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NEW ULTRASONIC TIPS. FOR ACCESS CAVITY REFINEMENT AND CANAL ORIFICE LOCATION. ULTRASONIC ENDO TIPS – THE NEW RANGE. Start-X ™ , a range of 5 tips for access cavity refinement and canal openings location, dedicated to the General Dental Practitioner. FEATURES AND BENEFITS.
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NEW ULTRASONIC TIPS FOR ACCESS CAVITY REFINEMENT AND CANAL ORIFICE LOCATION
ULTRASONIC ENDO TIPS – THE NEW RANGE • Start-X™, a range of 5 tips for access cavity refinement and canal openings location, dedicated to the General Dental Practitioner
FEATURES AND BENEFITS Development in collaboration with Prof Berutti, Prof Cantatore and Dr Castellucci • support of 3 internationally renowned Opinion Leaders as well as of the Dentsply Maillefer OPL network • quality evidence thanks to their expertise
FEATURES AND BENEFITS One Tip – One Clinical Indication • simplicity • new approach, at the opposite of what other manufacturers do (one tip has multiple possible applications), that enables the GDP, unfamiliar with ultrasonic inserts, to know exactly which tip to use in which situation Field of use = exclusively in the access cavity • no microscope needed = adapted to the GDP
FEATURES AND BENEFITS Hard-tempered Stainless Steel • excellent resistance to fracture and wear • tips can vibrate in the air without breakage • according to our tests and those conducted by the 3 KOLs, these instruments can last for an average of 2 hours (when used in their dedicated clinical application). That corresponds to 2-3 months intensive use.
FEATURES AND BENEFITS Micro Milled Active Part • smooth finish • minimized risk of potential diamond grit loss in the patient’s mouth • “easy” to clean • cutting efficiency similar or superior to diamond-coated instruments
FEATURES AND BENEFITS ≈ 30%
FEATURES AND BENEFITS Water port • cools down the insert and avoids overheating the treated tooth (particularly important when removing metal posts) • the intermittent use of irrigation enables the clinician to alternate between dry precision work and debris evacuation
FEATURES AND BENEFITS Two threads – Satelec type (M3 x 0.6mm) and EMS type (M3 x 0.5mm) • compatible with most common ultrasonic generators (Satelec, EMS, NSK, etc). Mectron units only work with Mectron tips • no adapter needed (=> vibrations not affected) • Start-X™ type Satelec Start-X™ type EMS ring
ULTRASONICS & ENDODONTICS Most frequent applications of ultrasonic in endodontics • Access refinement and canal location • Removal of intracanal obstructions (separated instruments, posts, etc) • Non-surgical retreatment (removal of GP, cement, etc) • Surgical endodontics • Increase action of irrigant solutions
ULTRASONICS & ENDODONTICS Main reasons to use ultrasonics in endodontic applications “Improved visualization combined with a more conservative approach when selectively removing tooth structure, particularly in difficult situations in which a specific angulation or tip design permits access to restricted areas, offers opportunities that are not possible with conventional treatment” JOE – “Ultrasonics in Endodontics” Feb 2007 Compared to burs/rotating instruments: • better view of the operative field • greater cutting precision (better control of the amount of dentin removed)
START-X™ #1 – ACCESS CAVITY WALLS REFINEMENT • Non active tip → avoids accidentally damaging the pulp chamber floor • Active lateral part → eliminates interferences for a direct access into the canal
START-X™ #1 – ACCESS CAVITY WALLS REFINEMENT Main advantages of the tip Compared to burs that are usually used for this application (ex: Endo-Z, conical diamond, etc), Start-X™ #1 has the following advantages: • less dentin removed • better visibility • less vibration
START-X™ #2 – MB2 CANAL SCOUTER • Active tip → transports the orifice of the MB2 from its original location (underneath the mesial wall) to the floor of the pulp chamber • Active lateral part → eliminates interferences for a direct access into the canal
START-X™ #2 – MB2 CANAL SCOUTER Main advantages of the tip Without this instrument, it can be often be difficult for the clinician to see the orifice. Even when it can be seen, the canal is often only negotiated for only 2-3 millimeters before the procedure is stopped, because the clinician thinks the canal is calcified. Start-X™ #2 = Straight line access to the canal
START-X™ #3 – CANAL OPENINGS SCOUTER • Active tip → removes the obstructions that prevent a straight access to the canal (calcifications, filling materials, pulp stones)
START-X™ #3 – CANAL OPENINGS SCOUTER Main advantages of the tip Even the smallest burs are too big and can remove too much tissues. Other ultrasonic tips are expensive, fragile and do not last as long (lost of diamond grits) Start-X™ #3 = • Very efficient • Precise • Safer (better visibility)
START-X™ #4 – METAL POST REMOVAL • Specific design → suitable for working efficiently both on the top and on the sides of the metal post • Water port → avoids over heating
START-X™ #4 – METAL POST REMOVAL Main advantages of the tip Apart from the TUFI tip, Start-X™ #4 is cheaper than competition (ProUltra #1, ETPR from Satelec, EN 1 from Amdent, ER 1 from Mectron, etc)
START-X™ #5 – PULP CHAMBER FLOOR • Active tip → canal orifice location made easier thanks to the removal of calcifications and filling materials that hide the original floor anatomy • Thin & cylindrical → good visibility
START-X™ #5 – PULP CHAMBER FLOOR Main advantages of the tip It is impossible to finish the pulp chamber floor using burs without damaging the original anatomy and creating perforations. Start-X™ #5 enables the clinician to discover the original anatomy of the floor (development lines help locate the root canal orifices) without alterations.
START-X™ TIPS – OTHER UNOFFICIAL INDICATIONS Start-X™ #1 • Removal of temporary filling material Start-X™ #3 • Removal of fiber posts
SKU & PRICES ARTICLE CODES • A0660 000 001 00 Start-X™ #1 Satelec thread type • A0660 000 002 00 Start-X™ #2 • A0660 000 003 00 Start-X™ #3 • A0660 000 004 00 Start-X™ #4 • A0660 000 005 00 Start-X™ #5 • A0660 000 900 00 Start-X™ 5 tips Assortment • A9660 000 901 00 Start-X™ Trial Kit • A0661 000 001 00 Start-X™ #1 EMS thread type • A0661 000 002 00 Start-X™ #2 • A0661 000 003 00 Start-X™ #3 • A0661 000 004 00 Start-X™ #4 • A0661 000 005 00 Start-X™ #5 • A0661 000 900 00 Start-X™ 5 tips Assortment • A9661 000 901 00 Start-X™ Trial Kit
FAQ Which thread type do the major Piezo units brands use? Satelec style→ Satelec NSK Sybron Endo Obtura Spartan J.Morita EMS style → EMS Mectron Bonart W&H