Escolar Documentos
Profissional Documentos
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DR UMER DAOOD
Learning Outcomes
By the end of this lecture you will be able to :-
1. Define liners, bases , and sealers.
2. Identify the indications for using each material and the rationale
behind using each material.
Sealers, Liners, Bases
Sealers, liners and bases are intermediary
materials that may be placed beneath
definitive restorations to protect the pulp.
restorative material)
Sealers Liners Bases
Provide a protective Provide A barrier to Defined as dentin
coating to the walls irritants like sealers but replacement material
and floors of the also have a therapeutic to allow less bulk of
prepared cavities as effects. definitive restorative
well as barrier to •Materials placed material ( Amalgam )
leakage. between dentin (and •Materials used as
sometimes pulp) and the bases
1. Varnish. restoration to provide 1.Glass ionomer/
2. Dentin bonding pulpal protection or Resin modified glass
agents. pulpal response. ionomer
(2-5 micron 2.Zinc phosphate
thickness ) (Applied in thickness 3.Polycarboxylate
less than 0.5 mm)
Pulp Capping Materials
Remaining Dentinal Thickness (RDT)
No material that can be in a tooth provides better
protection for the pulp than dentin
A. Infected Dentine
B. Affected
demineralised
dentine
C. Translucent
zone
D. Reactionary
dentine
E. Pulpitis
Zinc Oxide Eugenol ( ZOE)
ZOE formulations have been used in dentistry for many years as bases, liners, cements and
temporary restorative materials.
-Its use for direct pulp capping is questionable.
-Eugenol is highly cytotoxic. ( Chong Y, et al ;2000 , Ho Y, et al ;2006)
-It is known that ZOE releases Eugenol in concentrations that are cytotoxic. (Koulaouzidou E,
et al ; 2004)
-ZOE also demonstrates high interfacial leakage. Although it has been noted that this leakage
is not important since ZOE can provide a biologic seal due to the Eugenol release, it must be
kept in mind that Eugenol release drops dramatically with time,(Hume W. 1984) and it is
anticipated that the effectiveness of ZOE in excluding bacteria is reduced the longer it is in
H-
H-
Negatively charged polyacid chains of the ionomer matrix and the
Positively charged calcium on the tooth surface
H-
H-
Water
65% polyacrylic acid
Maleic Acid
Classification of contemporary adhesives following adhesion strategy and number of clinical steps. GI = Glassionomer; PAA = polyalkenoic acid. (Reproduced from De Munck J, Van Landuyt K,
Peumans M. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res 2005; 84: 118-132)
Nakabayashi el a1 (1982)
The self-cure formulations are highly soluble and are subject to dissolution over time. (Prosser H
et al , 1982) although it has been noted that, by the time the calcium hydroxide is lost due to
dissolution, dentin bridging has occurred.(Accorinte M et al, 2006)
No inherent adhesive qualities and provides a poor seal.(Ferracane, J. 2001)
Presence of Tunnel defects ( What are tunnel defects and how crucial they are in the
performance of CaOH)
Disadvantages of CaOH
Thank You