You are on page 1of 148

Ultradent Products, Inc.

Products and Procedures Manual 2017


Right - Dr. Dan Fischer, CEO
Left - Dirk Jeffs, President

Products and Procedures Manual PANT 2915 PANT 556 PANT 5135 PANT 180 PANT 526 PANT 285 PANT 7454 PANT 7510 PANT 159 PANT 582 PANT Cool Gray 10 PANT 5473

2017
PANT
PANT
2915
2915 PANT 2915
PANT
PANT
556
PANT
556
PANT
PANT
PANT
PANT
2915
PANT
2915
2915
PANT
2915
556
PANT
2915
PANT
2915
5135
5135
PANT
PANT
PANT
PANT
PANT
556
PANT
556
PANT
556
PANT
556
5135
556
PANT
2915
556
PANT
180
PANT
PANT
180
PANT
PANT
5135
PANT
5135
PANT
PANT
5135
PANT
5135
5135
180
PANT
556
5135
PANT
526
PANT
526
PANT
PANT
PANT
PANT
180
PANT
180
180
PANT
180
526
PANT
180
5135
PANT
180285
PANT
285
PANT
PANT
PANT
PANT
526
PANT
526
PANT
526
PANT
526
285
PANT
526
PANT
180
526
7454
7454
PANT
PANT
PANT
PANT
PANT
285
PANT
285
PANT
285
PANT
285
PANT
7454
285
PANT
526
285
7510
7510
PANT
PANT
PANT
PANT
PANT
7454
PANT
7454
7454
PANT
7454
7510
7454
PANT
285
7454
PANT
159
PANT
PANT
159
PANT
PANT
7510
PANT
7510
PANT
7510
PANT
PANT
7510
7510
PANT
159
7510
PANT
7454
582
582
PANT
PANT
PANT
PANT
PANT
159
PANT
159
PANT
159
PANT
159
PANT
582
159
7510
Cool
159
Cool
Gray
PANT
PANT
PANT
Gray
PANT
PANT
10582
PANT
582
10
Cool
582
PANT
PANT
582PANT
582
Gray
582
PANT
159
PANT
PANT
10
5473
PANT
PANT
5473
Cool
PANT
Cool
Cool
PANT
Cool
PANT
Gray
PANT
Gray
Cool
Gray
Gray
Cool
5473
10
10
Gray
582
10
10
Gray
10PANT
10
PANT
PANT
PANT
PANT
5473
PANT
5473
5473
PANT
5473
Cool
5473
5473
Gray 10 PANT 5473

BRIGHT SMILE, READY TO GO

Distribution Partner:

European Office: Ultradent Products GmbH


Am Westhover Berg 30 - 51149 Cologne - Germany
Tel: +49 (0)2203-359215 Fax: +49 (0)2203-359222 - www.ultradent.com/eu

Ultradent Products, Inc. 505 West Ultradent Drive (10200 South) South Jordan, UT 84095, USA ultradent.com 2017 Ultradent Products, Inc. All Rights Reserved.
TM

WHERE SAFETY MEETS EFFICIENCY


Together, the Genius motor, contra-angle, and files give you both reciprocation
Ultradent is proud to be a two-year winner
of the Golden Hands Award of Xcellence for and rotary movement with just the touch of a button.
Ethics and Truth in Advertising.

Nominees for this award were selected by a


group of well-respected clinicians and leaders
in the dental industry, who examined upwards
In 1976, after graduating from Loma Linda University and beginning his own practice, Dr. Dan
Fischer invented and patented his groundbreaking Astringedent hemostatic solution in response SAFETY EFFICIENCY
of 3,000 companies before selecting a small
group of candidates based on the following to the need for a tissue management product that achieved more rapid, profound hemostasis. The
merits: success of Astringedent hemostatic fueled Dr. Fischers desire to continue developing innovative
and more advanced dental solutions leading to the founding of Ultradent Products, Inc. 360
Ethical Conduct
Placement of Public Health before Profits Now, marking its 39th year as a family-owned, international dental supply and manufacturing
Dependable Products
Knowledgeable Personnel company, Ultradent has continued its vision to improve oral health globally by creating better OR
Excellent Customer Service dental products that continue to set new industry standards. Dr. Fischer has numerous patents
to his name and regularly lectures and writes articles about state-of-the-art dentistry. He also
Thousands of practicing dentists across the
nation then voted to select Ultradent Products, works part-time in his daughters dental practice, which enables him to connect with patients and
Inc., as the winner in both 2015 and 2016. practice minimally invasive dentistry a philosophy around which Ultradent develops its products
and procedures.
Of receiving the honor, Dr. Dan Fischer, CEO
of Ultradent Products, Inc. said, Were so Ultradent currently researches, designs, manufactures, and distributes more than 500 materials, RECIPROCATION ROTARY
honored to have received this recognition. The
true honor for this award goes to the men and devices, and instruments used by dentists around the world. This includes its renowned, industry-
THE SAFETY OF RECIPROCATION WITH THE EFFICIENCY TO REMOVE DEBRIS
women at Ultradent who work tirelessly every leading Opalescence Tooth Whitening System, and the groundbreaking Opalescence Go
day to uphold the values upon which Ultradent CLOCKWISE AND COUNTER-CLOCKWISE WITH ROTATIONAL MOVEMENT
professional take-home whitening system. Ultradents product family also includes the award- MOVEMENT
hangs its hat: integrity, care, quality, innova-
tion, and, lastly, hard work. They embody winning VALO LED curing light, UltraSeal XT hydro pit and fissure sealant, and Ultra-Etch
these values in the way they contribute to our etchant. Recent new innovations include the Uveneer direct composite veneer template system,
vision every day, regardless of their personal which creates natural-looking, high-quality direct composite veneers quickly and easily. Ultradent
job description or the continent on which they
serve. We are humbled to receive this recogni-
also now offers the EndoEze Genius endodontic system, which consists of an electric motor YOU DONT HAVE TO CHOOSE BETWEEN SAFETY AND EFFICIENCY.
tion and will use it as a critical reminder of our and NiTi engine-driven files designed to be used with both reciprocation and rotary movement for
duty to continue to be responsible and caring endodontic procedures.
to those we serve, both inside and outside
Ultradent. Ultradent has been the recipient of Small Business Administrations Exporter of the Year and Direct
In choosing to create the award, Dr. Amir H. Distributor of the Year awards. Most recently, Ultradent was the recipient of the Health Care Heroes
Motamed, DDS, says With the ever-increasing award in the category of Corporate Achievement. Ultradent and Dr. Fischer have been recognized
prominence of the Internet in the Information for outstanding industry leadership and for making defining contributions to the dental community.
Age, it has become increasingly more chal-
In 2013, the Utah Governors Office of Economic Development named Dr. Fischer International
lenging for dentists to delineate fact from
fiction and pertinent research results from Man of the Year for his contributions to sustaining economic and cultural relations between the
creative marketing strategies. The Golden state of Utah and the European Union.
Hands Award of Xcellence has been created
to represent and promote the values that the Dr. Fischer strives continuously to Improve Oral Health Globally. Beyond the dental community,
dental profession holds in its highest regard.
Ultradent donates products to humanitarian efforts locally, nationally, and internationally.
Ultradent is honored humbled to have received Additionally, Ultradent sponsors a nonprofit organization, the Diversity Foundation, a progressive
such a distinction. It is our greatest hope to outreach program committed to preventing hate crimes and intolerance. This program promotes
continue on with a legacy of truth and ethics
diversity and fosters multicultural awareness among individuals from all backgrounds.
in advertising and all else that we do in
the years to come.
Dr. Fischer lives his life according to the same values that guide Ultradent: integrity, quality, hard
work, innovation, and care. When he isnt working, he enjoys tending to his garden and spending
time with his wife, children, and 33 grandchildren.
Highlights
3 WHITEN

25 PREVENT/HYGIENE

37 PREPARE
Endo-Eze Genius files and motor system

Page 114

47

TISSUE MANAGEMENT

61 ETCH/BOND

Page 108
FIND Apex Locator
71 COMPOSITES

81 CROWN & BRIDGE

93 FINISH

Gemini Diode Laser Page 106

97 EQUIPMENT

107 ENDODONTICS

129 TIPS & SYRINGES


Direct Composite Template System Page 79

1
THE BRIGHT SMILE STANDARD

Professional take-home tooth whitening in comfortable


custom trays with 10% or 16% carbamide peroxide
PF formula - Potassium nitrate and fluoride helps maintain
the health of enamel throughout the whitening process
Before
Sticky viscous gel composition with 20% water content After
for less dehydration and sensitivity

www.opalescence.com/eu
Whiten

COSMETIC
Home Whitening with Custom Trays
Pre-Loaded Whitening Trays (Bleaching to go)
Block-Out Resin
Tray Sheets
Accessories

MEDICAL
In-Office Whitening
Walking Bleach
Microabrasion Paste
Accessories

Andrya Smith | QC Laboratory Team Leader | Bryce Canyon, Utah

3
Whiten

WHITEN YOUR SMILE - Questions Behind Tooth Whitening


There are many causes of tooth staining. Some affect the full arch - these discolorations Whitening agents break down into tiny molecules and move in all directions so even if the
are mostly caused by food, beverages and tobacco - stains and colors migrating into the entire tooth is not covered with bleach, the entire tooth is whitened.2
enamel. Aging also leads to darker teeth. Such discolorations are generic and can affect
everybody. Numerous studies have proven the effectiveness of peroxides in whitening teeth. Enamel,
dentin, existing fillings, and bonding materials are not affected by the whitening agents,
Lightening of these discolorations is cosmetic and can be achieved with proven cosmetic nor are they harmed by the whitening materials.
whitening products formulated for superior results in our Opalescence PF whitening
gels that are used with custom trays or in our pre-filled disposable trays offered in Opal-
escence Go with the new UltraFit tray. A brighter, whiter smile is the result. In cases of Will whitening affect bond strength?
re-darkening, a short touch-up restores the perfect smile. Even though whitening agents release oxygen into the tooth, existing bonds are not weak-
ened.3,4
Other types of stains can penetrate into enamel and dentin from the inside, as a conse-
quence of diseases, injury or medical treatment, e.g. congenital, systemic, metabolic, If whitening before bonding, allow a period of 710 days after whitening. The high con-
pharmacological, traumatic, or iatrogenic factors such as dental fluorosis, jaundice, tet- centration of oxygen in the tooth could have a significant and adverse affection on polym-
racycline, and adult minocy-cline stains, porphyria, trauma, and erythroblastosis fetalis. erization of the resins.5,6
To treat staining from these causes, a medical, in-office whitening system is needed. In
many cases such focused whitening may make restorations, veneers or crowns unneces- How long does the whitening last?
sary or postpone them for a long time. Whitening results are very stable, but depending on the patients nutrition and lifestyle
habits, the procedure may need to be redone periodically. Due to the safety of the whiten-
Professional whitening is the best and most minimally invasive option to safely lighten ing agents, this should not concern the dentist or patient.
discolored teeth.

Will whitening cause tooth sensitivity?


Tooth sensitivity can occur as a result of whitening. If sensitivity occurs, it is transient and
How does whitening work? disappears after the completion of whitening treatments. However, most Opalescence
The whitening process is possible due to the ability of carbamide peroxide and hydrogen products include PF (potassium nitrate and fluoride) desensitizing agents for additional
peroxide to freely pass through enamel and dentin and to permeate to all parts of the comfort. Research has shown that just as hydrogen peroxide penetrates through the
tooth.1 enamel and dentin and to the pulp, so does potassium nitrate. Potassium nitrate acts
more like an analgesic or anesthetic by keeping the nerve from repolarizing after it has
For cosmetic whitening concentrations up to max 6% hydrogen peroxide are sufficient to depolarized in the pain cycle.7 Fluoride acts primarily as a tubule blocker, plugging the
pass the outer area of the teeth, removing stains caused by food, beverages, and tobacco. holes and slowing down the fluid flow that causes the sensitivity.
For teeth discolored by disease, injury or medical treatment, higher concentrations may
be required to pass deep into the discolored area of the teeth.
Will whitening weaken the tooths enamel?
These peroxides break down into oxygen radicals, which migrate between the enamel Opalescence whitening gel includes PF, potassium nitrate and fluoride, which helps
prisms, breaking down any colored molecules that result in tooth discoloration. The struc- maintain the health of enamel throughout the whitening process.8-12
ture of the tooth is not altered; the internal tooth color is simply made lighter.

1. Haywood VB. History, safety and effectiveness of current bleaching techniques and applications of the nightguard
vital bleaching technique. Quintessence Int. 1992;23(7):471-88. 2. Jadad E, Montoya J, Arana G, Gordillo LA, Palo
RM, Loguercio AD. Spectrophotometric evaluation of color alterations with a new dental bleaching product in patients
wearing orthodontic appliances. Am J Orthod Dentofacial Orthop. 2011;140(1):e43-7. 3. Klukowska M, White
DJ, Kozak KM, et al. Effect of bleach on microleakage of Class V composite restorations. J Dent Res. 85(Spec Iss
B):0035, 2006 (www.dentalresearch.org). 4. Angerame D, Garaffa S, Maglione M, Di Lenarda R, De Stefano Dorigo
E. Effect of in-office bleaching on Class V composite restorations seal. J Dent Res. 84(Spec Iss A):3013, 2005 (www.
dentalresearch.org). 5. Wilson D, Xu C, Hong L, Wang Y. Effects of clinical factors during tooth whitening on enamel. J
Dent Res. 86(Spec Iss A):2632, 2007 (www.dentalreasearch.org). 6. Lim B-S, Ryu I, Lee Y-K, et al. Effect of bleaching
agent on shear bond strength to dentin. J Dent Res. 85(Spec Iss B):0036, 2006 (www.dentalresearch.org). 7. Haywood
VB. A comparison of at-home and in-office bleaching. Dentistry Today. 2000; 19(4):44-53. 8. Basting RT, Rodrigues
AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J
Am Dent Assoc. 2003;134(10):1335-42. 9. Al-Qunaian TA. The effect of whitening agents on caries susceptibility
of human enamel. Oper Dent. 2005;30(2):265-70. 10. Clark LM, Barghi N, Summitt JB, Amaechi BT. Influence of
fluoridated carbamide peroxide bleaching gel on enamel demineralization. J Dent Res. 85(Spec Iss A):0497, 2006
(www.dentalresearch.org). 11. Amaechi BT, Clark LM, Barghi N, Summitt JB. Enamel fluoride uptake from fluoridated
carbamide peroxide bleaching gel. J Dent Res. 85(Spec Iss A):0498, 2006 (www.dentalresearch.org). 12. Browning
WD, Myers M, Downey M, Pohjola RM, Brackett WW. Report on low sensitivity whiteners. J Dent Res. 85(Spec Iss
A):1650, 2006 (www.dentalresearch.org).

4
Opalescence Tooth Whitening Reference Guide Whiten
COSMETIC

Opalescence PF 10% Opalescence PF 16% Opalescence Go 6%


Take-Home whitening Take-Home whitening Take-Home whitening
with custom trays with custom trays with prefilled trays

Active Ingredient: Active Ingredient: Active Ingredient:


10% carbamide peroxide 16% carbamide peroxide 6% hydrogen peroxide
( 3.6% H2O2) ( 5.8% H2O2) (H2O2)

Wear time: Contains: Wear time: Contains: Wear time: Contains:


810 hours/ Potassium nitrate and fluoride 46 hours/ Potassium nitrate and fluoride 6090 min/ Potassium nitrate and fluoride
day day day

Flavors: Flavors: Flavor:


Mint, Melon, and Regular Mint, Melon, and Regular Mint, Melon

MEDICAL*

Opalescence Boost PF 40% Opalescence Quick PF 45% Opalescence Endo 35%


In-office chairside medical In-office waiting room medical Walking Bleach
whitening, direct application whitening, custom trays medical technique for non-vital
teeth

Active Ingredient: Active Ingredient: Active Ingredient:


40% hydrogen peroxide 45% carbamide peroxide 35% hydrogen peroxide
(H2O2) ( 15% H2O2) (H2O2)
Wear time: Wear time: Wear time:
Two 20-min- Contains: 30 minutes Contains: 35 days
ute treat- supervised
ments per Potassium nitrate and fluoride Potassium nitrate and fluoride
visit

Opalescence tooth whitening gel contains PF, potassium nitrate and fluoride, which helps
maintain the health of enamel throughout the whitening process!1

In an in vitro study researchers looked at whether treatment with tooth whitening products with different concentrations
of carbamide peroxide or hydrogen peroxide would increase the susceptibility for caries. A tooth whitening product with
a neutral pH and 10% carbamide peroxide did not lead to a higher caries risk. In addition, Opalescence PF
with potassium nitrate and fluoride strengthens the enamel, meaning it actually helps to prevent caries
attacks.

1. Al-Qunaian TA. The effect of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70.

*Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.

5
Whiten

Whitening Treatment Protocol


We recommend the following steps for professional whitening evaluation and treatment, both for cosmetic whitening and medical whitening. You may
need to adjust the steps depending on the patient and the whitening treatment you select.

1. Take patients medical history 5. Determine the initial tooth color


Evaluate the origin of tooth staining and check for restorations that Identify the initial tooth color with the aid of a VITA* Shade Guide,
could affect the final result (use Rx if needed). Assess the intention shown below in lower left corner. Take a picture of the teeth after the
of whitening system (cosmetic for generic day-by-day discoloration; hygiene treatment and before the whitening, or identify the initial color
medical devices for teeth discolored by disease, injury or medical treat- with patients active participation (with mirror in their hand) and docu-
ment). Consider amending your periodical medical history by adding a ment it. Ask the patient which shade they desire as a final result.
question about the patients satisfaction with their oral esthetics. Ex-
plain to the patient that restorations will not whiten, and discuss the 6. Gain patients consent
necessity of possible new restorations after whitening. Check existing Have the patient sign a consent form that outlines the whitening treat-
sensitivities, and perform an adequate treatment before starting a whit- ment and cost involved, or reach another form of consent as appropri-
ening procedure. ate.

DO NOT PROCEED IF THE PATIENT: 7. Choose whitening product


Is pregnant On the basis of the initial medical history, the kind of discoloration and
Is under 18 years old (for cosmetic bleaching) the patients expectations, recommend 1 or 2 whitening methods and
reach consent with the patient.
2. Perform oral cavity exam Multiple Opalescence products may be used successively to best meet
Examine the patients mouth, evaluating the soft tissues and the teeth. the doctors and the patients expectations. Follow instructions for use.
There should be no microleakage under restorations, fractured teeth, or If either Opalescence PF or Opalescence Go take-home systems are
interproximal caries. chosen, schedule periodical checkups.

3. Manage patients expectations 8. Educate patient on achieving best results


Evaluate the patients expectations, motivations, and attitude. Discuss Instruct the patient to avoid food and drink that could stain the teeth for
the possibilities and limitations of whitening for their specific circum- 2448 hours after treatment. This includes coffee, tea, cola, red wine,
stance and help them to establish realistic expectations. fruit juice, and fruits.

4. Perform hygiene treatment 9. Determine the final tooth color


Proceed to the hygiene treatment. Use polishing paste to remove all, Identify the final tooth color using the VITA* Shade Guide (rearranged
exogenous pigments since plaque inhibits or reduces bleaching agents as in #5). Take a picture of the teeth at the end of the treatment. A
efficacy. definitive color change can be recorded only a few days after the end of
the treatment, when the teeth are rehydrated and there is no peroxide
left in the tooth.
B1 A1 B2 D2 A2 C1 C2 D4 A3 D3 B3 A3.5 B4 C3 A4 C4

L I G H T D A R K
10. Provide fluoride treatment if necessary
At the end of the whitening procedure, many dentists recommend a
fluoride treatment. Avoid varnish applications, because the teeth should
have the ability to rehydrate after whitening. Use Flor-Opal gel syringes
for patients with custom trays.

6 * Registered trademark of a company other than Ultradent.


Whiten - COSMETIC
FOR A BRIGHTER, WHITER SMILE
It is one of the oldest dreams of mankind - to have whiter teeth. In ancient times, people tried
it with many ingredients and techniques; mostly in vain or they had to put up with severe
damage to their teeth. Today we are able to whiten teeth effectively without adverse effects.
But the prerequisites are two-fold: you need the right materials - like our Opalescence
gels, containing the PF formula (potassium nitrate and fluoride), which helps mantain the
health of enamel thorough the whitening process. On the other hand, the correct handling is
essential. The EU amendment for the Cosmetic Directive* stipulates a procedure which we
have always practiced: the involvement of a dentist in the cosmetic whitening process. Thus,
the whole treatment is carried out under the care of a dental professional and the patients
teeth are in safe hands.

For each cycle of use, the first use to be only done by dental practitioners or under their
direct supervision if an equivalent level of safety is ensured. Afterwards to be provided to the
consumer to complete the cycle of use.*
Dr. Dan Fischer
(Founder and CEO of Ultradent)

Concentrations of Opalescence Carbamide Peroxide vs. Hydrogen Peroxide


One-third of the carbamide peroxide (CP) contained in whitening agents breaks down into hydrogen peroxide (H2O2), the active whitening agent.
This is important to know in order to correctly assess the intensity of whitening products.

H2O2 - Hydrogen peroxide CP - Carbamide peroxide Amount of hydrogen peroxide released from carbamide peroxide

COSMETIC COSMETIC
Opalescence PF Opalescence Go
Take-Home Whitening with Custom Trays Take-Home Whitening
Disposable Prefilled
UltraFit Trays

16% CP

10% CP

3,6% H2O2 5,8% H2O2 6% H2O2

* Council Directive 2011/84/EU

7
Whiten - COSMETIC
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 21: How Peroxide Bleaches Teeth, by Dr. Van Haywood
http://www.ultradent.com/podcast/21_how_bleaching_works.mp3

l
Th

Fir Ge rid
e
e

ha st a us o
wi

nd o lu
no Visc and f
t

p ti Only y,
mu Patented, Stick te
mc
ombi nitra
nation of potassium

Opalescence PF 10% and 16%


CARBAMIDE PEROXIDE WITH POTASSIUM NITRATE AND FLUORIDE

Whitening with custom trays


Sticky, viscous gel wont migrate, ensures tray stays securely
in place
Treatment for the most part at home, saves chair time
Day or night wear
Two concentrations, three flavors
PF gel includes PF, potassium nitrate and fluoride, which helps
maintain the health of enamel throughout the whitening process2-6

The sticky, viscous formula of Opalescence gel does not leach from
the tray like other bleaching gels,9 and the sticky gel holds the com-
fortable tray securely in place. Opalescence whitening gel includes
PF, potassium nitrate and fluoride, which helps maintain the health of
enamel throughout the whitening process.2-6 Twenty percent water con-
tent prevents dehydration and shade relapse, making Opalescence one
80
STAYS ACTIVE THROUGH THE NIGHT!
of the most reliable bleaching gels available.7-9 A university study proves Indiana University: Small quantities of gel were
70
that the gel stays active for 810 hours during overnight bleaching,9 removed and analyzed at various intervals.9
60
which means patients experience results quickly, increasing compli-
% Peroxide

ance. Opalescence is available in a variety of concentrations, formula- 50


tions, flavors, and kit configurations to meet all your patients whitening 40
needs. 30
20
10
Uses 5
For a brighter, whiter smile. Whitening of the full arch. Especially rec-
ommended prior to placement of anterior restorations, e.g. composite, 1 2 3 4 5 6 7 8 9 10
15 secs.

veneers, and/or crowns, so that the dentist can realize the wish of the Hours
patient for a lighter color of teeth and restorations.

8
COSMETIC - Whiten

Before and After Patient Instructions


Dr. Robert Nixon

Before whitening. Upper teeth after 5 nights of treatment 1. Express one-third to one-half of Opal- 2. Make sure teeth are brushed before
with Opalescence PF 10% whitening escence PF gel syringe into tray. placing loaded tray on arch.
gel, approximately 40 hours.
Dr. Stephan Hoefer

Before whitening. After 8 days of treatment with Opales- 3. Gently press tray edges against arch 4. Remove excess gel with soft tooth-
cence PF 16% whitening gel, every day labially and palatally. brush or clean finger.
for 3 hours.
Dr. Stephan Hoefer

Before whitening; new restorations are After 6 days of treatment with Opal- 5. With tray in place, rinse mouth with 6. At the end of treatment, brush teeth
planned. escence PF 10% whitening gel, every water twice. Treatment time begins and use soft toothbrush and cold water
night for 8 hours. New composite res- now. Note: If significant sensitivity oc- to clean tray.
torations in place. curs, take trays out immediately and
consult your dentist.

Store tray in tray case after each use


and when treatment is completed.

9
Whiten - COSMETIC

Tray Fabrication
Opalescence PF Patient Kits
PF 10% PF 16%
Mint 5364 4480
Melon 5365 4481
Regular 5366 4482
8 x 1,2 ml (1,50 g) Opalescence syringes
1 x 30 ml (28,3 g) Opalescence Whitening Toothpaste
1 x Tray case
1 x Shade guide
1. Pour impression with fast-set plaster 2. Use a shade guide to monitor pa- 1 x Carryall bag
or dental stone. Pour alginate shortly tients results. Keep one for your records
after making impression to ensure ac- and send one home with the patient.
curacy. Trimming is less work if quantity
of stone is kept to a minimum.

Store refrigerated.

Opalescence PF Doctor Kits


PF 10% PF 16%
Mint 5379 4483
Melon 5380 4484
Regular 5381 4485
8 x 1,2 ml (1,50 g) Opalescence syringes
3. For reservoir spaces, apply Ultradent 4. With vacuum former, heat tray ma-
LC Block-Out Resin approximately 0,5 terial (Sof-Tray Classic Sheets) until it
1 x 1,2 ml (1,38 g) syringe Ultradent LC Block-Out Resin
mm thick onto the labial surfaces and sags approximately 2,5 cm. Adapt plas- 1 x Black Mini Tip
light cure. Stay about 1,5 mm from tic over mold. Cool and remove model. 2 x Sof-Tray 0,9 mm sheets
gingival line. Do not extend onto incisal 1 x 30 ml (28,3 g) Opalescence Whitening Toothpaste
edges or occlusal surfaces. 1 x Tray case
1 x Shade guide
1 x Carryall bag

Store refrigerated.

5. Use Ultradent Ultra-Trim Scalloping


Scissors to precisely trim tray 0,25 to
6. Return tray to model; check tray ex-
tensions.
Opalescence PF Refills
0,33 mm from occlusal gingival margin. PF 10% PF 16%
Mint 5394 4486
Melon 5395 4487
Regular 5396 4488
40 x 1,2 ml (1,50 g) Opalescence syringes

Store refrigerated.
7. Gently flame polish edges one quad- 8. Finished custom tray, precisely
rant at a time. trimmed, is now ready for final adapta-
tion in the patients mouth.

*The ADA Council on Scientific Affairs Acceptance of Opalescence 10% is based on its findings that it is effective for helping to whiten natural teeth when used as directed. Opalescence 10% meets ADA guidelines throughout 14 days tested. 1.
realityesthetics.com 2. Basting RT, Rodrigues AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-42. 3. Al-Qunaian TA. The effect of whitening agents
on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70. 4. Clark LM, Barghi N, Summitt JB, Amaechi BT. Influence of fluoridated carbamide peroxide bleaching gel on enamel demineralization. J Dent Res. 85(Spec Iss A):0497, 2006
(www.dentalresearch.org). 5. Amaechi BT, Clark LM, Barghi N, Summitt JB. Enamel fluoride uptake from fluoridated carbamide peroxide bleaching gel. J Dent Res. 85(Spec Iss A):0498, 2006 (www.dentalresearch.org). 6. Browning WD, Myers M, Downey
M, Pohjola RM, Brackett WW. Report on low sensitivity whiteners. J Dent Res. 85(Spec Iss A):1650, 2006 (www.dentalresearch.org). 7. Rosenstiel SF, Gegauff AG, Johnston WM. Efficacy and safety evaluations of a home bleaching procedure. 1994. The
Ohio State University, College of Dentistry. Data on file. 8. Russell CM, Dickinson GL, Johnston MH, et al. Dentist-supervised home bleaching with ten percent carbamide peroxide gel: a six-month study. J Esthetic Dent. 1996;8(4):177-82. 9. Caughman
WF, DMD, Frazier KB, Haywood, VB. Carbamide peroxide whitening of non-vital single discolored teeth: Case reports. Quintessence Int. 1999;30(3):155-61. 10. Matis BA, Gaiao U, Blackman D, Schultz FA, Eckert GJ. In vivo degradation of bleaching gel
used in whitening teeth. J Am Dent Assoc. 1999;130(2):227-35. 11. Morgan J, Presley S. In-office power bleaching of vital teeth as an adjunct to at-home bleaching. Pract Perio Aesthet Dent. 2002;14(suppl 2):16-23.

10
BRIGHT SMILE, READY TO GO

Before wearing
Powerful take-home tooth whitening with 6% H2O2 UltraFit tray in
the mouth UltraFit tray after
Comfortable, ready-to-use right out of the package just 10 minutes
TM
in the mouth
UltraFit tray perfectly fits and adapts to the patients
individual smile - a relaxed whitening experience

www.opalescence.com/eu
11
Whitean - COSMETIC

1
Instructions

Opalescence Go 6% 1. Remove from package. 2. Center tray on arch.


PREFILLED WHITENING TRAYS - HYDROGEN PEROXIDE

3. Gently suck down or swallow. 4. Remove outer tray.

5. Suck down or swallow again. 6. Wear 6% for 60 to 90 minutes.

UltraFit trays superior adaptation to the tooth anatomy.

New unique UltraFit tray material offers an extremely comfortable fit and
easily conforms to any patients individual smile
Molar-to-molar coverage ensures the gel comes in contact with more
posterior teeth
UltraFit trays superior adaptation ensures the maximum amount of gel
stays in contact with the teeth during whitening
Opalescence tooth whitening gel contains PF, potassium nitrate and
fluoride, which helps maintain the health of enamel throughout the UltraFit tray before.
whitening process.2-6
Wear 6090 minutes for 510 days
Delicious Mint and Melon flavor
Convenient prefilled trays can be worn right out of the package
Optimal gel quantity allows easy cleanup after whitening
Sleek packaging provides superior stability, shelf life, and ease of use

Uses
Opalescence Go take-home whitening is recommended for whitening pa-
tients looking for professional whitening to go. With no impressions, models,
or lab time required, Opalescence Go trays are also a perfect follow-up to UltraFit tray after 10
in-office whitening. minutes in mouth.

12
COSMETIC - Whiten

4634 Opalescence Go Mint 6% Patient Kit


3592 Opalescence Go Melon 6% Patient Kit

Each kit contains 10 blister packs w/1upper/1 lower tray

6% hydrogen peroxide Opalescence PF gel for outstanding


results

Store refrigerated.

4639 Opalescence Go Mint 6% Patient Kit 6 pk


3593 Opalescence Go Melon 6% Patient Kit 6 pk

Each kit contains 6 Patient Kits

Soft, thin, adaptable tray material


adapts to tooth anatomy for a
Store refrigerated.
more comfortable fit

Delivery tray for insertion and placement only


4644 Opalescence Go Mint 6% Mini Kit
3599 Opalescence Go Melon 6% Mini Kit

Each kit contains 4 blister packs w/1upper/1 lower tray

Store refrigerated.

4649 Opalescence Go Mint 6% Mini Kit 12 pk


3600 Opalescence Go Melon 6% Mini Kit 12 pk

Each kit contains 12 Mini Kits

Store refrigerated.

1. realityesthetics.com 2.Basting RT, Rodrigues AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching
agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-42. 3.Al-Qunaian TA. The effect
of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70. 4.Clark LM, Barghi
N, Summitt JB, Amaechi BT. Influence of fluoridated carbamide peroxide bleaching gel on enamel demineralization.
J Dent Res 85(Spec Iss A):0497, 2006 (www.dentalresearch.org). 5.Amaechi BT, Clark LM, Barghi N, Summitt JB.
Enamel fluoride uptake from fluoridated carbamide peroxide bleaching gel. J Dent Res 85(Spec Iss A):0498, 2006
(www.dentalresearch.org). 6.Browning WD, Myers M, Downey M, Pohjola RM, Brackett WW. Report on low sensitivity
whiteners. J Dent Res 85(Spec Iss A):1650, 2006 (www.dentalresearch.org).

13
Whiten - COSMETIC

Sof-Tray Classic Sheets Ultradent Ultra-Trim Scalloping Scissors


SHEET MATERIAL FOR VACUUM-FORMING OF TRAYS FOR TRIMMING TRAYS

Uses Use for precise trimming of border around interdental papilla


Select the 0,9 mm Sof-Tray for most bleaching trays, the 1,5 mm Spring loaded to minimize finger fatigue
Sof-Tray for bleaching patients who are bruxers, and the 2,0 mm Grips tray material easily
Sof-Tray for severe bruxers or as a TMJ appliance. Made of durable stainless steel

605 Ultradent Ultra-Trim Scalloping Scissors


1 pk

226 Sof-Tray Regular Sheets
25 x Tray sheets (0,9 mm - 127 x 127 mm)

0,9 mm THICKNESS

227 Sof-Tray Medium Sheets


20 x Tray sheets (1,5 mm - 127 x 127 mm) Opalescence Pocket Tray Cases

1,5 mm THICKNESS

284 Sof-Tray Heavy Sheets


20 x Tray sheets (2,0 mm - 127 x 127 mm)

2,0 mm THICKNESS

Protect trays when they are not in use


Flat, pocket-sized design
Inside dimensions: 7,5 x 7 x 1,5 cm

For creating customized whitening trays, Dr. Dan Fischer recommends


using flexible bleaching splints that adapt to the tooth like a contact
707 Pocket Tray Cases (Variety)
lens. The thinnest sheets (0,9 mm) are recommended. The thicker tray
20 x Tray cases (6 x blue; 7 x green; 7 x melon)
sheets are designed for bruxers or as a TMJ appliance. Originally de-
signed for the U.S. market, they come square-shaped and need to be
cut to a circular shape when used in round vacuum formers. Cut with a
pair of regular scissors using a round sheet as a pattern.

14
COSMETIC - Whiten

Ultradent LC Block-Out Resin 1

LIGHT CURED BLOCK-OUT RESIN

Use for reservoir spaces.

Black Mini Tip

Also use for perio trays.

Low viscosity allows for proper application


Blue pigment for visibility during application
Great utility resin with multiple uses 240 Ultradent LC Block-Out Resin Kit
4 x 1,2 ml (1,38 g) Ultradent LC Block-Out syringes
20 x B
 lack Mini Tips

Uses
Ultradent LC Block-Out Resin provides reservoir space for bleaching
trays and is useful for other laboratory procedures such as model and
die repairs. Ultradent LC Block-Out Resin can be rapidly and efficiently 241 Ultradent LC Block-Out Resin Refill
delivered with the Black Mini Tip. It must be light cured and is not in- 4 x 1,2 ml (1,38 g) Ultradent LC Block-Out syringes
tended for intraoral use.

242 Ultradent LC Block-Out Resin Econo Kit


20 x 1 ,2 ml (1,38 g) Ultradent LC Block-Out syringes
20 x B lack Mini Tips

For reservoir spaces, apply Ultradent LC Ultradent LC Block-Out Resin is a hard,


Block-Out Resin approximately 0,5 mm strong, no-mix material for blocking out
thick onto the labial surfaces and light undercuts on dies and filling in voids.
cure. Stay about 1,5 mm from gingival
line. Do not extend onto incisal edges
and occlusal surfaces. 1. realityesthetics.com

15
Whiten - MEDICAL
Discolorations can have many causes. If the stains have been caused by disease, injury
or medical treatment and have migrated from the inside of the tooth into the dentin and
enamel, you need special medical strategies to whiten such tooth or teeth - and special
medical products.
On the following pages, you will find products for the medical whitening treatments, with
increased, highly intensive active ingredients. For instance, Opalescence Boost is a gel with
40% hydrogen peroxide. Nevertheless it is pH neutral, contains the PF formula, which helps
mantain the health of enamel thorough the whitening process. It is chemically activated -
so no light is needed. Opalescence Endo and Opalescence Quick are used for other special
medical cases.
All these materials are valuable in the hand of a dentist who can treat most patients
discolorations, even difficult cases, in a minimally invasive way. Restorations, veneers or
crowns are no longer required to treat dark teeth.

Dr. Dan Fischer


(Founder and CEO of Ultradent)

Concentrations of Opalescence Carbamide Peroxide vs. Hydrogen Peroxide


One-third of the carbamide peroxide (CP) contained in whitening agents breaks down into hydrogen peroxide (H2O2), the active whitening agent.
This is important to know in order to correctly assess the intensity of whitening products.

H2O2 - Hydrogen peroxide CP - Carbamide peroxide Amount of hydrogen peroxide released from carbamide peroxide

MEDICAL
Opalescence Opalescence Opalescence
Quick Boost Endo
In-Office In-Office Walking Bleach
Whitening with Whitening Chairside
Custom Trays Chairside Intercoronal
Direct Application for
Application non-vital teeth
45% CP

15% H2O2 40% H2O2 35% H2O2

Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.

16
COSMETIC
MEDICAL - Whiten

Opalescence Endo 1
Before and After
NON-VITAL WALKING BLEACH
35% HYDROGEN PEROXIDE

Dr. Rich Tuttle


Before. After.

35% hydrogen peroxide Black Mini Tip


Used to treat endodontically treated discolored teeth
Easy to place inside pulp chamber
3- to 5-day treatment, often shorter

Uses Before. After.


For medical tooth whitening of non-vital teeth (Walking Bleach tech-
nique). After covering the root filling with glass ionomer cement, the
ready-to-use gel (active ingredient: 35% H2O2) is applied directly into a
non-vital tooth, and the cavity is closed provisionally. After 35 days,
the progress of the whitening can be evaluated and the procedure can
Dr. Arno Schoeler

be repeated, if necessary. The whitening gel is colorless and very stiff;


you can easily apply it into the cavity, and the provisional closure is
easy.
Before. After.
Not intended for use in trauma, any sign of cervical resorption, or after multiple
whitening attempts.

Procedure
Dr. Stephan Hoefer

Before. After.

Why Opalescence Endo rather than self-mixed sodium perborate paste?


Many dentists use a self-mixed paste consisting of sodium perborate and water or H2O2 solution to
whiten non vital teeth. This is difficult to mix and to apply; the quantity of active ingredients varies,
and the paste often needs to be replaced several times. Opalescence Endo is a ready-for-use gel,
1. Before starting the Opalescence Endo 2. Deliver mixed UltraTemp Regular fill- it is syringe delivered and can be easily covered with provisional material. The whitening effect is
very quick; often one medication suffices.
whitening procedure, UltraCem or an- ing material directly to site through the
other glass ionomer should be placed on Skini Syringe.
the floor of the pulp chamber to seal the
obturation from penetration of the hydro- 1270 Opalescence Endo Kit
gen peroxide. 2 x 1,2 ml (1,45 g) Opalescence Endo syringes
20 x Black Mini Tips

Store refrigerated.

1323 Opalescence Endo Mini Refill


2 x 1,2 ml (1,45 g) Opalescence Endo syringes

Store refrigerated.
3. Easily wipe away excess with a wet cot- Finished. Remove easily after
ton swab or gauze before it sets. 35 days.
1. realityesthetics.com

Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.

17
Whiten - COSMETIC
MEDICAL Clinical step-by-step instruction from the international Ultradent Products catalog
showing the whitening procedure of an upper arch.

Instructions

Opalescence Boost 1

IN-OFFICE POWER WHITENER


40% HYDROGEN PEROXIDE
1. Wear protective eyewear and clothing and 2. Press all mixed gel into the RED syringe.
provide protective eyewear and clothing for your Separate the two syringes and attach the Micro
patient. Check to see that the syringes are se- 20 ga FX Tip onto the red syringe. Check the
curely attached before mixing. To mix, follow the flow on a cotton gauze or mixing pad prior to ap-
instructions on page 19. plying it intraorally. If you encounter resistance,
replace the tip and recheck the flow.

3. Place Ultradent IsoBlock and self-supporting 4. Securely attach a Micro 20 ga Tip to OpalDam
plastic cheek retractors. Completely rinse and Green and check flow. Express a continuous
air dry teeth. bead along the gingival margin, overlapping ap-
proximately 0,5 mm onto the enamel. Begin and
finish the bead one tooth beyond the most distal
tooth that is being bleached, building the barrier
46 mm high and 1,52,0 mm thick. Express
the resin through any open embrasures.
Opalescence Boost OpalDam / OpalDam Green
Micro 20 ga FX tip Micro 20 ga tip

NO LIGHT NEEDED!
Powerful 40% hydrogen peroxide gel
Two 20-minute applications for a total of 40 minutes of treatment
5. Light cure the OpalDam Green resin barrier 6. Apply a 0,51,0 mm thick layer of Opales-
time with VALO using a scanning motion for 10 cence Boost 40% gel to the labial surface of
Precise delivery, easy to see for complete removal seconds and 20 seconds for other curing lights. the tooth and slightly onto the incisal/occlusal
Carefully check the resin cure with an instru- surfaces. Allow the gel to remain on the teeth
Fresh chemical for each application ment. for 20 minutes.
Opalescence tooth whitening gel contains PF, potassium nitrate and
fluoride, which helps maintain the health of enamel throughout the
whitening process.2-6
STORE REFRIGERATED

7. Suction gel from teeth using the Ultradent 8. After the final application is complete and
Luer Vacuum Adapter and SST Tip. Do not all visible gel is removed, thoroughly rinse the
use water. Repeat steps 67 two times or until teeth.
desired results are achieved. Do not exceed 3
Uses applications per visit.
For medical tooth whitening, chairside in the dental office. Opalescence
Boost is an alternative, conservative method for treating dark, internal
discolored teeth (compared to crowns, veneers, etc.) caused by dis-
ease, injury, or medical treatment like e.g. congenital, systemic, meta-
bolic, pharmacological, traumatic, or iatrogenic factors such as dental
fluorosis, jaundice, tetracycline, and adult minocycline stains, porphyr-
ia, trauma, and erythroblastosis fetalis. With Opalescence Boost, the
dentist can treat discolorations in a very focused and effective way. 9. Gently slide the tip of a dental instrument be- 10. Evaluate the shade change. If additional
neath the OpalDam Green and lift it off. Check whitening is desired and no significant sensitiv-
for and remove any interproximal remnants. ity is noted, reschedule the patient in 35 days
for repeat treatment or to dispense take-home
whitening trays.

Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.

18
COSMETIC
MEDICAL - Whiten
Mixing Instructions
4750 Opalescence Boost PF 40% Intro Kit
Remove syringes from refrigeration. Allow the contents to come to room 4 x 1,2 ml (1,49 g) Opalescence Boost/Activator syringes
temperature before mixing the 2 chemicals together. Ensure the red and 2 x 1,2 ml (1,34 g) OpalDam Green syringes
clear syringes are securely attached together before proceeding. 2 x IsoBlocks
2 x Shade guide cards
2 x Ultradent Luer Vacuum Adapters
2 x SST - Surgical Suction Tip
A B C 1. Ensure both syringes are securely at-  icro 20 ga Tips
10 x M
tached before proceeding. Depress the
10 x M
 icro 20 ga FX Tips
plunger of red syringe (C), pushing all con-
tents into the clear syringe (B).

1
Store refrigerated.
AB 2. Forcefully press the small clear stem (A)
completely into the larger clear stem (B). See
2a completed step in figure 2a. Then press the 4751 Opalescence Boost PF 40% Patient Kit
C clear plunger (A/B) completely into the red 2 x 1,2 ml (1,49 g) Opalescence Boost/Activator syringes
syringe (C).
2 1 x 1,2 ml (1,34 g) OpalDam Green syringe
1 x IsoBlock
1 x Shade guide card
5 x Micro 20 ga Tips
3. To activate, continually press the syringes
A/B C back and forth rapidly with thumbs a mini- 5 x Micro 20 ga FX Tips
mum of 50 times (25 times each direction/
side), Press entire chemical into the red
syringe.
50 times 3
Store refrigerated.

4752 Opalescence Boost PF 40% Skini Kit


4. Remove clear syringe and dispose. Use the Skini Kit to treat 1 or 2 discolored teeth.
4 x 0,5 ml (0,62 g) Opalescence Boost/Activator syringes
1 x 1,2 ml (1,34 g) OpalDam Green syringe
4 4 x Micro 20 ga Tips
4 x Micro 20 ga FX Tips
5. Twist Micro 20 ga FX Tip onto red sy-
1 x IsoBlock
ringe. Check material flow on a cotton gauze 1 x Shade guide card
or mixing pad to ensure even flow before us-
ing intraorally. DO NOT proceed if there is
any resistance. Attach a new Tip and test
5 again before application.
Store refrigerated.

IMPORTANT NOTE: After mixing, Opalescence Boost bleach is good for 10 days 4753 Opalescence Boost PF 40% Mini Kit
refrigerated. After 10 days, discard using proper disposal techniques as syringe 2 x 1,2 ml (1,49 g) Opalescence Boost/Activator syringes
may develop pressure. Materials should be diluted with water and disposed down 5 x Micro 20 ga FX Tips
a drain or toilet followed by a few liters/quarts of additional water. DO NOT discard 1 x Shade guide card
to garbage cans containing burnable material such as paper, cardboard, rubber,
leather, cotton, etc., as spontaneous combustion can occur. Additionally do not bring
this strong peroxide into contact with such flammable materials during application
as combustion may occur.
Store refrigerated.
Warning: Shield patients and clinicians eyes with protective eyewear with wide
side shields during mixing, application, and removal. Hydrogen peroxide can cause
burns to soft tissues (skin, gingiva, lips). Keep isolated to area of treatment.
4754 Opalescence Boost PF 40% Econo Refill
20 x 1 ,2 ml (1,49 g) Opalescence Boost/Activator syringes
1. realityesthetics.com 2. Basting RT, Rodrigues AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching
agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-42. 3. Al-Qunaian TA. The effect
of whitening agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70. 4. Clark LM, Barghi
N, Summitt JB, Amaechi BT. Influence of fluoridated carbamide peroxide bleaching gel on enamel demineralization.
J Dent Res. 85(Spec Iss A):0497, 2006 (www.dentalresearch.org). 5. Amaechi BT, Clark LM, Barghi N, Summitt JB.
Enamel fluoride uptake from fluoridated carbamide peroxide bleaching gel. J Dent Res. 85(Spec Iss A):0498, 2006 Store refrigerated.
(www.dentalresearch.org). 6. Browning WD, Myers M, Downey M, Pohjola RM, Brackett WW. Report on low sensitivity
whiteners. J Dent Res. 85(Spec Iss A):1650, 2006 (www.dentalresearch.org).

Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.

19
Whiten - COSMETIC
MEDICAL

1
Opalescence Quick PF 45% Before and After
WAITING ROOM WHITENER CARBAMIDE PEROXIDE

Dr. Stephan Hoefer


Before: the teeth with dentinogenesis After 4 sessions with Opalescence
imperfect have a grey appearance. Quick, the teeth are remarkably lighter.

45% carbamide peroxide gel


For intensive treatment of internal discolorations
No gingival protection required
Results after 30 minutes of treatment
In-Office without taking up chair time
Opalescence tooth whitening gel contains PF, potassium nitrate and
fluoride, which helps maintain the health of enamel throughout the
whitening process.2-6

Uses
For medical tooth whitening, with custom trays. This method is espe-
cially appropriate when internal discolorations have to be treated inten-
sively, e. g. after the use of tetracycline. After impressions, custom trays
are made and filled with 45% carbamide peroxide gel ( 15% H2O2),
Dr. Stephan Hoefer

and placed on the teeth. During the treatment time (about 30 min.),
the patient can stay in the waiting room of the dental office. The high
viscosity gel does not leach, but stays in the tray whitening the stained Before: cervical restorations are After 3 sessions with Opalescence
teeth. Opalescence Quick PF 45% formula with potassium nitrate and planned. The aged patient has a rather Quick and the finished cervical restora-
fluoride decreases sensitivity and strengthens enamel.2,3,4,5,6 yellow dentin so it is bleached before. tions, 14 days later.
The tray does not overlap the cervical
zone.

5346 Opalescence Quick PF Refill


4 x 1,2 ml (1,50 g) Opalescence Quick PF syringes

Store refrigerated.

5348 Opalescence Quick PF Econo Refill


20 x 1 ,2 ml (1,50 g) Opalescence Quick PF syringes


Before: this severe tetracycline case After half a year and about 18 sessions
needs a longer treatment. But the alter- with Opalescence Quick: a nice aesthet-
Store refrigerated. native would be rather opaque crowns, ic result is achieved; no tooth structure
sacrificing a lot of tooth structure. had to cut down for that!

1. realityesthetics.com 2. Basting RT, Rodrigues AL Jr, Serra MC. The effects of seven carbamide peroxide bleaching agents on enamel microhardness over time. J Am Dent Assoc. 2003;134(10):1335-42. 3. Al-Qunaian TA. The effect of whitening
agents on caries susceptibility of human enamel. Oper Dent. 2005;30(2):265-70. 4. Clark LM, Barghi N, Summitt JB, Amaechi BT. Influence of fluoridated carbamide peroxide bleaching gel on enamel demineralization. J Dent Res. 85(Spec Iss A):0497,
2006 (www.dentalresearch.org). 5. Amaechi BT, Clark LM, Barghi N, Summitt JB. Enamel fluoride uptake from fluoridated carbamide peroxide bleaching gel. J Dent Res. 85(Spec Iss A):0498, 2006 (www.dentalresearch.org). 6. Browning WD, Myers M,
Downey M, Pohjola RM, Brackett WW. Report on low sensitivity whiteners. J Dent Res. 85(Spec Iss A):1650, 2006 (www.dentalresearch.org).

Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.

20
COSMETIC - Whiten

OpalDam and OpalDam Green 1


1824 OpalDam Green Kit
LIGHT-CURED RESIN BARRIERS 4 x 1,2 ml (1,34 g) OpalDam Green syringes
 icro 20 ga Tips
10 x M
10 x B
 lack Mini Tips

Store refrigerated.

1825 OpalDam Green Refill


4 x 1,2 ml (1,34 g) OpalDam Green syringes

Store refrigerated.

1826 OpalDam Green Econo Refill


20 x 1 ,2 ml (1,34 g) OpalDam Green syringes

Micro 20 ga Tip Black Mini Tip

Store refrigerated.

Protects soft tissue with impervious seal


Removes easily 324 OpalDam Kit
Applies directly 4 x 1,2 ml (1,34 g) OpalDam syringes
10 x Micro 20 ga Tips
10 x Black Mini Tips
Uses
OpalDam light-cured resin barrier is a passively adhesive (sealing)
methacrylate-based resin barrier used for isolating tissue adjacent to
teeth being whitened. For single-tooth whitening, OpalDam resin bar- Store refrigerated.
rier may be used to protect adjacent teeth. OpalDam resin barrier is
light reflecting to minimize heat and tissue sensitivity during curing. 325 OpalDam Refill
OpalDam Green light-cured resin barrier ensures a safe, unmistakable 4 x 1,2 ml (1,34 g) OpalDam syringes
barrier every time.

Instructions Store refrigerated.

326 OpalDam Econo Refill


20 x 1,2 ml (1,34 g) OpalDam syringes

Store refrigerated.

OpalDam can also be used to protect


hard and soft tissues in procedures
such as sandblasting or etching with
strong acids (e.g. porcelain repair pro-
cedure). It may also be used to seal/fix
1. Apply a barrier of OpalDam 46 mm 2. Remove cured resin quickly and eas- a rubber dam.
wide on the gingiva. Seal interproximal ily in one piece or a few large pieces.
spaces. Overlap resin approximately 0,5 Check interproximally for retained resin.
mm onto dry enamel to seal. Extend resin OpalDam is designed to remove easily
one tooth beyond last tooth whitened. from embrasures and undercuts.
Light cure with VALO using a scanning 1. realityesthetics.com
motion for 10 seconds or 20 seconds for
other curing lights.

21
Whiten - COSMETIC SUBSCRIBE TOOURFREE PODCAST
Listen to episode 46: Minimally Invasive Treatment of Enamel Defects, by Dr. Howard Strassler
http://www.ultradent.com/podcast/46_enamel_microabrasion.mp3

Opalustre and OpalCups 1


Instructions
CHEMICAL AND MECHANICAL ABRASION SLURRY

Dr. Ted Croll


1. Before. 2. After rubber dam placement, apply
Opalustre slurry to discolored enamel
using the syringe.

White Mac Tip

Removes superficial white and brown stains


Provides minimally invasive treatment for fluorosis
Comes in a direct, mess-free delivery
Provides one-appointment results
Autoclavable OpalCups minimize splatter
3. Use bristle cup to compress Opalustre 4. After enamel microabrasion and 21
slurry on tooth surface. Intermittent days of using Opalescence whitening
rinsing and inspection is recommended. gel.

Opalustre slurry is a viscous 6,6% hydrochloric acid slurry that con-


tains silicon carbide microparticles. This combination provides chemi-
cal stain removal along with gentle mechanical abrasion. OpalCups
are latch-type bristle polishing cups, that are used with the Opalustre
slurry microabrasion technique to facilitate a more aggressive action
and minimize splatter. OpalCups finishing cups are used with Opalustre
slurry for micropolishing the newly treated enamel surface. Both types
of OpalCups are autoclavable through a limited number of cycles.

Uses
Dr. Ted Croll

Use Opalustre slurry and OpalCups to quickly remove unsightly enamel


decalcification defects that are less than 0,2 mm in depth. Abrasion 1. Isolate mottled teeth with OpalDam 2. Press the Cup against the surface at
resin barrier. Apply Opalustre slurry di- a slow speed.
slurries are ideal for superficial white and brown demineralization due rectly out of the syringe with a White
to enamel mottling from fluorosis.2 Mac Tip.

Natures Aprismatic Opalustres


Surface Aprismatic Surface
Courtesy of Dr. Sundfeld, Brazil

3. Remove Opalustre slurry with an air/ 4. Result of the Opalustre slurry treat-
water spray. Please pay attention to ment: Upper: before. Lower: after.
Chemical and mechanical abrasion pro- Silicon carbide microparticles contained careful vacuuming. Check to see if re-
duce a natural-looking surface. in Opalustre. peating the treatment is appropriate.

22
Before and After
Dr. Renato Herman Sunfdeld

Remove or significantly reduce mild to moderate decalcification related to orthodontic


treatment with a few applications of Opalustre slurry. Apply with stiff bristle cups
and 10:1 gear reduction handpiece with firm pressure.

LED Curing Light


Dr. Tuttle

Enamel decalcification corrected after one application of Opalustre slurry using


OpalCup bristles and 10:1 gear reduction handpiece with firm pressure.

5554 Opalustre Kit


2 x 1,2 ml (1,87 g) Opalustre syringes
10 x O palCups - 5 bristle and 5 finishing
10 x White Mac Tips

The quality of VALO. Now in color.


Graphite | Gold | Fuchsia | Teal
555 Opalustre Refill
4 x 1,2 ml (1,87 g) Opalustre syringes

5799 OpalCups Finishing


20 x O
 palCups finishing

5800 OpalCups Bristle


20 x O
 palCups bristle

1. realityesthetics.com 2. Croll TP, Segura A, Donly KJ. Enamel microabrasion: new considerations in 1993. Pract
Periodontics Aesthet Dent. 1993;5(8):19-28; quiz 29.

23
Whiten - COSMETIC

KleerView

1

CHEEK/LIP RETRACTORS
DESENSITIZING GEL WITH POTASSIUM NITRATE
AND FLUORIDE

Uses Featuring the revolutionary


KleerView cheek and lip retractors are perfect for in-office tooth whiten- UltraFit tray
ing, bonding, composites, and clinical photography.
Provides immediate results
Eliminates sensitivity
Available in syringes or disposable trays
1820 KleerView Child Size
1821 KleerView Adult Size UltraEZ is a sustained-release 3% potassium nitrate desensitizing gel
1 x KleerView with fluoride (0,25% neutral NaF).

Uses
This sustained-release formula quickly eliminates sensitivity from tooth-
brush abrasion, thermal and chemical changes, tooth bleaching, and
root exposure.

IsoBlock 1 1008 UltraEZ Refill


4 x 1,2 ml (1,48 g) UltraEZ syringes
BITE BLOCK

1007 UltraEZ Econo Refill


20 x 1 ,2 ml (1,48 g) UltraEZ syringes

Eases TMJ strain


Designed to be comfortable for patient
Provides bilateral support with tongue restraint 5721 UltraEZ Tray Combo (Upper/Lower)
Each kit contains 10 blister packs
w/1upper/1 lower tray
Uses
These disposable bite blocks relax the lips and cheeks, allowing full
access to facial and buccal surfaces for in-office bleaching, Class V
restorations, veneers, ortho bracket cementation, etc.
5743 UltraEZ Mini Kit
Each kit contains 4 blister packs
w/1upper/1 lower tray

331 IsoBlock
10 x IsoBlocks
For long term desensitizing results, Flor-Opal is recommended; find
Flor-Opal under Prevent.
1. realityesthetics.com

24
Prevent/Hygiene

Pit & Fissure Sealants


Sodium Fluoride Varnish
Fluoride Gel
Prophy Paste
Desensitizing Varnish
Toothbrushes
Toothpastes
Toothpicks

Tony Harris | Quality Engineer | Uinta National Forest, Utah

25
Prevent/Hygiene

1 Procedure

HYDROPHILIC PIT AND FISSURE SEALANT

1. Etch and rinse. 2. Lightly air dry the tooth to remove


standing/pooled/puddled water. Do not
desiccate the tooth.

3. Place UltraSeal XT hydro sealant. 4. Cure for 3 seconds with VALO LED
curing light on Xtra Power mode.

UltraSeal XT hydro Ultra-Etch


Inspiral Brush Tip Blue Micro Tip Marginal Retention and Microleakage Comparison*

UltraSeal XT hydro Sealant Competitor Hydrophilic Sealant


No microleakage Microleakage (1)
Hydrophilic chemistry Sealed margins Peeling from margins (2)
Advanced adhesive technology
Fluorescent properties
Highly filled resin
Thixotropic/ideal viscosity
Two shades: Opaque White and Natural

UltraSeal XT hydro hydrophillic pit and fissure sealant is a light-cured,


radiopaque, fluoride-releasing composite sealant. It is stronger and more
wear resistant because it is a 53%-filled resin and has less polymeriza-
tion shrinkage than competitive products. The spiral brush action of the
tip causes shear thinning of the thixotropic UltraSeal XT hydro sealant.
The resin stops-flowing when shear thinning ceases and placement is
complete, preventing it from running before it can be light cured. The
hydrophilic chemistry with its characteristic thixotropic nature chases
moisture (that in hydrophobic sealants can cause sealant failure) deep
into the pits and fissures on a microscopic level. Once there, the ad-
vanced technology securely bonds the sealant to the enamel, increasing
marginal retention and reducing microleakage. * Date on file. 1. realityesthetics.com

26
Prevent/Hygiene

Before and After


3532 UltraSeal XT Hydro Opaque White Kit
3533 UltraSeal XT Hydro Natural Kit
1 x 1,2 ml (2,04 g) UltraSeal XT hydro syringe
1 x 1,2 ml (1,58 g) Ultra-Etch syringe
20 x B lue Micro Tips
20 x Inspiral Brush Tips
Dr. Rafael Beolchi

Store refrigerated.

After placing a sealant, it is often difficult 3534 UltraSeal XT Hydro Opaque White Refill
to check margins and retention. UltraSeal 3535 UltraSeal XT Hydro Natural Refill
XT hydro addresses that difficulty with 4 x 1,2 ml (2,04 g) UltraSeal XT hydro syringes
added fluorescent properties. Fully view-

able under a black light, the sealants fluo-
rescence allows you to check the integrity
of the sealant at the time of placement
AND at subsequent visits, so you can liter- Store refrigerated.
ally see the retention.

3536 UltraSeal XT Hydro Opaque White Econo Refill


20 x 1 ,2 ml (2,04 g) UltraSeal XT hydro syringes

Store refrigerated.

35551 UltraSeal XT hydro Black Light Keychain


1 x Black light keychain

Physical Property Comparison*


41.1 MPa

8.29%

44 9 8.20%
7.45%

40 29 8
24.3 HK

6.24%

36 25 7
30.1 MPa
28.5 MPa

18.6 HK
18.5 HK

32 21 6

28 17 5
22.5 MPa

24 13 4
9.3 HK

20 9 3
* *
SHEAR BOND HARDNESS SHRINKAGE
UltraSeal XT hydro Sealant

Competitor Hydrophilic Sealant


Sealant 1
Competitor Hydrophobic
Sealant 2
Competitor Hydrophobic

UltraSeal XT hydro Sealant

Competitor Hydrophilic Sealant


Sealant 1
Competitor Hydrophobic
Sealant 2
Competitor Hydrophobic

UltraSeal XT hydro Sealant

Competitor Hydrophilic Sealant


Sealant 1
Competitor Hydrophobic
Sealant 2
Competitor Hydrophobic

High shear bond strength is essential for High hardness is proof of complete Low shrinkage allows for the best
maintaining a strong bond to the enamel. polymerization as well as protection against coverage now and in the future.
deformation.
* Date on file.

27
Prevent/Hygiene
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 14: Syringe-Delivered Pit and Fissure Sealant, by Carol Jent, RDH
http://www.ultradent.com/podcast/14_pit_fissure_sealants.mp3

1 Before and After

THE LEADER IN SEALANTS SINCE 1998!

SINCE 1998!
UltraSeal XT plus
HYDROPHOBIC
PIT AND FISSURE SEALANT
Before. After.

Deep, pre-carious grooves/early lesions. A quality seal. A tremendous service to


patients of all ages.

UltraSeal XT plus PrimaDry / Ultra-Etch Procedure


Inspiral Brush Tip Blue Micro Tip

High retention rate2


Direct delivery into difficult-to-access areas
Bubble-free, drip-free placement
Effective at preventing microleakage
Penetrates deepest pits and fissures
Four shades
1. Etch with Ultra-Etch 20 seconds; 2. Air dry and apply PrimaDry drying
then rinse. Shown with Inspiral Brush agent. Shown with Black Micro FX Tip
Tip but can also be used with Blue but can also be used with Blue Micro
Micro Tip. Tip.
UltraSeal XT plus hydrophobic pit and fissure sealant is a light-cured,
radiopaque, fluoride-releasing composite sealant. It is stronger and
more wear resistant because it is a 58%-filled resin and has less po-
lymerization shrinkage than competitive products. The spiral brush
action of the tip causes shear thinning of the filled, thixotropic resin,
reducing its viscosity as it is placed. The resin firms up when shear
thinning ceases and placement is complete, preventing the resin from
running before it can be light cured. Using PrimaDry drying agent with
UltraSeal XT plus sealant enhances penetration into pits and fissures3
by eliminating moisture that can cause failure in hydrophobic sealants. 3. Apply UltraSeal XT plus hydrophobic 4. Light cure for 10 seconds with VALO
pit and fissure sealant. LED curing light. For curing lights with
output <600 mW/cm, cure 20 seconds.

Thixotropic UltraSeal XT plus sealant thins when


it flows through the helical channel of the Inspiral
Brush Tip to brush end. It firms after placement.
1. realityesthetics.com 2. Boksman L, Carson B. Two-year retention and caries rate of UltraSeal XT and Fluorshield light-
cured pit and fissure sealants. Gen Dent. 1998;46(2):184-7. 3. Adams TJ, Frazier KB, Browning WD. Effect of drying
agent use on sealant penetration [IADR abstract 363]. J Dent Res. 2000;79(suppl):189.

28
Prevent/Hygiene

725 UltraSeal XT Plus Opaque White Kit


PrimaDry
DRYING AGENT
563 UltraSeal XT Plus Clear Kit
1286 UltraSeal XT Plus Shade A1 Kit
733 UltraSeal XT Plus Shade A2 Kit
1 x 1,2 ml (2,04 g) UltraSeal XT plus syringe
1 x 1,2 ml (1,58 g) Ultra-Etch syringe
2 x 1,2 ml (0,95 g) PrimaDry syringes
20 x Blue Micro Tips
20 x Inspiral Brush Tips

Store refrigerated.

726 UltraSeal XT Plus Opaque White Refill


565 UltraSeal XT Plus Clear Refill Black Micro FX Tip Blue Micro Tip
1289 UltraSeal XT Plus Shade A1 Refill
734 UltraSeal XT Plus Shade A2 Refill
4 x 1,2 ml (2,04 g) UltraSeal XT plus syringes

PrimaDry drying agent is optimal for pit and fissure drying and prepa-
ration. It contains 99% organic solvents and 1% primer. PrimaDry dry-
Store refrigerated. ing agent rapidly volatilizes moisture content of pits and fissures after
rinsing off etchant with water spray and air drying. The ultrafine primer
film allows UltraSeal XT plus sealant to flow perfectly into every pit and
727 UltraSeal XT Plus Opaque White Econo Refill
20 x 1,2 ml (2,04 g) UltraSeal XT plus syringes
fissure. It is also useful prior to placing composite repairs. Do not use
on dentin.

Store refrigerated.

716 PrimaDry Refill


4 x 1,2 ml (0,95 g) PrimaDry syringes

Store refrigerated.

717 PrimaDry Econo Refill


20 x 1 ,2 ml (0,95 g) PrimaDry syringes

Store refrigerated.

29
Prevent/Hygiene

WHAT IS

FAVORITE
FLAVOR?
Everything you want in a fluoride varnish. At last!
The fluoride release and uptake you need.
The great taste and smooth, natural look and feel your patients want.
Now available in more fun flavors!

Cool Mint Orange Bubble Walterberry


Cream Gum

30
Prevent/Hygiene

Fluoride Uptake (g F/cm3)3

4000

3500
Enamelast
3000
FLUORIDE VARNISH
2314
2500

2000

1500

1000 696

500

0 -21

3M
Enamelast Placebo
Vanish*

new SoftEZ Tip

120
FLUORIDE RELEASE 4
Fluoride Release (g/cm2)

100

80

60
Walterberry Orange Cool Mint Bubble
Cream Gum 40

20

0
5 10 15 20 25
Patented adhesion-promoting agent for enhanced retention Time (hours)
Superior fluoride release and uptake
Smooth, non-gritty texture Enamelast

Nearly invisible appearance Dentsply NUPRO*


DMG ClearShield*
VOCO Profluorid*
Duraphat*
3M Vanish*
Colgate PreviDent*
Enamelast fluoride varnish is a flavored, xylitol-sweetened, 5% sodium
fluoride in a resin carrier. Its unique formula is made with a patented
adhesion-promoting agent for enhanced retention, providing superior
fluoride release and uptake. Available in unit-dose or syringe applica-
tions in four delicious flavors Walterberry and new Orange Cream,
Bubble Gum, and Cool Mint.

Uses
Enamelast fluoride varnish produces a mechanical occlusion of the
dentinal tubules in the treatment of tooth hypersensitivity. The AAPD
recommends fluoride varnish for use as a preventative adjunct to re-
duce the risk of caries.1 The use of fluoride varnish for caries prevention
has also been endorsed by the ADA.2 Before Enamelast. After applying Enamelast.

31
Prevent/Hygiene

4521 Enamelast Walterberry Syringe Kit 4526 Enamelast Walterberry Unit-Dose Kit
4346 Enamelast Orange Cream Syringe Kit 4345 Enamelast Orange Cream Unit-Dose Kit
4349 Enamelast Cool Mint Syringe Kit 4354 Enamelast Cool Mint Unit-Dose Kit
4366 Enamelast Bubble Gum Syringe Kit 4364 Enamelast Bubble Gum Unit-Dose Kit
2 x 1,2 ml syringes 5 x 0,4 ml unit doses
4 x SoftEZ Tips

4518 Enamelast Walterberry Unit-Dose Econo Kit


4523 Enamelast Walterberry Syringe Econo Kit
4344 Enamelast Orange Cream Unit-Dose Econo Kit
4347 Enamelast Orange Cream Syringe Econo Kit
4353 Enamelast Cool Mint Unit-Dose Econo Kit
4348 Enamelast Cool Mint Syringe Econo Kit
4363 Enamelast Bubble Gum Unit-Dose Econo Kit
4367 Enamelast Bubble Gum Syringe Econo Kit 50 x 0,4 ml unit doses
2 x 1,2 ml syringes

4528 Enamelast Walterberry 200pk


4343 Enamelast Orange Cream 200pk
4352 Enamelast Cool Mint 200pk
4362 Enamelast Bubble Gum 200pk
200 x 0,4 ml unit doses

4368 Enamelast Unit-Dose 200pk - Variety Pack


200 x 0,4 ml unit doses (50 each flavor)

4529 Enamelast Application Brushes 200pk


200 x Applicaton Brushes

* Trademark of a company other than Ultradent. 1. American Academy of Pediatric Dentistry. Policy statement on the
use of fluoride. Adopted 1967. Reaffirmed 1977. Revised 2013. Available from http://www.aapd.org/media/Policies_
Guidelines/P_FluorideUse.pdf. 2. American Dental Association Council on Scientific Affairs. Professionally applied
topical fluoride: evidence-based clinical recommendations. J Am Dent Assoc. 2006;137(8):1151-9. 3. Schemehorn
BR. Sound enamel fluoride uptake from a fluoride varnish. 2013. Data on file. 4. Data on file.

32
Prevent/Hygiene

SoftEZ Tip

Facilitates easy interproximal application Ultrapro Tx
Tip fibers provide visible, controlled delivery PROPHY PASTE
Brush fibers facilitate smooth application

Optimal with: Enamelast Syringes

4712 50 pk Cool Mint Walterberry Bubble Gum Orange


4711 100 pk Dreamsicle

Contains 5% potassium nitrate and 1,23% fluoride ion


Splatter-free formula
Available in 4 great flavor options
Rinses easily and completely to eliminate residual grittiness

Flor-Opal Fine Medium Coarse


SUSTAINED-RELEASE FLUORIDE GEL Cool Mint 8309 8310 8311
Walterberry 8320 8312 8313
Bubble Gum (dye-free) 8321 8314 8315
Orange Dreamsicle 8322 8323 8324
Variety
(100 Walterberry, 50 Orange Dreamsicle,
and 50Bubble Gum) 8326
Variety
(100 Walterberry, 50 Orange Dreamsicle,
Provides long-term results and 50 Mint) 8327
Eliminates sensitivity (ideal for caries-prone patients, xerostomia, and
patients undergoing head and neck radiation) 200 pk (2,0 g each)

Flor-Opal is a unique, sustained-release source of 0,5% fluoride ion


(1,1% neutral NaF) in a sticky, viscous gel.
Ultrapro Tx
PROPHY PASTE
Uses Pure
Flor-Opal sustained-release fluoride gel is designed for use whenever
at-home fluoride application is desired. It is great for caries-prone Splatter-free formula
patients, preventing root caries, treating periodontal conditions, Free of fluoride, potassium nitrate, flavors, dyes, and oil
eliminating root sensitivity, and treating sensitivity following whitening Rinses easily and completely to eliminate residual grittiness
procedures. Ideal for use before bonding procedures

224 Flor-Opal Econo Refill Medium


20 x 1,2 ml (1,46 g) syringes w/Tips Pure 8325

200 pk (2,0 g each)

33
Prevent/Hygiene

Removes surface stains to lighten teeth


two shades in just one month!1

RELATIVE DENTIN ABRASION (RDA)2


300

250 197

Opalescence toothpaste assists in the prevention of dental 200 183


caries as it helps patients maintain whitened smiles.
150
It is also gentle enough to use every day.
100 90

50
0
Opalescence Whitening Toothpaste3 Opalescence
Whitening
Colgate
Total Advanced
Crest
Pro Health
Original & Sensitivity Relief Toothpaste Whitening* Whitening*

Opalescence whitening toothpaste has lower abrasiveness


than other leading whitening toothpastes.2,3

402 Opalescence Whitening Toothpaste


24 x 28,3 g tubes

401 Opalescence Whitening Toothpaste


12 x 133 g tubes

3472 Opalescence Whitening Sensivity Toothpaste


24 x 28,3 g tubes

3470 Opalescence Whitening Sensivity Toothpaste


12 x 133 g tubes
Unique formulation is ideal for promoting oral health
and maintaining bright, white smiles
Low abrasion formulation protects enamel while removing
surface stains
Safe for everyday use
Efficient, quick fluoride release
Available in new Sensitivity Relief formula
Triclosan-free formula
Comes in a Cool Mint flavor
*Other than UP 1. Gultz J, Kaim J, Scherer W. Whitening efficacy of a whitening toothpaste creme [IADR abstract 2747].
J Dent Res. 1998;77(suppl 2):975. 2. Schemehorn BR. Relative dentin abrasion test on dentifrices. Study #111. 2011.
Data on file. 3. This toothpaste does not contain peroxide.

34
Prevent/Hygiene

Opalescence Smilebrushes

Gentle cleaning for teeth and gingiva


Great access for hard-to-reach areas

A Toothbrush for Available in pink, green, and blue

Every Smile 5850



Opalescence Smilebrushes
12 x Toothbrushes (Variety - 4 each color)

Opalescence Oral Hygiene Brushes Opalescence Jr. Smilebrushes

Comfortable grip Cushioned head


Integrated tongue cleaner Gentle cleaning for teeth and gingiva
Effective plaque and bacteria removal Large, easy-to-grip handle
Gentle cleaning for teeth and gingiva Playful colors and images
Available in red, purple, green, and blue Available in red, green, and blue

5858 Opalescence Oral Hygiene Brushes 5855 Opalescence Jr. Smilebrushes


12 x Toothbrushes (Variety - 3 each color) 12 x Toothbrushes (Variety - 4 each color)

35
Prevent/Hygiene

Ultradent Universal Dentin Sealant


FOR TRANSIENT ROOT SENSITIVITY

INTERPROXIMAL CLEANER

Black Mini Brush Tip

Quick application - paint and dry


Great for hygienists tool box
Ideal following scaling and root planing

Will not splinter or break


Ultradent Universal Dentin Sealant is a biocompatible, nonpolymeriz- Has a textured surface for better cleaning
able, high-molecular-weight resin in a volatile organic solvent. Provides the perfect balance of flexibility and rigidity
Massages interproximal tissue while removing debris and plaque

Uses
Coat sensitive roots with Ultradent Universal Dentin Sealant to seal tu-
bules and reduce discomfort after root planing or heavy scaling. A virtu-
ally impenetrable barrier remains for months after application.

Ultradent Universal Dentin Sealant covers dentin with a protective seal. Both surfaces
have been conditioned with phosphoric acid for 20 seconds; SEM on the right was Use Opalpix to clean under and around bonded retainers.
sealed first with Ultradent Universal Dentin Sealant.

265 Ultradent Universal Dentin Sealant Kit


Each pack contains 32 Opalpix.
4 x 1,2 ml (1,08 g) syringes
20 x Black Mini Brush Tips
6600 Opalpix
12 x Opalpix packs
266 Ultradent Universal Dentin Sealant Refill

4 x 1,2 ml (1,08 g) syringes

5590 Opalpix
Ultradent Universal Dentin Sealant is NOT a bonding agent. As 100 x Opalpix packs
a bonding agent we recommend Peak Universal Bond. If base
or liner is needed, use Ultra-Blend plus liner. Check Etch/Bond
section.

36
Prepare

Caries Indicators
Intercoronal Brush
Rubber Dam
Mouth Props
Caulking and Putty Pastes
Disposable Matrices
Sectional Matrices
CHX Antibacterial Slurry

Matthew Coleman | Risk Coordinator | Bear Lake, Utah

37
Prepare

Sable Seek and Seek 1


233 Sable Seek Kit
CARIES INDICATORS 4 x 1,2 ml (1,22 g) syringes
20 x Black Mini Brush Tips

234 Sable Seek Refill


4 x 1,2 ml (1,22 g) syringes

1805 Sable Seek Econo Refill


20 x 1,2 ml (1,22 g) syringes

Black Mini Brush Tip

209 Seek Kit


4 x 1,2 ml (1,25 g) syringes
Identifies demineralized dentin 20 x B
 lack Mini Brush Tips

Provides precise, mess-free delivery

Available in dark green for working near pulp and easily identifying
root canal orifices

Sable Seek caries indicator, contains FD&C dyes, and Seek caries in-
dicator, contains D&C dyes in a glycol base. Both are used to stain
210 Seek Refill
4 x 1,2 ml (1,25 g) syringes
carious dentin.

Uses
Seek and Sable Seek caries indicators identify demineralized dentin in
difficult-to-see places - for example, under the overhanging enamel of
Class I, II, or III preparations, or along the DE junction of the preparation. 1804 Seek Econo Refill
20 x 1,2 ml (1,25 g) syringes
Green Sable Seek caries indicator helps prevent overexcavating deep

caries, which can lead to pulp exposure. Nonmineral dentin should be
removed to improve the bond strength of the entire restoration. Red
Seek caries indicator is easily visible on dark dentin and provides a fast,
effective way to locate calcified root canal orifices.

1. Apply Sable Seek indicator 2. Rinse with air/water spray 3. Remove green-black color 4. Reapply. Rinse and verify
with Black Mini Brush Tip. while vacuuming. Identify non- (carious dentin) with slow-speed complete caries removal.
mineral affected dentin caries round bur or excavator. To pre-
in difficult-to-see locations. vent overexcavating, remove
final portions of caries with hand
1. realityesthetics.com instrument.

38
Prepare

STARbrush 1

INTERCORONAL BRUSH

Cleaning preparations

Effectively cleans in hard-to-reach areas


Tight fibers help to prevent messes and apply appropriate pressure
Ideal for use with Consepsis Scrub antibacterial slurry
or Ultrapro Tx

Uses Use STARbrush with Consepsis Scrub


The STARbrush intercoronal brush is excellent for cleaning areas with for subgingival scouring of a veneer
restricted access. It was designed to clean intracoronally as well as or crown preparation
extracoronally before bonding fillings, inlays, onlays, and crowns. Use
the STARbrush with Consepsis Scrub chlorhexidine antibacterial slurry
to remove residual temporary cement without abrading the gingiva.
There is no match for the STARbrush brushs access to Class I, II, III,
IV, V, and endodontic access preparations. It also cleans around orth-
odontic brackets and can be used prior to sealant placement. Use the
STARbrush with Consepsis Scrub, another disinfectant or Ultrapro Tx
prophy paste.

Actual size Cleaning before sealant placements

1091 STARbrush

30 x STARbrushes
Clean around orthodontic brackets

1092 STARbrush Use STARbrush with



50 x STARbrushes
Ultrapro Tx Consepsis Scrub
PROPHY PASTE CHLORHEXIDINE

1093 STARbrush ANTIBACTERIAL SLURRY


100 x STARbrushes

1. realityesthetics.com

39
INTRODUCING THE ONLY
direct composite template system

Work Smarter and Faster with Predictable Results


Uveneer is a unique, minimally invasive template system that creates perfect direct composite veneers
with predictable shape and symmetry. It mimics natural dentition and is designed to create high-quality,
natural-looking anterior restorations in one visit. It can also be used for cosmetic mock-ups, shade
selection, and temporaries during porcelain veneer creation.
Prepare

PropGard InterGuard 1

MOUTH PROP PROXITECTOR

The InterGuard proxitector ensures a faster, safer preparation by pro-


tecting the adjacent tooth from iatrogenic damage.2 Stable curls at each
end leave transition angles clear for full access. The InterGuard proxi-
tector is great for tunnel preparations and protecting the adjacent tooth
Soft Firm during air abrasion.

Cold disinfection (do not autoclave)


Prevents contamination from tongue and sudden mouth closure
Protects tongue from rotary instruments
Holds patients mouth open for extended length of time without
causing discomfort

Uses
PropGard Mouth Props wedge design prevents contamination from
tongue and mouth closure and also protects the tongue from the Turn the curls to face tooth to be prepared. Tie a length of dental floss through the hole,
handpiece. as shown, to prevent patient from swallowing the InterGuard proxitector.

PropGard protects adjacent teeth


and tongue. 3097 InterGuard Kit

5 x each 4,0 mm and 5,5 mm


4100 PropGard Kit
10 x PropGards - 5 large yellow and 5 regular purple
20 x Tongue guards - 10 left and 10 right


4016 InterGuard 4,0 mm Refill
4017 InterGuard 5,5 mm Refill
10 x InterGuards

Soft
4103 PropGard Yellow Large - 5 pk Refill
Firm
4101 PropGard Purple Regular - 5 pk Refill 4011 InterGuard 4,0 mm Econo Refill

4012 InterGuard 5,5 mm Econo Refill
50 x InterGuards

4102 Tongue Guard Refill


10 x Tongue guards - 5 right and 5 left

1. realityesthetics.com 2. Qvist V, Johannessen L, Bruun M. Progression of aproximal caries in relation to iatrogenic


preparation damage. J Dent Res. 1992;71(7):1370-3.

41
Prepare
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 15: The Evolution of Matrices, by Dr. Phil Brown
http://www.ultradent.com/podcast/15_evolution_of_matrices.mp3

Omni-Matrix Sectional Constant Radius vs. Reverse Curve


MATRICES AND RETAINER CLAMPS

1. Clamp
2. Band Regular
3. Band Large
4. Band Regular Extended
2 3
5. Band Large Extended

4 5 Traditional sectional matrices The Omni-Matrix Sectional system was created with
often catch on the gingival the natural structure of the tooth in mind, eliminating
margin. This prevents you the problems experienced with traditional systems.
from being able to position
the matrix readily and often
Creates restorations with natural anatomy deforms it.
Thin, flexible bands easily conform to any surface
No special matrix pliers required
One clamp fits all teeth
Clamps are stackable

Omni-Matrix Sectional bands conform to the natural anatomy of the 318 Omni-Matrix Sectional Kit
tooth, while the clamp tines provide multiple contact points. The spe- 4 x M
 atrix clamps
cialized band contour ensures the edge of the matrix will not catch on 160 x M atrix bands (40 x each Regular, Regular Extended,
the gingival margin during placement. The retainer clamps stack easily, Large, and Large Extended bands)

allowing both sides of the tooth to be held in a matrix at the same time.

The retainer can be placed with any rubber dam forceps or sectional
matrix forceps. The bands are interchangeable with all brands of sec-
tional retainers.

317 Omni-Matrix Sectional Clamps


4 x Matrix clamps
Instructions

304 Regular Matrix Bands


305 Regular Extended Matrix Bands

40 x Matrix bands

1. Place matrices and then wedge. 2. Place the retainer clamp.

309 Large Matrix Bands


316 Large Extended Matrix Bands

40 x Matrix bands

3. Begin restoration. Optional: stack multiple clamps.

42
Prepare

Omni-Matrix 1

DISPOSABLE RETAINER AND MATRIX Winged


2205 Omni-Matrix Winged Kit
16 metal bands 6 x 0,025 mm
16 plastic bands 6 x 0,05 mm
8 metal bands 6 x 0,04 mm
8 pediatric metal bands 4 x 0,04 mm

2201 Omni-Matrix Winged 6 x 0,025 mm Refill


2202 Omni-Matrix Winged 6 x 0,04 mm Refill
2204 Omni-Matrix Winged 4 x 0,04 mm Refill
48 x metal bands winged

Aseptic and disposable

Easy to place
Color coded
Superior patient comfort
Adaptive, burnishable band
No placement instruments required 2203 Omni-Matrix Winged 6 x 0,05 mm Refill
No lip, cheek, or glove capture 48 x plastic bands winged

Omni-Matrix is a quick, easy-to-use, disposable retainer and matrix.


Simply adjust the bands circumference by twisting the conical handle.
Its patented, articulated head swivels, fitting comfortably into any quad-
rant of the mouth. Once the restoration is complete, the Omni-Matrix Wingless
band is easily released, leaving restorative material intact. The stainless 1105 Omni-Matrix Wingless Kit
steel matrix band is thin, adaptive, and burnishable, and the wingless 16 metal bands 6 x 0,025 mm
16 plastic bands 6 x 0,05 mm
design allows wedges to be placed with ease.
8 metal bands 6 x 0,04 mm
8 pediatric metal bands
4x0,04mm

1101 Omni-Matrix Wingless 6 x 0,025 mm Refill


Instructions 1102 Omni-Matrix Wingless 6 x 0,04 mm Refill
1104 Omni-Matrix Wingless 4 x 0,04 mm Refill
48 x metal bands wingless

1. SEAT 2. TIGHTEN

1103 Omni-Matrix Wingless 6 x 0,05 mm Refill


48 x plastic bands wingless

2
1
2
2 1
11. Placement
1. Placement
1. Placement

3. REMOVE 4. DISPOSE

1. realityesthetics.com

43
Prepare

OraSeal 1
Uses for OraSeal
CAULKING AND PUTTY

Ensure rubber dam seal Block out undercuts below Ensure moisture control
when using strong peroxide and around the prosthetic when bonding lower orth-
for vital bleaching, or when implant clip. The flexing odontic brackets. Seal with
porcelain etching with component of clip is cov- Caulking or Putty to pre-
hydrofluoric acid. ered with putty toa accom- vent saliva from seeping
modate clip flexure during through embrasures and
insertion and removal. contaminating the area.

Black Mini Tip White Mac Tip

Adheres under water and saliva

Block out large interproximal Use under fixed partial or Use as a block-out medium
spaces for easy and distor- implant bar prior to making prior to anchoring attach-
tion-free removal of impres- an impression. ments, clips, etc. with cold
OraSeal Caulking material can seal leaks sion. cure acrylic.
in a rubber dam, even when submerged.
Apply around border, then criss-cross over
hole until seal is complete.

352 OraSeal Kit


1 x 1,2 ml (1,28 g) OraSeal Caulking syringe
1 x 1,2 ml (1,44 g) OraSeal Putty syringe
OraSeal Caulking and OraSeal Putty materials effectively adheres to wet 4 x Black Mini Tips
rubber dams, wet gingival and mucosal tissues, wet teeth, metals, etc. 20 x White Mac Tips

- even under water or in saliva!

Uses
Use OraSeal Caulking material when an adequate seal is difficult to
obtain with compromised teeth or roots. OraSeal Caulking material may 351 OraSeal Caulking Refill
also be used to repair rubber dam leaks. It seals the rubber dam when
4 x 1,2 ml (1,28 g) syringes
performing a porcelain repair, protecting gingiva from hydrofluoric acid.
Deliver into undercuts and below implant bars, precision attachments, 354 OraSeal Caulking Econo Refill
20 x 1 ,2 ml (1,28 g) syringes
etc. to prevent cold cure acrylic or impression material from locking
into empty spaces. Fill in gingival embrasures of splints and bridges
to facilitate easy cleanup of permanent cement. OraSeal Putty material
can perform the same functions, but it has a stiffer consistency, which
some doctors prefer. 353 OraSeal Putty Refill
4 x 1,2 ml (1,44 g) syringes

Procedure 355 OraSeal Putty Econo Refill


20 x 1 ,2 ml (1,44 g) syringes


1 2 3

Apply OraSeal Caulking material with the Black Mini or White Mac delivery tips to prevent
leakage of rubber dam during treatment.2 Shape with wet gloved finger, wet cotton swab, 1. realityesthetics.com 2. Cohen S, Burns RC. Pathways of the Pulp. 7th ed. St. Louis, MO: Mosby-Year Book;
or instrument. The procedure can then be performed in a clean, dry field. 1998:123-124.

44
Prepare

DermaDam 1

RUBBER DAM
Product Reference - see Prevent Chapter

new

Strong and tear resistant


Powder free to reduce allergic reactions
Low dermatitis potential

Uses Patented adhesion-promoting agent for enhanced retention


DermaDam rubber dam is made from pure latex rubber and is powder Superior fluoride release and uptake
free, which reduces the possibility of latex reactions. Quality processing Smooth, nongritty texture
ensures a low content of surface proteins. Nearly invisible appearance

Walterberry Orange Cool Mint Bubble


Cream Gum

311 DermaDam Medium - 0,20 mm Refill


36 x DermaDam Medium (15 cm x 15 cm)
4518 Enamelast Walterberry Unit-Dose Econo Kit
4344 Enamelast Orange Cream Unit-Dose Econo Kit
4353 Enamelast Cool Mint Unit-Dose Econo Kit
4363 Enamelast Bubble Gum Unit-Dose Econo Kit
50 x 0.4 ml unit doses
314 DermaDam Heavy - 0,25 mm Refill

36 x DermaDam Heavy (15 cm x 15 cm)



1. realityesthetics.com

45
Prepare

Consepsis Scrub 1

CHLORHEXIDINE ANTIBACTERIAL SLURRY

Before. After.

Evidence demonstrates that you can further reduce post-op sensitivity


by sealing dentin before cementation. Use PermaFlo DC luting resin.

White Mac Tip

Reduces post-op sensitivity


Does not compromise bond strength
Comes in a nonsplatter formula Use Consepsis Scrub with a rubber cup or the STARbrush (shown here) to remove residual
cement.
Scrubs, cleans, and disinfects in one operation

730 Consepsis Scrub Kit


Consepsis Scrub antibacterial slurry is a lightly flavored 2,0% 4 x 1,2 ml (1,89 g) syringes
chlorhexidine gluconate (relative to liquid component) disinfecting 2 x STARbrush
scrub. Instead of powdered pumice, which may contain several trace 20 x White Mac Tips

impurities from volcanic ash, Consepsis Scrub slurry uses inert, finely

ground Pyrex* glass as an abrasive scrub. Never use prophy paste for
prep cleaning, as it contains several potentially contaminating ingredi-
ents.

689 Consepsis Scrub IndiSpense Syringe



1 x 30 ml (47,31 g) syringe

Uses
Use Consepsis Scrub slurry for removing residual temporary cement
prior to permanent cementation and for cleaning debris while disinfect-
ing. Scouring with a quality disinfectant prior to restoring minimizes the
potential for post-op sensitivity associated with an influx of microorgan-
isms into dentinal tubules. *This tradename belongs to a company other than Ultradent. 1. realityesthetics.com

46
Tissue Management

Ferric Sulfate Hemostatics


Aluminum Chloride Gel
Brush Tips
Retraction Cords
Packing Instruments
Auxiliaries

David Landeen | Video Production Specialist | Dollar Lake Unitas, Utah

47
Tissue Management

Hemostasis and Fluid Control Ferric Sulfate - Active Hemostasis

For more than 35 years dentists have trusted the immediate hemo-
static power, detailed margins, and elimination of surface bleeding and
sulcular fluid provided by using Ultradents tissue management prod-
The patented formula of ViscoStat hemo-
ucts. Our complete line of solutions continuously sets the standard for

(Courtesy of Dr. Cornelis Pameijer)


static protects tissues even with low pH.
superior control and predictability while offering dentists fast, reliable, Note: ViscoStat will not remove dentinal
and affordable products. smear layer, resulting in less tooth sensi-
tivity even after 10 minutes of exposure.
Unparalleled tissue management starts with rapid, profound
hemostasis. To control bleeding and sulcular fluid, no one offers a more
complete line of solutions.

1. Burnish the hemostatic agents firmly 2. The Dento-Infusor Tip with padded
against the sulcus until bleeding stops scrub brush enables infusing and clean-
and no more coagulum forms. ing in the cut sulcus.

Reduce cross-contamination and the need


for sterilizing by loading unit dose directly
from the IndiSpense syringe.

3. Apply firm air/water spray to remove After complete hemostasis has been
residual coagulum and test tissue for reached, excellent retraction is achieved
quality, profound hemostasis. If bleeding through the use of Ultrapak knitted cord.
continues, repeat infusion technique.

Tissue management is the key to quality direct


and indirect restorations.

GOOD T.M. BAD T.M.

We have many products and procedures in dentistry that are


technique sensitive - tissue management is especially so.
Done right, its gorgeous! You see results almost immediately.
Done wrong, the bleeding doesnt stop, and you end up with
that awful coagulum everywhere.
Contralateral molars removed for maxillofacial sur-
gery. Crowns fabricated by same technician. Different
DR. DAN FISCHER dentists made impressions.

48
Tissue Management

Dento-Infusor Tips Metal Dento-Infusor Tip

Using the correct tip is essential to achieving profound, dependable


hemostasis and sulcular fluid control.
The unique shape and brush end of Ultradent
Hemostatic agents are only as good as their delivery and Dento-Infusor Dento-Infusor Tips are optimal for delivering he-
Tips infuse hemostatic agents into bleeding capillaries. The padded mostatic agents into cut tissue.
brush end rubs the agent into capillaries and wipes coagulum away.
The result is a clean, dry preparation ready for impressions.

Places hemostatic agents precisely and effectively removes


superficial coagulum
Blunt, bent cannula with padded brush enables gentle pressure on
the sulcus
Ultradents first tip, the MDI remains paramount for successful
tissue management

Optimal with: Astringedent, Astringedent X, ViscoStat, and ViscoStat


Clear hemostatics.

Bleeding must be controlled before start- Profound hemostasis achieved, prepara-


ing any direct bonding procedure. tion is ready for restoration or rubber dam
placement. 2558 20 pk
2559 100 pk
2560 500 pk

As a rule, the Metal Dento-Infusor device is the tip of choice for


use with ViscoStat, ViscoStat Clear, and Astringedent hemostatic
agents. It can be used with enough pressure to infuse the capillaries
with the hemostatic agent. If only control of sulcular fluid is required, Blue Mini Dento-Infusor Tip
the softer tip end of the Blue Mini Dento-Infusors may be gentler to the
newly healed epithelium at the time of bonding subgingival definitive
restorations.

Both infusors allow hemostatic agents to be rubbed into the tissue in a


targeted and sparing way, which is not possible with other means such
as cotton pellets, micro brushes and special brushes.

Offers the same tissue management benefits as


the Metal Dento-Infusor Tip
Allows controlled flow of drop-sized quantities

Optimal with: Astringedent and Astringedent X hemostatic.

The tip infuses the hemostatic agent into A blunt, bent cannula with padded scrub 128 20 pk
capillaries, forming a cork-like plug, brush on the Metal Dento-Infusor Tip
then wipes coagulum away. enables ViscoStat Clear hemostatic to
1086 100 pk
temporarily close off the capillary ends by 1440 500 pk
causing the collagen in them to swell.

49
Tissue Management

Tissue Managementa for Impression Making Expanded Application for Vital Pulpotomy in
Primary Teeth
An astringent is a substance that eliminates permeability of epithelium
to tissue fluid flow. The result is a dry field, an important tissue manage-
ment solution for 21st century adhesive technology. An ideal impression
for successful crowns and bridges must accurately capture the prepara-
tion limits. This can be ensured only through reliable hemostasis and
gingival displacement.

1. HEMOSTASIS 2. ANTIMICROBIAL
Control bleeding. Use Dento-Infusor Apply a sustained antimicrobial. Apply
Tip with ViscoStat or Astringedent a thin layer of ZOE mixed to a putty.
hemostatic.1-4

1. BLEEDING 2. HEMOSTASIS
Subgingival preparation with bleeding. ViscoStat hemostatic is burnished firmly
against the sulcus with Metal Dento-Infusor
Tip.

3. EUGENOL BARRIER 4. ETCH


Create a eugenol barrier.* Apply Ultra-Etch phosphoric acid or
Apply a thin layer of Ultra-Blend Peak SE primer.
liner plus because eugenol inhibits
most resin polymerization.

*Apply ZOE and Ultra-Blend plus liner in minimal thickness to keep


maximum dentin available for bonding.
3. CLEANING/TESTING 4. DISPLACEMENT
Firm air/water spray removes residual Ultrapak knitted cord is soaked in
coagulum and tests tissue for quality, pro- ViscoStat hemostatic, packed, and left for
found hemostasis. 13 minutes.

5. BOND 6. RESTORE
Apply Peak Universal Bond adhesive. Use flowable and/or paste composite
as desired.

Remove all hemostatic and extraneous coagulum prior to placement of


the thin layer of ZOE.

1. Fei AL, Udin RD, Johnson R. A clinical study of ferric sulfate as a pulpotomy agent in primary teeth. Pediatr
Dent. 1991;13(6):327-32. 2. Fuks AB, Holan G, Davis JM, Eidelman E. Ferric sulfate versus dilute formocresol in
pulpotomized primary molars: long-term follow up. Pediatr Dent. 1997;19(5):327-30. 3. Landau MJ, Johnsen DC.
5. MAKE IMPRESSION 6. RESULT Pulpal responses to ferric sulfate in monkeys [IADR abstract 822]. J Dent Res. 1988;67(suppl):215. 4. Fuks AB,
Cord is removed, followed by a firm air/ Predictable quality impressions. Eidelman E, Cleaton-Jones P, Michaeli Y. Pulp response to ferric sulfate, diluted formocresol and IRM in pulpotomized
water spray and drying. primary baboon teeth. ASDC J Dent Child. 1997;64(4):254-9.

50
Tissue Management
SUBSCRIBE TOOURFREE PODCAST
Earn two free CE credits by taking Dentaltowns online CE course
Tissue Management Concepts, given by Dr. Dan Fischer.
http://www.towniecentral.com/Dentaltown/OnlineCE.aspx

Tissue Management for Direct Bonding Tissue Management for Indirect Bonding
(Luting)

1. MICROLEAKAGE 2. STAINING
Several Class V restorations were per- With microleakage, blood pigments move
formed on these anterior teeth 2 months into the space between preparation and
prior. Inadequate tissue management restoration and stain the interface. 1. PROVISIONAL REMOVED 2. CONTAMINATION
or inadequate removal of hemostatic Well-healed tissue 2 weeks post-op. Sulcular fluids contaminate bonding ma-
and/or blood contaminants resulted in terials/preparation when not controlled.
microleakage on the maxillary right cen-
tral incisor.

3. ISOLATION 4. RESTORATION
Isolate tissues with Ultrapak cord soaked Replaced Class V restoration 3 months
3. SEAL/DRY 4. PREP SCOURED
in hemostatic solution. Firmly air/water post-op.
Seal epithelium by gently rubbing with Hemostatic agent and residual temporary
spray/rinse excess hemostatic from the
ViscoStat hemostatic and Blue Mini cement are scoured off with Consepsis
cord, tissues, and tooth surfaces to pre-
Dento-Infusor Tip. Scrub, preparing the site for application of
vent contamination and resultant leakage.
any dentin bonding agent, including self-
etching systems.

1. CONTROL 2. BOND
For Class V restorations, ViscoStat he- Successful bonded restoration, 2 weeks
mostatic and Ultrapak cord are ideal for post-op.
controlling blood and sulcular fluids and
can also protect from burs. Use a firm air/ 5. WASH/DRY 6. SEAT RESTORATION
water spray to remove excess hemostatic Wash and dry. Tissue stays dry. Preparation ready for final cementation.
solution.

Indirect Veneer

1. RETRACTION Note: perfect sulcular fluid control is mandatory if bonding and luting is
Packing Ultrapak cord quickly displaces adjacent to gingival sulcus.1
tissues and improves access for indirect
veneer luting.

1. Bailey JH, Fischer DE. Procedural hemostasis and sulcular fluid control: a prerequisite in modern dentistry. Pract
Periodontics Aesthet Dent. 1995;7(4):65-75; quiz 76.

51
Tissue Management

ViscoStat 1
649 ViscoStat TM IndiSpense Kit
20% FERRIC SULFATE 1 x 30 ml (36,69 g) IndiSpense syringe
1 x Each #00, 0, 1, and 2 cord
1 x Fischers Ultrapak Packer (171)
1 x Ultrapak cord organizer
20 x Metal Dento-Infusor Tips
20 x 1,2 ml empty syringes

647 ViscoStat Dento-Infusor IndiSpense Kit


1 x 30 ml (36,69 g) IndiSpense syringe
20 x Metal Dento-Infusor Tips
20 x 1,2 ml empty syringes

Metal Dento-Infusor Tip

Causes profound hemostasis 645 ViscoStat IndiSpense Syringe


Stops bleeding in seconds, saving chair time 1 x 30 ml (36,69 g) syringe
Provides unsurpassed kindness to hard and soft tissues
Eliminates sulcular fluid contamination for optimal bonding
Decreases costly impression remakes

ViscoStat hemostatic is a 20% ferric sulfate equivalent hemostatic solu-


tion with inert binding agents in a viscous, aqueous vehicle. It contains
patented, fumed silica to limit the acidic activity, making it kind to hard

!
and soft tissue. Do not use epinephrine preparations with ferric sulfate products
(ViscoStat, Astringedent) as blue/black precipitate will occur.

Uses
This hemostatic solution is suited for a variety of dental and oral sur-
gery procedures to arrest surface capillary bleeding. Such procedures
include fixed prosthodontics, restorative-operative, periodontal treat-
ment, etc. ViscoStat hemostatic is also recommended for retrofillings,
canine impactions, gingivectomies, and as a fixative for pulpotomies.
ViscoStat can also be used to prevent leakage caused by sulcular fluid
contamination during direct bonding procedures. Soak an Ultrapak cord
in hemostatic and isolate the tissues. Follow with a firm air/water spray.

Timeline: 0 1 min. 2 min. 3 min. 4 min.

Bleeding sulcus Rub hemostatic agent Clean sulcus with air/ If necessary, Perform final Place soaked Ultrapak Remove Ultrapak
firmly with Dento- water spray repeat hemostatic cleaning/testing with cord(s); leave 1 to 3 cord(s); air/water
Infusor Tip application firm air/water spray minutes spray; air dry

1. realityesthetics.com

52
Tissue Management in Challenging Cases

Products By Dentists,
For Dentists
1. Old, fractured amalgam filling. The pa- 2. Remove old amalgam. Keep the caries
As a young dentist, Dr. Dan Fischer realized that
tient has been chewing on the fragments as a barrier for the time being, in case the rapid, profound hemostasis was imperative for quality
for months leaving the gingiva inflamed. pulp is exposed. operative dentistry. Because there were no products
on the market that predictably controlled bleeding and
sulcular fluid, he developed one. Dr. Fischers insight
and determination allowed him to produce exactly
what he felt the market, and fellow dentists needed:
tissue management products that create predictable,
profound hemostasis.

3. Expose the gingival margin of the 4. Achieve profound hemostasis by


restoration before placing a rubber dam. applying ViscoStat hemostatic or
Move to step 4, if necessary, to improve Astringedent X hemostatic with the
visibility. brush end of the Metal Dento-Infusor
Tip.

5. Place a dental dam; then remove re- 6. DO NOT wedge the matrix band until
sidual caries. Treat exposed pulp if neces- the first layer of composite has been
sary. Etch and bond with Peak Universal placed.
Bond adhesive.

For more than 35 years, dentists have trusted the immediate


7. CORRECT: first, place the matrix band 8. Wedge after the first layer. Loosen
hemostatic power, detailed margins, and elimination
to create a gingival seal; then place the matrix band and contour for good
first layer of composite. Optional: Etch interproximal contact. Place an initial of surface bleeding and sulcular fluid provided by our
and bond after placing the matrix band, adaptive layer with PermaFlo composite tissue management products. Our complete line of tissue
and then place the first layer of composite. and fill cavity with Amelogen Plus com- management chemistries still continuously sets the standard
posite. for superior control and predictability.

53
Tissue Management

Astringedent 1 Astringedent X
15,5% FERRIC SULFATE 12,7% IRON SOLUTION

For Difficult Bleeding


Astringedent X hemostatic is an aqueous 12.7% iron solution which
Known as the Classic hemostatic agent contains equivalent ferric sulfate and ferric subsulfate. Not as tissue-
Stops bleeding in seconds kind as our other hemostatic agents. Note: diluted Astringedent X does
Eliminates sulcular fluid contamination for optimal bonding not equal ViscoStat or Astringedent.
Decreases costly impression remakes

Astringedent hemostatic is an aqueous 15,5% ferric sulfate hemostatic


Uses
Use Astringedent X hemostatic solution when a stronger, more potent
solution with a pH of ~1,0.
hemostatic is required and when the attainment of quality hemostasis
may be more challenging (e.g. in cases of difficult-to-stop, problem
Uses bleeding).
Highly recommended as effective and easy to use for control of
bleeding, tissue management, and pulpotomies. Rating+++++.2
Astringedent hemostatic solution is well suited for a variety of dental
Dr. Bruce LeBlanc)

and oral surgery procedures to arrest surface capillary bleeding. Such


procedures include fixed prosthodontics, restorative-operative, peri-
odontal treatment, etc. Astringedent hemostatic is also recommended
Astringedent X hemostatic and the Dento-Infusor Tip facilitate profound hemostasis, even
for retrofillings, canine impactions, gingivectomies, and as a fixative
with challenging cases.
for pulpotomies. Astringedent hemostatic can be used to prevent leak-
age caused by sulcular fluid contamination during direct bonding pro-
cedures. Soak an Ultrapak cord in hemostatic and isolate the tissues.
Follow with a firm air/water spray. 112 Astringedent X Bottle
690 Astringedent X IndiSpense Syringe
30 ml (40,71 g) each

111 Astringedent Bottle


686 Astringedent IndiSpense Syringe
30 ml (34,41 g) each

Astringedent Spot Remover


CLEANING SOLUTION

Uses
Astringedent Spot Remover is designed to remove ViscoStat hemo-
static, Astringedent hemostatic, and Astringedent X hemostatic stains
that will not come out of clothing with soap and water. It is also ideal
As a rule, use the Metal Dento-Infusor Tip instead of the plastic Blue for removing perspiration stains from garments. Not for intraoral use.
Mini Dento-Infusor Tip with ViscoStat and Astringedent hemostat-
ic agents. ViscoStat hemostatic is more a viscous solution, so flow
through the plastic infusor is minimal. You may want to try the plastic 2160 Astringedent Spot Remover
Blue Dento-Infusor Tips when you are dealing with newly healed epi- 30 ml (35,28 g) bottle
thelium as the softer Tip end is slightly less aggravating.

1. realityesthetics.com

54
Tissue Management
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 5: Hemostasis in the Esthetic Zone, by Dr. John Kanca
http://www.ultradent.com/podcast/05_viscoclear.mp3

ViscoStat Clear 1

25% ALUMINUM CHLORIDE

1. Subgingival preparation and bleeding 2. Press Ultrapak cord into gel in sulcus
sulcus. Rub hemostatic firmly against around tooth preparation. Leave 45 min-
bleeding tissues. utes.

3. Remove cord. Firm air/water spray. Air 4. Perform the final rinse and dry and
dry. Rub gel into the sulcus again. Leave make the impression. Repeat above steps
1 minute. if needed.
Metal Dento-Infusor Tip

6409 ViscoStat Clear Dento-Infusor Kit


Stops minor bleeding in the esthetic zone 4 x 1,2 ml (1,42 g) syringes
Leaves no residue or stain and rinses easily 20 x Metal Dento-Infusor Tips

Places easily
Comes as a viscous yet spreadable gel
Does not interfere with bonding2

6407 ViscoStat Clear Dento-Infusor IndiSpense Kit


1 x 30 ml (38,52 g) IndiSpense syringe
20 x Metal Dento-Infusor Tips
ViscoStat Clear is a 25% aluminum chloride gel in a viscous, aqueous 20 x 1,2 ml empty syringes
vehicle. Its patented tissue-kind silica formula temporarily eliminates
minor bleeding. No coagulum is formed, nor does residue adhere to the
preparation, which is especially critical in the esthetic zone. ViscoStat
Clear will not stain the hard or soft tissues.

6408 ViscoStat Clear IndiSpense Syringe


1 x 30 ml (38,52 g) syringe

Uses
ViscoStat Clear is intended for sulcus retraction prior to impression
making and to control bleeding and gingival oozing in restorative and
operative dentistry. It is designed to be used with gingival retraction
cord and/or the Dento-Infusor Tip. The gel facilitates the insertion of
the cord into the sulcus. 1. realityesthetics.com 2. Data on file.

55
Tissue Management

Ultrapak 1

KNITTED CORD

With easy packing, excellent ab- Ultrapak cord compresses upon packing Ultrapak cord, saturated with ViscoStat
sorption, and exceptional reten- and then expands for optimal tissue dis- hemostatic solution, controls bleeding
tion, the proprietary knitted design placement. and sulcular fluid for near gingival and
of the Ultrapak cord has been the subgingival preparations.
preferred choice for years.

THE ONE WITH THE


STRIPE!

The original knitted cord


Provides rapid tissue displacement, detailed margins, and quality The Ultrapak CleanCut design
impressions features a blade in the cap for
Facilitates easy packing and stays placed better than any twisted or the ultimate convenience.
braided cord
Compresses upon packing then expands for optimal retraction
Does not entangle in diamond bur
Bright colors facilitate easy location and removal

Ultrapak cord is made of 100% cotton knitted into thousands of tiny


loops to form long, interlocking chains. This unique knitted design
exerts a gentle, continuous outward force following placement as the
knitted loops seek to open. Optimal tissue displacement occurs in 13
minutes.

Uses
Ultrapak cord is used for rapid tissue displacement prior to impres- High carbon steel blade stays sharp!
sion making and can also be used to deliver ferric sulfate solutions Thin plastic gate prevents cord from falling into the bottle upon
subgingivally for sulcular fluid control. Ultrapak cord is designed to cutting
enhance tissue management techniques, that use ViscoStat or Ruler printed on label provides easy cord measurement
Astringedent hemostatics. Conventional techniques using alum, alu- Safety feature built into cap avoids risk of injury
minum chloride, etc. are also enhanced when using Ultrapak cord
plain knitted cords, which carry significantly greater quantities of hemo-
static solution than conventional cords.

Microscopic compressible loops of Ultrapak


knitted cord (lower) afford greater interthread
space than braided cord (upper). Upon pack-
ing, loops compress and express hemostatic
astringent to underlying tissues. As loops open,
a gentle, continuous outward force is exerted. A
knitted cord is like a chain; it bends and stays
put when packed into place. 1. realityesthetics.com

56
Tissue Management

Ultrapak Competitor Absorption Comparison


Data shows Ultrapak knitted cord vs. leading competitors absorption abilities.*
* * * * * * *

Unit of measure: l/cm


**Data on file

9330 Ultrapak Kit


1 x Each #00, 0, 1, and 2 cord Each bottle contains 244 cm of cord.
1 x Ultrapak organizer

#000 #1
Lower cord in the double-cord technique Non-impregnated #1 and #2 sizes are particularly effective for tissue
Anterior teeth control and/or displacement when soaked in coagulative hemostatic
Double packing solution prior to and/or after crown preparations
Protective pre-preparation cord on anteriors
9331 Ultrapak Cord #000 Refill
9334 Ultrapak Cord #1 Refill

#00 #2
Preparing and cementing veneers Upper cord for double-cord technique
Restorative procedures dealing with thin, friable tissues Protective pre-preparation cord

9332 Ultrapak Cord #00 Refill 9335 Ultrapak Cord #2 Refill

#0 #3
Lower anteriors Areas that have fairly thick gingival tissues where a significant amount
When luting near gingival and subgingival veneers of force is required
Class III, IV, and V restorations Upper cord for use with the double-cord technique
Upper cord for use with the double-cord technique
9336 Ultrapak Cord #3 Refill
9333 Ultrapak Cord #0 Refill

Note: Do not use epinephrine preparations with ferric sulfate solutions, including ViscoStat, Astringedent, and Astringedent X, as blue/
black precipitate will occur.
*Registered trademarks of a company other than Ultradent.

57
Tissue Management

Pre-Preparation Packing Technique Double-Cord Technique

To ensure cord retention during preparation, use a cord large enough to The most common challenges in getting a quality impression are ad-
firmly compress into sulcus. equate tissue retraction and sufficient moisture control. Try a double
retraction cord technique combined with effective hemostatic agents
to alleviate both.

1. PREPACK 2. PREPARATION 1. FIRST CORD 2. SECOND CORD


Open proximal contacts and place Extend margin subgingivally by cutting Once hemostasis is achieved, carefully Place a second, thicker cord soaked in
Ultrapak knitted cord soaked in hemostat- partway into knitted cord, which wont en- place a single cord - such as Ultrapak knit- a hemostatic agent to expand the tissue
ic solution. Because Ultrapak compresses tangle in the diamond bur. Remove rem- ted cord #00 - as deep as possible into the laterally.
upon packing, use a cord size that ap- nant of cord with calcium hydroxide appli- sulcus. Use Fischers Ultrapak Packers to
pears too large. The thin Ultrapak Cord cator (tiny ball end). Bleeding is minimal. place cords properly and efficiently.
Packer quickly slips cord into position. The A small portion of uncut tooth above the
knitted cords unique design (interlocking gingival attachment is preserved to record
loops) facilitates easy packing and locks in the impression.
it into place.

3. RINSE/DRY
Rinse the area well and lightly dry.

3. HEMOSTASIS AND IMPRESSION


Rub the Dento-Infusor Tip against bleed-
ing tissue as hemostatic solution is slowly
expressed. Rinse with a firm air/water
spray to clean and check for complete Complete Hemostasis for Digital Impressions
hemostasis. If bleeding is noted, repeat
these steps. If additional retraction is re-
quired, repack with appropriately sized
cord. Air dry and make impression.

1. HEMOSTASIS 2. CLEAR FIELD


Complete hemostasis is essential, even After hemostasis is achieved and tissue is
while taking digital impressions, for the retracted, preparation is ready for digital
most accurate marginal fit of any resto- impression.
ration.

58
Tissue Management

Fischers Ultrapak Packers


THIN SERRATED PACKING INSTRUMENTS

#170 and #171 (45 to handle)

#172 and #174 (90 and parallel to handle)

These specially designed packers ease the packing of Ultrapak knitted


cord. Their thin edges and fine serrations sink into the cord, preventing
it from slipping off and reducing the risk of cutting the gingival attach-
ment.
171 Small Packer - 45 to handle
45 TO HANDLE: our most popular packers, with heads at 45 to the 170 Regular Packer - 45 to handle
handle and 3 packing sides. Circular packing of the prep can be com- 174 Small Packer - 90 to handle
pleted without the need to flip the instrument end to end. Use the small 172 Regular Packer - 90 to handle
packer on lower anteriors and upper lateral incisors. 1 pk

90 AND PARALLEL TO HANDLE: same size and 3-sided heads as the
45 to handle packer, except one of the heads is in line with the shank
and the other is at a right angle to the shank.

Ultradent Slide Packers


THIN, CIRCULAR, NON-SERRATED PACKING INSTRUMENTS

Uses 834 Small Slide Packer


These thin, non-serrated slide packers are designed to place and com- 833 Regular Slide Packer
press cord with a sliding action as the clinician circles the prep. The thin 1 pk
head sinks into the cord, and the smooth, circular head allows place-
ment of cord in a sliding motion around the preparation without lifting
the instrument from the cord. The 45 angle minimizes the need to flip
the instrument end to end.

59

BATTERY INDICATOR

WAVELENGTH INDICATOR

POWER INDICATOR

PRESET PROCEDURES

DISPOSABLE TIPS TOUCH KEYPAD


WITH ILLUMINATION

dual wavelengths.
Etch/Bond

Self-Etch-System (No-Rinse)
Total-Etch-System (Etch and Rinse)
Bonding Material
Phosphoric Acid Gel
Acid Barrier / Neutralizer
Hydrofluoric Acid Gel
Silane Solution
Calcium Hydroxide Liner

Ray Brimhall | Mechanist | Jericho, Utah

61
Etch/Bond
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 36: Innovations in Self-Etch Adhesives, by Dr. Dan Fischer
http://www.ultradent.com/podcast/dental_adhesives.mp3

Highest Bond Strengths to Dentin and Enamel!2-3


4 4
Peak SE Primer Peak Universal Bond
SELF-ETCHING LIGHT-CURED ADHESIVE WITH
CHLORHEXIDINE (0,2%)

Black Mini Brush Tip Inspiral Brush Tip

Top-rated bond strengths by an independent non-profit dental Bonds to dentin, enamel, porcelain, metal, composite, and zirconia
education and product testing institute2 Contains chlorhexidine (0,2%), which may ensure long-term bond
Delivers fresh, stable chemistry strength1-3
Easy, one-coat technique Ideal for indirect and direct bonding, as well as post and core
Precise and convenient application procedures
Eliminates the need for mixing wells or brushes Works with self-etch and total-etch techniques
Film thickness of 2 m and optimal viscosity for any bonding
procedure
Available in syringe or bottle delivery

Peak SE Primer is a self-etching primer mixed and delivered in the


unique JetMix syringe. JetMix technology separates precise quanti-
ties of strong acid (pH 1,2) and optimized priming resin to prevent the The versatile formulation of Peak Universal Bond adhesive is ideal for
hydrolytic breakdown and degradation that occurs with other self-etch indirect and direct bonding, including post and core procedures. With a
chemistries. Components are kept separate until the clinician activates 7,5% filler, its viscosity has been optimized for minimal film thickness
them. Peak SE Primer is used prior to Peak Universal Bond to achieve and superior strength. It contains an ethyl alcohol solvent carrier and
unsurpassed bond strengths. will cure with most high-intensity lights, including LEDs.

Uses
Ideal for all light-accessible bonding procedures, the Peak Self-Etch Adhesive System can also be used for immediate dentin sealing prior to impressions
and temporization in order to decrease post-op and cementation sensitivity.

Comparison of 3 self-etch adhesive systems, University of Iowa College of Dentistry5

SEM of cut enamel treated with Peak SE SEM of cut enamel treated with Clearfil SEM of cut enamel treated with Adper
Primer. Note the keyhole appearance of SE Bond*. Prompt L-Pop*.
the etched enamel rods.

62 * Registered trademarks of a company other than Ultradent.


Etch/Bond

Trust Peak SEs JetMix Syringe For Indirect Bonding


Always fresh. Always consistent. Always strong.

The unique JetMix syringe keeps the acid and the resin separate until
the clinician is ready to activate them. This prevents the premature hy-
drolytic breakdown that can occur with premixed self-etch chemistries,
and ensures strong adhesion throughout the shelf life.
Bursting plunger

Scrub Peak SE Primer onto preparation for Thin/dry for 3 seconds.


20 seconds.
Fresh date written by
Chemical B Chemical A dentist when activated.

Bursting plunger membrane balloons under pressure then bursts, precisely


mixing strong chemistries.

Apply a puddle coat of Peak Universal Thin/dry for 10 seconds and light cure for
Bond adhesive and agitate for 10 sec- 10 seconds with VALO curing light. For
Precisely mixed chemistry is assured fresh for 120 days. onds. curing lights with output <600 mW/cm2,
cure 20 seconds.

80
71.30

DENTIN (MPa)
70.60

67.90

70 ENAMEL (MPa)
61.97

61.50

60.57

58.58

57.78

Internal testing
60
51.70

47.40
45.47
Bond Strength (MPa)

50
40.37

39.03
38.16

35.92

35.68
34.30

40
33.29

30.20
31.01

31.28

30.70
26.50

26.00

30
23.66

23.50

22.58
20.10

20.93
20.67
18.60

14.32

20

10

0
Prime & Bond NT*
Peak Universal TE

Peak Universal SE

OptiBond XTR*

Clearfil SE Bond*

Scotchbond
Universal*

OptiBond Solo
Plus*

All-Bond Universal*

OptiBond FL*

ExciTE F*

Futurabond M*

Clearfil S3*

Adper
Scotchbond*

Ambar*

Futurabond DC*

G-Bond*

Ultradent Kerr Kuraray 3M Kerr Bisco Kerr Dentsply Ivoclar Voco Kuraray 3M FGM Voco GC

63
Etch/Bond

4551 Peak Universal Bond Total-Etch Intro Kit 4542 Peak Universal Bond Total-Etch Bottle Kit
1 x 1,2 ml (1,24 g) Peak Universal Bond syringe 1 x 4 ml Peak Universal Bond bottle
1 x 1,2 ml (1,58 g) Ultra-Etch syringe 4 x 1,2 ml (1,58 g) Ultra-Etch syringes
20 x Blue Micro Tips 40 x B
 lue Micro tips
20 x Inspiral Brush Tips 50 x M
 ixing wells
50 x M
 icro Applicator brushes

Store refrigerated. Store refrigerated.

4554 Peak Universal Bond Self-Etch Intro Kit


1 x 1,2 ml (1,24 g) Peak Universal Bond syringe 4541 Peak Universal Bond Self-Etch Bottle Kit
1 x 1,0 ml (0,99 g) Peak SE Primer syringe 1 x 4 ml Peak Universal Bond bottle
20 x Black Mini Brush Tips 4 x 1,0 ml (0,99 g) Peak SE Primer syringes
20 x Inspiral Brush Tips 40 x B lack Mini Brush tips
50 x M ixing Wells
50 x M icro Applicator brushes


Store refrigerated.
Store refrigerated.
4553 Peak Universal Bond Refill

4 x 1,2 ml (1,24 g) syringes

4543 Peak Universal Bond 4 ml Bottle Refill

1 x 4 ml bottle

Store refrigerated.
Store refrigerated.
4552 Peak Universal Bond Econo Refill
20 x 1,2 ml (1,24 g) syringes

4545 Mixing Well
100 x Mixing wells

Store refrigerated.

5135 Peak SE Primer Refill



4 x 1,0 ml (0,99 g) syringes
4548 Micro Applicator Brush Refill
200 each color

Store refrigerated.

The Standard in Bonding


Ultradents shear bond strength testing method has been adopted as a
new ISO standard. The UltraTester machine uses this highly accurate
method to determine bond strengths.

* Trademark of a company other than Ultradent. 1. Carrilho MRO, Carvalho RM, de Goes MF, di Hipolito V, Geraldeli S, Tay FR, Pashley DH, Tjaderhane L. Chlorhexidine preserves dentin bond in vitro. J Dent Res. 2007;86(1),90-94. 2. Clinicians
Report, Volume 5, Issue 8, August 2012. 3. In-house testing shows the superior bond strengths of Peak Universal Bond. Data available upon request. 4. realityratings.com 5. Vargas M. Ultramorphological evaluation of the resin-dentin-enamel
interface produced by three proprietary self-etching adhesive systems. 2007. Data on file.

64
Etch/Bond
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 32: Effects of Etching Directly on Pulp, by Dr. Cornelis Pameijer
http://www.ultradent.com/podcast/32_pulp_capping.mp3

Ultra-Blend plus Proven Best Light-Cured Material for Pulp


LINER Capping.2

1. Use Ultra-Blend plus liner near pulp 2. Apply antibacterial solution with plastic
(pink) and for small nonhyperemic expo- Blue Mini Dento-Infusor Tip for 60 sec-
sure. If larger exposure and/or hyperemic onds with gentle scrubbing action. Gently
pulp, initiate endodontic therapy. air dry (do not rinse).

Black Micro Tip Black Mini Tip

Bioactive Liner and pulp-capping material


3. With Black Micro Tip, apply Ultra-Blend 4. Etch and bond using bonding instruc-
Superior calcium release1 plus to dry dentin at exposure border or tions for Peak Universal Bond adhesive
Controlled, precise syringe delivery over thin pink dentin. Cover exposure and bonding instructions and restore with
No mixing necessary light cure. Minimize dentin coverage to composite.
maximize available dentin for bonding.
Will not dissolve over time
Light cured when clinician is ready
Radiopaque
415 Ultra-Blend plus Kit
2 x 1,2 ml (1,64 g) Ultra-Blend plus Dentin syringes
2 x 1,2 ml (1,64 g) Ultra-Blend plus Opaque White syringes
20 x B lack Micro Tips
20 x B lack Mini Tips

416 Ultra-Blend plus Dentin Refill



4 x 1,2 ml (1,64 g) syringes

Ultra-Blend plus used for pulp capping.

417 Ultra-Blend plus Opaque White Refill



4 x 1,2 ml (1,64 g) syringes

Ultra-Blend plus liner is a light-activated, radiopaque material with cal-


cium hydroxide and calcium hydroxyapatite, which promote regenera-
tion and healing of dentin. Compared to other liners, Ultra-Blend plus 1. Data on file. 2. Pameijer CH, Stanley HR, Norval G. Pulp capping with a new adhesive light cured calcium hydroxide
liner is highly filled for minimal shrinkage and superior calcium release. formula [AADR abstract 757]. J Dent Res. 1998;77(suppl 1):200.

65
Etch/Bond

The industry leader for over 25 years


Ultra-Etch 1

ETCHANT

Use Peak Universal Bond Resin with Ultra-


Etch for a Total-Etch Technique

Inspiral Brush Tip Blue Micro Tip

Clinical experience and FE-SEM evalua-


tions3 show that 20 seconds etch time on
both dentin and enamel provides optimal
conditioning of both tissues. Air/water
Self-limiting on dentin2 rinse. Blot excess water off, leaving sur-
Penetrates smallest fissures but wont migrate on a vertical surface face visibly wet.
Precise placement
Rinses cleanly - leaves no residue
Dark blue color for good visibility
Even finest lines can be easily etched.
Using the Blue Micro Tip, Ultra-Etch is
precisely applied from lingual without run-
ning.
Ultra-Etch etchant is a 35% phosphoric acid solution. It features ideal
viscosity, which, along with the use of the Blue Micro or Inspiral Brush 1.9 m depth
Tip, facilitates precise placement and superior control. Ultra-Etch
etchant is self-limiting in its depth of etch (average depth of 1,9 m with
20 second etch)2, creating an etch pattern that adhesives can penetrate
for increased bond strength. Studies demonstrate Ultra-Etch etchants Ultra-Etch phosphoric acid is proven to be
unique self-limiting chemistry on dentin creates an optimal surface to uniquely self-limiting in its depth of etch,
receive resin.3 with an average depth of 1,9 m using a
20 second etch. Liquid phosphoric acid
(37%) showed an average of 5,0 m at
Though Ultra-Etch etchant is viscous, it can penetrate into the smallest 20 seconds, and a competing polymer-
fissures or occlusal surfaces due to physical and chemical properties thickened etchant showed a 4,8 m
that promote capillary action. Its ideal viscosity maintains a layer that is depth.3 Acids with this greater depth of
etch go beyond the optimum level and in-
thick enough to prevent premature drying.
crease the potential for incomplete resin
impregnation.

Uses
Ultra-Etch etchant is indicated for use on dentin and enamel to create
optimal bonding surfaces. Ultra-Etch etchant can also be used to emove
contaminants from composite on porcelain prior to bonding. Note: Do not 1. realityesthetics.com 2. Perdigo J, Lambrechts P, Van Meerbeek B, Vanherle G. A study of the ultra-
morphology of etched dentin. (Abstract #2982) J Dent Res. 1996;75:390. 3. Perdigo J, Lambrechts P,
use phosphoric etchant on metals or zirconia, as this will reduce bond Van Meerbeek B, and Vanherle G, A field emission SEM study of dentin etched with different phosphoric
strength.) acid compositions and/or concentrations. Leuven, Belgium: Katholieke Universiteit te Leuven, 1994.

66
Etch/Bond

163 Ultra-Etch Kit


EtchArrest 1

4 x 1,2 ml (1,58 g) syringes ACID BARRIER/NEUTRALIZER


20 x Blue Micro Tips

164 Ultra-Etch Refill


4 x 1,2 ml (1,58 g) syringes

Black Micro Tip

167 Ultra-Etch Econo Kit


20 x 1,2 ml (1,58 g) syringes
40 x Blue Micro Tips Neutralizes acid etchants upon contact
Protects soft tissues and adjacent restorations
Contrast with tissues and acid etchants
Rinses easily

When hydrofluoric acid contacts enamel during porcelain repair pro-


168 Ultra-Etch Econo Refill cedures, formation of calcium fluoride occurs, and bond strengths to
20 x 1,2 ml (1,58 g) syringes enamel drop significantly. Therefore, it is vital to treat porcelain and

tooth structure separately with appropriate acids. EtchArrest acid bar-
rier/neutralizer isolates hard and soft tissues when rubber dam place-
ment is not practical.

685 Ultra-Etch IndiSpense Syringe



1 x 30 ml (39,60 g) syringe

129 Ultra-Etch Empty Syringe Refill EtchArrest acid barrier/neutralizer protects adjacent porcelain and soft tissue from
20 x 1,2 ml empty syringes hydrofluoric acid. For situations where dentin/enamel are present in a preparation, use
Ultra-Etch solution first to etch the tooth and then use hydrofluoric acid second to etch
the porcelain. This will ensure that dentin/enamel bond strengths are not compromised.
Hydrofluoric acid will reduce adhesion to dentin and enamel. After a 90-second porcelain
etch, rinse clean, apply Ultradent Silane to porcelain prep, apply Peak Universal Bond
adhesive, apply PermaFlo Dentin Opaquer masking resin (see PermaFlo), and restore
with composite.

625 EtchArrest Kit


4 x 1,2 ml (1,39 g) syringes
20 x Black Micro Tips

1. realityesthetics.com

67
Etch/Bond
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 43: Preventing Porcelain Failures, by lab owner John Orfanidis
http://www.ultradent.com/podcast/43_porcelain_failures.mp3

Ultradent 1

Porcelain Etch and Silane


CERAMIC ETCHANT AND SILANE SOLUTION

Dr. Cornelis Pameijer)


1. Diamond-cut porcelain surface. 2. Same porcelain following 90 second
etch with Ultradent Porcelain Etch.

1. Porcelain Etch is delivered from the 2. Ultradent Silane is applied and dried,
Inspiral Brush Tip to prepared porcelain, followed by Peak Universal Bond adhe-
after placement of EtchArrest barrier. sive.
Silane Porcelain Etch
Black Mini Brush Tip Inspiral Brush Tip

90 Second Etch - 60 Second Silane


Residual silica salts on porcelain, post Use Ultra-Etch etchant for 5 seconds and
hydrofluoric acid etching for 90 seconds rinse to clean residual debris, producing a
with Ultradent Porcelain Etch. clean surface for bonding.
Etch is easy to control and place
Will not stain composite or resin cement 405 Porcelain Etch Kit
Yields highest porcelain-to-resin bond strengths2 2 x 1,2 ml (1,33 g) Porcelain Etch syringes
Silane is a single component 2 x 1,2 ml (0,96 g) Silane syringes
20 x B lack Mini Brush Tips
20 x Inspiral Brush Tips

Ultradent Porcelain Etch is a viscous, buffered 9% hydrofluoric acid.
Silane is a single-component solution.

Uses 406 Porcelain Etch Refill


Porcelain Etch is designed for intraoral or extraoral porcelain etching.
2 x 1,2 ml (1,33 g) syringes

Use it to etch porcelain or old macrofilled composites prior to bond-
ing and repair. Also use it when in-office etching of indirect restora-
tions, such as veneers, inlays, etc., is required. After porcelain etching,
clean residual debris with Ultra-Etch etchant for 5 seconds and rinse
thoroughly; follow with Silane application. Studies have demonstrated
that Silane, when used with Porcelain Etch and a quality bonding resin, 410 Silane Refill
yields the highest bond strength to porcelain when compared with other
2 x 1,2 ml (0,96 g) syringes

porcelain bonding products.3
Ultradent Porcelain Etch and Silane may also be used on lithium disili-
cate (IPS e.max)* restorations.

1. realityesthetics.com 2. Pameijer CH, Louw NP, Fischer D. Repairing fractured porcelain: how surface preparation
affects shear force resistance. J Amer Dent Assoc. 1996;127(2):203-9. 3. Registered trademark of a company other
than Ultradent.

68
Etch/Bond
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 44: Intraoral Repair of Fractured Porcelain, by Dr. Nasser Barghi
http://www.ultradent.com/podcast/44_porcelain_repair.mp3

Ultradent 1
Step-by-Step Guide for Porcelain Repair
Porcelain Repair Kit Place rubber dam if necessary, and/or cover surrounding teeth and
ETCH, SILANE, BOND RESIN, AND FLOWABLE gingival tissue with OpalDam light-cured resin barrier using a Black
COMPOSITE Mini tip. Light cure 10 seconds with VALO LED curing light.
For curing lights with output <600 mW/cm2, cure 20 seconds.


Roughen ceramic and metal surfaces to be repaired using a
microabrasion system with 50 m aluminum oxide particles. Alterna-
tively (although less effective), use a diamond bur.

Use a Black Micro tip to place EtchArrest etchant like a frame around
the broken porcelain surface.

Apply Porcelain Etch with an Inspiral Brush tip onto the broken porce-
lain surface.

Etch surface for 90 seconds; then suction off gel and carefully rinse
with water spray. We recommend blending EtchArrest into the etchant
Includes all necessary precomposite-placement materials until the yellow color of the etchant is no longer identifiable. This will
Yields high bond strengths neutralize the etchant and eliminate the risk of acid splashes when
Provides quick, easy repairs without mixing removing the neutralized mix.

Apply Ultra-Etch etchant for 5 seconds.

Uses Rinse and thoroughly air dry broken metal and porcelain surface.
Porcelain repair procedures are becoming more common. It is financial-
ly advantageous and less invasive to repair a chipped porcelain restora- Apply Silane onto the broken porcelain surface with a Black Mini Brush
tion rather than replace it. The Ultradent Porcelain Repair Kit contains Tip. Wetting the metal is not a problem.
all the products and tips needed for composite-to-porcelain, porcelain- 
to-metal, and porcelain-to-porcelain repairs. Let evaporate for 1 minute; then blow with a gentle stream of air until
completely dry.

Apply Peak Universal Bond adhesive with an Inspiral Brush Tip onto
metal and ceramic fracture surface. Air thin gently but thoroughly.

1108 Ultradent Porcelain Repair Kit Light cure Peak Universal Bond adhesive for 10 seconds with VALO
1 x 1 ,2 ml (2,30 g) PermaFlo Dentin Opaquer syringe LED curing light. For curing lights with output <600 mW/cm2, cure 20
1 x 1 ,2 ml (1,39 g) EtchArrest syringe
seconds.
1 x 1 ,2 ml (1,34 g) OpalDam syringe
1 x 1 ,2 ml (1,24 g) Peak Universal Bond syringe
1 x 1 ,2 ml (1,33 g) Porcelain Etch syringe Cover exposed metal with a thin layer of PermaFlo Dentin Opaquer us-
1 x 1 ,2 ml (0,96 g) Ultradent Silane syringe ing a Micro 20 ga Tip, then light cure for 10 - 20 seconds with VALO
20 x Black Mini Brush Tips LED curing light. For other curing lights with output <600 mW/cm
20 x Black Micro Tips
cure 20 seconds).
20 x Micro 20 ga Tips
20 x Inspiral Brush Tips 
Restore broken veneer by layering light-cured composite.

Finish and polish repaired area.
Store refrigerated.

This Quick Guide is meant only to provide an overview; it does not


substitute the instructions provided with the individual products. Please
carefully read the instructions and warnings delivered with the products
1. realityesthetics.com before using them.

69
Etch/Bond

Variables that affect the quality of bonding (Total-Etch Technique)


Modern adhesive bonding works well when we respect the characteristics of the materials used, the mechanisms that result in adhesion, and
the manufacturers instructions. Neil Jessop, Head of Research and Development at Ultradent Products, has summarized the most important
variables that affect bonding:

1. Etching process:
Etching dentin too long may result in etch patterns that extend too deep
for the adhesive resins to reach the healthy tooth structure. Depths of
about 2 to 2,5 m are the limit; deeper etching creates voids that may
result in a weak link or tooth sensitivity.
What to do: use an etchant with a limited penetration depth. Etching Dentin consists of organic and inorganic material. Etching (shown in blue) results in exposure of the
organic collagen fibers. An ideal etchant penetrates only as far as the subsequent bonding agent
with Ultra-Etch is self-limited at an average depth of 1,9 m, even when
(yellow) can penetrate the tooth structure.
left longer than the recommended 20 seconds.

2. Dentin drying:
With some adhesive systems, overdrying the dentin after etching may
severely compromise bond values. The exposed collagen fibers tend
to collapse and consequently cannot be completely permeated by the
bonding agent. Overetching dentin results in too deep exposure of collagen fibers. As a result, the subsequent
bonding agent cannot fully permeate the fibers leaving a gap that may reduce bond strength and
What to do: after etching and rinsing dentin, use only brief, gentle cause tooth sensitivity.
air blasts to remove pools of water. Alternatively, blot dry with cotton
pellets. If dentin is overdried, remoisten it with a moist cotton pellet.

3. Application time:
Allowing too little time for application (rubbing, brushing in, agitating the agent) may result in inadequate penetration of the bonding agent (incomplete hybrid
layer formation) and incomplete evaporation of the solvent.
What to do: softly rub the bonding agent into the surface. This is easily accomplished with Ultradent Products brush tips. Make sure to adhere to the application
times specified by the manufacturer (Recommended: timer or stopwatch).

4. Thinning and drying:


Too much thinning of the adhesive layer results in formation of an oxygen inhibition layer that will prevent adequate polymerization. If the adhesive layer is too
thick, there may still be solvent contained in it.
What to do: place a thick layer of bonding agent - the major part of the liquid is solvent that needs to evaporate. Dry with a gentle, yet sustained stream of air
rather than short, strong blasts. Observe the manufacturers time prescriptions.

5. Light curing:
Too short or improper light curing leaves the bonding resin only partly polymerized.
What to do: use high energy curing lights with at least 400 mW/cm2, or preferably over 1.000 mW/cm2.

6. Composite placement:
Adequate adaptation of the composite against the adhesive layer is mandatory to eliminate air voids.
What to do: use a flowable composite, like PermaFlo, as a first thin increment. This will smooth out irregularities in the cavity floor that are otherwise difficult to
pack with a doughy composite.

7. Contamination:
Contamination with blood, sulcular fluid, or saliva prior to or during the bonding procedure creates barriers that preclude proper adaptation and a reliable bond.
What to do: rule out blood and sulcular fluid prior to the procedure, using the Tissue Management System. Place rubber dam whenever possible.

8. Deteriorated product:
Many restorations fail because the bonding agent used was expired or volatilized.
What to do: dont use products past the expiration date and observe manufacturers storage instructions. If dispensing from a bottle make sure to cap it
immediately after use or the solvent will evaporate and make the material improper for use before its expiration date. This is not an issue with a syringe-dispensed
bonding agent.

70
Composites

Composite Universal, Light Cure


Wetting Resin
Flowable Composite, Light Cure
Direct Composite Template System

Cody Nielson | Project Coordinator | Mayfield, Utah

71
Composites
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 25: Tips for Creating Beautiful Composites, by Dr. Kevin Winters
http://www.ultradent.com/podcast/25_composite_Tips.mp3

Amelogen Plus

Dr. Rafael Beolchi)


COMPOSITE RESTORATIVE MATERIAL 1

Before. After.

Dr. Jaleena Jessop) Before. After: posterior composite is bonded, re-


inforcing both tooth and restoration, and
delivering high wear resistance and qual-
ity esthetics.

Layering Made Simple


The simple and intuitive shade system of Amelogen Plus composite allows dentists to
achieve beautiful and natural-looking restorations without the complication of most es-
thetic composite systems.

Select the dentin shade by identifying the basic hue and intensity of the tooth following
the VITA* shade guide. The cervical region, where enamel is normally thinner, is a good
area to use as a reference.

Simple, affordable system When selecting the enamel body shade (White, Neutral, or Gray), take into consideration
the lightness of the natural enamel on the patients teeth. As a general rule, Enamel White
Excellent, nonslumping consistency
comes closest to young teeth, Enamel Neutral to most adults teeth, and Enamel Gray
Brilliant polishing capability to older patients or smokers. Keep the composite enamel layer slightly thinner than the
natural enamel layer.

Translucent shades are used to reproduce the incisal halo, discolorations, and mamelons.
Mimic enamel specks or reduce tooth translucency with the Opaque White shade.
Amelogen Plus composite restorative material is a state-of-the-art,
radiopaque, Bis-GMA material that is 76% filled by weight with a 0,7
m average particle size. It displays exceptional handling, optical, and
polishing characteristics. Amelogen Plus composite will not slump or
stick to instruments, providing extra control in handling.

Uses
Amelogen Plus composite is an excellent choice for designing Class I,
II, III, IV, V, and VI restorations, as well as direct veneers. It is perfect for
both posterior and anterior restorations because of its wear resistance,
strength, simplicity, and polishability.

* Registered trademark of a company other than Ultradent. 1. realityesthetics.com

72
Composites

Direct Composite Layering Technique


new

ENAMEL

For enamel-only restorations (Class III) or small posterior restora-


tions (Classes I and V), use a single shade of Amelogen Plus,
usually enamel.

DENTIN

ENAMEL

For the most common cases of both dentin and enamel restora-
tions in intermediate-size Class II, III, and IV cavities, use both a
dentin and an enamel shade. Make sure that composite enamel
layer is thinner than natural enamel layer.

Unsurpassed accuracy with convenient,


easy-to-read display
Fully automatic multifrequency
CHARACTERIZATIONS measurements
Compact design with small footprint fits
ENAMEL
easily on a counter or treatment tray
DENTIN

TRANSLUCENT

For major enamel and dentin replacements or esthetically chal-


lenging restorations, use multiple dentin shades (darkest at the
lowest point) and characterize with translucent shades if needed.

73
Composites

3254 Amelogen Plus Complete Kit - 15 Shades 3013 Amelogen Plus Natural Kit - 7 Shades
1 x 2 ,5 g (1,19 ml) syringe of each Dentin shade: A1, 1 x 2,5 g (1,19 ml) syringe of each Dentin shade: A2,
A2, A3, A3.5, A4, A5, B1 and C2 A3, A4 and C2
1 x 2 ,5 g (1,19 ml) syringe of each Enamel shade: 1 x 2,5 g (1,19 ml) syringe of each Enamel shade:
Opaque White, Enamel White, Enamel Neutral, Enamel Neutral, Enamel Gray, and Translucent Gray
Enamel Gray, Translucent White, Translucent Gray, 1 x 1,2 ml (1,58 g) Ultra-Etch syringe
and Translucent Orange 1 x 1,2 ml (1,30 g) PermaSeal syringe
1 x 1 ,2 ml (1,58 g) Ultra-Etch syringe 1 x 1,2 ml (1,24 g) Peak Universal Bond syringe
1 x 1 ,2 ml (1,30 g) PermaSeal syringe 1 x Shade guide
1 x 1 ,2 ml (1,24 g) Peak Universal Bond syringe 1 x Half-size syringe organizer
1 x S hade guide 1 x Quad key
1 x F ull-size syringe organizer 10 x Black Mini Brush Tips
1 x Q  uad key 10 x Blue Micro Tips
10 x B  lack Mini Brush Tips 20 x Inspiral Brush Tips
10 x B  lue Micro Tips
20 x Inspiral Brush Tips

Amelogen Plus Syringe Refills


9030 A1 9037 Opaque White
3098 Amelogen Plus Basic Kit - 7 Shades 9031 A2 9038 Enamel White
1 x 2 ,5 g (1,19 ml) syringe of each Dentin shade: A1, 9032 A3 9039 Enamel Neutral
A2, A3, A4, A5, B1 and C2 9028 A3.5 9040 Enamel Gray
1 x 1 ,2 ml (1,58 g) Ultra-Etch syringe
9033 A4 9041 Trans White
1 x 1 ,2 ml (1,30 g) PermaSeal syringe
1 x 1 ,2 ml (1,24 g) Peak Universal Bond syringe 9034 A5 9042 Trans Gray
1 x S hade guide 9035 B1 9043 Trans Orange
1 x H alf-size syringe organizer 9036 C2
1 x Q uad key 1 x 2,5 g (1,19 ml) syringe
10 x B lack Mini Brush Tips
10 x B lue Micro Tips


20 x Inspiral Brush Tips

Optional KleenSleeve QuadraSpense


315 Amelogen Plus Cosmetic Kit - 7 Shades
1 x 2 ,5 g (1,19 ml) syringe of each Dentin shade: A1, A2
and A3 Facilitates removal of small
1 x 2 ,5 g (1,19 ml) syringe of each Enamel shade: amounts of material.
Opaque White, Enamel White, Enamel Neutral, and
Translucent White
1 x 1 ,2 ml (1,58 g) Ultra-Etch syringe
1 x 1 ,2 ml (1,30 g) PermaSeal syringe
1 x 1 ,2 ml (1,24 g) Peak Universal Bond syringe
1 x S hade guide
1 x H  alf-size syringe organizer
1 x Q  uad key
Quad Key
10 x B  lack Mini Brush Tips Use to remove the white quad flanges on
10 x B  lue Micro Tips the Amelogen Plus syringe to create an


20 x Inspiral Brush Tips open-bore delivery barrel if desired.

Amelogen Plus shades are identifiable both


on the barrel and the stems.

74
4525 Amelogen Plus Complete Singles Kit - 15 Shades
10 x 0 ,3 g (0,14 ml) compules of each Dentin shade: A1, A2,
A3, A3.5, A4, A5, B1 and C2
Simple.
10 x 0 ,3 g (0,14 ml) compules of each Enamel shade:
Opaque White, Enamel White, Enamel Neutral,
Esthetic.
Enamel Gray, Translucent White, Translucent Gray and
Translucent Orange Efficient.
1 x 1 ,2 ml (1,58 g) Ultra-Etch syringe
1 x 1 ,2 ml (1,30 g) PermaSeal syringe
1 x 1 ,2 ml (1,24 g) Peak Universal
Bond syringe
1 x S hade guide
10 x B lack Mini Brush Tips
10 x B lue Micro Tips
20 x Inspiral Brush Tips

Uveneer: The only direct


3209 Amelogen Plus Basic Singles Kit - 7 Shades
10 x 0 ,3 g (0,14 ml) compules of each Dentin shade: A1,
composite template system
A2, A3, A4, A5, B1 and C2
1 x 1 ,2 ml (1,58 g) Ultra-Etch syringe
1 x 1 ,2 ml (1,30 g) PermaSeal syringe A unique, minimally invasive template
1 x 1 ,2 ml (1,24 g) Peak Universal Bond syringe system with predictable shape and symmetry.
1 x S hade guide
10 x B lack Mini Brush Tips Quick and reliable, high-quality, natural-looking
10 x B lue Micro Tips composite restorations in one visit.
20 x Inspiral Brush Tips
Prevents the oxygen inhibition layer during

curing, resulting in a hard, glossy surface.
Autoclavable and reusable, making it a
cost-effective choice.
Works with any preferred composite.
Amelogen Plus Singles Refills
8010 A1 8021 Opaque White
8011 A2 8022 Enamel White
8013 A3 8023 Enamel Neutral
8024 A3.5 8012 Enamel Gray
8014 A4 8016 Trans White
8015 A5 8018 Trans Gray
8017 B1 8019 Trans Orange Scan QR-Code to see a short demo video!
8020 C2
10 x 0,3 g (0,14 ml) compules

x 10

75
Composites

PermaFlo 1 Film Thickness2


FLOWABLE COMPOSITE 30

25

20 18.0
17.4

Microns
15 14.2

10
5.80
5
0 PermaFlo AELITEFLO *Revolution *

Flow It *

PermaFlo exhibits very low film thickness.

Compressive Strength2
500
394.18 384.32
400 363.16
326.53

Strength (MPa)
300

200

100
Black Mini Tip

Micro 20 ga Tip 50
0 PermaFlo AELITEFLO * Revolution *

Flow It *

PermaFlo performs favorably with other


flowable composites. Being 68% filled,
PermaFlo provides very high compressive
strength.

High-fill, high-flow formula


Highly radiopaque 1273 PermaFlo Universal Kit
Fluoride-releasing formulation 1 x 1 ,2 ml (2,30 g) syringe of each shade: A1, A2, A3,
Superior polishability A3.5, A4, B1, Dentin Opaquer, and Translucent
1 x 1 ,2 ml (1,58 g) Ultra-Etch syringe
Strong and wear resistant
1 x 1 ,2 ml (1,24 g) Peak Universal Bond syringe
1 x H  alf-size syringe organizer
1 x S hade guide
20 x B  lack Mini Tips
20 x M  icro 20 ga Tips
6 x Inspiral Brush Tips

PermaFlo flowable composite is light-cured, radiopaque, Store refrigerated.


methacrylate-based; available in 8 shades. Its thixotropic properties
impart ideal flowability for improved adaptation. PermaFlo is 68% filled
by weight, with an average particle size of 0,7 m and a low film thick- PermaFlo Syringe Kits
ness. 947 A1 954 A4
948 A2 956 B1
949 A3 612 Translucent
952 A3.5 1005 Dentin Opaquer
2 x 1,2 ml (2,30 g) syringes
4xM  icro 20 ga Tips

Uses
Use PermaFlo flowable composite for anterior and posterior restora-
Store refrigerated.
tions: class I, II, III, IV, and V. It can also be used to restore missing
subgingival tooth structure prior to endodontic procedures (the Donut
Technique). * Registered trademarks of a company other than Ultradent. 1. realityesthetics.com 2. Data on file.

76
Composites

PermaFlo Pink Composite Wetting Resin 1

FLOWABLE COMPOSITE WETTING RESIN

Micro 20 ga Tip Inspiral Brush Tip

Acts as an attractive solution for prevalent gingival recession Facilitates composite adaptation
Reduces sensitivity and improves patient comfort Does not act as a detriment to polymerization
Moistens dry composite during contouring

Uses
PermaFlo Pink composite is an excellent alternative to gingival graft-
ing, which is not always an option. Use as a masking agent in Class V Composite Wetting Resin is a 45%-filled, light-cured, liquid resin. It is
restorations where root structure is exposed. Also use to mask gingival significantly superior to single-component adhesives, which contain
recession. solvents and inhibit composite polymerization.

Uses
Use Composite Wetting Resin during incremental layering of composite
materials. We recommend it be used when the oxygen-inhibited layer
has been removed or disturbed (e.g., washing the composite surface
following contamination). Composite Wetting Resin may be placed on
the composite surface if it has become dry during contouring compos-
ite. Use Composite Wetting Resin on an instrument or brush to enhance
glide. Composite Wetting Resin greatly facilitates adaptation of the
1. Following tooth prep and application 2. Resultant restoration can mask white composite restoration and preparation.
of dentin bonding agent (we recommend root surfaces when gingival grafting isnt
Peak Universal Bond adhesive), build res- an option.
toration incrementally with PermaFlo Pink
composite.

963 PermaFlo Pink Mini Refill 3059 Composite Wetting Resin Mini Refill
2 x 1,2 ml (2,30 g) syringes 2 x 1,2 ml (1,85 g) syringes
4 x Micro 20 ga Tips

Store refrigerated. Store refrigerated.

1. realityesthetics.com

77
Composites

Clinical Cases with PermaFlo

Micro Restorative
SUPER ADAPTIVE INITIAL LAYER:

(Courtesy of Dr. Howard Strassler)


1. Small Class I preparation treated with 2. The flowable composite offers unsur- 3. Finished, radiopaque, 0,7 m hybrid After the bonding agent, apply a thin layer
dentin bonding agent. Fill restoration with passed adaptation as it fills from prepara- restoration. Ultimate restorative seal! of PermaFlo composite at the gingival
flowable PermaFlo composite through tion floor up. margin, proximal box axial margins, and
the Micro 20ga Tip. internal line angles to ensure quality ad-
aptation of composite.

Masker

Masking dark colors initially facilitates gorgeous esthetics at the surface. METALMASKING:
Place a thin layer of PermaFlo Dentin
Opaquer over the exposed metal and light
cure for 10 seconds with VALO curing
light. For curing lights with output <600
mW/cm cure for 20 seconds.

Pediatric Restorations

1. Rampant caries in a 3-year-old. 2. Slow speed and large round bur to re- 3. Etch preparations and apply Peak 4. Apply and cure 1 or 2 additional incre-
move all caries. Stain with Sable Seek Universal Bond adhesive. Light cure with ments. Quickly finish restorations with
caries indicator to ensure prep is in firm VALO curing light. For curing lights with finishing burs and abrasive cups.
mineral dentin. (Compromise where close output <600 mW/cm cure for 20 sec-
to pulp.) Quality tissue management is an onds. Apply a thin first layer of PermaFlo
absolute must here; pack a long #0 or #1 composite to the adhesive layer with the
Ultrapak cord soaked in ViscoStat hemo- Micro 20 ga Tip. Light cure.
static first.

5. One year later.

78
Composites

Young woman embarassed to show her teeth. An implant crown on tooth #10 didnt
match surrounding dentition. Treatment time was 45 minutes to restore teeth 7, 8 and 9.
Minimal preparation needed. Patient is happy and satisfied with the results.
Dr. Sigal Jacobson

R R
R R

R R R R
R R R R

R R
R R

R R R R
R R R R

Uveneer
DIRECT COMPOSITE TEMPLATE SYSTEM

Terrific tool to quickly and easily create beautiful anterior restorations.


DR. GARY M. RADZ, DDS

new The Uveneer template makes the practice of the anterior esthetic dentistry easier,
faster, and better.
DR. GEORGE FREEDMAN, DDS

The simplicity of the Uveneer template is absolutely remarkable. Why didnt I think of
this?
DR. JOHN C. COMISI, DDS, MAGD
Allows for predictable, high-quality, natural-looking composite
In a single day I was able to do 11 mock-up veneers that were not part of the original
restorations schedule, resulting in several new cases being accepted. I wouldnt want to work
Prevents the oxygen inhibition layer during curing,resulting in a hard, without them now.
glossy surface DR. CHAD WAGENER, DDS
Allows light to pass through the template to the composite for
effective curing
UVKV2 Uveneer Kit
Works with any preferred composite 16 x Medium upper and lower arch templates
Releases easily from cured composite resin 16 x Large upper and lower arch templates
Requires minimal adjusting or polishing, saving time
Facilitates application on individual or multiple teeth
Is autoclavable and reusable, making it a cost-effective choice

Medium and large templates provide 2 central incisors, 2 lateral incisors, 2 canines, and 2
premolar templates for both the upper and lower arches.
Uveneer direct composite template system is a unique, minimally
invasive template system that creates perfect direct composite veneers
with predictable shape and symmetry. It mimics natural dentition and is
designed to create high-quality, natural-looking anterior restorations in
one visit. It can also be used for cosmetic mock-ups and shade selec-
tion as well as temporaries during porcelain veneer creation.

79
Accessibility. Durability. Power.

The quality of VALO. Now in color.


Graphite | Gold | Fuchsia | Teal
Crown & Bridge

Composite for Luting Veneers, LC


Composite for Luting and Restoration, DC
Glass Ionomer Cement, Resin-Reinforced
Temporary Cements
Temporary Crown & Bridge Material

Chrissy Corrado | Jr Graphic Designer | Monument Valley, Utah

81
Crown & Bridge

82
Crown & Bridge

QUALITY SEAL. SUPERIOR HOLD.


ULTRADENT CEMENTS

Temporary Permanent
Indications for Use UltraTemp
UltraTemp REZ

ClearTemp LC
PermaFlo DC

UltraCem PermaShade LC
Self Cure Self Cure Light Cure Dual Cure Self Cure Light Cure
Crown X X X X
Bridge X X X X
Veneer X X
Post Cementation X
Core Buildup X
Walking Bleach X
Crown & Bridge
X X
for Implants
Endo Access Opening X X
Orthodontic Bands X
Pedodontics X
Inlays/Onlays X X X X
C
Z

eL
LC
RE

DC
ad
p
p

lo
m

h
m

aS

aF
rTe

Ce
Te

Te

m
rm
tra

tra

tra
ea

r
Pe
Pe
Ul

Ul

Ul
Cl

0.15 MPa 0.5 MPa 2.0 MPa 10 MPa 3540 MPa 40+ MPa

Temporary BOND STRENGTHS: Lowest to Highest Permanent

83
Crown & Bridge

ClearTemp LC 1

TEMPORARY VENEER CEMENT

PLACEMENT.
Remove product from refrigerator and Seat temporary veneer on the preparation
bring to room temperature. Clean, rinse, and remove flash. Light cure with VALO
and lightly dry the preparation. Express curing light on standard power mode for
enough ClearTemp LC cement to coat the 10 seconds.
inside surface of the provisional.
Translucent shade is ideal for temporary anterior veneers
Light-cure formula provides a quality seal and exceptional retention
Fluorescence under a black light facilitates complete removal
Ergonomic contra-angle syringe delivery aids in precision placement

Uses
ClearTemp LC cement is designed specifically for veneers in the esthet-
ic zone. Its proprietary, light-cured resin formula provides the additional
strength required to keep provisional veneers in place. The cements REMOVAL.
translucent shade wont show through temporary veneers, and the ce- Use a hand instrument at the acrylic Illuminate surface with UV light to reveal
ments unique fluorescing properties cause it to glow under a black light margin to break the seal and remove remaining ClearTemp LC cement. Remove
for easy detection. ClearTemp LC cement will also adhere more to the provisional. ClearTemp LC cement is very any remaining cement and recheck. Scour
provisional than to the tooth, minimizing the time and effort required to strong and has high adhesion, so tempo- prep with pumice-type slurry and cup or
rary veneers may break upon removal. brush. Rinse thoroughly and prepare for
remove it from the preparation. For luting temporary veneers, nothing Flake off bulk residual cement with a blunt final cementation.
will hold as strong or look as natural as ClearTemp LC temporary veneer hand instrument.
cement.

3518 ClearTemp LC Kit


4 x 0,67 g (0,5 ml) syringes

Esthetic: Todays provisionals look more Comparison: A traditional temporary ce-


natural than ever; ClearTemp LC cement ment shows through the provisional crown  ote: ClearTemp LC temporary veneer cement should ONLY be used
N
helps to create a short-term smile - that on 11. ClearTemp LC cement does not
patients will be proud to reveal. show through the provisional veneer on for temporary veneers due to its high bond strength compared to other
21. temporary cements.

Fluorescing Properties: ClearTemp LC cement fluoresces under a UV black light for easy
detection; it is also designed to adhere more to the provisional than to the preparation.
Use a UV black light to ensure complete removal of ClearTemp LC, an important step We recommend PermaShade LC veneer cement for luting permanent
that minimizes potential to damage the final restoration. (Use the VALO black light lens veneers.
attachment for high visibility).
1. realityesthetics.com

84
Crown & Bridge

PermaShade LC

5.15 MPa

4.83 MPa

4.69 MPa
LIGHT CURE VENEER LUTING RESIN 5.5
5.0
4.5

3.34 MPa
4.0
3.5

2.56 MPa
3.0
2.5
2.0

PermaShade LC

RelyX* Veneer*

Choice* 2 *

Variolink* Veneer*

NX3*
Use for pre-fabricated veneers made of porcelain, zirconia,
composite and other indirect veneers
Unsurpassed low shade shift1
Medium viscosity keeps veneer from drifting once seated
Low shrinkage stress reduces strain
LOWEST SHRINKAGE
on the veneer, minimizing the risk of
Uses STRESS
post-cure breakage.2
PermaShade LC is a light-cured luting resin used exclusively for ce-
menting veneers. Its ergonomic contra-angle syringe makes luting
delicate veneers more convenient than other delivery methods. With 3517 PermaShade LC Veneer Cement Kit
enduring color stability and low shrinkage, PermaShade LC is ideal for 4 x 0,95 g (0,5 ml) Translucent syringes
creating a long-lasting, esthetic veneer smile. 3 x 0,95 g (0,5 ml) A2 syringes
3 x 0,95 g (0,5 ml) B1 syringes
3 x 0,95 g (0,5 ml) Opaque White syringes
2 x 1,2 ml (1,24 g) Peak Universal Bond syringes
1 x 1,2 ml (1,58 g) Ultra-Etch syringe
Unique and ergonomic contra-angle 1 x 1,2 ml (1,33 g) Porcelain Etch syringe
syringe allows for precise, controlled 1 x 1,2 ml (0,96 g) Silane syringe
20 x B lue Micro Tips
delivery. For optimal handling, bring
PermaShade LC resin to room tempera-
ture before use. 20 x B lack Mini Brush Tips


60 x Inspiral Brush Tips

Independent Study
Store refrigerated.
Independent university tests confirm PermaShade LC showed no per-
ceptible shade shift after an accelerated aging process.1 Light-cured
resins tend to be more color stable due to the addition of non-aromatic 5227 Translucent Refill
aliphatic amines, which are resistant to oxidation. E shade shift is less 5228 Opaque White Refill
than 3. (3 or higher is visible to the human eye.) 5229 A2 Refill
5230 B1 Refill


4 x 0,95 g (0,5 ml) PermaShade LC syringes

Store refrigerated.
Before

Actual patient After


* Registered trademarks of a company other than Ultradent. 1. Barghi N, Gureckis KM, McAlister T. Color
stability of two luting resins. Comprehensive Dentistry, University of Texas at San Antonio, San Antonio, TX,
Patient with 4 existing anterior composites and large diastema. Received 6 anterior A1 Comprehensive Dentistry, University of Texas - San Antonio / Health Science Ctr, San Antonio, TX. IADR
porcelain veneers (611) cemented with PermaShade LC resin in the Translucent shade. session March 18, 2011. 2. Data on file.

85
Crown & Bridge
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 8: Resin Cements, by Dr. Phil Brown
http://www.ultradent.com/podcast/08_resin_cements.mp3

PermaFlo DC Technical Data1


DUAL-CURE COMPOSITE LUTING/RESTORATIVE RESIN Shear Bond Strength to Enamel (Total-Etch) 53.38 MPa
Shear Bond Strength to Dentin (Total-Etch) 62.07 MPa
Flexural Strength 128.5 MPa
Flexural Modulus 9.37 GPa
Compressive Strength 355.91 MPa
Compressive Modulus 4.22 GPa

Film Thickness (m)1


Intraoral Tip Ultradent Mixing Tip PermaFlo DC 9
Calibra *

12
Wear resistant
Multilink AutoMix*

48
Maximum strength
Radiopaque RelyX ARC*

16
Low polymerization shrinkage Ultra-Bond Plus*
31
Self-mixing 0 10 20 30 40 50 60
2,5 minutes working time, 5 - 8 minutes set time
PermaFlo DC resin has the lowest film thickness known for a
composite luting resin.

PermaFlo DC luting resin is a highly filled, small-particle, dual-cure


resin. It has the lowest film thickness known for a luting composite
resin: just 9 m. Though it is highly filled at 70% by weight, PermaFlo
DC luting resin flows easily through a small-orifice Tip, making post
luting simple and convenient.

Uses
PermaFlo DC luting resin is recommended for permanent cementation
of opaques, total ceramic crowns, etc. You can use the same mix and PermaFlo DC resin is a versatile dual-cure resin formula, that can be used to cement
delivery method to lute posts and fabricate core buildups. Its optimal endodontic posts and fabricate core buildups.
viscosity flows easily into the depths of the post preparation and then
intimately around protruding, direct-placed posts. To stop material flow
during core buildup, tack with a curing light. PermaFlo DC is compatible
with Peak Universal Bond adhesive for light-cured bonding and luting.

Adhesive luting for crowns, bridges, inlays,


and onlays. With syringe/tip delivery, a
crown is loaded from the depth of the crown
to ensure no air entrapment.

* Registered trademarks of a company other than Ultradent. 1. Data on file.

86
Crown & Bridge

1319 PermaFlo DC Bonded Post Kit PermaFlo DC Refill


2 x 5 ml (9,5 g) PermaFlo DC A2 syringes
2 x 1,2 ml (1,58 g) Ultra-Etch syringes
5912 A2 Kit 5914 Translucent Kit
2 x 1,0 ml (0,99 g) Peak SE syringes 5913 A3.5 Kit 5915 Opaque White Kit
2 x 1,2 ml (1,24 g) Peak Universal Bond syringes 1 x 5 ml (9,5 g) PermaFlo DC syringe
5 x Luer Vacuum Adapters 20 x Mixing Tips
20 x TriAway Adapters 20 x Intraoral Tips
20 x Intraoral Tips
20 x Mixing Tips
40 x NaviTips FX 17 mm Store refrigerated.


40 x Endo-Eze 22 ga Tips

Store refrigerated.
Recommended Tips: Bonded Post Procedure Indirect Luting Procedure

1318 PermaFlo DC Indirect Luting Kit


3 x 5 ml (9,5 g) PermaFlo DC A2, A3.5, and Translucent
syringes
1 x 1,2 ml (1,58 g) Ultra-Etch syringe
1 x 1,2 ml (1,89 g) Consepsis Scrub syringe NaviTip FX 17 mm Black Mini Brush Tip
2 x 1,0 ml (0,99 g) Peak SE syringes
2 x 1,2 ml (1,24 g) Peak Universal Bond syringes
40 x Inspiral Brush Tips
20 x Black Mini Tips
20 x Mixing Tips
The Intraoral Tip snaps onto PermaFlo DCs dual-barrel Mixing Tip for
20 x Intraoral Tips precise placement of the luting material.
20 x Blue Micro Tips
40 x Black Mini Brush Tips
1 x PropGard Regular
2 x Tongue Guards

Store refrigerated.

Product Reference, see Etch/Bond section.

Peak Universal Bond


LIGHT-CURED ADHESIVE WITH CHLORHEXIDINE (0,2%)
4551 Peak Universal Bond Total-Etch Intro Kit
1 x 1,2 ml (1,24 g) Peak Universal Bond syringe
1 x 1,2 ml (1,58 g) Ultra-Etch syringe
20 x B lue Micro Tips
20 x Inspiral Brush Tips

Peak Universal Bond adhesive is a resin bond delivered by a single Store refrigerated.
syringe or bottle. It can be used with a self-etch or total-etch technique.

87
Crown & Bridge

Sample Bonded Post Procedure

1. Determine post size and length 2. Place a rubber stop on UniCore 3. Position UniCore Tip in the pilot 4. Use TriAway Adapter with 5. Blow out excess water with
using a try-in post or X-ray and drill at desired length. hole. Using light pressure, follow Endo-Eze 22 ga Tip to rinse debris TriAway Adapter and Endo-Eze 22
clinical judgement. the obturation material to the length out of post space with water. ga Tip to dry the canal.
indicated by rubber stop. Keeping
the drill at full speed, withdraw from
the canal.

TOTAL-ETCH TECHNIQUE

6. Verify post size by placing the 7. Trim post to appropriate length 8. Etch space for 20 seconds 9. Suction excess etchant with Ul- 10. Use TriAway adapter and
corresponding UniCore post and using a diamond disc. with Ultra-Etch solution using the tradents Luer Vacuum Adapter and Endo-Eze 22 ga Tip to rinse thor-
seat to length. Endo-Eze 22ga Tip. Endo-Eze22 ga Tip. oughly with water and lightly air dry,
leaving the post space slightly damp.

11. Use the NaviTip FX to place 12. Thin and dry Peak Universal 13. Light cure adhesive in post 14. Using the UniCore post or a 15. Attach Intraoral Tip to mix-
Peak Universal Bond adhesive in Bond adhesive with full air pressure space for 20 seconds. paper point, ensure post space is ing Tip of PermaFlo DC syringe.
the canal for 10 seconds. for 10 seconds with the TriAway not obstructed with Peak Universal Use Intraoral Tip to deliver mixed
Adapter and Endo-Eze 22 ga Tip. Bond adhesive. PermaFlo DC resin into post space
beginning from the bottom of the
post space.

SELF-ETCH TECHNIQUE (Replaces steps 810)

PEAK SESE
PEAK Thin
Thin/ /Dry
Dry
(full
(fullair
airpressure
pressure

TriAwayand
TriAway and
NaviTip
NaviTip FX
FX Endo-Eze
Endo-Eze
22ga
22ga

16. Insert post and seat. 17. Light cure PermaFlo DC in canal 18. Flow PermaFlo DC resin around 19 & 20. Apply Peak SE primer into the canal using the NaviTip FX
through post for 20 seconds. post for core buildup. If fill starts Tip. Scrub for 20 seconds. Thin and dry Peak SE primer with full air pres-
to slump, light cure 23 seconds. sure for 3 seconds with the TriAway Adapter and Endo-Eze 22 ga Tip.
Repeat with each additional layer.
Final cure with VALO curing light-
for 20 seconds, or 40 seconds if
using another curing light with less
than 600 mW/cm2. Proceed with
crown preparation or restorative
procedure.

88
Crown & Bridge

UltraTemp 1
UltraTemp and UltraTemp REZ
POLYCARBOXYLATE, NON-EUGENOL TEMPORARY LUTING/FILLING MATERIAL
TEMPORARY LUTING/FILLING MATERIAL
Non-eugenol formulas wont interfere with resin bonding
Convenient dual-barrel syringe delivery of paste-to-paste formulas
Mixing Tips provide even mixing for reliable adhesion
Provide optimal sealing capabilities once cured
Able to withstand normal biting and chewing forces
Easy to remove at the right time
Hydrophilic

UltraTemp temporary luting/filling materials hydrophilic, polycarboxylate


chemistry ensures low irritation to pulp and a quality seal. It is water UltraTemp REZ Ultradent Mixing Tip

soluble until set for easy cleanup. UltraTemp temporary luting/filling RESIN-BASED
material is suggested for routine 2- to 4-week temporization of custom-
fabricated provisionals or standard preformed provisionals. It can also
be used to seal the access opening of walking bleach cases with Opal-
escence Endo.

UltraTemp REZ temporary luting/filling material features a hydrophilic


resin-based formula that is recommended for the retention of interim
restorations on implants and provisional restorations when longer reten-
tion is required. It is available in Fast Set (1 to 2 minutes) and Regular
Set (2 to 3 minutes).
Do not use for internal whitening.

1. Prior to complete set, remove excess 2. Upon provisional removal, shown here
UltraTemp easily with a moist cotton swab 2 weeks post-op, cement clings to both
or gauze. Following subgingival set of 23 provisional and preparation. This is VALU-
minutes, remove quickly with explorer. ABLE. This is one indicator of a quality
sealing cement.

1. Mix and deliver simultaneously. No 2. Provisional removal, 2 weeks post-op.


mess, little waste. UltraTemp REZ provides slightly higher re-
tention due to its resin-based chemistry.

3. Quickly remove bulk of residual ce- 4. Use an abrasive (Consepsis Scrub) with
ment. Note well-healed tissues; UltraTemp a rubber cup or the STARbrush to remove
is kind to tissue. residual cement.
3. UltraTemp REZ is designed to flake off 4. Will not inadvertently bond to other
easily from the preparation. resins.

Times at 37C Working time Setting time


Times at 37C Working time Setting time
UltraTemp REZ Regular Set 45 sec. 23 mins
UltraTemp Regular 45 sec. 23 mins
UltraTemp REZ Fast Set 30 sec. 12 mins

5916 UltraTemp Regular (2- to 3-Minute Set Time) 6040 UltraTemp REZ Regular (2- to 3-Minute Set Time)
1 x 5 ml (7,82 g) UltraTemp syringe 6041 UltraTemp REZ Fast (1- to 2-Minute Set Time)
20 x M ixing Tips 1 x 5 ml (10 g) UltraTemp REZ syringe
20 x M ixing Tips

Store refrigerated.
1. realityesthetics.com

89
Crown & Bridge
First of its Kind!
Liquid and Powder Cement Mixed and Delivered from a Syringe!
Strongest RRGI/RMGI tested.1
resin-reinforced glassionomer cement

UltraCem
RESIN-REINFORCED GLASS IONOMER CEMENT
Outer stem bursts
Internal membrane Small barrel/stem contains membrane between liquid
Barrel holds powder; separates liquid and liquid and powder
also serves as powder
mixing chamber
Mixing handle converts
to delivery Tip

Yellow clip and wire plug are removed


after mixing for immediate delivery

Highest bond strengths in its category Comparative Testing1


Sustained fluoride release Metal Shear Button Crown Pull Film Thickness
Flexible structures similar to the tooths natural makeup to reduce
UltraCem
10.89 MPa 5.22 MPa 24.0 m
the risk of breakage
Flowable viscosity and low film thickness wont compromise GC Fuji PLUS* 4.76 MPa 3.91 MPa 17.6 m
fit or occlusion
Creates an ionic bond with the tooth structure 3M RelyX Luting* 5.12 MPa 4.59 MPa 36.9 m
1- to 3-minute working time, 5-minute set time
3M Ketac-Cem* 3.65 MPa 2.27 MPa 25.8 m
Radiopacity >1 mm aluminum

UltraCem resin-reinforced glass ionomer cement offers the best of both


worlds in a luting cement: efficient delivery and unsurpassed perfor- 2058 UltraCem SpeedMix Syringe 2 pk
mance. Its advanced chemistry boasts the highest bond strengths in 2 x 0 ,3 g unit-dose SpeedMix syringes

its category, while its unique SpeedMix syringe ensures the ultimate
luting convenience. UltraCem cement is also available in a traditional
hand-mix bottle kit, an economical choice that gives clinicians control
over the viscosity and amount of material used.
2057 UltraCem SpeedMix Syringe 20 pk
20 x 0 ,3 g unit-dose SpeedMix syringes
Uses

UltraCem resin-reinforced glass ionomer cement is used as a luting


cement for indirect restorations (including inlays, onlays, crowns, and
bridges) made of metal, porcelain fused to metal, zirconia, and resin.
It may also be used for cementation of orthodontic bands to enamel.
2056 UltraCem Liquid-Powder Bottle Kit
For zirconia restorations only, apply Peak Universal Bond adhesive to 1 x 15 g bottle of powder
the preparation using a scrubbing motion for 10 seconds (no etchant 1 x 8,6 ml bottle of liquid
1 x Each mixing pad, measuring spoon, and spatula
required). Aggressively air thin until surface appears dull and light cure
for 10 seconds with VALO curing light. For best results, sandblast the
inside of the zirconia prosthesis; clean with an air/water spray, and dry.

Note: Never use phosphoric acid to clean zirconia as it will significantly


reduce bond strengths. Do not use a zirconia primer with UltraCem
cement. * Registered trademarks of a company other than Ultradent. 1. Data on file.

90
Crown & Bridge

UltraCem SpeedMix Syringe

Faster than hand mixing Mixing has historically been the downside of liquid-powder
No need for trituration RRGI cements, requiring additional appliances and time-
No additional Tips or parts required consuming trituration. Now, the SpeedMix syringe effectively
Consistent mixing ratios every time mixes and delivers a superior liquid-powder formula in sec-
Unit-dose delivery for low risk of contamination onds and with no mess.

1. Flick or tap barrel 4 times to fluff powder 2. Press white stem firmly into green stem to push liquid into
powder chamber

3. Leave metal rod in place; grasp plastic delivery/mixing Tip


and mix chemical 10 to 15 times vigorously back and forth 4. Fully extend delivery/mixing Tip

10 15x

5. Remove metal rod and discard 6. Remove yellow clip and discard

7. Express material into prosthesis

See a 30-second video of the


SpeedMix syringe in action!
ultradent.com/ultracem

No capsule activator needed. No capsule mixing unit needed. No capsule applier needed.

91
Crown & Bridge

ExperTemp
Flexural Modulus Comparison1
ExperTemp 4.91 GPa

Luxatemp Ultra* 4.16 GPa


ExperTemp
Structur Premium* 4.09 GPa
TEMPORARY CROWN & BRIDGE MATERIAL
Integrity Multi-Cure* 2.67 GPa

Easy to trim and polishes beautifully (polishing optional) Protemp Plus* 2.31 GPa
Low oxygen inhibition at polymerization
High abrasion resistance and flexibility 1 2 3 4 5
Available in multiple shades: A1, A2, A3, A3.5, B1, and Bleach
White
Intraoral set time approximately 50110 seconds
Edge Chip Comparison1
Can be repaired with a packable composite, a flowable composite,
ExperTemp 192.60 lbf
or additional ExperTemp material
Fluorescence similar to enamel Structur Premium* 158.69 lbf

Uses Protemp Plus* 145.46 lbf


ExperTemp temporary crown and bridge material is a bis-acryl com-
Luxatemp Ultra* 144.08 lbf
posite provisional material used to fabricate temporary crowns, bridges,
inlays, and onlays as well as long-term temporaries. The 10:1 self- Integrity Multi-Cure* 137.27 lbf
cured chemistry is easy to work with and provides exceptional strength,
flexibility, and abrasion resistance. Superior performance combined 100 125 150 175 200
with a natural esthetic make ExperTemp the material of choice for tem-
porization.

Working time &


Allow to cure in mouth Remove from mouth Complete cure Adjust provisional
insert in mouth
0:00 0:40 1:30 2:30 4:00

6341 ExperTemp A1 Kit


6340 ExperTemp A2 Kit
6347 ExperTemp A3 Kit
6342 ExperTemp A3.5 Kit
6343 ExperTemp B1 Kit
1. Crown preparation. 2. Low oxygen-inhibition 3. Trims easily; cuts like a 6344 ExperTemp Bleach White Kit
layer. composite. 1 x 50 ml cartridge
15 x M ixing tips

6345 ExperTemp Dispensing Gun


1 x 10:1 / 4:1 dispensing gun
4. Wont ball up in acrylic 5. Bis-acryl formula allows 6. Provisional is cemented
bur during shaping. high polishability. and seated.

6346 ExperTemp Mixing Tip Refill


45 x M
 ixing tips

7. Does not require dia- 8. Provisional closely re-


mond polish. sembles natural dentition.
* Registered trademarks of a company other than Ultradent. 1. Data on file.

92
Finish

Silicone Rubber Polishers


Polishing Brush
Diamond Polishing Pastes
Oxygen Barrier Gel
Composite Sealer

Melissa Axen | R&D Product Development Scientist | Great Salt Lake, Utah

93
Finish

Jiffy Polishers 1
Jiffy Composite 1

CUPS, DISKS, AND POINTS Polishing Brushes


REGULAR AND POINTED

Excellent for contouring, finishing, and polishing composites such as Flexibility of each abrasive-filled fiber fa-
cilitates unsurpassed polishing of occlusal
Amelogen Plus irregularities.
Latex-free material
Autoclavable
Available in 3 grits

Each bristle contains thousands of silicon carbide polishing particles


Uses Access and polish occlusal fissures of composites or ceramics
Blend abrupt irregularities with a green Jiffy Coarse polisher. Follow For composite polishing, whip bristles with firm pressure and high
with a yellow Jiffy Medium polisher to smooth minor irregularities, and RPM (5.000 - 10.000) in a slow-speed handpiece
finish with a white Jiffy Fine polisher or a blue Jiffy HiShine for a smooth Integrity is maintained through limited autoclaving cycles
finish.

Each bristle is a polishing instrument.


1 Special fibers are impregnated with abrasive silicon
848 Jiffy Polisher Variety Pack carbide particles.
5 x Cups (2 coarse, 2 medium, 1 fine)
5 x Disks (2 coarse, 2 medium, 1 fine)
10 x Points (4 coarse, 4 medium, 2 fine)
2 Easily recognizable by their golden shafts.

COARSE MEDIUM FINE


Cups 890 838 841
Points 892 839 842
Disks 891 840 843
20 x P olishers 850 Jiffy Regular Brush
1009 Jiffy Pointed Brush
10 x Brushes

1. realityesthetics.com 1. realityesthetics.com

94
Finish

Ultradent Diamond Polish 1


DeOx 1

Mint VISCOUS OXYGEN BARRIER SOLUTION

DIAMOND POLISHING PASTE

Black Mini Tip

Black Mini Tip

Prevents oxygen-inhibited layer formation


Provides easy delivery

High-grade white microcrystalline diamond particles DeOx barrier solution is a viscous, glycerine-based gel designed to
Unsurpassed esthetic polish prevent formation of an oxygen-inhibited layer on the surface of resin
Ideal for porcelain or composite restorations materials when they are polymerized.
For use with Jiffy brushes and felt wheels

Veneer containing luting resin is placed.


Before curing, excess resin is removed
from the margin. DeOx barrier solution is
coated over the margins as shown here.
Result: no oxygen inhibition on margin of
luting resin surface upon polymerization;
no ditching at margin.

5540 Ultradent Diamond Polish Mint 0,5 m Mini Refill


5541 Ultradent Diamond Polish Mint 1 m Mini Refill
2 x 1,2 ml (1,40 g) syringes


238 DeOx Refill
4 x 1,2 ml (1,51 g) syringes


1. realityesthetics.com 1. realityesthetics.com

95
Finish

PermaSeal 1
New Restorations
PENETRATING COMPOSITE SEALER

Before: interproximal spaces and slight After restoring and polishing, etch 5 sec-
rotations to be corrected with Peak Uni- onds and apply PermaSeal to seal com-
versal Bond adhesive and composite. posite and create a glossy finish.

Black Micro FX Tip

Existing Restorations

Bonds to composite and etched enamel


Seals microcracks and strengthens restorations
Protects and revitalizes composite restorations

Always clean existing composite res- Four-year-old bonded composite following


PermaSeal composite sealer is a light-cured, methacrylate-based, un- torations and adjacent enamel using PermaSeal composite sealer treatment.
filled resin. Its low viscosity allows excellent penetration, and the ultra- Consepsis Scrub slurry, pumice, or a
microetcher. Rinse and etch 20 seconds.
thin layer minimizes the need for occlusal adjustment.
Rinse thoroughly and air dry.

Uses
PermaSeal composite sealer seals voids and irregularities created 631 PermaSeal Kit
during the polishing process, minimizing staining and wear. Place on 4 x 1,2 ml (1,30 g) syringes
10 x Black Micro FX Tips
Class V composite margins to reduce microleakage.2 For the final glaze-
type finish of resin provisionals, cover PermaSeal sealer with DeOx
barrier solution prior to light curing. PermaSeal sealer bonds well to
composite-type provisional restorations and can be used to revitalize Store refrigerated.
old composites as well.
1013 PermaSeal Mini Kit
2 x 1,2 ml (1,30 g) syringes
10 x Black Micro FX Tips

PrimaDry drying agent dries ideally just prior to PermaSeal pen-
etrating composite sealer placement. See Prevent/Hygiene section.
Store refrigerated.

Smooth the provisional surface. Brush


PermaSeal composite sealer into surfaces,
gently air thin, coat with DeOx barrier solu-
tion, and light cure for 20 seconds.

1. realityesthetics.com 2. Dunn JR, Dole P, Fullerton B, Hennesy C. Microleakage of Class V composite restorations
using a composite surface sealant. Biomaterials Research Center, Loma Linda University School of Dentistry. May 1996.

96
Equipment

LED Curing Light corded / cordless


Protective Eyewear
Accessories
Diode Laser

Ryan White | Campaign Marketing Manager/Media Buyer | Arches National Park, Utah

97
Equipment

TM

2015

LED CURING LIGHT

5941 VALO Cordless Kit - Black


5943 VALO Cordless Kit - Gold
5944 VALO Cordless Kit - Graphite
LiFePo4 Batteries 5945 VALO Cordless Kit - Fuchsia
5946 VALO Cordless Kit - Teal
Ultra-high-energy broadband LEDs cure all dental materials
Optimally collimated beam delivers a complete, uniform cure 1 x VALO Cordless LED curing light
Three curing modes - Standard, High Power, and Xtra Power - for 4 x Rechargeable batteries
maximum versatility 1 x Battery charger
Extremely durable, slim, ergonomic shape allows unprecedented 1 x Charging unit power supply
access to all restoration sites 1 x Handpiece bracket holder
Operates on environmentally responsible, safe, inexpensive, 1 x VALO Cordless Light Shield
rechargeable batteries 50 x B arrier sleeves
Highly efficient LEDs and aerospace aluminum keep wand body cool
to the touch 5961 VALO Cordless Charging Unit Power Supply
1 pk

Uses
VALO Cordless LED curing light uses a custom, multiwavelength light-
emitting diode (LED) for producing high-intensity light at 395480 nm, 5962 VALO Cordless Battery Charging Unit
which is capable of polymerizing all light-cured dental materials. This 1 pk
intensity will also penetrate porcelain and is capable of curing underly-
ing resin cements similar to a quality halogen light. The VALO Cordless
curing light uses VALO rechargeable batteries and a battery charger
suitable for power outlets from 100 to 240 volts. The handpiece is 5963 VALO Cordless Rechargeable Batteries
designed to rest in a standard dental unit bracket or can be custom 2 pk
mounted using the bracket included in the kit. It can also be stored on
a countertop or in a drawer. The VALO Cordless curing light is equipped
with a sensor that registers movement of the light; when the light is
not being used, the VALO Cordless curing light will automatically go 5964 VALO Cordless Barrier Sleeves
into sleep mode and when moved will return to the most recently used 500 pk
setting.

5929 VALO Cordless Light Shield


1 pk
Metal Matrix Metal Matrix

Light guide prevents accessibility which Direct access and a collimated beam
can result in insufficient curing. result in complete curing.
1. www.realityesthetics.com

98
Equipment

TM

2015

VALO
LED CURING LIGHT

The angle of a 60 light guide causes The slim head of the VALO curing light
overextension of the jaw and often allows easy and direct access to all
makes it impossible for the light to reach curing sites.
all aspects of the preparation.

Ultra-high-energy broadband LEDs cure all dental materials


Optimally collimated beam delivers a complete, uniform cure
Three curing options - Standard, High power, and Xtra power - offer
convenience and flexibility
Slim, ergonomic wand allows unprecedented access to all
restoration sites The low-profile of the VALO curing light Competitor lights can cause overstretch-
design accesses hard-to-reach areas, ing of TMJ or soft tissues.
Unique unibody design is both extremely durable and lightweight even in smaller mouths.

Uses
VALO LED curing light uses a custom, multiwavelength light-emitting 5919 VALO Kit
1 x VALO LED curing
diode (LED) for producing high-intensity light at 395480 nm capable light - 2,13 m cord
of polymerizing all light-cured dental materials. This intensity will also 1 x Power supply with universal
penetrate porcelain and is capable of curing underlying resin cements plugs - 1,83 m cord
similar to a quality halogen light. The VALO curing light has a medical- 1 x Handpiece bracket holder
grade, international power supply and is suitable for power outlets from 1 x Light shield
100 to 240 volts. The handpiece is designed to rest in a standard dental 50 x VALO barrier sleeves
unit bracket or can be custom mounted using the bracket included in
the kit.
5930 VALO Power Supply
1,83 m cord

5932 Barrier Sleeves


500 pk

5935 Light Shield


1 pk

1. www.realityesthetics.com

99
Equipment

Every VALO LED curing light starts as a


single bar of tempered, high-grade aerospace
aluminum, which is CNC precision milled at
Ultradents facility in Utah, USA.

The VALO curing lights have custom LED packs that contain chips in 3 wavelengths,
which enable the VALO lights to cure all dental materials, whether they contain proprietary
photoinitiators such as Lucirin TPO, PPD, or more commonly found camphorquinone.

10.5 mm

12 mm 13 mm

The VALO lights high-tech circuitry pro- The optimally collimated beam ensures
duces 3 curing modes: Standard, High that the VALO light maintains its power
power, and Xtra power. VALO is 3 lights density and cures uniformly over a range of
in one. surfaces and working distances.

True unibody construction via machining ensures durability and superior


heat dissipation and facilitates the elegant, ergonomic, and streamlined
design that enables the VALO light to access areas other curing lights VALO TECHNICAL INFORMATION
simply cannot reach. Range of Light Output (nm) 395 nm480 nm

Wand Weight VALO: 115 g | VALO Cordless: 170 g


VALO Cordless without batteries: 136 g
Dimensions VALO: 23,5 cm L x 2,0 cm W x 1,9 cm H
VALO Cordless: 20,5 cm L x 2,8 cm W x 3,3 cm H
VALO LED curing light starts as a single VALO Power Supply 9V DC at 2A, medical grade (UL CE) with surge protection of
bar of aluminium and ends as the most 100VAC to 240VAC

advanced curing light in the world. VALO Cordless Power Supply Rechargeable batteries LiFePO4 RCR123A,
Smart battery charger 3.6 VDC LiFePO4
Medical grade power adapter (UL, CE, RoHS, WEEE)
100VAC 240VAC

Irradiance (mW/cm2)
Standard Power 1.000 mW/cm2*
High Power 1.400 mW/cm2*
Xtra Power 3.200 mW/cm2

Lens Diameter 9,6 mm


Beam Diameter at Curing Surface 10,5 mm

Light Timing Programs Adjustable time options

*As measured by a properly calibrated Demetron radiometer


As measured by an integrating sphere (DenMat Sapphire Plasma Arc Curing Light - Irradiance
measured at 2.600 mW/cm2 using an integrating sphere)

100
Equipment

Thin cord is long enough for freedom


of movement and features Kevlar*
strands for unprecedented strength,
Unibody construction ensures durability durability, and flexibility.
and unsurpassed heat dissipation

Scratch-resistant
sapphire-hard coating

Teflon* seal provides


ease of cleaning

Lowest-profile head for a


broadband LED
Energy-efficient
hardened glass lens
resists scratching

Incredibly lightweight Two CR123A rechargeable batteries


VALO Corded: 115 g power VALO Cordless
VALO Cordless: 170 g with batteries
Courtesy of Dr. Richard Price.

Unique glass lens system forms the lights


collimated beam

VALO - 0 mm 0 mm

Two Buttons for Intuitive Handling


Mode/Time Button Mode/Time Button
Press and release to change time. Press and release to change time.
Power Button Press and hold for 3 seconds to Power Button Press and hold for 3 seconds to
change mode. change mode.

4 LEDs show time selection Mode selection


4 LEDs show time selection Mode selection Low-battery indicator

VALO LED Curing Light VALO Cordless LED Curing Light


* Trademark of a company other than Ultradent.

101
Equipment

TM

VALO impresses by a multiplicity of advantages to satisfy the needs of dentistry - for today and for tomorrow
The Broadband LED Spectrum
VALO is equipped with four LEDs with three different
wavelengths covering a wavelength spectrum of 395
480 nm. This cures campherquinone, Lucirine TPO, and
PPD photoinitiators. Research shows that even Campher-
quinone (peak at 468 nm) cures better using broadband
LED.1

VALOs four LEDs cover a range of 395480 nm. Notice A conventional LED curing light emits blue light, most
the differently colored spots; numbers indicate the peak often in a spectrum of 430480 nm.
of each LED.

The Light Collimation


VALOs unique glass lens focuses the light emission and
achieves a collimated beam. The result is an extraordi-
narily homogeneous light spot, even at some distance -
and thus a homogeneous cure.

The columnar beam of VALO. The diffused beam emitted by a conventional curing
light.

The Wand
VALO is sleek and lightweight. The aluminium body dis-
sipates heat so no internal fan is necessary, and the wand
has a solid, smooth surface that is easy to clean and dis-
infect. You can store VALO in a free bracket of the dental
unit or can be custom mount it using the bracket in the
kit.

The VALO wand fits in any free bracket of dental units. With a head even smaller than a toothbrush, VALO can
be handled like an intra-oral camera.

Be on the safe side with the broadband LEDs of VALO


VALOs light output accommodates all photoinitiators
Lucirin TPO used in dentistry. Manufacturers of light-cure composites
Phenylpropanedione and adhesives often fail to disclose which photoinitiators
their products contain. With VALO you are on the safe side
Camphorquinone - today and tomorrow.

Wavelength [nm]
Complete, reliable cures thanks to broadband LEDs matching all photoinitiators.

1. RB Price et al.: Benefits of using a dual peak wave-length LED curing light. IADR Abstract ID# 72534, 2005.

102
Equipment


VALO and VALO Cordless
TM
ACCESSORIES

5934 PointCure Lens


Clear lens for pinpoint curing of 2 x Lenses
small composites or tack curing
veneers.

PointCure Lens

5938 EndoGuide Lens


2 x Lenses
Special lens for apical retrofills
and other narrow preparations.

EndoGuide Lens

5936 ProxiCure Ball Lenses


2 x Lenses (1 large/1 small)

ProxiCure Ball lens facilitates the building of convex proximal contacts.


The imprint is easily filled with composite in a second step. Push the
ProxiCure Ball lens against the interproximal wall of the band; do not
submerge in composite.
ProxiCure
Ball Lenses

The green lens aids in locating


and demonstrating cracks and
subsurface differences.
5937 TransLume Lenses
2 x Lenses (1 orange/1 green)

The penetrating ability of the


orange lens shows the obstruc-
tion to light caused by posts or
internal bubbles.
TransLume Lenses
Green & Orange

5939 Black Light Lens


The Black Light lens is used to
1 x Lens
detect fluorescent particles in
resins for easy differentiation
from natural enamel.
Black Light Lens

1667 Mounting Bracket


1 x Bracket
The mounting bracket can be used for the VALO and VALO Cord-
less curing lights and mounts to any surface.

Lenses are reusable and should be disinfected using an intermediate-level disinfectant.

103
Equipment

UltraTect Ultradent Utility Vinyl Cutters


PROTECTIVE EYEWEAR

Use for gross trimming of


tray

604 Ultradent Utility Vinyl Cutters


1 pk

UltraTect safety eyewear is high-quality protective eyewear thats made


for the modern dental environment. Each pair of glasses meets ANSI
standards and CSA high-impact and side-shield requirements. The Ultradent Ultra-Trim Scalloping Scissors
lenses are made of molded polycarbonate rather than simple molded
plastic, ensuring high optical properties and scratch resistance. Do not
use for laser protection.

Orange lenses protect against UV radiation from polymerization lamps.


Clear lenses are suitable for protection against chemicals during pro-
cedures while maintaining clear visibility e.g. during tooth whitening in Precisely trims tray border
the dentists chair. around interdental papilla
Spring-loaded design minimizes
Brown lenses protect the eyes against all types of intensive daylight. finger fatigue
Grips tray material easily
Made of durable stainless steel

508 Black Frame / Orange Lens


501 Black Frame / Clear Lens
914 Maroon Frame / Brown Lens
1 pk

605 Ultradent Ultra-Trim Scalloping Scissors


1 pk

104
Equipment

BATTERY INDICATOR

WAVELENGTH INDICATOR

POWER INDICATOR

PRESET PROCEDURES

DISPOSABLE TIPS TOUCH KEYPAD


WITH ILLUMINATION

dual wavelengths.

105
Equipment


TIP ILLUMINATION
provides better visibility at surgical site

Gemini
810 + 980 DIODE LASER

new
VOLUME BATTERY INDICATOR

POWER INDICATOR

PRESET PROCEDURES

Diode Laser Peak Power Comparison1


Gemini2

DISPOSABLE TIPS
SIROlaser Advance*
WITH ILLUMINATION TOUCH KEYPAD

Epic 10*
Precise SHP*
Picasso Lite*

0 5 10 15 20

8990 Gemini Laser Kit


20 watts of peak super-pulsed power for fast and smooth cutting 1 x Power supply
1 x Foot pedal
Dual wavelength technology combines the optimal melanin 1 x Handpiece
absorption of the 810 nm wavelength and the optimal water 10 x 5 mm tips
absorption of the 980 nm wavelength 3 x Safety glasses sets
Tip illumination provides better visibility at surgical site
Sleek, innovative design features a stunning transparent
electroluminescent display
Simple user interface and 19 preset procedures enhance 8991 Gemini Power Supply
ease of use 1 x Power supply
Wireless foot pedal and battery operation allow for convenient
movement from operatory to operatory
8992 Gemini Foot Pedal
Autoclavable handpiece for simple sterilization between procedures
Designed and assembled in the U.S. from U.S. and imported
1 x Foot pedal

components
8993 Gemini 5 mm Pre-Initiated Tip
25 x 5 mm tips

8994 Gemini 7 mm Uninitiated Tip


25 x 7 mm tips

The Gemini 810 + 980 diode laser is a dual-wavelength soft 8995 Gemini Safety Glasses
tissue diode laser featuring 20 watts of peak super-pulsed power 1 x Safety glasses
and a stunning, fully transparent electroluminescent display.
No matter the procedure, the innovative Gemini laser makes it fast, 8996 Handpiece Shell
smooth and efficient. 1 x Handpiece shell

*SIROLaser Advanced is a trademark of Sirona Dental; EPIC 10 is a trademark of Biolase, Inc.;


Precise is a registered trademark of CAO Group, Inc.; Picasso is a trademark of AMD Laser.
1. Data published by manufacturer. 2. Peak power in dual wavelength mode.

106
Endodontics

Apex Locator
Systems for Root Canal Instrumentation
Endodontic Motor
Contra-Angle
Reciprocation/Rotary Files
Root Canal Disinfectants and Cleaners
Calcium Hydroxide Paste
Root Canal Sealer
Coated Gutta Percha Points
Endodontic Tips
Auxiliaries for Root Canal Treatments
Post and Drill System

David Parsons | Manufacturing Process Engineer | Zion National Park, Utah

107
Endodontics

1 The Effect of Overinstrumentation



Research has shown that instrumentation beyond the apical foramen is
a widespread problem, occurring in over half (51%) of the premolars and
nearly a quarter (22%) of the molars evaluated in a recent study.2 When
a file perforates the apical foramen and enters the periapical tissues,
pain and swelling can occur, resulting in emergency appointments
and additional costs for you and the patient. The Endo-Eze FIND apex
locator helps to avoid overinstrumentation by providing accurate and
reliable measurements to notify you when youve reached the ideal
Endo-Eze FIND working length.
APEX LOCATOR

FILE 0.5mm SHORT OF FORAMEN FILE AT FORAMEN FILE OVER FORAMEN

Convenient, easy-to-read display has unsurpassed accuracy


Multifrequency measurements are fully automatic
Compact design with small footprint fits easily on a
counter or treatment tray

The Endo-Eze FIND apex locator is a battery-operated portable device


designed to locate the foramen and determine the working length during
root canal treatments. Using a multifrequency-dependent impedance
method and a series of proprietary algorithms, the FIND apex locator
accurately determines the position of the apical foramen.

Uses
Utilizing the advantages of its well-proven, patented technology, the
Endo-Eze FIND apex locator offers the clinician unsurpassed accuracy,
unrivaled reliability, and an extremely user-friendly interface. The
custom color graphic display of the unit helps to achieve the optimal
endodontic performance required during every root canal treatment.

108
Endodontics

X-Ray vs. The FIND Apex Locator


3362 Endo-Eze FIND Apex Locator Kit
The success of any root canal treatment depends on accuracy. The most 1 x FIND unit
widely used method for determining the apical limit is the radiograph, 1 x Cradle
but, unfortunately, its not the most accurate. If the film isnt positioned 1 x Touch probe
exactly, or if the angle of the X-ray beam isnt precise, or if there are 1 x Measuring cable
interferences from equipment or anatomical structures, the reliability 2 x File clips
5 x Lip clips
of the radiograph suffers. Not to mention that the location of the apical
foramen is not always the same as the location of radiographical apex.

By sending an electronic signal all the way to the tip of the file, the FIND
apex locator lets you know when youve reached the apical foramen,
eliminating the risk of overinstrumentation beyond the apex into the 3364 Touch Probe
periapical tissues. 2 x Touch probes

3363 File Clips


2 x File clips
A study published in the Journal of Endodontics 2

evaluating 338 radiographs showed the file extending


past the forameneven when the radiograph showed
it short of or at the foramenan average of 24.5%
of the time.
3365 Measuring Cable
1 x Measuring cable
X- RAY

3368 Lip Clips


5 x Lip clips

An X-ray is a bidimensional picture of projected shadows. Depending


on the apical foramen position, the top of the endodontic file could be
beyond the foramen and the X-ray image shows short of the apex.

1. realityesthetics.com. 2. ElAyouti A, Weiger R, Lst C. Frequency of overinstrumentation with an acceptable


radiographic working length. J Endod. 2001;27(1):49-52.

109
Endodontics

Operative Sequence Tips

1. Turn on the device. 2. Ensure that the measuring


cable is properly connected.
Cable symbol should appear
after connecting.

3. Contact the file clip and lip 4. Place the lip clip in the corner of the
clip. The Connection Test symbol patients mouth.
should appear, indicating proper
connection.
As the file nears the apex, an intermittent Mark the working length by sliding the
alarm sounds. Continue moving the rubber stop to the chosen occlusal or
instrument toward the apex until the incisal reference point and subtracting 0.5
alarm sound is continuous, then stop. to one millimeter of the pointed (foramen)
This will place the read-out in the position measurement using an endodontic ruler.
of the foramen exit (0.0).

5. It is important that the canal contain 6. The endodontic instrument selected Endo-Eze Ruler
an irrigation solution. The pulp chamber must be 5mm longer than the temporary
should not contain an excess of solution. working length.

1295 Endo-Eze Ruler


25 x Rulers
7. Introduce the file apically, turning it gently in a clockwise direction. Observe the start of
movement on the monitor, which will give the exact speed of the files penetration into the
canal in the direction of the apical foramen. Important: If the selected instrument is loose
inside the canal, change to a larger one. You should feel the tip of the file touching the walls.

110
Endodontics

IRRIGATION PROTOCOL SUGGESTION WITH GENIUS INSTRUMENTATION

Establish Patency Preparation and Glide Path Instrumentation/Obturation

1. Fill canal with NaOCI, and then 1. Fill canal with NaOCI. 1. Fill canal with NaOCI. 8. Fill canal with Ultradent EDTA 18%
place a small amount of File-Eze solution. Leave for approximately 60
(19% EDTA in a water-soluble 2. Create a glide path using a #15 SS 2. Use #25 .04 Genius File with seconds.
viscous solution) at canal orifice. Hand K-File to the working length. Genius motor in Reciprocation GEN
Using watch-winding movements, mode to the working length.
open space until the file is loose.
EDTA 18%
File-Eze

9. Evacuate with the Ultradent Luer


2. After scouting the canal with 3. In calcified canals, move to #20 3. Irrigate with additional 35 ml Vacuum Adapter and Capillary tip.
a #10 or #15 SS K-File, use the SS hand K-File to the working length of NaOCI.
Genius #30 .08 orifice shaper in watch-winding movements. Use
with Genius motor in Rotation P1 the file until it is loose. 4. Fill canal with NaOCI.
mode in the straight part of the
canal.
5. Depending on the anatomical
shape of the canal (curved and
narrow, curved, or straight) use 10. Soak with chlorhexidine
3. Irrigate with 35 ml of NaOCI. 4. Irrigate with additional 35 ml one of the following apical final gluconate solution. Leave for
File-Eze solution is no longer of NaOCI. enlargement Genius files: approximately 35 minutes.
needed in procedure.
#30.04: Curved and Narrow canal
11. Evacuate with the Ultradent Luer
Vacuum Adapter and Capillary tip.
File-Eze
#35.04: Curved canal
4. Fill canal with NaOCI.
#40.04 or #50.04: Straight canal
5. Take #15 (or larger) SS hand
K-File and establish the working 12. Dry with paper points for 12
length. Use the Endo-Eze FIND seconds (each point should be
apex locator to determine the damp approximately 13 mm at tip).
foramen position. Use the chosen final file in
Reciprocation GEN mode to the
working length. After opening
space, remove the file, press the
mode button on the Genius motor
to switch to Rotation P1 mode and, 13. Canal should be damp, NOT
with the same file in rotation, finish desiccated, prior to obturation with
removing debris. EndoREZ canal sealer.

6. Irrigate with additional 35 ml


of NaOCI.
6. Irrigate with 35 ml of NaOCI.
7. Evacuate with the Ultradent Luer
Vacuum Adapter and Capillary tip.

111
Endodontics

Endo-Eze Hand Files

Simply, our files are


new designed to be the best!

The Endo-Eze stainless steel and nickel-titanium hand files are created using a state-of-art alloy treatment, giving them the flexibility to negotiate
curvatures and the resistance to advance to the apical third. The ergonomic handles improve your clinical performance, giving better tactile feedback
and reducing fatigue.

Stainless Steel K-Files 6pk


Color Tip Size 21 mm 25 mm 31 mm Balanced flexibility and resistance
60 angle non-cutting tip for effortless file penetration
08 3619A 3620A 3621A
Spiral design with four cutting edges (square cross section)
10 3622A 3623A 3624A ISO color-coded handles
15 3625A 3632A 3633A Available in 3 lengths21, 25, and 31 mm
Tapered design (.02)
20 3634A 3635A 3638A
25 3639A 3640A 3641A
30 3642A 3643A 3644A
35 3645A 3646A 3647A
40 3648A 3649A 3653A
45 3654A 3655A 3656A
50 3657A 3658A 3659A square
55 3660A 3661A 3663A cross-section

60 3664A 3665A 3666A


70 3667A 3668A 3669A
80 3670A 3671A 3672A
ASST 1540 3673A 3675A 3677A
ASST 4580 3674A 3676A 3678A

NiTi K-Files 6pk


Color Tip Size 21 mm 25 mm Nickel-titanium thermal treated alloy
Provides sharpness and cutting ability with added flexibility
15 4256A 4258A
Ideal for enlargement of severely curved canals
20 4257A 4259A square
25 3611A 3615A cross-section
30 3612A 3616A
35 3613A 3617A
40 3614A 3618A
ASST 1540 3609A 3610A

112
Endodontics

Hedstrom (H-Files) 6pk


Color Tip Size 21 mm 25 mm 31 mm Spiral-designed flutes increase in depth
and length from tip to handle
15 3686A 3692A 3698A
Design enhances efficiency while
20 3687A 3693A 3699A maintaining safety tear drop
cross-section
25 3688A 3694A 3700A File is specially designed for retreatment
30 3689A 3695A 3711A
35 3690A 3696A 3712A
40 3691A 3697A 3713A
ASST 1540 3683A 3684A 3685A

Flexfiles 6pk
Color Tip Size 21 mm 25 mm Stainless steel alloy is highly flexible
Square cross-section -
15 3716A 3722A
Designed with more cutting edges than K-files
20 3717A 3723A because there are more spirals
25 3718A 3724A Non-cutting tip increases safety square
cross-section
30 3719A 3725A
35 3720A 3726A
40 3721A 3727A
ASST 1540 3714A 3715A

Finger Spreaders 6pk Files safely open space for lateral compaction
of gutta-percha
Color Tip Size 25 mm Design is tapered (.02)
ASST 2030 3742A Sizing is based on ISO standard for gutta-
percha compatibility

Peeso Reamer Bur 6pk Gates Glidden Bur 6pk


No. Tip Size 19 mm No. Tip Size 19mm
1 0.70 mm 3729A 1 0.50 mm 3736A
2 0.90 mm 3730A 2 0.70 mm 3737A
3 1.10 mm 3731A 32 mm 3 0.90 mm 3738A 32 mm

4 1.30 mm 3732A 4 1.10 mm 3739A


19 mm 19 mm
5 1.50 mm 3733A 5 1.30 mm 3740A
6 1.70 mm 3734A 6 1.50 mm 3741A
ASST 16 3728A ASST 16 3735A

Prepares canal orifice for straight line access Allows for deeper penetration in straight canals
Can be used for initial removal of gutta-percha in retreatment Can also be used in straight part of curved canals
Non-cutting tip increases safety Non-cutting tip increases safety
Equivalent to 32 mm Equivalent to 32 mm

113
Endodontics


SAFETY AND EFFICIENCY

Clinicians have always had to choose between


reciprocation and rotation. Dont let your choice limit you.

Endo-Eze Genius System

Where safety SAFE & SAFE &


new meets efficiency
EFFICIENT
SHAPING
EFFICIENT
DEBRIDEMENT

&

The Genius files and motor system consists of an electric motor and
NiTi engine driven files designed for safe and efficient endodontic
instrumentation. The instruments are driven with asymmetric
reciprocating movement. The 90 clockwise movement provides ASYMMETRIC
efficient, rapid cutting, while the 30 counterclockwise movement RECIPROCATION ROTARY
releases the stress in the file. ROTATIONAL MOVEMENT ALTERNATES ROTATIONAL MOVEMENT TURNS
BETWEEN CLOCKWISE AND AROUND A SINGLE AXIS
COUNTERCLOCKWISE DIRECTIONS,
Studies have shown that the optimum balance of safety and SIMILAR TO ROANE BALANCED FORCES MOTION

effectiveness is obtained with this 90/30 reciprocation movement1.


The pre-programmed speed, torque, and angle settings on the Genius
motor provides the ideal balance for the Genius files, ensuring both Safely creates access to the
efficiency and safety. The 90/30 asymmetric reciprocation reduces working length and minimizes Use the final shaping file
the incidence of file breakage caused by torsional and cyclic fatigue file cyclic and torsional fatigue. to refine canal walls while
Enables the use of a removing debris after
that occurs with rotary movement. Reciprocation also reaches the reciprocation.
working length with a more gradual and centered enlargement, brushing movement to clean
and shape oval canals.
reduces the shaping time, and allows progression from small to large
files without forcing the file apically2.

Once the working length is achieved with the 25/04 Genius shaping (90/30) (360)
file in reciprocation mode, use the largest Genius final shaping file
RECIPROCATION ROTATION
(dependent on canal anatomy/dimension) and work stepwise until
GEN SETTING SETTING
working length is achieved. Once enlargement is achieved, use the
same final shaping file in rotation mode for most efficent debris
removal.
RECIPROCATING - GEN ROTATING - P1
Ratio: 8:1 FWD: 90 Ratio: 8:1 FWD
Rpm: 350 REV: 30 Rpm: 300 A/R: SAR
Torque: 0.5Ncm

1. Data on file. 2. Plotino, G. et al. Current Assessment of Reciprocation in Endodontic Preparation: A


Comprehensive Review Part II: Properties and Effectiveness. Journal of Endodontics. 41.12(2015):1939-1950

114
Endodontics

SHAPE WITH THE SAFETY FINISH WITH THE EFFICIENCY


OF RECIPROCATION OF ROTATION
File separation or breakage can result in serious complications and Using rotary movement with the Genius final shaping file enables
substantially lengthen the treatment time. The two main causes of file you to quickly remove more debris from the prepared canal.
separation are cyclic and torsional fatigue in rotary movement. The
90/30 asymmetric reciprocation provided by the Genius system
minimizes fatigue and leads to better, more predictable outcomes.

Debris Movement

Using the Genius files in 90/30 reciprocation reduces the buildup of


stress in both file and dentin. Reciprocation also helps to prevent file
separation by reducing torsional stress and cyclic fatigue. Rotary movement provides more efficient debris removal.

THE ENDO-EZE GENIUS MOTOR

Switches between
reciprocation and rotary
with the touch of a button

115
Endodontics

Endo-Eze Genius Motor Endo-Eze Genius 8:1 Reduction Contra-Angle


ENDODONTIC MOTOR CONTRA-ANGLE

new new

Includes pre-programmed settings for Endo-Eze Genius files


Moves easily between reciprocating and rotary movement
Features torque-controlled Auto Reverse in rotary mode
Features varying contra-angle reduction ratios

Studies show that asymmetric reciprocation reduces cyclic and torsional


fatigue, while rotary movement removes debris more efficiently1.
Utilizing a system that enables both reciprocation and rotary movements
allows for both safety and efficiency. When used with Genius endodontic
Small head provides better visibility of the treatment site
files, the new Genius endodontic motor with pre-programmed settings
Push button simplifies file changes
reduces the risk of file separation while maximizing instrumentation
Handle is non-slip and easy to use
efficiency.
Stainless steel ball bearings provide accurate,
precise and quiet movement
Matches perfectly with Genius electric motor
Autoclavable

F29030 Endo-Eze Genius Motor


1 x Genius motor
1 x Handpiece
1 x Foot pedal
4056 Endo-Eze Genius 8:1 Contra-Angle
1 x Contra-Angle
1 x Power Cord

1. Data on file.

116
Endodontics
PROCESS
1 PR E FLAR I N G W OR K I N G LE N GT H D ETERM I NATI O N

30 .08

Endo-Eze Genius Files for Genius Motor


RECIPROCATION/ROTARY FILES Curvature

W.L.
Foramen
The only files designed and
new
ROTATING - P1
Ratio: 8:1 FWD

tested to work optimally in both Rpm: 300


Torque: 0.5Ncm
A/R: SAR

reciprocation and rotary modes! Preflare with the orifice shaper and determine working length with the
FIND apex locator. Create a glide path using the same hand file used
in working length determination.

2 SH API N G

25 .04

Always start in reciprocation with


the #25 file until working length is
achieved.

W.L.
Foramen
RECIPROCATING - GEN
Flutes are designed for clockwise cutting Ratio: 8:1
Rpm: 350
FWD: 90
REV: 30

Files provide the safety of reciprocation (90/30)


and the efficiency of rotary (360)
Complete any procedure with just two files after preflaring 3 API C AL FI N I SH IN G

and creating a glide path 30 .04 35 .04 40 .04 50 .04

The same sequence can be used for both treatment and retreatment

Genius files are designed with an S cross section that facilitates OR OR OR


a positive cutting edge while increasing flexibility. The file taper is
maintained at .04 to preserve tooth structure. They are used for both
the reciprocation and the rotary movement provided by the Genius
endodontic motor. The asymmetric 90/30 reciprocation movement
not only reduces the risk of file fracture due to torsional and cyclic W.L.
fatigue, but also creates a smooth path to the working length. After Foramen
ROTATING - P1
safely reaching the work length, the Genius files can be used in 360 RECIPROCATING - GEN
Ratio: 8:1 FWD: 90 Ratio: 8:1
Rpm: 300
FWD
A/R: SAR
Rpm: 350 REV: 30
rotation for maximum debris removal of any residual debris from the Torque: 0.5Ncm

prepared canal.
After reaching working length with the 25/04 file, go directly to the final
Genius file that will be used. This is determined by the canal anatomy
and dimensions. Use the file in reciprocation mode until working length
is achieved, then use the same file in rotation mode for maximum debris
removal.

117
Endodontics

FINISHING FILE SELECTION


OR

Non-Cutting Tip
Prevents ledging and keeps
the file in the canal

Enhanced Flutes
Larger space between flutes
maximizes debris removal JJ J I
CURVED & CURVED STRAIGHT
NARROW CANALS CANALS CANALS

Progressive Pitch

Prevents screw in effect


3752A Genius File Starter Kit (21 mm)
3753A Genius File Starter Kit (25 mm)
1 x 30 .08 Orifice Shaper
1 x 25 .04 Genius File
1 x 30 .04 Genius File
1 x 35 .04 Genius File
1 x 40 .04 Genius File
S Cross Section 1 x 50 .04 Genius File
Right positive cutting action
allows for asymmetric
reciprocation and rotary action 3744A Genius File Intro J Kit (21 mm)
3745A Genius File Intro J Kit (25 mm)
1 x 30 .08 Orifice Shaper
1 x 25 .04 Genius File
.04 Taper 1 x 35 .04 Genius File

Reduces the risk of excessive removal of


dentin and the formation of dentin cracks Note: J canals are average curved canals.
This kit can also be used in straight and
narrow canals.
Thermal Treated
NiTi Alloy

Improves resistance
and flexibility Genius File Orifice Shaper - Refill 3 packs
Taper Tip Size 18 mm
.08 30 3743A
ISO Identification Colors

Allows for easy identification

Genius File - Refill 6 packs


Taper Tip Size 21 mm 25 mm Canals
.04 25 3746A 3747A
.04 30 3748A 3749A JJ
Mini Handle (11 mm) .04 35 3750A 3751A J
.04 40 3754A 3755A I
Improves control and
visibility of the file .04 50 3756A 3757A I

118
Endodontics

Riitano Access Burs

Bur set creates ideal access preparation for root canal therapy.

Use the Riitano round carbide The Riitano acorn bur (left) is spe-
bur to create the first opening cifically designed to remove the pulp
to the pulp chamber. chamber roof at pulp horns location.
The Riitano button bur (right) provides
unobstructed access to the canal ori-
fices.

A BALANCED
APPROACH
Calcium Hydroxide Made Easy
1562 Riitano Access Bur Kit
5 x Burs (Round Carbide, Button, Acorn Small,
Straight Line Access, Acorn Large)
1 x Bur block An effective duo for killing bacteria, potentially
stimulating the healing of bone, and thoroughly

cleaning canals, UltraCal XS and Citric Acid
20% Solution work together to prepare canals
for endodontic procedures.

119
Endodontics
The following lubricants contain peroxides that are not compatible with EndoREZ:
EndoGel*, EndoSequence*, Glyde*, ProLube*, RC-Prep*, SlickGel ES* and others.

EndoREZ 1 The improved flowability of EndoREZ allows the sealer to reach the isthmus and intercanal
areas during the obturation procedure, without using any special device.
CANALSEALER
Apical
Unique patent (-2 mm)

EndoREZ

30-minute regular set


5-minute set when Apical
used with accelerator Ultradent Mixing Tip (-3 mm)

The worlds first hydrophilic and self-priming resin sealer


More effective obturation in less time EndoREZ
Provides a complete, thorough seal2
Has the same radiopacity as gutta percha
Bonds to resin-based core/composite materials
Retreatable when combined with gutta percha3 Curvature
Provides syringe delivery to the apical third Area
(-5 mm)
EndoREZ canal sealer minimizes the amount of chair time required for
obturation. This thixotropic material has an affinity for moisture deep EndoREZ
in dentinal tubules and lateral canals4, providing the most complete
seal available. Since methacrylate-based EndoREZ canal sealer relies
on chemistry rather than heat or pressure to fill the canal, the risk of Ultradents patented NaviTip tip delivers
additional root trauma/fracture is greatly reduced. Additionally, studies EndoREZ into the entire anatomy of the
canal in one step.
show that EndoREZ canal sealer is versatile enough to be used as the
sealer with any obturation method, e.g., master cone, lateral condensa-
tion, or warm gutta percha. Create a monobloc by using EndoREZ 5901 EndoREZ Obturation Kit .02 Taper Kit
resin-coated gutta percha points. 5902 EndoREZ Obturation Kit .04 Taper Kit
5903 EndoREZ Obturation Kit .06 Taper Kit
EndoREZ contains a special hydrophilic organophosphate methacrylate monomer that 1 x 5 ml (8,15 g) dual-barrel syringe
increases its hydrophilicity and produces a resin with a strong affinity for moisture with 20 x S kini syringes
resin penetration of 1.200 m into the tubules. 20 x M ixing tips
20 x A ssorted NaviTip tips (29 ga)
120 x E ndoREZ Points

Store refrigerated.

5900 EndoREZ Kit


EndoREZ penetrates into tubules and adapts to the walls like no other sealer on the
market.
1 x 5 ml (8,15 g) dual-barrel syringe
20 x Mixing tips

Store refrigerated.

* Trademark of a company other than Ultradent. 1. realityesthetics.com 2. Zmener O, Pameijer CH. Clinical and
radiographic evaluation of a resin-based root canal sealer: an eight-year update. J Endod. 2010;36(8):1311-4. 3.
Zmener O, Banegas G, Pameijer C. Efficacy of an automated instrumentation technique in removing resin-based, zinc
EndoREZ results in predictable fills that oxide and eugenol endodontic sealers when retreating root canal: an in vitro study. Endod Pract. 2005;8:29-33. 4.
are radiopaque, easily diagnosed, and Zmener O, Pameijer CH, Serrano SA, Vidueira M, Macchi RL. Significance of moist root canal dentin with the use of
methacrylate-based endodontic sealers: an in vitro coronal dye leakage study. J Endod. 2008;34(1):76-9.
suitable for retreatment and post-and-
core procedures.

120
Endodontics

EndoREZ Sequence of Clinical Use EndoREZ Tips


EndoREZ canal sealer is a resin based sealer with enhanced
flowability properties. The delivery technique using Skini
4 mm syringe and NaviTip tip allows inserting the EndoREZ canal
sealer at the apical third. Based on instrumentation final in-
Fit an EndoREZ gutta percha point to the strument, different levels of insertion can be used. For small
working length. Verify radiographically. diameters (from 25 to 30), final instrumentation (left) allows
to insert 2 mm before the working length. To large diameters
2 mm (from 60 to 80) final instrumentation (right) it is recommend-
ed to insert 4 mm before the working length.

Give special attention to the apical stop position and its relation with
the foramen situation. In cases of apical lesion, the foramen area is
reabsorbed and could favor sealer extrusion. In this
particular situation, a calcium hydroxide interap-
Dry the canal space using the Capillary tip
pointment intracanal medication like UltraCal XS is
and Luer Vacuum Adapter, followed by a
recommended before obturation. Calcium hydrox-
paper point (paper point should be damp
ide will be able to generate an apical calcified area
13 mm at tip). Canal should be damp,
and prevent sealer extrusion.
not desiccated, prior to obturating with
EndoREZ canal sealer. Deliver EndoREZ
canal sealer using a NaviTip tip 29 ga,
inserting the tip 24 mm short of the
working length.

Gutta Percha
EndoREZ canal
MTA plug

MTA in place Paper point EndoREZ insertion Final Obturation

Express EndoREZ canal sealer with light Cases of incomplete formation of the apex or reabsorbed foramens could be treated in one
pressure into canal while withdrawing tip. visit with an apical MTA cement plug. It will prevent EndoREZ canal sealer extrusion and
Keep NaviTip orifice buried in material creates a biological sealing at the apical foramen.
while expressing EndoREZ and withdraw-
ing tip.
EndoREZ Accelerator
EndoREZ sets in
5-minutes!
Insert the master EndoREZ gutta percha
point cone to working length. Be sure to Accelerates EndoREZ polymerization
do a single gentle movement towards the Enables post preparation in the same
apical area. Avoid pump movement with
appointment
the cone. Passive or cold lateral compac-
tions can be used. Without the use of ac-
celerator, EndoREZ canal sealer will set in EndoREZ Accelerator reduces EndoREZ set time from 2030 minutes
about 2030 minutes.
to about 5 minutes, before the commencement of post-endo restorative
procedures, enabling the start of definitive coronal restorations right
away. It is designed to work hand in hand with groundbreaking EndoREZ
for reliable obturation and minimized chair time.
Light cure EndoREZ canal sealer with
VALO LED curing light for 40 seconds. 399 EndoREZ Accelerator - Single Use
Initial surface polymerization with curing 20 x Vials (Single use)
light (without Accelerator) is less than 0.3
mm thick and aids in immediate restora-
tion. Trim excess gutta percha with a very
hot instrument.

121
Endodontics

Unique patented
EndoREZ Points Skini Syringe
RESIN-COATEDGUTTAPERCHA POINTS
Two materials cannot occupy the same space at the same time. In
The ONLY resin-coated gutta percha dentistry many times one of the materials is air. To achieve a predict-
Chemically bonds to EndoREZ and other resin-based sealers able seal and to fill the canal preparation, the canal not only requires
hydrophilic materials but also air displacement. Application from the
bottom up is bubble free and complete. The EndoREZ canal sealer de-
livery system is optimized to displace air and create the highest seal
EndoREZ Points are standard ISO-sized gutta percha points coated with possible.
a thin resin coating, which bonds chemically to EndoREZ canal sealer.
They are the first gutta percha points to achieve a chemical bond with
sealer, providing a more effective seal than traditional gutta percha.

Gutta percha: EndoREZ canal sealer is applied out of the dual barrel sy-
ringe with Mixing tip into the back of a Skini syringe (usually
C - coated 1/3 of a Skini syringe is more than adequate to fill a multi-
U - uncoated rooted tooth). Fill syringe to back flange so no air remains
between the plunger and the EndoREZ. Put a 29 ga NaviTip
tip in the appropriate length. Express a small amount of
EndoREZ Sealer Resin Coating & Adhesion EndoREZ extraorally to verify flow.

1680 Skini Syringe


20 pk
Gutta Percha Cone

1681 Skini Syringe


50 pk

EndoREZ Points 120 pk 60 pk 60 pk


Color Tip Size .02 .04 .06
15 1838
20 1839
25 1631 1634 1637
30 1632 1635 1638
35 1633 1636 1639
40 1675 1707
45
50
55
60
70
80
15, 20, 25,
Assorted 30, 35, 40 3355 3357 3359
45, 50, 55,
Assorted 60, 70, 80 3356

122
Endodontics

Ultradent Luer Vacuum Adapter Endo Donut Technique


PermaFlo DC flowable composite is used with dentin bonding
to extend the root on a compromised tooth.

Capillary Tip
SST Tip
(0,36 mm)
1. When performing a root canal on a se- 2. Note how jaws of rubber dam clamp
A great time saver for any practice verely broken-down tooth, remove decay are barely engaging tooth. The Donut
Dries canals quickly and efficiently and overlying soft tissue, then achieve technique achieves extension of root
hemostasis with ViscoStat hemostatic gel when retention of clamp would otherwise
Minimizes paper point use or Astringedent hemostatic solution and a be difficult or impossible. If retention of
Dento-Infusor tip. clamp is not a problem, simply seal out
Slide Ultradents Luer Vacuum Adapter onto any chairside HVE unit to
saliva using OraSeal Caulking.
efficiently remove irrigants and debris. Compatible with any Luer tip,
the Luer Vacuum Adapter saves time and minimizes the use of paper
points. Used with Capillary tips, which offer tapered, flexible cannulae
that reach deep into canals for enhanced cleaning and drying.

For increased evacuation during instrumentation/irrigation proce-


dures, use the SST tip attached to the Luer Vacuum Adapter.

Dries Canals Faster than Ever


3. Prepare dentin for bonding by etching 4. Place donut-shaped layers of PermaFlo
and applying Peak Universal Bond resin. DC composite on top of each other. Cure
Maintain a clean field with vacuum only each layer before adding additional lay-
while bonding if initial clamp retention is ers. Although composite could be used,
impossible. the viscosity and delivery of PermaFlo DC
composite is ideal. PermaFlo DC compos-
ite bonds to cured Peak Universal Bond
resin.
1. Irrigate canals through the NaviTip tip 2. With Capillary tip attached to vacuum,
or the NaviTip 31 ga Double Sideport tip. slide tip deep into the canal.Move tip in
and out while vacuuming. One can usu-
ally hear and/or see the solutions being
removed from the canal.

3. Insert a paper point into canal to verify


completeness of drying. 5. Use of PermaFlo DC Opaque White 6. After completion of root canal, Donut
contrasts with dentin, aiding in removal buildup functions as a matrix for compos-
of material that may lap past root. Access ite core with direct post placement. We
opening is sealed with UltraTemp tem- recommend using PermaFlo DC.
230 Luer Vacuum Adapters porary cement for easy access following
10 x Vacuum Adapters initial treatment of canal(s). Root canal is Reference Pathways to the Pulp,
completed as usual. Seal rubber dam with 7th Edition, Fig 544, pg 113.
OraSeal Caulking as usual, if any leakage
of saliva occurs after Donut extension is
completed.

123
Endodontics

All of Ultradents irrigants, lubricants, and medicaments are compatible with methacrylate resin sealers.

File-Eze EDTA Lubricant Ultradent EDTA 18% Solution


FILE LUBRICANT

NaviTip 30 ga

NaviTip FX 30 ga

A root canal chelating agent that conditions/cleans through a chelation


Peroxide free; will not affect the set of resin sealers
process, Ultradent EDTA 18% Solution is the irrigant of choice for smear
layer removal and can be used as a final irrigant prior to obturation.
File-Eze file lubricant is an effective 19% EDTA in a water-soluble, vis-
cous solution for chelating, lubricating, and debriding root canal prepa-
rations.
The following lubricants contain peroxides that are not compatible with EndoREZ canal
sealer: EndoGel*, EndoSequence*, Glyde*, ProLube*, RC-Prep*, SlickGel ES* and others.

1. Canal instrumentation (no irrigants or 2. Canal instrumentation plus sodium


1075 File-Eze Kit lubricants). Smear layer intact in canal. hypochlorite. Smear plugs still intact.
4 x 1,2 ml (1,43 g) syringes
20 x NaviTip
(Assorted 30 ga - 5 of each length)

3. Canal instrumentation with both so- 4. Close up of Figure 3.


297 File-Eze Refill dium hypochlorite and EDTA. Smear layer
4 x 1,2 ml (1,43 g) syringes is removed. Clean, open tubules.


162 EDTA 18% IndiSpense Syringe
1 x 30 ml (33,27 g) syringe

682 File-Eze IndiSpense Syringe


1 x 30 ml (35,64 g) syringe

* Trademarks of a company other than Ultradent.

124
Endodontics

All of Ultradents irrigants, lubricants, and medicaments are compatible with methacrylate resin sealers.

UltraCal XS Ultradent Citric Acid 20% Solution


30%-35% CALCIUM HYDROXIDE PASTE

NaviTip 29 ga

Radiopaque
High pH
Superior at delivery control

UltraCal XS calcium hydroxide paste is a uniquely formulated paste that


is both aqueous and radiopaque, with a high pH (12,5). It is recom-
mended the larger 29 ga NaviTip be used for predictable flow, enabling
direct placement. UltraCal XS paste can be thoroughly removed from NaviTip FX 30 ga
the canal using Ultradent Citric Acid and a NaviTip FX.
Second-visit protocol with an inter-appointment medication with cal-
cium hydroxide resulted in improved microbiological status of the root
canal system when compared with a single-visit protocol.1
Recommended as a cleanser/conditioner of prepared root canals
Removes mineral and smear layers
Slightly viscous formula facilitates lubrication

Ultradent Citric Acid is a mild acidic material that is effective at dissolv-


1027 UltraCal XS Kit ing/cleaning calcium hydroxide from canals (e.g. UltraCal XS). It is also
4 x 1,2 ml (1,76 g) syringes recommended as a cleanser/conditioner to remove smear layer from
20 x NaviTips dentinal walls. Deliver with the NaviTip or the NaviTip FX.
(Assorted 29 ga - 5 of each length)


Scan to watch
a short video
of UltraCal XS
and Citric Acid.

606 UltraCal XS Refill


4 x 1,2 ml (1,76 g) syringes


329 Citric Acid IndiSpense Syringe
1 x 30 ml (31,26 g) syringe

1. Vera J, Siqueira JF Jr, Ricucci D, et al. One- versus two-visit endodontic treatment of teeth with apical
periodontitis: a histobacteriologic study. J Endod. 2012;38(8):1040-52.

125
Endodontics

NaviTip Reference Guide


Provide controlled delivery close to the apical third
Flexible, stainless steel cannulae easily navigate curved canals

27 mm 25 mm 21 mm 17 mm

30 ga 29 ga 30 ga 29 ga 30 ga 29 ga 30 ga 29 ga
20 pk 1354 5115 1250 5114 1349 5113 1249 5112
50 pk 1424 1377 1423 1376 1422 1374 1421 1378

Flocked Tip
Double Sideport Irrigator

27 mm 21 mm 21 mm 25 mm

Sideport 31 ga Sideport 31 ga FX 30 ga FX 30 ga
20 pk 5123 5121 20 pk 1452 1454
50 pk 5124 5122

Product Recommended Tip Compatible Tip(s)

EndoREZ NaviTip 29 ga

UltraCal XS NaviTip 29 ga

NaviTip 30 ga
Citric Acid NaviTip FX 30 ga
and NaviTip Sideport 31 ga

File-Eze NaviTip 30 ga NaviTip Sideport 31 ga

NaviTip 29 ga, NaviTip 30 ga,


EDTA 18% NaviTip Sideport 31 ga
and NaviTip FX 30 ga

126
Endodontics
SUBSCRIBE TOOURFREE PODCAST
Listen to episode 16: Making the Switch to Fiber Posts, by Dr. Phil Brown and Norman Hicks.
http://www.ultradent.com/podcast/16_metal_vs_fiber_posts.mp3

1
UniCore Size 0 Size 1 Size 2 Size 3 Size 4
POST AND DRILL SYSTEM
Apical 0,6 mm 0,8 mm 1,0 mm 1,2 mm 1,5 mm
Superior strength
Esthetic and radiopaque Coronal 1,0 mm 1,15 mm 1,35 mm 1,55 mm 1,75 mm
Color-matched drills and posts
Autoclavable as packaged Taper 2.1 1.8 1.8 1.8 1.3
Ultradents UniCore Kit of Kits provides all items needed for post
requirements Length 19 mm 19 mm 19 mm 19 mm 19 mm

Physical properties UniCore quartz fiber post


UniCore posts are composed of glass fibers. The translucent and Flexural modulus of elasticity (GPa) 4344
radiopaque UniCore Post responds to compressive forces as dentin
Flexural strength (MPa) 1.5001.600
would, without compromising the durability of the restoration. The
gentle taper of the UniCore Post corresponds to the natural anatomy of Tensile strength (MPa) 1.200
the tooth and perfectly matches the post space created by the UniCore Modulus of elasticity at 30 (MPa) 13 (similar to dentin)
Drill. The five sizes and colors of UniCore Posts correspond to those Interlaminate shear strength (MPa) 7080
of the UniCore Drill. The UniCore Drill is unique in its ability to remove
obturators while preparing a post chamber that perfectly corresponds
to its post. The UniCore drill features a patented heat-generating tip,
which facilitates the removal of fiber posts, rigid carriers, and traditional
gutta percha. The drills heat-dissipating, diamond-coated collar pre-
serves tooth structure, and its specially designed flutes cut canal walls
laterally instead of vertically.

UniCore Drill UniCore Post 7132 UniCore Starter Kit


Ultrasafe Prestressed fibers 2 x Drills (1 each sizes 1 and 2)
Durable drill can be used to and bondable 10 x Posts (5 each sizes 1 and 2)
remove gutta percha or rigid
carriers for up to 15 uses, and
Microporous surface ensures

up to five uses on preexisting
fiber post removal micromechanical retention
No chairside chemical
Drills and posts are color treatment required
coded according to size, Radiopaque beyond highest
simplifying chairside use ISO standards 7120 UniCore Kit Kit of Kits
Translucent post transmits 4 x Drills (1 each sizes 14)
Patented diamond-coated light to the complete depth of 20 x Posts (5 each sizes 14)
collar prevents binding in preparation
access openings
Gently tapered design follows
Uniquely designed flutes natural tooth anatomy
ensure rapid and consistent Can be removed if endodontic
removal of debris from canal re-treatment is required

Heat-generating tip eases all


obturator removal procedures
Refills
Drill Post
Size 0 (0.6 mm) - White 7134 7135
Size 1 (0.8 mm) - Yellow 7121 7125
Size 2 (1.0 mm) - Red 7122 7126
Size 3 (1.2 mm) - Blue 7123 7127
Size 4 (1.5 mm) - Green 7124 7128
Radiopacity Comparison 1 x Drill 5 x Posts


UniCore
The UniCore post is noticeably more
radiopaque than a leading competitor.
Brand B*
* Trademark of a company other than Ultradent. 1. realityesthetics.com

127
Endodontics TM

WHERE SAFETY MEETS EFFICIENCY


Together, the Genius motor, contra-angle, and files give you both reciprocation
and rotary movement with just the touch of a button.

SAFETY EFFICIENCY

OR

RECIPROCATION ROTARY
THE SAFETY OF RECIPROCATION WITH THE EFFICIENCY TO REMOVE DEBRIS
CLOCKWISE AND COUNTER-CLOCKWISE WITH ROTATIONAL MOVEMENT
MOVEMENT

YOU DONT HAVE TO CHOOSE BETWEEN SAFETY AND EFFICIENCY.


Tips & Syringes

Cannulae
Flocked Tips
Brush Tips
Endodontic Tips
Syringes
Auxiliaries

Ally Singleton | Sales Support Coordinator | Guardsman Pass, Utah

129
Tips & Syringes

ULTRADENT TIPS

DESIGNED
TO DELIVER
The chemistries you use are different. Some are chemically activated,
needing to be mixed immediately before delivery. Others have varying
viscosities. Some work in pits and fissures, some inside canals, and some on
enamel surfaces. Each chemistry you use is designed for a specific purpose.
Shouldnt the same be true for your tips?

Ultradent makes tips designed to deliver each chemistry we create. Whether


youre delivering a flowable composite, a viscous gel, or thick impression
Check out our tips with material, we make the perfect tip for the job. And since our tips are engineered
Luer Lock tips with Lok-Tite feature double threads that lock the tip into place for increased
security, and wings for easy attachment and removal.
on-site, we test each design to ensure it works perfectly with the chemistry
its intended for.

1356 20 pk
Black Micro FX Tip

Designed for: PrimaDry and PermaSeal.


1357 100 pk
Accommodates various viscosities

Flocked tip fans out to spread materials in a thin, uniform layer


22 ga ( 0,70 mm) Tip 1434 500 pk

Black Mini Tip 196 20 pk



Designed for: Ultra-Blend plus, Ultradent LC Block-Out Resin, PermaFlo,
UltraTemp, Opalescence Boost, Ultradent Diamond Polish Mint, DeOx,
OpalDam, OpalDam Green, Opalescence Endo, OraSeal Caulking, and 514 100 pk
OraSeal Putty.

Dispenses large volumes


Opaque plastic preserves the flow of light-cured materials 1433 500 pk

1,00 mm Tip

190 20 pk

Black Mini Brush Tip


Designed for: Peak SE, PermaQuick Primer, Seek/Sable Seek, 1169 100 pk
Ultradent Silane, and Ultradent Universal Dentin Sealant.

Provides precise, controlled delivery of aqueous materials


Tight, adjustable brush fibers minimize bubbles
Unique to Ultradent
1,00 mm Tip 1432 500 pk

130
Tips & Syringes

194 20 pk
Black Micro Tip

Designed for: Ultra-Blend plus and EtchArrest.


Provides pinpoint precision 1085 100 pk
Narrow cannula accurately delivers materials

22 ga ( 0,70 mm) Tip


1435 500 pk

158 20 pk

Blue Micro Tip

Designed for: Ultra-Etch, and PrimaDry.


127 100 pk
Provides pinpoint precision

Narrow cannula accurately delivers materials


25 ga ( 0,50 mm) Tip
1436 500 pk

Blue Mini Dento-Infusor Tip 128



20 pk
Designed for: Astringedent and Astringedent X.
Offers the same tissue management benefits as the Metal Dento-Infusor 1086 100 pk
tip
Allows controlled flow of drop-sized quantities
1,20 mm Tip
1440 500 pk

341 20 pk
Capillary Tip

Attach to the Ultradent Luer Vacuum Adapter for moisture removal from
endodontic canals.
Evacuates canals and substantially minimizes use of paper points
Narrow, flexible taper accesses curved canals 3099 50 pk

0,36 mm Tip

186 20 pk
Capillary Tip

Attach to the Ultradent Luer Vacuum Adapter for moisture removal from
endodontic canals.
Evacuates canals and substantially minimizes use of paper points
Narrow, flexible taper accesses curved canals 1425 50 pk

0,48 mm Tip

131
Tips & Syringes

Endo-Eze Tips 20 pk 100 pk Gauge - Diameter


Designed for: Luting materials and air/water 345 1428 18 ga - 1,25 mm
delivery. 346 1429 19 ga - 1,06 mm
347 1430 20 ga - 0,90 mm
Use with: Ultradent syringes.
348 1431 22 ga - 0,70 mm
Work for a variety of endodontic procedures 350 30 ga - 0,30 mm
Come with flexible, strong cannulae in a 349 31 ga - 0,28 mm
variety of sizes
Bend easily
18 ga 19 ga 20 ga 22 ga 30 ga 31 ga

Endo-Eze Irrigator Tip


Designed for: Ultradent 5 ml syringe.
Provides ideal reach without risk of expressing chemicals past the apex 207 20 pk

Comes with a flexible, blunt cannula with a unique, anti-obturating end
27 ga ( 0,40 mm) Tip

Inspiral Brush Tip


710 20 pk

Designed for: Composite Wetting Resin, Peak Universal Bond, PermaQuick,
PQ1, Ultradent Porcelain Etch, Ultra-Etch, UltraSeal XT plus, and UltraSeal
XT hydro. 123 100 pk

Delivers viscous or filled materials smoothly via an internal helical
channel and ridge
Tight, adjustable brush fibers minimize bubbles 1033 500 pk

1,07 mm) Tip

132
Tips & Syringes

Intraoral Tip
Designed for: PermaFlo DC.
Allows precise placement 5922 20 pk
Attaches to dual-barrel mixing tips
0,50 mm Tip

Metal Dento-Infusor Tip


Designed for: Astringedent, Astringedent X, ViscoStat, and 2558 20 pk

ViscoStat Clear.
Places hemostatic agents precisely and effectively removes
superficial coagulum 2559 100 pk

Blunt, bent cannula with padded brush enables gentle pressure
on the sulcus
Ultradents first tip, the MDI remains paramount for successful 2560 500 pk
tissue management

19 ga ( 1,06 mm) Tip

1168 20 pk
Micro 20 ga Tip

Designed for: PermaFlo, PermaFlo Pink, OpalDam, and OpalDam Green.


1252 100 pk
Large-gauge cannula enables consistent flow
Standard flowable composite delivery tip
20 ga ( 0,90 mm) Tip
1437 500 pk

Micro 20 ga FX Tip
Designed for: Opalescence Boost. 1490 20 pk

Standard flowable delivery tip
Flocked fibers fan out to evenly spread material over the entire surface
20 ga ( 0,90 mm) Tip 1405 100 pk

1406 500 pk

133
Tips & Syringes

Micro Capillary Tip


Designed for: perio materials, endodontics, and the Ultradent Luer 1120 20 pk
Vacuum Adapter.

Bright color is easily identified against soft tissues


The worlds smallest molded tip (inside diameter: 0,20 mm)
5 mm Tip length
0,40 mm Tip

Micro Capillary Tip


Designed for: perio materials, endodontics, and the Ultradent Luer 1121 20 pk

Vacuum Adapter.
Bright color is easily identified against soft tissues
The worlds smallest molded tip (inside diameter: 0,20 mm)
10 mm Tip length
0,40 mm Tip

20 pks 29 ga 30 ga
27 mm - Green 5115 1354
25 mm - Blue 5114 1250
21 mm - Yellow 5113 1349
NaviTip Tips 17 mm - White 5112 1249
27 mm 25 mm Assorted 5116 1351
29 ga designed for delivery of paste
materials: EndoREZ, UltraCal XS
30 ga designed for delivery of solutions/gels: 30 ga 29 ga 30 ga 29 ga
File-Eze, Ultradent EDTA 18% Solution and
Ultradent Citric Acid 20% Solution 50 pks 29 ga 30 ga
Provide controlled delivery to the apex 27 mm - Green 1377 1424
21 mm 17 mm
Flexible, stainless steel cannulae easily 25 mm - Blue 1376 1423
navigate curved canals 21 mm - Yellow 1374 1422
Available in 17 mm, 21 mm, 25 mm, and 30 ga 29 ga 30 ga 29 ga 17 mm - White 1378 1421
27 mm lengths and 29 ga ( 0,33 mm) or Assorted 1379 3319
30 ga ( 0,30 mm) cannulae

134
Tips & Syringes

NaviTip 31 ga 5121 21 mm - 20 pk
with Double Sideport Irrigator Tip

Designed for: Ultradent EDTA 18% Solution


and Ultradent Citric Acid 20% Solution.
Double sideports deliver irrigants safely, minimizing the possibility of 5122 21 mm - 50 pk

chemicals being expressed past the apex
One of the worlds smallest cannula navigates the most intricate
canal spaces
21 mm Tip length
31 ga ( 0,28 mm) Tip

NaviTip 31 ga 5123 27 mm - 20 pk
with Double Sideport Irrigator Tip

Designed for: Ultradent EDTA 18% Solution


and Ultradent Citric Acid 20% Solution.
Double sideports deliver irrigants safely, minimizing the possibility of 5124 27 mm - 50 pk

chemicals being expressed past the apex
One of the worlds smallest cannula navigates the most intricate
canal spaces
27 mm Tip length
31 ga ( 0,28 mm) Tip

Listed as an EXCELLENT product by a


NaviTip FX Tip prominent independent research institute.1

Designed for: Ultradent Citric Acid 20% Solution


and Peak SE during bonded post procedure. 1452 17 mm - 20 pk

One-of-a-kind brush cleans, scrubs, and irrigates
simultaneously
Rigid 30 ga ( 0,30 mm) cannula
17 mm Tip length

Listed as an EXCELLENT product by a


prominent independent research institute.1
NaviTip FX Tip
Designed for: Ultradent Citric Acid 20% Solution 1454 25 mm - 20 pk

and Peak SE during bonded post procedure.
One-of-a-kind brush cleans, scrubs, and irrigates simultaneously
Rigid 30 ga ( 0,30 mm) cannula
25 mm Tip length 1. C
 linical Research Associates Newsletter.
Volume 29, Issue 1, January 2005.

SoftEZ Tip 4712 50 pk


Designed for: Enamelast.

Tip fibers provide visible, controlled delivery


Brush fibers facilitate smooth application
4711 100 pk

135
Tips & Syringes

SST - Surgical Suction Tip


1248 20 pk
Designed for: Ultradents Luer Vacuum Adapter for small periodontic or
endodontic surgeries and controlled suction of Opalescence Boost.
Ideal for delicate surgeries
Large-diameter tip opening
2,60 mm Tip

ExperTemp Mixing Tip 6346 45 pk



Designed for: ExperTemp.
Mixes and delivers in one action

Ultradent Mixing Tip 5920 20 pk



Designed for: UltraTemp REZ, UltraTemp, EndoREZ, and PermaFlo DC.
Mixes and delivers in one action

661 20 pk
White Mac Tip

Designed for: OraSeal Caulking, OraSeal Putty, Consepsis Scrub, and


Opalustre.
Dispenses large volumes 1361 100 pk
All-plastic delivery tip

Greater angle for easy intraoral delivery


2,00 mm Tip

White Mini Laser Tip


Designed for: OraSeal Caulking, OraSeal Putty, Consepsis Scrub, and 1247 20 pk
Opalustre.

Dispenses large volumes


All-plastic delivery tip
Large gauge easily dispenses viscous chemistries
1,07 mm Tip

Luer Lock Cap 204 20 pk - Black


Designed for: All Ultradent plastic syringes. 205 20 pk - White

Winged, polypropylene, plastic luer lock cap
Use to seal syringes loaded in the office

136
Tips & Syringes

1680 20 pk
Skini Syringe

Designed for: EndoREZ and PermaFlo DC.


Generates pressure in the syringe with low force to the
plunger, resulting in more precise apical delivery 1681 50 pk
Low waste
Content: 0,5 ml

124 20 pk

1,2 ml Syringe
Designed for: All 30 ml IndiSpense syringes.
Snug Luer Lock threads prevent tips from popping off 157 100 pk

ViscoStat Empty Syringe


Designed for: 30 ml IndiSpense syringes of ViscoStat, 1278 20 pk

ViscoStat Clear, Astringedent, and Astringedent X.
Snug Luer Lock threads prevent tips from popping off
Colored plastic is light sensitive to preserve chemistry

Ultra-Etch Empty Syringe


129 20 pk
Designed for: 30 ml IndiSpense syringes of Ultra-Etch.

Snug Luer Lock threads prevent tips from popping off


Blue color makes identification easy

5 ml Syringe
Designed for: Irrigants for in-office or dentist-supervised 201 10 pk

procedures, as well as Ultradent Citric Acid and Ultradent
EDTA 18% Solution.
Syringe barrel flanges positioned for optimum control/
leverage

Ultradent Syringe Cover 249 300 pk


Designed for: All 1,2 ml syringes.

Provides an easy, reliable barrier


Ensures asepsis of syringe during cleanup

137
Tips & Syringes

Full-Size Syringe Organizer 379 Single



Holds 30 syringes
Made of injection-molded polycarbonate

Dimensions: 128 x 200 x 110 mm (H x W x L).


Slot diameters (from back to front): 16 mm, 14 mm, 14 mm, 9 mm.

Half-Size Syringe Organizer 382 Single



Holds 14 syringes
Made of clear acrylic

Dimensions: 117 x 102 x 110 mm (H x W x L).


Slot diameters (from back to front): 14 mm, 14 mm, 14 mm, 9 mm.

Ultradent Micro Applicators


4548 400 pk
Bend easily 200 each color
Apply small amounts accurately

The standard size micro applicator tip is composed of small


nonlinting, nonabsorbent fibers that suspend solutions,
creating a nondripping sphere.

E namelast Application Brush


Easily bends to a 90 degree angle for hard to reach 4529 200 pk

surfaces. Smooth, tapered bristles apply an even layer of
Enamelast.

138
Ultra-Etch

35% phosphoric acid

Unique self-limiting chemistry prevents  Distinctive blue color makes placement easy
overetching, creating the optimal surface to and ensures complete removal.
receive resin your peace of mind. Penetratates smallest fissures or occlusal
Thixotropic properties due to ideal viscosity surfaces due to enhanced capillary action.
ensures precise placement without migrating, Precision placement and superior control by
even on vertical surfaces. using a Blue Micro or Inspiral Brush Tip.

139

BATTERY INDICATOR

WAVELENGTH INDICATOR

POWER INDICATOR

PRESET PROCEDURES

DISPOSABLE TIPS TOUCH KEYPAD


WITH ILLUMINATION

dual wavelengths.
one of a kind.

140
simplifying endodontics

NaviTip Tips

ACCURATE DELIVERY

NaviTip NaviTip Sideport NaviTip FX

NaviTips deliver any irrigant


Your endo procedures, your protocols, your techniques. Theyre personal. Theyre tested. And they work.
So why would you change them?
You wouldnt. But you would make them easier. NaviTips are designed to deliver any manufacturers
irrigant directly where and when you need it. And they adapt to your technique.

NaviTip NaviTip Sideport NaviTip FX

Dont change your technique.


Make it easier with NaviTip.
Scan to watch a
short video showing
NaviTips side port
delivery in action
Policies Product Labeling
Policies
Ultradent is committed to products that strengthen the clinicians ability to administer professional, state-of-
the-art patient care. This may involve the development of new products or a refinement of existing materials
and techniques. Our highest priority is meeting your needs with quality products and service. We appreciate
your suggestions, questions, and comments.
We believe in our products and sample as many as possible. Please help us continue this policy by requesting
only one sample per doctor per product.
In certain countries, differing legal requirements may limit the availability of certain products, or require
different product indications and claims under labeling compatible with local conditions. For more detailed
procedures and precautions, refer to individual product instructions or packaging.
At Ultradent, we are committed to environmental concerns. However, the shipping of chemicals often requires
a secondary plastic package. All products are latex-free with the exception of DermaDam latex rubber dam.
Ultradent is ISO 13485 certified, which signifies that we have developed and implemented a comprehensive
quality system, and is audited and certified by a CAN/CSA recognized independent European notified body.
Where appropriate, Ultradent products sold in Europe bear the CE mark, indicating that our products comply
with the strict European Community laws (directives).

Product Labeling
Every package has a label with important information:

Expiration Date: if required for the product, you will find the month and year printed next to an hourglass.

Article number: the article number helps you to re-order products (here 5366-EU).

Lot number: the code to the right of the box marked LOT is the Lot Number (here BB1C6).
Always indicate this code when you return a product for complaint handling and inspection.

J026 = Lot number On syringes, you will find the expiration date stamped on the barrel.
J026 = Month February It consists of a 4-digit letter/number combination (here J026).
J026 = Year 2016 Please note: product shelf life is based on date of manufacture.

A similar scheme applies for EndoREZ, PermaFlo DC, and UltraTemp double syringes.
Upper inscription: (here D096B) Lower inscription: (here S096C)
D096B = Code S096C = Code
D096B = Month September S096C = Month September
D096B = Year 2016 S096C = Year 2016
D096B = Base S096C = Catalyst

= Sand Glass symbol On whitening syringes you will find the expiration date stamped on the finger
10 = Month October rest. It shows a sand glass symbol followed by 2 digits for the month and 4
2016 = Year 2016 digits for the year when the product expires.

Ultradent Products on the Internet


Find the latest information and news about Ultradent Products on the internet. Visit www.ultradent.com/eu for general information on Ultradent Products,
the corporate history and philosophy, product information or downloads of the Ultradent Products catalog, material safety data sheets or instructions for
use. By the country selection tab, detailed contact information about your local distribution partner can be found.

Copyright
Reproduction and copying of text or pictures, whether in part or in full, only with the written permission of Ultradent Products GmbH, Cologne, Germany. January 2017.

Ultradent Products GmbH


Am Westhover Berg 30
51149 Cologne
Germany
Tel. +49 (0)2203 3592-0 Fax +49 (0)2203 3592-22 infoDE@ultradent.com

142
Index

A ccess Bur Kit . . . . . . . . . . . . . . . . . . . 119 Cord Packers. . . . . . . . . . . . . . . . . . . . . . 59 Finishing Cups, Disks, Points. . . . . . . . . . . 94
Acid, Hydrofluoric. . . . . . . . . . . . . . . . . 68-69 Cosmetic Bleaching . . . . . . . . . . . . . . . . 7-13 Fischers Ultrapak Packers . . . . . . . . . . . . 59
Acid, Phosphoric . . . . . . . . . . . . . . . . . 66-67 CROWN & BRIDGE. . . . . . . . . . . . . . . . . . . 81 Flexfiles. . . . . . . . . . . . . . . . . . . . . . . . . 113
Acid Barrier/Neutralizer . . . . . . . . . . . . . . 67 Curing Light. . . . . . . . . . . . . . . . . . . . . 98-99 Flor-Opal. . . . . . . . . . . . . . . . . . . . . . . . . 33
Acid Etchant . . . . . . . . . . . . . . . . . . . . 66-67 Custom Tray Fabrication. . . . . . . . . . . . . . 10 Flowable Composite. . . . . . . . . . . . . . . 76-78
Aluminum Chloride. . . . . . . . . . . . . . . . . . 55 D entin, Liner and Base. . . . . . . . . . . . . . . 65 Fluoride. . . . . . . . . . . . . . . . . . . . . . . . 31-33
Amelogen Plus, -Singles. . . . . . . . . . . . 72-75 Dentin Bonding Agents. . . . . . . . . . . . . 62-64 Fluoride Varnish. . . . . . . . . . . . . . . . . . 31-32
Anatomical Sectional Matrix . . . . . . . . . . . 42 Dentin Sealant. . . . . . . . . . . . . . . . . . . . . 36 G emini Diode Laser . . . . . . . . . . . . . . . . 106
Apex Locator FIND . . . . . . . . . . . . . . 108-110 DeOx. . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Genius Endo System. . . . . . . . . . . . . 114-118
Astringedent Hemostatic. . . . . . . . . . . . . . 54 DermaDam. . . . . . . . . . . . . . . . . . . . . . . . 45 Glasses. . . . . . . . . . . . . . . . . . . . . . . . . 104
Astringedent Spot Remover. . . . . . . . . . . . 54 Desensitizing Gels . . . . . . . . . . 24, 31-33, 36 Glass Ionomer Cement . . . . . . . . . . . . . 90-91
Astringedent X Hemostatic . . . . . . . . . . . . 54 Diamond Polish Mint. . . . . . . . . . . . . . . . . 95 Gutta Percha . . . . . . . . . . . . . . . . . . . . . 122
B ase and Liner . . . . . . . . . . . . . . . . . . . . 65 Diode Laser . . . . . . . . . . . . . . . . . . . . . 106 H and Files. . . . . . . . . . . . . . . . . . . . 112-113
Bite Block . . . . . . . . . . . . . . . . . . . . . . 24, 41 Direct Composite Template System . . . . . . 79 Hedstrom (H-Files). . . . . . . . . . . . . . . . . 113
Black Light Lens . . . . . . . . . . . . . . . . . . 103 Disinfectants and Cleaners. . . . . . . . . . . . 46 Hemostatic Agents. . . . . . . . . . . . . . . . 52-55
Black Micro FX Tips . . . . . . . . . . . . . . . . 130 Displacement Cord. . . . . . . . . . . . . . . . 56-57 Hydrochloric Acid Microabrasion Slurry. 22-23
Black Micro Tips. . . . . . . . . . . . . . . . . . . 131 Drying Agent . . . . . . . . . . . . . . . . . . . . . . 29 Hydrofluoric Acid Etchant . . . . . . . . . . . 68-69
Black Mini Brush Tips. . . . . . . . . . . . . . . 130 Dual Cure Resin Cement. . . . . . . . . . . . 86-87 Hydrogen Peroxide. . . . . . . . . . . 12-13, 17-19
Black Mini Tips . . . . . . . . . . . . . . . . . . . 130 E DTA Lubricant . . . . . . . . . . . . . . . . . . . 124 I n-Office Bleaching Gel. . . . . . . . . . . . . 16-20
Bleaching, In-Office . . . . . . . . . . . . . . . 16-20 EDTA Solution . . . . . . . . . . . . . . . . . . . . 124 Indicator, Caries. . . . . . . . . . . . . . . . . . . . 38
Bleaching, Take-Home . . . . . . . . . . . . . . 7-13 Enamelast. . . . . . . . . . . . . . . . . . . . . . 31-32 Inspiral Brush Tips. . . . . . . . . . . . . . . . . 132
Bleaching Trays . . . . . . . . . . . . . . . . . . 12-13 Enamel Bonding Agents . . . . . . . . . . . . 62-64 Instruments, Packing . . . . . . . . . . . . . . . . 59
Block-Out Resin. . . . . . . . . . . . . . . . . . . . 15 Endo-Eze Genius Files for Genius Motor. . 117 Intracoronal Brush . . . . . . . . . . . . . . . . . . 39
Blue Micro Tips . . . . . . . . . . . . . . . . . . . 131 Endo-Eze Genius Motor. . . . . . . . . . . . . . 116 InterGuard. . . . . . . . . . . . . . . . . . . . . . . . 41
Blue Mini Dento-Infusor Tips. . . . . . . . 49, 131 Endo-Eze Genius Reduction Contra-Angle. 116 Interproximal Cleaner. . . . . . . . . . . . . . . . 36
BOND . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Endo-Eze Genius System. . . . . . . . . . 114-118 Intraoral Tips. . . . . . . . . . . . . . . . . . . . . 133
Bonding Resins . . . . . . . . . . . . . . . . . . 62-64 Endo-Eze FIND. . . . . . . . . . . . . . . . . 108-110 Irrigation Protocol. . . . . . . . . . . . . . . . . . 109
Brushes, Polishing . . . . . . . . . . . . . . . . . . 94 Endo-Eze Hand Files. . . . . . . . . . . . . 112-113 Irrigator Tips . . . . . . . . . . . . . . . . . . 126, 132
Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . 119 Endo-Eze Irrigator Tips. . . . . . . . . . . . . . 132 IsoBlock . . . . . . . . . . . . . . . . . . . . . . . . . 24
C alcium Hydroxide Paste . . . . . . . . . . 65, 125 Endo-Eze Luer Vacuum Adapters. . . . . . . 123 J etMix. . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Canal Sealer . . . . . . . . . . . . . . . . . . 120-121 Endo-Eze Rulers. . . . . . . . . . . . . . . . . . . 110 Jiffy Composite Polishing Brush. . . . . . . . . 94
Capillary Tips. . . . . . . . . . . . . . . . . . . . . 131 Endo-Eze Tips . . . . . . . . . . . . . . . . . . . . 132 Jiffy Polishing Cups, Disks, Points. . . . . . . 94
Caps, Luer Lock. . . . . . . . . . . . . . . . . . . 136 Endodontic Motor Genius . . . . . . . . . . . . 116 Jr. Smilebrushes . . . . . . . . . . . . . . . . . . . 35
Carbamide Peroxide. . . . . . . . . . . . . 8-10, 20 ENDODONTICS. . . . . . . . . . . . . . . . . . . . 107 K leerView . . . . . . . . . . . . . . . . . . . . . . . . 24
Caries Indicator . . . . . . . . . . . . . . . . . . . . 38 EndoGuide Lens. . . . . . . . . . . . . . . . . . . 103 L aser . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Cement, Temporary (Provisional) . . . . . . 84, 89 EndoREZ . . . . . . . . . . . . . . . . . . . . . 120-121 LC Block-Out Resin . . . . . . . . . . . . . . . . . 15
Cement Resins. . . . . . . . . . . . . . . . . . . 85-88 EndoREZ Accelerator. . . . . . . . . . . . . . . . 121 LED Curing Light . . . . . . . . . . . . . . . . 98-102
CEMENTS. . . . . . . . . . . . . . . . . . . . . . . . . 81 EndoREZ Points . . . . . . . . . . . . . . . . . . . 122 Lenses . . . . . . . . . . . . . . . . . . . . . . . . . 103
Cheek Retractors . . . . . . . . . . . . . . . . . . . 24 EQUIPMENT. . . . . . . . . . . . . . . . . . . . . . . 97 Light-Cured Bonding System. . . . . . . . . 62-65
Chelating and Filing Lubricant. . . . . . . . . 124 ETCH / BOND. . . . . . . . . . . . . . . . . . . . . . 61 Light-Cured Luting Resin . . . . . . . . . . . . . 85
Chemical Cure Cement. . . . . . . . 86-87, 90-91 Etchants . . . . . . . . . . . . . . . . . . . . . . . 66-70 Light Curing Unit . . . . . . . . . . . . . . . . . 98-99
Chlorhexidine. . . . . . . . . . . . . . . . . . . . . . 46 EtchArrest. . . . . . . . . . . . . . . . . . . . . . . . 67 Light Shield. . . . . . . . . . . . . . . . . . . . . 98-99
Citric Acid . . . . . . . . . . . . . . . . . . . . . . . 125 ExperTemp. . . . . . . . . . . . . . . . . . . . . . . . 92 Liner Material . . . . . . . . . . . . . . . . . . . . . 65
Clamps, Matrix. . . . . . . . . . . . . . . . . . . . . 42 ExperTemp Mixing Tip. . . . . . . . . . . . . . . . 92 Lip Retractor . . . . . . . . . . . . . . . . . . . . . . 24
Cleaners and Disinfectants. . . . . . . . . . 46, 52 Eyewear . . . . . . . . . . . . . . . . . . . . . . . . 104 Luer Lock Cap. . . . . . . . . . . . . . . . . . . . 136
ClearTemp LC. . . . . . . . . . . . . . . . . . . . . . 84 F erric Subsulfate Hemostatic . . . . . . . . . . 54 Luer Vacuum Adapter . . . . . . . . . . . . . . . 123
Coagulative Hemostatic . . . . . . . . . . . . 52-54 Ferric Sulfate Hemostatic . . . . . . . . . . . 52-54 Luting Resin. . . . . . . . . . . . . . . . . . . . 85-86
Composite Polishers . . . . . . . . . . . . . . . . 94 File-Eze EDTA. . . . . . . . . . . . . . . . . . . . . 124 M atrices. . . . . . . . . . . . . . . . . . . . . . . 42-43
COMPOSITES. . . . . . . . . . . . . . . . . . . . . . 71 Files, Endodontic . . . . . . . . 112-113,117-118 Matrix Bands. . . . . . . . . . . . . . . . . . . . 42-43
Composite Sealer and Bonding Agent. . . . . 96 Filing Lubricant . . . . . . . . . . . . . . . . . . . 124 Matrix Clamps . . . . . . . . . . . . . . . . . . . . . 42
Composite Wetting Resin . . . . . . . . . . . . . 77 Filling/Luting Material. . . . . . . . . . . . . . 86-87 Medical Bleaching . . . . . . . . . . . . . . . . 16-20
Consepsis Scrub. . . . . . . . . . . . . . . . . . . . 46 Filling/Sealer, Canal . . . . . . . . . . . . . 120-121 Metal Dento-Infusor Tip . . . . . . . . . . . 49, 133
Contra-Angle. . . . . . . . . . . . . . . . . . . . . 116 FIND Apex Locator . . . . . . . . . . . . . . 108-110 Metal Masking. . . . . . . . . . . . . . . . . . . . . 78
Cord, Displacement . . . . . . . . . . . . . . . 56-57 FINISH. . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Micro 20 ga FX Tips. . . . . . . . . . . . . . . . 133

143
Index

Micro 20 ga Tips . . . . . . . . . . . . . . . . . . 133 ProxiCure Ball Lenses. . . . . . . . . . . . . . . 103 Ultra-Trim Scalloping Scissors. . . . . . . 14, 104
Micro Abrasion Slurry. . . . . . . . . . . . . . 22-23 Proxitector. . . . . . . . . . . . . . . . . . . . . . . . 41 UltraCal XS . . . . . . . . . . . . . . . . . . . . . . 125
Micro Capillary Tips . . . . . . . . . . . . . . . . 134 Pulp Capping. . . . . . . . . . . . . . . . . . . . . . 65 UltraCem. . . . . . . . . . . . . . . . . . . . . . . 90-91
Mouth Prop . . . . . . . . . . . . . . . . . . . . . . . 41 R eciprocating/Rotary Files . . . . . . . . 117-118 UltraEZ . . . . . . . . . . . . . . . . . . . . . . . . . . 24
N aviTip. . . . . . . . . . . . . . . . . . . . . . 126, 134 Resin Barrier. . . . . . . . . . . . . . . . . . . . . . 21 Ultrapak Knitted Cord. . . . . . . . . . . . . . 56-58
NaviTip FX. . . . . . . . . . . . . . . . . . . . 126, 135 Restorative Material. . . . . . . . . . . . . . . 72-77 Ultrapak Packers . . . . . . . . . . . . . . . . . . . 59
NaviTip Sideport. . . . . . . . . . . . . . . . 126, 135 Retraction Cords . . . . . . . . . . . . . . . . . 56-57 Ultrapro Tx Prophy Paste. . . . . . . . . . . . . . 33
NiTi K-Files . . . . . . . . . . . . . . . . . . . . . . 112 Riitano Access Burs . . . . . . . . . . . . . . . . 119 UltraSeal XT hydro. . . . . . . . . . . . . . . . 26-27
O bturation Kits . . . . . . . . . . . . . . . . 120-121 Root Sensitivity . . . . . . . . . . . . . . . . . . . . 36 UltraSeal XT plus . . . . . . . . . . . . . . . . . 28-29
Omni-Matrix. . . . . . . . . . . . . . . . . . . . . . . 43 Rubber Dam. . . . . . . . . . . . . . . . . . . . . . . 45 UltraTect Protective Eyewear. . . . . . . . . . 104
Omni-Matrix Sectional . . . . . . . . . . . . . . . 42 Rubber Dam Sealer . . . . . . . . . . . . . . . . . 44 UltraTemp . . . . . . . . . . . . . . . . . . . . . . . . 89
OpalCups. . . . . . . . . . . . . . . . . . . . . . . 22-23 Rulers. . . . . . . . . . . . . . . . . . . . . . . . . . 110 UltraTemp REZ. . . . . . . . . . . . . . . . . . . . . 89
OpalDam, OpalDam Green. . . . . . . . . . . . . 21 S able Seek . . . . . . . . . . . . . . . . . . . . . . . 38 UniCore. . . . . . . . . . . . . . . . . . . . . . . . . 127
Opalescence Boost. . . . . . . . . . . . . . . . 18-19 Safety Glasses. . . . . . . . . . . . . . . . . . . . 104 Universal Bonding Agents . . . . . . . . . . . 62-64
Opalescence Endo . . . . . . . . . . . . . . . . . . 17 Scissors . . . . . . . . . . . . . . . . . . . . . . 14, 104 Universal Composite. . . . . . . . . . . . . . . 72-75
Opalescence Go. . . . . . . . . . . . . . . . . . 12-13 Sealant Material. . . . . . . . . . . . . . . . . . 26-29 Universal Dentin Sealant. . . . . . . . . . . . . . 36
Opalescence Oral Hygiene Brush. . . . . . . . 35 Sealer/Filler, Canal. . . . . . . . . . . . . . 120-121 Utility Resin LC Block-Out. . . . . . . . . . . . . 15
Opalescence PF. . . . . . . . . . . . . . . . . . . 8-10 Seek. . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Utility Vinyl Cutters. . . . . . . . . . . . . . . . . 104
Opalescence Pocket Tray Cases. . . . . . . . . 14 Self-Etch Adhesive System . . . . . . . . . . 62-64 Uveneer. . . . . . . . . . . . . . . . . . . . . . . . . . 79
Opalescence Quick PF . . . . . . . . . . . . . . . 20 Sensitivity Relief Toothpaste . . . . . . . . . . . 34 V acuum Adapter. . . . . . . . . . . . . . . . . . . 123
Opalescence Whitening Toothpaste . . . . . . 34 Sheets, Sof-Tray. . . . . . . . . . . . . . . . . . . . 14 VALO LED Cordless Curing Light . . . . . . . . 98
Opalpix . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Silane . . . . . . . . . . . . . . . . . . . . . . . . . . . 68 VALO LED Curing Light . . . . . . . . . . . . . . . 99
Opalustre. . . . . . . . . . . . . . . . . . . . . . . 22-23 Silicone Polishing Cups, Disks, Points . . . . 94 VALO Lenses . . . . . . . . . . . . . . . . . . . . . 103
Oral Hygiene Brushes. . . . . . . . . . . . . . . . 35 Skini Syringe. . . . . . . . . . . . . . . . . . 122, 137 VALO Mounting Bracket. . . . . . . . . . . . . . 103
OraSeal. . . . . . . . . . . . . . . . . . . . . . . . . . 44 Slide Packers. . . . . . . . . . . . . . . . . . . . . . 59 Veneer Template System. . . . . . . . . . . . . . 79
Organizers, Syringe . . . . . . . . . . . . . . . . 138 Smear Layer Remover. . . . . . . . . . . . . . . . 46 ViscoStat Clear. . . . . . . . . . . . . . . . . . . . . 55
Oxygen Barrier Solution . . . . . . . . . . . . . . 95 Smilebrushes. . . . . . . . . . . . . . . . . . . . . . 35 ViscoStat Hemostatic . . . . . . . . . . . . . . 52-53
P ackers, Fischers . . . . . . . . . . . . . . . . . . 59 Sodium Fluoride Varnish. . . . . . . . . . . . 31-32 W aiting Room Whitening. . . . . . . . . . . . . . 20
Peak SE Primer . . . . . . . . . . . . . . . . . . . . 62 Sof-Tray Sheets. . . . . . . . . . . . . . . . . . . . 14 Walking Bleach . . . . . . . . . . . . . . . . . . . . 17
Peak Universal Bond. . . . . . . . . . . . . . . 62-64 SoftEZ Tip . . . . . . . . . . . . . . . . . . . . . 33, 135 Wetting Resin. . . . . . . . . . . . . . . . . . . . . . 77
PermaFlo. . . . . . . . . . . . . . . . . . . . . . . . . 76 SpeedMix. . . . . . . . . . . . . . . . . . . . . . . 90-91 White Mac Tips . . . . . . . . . . . . . . . . . . . 136
PermaFlo DC . . . . . . . . . . . . . . . . . . . . 86-87 Spot Remover . . . . . . . . . . . . . . . . . . . . . 54 White Mini Laser Tips. . . . . . . . . . . . . . . 136
PermaFlo Pink . . . . . . . . . . . . . . . . . . . . . 77 SST - Surgical Suction Tip . . . . . . . . . . . 136 WHITEN. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
PermaSeal. . . . . . . . . . . . . . . . . . . . . . . . 96 Stainless Steel K-Files . . . . . . . . . . . . . . 112 Whitening Toothpaste. . . . . . . . . . . . . . . . 34
PermaShade LC . . . . . . . . . . . . . . . . . . . . 85 STARbrush. . . . . . . . . . . . . . . . . . . . . . . . 39 Whitening Trays. . . . . . . . . . . . . . . . . . 12-13
Phosphoric Acid. . . . . . . . . . . . . . . . . . 66-67 Syringe Covers . . . . . . . . . . . . . . . . . . . 137
Pit and Fissure Sealant. . . . . . . . . . . . . 26-29 Syringe Organizers. . . . . . . . . . . . . . . . . 138
Pocket Tray Cases . . . . . . . . . . . . . . . . . . 14 Syringes, empty. . . . . . . . . . . . . . . . . . . 137
Point Cure Lens . . . . . . . . . . . . . . . . . . . 103 T ake-Home Bleach. . . . . . . . . . . . . . . . . 7-13
Polish, Diamond. . . . . . . . . . . . . . . . . . . . 95 Temporary Cement. . . . . . . . . . . . . . . . 84, 89
Polishing Brushes. . . . . . . . . . . . . . . . . . . 94 Temporary Crown & Bridge Material. . . . . . 92
Polishing Cups, Disks, Points. . . . . . . . . . . 94 TIPS/SYRINGES. . . . . . . . . . . . . . . . . . . . 129
Porcelain Etch . . . . . . . . . . . . . . . . . . . . . 68 TISSUEMANAGEMENT. . . . . . . . . . . . . . . . 49
Porcelain Repair Kit . . . . . . . . . . . . . . . . . 69 Tongue Guard. . . . . . . . . . . . . . . . . . . . 24, 41
Post and Drill System. . . . . . . . . . . . . . . 128 Toothbrushes. . . . . . . . . . . . . . . . . . . . . . 35
Posts. . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Toothpaste. . . . . . . . . . . . . . . . . . . . . . . . 34
Pre-loaded Bleaching Trays. . . . . . . . . . 12-13 Toothpicks. . . . . . . . . . . . . . . . . . . . . . . . 36
Preparation Cleansers/Disinfectants. . . . . . 46 Translume Lenses . . . . . . . . . . . . . . . . . 103
PREPARE. . . . . . . . . . . . . . . . . . . . . . . . . 37 Tray Case, Pocket. . . . . . . . . . . . . . . . . . . 14
PREVENT/HYGIENE . . . . . . . . . . . . . . . . . . 25 Tray Fabrication. . . . . . . . . . . . . . . . . . . . 10
PrimaDry. . . . . . . . . . . . . . . . . . . . . . . . . 29 Tray Sheets . . . . . . . . . . . . . . . . . . . . . . . 14
PropGard. . . . . . . . . . . . . . . . . . . . . . . . . 41 U ltra-Blend plus. . . . . . . . . . . . . . . . . . . . 65
Prophy Paste . . . . . . . . . . . . . . . . . . . . . . 33 Ultra-Etch Empty Syringe . . . . . . . . . . 67,137
Protective Eyewear. . . . . . . . . . . . . . . . . 104 Ultra-Etch Etchant . . . . . . . . . . . . . . . . 66-67

144
TM

WHERE SAFETY MEETS EFFICIENCY


Together, the Genius motor, contra-angle, and files give you both reciprocation
Ultradent is proud to be a two-year winner
of the Golden Hands Award of Xcellence for and rotary movement with just the touch of a button.
Ethics and Truth in Advertising.

Nominees for this award were selected by a


group of well-respected clinicians and leaders
in the dental industry, who examined upwards
In 1976, after graduating from Loma Linda University and beginning his own practice, Dr. Dan
Fischer invented and patented his groundbreaking Astringedent hemostatic solution in response SAFETY EFFICIENCY
of 3,000 companies before selecting a small
group of candidates based on the following to the need for a tissue management product that achieved more rapid, profound hemostasis. The
merits: success of Astringedent hemostatic fueled Dr. Fischers desire to continue developing innovative
and more advanced dental solutions leading to the founding of Ultradent Products, Inc. 360
Ethical Conduct
Placement of Public Health before Profits Now, marking its 39th year as a family-owned, international dental supply and manufacturing
Dependable Products
Knowledgeable Personnel company, Ultradent has continued its vision to improve oral health globally by creating better OR
Excellent Customer Service dental products that continue to set new industry standards. Dr. Fischer has numerous patents
to his name and regularly lectures and writes articles about state-of-the-art dentistry. He also
Thousands of practicing dentists across the
nation then voted to select Ultradent Products, works part-time in his daughters dental practice, which enables him to connect with patients and
Inc., as the winner in both 2015 and 2016. practice minimally invasive dentistry a philosophy around which Ultradent develops its products
and procedures.
Of receiving the honor, Dr. Dan Fischer, CEO
of Ultradent Products, Inc. said, Were so Ultradent currently researches, designs, manufactures, and distributes more than 500 materials, RECIPROCATION ROTARY
honored to have received this recognition. The
true honor for this award goes to the men and devices, and instruments used by dentists around the world. This includes its renowned, industry-
THE SAFETY OF RECIPROCATION WITH THE EFFICIENCY TO REMOVE DEBRIS
women at Ultradent who work tirelessly every leading Opalescence Tooth Whitening System, and the groundbreaking Opalescence Go
day to uphold the values upon which Ultradent CLOCKWISE AND COUNTER-CLOCKWISE WITH ROTATIONAL MOVEMENT
professional take-home whitening system. Ultradents product family also includes the award- MOVEMENT
hangs its hat: integrity, care, quality, innova-
tion, and, lastly, hard work. They embody winning VALO LED curing light, UltraSeal XT hydro pit and fissure sealant, and Ultra-Etch
these values in the way they contribute to our etchant. Recent new innovations include the Uveneer direct composite veneer template system,
vision every day, regardless of their personal which creates natural-looking, high-quality direct composite veneers quickly and easily. Ultradent
job description or the continent on which they
serve. We are humbled to receive this recogni-
also now offers the EndoEze Genius endodontic system, which consists of an electric motor YOU DONT HAVE TO CHOOSE BETWEEN SAFETY AND EFFICIENCY.
tion and will use it as a critical reminder of our and NiTi engine-driven files designed to be used with both reciprocation and rotary movement for
duty to continue to be responsible and caring endodontic procedures.
to those we serve, both inside and outside
Ultradent. Ultradent has been the recipient of Small Business Administrations Exporter of the Year and Direct
In choosing to create the award, Dr. Amir H. Distributor of the Year awards. Most recently, Ultradent was the recipient of the Health Care Heroes
Motamed, DDS, says With the ever-increasing award in the category of Corporate Achievement. Ultradent and Dr. Fischer have been recognized
prominence of the Internet in the Information for outstanding industry leadership and for making defining contributions to the dental community.
Age, it has become increasingly more chal-
In 2013, the Utah Governors Office of Economic Development named Dr. Fischer International
lenging for dentists to delineate fact from
fiction and pertinent research results from Man of the Year for his contributions to sustaining economic and cultural relations between the
creative marketing strategies. The Golden state of Utah and the European Union.
Hands Award of Xcellence has been created
to represent and promote the values that the Dr. Fischer strives continuously to Improve Oral Health Globally. Beyond the dental community,
dental profession holds in its highest regard.
Ultradent donates products to humanitarian efforts locally, nationally, and internationally.
Ultradent is honored humbled to have received Additionally, Ultradent sponsors a nonprofit organization, the Diversity Foundation, a progressive
such a distinction. It is our greatest hope to outreach program committed to preventing hate crimes and intolerance. This program promotes
continue on with a legacy of truth and ethics
diversity and fosters multicultural awareness among individuals from all backgrounds.
in advertising and all else that we do in
the years to come.
Dr. Fischer lives his life according to the same values that guide Ultradent: integrity, quality, hard
work, innovation, and care. When he isnt working, he enjoys tending to his garden and spending
time with his wife, children, and 33 grandchildren.
Ultradent Products, Inc. Products and Procedures Manual 2017
Right - Dr. Dan Fischer, CEO
Left - Dirk Jeffs, President

Products and Procedures Manual PANT 2915 PANT 556 PANT 5135 PANT 180 PANT 526 PANT 285 PANT 7454 PANT 7510 PANT 159 PANT 582 PANT Cool Gray 10 PANT 5473

2017
PANT
PANT
2915
2915 PANT 2915
PANT
PANT
556
PANT
556
PANT
PANT
PANT
PANT
2915
PANT
2915
2915
PANT
2915
556
PANT
2915
PANT
2915
5135
5135
PANT
PANT
PANT
PANT
PANT
556
PANT
556
PANT
556
PANT
556
5135
556
PANT
2915
556
PANT
180
PANT
PANT
180
PANT
PANT
5135
PANT
5135
PANT
PANT
5135
PANT
5135
5135
180
PANT
556
5135
PANT
526
PANT
526
PANT
PANT
PANT
PANT
180
PANT
180
180
PANT
180
526
PANT
180
5135
PANT
180285
PANT
285
PANT
PANT
PANT
PANT
526
PANT
526
PANT
526
PANT
526
285
PANT
526
PANT
180
526
7454
7454
PANT
PANT
PANT
PANT
PANT
285
PANT
285
PANT
285
PANT
285
PANT
7454
285
PANT
526
285
7510
7510
PANT
PANT
PANT
PANT
PANT
7454
PANT
7454
7454
PANT
7454
7510
7454
PANT
285
7454
PANT
159
PANT
PANT
159
PANT
PANT
7510
PANT
7510
PANT
7510
PANT
PANT
7510
7510
PANT
159
7510
PANT
7454
582
582
PANT
PANT
PANT
PANT
PANT
159
PANT
159
PANT
159
PANT
159
PANT
582
159
7510
Cool
159
Cool
Gray
PANT
PANT
PANT
Gray
PANT
PANT
10582
PANT
582
10
Cool
582
PANT
PANT
582PANT
582
Gray
582
PANT
159
PANT
PANT
10
5473
PANT
PANT
5473
Cool
PANT
Cool
Cool
PANT
Cool
PANT
Gray
PANT
Gray
Cool
Gray
Gray
Cool
5473
10
10
Gray
582
10
10
Gray
10PANT
10
PANT
PANT
PANT
PANT
5473
PANT
5473
5473
PANT
5473
Cool
5473
5473
Gray 10 PANT 5473

BRIGHT SMILE, READY TO GO

Distribution Partner:

European Office: Ultradent Products GmbH


Am Westhover Berg 30 - 51149 Cologne - Germany
Tel: +49 (0)2203-359215 Fax: +49 (0)2203-359222 - www.ultradent.com/eu

Ultradent Products, Inc. 505 West Ultradent Drive (10200 South) South Jordan, UT 84095, USA ultradent.com 2017 Ultradent Products, Inc. All Rights Reserved.

You might also like