Everest Elements - Material variety at the highest level

Attractive range of materials

There are materials and preferred alternatives for every indication to meet the needs of the patients. The Everest Elements range offers freedom to select the best customised dental solution at the highest level of quality with every type of material depending on the functional requirements, aes-thetic requirements and financial restrictions.








KaVo Dental GmbH
Bismarckring 39
88400 Biberach/Riß
Fon: +49 73 51 / 56-0
Fax: +49 73 51 / 56-14 88
info@kavo.com
The basis of top quality – presintered, yttrium-stabilised zirconium oxide Zirconium oxide has a leading position among ceramic materials. Presintered, yttrium-stabilised zirconium oxide has special properties that give dental work particularly high mechanical strength, flexural resistance and long-term stability. These properties make this ceramic material ideal for aesthetic crowns, bridges and frameworks in the anterior and posterior region. Everest Elements at a glance Material Indication Physical and chemical material properties Everest ZH Sintered, pressed, yttrium-stabilised zirconium oxide Anterior and posterior crowns Anterior and posterior bridges to 45 mm length No sintering shrinkage, therefore 1:1 milling Very high flexural strength greater than 1200 MPa Conventional and adhesive fastening Everest ZS Presintered, yttrium-stabilised zirconium oxide Anterior and posterior crowns Anterior and posterior bridges Frameworks are milled before sintering Shrinkage between 19% and 21% The material can be shaded in 5 different colours Flexural strength is 1155 MPa IPS e.max CAD für KaVo Everest Lithium disilicateglass ceramic Fully anatomical crowns in the anterior and posterior tooth region Copings in the anterior and posterior region Grinding during the machinable metaphase, in which the flexural strength is 150 MPa After crystallisation for 30 minutes at 850° C the flexural strength is 360 MPa Can be veneered with IPS e.max Ceram Everest C-Temp Plastic Framework substructure Capable of producing full-arch frameworks Blank sizes: 42 x 20 mm and 60 x 20 mm, and disks 16 mm thick Fibre-reinforced high-performance polymer plastic Flexural strength approx. 450 MPa Conventional cementation possible Everest C-Cast Plastic Crowns and bridges for processing by casting Burns out without residue, no distortion during investment High casting accuracy in the alloy of choice Everest T Metall Framework substructures Full crowns Capable of producing full-arch bridges Pure metal, no alloy No alpha-case layer Excellent biocompatibility Low heat conductivity Low weight Everest G Glass ceramic In the anterior region for framework substructures, full crowns and veneers In the posterior region for inlays, onlays and full crowns Highly aesthetic restorations Natural translucence Flexural strength approx. 125 MPa Adhesive fixation Everest HPC Zirconium silicate ceramic Full crowns in the posterior region White, suitable alternative to metal restorations (cast crowns) Shrinkage-free ceramic Flexural strength 340 MPa Milling in presintered, soft stage with concluding sintering at 1500 °C in Everest therm Conventional cementation possible Well-designed and attractive: sintered,yttrium-stabilised, pressed zirconium oxide ZH elements define the upper limits of what is possible with Everest when machining ceramic materials with reference to the aesthetic requirements, stability and flexural strength (> 1200 MPa). High-strength fully ceramic crowns and bridges with a maximum span up to 45 mm can be fabricated for the anterior and posterior region. Unlike the ZS material, ZH elements are already sintered and are fully machined in this state. Because the final sintering is not required, the final 1:1 accuracy is achieved solely by milling the workpiece. Customised veneering with zirconium oxide is ideal for the final aesthetic appearance of ZH frameworks.   Outstanding dental technology incontemporary appearance IPS e.max CAD for KaVo Everest combines modern machining technology with a high-performance material: innovative lithium disilicate glass ceramic. This ceramic is machined in an intermediate crystalline state in which the material shows its characteristic bluish shade. In this „soft“ phase (160 MPa) the grinding process, manual shaping and also cut-back is quick and efficient and the fit can be tested on the model. This is followed by a simple, quick crystallisati-on process (30 min) in a conventional ceramic oven, in which the IPS e.max CAD reaches its final strength of 360 MPa and the desired aesthetic properties such as tooth colour, translucence and brightness. Blocks with greater or less translucency are machined depending on the case and the machining technique. The IPS e.max CAD MO (Medium Opacity) blocks are indicated for fabrication of frameworks because of their slightly greater opacity. They are available in five shades. The IPS e.max CAD LT (Low Translucency) blocks are ideal for effi cient fabrication of fully anatomical crowns and the cut-back technique. They are available in the nine most common A–D plus four bleach shades. Strength for temporary solutions KaVo Everest C-Temp is an innovative high-performance polymer plastic for dental technicians. The material consists of endless molecular chains that increase the strength of the polymer to over 500 MPa. The strength and the flexural modulus of 2000 MPa is perfectly adequate for long-term temporary dentures - even over extended spans. KaVo Everest® Elements C-Temp blanks are industrially-manufactured polymer blanks with an ideal homogeneous structure. The solubility and water absorption of the polymer is so low that the material can be worn in the mouth for up to 12 months without problems. Ideal for top results Everest C-Cast is ideal for making full use of the advantages of the KaVo Everest CAD/CAM system in combination with milling and casting. The desired restoration is designed with Everest software and then milled from the transparent C-Cast blank in the Everest engine to fabricate cast crowns and bridges for the anterior and posterior region. C-Cast can be easily embedded in a conventional investment compound and burns out without residue in the preheat oven. Span and width Pure grade 2 surgical titanium is the guarantee for uncomplicated and completely biocom-patible dental technology solutions that are required to meet the highest mechanical stresses. Everest Bio T-Blank elements are the first choice for classical crown and bridge restorations and for rehabilitations in allergy patients. They are available as blanks or disks for co-pings and wide-span bridge frameworks. Leucite-reinforced glass ceramic - for top visual aesthetics Leucite-reinforced glass ceramic is ideal for optical and functional perfection in the anterior region. The positive properties of glass and ceramic are ideally combined in this material. KaVo Everest Elements Frameworks fabricated with Everest G blanks can be shaded with Everest G-Stain, while G-Ceram veneering ceramic is available for veneering. Material safety Everest elements are industrially manufactured products from high-quality, optimised materials in accordance with certified standards. Their excellent material properties are retained throughout the entire dental fabrication process, because manual steps such as casting, soldering, mixing, are completely eliminated. Every material blank, whether it is plastic, metal or ceramic, is a quality component in the process chain from the factory. Complete freedom in processing the material of your choice You have the choice of material, machining process and production planning to control exactly how rationally and efficiently you want to design your machining process with KaVo Everest. Everest allows you to machine blanks with the embedding method or to use the disk strategy for particularly economical use of material. The premium alloy CAMselect CAMselect is a nickel-free cobalt chrome alloy with excellent screening abilities, excellent bonding abilities and high biocompatibility. The premium material is refined with further materials to achieve an incomparable milling ability in the dental CAD/CAM world. Crown margins do not biologically react and therefore discolouring of the gum does not appear. Clear advantages of CAMselect High mechanical strenght Low heat conductance  Gracile design of the framework  Abrasion bahaviour like enamel  Silver and palladium free  Very good milling ability  Excellent screening abilities  Thin margin design possible in the cervical margin area  Excellent polishing ability Everest disks The disk method is particularly suitable for working with large bridge work in titanium, zirconium dioxide or C-Temp. Up to 25 units can be fabricated from one disk Highly economical overnight production in your own laboratory Retention bars are used for working with disks. During CAD design the connecting bars can be selected and are removed at the end of the milling process. Therefore reducing manual work. Material Polymethylmethacrylate (PMMA) Burns out without residue   Indications Crown and bridge restorations in preparation for subsequent casting in the alloy of your choice   Preparation technique Tangential or shoulder preparation High-quality and antagonist-friendly The unique fine structure of VITABLOCS ceramic and the industrial sintering processes at more than 1100°C yield appreciable advantages such as superior polishing and outstanding abrasion resistance of the restorations. Restorations made of VITABLOCS are so similar to enamel that that antagonist polishes the ceramic and is abraded as little as natural enamel. This prevents „emery board“ effects. Material High-performance polymer plastic Stable flexural strength Excellent wear properties High aesthetics Conventional cementation possible   Indications Framework copings Bridges up to 14 elements   3-point flexural strength 500 MPa   Preparation technique Step or shoulder preparation   Type of fixation Conventional or adhesive fixation is possible Material Leucite-reinforced glass ceramic Very aesthetic Natural translucence Excellent chameleon effect Excellent biocompatibility High oral durability   Indications Inlays, onlays, veneers Framework substructures Full crowns   3-point flexural strength 125 MPa   Preparation technique Step or shoulder preparation   Type of fixation Adhesive fixation Safe system and seamless control High quality standard Top quality materials  All system components are ideally matched due to the material's own special milling strategy Material Grade 2 pure surgical titanium Economical Excellent biocompatibility Can be aesthetically veneered with ceramic X-ray translucent Low heat conductivity Low weight Indications Framework substructures Full crowns Capable of producing full-arch restorations    Tensile strength 90.000 – 100.000 N/mm2   Preparation technique Step, shoulder preparation or tangential preparation   Type of fixation Conventional cementation possible KaVo Everest ZH blank Material Sintered, yttrium-stabilised, pressed zirconium oxide Very aesthetic Excellent biocompatibility Stable flexural strength > 1200 MPa for years to come Excellent wear properties Indications For anterior and posterior crowns For anterior and posterior bridges up to 45 mm Bridge span 3-point flexural strength > 1200 MPa   Preparation technique Step or shoulder preparation   Material Innovative lithium disilicate glass ceramic intwo translucency levels Highly aesthetic and tooth coloured Natural translucence Faster and simpler crystallisation process Veneering and individualisation with IPS e.max Ceram   Indications For veneers For partial crowns For anterior and posterior crowns For primary telescopic crowns   3-point flexural strength 360 MPa (after crystallisation)   Preparation technique Step or shoulder preparation   Type of fixation Conventional, self-adhesive or adhesive  Fixation possible KaVo Everest ZS blank Material Presintered, yttrium-stabilised zirconium oxide, can be coloured with various shades Very aesthetic Excellent biocompatibility Stable flexural strength of 1155 MPa for years to come (Study by University of Munich) Outstanding durability (study by University of Munich)   Indications For anterior and posterior crowns For anterior and posterior bridges with up to six elements with maximum two attached intermediate elements   3-point fl exural strength 1155 MPa   Preparation technique Step or shoulder preparation   Type of fixation Conventional and adhesive fixation are possible ZH elements - the crown of full-ceramic possibilities The particularly tough material for CAD/CAM fabrication can be machined without difficulty with the stability of the Everest Systems. Reports by Everest users show that Everest ZH blanks are ideally suited for single-tooth copings in the anterior region - particularly because of the excellent aesthetics. The individual processing stages of IPS e.max CAD through to perfectlyveneered restorations shows the possibilities of this innovative material High-performance polymers With a three-point flexural strength of 500 MPa, C-Temp is capable of producing up to 14-element bridge frameworks, which means high stability as a long-term temporary restoration. Temporary solutions should not be immediately recognisable as temporary at first glance, which is why this material also offers good aesthetics. C-Temp frameworks can be veneered with stan-dard veneering materials such as GC Gradia or SR Adoro from Ivoclar Vivadent. Ideal properties with natural translucence The optical advantages of glass and the mechanical strength of ceramic are combined in Everest G blanks for optimum synthesis of function and aesthetics. Whether as inlay, onlay, veneer or full crown – precision restorations fabricated with Everest from this attractive and economical material are virtually undetectable as such because of the natural translucence and the chameleon effect of the material. Total work accuracy Full machining of Everest T-Blank elements with Everest CAD/CAM milling technology ensures that the original material properties of the pure titanium throughout the complete production process and that effects such as the formation of an alphacase layer or cavities is prevented. GC Initial TI is one example of a material that can be used for aesthetically attractive veneering of frameworks. Clear advantages in the classical combination Combination of casting with Everest CAD/CAM Can be embedded and cast in any conventional investment compound Can be cast with any dental alloy Material easily machined with standard laboratory hard metal milling tools for plastic Additional materials are not required The material is exclusively designed for fabricating cast crowns and bridges and must not be placed in the patient‘s mouth. A special controlled manufacturing process Optimum restoration results  Even shrinkage Homogenous material structure Purest possible base material Ideal material efficiency due to optimum material usage The system “remembers“ the data of each processed disk as well as the remaining available material This information is saved on a microchip and can be retrieved the next time the workpiece is inserted Disks on which work has already been done can be accessed for pending jobs for optimum use of the available material At the same time, the work is seamlessly documented and the material quality remains at a constant high level Biocompatible material quality Like all KaVo materials CAMselect is also tested for its compatibility and biocompatibility and therefore certified. Technical Data 0,2 % extension limit 530 MPa Module of elasticity 195 GPa  Vickers hardness 237 HV 5/30  Specific weight 8,1 g/cm3  Ultimate strain 6,4 %  WAK (25 °C bis 500 °C) 14,6 * 10-6 K-1  Immersion test according to DIN EN ISO 9693 5,2 µg/cm2 after 7 days Heat conductivity < 80 W/(m*K)  The Everest embedding method The Everest-specific embedding method offers advantages that are available with no other CAD/CAM system. The placement of the item to be machined in the embedding material (plastic or wax) enables very fine machining, even with zirconium oxide, with ultrathin margins, which would not be possible without using embedding material to provide support throughout the milling process. Reworking is limited to perfecting the finish because there are no retention bars or any other surface burrs. Material Finely structured feldspar ceramic No thermal processing is required such as staining, glazing or crystallisation firing  Easy characterisations that save time and money are optionally possible Superior machining qualities  Maximum material homogeneity is achieved from an industrial sintering process and a fine particle structure Indications  Inlays, onlays, veneers  Partial crowns  Crowns in the anterior and posterior areas 3-point flexural strength  154 MPa Preparation technique  Step or shoulder preparation Type of fixation  Adhesive fixation RFID – the electronic fingerprint The secure processing chain of the Everest CAD/CAM system includes seamless and traceable material supply and monitoring as a major safety and quality feature. The Everest ZS elements are fitted with RFID chips (radio frequency identifi cation tag), from which the material data can be easily and automatically detected and read by the CAM software. Precision and aesthetics in ideal combination Everest C-Temp frameworks ready for veneering Maximum aesthetics demands withoutsacrifi cing strength Fabricate highly aesthetic single-tooth crowns effi ciently with IPS e.max CAD that can be cemented-in conventionally. Because of their high strength IPS e.max CAD restorations can be shaded with IPS e.max Ceram layering ceramic or frameworks can be fully veneered to maximise aesthetics. The nano-fluor-apatite layering ceramic with the outstanding optical characteristics is also ideal for veneering frameworks of EverestZS/ZH and frameworks that have beenpreviously pressed with IPS e.max ZirPress. The comprehensive layering design and the accurate shade matching - regardless of the framework material - offer more flexibility and simplify fabrication for complex cases. 3-element bridge from Everest ZH blanks Ceramic accuracy with ideal aesthetics ZS blanks are the basis of perfection for the perfect framework: The presintered ZS elements are milled while still soft and then sintered. During sintering they shrink to their precisely calculated final dimension. The marginal gap measurement is the proof of the outstanding accuracy of work fabricated with Everest. Veneering also proves the aesthetic quality: Everest ZS frameworks can be coloured completely or partially with the brush in five shades with Ivoclar IPS e.max or VITA colouring liquid. Zirconium oxide veneering ceramic with a coefficient of expansion of 9, such as Ivoclar Vivadent IPS e.max ceram or GC Initial ZR, is ideal for customised veneering. The gold standard for a long time to come Clinical trials confirm the longevity of restorations made of VITABLOCS. The excellent adhesive bond is particularly responsible for this fact. Clinical compatibility confirmed All Everest materials are tested for their non-allergic properties and biocompatibility. The CAMselect blanks are produced in a special precision casting process to guarantee 100% homogeneity of durability as well as high void-free latitudes. Furthermore the material is used for over 20 years in hip and knee joint prosthetics. Tests and Studies on CAMselect According to DIN EN ISO 10993-6:1992 implanted into a rabbit No consideration to any intolerance. Institute LPT Prof. Leuschner Very good resistance to corrosion IWS Dipl. Ing. W. Semrau Member of Fraunhofer institutes Analysis of the cytotoxiticy with diffusion test according to USP 23, DIN EN ISO 10993-5:1994 No hints of cytotoxorical features Institute LPT Prof. Leuschner Immersion test according to DIN EN ISO 9693 5,2 µ/cm² after 7 days Institute Ledoux & Company, USA There is no risk that gallium or indium are mutagenic Prof. Marzin, Institute Pasteur, Lille Shaded ZS framework Cost security Everest elements offer security when calculating costs: defined material consumption for CAD/CAM processing and accurately fitted material units extremely efficient use of materials lowest possible waste and rejection rate The complete CAM-based process reduces potential errors, which otherwise occur because of intermediate revision and rework