TransLuma™* Post
Radiopaque Translucent Fiber Post System

Instructions for Use

GENERAL INFORMATION

BISCO’s TRANSLUMA POSTS are constructed from unidirectional, pretensed, glass fibers bound in an epoxy resin matrix. This design produces a post with flexural strength exceeding that of metal posts but with a modulus of elasticity similar to that of dentin. The low modulus dissipates stress rather than transferring and concentrating stress in the residual root structures as seen with cast or prefabricated metal posts.

Due to its translucency, BISCO’s TRANSLUMA POST offers excellent aesthetics for the final restoration without the use of additional masking agents. This post will intimately bond to the tooth structure and core build-up composite while its tapered design respects morphology and conserves tooth structure.

CLINICAL PROCEDURE

With the tooth endodontically treated and filled with gutta-percha, the remaining tooth structure is prepared according to conventional principles.

PRECAUTION: Gloves must be worn when handling the TRANSLUMA POSTS since the post fibers may irritate the skin and the oils on the skin may affect the bond strength of the post.

NOTE: If bonding agents, cementation materials and core materials, other than those identified in these instructions are used, please refer to the manufacturer’s instructions for guidance.

1. SELECTION OF POST SIZE

The posts and drills are sized using the ISO Standard numbers that match conventional endodontic files and reamers. Drills are color coated and the packaging for the corresponding posts are marked with the color coding for easy identification as follows:

—        ISO 70 Pre-Shaping Drill: Green

—        ISO 90 Post and Drill: White

—        ISO 100 Post and Drill: Yellow

—        ISO 120 Post and Drill: Blue


2. CANAL PREPARATION

A. General recommendations to follow for post space preparation:              

• The post should be 2/3 to 3/4 of the length of the root.
  
  
• A minimum of 3-5mm of gutta-percha should remain at the apex.
  
  
• Proper isolation must be used.

B. Remove gutta-percha with a #1 or #2 Peeso Reamer, #3 Gates Glidden or a heated endodontic plugger.

C. Select the post size according to the ISO number that matches the endodontic files and reamers previously used.

D. Shaping the canal:

(1) Use the ISO 70 Pre-Shaping Drill (green) to complete the preliminary preparation. This instrument determines the final depth to which the post will be placed and serves to guide the final preparation with the subsequent drills.

(2) An endodontic rubber stopper on the shaft of the drill should be used as a guide for determining the length of preparation with radiographic verification. To ensure against root perforation while drilling, make sure the drill is always positioned within the canal.
                                   
(3) Remove debris from the canal with water followed by drying with paper points.

E. Final canal preparation:
           
(1) Use the ISO Drills in order, starting with the smallest, until the desired final size is accomplished.
                                               
PLEASE NOTE: Posts require the sequential use of the drills as follows:

• ISO 90: Use the Pre-Shaping Drill ISO 70 (green),     
   followed by the ISO 90 Drill (white).
                                               
• ISO 100: Use the Pre-Shaping Drill ISO 70 (green),
   followed by the ISO 90 Drill (white),
   followed by the ISO 100 Drill (yellow).
                                               
• ISO 120: Use the Pre-Shaping Drill ISO 70 (green),
   followed by the ISO 90 Drill (white),
   followed by the ISO 100 Drill (yellow),
   then the ISO 120 Drill (blue).
                                   
(2) Ideally, the final canal preparation allows sufficient space for the post and 30 microns around the post for bonding materials.

3. DETERMINING POST LENGTH

A. Try-in the post and determine the overall length required.

B. Remove the post from the canal and cut with a diamond bur or diamond. WARNING: Never use pliers to cut the post since the pressure can destroy the structure of the post. In addition, surface alteration of the post (sandblasting or roughening with a bur) is contraindicated.
           

4. POST CEMENTATION

When using DUO-LINK™* (Resin Cement) and ONE-STEP^®*/ONE-STEP PLUS (Adhesive)

PRECAUTION: Do not clean the canal using hydrogen peroxide as it may inhibit bonding.

A. Post Space Preparation:
                                   
(1) To the canal, apply a phosphoric acid etchant such as UNI-ETCH^®* w/BAC for 15 seconds and rinse with water.
                                   
(2) Blot the canal with a paper point to remove excess moisture.

(3) Apply 2 coats of ONE-STEP/ONE-STEP PLUS to the walls of the canal using an ENDO APPLICATOR.

(4) Blot the canal dry with paper points until the paper point returns dry from the canal.                     

PLEASE NOTE: The paper point step is important for removal of any pooled adhesive so that there is no interference in complete seating of the post.

(5) Light cure ONE-STEP/ONE-STEP PLUS for a minimum of 10 seconds at 500mW/cm². Position the light as close as possible to the canal opening. Light access is necessary for curing ONE-STEP/ONE-STEP PLUS in the canal.    

B. Post Cementation:
                                   
(1) Coat the post with ONE-STEP/ONE-STEP PLUS and light cure for 10 seconds at 500mW/cm².

(2) Thinly coat the post with DUO-LINK and apply DUO-LINK using the Dual-Syringe:                     

a. Remove the Dual-Syringe cap and express some material to confirm that the cartridge is free of voids.

b. Attach the root canal tip to the mixing tip and then attach mixing tip to Dual-Syringe.

c. Express DUO-LINK directly into the canal working in an apical to coronal direction.

(3) Quickly seat the post into the canal. Maintain firm pressure for 5-10 seconds once the post is seated.
                                   
(4) Remove excess cement and light cure for 40 seconds at 500mW/cm² by placing the light tip on the post.
                                   
(5) Once the cement has set, proceed with the core build-up.
           
When using BisCem^®* (Self-Adhesive Resin Cement)

PRECAUTION: Do not clean the canal using hydrogen peroxide or EDTA as it may inhibit bonding.

A. Post Space Preparation:
                                   
(1) Thoroughly rinse the canal with water.
                                   
(2) Blot the canal dry with paper points.
                                                           
B. Post Cementation:
                          
(1) Thinly coat the post with BisCem and apply BisCem to the canal using the Dual-Syringe:

a. Remove the Dual-Syringe cap and express some material to confirm that the cartridge is free of voids.

b. Attach the root canal tip to the mixing tip and then attach mixing tip to Dual-Syringe.

c. Express BisCem directly into the canal working in an apical to coronal direction.

(2) Quickly seat the post into the canal. Maintain firm pressure for 5-10 seconds once the post is seated.
                                   
(3) Remove excess cement. (To aid in excess cement removal, initially light cure the cement for 2–3 seconds). Light cure for 20–30 seconds at 500 mW/cm² by placing the light tip on the post.
                                   
(4) Once the cement has set, proceed with the core build-up.


5. CORE BUILD-UP

If using LIGHT-CORE™* (Light-Cured Core Material) and ONE-STEP/ONE-STEP PLUS (Adhesive)

(1) Clean all surfaces that will receive the core material (including the post) with a slurry of pumice and CAVITY CLEANSER™* (disinfectant) or pumice and water. Rinse and dry.

(2) Etch the tooth structure for 15 seconds using a phosphoric acid etchant, such as UNI-ETCH w/BAC.

(3) Apply 1–2 coats of ONE-STEP/ONE-STEP PLUS. Gently air dry to evaporate the solvent. Light cure for 10 seconds at 500mW/cm².

(4) Dispense desired amount of LIGHT-CORE onto a light-protected mixing pad by turning the syringe handle clockwise.
                       
NOTE: To prevent excessive material from extruding from syringe, turn handle counterclockwise immediately after the desired amount is dispensed.
           
(5) Place core material into the preparation (and around post) in increments (not to exceed 5mm).

(6) Light cure each increment for a minimum of 20 seconds at 500mW/cm². (Or a minimum of 30 seconds if using LIGHT-CORE BLUE.)  
  

6. FINAL PREPARATION

Conventional principles of tooth preparation (with proper ferrule) must be followed for optimal results.

• Preparation for final restoration must end on sound tooth structure.
  
  
• There must be 1.5mm of sound tooth structure beyond the core material.
  
  
• Positive horizontal and vertical walls should exist.
  
  

* Unapproved sterilization may render the post unusable.

STORAGE: Store all components except BisCem at room temperature (20°C/68°F - 25°C/77°F). Refrigerate BisCem when not in use (2°C/36°F - 8°C/46°F). See individual component labels for specific expiration dates.

PRECAUTION: Unpolymerized resins may cause skin sensitization in susceptible persons. In case of contact with the skin, wash thoroughly with soap and water. Phosphoric acid of UNI-ETCH is a severe eye irritant and tissue irritant. If accidentally instilled into the eye, flush with copious amounts of water and seek medical attention immediately. In case of contact with other tissues, rinse immediately with plenty of water for several minutes. Injury may result if UNI-ETCH is allowed to remain on the skin or mucosa for extended periods of time.

WARRANTY: BISCO, Inc. recognizes its responsibility to replace products if proven to be defective. BISCO, Inc. does not accept liability for any damage or loss, either direct or consequential, stemming from the use of or inability to use the products as described. Before using, it is the responsibility of the user to determine the suitability of the product for its intended use. The user assumes all risk and liability in connection therewith.

CAUTION: U.S. Federal law restricts this device to sale by or on the order of a dental professional.

* TransLuma, DUO-LINK, LIGHT-CORE and CAVITY CLEANSER are trademarks of BISCO, Inc.
ONE-STEP, UNI-ETCH and BisCem are registered trademarks of BISCO, Inc.
ENDO APPLICATORS are distributed by BISCO, Inc.

BISCO, Inc.
1100 W. Irving Park Road
Schaumburg, IL 60193
U.S.A.
847-534-6000
1-800-BIS-DENT
www.bisco.com

CE ADMINISTRATOR
Bisico France -
Mr. Fred Picavet
L'Opera- BP. 60
13680 Lançon De Provence
France
Phone: 33-490-42-9292
Fax: 33-490-42-9261

IN-164R1
Rev. 7/08