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Operative Dentistry

Liners Sealers and Caries detection

(Last updated: 3FEB2016)

Cavity Sealers/Liners

Calcium Hydroxide: Life (Kerr)
clinic approved, available at OPER
Vitrebond Plus (3M ESPE) - stocked
Indications: direct pulp capping from mechanical exposure when root canal treatment is declined by patient. After obtaining clean non-bleeding wound place Life over exposed pulp which is protected with Vitrebond Plus before restoration placement

Description: Resin-modified glass ionomer used for dentin lining of deep preparations, i.e. 1 mm from pulp

Instructions for use:
Place one click of paste/paste on pad, mix 10-15s, apply, light cure for 20s (12 J)

burs and polishing systems

burs and polishing systems



Cavity Sealers/Linerstheracal

Resin-Modified Calcium Silicate: Theracal LC (Bisco)
clinic-approved, available at OPER

  • Indications: (1) direct pulp capping from mechanical exposure when root canal treatment is declined by patient (2) partial caries removal, eg. indirect pulp cap
  • Directions for use:
  • Direct pulp capping alternatives include MTA and Biodentin.











Direct Pulp Capping

Please see American Assocation of Endodontics Guide to  Clinical Endodontics 6th edition for indications and objectives 


  1. Disinfect cavity with Consepsis
  2. "Capping" materials listed above, that is, Dycal, Theracal LC
  3. Strong liner/base is then placed to prevent displacement or fracture of capping material, eg. Vitrebond, Fuji II LC


Super Seal (Phoenix) - stockedsuper seal

  • Description: Oxalic acid and potassium salt in water; dentin desensitizer via dentin tubule occlusion by calcium oxalate precipitate. Primarily used for desensitization and tubule occlusion before amalgam placement.
  • Instructions for use: Apply generously with a microbrush with active application for 10s then leave undisturbed for additional 20s, initially air dry gently, and then finish with moderate air pressure. Repeat.






Caries Detectionburs and polishing systems

Cari-D-Tect (Gresco) clinic approved - available in OPER

  • Description: Dark blue F, D & C dyes in propylene glycol as an aid in caries and crack detection.
  • Instructions for use: Generously apply for 10-15s, rinse thoroughly and gently dry. Tactilely confirm the presence of caries before removal of dye-stained dentin. Dyes are visual identification aids only and are not diagnostic for remaining caries.