Endo4YOU

Endodontic product catalogue

For better dentistry

www.dentsply.com www.dentsply.co.uk

Introduction
For better dentistry
Key to symbols
See directions for use

Contents

Sterilised product

Can be sterilised at the specified temperature

Maillefer. The Evolution of Endo4YOU

It was in 1889 that Auguste Maillefer, Dentist and former watchmaker, founded a workshop for manufacturing the instruments that, for himself and for other Dentists, soon became indispensable. Over a century of progress, the name Maillefer has become a synonym worldwide for superior quality and technical innovation. In 1995, the company became a member of the DENTSPLY International group, world leader in the supply of equipment, products and instruments for the dental profession. The DENTSPLY Maillefer brand has evolved into one of the most established names in Endodontics today. DENTSPLY Maillefer products are clinically proven and supported by a network of Product Specialists in the UK, whose practical advice and knowledge of all the available systems and techniques are offered on a day-to-day basis. At DENTSPLY, our mission is to deliver solutions For Better Dentistry that benefit you and your patients. We aim to lead the industry in innovation, quality and service. DENTSPLY Maillefer Endodontic rotary instrumentation systems are the choice of top Endodontists worldwide. For a completely free demonstration/overview of all the Maillefer products available, please contact DENTSPLY on +44 (0)800 072 3313.
Maillefer instruments headquarters in Ballaigues One of the first important production workshops First Maillefer factory in Ballaigues

Non-sterilisable

Introduction
Single-use only Opened packages are not replaced

02-03

Isolation Access Preparation and Shaping

04-05

Silver

06-08

Aluminium

09-19

Chromium

Carbon Steel

Endodontic Equipment Obturation Re-treatment and Repair

20-24

Diamond

25-33

Gutta-Percha

34-35

Mineral Trioxide Aggregate

Ultrasonics
Nickel

36-38

Maillefer factory is equipped with the latest technology

Nickel Titanium

Restoration Accessories Sterilisation Guidelines and Information

39-42

Oxide

43-45

Plastic

46-48

Root-Canal Sealer

Paper

www.dentsply.com www.dentsply.co.uk

Platinum

Silicone

Stainless Steel

Titanium

Tungsten Carbide

02

03

Isolation 1 Ash Rubber Dam

In modern dentistry, Rubber Dam is a must in every dental surgery. Its routine use will greatly contribute to success in many dental treatments. Rubber Dam takes a few minutes to apply but the benefits easily compensate. Rubber Dam is essential for complete moisture control, will improve visibility and protect the buccal, labial and lingual areas in the oral cavity. Increased visibility and protection enable the procedure to be carried out effectively and efficiently.
62411101 Complete Rubber Dam Starter Kit

Rubber Dam Forceps 62203020 62203030 University of Washington Clamp Forceps Brewer Pattern Clamp Forceps

Rubber Dam Clamps 62408601 62408602 62408603 62408604 62408605 62408606 Satin Stainless Steel Dam Clamp Pattern A Satin Stainless Steel Dam Clamp Pattern AW Satin Stainless Steel Dam Clamp Pattern BW Satin Stainless Steel Dam Clamp Pattern C Satin Stainless Steel Dam Clamp Pattern DW Satin Stainless Steel Dam Clamp Pattern E Satin Stainless Steel Dam Clamp Pattern EW Satin Stainless Steel Dam Clamp Pattern FW Satin Stainless Steel Dam Clamp Pattern G Satin Stainless Steel Dam Clamp Pattern GW Satin Stainless Steel Dam Clamp Pattern HW Satin Stainless Steel Dam Clamp Pattern JW Satin Stainless Steel Dam Clamp Pattern K Satin Stainless Steel Dam Clamp Pattern L Satin Stainless Steel Dam Clamp Pattern M Satin Stainless Steel Dam Clamp Pattern NW Satin Stainless Steel Dam Clamp Pattern PW

Ash Rubber Dam Kit The Ash Rubber Dam Kit contains 5 clamps (AW, BW, C, DW and EW), Brewer Forceps, 1.93mm Punch, Sterilisation Tray, plastic Rubber Dam Frame and heavy green squares of Rubber Dam material.

62408607 62408608 62408609 62408610 62408611 62408612 62408613 62408614 62408615 62408616 62408617

Rubber Dam Material 62409102

Ash Rubber Dam Frames and Sterilisation Trays

62409112

The Ash Rubber Dam Sterilisation Tray has been designed to give the clinician an orderly storage system to reduce the risk of damage or loss during cleaning and sterilisation procedures. The tray is self-draining through two holes and can easily be moved from any sterilising unit with clamp forceps. The five pegs feature replaceable soft silicone sleeves onto which the clamps are placed without being under excessive tension. Either autoclaving or dry heat sterilisation (180C cycle) may be employed.
There are 2 Ash Rubber Dam Frames available, the traditional stainless steel type and the plastic type, which is an extremely lightweight frame and offers comfort for the patient.

Rubber Dam Material, 36 x Medium Green Squares Rubber Dam Material, 36 x Heavy Green Squares

Rubber Dam Punches 62410001 62410020 62410021 Ainsworth 5 Hole Rubber Dam Punch Ash Dam Punch, Regular Hole (1.63mm) Ash Dam Punch, Large Hole (1.93mm)

Rubber Dam Sterilising Tray and Frame 62499055 62499056 62499057 62499059 Rubber Dam Clamp Sterilisation Tray Assorted Replacement Sleeve Set Youngs Style Stainless Steel Rubber Dam Frame Plastic Rubber Dam Frame

1 Isolation
04

05

Access 2
Ref: A0305

Cavity Access Set

Give yourself the best start to your Endo with the Cavity Access Set, developed in collaboration with Dr. Ruddle, Dr. Machtou and Dr. West. The Cavity Access Set allows you to remove the whole pulp roof giving access to all root canals, to have an irrigation reservoir during RCT, to provide a correct basis for the restoration and to have direct root canal access for better endo quality. Round Diamond Bur ISO 016 For ceramic crowns. Use with a brush-cutting action and water spray to progressively sand away and eliminate tooth-colour restoratives. Transmetal Bur Used to bore the metal framework. Round Carbide Burs ISO 010 and 014 Used to cut in to the occlusal face in order to remove the whole pulp chamber roof, including all pulp horns by gradually moving down towards the pulp chamber. Should be used obliquely for better control, visibility and efficiency. Dr Zekrya Endo-Z Bur Extra long taper, safe ended tip. Removes the pulp chamber roof without damaging the chamber floor. X-Gates Combines Gates 1, 2, 3 and 4 in one single efficient instrument. Access Cavity Set Contents:

135C

1 x Diamond Round Bur ISO 016 (Ref: F000134201600)

1 x Transmetal FG Bur ISO 012 (Ref: E015334101200)

1 x Carbide Round FG Bur ISO 010 (Ref: E012337101000)

1 x Carbide Round FG Bur ISO 014 (Ref: E012337101400)

1 x Endo-Z FG Bur ISO 016 (Ref: E015234100000)

1 x X-Gates RA ISO 032 (Ref: A000824000700)

Conical Diamond Bur

Finishes the pulp chamber walls.
11mm

Ref: F019937301600
FG

Pack options

Bur size Individual Bur FG

0.9mm x5
25mm

Shape

End type

Diamendo Bur
Safe ended tip diamond bur used to remove pulp chamber roof without damaging the chamber floor.
Pack options Bur type Individual Bus FG 1 x1 2 x1
Shape

534 coarse

FG

Grit size

End type

Type 1
21mm

9mm

Ref: A016532100100
Type 2
25mm 9mm

2 Access
06

Ref: A016532500200

07

2 Access
Dr Howard Martin

Ref: A0164
534 coarse

Endo Access Bur

High speed, ball ended coarse diamond ideal for gaining access to the pulp chamber.
Pack options Bur type Individual Bur FG 1 x1 2 x1 3 x1
21mm 10mm Shape

FG

Grit size

End type

Gates Glidden Drill

Opens coronal orifice. Recommended Rotation Speed: 800-1200 min-1
Type Assorted 1-6 Individual 1 2 3 4 5 6 0.5 0.7 0.9 1.1 1.3 1.5 mm mm mm mm mm mm x1 x1 x1 x1 x1 x1 x6 x6 x6 x6 x6 x6 Pack options

Ref: A0008
60.5mm 15mm Shape 28mm 19mm

32 to 34mm

Micro-Debrider
For use with microscopes or when wearing loops, designed to remove fingers from the field of vision, when removing pulp tissue and debris from root canal.
Pack options Taper and ISO tip size System 1 System 2 0.2 020 x3 0.2 030 x3

Ref: A0353

Handle

Shape

Micro-Opener
For use with microscopes or when wearing loops, designed to remove fingers from the field of vision.
Pack options Taper and ISO tip size System 1 System 2 System 3 0.4 010 x3 0.4 015 x3 x3 0.6 010

Ref: A0350

Handle

Shape

GlydeTM File Prep - Lubricator

Glyde Syringes Glyde Syringe Kit (contains 3 syringes) Glyde Intro Pack (contains 2 syringes and 25 syringe tips) Glyde Single Use Doses Glyde Single Use Doses (contains 35 capsules of 0.5ml each)

Ref: A090

Syringe tips only

LustraTM DG16
Endodontic Probe used to locate root canals.

Ref: 62013201

3 Preparation and shaping

09

08

3.1 Preparation and shaping

C+ Files
Ideal for initial instrumentation of difficult or calcified root canals. Cutting tip which engages dentine.
Tip size ISO Pack options 008 010 015 18mm, 21mm and 25mm

Preparation and shaping 3.1

Ref: A012X

End Assorted x2 x2 x2 Individual x6 x6 x6

Shape

Simply Sensational
Large, soft, ergonomic silicone handles transform your working sensations and improve your clinical performance: Greater working comfort Better tactile feedback Reduced hand fatigue Improved Torque and Force Transmission, due to: Reduction of effort achieved by large handle Excellent grip when used with gloves X-ray visible calibration rings for: Improved Diagnostics Increased Accuracy Greater Visibility

K-Flexofile
A highly flexible stainless steel file.
Tip size ISO Pack options 21mm, 25mm and 31mm 006 008 010 015 020 025 030 035 040 045 050 055 060 070 080 090 100 110 120 130 140 x1 x1 x1 x1 x1 x1 Assorted x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

Ref: A012C

End

Shape

K-Flexofile Golden Mediums

Ref: A0121

SenseusTM ProFinder
Dual-tapered catheterisation file. Specifically designed to allow quick and easy establishment of the glide path of the root canal. Non-cutting tip which does not engage dentine.
18mm, 21mm and 25mm

Ref: A1013
65

A range of K-Flexofiles available in half sizes.

Tip size ISO Pack options 012 017 022 027 032 037 21mm, 25mm and 31mm End Shape

End

Shape

Assorted x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6

Tip size ISO Pack options

010 013 017

K-Flexoreamer
Tip size ISO Pack options

Ref: A011C
21mm, 25mm and 31mm End Shape

Assorted x2 x2 x2 Individual x6 x6 x6

A highly flexible stainless stell reamer.

008 010 015 020 025 030 035 040 045 050 055 060 070 080 090 100 110 120 130 140 x1 x1 x1 x1 x1 x1 Assorted x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

SenseusTM K-Flexofile
21mm, 25mm and 31mm Tip size ISO Pack options 006 008 010 015 020 025 030 035 040 045 050 055 060 070 080 x1 x1 x1 x1 x1 x1 Assorted x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

Ref: A1012
Batt

55

Hedstroem File Colorinox

A back-cutting instrument.
Shape Tip size ISO Pack options

Ref: A016D
21mm, 25mm and 31mm Shape

End

008 010 015 020 025 030 035 040 045 050 055 060 070 080 090 100 110 120 130 140 x1 x1 x1 x1 x1 x1 Assorted x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

SenseusTM Hedstroem
21mm, 25mm and 31mm Tip size ISO Pack options 008 010 015 020 025 030 035 040 045 050 055 060 070 080 x1 x1 x1 x1 x1 x1 Assorted x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

Ref: A1016
55

Endosonore File
For use with the Cavi-endo.
Tip size ISO Pack options

Ref: A012U
27mm and 31mm

End

Shape 015 020 025 030 035 040 045 050 055 060

Shape

Assorted x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

SenseusTM FlexoReamer
21mm, 25mm and 31mm Tip size ISO Pack options 008 010 015 020 025 030 035 040 045 050 055 060 070 080 x1 x1 x1 x1 x1 x1 Assorted x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

Ref: A1011
Batt

File Nitiflex
Tip size ISO Pack options

Ref: A012N

55

2% nickle titanium hand file.

Shape 015 020 025 030 035 040 045 050 055 060 Shape 21mm and 25mm

End

Assorted x1 x1 x1 x1 x1 x1 Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

10

11

3.1 Preparation and shaping

ProTaper Universal Rotary Files Introductory Packs and Refills (packs of 6)
Description ProTaper Universal is the new version of the most popular Nickel Titanium endodontic system in the UK (Q4,07 SDM data) and is now being taught in the majority of the dental schools in the UK. It is the answer for clinicians in search of a single, versatile system that provides solutions for each stage of root canal treatment including treatment, re-treatment and obturation. Breakthrough safety and simplicity features, combined with efficiency, are at the heart of ProTaper Universal. The net result for you and your patients is a consistently exceptional outcome. The Multi-Tapered Effect: Each ProTaper Universal file exhibits a unique multi-tapered shape along its cutting portions, which gives rise to the number of benefits that the ProTaper Universal system has over other hand and rotary systems. Assortments with Sequencer Assortment (SX, S1, S2, F1, F2 and F3) Assortment (2x S1, 2x S2 and 2x F1) Shaping file X (SX) Shaping file 1 (S1) Shaping file 2 (S2) Finishing file 1 (F1) Size (mm) 19 21 25 31 Reference
A041522190100 (21mm) A041522590100 (25mm) A041523190100 (31mm) A040922190100 (21mm) A040922590100 (25mm) A040923190100 (31mm) A040922100100 (21mm) A040922500200 (25mm) A040923100300 (31mm) A041021910100 (19mm) A041022110100 (21mm) A041022510100 (25mm) A041023110100 (31mm) A041022110200 (21mm) A041022510200 (25mm) A041023110200 (31mm) A041122110100 (21mm) A041122510100 (25mm) A041123110100 (31mm) A041122110200 (21mm) A041122510200 (25mm) A041123110200 (31mm) A041122110300 (21mm) A041122510300 (25mm) A041123110300 (31mm) A041122110400 (21mm) A041122510400 (25mm) A041123110400 (31mm) A041122110500 (21mm) A041122510500 (25mm) A041123110500 (31mm)

Preparation and shaping 3.1

Ref: A04

End

Shank

Shape

Clinician Benefits include: 3 NiTi file system

In the majority of cases, only 3 files (S1, S2 and F1) are required to effectively shape a root canal, increasing speed of procedure to reduce chair time and cost. This makes ProTaper Universal a more economical system compared to other systems.

Finishing file 2 (F2)

Efficient
Better debris removal due to multitapered shape and increased apical taper for better canal cleaning.

Finishing file 3 (F3) Finishing file 4 (F4) Finishing file 5 (F5)

Quality
Manufactured by DENTSPLY Maillefer in Switzerland.

ProTaper Universal for Hand Use

Ref: A041

S1

Patient Benefits include: Greater preservation of tooth structure Reduced chair time for patient Lower risk of procedural errors increased success rate and less chance of re-treatments

Introductory Packs and Refills (packs of 6)

Description Size (mm) 19 21 25 31 Reference
A041802190100 (21mm) A041802590100 (25mm) A041803190100 (31mm)

End

Shank

Shape

S2

Assortment (SX, S1, S2, F1, F2 and F3)

F1

Simple and Easy-to-Use

Colour-coded and easy to follow protocol is the same sequence for all canals whether using rotary or hand ProTaper. Matching solutions for obturation are available.

Shaping file X (SX) Shaping file 1 (S1) Shaping file 2 (S2) Finishing file 1 (F1)

A041601900100 (19mm) A041602110100 (21mm) A041602510100 (25mm) A041603110100 (31mm) A041602110200 (21mm) A041602510200 (25mm) A041603110200 (31mm) A041702110100 (21mm) A041702510100 (25mm) A041703110100 (31mm) A041702110200 (21mm) A041702510200 (25mm) A041703110200 (31mm) A041702110300 (21mm) A041702510300 (25mm) A041703110300 (31mm) A041702110400 (21mm) A041702510400 (25mm) A041703110400 (31mm) A041702110500 (21mm) A041702510500 (25mm) A041703110500 (31mm)

Safe
Multi-tapered shape minimises file stress so there is less risk of file separation. Guiding tip with rounded ends, minimising deviations from the canal. ProTaper for Hand Use also available for treatment of severely curved canals or for clinicians who prefer to use hand files to facilitate tactile control. Finishing file 2 (F2) In a clinical study conducted by M.Peru et al, in which ProTaper Universal were used, Inexperienced dental students were able to prepare curved root canals with rotary files with greater preservation of tooth structure, lower risk of procedural errors and much quicker than with hand instruments. Finishing file 5 (F5) Finishing file 4 (F4) Finishing file 3 (F3)

12

13

3.2 Preparation and shaping

Preparation and shaping 3.2

ProTaper Universal Paper and Gutta Percha Points
1. Paper points matching the final finishing files are now available to dry the canal. They are available as colour-coded F1, F2, F3, F4 and F5 they are all highly absorbent.

ProTaper Universal Nickel Titanium Files

by Julian Webber

ProTaper Rotary and Hand Instrumentation Protocol

1. Initial negotiation up to 2/3 canal length by hand using ISO standard files 10 -15 or Senseus Profinder 10, 13, 17 using a viscous chelator such as DENTSPLY Maillefer Glyde (page 8). This establishes the all important Glide Path. 2. Take S1 to 2/3 canal length.

ProTaper rotary nickel titanium were first introduced by DENTSPLY Maillefer in 2000. These very easy to use instruments revolutionised root canal preparation with their innovative multiple taper design features, combining safety and efficiency. In 2003, in an effort to widen the popularity of these instruments to general practitioners and endodontists alike, a hand version was introduced. The hand instruments answered the concerns of torsional and fatigue breakage of the rotary version as well as providing an economical saving as no motor was required. Julian Webber
Julian Webber is the Director of the Harley Street Centre for Endodontics, a state of the art facility dedicated to endodontic excellence. He is widely recognised as an expert on the use of nickel titanium in root canal preparation as well as re-treatment procedures. He is a faculty member of the Pacific Endodontic Research Foundation in San Diego, California where he has perfected and taught all aspects of endodontics under the microscope

2. Gutta points matching the final finishing files and

shape of the prepared canal are available to fill the canal singularly or as a tapered point for warm gutta percha techniques. They are available as colour-coded F1, F2, F3, F4 and F5 Gutta percha should be used in conjunction with an approved sealer for improved obturation. An ideal sealer is AH Plus available from DENTSPLY Maillefer. It is particularly suitable for warm techniques.

3. Take SX to the same point (optional). Gates Glidden

can also be used to increase coronal flare.

4. Confirm canal patency and working length up to ISO

15 hand. Use an electronic apex locater (page 21) to the 00 reading.

5. Take S1 and S2 to working length. 6. Gauge foramen diameter with ISO hand files. 7. Take Finishing file 1 (F1) to working length.

In 2006, DENTSPLY Maillefer launched the ProTaper Universal System with modified design features from the original ProTaper, expanded rotary and hand preparation files, matching paper points, gutta percha points and ThermaFil style obturators for canal filling. A true system-based approach to endodontics. In addition, the requirements for root canal re-treatment have been met with the addition of 3 dedicated files for the removal of failing gutta percha and non resin based paste root fillings. The design, modifications and additions are as follows:

ProTaper Universal Gutta Percha Obturators

of the ProTaper Universal finishing file has been further reduced to improve tactile feel apically and minimise the contact area of the instrument to the apical last 4mm only. F1 finishes the apical preparation with a tip diameter of 0.20mm and a taper of 7%
1. Matching Thermafil style obturators are available in colour-coded sizes F1 to F5. They are coated in a low viscosity alpha phase gutta percha. 2. These obturators are heated in a ThermaPrep oven

8. If required take F2, F3, F4 and F5 to working length after apical gauging.

Conclusions
The exciting innovations and additions to the ProTaper line ensure that quality conventional and re-treatment endodontics is now within the scope of all clinicians.

Rotary and Hand ProTaper Universal

1. Shaping Files

Rotary Files are used with a dedicated motor such as the X-Smart (page 21) at 300 r.p.m and the manufacturers recommended torque settings. The hand files are used in a reciprocal action, clockwise to counter-clockwise through 180 degrees. All files are available in lengths 21mm, 25mm and 31mm. The following radiographs demonstrate the results obtained using ProTaper Universal rotary or hand files.

Shaper 1 (S1) prepares the coronal portion of the canal. The instrument performs its own Crown Down approach establishing a large glide path due to the multiple tapers it exhibits along the cutting portion. This provides passive penetration for the next instrument in the series.

and sealed into the canal with AH Plus sealer.

ProTaper Universal Re-treatment Files

F2 finishes the apical preparation with a tip diameter of 0.25mm and a taper of 8%
1. D1 is the shortest file and first used to remove gutta percha in the coronal portion of the canal. It has a sharp tip (ISO 30) for initial penetration, a taper of 9% to match most coronal taper. They should be used with a dedicated motor such as the X-Smart rotating at between 600-800 r.p.m.

ProTaper Universal Rotary treatment

Fig 1a Fig 1b Fig 1c

Shaper 2 (S2) prepares the middle portion of the canal. This instrument refines the shape in the body of the canal to accommodate the safe placement of the first finisher.

F3 finishes the apical preparation with a tip diameter of 0.30mm and a taper of 9%
2. D2 is the next in the sequence. It is longer than D1,

Sx provides increased coronal flare and is a substitute for traditional Gates Glidden. It is 19mm long and has 9 compacted tapers from D0 D9.

F4 is a new file and finishes the apical preparation in larger canals with a tip diameter of 0.40mm and a taper of 6%

has a rounded tip and so is less aggressive with less chance of canal transportation. It shows a reduced taper of 8% to match mid root taper, a tip size of ISO 25. It too is rotated at 600-800 r.p.m.

Fig 1a: Caries and endodontic infection Fig 1b: Crown and caries removed. 3 canals shaped with ProTaper Rotary. Filled three dimensional GP with Dentsply Calamus Pack and Flow Obturation device. Fig 1c. 1 year recall. Excellent healing

ProTaper Universal Hand treatment

3. D3 is the longest file in the series to remove apical

Shaping instruments S1 and S2 are now available in 21mm, 25mm and 31mm versions.
2. Finishing Files

F5 is a new file and finishes the apical preparation in larger canals with a tip diameter of 0.50mm and a taper of 5%

gutta percha. It has a taper of 6% to match apical taper, a tip size of ISO 20 and also has a rounded tip to prevent canal transportation. It is rotated at 600-800 r.p.m.

Fig 2a

Fig 2b

Fig 2c

ProTaper Universal Finishing files now have less aggressive, rounded tips to avoid apical ledging and transportation. Also, in an effort to increase flexibility the cross-section has been reduced. The coronal taper

All files are available in 21mm, 25mm and 31mm. All Hand ProTaper have softer silicone handles for improved tactile feedback and comfort.

ProTaper Universal Re-treatment files can be used in conjunction with a new solvent DMS IV to aid softening of gutta percha and non resin based pastes.

Fig 2a: Showing long curved roots with infection Fig 2b: Root treatment complete using solely Hand ProTaper Universal Fig 2c: Six months recall. Excellent healing

14

15

3.2 Preparation and shaping

Preparation and shaping 3.2

ProFile O.S.

Crown Down Rotary Preparation - ProFile .06

by Chris Emery
Access Cavity Preparation
1 2 3 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Ref: A0359
19mm

Tip size Pack options Assorted Individual

End .05/20 .06/30 .06/40 .07/05 .08/60 .08/80 x1 x6 x1 x6 x1 x6 x1 x6 x1 x6 x1 x6 15mm

Shank

Shape

Obligatory parallel view radiograph. Complete Access cavity. Clean with wet ultrasonic. Identify canals. DG16 No.10 file DENTSPLY Maillefer Opener.

Chris Emery
BDS, MSc, MRD, MGDS After qualifying at The Royal London Hospital in 1968, plus two years in oral surgery, Chris entered general dental practice, passing the MGDS in 1985. He completed the Masters programme in Endodontics at the Eastman Dental Institute, followed by the MRD in 1997 and now runs a full time specialist endodontic referral practice in Portsmouth. Chris is an Honorary Clinical Teacher at the Eastman International Centre for Excellence in Dentistry and lectures in this country and abroad. He also runs hands-on endodontic courses at his practice.

Preparation of Coronal and Middle Third Profile Orifice Shapers (3 stripes)

1

2 3 4 5 6

Using a No.10 Flexofile scout canal(s) to 2 or 3mm short of the approximate working length of canal from radiographic estimation. Flood access cavity with sodium hypochlrite. ProFile Orifice shapers; Green, Blue, Red, at 300rpm, remember largest first. Irrigate between Orifice shapers. Open up canal to beginning of curve or coronal two thirds using Orifice shapers. Irrigate with sodium hypochlorite and recapitulate with No.10 Flexofile, using reciprocal watch winding motion.

Preparation of Mid Apical Third Profile .06 (2 stripes)

1

Pack options

Negotiate to approximate canal WL with No.10 Flexofile.

Identify Apical Foramen (working length) with Apex locater. Lubricate with Glyde or fill canal with hypochlorite (my preference). ProFile 35, 30 at 300rpm, gentle strokes, clean file every 3 or 4 strokes. Irrigate with sodium hypochlorite and recapitulate with No.10 Flexofile. ProFile 30, 25 - Same. Irrigate with sodium hypochlorite. Recapitulate with No.10 and take No.10 to Patency (WL+1mm). ProFile 25,20 to WL. Irrigate and recapitulate No10, confirm patency with No.10. Final apical preparation with Flexofile No.20 and Hand GT files. Confirm WL with apex locater. 30 second flush with 17% EDTA solution (smear layer removal). Irrigate with sodium hypochlorite, leave in canal during GP cone trial fit radiograph. If the canal is very curved, constricted or complicated, scout canal early on with No.20 Flexofile, work to WL using Balanced Force.

ProFile .06

Ref: A0345
18, 21 and 25mm

Taper .06
Tip size Pack options Assorted Individual 15 x1 x6 20 x1 x6 25 x1 x6 30 x1 x6 35 x1 x6 40 x1 x6 15mm

End

Shank

Shape

ProFile .04

Taper .04
Tip size Assorted Individual 15 x1 20 x1 25 x1 30 x1 35 x1 40 x1 45 x2 x6 x6 x6 x6 x6 x6 x6 60 x2 x6 15mm

18 (15-40), 21, 25 and 31mm

Ref: A011N

End

Shank

Shape

DENTSPLY Maillefer Recommended ProFile Basic Sequence ProFile Intro Pack

Ref: A0363

Pack options

Length (mm)

18

21

25 18, 21, and 25

O.S. 3

O.S. 2

.06/25

ProFile Organiser

Ref: A0362

Pack options

.06/20

1 2

Empty 25mm 135C

K-File 015

.04/25...

.04/20

Apical Preparation

ing Flar

.06/20...

.04/25

ow Cr n Do wn

16

17

3.2 Preparation and shaping

Preparation and shaping 3.3

SystemGT Rotary Files

SystemGT Rotary Technique

Shape

by Simon Cunnington
17, 21 and 25mm 13mm

The Technique
Consistent with all rotary NiTi techniques, mechanical instrumentation of the root canal system can be simplified into three specific stages: Simon Cunnington
BDS, LDS (RCS) Eng Ms (Chic) Diplomat ABE Specialist in Endodontics Simon undertook a Masters degree in Endodontics at Northwestern University Dental School 1983 - 1986. He taught full and then part-time in the Department of Conservative Dentistry, Eastman Dental Hospital until 1994. Simon started an independent limited practice in Endodontics in 1989 and is now full time in a Specialist Endodontic practice. He has given numerous BDA and section 63 lectures over the past twenty years, lectured and published in the UK, Europe and the USA. Simon is an Officer of both the British Endodontic Society and The European Society of Endodontology and was the former member of the Langham Endodontic Study Group. The first UK based Specialist Study Group in Endodontics. His approach is practical and enthusiastic, and provides an excellent opportunity for practitioners to discuss and develop their endodontic techniques in a relaxed but informative environment.

1 Creation of a guide pathway with stainless

steel hand instruments 2 Coronal flaring or opening 3 Crown down rotary preparation. Assuming that the tooth is properly isolated with rubber dam and that appropriate straight line access has been achieved, I like to use an 06 flexofile in the canal attached to an electronic apex locater and stem wind until appropriate working length is achieved. If the process is relatively straightforward you can then proceed with 08, 10, 15 and 20 files, creating a suitable guide pathway for the rotary instruments. If the canal is calcified, do not force the instrument to the apex but endeavour to widen the canal at a passive length with small 2-3mm filing action. Larger files are then introduced at a shorter length to remove further coronal interference. The 06 is then re-introduced and a second attempt made to reach the working length. Then I like to perform the Buchanan Crown Down technique. Starting with 20 series 0.10 and continuing with the 08, then 06 and then 04.

The final instrument size at working length will be dependent on the width of the root canal system, but try and achieve at least 010/08 at working length as these sizes will be easier to obturate. Having finished the first series, gauge the apical portion of the root canal system with hand instruments, this provides you with the information on the exact diameter of the root canal system and whether you need to use the 30/40 series. Place a size 20 Flexofile to length if it is a snug fit then a canal is prepared and ready to obturate. If its loose, replace with a size 25 and check how snug it feels at working length. If the 25 file is loose one can then employ the 30 series SystemGT rotaries in a similar crown down technique. If when gauging the apex you find that both the 35 and 40 Flexofiles readily reach working length, you may then follow the 30 series with the 40 series ensuring the sizes are employed in a Crown Down fashion. Between each file, the canal should be copiously irrigated with sodium hypochlorite to chemically debride and disinfect the root canal system. Recapitulation with a small handfile is essential between stages to prevent blockage of the canal with dentine debris.

Pack options (packs of 6)

File type SystemGT 20 SystemGT 30 SystemGT 40 Accessory 35 Accessory 50 Accessory 70 Size .04 .06 .08 .10 .12 AO420 A0430 A0440 A0435 A0450 A0470 Reference

GT Hand Files
NiTi tapered hand instruments with uniform tip size of 20 but different tapers from 6% to 12%.
Shape

DENTSPLY Maillefer SystemGT Sequence Guide

Pack options

Tip size Assorted (21mm) Assorted (25mm) Individual

.06 x1 x1 x6

.08 x1 x1 x6

.10 x2 x2 x6

.12 x2 x2 x6 21 and 25mm

20 Series: for small canals

30 Series: for medium canals

40 Series: for large canals

SystemGT Rotary Files Assortment Kit

Ref: A0480

Pack of 14.
* *
.10 .08 .06 .04 .10 .08 .06 .04 Tip size .04 x1 x1 x1 .06 x1 x1 x1 .08 x1 x1 x1 .10 x1 x1 x1 x1 x1 .12 17, 21 and 25mm

*
Kit contents .04 .10 .08 .06

20 30 40 50 70

* Recapitulation if necessary. Irrigate and thoroughly dry the canal.

18

19

Endodontic equipment 4
X-Smart
I I

Ref: A100400000033

Simple, flat control panel and LCD screen Advanced handpiece - light and small head that can be adjusted to 6 positions

Compact and portable - operates with or without foot pedal and can be battery operated as well as electrically powered

I I

Three auto-reverse modes 9 adjustable programme selections

See page 23 for an evaluation.

X-Smart Contra-Angle

Ref: A100601600000

Ray-pex 5

Ref: V860145000000

Based upon the proven technology of the 4th generation Ray-pex 4, the Ray-pex 5 presents additional features for optimal length determination during root canal treatments. This reliable and accurate device works with all types of metal instruments and operates in any root canal environment including wet, with blood, pus, pulp and gangrene. The Ray-pex 5 is particularly user and patient friendly. It has a unique ergonomic design, featuring a hinged front panel with a large colour graphic display and back light illumination for clear visualisation of the apical section and the apical constriction. The Raypex 5 is an efficient, compact, accurate apex locater that incorporates the latest mathematical algorithms to calculate the position of the apical constriction within the canal. I would certainly recommend this apex locater.
Dr. Nigel Foot

See page 24 for an evaluation.

Ray-pex 5 Lip Clip (x5) Ray-pex 5 FILE Clip (x2) Ray-pex 5 touch probe Endo 16:1 Contra Angle

Ref: V040141000514 Ref: V040141000515 Ref: V040141000518

Ref: A1006016000000

ThermaPrep Oven

4 Endodontic equipment
20

For details of the ThermaPrep Oven heated obturation system, please see pages 26 27.

21

4 Endodontic equipment

Endodontic equipment 4

ProEndo Discovery Kit II

The Affordable way to Excel in Endodontics
The ProEndo Discovery Kit is back and provides a complete solution for you to start rotary endodontics, from access to obturation at an affordable price. There are 2 kits available. The only difference is that the second kit provides a solution for warm obturation with the inclusion of the colour- coded matching ProTaper Thermafil Obturators and a ThermaPrep Oven.

An evaluation of the X-SmartTM endodontic motor

Dr John Rhodes evaluates the smart endodontic micromotor, designed specifically to drive nickel titanium rotary instruments
The X-Smart endodontic micromotor unit is a small, neat package positively bursting with innovative design excellence and technical wizardry. The control panel fits easily in the palm of the hands yet contains all the elements the clinician would expect from a standard, considerably larger, bench-top motor.

Endo Starter Kit

Item Access SS Files Cavity Access Z Set Senseus Profinder 25mm Ass. 010-017 Senseus Flexofile Ass. 25mm 015-040 C+Files Ass 25mm Ass ProTaper Universal Rotary Ass 25mm with sequencer ProTaper Universal Rotary S1, S2, F1 Refill 21mm (new) ProTaper Universal Rotary S1, S2, F1 Refill 25mm (new) ProTaper Universal For Hand Use Ass 25mm X-Smart with Contra Angle UK X-Smart Contra Angle 16:1 AH Plus Jet Starter Kit ProTaper Universal Paper points Ass. F1-F3 ProTaper Universal Gutta Percha points Ass F1-F3 Radix Fiber Post Trial Kit 0.8 Radix Fiber Post Trial Kit 1.0 ProTaper Universal Re-treatment Files Ass DMS IV Solvent ProTaper Universal DVD UK Mini-Endo Bloc Training Blocks 4 NiTi and Obt Clean Stand Glyde File preparation Intro pack Pack quantity 1 2 2 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1

There is a clear LCD screen that is angled for easy visualisation during preparation. It indicates the

alarm sounds. The operator has three choices of how the motor should react if loading continues: Auto reverse, in which the motor reverses and when the load is removed returns to normal rotation automatically Stop mode, where the file is reversed and, on reduction of load, stops Auto reverse off, where the motor simply stops. Auto reversing is probably the easiest mode to use

Ref: A200220000000

Dr John Rhodes
BDS (Lond) MSc MFGDP (UK) MRD RCS (Ed) Qualified from Kings College London in 1990, where he was awarded the Claudius Ash prize in Conservation and the Jose Souyave Endodontic prize. John is registered on the GDC specialist list in endodontics and now runs an endodontic referral practice in Poole, Dorset. He was a council member for the British Endodontic Society. John lectures widely in the UK, runs many endodontic courses and has published textbooks and research papers in several refereed journals. He also contributes to postgraduate endodontic teaching at Guys Hospital for MSc and MClin Dent students.

various settings that have been chosen by the operator: speed, torque, gearing, direction of rotation, program (nine in total), auto reverse setting and gives a realtime read out of the load being applied to the instrument in the form of a graduated bar. There are also battery charge and audible warning indicators. The handpiece is extremely light and has a removable head that can be sterilised using standard cross-infection protocols. There is a small button that, when depressed quickly, starts the motor rotating, another press and it stops. Alternatively, the operator can press and hold the switch for the duration of operation. Since rotary files should be rotating before being inserted into the canal, it is probably easiest to choose the former. The ability to set the handpiece head at six different angles through 360 makes it easier for the clinician to position the on-off switch within

NiTi Files

Motor

Obturation

and with experience gives the clinician added confidence during preparation. The X-Smart is simple to use, and after a short time practicing on extracted teeth the operator should have gained sufficient confidence to use it on clinical cases. The motor can be programmed for any of the current file-based nickel titanium rotary systems, and torque settings and speed adjusted to suit. The X-Smart should make the process of mechanical preparation more predictable and enjoyable, providing stress-free endodontics.
Fig 1 Fig 2

Posts Retreatment

Accessories

Endo Starter Kit with ThermaPrep Oven and ProTaper Universal Thermafil Obturators
Item Access SS Files Cavity Access Z Set Senseus Profinder 25mm Ass. 010-017 Senseus Flexofile Ass. 25mm 015-040 C+Files Ass 25mm Ass ProTaper Universal Rotary Ass 25mm with sequencer ProTaper Universal Rotary S1, S2, F1 Refill 21mm ProTaper Universal Rotary S1, S2, F1 Refill 25mm ProTaper Universal For Hand Use Ass 25mm X-Smart with Contra Angle UK X-Smart Contra Angle 16:1 AH Plus Jet Starter Kit ProTaper Universal Paper points Ass. F1-F3 ThermaPrep Oven UK ProTaper Universal Obturators F1 6/BOX ProTaper Universal Obturators F2 6/BOX ProTaper Universal Obturators F3 6/BOX Therma-Cut Burs FG 25mm Ass. Radix Fiber Post Trial Kit 0.8 Radix Fiber Post Trial Kit 1.0 ProTaper Universal Retreatment Files Ass DMS IV Solvent ProTaper Universal DVD UK Mini-Endo Bloc Training Blocks 4 NiTi and Obt Clean Stand Glyde File preparation Intro pack Quantity in kit 1 2 2 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Ref: A200210000000

reach, depending on the tooth that is being treated. The X-Smart is available with a foot pedal but within a few minutes practice you do not miss it, indeed it can be quite nice not to have an array of pedals at ones feet while operating. The head of the handpiece is small and the files can be inserted into the mini chuck simply to engage the latch mechanism. The instrument

NiTi Files

Motor

Fig 3

Fig 4

can be removed by depressing a push-button on the rear. One of the advantages of using an electric motor to drive nickel titanium files is that torque control can be used, therefore reducing the risk of instrument separation. The torque settings on the X-Smart can be preset, and when the motor senses that 50% load has been reached an alarm sounds, when approaching the torque limit another
Fig 1: The XSmart unit fits neatly into the palm of the hands Fig 2: The push button activates the motor Fig 3: There are six positions for the head Fig 4: The chuck is small for use in confined space such as posterior teeth

Obturation

Posts Retreatment

Accessories

22

23

4 Endodontic equipment

The Ray-pex 5 apex locater

In the following article, Nigel Foot describes the use of the Ray-pex 5 apex locater
The Ray-pex 5 by Dentsply VDW is the latest version of the successful Ray-pex line of apex locators. It is characteristically compact and has a small footprint on the bracket table or surgery work surface (see Figure 1). It is a 4th generation apex locater that has a new mathematical algorithm that allows the unit to determine the position of the major apical constriction in the root canal. In clinical practice, this facility appears to work well and is a very useful additional piece of information that the apex locater can provide.

Nigel Foot
Nigel Foot qualified from Newcastle University in 1979. After two years in hospital oral surgery, he entered general dental practice where he developed an interest in endodontics and gained his MSc. Nigel has had a practice limited to endodontics since 1995. In 1996, he gained the Membership in Restorative Dentistry (Endodontics), at the Royal College of Surgeons, London and Glasgow, and was admitted to the Endodontic Specialist Register in 1999. He has taught at both undergraduate and postgraduate levels and is currently a part-time teacher at the Eastman Continuing Professional Development Centre.

The Ray-pex 5 comes with two types of electrode for connecting to endodontic files: the clip-type electrode for areas where access is straightforward and the probe-type where access is difficult or a limited amount of file shaft is available for connection (see Figure 2). As with all modern apex locators, the unit will work in canals containing all types of fluid. However, it is advisable to have canals moist rather than flooded with sodium hypochlorite, so as to avoid wild fluctuations in readings. Furthermore, the unit is most accurate when the size of the test file in the canal approximates the diameter of the apical foramen. I have found the following protocol useful when measuring working length. Carefully determine the length at which the test file touches the periodontal ligament (true working length). A note should be made in the patients clinical record of this length. The test file is then carefully withdrawn until the display indicates the file tip is at the major constriction of the root canal. A separate note can be made of this length on the patients record. During instrumentation of the root canal, recapitulation files should be set to the true working length (or 0.5mm longer, if preferred). With all rotary instrumentation, the working length should not exceed the position of the apical constriction. This way, the preservation of the natural resistance form of the root canal is maintained and extrusion of root canal filling materials minimised. An example is shown in the treatment of tooth 37 (see Figure 3). Measurements were made of the true working length of the root canals and the length at which the apical constriction was detected. No rotary

instrumentation was taken beyond the length of the apical constriction. The tooth was prepared using ProTaper rotary files to a size F2 in the mesial root canals and F3 in the distal root canal. ProTaper gutta percha cones were tried in to check they fitted to the correct length of the root canals as measured to the apical constriction (Figure 4). The tooth was then root filled (Figure 5). Note the minimal amounts of extruded sealer. The Ray-pex 5 is an efficient, compact and accurate apex locater that incorporates the latest mathematical algorithms to calculate the position of the apical constriction within the canal, which is a useful feature in clinical practice. It is a great new unit that I would definitely recommend.

Fig 1

Fig 2

Fig 3

Fig 4

Fig 5

Fig Fig Fig Fig

The new Ray-pex 5 in clinical use Probe electrode in use Treatment of tooth 37 Gutta percha cones fitted to the length of the apical constriction Fig 5: Final post obturation radiograph

1: 2: 3: 4:

5 Obturation
25

24

5 Obturation
ProTaper Thermafil

Obturation 5
Ref: A1411000
25mm Shape

Thermafil A reliable and cost-effective solution to obturation

Benefiting from the support of over 200 clinical articles, Thermafil is one of the most reliable and cost-effective filling techniques available on the market today.

Description ProTaper Thermafil Obturator F1 ProTaper Thermafil Obturator F2 ProTaper Thermafil Obturator F3 ProTaper Thermafil Obturator F4

Contents 6 20 6 20 6 20 6 20 6 20 A141100010100 A141100011100 A141100010200 A141100011200 A141100010300 A141100011300 A141100010400 A141100011400 A141100010500 A141100011500

Reference

In a single insertion, Thermafil achieves a three-dimensional filling of root canals in less than half the time of other techniques, allowing you to save time, whilst providing excellent treatment to your patients. ProTaper Thermafil Obturator F5

Thermafil

Ref: AO166
25mm

Thermoplastic endodontic obturators available in ISO sizes.

Tip size ISO Pack options 020 025 030 035 040 045 050 055 060 070 080 090 100 110 120 130 140

Shape

Individual x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6 x6

Description

Contents

Reference

Thermafil Assorted Posterior Kit

20 x ISO 020-040

AO167

Benefits:
Thermafil has been shown to give excellent apical sealing of root canals including the lateral and accessory canals. Research has shown that 99% of root canals have accessory canals. Fully biocompatible and radio-opaque Quick and easy to use, with a short learning curve Thermafil is an easy, reliable and efficient technique, which allows Cost-effective due to time saved compared with cold lateral condensation techniques Thermafil has achieved more rapid and wide acceptance than any new Matching Thermafil Obturators for ProTaper Universal and SystemGT files, providing a fast and effective solution for three-dimensional obturation of canals prepared with these systems. endodontic technique in decades. For difficult curved canals and other peculiar endodontic situations performed by general practitioners, this concept provides better patient service than traditional endodontic treatment, Christensen G, 1993. practitioners to obtain three-dimensional root canal fillings with warm gutta percha in a minimum amount of time. Becker & Donnelly, 1997.

Thermafil Assorted Anterior Kit

20 x ISO 045-100

A0168

ThermaPrep Plus Oven Kit

Ref: A176A22000233

220v
Kit contents 1 x ThermaPrep Oven 1 x Verifier 20-45 Pack 1 x Thermafil Posterior Kit

26

27

5 Obturation
Thermafil Verifier

Obturation 5
Ref: AO175
25mm

AH Plus root canal sealer

James Aquilina reviews AH Plus
AH Plus is an epoxide-amine resin pulp canal sealer, developed from its predecessor AH 26, with improved properties. Its shade and colour stability now make AH Plus an ideal choice where aesthetic demands are

Tip size Pack options Assorted (20-45) Assorted (59-90) Individual

20 x1

25 x1

30 x1

35 x1

40 x1

45 x1

50

55

60

70

80

90

Shape

x1 x6 x6 x6 x6c x1 x1 x1

x1 x1

x1 x1

x1 x1

x1 x1

x1 x1

Therma-Cut
To remove exposed Thermafil carrier from tooth. Recommended Rotation Speed: 300,000 rpm
Bur size ISO Pack options 010 012 014 016

Ref: AO050

high and discolouration is unacceptable (for example when dealing with teeth in the labial segments).

Shape 25mm

Assorted (010-016) x1 x2 x2 x1

James Aquilina BDS MSc (Endodontics)

James Aquilina qualified from Guys Hospital in 1992, where he undertook House Officer postings first in Childrens Dentistry and then in Oral Surgery. James completed a part-time MSc in Endodontics at Guys Hospital in 1999. Since completing his Masters degree, his practice has solely been limited to endodontics. He held a part-time position at Guys supervising undergraduates and postgraduates, as well as having his own clinical sessions. James also organises and supervises courses in endodontics aimed at general dental practitioners, and is a council member of the British Endodontic Society.

Post Space Bur

To remove section of Thermafil and carrier from canal for post preparation. Recommended Rotation Speed: 200,000-350,000 rpm
25mm Bur size ISO Pack options 007 005

Ref: AO051

Shape

A 13-year-old boy was referred for root canal therapy of his upper right central incisor. The patient had previously traumatised the tooth, resulting in a class two coronal fracture. His general dental practitioner subsequently restored the tooth by using a pinned composite restoration. The incisor started to become uncomfortable when biting and on examination the tooth failed to respond to electrical stimulation. Radiographic examination showed a widening of the periodontal ligament space (Figure 1). A diagnosis of chronic apical periodontitis was made. Root canal therapy was performed over two appointments. All treatment was carried out with rubber dam isolation. The canal was prepared using a combination of ProTaper and System GT rotary instrumentation, and copious irrigation with sodium hypochlorite. The canal was dried with paper points and a gutta percha master point fitted. The apical position was confirmed by taking a cone fit radiograph. AH Plus is quickly and cleanly mixed by the nurse or alternatively, is available in its new JET form a double-barrel mixing syringe which has an auto-mixing tip. This reduces the wasteful mixing of excess material. As soon as a uniform colour has been achieved, the material is ready to use and has a perfect working consistency. AH Plus is thick enough to lightly butter the master point, yet flows well enough to coat the prepared canal walls easily. It is slightly thixotropic and will therefore flow better under pressure. The canal was obturated using vertically compacted gutta percha and AH Plus sealer. AH Plus is very well suited for warm compaction techniques, as it is heat tolerant and the setting reaction is not adversely speeded up during thermoplastic obturation. In fact, the mixed material has a four-hour working time, with a five-hour gelling time and an eight-hour setting time. This allows the sealer to be mixed in advance of when it is needed, utilising time that would otherwise be wasted, for example, while waiting for radiographs to be developed.

The small filler size and film thickness, combined with the flow characteristics of AH Plus, allow for good adaptation to the entire root canal system. As the material has good dimensional stability, low solubility and adheres to dentin, it is possible to produce an excellent seal. AH Plus is extremely radiopaque and therefore penetration of the material into any accessory anatomy is clearly visible on radiographs, even when there is a thin film thickness. In the example shown, two lateral canals on the mesial wall in the apical third of the root can clearly be seen (Figure 2). This puts the sealer in direct contact with the periapical tissues, but cured AH Plus is well tolerated and, at most, only a transient inflammatory response will occur directly after the application of the material. Having said this, AH Plus should not be used in patients who are allergic to epoxy resins or amines. To summarise, AH Plus is an excellent sealer with properties that allow it to be used in a variety of obturation techniques.

Individual x6 x6

AH PlusTM - Root Canal Sealer

To be used with hot or cold technique. AH Plus achieves a tight seal due to its self-adhesive properties and dimensional stability. It is biocompatible and exhibits moderate anti-microbial properties and therefore has the potential to significantly reduce the germ load in the canal. It is extremely radio-opaque so it is clearly visible on radiographs. AH Plus is the ideal sealer choice for use with ProTaper Themafil obturators as the setting reaction is not adversely affected by thermoplastic obturation.
Contents 1 x Tube of paste A, 4 ml 1 x Tube of paste B, 4 ml 1 x Mixing Pad

Ref: 60620110

Fig 1

Fig 2

AH Plus JetTM
AH Plus in its new Jet form allows for quick and direct dispensing of this sealer with optimal consistency.
1 x AH Plus Jet Mixing Syringe, 15 g Starter Kit contents 20 x Mixing Tips 20 x Intra Oral Tips 1 x Mixing Pad 1 x Illustrated Technique Guide 1 x Organiser Tray

Ref: 60620115

AH Plus JetTM Refill

2 x AH Plus Jet Mixing Syringe, 15 g

Ref: 60620118

Fig 1: Preoperative view of UR1 showing widening of periodontal ligament space Fig 2: Postoperative radiograph showing two lateral canals

AH Plus Jet Tips Refill

40 x Mixing Tips with Intra Oral Tip 28

Ref: 60620116

29

5 Obturation
ProTaper Universal Gutta Percha Points

Obturation 5
Ref: A022X

Gutta Percha Points Auxiliary

Type Pack options Assorted XXF XF x40 F x40 M x30 L x10 x60 30mm

Ref: A022F

ProTaper Universal Gutta Percha Points match the shape of the ProTaper Universal Finishing Files and are colour-coded for easy identification. Available in sizes F1, F2, F3, F4 and F5 and two assortment packs. 60 ProTaper Universal Gutta Percha points per pack. The advanced ProTaper Universal Gutta Percha Points have been specifically designed for both cold and warm obturation techniques.
Type No. Pack options F1 x20 Assorted x30 Individual x60 x60 x60 x60 x30 x60 F2 x20 F3 x20 F4 F5 29mm

Individual x120 x120 x120 x120

Type Pack options Assorted

A x30

B x30

C x30

D x30 30mm

Ref: A022L

Individual x120 x120 x120 x120

Gutta Percha Points Gauge

Contains 1 unit Tol. L: +/- 0.25 : +/- 0.02

Ref: AO186

180C

ProTaper Universal Paper Points

Ref: AO22W

ProTaper Universal Paper Points match the shape of ProTaper Universal Finishing files and are colour-coded for easy identification. Available in sizes F1, F2, F3, F4 and F5 and two assortment packs. 180 ProTaper Universal Paper Points per pack. The ProTaper Universal Paper Points have a wider taper design so that less are required to dry a canal, making them more cost effective.
Type No. Pack options F1 x60 Assorted x90 x90 F2 x60 F3 x60 F4 F5

29mm

Paper Points Sterile

27mm Type (ISO) Pack options 010 015 020 025 030 035 040 045 050 055 060 070 080 090 100 110 140 x20 x20 x20 x20 x20 x20 Assorted x20 x20 x20 x20 x20 x20 x20 Individual x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180

Ref: AO22T

ISO Colour Coded

Individual x180 x180 x180 x180 x180

Gutta Percha Points .02, .04 and .06

Type No. Type No. (ISO) (ISO) x20 x20 x20 x20 x20 x20 .02 (length 29mm) Pack options Assorted

29 and 30mm

Paper Points .02, .04 and .06

Type No. Type No. (ISO) (ISO)

27mm

010 015 020 025 030 035 040 045 050 055 060 070 080 090 100 110 120 130 140

010 015 020 025 030 035 040 045 050 055 060 070 080 090 100 110 120 130 140 x30 x30 x30 x30 x30 x30

Ref: A022C
x20 x20 x20 x20 x20 x20 x20 x20 x20 x20 x20 x20 .02 (length 29mm) Pack options Assorted

Ref: AO22R
x30 x30 x30 x30 x30 x30 x30 x30 x30 x30 x30 x30

ISO Colour Coded

Individual x120 x120 x120 x120 x120 x120 x120 x120 x120 x120 x120 x120 x120 x60 x60 x60 x60 x60 x60 x20 x20 x20 x20 x20 x20 Assorted x40 Individual x120 x120 x120 x120 x120 x120 x120 x20 x20 x20 x20 x20 x20 x120 x120 x120 x120 x120 x120 ISO colour coded x40 x120 x60 x120 ISO colour coded

Individual x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x180 x90 x90 x90 x90 x90 x90 x90 x30 x30 x30 x30 x30 x30 Assorted x60 Individual x180 x180 x180 x180 x180 x180 x180 x30 x30 x30 x30 x30 x30 x60 x180 x60 x180

Ref: A022M
.04 (length 30mm)

Ref: AO22J
ISO Colour Coded

.04 (length 30mm)

.06 (length 30mm)

Assorted Individual

Ref: A022N

.06 (length 30mm)

Assorted Individual

ISO Colour Coded

x180 x180 x180 x180 x180 x180

Ref: AO22K

30

31

5 Obturation
Finger Spreader Pointed
Ref: AO206

Obturation 5
Gutta-Percha Plugger
Ref: A280S

Shape

Handle

21 or 25mm Type Pack options Assorted Individual 010 x1 x4 020 x1 x4 030 x1 x4 040 Pack options x1 x4

Type No. 3/1 Assorted Individual x1 x2 No. 3/2 x1 x2

Tapered Finger Spreaders

Ref: A0182

Lentulo
Shape

Ref: A0022

Sprial filler. Used to apply sealant into root canal. Recommended Rotation Speed: 300-600 min-1
Length Tip size (S) Pack options Individual 17mm 1 x4 2 x4 3 x4 4 Pack options x4 Length Tip size (L) Assorted Individual 21mm 1 x1 x4 2 x1 x4 3 x1 x4 4 x1 x4 Pack options Length Tip size (XL) Assorted Individual 25mm 1 x1 x4 2 x1 x4 3 x1 x4 4 x1 x4

Shape

Type Pack options

21 or 25mm

A
Assorted Individual x1 x4

B
x1 x4

C
x1 x4

D
x1 x4

Finger Plugger

Ref: AO204
Dr Machtou
Type No. mm Pack options Assorted Individual

Heat-Carrier Plugger
1/1 0.5 x1 x4 1/2 0.6 x1 x4 1/3 0.8 x1 x4 1/4 1.0 x1 x4

Ref: A281S

Handle

1 Type (mm) Pack options Assorted (1-4) Assorted (5-8) 0.7 x1

2 0.8 x1

3 0.9 x1

4 1.0 x1

5 1.1

6 1.2

7 1.3

8 1.4

21mm

x1 x4 x4 x4 x4

x1 x4

x1 x4

x1 x4

Individual x4

Dr Machtou

Plugger
0.6mm 1.0mm

Ref: A289S

Gutta Condenser
A reverse action Hedstroem for compacting gutta percha. Recommended Rotation Speed: 8000 min
-1

Ref: AO242
Type 0.5mm 21 or 25mm Pack options No. 1/2 x4 0.8mm No. 3/4 x4 0.4mm No. 0 x4

Handle

Individual

Type (ISO) Pack options *A0244 assorted Individual

025 x20 x4

030 x20 x4

035 x20 x4

040 x20 x4

045 x20 x4

050 x20 x4

055 x20 x4

060 x20 x4

070 x20 x4

080 x20 x4

Spreader A
Tip size (ISO) Pack options Assorted Individual x4 025 030 x1 x4 040 x1 x4 050 x1 x4 050 x1 x4

Ref: A0198

Handle

*Includes 1 x Gutta-Percha Points Gauge

32

33

Re-treatment and repair 6

ProTaper Universal Re-Treatment Files
These have been specifically designed to remove obturation material from the root canal including GP and Thermafil. D1 has a cutting tip to facilitate initial penetration into the filling material. D2 and D3 both have non-cutting tips and are used to remove material from the mid and apical thirds, respectively.
Type Pack options Assorted Individual D1 x2 x6 D2 x2 x6 D3 x2 x6

Ref: A141

D1 Coronal filling removal D2 Middle filling removal D3 Apical filling removal

DMS IV Solvent
DMS IV softens eugenol-based root canal paste fillings to aid their removal from the canal. The solvent can be used for either immediate or postponed removal, depending on the clinical case being treated.

Ref: A090600000000

ProRootTM MTA Delivery Gun

Used in conjunction with ProRoot MTA to deliver effective and excellent results.

Ref: A039500000000

180C

Tip 0.9mm (bent) Tip 1.1mm (bent) Tip 1.1mm (straight)

Ref: A039700000100 Ref: A039700000200 Ref: A039700000300

ProRootTM MTA
A superior root repair material with: Water-based chemistry, allowing normal setting in the presence of moisture. Resistance to marginal leakage and reduction of bacterial migration. Normal healing response without inflammation. Easy clinical manipulation. Tooth coloured formula. Biocompatibility. 5 x 1 gr. MTA 2 x 1 gr. MTA

Ref: A040500000100 Ref: A040500000200

IRSTM
Instrument Removal System. Aids removal of broken files and obstructions within the root canal.

Ref: A100014090000

180C

6 Re-treatment and repair

34

Refill 0.8mm Refill 1.0mm

Ref: A100014000800 Ref: A100014001000

35

Ultrasonics 7

CavitronTM Technology
PEC Endosonic Inserts and Files
The PEC insert allows easy conversion from scaling to endodontic work for use with the Cavitron unit. The Cavi-endo files which fit into the insert are used for the effective debridement of root canals, facilitating excellent apical cleansing. It is also useful in the re-treatment of root canals to aid in removal of separated endodontic instruments and sealer or for the removal of posts and the cement from the canal walls.
P.E.C inserts available for Cavitron Units Ref Units 015 77668 7760242 25KHZ 30KHZ x6 x6 Cavi-Endo Files available in the following sizes: Ref Size Length 669501 669502 669503 015 020 025 31mm

29mm 27mm

Piezo Technology (Satelec and EMS)

Endosonore Files
Ideal to aid the irrigation of root canals.
Type (ISO) 27mm/31mm 010 Pack options Individual x12 Assorted x2 015 x12 x2 020 x12 x2

Ref: A012U
025 x12 x2 030 x12 x2 035 x12 x2

Non-surgical Root Canal Treatment ProUltra Endo Tip Applications

Disassembling restoratives Description Tip number 1-2 2-3 2-3 2-3 1-2 1-2 3-8 3-8 4-8

In general, ProUltra Endo instruments 3-5 and 6-8 have progressively longer lengths and smaller diameters to afford procedural access and safety when working in the coronal middle and apical one-thirds of the roots.

Removing pulp stones Locating calcified, aberrant or missed canals Troughing fins and isthmuses for orifices Eliminating pulp chamber cores: amalgams, composites and cements Eliminating posts Removing obturation materials Removing broken instruments Vibrating ProRoot MTA into root defects

Surgical Root Canal Treatment ProUltra Surgical Tip General Guidelines

The ProUltra surgical instrument selected is dependent on the required surgical access, the radicular anatomy and the procedure being performed.
Description Universal instrumental with a single 80 angle intended for more narrow canals of anterior teeth Universal instrumental with a single 80 angle intended for wider canals of anterior teeth (larger diameter the ProUltra SURG 1) This instrument has a double 75 angle and is typically used for preparing the roots of mandibular left (dial III) and the buccal roots of maxillary right posterior teeth (dial I) This instrument has a double 110 angle and is used for preparing the more lingual roots of mandibular left (dial III) and maxillary right posterior teeth (dial I) Tip number 1-2 2-3 2-3 2-3 1-2 1-2

7 Ultrasonics
36

This instrument has a double 75 angle and is typically used for preparing the roots of mandibular right (dial IV) and the buccal roots of maxillary right posterior teeth (dial II) This instrument has a double 110 angle and is used for preparing the more lingual roots of mandibular right (dial IV) and maxillary right posterior teeth (dial II)

37

7 Ultrasonics
ProUltra Endo Tips
Tip 1 Tip 2 Tip 3 Tip 4 Tip 5 Tip 6 Tip 7 Tip 8

Contents (1 tip)

M3x0.5 EMS Ref: A0630-1

M3x0.5 EMS Ref: A0630-2

M3x0.5 EMS Ref: A0630-3

M3x0.5 EMS Ref: A0630-4

M3x0.5 EMS Ref: A0630-5

M3x0.5 EMS Ref: A0631-6

M3x0.5 EMS Ref: A0631-7

M3x0.5 EMS Ref: A0631-8

M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec Ref: A0620-1 Ref: A0620-2 Ref: A0620-3 Ref: A0620-4 Ref: A0620-5 Ref: A0621-6 Ref: A0621-7 Ref: A0621-8

Tips Pack (1 - 5)
Contents (5 tips) M3x0.5 EMS Ref: A0630-1 to 5

Tips Pack (6 - 8)
Contents (3 tips) M3x0.5 EMS Ref: A0631-6 to 8

M3x0.6 Satelec Ref: A0620-1 to 5

M3x0.6 Satelec Ref: A0621-6 to 8

ProUltra Surgical Tips

Tip 1 Tip 2 Tip 3 Tip 4 Tip 5 Tip 6

Contents (1 tip)

M3x0.5 EMS Ref: A0650-1

M3x0.5 EMS Ref: A0650-2

M3x0.5 EMS Ref: A0650-3

M3x0.5 EMS Ref: A0650-4

M3x0.5 EMS Ref: A0650-5

M3x0.5 EMS Ref: A0651-6

M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec M3x0.6 Satelec Ref: A0640-1 Ref: A0640-2 Ref: A0640-3 Ref: A0640-4 Ref: A0640-5 Ref: A0641-6

Tips Pack (1 - 6)
Contents (6 tips) M3x0.5 EMS Ref: A0650-1 to 6

M3x0.6 Satelec Ref: A0640-1 to 6

ProUltra Spanner
Contains 1 spanner. All packs contain 1 spanner.

Ref: A0619

8 Restoration
39

38

8 Restoration

Restoration 8
Radix Fiber Post Trial Kits Post
1 Use Largo Peeso Reamer to remove root canal filling material. Prepare canal with Radix Fiber Post Precision Drill.

Radix Fiber Posts

Radix Fiber Posts are a complete range of translucent glass fibre posts that are indicated for use as reinforcement for the reconstruction of anterior and posterior teeth.

Ref: C06140

Available in sizes 0.8 and 1.0 Each kit contains 2 posts, 2 precision drills and 1 Largo

Aesthetically ideal
Their translucency makes them especially suited for the reconstruction of anterior teeth, where aesthetic considerations are paramount, and they are ideal for use with curing lights, ensuring a rapid and controlled clinical technique.

Radix Fiber Post Basic Kits

3 4 Check fit of Radix Fiber Post. Reduce Radix Fiber post to adequate length and clean with alcohol.

Ref: C06140

Outstanding strength
They have a unique dual taper endo design with a conical region for load transfer, and cylindrical region for retention in the tooth. The taper of the conical region corresponds to that typically found in root canals, minimising the removal of dentine and resulting in increased tooth strength.

Available in sizes 0.8, 1.0 and 1.3 Each kit contains 24 posts, 2 precision drills and 1 Largo

Minimises the risk of tooth fractures

Manufactured with a unique process that pre-stresses the fibres, which leads to optimal mechanical properties. The high density of the unit-directional glass fibres provides excellent strength and flexibility for a restoration that mimics the stress distributions of healthy teeth, thereby preventing fissures or fractures.
5 Etch dentine with DeTrey Conditioner 36. Remove acid gel and rinse.

Radix Fiber Post Refills

Each blister pack contains 10 posts Available in 6 sizes

Ref: C061300

Other benefits
Fast, on-command cementation Biocompatible Radio opaque for easy localisation on x-rays facilitating follow ups and simplifying diagnostics Colour-coded to match the precision drills for ease of use Compatible with all resin-based adhesive primers, bonding cements and core build-up materials. The micro-structured sura face of the radix fibre posts ensures an optimal bond between the post and the cement, minimising risk of post decementation or dislocation Easy to extract.
8

Remove surplus water with paper points and/or air. Do not desiccate. Apply XP BOND/SCA into canal.

Leave XP BOND/SCA undisturbed.

Precision Drills
Sizes 1-6 individually (box of 3)

Ref: C060100

10 Remove surplus of XP BOND/SCA with paper points. Evaporate solvent by blowing gently with air.

11 Mix Calibra Base and Catalyst paste. Apply Calibra into canal. 12 Seat Radix Fiber Post. Clean up excess.

Composition and Geometrics

Composition
Zirconium-Enriched Glass Fibres Epoxy Resin Matrix 60% 40%

Radix Fiber Post Tip diameter [mm] Head diameter [mm]

No. 1 0.8 1.35

No. 2 0.8 1.47

No. 3 1.0 1.67

No. 4 1.0 1.83

No. 5 1.3 2.04

No. 6 1.3 2.22

13 Light-cure accessible area.

14 Rebuild core with core-build-up composite, eg CoreXTM. 23

Preparation of post Recommended Consumables

Etching Priming Cementing Core Build-Up DeTrey Conditioner 36% XP Bond, Prime & Bond NT with SCA Calibra Core.X or QuiXfil B A Wet the whole Radix Fiber Post with XP BOND/SCA. Air dry XP BOND/SCA by blowing gently with air.

Largo Peeso Reamers

Sizes 1-6 individually (box of 6) or in assortment packs 1-6 (box of 6 with one of each). Length 28mm

Ref: A000923

Recommended Use Use laminated sheet protocol card.

2 3

Light-cure XP BOND: 550 mW/cm2 = 20 sec, 800 mW/cm2 = 10 sec. Please follow manufacturers directions. Light-cure CoreXTM: In 2 mm increments 500 mW/cm2 = 10 sec. In 3 mm increments 500 mW/cm2 = 30 sec, 800 mW/cm2 = 20 sec.

Sizes 1-6 individually (box of 6) or in assortment packs 1-6 (box of 6 with one of each). Length 32mm

Ref: A00092

40

41

8 Restoration

Adhesive Cementation of Post with DENTSPLY materials

Etch with DeTrey Conditioner 36 etch gel
DeTrey Conditioner 36 2 x 3ml and Disposable Tips 25

Ref: 60615208

Bond with XP BONDTM and Self cure activator (SCA)

Universal Kit with: 5ml XP Bond + Self Cure Activator FREE, Applicator Tips, 1 x CliXdish, DFU Universal, total etch dental adhesive with new solvent, for both direct restorations and in combination with Self Cure Activator for indirect restorations. New t-butanol solvent increases resin content and adhesive layer thickness, facilitating a long working time and allows a high degree of technique tolerance High bond strengths to both dentine and enamel (use of PENTA and TCB as adhesion promoters). 100% seal of dentine Long lasting, durable restoration.

Ref: 60667410

Cement with CalibraTM

Calibra Try-in Kit with 5 Try-In Paste Syringes 1.8g Light, Medium, Dark, Translucent. Opaque All purpose luting cement that is self-cured or light cured with coefficient of expansion similar to that of tooth structure Does not need to be stored in the refrigerator Long lasting shade stability for aesthetic restorations Available in 5 shades, including a translucent shade Thixotropic for easy placement Long lasting strength due to superior mechanical properties High depth of cure and low solubility Ultra-low film thickness of 19m for an excellent fit

Ref: 607058

Core build-up with Core XTM

Core.X Compule Refill 20 x 0.275g Light cured composite material for core build up of anterior and posterior teeth As it is light cured, it saves time and the material is compatible with existing bis-acryl materials One universal white opaque shade to mask the post, making it aesthetic and lowering inventory levels High compressive and flexural strength Radiopaque for detection on x-rays Low water solubility, making it durable Curing time is 10 seconds with 2mm increments or 20 seconds with 3mm increments with the SmartLite PS curing light.

Ref: 60667300

9 Accessories
43

42

9 Accessories
Mini-Endo-Bloc
Convenient plastic device for setting a precise working length.
180C

Accessories 9
Ref: A032700000000

Endo-Stand
Contains 1 unit. Length Width Depth 104mm 54mm 51.5mm

Ref: A265P00000000

180C

Contains 1 unit

Endo-Container Complete Twin Bloc

Ref: A033800000100
For Paper Points and Gutta-Percha Points.

Ref: A020700000000

130C 180C

Contains 1 unit.

Ref: A207T
Contains 10 units

Endo M Block

Ref: A018400000000
Dr. J Pheulpin

180C

Endometer

Ref: A017800000000

A portable device for setting working length. Contains 1 unit

Ref: A0179

Clean Stand
Contains 1 unit

Ref: A268P00000000

Endo Training Blocks

0.15 - 0.35 taper .02 Contains 8 units

Ref: A017700000200

180C

Endo-Training Bloc S-Shape

Contains 12 units

Ref: A177S00000000

Sponges for Clean Stand

Contains 25 sponges

Ref: A268S00000000

135C

Max-I-Probe
Irrigation probe with side port opening. Suitable in root canal or periodontal treatment.
Probe 21G 23G 25G 30G Ref MAXP214 MAXP234 MAXP254 MAXP304 Pack options (x40)

Ref: MAXP

Dr. P Guldener

Ref: A019700000100

Silicone-Stops Dispenser
Contains 200 units
180C

X-TipTM
Intraosseous anaesthia system making it easier to anaesthesia completely and confidently. Its guide sleeve allows easy and quick re-injections.
Pack Starter Kit Refills Contents 10 x Tips, 10 x Needles 50 x Tips, 50 x Needles Ref A081000000200 A081100000200

Ref: A081

180C

44

45

Sterilisation guidelines for DENTSPLY Maillefer products only

GB
Foreword
For hygiene and sanitary safety purposes, all instruments not marked sterile must be cleaned, disinfected and sterilised before each usage to prevent any contamination according to EN ISO 17664. This concerns the first use as well as the subsequent ones.

Sterilisation guidelines for DENTSPLY Maillefer products only

A. Devices
Operation Operating mode Warning Follow instructions and observe concentrations and immersion time given by the manufacturer (an excessive concentration may cause corrosion or others defects on instruments) The disinfectant solution should be aldehyde free (to avoid blood impurities fixation) Do not use disinfectant solution containing Phenol or any products which are not compatible with the instruments (See general recommendation) For visible impurities are observed on instruments a pre-cleaning is recommended by brushing them manually with soft material. Discard any instruments with large obvious defects (broken, bent) Avoid any contact between instruments or posts when placing in the thermodisinfector Follow instructions and observe concentrations given by the manufacturer (see also general recommendation). The thermodisinfector is not recommended for instruments made of aluminium, tungsten carbide or carbon steel In case of chemical disinfection, there is a danger of remnants of the disinfectant on the instruments Sufficient rinsing step should be available in the program. Use purified water for rinsing (max 10 germs/ml and max 0.25 endotoxin units/ml) like Aqua Purificata Use filtered air for drying the instruments or posts Use only approved thermodisinfector according to EN ISO 15883, maintain and calibrate it regularly If possible, an automated procedure is preferred No visible impurities should be observed on the instruments Discard any instruments with large obvious defects (broken, bent, and twisted) Avoid any contact between instruments or posts when placing in the solution, use kits, supports or container Follow instructions and observe concentrations and time given by the manufacturer (see also general recommendation) Use purified water for rinsing (max 10 germs/ml and max 0.25 endotoxin units/ml) like Aqua Purificata If a disinfectant solution contains a corrosion inhibitor, it is recommended to rinse the instruments just before autoclaving Dirty instruments must be cleaned and disinfected again Discard instruments which show any deformations (bent, twisted), damages (broken, corroded) or defects (loss of colour coding or marking) affecting the resistance, the safety or the performance of the instrument or posts Protect carbon steel bur with corrosion inhibitor before packaging Check the validity period of the pouch given by the manufacturer to determine the shelf life Use packaging which are resistant up to a temperature of 141C (286F) and in accordance with EN ISO 11607 The instruments, posts and the plastic supports must be sterilised according to the packaging labelling Use fractionated vacuum or gravity (less preferred) autoclaves (according to EN 13060, EN 285) Use validated sterilisation procedure according to EN ISO 17665-1 Respect maintenance procedure of the autoclave device given by the manufacturer Use only the listed sterilisation procedures Sterility cannot be guaranteed if packaging is open, damaged or wet (check the packaging before using the instruments).

Area of application A1. Instruments:

Cutting instruments, (hand and engine driven) such as: Endodontics instruments (files, broaches, reamers, enlargers, endodontic burs); Rotative cutting instruments (Diamond burs, tungsten carbide burs, stainless steel drills, carbon steel burs, reamers). Root canal filling instruments (Plugger, spreader, compactor); Supports, kits and systems of instrumental organisation; Hand instruments.

1 Soak immediately just after usage all instruments in a disinfectant solution combined Pre-Disinfection with proteolytic enzyme if possible or Decontamination

2a Automated Cleaning Disinfection

Disassemble the devices (silicone stops to be removed) Place them in a kit, support or container Put them in the thermodisinfector (for at least 010 min at 93C or Ao value > 3000)

A2. Implantable devices:

Dentinal and radicular posts made of steel, titanium and fibre posts. Supports, kits and organisation systems for the posts.

Disassemble the devices (silicone stops to be removed) 2b Immerse them in the disinfectant solution Manual Cleaning assisted with ultrasonic device if suitable Disinfection Rinse the devices thoroughly with clean, demineralised or distilled water and then dry them with filtered compressed air

I I I

B. Filling material:
Gutta percha, Thermafil obturation devices.

Exclusion:
Paper points: Sterile paper points are recommended Equipments as Motor, Contra-angle, Apex locater, where reprocessing procedures are included in the individual Direction for Use.MTA, Glyde, AH Plus.

3 Inspection 4 Packaging

Inspect devices and sort out those with defects Assemble the devices (stops)

I I I I I

Pack the devices in Sterilisation pouches

General recommendation
Single use marked instruments are not approved for re-use. The user is responsible for the sterility of the product for the first cycle and each further usage as well as for the usage of damaged or dirty instruments. For your own safety, please wear personal protective equipments (gloves, glasses). Use only disinfecting solution which is approved for their efficacy (DGHM-listing, CE marking, FDA approval). Tungsten Carbide burs, Plastic Support, Hand instruments and NiTi instruments are degraded by Peroxide hydrogen (H2O2) solution. NiTi Instruments are degraded if immerged more than 5 minutes in a solution of NaOCl at more than 5%. Instruments made of aluminium are degraded in presence of caustic soda solutions with mercury salt. Do not use acid (pH < 6) or alkaline (pH > 8) solutions. After 5 cycles, degradation of marking may appear.

5 Sterilisation

Steam sterilisation at: 134C (237F) during 18 min for endodontics instruments and root canal filling instruments 134C (237F) during at least 5 min for all other devices Keep devices in sterilisation packaging in a dry and clean environment

6 Storage

B. Filling material
1 Disinfection Immerse the obturation devices in alcohol for 30 seconds at ambient temperature Sterility cannot be guaranteed if packaging is open, damaged or wet (check the packaging before using the instruments).

I I I

Instruments first usage Instruments following usage Implantable devices

46

47

Sales force support

DENTSPLY have 10 DENTSPLY Endodontic and 18 preventive and restorative sales representatives across the UK and Ireland who are able to book appointments for product demonstrations and updates. For 1 hour appointments, they provide 1 hour verifiable CPD certificates. To book an appointment, please call the DENTSPLY head office on the freephone number below and they will put you in contact with your local representative. Rinn X-Ray accessories Preventive Care Ash Preventive Instruments Other DENTSPLY product catalogues and literature available include:

Education
DENTSPLY runs a number of educational hands-on courses lectures and Webinars. To request further information on any of the DENTSPLY products and services, or to talk to one of our sales representatives, please contact us: Freephone: +44 (0)800 072 3313 Email: [email protected] Web: www.dentsply.co.uk Ash Extraction Instruments Ash Burs

Ash Restorative Instruments

Ash Rubber Dam

Cements

Individual product literature for all restorative products

Other more detailed and product specific literature is available from DENTSPLY on most of the products.

UKP00113

DENTSPLY Limited Hamm Moor Lane, Addlestone, Weybridge, Surrey KT15 2SE United Kingdom Telepone +44 (0)800 072 3313 www.dentsply.com www.dentsply.co.uk

For better dentistry