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: http://www.bisco.com/instructions/English_IN-192R1.pdf
  • 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   http://www.nxtbook.com/nxtbooks/aae/guidetoclinicalendodontics6/ 

Considerations

  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.