CEREC Doctors

Katana STML Tips and Tricks for Efficiency


With the release of Noritake Katana STML Zirconium block at Chicago Midwinters, there has been a buzz around the product and on the discussion boards of CEREC Doctors.  Could Katana replace eMax  for posterior restorations? Can it be as beautiful as the eMax we all have grown to love? Can Katana STML still be a single appointment chair side material? Could it be used in the anterior?  The simple answer is YES to all the above!

After using the material in my practice, I have enjoyed the beauty and precision fit Katana STML Zirconium offers. I want to share some time saving tips and tricks to help new Katana users be as efficient as possible. The processing time needed to complete a Katana STML restoration is slightly longer than eMax or CEREC Zirconium.

Total processing time for Katana STML:   16 mins on Fast Mill (dry), 30 mins Sinter in Speedfire oven, 9 mins spray glaze vs 8 mins polish= ~60 mins

Total processing time for Emax: 14 mins on Fine vs 8 mins on Fast Mill, 15 mins in the CS2/3 (20+ mins in the SpeedFire) = ~30 mins with Ivoclar oven ~40 mins with SpeedFire

Katana is going to take ~20-30 mins longer processing time than an eMax restoration of the same size.  Since you cannot try in zirconium it does save you a little time during the post mill protocol.

Tips with Katana STML:

Always FAST MILL Katana: As soon as the initial proposal appears click on the restoration parameters and verify or change the Spacer to 90-100 microns, Min Thickness Occlusal to 800 microns and the Margin Thickness to 100 microns.  This allows the restoration to be Fast Milled in the Manufacture Stage. Do These Changes in Local Parameters BEFORE your design! DO NOT Design and then change your Local Parameters! It wastes time if changing one of the parameters cause a recalculation of the proposal. 

BE Efficient with your Design Time: Zirconium designs should be quick! (less than 5 mins) The initial proposal should be 85% completed when it first appears.  If not then there may be something else wrong. (inadequate reduction, model axis is setup incorrectly, bad buccal bite) 

Manufacture Stage: Have Katana Block Code Ready! Fast Mill Selected! Cerec Speed Fire Selected!Position restoration in block with the Move Tool to get desired translucency!

 

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When the design stage begins, have the correct block placed in the mill and have the 7 digit code written down and handy at the Omnicam.  Move through this stage as quickly as possible.

Post Milling Handling: Waste no time removing the restoration from the block and polish away the sprue.  A red stripe football shaped diamond and a fine polishing diamond are pictured below. These are my go to burs for removing the restoration and the sprue. 

 Notice the MCXL, air water syringe, and the hand pieces have been disconnected from any water supply.

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This ensures no moisture can contaminate the Zirconium.  We keep hand pieces and a large brush close to the mill and Speedfire oven. This prevents my team from running around and allows them to be more efficient.

Place restoration cusp tips down on the firing tray when sintering zirconium.  

The 15 min extra sintering time is unavoidable so we need to keep the other steps moving along without any lags or delays. 

Glazing Katana vs Polishing: USE CEREC Zirconium Glaze Cycle to save 19 mins vs the Katana Glaze Cycle.  We use Indenco Spray Glaze or Enamelite.

These glazes can be used on Katana STML and run on the CEREC Zirconium Glazing cycle.  The CEREC Zirconium cycle will cool and glaze in ~10 mins.

 

IF you accidently press glaze on the Katana cycle just cancel and go back and select a Cerec Zirconium Glazing cycle.

    

 When the Speedfire is still hot from sintering the Katana it will take ~29 mins to run the Katana Glaze cycle.  

These CEREC Zirconium glazing cycles can be used 3 times each.

I personally find that the spray glaze restoration looks more like a natural tooth or eMax restoration than the polished Katana STML block. But the darker the shade needed the more the polished Katana looks true to the shade when compared to eMax. You can see this in the photos below.

EMax A1LT, Katana A1 Spray Glaze (SG), Katana A1 Polished (P) vs eMax A3LT, Katana A3 (SG), Katana A3 (P)

In this next photo you can see the Katana A1 Spray Glaze next to the Katana A1 Polished with the eMax A1 LT Spray Glazed below them both. Also shown is Katana A3 Spray Glazed next to the A3 Polished with the eMax A3 LT Spray Glazed below.

Do not over polish the Zirconium if you do not like the iridescent shine. The far right crown has been slightly over polished in my opinion. If you go back with the pink polishing wheel it will dull down the iridescence. 

Here is a case I recently completed with Katana STML. Crown on tooth #3.  This case was a biocopy design case.  It was completed in under 2 hours with polishing as my finishing technique. 

Using these tips and tricks I have kept my Katana STML appoints to 2 hours or less! This has made working with Katana STML predictable and fun! I personally love this material and the extra processing time can be easily managed in a single appointment using the SpeedFire Oven. 

Let me know if I can answer any questions you may have.


Couldn’t agree more Gates. This material is excellent!

Thanks for sharing !


Fantastic post Justin!  Great documentation and some really useful tips.


THanks for sharing!!


Great tips-and no one streamlined workflow like your office!


How much of that is Kiera doing!


Gates,
I just thought of how long it would take for me to post this workflow with all the pictures and documentation then post on the site. Then I realized you probably were in the middle of 6 crowns while posting it and I got tired of even thinking about it.


Justin, great job.

I’m using the CS4 oven.  Any help on information of program cycles?

JZ


CS4 is not an option for same day. The cycle is hours not minutes. Ivoclar has not come up with official cycle, but i have been told it will be 2-3 hours.


Nice!

 


Am I the only one who can't figure out how to change the glazing cycle from Katana to Cerec?  


On 6/13/2019 at 12:11 pm, Paula Sones said...

Am I the only one who can't figure out how to change the glazing cycle from Katana to Cerec?  

Are you talking about with SpeedFire? That's dictated by designating that in Administration by material choice.


Yes, with SpeedFire.  Maybe I'm just tired today, but I thought the suggestion was to sinter your Katana crown and then change the setting to Cerec Zirconia to glaze it.  Is that possible?  Or am I misunderstanding the whole thing entirely?  


On 6/13/2019 at 2:04 pm, Paula Sones said...

Yes, with SpeedFire.  Maybe I'm just tired today, but I thought the suggestion was to sinter your Katana crown and then change the setting to Cerec Zirconia to glaze it.  Is that possible?  Or am I misunderstanding the whole thing entirely?  

He's using a glazing cylce left over from a previous CEREC Zirconia case. He uses it instead of the restoration that was just done.

This process isn't needed as much any more since Katana has a shorten cycle now.


I leave the spruce on the crown until after it’s baked...
That shouldn’t matter right?
I figure the less handling in the weak white phase, the better


Jeff, can’t say I agree with the reasoning. Sprue can be quite large and being quite hard, it’s more work than necessary. Wouldn’t recommend that technique.


On 6/16/2019 at 6:20 am, Mark Fleming said... Jeff, can’t say I agree with the reasoning. Spruce can be quite large and being quite hard, it’s more work than necessary. Wouldn’t recommend that technique.

Agree.  Not only is it more difficult, but you put the restoration at risk for developing micro fractures if you grind on it too much after sintering.


I thought the time issue with Katana was also related with needing to wait for speed fire to cool before glazing begins? Do I understand correctly that if cerec zirconium option is selected I can avoid this?


My theory behind spruce removal is ...
The less manipulation and less chance for water droplets while In the chalky stage the better. (Especially if it’s an assistants hands not doctors)
Versus, a high speed red egg with water after its sintered only takes twenty seconds(and i’d Think is less risky).
Not sure what’s better, I’ll ask the company.


On 6/16/2019 at 11:27 am, Jeff Levy said... My theory behind spruce removal is ... The less manipulation and less chance for water droplets while In the chalky stage the better. (Especially if it’s an assistants hands not doctors) Versus, a high speed red egg with water after its sintered only takes twenty seconds(and i’d Think is less risky). Not sure what’s better, I’ll ask the company.

I’m sorry but common sense tells me to remove the spruce while it’s soft rather than after it becomes rock hard possibly creating craze lines.


This ^^^^^


I’ve done hundreds of zirc both ways. Zero breaks. Thus No wrong way in my hands.


Common sense tells me to remove the sprue before sintering because grinding on the sintered zirconia introduces micro cracks in the zirconia.  This is more critical with the Katana STML zirconia because it doesn't have the crack arresting properties of the more ugly zirconia.  You are out voted, but your mind is made up.  


I think the risk of (micro-) fractures exists in both scenarios, depending HOW and how carefully you do it. The probability is below 1% in my experience. (Just one break in unsintered stage when a bridge dropped on the table! so not cutting of sprue issue, though).

Decisive is that the effort is a lot less in the unsintered stage and if the probability of a fracture is about the same I want it to happen as early as possible in the process so I loose the smallest possible amount if time.

And: it is not very advisable to contradict Sir Charles in any case. (He has more energy in the tip of his little finger than the two of us overall and  combined and multplied by the factor of 100.)  


Got it!  Thanks for clarifying!! 


thanks justin,

question:  do you find kitana a2 = vita a2, or do you use one shade darker to match?  example: kitana a3 to match a true vita a2