SHOP
- Una liberación de calcio (1) sostenida que estimula la formación de hidroxiapatita y la formación de un puente de dentina secundario (2,3), y favorece a un sellado protector (5).
- El pH alcalino (iones de hidróxido) fomenta la curación (2,4), y contribuye a la reparación pulpar y a la formación de apatita.
- Forma una barrera (5) protectora que aísla la pulpa (lo que puede generar menor sensibilidad dental).
- Es tolerante a la humedad con muy baja solubilidad (1). Tiene una elevada radiopacidad (1), que facilita su identificación en las radiografías.
- Es fotopolimerizable con un fraguado inmediato y muy fácil de utilizar.
- Posee unas fuertes propiedades físicas (6) para resistir las fuerzas masticatorias debajo de composites, amalgamas, cementos y otros materiales de base.
- Fluido, aunque permanece donde se coloca.
1. Gandolfi MG, Siboni F, Prati C. Chemical–physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. International Endodontic Journal. 2012 Jun;45(6):571-9.
2. ADA definitions for direct and indirect pulp capping at http://www.ada.org/en/publications/cdt/glossary-of-dental-clinical-and-administrative-ter
- direct pulp cap as a “procedure in which the exposed vital pulp is treated with a therapeutic material, followed with a base and restoration, to promote healing and maintain pulp vitality.
- indirect pulp cap as a “procedure in which the nearly exposed pulp is covered with a protective dressing to protect the pulp from additional injury and to promote healing and repair via formation of secondary dentin.
3. Apatite-forming Ability of TheraCal Pulp-Capping Material, M.G. GANDOLFI, F. SIBONI, P. TADDEI, E. MODENA, and C. PRATI J Dent Res 90
(Spec Iss A):abstract number 2520, 2011 (www.dentalresearch.org)
4. Okabe T, Sakamoto M, Takeuchi H, Matsushima K (2006) Effects of pH on mineralization ability of human dental pulp cells. Journal of Endodontics 32, 198–201.
5. Sangwan P; Sangwan A; Duhan J; Rohilla A. Tertiary dentinogenesis with calcium hydroxide: a review of proposed mechanisms. Int Endod J. 2013; 46(1):3-19
6. Mechanical Properties of New Dental Pulp-Capping Materials Over Time. M. NIELSEN, R. VANDERWEELE, J. CASEY, and K. VANDEWALLE, USAF, JBSA-Lackland, TX, , J Dent Res 93(Spec Iss A): 495,
2014 (www.dentalresearch.org)
(Spec Iss A):abstract number 2520, 2011 (www.dentalresearch.org)
4. Okabe T, Sakamoto M, Takeuchi H, Matsushima K (2006) Effects of pH on mineralization ability of human dental pulp cells. Journal of Endodontics 32, 198–201.
5. Sangwan P; Sangwan A; Duhan J; Rohilla A. Tertiary dentinogenesis with calcium hydroxide: a review of proposed mechanisms. Int Endod J. 2013; 46(1):3-19
6. Mechanical Properties of New Dental Pulp-Capping Materials Over Time. M. NIELSEN, R. VANDERWEELE, J. CASEY, and K. VANDEWALLE, USAF, JBSA-Lackland, TX, , J Dent Res 93(Spec Iss A): 495,
2014 (www.dentalresearch.org)
*Fuente: TheraCal LC® : Over 5 million restorations later: Are you getting the most of it? / Paul L. Child. – Bisdent Globe, 2015, 20 (1), 4p.
