SYSTEM

- The new class of materials

in prosthetics

Physiological, aesthetical, durable

 Why use a new material?
Gold casting alloys, cobalt-chrome casting alloys and titanium Its insolubility in water makes it a biocompatible material,
are the most accessible and well-known materials used for the which is ideal for patients with allergies.
manufacture of framework structures today.
High-performance polymers have a great potential as framework
In the last 15 years, zirconium dioxide has become processable
material, both for fixed and removable dental prostheses. On
due to the CAD/CAM technique and has pushed significant
the one hand, they are considerably cheaper than gold and
numbers of metallic alloys off the market. In order to be able
on the other hand, they are lighter and easier to work with in
to process the zirconium dioxide, dental technicians had to
dental laboratories compared to NPM, titanium or ceramics.
master a new technique and make major investments in soft-
Moreover, demand for metal-free dental prostheses is on the
ware and hardware. Manufacturing is increasingly carried out
increase, with more and more cases of metal intolerance.
in milling centres today, meaning that there is a stronger price
war for this material and the dental prosthesis manufactured
from it.

BioHPP is a material based on PEEK (polyetheretherketone),

which has already been successfully used in operations carried
out on humans for many years. Thanks to its excellent stabil-
ity, its optimal polishable properties and its low plaque affinity,
BioHPP is particularly well suited for producing high-quality
prosthetic restorations.

The elasticity of the material, which lies within the range of

bone, makes it a more natural material, as it is able to com-
pensate for the torsion of bone, in particular in the case of
Structural formula of a PEEK molecule. The white cloud indicates the ceramic
larger implant work. The aesthetic white shade supports its use filler, which is responsible for the high mechanical material properties, espe-
in the field of prosthetics. cially for dental technical use.

The initial PEEK material

For more than 30 years, PEEK has been used in human medi- 334°C. PEEK is therefore suited for processing in extrusion and
cine as an implant material (finger prostheses, intervertebral injection moulding procedures, but can also be used to manu-
discs and hip joint prostheses). The benefits lie in the highly facture tense rotating parts and milling parts. The material is
biocompatible material properties, which make fusion with the highly stable and can bear pressures of up to 3.6 GPa.
bone possible. What is more, the mechanical material proper-
ties are very similar to that of the bone skeleton.

As a rule, PEEK is used in medicinal products, in order to

achieve greater benefits: in order to make a product lighter,
have a higher level of design freedom and a higher level of
functional integration on the one hand, but also as a cheaper
alternative to precious metal or other materials, on the other
hand. Its performance characteristics include biocompatibility,
chemical stability, resistance to gamma and X-ray radiation
and radiological transparency (no production of artefacts).

PEEK (polyetheretherketone) is the most significant representa-

tive of polyaryletherketone (PAEK). This is a partially crystalline,
thermoplastic high temperature-resistant high-performance
plastic with a melting temperature of approx.

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The material properties of

C O

O n ***

***

Chemical structure formula of the PEEK molecule.

• Used as implant material for over

30 years in human medicine Long-term experience has been gained
• Reinforced with ceramic particles, partially crystalline
thermoplastic for extreme stress The material is suited as framework material
• Metal-free No exchange of ions in the mouth, no discolouration
• Not abrasive for the remaining teeth The enamel of the opposite teeth is protected
• White shade Can be used fully anatomically
• Can be veneered with traditional veneer composites (e.g. visio.lign) High aesthetics and customisation
• Class IIa medicinal product Permanent dental prosthesis

Photo: Giuseppe Leonetti, Turin/Italy.

Front teeth in the maxilla from BioHPP veneered with the veneer plastic of the
visio.lign system.

3
 What is so special about
BioHPP (High Performance Polymer) is a PEEK variant that
has been specially optimised for the dental field. Thanks to
strengthening with a special ceramic filler, optimised me-
chanical properties have been created for dental technical
and/or dental medical use in the crown and bridge area.

This ceramic filler has a grain size of 0.3 to 0.5 µm. Due
to this very small grain size, constant homogeneity can be
produced. This homogeneity is an important prerequisite for
these outstanding material properties and forms the basis
for consistent quality.

The fine granularity of the filler is the basis for the extreme-
Surface of BioHPP enlarged 1000 times.
ly good polishing properties that emerge later. The deposit
of plaque is prevented and the degree of discolouration is
reduced due to the fact that the surfaces are polished to a
high shine.

BioHPP bridge veneered with visio.lign composite - which enables direct contact on the gingiva thanks to the highly
polished garlands. Gum irritation is avoided thanks to this surface quality.

Comparison of elasticity of bone - framework materials Logarithm depiction

1,000,000

Zirconium NPM
Titanium
log (E-modulus)

100,000 Gold
[MPa]

Compacta
10,000

Spongiosa
1,000
Bone BioHPP Zirconium Gold NPM Titanium

In contrast to the framework materials previously used, BioHPP has an elasticity that is suited to the bone. Ceramics and
NPM are approximately 20 x as rigid as bone, and gold and titanium are 10 x as rigid as bone. This similarity to bone has
a beneficial effect, especially in wide-span framework structures.
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 in clinical and scientific studies
Knowledge of the mechanical properties of a material is impor- Bond strength
tant in order to be able to determine the envisioned indications
from it. The E-modulus, the maximum fracture resistance, the With the bond strength it is crucial that the framework can be
bond strength and the polishing properties are crucial factors in veneered with all traditional veneer composites. The advantage
this case. here is that bond strengths of over 25 MPa are achieved using
the adhesive visio.link, whereas the required standard value
In cooperation with Jena University (Outpatient Department for according to DIN EN ISO 10477:2004 is a max. 5 MPa.
Dental Prosthetics and Materials) and Regensburg University
(Specialist field of Dental Prosthetics), BioHPP was scientifically
and clinically assessed during in vitro tests with regard to the
aforementioned material properties.

Elasticity modulus
The E-modulus of BioHPP lies in the range of 4000 MPa, which
very strongly resembles the elasticity of human bone (e.g. in the
mandible). The chewing forces are therefore cushioned, even
with implant-supported bridges.
The use of visio.link as an adhesive with
veneer composites from other systems is
also crucial for the high level of adhesion.

Plaque resistance
The polishing properties of BioHPP are of eminent importance.
These properties counteract plaque deposits and discoloura-
tion even in exposed surfaces and framework structures. Gum
The trial structure for the break load in the irritation is ruled out due to the surface quality of the material
universal test machine "Zwick". The compression
forces are applied using a metal stud in the centre and its low rough depth of 0.018 µm RA (Jena Uni) .
of the pontics.
Source: Regensburg University, Outpatient De-
partment for Dental Prosthetics.

Fracture resistance
The maximum fracture resistance indicates the force - meas-
ured in Newtons - at which the sample fails (4-part bridge
on human stumps in our trial structure). Values of up to 1200
Newtons were reached during this test, which, in comparison to
a maximum chewing force of 500 Newtons for a human bite,
The polishing properties of the veneer composite
represents an adequate safety margin.
and of the BioHPP as fully-anatomical chewing
surfaces are so good that a rough depth in BioHPP
of only 0.018 µm RA can be achieved.

Source: Regensburg University,

Outpatient Department for
Dental Prosthetics.
4-part bridge made from BioHPP veneered with
visio.lign with mobile socket with vario-link II
prior to the chewing simulation test.

5
 Advantages and benefits of
Reproducible manufacturing process Shock-absorbing effect (so-called off-peak)

Advantage + Consistent quality thanks to an automatic and
electronically-monitored pressing procedure
Advantage + Protection of the implant against high
chewing loads

Benefit Consistent material properties and avoidance Benefit Durability and increased wearing comfort
of complaints for the patient

Abrasion-resistant tooth-like material White framework material that can be veneered

Advantage + Chewing surfaces keep their shape over long
periods of use
Advantage
veneers
+
Can be veneered individually with composite

Benefit Increased quality of life Benefit Enables individual adjustment to the

remaining teeth and prevents chipping

Low density (1.3 to 1.5 g/cm³) Steady friction in connecting elements

Advantage + Very simple dentures Advantage + Prevents loss of friction

Benefit Increases wearing comfort for patients Benefit Increases wearing comfort and saves on
replacing the dentures with new ones

Homogeneity Biocompatibility

Advantage + Equally distributed filler in the partially
crystalline polymer matrix
Advantage  +
No substances that are not compatible with
the body, such as metals or residual mono-
mers are released
Benefit Manufacture of permanent dentures
(MPG Cl. IIa) Benefit Offers dental prostheses that are compatible
with the body and healthy

Material-specific properties of
Mechanical properties according to ...
DIN EN ISO 10477 Thermocycling 10,000 cycles 5°C / 55°C
in accordance with DIN EN ISO 10477
E-modulus — 4,000 MPa
Flexural strength — >150 MPa
E-modulus — 4,000 MPa
(no material failure)
Flexural strength— >150 MPa (no material failure)
Water absorption — 6.5 µg/mm3
Water solubility — < 0.3 µg/mm3

Breaking load tests on 3-part bridges

Maximum load without failure — >1,200 N
(after 24 hr immersion in water, 37°C)
Maximum load without failure — >1,200 N
(after mechanical and
thermal alternating load
1.2 million x 50 N, 10,000 x 5°C / 55°C)

Other properties
Melting range (DSC) — approx. 340°C Thickness — 1.3 to 1.5 cm3
Bond strength > 25 MPa Hardness (HV) — 110
combo.lign HV 5/20

6-part anterior bridge with a very high-quality aesthetic veneer.

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 BioHPP processing
SYSTEM
BioHPP when processing in the for 2 press System
In order to be able to exploit the material properties as much
as possible, the initial material must be processed in a proce-
dure especially developed for this purpose.

The initial situation is a wax model, which is invested in a

mould with an investment material especially developed for
this purpose. This mould is heated to between 630°C and
850°C in a pre-heating oven, the wax is melted away and
then cooled at 400°C. At this temperature, BioHPP is brought
to the melting range of this investment material mould and
melted down. The insertion of the press plunger and transfer
of the mould into the for 2 press system then takes place. By
raising the lift, the pressing procedure is triggered automati-
cally and takes place in a vacuum. After completion of the
vacuum, the mould is cooled down to room temperature within
35 minutes - whilst maintaining the pressing pressure, and can
then be devested as usual.

The BioHPP is processed in the for 2 press vacuum press device. The entire
injection process is completed fully automatically. A blue LED light marks the
end of the process.

The for 2 press System offers the following advantages

Low investment Known manufacturing process

• Low costs, profits • Rapid learning curve (return of investment)

Perfectly fitting prosthetics Controllable investment material

• Quality, patient satisfaction • Controllable friction properties

Extensive area of indication Can be veneered with visio.lign

• Large scope • Aesthetic result

Coordinated overall system

• Process reliability when handling

7
 Indications of
Fixed dental prosthesis
Posterior area
4-part posterior bridge veneered with visio.lign.
Due to the high level of fracture resistance, up to
two pontics are possible. Due to the white shade
effect of the material, an optimum veneer basis
is provided.

Anterior area

Photos: Schwindt Dental Laboratory, Landau/Pfalz. The aesthetic zone in the anterior area offers the best possible range of indications for this biocom-
patible and metal-free framework material.

Removable dental prosthesis

Bridgework Telescopic work

Photo: Annett Fiedler, Dental Laboratory, Neulußheim

The BioHPP offers outstanding friction properties in combination There is no loss of friction thanks to the flexibility of the material and
with metallic and ceramic primary structures. As far as the patient the ease with which the secondary structure can be veneered.
is concerned, the high wearing comfort and ease of insertion and
removal stand to the fore. The inert properties preclude any interactions
with other materials.

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Implantology
SKYelegance - individual abutments

The individual abutment "SKYelegance" has been The SKYelegance is blasted with aluminium dioxide Finished wax modelling on the SKYelegance.
developed for bredent medical's SKY and blueSKY with a grain of 110 µm and a max. pressure of 3
implants. In the future, additional abutments will bar before wax modelling.
also be available for other companies' implant
systems.

The wax model is sprued with the SKYelegance The SKYelegance individual abutment is over- The finished abutment can now be directly
on the base mould of the for 2 press system. A pressed with BioHPP. veneered or treated with a ceramic crown.
casting bulb is used for this.

Example of application using a telescopic implant bridge

The titanium abutments SKYelegance that can be The finished modelled abutments are fixed to the Taking into consideration the direction of
over-pressed are modelled with modelling wax base mould. The mould is then invested with the insertion, the parallel surfaces of the primary
and the parallel telescope surfaces are processed brevest for 2 press investment material, pre-heated parts made from BioHPP are milled and pol-
on the milling machine. Afterwards, the wax cast- accordingly in the pre-heating oven and over- ished to a high shine.
ing bulbs are added on the individual abutments. pressed with BioHPP in the for 2 press vacuum
press device.

After the production and polishing of the primary Due to the expansion of the investment material The finished telescopic bridge is veneered with visio.
telescope, the entire wax model of the telescopic covering the material, optimum and durable fric- lign veneers.
bridge can be modelled. tion properties are achieved.

9
 Example of use of SKY elegance abutment
Initial situation

Loss of the upper incisor. A bredent medical blueSKY implant was inserted in this patient. After a 3-month recovery period, the
implant can be released and permanently restored.

Perfect aesthetic result and a happy patient. The crown inserted has a natural translucency. The innovative BioHPP material
was chosen as a framework
material for the crown abut-
Photos: Dr. Alexandros Manolakis, Thessaloniki/Greece
ment. Due to the white shade
effect, BioHPP is optimally
suited for an aesthetic veneer
with the bredent visio.lign
system.

The elegance abutment is suitable for:

Manufacturer Implant

1 bredent medical SKY®

2 Straumann® Bone Level®

3 Nobel Biocare® Nobel Active®

4 Astra-Tech® Osseo Speed TX®

Disclaimer:
The terms "Straumann" and "Bone Level" used in this catalogue are brands of Straumann Holding AG, Switzerland/ he Straumann Group. The terms "Astra Tech" and "Osseo
Speed" used repeatedly in this catalogue are brands of Astra Tech Aktiebolag, Sweden/the Dentsply Group. The terms "Nobel Biocare" and "Nobel Active" repeatedly used in
this catalogue are brands of Nobel Biocare AB, Sweden/the Nobel Biocare Group.

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Processing steps
Initial situation Modelling Sprue technology

In order to provide optimum support to the The objects are modelled in accordance with In order to be able to achieve perfect pressing
framework structure, a casement or level prepa- the standard dental technical rules. In order to results, certain regularities such as selection of
ration is required. We do not recommend any guarantee a mechanical bond between BioHPP the supply channel, cross-care and positioning
tangential preparations. and veneer composites, retention crystals can must be observed.
be used.

Investment Pre-heating Melting

The wax model is invested with a special phos- The pre-heating process, for melting the wax and The melting procedure is carried out in the pre-
phate-bound investment material - taking into controlling expansion of the investment material, heating oven. For this, the melting temperature
consideration the fluid concentration. is carried out in the laboratory's own pre-heating of 400°C (20 min. and not longer) must be
oven (between 630°C and 850°C). observed exactly and controlled.

Pressing
What makes the for 2 press system special
is the fact that the pressing procedure is
also continued when cooling the mould.
This principle ensures the high material
properties of the BioHPP, which are trans-
ferred into later treatment.

The pressing procedure in the for 2 press system is The dental technician is informed of the end of
completed fully automatically within 35 minutes. the automatic pressing procedure by an acoustic
signal and by the blue LED light. The technician
can then continue the process by immediately
devesting the mould.

11
 Devesting Adjustment

The object transferred in BioHPP can be devested The simplicity of the adjustment is due to the
after 35 minutes. A short water bath guarantees material and reduces the need for time-consum-
freedom from dust and makes the devesting ing reworking. Fine cross-toothed carbide mills
process easier. The fine investment material are particularly well suited to this.
residues are removed using a fine blasting device
with aluminium oxide with 110 µm max. 3 bar.

Conditioning

The bridge framework is blasted with 110 µm In order to achieve a sufficient adhesion between
and 2-3 bar pressure. The blasting distance veneer composites and framework material,
must not be less than 3 cm. a special adhesive (visio.link) must be used.

Veneering Polishing High-shine polishing

Framework structures made from BioHPP can be The veneer composite and the BioHPP can be Due to perfect high-shine polishing (five steps),
veneered with all traditional veneer composites. polished to a high shine, by following the correct the material properties of BioHPP with regard to
The best results are achieved with visio.lign. polishing sequence. plaque affinity, tendency to discolouration and
surface quality are supported.
1. Step: Carbide mills
2. Step: Diagen-Turbo-Grinder
3. Step: Ceragum rubber polisher
4: Step: Bims goat hair brush
5. Step: Goat hair brush + Abraso Starglanz

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Bound by the
Bond with visio.link from the visio.lign veneer system
To enable the manufacture of an aesthetically-pleasing and durable The visio.link adhesive from the visio.lign veneer system combines all
prosthetic with BioHPP, the bond between BioHPP and the composite the outstanding adhesive properties with materials such as PMMA and
veneer is of the utmost importance. composites. In this way, visio.link is a primer and bonder in one.

Bond strength according to DIN EN ISO 10477/Jena Uni

*1
Source: K. Eichner. H.F. Kappert:
Material 1 day 37°C
50 Dental materials and how these are processed. Mean values (after 25,000 LW)
Bond strength in MPa

326-372, 1996.
40.10 38.55 40
40 38.30 38.30

30
30 26.53 27.60
24.10 24.10
20.90 21.60 20.20
20
14.30

10

0
Framework material breCAM.BioHPP for 2 press BioHPP for 2 press BioHPP for 2 press BioHPP breCAM.BioHPP CoCr alloy Metal-ceramic
system *1
Mech. retentions without retentions Retention beads Retention splitters without retentions without retentions without retentions blasted
Adhesive visio.link visio.link visio.link GC Composite Primer Signum Connector Rocatec none
Opaquer none combo.lign Opaquer combo.lign Opaquer Gradia Opaquer Signum Opaque F Sinfony Opaquer fused
Veneer composite combo.lign combo.lign combo.lign combo.lign combo.lign Sinfony Ceramic veneer

The bond strength of different veneer composite systems was compared Heraeus-Kulzer are used, bond strength values of 24.1 Mpa and 21.6
with the framework materials BioHPP and CoCr sample frameworks. Mpa are achieved.
The highest bond strength values according to DIN EN ISO 10477 were Therefore the use of visio.link as an adhesive yields higher values. Ad-
achieved when using the visio.lign veneer system. A crucial factor ditional mechanical retentions should be applied for safety reasons.
for these high values is the use of mechanical retentions in the form As a result, significantly higher bond strengths are achieved on BioHPP
of retention beads or splitters and the thin application of the special frameworks than in traditional CoCr alloys.
adhesive bredent visio.link.
If adhesives from other systems, such as Gradia by GC or Signum by

Fixing restorations orally

Restorations made from BioHPP must be fixed with adhesive, i.e. with composite adhesive such as
Vario-Link (Ivoclar-Vivadent) or Panavia (Kuraray). The adhesive surfaces of the restoration made
from BioHPP must be conditioned as follows for this purpose:

Blast the restoration made from BioHPP with aluminium oxide (110 µm) at 2 to 3 bar blasting pres-
This diagram shows how unfavourable the
sure. Moistening then takes place with light-hardened PMMA & Composite Primer "visio.link" and
model of the pre-test bridge is with regard
subsequent polymerisation within a light polymerisation device (e.g. 90 seconds in a bre.lux Power to a much too thin/unanatomical framework
Unit or Heraeus Kulzer UniXS) in accordance with the "visio.link" processing instructions. in combination with an unfavourable veneer
layer that is much too thick.

Pre-treatment of the cavity by the dentist is carried out in the same way as with a ceramic or
composite restoration.

13
 Advantages for the laboratory, the practice and the patient

Laboratory

• Extensive range of indications

• Biocompatible and metal-free
• High accuracy of fit
• Clear investment volumes
• Known processing procedures
• Ability to carry out veneers
• Effortless processing

Dentist

• Extensive range of indications

• Biocompatible and metal-free
• Veneers can be repaired intra-orally
• Appealing to patients
• White shade effect

Patient

• Higher level of wearing comfort

• Biocompatible and metal-free
• Plaque-resistant and colour-safe
• Aesthetic material
• Abrasion-resistant
• Protection of antagonists

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The system components
The material BioHPP Mould system for the for 2 press mould
BioHPP is protected against moisture and packaged in transparent Consisting of one mould plate and the corresponding silicone ring.
plastic tubes. The required quantity can be weighed out to the near- Available in 3 different sizes: 3, 9 and 9 XXL.
est gram using the wax calculation table. Only the material that is
required is processed.

BioHPP (Granulate)
20 g REF 540F2PB2
100 g REF 540F2PB3

BioHPP (Pellet)
75 g ( 5 x 15 g) REF 540F2PB4
150 g (10 x 15 g) REF 540F2PB5 Mould plate and silicone ring
Size 3 Size 9 Size 9 XXL
REF 360F2P16 REF 360F2P20 REF 360F2P30

Silicone rings Mould plate

Silicone ring suited for the mould system for 2 press mould. Quick
and easy deforming of the bound investment material mould. Grooved
inside, enlarged surface for rapid moisture emission during pre-
heating.

Silicone ring Silicone ring Mould plate (indi- Mould plate (individual) Mould plate (individual)
Size 3 Size 9 vidual) Size 9 Size 9 XXL
REF 360F2PR3 REF 360F2PR9 Size 3 REF 360F2PT2 REF 360F2PT3
REF 360F2PT1

Disposable press plunger for 2 press filler Brevest investment material for 2 press
Disposable press plunger for pressing the high-performance plastic in. Fine grain special investment material for the for 2 press System.
Rounded on one side for a better glide during the pressing procedure. Suited for use as a speed investment material or conventionally
Uniform cooling concomitantly to investment material, no risk of the heated up. Easy to remove.
press material cracking, pressed in firmly. Can be used once.
Fluid for the investment mate-
rial brevest for 2 press

for 2 press filler for 2 press (disposable for 2 press (disposable Brevest for 2 Press Bresol for 2 press
(disposable press press plunger) press plunger) carton with approx. 7.35 kg 1000 ml
plunger) 20 mm 25 pc. 30 mm 14 pc. incl. 1000 ml Bresol for 2 press REF 520F2PL1
16 mm 25 pc. suitable for mould suitable for mould plate REF 570F2PV1
suitable for mould plate size 9 size 9 XXL
plate size 3 REF 570F2P20 REF 570F2P30
REF 570F2P16

15
for 2 press Basic Set
This set contains basic equipment Contents
for immediate work. Based on the 1 x for 2 press pneumatic vacuum press device
size of the model, the for 2 press 1 x for 2 press mould (mould system, consisting of mould plate size 3/16 mm
Basic Set is sufficient for5– 7 and silicone ring)
presses and contains all of the 35 x 210 g Brevest for 2 press investment material incl. 1000 ml Bresol for 2 press
necessary materials. liquid
25 x for 2 press filler (disposable press plunger size 16 mm for pressing the material
into the mould)
20 g BioHPP, thermoplastic high-performance plastic

for 2 press Basic Set

REF 14000601

- granulate or blanks?
BioHPP is available as a milling round blank breCAM.BioHPP purpose. The material properties between pressed and milled
for processing in CAD/CAM manufacturing. The milling round BioHPP are virtually identical. The milling round blanks are
blanks are processable in every standardised milling machine produced without material degradation due to the especially
when using a breCAM.Cutter (mill) especially developed for this developed manufacturing procedures.

16 mm 20 mm 24 mm

breCAM.cutter with patented cutting geometry

Order information 16 mm 20 mm 24 mm
REF REF REF

breCAM.BioHPP 540 0203 0 540 0203 1 540 0203 2

Further information can be found in Brochure REF 000470GB.

GmbH & Co.KG · Weissenhorner Str. 2 · 89250 Senden · Germany · Tel. (+49) 0 73 09 / 8 72-4 40 · Fax (+49) 0 73 09 / 8 72-4 44
www.bredent.com · e-mail [email protected]
Mistake and subject to change reserved 03/13 000705GB 3