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SATELEC ® RANGE. Treat pulp and periapical diseases Endo treatment (root canal) should be performed in case of: - Pulp necrosis or irreversible pulpitis.

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Presentation on theme: "SATELEC ® RANGE. Treat pulp and periapical diseases Endo treatment (root canal) should be performed in case of: - Pulp necrosis or irreversible pulpitis."— Presentation transcript:

1 SATELEC ® RANGE

2 Treat pulp and periapical diseases Endo treatment (root canal) should be performed in case of: - Pulp necrosis or irreversible pulpitis - Vital pulp (but poor prognosis of pulp vitality, high risk of pulp exposure during the coronal restoration, root amputation or hemisection) Contra-indications: Patient with high risk of infective endocarditis Tooth with no functional future (wisdom teeth) Tooth with inadequate periodontal support ENDO basis

3 Endo Basis Techniques comparison Manual technique +: Tactile sense +: less risk of perforation (NiTi) -: Numerous files are needed -: Time consuming -: Access difficulties (posterior areas) Rotating technique +: Fast canal preparation +: Auto-reverse - : Fatigue of the files Reciprocity technique +: Few files needed (1hand file + 1 mechanical file) +: Same movement as manual (F+R) +: Secure (less breakage, less apical pressure, etc)

4 Canal morphology varies Curved / straight Large / Small Long / short The canals’ common feature is their taper Prepared canals: Taper 10 % in coronal area, 2 to 4% in the apical zone To fit all canals, files present different shapes: Different length Most popular length: 21mm, 25mm, 29mm Other: 15mm, 19mm, 23mm Different diameters (ISO) Different tapers 4%, 6%, 8%, 12% Different files shape + Clockwise and counterclockwise cutting edges  Radial-landed (Smooth)  ex. ProFile (Dentsply), HERO (Micro-Méga)  Straight edges (Cut)  Ex. ProTaper (Dentsply), RaCe (FKG), Sequence (Brasseler) Ex. EndoEZE AET (Ultradent) Other shapes Bibliography: A la recherche des limes endodontiques idéales, Dr. Mc Spadden, Dental Tribune, 2009 Ø15Ø20Ø25Ø30Ø35Ø40 Endo basis

5 Files codes FKG I-Race Mani Taper Yellow= 2% Red= 4% Blue= 6% Ø ISO Red= 25 Number of uses

6 ENDO treatment protocol Diagnosis Sensitivity tests, palpation (etc) + pre-operative X-raysPreparation Access Preparation of the access cavity (pulp chamber roof removal, access to the root canal orifices,...) + Determination of the working length Intra-operative X-rays (beware of deformations) Apex locators,... SOPIX² Pierre Rolland Primacaine TM XMind PSP !X Anesthesia (if necessary) + Tooth/access preparation (removal of caries, bone...) + Rubber dam

7 Canal shaping Removal of all pulp tissues and bacteria, toxins (etc) = Prior Irrigation (Sodium Hypochlorite 2,5%) + Initial manual exploration + Mechanical shaping (rotating/reciprocating) with irrigation (after each instrument uses) - Crown Down principle with decreasing taper files (from the crown to the apex) - Step-Back (from the apex to the crown) + Final irrigation: EDTA + Hypochlorite + dryingObturation Adjust the sterile master cone to the working length (X-Ray + drying) Place the biocompatible cement Gutta-percha compaction + X-ray Coronal obturation Coronal restoration ASAP Pierre Rolland EDETAT Salvizol EDTA Pierre Rolland Sealite - Cortisomol SO4 Lateral Gutta percha condensation ENDO treatment protocol irrisafe

8 Diagnosis (decay + abscess) Preparation (rotary bur) Preparation (CAP2 – dome removal) Access (Decalcification ET18D) Access (Canal finding - ETBD) Shaping (manual) Shaping (mechanical) Shaping (irrigation) Obturation - Performed on dry canal. Lateral condensation (use of spreaders) Lateral warm condensation (SO4 ultrasonic tip with no irrigation) Vertical warm compaction (manually or mechanically), etc. Coronal obturation + Prosthetics

9 ENDO retreatment Any failure of canal treatment will lead to a root canal retreatment

10 SATELEC ® in ENDO -Excellent reputation in endodontics -The convergence of years of technical endo experience -Wide range of specialized tips

11 SATELEC ® in ENDO irrisafe

12 ENDO MOTOR Endodontic motor with rotating and reciprocating motions. Replacing the actual I-ENDO DUAL

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14 - Encoder technology included - E-type (ISO 3964) connection micromotor - 6 contra-angle ratios pre-set: (1:1 ; 6:1 ; 8:1 ; 16:1 ; 20:1 ; 32:1) - Speed without contra-angle: 1,000 to 10,000Rpm Speed with a 16:1  100 to 600Rpm - Torque with a 16:1  0.5 to 7.5Ncm + MAX (10Ncm) - Many new Rpm settings to respond to all file systems

15 The ENDODUAL is the first unit having an encoder coupled with an accurate micromotor. This patented encoder calculates an algorithm ensuring: - In rotating mode  high speed accuracy. angle measurement - In reciprocating (F+R) mode  an exact angle measurement for: - Evaluating the angular position, - Getting the best performances for each file system. SATELEC Exclusivity

16 Encoder 256 positions analyzed Analysis of: 128 positions (forward) 128 positions (reverse) SATELEC Exclusivity

17 Precision and rapidity Versatile, complete, light and compact, the ENDO micromotor offers a new vision of endodontics. Encoder The encoder calculates an algorithm for greater precision, Integrated calibration system The integrated calibration system checks the contra-angle’s mechanical inertia for a perfect micro-motor/contra-angle adjustment. Microprocessor Advanced microprocessor for an extremely short response time.

18 Freedom of settings Reduction rate RPM 1:16:18:116:120:132: Ncm with a 16: MAX Torque is not needed in Reciprocating mode (Max)

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20 Open System TAKE CONTROL OF THE WAY YOU PRACTICE An open system compatible with all rotating and reciprocating files providing access to future endodontic instrument innovations via its: - 2 modes available (Rotating and Reciprocating), - Wide choice of contra-angle ratios ISO 3964 connections, - Independent torque, speed and angle settings.

21 ISO contra-angle chuck Rotating files: – All rotating files are compatible with the ENDODUAL – Follow the manufacturer settings Reciprocating files: – Wave one/Reciproc (30°FWD – 150°REV) Grip sensation and cutting differences Wave One Ø25 Taper 8%, Ø21 Taper 6%, Ø40 Taper 8% - Reciproc Ø25 Taper 8%, Ø40 Taper 6%, Ø50 Taper 5%, – In the near future, other file manufacturers will most probably launch their own reciprocating files Rotating files tested in reciprocating motion: – S2 and F2 from Denstply Maillefer (150° FWD – 30° REV) Files compatible with the ENDODUAL Reciproc ® file WaveOne ® file Protaper ® file

22 360° endodontics Freedom of motion

23 Color-coded buttons: GREEN: ROTATING FUNCTIONS GREY: RECIPROCATING FUNCTIONS WHITE: COMMON FUNCTIONS

24 Rotating

25 Calibration Controls the contra-angle’s mechanical inertia for a perfect micromotor/contra-angle match. Repetitive sterilizations and contra-angle wear can lead to a lack of precision. This function accurately measures the properties of the micromotor and contra- angle handpiece prior to use for exact values.

26 Rotating 10 customizable automatically saved programs available in each mode. Switching from Rotating to reciprocating For micromotor/ contra- angle match Select the contra-angle ratio (1:1 ; 6:1 ; 8:1 ; 16:1 ; 20:1 ; 32:1) Select the speed rotation  100 to 600Rpm (16:1) Select the torque  0.5 to 7.5Ncm + MAX (10Ncm) (16:1) Select the Autoreverse STOP, AR, SAR Clockwise/counterclockwise rotation Parameters selection

27 Rotating When file reaches the set torque value, the motor runs reverse until the motor has been stopped. Next start will be in Forward. Stops without reverse rotation. When file reaches the set torque value, the motor runs reverse until the file is freed and Automatically returns to Forward. STP - “STOP” Autoreverse AR – “Standard” Autoreverse Beeping sound notifies user when 75% of the preset torque has been reached and when preset torque limit has been exceeded. SAR – “Special” Autoreverse

28 The time from « x » to « y » must be as short as possible (less than 1/1000 sec. ) Microprocessor analysis Between X and Y, the torque is increasing progressively until MAX value Rotating movement

29 ManufacturerFilesProtocolNcmSpeed Rpm Dentsply VDW ProTaper ® Mtwo Click to enlarge

30 Basic protocol (3 to 4 Protapers): S1: Enlargement of the coronal and middle third S2: Enlargement of the middle third and apical third SX: Relocate the coronaries entries (can replace S1 and S2 files for short canals) F: Files dedicated to the finishing on the apical zone (different tip diameter and taper) Basic protocol (3 to 4 Protapers): 1. K10/K15 files for canal exploration 2. S1 to the manual file insertion length 3. Manual file to the apical third 4. S1 to the working length (WL) 5. S2 to the WL 6. F1 to the WL ProTaper

31 ManufacturerFilesProtocolNcmSpeed Rpm Dentsply VDW ProTaper ® Mtwo Click to enlarge FKGPre-RaCe ® RaCe ® Click to enlarge

32 FKG Back I-Race  600 Rpm et 1,5 Ncm Most cases 600 rpm et 1,5 Ncm 1. K10 manual file 2. R1 to working length (WL). 3. R2 to WL 4. R3 to WL Difficult case 600 rpm et 1,5 Ncm 1. K10 manual file 2. R1 to 2/3 of working length (WL) 3. R1a to reach WL 4. Continue shaping with R1b to WL 5. Carry on shaping with R2 to WL 6. Finish shaping with R3 to WL Rpm

33 ManufacturerFilesProtocolNcmSpeed Rpm Dentsply VDW ProTaper ® Mtwo Click to enlarge FKGPre-RaCe ® RaCe ® Click to enlarge Micro-MegaEndoflare ® Hero ® Hero Shaper ® Hero Apical ® R-Endo ® Revo-S ® Click to enlarge

34 MICRO-MEGA Back 1. Initial penetration of the canal using the K n°10 file 2. Revo-S™ instruments shoud be used with a rotation speed ranging between 250 to 400 Rpm. SC1 (Shaping and cleaning 1): perform a slow and unique downward motion in a free progression without pressure. SC2: use SC2 with a progressive 3 wave movement (3 back-and-forth motions) to reach a minima the working length. SU (Shaping Universal) : use SU with a slow and unique downward motion in a free progression and without pressure. Then check apical patency and if necessary, perform an upward circumferential filing motion. 3. Apical Shaping. Finishing of the last 5mm. AS30, AS35, AS40

35 ManufacturerFilesProtocolNcmSpeed Rpm Dentsply VDW ProTaper ® Mtwo Click to enlarge FKGPre-RaCe ® RaCe ® Click to enlarge Micro-MegaEndoflare ® Hero ® Hero Shaper ® Hero Apical ® R-Endo ® Revo-S ® Click to enlarge Sybron endoTwisted file™ TF VDWMtwo® ManiNRT™1.47-1, KometAlphaKite™ e-Kite™

36 Reciprocating

37 Reciprocating 10 customizable automatically saved programs available in each mode. Switching from Rotating to reciprocating For micromotor/ contra- angle match Select the contra-angle ratio (1:1 ; 6:1 ; 8:1 ; 16:1 ; 20:1 ; 32:1) Select the speed rotation  100 to 600Rpm (16:1) Parameters selection Dedicated to reciprocating (F+R) mode. Adjustment from 10° to 360° in forward and in reverse motion by step of 5°

38 Whatever the file used, the angle should be higher in cutting direction than in non cutting edges direction. Ex : Wave One (150° REV – 30° FWD), Protaper (150°FWD – 30° REV) Reciprocating movement Major Advantages

39 Cyclic fatigue  File is deformed due to tension and compression motion performed in curved canals  Can be reduced: - Following the file manufacturer settings (speed) Torsion  File’s tip is blocked in the canal but the contra-angle continues its rotation.  Can be reduced: - Using system for limiting the torque - Following the suggested settings of the manufacturer Fractures

40 Whatever the file used, the angle should be higher in cutting direction than in non cutting edges direction. Ex : Wave One (150° REV – 30° FWD), Protaper (150°FWD – 30° REV) Reciprocating movement Major Advantages

41 Single use 2 files brands dedicated to reciprocating motions are today existing: - Wave one ® from Dentsply Maillefer - Reciproc ® from VDW: more aggressive but also more fragile Wave one /Reciproc ® :  Reverse helix  Fixed angulations: 150° REV - 30° FWD Files - Reciprocating

42 Extract from the article: Mise en forme canalaire mino-instrumentale en mouvement réciproque WaveOne® et reciproc®, W Pertot, J. Webber, P. Machtou, S. Kuttler Standard protocol: 1.K10 file: Canal exploration 2.WaveOne until penetration length of the manual file (back-and-forth motion, debris removal on the file, irrigation) 1.Manual file to pre-enlarge until the apical third 2.WaveOne until the working length + irrigation Files - Reciprocating Maillefer VDW

43 Canal preparation using only one Ni-Ti rotary instrument: preliminary observations. G. YARED, International Endodontic journal, Files - Reciprocating

44 Files prices Rotating files: – Hero Shaper Micro-Mega  26,42€ without tax for 3 files (8,80€/file) – ProTaper  39€ without tax for 6 files  6,5€/file According to studies, a file life cycle in continuous rotating motion varies between 4 to 10 uses (depending on the shape of the canal treated). Reciprocating files: – WaveOne  38,98€ without tax for 3 single use files  WaveOne (Small, primary, large) Reciproc R25, 40, 50 (length 21, 25, 31)  Files dedicated to the reciprocating motion (reverse helix)  Fixed angulations: 150° - 30° Price analysis: Max 10€ without tax/file – Uses: max x10 - min x4 = [1€-2,5€] WaveOne 13€ without tax/file WaveOne/Reciproc files are 5 to 13 times more expensive than traditional rotating files

45 New design, Larger display, New PCB, 6 ratios available (8:1 added), New Ncm and Rpm settings added, Simplified interface, Improvements in micromotor manufacturing process and cord resistance, – Metallic micromotor connector – New micromotor assembling Controlling equipment: – Special investment in an angle and torque controlling machine. – Soft changes in reciprocating mode : 1 st focusing on the angles then on the speed. Giving the priority to the angle will enable to have a better angular accuracy with and without load. SUM UP

46 F28770 (mains cord equipped with 4 international plugs) Equipped with: Endo motor and cord Single footswitch 1 micromotor adhesive support Freedom in endodontics

47 ENDODUAL benefits

48 Thank you


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