Clinical Overview
UltraCal XS is an aqueous, premixed calcium hydroxide paste (30–35%, pH approx. 12.5) with radiopaque barium sulfate—designed as a professional endodontic inter‑appointment medicament delivered via 1.2 mL syringes. Its high-viscosity, flowable consistency allows controlled placement in root canals using 29 ga NaviTip™ Single Sideport™ tips, while minimizing risk of extrusion or dehydration. Excellent for promoting alkalinity and antibacterial activity during treatments for apexification, pulp capping, resorption, or perforation management.
Key Benefits
- High pH (≈ 12.5): Provides potent antibacterial effect and promotes secondary dentine formation.
- Radiopaque formula: Enables precise radiographic placement and postoperative assessment.
- Controlled delivery: Designed for use with 29 ga NaviTip™ Single Sideport tips for safe placement near the apex.
- Easy removal: Can be thoroughly cleaned using Ultradent Citric Acid 20% solution and a NaviTip™ FX tip.
- Clinician‑ready kit: Includes prefilled syringes and tip assortments for consistent dosing.
- Certified gluten‑free: Suitable for patients with gluten sensitivities.
Kit Contents
- 4 × 1.2 mL pre‑filled UltraCal XS syringes (30–35% Ca(OH)₂, pH ~12.5)
- 20 × 29 ga NaviTip™ Single Sideport tips for paste delivery (5 each of 17 mm, 21 mm, 25 mm, and 27 mm lengths)
(Kit is labelled Ultradent SKU 5144.)
Indications
- Temporary intracanal medicament between visits (interappointment dressing)
- Apexification and management of open apices or root resorption
- Direct and indirect pulp capping and vital pulpotomy
- Perforations, resorption defects, and canal treatment in primary teeth
Ideal when stimulating healing, maintaining tissue alkalinity, and eliminating intracanal microbes.
Instructions for Use
- Complete biomechanical preparation and irrigation, confirm canal patency and dry lightly.
- Select 29 ga NaviTip™ Single Sideport delivery tip; attach securely to syringe.
- Insert tip to within 3–4 mm of the apex; verify stopper position—and confirm flow prior to full seating.
- Express UltraCal XS paste gently, stopping when visible at orifice; condense with a sterile plugger if needed.
- Take a periapical radiograph to ensure appropriate fill and no over‑extension.
- Place cotton pellet and seal access with a temporary restorative material.
- At subsequent visit, remove the dressing using Ultradent Citric Acid 20% and NaviTip™ FX tip, followed by irrigation and drying.
Summary
UltraCal XS (Code 5144) is a convenient, high‑pH calcium hydroxide paste kit ideal for interappointment use in endodontics. With a radiopaque, aqueous formulation, stable tip delivery, and easy removal protocol, it enables reliable antibacterial action, tissue healing, and pH modulation across a variety of clinical indications—from apexification to pulp capping and resorption management.
Highly practical for two-visit root canal therapy and high‑precision intracanal placement.
Manufacturer: Ultradent Products, Inc., South Jordan, Utah, USA.
Regulatory: Professional dental use only. Certified gluten‑free; complies with international medical device directives.
Handling & Storage: Store at room temperature (15–30 °C); do not freeze. Use each syringe with a new delivery tip. Kit expiry printed on each syringe label.
Contraindications & Warnings: Do not use in patients allergic to calcium hydroxide or polyethylene glycol. Use extreme caution to avoid extrusion into periapical tissues—especially near the mandibular canal or maxillary sinus—due to neurotoxic risk. Always use radiographic verification following placement.
