Ultradent Katalog

While still at dental school, Dr. Dan Fischer, who later founded Ultradent Products, began to understand the reasons for many of the problems with crowns, bridges and restorations: inadequate control of bleeding and sulcular fluid prior to impressions or fillings. The agents and methods available at the time were poorly suited for the purpose.

TISSUE MANAGEMENT Tissue Management HEMOSTASIS AND FLUID CONTROL While still at dental school, Dr. Dan Fischer, who later founded Ultradent Products, began to understand the reasons for many of the problems with crowns, bridges and restorations: inadequate control of bleeding and sulcular fluid prior to impressions or fillings. The agents and methods available at the time were poorly suited for the purpose. This is why he developed the Tissue Management System for hemostasis and control of sulcular fluid. This system is designed to be fast, effective and easy. The system rests on two important pillars: • Never try to do it all in a single step. Rather take two – control bleeding first, then turn to gingival displacement. • It is not sufficient to flood the sulcus with a hemostatic agent. It has to be rubbed into the tissue for maximum effect. Fast, clean, and economical – the small 1.2 ml syringes can be filled directly from the 30 ml IndiSpense syringes. This is why the Dento-Infusor Tip was developed. Attached to a 1.2 ml luer lock syringe, it is designed for direct filling with ViscoStat or Astringedent from the IndiSpense syringe. With it, a hemostatic or astringent can be applied to the sulcus by vigorous rubbing. For complete gingival displacement, the sulcus is then packed with Ultrapak cords. This optimally prepares the sulcus for accurate impressions as a basis for crowns or bridges, functional direct bonding of restorations, and voidfree adhesive bonding. Tissue management is paramount to a good dental practice. Tissue Management for direct bonding Modern direct bonding techniques allow for perfect marginal integrity. However, effective control of bleeding and sulcular fluid is essential to avoid contamination and permit optimum bond strength. Several Class V restorations were performed on anterior teeth two months prior. Inadequate tissue management or inadequate removal of blood contaminants has resulted in microleakage on maxillary right central incisor. With microleakage, blood pigments move into the space between preparation and restoration. Pigments in the blood stain the interface. First isolate tissues with Ultrapak cord soaked in hemostatic solution. Then firmly air/water spray excess hemostatic from the cord, tissues, and tooth surfaces. Replaced Class V restoration three months post-op. 42