TruNatomy: an innovative, efficient and complete root canal treatment solution, that offers a superior performance, debridement and debris removal, with an increased respects the natural anatomy of the canal while preserving structural integrity.
Introducing TruNatomyâĒ, the latest creation from Dentsply Sirona that is part of a long tradition of successful endodontic treatment solution. This tradition includes recognized brands such as ProTaperÂŪ and WaveOneÂŪ, both known and trusted around the world for their reliability and performance. Â
TruNatomyâs unique combination of features was developed in partnership with skilled practitioners, Dr. Ove Peters (DMD, MS, PhD) and Dr. George Bruder (DMD), leaders in the ïŽeld of endodontics, with the Dentsply Sironaâs Maillefer Research and Development Engineering teams. TruNatomy combines Swiss precision with advanced engineering to offer the beneïŽts of improved performance with increased respect of the tooth anatomy1.
Â
The new TruNatomyâĒ solution offers:
Smooth feeling during preparation
Improved performance and efficacy1
More space for debridement and debris removal1
Respect of the natural tooth anatomy
Preserve tooth structure
TruNatomyâĒ features products for each step of the root canal treatment that work together smoothly:
Orifice Modifier, Glide Path and Shaping Files
Dedicated Absorbent points
Dedicated Conform FitâĒ Gutta-Percha
New flexible irrigation needle
Endodontic Access
Successful root canal treatment starts with adequate access to the pulp chamber. The ideal procedure provides access to root canal oriïŽces with minimal loss of dentin.
Retaining dentin serves as the critical base for a quality restoration following root canal treatment. The more dentin preserved during an endodontic treatment, the more options there will be to perform a successful, durable restoration.3
Thus, a Conservative Endodontic Cavity (CEC) is the recommended with the TruNatomyâĒ system.
How small should the access cavity be?
âOur recommendation is for the oriïŽce to be âas small as practicalâ given the clinical case. Therefore Conservative Endo Cavity (CEC) is recommended above other options.â
Instrumentation
Preparing the canal
The TruNatomyâĒ OriïŽce ModiïŽer adapts the shape of the oriïŽce to create the ideal entry
point for the TruNatomyâĒ Glider and TruNatomyâĒ Shaping ïŽles. This ïŽle is able to preserve
the coronal anatomy due to its ïŽexibility, diameter and heat-treated NiTi alloy. It is also ideal for cases in which the canal is not vertically oriented as it can enter the tooth from different angles. The TruNatomyâĒ OriïŽce ModiïŽer is recommended in the basic TruNatomyâĒ sequence.
Glide Path
The efïŽcacy of root canal preparation is signiïŽcantly enhanced when an effective, reproduceable glide path is created.
The TruNatomyâĒ Glider optimizes the glide path and allows for a smooth transition between the K-File and the TruNatomyâĒ Shaping Files. The TruNatomyâĒ Glider operates at a higher speed for greater cutting efïŽciency with less torque. With just 2 cutting edges, it encounters less resistance and thus requires less applied pressure, ensuring precision with increased ease of use. Thermal treatment provides greater ïŽexibility with improved fatigue resistance.
Shaping
TruNatomyâĒ Shaping Files are available in three different sizes and lengths to treat a wide range of cases. While the TruNatomyâĒ Prime shaping ïŽle is appropriate for most cases, two additional shaping ïŽles, the TruNatomyâĒ Small and the TruNatomyâĒ Medium, are available to address both smaller and larger canals.1 The clinician will experience a fluid transition between the TruNatomyâĒ Shaping Files.
Up to 3 times more flexible than ProTaper Next Â
TruNatomyâĒ offers superior efficiency
All three shaping ïŽles offer a slim shape combined with a unique cross-section for better performance while providing more space for thorough debris debridement.
Slim NiTi wire design: 0.8 mmMaximum Flute Diameter (MFD) instead of up to 1.2 mm for most. generic variable tapered ïŽles.
Off-centered cross-section.
Operates at a higher speed for greater efïŽciency with less torque.
Â
TruNatomyâĒ ensures better respect of the natural tooth anatomy
The instrument is made of special NiTi heat-treated wire that provides an exceptional ïŽexibility, which allows the ïŽle to be pre-bent when needed. Thanks to its superior canal-centering ability, the instrument is designed to adapt to the canal â not the other way around.
TruNatomyâĒ preserves structural dentin and tooth integrity
The union of the file geometry, regressive tapers and the slim, highly-flexible wire enables efficient root canal treatment while removing only dentin where clinically needed.1
TruNatomyâĒ adapts to you, leveraging your expertise
Conservative Endodontic Cavity :
Access is now possible from different angles while until now, structure needed to be sacrificed (traditional endodontic cavity).1
No need for straight line access.1
Â
TruNatomyâĒ enhances patient safety
TruNatomyâĒ ïŽles provides enhanced safety as the risk of breakage is reduced due to its greater ïŽexibility and resistance to cyclic fatigue.1
TruNatomyâĒ saves you timeÂ
TruNatomyâĒ is an intuitive, straightforward and easy-to-learn endo solution.2
Also, as it requires less shaping time,1 this allows more time for irrigation.
TruNatomyâĒ preparations seem very narrow. Can I still irrigate properly?
âThe TruNatomyâĒ Irrigation Needleâs flexibility allows it to progress apically in curved canals below 12 mm.â
Irrigation & Obturation
For Appropriate Disinfection
The TruNatomy Irrigation Needle complements the treatment sequence.
The back to back 2-sided vent design maintains a balanced irrigation solution volume for greater control throughout the canal.
 Its soft polypropylene allows the needle to curve and flex easily to follow the root canal anatomy.
The plastic body makes the needle atraumatic for hard tissues.
TruNatomyâĒ Absorbent Paper Points
TruNatomyâĒ Absorbent Points are:
New tapered TruNatomyâĒÂ absorbent points to dry TruNatomyâĒÂ shapes
Ready to use
Packaged in individual sterile packs of 5 points
TruNatomyâĒ Conform FitâĒ Gutta-Percha
TruNatomy Conform Fit Gutta-Percha points are not made with natural rubber latex and formulated to match the precise shapes created by the TruNatomy instruments.
Variable taper
Precise ïŽt and accurate tug back
Not made with natural rubber latex
Improved heat transfer up to 5mm2
AH Plus JetÂŪ
AH PlusÂŪ is an epoxy-based sealer, making it biocompatible and a viable solution to postoperative problems such as sensitivity and periapical inflammation. Research has shown that epoxy-based sealers do not cause irritating effects towards periapical tissues and once set, can be considered as biologically inert.
AH Plus also exhibits moderate antimicrobial properties, giving it the potential to significantly reduce the germ load in the canal. It has a low solubility, making it highly resistant to leakage and breaking down over time.
In addition, its minimal shrinkage reduces gapping between the sealer and the canal wall. And it has extraordinarily high adhesion to dentin â even without a bonding agent.
TruNatomyâĒ preparations seem narrow. Can I still obturate properly?
âYes. The TruNatomy Conform Fit gutta-percha points are designed to perfectly match the preparations made with TruNatomy ïŽles and ensure an optimal obturation.â
Equipment
Â
Designed with practicality and ease of use in mind, TruNatomy is compatible with the Dentsply Sirona wide range of equipment.
This includes:
The X-Smart IQ cordless motor, the latest addition to the X-Smart family is now part of the IQ ecosystem.
The X-Smart IQ motor is wirelessly connected to an iPad (without screen size limitations). Its miniature 360 head and contra-angle help with difïŽcult access cases especially when used in combination with the smaller TruNatomy ïŽle latch handles.
Â
Â
The Endo IQ App: the heart of the IQ experience, is based on the globally used and reliable iOS Operating System. Its regular updates will ensure you remain up-to-date as the ïŽle library is constantly updated. You can simply update your Endo IQ App and select the TruNatomy preset.
The Propex IQ apex locator is the latest addition to the IQ ecosystem, this wireless apex locator integrates perfectly with Endo IQ App for a simple and unique experience.
The EndoActivator with the Small tip (15.02) is recommended for use with TruNatomy.
I thought Endo was all about removing bacteria.
âYes, that is a very important goal but the overarching goal is to aid in the retention of a functional dentition.â