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Prepara Mecanica IUEM 2020
Prepara Mecanica IUEM 2020
Prepara Mecanica IUEM 2020
PREPARAÇÃO B OMECÂN CA
B OMECÂN CA
P ÓS GRADUAÇ ÃO ENDODON TIA CLINIC A IN TERNACIONAL V
PREPARAÇÃO PREPARAÇÃO
B OMECÂN CA B OMECÂN CA
3 anos 4 anos
PREPARAÇÃO PREPARAÇÃO
B OMECÂN CA B OMECÂN CA
PREPARAÇÃO PREPARAÇÃO
B OMECÂN CA B OMECÂN CA
PREPARAÇÃO
B OMECÂN CA PREPARAÇÃO
10–80% of the root canal surface remained
B OMECÂN CA
u n i n s t r u m e n t e d .`
Peters OA, Laib A, Go¨ hring TN, Barbakow F. Changes in root canal geometry after preparation
assessed by high-resolution computed tomography. J Endod 2001a: 27: 1–6.
Peters OA, Schonenberger K, Laib A. E ects of four Ni–Ti preparation techniques on root canal
geometry assessed by micro-computed tomography. Int Endod J 2001b: 34: 221–230.
Peters OA, Peters CI, Schonenberger K, Barbakow F. ProTaper rotary root canal preparation: e ects
of canal anatomy on final shape analysed by microCT. Int Endod J 2003: 36: 86–92.
Hu¨ bscher W, Barbakow F, Peters OA. Root canal preparation with FlexMaster: canal shapes
analysed by micro-computed tomography. Int Endod J 2003: 36: 740–747.
e biológica - limpeza
shape ll
- conformação
Efeito mecânico
OBJECTIVOSMECÂNICOS
PREPARAÇÃO Preparação continuamente cónica
Schilder, H.
Cleaning and shaping the root canal. Dent. Clin. North Am. 18:269, 1974.
Flexibility
clockwise torsion (Fig. 6), the size #15 Nitinol files were
ral characteristics (Figs. 8 to 11). The capable of undergoing a mean value of 21/2 revolutions before
fracturing, while the stainless steel flies fractured after a mean
value of 13/4revolutions. The general appearances of the two
ure surfaces for the Nitinol (Fig. 8)
Walia et al. Walia et al.
clockwise torsion plots in Fig. 6 are very similar. The relatively
1988 1988
extensive, nearly horizontal, portions of these two graphs
indicate that the apical regions for both groups of flies under-
9) instruments were largely fiat and went substantial permanent torsional deformation before frac-
turing. An interesting point is that for clockwise twist angles
exceeding 270 degrees the Nitinol files developed approxi-
e files; nonplanar regions of fracture mately 10 to 20% higher torsional moment than did the
stainless steel files.
For counterclockwise torsion (Fig. 7), the Nitinol files
ers of the triangular cross-sections. experienced largely elastic deformation before fracturing at a
mean value of 450 degrees angular deflection (11/4 revolu-
tions). The stainless steel files fractured at a mean value of
rsional fracture surfaces for both the 225 degrees (between 1/2 and 3/4 revolution), and the counter-
maior resistência
clockwise torsion plot for these instruments displayed a defi-
nite, although not an extensive, horizontal region correspond-
FIG 10. SEM photograph of the 3-mm apical region of a size #15
Nitinol file which has been tested to fracture in counterclockwise
torsion.
DISCUSSION
FIG 10. SEM photograph of the 3-mm apical region of a size #15
Nitinol file which has been tested to fracture in counterclockwise
torsion.
DISCUSSION
ISISTEMA DE INSTRUMENTAÇÃO
GERAÇÃO
GERAÇÃOI conicidades
SISTEMA constantes
DE INSTRUMENTAÇÃO
O.S.
Ben Johnson
PROFILE 4% 6% 7-8%
Lloyd, A. (2005). Root canal instrumentation with ProFile. Endodontic Topics, 10, 151–154.
I conicidades
SISTEMA
GERAÇÃO 24
constantes
DE INSTRUMENTAÇÃO
GERAÇÃO
conicidades
SISTEMA
I constantes
DE INSTRUMENTAÇÃO
23
22
21
20
19
4%
6%
PROFILE 6%
Ben Johnson
5%
Ben Johnson
PROFILE crowndown
7% 8%
I muitos
SISTEMA instrumentos
DE INSTRUMENTAÇÃO
conicidades constantes
GERAÇÃO
Ben Johnson
PROFILE crowndown faces de desgaste
“radial lands"
Baumann, M. A. (2004). Nickel-titanium: options and challenges. Dental Clinics of North America, 48(1), 55–67.
ISISTEMA ISISTEMAconicidades
conicidades constantes conicidades constantes
vérticesDEdeINSTRUMENTAÇÃO DE INSTRUMENTAÇÃO
muitos instrumentos muitos instrumentos
GERAÇÃO
GERAÇÃO
II RaCE II
vértices de corte
mais activos
GERAÇÃO GERAÇÃO
K3 PROTAPER
11% 11% 5% 5% 5%
PROTAPER 2% 4% 7% 8%
Ruddle, C. J. (2005). The ProTaper technique. Endodontic Topics, (10), 187–190.
9%
2001
ISISTEMAconicidades ISISTEMAconicidades
conicidades constantes conicidades constantes
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO variáveis
II II
vértices de corte vértices de corte
mais activos mais activos
GERAÇÃO GERAÇÃO
11% 11% 5% 5% 5%
PROTAPER 2% 4% 7% 8%
Ruddle, C. J. (2005). The ProTaper technique. Endodontic Topics, (10), 187–190.
9%
2001 PROTAPER crowndown
ISISTEMAconicidades ISISTEMAmenos
conicidades constantes conicidades constantes
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
instrumentos
faces de desgaste
GERAÇÃO
II II
vértices de corte vértices de corte
mais activos mais activos
conicidades variáveis
GERAÇÃO GERAÇÃO
11% 11% 5% 5% 5%
2006
2% 4% 7% 8% 9% 6% 5%
PROTAPER UNIVERSAL
ISISTEMA I II
conicidades constantes conicidades constantes
DEdesign
muitos instrumentos
alterações de
faces de desgaste
GERAÇÃO INSTRUMENTAÇÃO
para evitar enroscamento SISTEMA DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
vs.
GERAÇÃO
II
vértices de corte vértices de corte
mais activos mais activos
conicidades variáveis conicidades variáveis
menos instrumentos menos instrumentos
alterações de design
GERAÇÃO
Baumann, M. A. (2004). Nickel-titanium: options and challenges. Dental Clinics of North America, 48(1), 55–67.
Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17.
do NiTi
DE INSTRUMENTAÇÃO
muitos instrumentos muitos instrumentos
faces de desgaste faces de desgaste
GERAÇÃO GERAÇÃO
tratamento térmico
II II c.m. wire
vértices de corte vértices de corte
mais activos mais activos
conicidades variáveis conicidades variáveis
menos instrumentos menos instrumentos
alterações de design alterações de design
GERAÇÃO GERAÇÃO
III III
®
m-wire
movimento
®
Shen, Y., et al. (2013). Current challenges and concepts of the thermomechanical treatment of nickel-titanium instruments. Journal of Endodontics, 39(2), 163–172.
ISISTEMAmetalurgia ISISTEMAmetalurgia
conicidades constantes conicidades constantes
do NiTi
DE INSTRUMENTAÇÃO do NiTi
DE INSTRUMENTAÇÃO
muitos instrumentos muitos instrumentos
faces de desgaste faces de desgaste
GERAÇÃO GERAÇÃO
tratamento térmico tratamento térmico
II II
vértices de corte vértices de corte
NiTi
mais activos mais activos
®
c.m. wire
conicidades variáveis conicidades variáveis
menos instrumentos
alterações de design
menos instrumentos
alterações de design convencional
GERAÇÃO GERAÇÃO
maior resistência à:
III m-wire
III
®
r-phase
®
Shen, Y., et al. (2013). Current challenges and concepts of the thermomechanical treatment of nickel-titanium instruments. Journal of Endodontics, 39(2), 163–172. Shen, Y., et al. (2011) Metallurgical characterization of controlled memory wire nickel-titanium rotary instruments. Journal of Endodontics, 37 (11), p.1566-1571.
do NiTi
DE INSTRUMENTAÇÃO
muitos instrumentos muitos instrumentos
faces de desgaste faces de desgaste
GERAÇÃO GERAÇÃO
tratamento térmico
II II
vértices de corte vértices de corte
lima única
mais activos mais activos
conicidades variáveis conicidades variáveis
blue gold
menos instrumentos menos instrumentos
alterações de design alterações de design
GERAÇÃO ® ® GERAÇÃO
III
GERAÇÃO
Keeping the WaveOne® simplicity,
with a golden host of benefits GERAÇÃO III rotação reciproca
tratamento térmico
IV GERAÇÃO
1
Shen, Y., et al. (2011) Metallurgical characterization of controlled memory wire nickel-titanium rotary instruments. Journal of Endodontics, 37 (11), p.1566-1571.
Reinforces patient safety
• Primary WaveOne GOLD file is 50% more resistant to
+
50%
Yared G., et al. (2008) Canal preparation using only one Ni–Ti rotary instrument: preliminary observations. Int Endod J, 41, p.339-344.
Flexibility
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
II II
vértices de corte vértices de corte
mais activos mais activos
conicidades variáveis conicidades variáveis
menos instrumentos menos instrumentos
alterações de design alterações de design
GERAÇÃO GERAÇÃO
III
tratamento térmico
GERAÇÃO
Yared G., et al. (2008) Canal preparation using only one Ni–Ti rotary instrument: preliminary observations. Int Endod J, 41, p.339-344. Yared G., et al. (2008) Canal preparation using only one Ni–Ti rotary instrument: preliminary observations. Int Endod J, 41, p.339-344.
ISISTEMArotação reciproca ISISTEMArotação reciproca
conicidades constantes conicidades constantes
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
II lima única
vértices de corte
mais activos
conicidades variáveis
menos instrumentos
alterações de design
GERAÇÃO II WAVE ONElima única
vértices de corte
mais activos
conicidades variáveis
menos instrumentos
alterações de design
GERAÇÃO
maior resistência à:
III
tratamento térmico
GERAÇÃO
Yared G., et al. (2008) Canal preparation using only one Ni–Ti rotary instrument: preliminary observations. Int Endod J, 41, p.339-344.
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
II lima única
vértices de corte
mais activos
conicidades variáveis
menos instrumentos
alterações de design
GERAÇÃO II secção descentrada
vértices de corte
mais activos
conicidades variáveis
menos instrumentos
alterações de design
GERAÇÃO
WAVE ONE2011
III
tratamento térmico
GERAÇÃO
gold blue
III do eixo de rotação
tratamento térmico
GERAÇÃO
IV IV
®
Keeping the WaveOne ® simplicity, ® rotação reciproca
with a golden host of benefits lima única
GERAÇÃO GERAÇÃO
+
105%
+
50%
V GERAÇÃO Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17.
rotary systems
Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary
Flexibility
ISISTEMA
secção descentrada ISISTEMA
secção descentrada
conicidades constantes conicidades constantes
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
III
tratamento térmico
GERAÇÃO
IV rotação reciproca
lima única
GERAÇÃO IV TRUSHAPE
rotação reciproca
lima única
GERAÇÃO
V GERAÇÃO Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17. V TRUNATOMY
GERAÇÃO Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17.
ISISTEMA
secção descentrada ISISTEMA
secção descentrada
conicidades constantes conicidades constantes
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
III
tratamento térmico
GERAÇÃO III
tratamento térmico
GERAÇÃO
IV rotação reciproca
lima única
GERAÇÃO
V GERAÇÃO Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17. V GERAÇÃO Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17.
ISISTEMA
secção descentrada I
conicidades constantes conicidades constantes
DE INSTRUMENTAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
muitos instrumentos
faces de desgaste
GERAÇÃO
II do eixo de rotação II
vértices de corte vértices de corte
mais activos mais activos
conicidades variáveis conicidades variáveis
menos instrumentos menos instrumentos
alterações de design
GERAÇÃO
alterações de design
GERAÇÃO
SISTEMA DE
III
tratamento térmico
GERAÇÃO III
tratamento térmico
GERAÇÃO INSTRUMENTAÇÃO
IV rotação reciproca
lima única
GERAÇÃO
V GERAÇÃO Haapasalo, M., & Shen, Y. (2013). Evolution of nickel–titanium instruments: from past to future. Endod Topics, 29(1), 3–17. V
secção descentrada do
eixo de rotação
GERAÇÃO
I II III IV V I II III IV V
conicidades constantes vértices de corte conicidades constantes vértices de corte Cyclic fatigue resistance
muitos instrumentos
faces de desgaste
mais activos
conicidades variáveis
tratamento térmico rotação reciproca secção descentrada do
eixo de rotação
muitos instrumentos
faces de desgaste
mais activos
conicidades variáveis 1 Reinforces patient
tratamento safety
térmico
• Primary WaveOne GOLD file is 50% more resistantlima
rotação reciproca
to única
+
50%
secção descentrada do
eixo de rotação
menos instrumentos lima única menos instrumentos
cyclic fatigue than WaveOne Primary file
GERAÇÃO alterações de design
GERAÇÃO alterações de design
• Reduced screwing effect compared to standard
+
105%
GERAÇÃO GERAÇÃO GERAÇÃO GERAÇÃO GERAÇÃO GERAÇÃO
rotary systems GERAÇÃO GERAÇÃO
Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary
Flexibility
VIA DE PERMEABILIDADE
PRÉ-ALARGAMENTO
SISTEMA DE INSTRUMENTAÇÃO
APICAL GAUGING
?
EXPLORAÇÃO
PERMEABILIDADE
APICAL - C.T. PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
GAUGING
EXPLORAÇÃO
VIA DE
PERMEABILIDADE exploração
Flexibility
Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396. Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396.
Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002 Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002
Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266. Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266.
Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460. Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460.
81.5%
- Eficácia 14.6%
-
97% 32.72%
Vs.
Martins, J. N. R., Marques, D., Mata, A., & Caramês, J. (2014). Clinical e icacy of electronic apex locators: Systematic
review. Journal of Endodontics. https://doi.org/10.1016/j.joen.2014.03.011
Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396. Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396.
Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002 Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002
Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266. Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266.
Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460. Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460.
não existe correlação entre dor pós operatória e a utilização de patency, a extrusão apical de
debris durante patency não tem significado clinico.
Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396. Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396.
Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002 Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002
Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266. Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266.
Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460. Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460.
ff
EXPLORAÇÃO PERMEABILIDADE EXPLORAÇÃO PERMEABILIDADE
patency APICAL
patency patency APICAL
patency
dá ao clinico uma ideia inicial das curvaturas tridimensionais não detectadas no rx. dá ao clinico uma ideia inicial das curvaturas tridimensionais não detectadas no rx.
o uso de limas de permeabilização permite um melhor controlo do comprimento de o uso de limas de permeabilização permite um melhor controlo do comprimento de
trabalho. trabalho.
não existe correlação entre dor pós operatória e a utilização de patency, a extrusão apical de não existe correlação entre dor pós operatória e a utilização de patency, a extrusão apical de
debris durante patency não tem significado clinico. debris durante patency não tem significado clinico.
permite a penetração inicial do NaOCl no SCR - irrigação activa. permite a penetração inicial do NaOCl no SCR - irrigação activa.
o NaOCl é renovado, e por isso mais efectivo, pela acção de penetração da lima.
evita o bloqueio canalar com dentina que pode conduzir a transporte, degraus ou
perfurações.
Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396. Cailleteau JG, Mullaney TP. Prevalence of teaching apical patency and various instrumentation and obturation techniques in United States dental schools. J Endod 1997;23:394-396.
Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002 Ruddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns RC, eds. Pathways of the Pulp. St Louis: Mosby, 2002
Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266. Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988;14:261-266.
Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460. Siqueira JF Jr, Rocas IN, Favieri A, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-460.
SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO
PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
APICAL - C.T. GAUGING
VIA DE
PERMEABILIDADE
SISTEMA DE INSTRUMENTAÇÃO
mm 13 9 6 3 1
SISTEMA DE INSTRUMENTAÇÃO
X1 .17
6% 7.5% 6.5% 5% 4%
X2 .25
6% 7% 7% 6% 6%
X3 .30
6% 6% 6% 7.5% 7.5%
X4 .40
6% 5% 6% 6.5% 6.5%
X5 .50
4% 4% 5% 6% 6%
.17
SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO
PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
APICAL - C.T. GAUGING
VIA DE
PERMEABILIDADE
SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO
PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
APICAL - C.T. GAUGING
VIA DE
PERMEABILIDADE
M i
á
r
i
o
R
i
t
o
P
e
r
e
r
a
SISTEMA DE INSTRUMENTAÇÃO SISTEMA DE INSTRUMENTAÇÃO
R50
R40
R25
SISTEMA DE INSTRUMENTAÇÃO
5% SISTEMA DE INSTRUMENTAÇÃO
1,17
R50 4%
0,65
0,50
0,60
0,55
R50
6%
1,10
R40 4%
R40
0,58
0,40
0,52
0,46
8% R25
1,05
R25 4%
0,49
0,25
0,41
0,33
secção e ponta
SISTEMA DE INSTRUMENTAÇÃO SISTEMA DE INSTRUMENTAÇÃO
movimento reciproco M i
RECIPROC® RECIPROC®
blue
movimento
M
á
r
i
o
R
i
t
o
P
e
r
e
r
a
canais largos
APICAL - C.T.
VIA DE
PERMEABILIDADE
canais largos canais largos
SISTEMA DE INSTRUMENTAÇÃO SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO EXPLORAÇÃO
PERMEABILIDADE PERMEABILIDADE
APICAL - C.T. APICAL - C.T.
VIA DE VIA DE
PERMEABILIDADE PERMEABILIDADE
R50
? ?
APICAL - C.T. APICAL - C.T.
VIA DE VIA DE
PERMEABILIDADE PERMEABILIDADE
canais
médios
R40
? R40
canais médios
SISTEMA DE INSTRUMENTAÇÃO SISTEMA DE INSTRUMENTAÇÃO
canais
estreitos
R25
canais estreitos canais estreitos
SISTEMA DE INSTRUMENTAÇÃO SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO EXPLORAÇÃO
PERMEABILIDADE APICAL PERMEABILIDADE APICAL
APICAL - C.T. GAUGING APICAL - C.T. GAUGING
VIA DE VIA DE
PERMEABILIDADE PERMEABILIDADE
?
VIA DE VIA DE
PERMEABILIDADE PERMEABILIDADE
SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO
PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
APICAL - C.T. GAUGING
VIA DE
PERMEABILIDADE
Cyclic fatigue resistance
1
Keeping the WaveOne® simplicity,
Reinforces patient safety
+
• Primary WaveOne GOLD file is 50% more resistant to 50%
Flexibility
Flexibility
Ponta
with a golden host of benefits with a golden host of benefits
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
SISTEMA DE INSTRUMENTAÇÃO
1 1 1-3
7% 4% 4% 5% 5.5%
SISTEMA DE INSTRUMENTAÇÃO
semi-activa
small
Cyclic fatigue resistance Cyclic fatigue resistance
1 1
0.20
Reinforces patient safety Reinforces patient safety
+ +
• Primary WaveOne GOLD file is 50% more resistant to 50% • Primary WaveOne GOLD file is 50% more resistant to 50%
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility 3% 3% 6% 6.25%
7% 0.25 Flexibility
primary
2 Covers a wider range of canal morphologies
• Enhanced file flexibility thanks to the GOLD technology
+
2 Covers a wider range of canal morphologies
• Enhanced file flexibility thanks to the GOLD technology
+
80% 80%
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
3
Shaping working time
4% 4% 5% 5.25%
6% 3
Shaping working time
medium
Shortens the shaping time Shortens the shaping time
• Takes the cutting efficiency to a higher level
• A single file per treatment translates into faster shaping
time and thus more time for irrigation
-
42%
-
19%
0.35 • Takes the cutting efficiency to a higher level
• A single file per treatment translates into faster shaping
time and thus more time for irrigation
-
42%
-
19%
4% 4% 4% 4.25% 5%
DE257 Wave One Gold 6pp A4.indd 2
secção secção
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
secção secção
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
2 pontos de
10% 10%
-
42%
-
19%
3 contacto
Shortens the shaping time
• Takes the cutting efficiency to a higher level
• A single file per treatment translates into faster shaping
Shaping working time
-
42%
-
19%
time and thus more time for irrigation time and thus more time for irrigation
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
secção secção
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
1 ponto de
10% 10%
3 contacto
Shortens the shaping time
• Takes the cutting efficiency to a higher level
• A single file per treatment translates into faster shaping
Shaping working time
-
42%
-
19%
3 Shortens the shaping time
• Takes the cutting efficiency to a higher level
• A single file per treatment translates into faster shaping
Shaping working time
-
42%
-
19%
time and thus more time for irrigation time and thus more time for irrigation
Standard Rotary
NiTi systems
WaveOne
Primary
WaveOne
GOLD Primary
Standard Rotary
NiTi systems
WaveOne
Primary
2 pontos de
WaveOne
GOLD Primary
2 pontos de 2 pontos de 2 pontos de
contacto contacto contacto contacto
1 ponto de 1 ponto de 1 ponto de 1 ponto de
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2
contacto
31/03/2015 16:13
SISTEMAmovimento SISTEMAmovimento
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
150º 150º
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
30º 30º
• Takes the cutting efficiency to a higher level - • Takes the cutting efficiency to a higher level -
42% 42%
• A single file per treatment translates into faster shaping - • A single file per treatment translates into faster shaping -
19% 19%
time and thus more time for irrigation time and thus more time for irrigation
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
SISTEMAmovimento
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
Keeping the WaveOne® simplicity, Keeping the WaveOne® simplicity,
with a golden host of benefits with a golden host of benefits
?
VIA DE VIA DE
PERMEABILIDADE PERMEABILIDADE
Cyclic fatigue resistance Cyclic fatigue resistance
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
>35 large
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
Keeping the WaveOne® simplicity, Keeping the WaveOne® simplicity,
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
Keeping the WaveOne® simplicity, Keeping the WaveOne® simplicity,
with a golden host of benefits with a golden host of benefits
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
SISTEMA DE INSTRUMENTAÇÃO
EXPLORAÇÃO
PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
APICAL - C.T. GAUGING
?
VIA DE
PERMEABILIDADE
Cyclic fatigue resistance Cyclic fatigue resistance
cyclic fatigue than WaveOne Primary file cyclic fatigue than WaveOne Primary file
+ +
105% 105%
• Reduced screwing effect compared to standard • Reduced screwing effect compared to standard
rotary systems rotary systems
Standard Rotary WaveOne WaveOne Standard Rotary WaveOne WaveOne
NiTi systems Primary GOLD Primary NiTi systems Primary GOLD Primary
Flexibility Flexibility
• Extended size range: small, primary, medium, large + • Extended size range: small, primary, medium, large +
10% 10%
DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13 DE257 Wave One Gold 6pp A4.indd 2 31/03/2015 16:13
EXPLORAÇÃO
PERMEABILIDADE
APICAL - C.T.
VIA DE
PERMEABILIDADE
PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
GAUGING PRÉ-ALARGAMENTO
aço
inoxidável
K-FILES 2% 2% 2%
PRÉ-ALARGAMENTO PRÉ-ALARGAMENTO
PRÉ-ALARGAMENTO PRÉ-ALARGAMENTO
8%
7%
5%
4%
6%
níquel titânio níquel titânio 3%
Vs. Vs.
aço níquel titânio aço níquel titânio
EXPLORAÇÃO EXPLORAÇÃO
PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL PERMEABILIDADE PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
APICAL - C.T. GAUGING APICAL - C.T. GAUGING
VIA DE VIA DE
PERMEABILIDADE PERMEABILIDADE
PROGLIDER EXPLORAÇÃO
PERMEABILIDADE
APICAL - C.T.
VIA DE
PERMEABILIDADE
PRÉ-ALARGAMENTO SISTEMA DE INSTRUMENTAÇÃO APICAL
GAUGING SEQUÊNCIACLÍNICA
exploração
negociação
VIA DE PERMEABILIDADE
PRÉ-ALARGAMENTO
SISTEMA DE INSTRUMENTAÇÃO
APICAL GAUGING
EXPLORAÇÃO
PERMEABILIDADE
APICAL - C.T. EXPLORAÇÃO
EXPLORAÇÃO EXPLORAÇÃO
EXPLORAÇÃO EXPLORAÇÃO
EXPLORAÇÃO EXPLORAÇÃO
PRÉ-ALARGAMENTO
EXPLORAÇÃO EXPLORAÇÃO EXPLORAÇÃO
PERMEABILIDADE
APICAL - C.T.
VIA DE
PERMEABILIDADE
PRÉ-ALARGAMENTO
PRÉ-ALARGAMENTO
INSTRUMENTAÇÃO
INSTRUMENTAÇÃO
SISTEMA DE
SISTEMA DE
EXPLORAÇÃO EXPLORAÇÃO
NEGOCIAÇÃO NEGOCIAÇÃO
NEGOCIAÇÃO
1 ano