SATELEC® RANGE

ENDO basis 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

Techniques comparison 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)

Endo basis To fit all canals, files present different shapes: 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% Ø15 Ø20 Ø25 Ø30 Ø35 Ø40 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 Different files shape + Clockwise and counterclockwise cutting edges Bibliography: A la recherche des limes endodontiques idéales, Dr. Mc Spadden, Dental Tribune, 2009

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

ENDO treatment protocol Diagnosis Sensitivity tests, palpation (etc) + pre-operative X-rays Preparation 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, ... Anesthesia (if necessary) + Tooth/access preparation (removal of caries, bone ...) + Rubber dam Pierre Rolland PrimacaineTM SOPIX² PSP !X XMind

Removal of all pulp tissues and bacteria, toxins (etc) ENDO treatment protocol 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 + drying Obturation 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 SO4 Lateral Gutta percha condensation Pierre Rolland EDETAT Salvizol EDTA irrisafe Pierre Rolland Sealite - Cortisomol

1 2 3 4 8 5 6 7 9 Diagnosis (decay + abscess) (CAP2 – dome removal) Preparation Preparation (rotary bur) Access (Decalcification ET18D) 1 2 Shaping (manual) Shaping (mechanical) 3 4 Shaping (irrigation) (Canal finding - ETBD) Access 8 5 6 7 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

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

SATELEC® in ENDO irrisafe

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

- 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

Speed Angle SATELEC Exclusivity Very high precision 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. - In reciprocating (F+R) mode  an exact angle measurement for: - Evaluating the angular position, - Getting the best performances for each file system. Speed Very high precision Angle

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

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.

Torque is not needed in Reciprocating mode (Max) Freedom of settings Reduction rate RPM 1:1 6:1 8:1 16:1 20:1 32:1 1000 150 125 100 1500 200 120 2000 250 175 2500 300 180 3000 350 3500 400 280 4000 450 4500 500 5000 550 5500 600 6000 650 6500 700   7000 750 7500 800 8000 850 8500 900 9000 950 9500 10000 1100 1200 1300 1400 1250 1600 Torque is not needed in Reciprocating mode (Max) Ncm with a 16:1 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 MAX

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.

Files compatible with the ENDODUAL 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) Reciproc® file WaveOne® file Protaper ® file

360° endodontics Freedom of motion

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

Rotating

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.

10 customizable automatically saved programs 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) Clockwise/counterclockwise rotation Select the Autoreverse STOP, AR, SAR Parameters selection

Rotating 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. STP - “STOP” Autoreverse Stops without reverse rotation. AR – “Standard” Autoreverse When file reaches the set torque value, the motor runs reverse until the motor has been stopped. Next start will be in Forward. SAR – “Special” Autoreverse When file reaches the set torque value, the motor runs reverse until the file is freed and Automatically returns to Forward.

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

Manufacturer Files Protocol Ncm Speed Rpm Dentsply VDW ProTaper® Mtwo Click to enlarge 3 - 4 1 - 1.5 1.5 - 2 2- 3 2 - 3 250

ProTaper 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

Manufacturer Files Protocol Ncm Speed Rpm Dentsply VDW ProTaper® Mtwo Click to enlarge 3 - 4 1 - 1.5 1.5 - 2 2- 3 2 - 3 250 FKG Pre-RaCe® RaCe® 0.5 - 1.5 500-600

FKG Back Most cases 600 rpm et 1,5 Ncm 1. K10 manual file   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 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 500 600 Rpm I-Race  600 Rpm et 1,5 Ncm Back

Manufacturer Files Protocol Ncm Speed Rpm Dentsply VDW ProTaper® Mtwo Click to enlarge 3 - 4 1 - 1.5 1.5 - 2 2- 3 2 - 3 250 FKG Pre-RaCe® RaCe® 0.5 - 1.5 500-600 Micro-Mega Endoflare® Hero® Hero Shaper® Hero Apical® R-Endo® Revo-S® 0.6 - 3 400

MICRO-MEGA 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 Back

Manufacturer Files Protocol Ncm Speed Rpm Dentsply VDW ProTaper® Mtwo Click to enlarge 3 - 4 1 - 1.5 1.5 - 2 2- 3 2 - 3 250 FKG Pre-RaCe® RaCe® 0.5 - 1.5 500-600 Micro-Mega Endoflare® Hero® Hero Shaper® Hero Apical® R-Endo® Revo-S® 0.6 - 3 400 Sybron endo Twisted file™ TF 4-5 Mtwo® 1.77 250-350 Mani NRT™ 1.47-1,77 2.45-2.94 300 Komet AlphaKite™ e-Kite™ 3 250-500

Reciprocating

10 customizable automatically saved programs 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) Dedicated to reciprocating (F+R) mode. Adjustment from 10° to 360° in forward and in reverse motion by step of 5° Parameters selection

Reciprocating movement 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) Major Advantages Safe: very light apical pressure Increase instrument life:  Less cyclic fatigue (tension/compression)  Less torsional fatigue

Fractures Cyclic fatigue Torsion  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. - Using system for limiting the torque - Following the suggested settings of the manufacturer

Reciprocating movement 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) Major Advantages Safe: very light apical pressure Increase instrument life:  Less cyclic fatigue (tension/compression)  Less torsional fatigue Simplicity (very easy protocol) Efficiency (decrease the global shaping time up to 40%) Respect root canal anatomy: creation of a more centered canal Decrease the screwing effect of the file Movement facilitating the removal of smear layer on the file

Files - Reciprocating 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 Single use

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

Files - Reciprocating Irrigation: 2.5% sodium hypochlorite, Initial canal negotiation with a manual file (size 08 or size 10 or 15 for severely curved canals), Canal preparation with the ENDODUAL motor in F+R mode (F2 Protaper instrument for instance) and a slow pecking motion. Remove debris from the file and repeat this motion until the file reaches the working length. Canal preparation using only one Ni-Ti rotary instrument: preliminary observations. G. YARED, International Endodontic journal, 2007. Since 2002 many clinical studies presented cases performed with ATR Tecnika™ reciprocating motion with traditional rotating files.

Files prices Rotating files: Reciprocating 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

SUM UP 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 : 1st 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.

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

ENDODUAL benefits Ergonomics: Thinner and lighter micro-motor Direct access to all parameters 2. Free system: Angles settings from 10° to 360° (FW and REV) Numerous contra-angles ratios available with ISO connection Compatible with all files on the market 3. Economical aspects: - Unit available with or without contra-angle - Large choice of files available (different price range)

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