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Each root canal is unique. That’s why the ProTaper Ultimate treatment solution is designed to support your passion to take on a wide range of canal anatomies. The 5th generation of ProTaper was thought through as a complete workflow and offers a full sequence from narrow canals (F1) to wider ones (FXL).
A solution combining the latest generation of ProTaper files, enhanced disinfection with the Dentsply Sirona Irrigation Needle and the SmartLite Pro EndoActivator®, and dedicated obturation with ProTaper Ultimate Conform-Fit® gutta-percha and AH Plus® for a reliable seal, to enable you to successfully treat a full range of anatomical cases, from the easiest to some of the most challenging ones.1
Review different horizontally angulated radiographs to diagnostically determine the width, length, and curvature of any given root and its canal(s).
Prepare an access that enables the easy identification of each canal orifice.
The auxiliary shaping file, SX, may be used when there is restrictive space, to pre-enlarge the body of a canal, or to relocate the coronal-most aspect of a canal away from an external root concavity.
The auxiliary shaping file, SX, may be used when there is restrictive space, to pre-enlarge the body of a canal, or to relocate the coronal-most aspect of a canal away from an external root concavity.
If the Slider doesn’t easily reach the canal terminus, select a small-sized manual Stainless Steel (SST) hand file. In the presence of lubricant catheterize the canal, establish working length, confirm patency, and verify the Slidepath. Now, repeat step #4 above.
Insert gently the irrigation needle at the canal orifice, start irrigating at the coronal entry. Bring the needle down into the canal while irrigating abundantly until the coronal 2/3 of the canal is reached. Irrigate in the canal with a continuous 2-3 mm back and forth movement. Irrigate with 1 to 2 ml of solution after each pass of instruments.
In the presence of NaOCl, select the Shaper and advance along the Slidepath, in one or more passes, until the WL is reached.
Upon removing the Shaper, irrigate as previously advocated in step #6, EndoActivate to break up debris and move it into solution, then re-irrigate to liberate this debris.
Reconfirm WL, especially in curved canals.
Select the FINISHER F1 (020.007v) and passively follow the canal to the WL, in one or more passes. Remove and inspect its apical flutes. When loaded with dentinal debris, the preparation is finished.
If the FINISHER F1 is loose at length and its apical flutes are not loaded with debris, select the FINISHER F2 (025.008v) and use it in the same manner as described step #10 above.
If the FINISHER F2 is loose at length and its apical flutes are not loaded with debris, select the FINISHER F3 (030.009v) and use it in the same manner as described step #10 above.
Upon removing any given file, clean and inspect its cutting flutes, irrigate as previously advocated in step #6, recapitulate with either a size 10 file or EndoActivator to break up debris, then re-irrigate.
Inspect the file’s cutting flutes upon removal for the presence of unwinding, straightening or stretching. If deformation is noted, discard and use a new ProTaper Ultimate file.
The preparation is finished when the apical extent of any Finisher is loaded with debris, and the corresponding Gutta-Percha Point fits at the WL.
Once the preparation is finished, proceed with 3-D disinfection protocols with EndoActivator or SmartLite Pro EndoActivator.
Select dedicated ProTaper Ultimate Absorbent points (corresponding to color code and size of the last instrument used during canal preparation) to dry the root canals.
For AH Plus Jet® (master cone technique): - The sealer can be applied directly into the root canal or extruded conventionally on a mixing pad. - Select a gutta-percha point (or alternatively a paper point) of the size of the last instrument used during apical preparation. - Wet the canal walls with the sealer through a pumping movement of the point. - Dip disinfected and dry master point into the material and insert it into the canal with a slow pumping motion. (See webpage for instructions for use: www.dentsplysirona.com/IFU).
Insert a dedicated ProTaper Ultimate Conform Fit Gutta-Percha Point (corresponding to color code and size of the last instrument used during canal preparation) into the root canal and push it to the apical stop. Avoid excessive pressure to minimize or prevent extrusion beyond the apical foramen.
Cut and remove the coronal portion of the master cone at the root canal orifice. Compact the coronal portion of the cone with an appropriately sized and fitted plugger. Verify with radiographs.
020.003v
016.002v
020.004v
020.007v
025.008v
030.009v
035.012v
050.010v
19 mm
21 mm / 25 mm / 31 mm
21 mm / 25 mm / 31 mm
21 mm / 25 mm / 31 mm
21 mm / 25 mm / 31 mm
21 mm / 25 mm / 31 mm
21 mm / 25 mm / 31 mm
21 mm / 25 mm / 31 mm
6-pack
3-pack / 6-pack
3-pack / 6-pack
3-pack / 6-pack
3-pack / 6-pack
3-pack / 6-pack
6-pack
6-pack
ProTaper Ultimate components are color-coded. The corresponding color between Gutta-Percha point, paper points and finishers files helps you to easily identify which point to use to dry and fill your canal.
ProTaper Ultimate files vs EdgeTaper Platinum files:
ProTaper Ultimate files are more resistant to unwinding than EdgeTaper Platinum files.5
ProTaper Ultimate files work faster than EdgeTaper Platinum files. Root canal shaping with ProTaper Ultimate is more efficient than with EdgeTaper Platinum files.6
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 Center
1. Internal data on file. For more information contact Consumables-Data-Requests@dentsplysirona.com
2. Martins JNR, et al. Characterization of the file-specific heat-treated ProTaper Ultimate rotary system. Int Endod J. 2023 Apr;56(4):530-542. Epub 2022 Dec 21. the ProTaper Ultimate instruments (except the Slider) showed a higher flexibility than their counterparts of ProTaper Universal and ProTaper Gold systems (table 1, Figure 4 of the publication).
3. ProTaper Ultimate® Scientific Manual. 2025 Dentsply Sirona Inc. ZKD, p.5.
4. Chan, W.S., K. Gulati, and O.A. Peters, Advancing Nitinol: From heat treatment to surface functionalization for nickel-titanium (NiTi) instruments in endodontics. Bioact Mater, 2023. 22: p. 91- 111.
5. Ex vivo study by Prof Ana Arias, Complutense University Madrid, Spain (0% PTUL file unwinding, 34% ETP file unwinding after shaping one root canal (p=0.009)) - DS Supported. Unpublished, for more information contact Consumables-Data-Requests@dentsplysirona.com
6. Ex vivo study by Prof Ana Arias, Complutense University Madrid, Spain (33 s for PTUL file sequence for shaping of one root canal, 52 s for ETP file sequence (p=0.02)) - DS Supported. Unpublished, for more information contact Consumables-Data-Requests@dentsplysirona.com
7. Kanter V, Weldon E, Nair U, et al. A quantitative and qualitative analysis of ultrasonic versus sonic endodontic systems on canal cleanliness and obturation.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(6):809- 813.doi:10.1016/j.tripleo. 2011.06.002.