Directa - Luxator Titanium Pen Series

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Luxator® P-series

The Luxator P-series offers the advantage of working with a penholder grip giving increased tactility, an important feature as these new instruments are thinner and sharper than the original Luxator instruments. The Luxator® P-series are periotomes intended to cut off the periodontal ligament axially before the final extraction is made with forceps or elevators. Initiating the extraction process with the P-series range will simplify the work considerably.

Available in 4 blade sizes.

4 reasons to use Luxator® P-series

1. Probe and separating

2. Minimum power required

3. User-friendly instruments

4. Easy to cut the periodontal ligaments

Clinical Tips: Luxator

The Luxator extraction instrument product range enhances the outstanding selection of high-quality extraction instruments from Directa. Modern techniques such as implants require instruments and equipment offering possibilities to achieve fast healing and placement of direct implants after extraction.

The difference between Luxator Periotome and Luxator Forte Elevator:

Luxator Periotome is a surgical instrument specially designed for extraction by vertical luxation, correctly used as an indispensable instrument in every dental clinic. The tip of the instrument is very thin and sharp to be inserted into the periodontal space between bone and tooth, cut off the ligaments, and at the same time compress the alveolar bone. To bend, chip, or otherwise damage the tip strong elevation forces are required that may not occur by regular vertical luxation. Should such forces be applied there will be damage to the cheekbone before damage to the tip is made. Luxator Periotomes are not intended for use as elevators! Any kind of use for leverage will result in damages to the tip. The surgical tip is made of hardened stainless special steel specifically developed for surgical instruments thus making a very strong instrument despite the precision thin tip. The hardening process also gives excellent durability to the sharpness of the instrument. In order to meet the demand for elevating techniques, Directa developed Luxator Forte which is specially designed for tooth elevation.

Luxator Periotome:

Luxator Periotomes are used to cut the periodontal ligaments. The thin cutting metal blade is designed to cut off the periodontal ligaments and widen the space between the alveolar bone and the root. Luxator Periotome comes in light handles (grey, pale blue, or pale yellow). The tips of the Luxator Periotome are extremely sharp and can be damaged if excessive force is used. These tips are not designed for strong forces.

Luxator Forte:

Luxator Forte comes with a black handle and shall be used as an elevator to extract a root that has been released by Luxator Periotome. Luxator Forte Elevators are made with a cornered, rigid tip that enables the elevation of roots without the risk of damaging the instrument. The unique cornered tip design grasps dentine or root cementum for controlled and safer tooth elevation.

Luxator, size, and shape: When to use?

It is always a matter of personal choice and experience. Below you can find a few examples of use.

-Long/short - Using the regular or the short periotome is a matter of control and access. The 10mm shorter blade on Luxator Short Peritome enables an optimal working position for smaller hands.

-Contra - Good access from the lingual and/or distal side.

-Inverted - About the same but less. General, Lingual, and/or Distal

-Curved - General use or starter. Good from the buccal side

-Straight - Apical and/or interproximal

-L3A - Distal of the third molar

-Dual Edge - Start difficult, well-hidden, root extraction, extract fractured tips. Safer stepped insertion reduces the risk of slipping. Ideal for deeply fractured teeth and decayed roots.

-Forte - For elevation

Preserves bone integrity

The placement of implants is a relatively simple and straightforward surgical procedure of modern dentistry if there is sufficient bone available. However, if there is a massive loss of bone due to periapical or periodontal pathosis, implants can only be placed with bone augmentation. In some cases, it is the extraction procedure itself that causes the loss of mostly the buccal wall of the alveolar socket. This also makes it very difficult to place the implant. Careful removal of the tooth from the alveolar socket however will leave the bony walls intact. Even without augmentation materials, there will be good wound healing resulting in good bone height and width at the level of the alveolar ridge. Luxators are ideal instruments for such careful tooth removal. The action of the Luxators is based on the possibility of bone expansion. The Luxator is introduced in a rotating fashion parallel to the long axis down the periodontal ligament. The shape of its blade allows the instrument to be advanced to the apical third of the root. This will lead to an enlargement of the alveolar socket so the tooth can be easily removed with a slight rotational movement with forceps. Conical roots will sometimes literally "jump" out of the socket.

Even though Luxators look like classical elevators, the mode of action of these instruments has nothing in common. Luxators are much more delicate than any elevator. You should not use the Luxator as an elevator because this will cause the instrument to bend. Your patients will be thankful for the atraumatic extraction even if you don't place an implant. They will experience less discomfort operatively and postoperatively.

Author: Dr. Michael Liebler, D.D.S (Univ. Iowa, USA)

FAQ: Luxator

Luxator Forte Elevator Instructions

What is the origin of the name Luxator?

Luxator comes from the verbiage "to luxate"meaning to "loosen, dislodge" (a tooth from its socket).

What is the difference between Luxator Periotome and Luxator Forte?

Luxator Periotomes are used to cut the periodontal ligaments and by doing so loosen the tooth. Luxator Forte lifts (elevates) the tooth.

How can I see the difference between Luxator Periotome and Luxator Forte?

Luxator Periotomes come in light handles (grey, pale blue, or pale yellow) while the Luxator Forte comes in a black handle. The blade also differs.

What happens if I elevate with a Luxator Periotome?

When should I use the different Luxators?

Examples of use for Luxator Periotome, Titanium, and Short Periotome:

L1S: Apical and/or interproximal (L1S is extremely sharp and delicate, use with caution)

L2S, S2S: Apical and/or interproximal

L3C, S3C: General use/starter

L3S, S3S, L5S, S5S: Interproximal

L3CA, S3CA: lingual and/or distal - molars

L3IC: General, lingual, and/or distal

L5C: Large molar roots - general use

Examples of use for Luxator Dual Edge Periotome

DE3, DE5: Deep fractured and decayed roots. (DE3 is extremely sharp and delicate, use with caution)

Examples of use for Luxator Forte Elevator

F25, F32, F32C, F40: Elevation

Why should I choose a curved rather than a straight periotome?

Depending on the tooth to loosen a curved periotome might guarantee better access.

How do I sharpen a Luxator?

A special sharpening stone is available, suitable for all Luxator instruments from 1mm periotomes to Forte. To sharpen a periotome, place the concave surface of the tip of the blade on the sharpening stone and stroke away. Lift the blade after each stroke and repeat until the blade is sharp. The stone should always be lubricated with sharpening oil or water to avoid clogging the surface with debris. To obtain optimal results, sharpen the instrument on a regular basis using a Luxator sharpening stone. Sharpen the instrument after a thorough cleaning, before sterilization.

What material is Luxator made of?

Stainless Steel, Polyamide PA6.6. Luxator Titanium: titanium nitride-coated stainless steel.

What are the maintenance, cleaning, and sterilization of the Luxator extraction instruments?

Warnings: None

Limitations on reprocessing: No limitations. End of life is determined by wear not the number of reprocessing cycles.

Preparation at Point of Use: Remove debris with disposable paper or cloth. Biological debris should not dry up.

Decontamination:

- Manual cleaning and rinsing: Not recommended.

- Automated cleaning: Dishwasher. Cleaning agent: Low alkaline and biocompatible. Follow instructions and observe concentrations given by the supplier. Temperature/ time: 65°C recommended/40 min.

- Ultrasonic baths: Cleaning agent: Low alkaline and biocompatible. Follow instructions and observe concentrations given by the supplier. Temperature/ time: 35kHz- 50 kHz / >= 3 min

Disinfection:

- Washer disinfector/Thermal (automated) and drying: Cleaning agent: Low alkaline and biocompatible. Follow instructions and observe concentrations given by the supplier. Min temperature/min time: +80° C / 10 min. +90°C / 1 min. +93°C /30 sec.

Sterilization:

- Steam autoclave: Pack in a sterile bag. Cycle: 134-137°C for 3 min. (273°F) Recommended, higher safety margin. 126°C for 10 min. 121°C for 15 min.

- Dry Heat: Not recommended. Affect the product. The metal becomes softer after continued heat sterilizations.

- Chemklave: Not recommended. The colors may fade after several sterilizations.

Additional information: Use Fixus to hold the instrument during the cleaning process and storage. This prevents damage to the tip and reduces the risk of injuries to personnel. Chemical disinfection is NOT recommended.

Reward Points

Luxator Titanium Pen Series

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