Unlock

Endo’s 4th

Dimension

Redefining procedure duration
with anatomical precision.

The 4D Workflow:
A streamlined approach for
anatomically predictable results.

Clinicians often face a difficult balance: achieving consistent clinical outcomes while managing limited time and complex procedures. Traditional methods involve compromises — fast procedures may sacrifice precision, while accurate results typically require more time, steps, and handling.

The 4D Workflow changes that.


By combining the four fundamental pillars of endodontics into one seamless, intuitive process through four key products, the 4D Workflow makes it possible to achieve clinical outcomes — quickly, predictably, and with confidence.

Shaping

streamlines the shaping phase with a minimal number of files designed to adapt to the canal anatomy, delivering anatomically predictable results.

Equipment

simplifies setup and operation with one-touch presets, and intuitive navigation via a large, high-resolution touch screen.

Irrigation

combines chelation and disinfection in a single solution, optimizing handling and saving time.

Obturation

offers a pre-mixed bioceramic sealer for a single-cone technique, allowing fast, effective obturation with a durable seal.

Unlock the 4D Workflow

The 4D Workflow brings together the four pillars of modern endodontics—shaping, equipment, irrigation, and obturation—into one streamlined system. It simplifies every step, shortens procedure time, and delivers consistent, anatomically accurate results with confidence and ease.

From complexity to simplicity

“The new 4D workflow is truly a game changer. From start to finish, it’s built around three essential goals: simplicity, efficiency, and predictability. The motor streamlines the process, with simple one step presets. The new file system is incredibly efficient, by reducing the number of files needed, as well as coming with matched with Bio Gutta Percha cones and paper points. Then there’s irrigation—which has never been easier—with one treatment being all you need. And with the bioceramic sealer, obturation is straightforward and reliable. Every component is designed to work seamlessly together, and the result is a workflow that saves time, reduces stress, and delivers consistent outcomes.
I’m so happy I made the change.”

 

Dr. Adham Azim
DDS, BDS / San Francisco

Shaping

XP-4D

XP-4D simplifies multi-step sequences, providing anatomically predictable shaping that seamlessly adapts to each case, optimizing efficiency with matching Bio Gutta Percha Cones and Absorbent Paper Points.

Equipment

Rooter X4000

The Rooter X4000 endomotor’s intuitive design streamlines setup and procedures with one-touch presets, adaptive torque control, and wireless freedom—delivering
precise results and ensuring smooth, uninterrupted performance.

Irrigation

Dual Rinse HEDP

Dual Rinse HEDP ensures continuous chelation and disinfection during shaping, maintaining a smooth, consistent, and highly efficient workflow. With all functions concentrated in a single product, handling is optimized for greater simplicity and ease.

Obturation

TotalFill

TotalFill, with its pre-mixed bioceramic sealer and single-cone technique, completes obturation quickly while ensuring a durable seal and providing clinical confidence.

Frequently asked questions

1. How is the 4D Workflow different from traditional endodontic techniques?

The 4D Workflow replaces complex, fragmented protocols with a set of products that work in harmony across all treatment phases. This integration reduces handling, simplifies the process, and saves time—while ensuring effective shaping, cleaning, and sealing.

What’s next on your list?

Patent pending.

Based on internal laboratory results compared with equivalent competitors’ instruments.

Based on internal laboratory results ; time to fracture at recommended speed.

Based on internal laboratory results, using RACE EVO 4%.

Siddique R, Nivedhitha MS, Ranjan M, Jacob B, Solete P. Comparison of antibacterial effectiveness of three rotary file system with different geometry in infected root canals before and after instrumentation-a double-blinded randomized controlled clinical trial. BDJ Open. 2020;6:8. Published 2020 Jun 8. doi:10.1038/s41405-020-0035-7

Al Omari T, Mustafa R, Al-Fodeh R, El-Farraj H, Khaled W, Jamleh A. Debris Extrusion Using Reciproc Blue and XP Endo Shaper Systems in Root Canal Retreatment.Int J Dent. 2021;2021:6697587. Published 2021 Mar 24. doi:10.1155/2021/6697587

Internal testing. Data on file.

Search

Zhao Y, Fan W, Xu T, Tay FR, Gutmann JL, Fan B. Evaluation of several instrumentation techniques and irrigation methods on the percentage of untouched canal wall and accumulated dentine debris in C-shaped canals. Int Endod J. 2019;52(9):1354-1365. doi:10.1111/iej.13119

De-Deus G, Belladonna FG, Zuolo AS, et al. XP-endo Finisher R instrument optimizes the removal of root filling remnants in oval-shaped canals.Int Endod J. 2019;52(6):899907. doi:10.1111/iej.13077

Azim AA, Piasecki L, da Silva Neto UX, Cruz ATG, Azim KA. XP Shaper, A Novel Adaptive Core Rotary Instrument: Micro-computed Tomographic Analysis of Its Shaping Abilities.J Endod. 2017;43(9):15321538. doi:10.1016/j.joen.2017.04.022

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Al Omari T, Mustafa R, Al-Fodeh R, El-Farraj H, Khaled W, Jamleh A. Debris Extrusion Using Reciproc Blue and XP Endo Shaper Systems in Root Canal Retreatment.Int J Dent. 2021;2021:6697587. Published 2021 Mar 24. doi:10.1155/2021/6697587

De-Deus G, Belladonna FG, Zuolo AS, et al. XP-endo Finisher R instrument optimizes the removal of root filling remnants in oval-shaped canals. Int Endod J. 2019;52(6):899-907. doi:10.1111/iej.13077

Azim AA, Aksel H, Zhuang T, Mashtare T, Babu JP, Huang GT. Efficacy of 4 Irrigation Protocols in Killing Bacteria Colonized in Dentinal Tubules Examined by a Novel Confocal Laser Scanning Microscope Analysis. J Endod. 2016;42(6):928 934. doi:10.1016/j.joen.2016.03.009

Raman V, Camilleri J, Characterization and assessment of physical properties of three single syringe hydraulic cement-based sealers, Journal of Endodontics (2024), doi: https://doi.org/10.1016/j.joen.2024.01.001