A Workflow Built to ‘Ace’ Endodontic Outcomes

In modern endodontics, success comes down to completing 3 objectives: canal shaping, disinfection, and obturation. While this fundamental triad has remained constant for decades, the solutions used to achieve these goals have changed dramatically over time.

For more than 20 years, Brasseler USA has been driving evolution in endo, leveraging modern material science to expand what’s possible at each stage of treatment. Brasseler’s latest contribution to the field is ACE—an acronym for Anatomically Centered Endodontics—an integrated workflow with cutting-edge solutions tailored to each pillar of the endodontic triad.

Combining Brasseler’s minimally invasive XP-4D shaping system, the all-in-one irrigation solution Triton, and the bioactive BC Sealer ION+, the ACE workflow offers a simple, streamlined path to success in every root canal procedure.

XP-4D: Conservative Canal Shaping

Canal preparation forms the foundation of endodontic success, and XP-4D was engineered to ensure predictable outcomes with minimally invasive treatment. Building on proven MaxWire Technology used in previous-generation XP instruments, XP-4D files feature a small, flexible, free-floating core that adapts to natural canal anatomy. Along with enabling smoother, more efficient shaping and cleaning, XP-4D mitigates both under- and over-preparation of canals, maximizing preservation of healthy tooth structure and aiding disinfection.

“I can confidently say that it is the most conservative rotary instrument on the market today,” said Dr. Adham A. Azim, a board-certified endodontist and educator who worked with Brasseler to develop the XP-4D system.

XP-4D’s innovative design also sets it apart from other leading nickel-titanium (NiTi) file systems. The first 4.5 millimeters of the instrument function like a traditional rotary NiTi file with a 3% apical taper, while the body incorporates the signature “loop” found in all XP instruments. This pairing allows for rapid advancement through the canal while respecting natural morphology. Matching bioactive gutta-percha and paper points further simplify obturation and help maintain minimally invasive treatment protocols.

“Our aim in developing XP-4D is to make every dentist feel more comfortable performing root canals,” said Dr. Azim. “If clinicians embrace this technology, I think they'll find it makes their lives simpler, more efficient, and helps them consistently provide better, more conservative treatment.”

Triton: Single-Step Disinfection

A perfect canal preparation amounts to little without adequate disinfection, and that’s where Triton comes in. Unlike traditional irrigation protocols that require multiple syringes—sodium hypochlorite (NaOCl) to eliminate organic debris, ethylenediaminetetraacetic acid (EDTA) to tackle the smear layer, and chlorhexidine (CHX) for additional antimicrobial action—Triton simultaneously addresses both organic and inorganic material with an all-in-one solution.

Without CHX or EDTA, Triton delivers multifunctional irrigation that speeds canal cleaning and disinfection. Its non-NaOCl components dissolve dentinal debris and reduce buffering, allowing NaOCl to work more efficiently on organic tissue. Brasseler reports that Triton dissolves organic material up to 1.7 times faster than conventional NaOCl and removes the smear layer more effectively than NaOCl with EDTA. By reducing irrigation to a single syringe chairside, it also can cut irrigation costs per procedure in half.

Brandon Schiffner, DDS, found that adding Triton to his root canal procedure decreased chair time significantly. “It’s nice to do root canals faster for patients,” he said. And while studies prove Triton's efficacy at canal irrigation, for Dr. Schiffner, radiographs provide all the evidence he needs. “My postop periapical x-rays show more deltas and tributaries than I'm used to seeing,” he said. “For me, the proof is in the x-ray.”

BC Sealer ION+: Bioactive Obturation

By introducing the healing benefits of magnesium, BC Sealer ION+ represents the next evolutionary step in root canal obturation and the final component of the ACE workflow. “The conventional sealers we have from Brasseler are unbelievably great in all possible properties,” said Alex Fleury, DDS, MS. “So, keeping the same benefits and ease of use and adding this enhanced bioactivity is what really makes this new product so special.”

Thanks to an Akermanite crystal structure and higher permeability than other sealers, BC Sealer ION+ enables extended release of magnesium and calcium ions that ward off bacteria and expedite patient healing.

Although Brasseler’s previous bioceramics already met the rigorous criteria for root  canal sealers established by endodontic pioneer Dr. Louis Grossman, BC Sealer ION+ takes sealing performance to even greater heights. “This new product adds a property that was not even in the list—stimulating bone formation—which will enhance the healing potential tremendously,” said Dr. Fleury.

Clinicians familiar with Brasseler's other bioceramic materials will find that BC Sealer ION+ delivers the same trusted handling, application, cleanliness, and radiopacity. “There's no mixing of anything—it just comes out of the syringe into the canal,” explained Dr. Fleury. “In dentistry, many products are complicated or expensive. BC Sealer ION+ is not more expensive, it's not more complicated, and biologically, it's just better.”

Exceptional Outcomes for Every Clinician

Between reliable, user-friendly performance and cost-effective value, the 3 integrated solutions in Brasseler’s ACE workflow make efficient, predictable endo treatment accessible to all—from general practitioners who perform the occasional root canal procedure to specialists who tackle complex cases every day.

“Minimally invasive root canal therapy is efficiently achieved through the ACE workflow, which integrates the XP-4D system, Triton irrigation solution, and BC Sealer ion+,” affirmed Chafic Safi, DDS, MS. “This combination streamlines the procedure, delivering faster, more predictable, and anatomically centered results. Anatomically Centered Endodontics can be seamlessly implemented by clinicians at any stage of their career, regardless of their experience level.”

To learn more about Anatomically Centered Endodontics and the innovative Brasseler solutions that fuel it, please visit www.brasselerusadental.com/ace