Upload
others
View
2
Download
0
Embed Size (px)
Citation preview
www.vdw-dental.com
RECIPROC® Results of scientific studies
Endo Easy Efficient®
one file endo
Preparation with RECIPROC®
3-year outcome 4
How safe is RECIPROC®?
Canal shaping 5Resistance to fracture 5Microcracks 6 Extrusion 7
How efficient is RECIPROC®? Cleaning efficiency in the apical region 8 in oval canals 8 during retreatment 9
Is RECIPROC® time saving? Preparation time 10 Preparation without hand filing 11 Retreatment time 11
Content
PREPaRation with RECiPRoC® Tried and tested – Millions of treatments have been performed with RECiPRoC® since its introduction in 2011. one file endo, the innovative concept for root canal preparation is growing worldwide. Renowned scientists have put the RECiPRoC® system to the test and have come to the following conclusion:
RECiPRoC® is safe, efficient and time saving.
RECIPROCaTE and smIlE
Try it out
and see!
Dr. Bjørn Besserman-svendsen, Frederiksberg Copenhagen, Denmark
“My experience with RECiPRoC® has been nothing short of amazing. this presents a paradigm shift in the way mechanical root canal preparation can be achieved to provide every practitioner a markedly better opportunity to produce consistent, predic- table results. RECiPRoC® provides the safest and easiest method for shaping the canals compared to any system. if this doesn’t get you more excited about endodontics nothing will!“
PREPaRatIOn wItH RECIPROC®
3-year outcome of endodontically treated teeth*
1 Yared G. a 3-year outcome of endodontic treatments done with the RECiPRoC® single file canal preparation system. Published by VDw. august 13, 2012.
RECiPRoC® enables successful endo-treatments.1
4
successfully healed not healed
*All treatments were performed by one endodontist in a private practice.
80%
90%
100%
60%
70%
40%
50%
30%
20%
10%
0% Init
ial t
reat
men
t
wit
hout
ap
ical
dis
ease
(n
=17
7)
97.18%
Init
ial t
reat
men
tw
ith
apic
al d
isea
se
(n=
202)
93.07%
Ret
reat
men
t (n
=10
7)
91.59%
Compared to another single file system, the RECiPRoC® instrument showed a significantly higher resistance to cyclic fatigue (time period until fracture: RECiPRoC® 130.8 seconds versus single file system 97.8 seconds).4
HOw saFE Is RECIPROC®?
Canal shaping
Resistance to fracture
one reason for instrument fracture is cyclic fatigue which is caused by the repeated tension and compression of the instrument, for example in a canal curvature.
Furthermore!
2 Bürklein S, hinschitza K, Dammaschke t, Schäfer E. Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: RECiPRoC and waveone versus Mtwo and Protaper. iEJ 2012, 45: 449-461, doi: 10.1111/j. 1365-2591.2011.01996.x. 3 Gavini G, Caldeira CL, akisue E, de Miranda Candeiro Gt, Sacaguti Kawakami Da. Resistance to flexural fatigue of RECiPRoC R25 files under continuous rotation and reciprocating movement. JoE 2012, 38 (5): 684-687.4 Plotino G, Grande nM, testarelli L, Gambarini G. Cyclic fatigue of RECiPRoC and waveone reciprocating instruments. iEJ 2012, 45 (7): 614-618, doi: 10.1111/j.1365-2591.2012.02015.x.
sec.
400
300
350
163 sec.
357 sec.
200
250
150
100
50
0
R25, time until instrument fractures
in r
ecip
roca
tio
n
in c
ont
inuo
usro
tatio
n
5
the RECiPRoC® instrument maintains the original root canal curvature well.2
the RECiPRoC® R25 in reciprocation has a signi- ficantly higher resistance to cyclic fatigue than in continuous rotation.3
the RECiPRoC® instrument causes significantly less microcracks compared to another single and multiple file system.6
microcracks
numerous tests show that endodontic procedures may cause undesirable mechanical damages in dentine.5
5 Rödig t. Mechanische Schädigung des wurzelkanaldentins durch endodontische Maßnahmen. Literatur-Rundschau 2012, 21 (1): 1-7. 6 Liu R, hou XB, wesselink PR, wu MK, Shemesh h. the incidence of root microcracks caused by 3 different single-file systems versus the Protaper system. JoE 2013, 39 (8): 1054-1056.
80%
90%
100%
60%
70%
40%
50%
30%
20%
10%
0% mul
tip
le fi
le
syst
em
50%
sing
le fi
le
syst
em
65%
RE
CIP
RO
C®
95%
Microcracks
in the apical surface and horizontal section
only in the horizontal section
no microcracks
only in the apical surface
6
Extrusion
after preparation with RECiPRoC®, the degree of inflammation (e.g. Substance P values) in the perio- dontal ligament is almost identical to that of a healthy, untreated tooth.7
no significant inflammatory reaction in the apical region due to the extrusion of debris during preparation with RECiPRoC®.8
7,8 Caviedes-Bucheli J, Moreno Jo, Carreño CP, Delgado R, Garcia DJ, Solano J, Diaz E, Munoz hR. the effect of single-file reciprocating systems on substance P and calcitonin gene-related peptide expression in human periodontal ligament. iEJ 2013, 46: 419-426, doi: 10.1111/iej.12005.
7
0.8
0.9
0.6
1.2
0.7
1.3
0.5
1.1
0.4
0.3
0.1
1.0
0.2
0
Concentration of Substance P (SP)
* periodontal ligament (PL)
pmol
SP
per m
g of
PL*
RE
CIP
RO
C®
heal
thy
toot
h
0.511
1.220
0.453
sing
le fi
le s
yste
m
0.908
hand
inst
rum
ents
RECiPRoC® cleans the root canal system significantly more thoroughly, especially in the apical region, com- pared with other systems.9
RECiPRoC®’s ability to signi- ficantly reduce the amount of bacteria in oval canals is equivalent to that of a multiple file system.10
9 Bürklein S, hinschitza K, Dammaschke t, Schäfer E. Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: RECiPRoC and waveone versus Mtwo and Protaper. iEJ 2012, 45: 449-461, doi: 10.1111/j. 1365-2591.2011.01996.x. 10 alves FRF, Rôças in, almeida BM, neves MaS, Zoffoli J, Siqueira JF. Quantitative molecular and culture analyses of bacterial elimination in oval-shaped root canals by a single-file instrumentation technique. iEJ 2012, 45 (9): 871-877, doi: 10.1111/iej.12085.
Cleaning efficiency in the apical region
Cleaning efficiency in oval canals
HOw EFFICIEnT Is RECIPROC®?
8
4
3
2
low
am
ount
of d
ebris
resi
due
in c
anal
h
igh
amou
nt o
f deb
ris re
sidu
e in
can
al
1
RE
CIP
RO
C® R
25
2.45
mtw
o® 3
0/.0
5
2.50
sing
le fi
le s
yste
m
3.05
mul
tip
le fi
le s
yste
m
3.35
0
During retreatment, RECiPRoC® removes gutta-percha and sealer the most effectively.11
9
Cleaning efficiency during retreatment
10%
12%
14%
6%
8%
4%
2%
0%
Gutta‐perchaandsealerresidue
RE
CIP
RO
C®
4.57%
7.19%
12.17%
hand
inst
rum
ents
and
Gat
esG
lidd
en
Ret
reat
men
t in
stru
men
tsw
11 Zuolo aS, Mello Jr JE, Cunha RS, Zuolo ML, Bueno CES. Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. iEJ 2013, first published online: 18 march 2013, doi: 10.1111/iej.12085.
RECiPRoC® prepares a root canal up to 60% faster than multiple file systems.12
Is RECIPROC® TImE savInG?
Preparation time
12 Bürklein S, hinschitza K, Dammaschke t, Schäfer E. Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: RECiPRoC and waveone versus Mtwo and Protaper. iEJ 2012, 45: 449-461, doi: 10.1111/j.1365-2591.2011.01996.x.
10
Preparation timesec.
160
180
200
120
140
80
100
60
40
50
0 RE
CIP
RO
C®
73.1 sec.
mul
tip
le fi
le s
yste
ms
185.2 sec.
without having to create an initial glide path, RECiPRoC® reached full working length of more than 93% of the examined cases.13
in comparison to other systems, the RECiPRoC®
instrument removes gutta-percha and sealer the most quickly.15
Preparation without hand filing
Retreatment time
13,14 De-Deus G, arruda tEP, Souza EM, neves a, Magalhães K, thuanne E, Fidel RaS. the ability of the Reciproc R25 instrument to reach the full root canal working length without a glide path. iEJ 2013, first published online: 6 april 2013, doi: 10.1111/iej.12091. 15 Zuolo aS, Mello Jr JE, Cunha RS, Zuolo ML, Bueno CES. Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. iEJ 2013, first published online: 18 march 2013, doi: 10.1111/iej.12085.
11
Cases in which working length was achievedwith RECIPROC®
reached working length
80%
100%
60%
40%
20%
0%
96.44%
stra
ight
ro
ot
cana
ls (n
=25
3)90.66%
slig
htly
cur
ved
ro
ot
cana
ls (n
=24
9)
in cases in which the iSo size 10 hand file did not reach the full working length (after preparing to 2/3 of the estimated working length), the R25 was able to reach full working length in 67.3% of the cases!14
Furthermore!
did not reach working length
www.RECiPRoC.com
vDW GmbH Bayerwaldstr. 15 • 81737 Munich • Germany Tel. +49 89 62734-0 • Fax +49 89 62734-304 www.vdw-dental.com • [email protected]
one file endo
Vw
0003
48
R
ev. 0
/05.
09.1
3