EQUIA. Self-Adhesive, Bulk Fill, Rapid Restorative System

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1 EQUIA EQUIA Fil EQUIA Coat + Self-Adhesive, Bulk Fill, Rapid Restorative System From the World Leader in Glass Ionomer Technology - A Complete Glass Ionomer Based Bulk Fill Rapid Restorative System Class I, II and V restorations Amalgam alternative Composite alternative Pediatric restorations Geriatric restorations Special needs patients High caries risk patients Core build-up High strength and wear resistance

2 Proven. Independent studies and evaluations confirm the reliability of the EQUIA Rapid Restorative System. Cavity preparation for a Class I restoration. GC CAVITY CONDITIONER can be applied and then rinsed off to improve adhesion to the tooth structure. The development of EQUIA was based on the positive feedback from years of clinical experience with high-viscosity GIC restorations, of which longevity has been highlighted again in recent systematic literature reviews *. On this basis, there is evidence that resin coating optimizes the physical properties of the EQUIA restoration. Numerous ongoing worldwide clinical studies are showing very promising results * : When evaluating 150 restorations retrospectively after two years, it was concluded that EQUIA may be used as a permanent restoration material for any size Class I and in conservative Class II restorations * When compared with micro-hybrid composite resin over a period of 12 months, EQUIA was found to be as efficacious as the micro-hybrid composite resin system * Application of EQUIA Fil in bulk. In a 2011 study of 245 patients covering two years, it has been concluded that the EQUIA system seems to be a reliable choice for long-term dental restorations, even in load-bearing teeth * Clinical results indicate that EQUIA shows an excellent initial color match * Application of EQUIA Coat. EQUIA is Quick, Easy and Lasts. Dr. Mark Pitel End result after application of EQUIA Coat and light curing for 20 seconds. With two simple steps, EQUIA creates economic, aesthetic and effective solutions for Class I, II and V restorations. Bulk-fill Self-adhesion (chemical bond creating hybridized layer) Outstanding wear resistance Excellent aesthetics No shrinkage Non-sticky handling Improved strength over other glass ionomer restoratives * High fluoride release at interface and over time with recharge Optimal marginal seal that offers long-term resistance to microleakage and discoloration Moisture tolerant (no rubber dam required) Coefficient of Thermal Expansion same as dentin *Independent studies listed on

3 Rapid. Compared to composites, amalgam, and other restorative materials, EQUIA is a glass ionomer based system that s easy to use and can save valuable time. Great for wet field dentistry Bulk fill No etching No bonding Moisture tolerant No rubber dam required CLASS I CLASS II Class I restoration. No bonding required, bulk-filled with EQUIA Fil and coated with EQUIA Coat for a aesthetic restoration. Simple, repeatable technique. Class II restoration. No bonding required, bulk-filled with EQUIA Fil and coated with EQUIA Coat for aesthetic restoration. Simple, repeatable technique. Courtesy of Dr. Lassocinski, Poland Courtesy of Dr. Tishenko, Turkey

4 Durable. Without EQUIA Coat In a finished restoration, the surface becomes rough and loses particles due to wear or dissolution. Mechanical stress concentrates on surface voids and gaps which leads to crack formation. With EQUIA Coat The restoration is protected from wear and dissolution, mechanical stress is dispersed, and the surface remains glossy due to the evenly dispersed nano-fillers and tough coating layer. Excellent Wear Resistance EQUIA Coat is an innovative, self-adhesive, nano-filled resin coating. It provides the glass ionomer with wear resistance suitable for posterior load-bearing restorations. EQUIA Coat quickly and easily protects restorations, improves physical properties, and aesthetics. Quick and easy to apply Self-adhesive Nano-fillers evenly dispersed Vickers hardness (Hv) Hardness Immersed time (days) EQUIA GCC R&D Universal posterior composite The influence of coating for the maturation of glass ionomer cement, K. Kato, T. Noguchi, H. Nakaseko, and S. Akahane, GC Corporation. J Dent Res 85(Spec Iss B):2076, 2006 ( Better EQUIA Coat increases: Flexural strength Fracture toughness Surface hardness Strong and Beautiful Wear resistance Protection from acid erosion Aesthetics (gloss retention) EQUIA Coat enhances the strength of EQUIA Fil. Unlike typical coatings that age, EQUIA Coat is designed to evenly wear off and mature over time. The underlying layer undergoes maturation attributed to its interaction with saliva providing increased strength over time equal to current universal posterior composites and with optimized aesthetics. EQUIA performs where other Glass Ionomers do not. CLASS V Bleaching performed, EQUIA placed. EQUIA optimizes adhesion to mineralized hard tissue, key for enhancing mechanical strength, marginal adaptability and seal at the interface. This also improves the reliability and longevity of the restoration. PEDIATRIC Minimally invasive prep of deep occlusal pit with limited trauma for a quick procedure. EQUIA Fil injected into the prep, and EQUIA Coat applied and light-cured. Final restoration is conservative, fast, parent and patient friendly. Courtesy of Dr. douglas Terry, Houston, Texas Courtesy of Dr. Mark Cannon, Associate Professor, Northwestern University, private practice Long Grove, IL

5 Better. Class I restoration: Amalgam Replacement Courtesy of Dr. Mark Pitel, Poughkeepsie, NY Zone of Inhibition Amalgam Alternative and Replacement: Better for your patient, your practice, and the environment The US dental industry is the top polluter of mercury (from amalgam). 1 In depth systematic reviews of literature have shown that high-viscosity glass ionomer cements are as effective as or superior to amalgam (in terms of higher success rate and significantly fewer recurrent carious lesions) when used in the same clinical indications. 2 Systematic reviews, often including meta-analysis as statistical method, provide the highest form of clinical knowledge in terms of achieving internal validity of results. EQUIA is an aesthetic and effective alternative to amalgam fillings and an excellent replacement choice as well. Zone of Inhibition EQUIA Fil BOVINE DENTIN X10,000 1μm Strong chemical adhesion, due to acid-based reaction, creates a zone of inhibition. Glass ionomers mechanically and chemically bond to the tooth, creating a zone of inhibition that studies indicate may help to minimize the risk of secondary caries. EQUIA s high-fluoride release provides much needed protection against secondary caries as well as protection for adjacent teeth. GERIATRIC Elderly patient with significant recession and decay. EQUIA Fil placed for quick, aesthetic restoration. HIGH CARIES RISK Extensive cervical decay. After performing saliva and risk assessment testing it is determined that future caries risk is high. EQUIA provides proven long-term protection, retention, marginal seal, longevity, and aesthetics with a simple moist field friendly technique. Courtesy of Dr. M. Basso, Italy Courtesy of Dr. Nels Ewoldsen

6 Ordering Information The EQUIA Rapid Restorative System is available in a variety of combination packages, consisting of a bottle of GC CAVITY CONDITIONER, a bottle of EQUIA Coat (4mL) and a 50-capsule box of EQUIA Fil in the below Vita shades. EQUIA Fil Single shade and assortment packages contain 50 capsules. Average contents per capsule: 0.40g powder and 0.12g (0.10mL) liquid. Minimum net volume of mixed cement per capsule: 0.14mL. Accessory to help extrusion: GC Fuji CAPSULE APPLIER. EQUIA Coat Package contains 4mL with 20 disposable dispensing dishes and 50 micro-tip applicators and an applicator holder. EQUIA BULK FILL SELF-ADHESIVE AESTHETIC POSTERIOR RESTORATIVE EQUIA Intro Kits Assorted Shades (includes EQUIA Fil (10 each: A2, A3, A3.5, B1, B3) EQUIA Coat and GC CAVITY CONDITIONER) Shade A1 (includes EQUIA Fil (50 of A1), EQUIA Coat and GC CAVITY CONDITIONER) Shade A2 (includes EQUIA Fil (50 of A2), EQUIA Coat and GC CAVITY CONDITIONER) Shade A3 (includes EQUIA Fil (50 of A3), EQUIA Coat and GC CAVITY CONDITIONER) Shade A3.5 (includes EQUIA Fil (50 of A3.5), EQUIA Coat and GC CAVITY CONDITIONER) Shade B1 (includes EQUIA Fil (50 of B1), EQUIA Coat and GC CAVITY CONDITIONER) Shade B2 (includes EQUIA Fil (50 of B2), EQUIA Coat and GC CAVITY CONDITIONER) Shade B3 (includes EQUIA Fil (50 of B3), EQUIA Coat and GC CAVITY CONDITIONER) Shade C4 (includes EQUIA Fil (50 of C4), EQUIA Coat and GC CAVITY CONDITIONER) EQUIA Starter Kits Assorted Shades (includes EQUIA Fil (10 each: A2, A3, A3.5, B1, B3) EQUIA Coat, GC CAVITY CONDITIONER and GC Fuji CAPSULE APPLIER) Shade A2 (includes EQUIA Fil (50 of A2) EQUIA Coat, GC CAVITY CONDITIONER and GC Fuji CAPSULE APPLIER) EQUIA Refills EQUIA Fil Assorted Refill (10 each: A2, A3, A3.5, B1, B3) EQUIA Fil Single Shade Refill A1 (50) EQUIA Fil Single Shade Refill A2 (50) EQUIA Fil Single Shade Refill A3 (50) EQUIA Fil Single Shade Refill A3.5 (50) EQUIA Fil Single Shade Refill B1 (50) EQUIA Fil Single Shade Refill B2 (50) EQUIA Fil Single Shade Refill B3 (50) EQUIA Fil Single Shade Refill C4 (50) EQUIA Coat 4mL Refill GC CAVITY CONDITIONER GC CAVITY CONDITIONER 5.7mL Bottle (20% polyacrylic acid and 3% aluminum chloride hexahydrate) Accessory GC Fuji CAPSULE APPLIER Vita is a registered trademark of Vita Zahnfabrik, Bad Sackingen, Germany. 1 Mercury Source Control & Pollution Prevention Program Evaluation, prepared for US EPA, 2002; Mercury Project, ) Systematic review of clinical trials by Mickenautsch et al., Clinical Oral Investigation 2010; v14: pp , Systematic review of clinical trials by Mickenautsch et al., European Journal of Pediatric Dentistry 2009; v10: pp41-46, Investigation of dental materials by Mazzaoui et al., Dental Materials 2000; v16: pp SKU # GC America Inc.

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