YOU CAN DEPEND ON The No. 1 Brand of Monolithic Zirconia

Transcript of LEADING LASTING LOVED

LEADING LASTING LOVED

YOU CAN DEPEND ON

The No. 1 Brand of Monolithic Zirconia

BruxZir® Solid Zirconia offers solutions for dentistry’s everyday challenges. The original leader in high-strength zirconia, the BruxZir family of restorative materials today provides simplified treatment options for an expansive range of clinical needs.

Proven 20 million times over, BruxZir Solid Zirconia delivers the function you need and the results patients love.

GREATER CONFIDENCEfor Dentists and Patients

The BruxZir family of products is motivated by one simple truth: The health and well-being of your patients are of the utmost importance. That’s why we’re relentlessly committed to using high-purity ingredients and innovative processing to deliver a solution that enhances your experience of providing outstanding care.

LASTINGLEADING LOVEDValidation Performance Results

P A T I E N T S L O V E

BruxZir® Solid Zirconia was originally developed to give clinicians an alternative to posterior PFMs and cast gold restorations. After its release in 2009, the material quickly became a favorite among clinicians who needed a tooth-colored solution with fracture-resistant strength. But the material’s appearance had room for improvement. Never satisfied, the R&D team at Glidewell Dental responded by continually releasing enhanced formulations to address specific clinical necessities. Don’t just take our word for it; independent research organizations, evaluators and clinician groups alike have given top accolades to BruxZir Solid Zirconia, proving that it will perform brilliantly for your restorative needs.

Proven by Independent Research and Your Peers

LEADING VALIDATION

The R&D team at Glidewell Dental is committed to continually enhancing BruxZir Solid Zirconia.

Around the globe, your colleagues have restored millions of smiles with BruxZir Solid Zirconia.

*An independent, nonprofit, dental education and product testing foundation, Clinicians Report®, November, 2018. For the full report, go to bruxzir.com/8-year. Study results apply to BruxZir 2009 3Y zirconia.

The World Uses BruxZir®

Advanced Engineering Improves BruxZir

New 8-Year Independent Study Recognizes BruxZir as Best in Class*

BruxZir Named a 2019 Best Product

Products evaluated by CR Foundation® (CR®) and reported in the Gordon J. Christensen Clinicians Report® have been selected on the basis of merit from hundreds of products under evaluation. CR® conducts research

at three levels: 1) multiple-user field evaluations, 2) controlled long-term clinical research, and 3) basic science laboratory research. Over 400 clinical field evaluators are located throughout the world and 40 full-time

employees work at the institute. A product must meet at least one of the following standards to be reported in this publication: 1) innovative and new on the market, 2) less expensive, but meets the use standards,

3) unrecognized, valuable classic, or 4) superior to others in its broad classification. Your results may differ from CR Evaluators or other researchers on any product because of differences in preferences, techniques,

product batches, or environments. CR Foundation® is a tax-exempt, non-profit education and research organization which uses a unique volunteer structure to produce objective, factual data. All proceeds are used to

support the work of CR Foundation®. ©2018 This report or portions thereof may not be duplicated without permission of CR Foundation®. Annual English language subscription: US$229 worldwide, plus GST Canada

subscriptions. Single issue: $29 each. See www.CliniciansReport.org for additional subscription information.

What is CR?

WHY CR?CR was founded in 1976 by clinicians who believed practitioners could

confirm efficacy and clinical usefulness of new products and avoid both

the experimentation on patients and failures in the closet. With this

purpose in mind, CR was organized as a unique volunteer purpose

of testing all types of dental products and disseminating results to

colleagues throughout the world.WHO FUNDS CR?

Research funds come from subscriptions to the Gordon J. Christensen

Clinicians Report ®. Revenue from CR’s “Dentistry Update ®” courses

support payroll for non-clinical staff. All Clinical Evaluators volunteer

their time and expertise. CR is a non-profit, educational research

institute. It is not owned in whole or in part by any individual, family, or

group of investors. This system, free of outside funding, was designed

to keep CR’s research objective and candid.

HOW DOES CR FUNCTION?

Each year, CR tests in excess of 750 different product brands,

performing about 20,000 field evaluations. CR tests all types of dental

products, including materials, devices, and equipment, plus techniques.

Worldwide, products are purchased from distributors, secured from

companies, and sent to CR by clinicians, inventors, and patients. There

is no charge to companies for product evaluations. Testing combines

the efforts of 450 clinicians in 19 countries who volunteer their time

and expertise, and 40 on-site scientists, engineers, and support staff.

Products are subjected to at least two levels of CR’s unique three-tiered

evaluation process that consists of:

1. Clinical field trials where new products are incorporated into

routine use in a variety of dental practices and compared by

clinicians to products and methods they use routinely.

2. Controlled clinical tests where new products are used and

compared under rigorously controlled conditions, and patients are

paid for their time as study participants.

3. Laboratory tests where physical and

chemical properties of new products are

compared to standard products.

This team is testing resin curing lightsto determine their ability to cure a variety of resin-basedcomposites.Every month several new projects arecompleted.

THE PROBLEM WITH NEW DENTAL PRODUCTS.

New dental products have always presented a

challenge to clinicians because, with little more

than promotional information to guide them,

they must judge between those that are new and

better, and those that are just new. Because of the

industry’s keen competition and rush to be first

on the market, clinicians and their patients often

become test data for new products.

Every clinician has, at one time or another, become

a victim of this system. All own new products that

did not meet expectations, but are stored in hope

of some unknown future use, or thrown away

at a considerable loss. To help clinicians make

educated product purchases, CR tests new dental

products and reports the results to the profession.

Clinical Success is the Final TestClinicians Report® a Publication of CR Foundation®

3707 N Canyon Road, Building 7, Provo UT 84604

Phone: 801-226-2121 • Fax: 801-226-4726

[email protected] • www.CliniciansReport.org

CRA Foundation® changed its name to CR Foundation® in 2008.

3

Clinicians Report

November 2018

TRAC Research CONCLUSIONS: It is too early in the service life to reach final conclusions on many of the products in this large diverse

study. However, after just one to two years, several materials are no longer sold (BruxZir Anterior, BruxZir NOW 2016, Pavati Z40.1) and

several others are no longer recommended for full-contour molar crowns (cubeX2, Lava Ultimate).

The following important trends are indicated by the data so far, and these trends could be helpful now to clinicians and patients attempting to

select products for treatment:A. Zirconia demonstrated best durability with 0% terminal fractures in all 9 brands in this study, in spite of differences in material

sources, formulations, and manufacturing methods.

B. BruxZir 2009 3Y zirconia best meets the 7 ideal characteristics. Importantly, throughout its 8-year clinical history it has not worn

opposing dentition excessively and it has demonstrated excellent tolerance of clinical abuse.

C. A skilled laboratory technician and possible added cost still necessary for optimum esthetics. Increased translucence has helped—

but not solved—the difficulty of blending zirconia with surrounding dentition.

D. If glass ceramic or ceramic-polymer products are used for full-contour molar crowns, expect higher numbers of fractures,

cementation failures, and need for more tooth removal to gain the material thickness needed for strength. In this study, IPS e.maxCAD

lithium disilicate has performed very well as a molar crown material, with 95% survival at 8 years, when tooth preparations provided

adequate material thickness.E. Cementation failure with zirconia crowns was relatively infrequent in this study. This was attributed to careful following of

cementation instructions by the dentists. IPS ZirCAD LT cementation material problems have been corrected by the manufacturer.

F. When unknown company and brand names are chosen to save costs, watch for inconsistencies in purity, density, and distribution

of formulation components, all of which may ultimately affect long-term durability.

G. Clinically at this time, 3Y zirconia indications are molar full-contour crowns, posterior multi-unit restorations, patients with

bruxing/clenching habits, where minimal tooth preparation is desired, and anytime maximum durability is desired. 3Y, 4Y, and

5Y zirconia and IPS e.maxCAD or Press can all fulfill expectations where optimum esthetics is desired, if fabricated by a skilled

laboratory technician.

ZIRCONIA: most durable tooth colored crown material in clinical study (Continued from page 2)

3. ObservationsA. Zirconia is a robust material. Zirconia was the only material category in this study where all products tested so far show 100% survival.

This is an important finding considering the differences represented in the brands tested (e.g., powders from Japan and China, formulation

differences, disk/block processing differences).

B. 3Y zirconia gives best chance of long-term durability. 3Y maximum fracture toughness zirconia restorations have demonstrated ability

to tolerate minimal tooth reduction preparations, clinical abuse such as occlusal adjustments made both in hand and after cementation, and

subsequent endodontic access preparation through the crown.

C. 5Y zirconia needs more gentle handling by dentists before cementation and during

endodontic access procedures. Crown fracture during seating occurred in 2% of the 5Y

zirconia crowns when there was: Inadequate tooth reduction causing thin finished crowns, or

crowns were hand held during occlusal adjustment before cementation. Fracturing can also

occur in 5Y zirconia when endo entry preparation is aggressive.

D. Glaze is not long lasting. No glaze used in this study has been long lasting, regardless of

material category. By year 7 over 90% of original BruxZir 3Y and IPS e.maxCAD crowns

had lost occlusal glaze. Glaze lasts longer on smooth surfaces, but characterizing techniques

that require glaze to seal in colors will not be as durable as patients desire. (See photos page 1.)

E. Ceramic-polymer crowns have higher than expected cementation failure. For reasons not fully apparent, ceramic-polymer crowns

have experienced high cementation failure, both in this study and in clinical practices. Yet ceramic-polymer crowns have highly desirable

characteristics (e.g., mill rapidly and smoothly with minimal bur wear, do not require post-mill procedures, wear opposing dentition

minimally, have good to excellent esthetics, have high survival rates with minimal fracturing). This material category is worthy of further

investigation to solve the problem with cementation failure. The new CAMouflage NOW is showing promise with only 2% cementation

failure in its first year of service.

F. Celtra DUO Non-Fired developed long (≥6 mm) craze line fractures within 1 year after seating.

Celtra DUO was not post-mill fired in this study because we hoped to verify the claim that

it was a ceramic-based product that could be milled & seated without need for post-mill

firing. After noting study crowns with long craze line fractures, we conducted a survey

which identified randomized Celtra DUO users and confirmed frequent fracture of Celtra

DUO when crowns were fired or non-fired. This indicates the need for improvement of this

material to gain the robust performance necessary clinically.

5Y zirconia crown broken during hand-held occlusal adjustment

Celtra DUO Non-Fired crack appearance

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Clinicians Report

November 2018

ZIRCONIA: most durable tooth-colored crown material in clinical study (Continued from page 1)

1. Products under study currently (ordered by similar material description and alphabetical within groupings)

A

BC

D

EF

GH

Product NameCompany Where Milled Material Description

(Received from Companies) Survival † to Date Cement Type Used Cementation Failure to Date Time in Study

ZIRCONIA 3Y–5Y QBruxZir 2009Glidewell Dental

Lab 3YQ zirconia

100%RMGI

6%8 years

BruxZir NOW 2016 Glidewell DentalIn-office 3Y zirconia (fully sintered before mill)

100%RMGI

2%2 years

BruxZir NOW 2018 Glidewell DentalIn-office 3Y zirconia (fully sintered before mill) new in study new in study new in study new in study

BruxZir Shaded 2018 Glidewell DentalLab 3Y zirconia

new in study new in study new in study new in study

Pavati Z40.1CCRI (same Zr as inCoris TZI) Lab 3Y zirconia

100%Resin

0%1 year

IPS ZirCAD LTIvoclar Vivadent

Lab 3Y zirconia

100%Resin

10%2 years

Zirlux 16+Zahn Dental

Lab 3Y zirconia

100%Resin

0%1 year

ArgenZ HT+Argen Corporation

Lab 4Y translucent zirconianew in study new in study new in study new in study

IPS ZirCAD MTIvoclar Vivadent

Lab 4Y translucent zirconianew in study new in study new in study new in study

BruxZir EstheticGlidewell Dental

Lab 4.9Y translucent zirconianew in study new in study new in study new in study

CubeX2

Dental DirektLab 5Y translucent zirconia

100%RMGI

0%1 year

Katana STMLKuraray Noritake

Lab 5Y translucent zirconia color blended 100%Resin

0%2 years

Lava Esthetic3M Dental

Lab 5Y translucent zirconia color blended 100%Resin

9%1 year

BruxZir AnteriorGlidewell Dental

Lab 5.5Y translucent zirconia

100%RMGI

0%2 years

GLASS CERAMICCeltra DUO Non-Fired Dentsply

In-office lithium silicate + 10% zirconia76%

Resin0%

1 year

IPS e.maxCADIvoclar Vivadent

In-office lithium disilicate

95%Resin

5%8 years

CERAMIC – POLYMERCAMouflage NOW

Glidewell DentalIn-office 79% ceramic 21% polymer

98%Resin

2%1 year

CeraSmartGC America

In-office 71% ceramic 29% polymer97%

Resin29%

2 years

EnamicVita USA

In-office 86% ceramic 14% polymer89%

Resin26%

4 years

Lava Ultimate3M Dental

In-office 80% ceramic 20% polymer95%

Resin25%

5 years

Q Y = Mole Percent of yttria added to zirconia. Higher amount of yttria increases translucence, but lowers strength.

† Survival means crown did not require replacement due to material inadequacy.

2. Summary of 2018 resultsOf 17 characteristics graded clinically and in the laboratory, so far the 3 below have shown clinically concerning results:

(1) Terminal fracture (missing material that compromises contact(s) or occlusion; or crack(s) ≥6mm in length)

(2) Cementation failure(3) Greater than expected opposing dentition wear.

BELOW, 3 MATERIAL GROUPS IN ABOVE CHART ARE COMPARED BY 3 CLINICALLY CONCERNING RESULTS:

Clinically Concerning Result

Terminal Fracture

Cementation Failure

Greater- Than-Expected Opposing Dentition Wear

Zirconia had NO Terminal Fractures in 1–8 yrs Glass Ceramic Celtra DUO Non-Fired had 26% Terminal Fractures in 1 yr

Ceramic-Polymer had 2–4% Terminal Fractures in 1–5 yrs

26% terminal fractures of Celtra DUO Non-Fired resulted in its statistically lower 1-year survival in this study.

Zirconia

Glass CeramicCeramic-Polymer

SummaryZirconiasIPS ZirCAD LT 10% in 2 yrs *Lava Esthetic 9% in 1 yr

* IPS ZirCAD LT problem addressed

with new cement SpeedCEM Plus

Glass CeramicCeltra DUO Non-Fired and IPS e.max CAD had cementation failure at

0–5%respectively in 1–8 yrs

CeraSmart 29% 1 yr *Enamic

16% 1 yr

26% 4 yrsLava Ultimate 14% 1 yr

25% 5 yrsCAMouflage NOW 2% 1 yr* CeraSmart problem addressed

with new cement G-CEM LinkForce

All the ceramic-polymer products in this study (except CAMouflage NOW)

had high cementation failure at 1 year of clinical service, and the numbers increased over time.

Some zirconia brands had greater than

expected wear of opposing dentition (5 of the 9 brands) at 1 yr

Pavati Z40.1 57% of crowns

Katana STML 50% of crowns

IPS ZirCAD LT 45% of crowns

BruxZir NOW 2016 39% of crowns

CubeX2 33% of crowns

Glass Ceramic had NO greater-than-expected

wear on opposing dentitionCeramic-Polymer had

NO greater-than-expected wear on opposing dentition

5 zirconia brands caused concave facets on opposing dentition. More time in service is needed to determine the clinical significance of this finding.

Serv

ing Dentistry

42YEARS

Reprinted November 2018, with permission, from Volume 11 Issue 11, November 2018, Pages 1–3

Reprint

This official reprint may not be duplicated. This reprint is prepared for the purpose of providing dental clinicians with objective information about dental products.

©2018 CR Foundation®

A Publication of CR Foundation® • 3707 N. Canyon Rd, Bldg 7, Provo UT 84604 • 801-226-2121 • www.CliniciansReport.org

CR is the original and only independent dental product testing organization with funding only from dentists!

Continued on Page 2

ZIRCONIA: most durable tooth-colored crown material in practice-based clinical study

Gordon’s Clinical Observations: Some tooth-colored monolithic crown materials are serving remarkably well, while others have had numerous

challenges. The TRAC Research component of Clinicians Report has been conducting the only large, long-term, comparative clinical study of

tooth-colored materials available to the profession. Results from this practice-based study reported below will enhance the service you provide

for your patients.

CAD-CAM methods and materials have revolutionized the dental laboratory industry and dental practice, but—

DO THE VARIOUS PRODUCTS SERVE PATIENTS EQUALLY WELL?

For over 40 years TRAC Research has been seeking the following material:

• Tooth colored • Tolerates abuse by clinician and patient

• Reasonable cost • Serves trouble-free at least 10+ years

• Requires minimal tooth removal • Does not wear opposing dentition excessively

• Cementation is durable and easyOver 200 tooth-colored materials have been studied clinically by this lab over the last 40+ years.

The current study includes 20 materials at various stages of clinical service (see listing on page 2).

The materials differ in many aspects, but all are tooth-colored, monolithic, CAD-CAM fabricated

either by commercial labs or in-office; all were recommended for single units anywhere in the oral

cavity when entered into this study; and all study restorations are full-contour crowns on molars.

BruxZir 3Y 2009Initial Placement BruxZir 3YAt 8 Years (Note loss of glaze)

• 100% survival

• 0 terminal fractures

• Minimal wear on opposing dentition

• Clinicians Report® Buying Guide names BruxZir Full-Strength as a proven product.

Products evaluated by CR Foundation ® (CR ®) and reported in the Gordon J. Christensen Clinicians Report ® have been selected on the basis of merit from hundreds of products under evaluation. CR ® conducts research

at three levels: 1) multiple-user field evaluations, 2) controlled long-term clinical research, and 3) basic science laboratory research. Over 400 clinical field evaluators are located throughout the world and 40 full-time

employees work at the institute. A product must meet at least one of the following standards to be reported in this publication: 1) innovative and new on the market, 2) less expensive, but meets the use standards,

3) unrecognized, valuable classic, or 4) superior to others in its broad classification. Your results may differ from CR Evaluators or other researchers on any product because of differences in preferences, techniques,

product batches, or environments. CR Foundation ® is a tax-exempt, non-profit education and research organization which uses a unique volunteer structure to produce objective, factual data. All proceeds are used to

support the work of CR Foundation ®. ©2018 This report or portions thereof may not be duplicated without permission of CR Foundation ®. Annual English language subscription: US$229 worldwide, plus GST Canada

subscriptions. Single issue: $29 each. See www.CliniciansReport.org for additional subscription information.

What is CR?

WHY CR?CR was founded in 1976 by clinicians who believed practitioners could

confirm efficacy and clinical usefulness of new products and avoid both

the experimentation on patients and failures in the closet. With this

purpose in mind, CR was organized as a unique volunteer purpose

of testing all types of dental products and disseminating results to

colleagues throughout the world.WHO FUNDS CR?

Research funds come from subscriptions to the Gordon J. Christensen

Clinicians Report ®. Revenue from CR’s “Dentistry Update ®” courses

support payroll for non-clinical staff. All Clinical Evaluators volunteer

their time and expertise. CR is a non-profit, educational research

institute. It is not owned in whole or in part by any individual, family, or

group of investors. This system, free of outside funding, was designed

to keep CR’s research objective and candid.

HOW DOES CR FUNCTION?

Each year, CR tests in excess of 750 different product brands,

performing about 20,000 field evaluations. CR tests all types of dental

products, including materials, devices, and equipment, plus techniques.

Worldwide, products are purchased from distributors, secured from

companies, and sent to CR by clinicians, inventors, and patients. There

is no charge to companies for product evaluations. Testing combines

the efforts of 450 clinicians in 19 countries who volunteer their time

and expertise, and 40 on-site scientists, engineers, and support staff.

Products are subjected to at least two levels of CR’s unique three-tiered

evaluation process that consists of:

1. Clinical field trials where new products are incorporated into

routine use in a variety of dental practices and compared by

clinicians to products and methods they use routinely.

2. Controlled clinical tests where new products are used and

compared under rigorously controlled conditions, and patients are

paid for their time as study participants.

3. Laboratory tests where physical and

chemical properties of new products are

compared to standard products.

This team is testing resin curing lightsto determine their ability to cure a variety of resin-basedcomposites.Every month several new projects arecompleted.

THE PROBLEM WITH NEW DENTAL PRODUCTS.

New dental products have always presented a

challenge to clinicians because, with little more

than promotional information to guide them,

they must judge between those that are new and

better, and those that are just new. Because of the

industry’s keen competition and rush to be first

on the market, clinicians and their patients often

become test data for new products.

Every clinician has, at one time or another, become

a victim of this system. All own new products that

did not meet expectations, but are stored in hope

of some unknown future use, or thrown away

at a considerable loss. To help clinicians make

educated product purchases, CR tests new dental

products and reports the results to the profession.

Clinical Success is the Final TestClinicians Report® a Publication of CR Foundation®

3707 N Canyon Road, Building 7, Provo UT 84604

Phone: 801-226-2121 • Fax: 801-226-4726

[email protected] • www.CliniciansReport.org

CRA Foundation® changed its name to CR Foundation® in 2008.

Reprinted January 2019, with permission, from Volume 11 Issue 12, December 2018, Page 5–8

Reprint

This official reprint may not be duplicated. This reprint is prepared for the purpose of providing dental clinicians with objective information about dental products.

©2018 CR Foundation®

A Publication of CR Foundation® • 3707 N. Canyon Rd, Bldg 7, Provo UT 84604 • 801-226-2121 • www.CliniciansReport.org

CR is the original and only independent dental product testing organization with funding only from dentists!GUIDEBUYING

The Best Products for 2019

— THIS IS NOT AN ALL INCLUSIVE LIST OF SUCCESSFUL DENTAL PRODUCTS —

Every year Clinicians Report publishes an annual guide of many of the best

products for the upcoming year based on evaluations from the previous

twelve months. The products presented in this report have been through

rigorous, independent, non-manufacturer-sponsored evaluation and testing.

CR conducts research at three levels:

1. Product evaluations among 450 clinical evaluators worldwide in their

own offices2. Controlled long-term clinical research completed by TRAC Research,

the human studies section of CR

3. Basic science laboratory testing

Products listed in this Buying Guide have been evaluated by the CR science team and CR Clinical Evaluators. Each product in this report is color-

coded to identify why it has been included in this listing. Products that are not listed may not have been tested this year, may still be in testing,

or were not among the highest rated. For many other excellent products not mentioned, please review previous CR Buying Guides and

Clinicians Reports at www.CliniciansReport.org.

HIGHLY RATED NEW PRODUCTS

are listed alphabetically and in blue. They were

identified by in-house science evaluations and CR

Evaluator use during 2018. Only products with an

overall grade of 3.0 or higher (4.0 highest) and an

Evaluator recommendation of 70% or greater were

included.

PROVEN PRODUCTS are listed alphabetically and in red. These products

have been determined by research and long-term

clinical use and are commonly used and generally

accepted by CR Evaluators. They are often used for

new product comparisons. Some categories do not

have proven products listed.

PROSTHODONTICS, FIXED/REMOVABLE

Crowns, CeramicSee also Clinicians Report January 2018: “The Crown Revolution: Are You Confused?”

and Clinicians Report October 2018: “Zirconia: Five Common Clinical Mistakes to

Avoid” and Clinicians Report November 2018: “ZIRCONIA: most durable tooth-colored

crown material in practice-based clinical study”

CR Note: Original BruxZir is 3Y (3 molar percent yttria oxide). 3Y zirconia gives best

chance of long-term durability. Original translucent zirconias were 7Y and experienced

breakage and have been phased out. Newest esthetic zirconias are 5Y. Thin crowns of 5Y

zirconia can fracture if cut aggressively (adjustment before cementation, endo access, etc.).

Proven Products:• BruxZir (zirconia), Glidewell DentalBruxZir (full-strength zirconia 3Y) (Updated Proven Product),

Glidewell DentalFull-strength zirconia (3Y) is well proven to satisfy most of

the needs for crowns and fixed prostheses.

See also Clinicians Report January 2018

v This is only a portion of the original report. v

LASTING PERFORMANCEThe Solution You Can Rely On, Year After Year

Clinicians have been choosing BruxZir® Solid Zirconia for its superior strength for a decade. The Glidewell R&D team created the monolithic material with this performance in mind, selecting the highest quality zirconia powder as a starting point. This purified powder is then further tested and refined by Glidewell scientists, with proprietary manufacturing techniques applied to establish exceptional qualities in finished BruxZir restorations.

The BruxZir Solid Zirconia family of materials exhibits enhanced strength, esthetics and performance. These characteristics are engineered to last, with the earliest BruxZir restorations delivered a decade ago still serving patients excellently today.

Minimal Preparation Requirements

NEW! BruxZir Esthetic

BruxZir Full-Strength

Competitor A

Competitor B

Competitor C

Unshaded Zirconia TranslucencyLight Transmission vs. Wavelength 1.0 mm Thickness

Wavelength (nm)

Tran

smis

sion

(%)

60

55

50

45

40

35

30

25

Spectrophotometer: Konica Minolta CM-5Sample Thickness: 1.0 mm

High Flexural Strength The restorative formulations in the BruxZir Solid Zirconia family exhibit flexural strengths significantly greater than those of other tooth-colored options, and exceed the ISO 6872 clinical strength recommendations for bridges greater than 4 units.

Safe on EnamelGlazed BruxZir Full-Strength was found to cause less enamel wear than glazed IPS e.max® in a study that measured the volumetric loss of enamel following simulated chewing function.1

Enhanced Light TransmissionThe BruxZir formulations exhibit superior translucency in the warm color wavelengths when compared to other zirconias, resulting in more lifelike restorations for patients.

1. Wear of Enamel on Polished and Glazed Zirconia: Shah S, Michelson C, Beck P, Ramp LC, Cakir D, Burgess J. 2010; Washington, DC: AADR. Abstract #129615. Study results apply to BruxZir 2009 3Y zirconia.

IPS e.max is a registered trademark of Ivoclar Vivadent.

Aver

age

Flex

ural

Str

engt

h (M

Pa)

1.25 mm ideal reduction

(0.7 mm minimum)

Chamfer or shoulder margins preferred

AnteriorAnterior

1.0 mm ideal

reduction (0.5 mm

minimum)

Chamfer or shoulder margins preferred

Posterior

Chamfer or shoulder margins preferred

1.0 mm ideal reduction (0.5 mm minimum)

BRUXZIR® FULL-STRENGTH NEW! BRUXZIR ESTHETIC

0.5

0.45

0.4

0.35

0.3

0.25

0.2

0.15

0.1

0.05

0

800

Wavelength (nm)

Aver

age

Flex

ural

Stre

ngth

(MPa

)Vo

lum

e (m

m3 )

Tran

smis

sion

(%)

Your patients trust you to make the best decisions for their oral health. With BruxZir® Solid Zirconia, you’ll feel confident that you’re providing a solution with both performance and patient-pleasing esthetics.

These uniquely strong, chip-proof restorations empower you to reassure patients that their treatment is made to last. And with best-in-class translucency and coloration, you can deliver a more lifelike restorative experience.

LOVED RESULTSDelighting Patients and Dentists Alike

This patient had aged, failing restorations on teeth #8 and #9. She desired a fresh, youthful appearance. To satisfy her concerns as well as to position the treatment for long-term success, the decision was made to deliver a BruxZir Esthetic crown for tooth #8 and to provide Vivaneer™ BruxZir Esthetic Veneers from first molar to first molar on her maxillary arch.

– Clinical dentistry by Anamaria Muresan, DMD, ME, CDT

This patient presented with a combination PFM and full-metal 5-unit bridge on teeth #27–31. Due to the deterioration and age of the bridge, the decision was made to replace the existing bridge and to re-treat all abutment teeth with root canal therapy. A 5-unit BruxZir Full-Strength zirconia bridge was chosen for its ability to withstand the forces of the posterior, allowing the patient to have confidence in the integrity of the new restoration.

– Clinical dentistry by Anamaria Muresan, DMD, ME, CDT

This patient sought treatment for untreatable maxillary dentition and a poorly functioning lower denture. Two BruxZir Full-Arch Implant Prostheses were used, providing renewed function and esthetics for the patient. The high strength of monolithic zirconia affords an excellent long-term prognosis.

– Clinical dentistry by Paresh B. Patel, DDS

AFTER

AFTER

BEFORE

BEFORE

Survive Tough Posterior Forces: BruxZir Full-Strength Zirconia Bridge

Give Patients Improved Lives: BruxZir Full-Arch Implant Prostheses

My teeth always made me feel self-conscious. I was afraid to show them. Now, because of my BruxZir Esthetic crown and veneers, I get so many compliments and I love to smile again.

— Maria Ximena

Beautiful, Youthful Smiles:

BruxZir® Esthetic

A BRILLIANT SOLUTIONfor Virtually Every Smile

The excellent strength, performance and appearance of BruxZir® Solid Zirconia empower it to be used for an expansive range of indications. The R&D team at Glidewell Dental has released versatile formulations that are suited for specific clinical needs, ultimately enabling clinicians to prescribe monolithic zirconia virtually anywhere in the arch. Every BruxZir restoration is backed by our incredible, no-fault warranty policy, which means we process all remakes or adjustments at no additional charge.

BruxZir Esthetic

• Optimized combination of strength and translucency

• Lifelike vitality, engineered for the anterior

• Enhanced shade matching for predictable results

BruxZir® Full-Strength

• Engineered to withstand the toughest challenges of the oral environment

• Great for bruxers who have destroyed natural teeth or previous dental restorations

• An esthetic alternative to cast gold and metal occlusal PFMs

NEW!

The Clinicians Report® states, “BruxZir is the most successfultooth-colored restoration in the .”†

BruxZir Restorations Over Implants

• An efficient, long-lasting solution for your implant cases

• Available in cement-retained and screw-retained options

• CAD/CAM fabrication ensures esthetic gingival margins and a natural emergence profile

BruxZir Full-Arch Implant Prosthesis

• An esthetic, more durable alternative to the acrylic hybrid denture

• Constructed from 100% monolithic zirconia

• Includes PMMA provisional implant prosthesis to confirm design prior to restoration fabrication

BruxZir Crowns & Bridges

• Strong, biocompatible and lifelike

• Gentle on opposing dentition

• Monolithic composition eliminates the possibility of ceramo-metal interface failure and delamination

LASTINGLEADING LOVEDValidation Performance Results

Vivaneer™ BruxZir Esthetic Veneers

• Revitalize a smile with a material that lasts

• Resists chips and fractures, even at minimal thicknesses

• Ideal for closing spaces, reshaping teeth, concealing stains or correcting unevenness

NEW!

†An independent, nonprofit, dental education and product testing foundation, Clinicians Report®, August 2019. For the full report, go to bruxzir.com/most-successful.

Your Source for and So Much More

Start Your BruxZir® Case Today

MKT-012641_1 GL-2162-080119

CUTTING-EDGE MANUFACTURING ENSURES QUALITY

AND SPEED

HIGHLY KNOWLEDGEABLE CUSTOMER SERVICE

CLINICAL RESEARCH AND VALIDATION TO INCREASE YOUR CONFIDENCE

COMPREHENSIVE LABORATORY SERVICES BACKED BY A

HASSLE-FREE WARRANTY

CONTEMPORARY CLINICAL EDUCATION TO ENHANCE

YOUR SKILLS

WORLD-CLASS R&D BRINGS YOU INNOVATIVE SOLUTIONS

800-854-7256 • glidewelldental.com