Subject: RE: [ACEsthetics] Reuse of Endo Files
From: "gary l henkel dds" <gary.henkel@gmail.com>
Date: Mon, April 01, 2013 4:24 pm
To: <kensiegel@onlymyemail.com>, <tonganoxiedental@aol.com>,
<acesthetics@googlegroups.com>
Sent: Friday, March 29, 2013 11:50 AM
To: tonganoxiedental@aol.com; acesthetics@googlegroups.com
Subject: Re: [ACEsthetics] Reuse of Endo Files
Reply-To: "tonganoxiedental@aol.com" <tonganoxiedental@aol.com>
Date: Friday, March 29, 2013 11:44 AM
To: gnr <ACEsthetics@googlegroups.com>
Subject: [ACEsthetics] Reuse of Endo Files
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RE: [ACEsthetics] Reuse of Endo Files
Gary and all ... I don't use smaller files more than once; however, if they are larger files, they have a certain protocol for cleaning and sterilizing plus marking so that we know when we've used them 3 times. I haven't had a known problem yet.
BTW, I would like further information on the Coltene files. I assume that they are on their website.
Thanks,
Terry
J Terry Frey, DDS
Advanced Dental Care
623 N State St/PO Box 1008
North Vernon, IN 47265
(Ofc)812-346-6884
(Cell)812-592-4057
-------- Original Message --------
Ken is correct, although disinfection is not an issue if autoclaving after cleaning is used. I lecture for coltene and their Hyflex files, which because of their unique metallurgy are probably the most fracture resistant files available, and the reps often use reuse as a marketing point. They weren't happy when I pointed out a legal disclaimer on the box that recommends single use. What can is doing is what I tell folks from the podium, but I do recognize many use them multiple times.
Average file I believe is used 5 times.
gary
Gary L. Henkel DDS MAGD
Horsham Dental Elements ( Pine Run Dental and Implant Center)
301 Horsham Rd
Horsham, Pa. 19044
2156726666
Philadelphia Center City Office
1601 Walnut St. Suite 1501
Philadelphia, Pa. 19102
215 5639769
From: acesthetics@googlegroups.com [mailto:acesthetics@googlegroups.com] On Behalf Of Ken siegel
It's fine until one breaks. Then you will wish that you threw them out. I throw them out after each patient as well.
Kenneth Siegel, D.M.D.
Dental Excellence of Blue Bell
706 Dekalb Pike
Blue Bell, Pa 19422
610-272-0828
610-272-4319 fax
215-498-5991 mobile
From: "TonganoxieDental@aol.com" <TonganoxieDental@aol.com>
I typically dispose of my endo files (both hand and rotary) after a single use (or single patient if multiple roots or teeth). One of my classmates chided me for being wasteful and stated that he reuses his for 2-3 patients unless one gets overused and becomes dull. I know the risk of breakage with multiple uses, but what about sterilization? I don't think it would be a problem (no more so that any other instrument we dip into the cesspool that is the oral cavity), but wanted to check on the knowledge and practices of you people.
Grant
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