Empathy, tenacity, and perseverance are keys to this clinician’s flourishing practice
What can you tell us about your background?
I was born and raised in Seattle, Washington, and lived there until I was 13 years old. My family relocated...
Focus on patients, family, academics, and endodontics
What can you tell us about your background?
I have a bachelor’s degree in chemistry with a minor in business. I was accepted off of the alternate list for dental school and then attained...
Practice Profile | Dr. Anthony Horalek: The art and science of endodontics.
Dr. Andrei Zoryan dispels some of the common myths surrounding carrier-based obturation
Carrier-based gutta percha
Carrier-based obturation (such as Thermafil®, GT® obturator, ProTaper® obturator [Dentsply Tulsa Dental Specialties]) is one...
Dr. David C. Baker uses a technique that facilitates quick and predictable results
The patient is a 34-year-old female who was referred by a local colleague. She had broken her lower right first molar and complained of some general...
There are other ultrasonic devices on the market that depend upon direct contact with a separated file to loosen and remove. However, it is absolutely impossible to restrict the contact of the tip to the file remnant itself. The vibrations...
Dr. Roger Levin presents the 10 top ways to help create a perfect dental team
With the changes brought on by the economy, top companies are bringing in the best resources they can find to evaluate where their organizations stand. They want to know...
John Bednar helps avert problems coming down the pipe
If your office currently has a hard-piped filtered water system, now is a good time to consider if and when you should change to a self-contained bottled water system. A hard-piped filtered water...
In part 1 of his series, Dr. Ace Goerig offers the first steps to becoming debt-free
I was presenting at a recent AAE national meeting with over 200 endodontists in the room, and I asked the question, “How many of you are completely debt-free?” ...
Ultradent was established in 1979 as a family business in the truest sense. Dr. Dan Fischer, President/CEO of Ultradent, rallied family members to support manufacturing operations in the kitchen of their family home. Focusing on technologies that revolutionized delivery systems, innovation, and patient care, Ultradent grew at a rapid pace. Today, Ultradent manufactures and packages over 700 materials, devices, and instruments and employs more than 1,000 people worldwide. Despite its continued growth and rapid expansion over the past 31 years, however, Ultradent has never lost sight of its mission: to enrich quality of life and improve human oral care globally. To this end, Ultradent has dedicated the resources of its Research & Development (R&D), Operations, Administrative, Sales, and Marketing teams to deliver technology to reach the masses
Ultradent also works to improve the quality of life and health of individuals through donations to financial and charitable programs such as the National Children’s Oral Health Foundation, Sealants for Smiles, and support of individual service missions, to name just a few. Ultradent also established The Diversity Foundation, a progressive outreach program committed to promoting and fostering multi-cultural awareness.
How has Ultradent impacted the dental industry?Ultradent has made the concept of minimally invasive dentistry central to addressing changes in the oral healthcare marketplace. Ultradent supports a “minimally invasive, patient-centered” paradigm, which requires the use of new materials and technologies to reach more humans, providing affordable dentistry with long-term results in mind.
One could easily find evidence of this paradigm in Ultradent’s range of products, from the flagship material, Astringedent, to its newest addition to the Endo-Eze Anatomic Endodontic Technology (AET), Endo-Eze TiLOS™ (TiLOS). An evolution of Ultradent’s AET system, TiLOS is a safe and simple hybrid solution using stainless steel and nickel titanium hand files, engine-driven stainless steel shaping files, and nickel titanium apical files. TiLOS files are optimized for Ultradent’s 30° reciprocating handpiece, offering safe, effective, and predictable results.
The technique begins with the enlargement and preparation of the coronal and middle third (using the TiLOS system) to eliminate interferences and straighten the line of access. These reciprocating stainless steel shaping files replace the familiar Peeso or Gates Glidden reamers that cause indiscriminate cutting and loss of tooth structure. This step is followed by highly flexible reciprocating NiTi Transitional Files and hand files in the apical portion of the canal. By following this sequence, the coronal and middle third allow a straight glide path access to the apical third without interferences, stress, fracture, and deformations, making instrumentation safer and more effective. This also facilitates irrigation, subsequent cleaning, and the placement of gutta-percha with larger diameters.
The AET preparation technique in the middle third of the canal involves the circumferential preparation of all walls of the canal. This is accomplished using counter-rotating contra-angle, uniquely designed stainless steel instruments known as Shaping files, and Apical hand files. The Shaping instruments used with the AET preparation technique have a square cross-section like a K-File. The tip of the Shaping instrument is a non-cutting safe tip, and is flexible and rounded. It is intended only to guide the file in the canal. The cutting surfaces of the file extend throughout the length of the instrument, with the bulk of the sharper and stronger cutting blades in the upper two-thirds of the instrument. This allows a Shaping instrument to simultaneously negotiate the canal, enlarge the canal circumferentially, and eliminate interferences as the instrument is used.
Although the AET preparation technique uses stainless steel apical hand files, engine-driven rotary NiTi files may be preferred by some clinicians, especially in canals that are very curved. This “blending” of the AET preparation technique in the middle third with existing rotary technology at the apex allows for an approach to root canal therapy that may more adequately address the unique clinical needs in all areas of the canal. The technique is a logical, straightforward sequence of engine-driven reciprocating files, followed by a short sequence of hand filing in the apex to affect a canal shape that is minimally invasive and listens to the needs of the tooth.
TiLOS shares AET’s unique functionality with regard to the packaging system. Esthetic and functional, the autoclavable TiLOS Procedure Packs feature an integrated easel stand, making it a stable workstation. A built-in measuring device provides length determination, and an Endo Stop dispenser in the lid offers on-hand replacements for used or damaged stops.
The patented 3-in-1 Unicore Drills afford unsurpassed safety in post canal preparation. The non-cutting, heat generating tiny point on the end of the drill keeps the drill centered in the root as it melts the gutta-percha ahead of it. A novel high-RPM, low-torque (for slow speed) setting can be used. This same design and high RPM facilitates fiber post removal for retreatment should it ever be required. The heat-generating drill tip softens post matrix for penetration and removal. A “Lazy Flute” design scrapes the sides without engaging too aggressively. The third capability of this novel drill is for removing Thermafil. For any clinician who has tackled these before, they can appreciate the very meaningful benefit of this drill for this purpose. The color-coded packaging has been optimized in a “kit within a kit” system to make for easy identification, saving time, and preventing mistakes. The entire module (box, posts, and drills) are autoclavable to prevent cross contamination. And, the drill and posts are secured in foam, preventing mishaps or confusion if dropped or spilled.
The systematic respect for healthy, natural tissue is at the heart of Ultradent’s family of endodontic products. Ultradent will continue to work by the clinician’s side to deliver the materials and technologies for the best patient care.
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There remains a growing belief among clinicians that obturation is to blame for endodontic failures. This notion has more recently fallen under scrutiny as researchers have discovered that the most thorough obturation can only reflect the quality of the cleaning and shaping of the canal. In fact, a number of researchers point to the thorough use of irrigants — making sure that the debris and irrigant itself are lifted completely out of the canal, not forced out the apex — as the most important determinant in the long-term success of an endodontic procedure.
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