Ultradent Katalog

Consepsis Scrub is a lightly flavored 2.0% chlorhexidine gluconate disinfecting scrub. Scouring with a quality disinfectant prior to restoring minimizes the potential for post-op sensitivity associated with an influx of microorganisms into dentinal tubules.

P R E PA R E Consepsis Scrub ® CHLORHEXIDINE ANTIBACTERIAL SLURRY • • • • Reduces potential post-op sensitivity No bond strength compromise Non-splatter formula Scrub, clean, and disinfect in one operation White Mac Tip Consepsis Scrub is a lightly flavored 2.0% chlorhexidine gluconate disinfecting scrub. Scouring with a quality disinfectant prior to restoring minimizes the potential for post-op sensitivity associated with an influx of microorganisms into dentinal tubules. Before Disinfection and cleaning in one single operation After ! Evidence demonstrates further reduction in post-op sensitivity by sealing dentin before cementation. Use PermaFlo DC Primers when using luting resin. UP 730 Consepsis Scrub Kit 4 x 1.2 ml (1.89 g) Consepsis Scrub 20 White Mac Tips UP 689 Consepsis Scrub IndiSpense 1 x 30 ml (47.31 g) For application, order: White Mac Tip and 1.2 ml empty syringes ! Problem: Stain under hydrophobic provisional cement Solution: Use sealing provisional hydrophilic cements (e.g. UltraTemp, p. 50) CHEMISTRIES (THE “WHY’S”): 1. Non-sealing cements allow saliva and bacteria to move between temporary and preparation. 2. Iron containing coagulum – resulting from the use of ViscoStat – within cut tissues is a source of iron. This reacts with hydrogen sulfide gas (rotten egg gas, H2S) produced by anaerobic bacteria in this septic environment. The reaction yields ferric sulfide, the harmless yet annoying dark surface stain shown to the right. This stain can occur, although to a lesser degree, from the natural iron in blood. Additionally, non-sealing provisionals are problematic at any rate as saliva and/or bacteria remove smear layer within one week, opening tubules to bacteria. HOW TO PREVENT: Either use an antimicrobial temporary cement like ZOE, which leaks, but at least prevents bacterial growth, hence no H2S, hence no formation of ferric sulfide. Two weeks earlier upon preparation, ViscoStat with Dento-Infusor was used to arrest bleeding. Provisional crowns were cemented with a popular NON-sealing, hydrophobic, resin-based temporary cement. Note dark color migrating from gingival margin inward. Here on another patient, provisionals have been removed. Characteristic dark stain is observed on preparations. This can be removed by ultrasonic scaling and scouring with Consepsis Scrub. It’s preferable to prevent it by using hydrophilic provisional cements such as UltraTemp. OR BETTER YET: Use a quality sealing provisional cement like Ultradent’s non-eugenol, hydrophilic, polycarboxylate, paste-to-paste UltraTemp cement. Similar staining can occur even under definitive direct or indirect restorations if the preparation is contaminated prior to bonding. Scour and/or etch as needed prior to dentin bonding agent application. For scouring, we recommend Consepsis Scrub with ICB Brush (p. 35). 40