12
Successful Endodontics require more than just good luck...

Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Embed Size (px)

Citation preview

Page 1: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Successful Endodontics require more than just good luck...

Page 2: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Vitality control testing

Cold spray

• temperature -50 °C

• forfreezingpelletsanddentalrolls

• spraynozzleforpreciseapplication

• odourless

Ideal for vitality testing.

Thepelletsarecooledwithcoldspraytotestthevitalityofthetooth.

Root canal instruments and accessories

Forcleaningandenlargementoftherootcanal

Roeko root canal instruments are made of stainless steel and are particularly flexible sharp, cutting. Their cutting edges are ground with highest precision and are flawless. The auto­clavable instruments are supplied with different shaped stoppers indicating the instrument type.

Endo-Frost

Endo-Frost Pellets

H-Files (ISO), Length 25 mm

Forobturationoftherootcanal

K-Files (ISO), Length 25 mm

Forobturationoftherootcanal

Reamers (ISO), Length 25 mm

ForRoekorootcanalinstruments

• madeofsilicone

• radiopaque

Stopper

Page 3: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Roeko Endogauges are ideal for setting thelength of root canal instruments, paper, guttapercha,CalciumHydroxidePLUSandac-tivpoints.The compact and handy instrument holderscanalsobeusedforpreparingandstoringin-strumentsreadyforrootcanaltreatment.

Type CS Chrome nickel steel with a specially treatedsurface,Ø48mm.Suitable for theautoclaveand chemiclave. For 12 instruments with acentral well and sponge for used instru-ments.

Type C Chrome nickel steel with a specially treatedsurface,Ø33mm.Suitable for theautoclaveand chemiclave. For 8 instruments, nosponge.

Endo Gauges

Instrument holder for preparing and storingRoekorootcanal instrumentsreadyfortreat-ment

• handyandcompact

• chromenickelsteel

• mmgraduationlinedeterminestheposi-tionofthestopperalongtheinstrument

• suitablefortheautoclave,chemiclaveanddryheatsterilizer

Endo-Rac ForthestorageofEndo-Rac

Steribox accordingtoDINEN868-2,withindicator

Steripaper

CanalBrush is a highly flexible endodonticbrushmadeofpolypropylene. It isuseddur-ing root canal treatments to remove dentin,plaqueandotherimpuritiesloosenedbyfilesand drills. The extremely small CanalBrushhelpscleanareasoftherootcanalwhicharenot reached by files. The use of the Canal-Brush in connection with an irrigating solu-tion (e.g.NaOCl,NaCl,H2O2,alcohol,CHX) in-creases considerably the cleaning effect ofirrigatingsolutionsontherootcanalsurface.CanalBrushcanbeusedmanuallywitharota-

ryaction.However,itismoreefficienttouseitwithacontra-anglehandpieceatamaximumof600rpm.

• bettercleaningeffectthanwithfiles, withoutenlargingthecanal

• veryflexible,lowriskofbreakage

• canbeautoclavedat134°Cbeforeuse

• canalsobeusedtoplacepostcementoradhesives

• withendostopsforlengthcontrol

CanalBrush™

Page 4: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

#00 #206#200

#209

#201

#211 #212

Flexi Dam non latex • latex-free

• powder-free

• moretearresistantthanlatex

• highlyelastic,easytoplace

• hasexcellentrecoverypropertiesfor effectiveisolationofthetooth

• nounpleasantodour

• availablevioletandblue

Perfect isolation for safe and efficient working conditions

Highly elastic Flexi Dam non latex providesperfectisolationofthetoothsettinganeffec-tive barrier between the oral cavity and theareaoftreatment.

Exactpunching is aprerequisite for tear-freeapplicationofdentaldam.TheRoekopunchhasaspecial feature:8holesizeswhichpro-videmoreflexibilitywhenworkingwithdiffer-enttypesofdentaldam.

TheRoekoclampforcepsenablesecuretrans-fer and fixation of the clamps to the tooth.This precision instrument is light and there-forepleasanttouse.

TheidealshapeofRoekowingedclampsandtheiruniformtensionensureagoodfitaroundthetooth.Theykeeptheirexcellent recoverypropertiesandtheirabilitytoretractthedameffectively even after being used and auto-clavedseveraltimes.

The oval frame is radiolucent. The hinges inthemiddleoftheframeallowittobefoldedto one side, which is particularly advanta-geous during endodontics if an x-ray needstobetaken.

Punch

Clamps

Clamp Forceps

Plastic frame

Flexi Dam non latex

Page 5: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

“Antibacterial Efficacy of a New Chlorhexidine Slow Release Device to Disinfect Dentinal Tubules LinS,ZuckermanO,WeissEI,MazorY,FussZ

Dentinal tubules of 27 cylindrical bovine root specimenswere infected with Enterococcus faecalis. In nine speci-mens,5%chlorhexidinewasplacedinaslow-releasede-vice(ActivPoint®)for7days,inanothernineirrigationwith10mlof0.2%chlorhexidinewasused,andtheremainingnineservedaspositivecontrol.Powderdentinsamplesob-tainedfromwithinthecanal luminausing ISO025to033burswere examined for thepresenceof vital bacteria byinoculatingbrain-heartinfusionplatesandcountingcolo-ny forming units. Resultswere analyzed using analysis ofvariance and covariance with repeated measures. Heavybacterial infectionwasobserved at the layer close to thelumen in the control specimens, decreasing rapidly fromlayertolayeruptothedeepestlayertested(400–500µm),which contained several hundred colony forming units. Viablebacteriaineachlayerofdentinweresignificantlyre-ducedwithchlorhexidineirrigationsolution(p<0.01)andwere completely eliminatedwith the chlorhexidine slow-releasedevice(p<0.01).”

Quotedfrom: JournalofEndodontics2003,29:416-418

Chlorhexidine points

The points have a guttapercha matrix with 5%chlorhexidinediacetate.Chlorhexidine isknowntobehighlyeffectiveagainstbacteriaand many other organisms including yeastsandfungieveninlowconcentrations.

•thechlorhexidineisintegratedintoagutta-perchapointforreliableandquickapplica-tionintotherootcanal

• radiopaque

• easytoapplyandeasytoremove

CalciumHydroxidePLUSpointsareanexcel-lent alternative to calcium hydroxide pastes.They are easy to use, practical and effective.ThepointsensurethatCa(OH)2isappliedrightdowntotheapex.

• clean(nosmearingaroundtheaccess cavityduringinsertion)

• time-saving–thepointsarereadytouse

• easytoapplyandtoremove

“Additive Antimicrobial Activity of Calcium Hydro-xide and Chlorhexidine on Common Endodontic Bacterial Pathogens PodbielskiA,SpahrA,HallerB

It is an established procedure to use calcium hydroxide[Ca(OH)2]asatherapeuticcomponenttoachievesteriliza-tionof infected rootcanals.Unfortunately, somebacterialspeciesarerelativelyresistanttoCa(OH)2andarethereforeassociatedwithtreatmentfailures.Theobjectiveofthisstu-dywastoidentifycombinationsofsubstancesthatimpro-veantimicrobialactivity.Ca(OH)2wasusedasasuspensionor as a componentofgutta-perchapoints. Efficacyof kil-ling was compared for (a) Ca(OH)2 suspension alone; (b)zincoxide(ZnO)pointsalone;(c)Ca(OH)2suspensioncom-binedwithZnOpoints; (d)Ca(OH)2suspensioncombinedwith ZnO/chlorhexidine points; and (e) Ca(OH)2 pointscombinedwithZnO/chlorhexidinepoints.Commonendo-dontopathogenicbacterial species (Enterococcus faecalis,Fusobacterium nucleatum, Peptostreptococcus micros,Porphyromonas gingivalis, Streptococcus intermedius) inpure cultures served as target organisms. In the in vitro

Effective and time saving temporary root canal filling

assay, the antibacterial substances and approximately 107 colonyformingunitsoftestbacteriawereco-incubatedindilutedhuman serumundergrowthconditions appropri-ateforthesinglebacterialspecies.Samplesweretakenondays 0, 1, 2, 4, 7, and14of incubation and viable countsdetermined.Gram-negativebacteriaweresufficientlykilledbyCa(OH)2alone.Combinationswithotheragentsdidnotimprove the killing kinetics. For the inactivation of theGram-positivebacteriaP.microsandS.intermedius,acom-bination of Ca(OH)2 and ZnO/chlorhexidine, killed thebacteria faster than Ca(OH)2 alone. For E. faecalis, combi-ning Ca(OH)2 suspension with ZnO/chlorhexidine pointslead to a faster decrease in the overall number of viablebacteria,butnotestconditions leadtothecomplete lossofcultureviability.Theresultsofthisstudysupporttheuseof a combination of Ca(OH)2 and chlorhexidine for fastereradiation of P. micros and S. intermedius from infectedcanals.”

Quotedfrom: JournalofEndodontics2003,29:340-345

activ point

Calcium Hydroxide PLUS points

Page 6: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

ISO0.02

0.06

0.04

Roeko Top color paper points combine theadvantages of the white and the colouredpoints. The colour coding at the top of thepointspreventsmixingofsizes.Thewhitetipallowscleaninganddryingof the root canaltobemonitored.

RoekoGuttaperchapointsTopcolorareidealfor lateral,verticalandthermalcondensationtechniquesforaperfect,3dimensionalfillingoftherootcanal.Thecolourcodingatthetopofthepinkpointspreventsmixingofsizes.

• easytointroduceinthecanal

• radiopaque

• stiffyetflexibleenoughtofollowthecurvesofthecanal

• excellenttissuecompatibility

• absolutelyhygienic

• fullyautomatedproduction

• highlyabsorbent

• sterile

• exactISOsizing

• fullyautomatedproduction

• noadhesives

• firmyetflexibleforeasyapplication

Roeko Greater Taper guttapercha points areideal for obturating root canals which havebeen prepared with GT Files, HERO, ProFile,Quantecetc.Atthetipofthepointthediam-eter corresponds to the ISO sizes, but thentheconicityisgreaterthanwithISOpoints.

All roeko Endo points are available in assorted or individual sizes.

High quality materials for top quality results

Paper points

Guttapercha points

Guttapercha points Greater Taper

Page 7: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Instruments for lateral and vertical condensation

The tips aremade from nickel titanium andhaveamemory,sotheyreturntotheirorigi-nalshape.Thetipsareflexibleandfollowthecurves of the canal for effective lateral con-densationoftheguttaperchaevenintheapi-calthirdoftherootcanal.Theflexibilityofthetipsmeans there is lesspressureon the rootcanalwall,lessriskoffracture.

Sizes15,25,35

Forverticalcondensation

• ringsinhandleindicatesize

• stainlesssteel

• mmlengthgraduationontips

Precise aspiration with sterile aspirator tips

Micro surgical aspirator tips, ready for use in peel packs

Surgitip-micro is specially designed for usewithmicroscopes and loupes.The extra-finetip-openingof1.2mmensurespreciseaspira-tionwithoutblockingthefieldofvision.Sup-pliedwithanautoclavabledoubleadapter

Spreader NiTi Plugger

Surgitip-micro

Surface structured gutta-percha points

Retention isan importantaspect for rootca-nalfillings.Ithasbeenknownformanyyearsthat posts with a structured surface providegreatermechanicalretentionthanpostswith-out this feature. With the new RetentionPoints we can now offer this concept forgutta-perchapointstoo!

• greatercontactareaforGuttaFlow®andothersealers

• bettermechanicalretention

Retention Points

Page 8: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

GuttaFlow® • firstnon-heated,flowableguttaperchathatdoesnotshrinkbutexpandsslightly

•excellentseal,excellentflow, outstandingbiocompatibility

•easeofhandling,simpletouseasonlyonemasterpointisneeded (condensationisnotrequired)

•allowsforexcellentpostpreparation

•canbeeasilyremovedduringretreatment

•ensuresaverytightsealoftherootcanal

• radiopaqueforexcellentx-rayevaluation

Two in One – Cold Flowable Obturation System

The product Canal Tip • fast,easyandsafeapplication• Luerlockdesignforscrewingontothe capsule

• flexibleandbendable

ALTERNATIVE:Combi Tip• 2-componenttipmadeofmetalandplastic• Bendable

Dispenser •Elongateddesignforbetterreach•Theparallelmovementofthedispenser leverguaranteescontrolledapplication

• Autoclavable

The capsule: •Specialcapsuleforsingleuse•GuttaFlow®consistsoftwocomponents(paste-pastesystem)

•Exactdosageandreliablemixing•Nocontamination•Thecapsuleismixedfor30secondsinatrituratorbeforeuse

Original

NEW!

10 – 15 min Working time 25 – 30 min Curing time

GuttaFlow®

Original with the green cap.

4 – 5 min Working time 8 – 10 min Curing time

GuttaFlow® FAST

New, easy to identify with the red cap.

Page 9: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

4

7

1

3 mm

2 3

4 5

7 86

Clinical study Clinical investigations are organised in theframeworkofamulti-centerstudyunderthedirection of NIOM (Norwegian Institute forDental Material Testing) and conducted inclinicsinGermany,NorwayandtheUSA.

Thepreliminaryclosingstudyreportshowsexcellenthealing results.On thebasisof thePAIScoringsystem,successratesof0.7–0.8weremeasuredwhich have been documen-tatedoveraperiodofoneyear.

Further Studies AwiderangeoffurtherstudiesonGuttaFlow®has already been conducted. You can findtheseunderwww.coltene.com.

Easy, fast and safe in the root canal

STEP 1:Determinationoftheworkinglength.

STEP 2:Movethegreenrubberstop3mmdowntowardsthetipopening.

STEP 3:Pushthecaprightdownoverthecapsuleandthenremoveit.MixGuttaFlow®(capsule)for30sec.inatriturator.

STEP 4:Removethegreenactivationpinfromthecapsule,twistthepre-setcanaltipwithendostopandinsertthecapsuleintothedispenser.

STEP 5:DispenseGuttaFlow®intothecanaluntilyoucanseethematerial.

STEP 7:ThenpermanentlyplacethemasterpointandfilltheremainingcanalspacewithGuttaFlow®.

STEP 8:Finallyshortenthemasterpointwithahotinstrument.

STEP 6:ThencoatthemasterpointwithGuttaFlow®.

Clinically tested

Page 10: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

RoekoSeal Automix

RoekoSeal Single Dose

• ready-to-use

• dispensesjustthequantityrequired

• homogeneouslyandhygienicallymixedandfreeofairbubbles

• easytouse

One exceptional sealer Two easy techniques

• individualportions

• hygienic

• easytouse

• perfectforpre-appointmentset-up

• sufficientmaterialtotreatone multi-rootedtooth

Slightpressureontheplungerandpremixedsealerisdispensedfromthetip

IntroduceRoekoSealintothecanalanddowntotheapexwithaguttaperchapoint

RoekoSeal is an exceptional root canal seal­er. Its chemical and physical properties ful­fil all the requirements of a root canal seal­er. RoekoSeal combines exceptional mate­rial properties such as excellent flowability, no shrinkage and biocompatibility with practical handling. There is no risk of incor­

rect mixing. RoekoSeal provides an excel­lent seal and sets new standards in quality and biocompatibility in endodontics. Roe­koSeal flows so well that the root canal and lateral canals are filled effectively. The result, a tight seal, can be checked effectively on the radiograph.

Page 11: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Clinically tested

Clinical study TheresultsofthestudydemonstrateclearlythattheperiapicalperiodontitishashealedwellandshowtheclinicalsuccessofRoekoSeal.

Theclinicalstudieswereorganisedandco-ordinatedbyNIOM.ThereferencematerialwasanoncommerciallyproducedmaterialbasedonZOE(GrossmanSealer).199casesofteethwithperiapicallesionswerechosenandthehealingprocessesobserved.ThestudywaspublishedinJournalofEndodontics2003Apr;36(4):296-301

obturation 3months 12months

The root canal is dried with Roeko Paper points

Application of RoekoSeal with Roeko Guttapercha point

Positioning in the canal Sealed root canal

Application

Page 12: Successful Endodontics require more than just good luck · For cleaning and enlargement of the root ... geous during endodontics if an x-ray needs ... ideal for obturating root canals

Order form

www.coltenewhaledent.com©2010Coltène/WhaledentGmbH+Co.KG

Coltène/Whaledent AG Feldwiesenstrasse20 9450Altstätten/Switzerland Tel. +41(0)717575300 Fax +41(0)717575301 [email protected]

Coltène/Whaledent Inc. 235AscotParkwayCuyahogaFalls,Ohio44223/USA Tel. +13309168800 Fax +13309167077 [email protected]

Coltène/Whaledent GmbH + Co. KG Raiffeisenstraße30 89129Langenau/Germany Tel. +49(0)73458050 Fax +49(0)7345805201 [email protected]

GuttaFlow® REF Quantity

Introkit: 349120

20GuttaFlow®Capsules

20CanalTips+Stops

3AdaptersforRotoMix™*

1Dispenser

100RetentionPointsISO30-60

60GuttaperchapointsGreaterTaper0.0420-45

GuttaFlow® FAST

Introkit: 349220

20GuttaFlow®FASTCapsules

20CanalTips+Stops

3AdaptersforRotoMix™*

1Dispenser

100GuttaperchapointsISO30-60

60GuttaperchapointsGreaterTaper0.0420-45

GuttaFlow®refillpack: 349130

20GuttaFlow®Capsules

20CanalTips+Stops

GuttaFlow®FASTrefillpack: 349230

20GuttaFlow®Capsules

20CanalTips+Stops

Refillpack: 349132

20CanalTips+Stops

Refillpack: 349134

20CombiTips+Stops

Refillpack: 349133

3AdaptersforRotoMix™**RotoMix™isnotatrademarkofColtène/Whaledent

RoekoSeal Automix REF Quantity

Set 349100

RefillSyringe 349102

RefillTips 349105

RoekoSeal Single Dose (40pcs) 349103

Endo-Frost (200ml) 240000

Endo-Frost Pellets (500pcs) 240001

H-Files (6pcs) ISOsize Quantity

K-Files (6pcs)

Reamers (6pcs)

Stopper(50pcs) 331000

Endo Gauges REF Quantity

TypeC 330001

TypeCS 330002

Endo-Rac 332000

Steribox 332010

Roeko CanalBrush™ REF Quantity

SizeS,10pcs.+stops 378020

20pcs.+stops 378120

50pcs.+stops 378220

SizeM,10pcs.+stops 378025

20pcs.+stops 378125

50pcs.+stops 378225

SizeL, 10pcs.+stops 378030

20pcs.+stops 378130

50pcs.+stops 378230

SizeL, 10pcs.+stops 378030

Assortment(S,M,L),30pcs.+stops 378000

Flexi Dam non latex (30pcs)

violet 390035

blue 390033

Roeko Punch 390010

Roeko Clamp Forceps 390011

Roeko Clamps REF Quantity

Roeko Plastic frame, foldable 390041

Surgitip-micro (20pcs) 462012

activ point ISOsize Quantity

Ca(OH)2 PLUS points ISOsize Quantity

Paper points ISOsize Quantity

Topcolor

Guttapercha points ISOsize Quantity

Topcolor

Greater Taper points ISOsize Quantity

Retention Points ISOsize Quantity

Spreader NiTi ISOsize

Plugger ISOsize

Coltène/Whaledent Ltd.ThePresidentSuite-A KendalHouse,BurgessHill VictoriaWay WestSussex,RH159NF/U.K. Tel. +44(0)1444235486 Fax +44(0)1444870640 [email protected]

219202.10006Prin

tedon

non

chlorinebleached

pap

er.W

ereservetherig

htforalteratio

ns.