™
Patent pending
USA Engineered and Manufactured
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The EndoUltra™ produces ultrasonic tip frequency of 4
LED Power Level Indicator
Rechargeable battery provides ample power, plus
easy-to-see charge levels (Full Power - Green,
Partial - Orange and Low - Red)
Ergonomic Design
Contra angle design offers easy
access in posterior regions
On/Off Switch
Single button controls
both LED light and tip
activation
Cordless
Convenient and
easy to use
Sure Grip Design
Sleek design and slim soft grip
for both comfort and easy maneuverability
EndoUltra™ by Vista Dental™ harnesses ultrasonic technology in a compact, easy-to-use
and cordless handheld device! EndoUltra™ is the only cordless activator unit capable of
generating the tip frequency (40,000 Hz) required to create sufficient acoustical streaming
and the cavitation necessary to effectively clean, penetrate and remove vapor lock.
The complete EndoUltra™ kit includes 6 autoclavable NiTi Activator tips which resonate down
the entire length of the tip! These unique, multi-use tips will not engage or remove tooth structure. They come in two sizes: 15/02 and 25/04 with depth markers at 18mm, 19mm and 20mm.
Tip frequency is 40 kHz (40,000 cycles / second). Tips may also be purchased separately.
Scan code
to see video!
perior Activation
*
Compared to sonic devices
40,000 Hz (200X more powerful than sonic devices)!
ULTRA EFFECTIVE
Better penetration to every part of the canal!
ULTRA EFFICIENT
Better cleaning in less time!
ULTRA SONIC
Better acoustic streaming with cavitation!
EndoUltra™
Disrupts biofilm and
• Improves cleanliness
• Reduces bacteria levels
• Improves penetration of irrigants
LED Light
Patent Pending
Provides illumination for
improved visibility and
eliminates shadows in tough
to see working areas
Nickel Titanium Tips
Unit includes uniquely designed
autoclavable NiTi Activator tips
in sizes 15/02 and 25/04
Complete EndoUltra™ Kit
Autoclavable Sleeves
Three handpiece sleeves are included with the EndoUltra™ for easy autoclaving
between procedures
Kit Includes: 15/02
25/04
[407702]
1) cordless handpiece
(3) autoclavable handpiece sleeves
(3) 15/02 tips and (3) 25/04 tips
(1) charger and (1) tip wrench
(3) NiTi Activator tips
(3) NiTi Activator tips
*Mozo S, et al. (2012). Review of ultrasonic irrigation in endodontics: increasing action of irrigating solutions. Med Oral Patol Oral Cir Bucal.
Van der Sluis LW, et al. (2007). Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J.
Tasdemir T, et al. (2008). Effect of passive ultrasonic irrigation on apical extrusion of irrigating solution. Eur J Dent.
[407706]
[407705]
SEE WHY SCIENTIFIC EVIDENCE SUPPORTS ULTRASONIC TECHNOLOGY.
Vista Dental™, the industry leader in endodontic irrigation, is proud to
introduce EndoUltra™ - the world’s first cordless ultrasonic dental device! EndoUltra™ offers best-in-class ultrasonic activation of irrigants.
Ultrasonic technology is much more effective than rotary or hand instruments
A research study** by Dr. Ove Peters illustrated that approximately 35% or more of the canal’s surface remains untouched
with the use of rotary or hand instruments.
This means that much of the canal’s surface has not been
properly cleaned or disinfected.
Variances in the morphology
of canals dictate that even the
best instruments only touch a
part of the canal space.
Green – areas that have not
been treated with endodontic instruments and remain
infected leading to failures/
retreatments.
Image courtesy of Dr. Marco Versiani
Research conducted at the University of Ohio by Dr. John
Nusstein‡ compared the in vivo debridement efficacy of hand/
rotary versus a “hand/rotary/ultrasound” technique (see
chart below). Dr. Nusstein’s research concluded, that 1 minute of ultrasonic activation after hand/rotary instrumentation
resulted in significantly cleaner canals and isthmuses in the
mesial roots of mandibular molars. Only with the addition of
ultrasonics can you completely clean the difficult anatomy of
the root canal.
The EndoUltra™ provides sufficient ultrasonic energy required
to effectively activate canals resulting in significantly better
endodontic procedures.
Passive Irrigation
RED – areas after preparation that have been treated by
hand or rotary instruments.
ULTRASONIC
Furthermore, nickel titanium and stainless steel instruments
leave a sufficient amount of the canal covered in smear layer,
which leaves the canal populated with bacteria and debris.
Rotary and hand instruments alone are insufficient to properly clean the endodontic space created. To improve clinical
outcomes and reduce retreatments, ultrasonic agitation of
irrigants is required.
**Peters OA, et al. (2001). Effects of four Ni-Ti preparation techniques on
root canal geometry assessed by micro computed tomography. Int Endod J.
‡
Reprinted from Gutarts R, Nusstein J, Reader A, Beck M. In vivo debridement efficacy of ultrasonic irrigation following hand-rotary instrumentation in human mandibular molars. J Endod. 2005, with permission from
Elsevier.
Ultrasonic technology has proven to be superior to Sonic In a study by Dr. Van der Sluis, ultrasonic activation proved to be significantly more effective in the removal of dentin debris than
sonic activation. Ultrasonic devices, like the EndoUltra™ are 89% effective in cleaning of the canals completely free from dentine
debris, compared to the sonic group of 5.5% - 6.7%.
S
ULTRASONICS
als
Cleaned Canals
Uncleaned Canals
SONICS
Cleaned Canals
Uncleaned Canals
SONICS
Cleaned Canals
Uncleaned Canals
Jiang LM, et al. (2010). Evaluation of a sonic device designed to activate irrigant in the root canal. J Endod.
Additionally, only ultrasonics was proven to provide the shear forces required to produce cavitation and acoustic streaming. Activation of the irrigant resulted in significantly more dentin debris removal; ultrasonic activation was significantly more efficient than
sonic activation.
Numerous studies have shown the importance
of ultrasonics for improved cleaning, smear
layer removal and creating cavitation
within the canal space.
FEATURES
BENEFITS OF ULTRASONIC ACTIVATION
Improved Cleaning
Smear Layer Removal
Debridement
Antibacterial
Superior Penetration
Difficult Anatomy
QUOTE
“US [(ultrasonics)] as an adjunct with various
irrigation solutions contributes to the removal
of the smear layer”
“Significantly more artificially placed dentine
debris is removed ex vivo by ultrasonic irrigation
than by syringe irrigation”
“Logistic regression analysis indicated the addition of ultrasonic irrigation was 7 times more likely to yield a negative culture.”
“…the 1-minute use of ultrasonically activated
irrigation, following hand/rotary cleaning and
shaping, has been shown to improve canal and
isthmus cleanliness”
PROOF
Plotino, 2007
Lee, 2004
Carver, 2007
Gutarts, 2005
Disruption of Biofilm
“Acoustic streaming has been found to be sufficient
to cause disruption of biological cells (8) and effect
removal of mucopolysaccharide surface coatings
from mammalian cells (9) and viscous coatings
from membrane (10).”
8. Williams AR.
1972, 9. Martinez
Palomo A. 1970,
10. Jackson F J
1958
Acoustic Streaming
“Passive ultrasonic irrigation can induce acoustic
streaming and/or cavitation of an irrigant, thereby
enhancing the flushing effect (mechanical)”
Van der Sluis,
2010
EndoUltra™ - the world’s first cordless dental device!
Disrupts biofilm…Improves penetration of irrigants…
Removes dentinal debris…Reduces bacteria levels…
Improves root sealing…and more!
ULTRASONIC
ULTRASONIC vs. SONIC
“Recently, with its gradually increasing popularity, passive
ultrasonic activation of endodontic instruments has been
suggested as a means to improve canal debridement, canal
disinfection and canal sealing”
“Ultrasonic energy produces multiple nodes and antinodes
along the length of a vibrating tip. This mechanism of action serves to decrease the back and forth movement of the
tip when any portion of the instrument, even if pre-curved,
contacts dentin. On the contrary, sonic energy produces just
one single node and antinode over the entire length of the
vibrated object”
Tasdemir T, et al. (2008). Effect of passive ultrasonic irrigation on apical extrusion of irrigating solution. Eur J Dent.
“The investigation has shown that it is possible to achieve
transient cavitation from an ultrasonic file, provided optimum conditions are satisfied and a certain threshold
displacement amplitude is achieved”
Ahmad M, et al. (1987). Ultrasonic debridement of root canals: acoustic
streaming and its possible role. J Endod.
Guerisoli DM, et al. (2002). Evaluation of smear layer removal by EDTAC and
sodium hypochlorite with ultrasonic agitation. Int Endod J.
“Ultrasonic energy generates higher frequencies than those
generated by sonic driven devices”
Guerisoli DM, et al. (2002). Evaluation of smear layer removal by EDTAC and
sodium hypochlorite with ultrasonic agitation. Int Endod J.
“In conclusion, the addition of ultrasonic irrigation after
hand and rotary cleaning and shaping significantly reduced
CFU counts and was 7 times more likely to yield a negative
culture than hand and rotary instrumentation alone. Reducing bacterial levels within infected molar root canals should,
empirically, improve the success rate of endodontic therapy
on these teeth. The ultrasonic irrigating device used in our
study might help to achieve this goal”
“In comparison to sonic irrigation, ultrasonic irrigation has
proved to be more powerful and able to eliminate more
debris, and so it is claimed that passive ultrasonic irrigation
is significantly more efficient than sonic activation”
Mozo S, et al. (2012). Review of ultrasonic irrigation in endodontics: increasing action of irrigating solutions. Med Oral Patol Oral Cir Bucal.
Carver K, et al. (2007). In vivo antibacterial efficacy of ultrasound after hand
and rotary instrumentation in human mandibular molars. J Endod.
“But when the ultrasonically irrigated groups were compared directly to the sonically irrigated groups, without considering the control group, it was found that the ultrasonically irrigated groups had significantly less debris at both
the 0- to 3-mm and the 3- to 6-mm levels than the sonically
irrigated groups (p _ 0.05). Passive use of ultrasonic files
with NaOCl irrigation produced significantly cleaner canals
than did the passive use of sonic files with NaOCl irrigation”
Sabins RA, et al. (2003). A comparison of the cleaning efficacy of short-term
sonic and ultrasonic passive irrigation after hand instrumentation in molar
root canals. J Endod.
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