Obturation Solution - Dentsply Maillefer · Lateral compaction (cold) 1. Select the master cone of gutta-percha based on the largest file used, and the corresponding sized finger

Obturation Solution

DIAGNOSTIC

1ACCESS CAVITY

2GLIDE PATH

3SHAPING

4

The function of root canal filling is to obturate the canal and eliminate all portals of entry between periodontium and the root canal. It should provide an hermetic seal in order to:

• Prevent new infections

• Wall in potential remaining bacteria after shaping and irrigating

• Fill the remaining spaces to create a favourable biological environment for healing

Obturation / Root canal filling

OBTURATION

6CLEANING

5CORONAL RESTORATION

7

Root canal filling cannot compensate for poor shaping and / or incomplete disinfection.

Lateral compaction (cold)

1. Select the master cone of gutta-percha based on the largest file used, and the corresponding sized finger spreader

2. Coat canal walls and the master cone with sealer before sliding the master cone to working length (drawing 1)

3. Place the spreader into the canal alongside the master cone, then compact laterally under vertical pressure (not by pushing sideways) (drawing 2)

4. Remove the spreader

5. Place an auxiliary cone in the canal, compact with the finger spreader (drawing 3)

6. Repeat the previous step as long as you can fit an auxiliary cone

7. Cut the cones at the coronal part using a heated carrier (drawing 4)

Single cone (cold)

1. Select the gutta-percha master cone corresponding to the size of the last file used

2. Coat the root canal and the gutta-percha cone with sealer

3. Insert the gutta-percha cone into the apex of root canal

4. Cut the cone at the coronal part using a heated carrier

Techniques: summary and protocol

THE TECHNIQUE MOSTLY LEARNT AT SCHOOL

THE FASTEST, THE CHEAPEST, YET THE MOST CHALLENGED QUALITY

1

3

2

4

4

Warm vertical compaction (manual / warm)

1. Select a gutta-percha cone corresponding to the last file used, and adjust it 1-2mm back from the apex

2. Prepare three sizes of manual pluggers and heat carriers (small, medium, large)

3. Irrigate and dry the canal. Coat the gutta-percha cone with a small amount of sealer

4. Insert the master cone into the canal and cut the coronal end with the large heat carrier

5. Heat the gutta-percha cone in the canal with the large heat carrier Take away the upper part of gutta-percha by pulling out the carrier Compact the gutta-percha cone with the large plugger Repeat the same steps with the medium and the small heat carriers and pluggers, ensuring the apical 3-4 mm segment of the canal is filled

✓ This step is called the down-pack (drawings 1 and 2)

6. Coat the coronal part of the canal with sealer and backfill, heating small segments of a gutta-percha cone and condensing them with the large plugger (by waves)

✓ This step is called the backfill (drawings 3 and 4)

Warm vertical compaction with the CALAMUS® (mechanised / warm)

1. The downpack part of this obturation procedure is similar to the manual vertical compaction but executed with the CALAMUS electronical heat carriers and pluggers

2. The backfill: • The backfill hand piece contains a cartridge of gutta-percha which, when heated, is

injected into the canal using the easy-touch activation

• Use it to fill the middle third in a continuous wave (drawing 1 & 2)

• Compact the gutta-percha with a manual plugger (drawing 3)

• If needed, repeat to fill the coronal third in a continuous wave

Continuous Wave: The remaining portion of the root canal (middle and coronal thirds) is filled with heated gutta-percha in one single step.


CONTROLLABLE AND TRIDIMENSIONAL OBTURATION

1

3

2

4

backfill

backfill

down-pack

flows in to secondary

canal

1 2 3

5


Thermoplastified condensation (warm)

1. A gutta-percha cone coated with sealer is placed into the root canal

2. Select the appropriate gutta-condensor (with the needed length and diameter); place it on your motor, and into the canal (drawing 1)

3. The gutta-condensor is engaged, at a speed of 8000 t/m in the canal (drawing 2)

4. It will frictionally warm, plasticise and compact the gutta-percha in the root canal (drawing 3)

FOR THE INITIATED DENTIST

Carrier-based technique (warm)

1. Verify the apical diameter with a size verifier. If you feel “tug-back”, it’s the correct size. Insertion occurs in one action with very little opportunity to revise the result if the carrier does not go to length, therefore this is an important step (drawing 1)

2. Select the carrier-based obturator, corresponding to the size of the last shaping file used (confirmed by the size verifier)

3. Coat the canal with a thin layer of sealer. Remove excess sealer with a paper point

4. Heat the obturator as per DFU’s instructions

5. Insert the obturator in one single smooth motion into the root canal until it is snug (drawing 2)

6. Cut the handle with a bur

QUICK AND EASY TO LEARN – CONVENIENT FOR ALL CANALS, ESPECIALLY LONG AND CURVED ONES

2

1 2 3

1

6

Gutta-Percha cones 8

CALAMUS® Dual 9

Obturators 10

THERMAFIL®

THERMAPREP® 2 OVEN

GUTTACORE®

SYSTEM BASED SOLUTIONS

WAVEONE® GOLD 14

Paper points

Gutta-percha points

THERMAFIL® obturators

WAVEONE® 16

Paper points

Gutta-percha points


PROTAPER NEXT® 18

Paper points

Gutta-percha points


PROTAPER® UNIVERSAL 20

Paper points

Gutta-percha points


Sealers and cements 22

TOPSEAL®

PROROOT® MTA

Accessories & other instruments 24

Paper points

Gutta condensor

LENTULO®

Plugger and spreaders

MTA carriers

Thermacut

Kits 26

SUMMARY


Gutta-percha cones

For warm and cold obturations

Gutta-percha cones for warm or cold techniques:

• Reliable insertion to the apex

• 2%, 4%, 6% tapers and white versions available

• ISO colour coded

Code Description Ø ISO

A 022C .02 monochrome pink gutta-percha points 010 to 140

A 022E .02 monochrome white gutta-percha points 010 to 140

A 022G .02 colour coded gutta-percha points 010 to 140

A 022M .04 colour coded gutta-percha points 015 to 090

A 022N .06 colour coded gutta-percha points 015 to 090

A 022L Auxiliary gutta-percha points available in sizes XXF to L

A 022F Auxiliary gutta-percha points available in sizes A to D Matching Maillefer finger Spreaders

29/30mm

8

Mechanised vertical condensation

Filling has never been so easy!

• Hermetic 3D Fill: long-lasting, tightly sealed obturation of main and lateral canals

• Reliable: minimal risk of root fractures

• Easy to use device: clear display and adaptable settings

• Convenience and control: Feather-touch activation by flexible silicone ring. Good visualisation thanks to slim handpiece

Downpack procedure

• Handpiece with heat-carrier and plugger, available in various sizes

• Heating and cooling with the «click-on» feature

• Handpiece can be used for downpacking and searing of gutta-percha

Backfill procedure

• Temperature and flow rate can be set individually

• Micromotor controls a precise release of gutta-percha

• Cartridges can be quickly changed by the drop-in/drop-out design – easy to use and to dispose of, with minimal cleaning

• Flexible and extra-long, heat-conductive silver alloy cannulas also suitable for curved root canals

• One cartridge fills approximately 4-6 canals

Code Description Ø ISOA 1110 CALAMUS® plugger small 040 – taper .03A 1120 CALAMUS® plugger medium 050 – taper .05A 1130 CALAMUS® plugger large 060 – taper .06A 1150 CALAMUS® thermal response tip

A 1206 CALAMUS® replacement cartridge nut

A 1207 CALAMUS® cartridge needle bending tool

A 1208 CALAMUS® hand piece cleaning brush

A 1209 CALAMUS® hand piece heat shield

A 1210 CALAMUS® gutta-percha cartridge 20g – 10 pieces

A 1220 CALAMUS® gutta-percha cartridge 23g – 10 pieces

A 1300 CALAMUS® Dual kit

9

Obturators

Easy and fast 3D obturation with carrier-based technique

The combined action of the heated gutta-percha and the flexible plastic carrier achieves filling of the canal and lateral ramifications

• 3-dimensional obturation

• Recommended for long, narrow and curved canals

• Optimal use with THERMAPREP® 2 OVEN

25 mm

Code Description Quantity

A 0166 THERMAFIL® obturators Ø ISO 020 to 140 Box of 6

A 0348 THERMAFIL® obturators Ø ISO 020 to 040 Box of 30

A 0167 THERMAFIL® obturators kit - assortment Ø ISO 020 to 040 Box of 20

A 0168 THERMAFIL® anterior kit - assortment Ø ISO 045 to 100 Box of 20

10

Compatible with THERMAFIL® and GUTTACORE® obturators

• 3-dimensional heat

• Obturators ready in less than 1 minute (use the first level of heating for GUTTACORE®)

• Indicator lights and audible alerts (bips)

• After the bip, obturators are kept at the right temperature during 90 seconds

• Cleaning mode

• No pre-heating time

2 year guarantee and repair

Code Description

Included with the oven Cleaning brush

Included with the oven Additional faceplate stickers

A 0176 230 002 00 THERMAPREP® 2 OVEN 230V – EU plug

A 0176 115 002 00 THERMAPREP® 2 OVEN 115V

OVEN

11

Obturators

Transforming gutta-percha from the inside out

GUTTACORE® is the first obturator with a crosslinked gutta-percha core. Crosslinking is a well-established scientific process that connects the polymer chains and transforms the gutta-percha to make it stronger, while keeping its best features

* compared to cold lateral compaction** compared to THERMAFIL®

Verifier

Experience the difference of gutta-percha, through and through

1. Superior 3D fill*

• The hydraulic force sends warm gutta-percha flowing equally in 3 dimensions

• Centrally compacted gutta-percha creates predictable and consistent 3D fill that follows curves, finds accessory canals and flows into isthmuses

2. Ease of retreatment**

• No plastic core remaining in the root canal

• The obturator’s core comes out efficiently, saving you time and hassle

3. Post space simplified**

• Easy to create post space

• The drill engages and easily removes the obturation material

4. Optimal use with THERMAPREP® 2 OVEN

Crosslinked gutta-percha core obturator

• superior 3D fills

• ease of retreatment

• post space simplified

A 0175

045

090

020 030

060

050

035

070

040

080

x6

025

055

x1

x1

ISO 015-040

ISO 050-090

015

090

020

050

025

055

030

060

035

070

040

080

Non-sterile Plastic Box and Sterile Blister available

25 mm

12

BLISTER


A 1703 B00 420 00 GUTTACORE® OBTURATORS Ø 020 Blister of 6






A 1703 P00 420 00 GUTTACORE® OBTURATORS Ø 020 Pack of 30





PACK (5 BLISTERS)

13

WAVEONE® GOLD obturation

A file – a paper point, a gutta-percha point

WAVEONE® GOLD sterile paper points and gutta-percha cones match the size of the canal prepared with WAVEONE® GOLD files

• 4 sizes fit all canals prepared with WAVEONE® GOLD files

• Easily recognisable : identical colour coding for files, paper points and gutta-percha cones

• Paper points are packaged in individual sterile packs of 5 points. Easy to use, this packaging matches your average need for a canal treatment


A 175X 000 00S 00 Gutta-percha points small Box of 60

A 175X 000 00P 00 Gutta-percha points primary Box of 60

A 175X 000 00M 00 Gutta-percha points medium Box of 60

A 175X 000 00L 00 Gutta-percha points large Box of 60

GUTTA-PERCHA POINTS

FROM THE SHAPING…

…TO THE OBTURATION OF YOUR CHOICE


A 175W 000 00S 03 Sterile paper points small Box of 180

A 175W 000 00P 03 Sterile paper points primary Box of 180

A 175W 000 00M 03 Sterile paper points medium Box of 180

A 175W 000 00L 03 Sterile paper points large Box of 180

PAPER POINTS

14

A file – an obturator

The efficiency of THERMAFIL® applied to WAVEONE® GOLD obturators to match the size of the canal prepared with WAVEONE® GOLD files, letting you achieve rapid warm 3D filling

• Easily recognisable : identical colour for files and obturators

• Optimal fit in WAVEONE® GOLD prepared canals


A 1750 B00 00S 00 THERMAFIL® for WAVEONE® GOLD small Blister of 6

A 1750 B00 00P 00 THERMAFIL® for WAVEONE® GOLD primary Blister of 6

A 1750 B00 00M 00 THERMAFIL® for WAVEONE® GOLD medium Blister of 6

A 1750 B00 00L 00 THERMAFIL® for WAVEONE® GOLD large Blister of 6

SYSTEM B

ASED

SOLUTIONS


A 1750 P00 00S 00 THERMAFIL® for WAVEONE® GOLD small Pack of 30

A 1750 P00 00P 00 THERMAFIL® for WAVEONE® GOLD primary Pack of 30

A 1750 P00 00M 00 THERMAFIL® for WAVEONE® GOLD medium Pack of 30

A 1750 P00 00L 00 THERMAFIL® for WAVEONE® GOLD large Pack of 30

forPACK (5 BLISTERS)

forBLISTER

for

Optimal use with THERMAPREP® 2 OVEN15

WAVEONE® obturation


WAVEONE® sterile paper points and gutta-percha cones match the size of the canal prepared with WAVEONE® files

• 3 sizes fit all canals prepared with WAVEONE® files



® GUTTA-PERCHA POINTS

®

FROM THE SHAPING…

…TO THE OBTURATION OF YOUR CHOICE ® PAPER POINTS


A 024X 000 00S 00 Gutta-percha points small Box of 60

A 024X 000 00P 00 Gutta-percha points primary Box of 60

A 024X 000 00L 00 Gutta-percha points large Box of 60

A 024X 000 900 00 Gutta-percha points assortment Box of 3x20


A 024W 000 00S 01 Sterile paper points small Box of 180

A 024W 000 00P 01 Sterile paper points primary Box of 180

A 024W 000 00L 01 Sterile paper points large Box of 180

A 024W 000 900 01 Sterile paper points assortment Box of 3x60

16


WAVEONE® obturators match the size of the canal prepared with WAVEONE® files, letting you achieve rapid warm 3D filling

• Easily recognisable : identical colour for files and obturators

• Optimal fit in WAVEONE® prepared canals

® OBTURATORS

SYSTEM B

ASED

SOLUTIONS

® OBTURATORS

x6

x20Optimal use with THERMAPREP® 2 OVEN


A 1700 000 10S 00 Obturators small Box of 6

A 1700 000 10P 00 Obturators primary Box of 6

A 1700 000 10L 00 Obturators large Box of 6


A 1700 000 11S 00 Obturators small Box of 20

A 1700 000 11P 00 Obturators primary Box of 20

A 1700 000 11L 00 Obturators large Box of 20

17

PROTAPER NEXT® obturation

A file - a paper point, a gutta-percha point

PROTAPER NEXT® sterile paper points and gutta-percha cones match the size of the canal prepared with PROTAPER NEXT® files

• 4 sizes fit all canals prepared with PROTAPER NEXT® files



PAPER POINTS

GUTTA-PERCHA POINTS

FROM THE SHAPING…



A 022Q 000 002 00 Sterile paper points X2 Box of 180

A 022Q 000 003 00 Sterile paper points X3 Box of 180

A 022Q 000 900 00 Sterile paper points assortment X2-X3 Box of 2x90

A 022Q 000 901 00 Sterile paper points assortment X4-X5 Box of 2x90


A 022O 000 002 00 Gutta-percha points X2 Box of 60

A 022O 000 003 00 Gutta-percha points X3 Box of 60

A 022O 000 900 00 Gutta-percha points assortment X2-X3 Box of 2x30

A 022O 000 901 00 Gutta-percha points assortment X4-X5 Box of 2x30

18

SYSTEM B

ASED

SOLUTIONS

A file - an obturator

GUTTACORE® technology applied to PROTAPER NEXT® obturators to match the size of the canal prepared with PROTAPER NEXT® files, letting you achieve rapid warm 3D filling

• Easily recognisable : identical colour coding for files and obturators

• Optimal fit in PROTAPER NEXT® prepared canals

OBTURATORS BLISTER

for


A 1803 P00 420 00 GUTTACORE® FOR PROTAPER® NEXT X2 Pack of 30

A 1803 P00 425 00 GUTTACORE® FOR PROTAPER® NEXT X3 Pack of 30


A 1803 B00 420 00 GUTTACORE® FOR PROTAPER® NEXT X2 Blister of 6

A 1803 B00 425 00 GUTTACORE® FOR PROTAPER® NEXT X3 Blister of 6

Optimal use with THERMAPREP® 2 OVEN

for

OBTURATORS PACK (5 BLISTERS)for

19

PROTAPER® UNIVERSAL obturation


PROTAPER® UNIVERSAL sterile paper points and gutta-percha cones match the size of the canal prepared with PROTAPER® UNIVERSAL files

• 5 sizes fit all canals prepared with PROTAPER® finishing files

• Easily recognisable : identical colour coding for finishing files, paper points and gutta-percha cones


PAPER POINTS

GUTTA-PERCHA POINTS


FROM THE SHAPING…


A 022X 000 101 00 Gutta-percha points F1 Box of 60



A 022X 000 901 00 Gutta-percha points assortment F1-F3 Box of 3x20

A 022X 000 902 00 Gutta-percha points assortment F4-F5 Box of 2x30


A 022W 000 101 00 Sterile paper points F1 Box of 180



A 022W 000 901 00 Sterile paper points assortment F1-F3 Box of 3x60

A 022W 000 902 00 Sterile paper points assortment F4-F5 Box of 2x90

20

SYSTEM B

ASED

SOLUTIONS


PROTAPER® obturators match the apical taper of PROTAPER® UNIVERSAL finishing files, letting you achieve rapid warm 3D filling

• Easily recognisable : identical colour for finishing files and obturators

• Optimal fit in PROTAPER® prepared canals

OBTURATORS

OBTURATORS


A 1411 000 101 00 PROTAPER® Obturator F1 Box of 6











Optimal use with THERMAPREP® 2 OVEN21

Sealers and cements

TOPSEAL®

• Epoxy resin based root canal sealer for final obturation of permanent teeth

• Biocompatible

• Reduces risk of postoperative inflammatory reaction or periapical chronical inflammation

• Easy introduction into the root canal

• Strong adhesion to the dentine walls

Code Description

A 0900 1 x Tube of paste A, 4 ml

1 x Tube of paste B, 4 ml

1 x Mixing Pad

22

PROROOT® MTA

PROROOT® MTA (Mineral Trioxide Aggregate) root repair material:

• Apical plug during apexification

• Repair of root perforations during root canal therapy

• Treating internal root resorption

• Root-end filling material

• Pulp-capping material

Pulp capping

Fureal repair

Root resorption

Repair of root perforation

Apexification

Root-end filling

Clinical Applications of PROROOT MTA®

The first name in root repair

• Trusted in over 4 million canals

• Strong seal that sets in moisture

Code Description

A 0405 4 x 0.5g

10 x 0.5g

23

Accessories and other instruments

Name Code Description

Paper Points

Sterile .02

0.02

0.04

0.06

A 022T

A 022R

A 022J

A 022K

A wide range of absorbent paper points for all warm or cold obturations • ISO colour-coded• Tapers .02, .04, and .06 available• ISO diameter 010 to 140 available (depending on taper)• Refills and assortments available• Pre-sterile available

Gutta Condensor

A 0242 Gutta condensor for Thermoplastified Condensation • Stainless steel instrument • Graduations marked on the shaft of the instrument

to indicate the penetration depth of the Gutta condensor

• ISO diameter 025 to 080 available • Exists also in sterile version

LENTULO®

Paste Carrier A 0022

A 002S

Spiral Fillers for mechanised placement of sealer

Spiral Fillers sterile for mechanised placement of sealer

Handy LENTULO®

A 022H Spiral Fillers for manual placement of sealer

24

Name Code Description

Heat-carrier Pluggers

Pluggers for manual warm vertical obturation

Dr Machtou

Prof. Schilder

A 281S

A 0400

A 0401

Exists in 4 different sizes : 1-1, 1-2, 2-3, 2-4

Pluggers anterior

Pluggers posterior

Spreaders A 0182 Finger spreaders manual for cold lateral compaction

Exists in 4 different sizes : A, B, C, D

MTA carriers A 0407

A 0408

Manual carrier to prepare and put in place the MTA

Surgical manual carrier

Verifiers A 0175 Allow you to verify the size of the canal in order to select the right obturator

The use of a verifier is highly recommend for the carrier-based technique

Exists in sterile version

Therma-cut A 0050 Therma-Cut bur to cut the THERMAFIL® carriers

Post Space bur A 0051 Post-Space bur, to create a post-space after the obturation is completed

25

Kits

Kit Code Description

CALAMUS® Dual kit A 1300 • 1 CALAMUS® Dual device• 1 plugger small ISO 40 – taper .03• 1 pack of 10 cartridges 20g• 1 pack of 10 cartridges 23g• 1 replacement cartridge nut• 1 cartridge needle bending tool• 1 handpiece cleaning brush• 1 handpiece heat shield• 1 remove power card

PROROOT® MTA kit A 0406 • 4 half-gram treatments of PROROOT® MTA material• 5 mixing spatulas• 4 MTA carriers (1 nonsurgical, 3 surgical)• 2 sets of tubes (4mm and 8mm)• 1 instructional CD• 1 mixing pad

26

Kit Code Description

GUTTACORE® obturation starter kit

A 1710 • 1 THERMAPREP®2 OVEN

• 4x GUTTACORE® obturator blister of 6 :

2 x 25

1 x 30

1 x 40

• 1 verifier assortment (020-045)

THERMAFIL® obturation starter kit

A 176A • 1 THERMAPREP®2 OVEN

• 1 THERMAFIL® posterior assortment (20 obturators)

• 1 THERMAFIL® verifier assortment (020-045)

WAVEONE® obturation starter kit

A 176B • 1 THERMAPREP®2 OVEN

• 3 WAVEONE® obturators box of 6 :

1 x small

1 x primary

1 x large

PROTAPER® UNIVERSAL obturation starter kit

A 176C • 1 THERMAPREP®2 OVEN

• 2 PROTAPER® UNIVERSAL obturators box of 6:

1 xF1

1 xF3

• 2 PROTAPER® UNIVERSAL obturators box of 20:

1 xF2

+ obturators of your choice

for

for ®

27

MAILLEFER INSTRUMENTS HOLDING S.À.R.L CHEMIN DU VERGER 3CH-1338 BALLAIGUESSWITZERLAND

www.dentsplymaillefer.com

PRODUCTS LEGAL MANUFACTURER

GUTTACORE®

ProRoot MTA®

Thermaprep® 2

DENTSPLY Tulsa Dental Specialties608 Rolling Hills Drive, Johnson CityTennessee, 37604, USA 0086

CALAMUS DUAL® ASEPTICO INC.8333 216th Street SE, Woodinville, Washington, 98072, USA 0086

TOPSEAL® DENTSPLY DeTrey GmbHDe-Trey-Strasse 178467 Konstanz, Germany 0123

All other productsMAILLEFER INSTRUMENTS HOLDING SàrlChemin du Verger 3CH-1338 BALLAIGUES, SWITZERLAND 0459

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Documents

Obturation Solution - Dentsply Maillefer · Lateral compaction (cold) 1. Select the master cone of gutta-percha based on the largest file used, and the corresponding sized finger