visio.

l ign
Veneering Technique
from the Setup to the Definitive Veneer

Instructions for Use

novo.lign A
novo.lign P
visio.link
combo.lign
crea.lign
Contents

3 Introduction and product description / visio.lign

5 System components

7 Indications and application areas

9 Veneer-up

11 Esthetic try-in

13 Framework design and conditioning

15 Conditioning the veneers

17 Luting

19 Individualizing

21 Finishing and polishing

23 Thermoplastic forming

24 Bonding tests of the University of Jena

26 List of materials

2
Introduction and product description

visio.lign, the veneering system with guarantee for aesthetics. It

comprises of multi-layer veneers, developed from natural teeth and
a bonding system in perfectly matched shades. Additional tooth
and gingiva materials complete the system.

Discover the wide indication range of visio.lign which will facilitate

your daily work routines in the laboratory and support you during
the fabrication of aesthetic restorations. There will be no limits to
your creativity!

visio.lign
Veneering system with naturally layered veneers - novo.lign A
(anteriors) and novo.lign P (posteriors) - in anatomical designs.
• shade stability, resistance to plaque and abrasion
• efficient, thanks to rational processing
• reliable shade results in the classic A-D shades with perfectly
matched bonding via visio.link with combo.lign and crea.lign
• finishing, supplementing and individualizing using the nano-
filled composite crea.lign
• neo.lign full denture tooth with identical shades and designs
ideal for implant prosthetics and fixed/removable restorations

3
 novo.lign A neo.lign A
S46 S46

I47 I47

D38 D38

novo.lign P neo.lign P
G3 G3 visio.link

G3 G3

The final shade of neo.lign A and P is obtai-

ned after bonding (luting) with combo.lign.

combo.lign crea.lign
System components

novo.lign A/P
Veneers made of high impact PMMA composite in anatomical
designs for anterior and posterior veneers. Available in the classic
A-D shades. Natural esthetics for all indications.

neo.lign A/P
Anatomical full denture teeth with identical shades and designs
for implant and fixed/removable restorations made of high impact
PMMA composite. The system-spanning occlusal design has been
developed for all common occlusion concepts.
visio.link
PMMA and Composite Primer for bonding highly cross-linked
novo.lign A and novo.lign P veneers and prefabricated teeth.
For conditioning composites, denture base materials and the
biocompatible, thermoplastic Bio XS material.
combo.lign
Dentine-colored adhesive composite (dual-hardening) for reliable
bonding of novo.lign A and novo.lign P veneers in the classic A-D
shades.

crea.lign
Nanofilled composite for individualizing, completing and finishing.
For the free-layering technique and perfect red-white esthetics and
for the fabrication of laboratory-made inlays, onlays and non-prep
veneers.

5
Implant restoration Removable restora-
fixed tension-free on tion on telescopic
SKY UVE abutments crowns with novo.
lign A

Implant-supported 3-unit anterior

bar with novo.lign bridge with novo.
veneers in the lign veneers
anterior region and
neo.lign teeth in the
posterior region

Combined resto- Anterior zirconium

ration with dioxide bridge
novo.lign veneers veneered with
visio.lign
Indications and application areas

Veneer-up
• Use of the veneers to support planning and transfer of the
situation to the definitive restoration
• Selection of esthetic shade, shape and tooth position
in line with the patients’ wishes

Temporary restorations
• Laboratory-made temporaries based on impression and
wax-up
• Veneer on SKYtemp (bredent medical) as immediate
restoration after placement of the implant

Permanent veneering
Composite veneering for fixed and removable restorations:
• Telescopic and conical crowns
• CoCr clasp restorations
• Crowns and bridges
• Attachment work
• Implant restorations
• Coverdenture technique

7
Teamwork - dentist
and dental techni-
cians satisfy the
individual patient‘s
requests.

selected tooth shade and design

The esthetic try-in

supportsplanning and
transferring and …

… is the basis for perfect modelling of the

framework and ensures… ...individual restorations for patients.
Veneer-up
The novo.lign A and novo.lign P veneers support planning and the
transfer and are used for the definitive veneer. The same veneers are
used for the working steps starting with the set-up and the esthetic
try-in, to orientation during waxing up the framework until the
preparation of the definitive restoration.

Tooth shade, tooth size and tooth position as well as some esthetic
aspects are already determined when selecting the right tooth from
the assortment of different designs and shades.

Dentist and dental technician are able to fulfill the individual wishes
of their patients and involve them in the design process of their
future restorations.

The prepared veneer-up is the basis for the esthetic appearance

and the function. It supports dentists and dental technicians in their
communication and preparation efforts for the entire prosthetic
restoration. Wishes of patients are fulfilled and future corrections are
avoided.

The central task is the check of the set-up of the teeth under esthetic,
functional and phonetic aspects which can be carried out on the
prepared stumps or after the fabrication of the primary crowns.

9
Determining The position
the suitable of the anterior
design for the veneers is
physiognomy marked
and the
residual teeth

The veneers are Based on bite

fixed using registration,
tooth-colored the anterior
wax, for and posterior
example veneers are
beauty setup completed
for the esthetic
try-in

Completed esthetic set-up Try-in, check and correction if required

Esthetic try-in

A vacuum formed splint is used as a carrier of the esthetic try-in.

Just like in the visio.lign film „The Movie“, the base of bite regis-
tration can be used for the set-up of the esthetic try-in.

The cervical margin of the novo.lign anterior and posterior veneers

is ground to adapt their length and preparation border to the space
available.

Adequate space for the framework design must be ensured before

fixing the veneers. To create a perfect shade, a joint of 0.2 mm is
required.

The veneers are set up on the base using tooth-colored wax and the
wax-up is completed.

During try-in of the restoration, bite position, tooth shape, tooth

position, tooth shade and phonetics are checked and if necessary,
corrections are performed.

A silicone key is used to fix the set-up. The veneers are removed

from the base of the esthetic restoration and placed into the silicone
key. Then the space available for the secondary structure is
checked.

11
 Veneers support planning and
the transfer of the wax-up of
the framework. Phonetic and
esthetic aspects are the basis
for the optimization of the
wax-up.

Cast secondary Conditioning

structure with metal
primer

Applying Polymerizing
opaque opaque
material material
Framework design and conditioning

The set-up obtained from the esthetic try-in facilitates framework

design considerably. Retentions can be perfectly placed onto the
veneering surface of the framework to save space and ensure the
function. A slender design of the wax-up is required for the metal
framework to meet the requirements of phonetics and esthetics.
Dimensions of 0.2 - 0.3 mm for the application of the opaque
material and the adhesive joint must be adhered to.

After casting, finishing, fitting and polishing, the position of the

veneer in the key in front of the framework is checked and necessary
corrections are performed.

Use Al2O3 (110 - 125 µm) to sandblast the framework at a pressure

of 2.5 to 3.5 bars. Then the metal surface is conditioned with the
Silano-Pen or metal primer. The instructions of the respective manu-
facturer must be observed!

Apply opaque material and polymerize in accordance with the in-

structions for use; if required apply several thin layers until the metal
substructure is completely covered.

When using tooth-colored framework materials, such as Bio XS

(thermopress 400), visio.link is used for conditioning. Silano-Pen is
used for conditioning zirconium dioxide frameworks and the bond-
ing agent is applied subsequently.

The use of retention beads results in improved mechanical bonding

and ensures the durability of the restoration.

13
Grind the Sandblast
veneer at an the inside
obtuse angle of the
veneers
across the
border area

Apply visio.link visio.link

thinly to the application areas:
inner side of the PMMA-, composite
veneer beyond primer and bonder.
the margins UV-curing

Polymerize visio.
link with UV light

The silky-mat luster allows to verify conditioning. Do not apply visio.link too thickly and not twice
Conditioning the veneers

These processing steps are referred to several times within these

instructions for use; they must be completed correspondingly.
• sandblast novo.lign veneers with Al2O3 (110 µm) at a pressure
of 2.5 – 3.5 bars or roughen the surface using a tungsten
carbide bur (enlarge the surface).
• apply visio.link primer and polymerize in the Uni XS unit /
Heraeus Kulzer for 90 sec or in the UV light-curing unit (e.g.
Polylux) for 4 min.

Note:
Polymerization is completed when the visio.link primer has dried
after exposure to UV light, i.e. the sticky coat/layer has been
removed. Required wavelength range: 370 - 400 nm.
LED devices without UVA rays are not suitable.

Refer to the instructions of the manufacturer on the exchange

intervals for the light-curing units; these intervals must be adhered to.

When bonding, it must be ensured that all surfaces which are to be

bonded using resin/composite later on, need to be sandblasted and
conditioned with visio.link.

It is recommended to apply visio.link slightly beyond the sandblasted

surface. visio.link is removed from the surfaces which have not been
sandblasted when finishing the restoration.

Note:
Bonding can only be achieved by sandblasting or roughening and
by the subsequent application of visio.link and polymerization in the
light-curing unit.

15
 Apply combo. If opaque mate-
lign to the rial for matrices
conditioned is used, holes
inner side of are drilled into
the veneer the matrix

Excess material combo.lign is

obtained by hardened
pressing on the selectively and
matrix does not the veneer
need to be dis- is fixed. The
carded. It can be matrix can be
used to prepare removed.
a bonding layer
to the crea.lign
finishing material

From the labial In the cervical

side, the veneers and approxi-
are fixed by the mal areas,
transparent combo.lign
visio.sil matrix which is still
material. paste-like, is
The matrix is removed with
removed for fi an instrument
nal hardening
(polymerization)
Luting
combo.lign is applied to the veneer in a way to wet the entire
conditioned surface and to achieve maximum adhesion. Luting can
be carried out in the following way:
• During manual luting, affix the veneer to the framework, carefully
remove excess material and then polymerize with the light-curing
unit, for example bre.Lux Power Unit (desktop unit) - 180 seconds.
• Radiation with a suitable light-curing unit (e.g. bre.Lux N (hand
lamp)) for approx. 10 sec are sufficient for fixation. If an opaque sili-
cone is used, a hole of 2-3 m in the matrix (key) is prepared to fix
the veneers. Final polymerization is carried out in the bre.Lux Power
unit or another suitable light-curing unit, see list of units.
• If luting is to be completed in a single step, it is recommended to
use visio.sil as a transparent material. Fixation is carried out using
the hand lamp bre.Lux LED N or another suitable light-curing unit.

combo.lign
• is a dual-hardening composite. It hardens chemically and by
exposure to light. Subsequent polymerization is required to reach
the final hardness.Required wavelength range: 370-500 nm.
• is suitable for composite joints or adhesive layers of 40 µm to 2 mm.
Bonding results, see page 24.
• The processing time span is approx. 5-6 min (at 20° C).
Recommended polymerization in the Uni XS unit / Heraeus
Kulzer or in the bre.Lux Power unit 180 sec. or other units with
a wavelength range of 370-500 nm.

17
 After bonding, crea.lign is use
crea.lign for contouring in
is applied the palatal...
approximally

...and the Individual

cervical contouring also
areas in the red-white
area

Layer application of crea.lign Gum and

crea.lign with Modifier allow
intermediate individual contou-
polymerization for ring in the red-
ensuing final white area
polymerization. A
handlamp can be
used for intermediate
polymerization or
fixation of the layers.
Finishing and individualizing

It is recommended to use the microfilled and elastic composite crea.

lign for shaping the approximal and cervical areas, which ensures
homogeneous color transitions and lasting resistance to plaque and
discoloration.

crea.lign is used for final shaping and the definitive design. The
material can be applied directly from the syringe or using a brush.
The use of crea-lign Modelling Liquid facilitates the application
with the brush and optimizes contouring of the interproximal spaces.

Bonding of the individual layers is ensured by the „smear layer“

(inhibition layer). If this layer is missing, conditioning must be
carried out with visio.link. This applies also to the transitions to the
veneer if they have not yet been conditioned.

The inhibition layer can be removed with isopropanol, which avoids

penetration into the surface and hence causes discoloration.

All crea.lign shades can be mixed with one another. Varios

incisal, neck, dentine and gingiva materials are available for
individualizing.

Note:
After modelling and intermediate polymerization, final polymeri-
zation must be carried out for at least 6 minutes in the Uni XS /
Heraeus Kulzer or the bre.Lux Power unit.

19
 Finishing with Prepolishing of
a tungsten crea.lign
carbide bur

Prepolishing with crea.lign Modelling

a goat-hair brush Liquid reduces the
and Acrypol inhibition layer and
or pumice serves as a modifier
(with regard to
viscosity and modulus
of elasticity)
(e.g. PMMA)

Modelling Liquid for visio.lign

reducing the inhibition Toolkit
layer and enhanced
applying and modelling
of crea.lign
Finishing and completing
When applying the material, the layer thickness of crea.lign should
not exceed 1 mm (without intermediate polymerization). To ensure
maximum bond strength of veneers with a thickness of more than
2 mm, combo.lign is applied from the basal direction.

We recommend tungsten carbide burs for finishing and grinding.

Diamond-coated rotary tools cause irreversible roughness on the
surfaces and are not recommended.

A soft goat-hair brush with pumice or Acrypol must be used for the
first polishing process. The speed should not be above 3000 rpm
(handpiece).

Use Abraso-Starglanz and a soft cotton or leather buff for final

polishing. The speed should not be above 5000 rpm (handpiece).

The inhibition layer can be removed with isopropanol to avoid

penetration into the surface. Inhition layer residues may cause
discoloration.

The elimination of oxygen, for example with gel, crea.lign

Modelling Liquid or final polymerization in the visio.Beta unit
reduces or avoids the formation of an inhibition layer.

Note:
To achieve long-term resistance to plaque, the addition composite
needs to be polymerized completely and polished subsequently.

visio.lign Toolkit – ideal for finishing and polishing

REF VLTOOLKIT

21
Thermo-Pen.
Hot air device with piezo technology
without open flame

...produces the required temperature of 250° C

on the inner side of the veneer

In the thermoplas-
tic condition the
veneer is expanded
using a conical tool.

before after
Thermoplastic forming

novo.lign veneers consist of highly abrasion-resistant, high-impact

PMMA and
are suitable for thermoplastic forming.

The required forming temperature is approx. 250 °C and should

be supplied uniformly across and somewhat beyond the entire
forming area.

Transblock is used to protect regions not to be formed.

Use: Set the Thermo-Pen to level 4 and heat for approx. 10-15 sec
while keeping a distance of approx. 1 cm to the veneer. The inner
side of the veneer should be heated.

Use a round tool or primary element to obtain the desired width or

size of the veneer.

Note:
Do not use an open flame to heat the veneers and make sure that
the temperature will not exceed 280 °C!
Improper handling will affect the product characteristics.

23
 Bonding test - combo.lign
Result of bonding tests of the University of Jena 2004-2008
Compression shear strength in MPa without mechanical retention

1 day 37° C 25.000 *TC

30

25

20

15

10

5
C C C C C C C C C C C C C C C C
0
EMF (NPM) PMF (NPM) Electroplated gold Degunorm PMF (NPM) Zirconium oxide Bio XS novo.lign
Silano-Pen & Metall Primer II ML-Primer & (PM) / ML- SR Link & SR Silano-Pen visio.link visio.link
Opaker combo.lign & Gradia Ceramage Primer & Adoro Opaker (bredent) (bredent) (bredent)
(bredent) Opaker (GC) Opaker (Shofu) Ceramage (Ivoclar)
Opaker (Shofu)

Framework materials / Bonding (composite) system

C = Cohesion fracture
*Thermocycling 5° C / 55° C
Metal-composite bonding systems:

Metal-composite bonding systems:

After testing the compression shear strength, the following bonding
systems have been released for use (polymerization in the Uni XS
unit):

Precious metal (PM):

Silano-Pen or MKZ-Primer (bredent) with Gradia Opaker
combo.lign, Metall Primer II (GC) with Gradia Opaker, Rocatec
(ESPE) with Gradia Opaker, M.L. Primer and Ceramage Opaker
(Shofu).

Precious metal-free (PMF) or non-precious metal (NPM):

Silano-Pen or MKZ-Primer (bredent) with Gradia Opaker
combo.lign, Metall Primer II (GC) with Gradia Opaker, Rocatec
(ESPE) with Gradia Opaker, SR Link + SR Adoro Opaker (Ivoclar
Vivadent).

Electroplated gold:
M.L. Primer and Ceramage Opaker (Shofu), Metall Primer II (GC)
with Gradia Opaker.

Metal-free framework materials:

After testing the compression shear strength, the following bonding
systems have been released:
• Silano-Pen oder MKZ-Primer (bredent) on zirconium oxide
• visio.link Primer on Bio XS (thermopress 400, bredent)
• Veneering of CAD/CAM manufactured frameworks made from
PMMA or composite as long-term temporaries
25
Polymerization units and polymerization times

Polymerization times for

visio.link, combo.lign and crea.lign

visio.link requires a wavelength of 370 to 400 nm,

units without UVA light are not suitable
combo.lign requires a wavelength of 370 to 500 nm,
pure UVA units (such as Polylux) are not suitable
crea.lign requires a wavelength of 370 to 500 nm,
pure UVA units (such as Polylux) are not suitable

Manufacturer Product name Wavelength Polymerizations Polymerization Polymerization

in nm * time - visio.link time - combo.lign time - crea.lign
bredent bre.Lux Power Unit 370 - 500 90 s 180 s 6 min
Dentsply / Triat, Triat 2000 400 - 500 3 min 6 min 10 min
Degudent Eclipse k.A. 60 s 180 s 6 min
Heraeus Kulzer Dentacolor XS, Uni XS 320 - 520 90 s 180 s 6 min
Heraflash 320 - 520 90 s 180 s 6 min
GC GC Laboligth LV-III 380 - 490 2 min 5 min 10 min
Ivoclar Vivadent Targes Power furnace 400 - 580 4 min 180 s 8 min
Lumanat 100 400 - 580 4 min 180 s 6 min
Schütz Dental Spektra 2000 310 - 500 2 min 180 s 6 min
Shofu Dental Solitilite EX 400 - 550 90 s 180 s 6 min
Kuraray Dental CS 110 k.A. 2 min 5 min 8 min
Hager & Werken Speed Labolight 320 - 550 90 s 180 s 8 min
3M ESPE Visio BETA (new P1 - P4) 400 - 500 > 4 min (P2) 7 min (P2) 15 min (P1)
Visio BETA (old U0 - U3)** 400 - 500 7 min (U1, U3) 15 min (U0) 15 min (U0)
* manufacturer’s data
** new set of lamps is recommended

26
Important!

Adhere to the instructions for use of the respective product. The

data provided are reference values and based on units in perfect
condition. Lamps/light sources need to be checked in accordance
with the manufacturer’s instructions and replaced if necessary; see
the following self-testing:

Note:

Polymerization of visio.link has been completed when the visio.

link primer is dry after exposure to UV light, i.e. the sticky layer is
removed.

Although combo.lign is a dual-curing material, polymerizing

with light is required to achieve utmost bonding strength. To check
whether a unit provides the required wavelength range, cure
combo.lign for approx. 10 sec. to see if the surface has hard-
ened. A layer with a thickness of 2 mm (test plate) should have
cured from both sides after 90 to 120 sec.

crea.lign should be checked with the GUM pink shade; full curing
of a test plate (thickness of 1 mm) should be achieved after 3 min.
or at least within half of the polymerization time given.

27
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GmbH & Co.KG · 89250 Senden · Germany · Tel. (+49) 0 73 09 / 8 72-4 40 · Fax (+49) 0 73 09 / 8 72-4 44 · www.visio-lign.com · e-mail [email protected]
Subject to changes 07/11 234 GB 5