A hollow file; A hollow file;

Elastic; Compressible; Elastic; Compressible;

Made of nickel-titanium latticeMade of nickel-titanium lattice

The SAF is used The SAF is used

as a as a single instrumentsingle instrument

to achieve complete to achieve complete

3D root canal shaping,3D root canal shaping,

cleaning cleaning and and IrrigationIrrigation..

“Sand Paper”

• Abrasive Surface

• Pressure

• Repeated Motion

SAF Mode of ActionSAF Mode of Action

Roughness : 2.8 µm ± 10%

1. Abrasive surface

The hollow design enables the SAF to be elastically compressed along its cross section (A) when inserted into a canal

previously negotiated with a no. 20 K file (B).

2. Compression

Attempting to expand, the SAF applies light continuous pressure along the entire circumference of the root canal wall.

3. Gradual Expansion

Operated with a gentle vertical vibration 5,000 strokes per minute, the file Operated with a gentle vertical vibration 5,000 strokes per minute, the file achieves a gradual enlargement of the root canalachieves a gradual enlargement of the root canal

4. Repeated Motion

0.4

mm

The SAF is extremely flexible and pliable.

It does not impose its shape on the canal but rather complies with the canal’s original shape.

This is true both longitudinally (A)

and circumferentially (B).

The long axis of the canal is kept at it’s original

place throughout the length of the canal

5. Adapting to the Canal in 3D

(A)

(B)

Adaptation to Adaptation to

LongitudinalLongitudinal

CurvatureCurvature

Mandibular Incisor

Adaptation to Adaptation to

thethe

Cross SectionCross Section

A 32

Cross SectionsCross Sections

6mm

An Extreme CaseAn Extreme Case

22ndnd Lower Molar Lower Molar

TLS 16

0°- 45°- 180° 90°45°

1 mm

3D View Before Preparation3D View Before Preparation

C-Shaped CanalC-Shaped Canal

SAF preparationSAF preparation

0°- 40°- 120° - 80° 120°80°40°

Green: before preparation Red: after preparation

1 mm

Cross SectionsCross Sections

4mm2mm

6. Continuous irrigation

The SAF’s hollow design allows for The SAF’s hollow design allows for

continuous irrigation of the root canal through its lumencontinuous irrigation of the root canal through its lumen

Continuous IrrigationContinuous Irrigation

with with

Activation & Scrubbing Activation & Scrubbing

RinsingRinsing

ScrubbingScrubbing

7. Safety in Use

High Durability :High Durability :

No File SeparationNo File Separation

Mechanical Failure PatternsMechanical Failure Patterns

Mechanical Failure PatternsMechanical Failure Patterns

The SAF is available in The SAF is available in three standard lengths:three standard lengths:

21mm, 25mm and 31mm 21mm, 25mm and 31mm

LCD DisplayLCD Display

Flow Control Flow Control ButtonsButtons

Foot SwitchFoot Switch

VATEA - SAF System IrrigatorVATEA - SAF System Irrigator

VATEA VATEA ©©

Irrigation Irrigation Solution Solution ReservoirReservoir

400 ml400 ml

VATEA - SAF System IrrigatorVATEA - SAF System Irrigator

VATEA VATEA ©©

• Israel – MOH Approval (AMAR)Israel – MOH Approval (AMAR)

• United States – FDA ApprovalUnited States – FDA Approval

• Europe– CE ApprovalEurope– CE Approval

• Russia – MOH ApprovalRussia – MOH Approval

SAF – Regulatory StatusSAF – Regulatory Status

Clinical EvidenceClinical Evidence

Basic ScienceBasic Science

Root Canal Cleanliness Root Canal Cleanliness

(SEM)(SEM)

Canal Wall Free of Debris Canal Wall Free of Debris

Coronal Coronal ThirdThird

Middle Middle ThirdThird

Apical Apical ThirdThird

61%61%

100%100%

60%60%

100%100%

39%39%

100%100%** SAF

* Rotary

* 4 published articles**Metzger et al, J Endod 36:697-702, 2010

Canal Wall Free of Smear Layer Canal Wall Free of Smear Layer

37%37%

100%100%

37%37%

80%80%

25%25%

65%65%

* 4 published articles**Metzger et al, J Endod 36:697-702, 2010

Coronal Coronal ThirdThird

Middle Middle ThirdThird

Apical Apical ThirdThird

** SAF

* Rotary

Apical Mid-Root Coronal

D75D75 X 500X 500ApicalApical

Publications in progressPublications in progress

Analyzing Root Canal Analyzing Root Canal

Treatment Results Using Treatment Results Using

High Resolution High Resolution μμCTCT

0

20

40

60

80

100

1 2 3 4 5 6 7 8 9

Paqué et al 2009

SAFSAF

Current Study

Pro

File

Pro

File

Pro

Taper

Pro

Taper

Flexm

ast

er

Flexm

ast

er

Lig

hts

peed

Lig

hts

peed

GT

GT

NiT

i K

File

NiT

i K

File

Percent Untreated Root Canal SurfacePercent Untreated Root Canal Surface

Adapted from: Paqué Adapted from: Paqué et alet al J EndodJ Endod 35:1056-9, 2009 35:1056-9, 2009

mean StD mean StD128.33 73.66 68.12 38.97131.66 69.66 82.8 35.67178.33 85 115.12 58.37

ProTaper SAF11 8(1)(1) (2)(2)

(1) Peters et al, (1) Peters et al, Int Endod JInt Endod J 2003, 36:86-92 2003, 36:86-92

(2) Metzger et al, on-going study(2) Metzger et al, on-going study

Canal Transportation* (µm)Canal Transportation* (µm)

PP

MBMB

DBDB

* CM shift* CM shift

mean StD mean StD17.4 16.7 2.1 3.930 19.5 0.76 1.5

13.3 19.6 0.52 2.29

ProTaper SAF11 8(1)(1) (2)(2)

(1) Peters et al, (1) Peters et al, Int Endod JInt Endod J 2003, 36:86-92 2003, 36:86-92

(2) Metzger et al , on-going study(2) Metzger et al , on-going study

Canal Straightening (%)Canal Straightening (%)

PP

MBMB

DBDB

Analyzing Root Canal Analyzing Root Canal

Obturation Using High Obturation Using High

Resolution Resolution μμCTCT

Obturation Study - Treatment AnalysisObturation Study - Treatment Analysis

RedRed: Area unaffected by the file: Area unaffected by the file

Treated by SAFTreated by SAF Treated by Rotary fileTreated by Rotary file

YellowYellow: Area untouched by the RCF: Area untouched by the RCF

Obturation Study - Obturation AnalysisObturation Study - Obturation Analysis

Treated by SAFTreated by SAF Treated by Rotary fileTreated by Rotary file

Correlation between % Unaffected Canal Wall Correlation between % Unaffected Canal Wall

and % untouched by RCFand % untouched by RCF

0

10

20

30

40

50

60

70

80

0 10 20 30 40 50 60 70 80 90

Surface Unafected by the File (%)

Su

rfa

ce U

nto

uch

ed

by

the

Ro

ot C

an

al F

illin

g (

%)

● ● Treated by SAFTreated by SAF

Treated by Rotary fileTreated by Rotary file

Clinical TrialsClinical Trials

2009: Clinical Trials2009: Clinical Trials

March 2010March 2010>250 >250

Clinical CasesClinical Cases

**

*

*

**

*

Thank Thank You!You!