F A C T F I L E

Dental Ceramic
The product name CELTRATM stands for a new generation of high-strength dental ceramic and defines a new class of material referred to as zirconia-reinforced lithium silicate ceramic (ZLS). CELTRATM will be available as pressable, veneering and CAD/ CAM variants. CELTRATM Duo is a CAD/CAM block developed specifically for chairside use with CEREC*.

Properties of zirconia-reinforced lithium silicate ceramic (ZLS)

In addition to lithium oxide and silicon dioxide, CELTRATM contains approximately 10% zirconium dioxide (ZrO2) in highly dispersed form in the glass phase of the ceramic. This prevents crystallization of the zirconium oxide, lends this new class of materials its high translucency and opalescence and avoids the more opaque look one is used to with zirconium oxide ceramics. Furthermore, the highly dispersed ZrO2 content generates considerably more nuclei for forming the crystallization phase and already encourages the formation of crystallization nuclei at lower energy input due to its more favorable thermodynamic parameters (Fig. 1). This tends to result in a greater number of smaller crystallites rather than fewer large ones, which is why the glass phase of the ZLS glass ceramic is present at a higher ratio when compared with conventional lithium disilicate ceramics. The formed crystals (Fig. 1, right: approx. 0.6-0.8 m) are significantly smaller than those in lithium disilicate ceramics (Fig. 1, left: 2.5 m).

What is CELTRATM Duo?

CELTRATM Duo is a CAD/CAM block based on the above described properties of ZLS developed specifically for chairside use with CEREC* . Due to the easier grindability of ZLS, CELTRATM Duo can be processed in the grinding unit of the CEREC* system in its crystallized state. Because crystallization firing is not necessary CELTRATM Duo can be polished and adhesively incorporated immediately after grinding, which lends itself especially for the preparation of inlays and onlays. Due to the high intrinsic strength 420 MPa1 in its delivered state, it still demonstrates a strength of 210 MPa1 after processing in the CEREC* grinding unit, which lies above that of conventional glass ceramic (Fig. 2). The original intrinsic strength of 420 MPa1 in the delivered state can almost be completely retained at 370 MPa1 by glaze firing (Fig. 3). The latter is particularly suited for the fabrication of crowns.

CELTRATM Duo
CELTRATM Duo

MIN

14:30 MIN 210 MPA

14:30 MIN 210 MPA

MIN MPA

GLASSCERAMIC
GLASSCERAMIC

MPA MIN

MIN MPA

13:00 MIN 120 MPA 13:00 MIN Grinding120 MPA

MIN MPA

Fig. 1 Scanning electron micrographs of polished ceramic samples left: lithium disilicate with predominantly large crystals (dark) right: ZLS with fine crystalline structure (dark) and large glass ratio (light)

Fig. 2 Mean strength (MPa) and processing times (min.) of CELTRATM Duo Grinding (standardized posterior crown with block size 14) compared with conventional glass ceramics1
CELTRATM Duo
CELTRATM Duo
MIN

MPA

14:30 MIN
14:30 MIN

13:00 MIN 27:30 MIN

13:00 MIN 27:30 MIN

370 MPA

MPA MIN

The 10% content of zirconium oxide is virtually dissolved at the molecular level. The resulting structural characteristics in ZLS lead to the special properties of this material class: High intrinsic strength of 420 MPa1 Easier grinding and polishing in crystallized state High level of translucency and opalescence resulting in excellent esthetic properties

MIN MPA

LITHIUM DI-SILICATE
LITHIUM DI-SILICATE

13:30 MIN
13:30 MIN

29:00 MIN
29:00 MIN

370 MPA 13:00 MIN 55:30 MIN

360 MPA 13:00 MIN 55:30 MIN

360 MPA Glaze Firing Glaze Firing

MPA

Grinding
Grinding

Crystallization
Crystallization

Fig. 3 Mean strength (MPa) and processing times (min.) of CELTRATM Duo (standardized posterior crown with block size C14) compared with lithium disilicate ceramics1

210 MPA
PERFECT MARGINS (%)

100

light curing of the adhesive laye

IN 120 MPA

Randspaltanalyse bei Keramikinlays nach thermo

F A C T F I L E
50

CELTRATM Duo compared to other systems Esthetic properties

PERFECT MARGINS (%)

100

Without separate light curing of the adhesive layer

lower comp ** Signicantly to XP BOND + Self Cure Activator + Calibra XP BOND + SCA by experienced + Calibra
0

CELTRATM Duo is available in the variants HT (high translucency) and LT (low translucency). During development, the HT blocks were adapted for the fabrication of inlays, and the LT blocks for the fabrication of crowns. At first glance, 13:00 MIN 27:30 MIN the CELTRATM Duo blocks may appear somewhat darker 370 MPA CELTRATM Duo
Block

or more chromatic than accustomed to CEREC* users (Fig. 4). This is due to the material-immanent opal effect and the shading selected in terms of desired dental restoration (Fig. 4). 1 Quelle: Frankenberger R, et al., Luting of ceramic i

**

**

50

self-etch cements, Dental Mater (2007), doi: 10.101 Kein eigetragenes Warenzeichen der DENTSPLY In

Vita Mark II*

e.max*

29:00 MIN

13:00 MIN 55:30 MIN

Shade A2

360 MPA

Shade A2

XP BOND + SCA Shade A2 + Calibra

ED Primer * Multilink Prim + Panavia F 2.0 * + Multilink

Crystallization

Inlay

Glaze Firing
1 2

Quelle: Frankenberger R, et al., Luting of ceramic inlays in vitro: Marginal quality of self-etch and etc self-etch cements, Dental Mater (2007), doi: 10.1016/j.dental.2007.04.003 Kein eigetragenes Warenzeichen der DENTSPLY International, Inc

370 MPA Inlay

in situ

Bruchlast bei Frontzahnkrone

5:30 MIN
FRACTURE FORCE (N)

800 700 600 500

725

766 701

360 MPA

48

ng

Fig. 4 Chameleon effect of CELTRATM Duo based on high translucency and opalescence. It should be 400 noted that the block initially appears somewhat darker, but that the ground restoration then meets the tooth shade to be achieved.3 300

Mechanical properties
In a study at Heidelberg University, anterior crowns made of CELTRATM Duo (glazed), lithium disilicate (e.max*) and feldspar ceramic (Vita Mark II*) were loaded orally at the incisal edge. The crowns were fixed to CoCr cores using a composite cement. One half of the samples was tested for static strength, the other half was loaded mechanically 1.2 million times at an average load of 70 N following thermocycling (6.5C/60C 10,000 cycles). Then the strength of the crowns was tested mechanically until complete failure. Not only was the breaking strength tested here (Fig. 5), the incidence of first defects in the framework was also recorded via acoustic detection, i.e. cracks which already occur during lower loads. This test showed that first cracks or damage prior to ageing for CELTRATM Duo occurred at considerably higher loads (667 N) than for lithium disilicate (525 N). After aging, CELTRATM only showed first cracks at 742 N, whereas with lithium disilicate they already occurred at 402 N. CELTRATM Duo demonstrated no statistically significant drop in loading capacity after aging when using glaze (aged from previously 725 N to 766 N) in this simulation of chewing compared to lithium disilicate

200 100

(aged from previously 701 N to 485 N) and feldspar ceramic 0 Bruchlast bei Frontzahnkronen CELTRATM (aged from previously 554 N to 372 N).
800 700
FRACTURE FORCE (N)
725 766 701
before aging after aging

e.ma

Temperat 55C, 600 Kauzyklen

600 500 400 300 200 100 0

554

485 Quelle: S. Rues, D. Mller, M. Schmitter, Universitt H Daten auf Anfrage erhltlich. 372

CELTRATM

e.max*

Vita Mark II*

Fig. 5 Breaking load in Newton (median) for anterior crowns after 1.2 million cycles of mechanical loading of the incisal edge orally prior to and Temperaturwechselbder 5C auf before aging after thermocycling 55C, 6000 St., danach 1,2 Mio. 2 (TC, 60C/6.5C) after aging
Kauzyklen mit 70 N.

Quelle: S. Rues, D. Mller, M. Schmitter, Universitt Heidelberg 2012,

F A C T F I L E
Technical data on CELTRATM Duo
CELTRATM Duo directly from the CEREC MCXL* and polished CTE 500C [*10-6 1/K] Intrinsic flexural strength ex works [MPa] Flexural strength [MPa] E-modulus [GPa] Crack resistance (SENVB) [MPam-0.5] Hardness [HV] Chem. solubility [g/cm2] Crystallization temperature [C] Softening temperature [C] Transformation temperature [C] Density [g/cm ]
3

CELTRATM Duo with glaze firing approx. 11.8 420

210 approx. 70 2.0 approx. 700 < 40 (intrinsic) already fully crystallized approx. 800 approx. 620 2.6

370

< 20 (solubility glazing)

Adhesive luting with the CELTRATM Cementation System

The CELTRATM Cementation System consists of the Etch&Rinse Adhesive XP BOND , the corresponding Self Cure Activator and the composite cement Calibra in the shades translucent and medium. The Self Cure Activator ensures that the actual light curing XP BOND combines with the dual and chemical curing composites. In combination with Calibra this results in a dual-curing cementation system where separate light curing of the adhesive layer Randspaltanalyse bei Keramikinlays nach thermo-mechanischer Wechsellast1 can be dispensed with in favor of fitting.
lower compared ** Signicantly to XP BOND + Self Cure Activator + Calibra

In addition, silane is included for pretreating the CELTRATM Duo restoration and etch gel for use prior to the adhesive in the Etch&Rinse technique. Doubts often arise as to whether an adhesive can develop sufficient bond strength when dispensed with separate light curing of the adhesive layer. Frankenberger et al.4 therefore investigated the marginal quality of ceramic inlays which were luted with different cementation systems. The samples were subjected to a 100,000 cycle thermo-mechanical loading test (Quasimodo chewing simulator, University Erlangen). It was shown that XP BOND + Self Cure Activator + Calibra demonstrated no significant difference between chemical and light curing. The difference to Variolink II* + Syntac* was also not significant. However, marginal analysis showed significantly better results for XP BOND + Self Cure Activator + Calibra than for the systems Panavia F2.0* and Multilink* (Fig. 6) which were also tested.

100
PERFECT MARGINS (%)

Without separate light curing of the adhesive layer

dentin enamel

**
50

**

XP BOND + SCA + Calibra

ED Primer + Panavia F 2.0

Multilink Primer + Multilink2

Syntac Classic + Variolink II2

* *

1 2

Quelle: Frankenberger R, et al., Luting of ceramic inlays in vitro: Marginal quality of self-etch and etch-and-rinse adhesives versus 4 self-etch cements, Dental Mater (2007), doi: 10.1016/j.dental.2007.04.003 Kein eigetragenes Warenzeichen der DENTSPLY International, Inc

Fig. 6: Proportion of perfect margins in dentin and enamel for ceramic inlays following chewing simulation with thermo-mechanical loading.

4415-B Rev. 0 06/2013

internal measurements, 3-point flexural strength, data available upon request Rues, D. Mller, M. Schmitter, University Heidelberg 2012, data available upon request. Results of a user study with a total of 125 restorations, results available upon request. 4 Frankenberger R, et al., Luting of ceramic inlays in vitro: Marginal quality of self-etch and etch-and-rinse adhesives versus self-etch cements, Dent Mater. 2008 Feb;24(2):185-91 * Not a registered trademark of DENTSPLY International Inc.
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