Professional Documents
Culture Documents
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
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Distribution Partner:
Ultradent Products, Inc. 505 West Ultradent Drive (10200 South) South Jordan, UT 84095, USA ultradent.com 2017 Ultradent Products, Inc. All Rights Reserved.
TM
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
93 FINISH
97 EQUIPMENT
107 ENDODONTICS
1
THE BRIGHT SMILE STANDARD
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
3
Whiten
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
MEDICAL*
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
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.
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)
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
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
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
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 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.
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.
Store refrigerated.
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
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
Store refrigerated.
Store refrigerated.
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
14
COSMETIC - Whiten
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.
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.
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
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
Procedure
Dr. Stephan Hoefer
Before. After.
Store refrigerated.
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
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.
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
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.
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).
Medical Devices for Tooth Whitening are not available in some countries of the European Community. Please ask your Dental Dealer.
20
COSMETIC - Whiten
Store refrigerated.
Store refrigerated.
Store refrigerated.
Store refrigerated.
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
Uses
Dr. Ted Croll
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
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
This sustained-release formula quickly eliminates sensitivity from tooth-
brush abrasion, thermal and chemical changes, tooth bleaching, and
root exposure.
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
25
Prevent/Hygiene
1 Procedure
3. Place UltraSeal XT hydro sealant. 4. Cure for 3 seconds with VALO LED
curing light on Xtra Power mode.
26
Prevent/Hygiene
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.
Store refrigerated.
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
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
SINCE 1998!
UltraSeal XT plus
HYDROPHOBIC
PIT AND FISSURE SEALANT
Before. After.
28
Prevent/Hygiene
Store refrigerated.
Store refrigerated.
Store refrigerated.
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!
30
Prevent/Hygiene
4000
3500
Enamelast
3000
FLUORIDE VARNISH
2314
2500
2000
1500
1000 696
500
0 -21
3M
Enamelast Placebo
Vanish*
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
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
* 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
33
Prevent/Hygiene
250 197
50
0
Opalescence Whitening Toothpaste3 Opalescence
Whitening
Colgate
Total Advanced
Crest
Pro Health
Original & Sensitivity Relief Toothpaste Whitening* Whitening*
34
Prevent/Hygiene
Opalescence Smilebrushes
35
Prevent/Hygiene
INTERPROXIMAL CLEANER
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.
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
37
Prepare
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
1091 STARbrush
30 x STARbrushes
Clean around orthodontic brackets
1. realityesthetics.com
39
INTRODUCING THE ONLY
direct composite template system
PropGard InterGuard 1
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.
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
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
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.
42
Prepare
Omni-Matrix 1
1. SEAT 2. TIGHTEN
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.
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.
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
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
1. realityesthetics.com
45
Prepare
Consepsis Scrub 1
Before. After.
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
47
Tissue Management
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
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.
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.
48
Tissue Management
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.
5. BOND 6. RESTORE
Apply Peak Universal Bond adhesive. Use flowable and/or paste composite
as desired.
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
!
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.
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.
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.
53
Tissue Management
Astringedent 1 Astringedent X
15,5% FERRIC SULFATE 12,7% IRON 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
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
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.
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.
56
Tissue Management
#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
#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
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.
3. RINSE/DRY
Rinse the area well and lightly dry.
58
Tissue Management
59
BATTERY INDICATOR
WAVELENGTH INDICATOR
POWER INDICATOR
PRESET PROCEDURES
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
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
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
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.
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.
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
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.
* 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
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).
65
Etch/Bond
ETCHANT
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
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.
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
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
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.
69
Etch/Bond
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).
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
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
Before. After.
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.
72
Composites
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.
TRANSLUCENT
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
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
x 10
75
Composites
25
20 18.0
17.4
Microns
15 14.2
10
5.80
5
0 PermaFlo AELITEFLO *Revolution *
Flow It *
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 *
76
Composites
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
1. realityesthetics.com
77
Composites
Micro Restorative
SUPER ADAPTIVE INITIAL LAYER:
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.
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
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.
81
Crown & Bridge
82
Crown & Bridge
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
83
Crown & Bridge
ClearTemp LC 1
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.
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
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
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.
86
Crown & Bridge
Store refrigerated.
Recommended Tips: Bonded Post Procedure Indirect Luting Procedure
Store refrigerated.
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
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.
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
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.
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.
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.
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
90
Crown & Bridge
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
10 15x
5. Remove metal rod and discard 6. Remove yellow clip and discard
No capsule activator needed. No capsule mixing unit needed. No capsule applier needed.
91
Crown & Bridge
ExperTemp
Flexural Modulus Comparison1
ExperTemp 4.91 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
92
Finish
Melissa Axen | R&D Product Development Scientist | Great Salt Lake, Utah
93
Finish
Jiffy Polishers 1
Jiffy Composite 1
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
1. realityesthetics.com 1. realityesthetics.com
94
Finish
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
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.
Existing Restorations
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.
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
Ryan White | Campaign Marketing Manager/Media Buyer | Arches National Park, Utah
97
Equipment
TM
2015
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.
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.
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
1. www.realityesthetics.com
99
Equipment
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.
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
100
Equipment
Scratch-resistant
sapphire-hard coating
VALO - 0 mm 0 mm
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 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.
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
PointCure Lens
EndoGuide Lens
103
Equipment
104
Equipment
BATTERY INDICATOR
WAVELENGTH INDICATOR
POWER INDICATOR
PRESET PROCEDURES
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
DISPOSABLE TIPS
SIROlaser Advance*
WITH ILLUMINATION TOUCH KEYPAD
Epic 10*
Precise SHP*
Picasso Lite*
0 5 10 15 20
components
8993 Gemini 5 mm Pre-Initiated Tip
25 x 5 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
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
107
Endodontics
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
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
109
Endodontics
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.
110
Endodontics
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
111
Endodontics
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.
112
Endodontics
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
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
&
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
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
114
Endodontics
Debris Movement
Switches between
reciprocation and rotary
with the touch of a button
115
Endodontics
new new
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
W.L.
Foramen
The only files designed and
new
ROTATING - P1
Ratio: 8:1 FWD
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
W.L.
Foramen
RECIPROCATING - GEN
Flutes are designed for clockwise cutting Ratio: 8:1
Rpm: 350
FWD: 90
REV: 30
The same sequence can be used for both treatment and retreatment
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
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
Improves resistance
and flexibility Genius File Orifice Shaper - Refill 3 packs
Taper Tip Size 18 mm
.08 30 3743A
ISO Identification Colors
118
Endodontics
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
Store refrigerated.
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
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
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.
122
Endodontics
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.
123
Endodontics
All of Ultradents irrigants, lubricants, and medicaments are compatible with methacrylate resin sealers.
NaviTip 30 ga
NaviTip FX 30 ga
124
Endodontics
All of Ultradents irrigants, lubricants, and medicaments are compatible with methacrylate resin sealers.
NaviTip 29 ga
Radiopaque
High pH
Superior at delivery control
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
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
EndoREZ NaviTip 29 ga
UltraCal XS NaviTip 29 ga
NaviTip 30 ga
Citric Acid NaviTip FX 30 ga
and NaviTip Sideport 31 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
127
Endodontics TM
SAFETY EFFICIENCY
OR
RECIPROCATION ROTARY
THE SAFETY OF RECIPROCATION WITH THE EFFICIENCY TO REMOVE DEBRIS
CLOCKWISE AND COUNTER-CLOCKWISE WITH ROTATIONAL MOVEMENT
MOVEMENT
Cannulae
Flocked Tips
Brush Tips
Endodontic Tips
Syringes
Auxiliaries
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?
1356 20 pk
Black Micro FX Tip
190 20 pk
130
Tips & Syringes
194 20 pk
Black Micro Tip
158 20 pk
Blue Micro Tip
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
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
1168 20 pk
Micro 20 ga Tip
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
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
NaviTip 31 ga 5123 27 mm - 20 pk
with Double Sideport Irrigator Tip
135
Tips & Syringes
661 20 pk
White Mac Tip
136
Tips & Syringes
1680 20 pk
Skini Syringe
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
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
137
Tips & Syringes
138
Ultra-Etch
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
dual wavelengths.
one of a kind.
140
simplifying endodontics
NaviTip Tips
ACCURATE DELIVERY
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.
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.
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
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
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556
PANT
556
PANT
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PANT
PANT
2915
PANT
2915
2915
PANT
2915
556
PANT
2915
PANT
2915
5135
5135
PANT
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PANT
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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
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