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Removing Fiber Posts

Post removal with safety and predictability.

Due to the growing demand of cosmetic interventions in the dental practice, new metal free retention systems have been developed. These fiber posts are similar to natural teeth in color. However, when retreatment is inevitable, removing non metal posts can be an obstacle to performing a new endodontic intervention. The use of ultrasonic tips to remove fiber posts can considerably reduce the treatment duration and avoid common mistakes related to this procedure.

E3D

E3D – Ball Diamond

The E3D – Ball Diamond provides fine cutting control when troughing yet it is less aggressive than the E6D – Pear Diamond. It is designed to remove coronal obstructions, find canals, restorative materials, calcifications, etc. The E3D creates a smooth, flat, clean troughing groove that eases canal location. It can also be used to refine prep margins and box preps, and to remove caries.

  Ideal 40% Max 50%

E6D

E6D – Pear Diamond

The E6D – Pear Diamond has excellent durability. It is used to locate canals, remove coronal obstructions, calcifications, restorative materials, cements (permanent and temporary), etc. The tip creates a smooth, flat, clean troughing groove that eases canal location. It can also be used to refine prep margins and box preps, and to remove caries.

  Ideal 30% Max 40%

Step-by-Step Fiber Post Removal

1 – Remove the crown using a high speed turbine with a regular bur;

2 – Isolate the treatment area with a rubber dam;

3 – Abrade the resin core using a high speed turbine with a diamond bur;

4 – Abrade the post inside the canal using a high speed turbine with a long round diamond bur;

5 – Using a diamond coated ultrasonic tip, typically the E3D or the E6D, abrade the remainder of the fiber post, keeping the power setting between 30% and 40%;

6 – During the procedure, keep the instruments in the same angle as the post;

7 – After locating the root canal or the restorative material, remove the Gutta-Percha and shape the canal with the appropriate rotary instruments.

<img src="Illustration-Removing-Threaded-Posts-1.png" alt="Removing crown using a high speed turbine.">

1. Reduce the coronal portion.

<img src="Illustration-Removing-Threaded-Posts-2.png" alt="Fiber post inside the resin cement.">

2. Fiber post inside the resin cement.

<img src="Illustration-Removing-Threaded-Posts-3.png" alt="Removing fiber post using a round bur.">

3. Reduce the post inside the canal using a round bur.

<img src=" Illustration-Removing-Threaded-Posts-4.png" alt="Reduce the remaining of the fiber post using a diamond coated ultrasonic tip."

4. Reduce the remaining of the fiber post using a diamond coated ultrasonic tip.

Core and remaining root.          Fiber Post inside the resin cement.

Round diamond bur grinding out the fiber post.          Apical remaining of the fiber post.

 

Diamond coated ultrasonic tip grinding out the fiber post.     Final result of the fiber post removal.

Dr Kanter Quote

I have been impressed with the responsiveness and quality of the Helse ultrasonic tips.  They are my go to tips for custom bent apical surgery tips.  I routinely use them for non-surgical endodontic therapy and have been impressed with their durability and quality. .”

Dr. Keith Kanter, DDS

Starter Packs to get you going.

Starter Packs to get you going.

We’ve assembled three separate starter packs packaged with a procedure field guide to get you started supercharging ultrasonics in your practice. These endodontic starter kits are available now, while Surgery and Periodontic starter packs will be coming later in 2017.

Pack: Starter

Endo Starter Pack

The Endo Starter Pack includes 6 Ultrasonics Tips to get you started with Pulp Chamber, Middle Third and Activation procedures.

Pack: Master

Endo Master Pack

The Endo Master Pack includes 12 Ultrasonics Tips for Pulp Chamber, Middle Third, Activation, Post Removal and Retreatment procedures.

Pack: Guru

Endo Guru Pack

The Endo Guru Pack includes 18 Ultrasonics Tips for maximum flexibility with Pulp Chamber, Middle Third, Activation,Post Removal, Apical Surgery and Retreatment procedures.