Rapid, profound hemostasis is paramount for proper tissue management.^{i, ii} Inadequate tissue management leads to poor impressions and poorly-fitting margins.^{iii, iv} The natural result, the ill-fitting restoration, can jeopardize the surrounding soft tissue and the adjacent tooth structure, complete with the eventuality of recurrent decay. With its complete line of tissue management solutions, Ultradent enables you to control bleeding and sulcular fluid, an imperative step in creating quality direct and indirect restorations.

At right, contra lateral molars were removed for maxilofacial surgery. Different dentists made impressions and then crowns were fabricated by same technician. The difference? The crown on the left was fabricated using an impression made in a clean, dry field.

TISSUE MANAGEMENT SOLUTIONS

Ultradent’s tissue management solutions, including Astringedent, Astringedent X, ViscoStat and ViscoStat Clear, enable you to achieve rapid, profound hemostasis, improving the quality of your restorations and saving you money and chair time.

1. ViscoStat & ViscoStat Wintermint
Clinically, ferric sulfate formulations like ViscoStat are superior to aluminum chloride for achieving active hemostasis. Ferric sulfate causes instant precipitation of blood protein while aluminum chloride works by another mechanism, which never precipitates blood proteins. Of note, even when blood is spun in a centrifuge and the solid cells and blood platelets removed, ferric sulfate will precipitate the plasma. Ferric sulfate functions with a mechanism independent of the normal clotting factors.

2. ViscoStat Clear
When working in the esthetic zone, some clinicians prefer to use a hemostatic agent that leaves no residue or discoloration and rinses easily. ViscoStat Clear is a viscous yet spreadable 25% aluminum chloride gel that quickly stops minor bleeding and sulcular fluid without the mess of a liquid or paste.

3. Astringedent X
Sometimes aggressive bleeding can occur with patients who are hemophiliac, pregnant, taking Coumadin, or in unique cases such as when a patient has a broken, loose filling that has been shifting up and down each time the patient bites and for the last six months. Upon lifting the filling, it is obvious that the tissue is highly inflamed and the patient is bleeding profusely. In this case, Astringedent X ferric subsulfate solution is scrubbed into the bleeding area with the applicator tip to gain control.

There is never an excuse for not controlling surface capillary bleeding. It is important to remember that soft tissues will heal but leaky, poor fitting margins will never heal.

Using the correct tip is essential to achieving profound, dependable hemostasis. Dento-Infusor tips infuse hemostatic into bleeding capillaries while their padded brush end wipes coagulum away.

ViscoStat Clear is ideal for the esthetic zone and same day placement of restoration.

Astringedent X and the Dento-Infusor tip facilitate profound hemostasis even with the most challenging cases.

Economy Buster: Endo


General practitioner? Keep the simple endodontic cases you can competently address; even these few cases can make a significant impact on your practice's bottom line.

Learn how during Dr. Dan Fischer's free online seminar: Practicing Dentistry in a Downturned Economy, Part 2
Register now
3 CE credits
Friday, May 15, 2009
8:30 a.m. Pacific, 11:30 a.m Eastern
http://tinyurl.com/upiwebinar

Upcoming Live CE Events:

June 5: Minneapolis, MN
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