Clinical Overview
Ultrapak™ E is a knitted gingival retraction cord made of 100 % cotton, pre‑impregnated with racemic epinephrine hydrochloride (≈ 1.2 mg per inch). Its interlocking-loop design compresses during packing and then gently expands, producing predictable tissue displacement within 3–8 minutes—ideal for crown, bridge, veneer, and adhesive margin exposure. Each bottle contains ~244 cm (96 in) of single-size #2 cord, color-coded green and outfitted with a CleanCut cap, steel cutting blade, pre‑printed ruler, and plastic gate for hygienic dispensing.
Key Benefits
- Epinephrine‑impregnated formula: Provides powerful protein‑precipitating hemostasis and sulcular fluid control without requiring vasoconstrictor syringes.
- Consistent retraction strength: Compression‑expansion loop mechanism maintains outward force even under bur contact—minimizing displacement loss.
- Superior packing efficiency: Knitted cord resists slippage under the instrument, allowing precise placement into narrow sulci without fiber unraveling.
- CleanCut™ design with utility spine: Cap-integrated cutting blade and side gate prevent cord from falling into the bottle; printed ruler enables accurate cord length measurement.
- Size #2 medium thickness (green): Designed as an upper cord in advanced techniques and ideal for standard gingival sulci.
- One‑refill convenience: 96 in (244 cm) provides more than enough cord for multiple quadrant uses or large‑gap cases.
Working & Setting Times
- Handling: Utilize Fischer’s Ultrapak packers to gently compress the cord into the sulcus.
- Retention time: Clinical hemostasis and retraction typically establish within 3–8 minutes (up to 5 min often sufficient).
- Removal: Carefully retract and clean tissues with firm air/water spray before proceeding with impressions.
Kit Contents
- 1 × Bottle of Ultrapak E Size #2 cord (~244 cm/96 in, green-coded)
- CleanCut™ dispensing cap with integrated ruler, cutter, and cord gate—all ready for chairside use.
Indications
- Gingival retraction and margin exposure in fixed‑prosthetic and adhesive restorative procedures (crowns, bridges, veneers)
- Temporary hemostasis and sulcular fluid control during impression making
- Upper cord in double‑cord techniques—after placing size #1 or #0 as a base
- Ideal for sensitive tissue cases or where rapid retrieval of margins is needed
Instructions for Use
- Isolate and clean the margin; if desired, pre-soak cord in epinephrine-compatible hemostatic agent.
- Select a size #2 cord (appears slightly larger than needed, as it compresses); use Ultrapak packer to seat cord securely into sulcus.
- Maintain for 3–8 minutes for optimal expansion and tissue displacement.
- Carefully remove with blunt instrument or explorer; rinse, dry, and inspect tissues.
- If bleeding persists, repeat the procedure with fresh cord.
- Proceed with impression or restoration once hemostasis and margin exposure are confirmed. Avoid ferric sulfate-based hemostatic agents (e.g. ViscoStat™, Astringedent™ X), which can precipitate a blue-black complex with epinephrine.
Summary
Ultrapak™ E Size #2 (Code 200) is a clinician‑focused, epinephrine-enhanced knitted cord designed for rapid gingival displacement and reliable margin exposure. Its CleanCut cap system, precision loop structure, and cotton-based absorbency make it well-suited to both high-speed restoration workflows and epinephrine-appropriate hemostatic cases. With quick action (3–8 min), strong retention, and a convenient refill format, it delivers efficiency and confidence in impression and cementation protocols.
Manufacturer: Ultradent Products, Inc. (South Jordan, Utah, USA)
Contraindications: Do not use in patients with known cardiovascular disease, hypertension, thyroid disorders, or sulfite sensitivity. Epinephrine use is limited to ≤ 2 inches of cord per 30-minute interval; monitor vital signs when used in medically compromised patients.
Warnings: Avoid combination with ferric sulfate-based hemostatics (e.g. ViscoStat™, Astringedent™ X); may produce dark precipitate. Store under 40 °C (104 °F); refer to bottle label for batch-specific expiry. Single-patient use recommended.
