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"We are drowning in information but starved for knowledge."-- John Naisbitt :"We are drowning in information but starved for knowledge."-- John Naisbitt


Slide 2 :DR. RUCHIKA R. DEPT OF CONSERVATIVE DENTISTRY & ENDODONTICS SDM COLLEGE OF DENTAL SCIENCES AND HOSPITAL DHARWAD, KARNATAKA DR. R. NAGESWAR RAO Chairman DEPT. Endodontics COMPARATIVE EVALUATION OF TWO NEW OBTURATION MATERIALS: GUTTA FLOW AND EPIPHANY DR MAHANTESH P. HOD(MICROBIOLOGY)


Endodontic obturation: Past, present and future :Endodontic obturation: Past, present and future Gutta flow Gutta percha + AH Plus sealer Resilon cones + epiphany sealer


COMPARATIVE TESTS :COMPARATIVE TESTS CLINICAL MANIPULATION IN VITRO: Microbial leakage test S.E.M. adaptation test Antibacterial test Flow test


Gutta flow :Gutta flow What is it? Non-Heated Flowable Obturation Material


GUTTA FLOW :GUTTA FLOW Combines Gutta-Percha and Sealer in One product SEALER Poly-dimethyl Polymethyl hydrogen siloxane Silicone oil Paraffin oil Zirconium dioxide Platin catalyst POWDER: Guttapercha Zinc oxide Barium sulfate Nano silver


GuttaFlowThe Product :GuttaFlowThe Product Capsule Canal Tip (ISO size 50) Dispenser


Gutta flowManipulation :Gutta flowManipulation Dispensing


Gutta FlowStep-by-Step Application :Gutta FlowStep-by-Step Application


Gutta Flow Step-by-Step Application :Gutta Flow Step-by-Step Application


EPIPHANY :EPIPHANY Synthetic root canal filling material(based on polymers of polyester)


Composition :Composition RESILON CONES AND PELLETS


IN VITRO TESTS :IN VITRO TESTS Microbial leakage study (Enterococcus faecalis)


Microbial leakage :Microbial leakage


Microbial leakage :Microbial leakage Laminar flow Obturation in sterile conditions


Microbial leakage test :Microbial leakage test Epiphany Guttaflow AH Plus


Microbial leakage model :Microbial leakage model


Microbial leakage model :Microbial leakage model


Microbial leakage model :Microbial leakage model Upper chamber Suspension E. Faecalis Lower chamber BHI broth


Microbial leakage model :Microbial leakage model


Microbial leakage :Microbial leakage AH Plus + GP Epiphany Gutta flow Controls


Microbial leakage :Microbial leakage Clear Turbid


Slide 23 :RESULTS: PERCENTAGE OF SAMPLES LEAKED AT 30 DAYS


RESULTSDAYS AT WHICH SAMPLES LEAKED :RESULTSDAYS AT WHICH SAMPLES LEAKED


IN VITRO TEST :IN VITRO TEST Scanning Electron Microscopy


AH Plus :AH Plus


Epiphany :Epiphany


Gutta flow :Gutta flow


IN VITRO TEST :IN VITRO TEST Anti bacterial test Agar diffusion test Direct contact test Enterococcus faecalis


Agar diffusion test :Agar diffusion test


Agar diffusion test :Agar diffusion test


Agar diffusion test: ResultsAH Plus :Agar diffusion test: ResultsAH Plus 1 day Inhibition zone: 10 mm


Agar diffusion test: ResultsEpiphany :Agar diffusion test: ResultsEpiphany 1 day Inhibition zone: 18mm


Agar diffusion test: Results Gutta flow :Agar diffusion test: Results Gutta flow 1 day No inhibition zone


Direct contact test :Direct contact test


Direct contact test:AH Plus :Direct contact test:AH Plus 1 Hour sub-culture 24 hour sub-culture


Direct contact test:Epiphany :Direct contact test:Epiphany 1 Hour sub-culture 24 hour sub-culture


Direct contact test:Gutta flow :Direct contact test:Gutta flow 1 Hour sub-culture 24 hour sub-culture


IN VITRO TEST :IN VITRO TEST Flow test


Flow test :Flow test


Flow test :Flow test Gutta flow Epiphany AH Plus 11 mm 9.5mm 12.5 mm


DISCUSSION :DISCUSSION


GROSSMAN’S IDEAL REQUIREMENTS(1940) :GROSSMAN’S IDEAL REQUIREMENTS(1940) Easily inserted Not shrink Impermeable Bacteriostatic AH Plus + GP Epiphany Gutta flow             ?


CONCLUSION :CONCLUSION


Slide 45 :Vision is perhaps our greatest strength.. it makes us peer into the future and lends shape to the unknown. - Li Ka Shing