Booklet - GC India Dental

®
everStick
Strength like
never before
Dear Dr.
Greetings from GC India!
Wish this letter finds you in
ood health and
heers!
As you are aware, GC has always been a synonym for quality and
in achieving predictable results with innovative technology.
We are guided by our founding principles of “SEMUI” ( Treat
others the way you want to be treated) and
Minimum
Intervention Dentistry!!!
In continuum to our service to dentistry, we are introducing a
revolutionary resin impregnated fibre technology for minimally
invasive dentistry, to support you in providing single sitting
bridges, splints, posts, orthodontic retainers and space
maintainers much more effectively, reliably and with confidence.
Here we present our everStick range of products.
We invite you to Stick with us!! Shine with us!!
2
everStick®
everStick® fibres open up new opportunities
for patient-friendly, minimally invasive
procedures and restorations
everStick®C&B
everStick®PERIO
everStick®ORTHO
everStick®POST
ø1.5mm (4000 fibres)
ø1.2mm (2000 fibres)
ø0.75mm (1600 fibres)
ø0.9mm, 1.2mm, 1.5mm
For minimally invasive fibrereinforced composite bridges
• Surface retained bridges
• Inlay and onlay bridges
• Laboratory made and
temporary bridges
For patient-friendly splinting
For aesthetic retention
• Periodontal splinting
• For patient friendly metal
free orthodontic retainers
• Combined periodontal
splint and surface
For advanced root canal
post and core structures
• Individually formed
root canal post
retained bridge
Progress to the next level of
fibre technology
The strength of everStick® E-glass fibres
allows clinicians to pioneer new paths in
cost-effective chairside tooth
replacement, splinting, root canal posts
and passive orthodontic retention.
9 year follow up
3
Dr P Vallittu – Finland
®
everStick fibres – the beauty of composite
with the strength of steel
Patented IPN technology is at the heart of everStick fibres.
everStick® fibre bundles have up to 4000 individually silanated
E-glass fibres that are fully impregnated with resin. This fusion
of fibres and resin forms the exceptionally strong, aesthetic
and user-friendly Interpenetrating Polymer Network (IPN). The
IPN technology is extensively researched with over 300
publications.
®
A new breed of fibres for dentistry
• everStick® fibres are strong. IPN technology takes fibre
strength to a whole new level.
• everStick® fibres are simple to place. The IPN structure
means fibres can be positioned exactly where you need
them and are easy to manipulate and control.
Cross-sectional view of everStick® fibre. Silanated E-glass fibres are
impregnated with resin to form the strong and durable IPN structure.
• everStick® fibres have no compromise aesthetics, and
because resin is impregnated throughout the fibres the
subsequent application of bonding resin and composite is
quick and simple.
Strength (MPa)
Flexural strength of FRC products
Within the IPN structure, the individually silanated E-glass fibres are surrounded
by bis-GMA and PMMA.
4
everStick®
EverStick®C&B
The cost-effective,
immediate bridge solution
The use of everStick®C&B fibre reinforcement offers a unique
treatment method for replacing missing teeth. With
everStick®C&B, you can prepare composite bridges, reinforced
with fibres, in one single visit using a minimally invasive
technique. This evidence-based fibre reinforcement
technology provides you with a metal-free, cost-effective yet
highly aesthetic treatment choice.
Minimally invasive, reversible, one visit
When might you consider an
®
everStick C&B solution?
•
When the patient needs an economic solution
•
When you want to preserve healthy tooth tissue
•
In cases requiring immediate bridges after
extraction or avulsion due to trauma
•
Before or during implant treatment as a
temporary solution
•
When replacing congenitally missing teeth
For young patients
•
When there is a need for a provisional bridge
•
When the patient prefers an aesthetic solution
everStick®C&B is suitable for full-bridge preparations
and surface-retained adhesive bridges, in both
anterior and posterior situations.
Prof M Peumans – Belgium
5
Simple to use
1. Check the occlusion; measure and
cut the fibre
2. Clean, etch and bond
5. Spread the fibre on the tooth and
light-cure
6. Add a transverse fibre to
support the pontic
3. Apply G-ænial Universal Flo;
do not light-cure!
7. Cover the fibre with
G-ænial Universal Flo
4. Place the fibre
8. For Predictable Aesthetics Build
the pontic with G-ænial Anterior
check the occlusion and finish
Replacement of a missing tooth in one session with a direct bonding approach
Prof M Peumans – Belgium
6
everStick®
everStick®PERIO
everStick®PERIO offers a dynamic
and cost-effective alternative for
stabilising and replacing teeth.
®
everStick PERIO – the ideal splint
• Quick, clean and simple – just cut with scissors and
place, fibres remain smooth and do not fray
Periodontal splinting with everStick®PERIO can be successfully
used as a part of periodontal treatment. It has been shown that
teeth with healthy, but severely reduced periodontium can be
maintained with the aid of splints or fixed bridges.
• Comfortable for the patient – smooth and highly
aesthetic
• Supports teeth effectively – doesn’t cause torsional
stresses or act as an unintended orthodontic
appliance
• Superior durability – doesn’t attract plaque or stain
• Easy to remove when necessary
Elastic modulus that matches dentine
The flexural strength of the everStick fibre (1280MPa) is as
high as that of cast chrome cobalt metal and everStick®PERIO
elastic modulus is very close to that of dentine. The elasticity of
the glass fibres may be beneficial to the periodontal tissue,
because the surrounding supportive tissues are loaded more
naturally.
®
*
Improve quality of life
You can immobilise periodontally compromised teeth
effectively. Because this is a fixed solution, the patient can eat
and smile without difficulty and quality of life improves
considerably.
Dr T Varrela – Finland
* GC internal data
7
Quick and easy
Compared to many other fibres, everStick fibres don’t fray
and are very easy to handle and position. Just follow the
simple placement steps.
®
Change of treatment plan – no problem!
Splints can be re-activated and are easy to remodel or repair. If
the splint needs to be extended, or if an extracted tooth needs
to be replaced, there is no need to remove the whole splint.
Instead, due to the unique IPN structure, the splint can be
remodelled.
®
everStick PERIO fibre reinforcement for periodontal splinting
1. Measure and cut the fibre
5. Apply G-ænial Universal Flo,
Spread the fibre on tooth &
light cure for 2 seconds per tooth
(after shielding with “Stick Stepper”)
Align the fibre to “Line of Arch before
light curing the second tooth
2. Clean the teeth
3. Etch
7. Cover with G-ænial Universal Flo
composite
6. Position the fibre and light-cure
5-10 sec. per tooth
8
4. Bond
8. Light-cure and finish
everStick®
®
everStick ORTHO
Patient-friendly, metal-free,
aesthetic orthodontic retention
• Aesthetic – natural tooth shade
• Metal-free – comfortable for patients
• A quick application – no need to pre-bend
• Easy to adapt directly to the teeth and bond in place
• Reliable adhesive bonding
Dr V Cacciafesta – Italy
everStick®ORTHO fibre reinforcement for aesthetic retention
1. Measure and cut the fibre
2. Clean the teeth
3. Etch
4. Bond
5. Apply G-ænial Universal Flo
6. Place fibre and light-cure
7. Cover with G-ænial Universal Flo
8. Light-cure and finish
9
everStick®POST
Truly anatomical, custom-made and
individually shaped posts.
everStick®POST is an ideal solution for curved, oval and large
root canals, offering the advantages of a cast post but with
superior bonding ability.
• Adapts to the morphology of the canal to maximise the
adhesive surface and the strength in the most critical part of
the tooth
• High flexural strength after light-curing
• Elasticity very similar to the natural elasticity of dentine
• Adhesive and micromechanical bonding to both composite,
cement and core composite
• Tooth preserving because canal preparation is not needed
to the same degree as with traditional prefabricated posts
All the advantages of a cast post WITH superior
bonding properties
Dr J Tanner – Finland
10
everStick®
®
everStick NET
Glass fibre reinforcement for labial splinting
With its extremely thin and aesthetic bi-directional fibre mesh everStick NET is the optimal choice for labial splints in trauma
cases. This pre-impregnated glass fibre splint offers a minimal invasive solution with reliable bonding, optimised handling
properties and aesthetics.
Advantages
Totally metal free, transparent and high aesthetic solution
• Comfortable for the patient because it can be designed to be self-cleansing and to not interfere with masticatory function
• Can be re-activated and are easy to remodel or repair
• Easy to remove when necessary
Indications
•
•
Labial splinting of traumatized teeth
Labial periodontal splinting
everStick®NET for aesthetic labial splinting
1. Measure and cut the fibre
2. Clean the teeth
3. Etch
4. Bond
5. Apply G-aenial Universal Flo
6. Remove the fibre from
the paper strip
7. Position the fibre
8. Use stick stepper up to allign
9. Apply the stick RESIN
10. Light cure 5-10 seconds
per tooth
11. Cover with
G-ænial Universal Flo
12. Light cure and finish
11
Q&A
What are the differences between everStick fibres and
polyethylene fibres?
everStick® fibre reinforcements are the only fibre products
that have been pre-impregnated with PMMA and bis-GMA
polymer to form an IPN structure. The bonding between the
individual silanated E-glass fibres and the resin matrix is
proven to be strong and stable. For this reason everStick®
fibres work effectively with both composite and acrylic
systems. In addition, having part of the resin matrix composed
of PMMA thermoplastic polymer means the fibre frame
surface is always partially re-dissolvable in the composite
cement. This property is unique to everStick® materials and
allows for strong adhesion of indirect bridges to the
composite cement and teeth.
®
Have you tried fibres before and were left disappointed?
everStick® is different. The IPN technology infused into the
everStick® fibres creates a far stronger fibre and resolves some
of the placement and clinical performance issues associated
with polyethylene fibres.
IPN technology ensures strong, consistent adhesion between
the everStick® fibres and over-layered composite. For
polyethylene fibres, the adhesion between fibres and
composite has been inconsistent. When woven polyethylene
fibres are supplied dry they are very difficult to wet with
bonding agents and resins.
Can I add onto everStick® fibres once they are cured?
Yes. The significance of the IPN structure is that surfaces can
be reactivated even after the final polymerisation.
Reactivation is achieved by applying the StickRESIN
(containing bis-GMA and TEDMA) to the fibres. A small
amount of StickRESIN is placed on the fibre surface for 5
minutes and kept in the dark during reactivation.
Not being able to achieve adequate resin penetration into the
fibres results in a weakened interface, leading to delamination
or separation of the composite from the polyethylene fibres.
Exposed polyethylene fibres are uncomfortable to the tongue
and will absorb moisture leading to discolouration, staining
and increased plaque accumulation.
Cutting everStick fibres with a pair of sharp scissors is much
®
easier and cleaner. Polyethylene fibres need to be cut with
special cutting pliers and there is a tendency to create frayed
ends, which can introduce further placement challenges.
EverStick fibres are easy to place. They can be spread very
®
thinly and
evenly and feel comfortable for the patient.
Depending on the clinical case, the thickness of polyethylene
fibres has meant that once they are covered by composite they
can be quite bulky and often uncomfortable for the patient.
12
•
PMMA in the matrix of the fibre bundle is partly removed
(dissolved) by the StickRESIN during reactivation – this
creates spaces for micromechanical retention. In fact, by
doing this we ”etch” the surface of the fibre with the
resin.
•
Chemical bonding (retention) occurs between the
polymerised fibre surface and the new composite
because PMMA is a linear polymer and the ends of linear
polymer chains react with new resin.
everStick®
Reactivation is crucial for superior bonding when laboratory
manufactured restorations are cemented to teeth and
when fibre-reinforced composite devices are remodelled or
repaired.
How should everStick® products be stored?
everStick products should always be stored in a refrigerator (28°C). In addition, the products should be protected from light
by storing them in their sealed foil packages after use.
®
An elevated temperature and exposure to bright light may
shorten the lifespan of everStick® products.
What material can I use for luting indirect everStick® fibre
constructions to the teeth?
When using an indirect bonding method, the surfaces of
the fibre frame are first dissolved for five minutes with
StickRESIN, or another suitable resin (any light-curing resin
that does not contain fillers, self-etching monomers or
solvents i.e. acetone, ethanol, alcohol, water). After this,
luting is completed with either dual or chemically-curing
composite cement.
Prior to application, the products are taken out of the
refrigerator and the foil package opened, but they should be
kept away from bright daylight or artificial light. While cutting
the fibre bundle, the rest of the fibre bundle inside the foil
package should be kept covered from light. Immediately after
cutting a sufficient length for the fibre construction, the foil
package is carefully resealed and returned to the refrigerator.
What technique and material can I use for bonding direct
everStick® fibre constructions to the teeth?
We recommend a combination of adhesive and flowable
composite. After cleaning the prepared tooth, the enamel
is etched. Apply bonding resin following manufacturer’s
directions (eg G-ænial Bond) and light-cure. A layer of Gænial Universal Flo is placed onto the bonded surface but
not light-cured. The everStick® fibre is then placed into the
unset G-ænial Universal Flo. Together they are light-cured
to securely bond everStick® fibres to the tooth. Note that
the everStick® fibres can be spread to reduce bulk and
better adapt to an external bonding surface if desired.
How many adjacent pontics can you build using everStick®
fibre reinforcement material?
In each patient case you must always take into consideration
other relevant factors such as the occlusion, the antagonistic
material, the amount of fibres used and the placing/positioning
of the fibres etc. When the prognosis is good, a fibre bridge for
three pontics should last as well as bridges made of other
materials. The bridge’s lifespan is determined by the durability
of the composite material and the clinical circumstances.
Can everStick® fibres be bonded to ceramics?
Fibre frames can be bonded to ceramics in just the same
way as composite. The crucial thing is to choose the right
etching material (hydrofluoric acid) and adhesive (including
a silane coupling agent).
Anterior region:
Posterior region:
1 pontic: 1 everStick®C&B
1 pontic: 2 everStick®C&B
2 pontics: 2 everStick®C&B
2 pontics: 3 everStick®C&B
®
3 pontics: 3 everStick C&B
13
3 pontics: 4 everStick®C&B
®
®
everStick C&B
everStick PERIO
ø1.5mm (4000 fibres)
ø1.2mm (2000 fibres)
Refill 12cm x 2
Refill 8cm x 1
®
Refill 12cm x 2
Refill 8cm x 1
everStick ORTHO
ø0.75mm (1600 fibres)
Refill 12cm x 2
StickRESIN 5ml
Refill 30cm2x1
®
everStick POST
ø0.9mm, 1.2mm, 1.5mm (1600, 2000, 4000 fibres)
Refill ø0.9mm x 10 pieces
Refill ø1.2mm x 10 pieces
Refill ø1.5mm x 10 pieces
Stick Stepper
everStick®NET
Stick Carrier
GC G-ænial Universal Flo
2 ml/3.4 g per syringe
Call Toll free no :
1800 425 3132
for a free demo
o
Please keep everStick products away from light and store at 2-8 C
14
15
GC Sales Associates in India
Telangana : Hyderabad: SRIDHAR PARTHASARATHY-9030013232, SANTOSH SUYAVAMSHI-8977012381, SANDEEP BANDREDDY-9160666655,
BHANU PRAKASH PALAGIRI-9160485296, Ranjit Rachamalla-90309 44880; Andhra Pradesh: Kurnool: Shiva Prasad P-9848996688;
Vijayawada:SRINU.M.-8977012382; Visakhapanam : NEELIMA KOLA -7012378; Chattisgarh: Raipur : Atul Tiwari; Delhi : Delhi : JITENDER
BHASKAR- 9250099939, NAVJEET SINGH-9250099941, AMIT BHARDWAJ-9250099942, MANOJ KUMAR SINGH-9250099943, ABHIK GHOSH9560072885, AJAY RAO-9212341623, Vinay Kumar-9911612888; Gujarat : Ahmedabad: Dhiren Dave-9824012997, SUKETU THAKER.A 9033003081; Surat : VISHAL SUTARIYA-9033003082; Baroda: Prasanth K Joshi -9924349150; Rajkot : Gaurang Kakkad- 824181234; Karnataka:
Bengaluru: RAGAVENDRAN.C-8792002278, SESHADRI.N-8792002279, NARASIMHA MURTHY.V.S.-8792002281, HARISH K.V.GOWDA9535614983, VISHWANATH.K.S.-8792002282; Hubli : Shirish Desh Pande-9538901435; Mangalore: PRADEEP SALIAN-8792002283; Kerala:
Cochin: BINNY GEORGE K.S.-7736000115, PRASOON.V.S.-7736000117; Calicut: BEJOY RAJ.K-7736000118; Ernakulam: NITTU ANTONY7736000119; Thiruvananthapuram:SATEESH-7736000116; Malapuram: Mohammed Aslam V-9746986198; Madhya Pradesh : Indore : SHARAD
VERMA-7415005750, PANKAJ YADAV-7415005751; Bhopal: FARUKH TAI-7415005752; Aurangabad: NILESH SHARMA-8237600112;
Nashik:MANOJ TELGOTE-7276002198; Mumbai: Ashish Chandre-9819210018, JAYESH SAWANT-7208011795, GANESH R.SHIRSATH7208011798, AMOL S.SATPUTE-7208011796, NARESH SURESH KAMATH-9892208193; Odisha: Bhubaneshwar: ANIL KUMAR.P-9040001208,
Puducherry : JOSHUA GNANADURAI.S-98942 57470; Punjab: Amristar: SUNIL KUMAR-9041004273; Jalandhar: VIKAS CHANDER-9041004562;
Ludhiana: RISHI RAJ-8699001062; Chandigarh: Rajiv Ranjan-8146523096; Rajasthan: Jaipur: RAMDAYAL GUJAR-8829000165, Nivendra Pandey;
Tamilnadu: Chennai: RAJA.G-7418010311, VENKATESHWARA RAJ.S-7418010312, RAJESH.P-7418010310; Salem: VADIVEL.G-7418010313;
Madurai: P.VENKATRAGAVAN-7418010314; Coimbatore: Solomon Jebakumar-9600340054; Uttar Pradesh:Lucknow : RAHUL JAISWAL7275000432, Dr. DEVENDRA KUMAR SINGH-8090022216; Meerut: ASHISH DAS-9045516823; Barielly: Alok Saxena-9557055925; West Bengal:
Kolkata: PRADIP SENGUPTA-9038000265, MOUSUM BORAH-9038000267, Sk.ABDULLAH-9038000282, Tridip Mandal-9874550618
GC Dealers in India
Telangana: Hyderabad: DECCAN DENTAL DEPOT PVT. -9391021766, Everest Agencies-9391159181, Shanti Dental & Medical Co.-040-23212427,
The Hindustan Dental Medical & Surgical Corportion -040-23203097, Uma’s Dental Shoppe- 919848043634, UNIVERSAL DENTAL SUPPLIERS9391059069; Andhra Pradesh: Jaggayyapet : YASHVI DENTAL-9949350314; Vijayawada: ORANGE DENTAL DEPOT-9391379211; Visakhapatnam:
SONY DENTAL SUPPLIES-0891-2747569; Assam: Guwahati: North East Dental Depot-9435343801; Bihar: Patna: PYLON SURGICALS-9334109353;
Chandigarh: Star Dent-9878402497; Chattisgarh: Vandana Enterprises-919826117130; Delhi: Innodent India-011-23698602, K. S. Mathur &
Company-9810145388, ESSENTIAL DENTAL PRODUCTS-9810120089; Goa: Dental Hub-9821862999; Gujarat: Ahmedabad: Varun Traders9825065202; Karanpara : Angel Surgi - Pharma-0281-2223242; Rajkot: BABSI DENT-9825277238; Surat: Cherag Dental Supply-9824114964, SUN
MEDICARE-9898334676, SUNRISE DENTAL & SURGICALS-9825027622; Vadodara-Nagraj Enterprise-0265-2414052; Karnataka: Davangere08192-2221173; Bengaluru: United Dental Supply-080-26613385, Zahn Solutions-9880108208, Pharma lines-080 41203980, Best Dental &
Surgical-080-26701018, GROUP PHARMACETICALS LTD-9035837285, Meghana & Co.-080-23406304; Gulbarga- Gulbarga Dental Depot-08472251146; Mysore: HARA ENTERPRISES-9620204748, Shree Ganesh Dental Depot-0821-2498995; Udupi:Radha Medicals-9243310610; Kerala:
Kochi: COCHIN DRUG CENTRE-9037064118; Thiruvananthapuram: Dent Needs-0471-3293998; Kottayam: Dentsales-0481-2560176; Calicut:
JAYPEE GENERAL AGENCIES-0495 2380307, KCK DENTALS-0495-2367655; Thrissur: Trichur Surgicals-9447120813; Madhya Pradesh: Bhopal:
Distinct Dental & Surgical-9893135170; Indore: DR. BAGADIA AND COMPANY-9822201360, THE NATIONAL DENTAL DEPOT-9893241170;
Gwalior: Natraj Surgident-0751-2324663; Maharashtra: Aurangabad: Aurang Dental & Surgicals-94231 49548, DIVYA HEALTH CARE-02402357984; Kolhapur : Deals and Designs-9011069899; Nagpur : Dr. Bagadiya & Co.,-9822201360; Pune:Mydochem Formulations-9422512727,
Retail Denmart-98903031170; Mumbai: Doshi Marketing Corporation-022-25245258, Daiki Dental-022-28897450, Medensco-9821071855,
Pankaj Dental Trader-022-24709718, RAYA IMPEX-28874101; Puducherry: Puducherry: East Coast Surgicals-0413-2335907, NEWDENT9962215165; Punjab: Ludhiana : Gift Dental Co.,-9888028199; Jalandhar: International Dental System-0181-6537890; Amristar:Lalji Dental0183-2559830; Patiala : Sunnydeep Enterprises -0175-2303508; Rajasthan: Jaipur: Utkars Pharma Pvt. Ltd.-0141-2203234; Tamilnadu: Chennai:
Balaji Surgicals-044-26411182, Dentcare-044-24711103, Vijay Dental Depot-044-24755512; Salem: APT Dental Distributors-98430 44140; Uttar
Pradesh: Lucknow: Assam Dental Supply Co.-94150 22177; Saharanpur:Krishna Dental-9412232904; Kanpur: M.H. Dental Centre919839032518; Lucknow: SELMARK LIMITED-0522 3027001; Uttarkhand: Rishikesh: Krishna Enterprises-9412232904; West Bengal: Kolkata:
Chowdhury Brothers-033 22651962, Eastern Dental & Surgical Complex-033-22655962; Darjiling : Swastik Health Care-9434729792
GC India Dental Private Limited
Plot No.233, Phase III
IDA, Pashamylaram
Pattancheru MandaI
Medak District - TG 502307
T: +91 8455 224 844
www.gcindiadental.com
Toll free no : 1800 425 3132 [email protected]