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MAE 2015
1.
2. About me…
• Born and Raised Detroit, Michigan
• University of Michigan
• Mechanical Engineering School ‘87
• Dental School ‘91
• Indian Health Service
• Ft. Berthold Indian Reservation ‘93
• University of Minnesota
• General Practice Residency ‘94
EdgeEndo
3. • University of Connecticut
• Endodontic Residency ‘96
• Full-Time Endodontic Practice
• Albuquerque, New Mexico
• Edge Endo and US Endo Owner
• Heat Treated NiTi File Distributor
• Heat Treated NiTi File Manufacturer
EdgeEndo
4. Nothing Fails like Success
Get comfortable
Don’t want to change
Let things pass you by
EdgeEndo
5. Heat Treated Technology
Better Files:
You can do cases once thought
improbable
1/2 the cost
Your getting reduced fees
You need reduced overhead
EdgeEndo
6. Plan
1. Heat Treated NiTi Properties
2. EdgeFile Design Properties
3. EdgeEvolve Design Properties
EdgeEndo
7. Plan
1. Heat Treated NiTi Properties
2. EdgeFile Design Properties
3. EdgeEvolve Design Properties
EdgeEndo
8. Why do NiTi files fail?
Over Heating
• NiTi files heat-up during use
• Friction while cutting the canal walls.
• Exothermic reaction when bending in curves.
• NiTi files leave the elastic state
• At 130 F NiTi files become brittle.
• Cutting edge becomes brittle first
• Forms a tear at cutting edge.
• Tear propagates until torsional breakage.
EdgeEndo
Heat Treated NiTi Properties
9. University of Florida Study
Cyclic Fatigue Testing
Files fracture at cutting edge
Profile EdgeFile
Vortex Blue
EdgeEndo
Heat Treated NiTi Properties
10. Regular NiTi
Elasticity
NiTi Elasticity Constraints
File Temperature
Friction during file use
Exothermic reaction
in curved canals
NiTi File Use
350-600 RPM
ETDA in Chamber
“1-Second rule”
130º F
Brittle/Fails
Tears & Propagates
EdgeEndo
Heat Treated NiTi Properties
11. Heat Treated NiTi
Super-Elasticity
No Shape Memory
Nitinol Limits
File Temperature
Friction during file use
Exothermic Reaction
in curved canals
NiTi File Use
350-600 RPM
EDTA in Chamber
“1-Second rule”
130º F
Not Brittle, still soft
Less likely to tear & propagate
EdgeEndo
Heat Treated NiTi Properties
13. Nothing Defeats Like Victory
Yes your doing well
But you can do even better
Save $10,000s per year
Over 10-20 years at 7% interest,
that’s over $1,000,000
EdgeEndo
14. Plan
1. Heat Treated NiTi Properties
2. EdgeFile Design Properties
3. EdgeEvolve Design Properties
EdgeEndo
15. EdgeFile: Non cutting tip
But flutes come to 0.25 mm of tip
So very efficient cutting
It’s the best of both worlds
Heat Treated NiTi Files Design Properties
EdgeEndo
EdgeFile Design Properties
16. E
EdgeFile: Tighter pitch
Deflects more torsional forces along the length of the file
45 Deg Angle: 70 Deg Angle:
50% along file, 50% Across 25% along file, 75% Across
Heat Treated NiTi Files Design Properties
More forces “Across” the file: More chance of tearing at cutting edge
Heat treating allows cutting edge to roll instead of tear
EdgeEndo
EdgeFile Design Properties
17. EdgeFile: 1mm maximum flute diameter
Once taper reaches 1mm it goes to a zero taper
-Prevents strip perforating the canal
Heat Treated NiTi Files Design Properties
Maximum Flute Diameter
EdgeEndo
EdgeFile Design Properties
33. EdgeFile
X1― NiTi Reverse Reciprocating Files $23.95/3-pack
Comparable Sizes with WaveOne
X3 ― NiTi Rotary Files $23.95/6-pack
X5― NiTi Rotary Files $23.95/6-pack
Comparable Sizes with GT Files
X7 ― NiTi Rotary Files $23.95/6-pack
Comparable Sizes with Vortex, Sequence, K3, ProFile, TF
EdgeEndo
EdgeFile Design Properties
34. EdgeFile
X1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
EdgeEndo
EdgeFile Design Properties
35. 20 25 40
06 Constant Taper Reciprocating Files
X1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
$23.95 per 3 pack
EdgeEndo
EdgeFile Design Properties
36. Canal Shaping
20 25 40
Small Medium Large
$23.95 per 3 packX1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
EdgeEndo
EdgeFile Design Properties
Glide-Path
Hand or Rotary
10 -> 15 17/04
37. $23.95 per 3 packX1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
EdgeEndo
EdgeFile Design Properties
Glide-Path
Hand or Rotary
10 -> 15 17/04
38. $23.95 per 3 packX1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
EdgeEndo
EdgeFile Design Properties
Glide-Path
Hand or Rotary
10 -> 15 17/04
39. $23.95 per 3 pack
Took 10, 15 2mm past WL and 20 1mm past WL
X1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
EdgeEndo
EdgeFile Design Properties
40. $23.95 per 3 packX1― NiTi Reverse Reciprocating Files
Comparable Sizes with WaveOne
EdgeEndo
EdgeFile Design Properties
41. Edge Endo
X1― NiTi Reverse Reciprocating Files
Compatible sizes with WaveOne
X3― NiTi Rotary Files
EdgeEndo
EdgeFile Design Properties
43. Glide-Path
10-> 15
Or skip
N1 & N2 are Glide-Path Files
Canal Shaping
N1/17/06 -> N2/17/04
(Repeat until both to WL)
Canal Finishing
C1/20 -> C2/25
(If needed 30, 40)
X3― NiTi Rotary Files $23.95 per 6 pack
EdgeEndo
EdgeFile Design Properties
44. Canal Shaping
N1/17/06 -> N2/17/04
(Repeat until both to WL)
Canal Finishing
C1/20 -> C2/25 -> C3/30
X3― NiTi Rotary Files $23.95 per 6 pack
M30 D30
EdgeEndo
EdgeFile Design Properties
45. Edge Endo
X1― NiTi Reverse Reciprocating Files
Compatible sizes with WaveOne
X3― NiTi Rotary Files
X5― NiTi Rotary Files
Compatible sizes with GT Files
EdgeEndo
EdgeFile Design Properties
46. X5― NiTi Rotary Files
Compatible sizes with GT and GTX
$23.95 per 6 pack
04 06
20 Series
04 06
30 Series
04 06
40 Series
EdgeEndo
EdgeFile Design Properties
47. Glide-Path
10 -> 15
Canal Shaping
06 -> 04
(Repeat until both to WL)
$23.95 per 6 pack
Canal Shaping
06 -> 04
(Repeat if needed)
Canal Shaping
06 -> 04
(Repeat if needed)
X5― NiTi Rotary Files
Compatible sizes with GT and GTX
EdgeEndo
EdgeFile Design Properties
48. $23.95 per 6 pack
Glide-Path
X7 17/04
Canal Shaping
06 -> 04
(Repeat until both to WL)
Canal Shaping
06 -> 04
M30/06 D30/04
X5― NiTi Rotary Files
Compatible sizes with GT and GTX
EdgeEndo
EdgeFile Design Properties
49. $23.95 per 6 pack
M&D 40/06
Glide-Path
10
Canal Shaping
06 -> 04
Canal Shaping
06 -> 04
Canal Shaping
06 -> 04
X5― NiTi Rotary Files
Compatible sizes with GT and GTX
EdgeEndo
EdgeFile Design Properties
50. $23.95 per 6 pack
Canal Shaping
06 -> 04
(Repeat until both to WL)
Canal Shaping
06 -> 04
M30/04 D30/04
X5― NiTi Rotary Files
Compatible sizes with GT and GTX
EdgeEndo
EdgeFile Design Properties
Glide-Path
X7 17/04
51. Edge Endo
X1― NiTi Reverse Reciprocating Files
Compatible sizes with WaveOne
X3 ― NiTi Rotary Files
X5― NiTi Rotary Files
Compatible sizes with GT Files
X7 ― NiTi Rotary Files
Compatible sizes with Vortex, Sequence, K3, ProFile, TF
EdgeEndo
EdgeFile Design Properties
75. Heat Treated NiTi Files Design PropertiesEdgeEndo
EdgeEvolve Design Properties
76. Heat Treated NiTi Files Design PropertiesEdgeEndo
EdgeEvolve Design Properties
77. 1. Triangular Design
• Efficient cutting
1. Open Flutes
• Efficient cutting and debris removal
1. Non-Cutting Flute
• Follows the natural anatomy of the canal
EdgeEndo
EdgeEvolve Design Properties
78. 4. 1 mm maximum Diameter
• Constant taper until flute diameter is 1 mm
• Then goes to a zero taper
• Conserves Dentin
4. Deeper Apical Shapes
• Better Irrigation, Shaping and Cleaning, Obturation
4. Extremely Flexibly
• Conserves Apical Anatomy
• Allows for Larger Files and Tapers to shape canals
EdgeEndo
EdgeEvolve Design Properties
106. Glide-Path
10
Canal Shaping
S1 -> S2
(Repeat until both to WL)
EdgeTaper Heat Treated $24.95 per 6 pack
MB1&2: F1 D&P: F3
Canal Finishing
F1 -> F2 -> F3
107. Glide-Path
10
Canal Shaping
S1 -> S2
(Repeat until both to WL)
EdgeTaper Heat Treated $24.95 per 6 pack
MB&ML: F1 D: F2
Canal Finishing
F1 -> F2
108. Glide-Path
10
Canal Shaping
S1 -> S2
(Repeat until both to WL)
EdgeTaper Heat Treated $24.95 per 6 pack
MB: F1 ML: F2 D: F1
Canal Finishing
F1 -> F2
Editor's Notes
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
[show Root Canal System and sub-bullets]
“When we talk about doing a root canal, as a procedure, we’re really talking about a SYSTEM of steps that work together to get us to a goal – a perfectly cleaned and shaped canal that can be properly filled, while maintaining the natural strength of the tooth structure.
[show Traditional Approach and sub-bullets]
The traditional approach has been to open the occlusal surface down to the orifice using familiar dental procedures. After that, work down to the apex then shifts in nature. It’s that shift, however, that can actually cause us to waste tissue, produce a cumbersome glide path, and often get us into trouble.
[show Integrated Shaping and sub-bullets]
When we look at these steps as an integrated process, we began thinking of shaping before we even start to drill the tooth…
…(PAUSE TO LET IT SINK IN)
(you know the rest of this slide…)
(slide come on screen – title only) “At this point File takes a beating during manufacturing and using in the canal, if it is more resistant to heat therefore, it lasts better.”
(Cover each of the bullets as you build the slide on screen.)
BRIEF PAUSE BEFORE YOU MAKE THE FOLLOWING POINTS
“Endonol gives you more of the performance attributes that make the procedure safer and more accurate.
Endonol gives you an extra working margin.
Endonol is one of those ‘new technologies’ you tell your patients about.”
(slide come on screen – title only) “At this point File takes a beating during manufacturing and using in the canal, if it is more resistant to heat therefore, it lasts better.”
(Cover each of the bullets as you build the slide on screen.)
BRIEF PAUSE BEFORE YOU MAKE THE FOLLOWING POINTS
“Endonol gives you more of the performance attributes that make the procedure safer and more accurate.
Endonol gives you an extra working margin.
Endonol is one of those ‘new technologies’ you tell your patients about.”
[show Root Canal System and sub-bullets]
“When we talk about doing a root canal, as a procedure, we’re really talking about a SYSTEM of steps that work together to get us to a goal – a perfectly cleaned and shaped canal that can be properly filled, while maintaining the natural strength of the tooth structure.
[show Traditional Approach and sub-bullets]
The traditional approach has been to open the occlusal surface down to the orifice using familiar dental procedures. After that, work down to the apex then shifts in nature. It’s that shift, however, that can actually cause us to waste tissue, produce a cumbersome glide path, and often get us into trouble.
[show Integrated Shaping and sub-bullets]
When we look at these steps as an integrated process, we began thinking of shaping before we even start to drill the tooth…
…(PAUSE TO LET IT SINK IN)
(you know the rest of this slide…)
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
[Big Picture]
“Let’s take a look at the system of steps and processes that make up the root canal procedure.
[System of steps and processes]
There has been a long-standing way of going through these steps.
[Traditional approach]
The traditional approach has served us well. It’s had its day.
[Access & Shaping as a single, integrated process]
But now, with the advances in technology, we can look at a new picture, one that’s integrated and refined, and will result in better outcomes, right from the start.
[with EMPHASIS] THIS is what I’ve termed ‘integrated shaping’ and it gives us a whole new way to look at the root canal procedure – it’s the NEW PICTURE.”
[Big Picture]
“Let’s take a look at the system of steps and processes that make up the root canal procedure.
[System of steps and processes]
There has been a long-standing way of going through these steps.
[Traditional approach]
The traditional approach has served us well. It’s had its day.
[Access & Shaping as a single, integrated process]
But now, with the advances in technology, we can look at a new picture, one that’s integrated and refined, and will result in better outcomes, right from the start.
[with EMPHASIS] THIS is what I’ve termed ‘integrated shaping’ and it gives us a whole new way to look at the root canal procedure – it’s the NEW PICTURE.”
Your text.
[Big Picture]
“Let’s take a look at the system of steps and processes that make up the root canal procedure.
[System of steps and processes]
There has been a long-standing way of going through these steps.
[Traditional approach]
The traditional approach has served us well. It’s had its day.
[Access & Shaping as a single, integrated process]
But now, with the advances in technology, we can look at a new picture, one that’s integrated and refined, and will result in better outcomes, right from the start.
[with EMPHASIS] THIS is what I’ve termed ‘integrated shaping’ and it gives us a whole new way to look at the root canal procedure – it’s the NEW PICTURE.”
Your text.
Your text.
[Big Picture]
“Let’s take a look at the system of steps and processes that make up the root canal procedure.
[System of steps and processes]
There has been a long-standing way of going through these steps.
[Traditional approach]
The traditional approach has served us well. It’s had its day.
[Access & Shaping as a single, integrated process]
But now, with the advances in technology, we can look at a new picture, one that’s integrated and refined, and will result in better outcomes, right from the start.
[with EMPHASIS] THIS is what I’ve termed ‘integrated shaping’ and it gives us a whole new way to look at the root canal procedure – it’s the NEW PICTURE.”
Your text.
Your text.
Your text.
Your text.
[Big Picture]
“Let’s take a look at the system of steps and processes that make up the root canal procedure.
[System of steps and processes]
There has been a long-standing way of going through these steps.
[Traditional approach]
The traditional approach has served us well. It’s had its day.
[Access & Shaping as a single, integrated process]
But now, with the advances in technology, we can look at a new picture, one that’s integrated and refined, and will result in better outcomes, right from the start.
[with EMPHASIS] THIS is what I’ve termed ‘integrated shaping’ and it gives us a whole new way to look at the root canal procedure – it’s the NEW PICTURE.”
Your text.
Your text.
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.
Briefly touch on each item in the AM and PM sessions, and also (qualify that some my not have been able to sign up for both days) what will come tomorrow in the “hands on” session.