Endo Solutions

ENDODONTIC Solutions

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ENDODONTIC Solutions

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May/June 2018 1

Education Hands-on

Limited to 8 Attendees

Endodontics...3 Core Skills for Predictable Outcomes

3.5 CPD HOURS

Presented by Dr Jeff Ward & Dr Kurian Mamootil

Access, Glide Path Preparation and Obturation A series of 3 short lectures designed for dentists who are already practicing rotary endodontics and would like to focus on upskilling in these three critical areas:

• • •

Access preparations Mechanical preparation of the glide path Obturation – perfecting warm vertical obturation techniques

Participants will have an opportunity to prepare an access cavity using burs and ultrasonic instruments. Practice mechanical glide path preparation using rotary NiTi instruments combined with the latest technology in endodontic motors. Using heated gutta percha and warm vertical condensation, participants can also perfect their obturation technique.

• New South Wales: Friday 25 May 2018 • South Australia: Friday 22 June 2018 • Queensland: Friday 29 June 2018 • Western Australia: Friday 20 July 2018 • Victoria: TBA

Cost: $375 | Register one month prior to course for Earlybird Price $349

Hands-on

Hands-on

7

7 CPD HOURS

CPD HOURS

Advanced Endodontic Workshop

To The Apex!

Presented by Dr Oliver Pope Do you want to treat teeth that last longer?

This course is designed to give the skilled general practitioner the knowledge, materials and techniques to complete endodontic treatment to the highest possible standard.

Presented by Dr Shalin Desai This hands-on workshop will give participants useful tips and tricks for day-to-day endodontic assessment, diagnosis and treatment procedures.

Victoria: Friday 1 June 2018 NOW SOLD OUT!

Queensland: Friday 11 May 2018 New South Wales: Friday 3 August 2018

Email events@henryschein.com.au to go on the waitlist!

Cost: $380

Cost: $380

Register Online: www.henryschein.com.au/education Registration Enquiries: 1300 302 421 | events@henryschein.com.au 2

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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

1 3 0 0

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Diagnosis

Percussion Test

and radiographs must be reviewed in order to make a definitive diagnosis.

Icing with Endo-Frost Icingthe thePellet Pellet with Endo-Frost

Percussion Test

Cold Testing Endo-Frost Cold testingwith with Endo-Frost

The normal response of nerve fibers can be tested by stimulating Endo-Frost Endo-Frost Pellets the nerve endings ofCold theSpray pulp with a cold spray. As a result of this test, the vitality (existing blood flow) Pack of 500 of200ml the tooth .52 can be verified. .40 $21 $22 BLACK LINE RUBBER DAM CLAMPS .66 Single $22 3+ Each

| An Exceptional Restoration Begins with Excellent Isolationcan cause a false reading (tooth is It’s important to note that use of pain relief drugs vital but does not respond to cold) or that a false cold sensation may occur on teeth ANTERIOR RUBBER DAM CLAMPS with an adjacent metal restoration.

Hu-Friedy’s 48 clamps, made in the USA from proprietary stainless steel, Infection Control provide full-mouth coverage.

Black Line Rubber Dam Clamps POINTS OF PERFORMANCE

00X

6X

9X

RDCM00X

RDCM6X

RDCM9X

R

L

A dark coating allowing for improved

Flat jaws and high bow for small lower canines and first premolars.

R

L

Slightly offset jaws for labial caries on anterior teeth.

R

L

Offset flat jaws and stiff bow for anterior teeth.

9

10

11 12

4

13

3

14

UPPER

15 16

R

9SX

212X

212SAX

RDCM9SX

RDCM212X

RDCM212SAX

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Flexi Dam R

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Flat jaws for labial caries on anterior teeth.

L 32

17

31

18

LOWER

30

19

29

20

ROEKO 28

L

21

27

26

• Latex free

Offset flat serrated jaws for anterior teeth.

22 25 24

23

Slightly offset staggered jaws for odd shaped anteriors.

• Powderfree

• More tear resistant than latex

DAM CLAMPS aiding in (GENERAL)

® Satin Steelcontrast whichand resists corrosion while intraoral visual acuity flexibility and memory • Matte finish for decreased light • A dark coating allowing for improved intraoral contrast reflection and glare and visual acuity • 8 Matte finish for decreased light reflection and glare

8AX

8ADX

W8AX

RDCM8AX

RDCM8ADX

RDCMW8AX

R

R

• Highly elastic has excellent recovery properties for effective isolation of the tooth R

L

L

L

• No unpleasant odor Deeply festooned four-point jaws for molars.

Deeply festooned jaws and extended bow for distal access to molars.

Slightly festooned jaws for molars.

10X

11X

14X

14AX

RDCM10X

RDCM11X

RDCM14X

RDCM14AX

R

L

Flat jaws designed for small upper left and lower right molars; paired with RDCM11.

R

L

Flat jaws designed for small upper right and lower left molars; paired with RDCM10.

SAVE

20%

R

L

Deeply festooned jaws for partially erupted or irregularly shaped molars.

R

L

Deeply festooned jaws for partially erupted or irregularly shaped molars; larger than RDCM14.

W14AX

18X

24X

25X

RDCMW14AX

RDCM18X

RDCM24X

RDCM25X

R

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R

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Flat jaws and stiff bow for molars.

Flat jaws for upper right and lower left molars; paired with RDCM25.

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Box of 30

Deeply festooned jaws for partially erupted or irregularly shaped molars.

$27.24

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Access TwinPower Ultra Series

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Powerful Ultra Mini Head Delivers Unsurpassed Access & Visibility TwinPower Ultra 4HUEX Case 1. Tooth 16 Pulp Chamber Access Opening (Operator's - Reflected View)

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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.

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Case 2. Tooth 17 Cavity Preparation (Operator's - Reflected View) The TwinPower Ultra 4HUEX handpiece is powerful with 20 watts of power andUaltcompact head size that offers improved access and visibility. ra

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TwinPower Ultra Mini (4HUMX)

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010 TwinPower Ultra 4HUEX- O • 20W

It is possible that the bur will Ultra Standard be slanted with a standard 20Waccess, which head to gain can lead to excessive removal of tooth structure. The mirror is placed to the side of the handpiece head which can often result in poor visibility.

TwinPower Ultra Mini, T Torque up 4HX- OWith • 25W Hig op AiTwinPower the bur can easily be held r -D h Sp upright for optimal use on eed riven, Han TwinPower Standard 4HEX- Omolars • 22W or for patients who dpi ece have limited opening. Space

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Orders

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Endodontie | Eröffnung/Erweiterung

ntroducing…Komets Patency File • Available in two lengths and six new sizes in each length

Tri Auto ZX 2 What is it:

Long, slim neck for unobstructed view past the instrument into the access cavity

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171 171 K-Files K-Files (With(With triangular triangular cutting cutting tip) tip) PathGlider Torque 0,5 Ncm DENTAL SURGERY PRAXIS (300 min 24 hours PG03L25.204.015 All prices are exclusive of GST and freight.

To order fax 0508 808 555, available 389 In 21/25/31mm In 21/25/31mm lengths. lengths.

PathGlider Torque 0,5 Ncm In sizes In sizes 006min006 to 080 to 080 PG03L25.204.020 (300 Endo Tracer

Sizes 004 to 014 Pack of 5

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Konisch mit nicht Round end tapered

Its extra strength provides greater leverage which minimises file buckling

Resilient strength is ideal for working in those hard calcified canals in the coronal third 171 171 171

Sterile packed

NEW Patency File

Includes unique “012” size; providing a useful Stainless Steel K-File is thermally hardened for manual probing bridgingAoption between thethat large 50% step-up between• sizes “010” andprovides “015”greater leverages which minimises file Its extra strength

buckling Complete with special depth markings which clearly • Resilient strength is ideal for working in those hard calcified show up on radiographs canals in the coronal third

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All prices are exclusive of GST and freight. To order fax 0508 808 555, available 24 hours

2 1

3

4 – Liquid Crystal Display (LCD)

icons.

5 – File progress display& Preparation Measurement

2 – Memory bar The memory bar allows the operator to pre-set a reference point to indicate a curvature or specific distance from the APEX marker.

6 – Volume (3 settings: off, low, high)

7 – Battery indicator Canal measurement with an Apex locator is accurate and precise

Approx. 0.5 mm

Approx. 0.5–2.0 mm

Actual size

Apex

Insertion of the file into the Insertion the file into the root canalofspace activates root canal space activiates the meter.

The number the meter. The number displayed lowerleft left displayed in in the the lower cornerindicates indicates the corner thebars bars remaining until until the remaining the file file reaches the pre-determined reaches the pre-determined flash bar. flash bar.

The green zone on the The green zone on the the display indicates when indicates when the filedisplay approaches the critical file approaches the critical apical area. apical area.

The small triangle on the Theside smallof triangle on the right the meter right sidethe of the meter indicates preset indicates the preset reference reference point. point.

Dentaport ZX Apex Locator

The pink bars indicate Theapical pink bars indicteand the is the foramen apical foramen and ison the displayed as APEX displayed as APEX on the LCD. LCD.

Root ZX mini Root ZX mini works as accurately as its big brother Dentaport ZX Apex locator.

The industry standard since 1992.

Time to find out WHY 94% of US Dentist have an Apex Locator!

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

Orders

3

$1359

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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

$9.50

Single

8+ ea

$11.95

$9.50

$11.50

K-Files

Introducing the new EndoWave MGP “Mechanical Glide Path” kit, NiTi files specifically designed for efficient mechanical glide path preparation.

K-Files - For all preparation techniques with a filing motion.

VDW

Special steel alloy with uniform structure for maximum resistance to fracture and maximum flexibility etration.

EXCAVATORS

EXCAVATORS

SAVE

Hu-Friedy’s endodontic excavators feature extended-length shank Hu-Friedy’s endodontic excavators feature extended-length shanks and are meticulously handcrafted from the highest grade stainless steel. meticulously handcrafted from the highest grade stainless steel. They help the clinician access the pulp chamber for easy and efficient remo the clinician access the pulp chamber for easy and efficient removal of dentin.

The result is a superior clinical outcome and improved efficiency.

The result is a superior clinical outcome and improved efficiency.

20%

and resilience clinicians need exploring and assessing the treatment site. They are available in several They are availableThe in several proven properties and unique e-ended designs and handles.

G16

Single

EndoWave MGP MORITA

This 3 file sequence in .02 taper allows the clinician to create a glide path quickly and safely XPLORERS using flexible NiTi files rather than labouring with edy’s endodontic explorers are made from a special blend of alloy which steel special blend of alloy whichhand files. des the flexibility, strength, tactile sensitivity and resilience clinicians need

G16/23

MAXIMA

features of EndoWave NiTi files reduce the risk of procedural complications. The EndoWave MGP NiTi file kit is available in 25mm length and includes #10, 15 & 20.

$49.50 1 mm

1.5 mm

Endodontic Explorer

1.3 mm

1.5 mm 1.5 mm

1 mm

2 mm

1.3 mm

1.5 m

Endodontic Excavator HU-FRIEDY

HU-FRIEDY

Endo Explorer #DG16

Endo Excavator #33L

SAVE

SAVE

20%

20

%

HF-EXDG16

8

$43.08

DG16/17

DG16/23

| EXDG16/17

| EXDG16/23

HF-EXC33L

M AY- J U N E

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$55.40

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31L

| EXCGL2

| EXC31L

31W 31W 32L 33L Oval Spoon | EXCGL2 | EXC31L Oval Spoon | EXC32L | EXC33L

32L

| EXC32L

Measurement & Preparation

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

$3600

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.

*TRADE-IN OFFER - SAVE $500 Trade your old Endodontic Motor and PAY ONLY $3100 *Trade-in Conditions: Must be complete and in working order

DentaPort ZX 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.

SAVE

SAVE $2338

Orders

1 3 0 0

10

%

6 5

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$1998

2 2

15%

9

Shaping

Clinical ClinicalCases Cases

FINISHING FINISHING FILES FILES

HyFlex NiTi Files "These filesfiles definitely know theirtheir wayway around curves.

"These definitely know around curves.

(optional) (optional)

40 /.04 40 /.04 That‘s for sure.

I loveI love them!"

That‘s for sure. them!"

50 /.03 50 /.03 “These files definitely know their way around curves. That’s for sure. I love them!”60Dr /.02 60Antonis /.02 Chaniotis Dr. Antonis Chaniotis Dr. Antonis Chaniotis

"I'm "I'mvery veryhappy happytotoin shaping shapingsome somemolar mola - it- itisisincredible!" incredible!"

Dr. Dr.Eugenio EugenioPedullà Pedull

"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!"

´´ High flexibility ´´ Extreme resistance to fra ´´ Centred canal preparatio

Dr. Eugenio Pedullà Dr. Eugenio Pedullà

Source: Source: Dr.Dr. Antonis Antonis Chaniotis Chaniotis

HyFlexEDM EDMNiTi NitiFiles HyFlex Files

HyFlex files are manufactu the crystallographic phas tensite at room temperatur making the files extremely

´´ High Highflexibility flexibility ´´ Extreme to fracture Extremeresistance resistance to fracture ´´ Centred preparation Centredcanal canal preparation 15mm HyFlex files are manufactured utilising a unique process in which Source: Dr. Antonis Chaniotis Source: Dr. Antonis crystallographic phaseChaniotis transitions from austenite to mar25/.12 Orificethe Opener 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 mem omy of the canal, thus sign transportation or perforati 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 regenerative ´´ High flexibility NiTi File!

2500

$92.90

No shaperesistance memory + Extreme flexibility = Superior canal tracking ´´ Extreme to fracture

Pack of 3

Number of Cycles to failure

Regains shape heat treatment = Multi-use ´´ Centred canal after preparation

Up to 700% higher fracture resistance

2000

EDM manufacturing process results in Tests have shown that HyFlex NiTi files HyFlex files are manufactured utilising a unique process in which another form fit and hardness of the surare significantly more resistant to fathe crystallographic phase transitions from austenite to marface of the file. tigue than conventional NiTi files. In the tensite at room temperature in contrast to conventional NiTi files, new HyFlex EDM NiTi files, this effect is making the files extremely flexible and fracture resistant. further increased by 300-700%. The new

1000 3500

´unique ´ Regeneration by thermal treatment The “continuous wave design” of the files ensures that the files do not screw into or jam in the root canal.

´´ Fracture resistance by vis ´´ Regeneration by therma

Should the file fail to regain its shape

ory. wave They prevent stress during prepara-theafter heatbeing treatment, it is plastically de- drawn into the root canal,500 This design prevents files automatically 3000 tion by changing theirThis spiral formed, thus increasing the risk of fracis ashape. crucialThey advantage in extremely curved root canals to soregain preparation is much safer. their shape after heat ture. These files should not be used after avoid thetreatment. creation of steps.

A normal autoclaving process is enough

visual inspection. The number of reuses,

and to regenerate the crystal structures and resistance to fatigue.

visual inspection, is higher than that of conventional NiTi files.

to return the files to their original reduces shape which canamount be determined the userthe by operator has to apply.

The design also greatly the ofbyforce

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Up to 700% higher fracture resistance

0 2500

$89.50

Number of Cycles to failure

Hy

Buy 5 Get 1 FREE! That’s only $74.58 each

10

EDM anot face

1500 4000

Due to the controlled memory, the files always follow the anatomy of the canal, thus significantly reducing the risk of ledging, transportation or perforation of a canal. Like stainless steel files, the HyFlex files can be pre-bent.

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

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

Buy 5 Get 1 FREE!

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®

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® ®

® ®

®

®

®

®

S1

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SX

F1

F2

F3

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Heat-treated FireWire™ S1 S 2 S X NiTiF for 1 Strength F2 F&3 Flexibility

Non Heat-treated for Traditional Taper Feel.

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Non Heat-treated for Traditional Taper Feel.

Non Heat-treated for Traditional Taper Feel.

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Non Heat-treated for Traditional Taper Feel.

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11

Irrigation

CanalPro EDTA 17% EDTA solution (pH 8.5) • Removes smear layer and dentin mud

• • •

• Opens dentin tubules for: • Disinfection solutions (e.g. alcohol) to work better 480ml

NaOCL

NaOCL EXTRA 6%

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

$99

$92

500ml

$28.71

Buy 3 bottles (of the same) Get 1 box of 5ml Syringes FREE!

CanalPro

CanalPro Coloured Syringes

Slotted End Tips

Side-Port Tips

•

27 ga, 0.4mm or 30 ga 0.3mm

• •

Ideal for irrigation of sinus tract Slotted and side-vented 25 mm length

Root Canal Irrigation

10ml Box of 50

$35.70 5ml Box of 50

27 ga, 0.4mm or 30 ga 0.3mm

$23.16

Bag 100 27ga

Bag 100

$185.40

$70

• Helps increase safety and minimize the chance of syringe swap

30ga

• Latex-Free, color-coded syringes

$213.30

• Standard luer lock style

Buy 4 Get 1 FREE!

Canal Prep

HALAS

Made in Switzerland With 15% EDTA activity.

20g jar

12

$32.50

EDTA

Hypochlorite 1% Solution HALAS

HALAS

15% Solution assist in the debridement and cleaning of root canals.

500ml

$29.20

M AY- J U N E

1.25L

2 0 1 8

Stabilised and standardised solution aids in the chemical breakdown of pulp soft tissue.

$63

1.25L bottle

$17.50

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Medicaments Neo MTA Dental Cement

Calmix

Finally… the MTA dentists have been waiting for!

The high achiever in calcium hydroxides!

•

• • • •

• • • •

Affordable MTA specifically optimized for pediatric dentistry - the lowest cost per dose of any MTA on the market Ideal treatment for pulpotomies, direct and indirect pulp capping, and apexification It is quickly wash-out resistant, non-staining, radiopaque formulation is quickly washout resistant and has excellent handling properties BioActive and non-toxic, causes precipitation of calcium phosphate, promoting dentinal bridging Excellent Handling - Mixes to a putty-like consistency, easy to apply

•

Higher pH than all existing Ca(OH)2 medicaments Greater antimicrobial activity within the root canal Won’t dry out on pad or in syringe Can be used for pulp capping and as intracanal medicament Despite a higher pH, Calmix is less cytotoxic

SAVE 15%

SPECIAL PRICE!

1g Powder 4.0cc Gel

$139 2.5g Powder 4.0cc Gel

$299 7g Powder 10.0cc Gel

$799 4 x 1.5ml syringes, 5 tips + 5 micro tips

Calasept Plus

Buy 2 Get 1 FREE!

Calcium Hydroxide • Long lasting & very effective • Smoother consistency • Precise & deep application with flexi tip

UltraCal

$85.81

KEY POINTS

SAVE Greater antimicrobial activity within the root canal10% UltraCal Syringes Higher pH than all existing Ca(OH)2 medicaments

Less inflamation to outer tissues than Pulpdent & Ultracal

4 x 1.2ml

Won’t dry out on pad or in syringe ULT-0606 Easily picked up with spiral or placed in canal with fine tips

4x1.5ml Syringes 20 Needles

8

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

SAVE 15%

$30 Box of 100

SAVE 15%

$16.60

Orders

1 3 0 0

6 5

8 8

2 2

13

Case Studies 9_Mise en page 1 13/09/14 18:10 Page24

Medicaments

Biodentine - Pulpotomy on vital carious primary molars Prof. Dr Luc Martens.

Sivaprakash Rajasekharan, Dental Surgeon Dr Rita Cauwels.

Department of Pedodontics – UZGent

C

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™

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.

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.

R 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

For full case study, please contact your Henry Schein Halas Representative.

SP-5800

Box of 15 Capsules

14

$239.25

M AY- J U N E

2 0 1 8

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Obturation

Spreaders & Pluggers 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

SPREADERS 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

SAVE

SAVE

20%

20

%

HF-RCSD11T

ISO SIZED PLUGGERS*

$42

.20

$53.64

HF-RCP5-7

.40 mm

.30 mm

Hygenic Gutta-Percha Spectra Points

• •

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

.60 mm

Greater Taper GP Points ROEKO

Greater Taper Top Color

•

.50 mm

$21.90

0.4 or 0.6 ISO Size 30 ISO Size 40 Assorted or individual sizes 24 mm 24 mm ≥ 28mm | RCP30 | RCP40 Box of 60

ISO Size 50 24 mm

ISO Size 60 24 mm

| RCP50

| RCP60

$29

.70

19 22

Orders

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.

1 3 0 0

6 5

8 8

2 2

15

Obturation

Let’s Go Cordless Your trusted Cordless Obturation system, Cordless, Convenient, Smart and Versatile

NEW Beta mini Introducing the new Beta mini cordless Obturation Device for Optimal Backfill

•

Unique design and engineering – Incorporates 360 degree Swivel Needles, as well as cordless and ergonomic features, to maximize user convenience.

• •

Balance – Great weight distribution for ease of use.

•

Extended battery time for operator – 4 hours of continual use on a single charge, which is equivalent to about 1 week of endodontic treatment in a busy practice.

•

Available in 3 colours – Black, White and New Pink.

Secondary safety feature – thermal protector cap prevents accidental burns from a hot needle or gutta percha.

Beta Obturation Gun Cordless obturation device for optimal backfill Available in Black or White

$2198

Alpha Heat Carrier $2198

Cordless obturation device for optimal warm Gutta Percha techniques Available in Black or White, with 3 Pluggers 55/06 55/08 and 55/10.

Special Combo OFFER SAVE $398 Buy Alpha & either Beta or Beta mini for Only $3998 Must be in one order

B&L Needles

B&L Gutta Percha

BL-S Kondenser

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$88.90

$259 Set of 4

16

M AY- J U N E

2 0 1 8

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INTRO PRICE

$2198

Sealants

EndoSequence EndoSequence BC Obturation Kit BC SEALER™

BC SEALER™ Kit Obturation The "State-of-the-Art" in BC Endodontic Obturation Has Changed!

Unlike conventional base/catalyst sealers, BC Sealer in utilizes the moisture naturally Obturation present in the dentinal tubules initiate its setting The "State-of-the-Art" Endodontic Hasto Changed!

reaction. This highly radiopaque and hydrophilic sealer forms hydroxyapatite upon setting and chemically bonds to both dentin and to Unlike conventional base/catalyst sealers, BC Sealer utilizes the moisture naturally present in the dentinal tubules to initiate its setting our bioceramic points (EndoSequence® BC Points™). BC Sealer is anti-bacterial during setting due to its highly alkaline pH and unlike reaction. This highly radiopaque and hydrophilic sealer forms hydroxyapatite upon setting and chemically bonds to both dentin and to traditional sealers, BC Sealer exhibits absolutely zero shrinkage! our bioceramic points (EndoSequence® BC Points™). BC Sealer is anti-bacterial during setting due to its highly alkaline pH and unlike traditional sealers, BC Sealer exhibits absolutely zero shrinkage!

Never before has an obturation system been able to make these claims. your current compare?

Never before How has andoes obturation systemsystem been able to make these claims.

How does your current system compare?

BC Sealer Your Current and Points System BC Sealer Your Current ? and 3 Points System

Biocompatible and Osteogenic Biocompatible andSealer Osteogenic Chemical Bond of to Dentin

3

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ChemicalBond BondofofSealer SealertotoFilling Dentin Chemical Material

3

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Chemical Bond of Sealer toLess Filling MaterialThan Carriers) Cost Effective (Considerably Expensive

3

??

Cost Antibacterial Effective (Considerably Expensive Highly (+12 pHLess upon setting)Than Carriers)

3

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HighlyRadiopaque Antibacterial (+12 pH upon setting) Highly

3 3

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Highly Radiopaque Hydrophilic

3 3

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Hydrophilic Producing Hydroxyapetite Hydroxyapetite Ideal Working andProducing Setting Time

3 3 3 3

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IdealFriendly Working(Premixed and Setting Time User Syringable Sealer) User Friendly (Premixed Syringable Sealer) Zero Shrinkage of Sealer and Filling Material

3 3 3 3

Zero Shrinkage of Sealeratand Filling Material 3-D Bonded Obturation Room Temperature 3-D Bonded Obturation at Room Temperature

3 3 3

‘‘‘‘

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Finally a sealer that is biocompatible, anti-inflammatory Finally a sealer that is biocompatible, anti-inflammatory and antibacterial with no post-operative complications. and antibacterial with no post-operative complications.

’’’’

Dr. Richard Herman Diplomat of the American Board of Endodontics Adjunct Assistant Clincial Professor NOVA Southeastern Post Board Graduate Endodontics Dr. Richard Herman Diplomat ofUniversity the American of Endodontics Adjunct Assistant Clincial Professor NOVA Southeastern University Post Graduate Endodontics Composition: Calcium silicates, Calcium phosphate monobasic, zirconium oxide, tantalum oxide and thickening agents.

Composition: Calcium silicates, Calcium phosphate monobasic, zirconium oxide, tantalum oxide and thickening agents.

See page 18 for packaging and pricing

Orders

1 3 0 0

6 5

8 8

2 2

17

Sealants NEW EndoSequence BC Sealer Calcium silicate radiopaque sealer dispensed from single pre-mixed paste syringe Introducing a revolutionary premixed and injectable root canal sealer utilizing new bioceramic nanotechnology!

EndoSequence BC Sealer’s nano particle size allows it to flow readily into canal irregularities and even dentinal tubules and unlike traditional sealers; EndoSequence BC Sealer has absolutely no shrinkage! This highly radiopaque and hydrophilic sealer chemically bonds to both dentin and to our bioceramic gutta percha. It uses the moisture naturally present in dentin to initiate and complete its setting reaction and it is anti-bacterial during setting due to its highly alkaline pH. White colour with excellent ease of use.

Bioceramic Sealer 2g Syringe & 15 Tips

$277.20

BC-5017560EU

NEW EndoSequence Root Repair Material Calcium silicate radiopaque sealer dispensed from single pre-mixed paste syringe EndoSequence RRM is available in a specifically formulated consistency, the syringable paste contains many of the same characteristics as BC Sealer. The favourable handling properties, increased strength and shortened set time make RRM highly resistant to washout and ideal for all root repair and pulp capping procedures. Research and countless cases confirm that RRM is highly biocompatible and osteogenic. Join the thousands of others that have set aside their spatulas and joined the RRM revolution!

Root Repair Fast Set Putty 0.3g Syringe

$240.90

BC-5024200EU

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

18

$155.30

M AY- J U N E

2 0 1 8

w w w.he nry sc he i n.c om.a u

fter ior

acity of

CLEARFIL DC Core Plus & CLEARFIL Universal Bond Quick The Perfect Team for Reliable Core Build-Ups DC CORE PLUS is a dual-cure, radiopaque two-component core build-up material, with superior compressive and flexural strength with a filler loading of 74wt%.

• • • • • • • • •

CLEARFIL Universal Bond Quick

Excellent and Desired Physical Properties Superior Bond Strength with CLEARFIL Universal Bond Quick Flows with Control; No Matrix Band Needed Specially Designed Guide Tip for Deep Root Canals everX Posterior Long-Term Durability Post Cementation Cuts and Feels like Dentine Radiopaque Available in 2 shades Dentine and White

Due to its outstanding adhesion properties CLEARFIL Universal Bond Quick is the perfect complement to CLEARFIL DC CORE PLUS because of its specific accelerator for self-curing.

Mean Fracture Load

$275

$108

1800

Mean fracture load (N)

nal

Restorative

1500

5ml Bottle

1200

KY-282402

It is ideal for those areas which could not be reached by the light. CLEARFIL Universal Bond Quick adheres to dentine in the root canal and to the post.

A separate primer is not needed.

900 600

everX Posterior 300

The STRONGEST composite sub-structure 0 eXP-CC

Test set-up

CC

Fibres change fracture patterns of endo treated teeth Crack propagation under load

everX Posterior significantly reinforces composite crowns in endo treated molars resulting in more easy to restore fractures.

Predominant fracture types (favourable/unfavourable)

entional also the loaded ed away

Composite Z250 crown everX Posterior substructure Z250 substructure

ated molars

Fracture line within the composite REPAIR POSSIBLE

Fracture line within the composite AND Tooth structure EXTRACTION?

Lammi M, Tanner J, Le Bell-Rönnlöf A-M, Lassila L, Vallittu P. Restoration 9 of endodontically treated molars using fiber reinforced composite substructure. J Dent Res 2011 90 (Spec Iss A): 2517

Orders

1 3 0 0

Box of 15 unitips (0.13ml/0.25g)

6 5

8 8

2 2

$119

19

2. Recreation of the a (H269GK.315.016).

Retreatment

3. The coronal curvat ghtened with axial mo create direct access (G180A.204.110).

Endo Rescue Kit

4. Preparation of the to the fragment (G18

66

5. Exposure of the fra ce by drilling around t (RKP.204.090).

Endodontie | Revision Endodontics | Revision

4601.000

RKP

K-4601 Head Unterk.

28,5

6. The fragment is su seized. Anti-clockwise of the fragment which Behandlungsablauf the trepan bur by the (RKT.204.090).

$300

Endo Rescue Kit Zum Entfernen von frakturierten Instrumenten Endo Rescue Kit For the removal of fractured instruments

2. 3er

/

1. 3er

2 110

1. Initial situation. Presence of a fragment of a fractured instrument in a 070 090 110 mesial root.

RKP.204. ... ) 20000 min-1/rpm ( 300 min-1/rpm Endo Rescue Zeigerbohrer Endo Rescue Centre Drill

H269GK.315.016 1 G180A.204.110 1

1. Ausgangssituation.

Fragment 7. The last third can en rierten Instrumentes in einer mes prepared.

RKP.204.090 1

hide

3. Die koronale Krümmung wird u Bewegungen entfernt, um einen d Zugang zum Fragment zu ermögli (G180A.204.110).

3. The coronal curvature is straightened with axial movements to create direct access to the fragment (G180A.204.110).

66

RKT.204.090 1

3. 3er

1

8. Final afte 2. Neupräparation dersituation Zugangska (H269GK.315.016).

67

2. Recreation of the access cavity (H269GK.315.016).

G180.204.090 1

4. Präparation des Zugangs bis z (G180.204.090).

4. Preparation of the access right down to the fragment (G180A.204.090).

5. Freilegen der Frakturstelle dur Umbohren des Fragmentes (RKP.

5. Exposure of the fractured surface by drilling around the fragment (RKP.204.090).

6. Umschließung des Fragmentes gegen den Uhrzeigersinn. Entnah des Fragmentes, welches durch d Dentinrückstände im Trepanbohre klemmt (RKT.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).

2. 3er

The best choice for removing a post from a root canal

7. Das letzte Drittel kann nun kor riert werden.

8. Abgeschlossene Behandlung n

7. The last third can now be correctly prepared.

· The most efficient shape to constantly deliver the highest ultrasonic energy. · The fastest way to remove a post.

Tip Type

2

Winkelstück · Right-angle (RA)

/

155.000.

2

Clinical070 sequence 090 Ø ¹⁄₁₀₀ mm

Größe · Size

8. Final situation after filling.

Recommended Power Level

VP-A(SATELEC) VP-E(EMS)

The best choice for removing a post from a root canal 410207V4_BRO_DE_EN_Endodontie_CS6.indd 66-67

High Power

RKT

nal Caution! nic 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 3. 3er

Post Removal Tip

2

2

2

Ø ¹⁄₁₀₀ mm

070

090

110

Ø ¹⁄₁₀ mm

7

9

11

Ø ¹⁄₁₀ mm

4

5

7

070

090

110

/ Größe · Size D

VIBRAPOST D₁

Winkelstück · Right-angle (RA)

Dr. Jorge Vera

ment from gaging the

RKT.204. ...

Vibrapost

) 20000 min /rpm ( 300 min-1/rpm Endo Rescue Trepanbohrer Im Linkslauf einzusetzen Endo Rescue Trepan bur 410207V4_BRO_DE_EN_Endodontie_CS6.indd 66-67 To be used in anticlockwise rotation

hide

-1

Post Removal Tip ... Grip It. Shake It.

$249 Each

The best choice for removing a post from a root canal in 3 easy steps: 1.

TrimVera the post to 0.6mm with a high speed bur Dr. Jorge 2.

Grip CK TIP with Needleit with the VibraPost VIBRAPOST 3.

And shake it off M-VPA inch for Satelec

Dr. Carlos Saucedo

24.05.16 08:41 15

M-VPE metre for EMS

The best choice for removing a post from a root canal

· The most efficient shape to constantly deliver the highest ultrasonic energy. · The fastest way to remove a post.

20

Dr. Carlos Saucedo

Tip Type

M A Y -VP-A(SATELEC) J U N E VP-E(EMS)

Recommended Power Level

2 0 1 8

w w w.he nry sc he i n.c om.a u

High Power