Gutta coreTM

DENTSPLY Serving dentists for nearly 200 years 350 Research & Development Staff dedicated to producing innovative products to improve the lives of dentists and patients 150,000 dental professionals educated worldwide every year through Dentsply education programme www.dentsplyacademy.co.uk for CPD www.dentsplyreward.co.uk loyalty scheme

crosslinked gutta-percha core obturator ….this filling method is easy to learn, is completely three-dimensional and can fill a root canal system in less than five seconds. Importantly and upon completion, there will not be a traditional plastic carrier left behind. www.endoruddle.com

PRODUCT 3D obturation Easy to create post-space Easy retreatment The 10 most often mentioned product benefits (market study 2011) 3D obturation Easy to create post-space Easy retreatment No plastic core Easy to learn Less time consuming Short learning curve Good blister, easy to use Easy snap off of the handle Appropriate to all canal anatomy (long, curved, s-curved, narrow)

PRODUCT Details Heated in seconds Placed in seconds Removed in seconds Superior 3D obturation The hydraulic force sends warm gutta-percha flowing equally in 3Dimensions Centrally compacted gutta-percha creates predictable and consistent 3D fill that follows curves, finds accessories canals and flows into isthmus GuttaCore offers a superior 3D fills with the ease of a single insertion Placed in seconds Ease of retreatment No plastic core remaining in the root canal Easy to create Post space Fast & easy to create post space The drill engage and remove the obturation material with unprecedented ease Heated in seconds Placed in seconds Removed in seconds

PRODUCT Video

PRODUCT Packaging PACK OF BLISTER 5 BLISTERS ONLY “B” for Blister Ref A 1702 P BLISTER ONLY Ref A 1702 B “P” for Pack “B” for Blister

PRODUCT Compatibility Always use the lowest heating level

OBTURATOR BRAND STICKER SIZE HEATING POSITION GUTTA CORE 20 to 90 20-90 WAVE ONE small Primary / small primary large PROTAPER F1 F1-F2 F2 F3 F3-F4-F5 F4 F5 THERMAFIL -------- 20-25 20 - 25 30-35-40-45-50-55-60 30 – 60 70-80-90-100 110-120-130-140 70 - 140 GT series X .04 Size .04-.08 .06 .08 .12 Size .10-.12

CLINICAL SEQUENCE Shape Verify Obturate 1 2 3 Please consult the Directions for Use for more comprehensive instructions and clinical techniques Shape Verify Obturate Check passivity by taking the size verifier to working length and confirm by rotating in the canal 180°. Use the size verifier as a finishing file to gently enlarge the canal terminus if necessary When the final shape is a .04 taper, select a GuttaCore™ Obturator package one size smaller than the last file taken to working length. When the final shape is a .06 taper, select a GuttaCore™ Obturator package of the same size as the last file taken to working length. Carefully follow the clinical sequence of your shaping system 1 2 3 PRECAUTIONS Select the GuttaCore™ Obturator according to the GuttaCore™ size verifier that fits the shaped canal passively. GuttaCore™ Obturator cores should not be used as size verifiers. Do not remove gutta-percha from the apical section of GuttaCore™ Obturator prior to filling the root canal space. Removing the gutta-percha may damage the obturator.

Step-by-step instructions to place a gutta•coreTM crosslinked Gutta-Percha Core obturator. Please consult the Directions for Use manual for more comprehensive instructions and clinical techniques. Flare the canal coronally and ensure the gutta•coreTM obturator has sufficient space to enter the root canal. Use the gutta•coreTM size verifier to confirm the shape at working length and passive fit. a) If the fit is not passive, use the size verifier as a finishing file to gently enlarge the canal terminus or select a smaller size verifier. b) Irrigate with an antibacterial root canal cleanser according to product directions. c) Dry the canal thoroughly using absorbent points. d) Use a paper point of the same tip and taper as the last file taken to working length before heating the obturator. Brush a very light coating of (AH Plus®) sealer throughout the coronal-apical canal system. To help ensure the obturator reaches working length, use an additional dry absorbent point to remove any excess sealer that may have accumulated on the canal walls or pooled in the apex. Place the gutta•coreTM obturator in the gutta•coreTM oven (stopper must be under the holder) and set the working length. a) Heat gutta•coreTM on the lowest heat setting. For all other obturators, select the appropriate heating level (20-90). b) When the obturator is ready (audible beep,flashing indicator light), remove it from the oven and place the obturator smoothly, with one slow continuous motion, into the canal to the working length. Remove the handle from the gutta•coreTM obturator at the orifice by bending to either side of the canal wall. Alternatively, use a round bur. CLINICAL SEQUENCE

PACK BLISTER 5 BLISTERS PRODUCT REFERENCES Sizes : 20,25,30,35,40,45,50,55,60,70,80,90 and Matching ProTaper NextTM Gutta Core GuttaCore™ Obturators BLISTER 5 obturators + 1 SV Product Ref PACK 25 obturators (5 blisters, 5 SV) 20 A 1702B 004 20 00 A 1702P 004 20 00 25 A 1702B 004 25 00 A 1702P 004 25 00 30 A 1702B 004 30 00 A 1702P 004 30 00 35 A 1702B 004 35 00 A 1702P 004 35 00 40 A 1702B 004 40 00 A 1702P 004 40 00 45 A 1702B 004 45 00 A 1702P 004 45 00 50 A 1702B 004 50 00 A 1702P 004 50 00 55 A 1702B 004 55 00 A 1702P 004 55 00 60 A 1702B 004 60 00 A 1702P 004 60 00 70 A 1702B 004 70 00 A 1702P 004 70 00 80 A 1702B 004 80 00 A 1702P 004 80 00 90 A 1702B 004 90 00 A 1702P 004 90 00 Gutta Core for ProTaper Next X2 A 1802B 004 25 00 A 1802P 004 25 00 Gutta Core for ProTaper Next X3 A 1802B 004 30 00 A 1802P 004 30 00 Gutta Core for ProTaper Next X4 A 1802B 004 40 00 A 1802P 004 40 00 Gutta Core for ProTaper Next X5 A 1802B 004 50 00 A 1802P 004 50 00 sv : size verifier / one in each blister BLISTER Ref A1702 B PACK 5 BLISTERS Ref A1702 P

GuttaCore™ Obturators Final Shape .04 Taper GuttaCore™ Obturators Final Shape .06 Taper WaveOne ProTaper 20/.04 - 20/.06 20 small F1 25/.04 25/.06 25 primary F2 30/.04 30/.06 30 F3 35/.04 35/.06 35 40/.04 40/.06 40 large F4 45/.04 45/.06 45 50/.04 50/.06 50 F5 55/.04 55/.06 55 60/.04 60/.06 60 70+/.04 70+/.06 70 80+/.04 80+/.06 80 90+/.04 90+/.06 90 When the final shape is a .04 taper, select a GuttaCore™ Obturator package one size smaller than the last file taken to working length. When the final shape is a .06 taper or larger, select a GuttaCore™ package of the same size as the last file taken to working length.

CLINICAL EDUCATION Clinical Case – Dr Gutmann- Dentistry Today Dr. Jim Gutmann Dr. Larry Farsakian CLINICAL EDUCATION CASE STUDY Dr. Jim Gutmann Clinical Case – Dr Gutmann- Dentistry Today The Future of Root Canal Obturation Written by James L. Gutmann, DDS, PhD Monday, 07 November 2011 Mandibular left second molar with root lengths of 24.5 mm. Canals were prepared to a size F1 (ProTaper) and obturated with GuttaCore carriers and AH-Plus root canal sealer. Access to the placement of the carriers on the mesial was enhanced by removing the handle and using a locking forceps to enable the proper angle of delivery. The distal canal was obturated in the normal fashion with the handle in place.

Easy to create post-space Easy retreatment crosslinked gutta-percha core obturator Superior 3D fills Easy to create post-space Easy retreatment

Shape with your system…..obturate with COMPATIBILITY Maillefer   W1 ProTaper GuttaCore™ 21/.06 F1=20/.07 20 25/.08 F2=25/.08 25 F3=30/.09 30 40/.08 F4=40/.06 40 F5=50/.05 50 Micro Mega NEW   HERO shaper GuttaCore 20/.04 - 25/.04 20 30/.04 25 35/.04 30 40/.04 35 45/.04 40 20/.06 25/.06 30/.06 VDW   Mtwo GuttaCore 35/.04 30 40/.04 35 45/.04 40 50/.04 45 60/.04 55 20/.06 20 25/.06 25 30/.06 35/.06 40/.06 FKG   RACE GuttaCore 20/.04 - 25/.04 20 30/.04 25 35/.04 30 40/.04 35 50/.04 45 20/.06 25/.06 30/.06 35/.06 40/.06 40 Sybron Endo K3 X-file GuttaCore 20/.04 - 25/.04 20 30/.04 25 35/.04 30 40/.04 35 45/.04 40 50/.04 45 20/.06 25/.06 30/.06 35/.06 40/.06 45/.06 50/.06 50 When the final shape is a .04 taper, select a GuttaCore™ Obturator package one size smaller than the last file taken to working length. When the final shape is a .06 taper, select a GuttaCore™ Obturator package of the same size as the last file taken to working length. Shape with your system…..obturate with

Chemically crosslinked poly-isoprene PRODUCT SPECIFICATIONS Coating: Standard Gutta Percha Carrier: Chemically crosslinked poly-isoprene natural rubber Calibration rings are set at the following working lengths 18, 19, 20, 22, 24, plus 27 and 29 on the obturator handles. 27mm 29mm Yellow painting 18,19,20, 22,24mm 20 cross-linked poly-isoprene chains Crosslinking process:  The added peroxide dissociates to form free radicals Peroxide radicals remove hydrogen leaving polymer radicals  Polymer radicals combine to create cross-links between the polymer chains ‘free’ poly-isoprene chains