ProTaper

Universal Endo System

Directions for Use
An instructional DVD is included with your system purchase. Please
view this DVD, in addition to reading this booklet, to gain a complete
understanding of the system and the technique. If you would like to
speak with one of our staff clinicians, please call 1-800-662-1202,
and well provide one-on-one assistance.

For the removal of dentin, shaping and obturating of the root canal.
None known.
This product contains dry natural rubber.
Do not use near standing water. Dropping the oven and/or motor
into water may cause electric shock.
Do not immerse the oven and/or motor into water.
Do not expose the oven to moisture.
Turn off and unplug when not in use.
Do not remove the cover of the oven.
This oven is designed for use in a dental office. Do not use in any
other environment.
As with all new products, you must exercise caution until you become
proficient in its use. While we have implemented safeguards against
possible misuse, there are several important points to remember:
A slow-speed handpiece is required for rotary file use.
Operate the handpiece at 300 RPM (revolutions per minute).
Straight-line access is a prerequisite for proper endodontic treatment.
ProTaper Universal files are no exception.
Always utilize minimal apical pressure. Dont force the files
down the canal.
Clean file flutes frequently during instrumentation (after the file
is removed from the canal).
Frequently irrigate and lubricate the canal throughout
the procedure.
To promote the mechanical preparation objectives, take any
Indications
for Use
Contraindications
Warnings







Precautions
Adverse Reactions
Step-By-Step
Instructions
ProTaper Universal rotary finishing instrument to length only one
time and for no more than one second.
Exercise caution in the apical area and around
significant curvatures.
Files are single use devices. They can become less efficient
after multiple uses causing undue stress to the file. This can
lead to file separation.
When instrumenting the canal, select appropriately sized
instruments, as choosing an overly large file can lead to
dangerous over-enlargement of the coronal portion of
narrow root forms. Additionally, too large a file taken to
length increases the risk of separation.
To reduce the risk of electric shock, do not remove oven cover;
there are no user-serviceable parts inside.
This oven is intended for use in heating gutta-percha coated
obturators only. Do not insert anything other than an obturator
into the oven.
Patients with latex sensitivity may experience
allergic reactions to gutta-percha, which contains
dry natural rubber.
Turning On Safe and Efficient Power
ProTaper Universal rotary instruments are used in a controlled,
slow-speed rotary handpiece, thus providing the reaming action
that produces a continuous tapered preparation from orifice to apex.
A torque control motor, such as the Aseptico Endo DTC (model
#AEU-25) included in your system, should be used.
Procedures for Using the Aseptico Endo DTC Motor*
Preset torque settings are recommended for each file series.
They are given without guarantee of risk or fracture. To avoid
file separation, remember torque control motors are not a
substitute for proper technique.
When you remove the Endo DTC from the box, you must set the
motor to accommodate the reduction contra-angle you will use.
To do this, turn on the power, and the motor automatically will lead
you through the process. On the screen, you will see 1/8 handpiece
TUL. Enter 2 for yes or 1 to go to the next handpiece selection.
Simply select the handpiece you will use.
You will notice the ProTaper Universal system technique is set as
a preset. Press the appropriate preset button repeatedly to cycle
through the ProTaper Universal file series.
* Refer to manufacturers directions for use for all other motors.
Refer to your Endo DTC instruction manual for more operational and
maintenance procedures.
File Sterilization
Files must be sterilized before use. ANSI/ADA Specification 28
recommends:
Scrub the instruments with soap and warm water.
Rinse thoroughly with distilled or deionized water.
Allow to air dry.
Place the instruments, unwrapped, in the autoclave tray.
Use fresh distilled or deionized water.
Steam Autoclave under pressure of 0.22 MNm
-2
at 136C ( 2C )
for 20 minutes.
The crown down technique is the technique of choice for rotary
instruments. This technique initiates in the coronal area and
progresses in an apical direction. The progression of instrumentation
and examination continues until you take an appropriate finishing file
to working length.
The basic ProTaper Universal System sequence will be the same,
regardless of the canal size.
Create straight-line access to canal orifice.
In the presence of a viscous chelator (such as ProLube

root canal
conditioner), passively scout the coronal 2/3 with 10 and 15 hand
files. Gently work these instruments until a smooth, reproducible
glide path is confirmed.
In the presence of NaOCl, float the S1 into the canal and
passively follow the glide path. Before light resistance is
encountered, laterally brush and cut dentin on the outstroke to
improve straight line access and apical progression. Always brush
away from the furcation.
Continue shaping with the S1 as described until the depth of the 15
hand file is reached.
Use the S2, exactly as described for the S1, until the depth of the
15 hand file is reached.
In the presence of NaOCl or a viscous chelator, scout the apical
1/3 with 10 and 15 hand files and gently work them until they are
loose at length.
Establish working length, confirm patency and verify the presence of
a smooth, reproducible glide path in the apical 1/3.
ProTaper Universal
System Technique Steps
Use the S1, as described, until working length is reached.
Use the S2, as described, until working length is reached.
Reconfirm working length, especially in more curved canals.
Use the F1 in a non-brushing action until working length is
reached.
Gauge the foramen with a 20 hand file. If this instrument is snug
at length, the canal is shaped and ready to obturate.
If the 20 hand file is loose at length, proceed to the F2 and, when
necessary, the F3, F4 and F5 gauging after each finishing file with
corresponding hand file.
Important Tips
Always establish a reproducible glide path in each canal with a
15 hand file prior to rotary instrumentation.
Lubricate files generously with a file prep such as ProLube

root
canal conditioner.
Irrigate, recapitulate and re-irrigate after using each rotary file.
Always confirm working length.
Take files to resistance never force files.
Use all ProTaper Universal rotary files in constant rotation at a
speed of 300 RPM. The file will appropriately follow the canal.
Inspect files for distortion or wear, such as uneven flutes, dull spots
or bending.
Use shaping files with a brushing action on the withdrawal stroke
in order to create straight-line radicular access and to passively
progress apically.
Finishing files should follow canal passively to working length, then
be withdrawn.
Use the SX after the S1 and S2 to optimally shape canals in
shorter roots, relocate the coronal aspect of canals away from
furcal concavities, or to expand the shape as desired.
In more curved canals, take any ProTaper Universal rotary finishing
instrument to length only one time and for no more than one
second or you may risk transportation.
ProTaper Universal rotary files are single patient use devices.
Select the ProTaper Universal size verifier that matches the finishing
file taken to working length. To set the length in this technique, set the
rubber stop at your working length. Take the size verifier to working
length. The size verifier should fit passively (can easily be rotated by
hand at working length up to 1/2 rotation). If it does not fit passively,
the verifier may be used as a finishing file to gently enlarge the canal
terminus for a passive fit. Select the obturator that matches the chosen
verifier.
Always use the length calibration marks on the obturator for length
determination. These calibration marks are at 18 mm, 19 mm,
20 mm, 22 mm, and 24 mm. Because gutta-percha distribution on
the carrier can vary, do not attempt to set this length based on a ruler
measurement of the obturator.
Preparation of the Canal
Irrigate with BioPure

MTAD

Antibacterial Root Canal cleanser

according to product directions. BioPure MTAD cleanser should be the
last liquid introduced into the canal before sealer is placed. Thoroughly
dry the canal.
ProTaper Universal obturators should be placed only in a canal that
has been thoroughly dried. ProTaper Universal absorbent points are
appropriate because they conform to these instruments predefined
canal shapes.
After the canal has been dried, pick up sealer with a ProTaper
Universal absorbent point measured to working length. Lightly coat
the walls of the canal with the sealer to the working length. Take a dry,
appropriately sized ProTaper Universal absorbent point, also measured
to working length, and wick up any excess sealer.
It is recommended that noneugenol sealers like ThermaSeal

Plus sealer
be used with the ProTaper Universal obturators alpha phase gutta-
percha. The sealer, in addition to penetrating minute canal spaces,
acts as a lubricant, enhancing the flow characteristics of the centrally
condensed gutta-percha.
Heating the Obturator
Heat the obturator only in the ProTaper Universal obturator oven.
This oven is specifically designed to guarantee full and uniform
gutta-percha heating.
Using the Obturator Oven
Plug the oven into a 110 VAC outlet. Then turn the oven on with
the power on/off switch located on the back. The yellow stand-by
indicator will light up.
Put both obturator holders in the upper position by pressing the
back of the holder (arrow up) and guiding the holder up with
your finger.
ProTaper Universal
Obturator Selection
After disinfecting the obturator and setting the rubber stop,
place the ProTaper Universal obturator in the left obturator holder.
Regardless of what working length you have determined, the
rubber stop must be under the holder. Make sure the obturator
is hanging straight, not at an angle. The obturator must clear all
sides of the heating chamber.
Push the holder down (arrow down) until you hear it click.
Push the button which corresponds to the size of the ProTaper
Universal obturator you wish to heat. Then push the start left
button. The obturator is now being heated. The heating time varies
depending on obturator size and is regulated automatically.
After the first signal beep, the obturator is ready for use. Push
the obturator holder (arrow up) and guide the holder with your
finger. Take the obturator carefully out of the holder by pulling it
toward you, making sure not to scrape the obturator on any part
of the holder.
You may leave the obturator in the ProTaper Universal obturator
oven for up to 90 seconds after the first signal beep. It will keep
the obturator at the appropriate temperature and ready for use.
The oven will beep every 15 seconds to remind you that the
obturator is still in the oven. After 90 seconds, the heating
element will switch off automatically.
As an extra safety precaution, after youve taken the obturator out
of the holder, switch off the heating element by pushing the start
left button again. Keep in mind that you wont be able to switch
the heating element off during the heating cycle.
If you want to heat more obturators, you may alternate using
the left and right holders to continue your work efficiently.
Wait until after the signal beeps for the first holder, then you
may immediately start to heat the other one. You will be unable to
heat both sides at the same time.
When youre finished using the oven, use the power on/off switch
located at the back of the oven to turn it off. Then unplug the oven
until you are ready to use it again.
Placement of the Obturator
In teeth with multiple canals, placement of ProTaper Universal
absorbent points in unfilled canals will prevent excess gutta-percha
material from going into those canals.
After removing the obturator from the oven, place the obturator into
the canal using a slow, smooth, continuous motion up to the stopper.
The placement motion should not require any serious force. To
remove the handle at the orifice level, use one finger to steady the
handle while severing the shaft with a Prepi

bur, high-speed bur, or

ProUltra

endo tip.
Creating Post Space
A Prepi bur or high-speed round bur can be helpful in initiating post
space. Using the selected bur at 150,000 RPM to 200,000 RPM,
create a dimple 2 mm 3 mm into the obturated canal. Center
the dimple on the plastic carrier in cases obturated with solid core
techniques. Then select an appropriately sized Pro-Post

drill. Set
the motor speed to 2,000 RPM. The eccentric (angle) cutting tip will
remove the plastic core and gutta-percha. Use intermittent apical
pressure to create the post space. Keep the preparation parallel.
Retreatment of the ProTaper Universal Obturators
ProTaper Universal retreatment files (D1, D2 and D3) are designed
to remove filling materials from the root canal prior to reshaping
procedures. The technique for removing either a carrier surrounded
by gutta-percha or gutta-percha alone is the same.
General Tips
Always begin with a well-angulated set of radiographs.
A good understanding of the anatomy is critical to success.
Obtain good straight-line access to the canals.
Clinically assess the obturation material.
Heat and friction will help to remove obturation material.
Throughout the procedure, remove the instruments, inspect and clean
the flutes. Then re-insert and continue to auger material out of canal.
Recommended speed for the ProTaper Universal retreatment
instruments is 500 700 RPM for gutta-percha and carrier based
obtruators. Use 300 RPM to remove paste filers .
Retreatment Technique
Establish a pilot hole using small sized stainless steel hand files with
an appropriate solvent, heat carrier or ultrasonic instrument.
Without engaging dentin, gently press the spinning D1 into the
obturation material.
Use the D1 to remove the obturation material from the
coronal 1/3.
Next, use the D2 to progressively remove material from the
middle 1/3.
When appropriate, use the D3 to remove obturation material from
the apical 1/3.
Remove the files frequently and inspect flutes. Continue as long as
obturation material is visualized between the cutting blades.
Use hand files with a solvent to remove obturation materials from
the apical 1/3 when encountering intricate anatomy.
Oven Cleaning Instructions
Clean oven after each use. Any gutta-percha remaining on the holder
or in the heating chamber may be effectively removed with Orange
Solvent (generic dental solvent) or any cotton pledget.
Oven Technical Specifications
Voltage rating: 110 VAC, 50/60 Hertz, range of the supply
voltage +/- 10%, Fuse 2 Amps Slow.
Explanation of Marking Symbols
Alternate current
Power On I
Power Off O
Caution, Hot Surface
PRESS HERE TO RAISE
OBTURATOR HOLDER
PRESS HERE TO LOWER
OBTURATOR HOLDER
PLACE OBTURATOR
HERE
HEATING
CHAMBER
HEATING
CHAMBER
YELLOW LIGHT TO
INDICATE OVEN HAS
BEEN TURNED ON
PRESS HERE FOR
OBTURATOR SIZES F1 & F2
PRESS HERE FOR
OBTURATOR SIZES F3, F4 & F5
PLACE OBTURATOR
HERE
AFTER SELECTING
PROPER SIZE BUTTON,
PRESS START LEFT
FOR LEFT OBTURATOR
HEATER
AFTER SELECTING
PROPER SIZE BUTTON,
PRESS START RIGHT
FOR RIGHT OBTURATOR
HEATER
POWER ON/OFF
SWITCH
2009 DENTSPLY International, Inc.




IMPTE03/09E
DENTSPLY Tulsa Dental Specialties
DENTSPLY International, Inc.
608 Rolling Hills Drive
Johnson City, TN 37604
1-800-662-1202
1-800-597-2779 (fax)
www.tulsadentalspecialties.com
Manufactured For: