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14.04.03.A R0000010 004 G95 1 Endodontics V-Tip (Restorative) Prosthetics Perio

14.04.03.A R0000010 004 G95 1 Endodontics V-Tip (Restorative) Prosthetics Perio / Maintenance Scaling NSK Offers A Wide Choice of VARIOS Ultrasonic Scaler Tips For Clinical Applications. Retrograde Endo Restorative Pages 40-43 Pages 44-47 Extraction Page 38 Pages 54-58 V-Tip (Endodontics) Pages 48-53 Pages 28-35 Pages 36-37 Pages 6-11 Pages 12-27 Perio / Maintenance Pages 12-27 G61D G1 G2 G3 G4 G5 G6 G9 G8 G11 G12 G13 P1 P1D P2D P3D P25R P25L E30RD E30LD E31D E32D G62D G65D G66D G67D G68D V-P10 V-P11R V-P11L V-P12 V-P26R V-P26L G21 V-G70 V-G71 V-G72 V-G75 V-G76 V-G77 V-G78 V-G79 V-S1 V-S3 V-S33 G22 G26 G28 V-S50 V-S51 V-S52 V-S53 V-S50D V-S51D V-S52D V-S53D E12 E11 E4 E4D E5 E6 E7 E7D E8 E8D E15D P10 P11R P11L P20 P21R P21L P26R P26L P40 P41 Autoclavable up to 135ºC Washable in the thermodisinfector 3 2 VA-HP NSK Varios Non-Optic Handpiece VA-LUX-HP NSK Varios Optic Handpiece Non-Optic Optic VA2-HP Satelec® Ultrasonic Scaler Handpieces NSK tips fit Varios and Varios2 ultrasonic scaler handpieces as well as Satelec® ultrasonic scaler handpieces. NSK make a number of tips which will fit on EMS® ultrasonic scaler handpieces. The following is a guide to illustrate all NSK Varios tips, their applications and connectivity. NSK Varios2 Non-Optic Handpiece VA2-LUX-HP NSK Varios2 Optic Handpiece EMS® Satelec® EMS® Ultrasonic Scaler Handpieces Varios 750 Clinical Ultrasonic Scaler with Bottle Varios 560 Compact Multi Function Ultrasonic Scaler Varios 350 Compact Multi Function Ultrasonic Scaler Varios 370 Compact Multipurpose Control Unit at Your Fingertips Satelec® is registered trademarks of Acteon SA, France. EMS® is registered trademarks of Electro Medical Systems SA, Switzerland. Non-Optic Optic Varios2 / Varios Tips NSK V-Tip System NSK scaler tips NSK scaler tips Tips marked with the icon can be directly attached to EMS® ultrasonic scaler handpieces. EMS ® Tips marked with the and icon can be directly attached to both NSK Varios and Satelec® ultrasonic scaler handpieces. Satelec® NSK series Powered by Varios 970 Clinical Multi Function Ultrasonic Scaler with 2Bottles 5 4 INTRODUCTION This manual aims to help you choose ultrasonic tips and advises you on their use. For decades, ultrasonics have been used in odonto-stomatogy as well as in many surgical specialities. However, this technology is still underused in treatment in comparison with its numerous clinical applications. FUNDAMENTAL BASIS OF ULTRASONICS The physics of ultrasonics on the same template as the piezosurgery handbook: NSK offers a range of “non-specialised” tips and specialised micro-tips. For increased effectiveness, these micro-tips require a stand-alone generator with adjustable and reproducible power together with an independent irrigation system. The piezoelectric generator provides an accurate and reproducible power scale with 3 operating ranges. The different modes, P (perio), E (endo) and G (general) allow the power to be selected according to the tip’s clinical indication. The independent reservoirs enable irrigation by specific antiseptics at suitable temperatures. The system is broken down into 3 elements: • The generator • The handpiece • The tip Ultrasonic equipment which combines irrigation with the movement of the tip in a single area produces 6 distinct effects: Scanning: acts on the biofilm Hammering: acts on mineralised deposits Abrasion: acts on mineralised deposits and granulation tissue Washing: acts on the biofilm and mineralised deposits Micro-streaming: acts on the biofilm Cavitation: acts on decontaminating the pocket It is important to understand that the vibration movement, depending on its orientation on the work surface, has 2 clinical applications. Scanning the biofilm when the tip is tangential to the root surface. Hammering tartar when the tip is perpendicular to the debris to be removed. Depending on the treatment objectives, these effects are sought “more or less”. NSK handpieces, whether optic or non-optic are lightweight and easy to handle. They provide improved tactile sensitivity in areas with no visual access. The smaller diameter, particularly in the optic handpiece, gives access to even the most posterior areas of the oral cavity. There are many tips for dealing with various clinical indications. They are designed to provide access and thus optimise the action of the working end fitting. Tip selection is guided by the treatment objective. (ref tables) Easily interchangeable Solution bottles Twin LED lignts Application power range for NSK varios tips when used with NSK Varios2 utrasonic scaler P4,5, P14~P17 writing by Drs Solenn HOURDIN(Ms) and Dominique GLEZ(Mr) 7 6 Varios tips are designed for initial periodontal treatment, and are mainly used for supragingival scaling. Eleven versions of NSK Varios tips allow the removal of supragingival calculus, interdental calculus, and calculus at the neck of the tooth. SCALING Refer to the power guide on pages 64-65. 9 Scaling 8 Scaling Satelec® is registered trademarks of Acteon SA, France. EMS® is registered trademarks of Electro Medical Systems SA, Switzerland. SCALING G1 • Removal of supra gingival tartar. • Removal of tartar narrow interdental space. • Removal of marginal gingival calculus. MODEL ORDER CODE Z217101 G1 MODEL ORDER CODE Z291101 G1-E 23.3 7.2 Cross Section Diagram NSK Satelec® EMS® 23.4 7.0 Cross Section Diagram 20.0 11.1 Cross Section Diagram G3 • Removal of supra gingival tartar. G2 • Removal of supra gingival tartar. G4 • Removal of supra gingival tartar. • Removal of marginal gingival calculus. 23.0 8.1 Cross Section Diagram 20.1 11.2 Cross Section Diagram 24.5 11.4 Cross Section Diagram G6 • Removal of supra gingival tartar. • Removal of tartar narrow interdental space. • Removal of marginal gingival calculus. • Removal of gingival biofilm under natural tooth. G5 • Removal of supra gingival tartar. • Removal of tartar narrow interdental space. • Removal of marginal gingival calculus. • Removal of gingival biofilm under natural tooth. Cross section diagram is the image of a point 1 mm from the end. The illustrated tip diagram is four times bigger than the actual size. * MODEL ORDER CODE Z217104 G4 MODEL ORDER CODE Z291104 G4-E NSK Satelec® EMS® MODEL ORDER CODE Z217102 G2 MODEL ORDER CODE Z291102 G2-E NSK Satelec® EMS® MODEL ORDER CODE Z217105 G5 NSK Satelec® MODEL ORDER CODE Z217103 G3 MODEL ORDER CODE Z291103 G3-E NSK Satelec® EMS® MODEL ORDER CODE Z217106 G6 MODEL ORDER CODE Z291106 G6-E NSK Satelec® EMS® Single rooted / Multi rooted Single rooted / Multi rooted Single rooted / Multi rooted Single rooted / Multi rooted Single rooted / Multi rooted Single rooted / Multi rooted Refer to the power guide on pages 64-65. 11 Scaling 10 Scaling SCALING G8 • Removal of supra gingival tartar. • Removal of tartar narrow interdental space. • Removal of marginal gingival calculus. 22.7 9.3 Cross Section Diagram 21.8 22.9 7.4 Cross Section Diagram G12 • Removal of supra gingival tartar. G9 • Removal of supra gingival tartar. • Removal of tartar narrow interdental space. • Removal of marginal gingival calculus. • Removal of gingival biofilm under natural tooth. MODEL ORDER CODE Z217108 G8 NSK Satelec® MODEL ORDER CODE Z217412 G12 NSK Satelec® Cross section diagram is the image of a point 1 mm from the end. The illustrated tip diagram is four times bigger than the actual size. * Satelec® is registered trademarks of Acteon SA, France. Single rooted / Multi rooted Single rooted / Multi rooted 23.1 6.9 Cross Section Diagram G11 • Removal of supra gingival tartar. MODEL ORDER CODE Z217411 G11 NSK Satelec® Single rooted / Multi rooted Single rooted / Multi rooted G13 • Removal of supra gingival tartar. 22.2 6.7 Cross Section Diagram MODEL ORDER CODE Z217413 G13 NSK Satelec® Single rooted / Multi rooted MODEL ORDER CODE Z217109 G9 NSK Satelec® 13.6 Cross Section Diagram 12 13 Varios Perio Tips are thin and designed for root planing and maintenance (breaking up biofilm), to provide the best access to furcation and curved roots. PERIO 15 Perio 14 Perio THE PHILOSOPHY OF ULTRASONIC TREATMENTS IN PERIODONTICS Since the beginning of time, man has continually sought to push his boundaries. The desire for progress and the use of new technologies is particularly challenging for dentists who must now be able to integrate periodontics into their general practice. While conventional, non-surgical treatment is considered as the “Gold Standard”, the fact remains that if access to a certain site is difficult, disinfection is not comprehensive and the quality of the curettage is still sometimes insufficient. These manual treatments are often tedious for the dentist and uncomfortable for the patient. Knowledge and understanding of ultrasonics and advances in the design of micro-tips are just some of the elements which mark the superiority of the ultrasonics treatment (Kocher, 1997 Gagnot et al in 1999 Gagnot, JPIO 2002) and push the boundaries of periodontal surgery. (Brent Scott et al 1999, Himeno 1994)(Ishikawa and Baehni, 2004; Heitz-Mayfield 2005) We understand that the chances of reattachment and regeneration are related to the biocompatibility of tissues (cementum, gingival wall, periodontal ligament). Therefore the clinical challenge lies in the disruption of the biofilm and plaque retention elements (mineralised debris), while protecting tissues vital to healing (Goncalves and coll, 2008) (Fuzaka and Nishimura 1994. Smart et al 1990). Unlike other systems, the piezoelectric system provides a tip movement in the uploads/Geographie/ tip-guide.pdf