Being able to rely on your tools in dental practice is priceless. It’s your choice: Why compromise between price and quality if you can have both? Discover VDW.ROTATE, as part of our selection of products, drawing on decades of clinical experience, materials science, testing evaluations and reliable manufacturing. VDW.ROTATE is the multiple use1 NiTi root canal file for continuous rotary preparation that can perform up to 8 cases.2
Estimate the working length from a preoperative radiograph.
Prepare an access cavity sufficient enough to reveal all root canal orifices.
Scout coronal 2/3 of canals with an ISO size 10 C-PILOT® file.
Afterwards, determine working length with C-PILOT® using an electronic apex locator and confirm patency.
Irrigate the canal.
Create glide path to working length using VDW.ROTATE™ 15.04.
Choose among two techniques:
Option a) Pecking motion:
Advance the instrument in 2-3 gentle amplitudes approximately 1-3 mm in-and-out of the canal.
Option b) Brushing motion:
I. Insert the rotating instrument into the root canal without touching the walls of the canal.
II. Exerting gentle pressure, allow the instrument to touch the canal wall.
III. Make small, stroking/brushing movements (over 1-3 mm) in a coronal direction, without taking the instrument out of the canal.
IV. Allow the instrument to move apically for 1-3 mm and then repeat the movement described under III. Gradually advance step by step towards the apex with up and down movements.
Irrigate the canal and reverify canal patency. Throughout the procedure, clean and inspect the instrument’s cutting flutes.
If deformation is noted, discard and use a new VDW.ROTATE™ instrument.
Use VDW.ROTATE™ 20.05 until reaching working length in your preferred technique (see step 6a or 6b).
Repeat Step 7.
Establish the final working length using an electronic apex locator.
Depending on the canal curvature and size, choose between the VDW.ROTATE™ 25.06 or 25.04 size as following:
Option a) For the majority of the cases, use the VDW.ROTATE™ 25.06 until reaching working length.
Option b) If the canal is narrow and highly curved, use the VDW.ROTATE™ 25.04 until reaching working length.
Gauge the foramen with an ISO 25 hand file to make sure that the instrument is snug at length and the canal ready to be obturated.
Repeat Step 7.
If necessary, use larger sizes for an increased apical enlargement after reaching working length with VDW.ROTATE™ 25.06 or 25.04. Larger sizes can also be used both in pecking and brushing motion.
Dry and fill the canal with a proper technique using matching VDW.ROTATE™ Gutta-Percha points or a warm obturation technique for a three-dimensional fill.
VDW.ROTATE allows you to shape the canal with only 3 files for the majority of the cases: 1 glide path file and 2 shaping files. Therefore you save time compared to our 4-file Mtwo sequence. VDW.ROTATE also has a new file specific heat treatment, which makes the file more flexible without compromising its cutting efficiency.* Also, the adapted S cross section increases space for debris removal.** If you encounter narrow and highly curved canals, we also offer you a 25.04.
VDW.ROTATE files are reprocessable and reusable up to 8 times.1 For further information please consult our instructions for use, also available on the website.
VDW.ROTATE instruments have a constant taper, yet designed to respect the natural canal anatomy. Align to the specific clinical case by simply choosing between taper .06 or .04 and various ISO sizes. The instruments will follow the natural canal anatomy smoothly thanks to its specific heat treatment making the file more flexible.*
Quality canal shaping is an essential step that allows proper irrigation and correct canal obturation. Whether you are looking for a short reciprocating sequence, rotary files providing deep shape or a solution that helps you safeguarding the natural anatomy, our treatment solutions will suit your goals, supported by our latest generations of motors and apex locators.
Active irrigation promotes 3D cleaning and complete endodontics. Activating irrigant solution produces a surface with more opened dentinal tubules, providing better obturation of lateral and accessory canals.7 Our advanced cleaning tools can support you in achieving deep cleaning and disinfection of the root canals.
Obturation creates the hermetical (fluid-tight) seal that prevents bacteria that resides in the oral cavity from entering into the periarticular tissue. At Dentsply Sirona, we deliver obturation solutions as part of our endodontic treatment workflows, helping deliver healthy, long-term outcomes.
For instructions for use, safety data sheets, eMDR documents and more, visit our Download Centre
“I really like that the VDW.ROTATE instruments are very flexible. I used them in highly curved canals and it was a pleasure to work them. Nevertheless they are very active and more resistant to breakage.”
Dr Paulina Piasta-Kiełkiewicz, Poland, Warsaw
“I really love working with VDW.ROTATE. It works very smoothly and the instrument design fits the user’s needs. In my opinion, it is an excellent solution for lovers of rotary motion.”
Dr Igor Šutić, Croatia, Zagreb
“I enjoy working with VDW.ROTATE, it is a system that allows me to deal with all kind of canals. The increased flexibility, the small taper .04 and the possibility to pre-curve the file, make it the right instrument to manage narrow and highly curved canals respecting the natural root canal anatomy.”
Dr Jose Francisco Gaviño Orduña, Spain, Barcelona
1. Internal lab tests showing that VDW.ROTATE®' instruments having a tip size higher than ISO 025 were able to shape 8 Straight canals without fracture. Data on file. For more Information, contact Consumables-Data-Requests@dentsplysirona.com.
2. Internal lab tests showing that VDW.ROTATE® instruments having a tip size higher than
3. ISO 025 fulfilled the mechanical resistance criteria after 8 disinfection-sterilisation cycles. Data on file. For more Information, contact Consumables-Data-Requests@dentsplysirona.com.
4. Compared to other VDW continuous rotary instruments. Data on file. For more Information, contact Consumables-Data-Requests@dentsplysirona.com.
5. Compared to centred rotary cross section. Data on file. For more Information, contact Consumables-Data-Requests@dentsplysirona.com.
6. Lab tests showing a better performance of the VDW.ROTATE® instruments compared to the MTwo ones meaning higher flexibility. Data on file. For more Information, contact Consumables-Data-Requests@dentsplysirona.com.
7. Kanter V, Weldon E, Nair U, aet al. A quantitative and qualitative analysis of ultrasonic versus sonic endodontic systems on canal cleanliness and obturation.Oral Surg Oral Moed Oral Pathol Oral Radiol Endod. 2011;112(6):809- 813.doi:10.1016/j.tripleo. 2011.06.002.
