Surgical Solutions by Henry Schein Australia

ENDODONTIC Solutions

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September/October 2018 1

Diagnosis CBCT diagnosis in Endodontics Dr David Figdor BDSc, LDS, MDSc, FRACDS, Dip Endo, FPFA, PhD, FASM, FADI, FICD Registered Specialist Endodontist

Case 1 Tooth 11 was the source of symptoms over quite some time. Seven months earlier, there was pain associated with tooth 11 and endodontic treatment was commenced by a local dentist. The symptoms came and went over time and recently he experienced recurrent pain.

The pattern of symptoms was unusual. Clinical examination revealed a deep periodontal pocket at the mid-palatal side. The conventional radiograph revealed a mid-root radiolucency, of uncertain aetiology.

The CT scan confirmed deep periodontal attachment loss on the palatal side of the tooth and a â&#x20AC;&#x2DC;notchâ&#x20AC;&#x2122; on the palatal side of the root at this site. There is a radiopaque material on the palatal side in the bone wall socket.

These findings indicate that as well as an endodontic issue, there is a palatal root defect and considerable periodontal attachment loss on the palatal tooth surface, which requires a different treatment approach. This diagnosis would not be possible without CT imaging.

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Diagnosis

Case 2 There was a recent episode of pain in the upper left maxilla. The patient described an episode of intense pain mainly located around teeth 25 and 26, after chewing on a cold pineapple. Since then, there have been mild symptoms in the area.

Clinical examination revealed no abnormal findings. The teeth are heavily restored and there is buccal toothbrush abrasion. A conventional radiograph revealed no unusual findings in relation to tooth 26.

A Cone Beam CT scan was taken and assessment of the CT scan revealed a significant, previously undisclosed extensive root resorption defect on the buccal side of tooth 26. This resorption lesion involves replacement by bone. Thus, tooth 26 is the likely source of the recent symptoms due to pulpitis. It is damaged extensively by the resorption. The diagnosis of root resorption in tooth 26 could not have been made without CT imaging.

Orders

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peed Handpieces Access

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Power Series TwinPower Highspeed Handpieces TwinPower Ultra Series ard speed •Handpieces $1359 Unique “double-impeller” technology for unsurpassed torque and power for optimal performance. • • •

Mini ue Up

each Powerful Ultra Mini Head Delivers U

Excellent contamination control with Zero “Suck – Back” Safe, rapid braking technology – rotation stops within 2 seconds. 2-year warranty

New! Case 1. Tooth 16 Pulp Chamber Access Opening (Operator's - Re

Standard dard

New! Ultra Standard 20W

rgical Mini

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TwinPower Ultra standard handpiece has a small compact head size that allows for a clear and direct view of the area toNew! be treated, and sufficient room for movement when treating molars. Powerful with 20 watts of power for smooth, efficient Standard cutting. en,

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mpeller Technology a Series, extremely compact with maintained ower & constant torque 45o Surgical 20W ero-‐suck feature back within the drive air lines eramic impregnated surface treatment peraIon levels then compeItor highspeeds TwinPower 45-degree Surgical handpiece offers access riven, andpiece and visibility with a 45-degree angle that makes it easier anufacturers warranty

New!

to get into tricky spots at the back of the mouth, with an overall smaller head size. It also has a very high torque with 20 watts of power for smooth, efficient cutting. Impeller Technology . Focused on life. compact with maintained tra Series, extremely power & constant torqueTwinPower handpieces Morita zero-‐suck feature back within the drive air lines are available in 5 models. e ceramic impregnated surface treatment operaIon levels then compeItor highspeeds Ultra 4HUEX- O • 20W manufacturers TwinPower warranty

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.

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

TwinPower Torque up 4HX- O • 25W TwinPower Standard 4HEX- O • 22W

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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. w w w.he nry sc he i n.c o m.au

It be he ca of is ha of

1 Access cavity

2 Coronal reaming

3 Creation of a glide path Access

Thinking ahead. Focused on life.

Access

NEW! Tired of your small files buckling? KOMET

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

EndoTracer

KOMET

slender neck to allow unobstructed vision past the instrument into the access cavity.

H1SML34.205.010

H269QGK.314.016

Ideal for the preparation Introducing…Komets new ofPatency File isthmuses.

Tri Auto ZX 2 What is it:

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20.000 rpm 160.000 rpm

Opener KOMET

All prices are exclusive of GST and freight. To order fax 0508 808 555, available 24 hours Petite round bur with long,

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1.500 rpm 20.000 rpm

Used in the coronal third of the canal, the Opener removes most of the bacteria right at the start of the treatment.

( ) Torque:

Ingeniously versatile • A Stainless Steel K-File that is thermally hardened for manual probing $55 $193.30

$36.45

OP08L19.204.025 OP10L19.204.030

EndoGuard

300 rpm 500 rpm 2,8 Ncm

Why it’s special

PathGlider

• 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

Reduces the risk of inadvertent canal transportations and • Sterile packed undesirable steps while Patency File • Includes unique “012” size; providing a useful ensuring that all subsequent files work safely and effi- bridging option between the large 50% step-up A Stainless Steelbetween K-File that is thermally for manual ciently. sizes “010” and hardened “015”

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Torque:

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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 ( 300 rpm the coronal third ) canals 500inrpm 0,5 Ncm

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Tip Diameter ø 1/100 mm

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W $14.90 21mm in 5 sizes & Assorted Pack K-17521654 25mm in 5 sizesThinking & Assorted ahead. Pack K-17525654 Focused on life.

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Hyfl GPF Glidepath Petite,ex tapered instrument head File Coltene for minimally invasive, yet con-

Patency Files All priceshardened are exclusive Thermally steel of forGST and freight. To order fax 0508 808 555, available 24 hours

Optimal shaping of theand glide path due to the controlled manual probing.memory. Good durability and resistance to fracture. trolled work in the primary secondary access cavity.

17525.654.015

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 Ideally suited for work under mNm) The HyFlex GPF ensure optimal shaping of the glide path due to the controlled memory. a microscope.

EX2.204.011

They are characterised by good durability and resistance to fracture. Despite the extreme flexibility that allows the files to follow unusual anatomies, the HyFlex Glide Path Files are very easy to use and ensure safe treatment. ( Glidepath 2.000 rpm NiTi File 10/.05,in 21 )

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Edgeglidepath Files

EndoWave MGP MORITA

Use exactly like ProGlider.

Mechanical Glide path kit is a 3 file sequence in .02 taper allows the clinician to create a glide path quickly and safely using flexible NiTi files rather than labouring with steel hand files.

Size 17 .02 Taper available in 21mm, 25mm and 31mm

Kit available in 25mm length and includes #10, 15 & 20.

Pkt 4 $59.90

$49.50

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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.

Dentaport ZX Apex Locator

$1359

Root ZX mini

$1359

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.

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.

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.

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.

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Measurement & Preparation

HU-FRIEDY’S ENDODONTIC INSTRUMENTATION BLACK LINE ENDO

COLLECTION

Hu-Friedy’s comprehensive line of endodontic instruments and accessories give you versatile options to meet all of your clinical needs. If you are looking for exceptional instrument design, quality and reliability, and unmatched customer service, choose DESIGNED FOR PREMIUM PERFORMANCE Hu-Friedy’s Endodontic Instruments.

The Challenge

STRUMENTATION

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The sensitive nature of endodontic procedures necessitates instruments with exceptional response, integrity and durability to accommodate a wide variety of endodontic procedures — from routine root canals to complex microsurgery.

HU-FRIEDY’S HU-FRIEDY’S ENDODONTIC ENDODONTIC INSTRUMENTATION INSTRUMENTATION

e of endodontic instruments and accessories give you COLLECTION f your clinical needs. If you are looking for exceptional The Solution d reliability, and unmatched customer service, choose DESIGNED FOR PREMIUM PERFORMANCE Hu-Friedy instruments are individually handcrafted ments. Hu-Friedy’s Hu-Friedy’s comprehensive comprehensive line of endodontic line of endodontic instruments instruments and accessories and accessories givefrom youquality give you to precise specifications materials to

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ensure performance, longevity and reliability. versatile versatile options to options meet all to of meet your allclinical of yourneeds. clinicalIf needs. you are Iflooking yousuperior arefor looking exceptional for exceptional BLACK LINE END Instrument design combined with proprietary materials instrument instrument design, quality design,and quality reliability, and reliability, and unmatched and unmatched customercustomer service, choose service, choose COLLECTION and incomparable workmanship result in instruments Hu-Friedy’s Hu-Friedy’s Endodontic Endodontic Instruments. Instruments.

with unique balance, working leverage and control. They DESIGNED FOR PREMIUM PERFORM function as a seamless extension of the practitioner’s skill.

The Challenge

The Result

The sensitive nature of endodontic procedures High-quality Hu-Friedy instrumentation provides necessitates instruments with exceptional response, unsurpassed clinical efficiency, so practitioners can RFORMANCE integrity and durability to accommodate a wide variety deliver superior outcomes and focus on the patient. The The Challenge of endodontic procedures — from routine root canals to Challenge The result is outstanding patient care. The sensitive Thenature sensitive of endodontic nature of endodontic proceduresprocedures complex microsurgery. necessitates necessitates instruments instruments with exceptional with exceptional response, response, integrity and integrity durability andto durability accommodate to accommodate a wide variety a wide variety The Solution of endodontic of endodontic proceduresprocedures — from routine — from root routine canalsroot to canals to Hu-Friedy instruments are individually handcrafted complex microsurgery. complex microsurgery. to precise specifications from quality materials to ensure superior performance, longevity and reliability. The Solution The Solution Instrument design combined with proprietary materials Hu-Friedy instruments Hu-Friedy instruments are individually are individually handcrafted handcrafted and incomparable workmanship result in instruments to precise specifications to precise specifications from quality from materials quality to materials to with unique balance, working leverage and control. They ensure superior ensure performance, superior performance, longevity and longevity reliability. and reliability. function as a seamless extension of the practitioner’s skill. InstrumentInstrument design combined design with combined proprietary with proprietary materials materials and incomparable and incomparable workmanship workmanship result in instruments result in instruments The Result with uniquewith balance, unique working balance, leverage workingand leverage control. and They control. They High-quality Hu-Friedy instrumentation provides function asfunction a seamless as aextension seamless of extension the practitioner’s of the practitioner’s skill. skill. unsurpassed clinical efficiency, so practitioners can deliver superior outcomes and focus on the patient. The Result The Result The result is outstanding patient care. High-quality High-quality Hu-Friedy instrumentation Hu-Friedy instrumentation provides provides unsurpassed unsurpassed clinical efficiency, clinical efficiency, so practitioners so practitioners can can 7 deliver superior deliver outcomes superior and outcomes focus on and the focus patient. on the patient. Orders 1 3 0 0 6 5 8 8 2 2 The result The is outstanding result is outstanding patient care. patient care.

Contact your Henry Schein Halas Endodontic Representative for our specials.

Measurement & Preparation

Endodontic Motors: bells & whistles or useful functions? By Dr. Jeff Ward, BDS, MDSc, GradDipClinDent, MRACDS(Endo), FPFA There are many factors that contribute to predictable endodontics. Typically, a lot of focus is directed to the efficacy, safety and ease of use of the latest rotary NiTi file systems on the market and often there is less consideration afforded to the motors that drive these rotary systems. The objective of this article is to describe some of the latest features available in endodontic motors and consider if this technology has real value in practice. Many of the currently available motors have preset speed and torque settings for popular file systems and sequences, however being able to customise the speed and torque settings to your own specific needs and then save them to the motor’s memory is a useful function. A conscious choice of settings rather than adopting a plug and play type approach is often a good idea, so you are always mindful of the appropriate speed, torque settings and safety features relevant to the size of the file and the stage of preparation. With the exception of reverse cutting file systems that require a motor with a reciprocating action, forward cutting rotary endodontic files can be used in all manufacturer’s endodontic motors. A light weight compact, cordless endodontic specific motor with a small handpiece head size, independent of the chair may provide easier access and greater tactile feedback.

In terms of each stage of canal preparation, the useful features of an endodontic motor include:

1. Coronal Flaring & Straight line access Typically with crown-down preparation a larger taper file is used to create the coronal flare. As a general rule, for larger taper files the torque setting trigger can be set higher, but it is best to note the maximum speed and torque setting recommendations specific to the file system of choice. Setting the torque trigger at a specific value in Ncm allows torque reverse safety features to be employed. True torque reverse is one of the most important safety features in an endodontic motor. It ensures that when the torsional load on the file reaches the preset torque trigger, the motor will reverse the file, therefore releasing the torsional load on the file and reducing the risk of file fracture. Some of the newer motors allow selection of multiple torque settings, even up to a high 5 Ncm. The speed settings available on most motors will range between 150 and 1000rpm. Traditionally most rotary file systems have optimal cutting speed recommendations around the

S E P T E M B E R

300rpm mark, but it’s a benefit to have adjustable speed settings as some of the newer file systems have a higher optimal cutting speed of up around the 500rpm mark.

2. Apex Location Some endodontic motors also have an integrated apex locator built into the motor, which for workflow purposes is a convenient addition. The function and accuracy of the apex locator built into the Morita Tri Auto ZX2 cordless motor is comparable to that of the Morita standalone apex locators such as the Root ZX. Although apex location features can be employed in these units in an “automatic” function whilst instrumenting the canal, using the apex location function independently and then using your working length to instrument independently may offer more control and accuracy.

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Measurement & Preparation

3. Preparation of the Glide Path

canals, with the OTR function the file only reverses 90 degrees then returns to forward cutting for 180 degrees and continues to progress down the canal. The file will repeat this action until the torsional load on the file is relieved. This allows the file to continue and safely progress down the canals, whilst decreasing the risk of instrument fracture. Torque Down reduces the speed of the motor when the torsional load on the file is nearing the preset torque trigger. This is a useful feature as it gives you feedback and awareness of the stresses on the files, as well as slowing the rotational speed down to reduce the risk of instrument fracture. There are definite advantages to the latest advances in endodontic motors that potentially increase endodontic preparation predictability, safety and efficiency. Purchasing endodontic motors manufactured by reputable dental equipment manufacturers who will offer support and education is recommended.

Traditionally glide path preparation has been achieved using stainless steel hand files. The advent of a patented glide path motion has enabled fatigue reducing, predictable and safer mechanical preparation of a glide path using .02 taper stainless steel or Ni-Ti rotary files. The OGP (Optimum Glide Path) mode in Moritaâ&#x20AC;&#x2122;s Tri Auto ZX2 is a combination of a watch winding and balanced force motion. It is a constant action that replicates hand filing with a choice of 3 angles.

4. Canal shaping Using a Crown Down file sequence can reduce the risk of file fracture during canal shaping and apical sizing. The latest intelligent torque reverse motions can reduce file fatigue and assist with increasing efficiency and safety (Pedulla, E et al.) OTR (Optimum Torque Reverse) is an Intelligent Torque Reverse that is employed when the torsional load on the file reaches the preset torque trigger. Instead of the file reversing out of the

Pedulla E, Corsentino G, Ambu E, Rovai F, Campedelli F, Rapisarda S, La Rosa GR, Rapisarda E, Grandini S. Influence of continuous rotation or reciprocation of Optimum Torque Reverse motion on cyclic fatigue resistance of nickel-titanium rotary instruments. Int Endo J. 2017 May;51(5):522-528. Doi: 10.1111/iej.12769. Epub 2017 Apr 25.

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.

$3600

Highlighting Moritaâ&#x20AC;&#x2122;s new OTR (Optimum Torque Reverse) and OGP (Optimum Glide Path) modes, Tri Auto ZX2 delivers, unique, compelling and reliable clinical application.

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Shaping

HyFlexÂŽ EDM

Unmatched Flexibility and Fracture Resistance in a One File System HyFlex EDM offers the dental practitioner enhanced ease of mechanical preparation of the 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-Sterilized, 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

$125

EDM pack of 3

S E P T E M B E R

$92.90

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Shaping

HyFlex HyFlexEDM EDMOneFile OneFile atata aGlance Glance Pre-Sterile Pre-Sterile

Unmatched Unmatched Fracture Fracture Resistance Resistance Uniquely hardened surface reduces Uniquely hardened surface reduces risk risk file separation of file of separation

Variable Variable CrossCross Section Section Design Design Contributes Contributes to high tobreakage high breakage resistance resistance

Almost Almost triangular triangular crosscross section section at top at top

Cutting Cutting Efficiency Efficiency Hardened Hardened surface surface plus controlled plus controlled memory memory improves improves cutting cutting efficiency efficiency

Trapezoidal Trapezoidal crosscross section section in middle in middle Extremely Extremely Flexible Flexible Controlled Controlled memory memory allowsallows superior canal canal tracking superior tracking

Quadratic Quadratic crosscross section section at tipat tip

Visit COLTENEâ&#x20AC;&#x2122;s Visit COLTENEâ&#x20AC;&#x2122;s YouTube YouTube channel channel for more for more information information about the HyFlex EDMEDM and EDM technology. about the HyFlex and EDM technology.

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ALL THE QUALITY. SAME TECHNIQUE. QUALITY. L THE QUALITY. HALF THE PRICE. ALL THE QUALITY. QUALITY. L THE QUALITY. QUALITY. LCHNIQUE. THE QUALITY. ME TECHNIQUE. CHNIQUE. ME TECHNIQUE. SAME TECHNIQUE. CHNIQUE. ME TECHNIQUE. ALF E PRICE. THE PRICE. ALF E PRICE. THE PRICE. ALF E PRICE. THE PRICE. ALL THE QUALITY. HALF THE PRICE. ALL THE QUALITY. TY. ALL THE QUALITY. TY. ALL THE QUALITY. TECHNIQUE. TY.SAME ALL THE QUALITY. SAME TECHNIQUE. .SAME ALL THE QUALITY. TECHNIQUE. .ALL SAME TECHNIQUE. . THE QUALITY. HALF THE PRICE. $59.90 SAME TECHNIQUE. . HALF THE PRICE. SAME TECHNIQUE. HE QUALITY. ALL THE QUALITY. . HALF THE PRICE. HE QUALITY. . HALF THE PRICE. SAME TECHNIQUE. HE QUALITY. TECHNIQUE. HALF THE PRICE. TECHNIQUE. HALF THE PRICE. TECHNIQUE. THE PRICE. SAME TECHNIQUE. HALF THE PRICE. THE PRICE. EdgeOne THE PRICE. $59.90 ™ HALF THEFire PRICE. ALL THE QUALITY. SAME TECHNIQUE. THEEdgeOne NEW STANDARD... ™ HALF THEFirePRICE. Shaping

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CYCLIC FATIGUE TEST

H E A T-T R E A T E D F I R E W I R E ™ N i T i

500 RPM 90° SLOT. AVERAGE TIME TO FAILURE. * H E A T-T R E A T E D F I R E W I R E ™ N i T i

H E A T-T R E A T E D F I R E W I R E ™ N i T i

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CYCLIC FATIGUE TEST

677 SEC.

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™ Platinum EdgeT ™ aper Platinum ™ Platinum EdgeT aper

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119 SEC. ProTaper ® H E A T-T R E A T E D 127 SEC. EdgeTaper™ a-percha*Based and Specialties. roTaper and ProTaper on Internal Gold are Testing. registered See trademarks Dental EdgeEndo.com/testing Gold 312 SEC. O N312H SEC. E AProTaper T-T R Efor A results. TED N iTi N O N H E A T-T R E A T E D N i T i H EEdgeEndo.com/testing A T-TProTaper R E AofTDentsply E DGold Ffor ITulsa Rresults. EW I R ESpecialties. ™ N i T i *Based on Internal Testing. See N ing Points s compliment SEC. ProTaperProTaper and ProTaper Gold 119 are registered 127 SEC. trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. EdgeTaper™ a-percha andAMAZINGLY HALF THE COST H E A T-T R E A T E D Heat-treated FireWire™ NiTi for Strength & Flexibility AMAZINGLY HALF THE COST N O N H E A T-T R E A T E D N i T i N O N H E A T-T R E A T E D N i T i H E A T-T R E A T E D F I R E W I R E ™ N i T i a perfect fill. ing Points 127 SEC. EdgeTaper™ ™ s compliment SEC. trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. ProTaper ProTaper and ProTaper Gold 119 are registered N O N H E A T-T R E A T E DHNEi A T iT-T R E A T E D a-percha andAMAZINGLY HALF THE COST Matching Points AMAZINGLY HALF THE COST Heat-treated FireWire™ NiTi for Strength & Flexibility a perfect fill. Matching gutta-percha and ™ s compliment ® H E A N O N H E A T-T R E A T E D N i T iT-T ProTaper and ProTaper Gold are registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. 119 SEC. ProTaper Matching Points HEA T-T R R EE A A TT EE D D HALF THE COST AMAZINGLY CYCLIC FATIGUE TEST HALF THE COST paper points compliment FireWire™ NiTi for Strength & Flexibility a perfect fill.AMAZINGLY Heat-treated Matching gutta-percha andSLOT. AVERAGE TIME TO FAILURE. * AMAZINGLY HALF THE COST ™a perfect 500 RPM 90° EdgeTaper™ for fill. H E A T-T R E AT E D N O N H E A T-T R E A T E D N i T i Matching Points ®

FIREWIRE™ NiTi

FIREWIRE™ NiTi FIREWIRE™ NiTi FF II R R EE W W II R R EE ™™ N N ii TT ii

per 64 pack pack ™ EdgeT a per $59.90 $59.90 per 6 Points pack Matching EdgeTaper $ 59.90 per ™6 packEdgeTaper™ dgeEndoEdgeTaper EdgeT EdgeT a per aperis used exactly EdgeT aFirewire™ per ™ Platinum EdgeSequel Sapphire like Vortex Blue®. Featuring our heat-treated Niti, the ™ ™ per 6 packEdgeTaper ™ dgeEndoEdgeT EdgeT astrength per aEdgeSequel per Platinum EdgeEndo EdgeT aperhas ™ EdgeT a per EdgeT a per Sapphire and flexibility. EdgeSequel Sapphire will help elevate your endo practice. Platinum ™ ™ ™ EdgeEndo dgeEndoEdgeT EdgeT™ aEdgeT per EdgeTaper EdgeTaPlatinum per aper Platinum ™ Platinum a per ™ EdgeEndo EdgeTaEdgeT per aper Platinum Unmatched Incredible Strength Fully Compatible Platinum™Flexiblity EdgeEndo EdgeTaEdgeT per EdgeTaper aper ™ Platinum Platinum EdgeT per Heat-treated FireWire™ NiTi gives 2x more resistance to Cyclic Use exactly like Vortex Blue®. EdgeT aa per EdgeT a per ™™6 pack Platinum Platinum Platinum per 4 pack amazing flexibility, capable of 90° fatigue to comparable brands. EdgeTaaper per EdgeT ™ Platinum ™ EdgeT a per EdgeT a per Platinum curves. Platinum EdgeTaper $59.90

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

AMAZINGLY HALF® and THE COST ProTaper ProTaper Gold® are registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results.

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Non Heat-treated for Traditional Taper Feel.

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X2 S X, X3 F 1, FX4, 2 FX5 3 S1 S2 SX F1 F2 677 ® SEC. 500 RPM 90° SLOT. AVERAGE TIME TO FAILURE. * 500 RPM 90° SLOT. AVERAGE TIME TO FAILURE. * 127 SEC. All the quality. Half the Cost.ProTaper EdgeTaper™ 119® SEC. S1 S2 SX F1 F2 ProTaper EdgeTaper Platinum™ Gold CYCLIC 312 SEC. 677 SEC. ® FATIGUE TEST Non Heat-treated for Traditional Taper Feel. ProTaper and ProTaper Gold are registered trademarks of Dentsply EdgeTaper™ Tulsa Dental Specialties. *Based on InternalAll Testing. EdgeEndo.com/testing for results. for a perfect fill.theSee quality. Half the Cost. 500 RPM 90° SLOT. AVERAGE TIME TO FAILURE. * EdgeTaper Platinum™ the quality. Half the SEC. Cost. 677 All the quality. Half the Cost.ProTaper 119 S1 S2 SX F1 F2 ProTaper Gold CYCLICAllFATIGUE EdgeTaper Platinum™ 312 SEC. 127 SEC. 677 SEC. SEC. EdgeTaper™ TEST 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 HMatching E A T-T R E500 ERPM D N90° i T i SLOT. AVERAGE TIME TOS FAILURE. * F2 F3 Heat-treated EdgeTaper Platinum™ ProTaper Gold A T Points 312 SEC. All the quality. Half the Cost. 677 SEC.FireWire™ NiTi for Strength & Flexibility 312 SEC.

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ProTaper Gold®® 127 SEC. 312 SEC. EdgeTaper™ 119® SEC. ProTaper 677 SEC. andand ProTaper ProTaper Gold are registered trademarks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. Matching gutta-percha LURE. * S1 S2 SX F1 F2 F3 N O N HMatching E A T-T R ED NiTi ProTaper Gold®® E A T Points EdgeTaper Platinum™ 312 SEC. 127 SEC. All the quality. Half the Cost. 677 SEC. EdgeTaper™ 312 SEC. 127 SEC. paper points compliment EdgeTaper™ 119 SEC. ProTaper 677 SEC. andand ™F 3 Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. Matching gutta-percha ProTaper Gold are registered S 1 trademarks S 2 S X ofF Dentsply 1 F 2 Tulsa AMAZINGLY HALF THE COST ® E A T Points N O N HMatching E A T-T R E D N ProTaper iTi ® EdgeTaper™ for® a perfect fill. ProTaper Gold 127 SEC. 312 SEC. EdgeTaper™ 312 SEC. 119 SEC. SEC. ProTaper paper points compliment 119 arks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. ProTaper ™™ Matching gutta-percha and ®

Matching Points EdgeTaper™ for® a perfect fill. Heat-treated 127 SEC. EdgeTaper™ 119 SEC. N O NFireWire™ H E A T-TNiTi R E Afor T EStrength D N i T i & Flexibility ProTaper paper points compliment ™ ™ Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. ProTaper andand ProTaper Gold are registered trademarks of Dentsply Tulsa Matching gutta-percha AMAZINGLY HALF THE COST ® a perfect Matching Points Non Heat-treated for Traditional Taper Feel. EdgeTaper™ for fill. Heat-treated FireWire™ NiTi for Strength 119 SEC. N O N H E A T-T R E A T E D N i T i & Flexibility ProTaper for results. arks of Dentsply Tulsa Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing ™ Dental Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. paper points compliment ProTaper and ProTaper Gold are registered trademarks of Dentsply Tulsa AMAZINGLY HALF THE COST Matching gutta-percha and Matching Points 500 RPM FireWire™ 90° SLOT. AVERAGE TIME TO FAILURE. * ™ AMAZINGLY HALF THE COST Matching Points atinum Heat-treated N O N H E A T-TNiTi R E Afor T EStrength D N i T i & Flexibility EdgeTaper™ for a perfect fill. re™ NiTi for Strength & Flexibility paper compliment ProTaper andand ProTaper Gold are registered trademarks of Dentsply Tulsa gutta-percha ™ Dental™Specialties. *Based on Internal Testing. See EdgeEndo.com/testing for results. AMAZINGLYMatching HALF THEpoints COST Matching gutta-percha and Matching Points ™ AMAZINGLY HALF THE COST atinum Non Heat-treated for Traditional Taper Feel. EdgeTaper™ for acompliment perfect fill. Heat-treated FireWire™ NiTi for Strength & Flexibility paper points re™ NiTi for Strength & Flexibility Platinum™ paper S 1Matching SEdgeTaper 2THEpoints Sgutta-percha X compliment F1 F 2andF 3 ™ ™ AMAZINGLY HALF COST perEdgeTaper™ 6 pack AMAZINGLY Matching Points ™ ™ AMAZINGLY HALF HALF THE THE COST COST® for aa perfect perfect fill. atinum Non Heat-treated for Traditional Taper Feel. EdgeTaper™ for fill. Heat-treated FireWire™ NiTi for Strength &™ Flexibility paper points compliment re™ NiTi for Strength & Flexibility ated for Traditional Taper Feel. ® 1Matching S 2 Sgutta-percha X F1 F 2andF 3 ™ ™ perSEdgeTaper™ 6 pack AMAZINGLY312 HALFSEC. THE COST ™ for ProTaper a perfect fill. Gold Heat-treated FireWire™ NiTi for Strength & Flexibility S1 S2 SX 1 F2 F3 Non Heat-treated forFTraditional Taper Feel. Heat-treated FireWire™ NiTi for Strength &™ Flexibility paper points compliment All the quality. Half the Cost. ated for Traditional Taper Feel. ® 1 S2 SX F1 F2 F3 ™ perSEdgeTaper™ 6 pack AMAZINGLY HALF THE COST ™ ™ for a perfect fill. Heat-treated FireWire™ NiTi for Strength & Flexibility

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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

59.90 59.90 59.90 59.90 59.90 59.90 59.90

N O N H E A T-T R E A T E D N i T i

Platinum™ Platinum EdgeT aper $ per 6 pack EdgeT aaper Platinum $59.90 EdgeT per $ per 6 pack 677 SEC. EdgeT a per Platinum EdgeT a $59.90 EdgeSequel $ S1 S2 SX F1 F2 Sapphireper is used exactly like6 Vortex per pack Blue®. Featuring our heat-treated Firewire™ Niti, the Platinum EdgeEndo aaper H E A T-T R E A T E D F I R E W I R E ™ EdgeT per ™ EdgeT $EdgeT 59.90 aEdgeSequel Sapphire has strength and flexibility. EdgeSequel Sapphire will help elevate your endo practice. $ per per 6 pack Matching Points Platinum EdgeT per ™ EdgeT per EdgeEndo EdgeT aper™™ $ EdgeT a per 127 EdgeTaper™ EdgeT aaa per per 6 pack ™ SEC. Platinum ™ Matching gutta-percha $ ™ Compatible EdgeTaaper per™ ™ EdgeEndo EdgeT aper 63 pack per pack Strength EdgeT aper Unmatched Flexiblity Incredible Fully EdgeT 119 SEC. ™ points and paperapoints ™ ProTaper $ Platinum EdgeT per EdgeEndo EdgeT a per ™ 6 pack per 3 pack EdgeT a per ™ Heat-treated FireWire™ NiTi gives compliment EdgeSequel 2x more resistance to Cyclic Use exactly like Vortex Blue®. EdgeTaper ™ 63 pack percapable pack amazing a flexibility, of 90° Sapphire™ for a a perfect fatigue to comparable brands. EdgeT EdgeT per™fill. per ™ EdgeT curves. aper

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FF 33

Non Heat-treated for Traditional Taper Feel. All the quality. Half the ® Cost.

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.

Non Heat-treated for Traditional Taper Feel.

Non Heat-treated for Traditional Taper Feel. All the quality. Half the Cost.

EdgeEndo Matching Points CYCLICand FATIGUE TEST EdgeEndo Matching gutta-percha EdgeEndo paper points compliment ®

Orders 1300 65 88 22 www.henryschein.com.au

Non Heat-treated for Traditional Taper Feel.

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677 SEC.

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Matching gutta-percha 127 SEC. points and paper points compliment EdgeSequel 119 SEC. ProTaper Sapphire™ for a perfect fill.

EdgeTaper™ ®

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

Matching Points

EdgeEndo

Matching gutta-percha and

EdgeTaper ™

paper points compliment All the quality. Half the Cost. EdgeTaper™ for a perfect fill.

Platinum

Heat-treated FireWire™ NiTi for Strength & Flexibility

EdgeTaper™

EdgeOne Fire™ is designed to shape canals in a reciprocating motion similar to WaveOne® Gold and is available in sizes Small, Primary, Medium and Large. EdgeOne Fire™ can be used with the same motor AMAZINGLY HALF THE COST and hand piece setting as WaveOne® Gold. EdgeOne Fire™ features our heat-treated Fire-Wire™ NiTi and tests at five times the cyclic fatigue as WaveOne® Gold. Experience the new standard.

S1 S2 SX F1 F2 N O N H E A T-T R E A T E D N i

EdgeTape

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Platinum Platinum EdgeT aper EDGETAPER Paper Points EDGETAPER Gutta Points ® ®

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TS Platinum INper O P EdgeT a A T UTPlatinum GEdgeT aaper R $59.90 E EdgeT per P A T E G D EdgeT a per E Platinum EdgeT aper $59.90 Platinum EdgeTaaper per $EdgeT 59.90 aper™ EdgeT Platinum EdgeT per ™ EdgeT aa per EdgeEndo EdgeT a per EdgeT a per ® Platinum™ ™ EdgeT aper™ ™ EdgeEndo

EdgeT aper EdgeTaper EdgeEndoEdgeTaper S1

Non Heat-treated for Traditional Taper Feel. All the quality. Half the Cost.

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.

™™ ™

ER POINTS PAPPlatinum.

EdgeT N! EdgeTaaper per NG SOO I M O C per 63 pack pack ™ S EdgeTaRper T Orders 1300 65 88 22 www.henryschein.com.au N OI P E P ™ PA EdgeEndo R E P A EdgeEndo EDGET 1 3 0 0 6 5 8 8 2 2 EdgeEndo ™

Non Heat-treated for Traditional Taper Feel. Non Heat-treated for Traditional Taper Feel. All the quality. Half the Cost. Non Heat-treated for Traditional Taper Feel.

Non Heat-treated for Traditional Taper Feel.

All the quality. Half the ® Cost.

O Half r dthe ers oin Alltsthe quality. ® Cost.

Paper P

tinum™

er Pla EdgeTap d n a ™ r Tape 0 ith Edge atible w 30, F4 40, F5 5 p m o C 3 F , , F2 25 - F1 20 +/-1 - 29mm th g n e L ints/box - 60 po

E E E E E E E E

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

• 500ml Bottle

500ml

$95

$92

Available in 3% and 6% formula

500ml

$35

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

NEW Consepsis

NEW Consepsis V

2% Chlorhexidine Antibacterial Solution

2% Chlorhexidine Antibacterial Viscous Solution

Consepsis antibacterial solution is recommended for procedural endodontic disinfection, as a final endodontic rinse prior to canal obturation and prior to pulp capping.

Designed for endodontic disinfecting purposes • A more viscous formulation of Consepsis •

20 x 1.2 ml syringes Consepsis Econo Refill

ULT-491

Single $59.45 2+ each $53.50

antibacterial solution Stays in place, even in maxillary canals

ULT- 2210 1 x 30 ml syringe Consepsis V IndiSpense Syringe

Buy 2 & SAVE

Single $37.95 2+ each $34.15

10%

Buy 2 & SAVE

10%

1 x 30 ml syringe Consepsis IndiSpense Syringe

ULT-687

Single $42.95 2+ each $38.65

Canal Prep With 15% EDTA activity.

20g jar

HALAS

EDTA

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

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

$32.50 500ml

Hypochlorite 1% Solution HALAS

HALAS

$27.30

S E P T E M B E R

1.25L

$59.90

/ O C T O B E R

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1.25L bottle

$17.50

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Medicaments

LEDERMIX… is back! Now made in Australia

Ledermix the LEADER in root canal management “…more than 85% of cases had complete relief of pain after a one hour interval and more than 93% were free of pain within 24 hours of treatment…” SINGLE PRICE

Ledermix Paste 5g CY-926705

$159

1.Negem MM Intercanal use of a corticosteroid-antibiotic compound for the management of post-treatment endodontic pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2001; 92:435-439

2+ PRICE

$143 NEW!

Now available in a 1 syringe pack! THE HIGH ACHIEVER IN CALCIUM HYDROXIDES! • • • • • • •

OZ-6201 .25

$30

Higher pH than all existing Ca(OH)2 medicaments Greater antimicrobial activity within the root canal Maintains high pH over longer periods of time Can be used for pulp capping and as intracanal medicament Calmix is less cytotoxic Will not dry out on pad or in syringe High radiopacity

SAVE

10%

4 x 1.5 ml syringes 5 tips + 5 micro tips OZ-6200

$90.85

Orders

1 3 0 0

6 5

8 8

KEY POINTS

2 2

Obturation

Obturation in Endodontic Practice I have been using the B&L alpha and Beta units as part of my obturation regime for the past 5 years now. My standard obturation technique is a matched cone vertical compaction technique. The Alpha unit is used to warm the matched cone to approximately 5-6mm short of the working length and soften the remaining GP to allow for adaptation to the canal space. Once the apical plug is compacted the Beta unit will quickly fill the remaining canal space effectively and efficiently. The alpha unit accommodates tips of various sizes to allow for deep penetration of the canal space, even in situations of conservative canal preparation. Heat is delivered instantaneously at the touch of a button and the unit also cools very quickly. This means less risk of inadvertent injury to the patient. For the Beta unit I prefer the 25G needle to deliver thermoplastic GP right onto the apical plug. Backfilling is quick and easy, even in irregular canal spaces. Manual delivery allows for maximum tactile feedback. Both units are cord free making them ergonomically friendly. Dr Kurien Mamootil BDSc. GradDipClinDent. DCD (Melb) FRACDS Endodontist Southern Dental Specialists

S E P T E M B E R

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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 maximise 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.

INTRO PRICE

$2198

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

$98.30

$88.90

$259 Set of 4

Orders

1 3 0 0

6 5

8 8

2 2

Sealants “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

NEW 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

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

S E P T E M B E R

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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

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

SAVE

10%

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

6 5

Box of 15 unitips (0.13ml/0.25g)

8 8

2 2

$110.90

Education

Top 5 Endodonitic Tips 1. Step back when #08 file won’t progress

ckling? 3.

order fax 0508 808 555, available 24 hours Negotiation of curved canals requires pre-bending hand files

2. When canals disappear apically (On Radiograph) – beware of ‘deviant’ anatomy.

4. Read Pascal Magne DMD PhD article “Deep Marginal Elevation – A Paradigm Shift” – to assist Endodontic isolation – especially helpful with subgingival margins

tency File

ned for manual probing

ch minimises file buckling

5. than directly to #15 (which often can create ledges)

Where #10 Hand file is tight – use a #12 – rather ard calcified canals in the coronal third

Hands-on Course Endodontics….3 Core Skills for Predictable Outcomes Presented by Dr Kurian Mamootil Access, Glide Path Preparation and Obturation

early

• Warrnambool

Tip Diameter ø /100 mm 1

006

008

010

012

015

Victoria 31st October 3.5 CPD Hours

nd freight. To order fax 0508 808 555, available 24 hours 20

S E P T E M B E R

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