TheraCem®

Resin-Modified Calcium Silicate Pulp Protectant/Liner
TheraCal LC is a light-cured, resin-modified calcium silicate filled liner designed for use in direct and indirect pulp capping and as a protective liner under composites, amalgams, cements, and other base materials. It can be used as an alternative to calcium hydroxide, glass ionomer, RMGI, IRM/ZOE and other restorative materials. TheraCal LC performs as a barrier and protectant of the dental pulpal complex.

TheraCal LC’s precise placement allows its use in all deep cavity preparations. The light-cured set permits immediate placement and condensation of the restorative material. Its proprietary formulation allows for a command set with a light curing unit while maintaining ease of placement due to thixotropic properties. The proprietary hydrophilic resin formulation creates a stable and durable liner.

Unique Benefits:

• Calcium release stimulates^1* hydroxyapatite and secondary dentin bridge formation^2,3
• Alkaline pH promotes healing and apatite formation^2,4
• Significant calcium release¹ leads to protective seal^5,7,8
• Protects and insulates the pulp^5,6
• Moisture tolerant¹ and radiopaque – can be placed under restorative materials and cements

Clinical Significance:

• The proprietary formulation of TheraCal LC consists of tri-calcium silicate particles in a hydrophilic monomer that provides significant calcium release* making it a uniquely stable and durable material as a liner or base
  
   

* Bisco has, on file, the calcium release data for TheraCal LC.
1. Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping . International Endodontic Journal. 2012 Jun;45(6):571-9.
2. ADA definitions for direct and indirect pulp capping at: www.ada.org/en/publications/cdt/glossary-of-dental-clinical-and-administrative-ter
3. Apatite-forming Ability of TheraCal Pulp-Capping Material, M.G. GANDOLFI, F. SIBONI, P. TADDEI, E. MODENA, and C. PRATI J Dent Res 90 (Spec Iss A):abstract number 2520, 2011 (www.dentalresearch.org)
4. Okabe T, Sakamoto M, Takeuchi H, Matsushima K (2006) Effects of pH on mineralization ability of human dental pulp cells. Journal of Endodontics 32, 198-201.
5. Sangwan P; Sangwan A; Duhan J; Rohilla A. Tertiary dentinogenesis with calcium hydroxide: a review of proposed mechanisms. Int Endod J. 2013; 46(1):3-19
6. Selcuk SAVAS, Murat S. BOTSALI, Ebru KUCUKYILMAZ, Tugrul SARI. Evaluation of temperature changes in the pulp chamber during polymerization of light-cured pulp-capping materials by using a VALO LED light curing unit at different curing distances. Dent Mater J. 2014;33(6):764-9.
7. Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent. 2015 Winter;39(2):143-8.
8. Mechanical Properties of New Dental Pulp-Capping Materials Over Time. M. NIELSEN, R. VANDERWEELE, J. CASEY, and K. VANDEWALLE, USAF, JBSA-Lackland, TX, , J Dent Res 93(Spec Iss A): 495, 2014 (www.dentalresearch.org)

2% Chlorhexidine Digluconate
BISCO’S Cavity Cleanser is a 2% solution of Chlorhexidine Digluconate (CHG) intended for cleansing and moistening/rewetting cavity preparations. It is recommended for use upon completion of tooth preparation or etching prior to sealing the dentinal tubules. Cleansing of cavity preparations to remove debris and bacteria may decrease post-operative sensitivity¹.

1.   Meiers, J.C., Keesin, J.C. Cavity Disinfectants and Dentin Bonding.  Operative Dentistry 21:153-159, 1996.