Endo Solutions May

May 2019

ENDODONTIC Solutions

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ENDODONTIC Solutions

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Henry Schein Education

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FOCUS what’s new in Endodontics • Coltene and Morita Courses Page 2 • Zumax Microscope Page 3 • Canal Pro Irrigation Station Page 17 www.henryschein.com.au

1

Education

Endodontic Symposium Friday 18 October 2019 The University of Sydney’s 2019 Endodontic Symposium with some of Australia’s most trusted and respected specialists in Endodontics and Prosthodontics.

The 5th Australasian Cone Beam Symposium 9 - 10 August 2019 | Hamilton Island, Whitsundays Tremendous opportunity to establish, develop and expand your understanding and use of three dimensional CBCT data.

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

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Diagnosis

OSM 2380

MICROSCOPE

Combining a unique set of features and specifications, the new 2380 Zumax is a game changer in the dental microscope market.

With German optics, large fine focusing range, wireless foot pedal, the Zumax 2380 brings an unprecedented level of comfort and high performance to your practice.

German

i P h o n e a n d A n d ro i d

Optics

integration available

Integrated LED

Integrated 2D and 3D

l i g h t s o u rc e

o p t i o n s w i t h S D C a rd

Pendulum

F l o o r, w a l l a n d c e i l i n g

arm function

options available Exclusively by

Orders

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Diagnosis

It is hard to treat what you cannot see.

This CBCT clinical case was acquired using the Morita Veraview X800. This patient experienced intense pain in the upper left maxilla. Clinical examination revealed no abnormal findings.

A conventional radiograph revealed nothing to explain the patient's pain. A Cone Beam CT scan was taken and the assessment revealed a significant, previously undisclosed extensive root resorption defect on the buccal side of tooth 26.

The diagnosis of root resorption could not have been made without CBCT imaging.

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Diagnosis

Veraview X800 The winner of the iF Design Gold Award is characterised by an inspirational design as well as outstanding image quality. Accordingly, the 2D/3D x-ray unit Veraview X800 provides superior diagnostics and safety for patients. The 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.

Learn more at morita.com.au or contact Henry Schein on 1300 65 88 22 email: equipment@henryschein.com.au

morita.com.au Orders

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6 5

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5

Access Septanest 1:100,000

Buy 3 & SAVE

Septodont

4% articaine with 1:100,000 epinephrine injection solution

15%

Septanest 1:100,000 is particularly appropriate for procedures of longer duration and when there is a risk of significant bleeding into the operative field

TwinPower Ultra Series

!"#$%&"'()*'(#'+ • Fast onset to avoid delay before effective analgesia is achieved • No-methylparaben formulation to avoid allergic reactions on sensitive patients Powerful Ultra Mini Head Delivers Unsurpassed ,#-.+/''0),1$0/#'2'+ • 100% latex-free !"#$%&"'()*'(#'+ SP-4090-100 Box of 100 2.2ml cartridges. ,#-.+/''0),1$0/#'2'+ Case 1. Tooth 16 Pulp Chamber Access Opening (Operator's - Reflected View) !&(B5')</

TwinPower Ultra Series

!&(B5')</

*=1$01(0

*=1$01(0

Powerful Ultra Mini Head Delivers

TwinPower Highspeed Handpieces <7=(1)K#$#

!"#$

<7=(1)K#$#

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Unique “double-impeller” technology for unsurpassed torque and power. <7=(1)*=1$01(0 Excellent contamination control!"#$with Zero “Suck–Back” !"#$

<7=(1)*=1$01(0

LMN)*5(-#217

4 | Step by Step

LMN)*5(-#217

Ultra standard compact mini head size with 20W of power for smooth, efficient cutting.

2010

Top Air-Driven, High Speed Handpiece

2010

$1298 each

Case 1. Tooth 16 Pulp Chamber Access Opening (Operator's

!"#$ TwinPower Ultra (4HUEX)

!"#$

Surgical handpiece with a !"#$ 45-degree angle and a small head with 20W of power.

Standard Head 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 Ultra for ergonomic TwinPower (4HUEX) m i rr o r p o s i t i o n i n g & optimal vision.

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hinking ahead. Focused on life.

Top Air-Driven, High Speed Handpiece

TwinPower's Ultra head facilitates an improved 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.

Access Burs Straight line access

Case 2. Tooth 17 Cavity Preparation (Operator's - view Reflected with a View) mirror or

nking ahead. Focused on life.

Case 2. Tooth 17 Cavity Preparation (Operator's - R

1 Access cavity

2 Coronal reaming

3 Creation of a glide path

TwinPower Ultra Mini (4HUMX)

EndoTracer

Removes dentin overhangs and protects the floor of the pulp chamber with its smooth, non-cutting tip.

Petite round bur with long, slender neck to allow unobstructed vision past the instrument into the access cavity.

Opener

Ideal for the preparation of isthmuses. ( )

1.500 rpm 20.000 rpm

$36.45

$55

( ) Torque:

300 rpm 500 rpm 2,8 Ncm

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have limited opening. Space is also created, ensuring minimal contact of the handpiece head to the opposing dentition.

$200

PathGlider Reduces the risk of inadvertent canal transportations and 6 undesirable steps while ensuring that all subsequent

It is possible that the bur be slanted with a stand head to gain access, w can lead to excessive rem of tooth structure. The m is placed to the side of handpiece head which often result in poor visibil

Used in the coronal third of the canal, the Opener TwinPower Ultra Mini, removes most of the bac-With the bur can easily be held teria right at the start of upright for optimal use on molars or for patients who the treatment.

OP08L19.204.025 OP10L19.204.030

20.000 rpm 160.000 rpm

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 TwinPower Ultra Mini (4HUMX) opposing dentition.

H1SML34.205.010

( )

H269QGK.314.016

EndoGuard

Standard Head

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Access

Pac

Why it’s special • 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 Glide Path Creation 171 171 171 • Sterile packed

Patency File Komet • Includes unique “012” size; providing a useful bridging option between the large 50% step-up

A Stainless Steelbetween K-File that is thermally for manual probing sizes “010” and hardened “015”

• • •

Its extra strength provides with greater leverages which minimises fileclearly • Complete special depth markings which buckling show up on radiographs Resilient strength is ideal for working in those hard calcified canals in the coronal third Sterile pack of21mm 6 $22 - In.595 sizes & assorted pack K-175216540__

Tip Diameter ø 1/100 mm

006

008

010

012

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- In Pack 5 sizesK-17521654 & assorted pack K-175256540__ 21mm in 5 sizes &25mm Assorted 25mm in 5 sizesThinking & Assorted ahead.

Pack K-17525654 Focused on life.

Hyflex GPF Glidepath File Coltene

• • • •

All prices are exclusive of GST and freight.

To order fax 0508 to 808 Corporate 555, 24 hours Deal Deal not not applicable applicable to available Corporate or Government or Governme

Deals Deals valid valid 03/0

Optimal shaping of the glide path due to the controlled memory Good durability and resistance to fracture Very easy to use and ensures safe treatment.

Can be used with 300 rpm and at a torque of up to 1.8 Ncm (18 mNm)

Also available from Coltene® Endo:

Extreme flexibility allows the files to follow unusual anatomies.

NiTi Glidepath File 10/.05,in 21 orCARD 25mm, pack of 3 FILE SEQUENCE STEP BY STEP

$92.90

a Slow Speed Handpiece at 300 rpm HyflexRecommended GPFUse Glidepath Step by Step Torque Setting up to 1.8 N·cm (.018 N·m) (180 g·cm)

STEP 3

.01/15

.02/15

.02/20

to Working Length

to Working Length

to Working Length

Also available from Coltene® Endo:

1 1

1

1

2

3

1

2

1

2

3

1

2

3

4

2

3

4

5

4

5

2

3

4

Shaping2 3 4 5 ROEKO K- and H-files, ROEKO Reamers, HyFlex™ CM NiTi File Drying3 4 5 ROEKO Paper points, ROEKO surgitip-endo Temporary Treatment 4 5 ROEKO Calcium Hydroxide PLUS points, ROEKO activ points Obturation 5 ROEKO GuttaFlow®2, RoekoSeal, ROEKO Guttapercha Points Post Systems / Core-Build-up: ParaPost® Fiber Trans, Fiber Lux, Taper Lux, ParaPost® X, XH, XP, ParaCore®

5

Coltène/Whaledent GmbH + Co. KG Raiffeisenstraße 30 89129 Langenau / Germany Coltène/Whaledent Inc. 235 Ascot Parkway

STEP 2

STEP 1

Shaping2 3 4 5 ROEKO K- and H-files, ROEKO Reamers, HyFlex™ CM NiTi File 1 2 Drying3 4 5 EndoWave MGP Morita ROEKO Paper points, ROEKO surgitip-endo Treatment 2 4 sequence 5 EndoWave Mechanical1Glide path kit 3is Temporary a 3 file in .02 taper that allows the ROEKO Calcium Hydroxideflexible PLUS points, ROEKO activrather points than clinician to create a glide path quickly and safely using NiTi files Obturation 1 2 3 4 5 labouring with steel hand files.

ROEKO GuttaFlow®2, RoekoSeal, ROEKO Guttapercha Points Kit available in 25mm length and includes 15/ Core-Build-up: & 20 $49.50 Systems 1 2 3 4 5 Post#10, ParaPost® Fiber Trans, Fiber Lux, Taper Lux, XH, XP,packet ParaCore® That’s onlyParaPost® $37.12X, per 1

Coltène/Whaledent GmbH + Co. KG Raiffeisenstraße 30 89129 Langenau / Germany Coltène/Whaledent Inc. 235 Ascot Parkway Cuyahoga Falls, Ohio 44223 / USA

W $14.90

Packet Packet of 6 of 6

Ingeniously versatile • A Stainless Steel K-File that is thermally hardened for manual probing

30003464 05.16 @ xxx xx/xx

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Tri Auto ZX 2 What is it:

Buy 3 Get 1 FREE!

Edgeglidepath Files EdgeEndo Use exactly like ProGlider.

Size 17 .02 Taper available in 21mm, 25mm and 31mm Pkt 4 $59.90

Orders

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Measurement & Preparation

HU-FRIEDY ENDODONTIC INSTRUMENTS SAVE 15%

NITI SPREADERS

SPREADERS

N I C K E L T I TA N I U M S P R E A D E R

titaniumADERS points provide these spreaders with endodontic spreaders provide the NiTi Nickel SPRE SPREHu-Friedy’s ADERS

.40

extra flexibility and memory while the ergonomic, necessary access into the most difficult canals Nickel titanium points provide these spreaders extra flexibility and memory while the colour-coded handles allow forwith maximum comfort ensuring optimal compaction filling material during Hu-Friedy’s Endodontic Spreaders provide theof necessary access into the most difficult ergonomic, color-coded handles allow for maximum comfort andmost control. NiTi Spreaders and control.

NiTi Spreaders can be used in the lateral condensation.

The result is a superior clinical canals ensuring optimal compaction of filling material during lateral condensation. can be used in the most difficult canals without causing permanent damage to the instrument.

The result is aoutcome superior clinical outcomepatient and enhanced difficult canals without causing permanent damage and enhanced care. patient care.

Hu-Friedy offers nine different designs and sizes for use in nearly all procedures. to the instrument. Hu-Friedy offers nine different designs and sizes for use in nearly all procedures.

ENDODONTIC E XPLORERS .30

Long-shanked explorers used for locating the o

ENDODONTIC E X PLORERS

40

RCS40NT

Hu-Friedy’s endodontic explorers are made from a special blend of alloy which provides flexibility, strength, tactile sensitivity and resilience for precise assessments. The result is a superior clinical outcome that meets your exacting professional standards.

.20

©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved.

©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved.

MA57

ENDODONTIC EXPLORERS

PLUGGERS

RCSMA57N

.25

Hu-Friedy’s endodontic explorers are made from Hu-Friedy endodontic pluggers are individually a special blend of alloy which provides flexibility, handcrafted to exacting specifications from the highest Hu-Friedy endodontic pluggers are individually handcraftedplugger to exacting specifications from strength, tactile sensitivity and resilience for precise quality stainless steel.

Every endodontic the highest quality stainless steel.

Every endodontic plugger delivers a superior outcome while D11 assessments. The result is a superior clinical outcome delivers a superior outcome while increasing clinical increasing clinical efficiency in compacting filling material during vertical condensation.

RCSD11NT that meets your exacting professional standards. efficiency in compacting filling material during vertical ©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved. condensation.

PLUGG ERS

25S

RCS25SNT

©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved.

5

©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved.

17

©2011 Hu-Friedy Mfg. Co., llC. all rights reserved.

©2011 Hu-Friedy Mfg. Co., llC. all rights re

DG16

DG16/23

EXDG16

EXDG16/

#31, #6, #7

EXDG16T ©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved.

©2011 Hu-Friedy Mfg. Co., LLC. All rights reserved.

Thick #6

9 ©2011 Hu-Friedy Mfg. Co., llC. all rights reserved.

8

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Measurement & Preparation

Dentaport ZX Apex Locator and Root ZX mini The Gold standard in accuracyâ&#x20AC;Ś..The Industry standard for measurement.

Time to upgrade to the BEST *TRADE-IN your old Apex Locator AND receive a $540 Discount on a NEW Morita DentaPort ZX Apex locator or Root ZX mini.

DentaPort ZX Apex Locator or Root ZX mini

$1620

-

*Trade-in Discount

=

$540

NOW ONLY

$1080

*Conditions Apply

5 Tips when using Electronic Apex Locators (EALâ&#x20AC;&#x2122;s) 1.

2.

3.

Turn on the EAL and allow it to self-calibrate before connecting it to the patient.

Be sure the file and lip clip do not contact any metal restorations.

Non conducting irrigants give the most accurate readings. These include RC Prep, Alcohol or dried canals.

Conducting irrigants, such as sodium hypochlorite or saline are more problematic.

4.

When determining working length, select a file that fits snugly at the apex. Advance it slightly past the apex and pull it back to make your readings.

5.

Repeat the process several times to verify. If the readings are not reproducible, they are probably not accurate. Inaccurate readings sometimes occur when a periapical lesion is present.

Orders

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Measurement & Preparation

DentaPort ZX OTR The new standard in mechanical root canal preparation.

The “Best of Both Worlds” Dentaport OTR – The New Movement in Endodontics.

$2610

DentaPort ZX Complete System ONLY $3600 - SAVE $630 Get 3 packs of EndoWave NiTi files FREE!

+ DentaPort ZX Apex Locator

Tri Auto mini

= DentaPort ZX OTR

DentaPort ZX Complete System

Ultra compact, cordless endodontic handpiece offering a number of specially designed features that enable predictable clinical safety.

$1489

10

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SAVE

30%

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Measurement & Preparation

Tri Auto ZX2 The Tri Auto ZX2 is a compact, lightweight, cordless endodontic motor with an integrated Root ZX apex locator. The Tri Auto ZX2 is the successor to the original Tri Auto ZX cordless endodontic motor and offers easy, intuitive operation with a host of new and unique functions.

Optimum Torque Reverse (OTR) and Optimum Glide Path (OGP) are two of the new safety functions the Tri Auto ZX2 provides. OGP simplifies glide path creation and the OTR function is an intelligent torque reverse that reduces the risk of file fatigue and breakage with a unique motion that is employed when the preset torque limit is reached.

Unique Optimum Torque Reverse (OTR) Optimum Glide Path mode (OPG) Integrated apex locator Lightweight (140g) Eight programmable memories Operation speed 100-1,000 RPM Eleven torque limit settings (0.2-5.0 Ncm) Adaptable for left or right-handed clinicians

*TRADE-IN OFFER - SAVE $1194 Trade your old Endodontic Motor and PAY ONLY $2999

$4193 RRP

morita.com.au

*Trade-in Conditions: Must be complete and in working order

Orders

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Shaping

ÂŽ EDM HyFlex ÂŽ EDM HyFlex Unmatched Flexibility and Fracture Resistance

Flexibility and Fracture Resistance inUnmatched a One File System in a One File System

HyFlex EDM offers the dental practitioner enhanced ease of mechanical preparation of the rootEDM canaloffers so that newcomers to enhanced endodontics can reliable results HyFlex theeven dental practitioner ease ofachieve mechanical preparation quickly easily. of theand root canal so that even newcomers to endodontics can achieve reliable results quickly and easily.

Extreme Fracture Resistance HyFlex EDM files are produced using an innovative manufacturing process called Electrical Discharge Machining. The EDM process results in a file that is extremely flexible and fracture resistant. In fact, HyFlex EDM files are up to 700% more resistant to cyclic fatigue compared to traditional NiTi files.

Controlled Memory Thanks to controlled memory properties, HyFlex EDM files follow the anatomy of the canal, which can significantly reduce the risk of ledging, transportation and perforation.

Fewer Files Required The combination of flexibility, fracture resistance and cutting efficiency of the HyFlex EDM make it possible to reduce the number of files required for cleaning while preserving anatomy.

Pre-Sterilised, Modular System Provided as a modular system of sterile instruments, HyFlex EDM includes Shaping, Glidepath, OneFile, Orifice Opener and Finishing files and may be used in combination with HyFlex CM files.

Hyflex CM & EDM NiTi Files CM pack of 5

12

$139

EDM pack of 3

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$92.90

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Pre-Op

Post-Op

Shaping Pre-Op

I have noted that Hyflex files tend to maintain Post-Op the canal curvatures very well without straightening the walls. The radiograph depicted I have noted that Hyflexcurvatures files tend to well-preserved moderate ofmaintain the root the system canal curvatures very17well without straightcanal in the tooth following shaping ening the walls.

The radiograph depicted procedure. Further, the whole procedure could moderate curvatures of the root bewell-preserved performed through a relatively conservative canal system in the tooth 17 following shaping access cavity.

I have notedFurther, that Hyflex files tend to maintain procedure. the whole procedure could THE NEW NiTi FILE GENERATION the canal curvatures very well without straight™ Desaithrough a relatively conservative performed HyFlex Drbe Shalin ening the walls. The radiograph depicted access cavity.

(BDS, Grad Dip P.H., D Clin Dent – Endodontics) well-preserved moderate curvatures of the root canal system in the tooth 17 following shaping Dr Shalin Desai procedure. Further, the whole procedure could (BDS, Grad Dip P.H., D Clin Dent – Endodontics) be performed through a relatively conservative accessBefore cavity.

After

The best feature of the Hyflex files is a unique metalThe best feature of lurgy that allows the to Hyflex files is them pre-bend a unique metalprior to inserting lurgyorifices. that allows into canal This them to pre-bend hand-file like pre-curvaThe to best feature of prior bility in combination with flexibility andinserting safety of the Hyflex files is into canal orifices.

NiTi files is very handy for most clinical scenari- This a unique metalhand-file like pre-curvaos, especially where access to the canal orifices lurgy thatsafety allowsof in combination with flexibility is bility challenging (and keeps access cavityand conthem to pre-bend NiTi files Also, is veryit handy scenariservative). is nice for thatmost you clinical do get some prior to inserting os, especially where to over the canal orifices advanced warning thataccess you are stressing into canal orifices.

This is challenging (and keeps access cavity conthe files when you see it unwind first (instead of hand-file like pre-curvaservative).

Also, it is nice that you do get some sudden fracture). bility in combination with safety of advanced warning that youflexibility are overand stressing NiTi files is very handy for most clinical scenarithe files when you see it unwind first (instead of os, especially where access to the canal orifices sudden fracture). is challenging (and keeps access cavity conservative). Also, it is nice that you do get some advanced warning that you are over stressing the files when you see it unwind first (instead of sudden fracture).

ENDODONTICS

Pre-Op

Post-Op

Dr Shalin Desai The best feature of I have noted that Hyflex tend to maintain (BDS, Grad Dip P.H., D Clin Dent – files Endodontics) the Hyflex files is the canal curvatures very well without straighta unique metallurgy that allows them to pre-bend prior to inserting into canal orifices. This hand-file like pre-curvability in combination with flexibility and safety of NiTi files is very handy for most clinical scenarios, especially where access to the canal orifices is challenging (and keeps access cavity conservative). Also, it is nice that you do get some advanced warning that you are over stressing the files when you see it unwind first (instead of sudden fracture).

ening the walls. The radiograph depicted well-preserved moderate curvatures of the root canal system in the tooth 17 following shaping procedure. Further, the whole procedure could be performed through a relatively conservative access cavity.

Dr Shalin Desai (BDS, Grad Dip P.H., D Clin Dent – Endodontics)

“With the right equipment both root canal specialists 8and general practitioners can achieve predictable results in a short period of time, without making any concession to the natural anatomy of the root canal.”

8

CASE REPORT

HyFlexTM EDM

Dr. Sam Alborz

8

Conservative Coronal Opening and Apical Enlargement with 8 Finishing File 60/.02 DIAGNOSIS • Patient with a necrotic pulp and acute abscess in the upper right central incisor.

CHALLENGE • Apical enlargement of the root canal without sacrificing coronal tooth structure.

TREATMENT • Enlargement of the coronal aspect of the canal with HyFlex •

EDM Orifice Opener 25/.12.

Preparation and apical enlargement of the remainder of the canal with a single HyFlex EDM Finishing File 60/.02.

USER BENEFITS • Fast, efficient treatment with only two files – Depending on • •

the clinical situation, most cases can be completed with 2–3 files.

Effective preparation system for complex canal anatomy - HyFlex EDM files enable the user to stay conservative coronally and enlarge apically at the same time.

Safe working - HyFlex EDM finishing files are extremely fracture resistant,even in large sizes

CONCLUSION

The HyFlex EDM file system is ideally suitable for the fast and efficient preparation of teeth with complex canal anatomy with a reduced number of files. Due to the EDM manufacturing process, HyFlex files are extremely fracture resistant, even in large sizes.

Case Report Dr. Sam Alborz, USA: From a Distal, Roots International No 3, 2016, p 22-25

Orders

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Shaping

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The revolutionary strength & TOflexibility 677 SEC. 500 RPM 90° SLOT. AVERAGE TIME FAILURE. * S1 S2 SX F1 F2 of EdgeTaper Platinum & Encore with 312 SEC. EdgeTaper Platinum™ 500 RPM 90° SLOT. AVERAGE TIME TO FAILURE. * FireWire heat treated NiTi files offers 119 SEC. 127 SEC. ProTaper Gold 312 SEC. ased ProTaper on Internal Gold are Testing. registered SeeEdgeTaper EdgeEndo.com/testing trademarks of Dentsply for Tulsa results.

Dental Specialties. *Based on Internal Testing.

See EdgeEndo.com/testing for results.

Platinum™ 500 RPM and 90° SLOT. greater AVERAGE TIME TO versatility!

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® 127 SEC. 119 SEC. EdgeTaper™ ased ProTaper Gold are Testing. registered See trademarks Dental EdgeEndo.com/testing O N312H SEC. E A T-T R Efor A results.

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paper points compliment Heat-treated FireWire™ NiTi for Strength & Flexibility

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312 SEC. 677 SEC. CYCLIC FATIGUE Non Heat-treated for Traditional Taper Feel. Tulsa Dental Specialties. .90 Gold are®TEST .90 *Based on Internal Testing. See EdgeEndo.com/testing ProTaper and ProTaper registered trademarks of Dentsply Pkt 6 Pkt 3 for results..90 500 RPM 90° SLOT. AVERAGE TIME TO FAILURE. *Pkt 6 EdgeTaper Platinum™ All the quality.

Half the Cost.

677 SEC. SEC. ll the quality. Half the Cost.ProTaper 119 SEC. ProTaper Gold CYCLIC FATIGUE EdgeTaper Platinum™ 312 SEC. 127TEST SEC. 677 EdgeTaper™ 677 SEC. and ProTaper Gold are® ProTaper registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results.

S1 2 SX F1 N O N H E A T-T R E500 A T ERPM D N90° i T i SLOT. AVERAGE TIME TOS FAILURE. * F2 F3 EdgeTaper Platinum™ ProTaper Gold 312 SEC. SEC. All the quality. Half the Cost.

677 SEC. SEC. ProTaper Gold 127 SEC. 312 EdgeTaper™ 119® SEC. ProTaper ®

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677 SEC. EdgeTaper™ 127 SEC. paper points compliment EdgeTaper™ 119 SEC. ProTaper 677 SEC. ™F 3 Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results.

Matching gutta-percha and ProTaper and ProTaper Gold are registered trademarks of Dentsply Tulsa S 1 S 2 S X F 1 F 2 AMAZINGLY HALF THE COST N O N HMatching E A T-T R T Points ED NiTi EdgeTaper™ for®®® EaAperfect fill.

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Platinum Platinum EdgeT per EdgeT aa per Platinum Platinum EdgeT aper Platinum EdgeTaper EdgeT aaper Platinum $59.90 EdgeT per EdgeT aaper Platinum EdgeT per $59.90 Platinum aaper EdgeT per $EdgeT 59.90 aper™ EdgeT Platinum EdgeT per ™ EdgeT aa per EdgeEndo per 6 pack EdgeT a per EdgeT a per ™ ™ Platinum ™ EdgeTaper EdgeEndo ™ EdgeT a per EdgeT aaper EdgeT per EdgeEndoEdgeTaper™ ™™™ EdgeTaper

$59.90 $59.90 per 6 pack $59.90 per 6 pack $59.90 per 6 pack $$59.90 per 6 pack 59.90 per 6 pack $59.90 per 63 pack pack $59.90 per 63 pack pack

ProTaper and ProTaper Gold are registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing.

See EdgeEndo.com/testing for results.

AMAZINGLY HALF THE COST Matching Points EdgeTaper™ for® a perfect fill.

Heat-treated 127 SEC. SEC. EdgeTaper™ 119 N O NFireWire™ H E A T-TNiTi R E Afor T EStrength D N i T i & Flexibility ProTaper paper pointsProTaper compliment sa Dental Specialties. *Based on Internal Testing.

See EdgeEndo.com/testing for results. ™ and ProTaper Gold are registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. ™ Dental ProTaper andand ProTaper Gold are registered trademarks of Dentsply Tulsa Specialties. *Based on Internal Testing.

See EdgeEndo.com/testing for results.

Matching gutta-percha AMAZINGLY HALF THE COST Matching Points EdgeTaper™ for® a perfect fill.

Heat-treated 119 SEC. N O NFireWire™ H E A T-TNiTi R E Afor T EStrength D N i T i & Flexibility ProTaper sa Dental Specialties. *Based on Internal Testing.

See EdgeEndo.com/testing for results. ™ paper compliment and ProTaper Gold are registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results.

AMAZINGLY HALF THEpoints COST ProTaper Matching gutta-percha and Matching Points AMAZINGLY HALF THE COSTCOMPATIBLE UNMATCHED FLEXIBILITY NO BOUNCE BACK INCREDIBLE STRENGTH Matching Points m™Flexibility Heat-treated N O NFireWire™ H E A T-TNiTi R E Afor T EStrength D N i T i & Flexibility EdgeTaper™ for a perfect fill. paper points compliment FireWire™ NiTiGold are registered FireWire™trademarks NiTi doesn’t bounce back Amazing means EdgeFile® is fully with ProTaper andand ProTaper of Dentsply Tulsa Dental™Specialties. *Basedstrength on Internal Testing. See EdgeEndo.com/testing forcompatible results. gutta-percha ™ AMAZINGLYMatching HALF THEHeat-treated COST Matching gutta-percha and Matching Points gives amazing flexibility, to preserve apical anatomy the confidence to tackle anyHALF case THEyour current system meaning a AMAZINGLY COST m™Flexibility Non Heat-treated for Traditional Taper Feel.

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Heat-treated FireWire™ NiTi for Strength &™ Flexibility paper points compliment er Feel. ® 1 S2 SX F1 F2 F3 ™ perSEdgeTaper™ 6 pack AMAZINGLY HALF THE COST ™ ™ for a perfect fill.

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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.

All the quality. Half the ® Cost.

14

Non Heat-treated for Traditional Taper Feel.

Non Heat-treated M A for Y Traditional 2 0 1Taper 9 Feel.

All the quality. Half the Cost.

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per 63 pack pack

E E E E

Shaping

Three Significant advances in Endodontic safety margins. Alloys, Tip design and reduced grind defects.

ALLOYS

all EdgeEndo File systems. Similar metals are used in the design/fabrication of the Coltene EDM and Hyflex files. Komet are soon to introduce the Martensite Reciprocating file as well. Perhaps the best explanation of clinical dangers of NiTi files in curved Root Canal Systems is in Dr John McSpaddens book – Mastering Endodontic Instrumentation. The depth of NiTi files allowed safely into the 45 degree curve in Figure 1a can’t exceed size 55 on its shank. The markings of the ProTaper files where this file thickness is shown (Figure 1b). Red represents the danger zone for the file if it progresses into a curve past the safe zone.

EdgeTaper Range

EdgeTaper Platinum™

EdgeTaper™

EdgeSequal™ Sapphire

Figure 1b From the top: Protaper SX, S1, S2, F1, F2 & F3.

Microcracks (arrows) running perpendicular to the machine grooves on the surface of ProTaper S1

Pitts in ProTaper S1

Note ‘Blade Roll’ on ProTaper S1

EdgeTaper

Figure 4

Apical view of a ProTaper next X1 file (left) before usage compared with EdgeTaper before usage (right).

Figure 5:

The Large Grind defects in all protaper files are often the sites of fracture initiation. EdgeEndo files have vastly improved grinding technology Open access to X7 - Wisconsin dental school

EdgeTaper Platinum™

Figure 3

ProTaper™ Universal

Vortex Blue®

Refer to this article for more non bias review https://epublications.marquette.edu/theses_ open/353/

ProTaper Range

Suggested Reading It is also instructive to see how the latest file grinding technology introduces far less Grind defects. The following peer-reviewed paper looks a Fracture mechanism of ProTaper and the Blade Roll seen in many of the files.

Modes of Failure of ProTaper Nickel–Titanium Rotary Instruments after Clinical Use.4 Figure 1a

‘Large’ Machine Grooves in a ProTaper SX file

ProTper next X1

In NiTi ‘Non-Heat’ treated files – it is at size 55 shank EdgeFile have just introduced a new thermally modified where the file is very venerable in curves. Most dangerous curves are not visible in PA’s as they are in file that is mostly Martensitic at Clinical temperature the Bucco-Lingual plane. Figure – called X7. These files have the unique capability of 1b shows the ‘Danger’ position of transitioning difficult and unforeseen dangers that are ProTaper (McSpadden, Mastering present in many Root Canal Systems – especially in Endodontic Instrumentation). You the MB root of Upper molars and in the Mesial Root of lower molars. Both roots have the added complication of can see that the F2 and F3 in the having curves in the Bucco-Lingual plane invisible to the ProTaper Series are susceptible PA radiograph. In these instances – it can be extremely to fracture.

You can see where the F2 file will challenging to ensure adequate safety guidelines to separate in the MB2 root of an prevent file separation. EdgeEndo have been used Upper First Molar (red arrow in Figure 2) Figure 2 the world over for some years now and have grown in market significance mainly because of the proprietary TIP DESIGN and GRIND NiTi that they use in the file design. X7 has excellent DEFECTS resistance to Cyclic fatigue (Cyclic fatigue is the major reason for file separation). Because of the extreme The other two major areas where file design can vastly flexibility – getting ‘dragged’ into the canal by files is reduce procedural errors is Tip design and reduction much reduced! Most all mesial roots in Mandibular in Grind defects. The sharp transition angles of many Molars have ‘danger’ curves that are not visible in the of the Big Endo companies have acute transition PA radiograph (Reference 6) However, a CBCT reveals angles in the tips of files. These have a tendency danger zones that then can be managed. If the mesial to easily ledge curved canals. There have been a root is not very carefully managed – it will most certainly many studies to demonstrate that smooth transitions have unforeseen complication, file breakage and between the shank of the file and the tip greatly ‘drag’ in. This is discussed at length in Reference 6 (A reduce the tendency of a file to gouge the canal walls preliminary assessment of a new dedicated endodontic at the curvature. Compare the first three files with software for use with CBCT images to evaluate the the second three. What stands out is the very sharp canal complexity of mandibular molars). transition angles in ProTaper – The sharper the tip of the file – the more it will ledge.

NOTE: very similar Thermal manipulation occurs in

Pictures of Protaper Grind defects. Note Significant Blade Roll of S1 after single use (Figure 4 & 5).

Orders

1 3 0 0

6 5

8 8

2 2

1 A preliminary assessment of a new dedicated endodontic software for use with CBCT images to evaluate the canal complexity of mandibular molars - International Endodontic Journal, 51, 259–268, 2018 2 Dr J McSpadden - Mastering Endodontic Instrumentation 3 https://epublications.marquette.edu/theses_open/353/ Torsion and Bending Properties of EdgeEndo Files - Chad Hansen, Marquette University 4 Modes of Failure of ProTaper Nickel–Titanium Rotary Instruments after Clinical Use - JOE Volume 33, Number 3, March 2007.

5 Microstructural analysis of an endodontic file - Elemam RF et al Ranya Faraj Elemam1, José A Capelas2, Manuel F Vieira3 Journal of International Oral Health 2016; 8(4):445-450 6 A preliminary assessment of a new dedicated endodontic software for use with CBCT images to evaluate the canal complexity of mandibular molars - International Endodontic Journal, 51, 259–268, 2018

15

Endo Organisers Millimeter gauge to measure and position rubber stopper Foam insert to clean and hold files

Endo Guards

AM

136

o

A unique delivery system to organize, store, and sterilise endodontic files and reamers. The Endo Guard swivels 360° with stops at every 45° for operator’s choice.

Steri-Endo Guard

• Holds most lengths for staging, cleaning, and sterilising files and reamers • Millimeter gauge measures and positions rubber stopper • Available in Hand or Engine styles • Single-use foam insert cleans/holds files (packaged with 12)

Engine $49

Hand $49

Foam Inserts

Organizes up to 11 engine and 5 hand files/reamers.

Dimensions: 13.65cm x .95cm x 5.56cm ZC-50Z452 Available in all colours

Organizes up to 16 hand files/reamers.

Dimensions: 13.65cm x .95cm x 5.56cm ZC-50Z450 Available in all colours

Pack of 48

Single use.

$45

ZC-50Z451

Pack of 144 ZC-50Z451V $75

Endo Assist

• Built-in millimeter gauge measures and positions rubber stopper.

• For right- or left-hand use.

• Small and large rings are included to accommodate most finger sizes.

• Flat bottom enables the Endo Assist to stand freely on its own.

• Single-use foam insert cleans/holds files (packaged with 12).

Dimensions: 3.81cm x 4.45cm x 4.13cm ZC-50Z460 Available in all colours

$49 Unique organizer rests on your finger.

136

AM

o

Assist Stand

• Dense foam cleans bio-debris faster and more easily.

• Holds Endo Instruments in an upright position.

• Square shape fits great in procedure tub.

• Thicker foam prevents solution from leaking.

• Rounded corners for easy cleaning.

Dimensions: 4.76cm x 4.76cm x 3.16cm ZC-50Z462 Black Only

$29 AM

Assist Stand Foam Single use.

Pack of 48 ZC-50Z466 $59 Dimensions: 26.67cm x 19.685cm x 2.22cm Pack of 144 ZC-50Z466V $159 Dimensions: 26.67cm x 19.685cm x 2.22cm

Endo Guards & Holders

o

136

Endo Guards 136

AM

A unique delivery system to organize, store, and sterilize endodontic files and reamers. The Endo Guard swivels 360° with stops at every 45° for operator’s choice.

Large slotting provides complete visibility and draining during cleaning.

o

Millimeter gauge to measure and position rubber stopper

Steri-Endo Guard

PROTECT YOUR BURS

Steri-Bur Guards WHITE

BLUE

GREEN

BEIGE

GRAY

PLUM

TEAL

RED

A

B

D

G

I

E

J

M

• Holds most lengths for staging, cleaning, and sterilizing files and reamers • Millimeter gauge measures and positions rubber stopper • Counter on locking bar tracks the number of sterilizations • Right- or left-hand use; optional angling • Available in Hand or Engine styles MIDNIGHT BLUE • Single-use COPPER N. BLUE N. YELLOW foam insert cleans/holds files (packaged with 12)

T

U

N

O

Foam insert to clean and hold files

N. GREEN

N. ORANGE

N. PURPLE

N. PINK

P

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R

S

Counter to keep track of number of sterilizations

16

M AY

2 0 1 9

Steri-Endo Guard Engine

Steri-Endo Guard Hand

Dimensions: 13.65cm x .95cm x 5.56cm

Dimensions: 13.65cm x .95cm x 5.56cm

(50Z452) Available in all colors

(50Z450) Available in all colors

Organizes w w wup to.11 engine h eand 5nhand files/reamers. r y s c Organizes h eup toi 16nhand.files/reamers. c om.a u

Foam Inserts Single use.

(50Z451) 48pk (50Z451V) 144pk

Irrigation

CanalPro EDTA

CHX 2%

NaOCL

2% chlorhexidine digluconate solution

For irrigation/ debridement of root canals during and after instrumentation

17% EDTA solution (pH 8.5) • Removes smear layer and dentin mud • Opens dentin tubules for: Disinfection solutions (e.g. alcohol) to work better

• Available in 3% and 6% formula

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CanalPro Syringe Station Innovative, modular system for the safe and efficient filling of syringes with irrigation solutions.

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Canalpro SyringeFill station

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HALAS

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1.25L

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6 5

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

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$17.50

17

Medicaments Biodentine Apical surgery

For successful apicoectomy, retrograde sealing of resected root canals is essential because gutta-percha alone is known not to be capable of inducing osseous regeneration at the root tip. Biodentine shows a positive effect on osseous cells and allowed in this case complete osseous regeneration 6 months after treatment.

Ledermix CY-007696 CY-007699 CY-926705 CY-007693

Hardener 2.5mL Normal Set Cement 3g Paste 5g Dropper Kit

Dental Products Australia

Neo MTA Dental Cement SPECIAL

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18

PRICE

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

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Obturation

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19

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Sealants

Single Cone comes of age “With the development of the Bioceramic Sealer, we now have a material that satisfies virtually all of the desired mechanical and biological properties required of an endodontic sealer. The dimensional stability lends itself to single cone techniques that can simplify the obturation procedure without compromising outcome. Importantly, since using BC Sealer, I have observed more rapid rates of hard tissue repair and fewer cases of post-operative sensitivity. I believe this material will become the gold standard for endodontic sealers.”

Dr Ross Applegarth BDSc (Hons) MDSc (Qld) FICD MRACDS (Endo) Endodontic Group

EndoSequence BC Sealer Calcium silicate radiopaque sealer dispensed from single premixed 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

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

Orders

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21

Restorative

ParaPost® Fiber Posts Taper Lux® › Cylindro-conical post for narrow canals where protection of sound tooth structure is absolutely key › 4 % tapered design provides a good apical fit with greater taper file technique › Translucent, light-transmitting for fast on-command cementation › Three head design for easy post length adjustment › Rounded undercut head shape for optimal core retention › Four sizes

$115.20

Pack of 3

Fiber Lux® › Cylindrical post design ideal for universal post application › Translucent, light-transmitting for fast on-command cementation › Rounded, undercut double head design for optimal core retention › Easy post length adjustment is on head and apical end possible › Six sizes

Pack of 5

$115.20

Fiber White® › Cylindrical post design ideal for universal post application › Opaque fiber resin for masking discolored roots › Rounded, undercut double head design for optimal core retention › Easy post length adjustment is on head and apical end possible › Five sizes

Pack of 5

Ø.070“ 1.75 mm

Ø.060“ 1.50 mm

Ø.055“ 1.40 mm

Ø.050“ 1.25 mm

Ø.045“ 1.14 mm

$95.80

Ø.040“ 1.00 mm

Ø.036“ 0.90 mm

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d A revolutionary fibre-reinforced brittle, composite ideal for the more brittle, endodontically treated tooth

mposite everX Posterior is a highly fracture-tough composite greater substructure able to meet the challenge for greater ations.strength in large posterior composite restorations. cavities Ideal for large posterior

Dr Y. Marinova

™ ™ and everX Posterior everX Posterior

Dr Y. Marinova

™

Restorative

Ideal for large posterior cavities

™ Unmatched strength, even stronger than dentin han dentine Unmatched strength, even stronger than dentine

mposite greater ations.

Dr Y. Marinova

d brittle,

Ideal for large posterior cavities

han dentine

Stops fracture propagation

or substruc ture (A): everX Posterior substructure (A): ation is arrested and redirec ted by the everX Crack propagation is arrested and redirected by the everX truc ture, allowing repair of the restoration.

Posterior substructure, allowing repair of the restoration. composite (B): Conventional composite (B): ates along an unfavorable frac ture line through Crack propagates along an unfavorable fracture line through D the tooth struc ture below the gingival line, the filling AND the tooth structure below the gingival line, almost impossible. making repair almost impossible.

A

B

or substruc ture (A): arrested and redirec ted by the everX GC-D047005117 truc ture, allowing repair of the restoration. composite (B): ates along an unfavorable frac ture line through D the tooth struc ture below the gingival line, almost impossible.

051 17 ation is

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Orders

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Restorative

The Perfect Team for Reliable Core Build Ups The Perfect Team for Reliable Core Build Ups CLEARFIL DC Core Plus CLEARFIL DC Core Plus Due to CLEARFIL Universal Bond Quick's Due to CLEARFIL Universal Bond Quick's oustanding adhesion properties, it is the perfect oustanding adhesion properties, it is the perfect complement to CLEARFIL DC Core Plus because

complement to CLEARFIL DC Core Plus because of its specific accelerator for self-curing. of its specific accelerator for self-curing.

It is ideal for those areas that can't be reached by It is ideal for those areas that can't be reached by a curing light. CLEARFIL Universal Bond Quick a curing light. CLEARFIL Universal Bond Quick adheres to dentine in the root canal and to the adheres to dentine in the root canal and to the post. A separate primer is not needed. post. A separate primer is not needed.

$285 $285

Available in Dentine & White Available in Dentine & White 4.5ml syringe 4.5ml syringe

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CLEARFIL Universal BondQuick Quick CLEARFIL Universal Bond

SUPERIORBOND BOND STRENGTH STRENGTH SUPERIOR adhesivesbrand brandcomparison comparison of of 14 14 universal universal bonds In In anan adhesives bonds Clinicians Report* concludes: Clinicians Report* concludes:

Patented Patentedtechnology technology

CLEARFIL UniversalBond BondQuick Quickhad had best best overall overall results, CLEARFIL Universal results, most notably for its superior bond strength values and most notably for its superior bond strength values and best best ease of application. ease of application.

$121 5ml bottle $121 5ml bottle

Buy 2 Get 1 FREE! Buy 2 Get 1 FREE!

QuickFlip Lid QuickFlip Lid

*An independent and non-profit, dental education and product testing foundation, Clinicians Report, May, 2018.

For the full report go to http://www.kuraraynoritake.com/images/Kuraray_Adhesives_DU.pdf *An independent and non-profit, dental education and product testing foundation, Clinicians Report, May, 2018.

For the full report go to http://www.kuraraynoritake.com/images/Kuraray_Adhesives_DU.pdf

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Self-curing

kuraraynoritake.com

Self-curing

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