Komet ER CAST Series Instructions For Use

Manufacturer:
Gebr. Brasseler GmbH & Co. KG
Trophagener Weg 25
32657 Lemgo · Germany
ER CAST post
© 08/2012, Gebr. Brasseler GmbH & Co. KG
304846 - Rev 08/2012
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¿ Order number
Numéro d'ordre
Número de pedido
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Post systems
Systèmes de reconstitution
Sistemas de postes
Fig. 1 Fig. 2
Size Colour: yellow
Taille Couleur: jaune
050
Tamaño Color: amarillo
Pilot drill · Foret pilote · Fresa piloto
1.000 - 5.000 rpm
(
183LB.204 20.000 rpm
)
Reamer · Elargisseur · Ensanchador
1.000 - 2.000 rpm
(
196.204
20.000 rpm
)
Reamer, long · Elargisseur, long · Ensanchador, largo
1.000 - 2.000 rpm
(
196L.204 20.000 rpm
)
Universal depth gauge · Calibre de profondeur universal · Calibre de profondidad universal
74L12
Root facer · Alésoir à surfacer · Abrasivo para planear
2.000 rpm
(
120D.204.030 ) 20.000 rpm
Roughening instrument · Instrument à rugosifier · Asperizador
196D.644
ER CAST
= 57L16.000
Tab. 1
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ER CAST post for one-piece cast
1. Indication
- prosthetic coronal restoration of partly or completely destroyed upper and lower anteriors, canines and
premolars
- for one-piece cast
2. Contraindication
- subgingival caries
- circular isogingival destruction
- extremely small teeth or roots
- in case of cervically funnel-shaped open lumen when no post adaptation to the canal wall is possible
- full circular crown seat on natural sound hard substance is not possible
3. Clinical sequence/proper use
3.1 Preparatory, general procedure
3.1.1 Tooth/root has been endodontically treated and prepared according to the indication
- endodontic treatment
- sealing the apical third
- with partly destroyed teeth prepare the cavity for example with diamond instrument 835KR or 801.
- with severely destroyed teeth prepare the core surface until only healthy tooth substance remains and give it a
concave shape using ball-shaped diamond instrument 801 (Fig. 1)
- Reduction of the clinical crown to app. 2 mm above the cemento-enamel junction, proximally
3.1.2 Select the matching CAST positioning post
- use the radiograph and measuring sheet 9751 to identify a suitable post diameter and post length according to
the anatomy of the tooth
- post should extend to a position of app. 2 – 4 mm short of the apex
3.1.3 Removal of the root filling to app. 2 – 4 mm short of the apex with pilot drill 183LB corresponding with the
selected post size 050, 070, 090 or 110
- mark the required preparation length on the pilot bur using a stop (Fig. 2)
- engine speed: 1000 – 5000 rpm
3.1.4 Enlarge root canal according to the selected CAST positioning post
- with the respective reamer 196; if clinical crown is still available use reamer 196L (Fig. 3).
- mark the required preparation length on the reamer with depth gauge 74L12
- Engine speed: 1000 – 2000 rpm
- reaming should be carried out in an intermittent way with minor pressure until required depth is reached. In the
meantime the root canal should be rinsed and the reamer should be cleaned with brush 9791
- manual reaming is recommended
3.1.5 Establishing the central inlay cavity (maximum depth 1 – 2 mm)
- for antirotational enhancement and stabi lity of the buildup prepare a longitudinal oval tapered box cavity
(Fig. 4)
- if root cross-section is large enough use root facer 120D.204.030
- engine speed: 2000 rpm
- or cylinder diamond instruments, e.g. 835KR
3.1.6 Check post seat by inserting the selected post
3.2 Direct modellation of the buildup
3.2.1 Taking impression of the auxiliary cavity
- insulate auxiliary cavity with silicone or vaseline oil.
- apply burn-out modelling acrylics (e.g. Palavit G) to the coronal area of the post circularly
- insert post
- fill auxiliary cavity with modelling acrylics (Fig. 5)
- Remove and reinsert post for control
3.2.2 If necessary, shorten root post coronally
3.2.3 Build up core (Fig. 6)
- with burn-out modelling acrylics
- either freehand or with auxiliary devices (e.g. Frasaco / Strip crown)
- allow acrylics to cure
- Initial preparation of the core
3.2.4 Remove modelled post buildup for further processing in the laboratory and provide root with a temporary
post during the laboratory work
3.3. Temporary treatment
3.3.1 Temporary treatment during laboratory work with ER TMP posts P75L14, P422L14, P76L14, P77L14
Note: The ER TMP post has been designed in particular for temporary treatment and is not suited for permanent
buildups.
Note: The post tip of the ER TMP post is 2 mm shorter than the CAST post tip. If the post is inserted in the root
canal a hollow space of 2 mm will remain apically. This hollow space offers the advantage that the tooth can be
provided with a medicated inlay if an inflammation needs to be cured.
3.3.2 Apply ER TMP post with temporary cement
Note: If the patient wears the temporary appliance only for a short time, no fixation agent is necessary. The
Distributor/Importer for USA and Canada:
Komet USA LLC
3042 Southcross Blvd, Suite 101
Rock Hill, SC 29730, USA
Phone: 888-566-3887
Fax: 800-223-7485
info@kometusa.com
www.kometusa.com
CAUTION: U.S. Federal law restricts the device
to sale by or on the order of a licensed dentist.
| LOT number
Numéro de lot
Número de lote
=
Do not re-use! (single use only)
Ne pas réutiliser (usage unique)
No reutilizar (un solo uso)
Fig. 3 Fig. 4
Size Colour: orange
Taille Couleur: orange
070
Tamaño Color: naranja
1.000 - 5.000 rpm
(
183LB.204 20.000 rpm
)
1.000 - 2.000 rpm
(
196.204
20.000 rpm
)
1.000 - 2.000 rpm
(
196L.204 20.000 rpm
)
196D.644
= 339L16.000
Instructions for use
Please read carefully and retain for future reference.
Conseils d'utilisation
A respecter scrupuleusement et garder cette copie
pour une utilisation ultérieure.
Instrucciones de empleo
Leer detenidamente y guardar este ejemplar para
uso más tarde.
?
Consult instructions for use
Se reporter aux instructions
Observe indicaciones
Fig. 5 Fig. 6
Size Colour: red
Taille Couleur: rouge
090
Tamaño Color: rojo
1.000 - 5.000 rpm
(
183LB.204 20.000 rpm
)
1.000 - 2.000 rpm
(
196.204
20.000 rpm
)
1.000 - 2.000 rpm
(
196L.204 20.000 rpm
)
196D.644
= 58L16.000
retention ring on the post shank assures firm seat of the post. For antibacterial protection the post shank can be
coated with calcium hydroxide.
3.3.3 Remove excessive cement
3.3.4 Fabrication and cementation of temporary crown
3.4 CAST post buildup in the laboratoryTechnical data of CAST positioning posts:
- burn-out acrylics leaving no residues, polymethylmethacrylate (PMMA)
3.4.1 CAST the buildup made by the dentist
3.4.2 Remove cast from the embedding compound (Fig. 7)
3.5 Insert cast (post buildup)Post buildup fabricated and supplied by the laboratory
3.5.1 Remove temporary restoration (temporary crown with ER TMP post)
3.5.2 Clean root canal and auxiliary cavity
Note: If necessary, remove cement residues from the canal with reamer 196 (or 196L), preferably manually
- rinse root canal (e.g. with H
3.5.3 Seat control
- insert cast post buildup in the root and check seat
- eliminate irregularities, if any, with suited instruments.
3.5.4 Mechanical conditioning of the canal wall with roughening instrument 196D
- turn instrument manually in the root canal without pressure (3 – 5 turns) (Fig. 8)
3.5.5 Rinse root canal and dry.
- rinse root canal (e.g. with H
3.5.6 Cementation of completed post buildup (Fig. 9)
- Mix suited fixation agent to a creamy consis tency (e.g. zinc phosphate cement, glass ionomer cement)
- coat post shank with fixation agent
- insert post buildup slowly into the canal and auxiliary cavity with moderate pressure so that excessive cement
can escape and fix by applying light pressure with your thumb.
- after curing remove excessive fixation agent
4. Further treatment
4.1 For the definite preparation the following rules have to be observed:
- final preparation of the crown core according to the intended crown (Fig. 10). Make sure that the core is
circularly surround ed by natural caries-free tooth substance
- the crown has to surround the root now reinforced with a post in a parallel zone which is at least 2 mm wide so
that forces exerted are distributed equally on the entire tooth
4.2 Impression and temporary restoration in the usual manner
4.3 Fabricate and insert crown
5. Recommendations for maintenance
All system components are supplied in non-sterile condition. Attention: the CAST posts cannot be sterilized.
Therefore, they must be cleaned and disinfected with medical alcohol. The instruments have to be disinfected,
cleaned and sterilized prior to each use. The instruments are to be disinfected with anticorrosive disinfecting and
cleaning agents for rotary instruments. Regarding recommendations for use (immersion time, concentration,
suitability) of the disinfecting and cleaning agents see manufacturers' instructions. Remove all residues of
disinfecting and cleaning agent with water and allow to dry (e.g. by air-stream). Do not store instruments for a
longer period in wet or humid condition. Make sure that they do not come in contact with each other during
ultrasonic cleaning! Inspect cleaned instruments visually. Damaged and dull instruments must not be used any
longer. Sterilization of the instruments is carried out using the known methods in the autoclave according to the
specific provisions on the sterilization of medical products in your country. The instructions of the respective
device manufacturer have to be observed. After sterilization, check instruments for defects on the surface.
Corroded instruments must not be used any longer.The operator of medical products is responsible for seeing
that proper treatment is carried out by qualified personnel using the appropriate materials and suited equipment.
6. Safety and liability
See also "Instructions for use and safety recommendations" in the KOMET USA LLC catalog and our webside at
www.kometusa.com. The user is responsible to check the products prior to use whether they are suited for the
intended purpose. ER CAST posts are part of the ER root post system and should only be used with the
corresponding original instruments according to these instructions. The manufacturer declines any liability or
compen sation for possible dam age due to the use of instruments which do not belong to the system and which
may impair the function.
7. Disclaimer of Warranties
ALL WARRANTIES, WHETHER EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRAN-
TIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, ARE EXPRESSLY DISCLAIMED. ALL
INCIDENTAL OR CONSEQUENTIAL DAMAGES, INCLUDING, BUT NOT LIMITED TO, LOST PROFITS, INJURY TO
OTHER PROPERTY, LOSS OF USE OR OTHER COMMERCIAL LOSSES, ARE EXPRESSLY DISCLAIMED. If, not with-
standing the foregoing, consequential and incidental damages cannot be excluded due to operation of law, such
damages are expressly limited in amount to the purchase price of any defective products.
Store out of children's reach.
For dental use only.
Packing unit
/
Unité d'emballage
Unidad de embalaje
Fig. 7 Fig. 8
Size Colour: blue
Taille Couleur: bleu
110
Tamaño Color: azul
1.000 - 5.000 rpm
(
183LB.204 20.000 rpm
)
1.000 - 2.000 rpm
(
196.204
20.000 rpm
)
1.000 - 2.000 rpm
(
196L.204 20.000 rpm
)
196D.644
= 59L16.000
O ) and dry with paper points.
2 2
O ) and dry with paper points
2 2
Fig. 9 Fig. 10
Material
Matériau
Material
Stainless Steel
Acier inoxydable
Acero inoxidable
Stainless Steel
Acier inoxydable
Acero inoxidable
Stainless Steel
Acier inoxydable
Acero inoxidable
Stainless Steel
Acier inoxydable
Acero inoxidable
Stainless Steel · diamond coated
Acier inoxydable · diamanté
Acero inoxidable · diamantado
Stainless Steel · diamond coated
Acier inoxydable · diamanté
Acero inoxidable · diamantado
Polymethylmethacrylate
Polyméthacrylate de méthyle
Polimetilmetacrilato