Obtura Spartan Obturation Bifold
Transcription
Obtura Spartan Obturation Bifold
The Obtura Standard Obturation Guide Backed by over 25 years of clinical performance, the Obtura III MAX is the preferred instrument for all backfill procedures. And with the introduction of the Obtura MAXPACK to our complete line of endodontic products, this combination will save you TIME and MONEY during obturation. Obturation Ultrasonics Surgery (800) 344-1321 | www.obtura.com The Obtura III Max ® • Easily fills root canals with warm gutta percha in seconds for MAXimum obturation success • Control the speed of gutta percha extrusion with the ergonomic handpiece designed for superior tactile sensation • Cartridge-free operation means low cost per canal Product Features: • Thermal protector designed for patient safety • Lightweight, ergonomic handpiece design reduces hand and wrist fatigue • Unmatched 2-year warranty 823-800 823-801 823-813 823-815 823-618 822-609 Obtura III MAX Obtura Accessory Kit Obtura III MAX Multi-tool Obtura III MAX Thermal Protectors Obtura Plunger Seal Assembly Obtura Cleaning Kit The Obtura MaxPack • Convenient, cordless design allows any operatory to become your endo operatory, saving you time and reducing your need to purchase multiple pieces of equipment • Create an endodontic post space, remove excess gutta percha during lateral condensation, or compact gutta percha to prepare for warm gutta percha injection techniques all with one device • Confidence in quality. Backed by Obtura Spartan Endodontics’ comprehensive 1-year warranty Product Features: 824-700 Obtura MaxPack 824-702 MaxPack Battery 824-719 MaxPack Spreader (Narrow) - 25/.03 824-720 MaxPack Spreader (Standard) - 25/.05 824-722 MaxPack Plugger Stand Black (Holds 6) 824-723 MaxPack Plugger Protector Sleeve (Bag of 10) • Four temperature presets ranging from 150°C to 230°C • Lightweight, weighing only 2.22 ounces • Six slots for heat pluggers and ergonomic grip allow for operation in any quadrant of the mouth • Auto shut-off after 10 minutes of downtime for safety • High-quality lithium ion battery minimizes downtime for charging MaxPack Heat Pluggers • Color-coded ISO standard sizes make plugger recognition easy and reduce chair time • Flexible, tempered stainless steel pluggers navigate curved canals, smoothly providing heat to gutta percha in the most apical region • Autoclaveable for multiple uses, reducing inventory needs • Available Sizes: 25/.05 60/.12 55/.08 25/.03 55/.10 55/.06 45/.04 40/.04 35/.04 30/.04 824-710 824-711 824-712 824-713 824-714 824-715 824-716 824-717 824-718 MaxPack 30/.04 taper Plugger MaxPack 35/.04 taper Plugger MaxPack 40/.04 taper Plugger MaxPack 45/.04 taper Plugger MaxPack 55/.06 taper Plugger MaxPack 55/.08 taper Plugger MaxPack 55/.10 taper Plugger MaxPack 60/.12 taper Plugger MaxPack Hot Testing Tip 25/.05 55/.08 30/.04 Hot Testing Tip Obturation Accessories S-Kondensers • Obtura S-Kondensers each feature nickel-titanium ends for apical compaction in curved canals and flat, stainless steel ends for coronal compaction in one instrument • Available in ISO color-coded sizes individually or in sets of 3, the S-Kondensers are appropriately configured for any canal anatomy Applicator Needles • Three Sizes: 20, 23, 25 • Available in 6-packs or bulk quantities 823-620 20 Ga. Needles (6 Pack) 823-623 23 Ga. Needles (6 Pack) 823-635 25 Ga. Needles (6 Pack) Gutta Percha • Available in Regular Flow and Flow 150 material to complement nearly all pellet-based gutta percha delivery systems 825-201 S-Kondenser 40-80 825-202 S-Kondenser 50-100 825-203 S-Kondenser 60-120 825-204 S-Kondenser Set of 3 822-602 Gutta Percha, Box of 100 pcs 822-604 Flow 150 Gutta Percha, 100 pcs The Obtura Technique Down Pack: 1 Master Cone Selection Once the root canal has been shaped properly, choose an appropriate master gutta perchacone 2 Plugger Selection Once the canal has been dried, select the heater plugger that stops within 3-5mm from the working length of the canal without binding 4 Apical Obturation - I Activate the Maxpack heating unit and down-pack the gutta percha to your predetermined length 5 Apical Obturation - II Allow the gutta percha to cool, apply a 1-second burst of heat to withdraw the plugger from the root canal, and gently compact the remaining gutta percha with a small hand plugger Insert the Obtura III MAX needle into the canal and pull the trigger to backfill with gutta percha to the canal orifice 2 You may choose to continue backfilling until the canal is sufficiently filled or enough gutta percha is present to create a post space 3 Master Cone Compaction Place the master gutta percha cone, coated with sealer, in the canal and sear it off with the Obtura Maxpack at the orifice, lightly compacting the gutta percha with a stainless steel plugger at the orifice Backfill: 1 Disclaimer: Obtura Spartan Endodontics products are not available in all markets. To confirm availability, please contact your local Obtura Sales Representative. This technique sheet is to be used as a guideline and the clinician’s judgment is paramount, as each case is unique. Obtura Spartan recommends that the clinician practices all techniques on extracted teeth or practice instruments prior to providing care for patients. The basis for any successful obturation technique is an effectively cleaned and shaped canal system. Cases courtesy of Garrett M. Guess, DDS. La Jolla, CA. Clinical Research Studies STUDY #1: A COMPARISON OF THREE GUTTA-PERCHA OBTURATION TECHNIQUES TO REPLICATE CANAL IRREGULARITIES ABSTRACT: A split-tooth model with artificially created intracanal wall defects was used to compare three gutta-percha (GP) obturation techniques cold lateral, warm lateral, and warm vertical. The techniques were evaluated and compared based on defect replication quality as a function of defect location and size. The obturations were evaluated on an ordinal scale, 0 to 4, based on how much each defect was replicated. There was a statistically significantly better result with both warm techniques compared to cold lateral obturation, while there was no significant difference between the warm obturation techniques. Journal of Endodontics: Volume 32, Issue 8 , Pages 762-765, August 2006 Authors: Jake Collins, BS, MS, Mary P. Walker, DDS, PhD, James Kulild, DDS, MS, Charles Lee, DDS. PII: S0099-2399(05)00038-5 doi:10.1016/j.joen.2005.10.001 © 2006 The American Association of Endodontists. Published by Elsevier Inc. All rights reserved. STUDY #2: COMPARISON OF THE OBTURATION DENSITY OF COLD LATERAL COMPACTION VERSUS WARM VERTICAL COMPACTION USING THE CONTINUOUS WAVE OF CONDENSATION TECHNIQUE ABSTRACT: The purpose of this in vitro study was to compare quantitatively the density of standard cold lateral gutta-percha compaction and warm vertical compaction by using the continuous wave of condensation technique. Forty transparent acrylic blocks with 30-degree, curved root canals were instrumented using Gates Glidden burs and Profile 0.06 taper rotary nickel-titanium files in a crown-down manner. The blocks were weighed and randomly assigned to two evenly distributed groups. Group A was obturated with the cold lateral-compaction technique using medium-fine, gutta-percha accessory points until the canal was completely filled. Group B was obturated with the continuous wave of condensation technique until the canal was completely filled. The blocks were weighed again after obturation. Data were analyzed using a two-sample t test at the 5% significance level. Results demonstrated that the continuous wave of condensation technique resulted in a significantly greater density compared with cold lateral compaction. Warm vertical compaction using the continuous wave of condensation technique in acrylic blocks resulted in a greater gutta-percha fill by weight compared with standard cold lateral compaction. Journal of Endodontics: Volume 31, Issue 1 , Pages 37-39, January 2005 Authors: Christopher S. Lea, DDS, Michael J. Apicella, DDS, Pete Mines, DDS, Peter P. Yancich, DDS, M. Harry Parker, DDS, MS. PII: S0099-2399(05)60045-3 doi:10.1097/01.DON.0000129037.75547.80 © 2005 The American Association of Endodontists. Published by Elsevier Inc. All rights reserved. Visit us online at obtura.com or call (800) 344-1321 to order direct. © 2/2014 Obtura Spartan® Endodontics The Gold Standard Ultrasonic Tip Guide Obturation Ultrasonics Surgery (800) 344-1321 | www.obtura.com Obtura Spartan Ultrasonics BENEFITS OF OUR ULTRASONIC TIP LINES: Water port for cooler operation and safety Allows enhanced vision for better access vs. high speed handpiece Synthetic-diamond coating with gold plating that improves cutting efficiency Power Settings: In general, start with a lower setting and only incrementally increase the power if necessary to safely accomplish the procedure. * The power settings used are determined by the clinician’s experience with ultrasonics and the power needed to safely complete the specific procedure. * Indicated power settings are intended for use with Obtura Spartan ultrasonic units. Setting may not be appropriate for other units. * See Instructions for Use BUC ® Ultrasonic Tips ACCESS REFINEMENT 17 .0m 22 m 17 .0m 17. 3m .3m m m BUC-1 BUC-1A BUC-2 BUC-2A Rounded tip eliminates clefts and ditches in the pulp chamber floor Aids in the opening of the isthmus between canals in the same root Disk-like tip allows you to horizontally smooth pulp chamber floor Smaller diameter allows for precise smoothing around corners 20.2 24. 2m mm BUC-3 BUC-3A Extremely active tip for cutting apically into calcified canals and troughing around posts Designed for troughing around broken instruments in the coronal half of the root m TIP TAXI Designed to hold all of Obtura Spartan’s endodontic ultrasonic instruments. Organizes tips and wrench, eliminating needless loss. Autoclavable. m KiS ® Ultrasonic Tips MICROSURGICAL KiS-1D Upper 3.0mm/0.5mm KiS-1D2 2.0mm/0.5mm KiS-1D4 4.0mm/0.5mm Lower KiS-2D 1D 1D2 1D4 2D 3.0mm/0.7mm KiS-3D KiS-3D2 KiS-4D KiS-5D KiS-5D2 KiS-6D 3.0mm/0.5mm 3D 2.0mm/0.5mm 3.0mm/0.5mm 5D CPR ® 3D2 3.0mm/0.5mm 2.0mm/0.5mm 5D2 4D 6D 3.0mm/0.5mm Ultrasonic Tips RETREATMENT 17. 17. 0m 17. 0m m 19. 0m 0m m m CPR-1 CPR-2D CPR-3D CPR-4D For vibrating posts and cores, and aiding in crown and bridge removal This versatile and durable tip provides enhanced energy for removal of core materials Smaller taper sub-orifice tip used to remove obstructions in the canal Smaller taper sub-orifice tip used to remove obstructions in the canal 24. 20. 0m CPR-5D Smaller taper sub-orifice tip used to remove obstructions in the canal m CPR-6 Combines the flexibility and strength of a titanium alloy tip with the proven cutting ability of a CPR tip 24. 27. 0m 0m m CPR-7 Longer than the CPR 6, but with the same flexibility, strength and cutting ability m 0m m CPR-8 Our longest and thinnest tip available allows access to the deepest obstructions in the canal m Spartan Wave™ Piezo Electric Ultrasonic Unit Obtura Spartan Endodontics is introducing the latest addition to its product line, The Spartan Wave™ Piezo Electric Ultrasonic Unit. The Spartan Wave, used in conjunction with Obtura Spartan’s wide variety of ultrasonic tips, provides a complete system that clinicians can use for preparation of root canals, retrograde preparation, and gutta percha condensation, in addition to scaling and root planing, and treatments for periodontics. Indications for Use: Endodontics: -Preparation, cleaning and irrigation of root canals -Retrograde preparation of root canals -Gutta Percha Condensation Periodontics: -Periodontal Treatments -Scaling and root planing Benefits of The Spartan Wave™ AutoSweep Technology AutoSweep locks in the optimal frequency for each tip, regardless of geometry Brilliant LED Control 20 intensity increments are illuminated by blue LED lights for smooth and accurate power adjustment Lightweight Handpiece Constructed from a durable, lightweight housing and titanium core, weighing less than 1 oz., the Spartan Wave handpiece reduces hand and wrist fatigue during use Variable Water Adjustment Activate water on control panel and adjust flow accordingly Clinical Research Studies STUDY #1: COMPARISON OF THE EFFICIENCY OF FOUR DIFFERENT ULTRASONIC TIPS TO REMOVE DENTIN OVER TIME INTRODUCTION: The objective of this study was to compare the efficiency of 4 ultrasonic tips to remove dentin from sectioned third molars. METHODS: The 4 groups (n = 5) were as follows: ET-18D, BUC-1, TUFI-2, and P5. A P5 Newtron XSTM ultrasonic unit was used. A universal tester applied a downward force of 15g, previously determined in a pilot study, in cycles of 20 seconds for a total of 4 minutes of instrumentation time. Efficiency was measured by change in weight of the dentin specimen measured to the nearest 0.01 mg after 2 and 4 minutes of instrumentation. CONCLUSIONS: On the basis of the results, the BUC-1 tip removes dentin more efficiently than the other tips tested. Journal of Endodontics: Volume 36, Issue 3 , Pages 529-531, March 2010 Authors: Chris Yelton, DDS, Kerri Lawlor, DDS, James C. Kulild, DDS, MS, Mary P. Walker, DDS, PhD PII: S0099-2399(09)00898-X doi: 10.1016/j.joen.2009.10.024 © 2010 American Association of Endodontists. Published by Elsevier Inc. All rights reserved. STUDY #2: ULTRASONICS IN ENDODONTICS: A REVIEW OF THE LITERATURE ABSTRACT: During the past few decades endodontic treatment has benefited from the development of new techniques and equipment, which have improved outcome and predictability. Important attributes such as the operating microscope and ultrasonics (US) have found indispensable applications in a number of dental procedures in periodontology, to a much lesser extent in restorative dentistry, while being very prominently used in endodontics. US in endodontics has enhanced the quality of treatment and represents an important adjunct in the treatment of difficult cases. Since its introduction, US has become increasingly more useful in applications such as gaining access to canal openings, cleaning and shaping, obturation of root canals, removal of intracanal materials and obstructions, and endodontic surgery. This comprehensive review of the literature aims at presenting the numerous uses of US in clinical endodontics and emphasizes the broad applications in a modern-day endodontic practice. Journal of Endodontics: Volume 33, Issue 2 , Pages 81-95, February 2007 Authors: Gianluca Plotino, DDS, Cornelis H. Pameijer, DMD, DSc, PhD, Nicola Maria Grande, DDS, Francesco Somma, MD, DDS PII: S0099-2399(06)00997-6 doi:10.1016/j.joen.2006.10.008 © 2007 American Association of Endodontists. Published by Elsevier Inc. All rights reserved. Product Listing BUC Ultrasonic Tips 930-041 BUC 1 930-048 BUC 1A 930-042 BUC 2 930-046 BUC 2A 930-043 BUC 3 930-049 BUC 3A 930-050 Set of 6 BUC Tips CPR Ultrasonic Tips 930-011 CPR 1D 930-012 CPR 2D 930-013 CPR 3D 930-014 CPR 4D 930-015 CPR 5D 930-016 CPR 6 Titanium 930-017 CPR 7 Titanium 930-018 CPR 8 Titanium 930-115 CPR 1-5 Tip Set 930-608 CRP 6-8 Tip Set KiS Ultrasonic Tips 931-011 KiS 1D 931-012 KiS 2D 931-013 KiS 3D 931-014 KiS 4D 931-015 KiS 5D 931-016 KiS 6D 931-116 Set of 6 KiS Tips 952-611 KiS 1D2 952-613 KiS 3D2 952-614 KiS 1D4 952-615 KiS 5D2 PST Ultrasonic Tips 941-101 PST 1 941-102 PST 2 941-103 PST 3 941-104 PST 4 941-105 PST 5 941-106 PST 6 941-107 PST 7 941-108 PST 8 941-109 Set of 8 PST Tips SL Ultrasonic Tips 930-031 SL 1A 930-032 SL 2A 930-033 SL 3A 930-034 SL 4A 930-135 Set of 4 SL Tips Spartan Wave™ 948-100 Spartan Wave 948-202 Wave Handpiece Filter Replacement 47180 HP Connector, O-Ring 47114 948-104 Ultrasonic Tip Intro Kit 941-001 Tip Wrench NOTE: All tips are available in EMS threading except: BUC 3A EMS, SL & PST style tips Rx Only. See instructions for use. Obtura Spartan Endodontics does not assume responsibility or liability for incorrect diagnosis or failed procedures due to operator error or equipment malfunction. Clinicians who are not familiar with the techniques and use of these products should attend courses and receive training on the subject prior to use. Products may not be available in all areas. Please contact your Obtura Spartan Endodontics Sales Representative for availability and pricing. Visit us online at obtura.com or call (800) 344-1321 to order direct. © 2014 Obtura Spartan® Endodontics Obturation The Microsurgical Guide KiS Microsurgical Instruments ® The KiS line of instruments meets the demand for smaller, more customizable instruments. The modular design gives you the freedom to change tips and the ability to swap worn or damaged components, without having to replace an entire instrument. Ultrasonics Surgery (800) 344-1321 | www.obtura.com Features • • • • High carbon 440A Surgical grade stainless steel Modular “cone-socket” design High magnification capabilities Pure Titanium handles Tissue Elevation KE-1 KE-2 KE-3 KE-4 Universal Tissue Elevator - For both mucosa and attached gingiva. (4.5mm) Universal Tissue Elevator - For both mucosa and attached gingiva. (5.5mm) Mucosal Tissue Elevator with a wider body and sharp cutting blade. (6.0mm) KiS Elevator; Ideal for tissue elevation at the suclus and between teeth. (4.0mm) KC-1 (L) KC-2 (R) KC-3 (L) Columbia curette; Slightly angled sharp tip allows removal of granulation tissue. Columbia curette; Slightly angled sharp tip allows removal of granulation tissue. KC-7 (L) Larger extra-long beak with sharp cutting angle for hard to reach areas. Micro Explorers KX-1 KX-2 Micro-explorer with 115° bend to explore fracture lines, etc. Micro-explorer with 90° bend to access buccally positioned root apex. KC-4 (R) KC-5 (L) KC-6 (R) Gracey 13 cutting beak allows removal of granulation tissue from bony crypt. Gracey 14 cutting beak allows removal of granulation tissue from bony crypt. Small extra-long beak with sharp cutting angle for hard to reach areas. Small extra-long beak with sharp cutting angle for hard to reach areas. KC-8 (R) KC-9 KC-10 Larger extra-long beak with sharp cutting angle for hard to reach areas. Straight handle with small tip for removal of granulation tissue, etc. (2.0mm) Straight handle with small tip for removal of granulation tissue, etc. (4.0mm) KC-11 (L) KC-12 (R) Angled tip for removal of granulation tissue in hard to reach places. Angled tip for removal of granulation tissue in hard to reach places. KC-13 (L) KC-14 (R) KC-15 (L) KC-16 (R) Angled tip for removal of granulation tissue in hard to reach places. Angled tip for removal of granulation tissue in hard to reach places. Angled tip for removal of granulation tissue in hard to reach places. Angled tip for removal of granulation tissue in hard to reach places. Curettage (2.0mm) (2.0mm) (1.5mm) (1.5mm) Explorer/ Probe KEX Explorer KPP For general use. KiS Perio probe. Pluggers & Burnishers KP-1 KP-2 KP-3 Microplugger (0.25mm) Microplugger (0.50mm) Microplugger (0.75mm) KP-7 (R) KP-8 (L) KP-9 (R) Double-angled microplugger with tip for posterior roots. (0.50mm) Double-angled microplugger with tip for posterior roots. (0.75mm) Double-angled microplugger with tip for posterior roots. (0.75mm) KP-4 (L) KP-5 (R) KP-6 (L) Double-angled microplugger with tip for posterior roots. (0.25mm) Double-angled microplugger with tip for posterior roots. (0.25mm) Double-angled microplugger with tip for posterior roots. (0.50mm) Material Placement KB-1 KB-2 KM-1 KiS Ball Burnisher (1.3mm) KiS Ball Burnisher (1.4mm) Used for packing material in a retrofilling cavity. Instrument Handles KiS SE KiS DE KiS SCAL Titanium handle single end Titanium handle double-ended Titanium scalpel handle KiS STAR KM-2 Titanium handle with star collet fastener for micro mirrors. Used for packing material in a retrofilling cavity. KM-3 Used for transporting MTA from the block to the retrocavity (hatchet). Forceps Scissors KISC Castroviejo Scissors KISCR Curved Castroviejo Scissors Long, thin, sharp beaks allow for easy suture removal. Long, thin sharp beaks allow for easy suture removal. Needle Holder KITPSH6C Forceps 6” Suture and tissue plier KITPSH6CX Forceps 6” Tissue pliers, 1 x 2, for cotton pellets and other tissue debris. KM-4 Used for transporting MTA from the block to the retrocavity (hoe). Used for delicate suturing with 5x0 and 6x0 microsutures; Tungsten Carbide construction. Used to manipulate MTA material. Tissue Pliers Mirrors KINCCSR Castroveijo Needle Holder MTA Block KIFSPH Huey Plier Huey plier; diamond coated Wrench Used for fastening tips into the titanium handles. Micro Flexible micro mirrors in round and diamond shapes. (2mm or 3mm) © 2013 Obtura Spartan® Endodontics. Products not available in all countries. See Instructions for Use. Rx only. Obtura Spartan Endodontics - 2260 Wendt Street, Algonquin, IL 60102. Standard Front surface Rhodium coated mirror. (21mm) “Designed from tip to handle” -Dr. John T. McSpadden INTRODUCING THE FIRST OF A N E W G E N R E O F R O TA R Y F I L E S SELF-PILOTING CUT FLIP TIP: With two unequal tapers side by side and a unique SelfPiloting Cut Flip Tip, the ONE ENDO™ File offers the best all-around performance of any similarly sized file, regardless of technique.* CUT FLIP FEATURING TWO UNEQUAL TAPERS, SIDE BY SIDE · Greater cutting efficiency · Reduced torque loading · Superior debris removal · Improved flexibility The ONE ENDO File incorporates two unequal tapers, side by side, within the same instrument. This patented design affords the ONE ENDO File superior flexibility, reduced torque loading, and an improved ability to remove debris. While its larger tapered cutting edge engages the canal wall, its opposing smaller tapered edge provides additional space for breaking down and removing debris. This eliminates excess friction caused by debris build up and equalizes pressure on the file’s cutting edge as it engages the canal wall. 1 TIP CROSS SEC TI ON Toward the tip, the cutting flutes are equal just behind the Self-Piloting Cut Flip Tip, keeping the tip of the file centered in the canal. The ONE ENDO File’s unique Self-Piloting Cut Flip Tip is an efficient, active cutting tip that works the complete length of the file. The blade begins cutting immediately while a curved spoon pulls debris away, resulting in a self-guiding tip that effectively manages torsional stress, reduces the risk of canal transportation and nearly eliminates binding in the canal. RECOMMENDED HANDPIECE SETTINGS: 500-600 RPM TORQUE: 300-500 G-CM Pack of 6 Yellow Yellow Red Red Blue Blue Green Green Black Black Red File Size 20/02 20/04 25/04 25/06 30/04 30/06 35/04 35/06 40/02 40/04 55/06 Item Nbr. 2002 2004 2504 2506 3004 3006 3504 3506 4002 4004 5506 The ONE ENDO File line employs a progressive heat treatment protocol. Heat treatment is only used on larger-diameter file sizes as needed, balancing flexibility with torsional resistance. 2 TIP CROSS SEC TI ON As the file progresses, one taper acts as a cutting edge while the other begins to break down and transport debris coronally out of the canal. This creates an equillibrium of alternating forces along the canal’s walls. 3 TIP CROSS SEC TI ON At the largest diameter, the cutting edge engages the canal wall while the smaller taper provides additional space for breaking down and removing debris. Exclusively distributed by obtura.com/oneEndo.com 800.344.1321 * Internal data on file. Express opinion of NanoEndo based on testing data. © Obtura Spartan Endodontics 03/2015 See instructions for use. Rx Only. Products may not be available in all areas. Please contact your Obtura Spartan Endodontics Sales Representative for availability and pricing. Obtura Spartan Endodontics - 2260 Wendt Street, Algonquin, IL 60102 ONE ENDO F I L E The only file with two unequal tapers, side by side ™ Exclusively distributed by MADE IN THE USA