ProTaper Ultimate intro for dentist.pptx

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1. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

2. Concept Introduction

3. ProTaper +396,000,000 ProTaper files sold 1,200 scientific publications +215 million teeth saved DS No.1 Brand rating of last brand tracker

4. 2021: ProTaper Ultimate™ The ProTaper Augmented Experience

5. The ProTaper Augmented Experience ProTaper is now enriched with an extended range of products designed to seamlessly work together and address an extensive range of anatomical situations with precision and control .

6. What’s the heart of ProTaper?

7. Why is Protaper the Standard today? Deep Shape…..

8. Three Designer Clinicians: The founding principle of ProTaper , the Deep Shape™, is the only aspect that we did not change. The ProTaper shape is the core of the ProTaper Experience. ProTaper Deep Shape™

9. The unique ProTaper shape is ideal for thorough disinfection . ProTaper Deep Shape™

10. ProTaper Deep Shape: the core value of the clinical experience Produces safer mechanical apical preparations Optimizes fluid exchange to promote 3D disinfection Controls apical obturation and appropriate sealing

11. * 5 mm apical volume created by ProTaper Ultimate™ F2 (25/08) vs a 25/06 file. The ProTaper Deep Shape creates 19% greater apical volume * to optimize fluid exchange and 3D disinfection

12. Augmented? Tell me more!

13. Augment Your Treatment start Directly begin your treatment with the ProTaper Ultimate™ Slider . A smooth reproducible pathway to the canal terminus paves the way for the Shaper! No manual file needed* *60% of endodontic anatomy can be scouted and secured without the need of a manual file, according to clinical evaluation. If the Slider will not easily reach the canal terminus, select a small-sized manual Stainless Steel Hand File.

14. ONE single ProTaper Ultimate™ Shaper Instead of the previous S1 and S2* The ProTaper Ultimate™ Shaper features flexibility with safe cutting efficiency in the coronal two-thirds and provides an easy and safe pathway to the apical one-third to smoothly receive the Finishers. * Previous generation ProTaper Gold has two Shapers S1 and S2. Augment Your Shaper 20% faster cutting than Edge Platinum

15. The ProTaper Ultimate™ Finishers provide a balance between flexibility and durability in the most challenging endodontic anatomy! ProTaper Ultimate™ Finishers give you deep shape while preserving coronal two-thirds dentin. Augment Your Finishers 30% more flexible* * ProTaper Ultimate F2 versus ProTaper Gold F2

16. The flexibility for the most challenging anatomies, without breaking or unwinding! ProTaper Ultimate Finishers, in the apical third, give you the flexibility for the most challenging anatomies, without breaking or unwinding. Clinical Insight : If your file unwinds you will change the shape of the canal and the cone fit will be short. Protaper Ultimate Finisher s

17. Use ProTaper Ultimate™ Hand Use files when: The preferred choice is manual instrumentation There is difficult apical anatomy There is a pathological or iatrogenic situation Augment Your Possibilities The only current file system available in both Mechanical and Manual versions

18. Unlike conventional metal needles, the DS flexible polymer irrigation cannula* , will allow you to more safely dispense irrigant into the apical third of complex endodontic anatomy. *The DS irrigation cannula is used in combination with Shaping and Finishing files. Augment Your Apical Irrigation Safely deliver reagents into the apical third

19. Transillumination EndoActivator Curing Technologies for Root to Crown : SLP Modular Endo and Resto devices provide a comprehensive tool box solution Augment Your Activation Save Time : 90 second activation cleans better than 15 minutes of bleach soak

20. Augment Your Obturation Conform Fit® Master Cones are injection molded to match your finished ProTaper Ultimate TM shape. Experience precise, apical tug back you can feel when first fitting your master cone; resulting in saving time and less waste . +40% accuracy compared to traditional hand rolled gutta-percha AH Plus® Bioceramic Sealer has a fast and predictable set time of 2-4 hours. With low solubility , it stays in place until fully set. +63% faster set time than BC Sealer & TotalFill

21. Gutta-Percha +40% more predictable shape & fit than all other GP Conform Fit Master Cones are injection molded to match your finished ProTaper Ultimate shape Experience precise, apical tug back you can feel when setting your master cone – the first time; resulting in  time savings and less waste .  Clinical Insight : if you don’t have apical tug back you leave the opportunity for bacteria and potential re-treatment.

22. Augment Plus your Single Cone Obturation ProTaper Deep Shape™ Confidently achieve set, seal and predictability with ProTaper Master Cone obturation! ProTaper Ultimate Finishing Files are your first step in Obturation success: Deep Shape insures both a resistant form to reduce the chance of apical extrusion and a predictable fit for your master cone. Plus a Cone that actually fits: Conform Fit™ Master Cones are injection molded to predictably match and fit precisely your ProTaper Finishers Plus a Sealer that actually sets: AH Plus® Bioceramic Sealer sets, stays put until fully set, and creates hydroxyapatite for peace-of-mind We Make Single Cone Better!!! Injection Molded & Matched Cone Fit * Faster, Predictable Setting * Bioceramic Seal We make Single Cone Better

23. Augment with a new Bioceramic Sealer ProTaper Deep Shape™ +63% faster set time than BC Sealer & TotalFill AH Plus Bioceramic Sealer has a fast and predictable set time of 2-4 hours which outperforms the market leader. Decreased shrinkage, better flowability, more radiopaque.    Sealing is the most important job of a sealer!

24. AH Plus ® - The Gold standard of sealers for all obturation techniques including warm Sealers for all solutions and obturation techniques AH Plus ® Bioceramic Sealer - The perfect answer for Single Cone obturation (including all ProTaper brands)

25. A complete answer that seamlessly works together 1 Canal Preparation 2 Disinfection 3 Obturation Augment the entire RCT Procedure Slider Shaper Finishers F1 + F2

26. Glide Shape Finish Disinfect Seal Obturate Smile D esigned to negotiate your canal to length without the systematic need to use k-files The Shaper enhances cutting efficiency and hauling of debris in the coronal 2/3. And it’s only 1 Shaper instead of 2! Finishers, in the apical third, give you the flexibility for the most challenging anatomies, without breaking or unwinding and gives a industry leading deep shape Less time, better clean. A one visit clean you can trust. Our unique Deep Shape TM is ideal for thorough disinfection A bioceramic sealer with a predictable set time of 2-4 hours and low solubility so it doesn’t wash out, out-performing the market leader. Save time With the new Ultimate Slider file - no need for k-files in 63% of the cases 50% more efficient than Brasseler Edge and Komet ’s brands None of the competitors are able to shape more than 2 canals without unwinding Ultimate is able to do 5 canals 90 seconds for a better clean than 15 minutes of standard bleach soak deeper penetration for confidence of single visit endo 60% faster set time and up to 20% lower solubility than Brasseler’s/ FKG’s brands 40% more accurate and 100% first time fit vs 21% first time fit than competitors hand-rolled products The ProTaper Ultimate Solution Designed for the most difficult cases ProTaper Ultimate System Solution Claim Competitive Advantage Conform Fit GP Points are injection molded to match the final shape of ProTaper Ultimate files with precise apical tug back.

27. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

28. Brand Positioning

29. WaveOne Gold ProTaper Ultimate TruNatomy Positioning of focus brands in one word! Simplicity Expertise Preservation

30. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

31. Clinical Background

32. Dentists insight “Nowadays endo has become shorter and easier, I now have strong expectations towards my system: I expect predictability and successful clinical outcome in a system that is designed to work together from the beginning to the end of my endodontic treatment.”

33. Dentist Needs regarding Files Create the deep shape for efficient disinfection and obturation of the whole canal Efficient debris evacuation throughout the file instrumentation in the canal compared to previous generations Appropriate design depending on their intended use (whether slider, shaper or finisher) Optimal balance between stiffness and flexibility of the file sequence Safely navigate through curved and severely curved canals down to the apex Safe and predictable root canal preparation compared to other files systems Sequence’s versatility to treat the widest majority of canal morphologies (prof eval/user eval) Reduce the treatment’s shaping time compared to previous generations and/or competition

34. Dentist Needs regarding Obturation Reliable hermetic seal Dedicated obturation material Greater tolerance to broader range of techniques and operator skill Gutta-Percha cones suited for warm vertical obturation Gutta-Percha’s predictable fit along the canal more specifically in the apex A bioceramic sealer that predictably and consistently sets regardless of conditions (wet/dry) in the canal.

35. Apical Periodontitis

36. - Eliminate pulp and debris - Eliminate bacteria from root canal system - Encapsulate remaining tissue and bacteria - Create an optimal coronal seal Biological Objectives of the Root Canal Treatment

37. Restorative Dentistry with Dentsply Sirona Endodontic Treatment Need Direct Restoration (Class II) Indirect Restoration (SUC) Access & Interim Restoration Glide Path, Shaping & Disinfection Dressing & Temp. Restoration Obturation Matrix Placement Bonding Light Curing Bulk Filling Occlusal Layering Core (& Post) Impression Taking Chairside Milling Temporization Cementation Restoration Completed Limited Coronal Destruction Massive Coronal Destruction Isolation & Caries Removal Diagnosis & Treatment Planning Finishing Lab SUC = Single Unit Crown

38. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

39. Clinical & Technical Considerations

40. RCT Considerations Access Cavity Preservation of Tooth Structure Coronal Interim Restoration Shaping Irrigation / Dressings Obturation

41. Access Cavity … a s Small as Practical 1 Permit Removal of entire Chamber Contents

42. Access Cavity Requirements 1 Permit Removal of Entire Chamber Contents Enable Complete, Direct Vision of Pulp Chamber Floor and Orifices 2

43. Access Cavity Requirements 1 Permit Removal of Entire Chamber Contents Enable Complete, Direct Vision of Pulp Chamber Floor and Orifices Facilitate Introduction of Endodontic Instruments into Radicular Pulp 2 3

44. NiTi instruments better respect the root canal anatomy than SSt instruments: less canal transportation and ledges NiTi more suitable for highly curved canals Less debris extrusion / less post operative pain Faster than hand preparation Mechanized NiTi Files vs. Manual SSt Files Rotary NiTi Files Manual SST Files

45. Classic File Kit of Hand File Users

46. Characteristics of the SST instruments The ISO norm The color defines the size of the diameter at the tip The total length is of 19, 21, 25, 27 and 31mm. The active part is always 16 mm A fixed taper of 2% The silicone stop Sets the working length A black dash to show the direction of the tip when the file is precurved.

47. Insight File Taper Variable tapers provide improved shaping ability. Carrotte, P. "Endodontics: Part 7 Preparing the root canal." British dental journal 197.10 (2004): 603-613

48. Taper: Constant, Progressive or Regressive? Constant / Fixed taper (ISO standard) Progressive taper Regressive taper Variable tapers

49. How to calculate the file diameter at different distances from the tip? 0 mm 1 mm 2 mm 3 mm 0.25 mm tip diameter ?? diameter ?? 2 % taper ?? diameter ?? ?? diameter ?? ?? diameter ?? 7 % taper 0.25 mm tip diameter ?? diameter ?? ?? diameter ?? ?? diameter ??

50. All manual SSt files have a fixed 2% taper. 6% - 8% taper needed in the apical region. S maller taper needed in the coronal region. Various Taper Concepts 0 mm 1 mm 2 mm 3 mm 0.25 0.25 5 % 0.27 0.29 0.31 0.32 0.39 0.46 2 % fixed taper 7 % fixed taper 7 % variable regressive taper = 0.25 mm = 0.25 + 0.07 x 1 = 0.32 mm = 0.25 + 0.07 x 2 = 0.39 mm = 0.25 + 0.07 x 3 = 0.46 mm

51. Fixed Taper vs Regressive Taper L. 25.08 fix Ø 0.250 1 8.0% 0.330 2 3 4 8.0% 0.570 5 6 7 8 8.0% 0.890 9 10 11 12 8.0% 1.210 13 14 15 16 8.0% 1.530

52. Fixed Taper vs Regressive Taper L. F2 Ø 0.250 1 8.0% 0.330 2 3 4 6.5% 0.555 5 6 7 8 5.0% 0.770 9 10 11 12 3.0% 0.930 13 14 15 16 3.0% 1.050

53. Fixed Taper D 16 D .02 Taper .32 mm I ncrease D 16 D .0 4 Taper . 64 mm I ncrease D 16 D .0 6 Taper . 96 mm I ncrease

54. Variable Tapers D 16 D .11 Taper D 16 D .0 4 Taper D 16 D .0 3 Taper .10 Taper . 055 Taper .0 45 Taper .45 Taper . 065 Taper .0 9 Taper .02 Taper . 07 Taper .0 9 Taper

55. .02 Taper .085 Taper Progressive Tapers

56. Tip Designs

57. Tip Designs

58. Cross Sections Hedstrom File Unifile ® K-Flex ® Reamer K-File U-Blade

59. Flat Radial Lands (Passive)

60. No Radial Lands (Active)

61. Rake Angle

62. Pitch / Helical Angle

63. Variable Helical Angles

64. Continuous Rotation versus Reciprocation

65. Insight NiTi Heat Treatment Heat treatment of NiTi alloy is leading to Increased Flexibility and Improved Fatigue Resistance Gu, Yu, et al. "Various heat-treated nickel–titanium rotary instruments evaluated in S-shaped simulated resin canals." Journal of Dental Sciences (2016).

66. NiTi Heat Treatments

67. The transition temperature to be modified for desired properties Martensitic (soft) phase Austenitic (stiff) phase SE wire M-wire Blue wire Gold wire Austenite Martensite

68. The colour of the wire is a consequence of the titanium oxide thickness The wave lengths of light that is reflected from the surface depend on the thickness of the titanium oxide layer.

69. Metallurgy

70. The Gold Heat Treatment The structure is achieved by a heat-treatment process after the grinding of the file. The process is proprietary to Dentsply Sirona. The Gold heat treatment impacts the metallurgy in a favorable way to provide higher flexibility and higher resistance to cyclic fatigue. WaveOne Gold

71. Straight Line Access

72. Glide Path and Patency

73. Abundant Irrigation

74. Minimal Apical Pressure

75. Inspect and Clean Files

76. Traditional Technique

77. Straight Line Access

78. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

79. Technical Specifications

80. 1.0 mm 1. 2 mm ProTaper Gold ProTaper Ultimate S1 S2 Unique Shaper

81. 1 mm wire instead of 1.2 mm (except for FX = 1.2 mm). Motor Settings : 400 rpm / high torque ( min 4 Ncm ). Finishers: parallelogram 85° at tip, decreasing to around 75° - 80°. Slider in M-Wire with more efficient tip than the following files. Gold treatment on Shaper + F1, F2, F3 Finishers. Blue treatment on FX and FXL Finishers.

82. ProTaper Ultimate Instrument Family

83. ProTaper Ultimate For Hand Use Instrument Family

84. Overlay graphics from Slider up to F3 Visualizing how the files gradually work

85. ProTaper Ultimate main sequence Slider Shaper F1 Tip diameter Taper at tip 016 2% 020 4% 020 7% 025 8% 030 9% F2 F3

86. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

87. Features & Benefits

88. Files Features & Benefits   Feature Benefit  So what? Short file sequence (at least 80% of anatomies can be treated with 4 files including Slider) Simplicity + Fast Shaping Procedure Time Saving Flexibility of Files (Geometry, Heat Treatment, Optimized File Sequence) Extensive range of canal anatomies can be covered, with reduced risk of transportation Versatility + Respect of Anatomy Deep Shape + Polymer Irrigation Needle + New EndoActivator Efficient Irrigation/Disinfection Better Outcome Full System Solution (GlidePath / Shaping / Irrigation / Drying / Sealing / Obturation) No need for Hybridization Simpler Handling Augmented Optimized Design based on 20 years of experience Predictable Outcome Safe Navigation

89. Staying true to the genuine ProTaper philosophy When it comes to cleaning, ProTaper brought to the market a unique shape to ensure adequate access to the apex: the Deep Shape™ . This unique shape is obtained thanks to the combination of Shaping and Finishing files . It was essential to keep this philosophy with ProTaper Ultimate™

90. ProTaper Ultimate™ instruments family Orifice Opener (SX) Slider Finishers Size 020.03v MFD Ø 1.20 mm NiTi with GOLD heat treatment Length: 19 mm Active part: 14 mm Ring color: none No silicon stop Size 016.02v MFD Ø 1.00 mm NiTi M-Wire (no heat treatment) 3 lengths: 21, 25, 31 mm Ring color: Purple Silicon stop: Purple and Yellow Size 020.04v MFD Ø 1.00 mm NiTi with GOLD heat treatment 3 lengths: 21, 25, 31 mm Ring color: White Silicon stop: White and Black NiTi with GOLD heat treatment F1 Size 020.07 MFD Ø 1.00 mm Ring color: Yellow Silicon stop: Yellow and Black F2 Size 025.08 MFD Ø 1.00 mm Ring color: Red Silicon stop: Red and Black F3 Size 030.09 MFD Ø 1.00 mm Ring color: Blue Silicon stop: Blue and Black FX Size 035.12 MFD Ø 1.20 mm Ring color: Green Silicon stop: Green FXL Size 050.10 MFD Ø 1.00 mm Active part: 5 mm Double Rings color: Yellow Silicon stop: Yellow and Black Shaper Hand File Silicon Handle: Orange Hand File Silicon Handle: Purple Hand File Silicon Handle: White NiTi with BLUE heat treatment 3 lengths: 21, 25, 31 mm Hand File Silicon Handle: Yellow Hand File Silicon Handle: Red Hand File Silicon Handle: Blue Auxiliary Finishers 3 lengths: 21, 25, 31 mm Hand File Silicon Handle: Green Hand File Silicon Handle: Yellow with marking FXL

91. SmartLite Pro EndoActivator

92. Sodium Hypochlorite (0,5% to 6%) (to eliminate organic material) and EDTA (15%) (to eliminate mineral material and smear layer) Other irrigation solutions and devices are also advocated to allow appropriate disinfecting efficiency: Chlorhexidine, heat, ultrasonics, sonics... Root Canal Irrigation smear layer

93. Principals of Cleaning and Shaping ”…the apical extent of effectiveness of irrigation is a function of the depth of insertion of the needle…”

94. Insight Infected Canal Tissue Regardless of the file system, up to 35% of the canal walls remain untouched by instruments. Peters, O. A., K. Schonenberger, and A. Laib. "Effects of Four Ni-Ti Preparation Techniques on Root Canal Geometry Assessed by Micro Computed Tomography." International Endodontic Journal Int Endod J 34.3 (2001): 221-30.

95. Complex Anatomies

96. Obstacles to Success Complex Systems

97. Obstacles to Success Dentin Tubules

98. Obstacles to Success Smear Layer

99. Obstacles to Success Remaining Bacteria

100. Solutions – NaOCl Dissolves organic tissue Kills most microbes No effect on mineral components Weakens in contact with other materials, especially with low pH Toxic / aggressive effect on peri-apical tissues Na + O Cl

101. NaO O N O OH N HO O O ONa Solutions – EDTA Removes « Smear Layer » No bacteria killing Does not dissolve soft tissues May erode dentin with longer time exposure

102. Example of Irrigation & Disinfection Protocol Disinfection of tooth under rubber dam with 1% - 5.25% NaOCl Shaping under irrigation with 1% - 5.25% NaOCl After completion of shaping: irrigation with 17% EDTA for 1 min Final rinse with 1% - 5.25% NaOCl ≥ 10 ml per canal Ca(OH) 2 dressing for ≥ 7 days API / Necrosis / Retreatment Drying of canals and then obturation Irreversible Pulpitis Based on recommendations from: Baylor College of Dentistry, Dallas, Texas, USA University of Zurich Dental School, Switzerland University of Freiburg, Dental School, Germany

103. Side-Vented Irrigation Needle Moves Freely Irrigation Needle Bound at Tip

104. Challenger Insights – Irrigation Objectives An ideal irrigation protocol must do 3 things . Disinfect 100% of the canal Remove the smear layer and smear plugs Preserve dentin

105. Augment Activation The SmartLite Pro EndoActivator Transillumination : Diagnostic (Carries, Cracks & Canal Access ) EndoActivator : Endodontic Irrigation (Debris, Smear Layer & Disinfection) Curing : Restorative (Temp, Buildup & Final Restoration ) Save Time : 90 seconds for a better clean than 15 minutes of bleach soak Sonic Upgrades : Sonic ‘elliptical’ motion and ‘compound-angle’ sterile tips for greater multi-plane irrigation coverage and efficacy Improve the Triad : Activating irrigants is the essential step to reach the ~35% or more of canal surfaces left untouched after instruments Clean that is Seen : Get the final radiographs clinicians aspire to create when improved canal cleanliness reveals better obturation of lateral and accessory canals Tools for Root to Crown : SLP Modular Endo and Resto tools that complete the procedure and bridge the consumable bag

106. ProTaper Ultimate™ dedicated obturation

107. Augment Your Obturation Conform Fit® Master Cones are injection molded to match your finished ProTaper Ultimate TM shape. Experience precise, apical tug back you can feel when first fitting your master cone; resulting in saving time and less waste . +40% accuracy compared to traditional hand rolled gutta-percha AH Plus® Bioceramic Sealer has a fast and predictable set time of 2-4 hours. With low solubility , it stays in place until fully set. +63% faster set time than BC Sealer & TotalFill

108. Augment Plus your Single Cone Obturation ProTaper Deep Shape™ Confidently achieve set, seal and predictability with ProTaper Master Cone obturation! ProTaper Ultimate Finishing Files are your first step in Obturation success: Deep Shape insures both a resistant form to reduce the chance of apical extrusion and a predictable fit for your master cone. Plus a Cone that actually fits: Conform Fit™ Master Cones are injection molded to predictably match and fit precisely your ProTaper Finishers Plus a Sealer that actually sets: AH Plus® Bioceramic Sealer sets, stays put until fully set, and creates hydroxyapatite for peace-of-mind We Make Single Cone Better!!! Injection Molded & Matched Cone Fit * Faster, Predictable Setting * Bioceramic Seal We make Single Cone Better

109. AH Plus ® Bioceramic sealer

110. AH Plus ® Bioceramic Sealer Product Description With the widespread use of rotary NiTi instruments and matched-taper gutta-percha cones, the single-cone obturation technique has become popular .  One major benefit is its simplicity .  The primary drawback of this technique is the belief that epoxy resin-sealers resorb and/or shrink allowing for the potential of bacterial migration .  Bioceramic materials do not shrink on setting, resulting in an optimal interface between the gutta-percha, sealer and dentin . Bioceramic sealers allow for the production of hydroxyapatite which prevents bacterial migration – also a significant advantage over resin sealers

111. Key Claims

112. Solution Claims Shape Engineered with purpose Each ProTaper Ultimate™ file is specifically designed and heat-treated to optimize its role in your shaping procedure to address a full range of anatomical situations and control your shape. Less time, better clean Take control of your time and improve your debris removal, cleaning and disinfection over bleach soak. Clean The ProTaper Augmented Experience Pack Your shape, your fill, your seal Precisely fit your shape and seal your canal with ProTaper Ultimate™ advanced technology for obturation.

113. AH+ Bioceramic Sealer Key Claims Bioceramic vs. Resin AH Plus Resin AH Plus Bioceramic BC Sealer/ TotalFill Fast & predictable set time 24 hrs. 2-4 hrs. 16-24 hrs.+ Low solubility (no wash out before hardening) <0.10% 1.6% 3%-23% Highly Flowable 20-25mm 26mm 23mm Film Thickness <35 µm 22 µm 28 µm Highly radiopaque >9.8mm/Al 9mm/Al 6mm/Al Promotes hard-tissue formation (produces HA) No Yes Yes Retreatable using standard protocols Yes Yes ?? Antibacterial Yes Yes Yes Biocompatible No Yes Yes Premixed injectable paste sealer Yes Yes Yes

114. Hermetic sealing CONCLUSIONS: Slight expansion (2% during setting) allows Endoseal MTA to penetrate deep into unreachable accessory canals.

115. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

116. System Solution

117. The ProTaper Ultimate™ solution A complete solution that seamlessly works together A range of products to address an extensive range of anatomical situations with precision and control 1 ProTaper Ultimate™ Rotary NiTi files Manual NiTi files Canal Preparation 2 Disinfection Dentsply Sirona Irrigation Needle (existing) SmartLite Pro EndoActivator EndoActivator tips 3 Obturation ProTaper Ultimate™ Conform-Fit Gutta Percha Points Paper Points Carrier Based Obturation (Q2/Q3 2022) Dentsply Sirona AH Plus Resin Sealer (existing) AH Plus Bioceramic Sealer

118. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

119. Clinical Sequence

120. Clinical Sequence

121. Clinical Sequence

122. A versatile sequence adapted to all anatomies Accessory Files Auxiliary finishing files for large and straight canals only with an apex Ø beyond 30 Slider Shaper Finisher (F1) SX Challenging cases or personal preference for manual treatment All files available as Manual files Finisher (F2) Finisher (F3) FX and FXL Main sequence for most types of anatomy Orifice Modifier 016.02 020.04 020.07 025.08 030.09 020.03 035.12 050.10 Bring the ProTaper philosophy to its utmost: the first endodontic brand to be able to treat all anatomies, while offering predictability and versatility from the beginning to the end of the treatment.

123. SHAPE 3D DESINFECT FILL 1 2 3 ProTaper Ultimate is the Endodontic Solution enabling to treat the widest range of morphologies in a predictably successful manner. Slider Shaper Finisher

124. Clinical Guidelines 400 rpm 4 – 5.2 Ncm Light Pressure Irrigate Frequently Clean Flutes Frequently

125. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

126. AH Plus ® Bioceramic Sealer

127. 18-04-2024 Can be made of alumina and zirconia, bioactive glass, glass ceramics, calcium silicates and calcium phosphates They are non-toxic, do not shrink, and are chemically stable within the biological environment Unique ability to form hydroxyapatite and create a chemical bond between dentin and bone structure Popularity of Bioceramics have grown significantly as a result of these benefits Bioceramics is a key trend driving root canal sealers

128. Single Cone obturation is a key trend driving innovative sealers With the widespread use of rotary NiTi instruments and matched-taper gutta-percha cones, the single-cone obturation technique has become popular. One major benefit is its simplicity. The primary drawback of this technique is the belief that epoxy resin-sealers resorb and/or shrink allowing for the potential of bacterial migration. Bioceramic materials do not shrink on setting, resulting in a better interface between the gutta-percha, sealer and dentin. We have a unique opportunity with Conform Fit Gutta-Percha and the sealer to improve the single cone clinical outcomes +40% more predictable shape & fit than all other GP

129. Concept ideas A bioceramic sealer that actually sets and is biocompatible and does not stimulate periodontal tissue (both claims tested high in PT Ultimate concept testing) 5 claims tested: Biocompatible and does not stimulate periodontal tissue Predictably sets faster (2-4 hours) than BC Sealer (4-10+ hours) Does not wash out before setting Creates the optimal environment to produce hydroxyapatite Easier to retreat and regain patency Gutta-Percha’s predictable fit along the canal more specifically in the apex A better single cone outcome with predictable fit of the cone and predictable set time of the sealer

130. The AH Plus ® Brand Sealer for all solutions and obturation techniques The Gold standard of sealers for all obturation techniques including warm AH Plus® Bioceramic Sealer - The perfect solution with Single Cone obturation (including all ProTaper brands)

131. Positioning Statement For clinicians who care about long term success and prevention of reinfection of the root canal space. AH Plus Bioceramic Sealer is ideal when combined with Dentsply Sirona’s unique Conform Fit ® Gutta-Percha cones .  AH Plus Bioceramic Sealer   is hydrophilic but does not rely on fluid to set properly because it is insoluble with excellent sealing properties and zero shrinkage.

132. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

133. Assortment & Packaging

134. ProTaper Ultimate™ Packaging Instruments: Refills Rotary Files: 3-file and 6-file blisters in boxes Refills Manual Files: 6-file blisters in boxes Sequence pack: 5-file blisters in boxes Demo pack: 5-file blister in individual sleeve Obturation: 60 GP per box Assortment F1-F3 180 PP per pack Assortment F1-F3

135. Bioceramic Sealer Packaging & SKUs List of SKUs ROW-Item Reference Description Contents BKTAHBS000000 AH Plus Bioceramic Starter Kit 3gr syringe/20 cannulas B00AHBS10003G AH Plus Bioceramic Syringe Refill 3gr syringe B00AHBS02024G AH Plus Bioceramic Cannula Refill 20 cannulas NAm-Item Reference Description Contents AHPBIOSEAL AH Plus Bioceramic Starter Kit 3gr syringe/20 cannulas AHPBIOREFILL AH Plus Bioceramic Syringe Refill 3gr syringe AHPBIOCANNULA AH Plus Bioceramic Cannula Refill 20 cannulas NAm & ROW Item Ref Description Contents B00AHBSDEMO Demo Syringe – not for sale 2gr syringe

136. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

137. Competition Landscape for Files

138. List of File Competitors F6 SkyTaper & F360 Komet (FR/DE) HyFlex™ EDM Coltene (USA/DE) KontrolFlex™ Brasseler (USA) BT Race and Race® Evo (New!) FKG (FR/DE) EdgeTaper Platinium™ EdgeEndo (USA) ExactTaper H SS White® (USA) Low-cost copycats of ProTaper ® Universal and ProTaper Gold ®

139. F6 SkyTaper (Komet) Cross section Efficient double-S cross-section for thorough cleaning Sharp cutting edges Large space to ensure optimum removal of chips Small instrument core for high flexibility Technical specification Featuring Rotary preparation with one taper .06 file Sequence Opener, K-File, F6 SkyTaper Claims Flexibility and efficiency thanks to an intelligent file design All-comprehensive range of files in 5 sizes to suit all root canal anatomies (020, 025, 030, 035, 040) Unrestricted choice of the obturation method Excellent preservation of the course of the canal Price Weaknesses Fixed taper

140. HyFlex™ EDM (Coltene) EDM: Electrical Discharge Machining Cross section Almost triangular cross section at the top Trapezoidal cross section in the middle Technical specification Featuring Unique surface that makes the files stronger and more fracture resistant New manufacturing process results in another form fit and hardness of the surface of the file Sequence Orifice opener (Optional), Glidepath file, Preparation file, HyFlex™ OneFile, Finishing files (optional) Claims Unique combination of flexibility and fracture resistant allows to reduce the number of files needed for cleaning and shaping Controlled memory effect: the files always follow the canal anatomy thus significantly reducing the risk of ledging, transportation or perforation of a canal Less filling required for treatment success Use of HyFlex™ EDM files reduces the number of files to 2-3 pieces particularly in straight and larger canals Price Weaknesses Only available in length 21 and 25 mm HyFlex™ OneFile doesn’t have taper

141. KontrolFlex™ (Brasseler) Cross section Triangular cross section Technical specification Featuring Enhanced chip space Sharp cutting edges Precision safety tip Controlled Memory NiTi technology Sequence Always reach full working length to at least a #15/.02 prior to use of rotary files. Claims Meet the needs of endo specialists who encounter extremely difficult curved and calcified canals/cases Extensive range of tip sizes and tapers allows to quickly incorporate the KontrolFlex™ files that best meet your treatment philosophy Strikes the ideal balance between cutting efficiency and safety Price Weaknesses Only available in sizes 21 and 25 mm

142. iRace (FKG) Cross section Triangular cross-section with sharp edges Sharp edges for an optimum cutting Thin core for increased flexibility More space for debris removal Technical specification Featuring Alternating cutting edges Exclusive rounded safety tip Electrochemical polishing: Enhanced resistance against fatigue and corrosion Sequence Orifice opener (Optional), Glidepath file, Preparation file, HyFlex™ OneFile, Finishing files (optional) Claims The I-Race sequence is really easy to use, economic and enables treatment of a majority of canals with just three instruments The smaller core (of the file) grants a higher flexibility and allows a better progression in curved canals Optimal cutting efficiency Price Weaknesses The iRace sequence only allows preparation up to a diameter of ISO 30/.04.

143. EdgeTaper™ and EdgeTaper Platinum™ (EdgeEndo) Cross section Bloated triangular cross section Technical specification Featuring Heat-treated FireWire™ NiTi gives amazing flexibility, capable of 90° curves Sequence Same as ProTaper and ProTaper Gold Claims Unmatched Flexibility No Bounce Back Incredible Strength Price Weaknesses Easily unwinds Inconsistent color Glue residue

144. EdgeTaper Platinum Video Resource: General video on all Edge files (no specific support videos are available) Category: Progressively Tapered Procedural Cost: $24-$30 per procedure Pro’s: Extremely hard to break. Lower procedural cost. Con’s: Unwinds more quickly, especially true for S1, S2. Cutting efficiency is slightly reduced. Switch to: ProTaper Ultimate .

145. Agenda Concept Introduction Brand Positioning Clinical Background Clinical & Technical Considerations Technical Specifications Features & Benefits + Key Claims System Solution Clinical Sequence More Details on the Bioceramic Sealer Assortment & Packaging Competitive Landscape for Files FAQ

146. FAQs (to be continuously updated)

147. FAQs Q. The ProTaper Ultimate Orifice Opener/SX has no silicon stop? A. The silicon stop for the SX is not needed to control the working length, since the SX is only used in the coronal third of the canal. Q. The Slider is very similar to ProGlider, but the silicon stop is purple ? A. Yes, the idea is to keep the standard ISO colour code sequence: purple – white – yellow – red. Q. PTG S1 and S2 have become one single shaper with white color code. There maybe a risk of confusion (since Slider is purple) as in PTG S1 is purple and S2 is white? A. The idea is to keep the standard ISO colour code sequence: purple – white – yellow – red.

148. FAQs Q. Finishing files F1 – F3 are gold heat treated and FX/FXL are blue heat treated. Why ? A. Initially they were all blue heat treated. However, we didn’t get satisfactory results with F1 - F3 in blue (too flexible files in these sizes and with this design). Thus we reverted to gold heat treatment that demonstrates a better unwinding resistance. Q. FX has one green ring and FXL has two yellow rings. Why? A. There’s only one green file in the sequence, so it cannot be confused. There are two yellow files in the sequence, that’s why we added two yellow rings on the FXL.

149. FAQs Q. Ultimate Sizes FX and FXL are very different from PTG F4 and F5 and we will need some detailed reason for this? A. FX and FXL are now considered as auxiliary sizes dedicated to treat only large and straight canals without the necessary use of the previous finishing file (F1, F2, F3) before, according to the IFU as shown below: Use the auxiliary Finishers in larger and straighter canals only, such as maxillary central incisors, some palatal or distal canals of molars, or when there is a pathologic or iatrogenic defect : Select manual auxiliary file, FINISHER FX (035.12), when working length is established and patency is confirmed. Use this stand-alone file directly and passively to follow the canal to the WL using the same technique as described above. Remove and inspect its apical flutes. When loaded with dentinal debris, the preparation is finished. If the FINISHER FX is loose at length and its apical flutes are not loaded with debris, select manual auxiliary FINISHER FXL (050.10) and use this file in the same manner described above for FINISHER FX. The preparation is finished when the apical extent of any auxiliary Finisher is loaded with debris, and the correspondingly-sized GPMC or Size Verifier fits at the WL.   For this reason, the FX has a bigger ISO size (035) and taper (12%) with standard fluted portion length (16 mm) to be able to shape such canal. When the use of the FXL is necessary after the FX, that means that the coronal two third of the canal was already shaped with the previous Fx that’s why this FXL size has only a 7 mm fluted length just to shape the apical portion.