Milling EN Final

MILLING OF ZIRCONIUM OXIDE AND
POLYMERS
Aaron Dayringer
CEREC Product Manager
SIRONA.COM Milling of Zirconium Oxide and Polymers
MILLING – A NEW CAM OPTION
NEW  With the following forthcoming service

packs it will be possible to mill zirconium
oxide and polymer blocks
 inLab SW 4.2.3 Service Pack
 Only for inEos Blue, inEos X5 and inLab PC
 Not installable on AC units
 Available in November 2013
 CEREC and inLab SW Service Packs 4.2.4
 For CEREC AC and inLab units
 Available beginning 2014
MILLING – TERMINOLOGY
 We are going against 28+ years of CEREC history
 Wikitionary definitions:
 To grind:
1. To reduce to smaller pieces by crushing with a lateral motion.
2. To shape with the force of friction.
3. (metalworking) To remove material by rubbing with an abrasive surface.
 To mill:
1. To grind or otherwise process in a mill or other machine.
2. To shape, polish, dress or finish using a machine.
3. To engrave one or more grooves or a pattern around the edge of a
cylindrical object such as a coin.
4. Webster’s Dictionary  to shape or dress by means of a rotary cutter.

MILLING – BENEFITS
 Much smoother margins, less chipping
 Smaller sprues
 Improved processing of polymers
MILLING – BENEFITS (INLAB STACK ONLY)

 Good material usage with nesting and the possibility
to load used blocks
 Spider net default setup leads into more restorations
per block
 The use of more smaller sprues offers more stable
support of restorations during milling
MILLING – LIMITATIONS
 inCoris ZI meso and sintered metals (inCoris CC / Crypton)
will still be grinded
 maybe in a future SW version
 Number of connectors by some bridge restorations
 maybe some can milled away in future SW version
 For bridges it is not possible to change the connector’s
proposed position(s)
 probably will come in a future SW version
 Not possible to tip the buccal-lingual axis in block
(only affects Vita CAD-Temp multiColor)
 maybe in a future SW version
MILLING – LIMITATIONS
 A partially used block cannot be reloaded to use the
remaining material when the initial restoration was
milled in the CEREC or inLab SW
 If needed the user can always purchase the inLab/inLab
Stack SW
MILLING – INITIAL TIME MEASUREMENTS

 TZI Crowns (Tooth 6)
 Grinding tends to be approx. 5-6 minutes faster for all milling
units
 TZI Bridges
 MC XL Premium Package: grinding was several minutes faster
 MC X: grinding was approx. 4-10 minutes faster
 Polymer Bridges (3 units)
 MC XL Premium Package: milling was found to be approx. 7
minutes faster than grinding
 MC X: milling and grinding times were about the same
 Milling of restorations with nesting is faster than single-pin
MILLING – HARDWARE
 New spindle motors have been introduced  needed for
left side Shaper 25 RZ
 Affects both single (closed) and Design 2011 motors
 Also applies to
 Spindle motor spare parts
 Milling Unit spare and repair exchange parts (left side motor)
 B-stock units (left side motor)
 Milling starter sets will be introduced and include a
replacement spindle motor at an attractive price
 The new motors will all have a “Design 2013”
sticker for easy identification – at least for the
“cabrio” units – even when installed
 Especially important for replaced motors
 Starting serial numbers of units with new spindle motors which
are Sirona approved for milling:
 10. July 2013
 inLab MC XL 129001
 CEREC MC XL Premium Package 302001
 Spare parts for “Design 2011” motors
 19. August 2013
 CEREC MC XL 129001
 CEREC MC 202001
 CEREC MC X 231001
 Spare parts for “closed” motors
 Not possible with CEREC 3 milling units
 MC XL milling units with manual block fixation only
 The new sieve introduced at the time of model milling
must be used, not the metal plate provided with earlier
MC XL milling units
 Shaper 25 RZ requires a higher torque resulting in a new
“Torque Wrench HT (high torque)” which can only be
used with this milling instrument
 Utilizes a square shaped opening instead of triangle used for
all other instruments
MILLING – INSTRUMENTS
 Shaper 25 RZ (left side) may only be fitted with the new Torque Wrench
HT which has a higher torque (turning moment)
 Finisher 10 (right side) is the same instrument used for model milling
and uses existing Torque Wrench
 Important: only inserted in Bur Set 1 by four-motor milling units
 Recommendation: first install the Shaper 25 RZ then the Finisher 10
 Recommendation: use one milling instruments set for zirconium oxide
and a second for polymers for the best results
 Radiuses of points on the restoration’s occlusal surface
 Finisher 10: 0.5mm
 Cylinder Pointed Bur 12 S: 0.6mm
 Cylinder Pointed Bur 20: 0.4mm
MILLING – INSTRUMENTS
 The SW will prompt the user to change the
milling instruments
 Shaper 25 RZ: 30 units or 27.000 seconds
 Finisher 10: 75 units or 60.000 seconds
 the units counter will always be considered
first with the Finisher 10
 The user can ignore this prompt (not
recommended!) and use the instruments
longer with a possible negative effect on
the quality of the restoration
 Unit counter works the same way as for the
grinding instrumnets
MILLING – SOFTWARE
 The user must first activate the “Milling” option in the software:
Configuration  Setting  Milling  Activate
 This setting remains the default setting

for future use
 Upon activation of the Milling option, the user receives the following information:
 Either Grinding or Milling (if available) is selected in the ADMINISTRATION phase
 To mill existing restorations loaded
from SW 4.0
 Must change option from “Grinding” to
“Milling” in ADMINISTRATION Phase
 Then recalculate restoration to factor in
larger Shaper tool  especially critical
for ZI frameworks and copings in the
inLab software
 Move tool in MILL phase: grinding (with block rotation) and milling (without)
 Vita CAD-Temp multiColor  not possible to tip the buccal-lingual restoration axis
SIRONA.COM Fräsen von Zirkonoxid und Kunststoff
 Single pin or multiple pins (Nesting)
 Sobald die Restauration in dem ausgewählten Block mittels
Nesting angebracht werden kann, wird dies so umgesetzt
 Ansonsten wird die Restauration in der Einfachanstiftung
angebracht
Dies reduziert das notwendige Blockvolumen, verlängert
aber die Bearbeitungszeiten (im Vergleich zum Nesting)
INLAB STACK SW
 Nesting for milling
 Stacking for grinding
 Reusing blocks
SIRONA.COM
Software positions the selected

restorations automatically. Positions can
be changed individually.
INLAB STACK SW
 Positioning in the block
 Free rotation for crowns and 180°
rotation for bridges and
telescopes
 Direct contact is avoided
 Position restorations
INLAB STACK SW
 Positioning in Maxi Size 85/40
 Elements may only be positioned on
the grey band so that the prep margin
juts out of this area on one side
 It is not possible to position an element
so that its prep margin extends over
both sides of the grey band
 Element is then shown in red and will be
automatically positioned outside of this area
 In these cases the special “prep-line
process” cannot be used
SIRONA.COM inLab SW 4.2
Sprues will be positioned automatically

and be added with >STRG< and left
mouse button and deleted with >STRG<
and right mouse button.
INLAB STACK SW
 Add sprues
 Remove sprues
 Move sprues
SIRONA.COM
Load an used block an place new

restorations. You see the already used
parts and the material left for new
restorations
INLAB STACK SW
 Positioning of the connectors
 Placing connections in the used
block
 Positive effect on the durability of
the Shaper 25 RZ because less
material must be milled
MILLING – QUALITY LABEL

 When milling or grinding is selected, the following
message will be displayed if no quality label is recognized
on the block:
No quality label was recognized on the block. The grinding
and milling processes as well as the instruments are specially
verified for certified materials. Certified materials can be
identified by the engraved inLab lettering on the block. The use
of zirconium oxide materials without quality label can lead to
inferior results as well as increased wear on the device and
instruments.
Do you still wish to start the manufacturing process?
MILLING – MODIFIED SCOPE OF DELIVERY

 Torque Wrench HT to be delivered with all CEREC MC
XL Premium Package and inLab MC XL units
 Modified Start Set 6 for CEREC MC XL Premium
Package and inLab MC XL
 1x Shaper 25 RZ and 1x Finisher 10
 1x Step Bur 20 and 1x Cylinder Pointer Bur 20
 1x Step Bur 12 and 1x Cylinder Pointed Bur 12
 All other milling units will continue to be shipped with
the existing Starter Set 4
 Target implementation date 04.11.2013
MILLING – NEW LEFT DRAWER INSERT

 The left side drawer’s foam insert has been
modified
 New position for Torque Wrench HT
 Both Torque Wrenches now inserted in a standing
position
 New position for second case for MC / MC X Set Screw
 Two places for the instruments have been removed to
make room for the above additions
 Left drawer accessories will be inserted the factory
and held in place with a clear plastic cover
 Target implementation date 04.11.2013
MILLING – HARDWARE & SOFTWARE OVERVIEW

Specification CEREC MC CEREC MC X CEREC MC XL CEREC MC XL
Premium Package
Max. Block Size Up to 20mm Up to 40mm Up to 85mm Up to 85mm
CEREC SW Materials TZI only TZI, Polymers TZI, Polymers TZI, Polymers
inLab / inLab Stack --- ZI, TZI, Polymers ZI, TZI, Polymers ZI, TZI, Polymers
SW Materials
CEREC SW Full anatomical Full anatomical crowns and Full anatomical crowns and 3-4 Full anatomical crowns and 3-4
Indications crowns only 3-4 unit bridges unit bridges unit bridges
Full anatomical crowns and 3-4 unit Full anatomical crowns and 3-4 unit
inLab / inLab Stack Full anatomical crowns and bridges, copings, up to 12 unit bridges, copings, up to 12 unit
SW Indications --- 3-4 unit bridges, copings, 3-4 frameworks, telescopes, bars, frameworks, telescopes, bars,
unit frameworks attachments attachments
CEREC / inLab /
inLab Stack SW Veneer Mode Veneer Mode Veneer Mode Veneer Mode
Milling Options
Torque Wrench HT Must order separately as Must order separately as Must order separately as part of a Part of the milling unit’s standard
& Starter Set 6 part of a Milling Starter Set part of a Milling Starter Set Milling Starter Set scope of delivery
MILLING – PRELIMINARY PRICING
Description REF List Price Pr.

VP Shaper 25 RZ (3 pcs) 64 33 440 tbd
VP Finisher 10 (3 pcs)* 62 99 387 131,- € JT
Torque Wrench HT 64 34 570 tbd
Milling Chamber Sieve, Spare Part 62 99 403 tbd
* Currently available, same as used for model milling
MILLING – PRELIMINARY PRICING
Available until 30. June 2014
Description REF List Price Pr.

Starter Set Milling Design 2011 64 48 893 tbd
• With Design 2011 motor
Starter Set Milling Closed Motor 64 51 079 tbd
• With “closed” motor
Starter Set Milling without Motor 64 54 487 tbd

Every Starter Set also contains:
• VP Finisher 10 – 3 pcs.
• VP Shaper 25 RZ – 3 pcs.
• Torque Wrench HT
• Information with HW & SW requirements

Milling EN Final

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MILLING OF ZIRCONIUM OXIDE AND

MILLING – A NEW CAM OPTION

NEW  With the following forthcoming service

4. Webster’s Dictionary  to shape or dress by means of a rotary cutter.

MILLING – BENEFITS (INLAB STACK ONLY)

MILLING – INITIAL TIME MEASUREMENTS

 This setting remains the default setting

 Stacking for grinding

Software positions the selected

Sprues will be positioned automatically

Load an used block an place new

MILLING – QUALITY LABEL

MILLING – MODIFIED SCOPE OF DELIVERY

MILLING – NEW LEFT DRAWER INSERT

MILLING – HARDWARE & SOFTWARE OVERVIEW

MILLING – PRELIMINARY PRICING

Description REF List Price Pr.

MILLING – PRELIMINARY PRICING

Available until 30. June 2014

Description REF List Price Pr.

Starter Set Milling without Motor 64 54 487 tbd

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