CAVITY LINERS AND BASES Flashcards
thin layers of material used primarily to provide a barrier to protect the dentin from residual reactants diffusing out of a restoration and/or fluids which may penetrate leaky tooth-restoration interface
LINERS
LINERS FUNCTIONS [4]
→ chemical insulator
→ stimulate formation of tertiary dentin
→ sterilize residual carious dentin with its anti-bacterial action
→ direct and indirect pulp capping
insulating materials that provide thermal protection for the pulp and to supplement mechanical support for the restoration by distributing local stresses from the restoration across the underlying dentin surface
BASES
BASES FUNCTIONS [3]
→ thermal insulation
→ mechanical insulation
→ provides strong support during insertion of permanent
restorations
MATERIALS USED AS CAVITY LINERS AND BASES [6]
→ Zinc Oxide Eugenol Cement
→ Calcium Hydroxide
→ Zinc Phosphate Cement
→ Polycarboxylate Cement
→ Varnishes
→ Glass Ionomer Cement (GI)
zinc oxide
A. Powder
B. Liquid
A
eugenol
A. Powder
B. Liquid
B
setting time acceleration:
ZINC OXIDE EUGENOL CEMENT
o increase powder-liquid ratio
o increase temperature and humidity
o adding water to the mix after mixing is complete and
seated in the preparation
T/ F
ZINC OXIDE EUGENOL CEMENT increase pressure, movement, and time during mixing
T
T/ F
ZINC OXIDE EUGENOL CEMENT
Has least amount of shrinkage
And least irritating
T
T/ F
ZINC OXIDE EUGENOL CEMENT thermal insulation at 0.25 mm thickness
T
T/ F
ZINC OXIDE EUGENOL CEMENT cannot be used as a base for composite because it can inhibit polymerization
T
T/ F
CALCIUM HYDROXIDE has 2 paste system, the Acidic Paste and Basic Paste
T
T/ F
CALCIUM HYDROXIDE packing factor is high; mass is porous
False
(packing factor is LOW; mass is porous)
used as a subbase
CALCIUM HYDROXIDE
0.5 mm-1.0 mm thickness is sufficient to treat a near or actual pulp exposure
CALCIUM HYDROXIDE
T/ F
CALCIUM HYDROXIDE
pulp tissue in contact with CaOH will undergo coagulation
(necrosis)
T
alkyl salicylate + filler
A. Acidic Paste
B. Basic Paste
A
calcium hydroxide
A. Acidic Paste
B. Basic Paste
B
promotes secondary dentin formation
CALCIUM HYDROXIDE
resinous solution in which calcium hydroxide and zinc oxide are suspended
FORMS OF CAVITY LINER
aqueous solution of calcium hydroxide in methyl cellulose or hydroxyethyl cellulose base
FORMS OF CAVITY LINER
resinous solution that is light-activated
FORMS OF CAVITY LINER
ZINC PHOSPHATE CEMENT Powder Form
zinc oxide with magnesium oxide + tribismuth oxide + silicon dioxide
ZINC PHOSPHATE CEMENT Liquid form
45-55% orthophosphoric acid
most irritating of all intermediary bases
ZINC PHOSPHATE CEMENT
used as a base and luting agent
ZINC PHOSPHATE CEMENT
acid is neutralized by dentin
ZINC PHOSPHATE CEMENT
highest compressive strength of
ZINC PHOSPHATE CEMENT
12,000-17,000 PSI
POLYCARBOXYLATE CEMENT Powder form
zinc oxide with magnesium oxide + alumina
POLYCARBOXYLATE CEMENT Liquid form
40-50% polyacrylic acid
compressive strength: of POLYCARBOXYLATE CEMENT
7,000-9,000 PSI
irritant to pulp dentin organ
POLYCARBOXYLATE CEMENT
T/ F
POLYCARBOXYLATE CEMENT effective thermal insulation in thickness of 1.5 mm
T
an organic copal or resin gum suspended in solutions of ether and chloroform
VARNISHES
used to line the cavity preparation for amalgam in order to improve the marginal and cavity wall seal
VARNISHES
under amalgam, reduces post-operative sensitivity
VARNISHES
retards ion migration into dentin resulting in less tooth
discoloration
VARNISHES
2 coats must be placed, thickness of 2-5 microns
VARNISHES
not applied to cavity walls when using silicates, silicophosphate, and glass ionomer cement
CONTRAINDICATIONS
not applied to cavity walls when using filled or unfilled composites
CONTRAINDICATIONS
T/ F
not applied to cavity walls when using filled or unfilled composites
T
Varnish Prevents microleakage
yes
Liner Prevents microleakage
No
Base Prevents microleakage
no
Varnish
Thermal Insulation
No
Liner
Thermal Insulation
No
Base
Thermal Insulatio
yes
Varnish
Chemical Insulation
yes
Liner
Chemical Insulation
Yes
Base
Chemical Insulation
yes
Compressive Strength of Varnish
No
Compressive Strength of Liner
No
Compressive Strength of Base
Zn Po4
GIC
Zn Polycarboxylate
ZOE
T/F
CAVITY LINERS AND BASES Use only for cavity preparations to be filled with amalgam (regardless of the depth).
T
Calcium hydroxide
A. Cavity liners
B. Cavity bases
A
T/ F
CAVITY LINERS involves DIRECT PULP CAPPING and INDIRECT PULP CAPPING
T
Put calcium hydroxide directly on the expose pulp. Observe
and hope that it will recover.
A. DIRECT PULP CAPPING
B. INDIRECT PULP CAPPING
A
In case of accidental pulp exposure (accidentally hit it with
the bur), if the rest of the cavity is already clean and the
depth is less than 0.5mm, then you can do?
A. DIRECT PULP CAPPING
B. INDIRECT PULP CAPPING
A
If a tooth has no history of pain or is asymptomatic, and you
can already see the pulp (pink spot) while excavating deep
caries, then you can do indirect pulp capping.
A. DIRECT PULP CAPPING
B. INDIRECT PULP CAPPING
B
Put calcium hydroxide and a temporary restoration material.
Observe and hope that it will recover.
A. DIRECT PULP CAPPING
B. INDIRECT PULP CAPPING
B
Apply in thicker consistency to supplement mechanical
support for the restoration by distributing local stresses from
the restoration across the underlined dentin surface.
A. Cavity liners
B. Cavity bases
B
Only used as a sub base
CALCIUM HYDROXIDE