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Removing Pulp Stones

Faster and safer than a high speed turbine.

Another challenge in Endodontics is the removal of pulp stones, as they block the access to the root canals. The best treatment for this condition is the combination of magnification and ultrasonics. The improved visualization and the conservative wear of the ultrasonic tip result in fewer iatrogenic errors.

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%

E7D

E7D – Access Diamond

The E7D – Access Diamond has excellent durability. It’s end-cutting action is highly recommended for canal location, removal of obstructions, calcifications, caries, and prep margins refinement.

  Ideal 30% Max 40%

Knowing where to access is only the first step.

1st Law of canal location

The root canal access is always located in the wall-floor junction.

2nd law of canal location

The root canal access is always located in a vertex.

Step-by-Step Calcified Canal Location

1. After achieving access to the pulp chamber using a high speed turbine, place the ultrasonic tip in direct contact with the pulp calcification.

2. Initiate the removal using straight and continuous movements over the calcification (dry procedure – do not irrigate).

3. Ultrasonic inserts are meant to be used for short periods of time, to avoid overheating. To wash and remove dentin and pulp remains, use a syringe containing sodium hypochlorite, followed by suction and drying of the pulp chamber.

Repeat steps 2 and 3 until the whole calcification is eliminated

1. Pulp chamber with pulp stones obstructing the access to the canals.

2. Activate the ultrasonic insert in contact with pulp stones.

3. Unblocked access to canals after removal procedure.

Pulp chamber with stones blocking the access to the canals

E6D tip in action to remove pulp stones

Loose stones after procedure with the E6D ultrasonic tip

Check the color difference between the pulp chamber walls and floor. The correct identification of the wall-floor junction is the most important detail during the access phase!

Dr Jenner Quote

“Since I Started Using HELSE ultrasonic tips my endodontic clinical practice have became much more easy and predictable; ideal instruments for micro-endodontics with an outstanding cost-benefit ratio.”

Jenner O. Argueta, DDS, MSc – President of the Guatemala Endodontics

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.