CALCIUM HYDROXIDE

Dr.Kamran Asadullah Demo/Lecturer Dept. of Dental Materials

CALCIUM HYDROXIE
Calcium hydroxide is a relatively weak cement. Due to their alkaline nature they serve as a protective barrier against irritants from certain restorations.

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AVAILABLE AS: Two paste system (base & catalyst) Light cured system Single paste in syringe form Powdered form (mixed with distilled water)

COMMERCIAL NAMES: 1. Self cured Dycal, Urbicol, Calcidor 2. Light cured Prisma VLC dycal.

Composition (Two paste system)

Paste 1

Paste 2

Components Calcium hydroxide (50%) Zinc oxide (10%) Zinc stearate (0.5%) Ethyl toulene Sulphonamide (39.5%) Glycol salicylate (40%)
Titanium dioxide Calcium sulphate Calcium tungstate

Function Primary reactive ingredients Accelerator Oil compound, acts as carrier Primary reactive ingredient Inert fillers, Pigments & radiopacifiers

 LIGHT ACTIVATED: Light activated calcium hydroxide cement contains Ca (OH)2 and BaSO4 in urethane dimethacrylate resin, HEMA and polymerization activators.
ADVANTAGE: 1. Longer working time 2. Less brittle than two paste system

SETTING REACTION
Ca (OH)2 reacts with the salicylate ester to form a chelate , i.e. amorphous calcium disalicylate. Zinc also takes part in the reaction. SETTING TIME: 2.5 5.5 minutes

PROPERTIES
1. 2. 3. MECHANICAL PROPERTIES: Compressive strength: poor, 10 27 MPa. Tensile strength: poor, 1 MPa. Modulus of elasticity: 0.3 GPa/m2 .

THERMAL PROPERTIES: 1. They provide some thermal insulation if used in sufficiently thick layer. 2. However, thickness greater than 0.5mm is not recommended.

 SOLUBILITY & DISINTEGERATION: 1. Solubility in water is high (0.4 to7.8%). 2. Solubility is higher when exposed to phosphoric acid & ether. 3. Care should be taken during acid etching and during application of varnish. BIOLOGICAL PROPERTIES: 1. Effect on pulp: alkaline in nature, pH ranges 9.2 11.7. 2. Formation of secondary dentine: The process is a product of irritation of the pulp tissue. Possibly mediated by the activation of TGFb, a cellular growth factor.

Ca (OH)2 ROOT CANAL SEALING PASTE

Similar to the ones used for pulp capping but contains increased amount of retarders in order to extend working time while they are manipulated in the warm environment of the root canal. ADVANTAGES: 1. Effective antibacterial properties without irritation. 2. They stimulate hard tissue repair in the apical foramen.

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USES: Pulp Capping: Direct & indirect Low strength base (lining) Pulpotomy Apexification Root canal sealer Apexogenisis Intra canal medication Hard tissue formation.