i-SuperTip S/E
Multipurpose Ultrasonic Tips! By Integrated Endodontics
Endodontic therapy includes removal of tooth structure to reach the apex. Different cutting instrument like airrotor or slow speed diamond cutting instruments are used during endotherapy. All of us would accept that we do a lot of tooth destruction while entering the pulp chamber & while locating the canal orifice. In case of calcification in the chamber, use of airrotor has chances of perforation at the furcal area or floor of the chamber. Ultrasonic tips have emerged as an effective and conservative approach to high-speed instruments. Integrated Endodontics – India developed some of the effective useful instruments (i-SuperTip) for day to day practice. Since action of piezo tips is linear in action, only piezo endo tips and piezo scaler machines are recommended in endodontics.
High-speed Rotary Instruments Are Replaced By Ultrasonic Tips For The Following Reasons:
- – Controlled cutting.
- – Better vision.
- – Better access due to tip design.
- – Less chances of accidents like perforation.
- – Conservative, Precise cutting.
Attention to i-SuperTip E/S – Ultrasonic Tip Users
Since Ultrasonic tips in Endo are new instruments for dental fraternity & general practitioners from India, we suggest
- – Do Not Use Water Spray While Using Endo Ultrasonic Tips – For Better Vision.
- – Intermittent Use Of The Tips Is Recommended To Avoid Overheating.
- – Do Not Use Pressure. Use It Gently With Brushing Motion Or Peking Motion.
- – Do Not Bind The Tip To The Walls While Agitation. Use 4mm Short Of Working Length.
- – Use Standard Scaler Machine Like Satelec Or Ems. Machine Should Have Power Adjustments From 10% To 50% Power
- – Overused Or Worn Off Or Broken Ultrasonic Tips Could Be Used Again & Again, If A Clinician Develops Good Tactile Sense.
- – One Can Tighten The Tip With Pliers Or Satelec Chuck Or Ems Chuck Or –i-super Chuck Or With Hand (Manual)
- – Blow The Dentinal Power With Stropko Irrigator Or Chip Syringe.
- – Irrigate The Site Of Tooth If Having Pain While Using Tips Or Heated Due To Overuse Of Tip.
- – It Is Highly Recommended To Use I–supertip S/e On 5 Extracted Teeth Before Using It On Patients.
- – Since I–supertip Is Multipurpose Ultrasonic Tip, It Is Highly Recommended To Develop Tactile For Different Procedures & Usage.
- – Do Not Use I–supertip More Than 50% Of The Power Of The Machine. E.g. Satelec = Not More Than 7. Ems = Not More Than 4.
For beginners: It is recommended to use i–SuperTip at power # 1 all the time for all the procedures. It is recommended to use # 80 i–SuperTip first and then start using # 30 i–SuperTip for better tactile.
Use – 1
Removing the pulp stones in the chamber or locating the canal orifice like MB2, D2. Use i–SuperTip # 30 or # 80 at power 10% to 30%.
Please note – Maintain long axis alignment all the time while using Ultrasonics. Action – Peking / Brushing motion (Be gentle). (# 30 for thin canals & # 80 for large canals.) One can improve straight line access with these tips.
Use – 2
To agitate warm 3% NaOCl & liquid 17% EDTA during cleaning and shaping. Use i–SuperTip passively for 60 seconds. Use power 20% to 50% while agitating – tip should not bind to the walls. Act passively in & out.
Please note –File should not touch any of the walls and i–SuperTip should be 4mm short of W.L. all the time.
Use – 3
During warm obturation – complete the obturation with cold lateral compaction technique. Sear it off at canal orifice. Then pickup i–SuperTips # 30 or # 80 and activate at power 20% to 50% for 30 sec. Once the tip is heated, transfer the heat to the mass of GP.
Once the GP is heated upto 4mm by heated i–SuperTip use 5% flare spreader to compat GP against the canal wall upto 4mm. Then repeat the procedure by taking heated i–SuperTip in a created space and gently transfer the heat from i–SuperTip to GP mass. Take 5% flare spreader and compat the GP close to working length (W.L) add one accessory GP cone in created space.
If required repeat the procedure and add more cones. Confirm the 3 dimensional obturation on radiograph. Use ultrasonic tip without water to warm the GP master cone. Since GP is heat conductor, heated i–SuperTip should be taken 4mm short of W.L.
Please note –Heated tip should not compact or condense the G.P. It is just taken closer to G.P. mass to transfer the heat and the flare 5% spreader will displace the G.P. to create warm lateral compaction.
Use – 4
Removal of broken instrument. After achieving staging platform by # 2 modified GG, Create a space around the instrument by ultrasonic i–Super tip (power 10% to 20%). Vibrate i–SuperTip # 30 anti clockwise to dislodge the broken Instruments.
Please note – Keep i–SuperTip separately for obturation procedures.
It is strongly recommend to use ultrasonic tips to the suggested power & without water spray for clear vision. It is not recommended to use ultrasonic tips for shaping the canals. Shaping is carried out with rotary instruments. One can use stropko irrigator to blow the dentinal powder during the ultrasonic procedure. One can precurve i–SuperTip for better access and convenience. Intermittent use of Ultrasonic tips is recommended. Do not use i–SuperTip at any time more than 50% of the power of the scaler machine.
Reviews
There are no reviews yet.