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Improvement and evolution of continous rotary preparation

To drive the improvement and evolution of continuous rotary preparation, we combined clinical experience, manufacturing expertise, material science and testing evaluations. Drawing on our successful history of rotary file series, we mixed our achievements with new developments in file design and material technologies to reshape and take the endodontic rotary file to yet another level of performance.

The result is VDW.ROTATE, a range of files with matching paper points and obturators that lets you play at your full potential in various clinical cases, from simple to complex.

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Why choose VDW.ROTATE?

Patient safety

The combination of wire, design and dedicated heat treatment increases the file’s resistance to cyclic fatigue and reduces the risk of file breakage.*

Short learning curve

The tactile feeling and the option to use VDW.ROTATE files in brushing or in pecking motion facilitate quick learning. 

Efficient debris removal

The adapted S cross section gives more space for debris removal and provides control of the instrument for a swift, thorough and safe preparation.*, **

Versatility

Intuitive 3-file basic sequence plus a wide range of larger files with matching paper points and gutta-percha for various clinical cases, including retreatments. Align to the specific clinical case by simply choosing between taper .04 or .06 and various ISO sizes.

Compose your own rotary file sequence

The basic 3-files sequence

Start with an intuitive 3-file basic sequence. Choose the taper according to canal anatomy.
Instruments for larger canal anatomies

If the canal anatomy requires further shaping, use larger sizes after reaching working length. Mix and match sizes and tapers to create your own file sequence.

A fine-tuned instrument for various clinical cases with the following features: 

Heat treatment boosting the flexibility without compromising cutting efficiency

Strengthens cyclic fatigue resistance of the file and lowers the risk of file breakage.*
Adapted S cross section for higher cutting efficiency

Ensures effective debris removal and provides control of the instrument for a swift and thorough preparation.*, **
Increased flexibility for better respect of the canal anatomy

VDW.ROTATE reduces canal transportation and better respects the canal anatomy.*

How to

Step 1:

Estimate the working length from a preoperative radiograph.

Step 2:

Prepare an access cavity sufficient enough to reveal all root canal orifices.

Step 3:

Scout coronal 2/3 of canals with an ISO size 10 C-PILOT® file.

Step 4:

Afterwards, determine working length with C-PILOT® using an electronic apex locator and confirm patency.

Step 5:

Irrigate the canal.

Step 6:

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.

Step 7:

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.

Step 8:

Use VDW.ROTATE 20.05 until reaching working length in your preferred technique (see step 6a or 6b).

Step 9:

Repeat Step 7.

Step 10:

Establish the final working length using an electronic apex locator.

Step 11:

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.

Step 12:

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.

Step 13:

Repeat Step 7.

Step 14:

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.

Step 15:

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.

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. 

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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.1 Our advanced cleaning tools can support you in achieving deep cleaning and disinfection of the root canals. 

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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, successful outcomes.

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Frequently asked questions

For non-preset motors, please use the doctor’s choice mode. For simplicity reason, you can use the following 3 settings. All settings are safe to use.

**TABLE THAT WE CAN NOT INCLUDE**

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.

While VDW.ROTATE instruments are reprocessable, VDW recommends single-use of the instruments for patient safety and more efficient workflows. 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.*

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Downloads

VDW.ROTATE | Brochure | EN
Endodontic instruments: Quality. Safety. Affordability.
1 MB
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For instructions for use, safety data sheets, eMDR documents and more, visit our Download Center

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What dentists say

“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 the perfect 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 perfect instrument to manage narrow and highly curved canals respecting the natural root canal anatomy.”

Dr Jose Francisco Gaviño Orduña, Spain, Barcelona

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*compared to other VDW continuous rotary systems

** compared to a centered rotary cross section

1. 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.