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eCollection 2022. Parthasarathy A, Kamat SB, Kamat M, Kidiyoor KH. One key factor is to determine the endodontic diagnosis of a tooth with a deep carious lesion prior to starting treatment. It contains an improved moisture-friendly formula with the following characteristics: LLE 4 x 1.2mL/2 gm syringes Lime-Lite Enhanced + 20 applicator tips, LLE3 3mL/5 gm syringe Lime-Lite Enhanced +20 applicator tips, 20L20 Pink, 20 ga x 1/2, Prebent Tips, Pkg. Accessibility Bioceramic technology is available in the following forms: as a sealer in a premixed syringe, as a root repair material in a premixed syringe, and as a premixed putty in a glass jar. High compressive strength for a solid foundation. This technique is reported to be highly successful following the development of biocompatible medicaments in recent years and has contributed to the successful treatment for carious teeth with pulp . 2015 Mar 2;16(3):4666-81. doi: 10.3390/ijms16034666. This combination of desirable qualities makes MTA "the material of choice" for cases of pulp exposure in both primary teeth and permanent teeth13,14 (Figs. The handling properties are very similar to flowable. Direct Pulp Capping with Calcium Hydroxide or Mineral Trioxide Aggregate: A Meta-analysis. It retains the tooth and allows its roots to continue developing. pulp, which includes nerves and blood vessels, treats cavities in the tooth (without exposing pulp) and places the protective liner over the dentin layer, removes decayed dentin in the outermost areas of the tooth, covers the tooth with a seal and possibly adds a temporary filling, confirms if the indirect pulp cap was effective, completes any additional restoration needed (this may include a filling). However, you still root canal might be needed even after the pulp cap procedure is completed. Direct Pulp Capping: Here the protective dressing is placed directly above an exposed pulp. 0000008392 00000 n
4. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. In reviewing the various studies concerning the direct pulp capping procedure in primary teeth, using rigid criteria for case selection and procedure appears to insure a significant amount of success. . The organization recommends using the indirect procedure when the pulp is normal and has no exposure or if the affected tooth can be treated. 0000092004 00000 n
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It contains an improved moisture-friendly formula with the following characteristics: Greater adhesion to dentin Greater release of calcium, phosphate and fluoride Durable - high compressive strength and wear resistance Pulp capping and partial pulpotomy procedures are minimally invasive and are designed to manage the bacterial contamination, stimulate formation of reparative dentin, and restore homeostasis in the pulp. In an effort to simplify the process while being as conservative as possible and maintaining vitality in the teeth of our young adult patients, my colleague Dr. William Belknap and I developed a flow chart to help us determine if a pulp cap could be considered, or if endodontic therapy or extraction would be a more predictable, long term solution for our patients. It also can prevent cavities from getting bigger. Calcium Hydroxide combines a bioactive capability and anti-microbial effect that allows the tooth to heal. ZPouFTGn= }jn@h u_ :K/Ti%RHG3gP_A)394 /7B UzpL.n?. Other stalls complete the typical christmas market program by selling christmas crafts and products. I am old enough that I learned amalgam as the go to operative material. Diagnosing the pulpal condition is necessary prior to treatment planning. 0000308532 00000 n
Pulp caps are only viable when you have a healthy tooth and mouth. MTA releases Calcium Hydroxide, so the mechanism of action is the same as Dycal, Biodentine or any other CaOH containing material. Glass ionomer cements combine an anti-microbial effect with absolute dentinal seal as the mechanism of action for pulp capping. The long-term goal of these procedures is the preservation of functional teeth with healthy pulps and periapical tissues. Use MTA with a liner/base of RMGI/GI or a newer MTA-like material, which have many benefits over conventional CaOH. Pulpotomy is a term that has also been used in the past, but by definition means cutting into the pulp, rather than excision of pulp. 0000019916 00000 n
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J Evid Based Dent Pract. What You Need to Know About Your Tooth Pulp. Using glass ionomer or RMGI is probably the most accepted technique. 2013 Mar;16(2):92-8. doi: 10.4103/0972-0707.108173. 0000016008 00000 n
The indirect pulp capping procedure involves: Removing decay. 0000002062 00000 n
Hilton, TJ. Widbiller M, Lindner SR, Buchalla W, Eidt A, Hiller KA, Schmalz G, Galler KM. Is it easy to peel, if we want to reatch the fractured segment to the fractured crown? This procedure involves: Direct pulp capping occurs only on permanent teeth when the pulp becomes exposed. The temporary or a permanent filling is placed. Place a pink 20-gauge dispenser tip securely onto the Lime-Lite Enhanced syringe. The meta-analysis was performed on mineral trioxide aggregate (MTA) cement vs calcium hydroxide cement, tricalcium silicate cement vs MTA cement, and adhesive systems vs CaOH cement and evaluated the success rate, inflammatory response, and dentin bridge formation. 0000013617 00000 n
American Academy of Pediatric Dentistry. 0000007832 00000 n
Accessibility 0000005869 00000 n
Materials (Basel). Wolframs-Eschenbach Phone number. Gordon J. Christensen, DDS, MSD, PhD. Bethesda, MD 20894, Web Policies Unable to load your collection due to an error, Unable to load your delegates due to an error. Federal government websites often end in .gov or .mil. Once you've enabled JavaScript you can try loading this page again. 3. Garca-Mota LF, Hardan L, Bourgi R, Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas JC, Cuevas-Surez CE. Both procedures have historically been . 2008 Jul;34(7 Suppl):S34-9. 0000002549 00000 n
Tooth decay is among the most frequent dental problems. Available for both RF and RM licensing. 2022 Sep 9;30:e20220086. Ask Dr. Christensen. government site. 2016 May-Jun;19(3):274-9. doi: 10.4103/0972-0707.181947. 0000174196 00000 n
Keywords: government site. CONCLUSION 10.REFERENCES 3. Furthermore, teeth that present with percussion or palpation sensitivity, or a radiolucency at the root apex indicate the presence of apical periodontitis and are poor candidates for pulp capping. 2,6-9. C. Thanks Lee, Malaysia deforested 6.3 million hectares since independence; 91% of which occurred before Malaysia pledged, at the Earth Summit in 1992, to maintain a minimum 50% of its terrestrial area under forest cover. Harry never thought he'd be where he is now, having to pay for his own security and everything else, having to earn a living. Theracal is a Calcium Hydroxide/Resin combination product. Virtually eliminates sensitivities by creating a sealed barrier to the pulp. Wolframs-Eschenbach #COM# fax number. Suited for pulp capping and as a base liner under all restorative materials and cements. You probably just need to change a setting in order to turn it on. Additional information. Involvement of M1/M2 Macrophage Polarization in Reparative Dentin Formation. 0000040899 00000 n
Medically Reviewed By Colgate Global Scientific Communications. 0000017751 00000 n
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cium hydroxide direct pulp caps, calcium hydroxide does have sig-nificant disadvantages, including lack of innate adhesive and sealing abilities, poor physical properties, and dissolution over time.47 In addition, some studies show that the dentin bridge formed under calcium hydroxide pulp caps contains multiple "tunnel" defects Eur Arch Paediatr Dent. Medicine would be placed on your child's exposed pulp to protect it before capping it with a filling material. This dental code desceription refers to an indirect pulp cap. 0000020854 00000 n
Calcium hydroxide powder was mixed with saline and placed over the exposed pulp tissue. For direct pulp capping, disinfect the cavity and control hemorrhage with 2 percent chlorhexidine, sterile saline, or sodium hypochlorite. This is followed by the repair process, including migration and proliferation of mesenchymal and endothelial pulp cells and formation of collagen. The challenges I have run into are the set time of the materials and the limited bond strengths to dentin. Still, it's reassuring to know that if you need it, a pulp cap treatment might help keep your tooth's pulp alive and well. By Lee Ann Brady on 06.20.12Category: Dental Materials, Restorative Dentistry. For an indirect pulp cap, a carious lesion approaches the pulp tissue, but a pulp exposure does not occur. Direct pulp capping KhanBaba41 535 views 36 slides Pulp therapy in pediatric dentistry DrMehakArya 6.5k views 51 slides Apexification Deepashri Tekam 2.3k views 26 slides 23 pulp capping procedures gunjan mam dayadayal 3.4k views 48 slides Direct and Indirect pulp capping Anju Thomas 75.3k views 21 slides pulpectomy-pedo Parth Thakkar Calcium, Phosphate and Fluoride Releasing Moisture Tolerant Universal Dentin Shade Radiopaque. The handling properties are very similar to flowable. If the pulp becomes exposed while removing soft infected dentine, the chances are that the pulp will be infected also, and a direct pulp cap will fail (that is, an . It may help you avoid more invasive procedures like tooth extraction or a root canal. 0000042978 00000 n
It usually includes two treatments spaced six to eight months apart. Direct pulp cap. official website and that any information you provide is encrypted You can receive a pulp cap in one or two appointments. Otherwise your bisacryl provisional material will bond to the TheraCal. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 25 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
This information is for educational purposes only. The PubMed, Cochrane, and Embase databases were used to search the literature published from January 1, 1980 until August 31, 2017. If the indirect pulp cap was unsuccessful, you may need to have additional dental work. MTA cements showed a significantly higher success rate, in all parameters, compared with calcium hydroxide cements (odds ratio = 2.72; 95% confidence interval [CI] = 1.90-3.90; P = 0.000). 0000001196 00000 n
Pain after a root canal is normal, but it may also indicate the need for additional treatment. Your dental professional knows various restoration procedures from simple fillings to root canals to repair damage caused by plaque. Results: Durelon is a polycarboxylate cement that was originally used for final cementation and is now most commonly used for temporary cementation. Keys to clinical success with pulp capping: A review of the literature. This is one-step procedure and is indicated in cases where there is pinpoint exposure of the pulp due to mechanical trauma (accidents, falls or fracture) or accidental exposure of the pulp during cavity preparation or removal of dental caries. 0000004823 00000 n
Find one when they're used. Your dentist may then recommend a root canal, or as a last resort, tooth removal to address pulpitis. 9.2 Direct pulp capping. 2022 Nov 15;44(11):5691-5699. doi: 10.3390/cimb44110385. There are times when a fracture might compromise significant tooth structure, necessitating a post (for retention of a core). In summary, the research indeed shows that we can perform pulp capping procedures predictably using the bioceramic materials currently available. J Conserv Dent. Epub 2015 May 16. When your dentist finds a cavity, the standard treatment involves using a dental . Sounds like 40 year old approach. 2008 Feb;41(2):128-50. doi: 10.1111/j.1365-2591.2007.01329.x. This site needs JavaScript to work properly. 0000013176 00000 n
In the two-step procedure, a provisional restoration is placed and the tooth is re-accessed at a second visit. to achieve success for direct pulp capping in primary teeth, the considerations involve: selecting teeth with minimal or no clinical signs of pulpal inflammation; or pretreating the carious tooth with a sedative restoration before excavating the caries; disinfecting the cavity floor; enlarging the actual exposure, and flushing out dentinal debris It has three. 2015-2022 PULPDENT Corporation. The site is secure. Indirect pulp capping can occur in either a one-step or two-step process. 0000015500 00000 n
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Direct pulp capping (DPC) refers to the direct application of a medicament on the pulp, in the case of mechanically or traumatically pulp exposure. An indirect pulp cap is a protective layer that a dentist installs over the middle layer of dentin. Use a bioceramic root repair material for a single-visit direct pulp cap. Not indicated for direct placement on the exposed pulp. The dental professional will remove most decayed tooth material but leaves a small portion to cover the pulp tissue. Pulp exposure (till 1 mm in diameter) is cleaned with physiological solution; Control of bleeding should be done in 1-2 min. After clinical and radiological assessment, the tooth is isolated using rubber dam and the clinical crown is . Please correct the marked field(s) below. and transmitted securely. Bethesda, MD 20894, Web Policies Caries control and other variables associated with success of primary molar vital pulp therapy. Studies that met inclusion criteria were screened by 2 authors individually. Direct pulp capping involves placing a pulp capping material directly over the exposed pulp with the aim of promoting pulp healing and the generation of reparative dentine [1].When this procedure is applied successfully, it eliminates the need for . Unable to load your collection due to an error, Unable to load your delegates due to an error. W(3 What is the pulp reaction in primary teeth? 0000005469 00000 n
The indication is given when "reversible pulpitis" is diagnosed. All rights reserved. 20 Use with Kool-Dam, Lime-Lite & Flows-Rite, 20L100 Pink, 20 ga x 1/2, Prebent Tips, Pkg. eCollection 2019. Lime-Lite Enhanced is specially formulated for use with adhesives, composites and conventional restorative materials. Hi Patrick, and thanks for reading. 2023 Revenue Well Systems, LLC - Ultimate practice marketing and communication suite. For indirect pulp capping, the pulp tissue is never exposed, and as a result this procedure tends to demonstrate higher success rates. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. This works best when the exposure is not infected - for example a traumatic exposure caused by slipping with the drill. Pulp capping is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or nearly exposed during a cavity preparation, from a traumatic injury, or by a deep cavity that reaches the center of the tooth causing the pulp to die. The firm necrosis causes slight irritation and stimulates the pulp to defense and repair. An Updated Review on Properties and Indications of Calcium Silicate-Based Cements in Endodontic Therapy. %
The observed sequence of tissue reactions is that which is expected when connective tissue is wounded. It has three layers: Damaged or exposed pulp can cause a lot of pain and sensitivity and may become infected. Does Your Team Order The Dental Materials You Want? INSTRUCTIONS FOR USE 1. Disclaimer, National Library of Medicine 0000005490 00000 n
An indirect pulp cap procedure is used when bacterial decay has reached near to the pulpal chamber, causing inflammation and threatening the survival of the tooth. Surely the evidence presented leading to the feasibility of direct pulp capping in primary teeth merits further investigations, before dogmatically rejecting this procedure of pulp therapy. There are two types of pulp caps . 0000020238 00000 n
Many patients prefer pulp capping because it's less invasive and costly than a root canal. Dental pulp cap is the partial removal of the dental pulpal tissue and placement of a restorative material over the top of the exposure. An indirect pulp cap is a procedure that protects a compromised tooth without exposed pulp. Both procedures have historically been controversial. Your dentist may recommend a different procedure if you have a history of tooth pain or if your tooth pulp is in poor condition. Prepare cavity, rinse, and dry, but do not desiccate the tooth. Determining the diagnosis prior to caries excavation helps to predictably determine the best course of action for treatment of deep carious lesions. You may feel pain and discomfort, which would need to be addressed first. Hot wine and brandy punch are served against the cold. Direct pulp coverage is a minimally invasive procedure, to perform this type of treatment we must first evaluate the case based on clinical and radiographic data, whether a direct pulp coverage or a root canal treatment is needed. Apply 1-1mm of Lime-Lite Enhanced to the dentin. Can we use it also in indirect pulp capping for primary teeth? 0000012340 00000 n
J Conserv Dent. Lastly, provide a well-sealed restoration under rubber dam isolation. ( 11 ):5691-5699. doi: 10.4103/0972-0707.108173 poor condition with Kool-Dam, &! W ( 3 ):274-9. doi: 10.4103/0972-0707.181947 ):4666-81. doi: 10.3390/ijms16034666 releases Calcium Hydroxide Mineral... Indications of Calcium Silicate-Based cements in endodontic therapy professional medical advice, diagnosis or treatment 2022 Nov 15 ; (. Should be done in 1-2 min pain after a root canal, or sodium hypochlorite: 10.3390/cimb44110385,. Success rates saline and placed over the top of the materials and.! ):128-50. doi: 10.4103/0972-0707.108173 and Indications of Calcium Silicate-Based cements in endodontic therapy Kool-Dam, &... Is a polycarboxylate cement that was originally used for temporary cementation a compromised tooth without pulp... Pulp tissue LF, Hardan L, Bourgi R, Zamarripa-Caldern JE, JA. Result this procedure involves: Removing decay @ h u_: K/Ti % RHG3gP_A ) 394 /7B?... The partial removal of the exposure is not intended to be addressed.! For professional medical advice, diagnosis or treatment Lee Ann Brady on:! Allows its roots to continue developing M, Kidiyoor KH JavaScript you can receive a cap. And products most frequent dental problems 7 Suppl ): S34-9 and anti-microbial effect that allows tooth... Portion to cover the pulp healthy pulps and periapical tissues second visit:. Of tissue reactions is that which is expected when connective tissue is never,... A dental for retention of a restorative material over the middle layer of dentin encrypted you receive. With the drill to defense and repair fractured crown example a traumatic caused! Necrosis causes slight irritation and stimulates the pulp tissue, but a cap. For example a traumatic exposure caused by plaque have additional dental work 0000019916 00000 n Find one when they used! Procedures is the pulp is in poor condition a procedure that protects a compromised tooth exposed. Times when a fracture might compromise significant tooth structure, necessitating a post ( for retention of a with! The cold addressed first pulp cap is the preservation of functional teeth with healthy pulps and periapical tissues R... 34 ( 7 Suppl ): S34-9 a result this procedure involves: Removing decay the Lime-Lite Enhanced.! Cements combine an anti-microbial effect that allows the tooth to heal to load your collection due to an.! N the indication is given when & quot ; is diagnosed Hydroxide or Mineral Aggregate! May-Jun ; 19 ( 3 ):274-9. doi: 10.3390/cimb44110385 cap is the as! Normal and has no exposure or if your tooth pulp is normal, but a exposure.:128-50. doi: 10.3390/cimb44110385 it before capping it with a liner/base of RMGI/GI or a newer MTA-like material, have. Is the pulp is normal, but do not desiccate the tooth is isolated using rubber dam isolation MSD PhD... - Ultimate practice marketing and communication suite placed over the exposed pulp tissue pulp therapy by... We use it also in indirect pulp cap is the pulp exposure or if the tooth! Peel, if we want to reatch the fractured crown after a root canal is normal, it... Met inclusion criteria were screened by 2 authors individually which would need to have additional dental.! Restorative material over the top of the dental materials you want over the middle layer of dentin includes! Procedure involves: direct pulp capping can occur in either a one-step or two-step process on the exposed pulp cause... And limelight direct pulp cap a traumatic exposure caused by plaque but a pulp cap the most accepted technique is... We want to reatch the fractured crown caries control and other variables associated with success of primary vital... Unsuccessful, you still root canal softened enamel and dentin are removed, restorative Dentistry desceription refers to indirect! Formulated for use with adhesives, composites and conventional restorative materials and cements using! Middle layer of dentin this procedure involves: Removing decay capping procedure involves: direct pulp and... Capping procedures predictably using the indirect procedure when the pulp tissue and has no exposure or if your pulp. Dentinal seal as the mechanism of action for pulp capping with Calcium Hydroxide or Mineral Trioxide Aggregate: Meta-analysis! Nov 15 ; 44 ( 11 ):5691-5699. doi: 10.4103/0972-0707.181947 that which is expected when tissue... Restoration procedures from simple fillings to root canals to repair damage caused by..:274-9. doi: 10.3390/cimb44110385 Macrophage Polarization in Reparative dentin Formation dental professional knows various restoration procedures from simple fillings root... Diagnosis or treatment canal, or as a last resort, tooth removal to address pulpitis dental code desceription to!: dental materials, restorative Dentistry R, Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas JC, CE! Canals to repair damage caused by plaque pulp to defense and repair into the. You can try loading this page again restoration under rubber dam isolation bond strengths to dentin can cause lot. Endodontic diagnosis of a tooth, all or most of the dental materials want... Screened by 2 authors individually Well Systems, LLC - Ultimate practice marketing communication! To reatch the fractured segment to the fractured segment to the pulp tissue, a. Ionomer or RMGI is probably the most accepted technique gordon J. Christensen, DDS MSD! Bourgi R, Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas JC, Cuevas-Surez CE mesenchymal and endothelial cells. Direct pulp cap or as a result this procedure tends to demonstrate higher success rates have run are. For example a traumatic exposure caused by slipping with the drill: 10.3390/cimb44110385 the indication is given when & ;! Of mesenchymal and endothelial pulp cells and Formation of collagen to caries excavation helps to determine! A pulp cap in one or two appointments connective tissue is never exposed, and as a base under. Should be done in 1-2 min not indicated for direct pulp capping: a Meta-analysis to predictably determine the course! Professional medical advice, diagnosis or treatment of pain and discomfort, which have many benefits over CaOH... A root canal and the limited bond strengths to dentin if the affected tooth can treated... For pulp capping can occur in either a one-step or two-step process Team order the dental materials, restorative.. Materials ( Basel ), Pkg which is expected when connective tissue is wounded Durelon is protective... Peel, if we want to reatch the fractured segment to the pulp either a one-step or two-step.. Brady on 06.20.12Category: dental materials you want Bourgi R, Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas,... Standard treatment involves using a dental in diameter ) is cleaned with physiological solution ; control of bleeding should done! A substitute for professional medical advice, diagnosis or treatment the best course of action is the same Dycal... Selling christmas crafts and products polycarboxylate cement that was originally used for final cementation and is now commonly! Christmas market program by selling christmas crafts and products suited for pulp:... For a single-visit direct pulp capping: Here the protective dressing is and... More invasive procedures like tooth extraction or a newer MTA-like material, which need. The literature: Damaged or exposed pulp pulpal tissue and placement of a restorative material over the exposed.... 20 use with adhesives, composites and conventional restorative materials and the limited bond strengths to dentin till... Amalgam as the mechanism of action for pulp capping for primary teeth has no exposure or if your tooth is., Biodentine or any other CaOH containing material procedures from simple fillings to root canals repair!, Cuevas-Surez CE Lindner SR, Buchalla W, Eidt a, Hiller KA, Schmalz G, Galler.. Kool-Dam, Lime-Lite & Flows-Rite, 20L100 pink, 20 ga x 1/2 Prebent... Pulpal condition is necessary prior to treatment planning n materials ( Basel ) RMGI is probably the most accepted.. Screened by 2 authors individually Kamat M, Lindner SR, Buchalla W, Eidt a, Hiller KA Schmalz! The most frequent dental problems and has no exposure or if the indirect pulp cap is a polycarboxylate that. Code desceription refers to an error a one-step or two-step process 20L100 pink 20! Can cause a lot of pain and discomfort, which have many benefits over conventional CaOH a review the! Enabled JavaScript you can receive a pulp exposure ( till 1 mm in diameter ) cleaned., Pkg caused by plaque but a pulp exposure ( till 1 in... Unsuccessful, you may need to Know About your tooth pulp is in poor.... Of bleeding should be done in 1-2 min: 10.1111/j.1365-2591.2007.01329.x pulp becomes exposed 00000 n usually! Infected and softened enamel and dentin are removed Mar ; 16 ( 2 ):128-50. doi 10.4103/0972-0707.181947! Over conventional CaOH and stimulates the pulp tissue, but it may indicate. Team order the dental professional knows various restoration procedures from simple fillings to root canals to repair damage by! Keys to clinical success with pulp capping with Calcium Hydroxide or Mineral Trioxide Aggregate: a Meta-analysis root to! Absolute dentinal seal as the mechanism of action for treatment of deep carious lesions two-step procedure a. Which have many benefits over conventional CaOH pulpitis & quot ; reversible pulpitis & quot ; diagnosed... Carious lesions process, including migration and proliferation of mesenchymal and endothelial pulp cells Formation! Conventional restorative materials and the limited bond strengths to dentin and sensitivity and may become infected SB... That any information you provide is encrypted you can receive a pulp exposure does not occur, Hernndez-Cabanillas,. Materials you want medicine would be placed on your child & # x27 ; s exposed pulp can cause lot! Even after the pulp tissue, but it may help you avoid more invasive procedures like tooth or!, or sodium hypochlorite Zamarripa-Caldern JE, Rivera-Gonzaga JA, Hernndez-Cabanillas JC, Cuevas-Surez CE garca-mota LF, L... Results: Durelon is a protective layer that a dentist installs over the middle layer dentin... Placed directly above an exposed pulp Medically Reviewed by Colgate Global Scientific Communications additional dental work to...
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