ENDODONTICS
RELY ON US every smile counts
Endodontic Symposium Friday 13 October 2017 The University of Sydney’s 2017 Endodontic Symposium with some of Australia’s most trusted and respected specialists in Endodontics and Prosthodontics.
Hurry early bird rate ends 18 August 2017 For further information see page 2 or visit: http://sydney.edu.au/dentistry/ce/courses/ endodontics/endodonticsymposium.php
View our Promotions on the Henry Schein Halas App
July/August 2017
CPD Update
4th Australasian
Dental Cone Beam Symposium Navigate your Future: 3D Driven Success 25-26 August 2017, Sheraton on the Park Sydney •
Introduction to Radiographic Diagnosis of dental and non-dental pathology.
•
CBCT Review and Interpretation.
•
Understand the principles of operation of CBCT
units with respect to selection criteria and minimising patient dose. •
An excellent opportunity to learn how to optimise your treatments using 3D imaging.
For more info or to register visit: www.henryschein.com.au/education
Endodontic Symposium Friday 13 October 2017 • Endodontic Diagnosis & Treament in 3D
• Obturation: filling the space, why and how?
• The What, How, Why and When of Apex Locators as it realtes to Endondontic success!
• Before and After the Restoration: An Endodontic’s Wish List
• Efficient, Effective and Predictable Canal Preparation
• Do posts weaken or strengthen teeth
Presenters: Dr Steven Cohn, Dr David Figdor, Dr Matt Filei, Dr Kurien Mamootil, Dr Erika Vinczer & Dr Terry Walton, NSW For further information visit: http://sydney.edu.au/dentistry/ce/courses/endodontics/endodonticsymposium.php
July 2017 21 28 29
Advanced Endodontics Workshop, Dr Shalin Desai, NSW Modern Endodontics: How to Achieve Endodontic Excellence, Dr Kurien Mamootil & Dr Jeff Ward, QLD Practical Intensive of Instrumentation and Obturation, Dr Oliver Pope, VIC
2017 Continuing P Develop
September 2017 8
Reaching the New Standards of Modern Endodontics, Dr. Oliver Pope, VIC
For more info or to register visit: www.henryschein.com.au/education
Registration enquiries: 1300 30 24 21 events@henryschein.com.au
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Diagnosis
Thinking ahead. Focused on Life.
Veraview X800 Dental CBCT Reimagined Introducing the new Veraview X800, Morita’s all-in-one 2D/3D digital imaging solution. Veraview X800 delivers vivid, high-definition image clarity, while significantly reducing X-ray dose, artefacts and image distortion. Veraview X800 is the gold-standard imaging solution for endodontics, implantology, oral surgery, orthodontics, periodontology and all oral diagnostics. Interested? Learn more at www.morita.com or contact Morita direct on 0400 018 925
Orders
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Preparation
Matte finish for decreased light reflection and glare
Black Line Rubber Dam Clamps An exceptional restoration begins with excellent isolation
• • •
Satin Steel® which resists corrosion while aiding in flexibility and memory A dark coating allowing for improved intraoral contrast and visual acuity Matte finish for decreased light reflection and glare
Flexi Dam
NEW
ROEKO
• Latex free • Powderfree • More tear resistant than latex • Highly elastic has excellent recovery properties for effective isolation of the tooth • No unpleasant odor Box of 30
$69.99
Insti-Dam The ultimate in quick and convenient isolation
• •
Built-in flexible frame, with pre-punched hole ½” off center Compact design fits outside patients lips, easy to use, non-threatening and comfortable for patient
Pack of 20
Latex Natural $99.90
Latex Free Blue
Latex Free Relaxed Fit
Rubber Dam
$110 $155.70
PRIVILEGES PRICE
SAVE 15%
$149
HALAS
This high quality latex dam allows tissue retraction, better access and provides isolation of the operative site. In addition it offers protection against infection and improved visibility. Available in Medium or heavy thickness. Box of 36. Medium (Blue or Green) Heavy (Green)
4
$12.05 $15.60
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DENTAL SURGERY
Preparation
209
G 180 A Sortimente: Assortments: /
Endodontic G180A.204.S Burs
Größe · Size
Ø ¹⁄₁₀₀ mm
6
6
6
6
6
6
050
070
090
110
130
150
Winkelstück · RA
Canal Entrances 1 x 050 – 110
G180A.204. ... 050 070 090 110 130 Established Reaming made of stainless steel canal, use Gates-Glidden burs, applying the G180A.204.S1 -1 ) retrieval 20000 min /rpm or tungsten carbide are used for the Crown-Down technique. Erweiterer rostfreier Stahl 050tapered – 150 reaming of root canals1 xand in the„Gates Glidden“ Typ „G“, kurz,burs Reamer Gates GliddenAlternatively, “G”, short, stainless steel with a large taper are straight, coronal part of the root canal. equally suited for this purpose. Thanks to Round pulp burs help to penetrate the canal the generously enlarged canal entrance, all entrance. For the subsequent reaming of subsequent instruments can work in the the straight, coronal portions of the root deeper regions of the root canal with ease.
6
6
6
050
070
090
110
191.204.S1
6
6
130 150 · Size Größe
Winkelstück · RA
1 x 090 – 180
Endodontie | Eröffnung/Erweiterung
· RA
6
Endodontics | Access/Enlargement
Sortimente: Assortments:
Ø ¹⁄₁₀₀ mm
hide
191
Step 1 Diagnosis /
150
/ Ø ¹⁄₁₀₀ mm
6
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PRAXIS
310 204 698001 ...191 G180 Pack of 6 $50 Pack of 6 $50 191.204. ... 090 100 120 140 160 180 80.204. ... 050 070 090 110 130 150 Obtaining an accurate diagnosis is a critical Reamer Gates Glidden “G”, stainless steel Pulp Bur “Müller”, stainless steel
step in endodontic treatment. In addition to reviewing the patient’s chief complaint, medical history, dental history, and history of symptoms, objective findings must be collected 235ml spray bottle $62.70 and radiographs must be reviewed in order to make a definitive diagnosis. hide
hide
) 20000 min-1/rpm Pulpabohrer „Müller“, rostfreier Stahl Pulp bur “Müller”, stainless steel
rpm Glidden“ Typ „G“, rostfreier Stahl en “G”, stainless steel
Pulpofluorane Pulp vitality tester
11_D-GB_akt-DE-EN.indd 209
28.09.2011 17:45:26 Uhr
DENTAL SURGERY
04 679336 ...
209
A / Ø ¹⁄₁₀₀ mm
6
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050
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RA
0A.204. ...
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pm lidden“ Typ „G“, kurz, rostfreier Stahl en “G”, short, stainless steel
Percussion Test
Icing with Endo-Frost Icingthe thePellet Pellet with Endo-Frost
Percussion Test
Endo-Frost
Cold Testing Cold testingwith withEndo-Frost Endo-Frost
Endo-Frost Pellets
Cold Spray The can ofbe tested by stimulating the nerve endings 200mlnormal response of nerve fibers Pack 500 .52 3+ the Each pulp $21with $22.40of this test, the vitality (existing blood flow) of a cold spray. As a result .66 Single $22 of the tooth can be verified.
It’s important to note that use of pain relief drugs can cause a false reading (tooth is 6 6 6 6 6 6 / O rto d ecold) r s 1 or 3 0 that 0 6a 5 false 8 8 cold 2 2 sensation may occur on teeth vital but does not respond Ø ¹⁄₁₀₀ mm
090
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5
Preparation TwinPower Ultra Series Powerful Ultra Mini Head Delivers Unsurpassed Access & Visibility TwinPower Ultra 4HUEX Case 1. Tooth 16 Pulp Chamber Access Opening (Operator's - Reflected View)
TwinPower Ultra (4HUEX)
Standard Head
Ultra Mini
Ultra Standard
2010
Top Air-Driven, dpiece High Speed Han
d. Focused on
45° Surgical
Featuring: tained eller Technology Double Imp eries, extremely compact with main ue New Ultra S rq o t t n a st n o c lines cu@ng power & hin the drive air feature back wit Unique zero-‐suck rface treatment impregnated su eeds Durable ceramic mpeItor highsp n levels then co Quieter operaIo urers warranty 2 year manufact
Thinking ahea
TwinPower's Ultra head facilitates an improved view with a mirror or a microscope. The bur remains in view while accessing the pulp chamber. The small head allows for ergonomic m i rr o r p o s i t i o n i n g & optimal vision.
When using a standard size head, the bur is sometimes slanted for visibility which can result in removal of more tooth structure than necessary.
2. ToothUltra 17 Cavity - Reflected TheCase TwinPower 4HUEXPreparation handpiece is(Operator's powerful with 20 wattsView) of power and a compact head size that offers improved access and visibility.
life.
Morita TwinPower handpieces are available in 5 models. TwinPower Ultra 4HUEX- O • 20W
TwinPower Torque up 4HX- O • 25W
$1359
TwinPower Standard 4HEX- O • 22W
Each
TwinPower Ultra mini 4HUMX- O • 18W TwinPower Surgical 45˚ 4HEX- O -45 • 20W TwinPower Ultra Mini (4HUMX)
With TwinPower Ultra Mini, the bur can easily be held upright for optimal use on molars or for patients who have limited opening. Space is also created, ensuring minimal contact of the handpiece head to the opposing dentition.
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It is possible that the bur will be slanted with a standard head to gain access, which can lead to excessive removal of tooth structure. The mirror is placed to the side of the Ultra Standard handpiece head which can often result in poor visibility. 20W
Ne
6
Standard Head
6
2
3
1
Measurement & Preparation
Approx. 0.5 mm
Approx. 0.5 mm
Approx. 0.5–2.0 mm
Actual size Actual size Canal measurement with an Apex locator is accurate and precise
Approx. 0.5–2.0 mm
3
4 – Liquid Crystal Display (LCD)(LCD) 4 – Liquid Crystal Display 22 – Memory bar 2 – Memory bar display The memory bar allows the operator to 5 –progress File progress display The memory bar allows the operator to 5 – File 1 pre-set a reference point to indicate a pre-set a reference point to indicate a (3 settings: off, low, curvature or specific distance from the 6 – Volume (3 settings: off,high) low, high) curvature or specific distance from the 6 – Volume APEX APEX marker. marker. 7 – Battery indicator 7 – Battery indicator
triangle on theon the The green zone on theon the The small Insertion of theof filethe into The small triangle The green zone Insertion filethe into the side theof meter indicates when the theright root canal activates Insertion ofspace the filespace into the The green zone on the when The small triangle on themeter rightof side the display indicates root canal activates display rootmeter. canal space activiates display when thecriticalindicates the preset file approaches the critical the right side of the meter indicates the preset fileindicates approaches the the meter. the meter. The number file approaches indicates the preset reference point. apical area. area.the critical reference displayed in the lower leftin the apicalapical area. reference point. point. The number displayed The number displayed in the corner indicates the bars lower lower left corner indicates left remaining until thecorner file indicates the bars remaining until until reaches the pre-determined the bars remaining flashfile bar. the reaches the prethe file reaches the predetermined flash bar. determined flash bar.
Dentaport ZX Apex Locator
Apex
Apex
The pink Thebars pinkindicate bars indicate the foramen and The apical pink indicte the isand is thebars apical foramen displayed as APEX on theon the apical displayed foramen and as isAPEX displayed as APEX on the LCD. LCD. LCD.
Root ZX mini
The industry standard since 1992. Time to find out WHY 94% of US Dentist have an Apex Locator!
$1359
Root ZX mini works as accurately as its big brother Dentaport ZX Apex locator.
3
3
Because of its compact size, lightweight, stable design and low battery consumption. Root ZX Mini is ideal on the dental tray or any other convenient location.
$1359
7
Measurement & Preparation Gentle and safe root canal preparation with OTR function – the new Optimum Torque Reverse Function.
Reversing by 90° when the set torque is exceeded
Reversing by 90° when the set torque is exceeded
Continuous rotation
Canal preparation with OTR function unites the advantages of the rotating and cyclical-reciprocating technologies: as long as the adjusted torque value is not exceeded, the motor rotates permanently and, hence, advances at an optimal rate. As soon as the pressure on the file permanently exceeds the set value during 180° rotation, the Torque Reverse will be activated and the rotation of the file will be reversed by 90° to release the instrument. Then the file will rotate in the cutting direction again.
DentaPort OTR
Tri Auto Mini
The New standard in mechanical root canal preparation. Dentaport OTR features intelligent safety functions and the advantages of the rotating and alternating methods is integrated into third generation Dentaport OTR. The “best of both world’s” Dentaport OTR is suitable for all mechanical NiTi file systems – the new movement in Endodontics.
Ultra compact, cordless endodontic handpiece offering a number of specially designed features that enable predictable clinical safety.
$2598
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Measurement & Preparation
Versatility with
Predictable Results NEW
Tri Auto ZX2 Ingeniously versatile
Introducing the new Tri Auto ZX2, engineered with innovative and dynamic design form. As the successor to the original Tri Auto ZX cordless endodontic motor with integrated apex locator, Morita continues to offer the only endodontic system in the market combining both functions in one handpiece. With easy, intuitive operation and automatic functions, Tri Auto ZX2 delivers predictable and safe endodontic instrumentation. Highlighting Morita’s new OTR (Optimum Torque Reverse) and OGP (Optimum Glide Path) modes, Tri Auto ZX2 delivers, unique, compelling and reliable clinical application. Tri Auto ZX2: The complete endodontic preparation solution.
$3500
Presented by Dr Jeff Ward and Dr Kurien Mamootil
Modern Endodontics...
How to Achieve Endodontic Excellence Presented by Dr Jeff Ward and Dr Kurien Mam
QLD - 28 July
6 CPD Hours
Orders
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Measurement & Preparation K File
Reamers
MAXIMA
Made in Switzerland
Made in Switzerland
MAXIMA Flexible K- files are high quality endodontic instruments with stainless steel blades for apical and canal-body preparations. ISO color-coded nylon plastic hourglass handles. Integral handle lock to limit penetration. Maximum control without finger stress. Pre-inserted silicone stops (except on sizes #90 to #100). Available in 21 and 25mm
MAXIMA Reamers used for preparation of body of canal and efficient removal of dental debris. These flexible files are fine quality endodontic instruments which provide maximum control without finger stress. Colour coded nylon plastic ‘hour glass’ handle. Integral handle lock to limit penetration.
Sizes 6 to 100 (Pack of 6)
Sizes 6 to 100 (pack of 6) 10+ ea
$9.99
Single
8+ ea
$11.95
Lentulo Paste Carrier
RS
MAXIMA
VDW
$9.90
K-Files
Single
$11.50
VDW
Root Filler “L”
K-Files - For all preparation techniques with a filing motion
Available in 21mm & 25mm
Special steel alloy with uniform structure for maximum resistance to fracture and maximum flexibility etration.
Sizes 25, 30, 35, 40 and assorted 25-40
EXPLORERS
EXCAVATORS
Hu-Friedy’s endodontic explorers are made from a special blend of alloy which plorers are made from a special blend of alloy which provides the ength, tactile sensitivity andflexibility, resiliencestrength, clinicianstactile need sensitivity and resilience clinicians need whensite. exploring and assessing the treatment site. They are available in several sing the treatment They are available in several double-ended designs and handles. d handles.
endodontic excavators Hu-Friedy’s endodontic excavators featureHu-Friedy’s extended-length shanks and are feature e meticulously handcrafted fromhelp the highest g meticulously handcrafted from the highest grade stainless steel. They accessremoval the pulpofchamber the clinician access the pulp chamber forthe easyclinician and efficient dentin. for ea The improved result is aefficiency. superior clinical outcome and The result is a superior clinical outcome and
SAVE
SAVE
Pack of 4
20%
20%
$23.95
1.5 mm
Endodontic Explorer
EXCAVATORS
HU-FRIEDY
Endo Explorer #DG16
1 mm
1.3 mm
1.5 mm 1.5 mm
1 mm
2 mm
Endodontic Excavator HU-FRIEDY Endo Excavator #33L
HF-EXDG16
10
DG16/17
DG16 DG16/23
| EXDG16/17 | EXDG16 | EXDG16/23
$52.75
HF-EXC33L
DG16/17
DG16/23
| EXDG16/17
| EXDG16/23
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w w w . h e n r y s2 cGlick h e i n31L. c o m 31W . a u2 Glick 32L | EXCGL2
| EXC31L
31L 33L 31W Oval Oval Spoon | EXCGL2 | EXC31L | EXC33L | EXC32L
Measurement & Preparation FINISHING
Clinical ClinicalCases Cases
FINISHING FILES FILES
(optional) (optional)
"I'm "I'mvery veryhappy happytotoi
50 /.03 50 /.03 60 /.02 60 /.02
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shaping some somemolar mola “These"These files definitely know their way around curves. That’s for sure. I love them!” Dr Antonisshaping Chaniotis filesfiles definitely know their wayway around curves. "These definitely know their around curves. 40 /.04 40 /.04 That‘s for sure. I loveI love them!" That‘s for sure. them!" Dr. Antonis Chaniotis Dr. Antonis Chaniotis
Dr. Dr.Eugenio EugenioPedullà Pedul
´´ High flexibility ´´ Extreme resistance to fra ´´ Centred canal preparatio
"I'm "I'm veryvery happy to inform you you thatthat I have triedtried the the Hyflex EDMEDM to to happy to inform I have Hyflex shaping some molars in vitro andand in vivo (on (on patients) andand I’m sure shaping some molars in vitro in vivo patients) I’m sure - it is- incredible!" it is incredible!" Dr. Eugenio Pedullà Dr. Eugenio Pedullà
HyFlex EDM NitiFiles
Source: Source: Dr.Dr. Antonis Antonis Chaniotis Chaniotis
HyFlex files are manufactu the crystallographic phas tensite at room temperatu making the files extremely
´´ High flexibility ´´ Extreme resistance to fracture ´´ Centred canal preparation 15mm HyFlex files are manufactured utilising a unique process in which crystallographic phase transitions from austenite to marSource: Dr. Antonis Chaniotis 25/.12 Orificethe Opener Source: Dr. Antonis Chaniotis tensite at room temperature in contrast to conventional NiTi files, making the files extremely flexible and fracture resistant. 25mm 10/.05 Glide Path File 25/~ HyFlex™ OneFile Due to the controlled memory, the files always follow the anatomy of the canal, thus significantly reducing the risk of ledging, 40/.04 Finishing File transportation or perforation of a canal. Like stainless steel files, 50/.03 Finishing File files can be pre-bent. the HyFlex 60/.02 Finishing File
Due to the controlled me omy of the canal, thus sig transportation or perforat the HyFlex files can be pre
Source: Dr. Eugenio Pedullà Source: Dr. Eugenio Pedullà
4000
3500
This is a crucial advantag avoid the creation of steps
3000
This is a crucial advantage in extremely curved root canals to avoid the creation of steps.
HyFlex CM NiTi Files
• ´´The Highregenerative flexibility NiTi File! • ´´No shape memory + Extreme flexibility = Superior canal tracking Extreme resistance to fracture High flexibility Number of Centred canal preparation Cycles to failure ´´´High Extreme resistance to fracture • ´ Regains shape after heat treatment = Multi-use flexibility Up´Centred to 700% higher fracture resistance ´ preparation ´ ´ Extreme canal resistance to fracture
$92.90
2500
Pack of 3
2000
HyFlex files are manufactured utilising a unique process in which ´ Centred canal preparation another form fit and hardness of the surare ´ significantly more resistant to faBuy 5 Get 1crystallographic FREE! the phase transitions from austenite to marTests have shown that HyFlex NiTi files
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face ofinthe file. ato tigue than conventionalHyFlex NiTi files. In the tensite at room temperature contrast conventional files, files are manufactured utilising unique process NiTi in which new HyFlex EDM NiTi files, thisthe effect making files is extremely and fracture resistant.to marthe crystallographic phaseflexible transitions from austenite further increased by 300-700%. The new tensite files at room temperature inutilising contrastato conventional files, HyFlex are manufactured unique process NiTi in which making the files extremely and fracture resistant.to marthe crystallographic phaseflexible transitions from austenite tensite at room temperature in contrast to conventional NiTi files, making extremely flexible fracture Due to the files controlled memory, theand files alwaysresistant. follow the anatomy of the canal, thus significantly reducing the risk of ledging, transportation or perforation of a canal. Like stainless files, Due to the controlled memory, the files always follow steel the anatthe HyFlex canthus be pre-bent. omy of the files canal, significantly reducing the risk of ledging, transportation or perforation of the a canal. Like stainless files, Due to the controlled memory, files always follow steel the anatthe HyFlex canthus be pre-bent. omy of the files canal, significantly reducing the risk of ledging,
4000 1000 3500 3500
or perforation of a canal. Liketostainless files, HyFlex NiTi have a built-in shape memthe file fail regain steel its shape This wave designtransportation prevents theShould files being automatically drawn into the root canal,3500 HyFlex files can beafter pre-bent. ory. They prevent stressthe during preparaheat treatment, it is plastically de500 3000 by changing their Theyadvantage formed, increasing riskcanals of fracThis isshape. a crucial in thus extremely curvedthe root to sotion preparation isspiral much safer. regain their shape afteravoid heat the treatment. ture. These files should not be used after creation of steps. A normal autoclaving process enoughadvantage visual in inspection. number reuses, This is ais crucial extremelyThe curved root of canals to to return the files to their original shape of steps. which can be determined by the user by avoid the creation and to regenerate the crystal structures visual inspection, is higher than that of This is a crucial advantage in extremely curved root canals to and resistance to fatigue. conventional NiTi files. avoid the creation of steps.
The design also greatly reduces the amount of force the operator has to apply.
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1 3 0 0
´´ Fracture resistance by vi ´´ Regeneration by therma HyFlex NiTi have a built-in shape memory. They prevent stress during preparation by changing their spiral shape. They regain their shape after heat treatment. A normal autoclaving process is enough to return the files to their original shape and to regenerate the crystal structures and resistance to fatigue.
Source: Internal tests / 2500 trademark * Not a COLTENE
Number of
Pack of 5to failure Cycles
2000
Number of Cycles to failure
2000
Up to 700% higher fracture resistance
new HyFlex EDM NiTi files, this effect is further increased by 300-700%. The new
3000 3000
another form fit and hardness of the surface ofmanufacturing the file. EDM process results in another form fit and hardness of the surface ofmanufacturing the file. EDM process results in another form fit and hardness of the surface of the file.
Tests have shown that HyFlex NiTi files are significantly more resistant to fatigue than conventional NiTi files. In the new HyFlex EDM NiTi files, this effect is further increased by 300-700%. The new
4000
The “continuous design” of the files ensures that the files do not ´unique ´ Regeneration by wave thermal treatment screw into or jam in the root canal.
are significantly more resistant to fatigue have than conventional NiTi files. the Tests shown that HyFlex NiTiInfiles new significantly HyFlex EDM more NiTi files, this effect is are resistant to fafurther increased by 300-700%. The new tigue than conventional NiTi files. the Tests have shown that HyFlex NiTiInfiles newsignificantly HyFlex EDM more NiTi files, this effect is are resistant to fafurther increased by 300-700%. The tigue than conventional NiTi files. Innew the
Pack of 6
Up to 700% higher fractu
1500 4000
EndoWave Files ´´ Fracture resistance by visual inspection
Buy 5 Get 1 FREE! Up to 700% higher fracture resistance .58 That’s onlyHyFlex $74 each Up to 700% fracture resistance EDM manufacturing process results in Tests have shown that higher NiTi files
$125
2000 1500
6 5
8 8
2 2
1500 1500
11
Sho afte form ture visu whic visu conv
Measurement & Preparation Canal Prep
EDTA
HALAS
HALAS
15% Solution assist in the debridement and cleaning of root canals.
Made in Switzerland With 15% EDTA activity.
Hypochlorite 1% Solution HALAS Stabilised and standardised solution aids in the chemical breakdown of pulp soft tissue. 1.25L bottle
$17.50
PRIVILEGES PRICE
20g jar
$32
.50
PRIVILEGES PRICE
$29.95
$18.80
500ml
$29.20
1.25L
$63
CanalPro EDTA
CanalPro Coloured Syringes
17% EDTA solution (pH 8.5)
Root Canal Irrigation
• Removes smear layer and dentin mud • Opens dentin tubules for:
10ml Box of 50
• Disinfection solutions (e.g. alcohol) to work better • Better adhesion of sealers and obturation materials
$35.70 5ml Box of 50
$23.16
• Helps increase safety and minimize the chance of syringe swap
480ml
$92
• Latex-Free, color-coded syringes • Standard luer lock style
CanalPro NaOCL EXTRA 6% • • •
CanalPro NaOCL For irrigation/debridement of root canals during and after instrumentation
2 x wetter 2 x more digestive
• Available in 3% and 6% formula
Better lubricity
500ml
$28.71
$99
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Measurement & Preparation
Case Studies 9_Mise en page 1 13/09/14 18:10 Page24
Biodentine - Pulpotomy on vital carious primary molars Prof. Dr Luc Martens. Sivaprakash Rajasekharan, Dental Surgeon Dr Rita Cauwels. Department of Pedodontics – UZGent The era of formocresol and other mummification products for the treatment of deep caries of vital primary molars appears to be past. In regard to MTA, a modified Portland cement, there is already a fair amount of evidence in the literature. Biodentine, with its superior properties in comparison with MTA, also appears to show this in clinical practice. Moreover, the absence of coronal discoloration is a major additional benefit.
Fig. 7: radiograph immediately after pulpotomy
Fig. 8: radiograph 6 months after pulpotomy: internal resorption in the mesial root
Fig. 9: 1 year after pulpotomy: process of healing via obliteration of the mesial root
Fig. 10: tooth 55: radiograph after pulpotomy with tempophore™
Fig. 11: tooth 75: radiograph after pulpotomy with mta
Fig. 12: tooth 85: radiograph after pulpotomy with biodentine™
Fig. 13: Pulpotomy with mta: clinical follow-up at 1 year
Fig. 14: Pulpotomy with biodentine™: clinical follow-up at 1 year
Case no.3 A 3-year-old girl had been treated 1 year previously for multiple caries. Pulpotomy was then performed with Biodentine on tooth 75 (Fig. 7). After 6 months of follow-up, there were no complaints such as spontaneous pain, tenderness on percussion, tenderness on palpation, increased mobility or swelling. A sign of internal resorption on the mesial root was visible on the radiograph (Fig. 8). It was decided to follow up the tooth every 3 months. After 9 months of follow-up, the patient had no pain and the tooth was in order clinically. After 12 months of follow-up, the tooth was still not causing any problems. Early obliteration was visible on the radiograph in the place of the internal resorption (Fig. 9). The appearance of internal resorption after pulp treatment is attributed to inflammation of the residual pulp whereas obliteration results from increased activity of odontoblast-like cells. The formation of tertiary dentin leads to obliteration and should be considered an attempt by vital pulp tissue to heal. Consequently, in the case presented above, the incipient inflammation may have been halted, leading to a healing process.
a pre the (Fig no ne inc res rad the aft pa aft no wa int int bu wh vit ter be he the lea
Remarks Owing to limited radio-opacity, it can sometimes be difficult to see dentin bridge formation and it can be confused with natural dentin. In a 6-year-old girl, 3 pulpotomies were performed with three different materials. The radio-opacity of the 3 materials can be compared on the radiographs (Figs. 10, 11 and 12). A major advantage of Biodentine over MTA is the absence of grayish-black discoloration. Figure 13 shows a clinical view of a primary tooth treated by MTA pulpotomy a year earlier. Figure 14 shows a clinical view of a primary tooth treated with Biodentine, also at 1-year follow-up. There is absolutely no discoloration.
For full case study, please contact your Henry Schein Halas Representative.
Orders
1 3 0 0
6 5
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2 2
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Measurement & Preparation
THE HIGH ACHIEVER IN CALCIUM HYDROXIDES! Neo MTA Dental Cement Calmix S! OXIDE • • • •
Ideal treatment for pulpotomies, direct and indirect pulp capping, and apexification Quickly wash-out resistant, non-staining, radiopaque formulation BioActive and non-toxic, causes precipitation of calcium phosphate, promoting dentinal bridging Excellent Handling - Mixes to a putty-like consistency, easy to apply
HYDR
IUM The high achiever in calcium ALChydroxides! R IN C VE
ACHIE
H Better of calcium peroxide E HIG THdissolution Higher ionisation and pH achieved (CALMIX recorded >4)
High pH High antimicrobial potential: Effective against E.faecalis & C. albicans
Pure MTA 2.5g Powder 4.0cc Gel
$297 7g Powder 10.0cc Gel
R
4 x 1.5ml syringe, 5 tips + 5 micro tips
$825
$98.95 R
PRIVILEGES PRICE
$795
Available exclusively from
Trial 0.5g
Dental Cement $108.90
LIAN
A AUSTR
Calasept Plus Syringes CALASEPT Plus 4x1.5ml Syringes 20 Needles
SAVE 10%
AUSTRALIAN
UltraCalINNOVATIO UltraCal Syringes 4 x 1.2ml
N
SAVE 10%
ULT-0606
INNOVATION
DR-1240100
Top Colour Paper Points
Greater Taper Paper Points
ROEKO
Taper of 4% or 6% Cell pack sizes 20 – 45 ≥28mm
RO-3448 Series
Sterile cellpack box 180 points
Pack of 112
Sizes 15 to 80 and assorted.
$26.60
14
SAVE 15%
$30 Box of 100
SAVE 15%
$16.60
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Obturation
Spreaders & Pluggers
SPREADERS
AO-1202-1
PLUGGER #1 Serrated Tip Double Ended
$25
AO-1202-2
PLUGGER #2 Serrated Tip Double Ended
$25
AO-1202-3
PLUGGER #3 Serrated Tip Double Ended
$25
Hu-Friedy manufactures a wide variety of spreaders, all handcrafted from the finest stainless steel to precise specifications. Choose from NiTi spreaders, ISO sized spreaders with color coded handles for easy identification, heat carriers, and a variety of other popular spreaders. Our spreaders help the clinician gain access into the most difficult canals for optimal compaction of filling material during lateral condensation.
PLUGGERS When performing vertical condensation, choose from ISO-sized anterior or posterior options, Machtou, the Glick Blade/Plugger or other options. These pluggers are handcrafted to exact specifications using the finest materials.
Endodontic Spreaders
Endodontic Pluggers
D11T Thinner 22mm
#5/7 21mm
HF-RCSD11T
ISO SIZED PLUGGERS*
$51
65
HF-RCP5-7
$64.85
.30 mm
Hygenic Gutta-Percha Spectra Points
• •
.60 mm
ROEKO
Ideal for obturating root canals which have been prepared with GT Files, HERO, ProFile, Quantec etc. At the tip of the point the diameter corresponds to the ISO sizes, but then the conicity is greater than with ISO points.
Ideal for obturating root canals which have been prepared with HyFlex CM and NiTi files The diameter at the tip corresponds to the ISO sizes Available with a taper of 4% or 6% Assorted or individual sizes Box of 60
.50 mm
Greater Taper GP Points
Greater Taper Top Color
•
.40 mm
$21.90
0.4 or 0.6 ISO Size 30 Assorted or 24 individual sizes mm | RCP30 ≥ 28mm Box of 60
ISO Size 40 24 mm
ISO Size 50 24 mm
IS 24
| RCP40
| RCP50
|R
$29.70
19 22
Orders
1 3 0 0
ISO Pluggers have an ISO color-coded band on the handle for ease of identification during usage: #30-Blue, #40-Black, #50-Yellow, #60-Blue.
6 5
8 8
2 2
15
Maximizes user convenience
· Unique design that incorporates cordless and ergonomic features.
Obturation
Balance
· Great weight distribution for ease of use.
Cordless
· No limit on usage, reduces fatigue on hand and wrist.
Hexagonal keyholes
· Six keyholes (in increments of 60 degrees) on the connecting joint of the plugger safely secure and
Extended battery time for operator
· 4 hoursCondensation of continuous use on a single charge equivalent to about 1 week of endodontic treatment Cordless Obturation Device for vertical Optimal Warm Vertical Cordless obturation device for optimal warm condensation Item code : ASK
Alpha Heat Carrier SuperEndo –a2 Condensation of Obturation Material
BL-S Kondenser #70 #35
Maximizes user convenience
#80
· Unique design that incorporates cordless and ergonomic features.
• Balanced, cordless,ergonomic handpiece. Balance #40 · Great weight distribution for ease of use. • Hexagonal tip keyholes for optimal positioning Cordless Multiple temperate options · No limit on usage, reduces fatigue on hand and wrist.• Hexagonal keyholes • Additional heat#50barriers for superior safety · Six keyholes (in increments of 60 degrees) on the connecting joint of the plugger safely secure and prevent rotation of the plugger during use.
$2148 #100
#120
Extended battery time for operator
· 4 hours of continuous use on a single charge equivalent to about 1 week of endodontic treatment in a busy practice. #60
Item code : ASK
Cordless Obturation for Optimal Backfill
Beta Obturation Gun SuperEndo – ß
Wide variety
· BL-S Kondensers may be purchased individually or in a full set of 4.
Efficiency of use
· Handles are color-coded depending on size, for faster selection of the needed condenser.
Range of use
· BL-S Kondensers are great for any type of canal anatomy.
Multipurpose features
· One end, made of nickel titanium, can be used for treatment in curved canals. The other end, flat and made of stainless steel, is ideal for compaction in the coronal and middle thirds of the canal.
Lightweight design
· Handles are designed to fit comfortably into the user’s natural grip.
Increased control
· Dimpled grips allow the condenser to be held firmly.
Stainless Steel Model
Product infomation
BCONSET
SET of 4 (35, 40, 50, 60)
BCON35
35 NiTi / 70 SS
BCON40
40 NiTi / 80 SS
BCON60
60 NiTi / 120 SS
• • •
Balanced, cordless, backfill gun. BCON50 ergonomic 50 NiTi / 100 SS
•
Heavy duty plunger seal for precise control and durable operation
Multiple temperate options
NiTi
$2148
Range of obturation needles with unique swivel, gauges and lengths for optimal access
“I love the ease of use of the cordless B&L Biotech Alpha and Beta units. I use them to obturate every case.” Dr. Jeff Ward I Specialist Endodontist I Melbourne, Victoria
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Sealants acroseal Brochure_Layout 1 18/02/13 14:15 Page1
Acroseal Sealer A Perfect Start for Successful Restorations Acroseal from Septodont is a superior endodontic sealer that seals the canal permanently, eliminating worries about leakage and minimizing the risks of root canal treatment failures. Acroseal heals as it seals. The unique chemistry of an advanced epoxy matrix containing calcium hydroxide creates a high intra-canal pH during final obturation that helps to improve periapical healing.
•
Acroseal seals in long-term success. Acroseal adheres to the canal walls and gutta percha points. Its insolubility in water provides reliable leak-free obturation while its low viscosity allows it to flow into accessory canals for a superior fill every time.
•
Acroseal is eugenol-free
SAVE
SP-4095 8.5g base and 9.5g catalyst
$101
10%
.63
Seal your patient’s restorative success with Acroseal the perfect mix for a healthy foundation!
Roekoseal Automix Excellent flowability, no shrinkage and biocompatibility with practical handling. No risk of incorrect mixing. Provides an excellent seal and sets new standards in quality and biocompatibility in endodontics. RoekoSeal flows so well that the root canal and lateral canals are filled effectively. Cell tests, tests for mutagenic effects and sensibilization tests all showed negative results.
•
Ready-to-use
•
dispenses just the quantity required
•
homogeneously and hygienically mixed and free of air bubbles
•
easy to use
Dual barrel syringe & 12 mixing tips
$155.30
Tubli-Seal EWT Tubli-Seal EWT offers all of the benefits of Tubli-Seal with the added benefit of a longer working time.
KE-25903
$92
Orders
1 3 0 0
6 5
8 8
2 2
17
ghtened with axial movements to Endodontics | Revision
Rescue Head Unterk. 28,5 66
1. 3er 2. 3er
3. Die koron
3. The coronal curvature is straightened with axial movements to create direct access to the fragment (G180A.204.110).
5. Exposure of the fractured surface by drilling around the fragment (RKP.204.090). 6. The fragment is surrounded and seized. Anti-clockwise rotation. Removal of the fragment which is firmly held in the trepan bur by the residues of dentin (RKT.204.090).
8. Final situation after filling.
Endo Rescue Kit Zum Entfernen von frakturierten Instrumenten Endo Rescue Kit For the removal of fractured instruments
(RKP.204.090). 5. Freilegen der Frakturstelle durch Umbohren des Fragmentes 6. The (RKP.204.090). fragment is surrounded and seized. Anti-clockwise rotation. Removal 6. Umschließung desofFragmentes. Rotation the fragment which is firmly held in gegen den Uhrzeigersinn. Entnahme the trepan bur by the residues of dentin des Fragmentes, welches durch die (RKT.204.090). Dentinrückstände im Trepanbohrer festklemmt (RKT.204.090). 7. The last third can now be correctly prepared. 7. Das letzte Drittel kann nun korrekt präpariert werden. 8. Final situation after filling.
2
2
2
070
090
110
070
090
110
/ Größe · Size
Ø ¹⁄₁₀₀ mm
410207V4_BRO_DE_EN_Endodontie_CS6.indd 66-67
) 20000 min-1/rpm ( 300 min-1/rpm Endo Rescue Zeigerbohrer Endo Rescue Centre Drill
K-4601
$300
RKP.204.090 1 RKT.204.090 1
3. 3er
18
8. Abgeschl
RKP
G180.204.090 1
410207V4_BRO_DE_EN_Endodontie_CS6.indd 66-67
7. Das letzte riert werden
8. Abgeschlossene Behandlung nach Füllung.
RKP.204. ...
G180A.204.110 1
155.000.
6. Umschlie gegen den U des Fragme Dentinrücks klemmt (RK
Winkelstück · Right-angle (RA)
/
H269GK.315.016 1
5. Freilegen Umbohren d
4. Präparation des Zugangs bis zum Fragment 5. Exposure of the fractured surfa(G180.204.090). ce by drilling around the fragment
4. Preparation of the access right down to the fragment (G180A.204.090).
7. The last third can now be correctly prepared.
4. Präparati (G180.204.0
create direct access to the fragment 3. Die koronale Krümmung wird unter axialen (G180A.204.110). Bewegungen entfernt, um einen direkten Endodontie | Revision Zugang zum Fragment4.zu ermöglichen Preparation of the access right down Endodontics | Revision (G180A.204.110). to the fragment (G180A.204.090).
2. Recreation of the access cavity (H269GK.315.016).
4601.000
Zugang zum (G180A.204
8. Final situation after filling. 2. Neupräparation der3. Zugangskavität The coronal curvature is strai(H269GK.315.016). ghtened with axial movements to
1. Initial situation. Presence of a fragment of a fractured instrument in a mesial root.
2. 3er
5. Freilegen der Fraktur Umbohren Behandlu des Fragmen
1. Ausgangssituation. fraktu2.Fragment Recreation of be the access cavity 8. Abgeschlossene Beha 7. The last third can eines now correctly Bewegungen rierten Instrumentes in einer mesialen Wurzel. prepared. (H269GK.315.016).
Clinical sequence
3. 3er
4. Preparation of the access right down to the fragment (G180A.204.090).
6. Umschließung des Fr gegen den Uhrzeigersinn 1. Ausgangs des Fragmentes, welche rierten Instr Dentinrückstände im Tre 6. The fragment is surrounded and klemmt (RKT.204.090). seized. Anti-clockwise rotation. Removal 2. Neupräpa 1. Initial situation. Presence of a fragof the fragment which is firmly held in Behandlungsablauf ment of a fractured instrument in a 7. Das letzte (H269GK.31 Drittel kan the trepan bur by the residues of dentin mesial root. riert werden. (RKT.204.090).
Endo Rescue Kit
66
4. Präparation des Zuga (G180.204.090).
5. Exposure of the fractured surface by drilling around the fragment Clinical sequence (RKP.204.090).
Endodontie | Revision Endodontics | Revision
66
create direct access to the fragment (G180A.204.110).
1
410207V4_BRO_DE_EN_Endodontie_CS6.indd 66-67
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67 hide
VIBRAPOST
· After being bent, it can be returned to its original shape.(NiTi Models)
Serrated Edges
Retreatment
· Stably secures the cortical bone plate, regardless of its shape, due to the saw-toothed wheel at the end of the KimTrac.
Various Angles
· Consists of three types of angles that make contact with the bony plate. It adheres well to both anterior and posterior locations by adjusting the left-right angle.
KimTrac WING
· KimTrac Wing ensures easy flap retraction with highly improved visibility and accessibility of operation field.
KimTrac
KimTrac Wing
Bendable Periosteal Elevator for Surgical Treatment
KimTrac is an instrument that is designed to drag and hold soft tissues after resecting the part for surgical procedure in periodontal operation or invasive root canal treatment. Bendable Periosteal Elevator for Surgical Treatment
KimTrac
Unlike other products with blunt ends, the KimTrac is able to hold the cortical bone plate precisely and stably, regardless of whether the shapes are plain or protrusive, due to its serrated end.
21
KimTrac for Endodontic surgery KTRM available in 4 sizes: 1N, 2N, 3N and 4N.
Tip Type VP-A(SATELEC)
Recommended Power Level
KTR-M2
KTR-M3
KTR-M4
5
10 3
6
11
8
8
· The most efficient shape to constantly deliver the highest ultrasonic energy. KTR-M1 · The fastest way to remove a post.
10
20
The best choice Each for removing a post from a root canal
12
14
12
10
8
%
10
SAVE
$209
KTR-M5
KTR-P1
KTR-P2
Shape Memory
· After being bent, it can be returned to its original shape.(NiTi Models)
The best choice for removing a post from a root canal
VP-E(EMS)
Serrated Edges
· Stably secures the cortical bone plate, regardless of its shape, due to the saw-toothed wheel at the end of the KimTrac.
Various Angles
High Power
· Consists of three types of angles that make contact with the bony plate. It adheres well to both anterior and posterior locations by adjusting the left-right angle.
KimTrac WING
· KimTrac Wing ensures easy flap retraction with highly improved visibility and accessibility of operation field.
anal
Caution! sonic energy. In order to avoid potential damage to the periodontal ligament from excessive heat, be sure to work with water and refrain from engaging the post for more than 15 seconds at a time el
gament from engaging the
KimTrac Wing
Post Removal Tip
VIBRAPOST
Dr. Jorge Vera
Vibrapost Post Removal Tip ... Grip It. Shake It.
$225 Each
The best choice for removing a post from a root canal in 3 easy steps: 21
Dr. Jorge Vera 1. Trim the post to 0.6mm with a high speed bur CK TIP with Needle 2. Grip it with the VibraPost VIBRAPOST 3. And shake it off
Dr. Carlos Saucedo
15 M-VPA inch for Satelec
M-VPE metre for EMS
Dr. Carlos Saucedo
The best choice for removing a post from a root canal
Orders
· The most efficient shape to constantly deliver the highest ultrasonic energy. · The fastest way to remove a post.
1 3 0 0
Tip Type
6 5
8 8
2 2
Recommended Power Level
19