Restoring Primary PosteriorTeeth With Dyract原发性posteriorteeth用Dyract修复.pptVIP

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2017-03-08 发布于上海
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Restoring Primary PosteriorTeeth With Dyract原发性posteriorteeth用Dyract修复.ppt

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Restoring Primary PosteriorTeeth With Dyract原发性posteriorteeth用Dyract修复

Restoring Primary PosteriorTeeth With A Compomer Using L.D. Caulk’s “Dyract” Dyract AP Dyract AP (Advanced Performance) is a compomer manufactured by Caulk. Compomers are polyacid-modified hydrophilic resin composites, containing glass particles, which are somewhat dissolved as oral fluids activate the acid in the biomaterial. As a result fluoride is released, creating cariostatic potential for the restoration. Dyract AP Dyract is indicated for use in the conservative restoration of primary teeth. It is not recommended for use in permanent teeth as its long term service characterisitics (lower strength and higher wear rate) are less desirable than an amalgam or a resin-based composite such as Herculite. Technique A conservative, bio-mechanically sound cavity preparation is completed in the primary tooth. If a Class II, the preparation should be identical to a Class II amalgam preparation. If a Class I, the preparation should not be “extended for prevention,” rather any fissures remaining after extending sufficiently to eradicate the carious lesion should be conditioned and sealed with a fissure sealant. Dyract Technique The cavity preparation is then etched with 37% orthophosphoric acid for 20 seconds, thoroughly washed for 20 seconds, and then air dried. The manufacturer indicates that enamel conditioning is not an absolute requirement when restoring primary teeth, and the Prime and Bond can be placed without conditioning. However, Caulk does acknowledge that etching does improve marginal integrity, and it is therefore recommended by Pediatric Dentistry. Dyract Technique Caulk’s Prime and Bond is placed with a clean disposable brush, thoroughly wetting all surface of the preparation. The surfaces should remain wet for 20 seconds. Dyract Technique Gently air dry for 5 seconds The surface should have a uniform glossy appearance; if not reapply Prime and Bond. Light cure for 10 seconds. When a matrix is being utilized, Prime and Bond should be applied and