ERA RV & Micro

Appropriate for use with partial dentures where a resilient prosthesis is indicated. The ERA joint allows hinging around much of its radius, therefore it may be an option even where ridge alignment or abutment location forces the attachments to diverge. It is also well suited for use with direct bonded retainers. The female component is a plastic pattern which is incorporated as part of a crown wax-pattern and cast in a hard alloy. There are two male designs. The ERA RV Male is 2.5 mm in height and has vertical resiliency. The Micro ERA Male needs about 0.5 mm less vertical space and 0.8 mm less width in the dental arch. The ERA male also has a projection which contacts the abutment crown above the female eyelet. This resists vertical displacement of the partial dentures distal extension saddle.

The ERA System

can be used both temporarily and permanently, is unique due to its micro prosthetic head, ability to correct misangulation, and its true vertical resiliency. In fact, the ERA Implant is the only vertically resilient implant in the world that can immediately stabilize a removable prosthesis. The simplicity of its chairside application and its affordability make the ERA Implant System a secure, reliable choice.

ERA Direct Overdenture

Applicable to both overdenture and partial denture cases. Appropriate for use with most appliances where remaining non-vital roots are to be utilized as abutments. The ERA Direct was designed specically for chairside use where the precision manufactured female is cemented directly into the prepared root. The stainless steel females are titanium nitride coated and are made in a choice of two post diameters and four post angles to accommodate most patients needs. The two post diameters are 1.3 mm and 1.7 mm and they are available in 0 (straight), 5, 11 and 17. To easily identify the larger post, the titanium nitride coating extends onto the post. The same males are used in the ERA Direct Overdenture as in the Overdenture version.

May be used in both overdenture and partial denture cases. Appropriate for use with appliances where remaining non-vital roots are to be utilized as abutments. The ERA Overdenture Attachment female is a plastic pattern which is incorporated into the waxpattern for a post and root cap coping. The ERA Overdenture male is 2.6 mm in height and has 0.4 mm of vertical resiliency, just like the ERA Partial Denture. The Micro ERA overdenture male is only 2.0 mm in height and 3.4 mm in width while maintaining the 0.4 mm vertical resiliency.

ERA Overdenture & Micro Overdenture

2.2 mm 0

3.25 mm 0

3.25 mm angled

ERA Implant Abutments

ERA Implant Surgical System ERA Implant Master Prosthetic Kit

#811914 Includes all the tools and instruments necessary to place ERA implants #905119

Appropriate for use in overdentures or partial dentures retained in whole or in part by osseointegrated implants. This version of the ERA applies the overdenture attachment concept to a series of titanium abutments manufactured for popular implant xtures. The implant abutment is made of titanium with a titanium nitride coating on the angled portion of the female. The implant abutments are available in 0, 5, 11 and 17, in various cuff heights, implant types and implant diameters. They are also available in standard and micro. Again, the same overdenture males used for patients with natural root abutments are used in this application.

ERA PickUp Material

Tissue-colored, self-curing attachment processing material #220235

800-243-9942 508-226-5660
FREE SHIPPING for online orders at

ERA PickUp will chemically bond to acrylic only if a primer is used. Use SternVantage Varnish LC as a primer for acrylic.

www.sterngold.com

SternVantage Varnish LC #221001 30 ml bottle

ERA Attachment
Common Causes of Wear
The following suggestions from the dental laboratory technicians and dentists on our technical staff, as well as some of our eld survey labs, will contribute to extending the life of the prosthesis, as well as patient comfort and satisfaction.

long life of the female eyelet. A minimum Vickers of 200 and an Ultimate Tensile of at least 75,000 psi is recommended.

3. Create some mechanical retention in the recess by using a round bur and cutting some undercuts into the recess. This will aid the composite in bonding to the acrylic. 4. Paint the inside of the recess with an unlled resin, such as Sterngolds Light Cure Varnish, and cure in a light box or with a curing light. This will create an oxygen inhibited layer and allow the composite to bond to the acrylic. 5. Place a tip on the tube of the ERA PickUp material and squirt some on the sides of the male and then ll the recess in the denture. 6. Seat the denture. Have the patient bite lightly to check the occlusion, then hold the denture in place with nger pressure until the composite sets. This establishes the correct resting relationship between the attachment components. Ensure that the denture is passively seated. 7. Adjust the composite so it does not contact the abutment when the denture is in function. Recontour and polish the lingual ange where the observation window was cut.

Overdenture

Patient Consistently Bites the Overdenture Into Place

The patient should be instructed in how to insert the prosthesis into place with his/her ngers.

Cleaning Abutments or Females with an Abrasive Cleaner

Toothpaste can be very abrasive. The patient should be instructed to remove all traces of toothpaste after brushing. The abrasive in some toothpaste can cause extensive wear on the inside of the female when the male is inserted.

We should pay particular attention to the Overdenture application of ERA. Prescriptions in these cases often request a yellow crown and bridge alloy. In choosing this kind of alloy, use a type IV metal that allows you to harden the nished casting to a high Vickers Hardness. There are many of these on the market today including Sterns Apollo, a 45% type III-IV that can be hardened to 240 Vickers. Hardening techniques for C+B metals are relatively standardized. First, anneal the nished casting by heating and quenching and then harden by heating and slow cooling. (Refer to specic alloys manufacturer for temperatures and detailed hardening technique.) This is a simple step that can ensure a successful case. WARNING: Great care must be taken when using debubblizers on plastic patterns. These materials may present problems in investing and burnout of the female ERA patterns. You must be sure that there are no puddles in our around the attachment. Also take care to ll the inside of the female pattern with a small brush before investing the rest of the pattern.

Denture Cleaners

Patients who use denture cleaner should be advised to follow the manufacturers instructions. Most require a soak time of only 10 to 15 minutes then rinse and store overnight in only water. Patient should avoid leaving the overdenture in the cleaning solution for extended time or overnight since many cleaners can have a detrimental effect on the surface of the nylon males and cause them to loose their retention. The cleaning solution can actually attack the nylon of the males, causing it to soften in approximately 1-2 months. Solutions containing Chlorine may cause the nylon males to become hard and brittle. This will cause premature wearing of the males, and eventually, some wear of the females.

Finishing the Cast Females

A Dentists Guide to Changing the ERA Males

1. Place the Core Cutter into a straight handpiece. 2. Cut out the core of the male at medium rpm, using a short cutting cycle and an in-and-out motion. Push in for about 1 second at a time, checking to see if the core has been removed. The core will remain in the Core Cutter and should be ejected by sliding a thin blade along the cutters side slot. 3. Using a blade or explorer-like instrument, collapse the remaining ring into the open space created by removal of the core and lift it out. 4. Place a new male on the Seating Tool. Place the tool with the new male into the recess in the acrylic and rmly push it in until is snaps securely in place.

Females are divested in a normal fashion by either sandblasting lightly or stripping in ultra-sonic solution. Care should be taken that the inside of the female is not over sandblasted as this will oversize the female eyelet. Glass beads or light polishing with rubber points can be used to create a clean nished look to this interior surface. The outside surface is not a crucial dimension and can be rubber wheeled and polished but should not require stone or carbide nishing.

Insertion of the Blue or Grey Colored Male

Parallelism

The insertion of the blue or grey males prematurely can cause excessive wear in the male and possibly the female. Keep in mind that the least amount of retention required by the patient is best. The dentist should always process the prosthesis rst with the Black Fabrication Male, and then snap in the White Male Attachment which is the least retentive. Then, if the patient wants more retention, the Orange Male should be used. Only step up one degree of retention at a time.

ERA Attachments have been designed to function properly up to a divergence of 5. If the attachments are off by more than 5 you will not realize maximum life span of the males and could incur considerable wear on the females along with displacement of the appliance.

Path of Insertion

ERA Angle Correction

ERAs and Tobacco Chewing

Silica in the juices created by chewing tobacco can be very abrasive, and may be a cause of wear to the male and the female.

We would like to stress the importance of a short ange in the anterior region. Appliances designed to engage the labial undercut will interfere with proper seating. In cases of deep labial undercut, it should be blocked out before the processing of the denture base. Engage no more than 1 mm of undercut. Full extension of the ange into the vestibule will still provide lip support and help prevent food entrapment. It is desirable to provide full extension for stability whenever possible.
Snap a white alignment handle into other ERA Implants. Rotate the angled ERA female until they all line up with the desired path of insertion of the denture.
Mark a vertical line using an indelible pen across the juncture between the implant base and the ERA Female wherever space allows. Remove the females from the bases.

Pickup of Attachments Chairside

The dentist should make sure that the patient does not bite down once the acrylic has been placed. We cannot determine the strength of a patients bite. Too much pressure can cause the tissue to be displaced. Once the acrylic around the male has set and the pressure relaxed, the tissue returns to a normal state raising the attachment slightly. This can cause the attachment to snap in and out constantly as the patient talks or chews, causing excessive wear of the male and the female. To avoid this problem, have the patient bite passively, just enough to obtain the proper centric relationship. As patient relaxes bite, the dentist should passively hold the prosthesis in place until the acrylic cures.

Intraoral Pickup of the ERA Males Using ERA PickUp Material*

1. Snap the black fabrication male onto the female. Block out any undercut areas, that can trap hardened composite material and prevent easy removal of the denture. 2. Using a round acrylic bur, create space in the denture base for the male. The denture should not touch the ERA male or the abutment when seated. In short, the partial denture or overdenture must seat passively without interference from the attachment. You can cut an observation window through the lingual ange into the attachment space to help you create the space. This window also allows excess composite to escape as the prosthesis is seated.
* Order online at www.sterngold.com

Fabrication Tips for Plastic Females

Distal Extension (Reduced Vertical and Micro)

Although the ERA female is a plastic burnout pattern and can be cast in virtually any alloy, care should be taken to choose a hard alloy. The two most important aspects to consider are Vickers hardness and Ultimate Tensile strength. These attributes will provide optimum retention and

Add a small quantity of ERA Lock Cement into the socket of the base and a small amount to the button on the bottom of the female.

Snap in the ERA Female, aligning the two halves of the mark. Clean up any excess cement.
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