A Restorative Material that Every Dentist Should Be Using - T-Bone Speaks

A Restorative Material that Every Dentist Should Be Using

I don’t know about you, but changing and/or adding a new restorative material is not something that I take lightly.

One material that has been important part of my arsenal is the cavity base/liner.

In dental school I was introduced to Calcium Hydroxide. It was a powder liquid material that I used on deep restorations as a thermal insulator under my amalgam restorations. However, Calcium Hydroxide was not ideal under composite restorations. So when I stopped doing amalgams (the day I graduated dental school) I made the switch to Vitrebond. It was a great material, but I hated having to mix.

We soon switched to Fuji Liner from GC America. It required mixing, but came in a paste pack. Fuji Liner stayed in my restorative material list until 2013.

In 2013, at the DentalTown “Townie Meeting”, I was introduced to a new class of ‘active’ restorative materials. The ‘active’ restorative materials release calcium, fluoride to promote secondary dentin formation. They also have a high pH to create an antimicrobial effect. But the most important thing was they were light cure materials that were syringed like a flowable composite.

I must say that I have been thoroughly impressed with the handling and the tooth response to these materials in the 18 months since I started using them. My incidence of post-op sensitivity on deep preparations has gone down to basically zero.

Although I started with TheraCal LC from Bisco, my current (September 2014) material of choice is Calcimol LC from Voco. I find that Calcimol LC handles better in my hands and is more tooth colored compared to the opaque white of TheraCal LC. Calcimol LC can be used with or without a dental adhesive.

Beyond the traditional use as pulp cap (direct and indirect), I am using Calcimol as a ‘base/liner’ on deep crown preps and as a blockout for undercuts in my indirect restorations.

I encourage you to take a closer look at the class of ‘active’ restorative materials. The handling and clinical properties are an improvement over the classic materials.

About the Author Tarun Agarwal

Dr. Tarun Agarwal represents the next generation of leadership for the dental profession. As a respected speaker, author and opinion leader, he is changing the way general dentists and their teams practice.

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  • Laura says:

    I use Gluma on almost every restoration, and I use Gluma with Limelight on deeper restorations. Any thoughts on those products? I like Gluma, because I can spread it on the entire tooth surface and cover all the dentin tubules.

    • Laura… Gluma is a time tested material. Limelight is a similar class to calcimol LC.

      My only suggestion is to double check how gluma affects the bond strength of your particular bonding agent that you are using. I rembwr reading somewhere that these desensitizers can actually, in specific cases, decrease bond strength.

      Since switching to a two bottle self etch system we have seen the need for a dedicated desensitizer go away in our office.

    • Laura… i have read/heard that sometimes desensitizers can decrease the bond strength of certain bonding agents. I would do some further research into this.

      Limelight from Pulpdent is a similar product to Calcimol LC. I have not personally used Limelight.

      On another note, the need for desensitizers has pretty much totally gone away in our practice since our switch to the self etch class of bonding agents. The self etchers (my preference is a two bottle system and not the all in ones) pretty much eliminate sensitivity.

  • DS says:

    Calcimol is NOT indicated for direct pulp capping, hence my switching to Theracal.

    • T-Bone says:

      i have looked at the VOCO website and you are correct. Calcimol is indicated for indirect pulp capping. The don’t say don’t use it for direct pulp caps, but it is not listed as indication.

      • DS says:

        OK, bizarre, was just going through my phone bookmarks tonight while lying awake in bed and found I had saved this thread. Then realized I have seen that 3D logo recently. Then saw your picture and realized I just saw you lecture today at the Midwest Dental Conference. Must say I enjoyed your lecture and candidness.

  • bilal says:

    Can Calcimol be used as the Only liner material for Amalgams and Composites?

  • Al says:

    Calcimol is way easy to handle than Theracal.

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