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The cleaning, shaping and sealing of the prepared root canal system are required aspects of successful root canal treatment. A properly selected endodontic sealer aids in sealing the root canal, filling the gap between the walls of the root canal and the core filling material, thus creating a well-sealed root canal. BIOCERA FLO PLUS (R & D in JAPAN) is a biocompatible, injectable formulation of a bioceramic endodontic sealing material which is convenient for dental professionals.
This pre-mixed sealer, formulated for use by a professional dentist, is packaged in a pre-loaded syringe with disposable flexible intracanal applicator tips and available from Nineten. It contains calcium silicates, calcium aluminate, calcium hydroxide, zirconium oxide, accelerators and thickening agents. The injectable delivery system facilitates accurate placement of the material into prepared canals, while adhering to the recommended clinical protocol.
Nineten offers a variety of dental materials and instruments that can be used in today’s clinical processes. For endodontic procedures, dental practitioners have access to the NT Range Series and sealers collection that offer a range of complementary products.
BIOCERAMIC FLO PLUS (R & D in JAPAN) is a bioceramic ready to use sealer indicated for use in the permanent sealing of root canals either with or without gutta-percha points. According to the manufacturers indications it can also be used in retreatment situations or for the treatment of internal resorptions as a sealer.
This premixed formulation is packaged in a syringe for easy use, and it does not need the traditional powder/liquid mixing. The flexible disposable tips enable the dental surgeon to place the material directly into the prepared canal, even towards the 3rd part of the canal clinically appropriate. The product may also be dispensed onto a mixing pad or a glass slab, and using a gutta-percha point or Lentulo spiral, may be carried into the canal as per instructions.
The material can be used in various obturation techniques such as single cone technique and lateral compaction technique. The selection of the technique should be determined by the clinical case, canal anatomy, operator experience and manufacturer recommendation.
The properties of a root canal sealer are affected by its composition, which in turn affects its handling and setting properties and its contribution to a filling procedure. BIOCERA FLO PLUS (R & D in JAPAN) is made up of calcium silicates, calcium aluminate, calcium hydroxide, zirconium oxide, accelerators and thickening agents. Material formulation is the overall result of each component, but the individual performance characteristics should be determined via the manufacturer’s technical documentation and not based on the material’s formulation.
The chemical properties of calcium-based compounds and their interactions with the moist environment of the prepared root canal make them of use to endodontists and in endodontic materials. One of the roles of zirconium oxide is as a radiopacifying agent, making the filling material visible against the natural structures to which it is being placed during a radiographic examination. The premixed consistency also saves the need to proportion the separate components at the chair.
The setting properties of bioceramic materials are, in general, dependent on the presence of adequate moisture. Hence, according to manufacturer’s advice, the prepared canal should be dried with paper points, but not so much as the canal becomes dry. Proper moisture control, proper canal preparation and careful placement of material are all crucial components of the overall seal.
There is also another product category that can be looked at by dentists that are searching for more products that can be utilized for endodontic preparation: NT CAL Calcium Hydroxide Intracanal Dressing Paste, which is used for a different purpose and has a different product category.
A convenient delivery system will make placing materials during root canal treatment easier, especially in those cases where access to the apex of the canal needs to be handled with care. The BIOCERA FLO PLUS (R & D in JAPAN) is packaged as a premixed paste in the preloaded syringe, which means that the dental surgeon can use the paste without having to prepare a special paste prior to use.
The flexible applicator tips are designed for direct delivery into the canal and the alternative delivery method with a gutta-percha point or Lentulo spiral provides flexibility for the clinician who prefers a traditional application method. Use with various obturation methods may assist in making the material a part of the dentist’s routine.
The sealers do not ensure treatment success. Diagnosis, canal disinfected, shaping, length of canal, proper obturation and final restoration, all of which have a relationship to clinical outcomes. The dentist should follow evidence-based endodontic practice and the directions for use of the product.
In order to retain the intended properties of the material, proper handling is crucial. Prepar and clean the root canal prior to application based on the clinical protocol and dry with paper points but do not over dry. The canal will need proper moisture to set, so the canal needs to be maintained at a proper moisture level as directed by the manufacturer.
Applying directly: Place a new disposable flexible tip on and carefully position the tip as directed by the product instructions. Release material in a controlled way, with no more than the material being extruded into the apical area. Dispense the sealer on to a clean mixing pad or glass slab and transfer to the canal with a gutta-percha point, or a Lentulo spiral. Choose the obturation method depending on the clinical situation and manufacturer’s instructions.
Keep in a dry, well-ventilated place at 5 – 25°C and relative humidity < 60%. Don’t refrigerate! Don’t use it around children and only use it by a qualified dental practitioner.
When choosing endodontic materials, you need to take into account clinical indications, handling preference, packaging, storage requirements and compatibility with the treatment technique. Nineten dental products are suitable for dental professional product sourcers looking for a single dental supply source.
The BIOCERA FLO PLUS (R & D in JAPAN) is available on Nineten official website with 2 g paste syringe and applicator tips. This is a convenient format and several stated applications make it a consideration for practices that routinely perform root canal obturation and related endodontic procedures.
Dentists may visit the official product page to read the details and purchasing information of the products available. They can also view more materials on the NT Range Series and find out more about sealer properties and their importance in root canal therapy on Nineten’s endodontic educational resource about bioceramic sealers.
Check current pricing, availability, packaging and manufacturer instructions prior to ordering. Always evaluate the product for the planned clinical use and use the product according to professional standards.
Premixed bioceramic sealer for permanent root canal sealers for permanent teeth, with or without gutta-percha points. The indications listed also include as a sealer in retreatment cases and treatment of internal resorption.
The specified composition comprises calcium silicates, calcium aluminate, calcium hydroxide, zirconium oxide, accelerators and thickening agents.
No. It comes in a ready-to-use paste in a preloaded syringe. Can be applied directly with the provided disposable flexible tips or inserted with a gutta-percha point or Lentulo spiral, according to the manufacturer’s instructions.
The single-cone technique and lateral compaction technique are indicated in the product information. The choice of the technique should be made by the treating dentist based on the individual circumstances of the case and according to manufacturer’s instructions.
The product is sold in the Nineten online store. Please verify the product page for availability and ordering information before ordering.
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