Endo Easy Efcient

The efcient NiTi system

User Information

www.vdw-dental.com

02

Mtwo Instruments at a Glance

Basic Sequence

Shaping of Larger Canal Anatomies 1

Shaping for Larger Canal Anatomies 2

10

10/.04 15/.05 20/.06 25/.06

30/.05 35/.04 40/.04

45/.04 50/.04 60/.04

30/.06 35/.06 40/.06

25/.07

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Content I. Technical Details 1. Design

Markings for Easy Instrument Identication Special Features Cross-Section Non-Cutting Tip

04 04 05 05 05 06

2. Instrument Design and Benets II. Mtwo Technique 1. Simultaneous Shaping 2. Benets of Simultaneous Shaping III. Preparation and Retreatment 1. One Sequence for All Canal Anatomies
Initial Steps Mtwo Basic Sequence Recommendations for Trouble-Free Use Apical Gauging Preparation of Larger Canal Anatomies

08 09

11 11 11 12 12 12 14 15

I. Technical details

2. Further Shaping

3. Retreatment IV. Tips and Tricks V. Motors VI. Product Overview Keyword Index

17 20 23 27

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I. Technical details

1. Design
10/.04

Markings for Easy Instrument Identication

The number of rings on the shaft indicates the instruments taper size: e.g. 1 ring = taper .04 Mtwo Mtwo Mtwo Mtwo taper taper taper taper .04 .05 .06 .07 1 ring 2 rings 3 rings 4 rings

diameter per mm 0.74 mm 0.70 mm 0.66 mm 0.62 mm 0.58 mm 0.54 mm 0.50 mm 0.46 mm 0.42 mm 0.38 mm 0.34 mm 0.30 mm 0.26 mm 0.22 mm 0.18 mm 0.14 mm 0.10 mm

The ISO colour coding indicates the size of the instruments tip: e.g. purple ISO 10 = 0.10 mm
25 mm working length 16 mm working part

Depth markings help to control the working length during preparation: e.g. an Mtwo 10/.04 with a working length of 25 mm has depth markings at 18, 19, 20 and 22 mm, starting from the instrument tip. Working length: 21 mm 25 mm 31 mm Depth markings at: 18, 19 and 20 mm 18, 19, 20 and 22 mm 22 and 24 mm

The taper size of the instrument indicates how much the instrument diameter increases per hundredth millimetre

The taper .0X indicates how much the instrument diameter increases each millimetre from the tip towards the instrument shaft in hundredths of a millimetre. An Mtwo instrument size 10/.04 e.g. has a tip diameter of 0.10 mm. One millimetre from the tip, the diameter is 0.14 mm, two millimetres from the tip the diameter has already increased to 0.18 mm. Sometimes taper is expressed as a percent, e.g. Taper 4% or Taper .04. Benets of Mtwo instruments with different tapers: Early removal of obstructions in the coronal root canal section by using a larger instrument diameter compared to conventional ISO hand instruments. Fast and efcient preparation of the root canal with only a few instruments. Increased conical shaping for efcient irrigation.

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Special Features
Mtwo instruments are available with different working part lengths. In the basic sequence, there are instruments with working part 16 mm and 21 mm. Instruments with a working part of 21 mm do not have any depth markings. Advantage of 21 mm working part While preparing the root canal, the instrument removes obstructions in the pulp chamber without unnecessarily weakening the tooth substance.
21 mm working part

16 mm working part

Cross-section
Mtwo instruments have an s-shaped cross-section and two efcient cutting edges. In addition, Mtwo is designed with minimum radial contact as well as large and deep utes for continuous upwards evacuation of dentine chips. The instrument core is designed for maximum exibility, however, without compromising the instruments strength. Mtwo instruments with higher ISO sizes and tapers have a reduced cross-section. This design ensures the exibility of the instrument and facilitates maintenance of the natural canal curvature even for larger apical preparations (e.g. with an Mtwo 35/.06). Advantages No blocking with dentine chips No blocking of instruments High exibility
Shaft Length
11 mm

S-shaped cross-section

Minimum radial contact

Large and deep flutes for continuous removal of dentine chips Reduced cross-section

Non-cutting Tip

A shaft length of 11 mm facilitates easier access to molars.

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2. Instrument Design and Benets

Specic instrument design for safe and fast preparation

The specic instrument design ensures safe and fast preparation. Reliable mechanical glide path for initial preparation with instrument sizes 10/.04 and 15/.05

10/.04

Small pitch, more spirals

A large and constant helical angle (i. e. more spirals) increases the instruments stability. Efcient dentine removal and precise shaping with instrument sizes 20/.06 and 25/.06

25/.06

Progressive pitch

Active cutting blades and a progressive pitch enable efcient dentine removal and excellent lateral cutting ability as well as automatic upwards transport of debris. Undesired screw-in effects are prevented. Efcient preparation without unnecessary loss of tooth substance with instrument sizes 30/.05, 35/.04, 40/.04

35/.04

Instruments with a reduced taper enlarge the apical third without unnecessarily weakening the tooth. The reduced mechanical stress inside the canal ensures a safe preparation. Trouble-free preparation of larger canals, e.g. with instrument sizes such as the 50/.04 or 40/.06

40/.06

A reduced cross-section for instruments with larger ISO sizes and tapers ensures instrument exibility and safe root canal shaping.

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II. The Mtwo Technique

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II. The Mtwo Technique

1. Simultaneous Shaping
Automatic le progression Brushing le movement

Mtwo cuts both on penetration and laterally. The instrument advances automatically from coronal towards apical, supported by the brushing le movement. The brushing le movement is used, when resistance is felt during progression. The instrument is pulled back 1-2 mm and the le is used in a brushing movement with light lateral pressure against the canal wall (see illustration). This creates space for the instrument to progress automatically towards apical without pressure involved. The root canal is thus prepared to full working length by each instrument.

1 Insert the rotating instru- ment into the root canal without touching the walls of the canal.

2 Exerting light pressure, allow the instrument to touch the canal wall.

3 Make small, stroking/

brush ing movements (over a few millimetres) in a coronal direction, without taking the instrument out of the canal. (Similar to using a Hedstroem le).

4 Allow the instrument to

move apically for a few millimetres and then re- peat the movement de- scribed under 3. Gradually advance step-by-step towards the apex with up and down movements.

As soon as full working length has been reached, change to the next instrument in the sequence.

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2. Benets of Simultaneous Shaping

Selected Shaping
The instrument nds its way in the canal automatically. If it feels as if the instrument is only progressing slowly towards apical, switch to lateral preparation of the canal wall (brushing le movement) to enable the instrument to automatically advance further. This procedure prevents over-preparation of the obstructed area and ensures a continuous conical preparation of the root canal to full working length.

Continuous conical shaping

Reliable Mechanical Glide Path

All instruments are brought to full working length, preparing the canal gradually while maintaining the original canal anatomy. The instrument design enables each instrument to prepare a glide path for the following instrument and ensures conical canal shaping. Preparation errors can thus be avoided.

Each instrument prepares a glide path for the next

Preparation without Unnecessary Loss of Tooth Substance

Compared to the coronal enlargement created by the crown-down technique, Simultaneous Shaping only removes as much substance as needed for progression towards the apex. Preserving the tooth substance during preparation prevents unnecessary weakening of the tooth and thus reduces the risk of root fractures.

Minimum loss of tooth substance

Preparation of Irregular Root Canal Anatomies

Mtwos Simultaneous Shaping technique allows for preparation e.g. of oval or dumb bell-shaped anatomies. This technique in combination with the instruments high exibility allows for preparation of demanding root canal structures with all instruments during all stages of the preparation.
Preparation of oval canals

Simultaneous Shaping allows precise preparation, creates a reliable glide path, prepares the root canal without unnecessary loss of tooth substance and enables safe preparation of irregular canal anatomies.

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III. Preparation and Retreatment

III. Preparation and Retreatment

11

1. One Sequence for All Canal Anatomies

Initial Steps
Create a Glide Path Check the patency of the canal and create a glide path to the apical constriction or the foramen apicale to at least an ISO size 10. C-PILOT File

ISO 06

ISO 08

ISO 10

Determine the Working Length Electronic length determination of the root canal using an apex locator and a C-PILOT le. Enlarging the Canal Access Through the brushing movement (see page 8) and the instruments excellent lateral cutting efciency, Mtwo can even remove obstructions in the coronal third. The canal entrance is gradually and systematically enlarged through the use of each instrument. A separate enlargement of the canal access is, therefore, unnecessary. Should you, however, wish to enlarge the canal access, an Mtwo 25/.06 can be used.

Mtwo Basic Sequence

There is one single sequence for all root canals. The sequence follows the Single Length Technique, i.e. all instruments are brought to full working length. The rst instrument, a 10/.04 is gradually brought to full working length using the brushing le movement, however, without exerting any pressure. As soon as working length has been reached, change to the next instrument in the sequence. Continue working this way through the basic sequence. Each instrument creates a glide path for the following instrument. If the working length is reached easily in larger canal anatomies with hand instruments sizes 15 or 20, Mtwo preparation can be started using an Mtwo ISO size corresponding to the hand instrument used, i.e. Mtwo 15/.05 or 20/.06.
One sequence for all root canals All instruments are brought to full working length

Basic Sequence

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Recommendations for Problem-Free Use

If the instrument does not advance in the canal, pull it back 1-2 mm and work with brushing movements on the canal walls to widen the canal. The le should then advance without exerting pressure. Irrigate the root canal according to the appropriate irrigation protocol. The chelator FileCareEDTA will facilitate the progression of the instrument in the canal.

Warnings Do not probe the pulp chamber oor with the Mtwo 10/.04! Do not use the instrument in a picking movement! Do not force the instrument to reach working length! Bring the instrument to working length only once and then proceed immediately to the next instrument in the sequence!

2. Further Shaping
Apical gauging

Determination of the Apical Preparation Size Apical gauging

After preparation using the Mtwo basic sequence (size 25/.06), the diameter of the canal is measured at full working length by inserting a hand instrument size 30. If the hand instrument size 30 can be inserted (light tug-back) to 1mm short of full working length (wl minus 1 mm), the apical part does not need further enlargement. Should the hand instrument size 30 reach full working length, a further apical enlargement is required. The preparation size necessary for the apical enlargement can be determined based on the following:

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Hand instrument ISO size 30 reaches full wl

Apical at least an ISO size 30

Hand instrument ISO size 35 wl minus 1 mm

Tug-back

No tug-back

Finish preparation with an Mtwo 30/.05

Hand instrument ISO size 35 reaches full wl

Apical at least an ISO size 35

Hand instrument ISO size 401 reaches wl minus 1 mm

Tug-back

Finish preparation with Mtwo instrument sizes 30/.05 and 35/.042

1 If needed, repeat the procedure with larger hand instruments until tug-back is reached 1mm short of full working length.

The nal assessment can be carried out using a hand instrument ISO size 40, in order to determine whether there is a slight tug-back 1 mm short of full working length. If this is the case, preparation with Mtwo size 35/.04 is complete.

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Preparation of Larger Canal Anatomies

Apical Enlargement

cold

warm

After preparation with the Mtwo basic sequence, the apical canal section can be enlarged with further Mtwo instruments. If necessary, the apical part can be prepared up to an ISO size 60. Depending on the conicity of the canal, the following Mtwo instrument sizes with greater taper can be used after the basic sequence: Mtwo 25/.07, 30/.06, 35/.06 and 40/.06. For easy cold obturation, Mtwo Gutta-Percha, which is perfectly in line with Mtwo preparation can be used. To achieve an easy and fast warm three-dimensional lling, we recommend GUTTAFUSION Obturators, made entirely of gutta-percha, for optimal obturation results.

1
Cold Obturation

Guttapercha

Warm Obturation*

GUttaFusion

Warm Obturation*

GUttaFusion

* For further information on VDWs three-dimensional obturation systems GuttaFusion and BeeFill2in1, please consult our website: www.vdw-dental.com.

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3. Retreatment
Mtwo retreatment les are designed specically for removal of root canal lling material. Retreatment of carrier-based llings (e.g. GuttaMaster, GUTTAFUSION) is also possible. The retreatment les offer the following design features: a cutting tip and a constant helical angle which ensure the instruments easy progression into the gutta-percha lling, without the need to exert pressure.

R15/.05 for narrow canals

Retreatment File with Cutting Tip

R15/.05

To remove the gutta-percha lling material, brush the canal walls with light lateral pressure (Simultaneous Shaping). The Mtwo retreatment range offers you the following instruments: the R15/.05 for narrow root canals and the R25/.05 for wide and medium root canals.

R25/.05 for wide and medium canals

Retreatment Recommendations Using the Mtwo R25/.05

Remove the gutta-percha from the coronal third using a Gates Enlarger or an ultrasonic tip. If needed, soften the gutta-percha with a solvent (e.g. eucalyptus oil, orange oil) Place the instrument tip on the gutta-percha lling and remove the gutta-percha with rotating, brushing move- ments. Do not take the instrument to full working length. Manually enlarge the apical part with a hand instrument ISO size 15. Then prepare the root canal with an Mtwo instrument to the desired size.

R25/.05

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IV. Tips and Tricks

IV. Tips and Tricks

.06 1 1 2 3 4 5 6 17 10 1 2 3 7 .04/ 1 4 5 6 15/ 1 2 3 7 .0 5 1 4 5 6 20/ 1 2 3 7 .0 6 1 4 5 6 7 25/ 10/ .06 1 .04 1 2 3 4 15/ 5 6 7 10/ .05 1 .04 1 20/ X2 3 4 wide, 2 How often can Mtwo instruments be used? 5 straight 15/ .06 1 7 canals 2 3 4small to6 XX 5 1 ture medium .0 25/ curva 2 5 It is safest to use Mtwo instruments only once. Should you 20/ .06 1 XXX narrow 6 7 , strongly .0 2 3 4 curve 6 1 d can 2 5 6 If the file has use an Mtwo instrument more than once, it is very impor25 10/ been subjec / high str ted to 7 .06 1 .04 1 curved 2 or 2 oblite rated canals , it 3 should b tant to document the frequency of use by means of control 15/ 4 5 6 10 .05 1 Check files visual / ly for7 wear after each u 2 .0 3 4 1 M Control Stickers 20 stickers. The number of times an instrument can be used 4 showi two / 2 instruments 5 6ng 7 any kind 15/ of wear. 3 .06 1 2 use .05 1 3 water25/ 4 depends on the strain put on it during root canal preparation. Autoclavable, 2 Mtwo is license 5 d to VDW 3 by 20 6 .06 1 7 .06/ 1 2 3 4 resistant marker 2 3 5 6 7 25 / .06 1 2 3 Examine the Mtwo instrument visually for signs of ma10/ 30/ 10/ .04 1 2 3 4 5 6 7 .05 1 Z .04 1 2 15/ terial fatigue after use. Optical means of magnication ustz 3 4 5 35/ li 15/ 1 2 30 .05 36 47 5 6 .04 1 / 7 .05 c 1 2 20/ are very helpful: e.g. magniers, dental loupes and micro.05 1 3 4 5 40/ 2 20/ 3 35 6 .06 1 2 3 .04 1 /6 7 4 4 5 7 1 .06 2 scopes. Discard the instrument immediately if it shows .04 1 3 4 5 25/ 25/ 2 25/ 3 1 40/ 6 7 6 4 .06 1 2 .07 1 3 4 5 7 2 .06 .0 3 the following defects: 4 1 2 4 5 6 3 4 25/ 10/ 30/ 7 .0 10/ .05 1 .04 1 2 3 4 5 7 1 6 2 7 3 2 .04 1 315/ 4 5 35/ 15/ 4 30 6 1 .0 2 .05 / 3 4 1 4 5 7 .05 1 Instrument bent (plastic deformation) 6 7 .05 1 2 3 20/4 40/ 2 1 52 63 74 35 .0Large, / 6 7 320/4 .06 straight 4 1 2 5 Spirals deformed almost .06 1 .0 3 25/ 4 1 25/ 4 2 5 25/ 40 canals .07 / canals 4 1 2 3 .06 1 2 6 3max. 7 4 .0 5 6 7 3 .06 8 Cutting edges damaged 4 1 4 5 6 2 3 41 (e.g. front teeth) 25/ 30/ 10/ 7 10/ 5 Cutting edges blunt .05 1 .04 1 2 3 4 .0751 62 7 2 3 15/ 3 .04 35/ 41 4 5 5 15/ 30/ ISO colour coding missing 6 3 .04 1 1 or 2 .05 7 4 7 .05 1 2 with4 small .05 5 1 6 40/ Canals 3 20/ 5 2 3 20/ 35 6 .04 1 Corrosion / medium .06 1 2 7 3 max. 4 5 6 7 4 2 3 curvature 4 canals .06 1 .04 5 1 25/ 4 25/ 5 2 3 4 (e.g. premolars) 25/ 40/ .07 1 2 7 3 .0 4 5 5 6 2 3 4.06 1 6 7 1 .06 1 2 3 5 6 7 254 / 410/ 5 10/ 7 1 .04 1 2 3 .0 4 52 63 7 4 .04 1 Narrow and extremely 15/ 15/5 6 .05 1 2 3 4 5 6 7 curved canals 1 .05 max. 2 canals 20/ (e.g. molars) 20/ .06 1 2 3 4 5 6 7 .06 1 25/ 25/ .06 1 2 3 4 5 6 7 .06 1 .04 15/ .05 20/ .06 25/ .06

Is it necessary to clean the instruments during root canal preparation?

We recommend removing accumulated debris from the instrument during preparation by using an interim stand. The instrument is cleaned by simply inserting the instrument into the foam disk. This procedure prevents debris from accumulating in the instruments utes which would increase the friction within the canal.

30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07

1 1 1 1 1 1 1 1

2 2 2 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3

4 4 4 4 4 4 4 4 4 4 4 4

Zus
5 5 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 7 7
30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07

1 1 1 1 2 1 1 1 1

2 2 2 2

1 1 1 1

1 1 1 1

2 2 2 2

For information on cleaning and disinfection of Mtwo instruments, please check our instructions for use and reprocessing at www.vdw-dental.com

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When should the working length be determined with an apex locator?

When starting root canal treatment with rotary nickel-titanium instruments, the canal patency should be determined with a hand instrument, and a glide path should be created. The working length should be determined with an electronic apex locator and the hand instrument before using an Mtwo instrument. In order to verify the working length, e.g. in curved canals, the measuring result can be rechecked after each Mtwo instrument.

Is it necessary to enlarge the canal access before preparation with Mtwo?

The brushing le movement and the excellent lateral cutting efciency of Mtwo ensure removal of obstructions within the coronal third. Thus, with every instrument used, the canal access is gradually enlarged. A separate root canal enlargement is, therefore, not mandatory. However, the canal access can be enlarged with an Mtwo 25/.06, for example.

How to determine if the apical preparation size has been reached?

After carrying out apical gauging and subsequent preparation, a visual inspection can be carried out. Humid or red debris located on the lower instrument third is a signal that further apical preparation is necessary. Dry and white dentine chips however mean that the apical target size is reached.

When to irrigate the root canal most efciently during preparation with Mtwo ?
The root canal can be irrigated at any time during preparation. Thanks to the instruments conicity in combination with Simultaneous Shaping to full working length, irrigation of the root canal can already be carried out after use of the second Mtwo instrument size 15/.05 to 3 mm short of full working length. We recommend using an ISO size 30 irrigation cannula.

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V. Motors

020 20

V. Motors

Revolutions per minute (rpm) Torque limit (gcm)

For safe and easy preparation with Mtwo, we recommend using an endodontic motor with torque control. Mtwo has a speed range of 250 to 350 rpm. In rotary mode VDW.GOLDRECIPROC and VDW.SILVERRECIPROC motors are programmed for Mtwo at a speed of 280 rpm with constant revolutions. Each instrument has its pre-programmed torque limit. Generally, the torque limit improves the instruments safety and protects it from overcharge, provided that the instrument is used appropriately and that the frequency of use is limited. The motor insures that the instruments are driven in a precise and reliable manner, according to their specic mechanical values.

Directions for Use Choose an Mtwo instrument and the corresponding motor setting. Insert the rotating instrument tip into the canal while avoiding contact with the canal walls. Do not exert any pressure on the contra-angle. The instrument will progress automatically towards apical using brushing le movements. A torque alarm signal indicates stress/friction on the le. The more frequently the alarm sounds, the higher the stress on the instrument. Possible reasons:

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Audible Warning Signal

Causes Forced progression of the instrument in the root canal

Solution Pull instrument back 1 -2 mm and create more space with brushing movements Reduce pressure

Too much pressure exerted on the contra-angle Increased instrument friction due to dentine chips in the ute Narrow canal anatomy

Remove dentine chips regularly in the interim stand Recapitulate with a C-PILOT ISO size 10 hand instrument. If needed, go back to the previous Mtwo instrument and proceed with preparation

VDW .GOLDRECIPROC motor with integrated apex locator

VDW.SILVERRECIPROC motor

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VI. Product Overview

VI. Product Overview

23

Basic Sequence
Blister of 6 instruments Mtwo working part 16 mm
Size/Taper 10/.04 15/.05 20/.06 25/.06

Mtwo working part 21 mm

25 mm 1234 025 010 1235 025 015 1236 025 020 1236 025 025 31 mm 1234 031 010 1235 031 015 1236 031 020 1236 031 025

21 mm 0234 021 010 0235 021 015 0236 021 020 0236 021 025

25 mm 0234 025 010 0235 025 015 0236 025 020 0236 025 025

Shaping of Larger Canal Anatomies

Blister of 6 instruments Mtwo working part 16 mm
Size/Taper 30/.05 35/.04 40/.04 45/.04 50/.04 60/.04

Mtwo working part 21 mm

31 mm 1235 031 030 1234 031 035 1234 031 040 1234 031 045 1234 031 050 1234 031 060 1237 031 025 1236 031 030 1236 031 035 1236 031 040

21 mm 0235 021 030 0234 021 035 0234 021 040 0234 021 045 0234 021 050 0234 021 060 0237 021 025 0236 021 030 0236 021 035 0236 021 040

25 mm 0235 025 030 0234 025 035 0234 025 040 0234 025 045 0234 025 050 0234 025 060 0237 025 025 0236 025 030 0236 025 035 0236 025 040

25/.07 30/.06 35/.06 40/.06

16 mm working part

25 mm working length

21 mm working part

25 mm working length 21 mm working part

31 mm working length

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Assortments
Mtwo working part 16 mm
Blister of 4 instruments 10/.04, 15/.05, 20/.06, 25/.06 30/.05, 35/.04, 40/.04, 25/.07 Blister of 6 instruments 2 x 10/.04, 15/.05, 20/.06 each 2 x 25/.06, 30/.05, 35/.04, 40/.04, 25/.07 2 x 10/.04, 15/.05, 20/.06 each 2 x 25/.06, wp 21 mm, 30/.05, 35/.04, 40/.04, 25/.07, wp 16 mm 21 mm 0007 021 701 0007 021 702 21 mm 0230 021 456 0230 021 457 25 mm

Mtwo working part 21 mm

25 mm 31 mm

0007 025 711

0007 025 702 25 mm 0230 025 456 0230 025 457 0236 025 203 0234 025 246

0007 025 701

25 mm 1230 025 456 1230 025 457 -

0007 031 701

0007 031 702 31 mm 1236 031 203 1234 031 246

2 x 30/.06, 35/.06, 40/.06 each 0236 021 203 2 x 45/.04, 50/.04, 60/.04 each 0234 021 246

Retreatment files
Blister of 6 instruments
Size/Taper R15/.05 R25/.05 3 x R15/.05, R25/.05 each Set of 6 x R15/.05 and 6 x R25/.05 with instructions

21 mm 0232 021 015 0232 021 025 0232 021 202 0011 021 500

GUTTAFUSION Obturators
Blister of 6 obturators
Size 20 25 30 35 40 45 50 55

1 blister 1505 000 020 1505 000 025 1505 000 030 1505 000 035 1505 000 040 1505 000 045 1505 000 050 1505 000 055

5 blister 1506 000 020 1506 000 025 1506 000 030 1506 000 035 1506 000 040 -

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GUTTAFUSION Size Verifiers

Blister of 6 size verifiers
Size 20 25 30 35 40 45 50 55 25-35

1 blister 1508 000 020 1508 000 025 1508 000 030 1508 000 035 1508 000 040 1508 000 045 1508 000 050 1508 000 055 1508 000 305

Ma

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Mtwo Gutta-Percha
Box of 60 pieces
Size/Taper 25/.06 30/.05 35/.04 40/.04 45/.04 50/.04 60/.04 25/.07 30/.06 35/.06 40/.06 20 x 25/.06, 10 x 30/.05, 35/.04, 40/.04, 25/.07 each

28 mm 0220 628 025 0220 528 030 0220 428 035 0220 428 040 0220 428 045 0220 428 050 0220 428 060 0220 728 025 0220 628 030 0220 628 035 0220 628 040 0220 028 457

Mtwo Paper Points

Box of 144 pieces
Size/Taper 25/.06 30/.05 35/.04 40/.04 45/.04 50/.04 60/.04 25/.07 30/.06 35/.06 40/.06 48 x 25/.06, 24 x 30/.05, 35/.04, 40/.04, 25/.07 each

29 mm 0225 629 025 0225 529 030 0225 429 035 0225 429 040 0225 429 045 0225 429 050 0225 429 060 0225 729 025 0225 629 030 0225 629 035 0225 629 040 0225 029 457

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Mtwo SystemBox With module for easy organisation and storage of Mtwo instruments, instruments not included, autoclavable

REF

0239

3 4 5 6 7 10/ 1 2 3 .04 1 4 5 6 2 3 15/ 1 2 3 7 .0 5 1 2 4 5 6 3 20/ 1 2 3 7 .0 6 1 2 4 5 6 3 25/ 10/ 7 .0 .04 1 6 1 2 3 2 3 4 15/ 5 6 7 10/ .05 1 .04 1 20/ X2 3 4 wide, 2 canals 5 straight 3 15 6 .06 1 7 .05/ 1 2 3 4small to medium XX 25/ curvature 2 3 4 5 6 7 20 .06 1 XXX narrow, / 2 3 4 strongly .0 curved canals 6 1 2 5 6 3 e.g If the file has been 10/ subject / high stress, 4 to 7 ed25 Mtwo Control Stickers .0 6 1 2 4 1 curved 2 3 or4 obliterated canals,.0it should be3 used 15/ 4 5 10 6for7 .05 1 Check files visually / wear after each 2 use. Dis .04 1 16 Control Stickers for the 3sequence 20/ basic 4 showin 2 instrum ents 5 6g7 any kind 15/ of wear. 3 4 .06 1 2 3 4 .05 1 25/ 2 3 4 Mtwo issizes, 12 Control Stickers for additional licensed 5 to VDW by20/ 6 .06 1 7 2 3 4 .06 1 2 3 4 5 6 7 25 self-adhesive, autoclavable / 5 .06 1 2 3 Basi 10/ 4 5 30/ 10/ 1 2 .04 3 4 5Z .05 1 6 7 1 2 .04 2 u stz 3 4 15/ 35/ liche G 15/ .05 1 25 36 47 5 306 .04 1 / 7 .05 1 2 2 20/ .05 1 3 4 5 40/ 2 20/ 3 14 25 35/6 7 6 4 .06 1 2 3 .04 1 5 7 .06 2 3 .04 1 3 4 5 25/ 25/ 2 25/ 3 4 5 40/ 6 7 6 4 .06 1 2 3 .07 1 7 5 2 3 2 3 .06 1 .04 1 4 5 6 2 3 4 25 10/ 30/ / 7 .07 1 5 6 10/ .05 1 .04 1 2 3 4 5 6 2 7 3 2 315/ .04 1 2 3 35/ 4 5 6 4 15/ 30 .04 1 2 6 .05 1 5 / 6 7 37 4 .0 5 2 .05 1 2 3 3 5 1 40 20/4 5 2 20/4 REF 0491 .04/ 1 .06 1 2 63 74 35 5/ 6 7 3.06 2 3 25/ 15 .04 1 25/ 415 6 2 3 25/4 2 63 40 .07 1 / 2 3 7 4 .0 5 6 7 .06 1 52 6 3 2 3 .06 4 1 2 4 5 3 6 7 25/ 30/ 4 10/ 10/ 5 6 .05 1 .04 1 2 3 4 .0751 62 7 2 3 15/ 3 .04 35/ 41 2 3 4 5 6 15/ 5 6 7 30/ 5 .04 1 .05 1 2 3 7 4 6 7 2 .05 1 2 3 .05 1 3 4 40/ 20/ 5 2 3 4 20/ 35/ .04 1 2 7 .06 1 6 3 4 5 2 2 3 4 7 .06 1 6 3 .04 5 1 6 25/ 7 25/ 5 2 3 4 25/ 40 6 .07 1 / 1 2 .06 7 3 4 5 6 7 .06 5 2 3 4 1 6 2 7 .04 1 3 2 3 4 5 25 6 / 10/ 7 7 1 10/ 5 6 7 .04 1 2 3 .0 4 52 63 7 4 .04 1 2 3 15/ 15/5 6 7 .05 1 2 3 4 5 6 7 .05 1 2 3 20/ 20/ .06 1 2 3 4 5 6 7 .06 1 2 3 25/ 25/ .06 1 2 3 4 5 6 7 .06 1 2 3 REF
15/ .05 20/ .06 25/ .06

Mtwo Basic Kit Kit with instruments in 25 mm working length: 1 blister of 6 instruments Mtwo, 2x10/.04, 15/.05, 20/.06 each, 21 mm working part 1 blister of 6 instruments Mtwo, 2x25/.06, 21 mm working part, 1x30/.05, 35/.04, 40/.04, 25/.07 each, 16 mm working part 3 plastic training blocks CD ROM, Mtwo user card

238 025 000

30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07

1 1 1 1 1 1 1 1

2 2 2 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3 3 3 3 3

4 4 4 4 4 4 4 4 4 4 4 4

5 5 5 5 5 5 5 5 5 5 5 5

Zustzlic
6 6 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 7 7
30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07 30/ .05 35/ .04 40/ .04 25/ .07

1 1 1 1 1 1 1 1

2 2 2 2 2 2 2 2 2 2 2 2

3 3 3 3 3 3 3 3

1 1 1 1

1 1 1 1

3 3 3 3 4

Interim Stand For quick chair-side storing and cleaning of root canal instruments

Rells for the Interim Stand Foam discs 55 pieces

REF

0495

REF

0496

27

Keyword Index
Access enlargement . . . . . . . . . . . 11, 18 Basic sequence . . . . . . . . . . . . 2, 11, 14 Conicity . . . . . . . . . . . . . . . . . . . . . . . . . 4 Control Stickers . . . . . . . . . . . . . . . 17, 25 Cross-section . . . . . . . . . . . . . . . . . . . . 5 Cutting edges . . . . . . . . . . . . . . . . . . 5, 6 Dentine chips . . . . . . . . . . . . . . . . 18, 21 Depth markings . . . . . . . . . . . . . . . . . . 4 File movement . . . . . . . . . . . . . . . . . . . 8 Flexibility . . . . . . . . . . . . . . . . . . . . . 5, 6 Flutes . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Frequency of use . . . . . . . . . . . . . . . . 17 Friction . . . . . . . . . . . . . . . . . . . . . 21, 17 Glide path . . . . . . . . . . . . . . . . . . 6, 9, 11 Gutta-percha . . . . . . . . . . . . . . . . . 14, 25 Instrument box . . . . . . . . . . . . . . . 14, 26 Instrument cleaning during treatment . . . . . . . . . . . . . . 17, 26 Instrument core . . . . . . . . . . . . . . . . . . . 5 Instrument tip . . . . . . . . . . . . . . . . . 5, 15 Interim Stand . . . . . . . . . . . . . . . . 17, 26 Irrigation . . . . . . . . . . . . . . . . . . . . 12, 18 Length determination . . . . . . . . . . 11, 18 Lubricant . . . . . . . . . . . . . . . . . . . . . . . 12 Markings for easy instrument identication . . . . . . . . . . . . 4 Motor . . . . . . . . . . . . . . . . . . . . . . 20, 21 Obturation . . . . . . . . . . . . . . . . . . 14, 25 Paper points . . . . . . . . . . . . . . . . . . . 25 Pitch . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Preparation error . . . . . . . . . . . . . . . . . 9 Preparation size . . . . . . . . . . . 12, 13, 18 Retreatment . . . . . . . . . . . . . . . . . 15, 24 Root fracture . . . . . . . . . . . . . . . . . . . . . 9 Shaft . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Shaping . . . . . . . . . . . . . . . . . . . . . . . . 9 Signs of material fatigue . . . . . . . . . . . 17 Simultaneous Shaping . . . . . . . . . . . 8, 9 Single Length Technique . . . . . . . . . . 11 Single use . . . . . . . . . . . . . . . . . . . . . . 17 Speed . . . . . . . . . . . . . . . . . . . . . . . . . 20 Taper . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Torque control . . . . . . . . . . . . . . . . . . 20 Warning signal . . . . . . . . . . . . . . . . . . 21 Working length . . . . . . . . . . . . . . . . . . 4 Working part length . . . . . . . . . . . . . . . 5

The efcient NiTi system

VDW GmbH P.O. Box 830954 81709 Munich Germany Tel. +49 89 62734-0 Fax +49 89 62734-304 www.vdw-dental.com [email protected]

VW000202

Rev. 11/02.04.13

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