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Operative Chapter 12 Intermediary Liners and Bases
Operative Chapter 12 Intermediary Liners and Bases
Definition:
Cavity liners and insulating bases are materials placed between dentin
(sometimes pulp) and restorative material to provide pulpal protection
or pulpal response
Pulpal protection:
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Intermediary liners and bases
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Intermediary liners and bases
Intermediary
materials
Varnish, Dentin
Base Liner
sealer & DBAs
Reinforced ZO Calcium
&E hydroxide
Tri-Calcium
Zinc phosphate
Silicate
GICs
Z-
Polycarboxylate
RMGICs
Tri-Calcium
Silicate
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Intermediary liners and bases
Cavity Varnish:
Definition:
Form of supply
Indication:
Functions:
Contraindications:
NB. It’s applied in 2-3 layers to get the required function, increase in
the number of layers leads to: micro-leakage or irregularities.
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Intermediary liners and bases
Liners:
Definition:
Function:
Example:
Calcium hydroxide:
- Forms of supply:
o Powder & liquid.
Not used nowadays
o Suspension.
o Paste-paste system: the material is mixed outside on a
paper sheet, and applies to the area of exposure (pulp
shallow area) by calcium hydroxide applicator.
o One paste system: the material is mixed inside the tube as
we press it, and applied directly, then light curing.
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Intermediary liners and bases
Bases:
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Intermediary liners and bases
Indications:
Contraindications:
1) Very deep cavities (dentin bridge ≤ 0.5mm) or as a direct pulp
capping material.
2) With resinous tooth colored restoratives (composite resin), as
eugenol interferes with the setting reaction of any polymer and
can even depolymerize already set polymeric materials.
3) With glass ionomer cements as well as polycarboxylate cement,
where it would deprive the bonding capabilities of these
materials.
Glass ionomer:
- It has an excellent sealing ability due to chemical adhesion to
tooth structure through carboxylate ions released from PAA
liquid.
- It has an anticariogenic property due to fluoride release from
the powder glass component.
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Intermediary liners and bases
Indications:
1- sandwich technique
2- liner/base
Ease of handling.
However, conv. GIC has higher fluoride release especially during the
first 24 hours (initial fluoride burst).
Consists of:
White powder:
zinc oxide with up to 10% and magnesium oxide
Clear Liquid
30-40% aqueous solution of polyacrylic acid
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Intermediary liners and bases
indication:
- with amalgam and ceramic restoration
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Intermediary liners and bases
5. Biodentine:
Dentine Substitute
Composition:
1. Powder:
Tricalcium silicate, dicalcium silicate (core), calcium
carbonate, oxide (filler), iron oxide (shade), and zirconium
oxide (radiopacifier).
2. Liquid:
calcium chloride (accelerator) and hydrosoluble polymer
(water reducing agent) and water.
- Setting Reaction:
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Intermediary liners and bases
- Properties:
1. Setting Time:
45 in. (9-12 min initial setting).
2. Adhesion:
Crystal growth within dentinal tubules …….. Long lasting seal.
Ion exchange with dentine.
3. Density and porosity:
Hydrosol polymers: decrease amount of water, Improve density,
Better mechanical prop.
4. Radiopacity:
Due to zirconium oxide: Better to be identified in radiographs.
5. Compressive strength:
- More than 200 Mpa at first 24 Hrs.
- Improves up to 300 Mpa within one month approaching that of
natural dentine (297 Mpa).
6. Biodentine – Tooth interface:
- precipitation of apatite like Ca-Phosphate crystals: high acid
erosion and micro-leakage resistance
7. Ion Release:
Ability to release Ca and OH ions.
8. Antibacterial properties:
CaOH ions released: increase pH to 12.
9. Stability in the oral fluids:
- Not as stable as composite restorations
- More stable than other comparable material
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Intermediary liners and bases
Functions:
- Remineralization of interfacial D
6. No conditioning or bonding.
- Natural micro-mechanical anchorage in DT and ion exchange
chemical bonding.
7. Full restoration in one session.
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Intermediary liners and bases
Theracal:
• Indication:
Constituents:
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Intermediary liners and bases
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