2. FOR ACCESS CAVITY REFINEMENT AND CANAL ORIFICE LOCATION
NEW ULTRASONIC TIPS
FOR ACCESS CAVITY REFINEMENT AND CANAL ORIFICE LOCATION

3. 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 3

4. 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

5. 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

6. 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.

7. 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

8. FEATURES AND BENEFITS
≈ 30%

9. 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

10. 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

11. ULTRASONICS & ENDODONTICS APPLICATIONS & ADVANTAGES

12. 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

13. 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)

14. START-X™ TIPS APPLICATIONS

15. 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

16. 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

17. 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

18. 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

19. START-X™ #3 – CANAL OPENINGS SCOUTER
Active tip → removes the obstructions that prevent a straight access to the canal (calcifications, filling materials, pulp stones)

20. 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)

21. 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

22. 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)

23. 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

24. 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.

25. START-X™ TIPS – OTHER UNOFFICIAL INDICATIONS
Removal of temporary filling material
Start-X™ #3
Removal of fiber posts

26. SKU & PRICES ARTICLE CODES
A Start-X™ #1 Satelec thread type
A Start-X™ #2
A Start-X™ #3
A Start-X™ #4
A Start-X™ #5
A Start-X™ 5 tips Assortment
A Start-X™ Trial Kit
A Start-X™ #1 EMS thread type
A Start-X™ #2
A Start-X™ #3
A Start-X™ #4
A Start-X™ #5
A Start-X™ 5 tips Assortment
A Start-X™ Trial Kit

27. START-X™ SETTINGS

28. POWER SETTINGS

29. 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 29