WaveOne® Gold Glider with Dr. Cliff Ruddle

WaveOne® Gold Glider with Dr. Cliff Ruddle


Hi. I’m Cliff Ruddle and I’m very
enthusiastic to speak to you today about the [WaveOne®] Gold Glider. For me, the Gold Glider
is a pre-shaping file that is safe and efficient and it cuts a smooth flowing,
fully tapered pathway to length. The good news is the Gold Glider both
complements and completes the WaveOne® Gold file shaping system. Let’s get started. Let’s look at some advancements in canal preparation. Before we initiate endodontic treatment, it’s always useful to have a mechanical strategy. After cutting a careful access cavity, I typically use a size 10 file in a viscous chelator to work the file gently to length. Once the instrument has achieved length, we can establish working length. It’s important not to remove the file. Rather, to move the file in short strokes in and out until the file is loose, to confirm patency. Once we have a working length and a patent canal, we pull the file back a stop, then two stops, and three stops, and determine if we can slip, slide and
glide over the apical 1/3 of that canal. If we’ve accomplished that, we have a
smooth, reproducible glide path for a mechanical file to follow. Here’s the Gold Glider. There’s some very exciting design features that I’d like to share with you. Notice the six progressively increasing percentage tapers over the active portion. Notice that the color of the instrument is gold. That’s a post-machining heat treatment technology that provides improved flexibility and the resistance to cyclic fatigue. With its parallelogram cross-section, there’s more
chip space to haul debris out of the canal. So traditionally, we’ve used the 10, the 15 hand file for glidepath management. But notice how the Gold Glider compares with the 15 hand file at D8, D12, and D16. This serves to give us a pre-enlarged canal. So I propose eliminating the stiff
stainless-steel 15 hand file and glidepath management can be converted to a two file sequence. The good news is the motor that you already have for WaveOne Gold is feature-specific and will drive WaveOne Gold shaping files and the Gold Glider. We’re going to be making a hundred and fifty degree
counterclockwise rotation, and then a thirty degree clockwise rotation. This unequal, bi-directional movement is a very, very safe and efficient movement to carry files to length. Once we have a secured canal, we can use the Gold Glider to pre-shape the canal. Let it run in, passively let it go towards length. Let it run a little bit. If it bogs down, lift it up a couple millimeters to let the debris more effectively auger up the active portion of the file. Once we’ve achieved length, we have a really smooth, reproducible glide path that’s
conducive for shaping instruments to follow. In this system, we use the WaveOne Gold
primary 25/.07. Let it run into the canal. Oftentimes we’ll use a multi-pass technique, and typically the third pass will optimally
shape the apical 1/3. Notice how this file is loading up with debris. This can be visually identified
as you remove the file from the tooth. Well shaped canals hold a sufficient
reservoir of reagent that can be agitated. Typically we use the EndoActivator®, a soft polymer tip that’s non-cutting, to vibrate an exchange reagent into the uninstrumentable portion of the root canal system. Clean root canal systems are easy to fill and can be done readily with a vertical warm gutta-percha
technique using a system-based primary gutta-percha master cone or a GuttaCore® obturator. Okay, let me summarize. Gold Glider and WaveOne Gold promote
root-appropriate canal shapes that are conducive to three-dimensional
disinfection and filling root canal systems. I’d like to invite you to use WaveOne Gold system-based master cones and GuttaCore obturators to seal the deal. Endodontics just got better, easier, and faster

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