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Safeguard dentin. Simplify endodontic treatment.

The TruNatomy treatment solution helps safeguard the natural anatomy of the root canal system. 

Specially designed to maintain structural dentin and tooth integrity, TruNatomy ensures sufficient room for cleaning and disinfecting narrow spaces using the dedicated irrigation needle and EndoActivator® — enabling you to offer next-level care to patients.

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Why choose TruNatomy solution?

More dentin preserved

Preserve structural dentin and tooth integrity more effectively.

Enhanced patient safety

Reduce the risk of breakage due to TruNatomy files’ flexibility and resistance to cyclic fatigue.1

Superior efficiency

Enjoy better performance and more space for thorough debris debridement thanks to the three shaping files’ slim shape and unique cross-sections.

Molar access

Gain easier access to posterior teeth thanks to the shortest handle on the market and ability to pre-bend.

Unlock next-level care across your workflow

Shaping

A unique combination of features enables efficient root canal treatment while removing dentin only where needed.2
Cleaning

The irrigation needle and SmartLite Pro EndoActivator® are designed to support enhanced cleaning capabilities.
Obturation

Gain obturation confidence with a sealer that promotes self-healing and Conform Fit Gutta-Percha Points that precisely match file-shaped canals.

How to: 

Step 1:

Review different horizontally angulated radiographs to diagnostically determine the width, length, and curvature of any given root canal.

Step 2:

Estimate the working length using well-angulated preoperative radiographs.

Step 3:

Prepare a conservative access cavity sufficient to reveal all root canal orifices.

Step 4:

Scout the coronal 2/3 of canals with an ISO 010 K-File in the presence of lubricant such as Glyde™ FILE PREP and irrigate.

Step 5:

Followed by a TruNatomy Orifice Modifier at 500 rpm and 1.50 Ncm. With irrigant in the canal advance TruNatomy Orifice Modifier in 2–3 gentle amplitudes approximately 2–5 mm in-and-out of the canal. Repeat until the coronal third is shaped. The instrument has 7 mm of cutting flutes, insertion into the canal should not exceed the length of the cutting portion. Irrigate the canal and clean cutting flutes routinely.

Step 6:

Scout the whole root canal with an ISO 010 K-File, determine working length by using an electronic apex locator (EAL) in combination with radiographs, irrigate and confirm patency.

Step 7:

With irrigant in the canal, create and confirm a reproducible glide path using a TruNatomy Glider in 2–3 gentle amplitudes approximately 2–5 mm. Irrigate and repeat until previously confirmed working length with an EAL has been reached.

Related products

SmartLite Pro EndoActivator
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Irrigation needle
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AH Plus
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Frequently asked questions

TruNatomy is part of an endodontic treatment solution of files, matching paper points and Gutta-Percha points. Its unique file is designed to follow the natural anatomy of the root canal system and preserve natural tooth structure. Its matching obturation predictably fits shapes made with the instrument.

TruNatomy has several advantages for endodontic treatment, including more space for debris removal, improved cyclic fatigue and less risk of breakage, reduced risk of blockage thanks to an improved compressibility3 as well as a sense of control and a smooth feeling throughout the procedure.

Additionally, the system enables shorter shaping time and enhanced patient comfort.3

Research has shown that instrumentation can compromise the strength of the tooth — but strength is restored when more dentin is saved.1 TruNatomy offers a unique combination of features that enables efficient root canal treatment while removing dentin only where needed.2 The system provides efficiency with less dentin removal thanks to a combination of dedicated heat-treated NITI (nickel titanium) with a 0.8 mm wire and its patented off-centered cross section shaping files with regressive taper to offer superior efficiency (compared to progressive taper instruments).

Additionally, TruNatomy Orifice Modifier shapes the orifice to create the entry point without straight line access, preserving pericervical dentin.

TruNatomy is made to be used for a variety of endodontic cases, even complex ones that can call for more accuracy and control. This treatment solution works especially well in situations when the root canal system is curved, calcified, or challenging to access.

While TruNatomy has a short learning curve, it is recommended that dentists and endodontists explore specialized training in order to use TruNatomy efficiently. The manufacturer of TruNatomy, Dentsply Sirona, provides a range of training alternatives to aid dental professionals in mastering the system. Online lessons, instructional videos, and practical training programs can all fall under this category. Dental professionals can help make sure they are utilizing TruNatomy safely and effectively and giving their patients the optimum results by completing the training.

Explore Endodontics

Downloads

TruNatomy® | Solution Guide | EN
TruNatomy Sequence and Step-by-Step procedure
436 KB
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TruNatomy | Scientific Manual | EN
Scientific and research information
1 MB
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What dental professionals like about TruNatomy

"TruNatomy respects the anatomy without compromising the ability to irrigate."

Dr. Jon Cowie 

"TruNatomy is a conservative and flexible root canal shaping system: a larger tapered instrument would have weakened the tooth."

Dr. Mauro Amato

"TruNatomy system facilitates the treatment of calcified and curved canals by focusing on dentin preservation."

Dr. Juan Pablo Miraglia

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1 Sedgley CM, Messer HH. Are endodontically treated teeth more brittle? J Endod. 1992 Jul;18(7):332-

2 Internal data on file. For more information, contact Consumables-Data-Requests@dentsplysirona.com

3 Compared to ProTaper Next. Internal data on file. For more information, contact Consumables-Data-Requests@dentsplysirona.com

4 Ng, Y.L., V. Mann, and K. Gulabivala, Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J, 2010. 43(3): p. 171-89