What is considered the best pulp protection?

Calcium hydroxide remains the “gold standard” for direct pulp capping. It has the longest track record of clinical success, is the most cost-effective and is the likely effective component in MTA.

What liner protects the pulp?

4,9 A variety of dental materials have been introduced as liners to provide pulp tissue protection from irritants related to the restorative procedure. The traditional lining materials include calcium hydroxide, glass ionomer, and resin-modified glass ionomers (RMGIs).

How can we protect our pulp?

What material is used for pulp capping?

Two types of pulp-capping materials, calcium hydroxide and mineral trioxide aggregate, have been most commonly used in clinics, and an adhesive resin has been considered a promising capping material.

Can you use Dycal and Vitrebond together?

Both studies demonstrated that the pulp–dentin complex response to Vitrebond and Dycal indicated acceptable biocompatibility of these materials and there are no statistically significant difference between calcium hydroxide and Resin-Modified Glass Ionomer.

Pulp Protection Simplified | Varnish | Part 1

Do you etch before Dycal?

10 The loss of material from Dycal as a result of acid contact is generally regarded as disadvantageous. Therefore, etching procedure should be done before Dycal application.

When should I use Vitrebond?

Due to its adhesion to set amalgam and its superior masking qualities, Vitrebond is useful as an adhesive masking agent on amalgam with esthetically disturbing surfaces. Several reports support the use of Vitrebond for interim restoration of decayed deciduous and permanent teeth.

What is pulpal protection?

Pulp capping is a dental procedure that prevents the tooth pulp from being exposed during a cavity preparation, hence preventing the need for a root canal procedure.

Can Dycal be used for direct pulp capping?

Dycal® Calcium Hydroxide Liner is a two-component, rigid-setting, self-curing material designed for use in direct and indirect pulp capping and as a protective liner under dental adhesives, varnishes, filling materials, cements, and other base materials.

Can MTA be used for pulp capping?

MTA is a new and biocompatible biomaterial used for dental practice. It has been proved to be an excellent material for repairing of root perforations, apexification, root-end filling, repairing of root resorption and pulp capping.

What are the different classifications of pulp protection?

Two different types of pulp cap are distinguished. In direct pulp capping, the protective dressing is placed directly over an exposed pulp; and in indirect pulp capping, a thin layer of softened dentin, that if removed would expose the pulp, is left in place and the protective dressing is placed on top.

How can the pulp be protected when using a composite restorative material?

This light-cured resin modified calcium silicate material uses a hydrophilic resin matrix which allows for the significant release of calcium and hydroxide ions to aid in pulp tissue therapy. Since it is resin based and light-cured, it is an easy solution for pulp protection under all composite restorations.

What materials can be used as a liner?

Varnish, calcium hydroxide, zinc phosphate, glass ionomer, and resin can be used as a liner.

Can you use Dycal under GIC?

CaOH under GIC is redundant and counterproductive. One is placing a hard compressive strength materiral (GIC) on a softer one (Dycal). The rate of reparative dentin is constant and is not determined by the use of Dycal.

Can I use Dycal under composite?

Further studies are necessary to suggest that Dycal can be used without any inhibitions under composite resin restorations, may be in vivo studies with long-term follow-up of the outcome are required.

What is the best material to seal the dentinal tubules against bacterial invasion?

Calcium Hydroxide Cavity Liners

Calcium hydroxide cements are used for lining specific areas of deep cavities or for direct pulp capping. The antibacterial action of calcium hydroxide makes these cements useful in indirect pulp-capping procedures involving carious dentin.

Why is Biodentine better than Dycal?

The results of the present study showed that pulps that were treated with Biodentine were essentially free of inflammation and led to the formation of a good quality bridge which was more predictable, uniform, thick, continuous, and completely sealed the pulp tissue in comparison to Dycal.

Which is better MTA or calcium hydroxide?

MTA is more effective and superior comparing the Calcium Hydroxide as a direct pulp capping material, showed higher success rate with favorable outcomes in maintaining long term tooth vitality and easier to use in pulp capping. MTA is less toxic, less pulpal inflammation capping compared to Calcium Hydroxide.

Is Dycal the same as calcium hydroxide?

Dycal is a self-set rigid dental cement based on calcium hydroxide. It is indicated for both direct and indirect pulp coating.

Is pulp capping effective?

Indirect pulp caps may help save your tooth and avoid further dental procedures. The American Academy of Pediatric Dentistry looked at several studies and found that indirect pulp cap procedures have a higher success rate than direct pulp cap and pulpotomy procedures in children and youth.

Why is pulp protection important?

PULP PROTECTION: It is the process of protecting the pulp from external irritants (Thermal, chemical and physical) using materials sucha s Cavity Bases, Liners. This step is very important in teeth with deep dental caries which extend into the dentis close to the pulp.

How does Dycal work?

Our results evidence that pulp capping with Dycal, as well as with Hydrogel, stimulates the formation of reactionary dentin at the periphery of the pulp chamber. Dycal contributes to the partial closure of the pulp exposure, producing a defective reparative dentinal bridge.

Does Vitrebond need etch?

Use Vitrebond Plus for the initial cervical portion of Class V restorations. It adheres to dentin without phosphoric acid etching while providing fluoride release for future caries control and a dentin shade for esthetics.

Do you etch after Vitrebond?

Vitrebond Plus liner/base can be used with any type of adhesive (light or self cured; separate etch or self-etch, i.e. - 4th, 5th or 6th generation adhesives) on dentin or enamel.

Is Vitrebond a liner or base?

Vitrebond™ Light Cure Glass Ionomer Liner/Base is a light-cure glass ionomer liner/base that combines light-cure convenience with true glass ionomer fluoride release and bond strength.