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 EMSring

ULTRASONICS & ENDODONTICS

APPLICATIONS & ADVANTAGES

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™

TIPS APPLICATIONS

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™ #1 – ACCESS CAVITY WALLS REFINEMENT

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

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™ #2 – MB2 CANAL SCOUTER

START-X™ #3 – CANAL OPENINGS SCOUTER

Active tip → removes the obstructions that prevent a straight access to the canal (calcifications, filling materials, pulp stones)

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™ #3 – CANAL OPENINGS SCOUTER

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

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™ #4 – METAL POST REMOVAL

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

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™ #5 – PULP CHAMBER FLOOR

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

START-X™

SETTINGS

POWER SETTINGS

FAQ

Which thread type do the major Piezo units brands use?

Satelec style → SatelecNSKSybron EndoObtura SpartanJ.Morita

EMS style → EMSMectronBonartW&H