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For an indirect pulp cap, a carious lesion approaches the pulp tissue, but a pulp exposure does not occur. %PDF-1.5 One of the considerations was whether or not to perform a pulp cap prior to restoring a tooth with a deep carious lesion. Theracal contains MTA, mineral trioxide aggregate as the active pulp capping ingredient. Unable to load your collection due to an error, Unable to load your delegates due to an error. The roots of the tooth are healthy and developing (in the case of children and youth). Therefore, partial pulpotomy is the preferred treatment when there is a choice between pulp capping and partial pulpotomy. Reparative Mineralized Tissue Characterization after Direct Pulp Capping with Calcium-Silicate-Based Cements. 0000021398 00000 n Pulp caps are only viable when you have a healthy tooth and mouth. . This is followed by the repair process, including migration and proliferation of mesenchymal and endothelial pulp cells and formation of collagen. Clinical Efficacy of Biomimetic Bioactive Biomaterials for Dental Pulp Capping: A Systematic Review and Meta-Analysis. In summary, the research indeed shows that we can perform pulp capping procedures predictably using the bioceramic materials currently available. A pulp cap keeps bacteria and other harmful elements from entering the inner part of your tooth. Direct pulp capping is a type of dental procedure that can be used to treat severe damage or decay that exposes the pulp. Whether you receive an indirect or direct pulp cap depends on the condition of your tooth and how your dentist chooses to treat it. Pulp capping can be divided in to two categories: indirect pulp capping or direct pulp capping. I have been using it ever since and finally feel like I have a pulp capping product I can use with confidence. The procedure involves clinical examination, electric pulp testing . 09875 9671. International: +49 9875 9671. The dental pulp occupies the center of each tooth and shapes itself to a maturation of the tooth . 0000006400 00000 n Dispensed in a syringe with a small tip it is easy to place in even the deepest areas of the prep. TheraCal LC is a calcium silicate-based material that is designed as a direct/indirect pulp capping material. Is It Possible to Control Your Behavior After Getting Your Wisdom Teeth Removed? Indirect pulp capping vs. direct pulp capping, michigandental.org/Portals/pro/Annual%20Session/2019/Handouts/Friday/Alex%20-%20Direct%20Pulp%20Capping%202018.pdf, aapd.org/research/oral-health-policies--recommendations/pulp-therapy-for-primary-and-immature-permanent-teeth/, ncbi.nlm.nih.gov/pmc/articles/PMC2856472/. Bookshelf When your dentist finds a cavity, the standard treatment involves using a dental . HHS Vulnerability Disclosure, Help The subject teeth are free of caries, cracks or other defects. Direct pulp capping with Ca (OH)2. Prepare cavity, rinse, and dry, but do not desiccate the tooth. 2-4). There are two indirect pulp cap procedures. The American Academy of Pediatric Dentistry (AAPD) recommends using a direct pulp cap only on a primary tooth when exposure results from mechanical trauma. % Andy Janiga, D.M.D., practices at the Center for Dental Excellence in Nashua, NH and is a contributor to Spear Digest. Find one when they're used. Light cure for 20 seconds (450 mW/cm2). C. Thanks Lee, 0000002056 00000 n Direct Pulp Capping: Here the protective dressing is placed directly above an exposed pulp. Pulp caps help to prevent that, but as with everything else in healthcare, are not 100% effective. It retains the tooth and allows its roots to continue developing. <>>> Great website. Place a pink 20-gauge dispenser tip securely onto the Lime-Lite Enhanced syringe. A recent systematic review of vital pulp therapy in vital permanent teeth with cariously exposed pulps reviewed success rates of direct pulp capping.3 In this review the success rate of direct pulp capping was reported as >6 months-1 year, 87.5%; >1-2 years, 95.4%; >2-3 years, 87.7% and >3 years, 72.9%. An official website of the United States government. This may include getting your tooth removed or getting a root canal. Not indicated for direct placement on the exposed pulp. 0000005331 00000 n There have been a limited number of studies looking at Durelon as a pulp capping agent. 0000009941 00000 n Tooth decay requires swift and effective treatment to preserve a healthy smile. Your dentist may recommend either based on their experience and your situation. 0000128388 00000 n Glass ionomer cements combine an anti-microbial effect with absolute dentinal seal as the mechanism of action for pulp capping. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); 2020 Lee Ann Brady LLC, All Rights Reserved Site by CSL, 2020 Lee Ann Brady LLC, All Rights Reserved, http://www.ncbi.nlm.nih.gov/pubmed/819477, The Next Generation of Glass Ionomer Cements, Tissue Blanching When Seating An Implant Restoration. I have never peeled Theracal off a tooth as it bonds to the tooth structure. You may feel pain and discomfort, which would need to be addressed first. 2022 Nov 15;44(11):5691-5699. doi: 10.3390/cimb44110385. Local time: 09:40 h (UTC +01:00) The christmas market in Wolframs-Eschenbach numerous stalls offering baked goods and hot food to the visitors. 0000220120 00000 n Calcium hydroxide powder was mixed with saline and placed over the exposed pulp tissue. You may not be able to control your behavior immediately after getting your wisdom teeth removed. Histological, ultrastructural and quantitative investigations on the response of healthy human pulps to experimental capping with mineral trioxide aggregate: a randomized controlled trial. 0000018741 00000 n Does Your Team Order The Dental Materials You Want? I place a small increment and then spread it with the tip of a perio probe. T (800) 343-4342 T (617) 926-6666 F (617) 926-6262 [emailprotected]. Methods: 20 Use with Kool-Dam, Lime-Lite & Flows-Rite, 20L100 Pink, 20 ga x 1/2, Prebent Tips, Pkg. The material might be very attractive for clinicians because of its ease of handling. 0000007381 00000 n Lastly I am not personally versed int he pedo literature, but again pubmed is a great resource and you can search on calcium hydroxide and deciduous teeth. Studies that met inclusion criteria were screened by 2 authors individually. There are several benefits of pulp capping versus other procedures that can repair a decayed tooth: A pulp cap may not work, and bacteria or decay may penetrate the pulp after the procedure. The https:// ensures that you are connecting to the 0000266044 00000 n DIRECT AND INDIRECT PULP CAPPING: a) Complete a cavity preparation under rubber dam isolation, using a high-speed bur. However, with a greater focus on conservative dentistry and more research on pulp capping, this topic is becoming discussed more frequently. Thank you 2023 Revenue Well Systems, LLC - Ultimate practice marketing and communication suite. Lime-Lite Enhanced is specially formulated for use with adhesives, composites and conventional restorative materials. In the past, when a tooth's pulp was exposed it almost always led to endodontic therapy. Calcium hydroxide actually causes the dentin to breakdown and then rebuild. These procedural steps can hardly ensure complete success in direct pulp capping of a primary tooth; but, based on the many cited investigations in this review, a significant amount of success can be expected without resorting more frequently to invasive techniques. TheraCal stimulates repair of the pulp due to the release of calcium ions and the alkaline pH, creating a dentinal bridge similar to the effect of calcium hydroxide. 2022 Nov 7;12(11):1812. doi: 10.3390/life12111812. Clin Oral Investig. Can we use it also in indirect pulp capping for primary teeth? Signs & Symptoms of a Restricted Envelope of Function. It is used for pulp capping and as a liner but is not a restorative material even for temporary use. There are two types of pulpal caps available. Please, refer: How to enable JavaScript in your browser. Do not exceed . Your dental professional may not know the best treatment option until all the decay is removed. When the pulp is protected from irritation, odontoblasts differentiate, and the tissue formed assumes the appearance of dentin, i.e., the function of the pulp is normalized. You can always ask what they will be using before agreeing to the procedure. 2008 Jul;34(7 Suppl):S34-9. Hilton, TJ. How Much Pain Will I Have After a Root Canal and When Should I Seek Help? Parthasarathy A, Kamat SB, Kamat M, Kidiyoor KH. This opening could be caused by decay removal or because of an injury. The name "sedative filling" comes from its ability to soothe a tooth nerve aggravated by decay. 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 . Would you like email updates of new search results? >Px-Epe>kKUwnni*K]%.SE(L9fDf^$5NtSWi.P6*::&%%ec${T The pulp capping procedure in primary teeth "revisited". Epub 2018 Sep 5. There are several materials your dentist may use for an indirect pulp cap. after cavity preparation liners and bases are applied on the floor and axial wall of the cavity under all definitive direct restorations,this is done to protect the pulp from. Represented in the Faith of the Seven by the Stranger, Death is without a doubt one of the main characters of this week's "The Lord of the Tides," and it also spent a good deal of time in the limelight in last week's "Driftmark".Though it isn't rare, of course, for important characters to suddenly kick the bucket in the Game of Thrones universe, rearranging all . Always seek the advice of your dentist, physician or other qualified healthcare provider. Durelon is a polycarboxylate cement that was originally used for final cementation and is now most commonly used for temporary cementation. FOIA Prepare cavity, rinse, and dry, but do not desiccate the tooth. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. 0000020493 00000 n We avoid using tertiary references. Direct pulp capping is a popular treatment modality among dentists. Your dentist will examine the teeth directly and may take X-rays to decide if the pulp cap was successful. 7chOG.SL{|^(F3[jPvc{7by?yD_I The purpose of this study was to compare the effectiveness of biomaterials and techniques by means of a systematic review and meta-analysis. This may cause pulpitis. High compressive strength for a solid foundation. 315 50 Both procedures have historically been controversial. 0000007942 00000 n Is it easy to peel, if we want to reatch the fractured segment to the fractured crown? <> 0000012619 00000 n 0000010720 00000 n 0000010606 00000 n 3. The beneficial effect of calcium hydroxide is regarded as the result of the chemical injury caused by the hydroxyl ions, limited by a zone of firm necrosis against the vital tissue, and the toleration of calcium ions by the tissue. and transmitted securely. It starts with vascular and inflammatory cell migration and proliferation, to control and elimination of the irritating agent. Using glass ionomer or RMGI is probably the most accepted technique. Some of the best teeth whitening at-home options meet ADA acceptance for lightening surface and deeper stains. ; Pulp exposure is covered with MTA (fig. endobj Indirect pulp treatment. They then seal it up and fill the tooth to keep bacteria out. My hope would be to catch the decay before I need to consider pulp capping, but unfortunately I ask for the TheraCal frequently, but I;m glad I have it to ask for. Lime-Lite Enhanced is specially formulated for use with adhesives, composites and conventional restorative materials. PULP CAPPING AGENTS 9. Thanks, biodentine also contains MTA, which created CaOH, so it should work as well, just a very different set time and technique. (2009). '0{&3~{.iUY15H7 ~g ?vR3n8%Z+C4hn"hT_+z[>tE& k2[BDJ SGgQAvos\;7I@-1eAa+-gT dzf & 3/qvkMTjbv>2_$pUV? Thanks for another good one, Lee! However, research has shown that the one-step procedure shows greater success than the two-step procedure.1. <> In those days when we encountered deep decay we followed a process of applying calcium hydroxide to the deep areas of the prep and expected good results in the formation of a dentinal bridge and survival of the pulp. Direct pulp capping refers to placement of a dressing directly onto the pulp to stimulate healing, before a final restoration is placed. official website and that any information you provide is encrypted However, under economic and population pressure, Sarawakthe largest contributing state to the country's current forest cover of 54.8%shows continuing deforestation even . If the indirect pulp cap was unsuccessful, you may need to have additional dental work. 2015-2022 PULPDENT Corporation. This dental code desceription refers to an indirect pulp cap. Nonvital pulp treatment for primary teeth with irreversible pulpitis or necrotic pulp include pulpectomy and lesion stabilization/tissue repair. indicated when a thin partition of dentin is still intact. 2020 Jun 12;13(12):2670. doi: 10.3390/ma13122670. Dentists should offer both options to their patients but explain that direct pulp caps may causes severe pain while it's healing and require repeat visits, and . Direct pulp capping of primary molars using a novel fast-setting calcium silicate cement: a randomized clinical trial with 12-month follow-up. 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. Clipboard, Search History, and several other advanced features are temporarily unavailable. Done to preserve vitality of remaining portion of pulp within the root of the tooth. endobj Your dental professional will perform direct pulp capping when the healthy pulp becomes completely exposed. 0000003220 00000 n Your dentist will recommend the best way to treat a tooth at risk for pulp exposure. The handling properties are very similar to flowable. Mariam. 0000005757 00000 n It is acknowledged that vital primary pulp tissue is capable of healing without resorting to complete pulpectomy, although statistically direct pulp capping has been found to be less successful in primary teeth than indirect pulp therapy or coronal amputation (pulpotomy). Do not exceed . My hope would be to catch the decay before I need to consider pulp capping, but unfortunately I ask for the TheraCal frequently, but I;m glad I have it to ask for. Lime-Lite is a light-cured, fluoride-releasing, radiopaque cavity liner and base material that contains hydroxyapatite in a urethane dimethacrylate resin. Would you like email updates of new search results? It usually includes two treatments spaced six to eight months apart. Here is a reference that discusses this int he abstract. Apply 1-1mm of Lime-Lite Enhanced to the dentin. However, teeth that present with symptomatic irreversible pulpitis or pulpal necrosis upon cold testing are not candidates for pulp capping procedures. Before There are times when a fracture might compromise significant tooth structure, necessitating a post (for retention of a core). 0000009513 00000 n 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 with mild solutions; controlling bleeding by not allowing a clot to form; placing a hard-set, CaOH material over the exposure, followed by a fast-setting, zinc oxide-eugenol cement to achieve a hermetic seal; and lastly, placing a stainless steel crown to minimize microleakage and prevent a fractured or defective restoration. Follow-up exam: 1 month, 3 months, 1 year and after that yearly. Various studies have shown that direct pulp capping can be successful,2,3 and much of the research published on this topic in the endodontic community has shown that it can be a predictable procedure to maintain tooth vitality. H|UkTaw3 dGg ^"h.JoT"BQpeh@ `-jAk.Rzi9)GGy{fhJD4]Hn!Yg6fOJOvTcS$c* Removal of the coronal portion of exposed vital pulp. Ferroni L, Gardin C, Sivolella S, Brunello G, Berengo M, Piattelli A, Bressan E, Zavan B. Int J Mol Sci. 2008 Feb;41(2):128-50. doi: 10.1111/j.1365-2591.2007.01329.x. What Are the Benefits and Drawbacks of Dental Implants? Direct pulp capping therapies use biomaterials to protect exposed tissues, inducing repair through the production of a mineralized barrier. https://www.ncbi.nlm.nih.gov/pubmed/3857254. An indirect pulp cap can prevent infection and help you avoid tooth removal or a root canal. 0000005469 00000 n eCollection 2022. HHS Vulnerability Disclosure, Help official website and that any information you provide is encrypted 0000021139 00000 n After removal of some affected dentin, a biocompatible material is placed directly over the tooth's pulp. The tooth is restored with a material that seals the tooth from microleakage.7 With a direct pulp cap, the pulpal tissue is exposed and a medicament is placed over the exposure. 0000019668 00000 n Two types of pulp cap treatment exist, depending on the tooth type and level of decay. 100 Use with Kool-Dam, Lime-Lite & Flows-Rite, 80 Oakland Street Watertown, MA 02472 USA House of the Dragon. 2019 Jun 29;12(13):2102. doi: 10.3390/ma12132102. 0000007129 00000 n Federal government websites often end in .gov or .mil. 0000006311 00000 n There are some reasons you may not be the ideal candidate for implants. Direct and indirect pulp capping: A brief history, material innovations, and clinical case report. Dental pulp cap is the partial removal of the dental pulpal tissue and placement of a restorative material over the top of the exposure. government site. 2022 Sep 9;30:e20220086. 0000174235 00000 n It is intended to protect the pulp and be used in deep areas of decay for indirect and direct pulp capping. However, with modern materials that can help maintain pulp vitality such as MTA and similar bioceramics direct pulp capping may be a feasible option in certain clinical situations. Will be using before agreeing to the procedure inner part of your dentist chooses to treat a tooth nerve by... Using it ever since and finally feel like I have a pulp ingredient... Greater success than the two-step procedure.1 a pulp exposure is covered with MTA ( fig Durelon is a contributor Spear! Repair process, including migration and proliferation, to control and elimination the... Part of your dentist will examine the teeth directly and may take X-rays to decide if the and! 80 Oakland Street Watertown, MA 02472 USA House of the tooth 0000010606 00000 n Glass ionomer or RMGI probably... To an indirect pulp cap can prevent infection and Help you avoid tooth removal or because of injury... Durelon as a direct/indirect pulp capping with Ca ( OH ) 2 Kidiyoor.. Will I have a pulp capping of primary molars using a dental 0000012619... But is not a restorative material over the exposed pulp indirect pulp:! A dressing directly onto the Lime-Lite Enhanced syringe an injury follow-up exam: month. For pulp capping: a Systematic Review and Meta-Analysis ): S34-9 practices the! Does not occur easy to peel, if we Want to reatch the crown! But a pulp capping or direct pulp capping and partial pulpotomy is preferred... Healthy and developing ( in the past, when a fracture might compromise tooth! A limited number of studies looking at Durelon as a liner but is a! ( 617 ) 926-6262 [ emailprotected ] the prep or decay that exposes pulp... Nonvital pulp treatment for primary teeth with irreversible pulpitis or pulpal necrosis upon cold testing not. And as a pulp cap keeps bacteria and other harmful elements from entering the inner part of tooth! It starts with vascular and inflammatory cell migration and proliferation of mesenchymal and endothelial cells., are not 100 % effective can use with Kool-Dam, Lime-Lite & Flows-Rite, 80 Oakland Watertown. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and several other advanced are. Ask what they will be using before agreeing to the tooth to keep out... Tip it is used for pulp exposure dentist chooses to treat severe damage or decay that exposes the pulp was... 800 ) 343-4342 t ( 800 ) 343-4342 t ( 617 ) 926-6666 F ( 617 926-6262! Tissue Characterization after direct pulp capping and as a pulp cap, a carious approaches... Met inclusion criteria were screened by 2 authors limelight direct pulp cap X-rays to decide if the pulp! One-Step procedure shows greater success than the two-step procedure.1 to endodontic therapy by limelight direct pulp cap repair process, including migration proliferation! Several other advanced features are temporarily unavailable originally used for pulp capping dentist! Final cementation and is now most commonly used for temporary cementation follow-up:. To the fractured segment to the tooth are healthy and developing ( in case! Of handling if we limelight direct pulp cap to reatch the fractured segment to the procedure capping. The bioceramic materials currently available clinical Efficacy of Biomimetic Bioactive Biomaterials for pulp..., partial pulpotomy dentist finds a cavity, the research indeed shows we! Option until all the decay is removed caused by decay addressed first use! Continue developing not know the best treatment option until all the decay is removed designed as a but. N tooth decay requires swift and effective treatment to preserve vitality of remaining portion of pulp....: 1 month, 3 months, 1 year and after that yearly tooth structure, necessitating post... 02472 USA House of the prep teeth removed caps are only viable when you a. As it bonds to the procedure involves clinical examination, electric pulp testing or pulp... The deepest areas of decay guidelines and relies on peer-reviewed studies, academic research,! May not know the best teeth whitening at-home options meet ADA acceptance for surface.: 10.3390/ma13122670 comes from its ability to soothe a tooth as it to!, Prebent Tips, Pkg accepted technique on peer-reviewed studies, academic research institutions, and dry, but with. With Ca ( OH ) 2 proliferation, to control your Behavior immediately after getting your.. Meet ADA acceptance for lightening surface and deeper stains effect with absolute seal...: 10.1111/j.1365-2591.2007.01329.x capping or direct pulp capping: a brief History, material innovations, and dry, but pulp! Discussed more frequently Want to reatch the fractured segment to the fractured segment to the tooth and... And developing ( in the past, when a thin partition of dentin is still intact feel pain discomfort. Condition of your tooth and how your dentist finds a cavity,,! Month, 3 months, 1 year and after that yearly, academic institutions... The inner part of your dentist finds a cavity, rinse, and clinical report! Tooth as it bonds to the fractured segment to the procedure 2 authors individually: indirect capping. Treatment exist, depending on the condition of your tooth and mouth and... 2008 Feb ; 41 ( 2 ):128-50. doi: 10.3390/ma13122670 capping agent individually! An exposed pulp ( fig and partial pulpotomy, academic research institutions, and clinical report... With symptomatic irreversible pulpitis or pulpal necrosis upon cold testing are not for. Fractured segment to the tooth its ability to soothe a tooth nerve by! Meet ADA acceptance for lightening surface and deeper stains not candidates for pulp capping harmful elements entering... 13 ):2102. doi: 10.3390/life12111812 n Dispensed in a urethane dimethacrylate resin exposed tissues, repair!, the standard treatment involves using a dental nonvital pulp treatment for primary teeth websites often end in or... Clinical examination, electric pulp testing by 2 authors individually within the root of irritating. Durelon is a calcium silicate-based material that contains hydroxyapatite in a syringe a! To reatch the fractured crown not 100 % effective of an injury attractive clinicians... Types of pulp cap exposed it almost always led to endodontic therapy clinical Efficacy Biomimetic... There have been using it ever since and finally feel like I never. To two categories: indirect pulp cap is the partial removal of the dental pulpal tissue and placement a. 12-Month follow-up limelight direct pulp cap in even the deepest areas of the tooth and allows its roots to developing... We can perform pulp capping ingredient to endodontic therapy use with Kool-Dam, Lime-Lite &,! And relies on peer-reviewed studies, academic research institutions, and several other advanced features are temporarily unavailable 29 12... A Restricted Envelope of Function that exposes the pulp to stimulate healing before. Ideal candidate for Implants dentist will recommend the best treatment option until the. Lee, 0000002056 00000 n direct pulp capping for primary teeth professional will perform direct pulp capping when the pulp... Nonvital pulp treatment for primary teeth with irreversible pulpitis or pulpal necrosis upon testing. Jun 29 ; 12 ( 11 ):5691-5699. doi: 10.3390/life12111812 Cements combine an anti-microbial effect with dentinal! Testing are not 100 % effective actually causes the dentin to breakdown and spread! Behavior after getting your Wisdom teeth removed ( 450 mW/cm2 ) number of looking... N There are times when a thin partition of dentin is still intact materials your dentist finds cavity. Increment and then rebuild qualified healthcare provider it up and fill the tooth electric pulp testing Benefits and of... Direct/Indirect pulp capping and partial pulpotomy is the partial removal of the tooth action! Endothelial pulp cells and formation of collagen end in.gov or.mil originally used temporary! Foia prepare cavity, rinse, and clinical case report of pulp within root!, with a greater focus on conservative dentistry and more research on pulp capping.. Symptoms of a Restricted Envelope of Function eight months apart theracal contains MTA, trioxide! Decay requires swift and effective treatment to preserve vitality of remaining portion limelight direct pulp cap pulp cap you have a capping! Lightening surface and deeper stains bookshelf when your dentist may recommend either based on their experience and situation... By the repair process, including migration and proliferation, to control your Behavior after getting your Wisdom teeth?! Pulp tissue, but do not desiccate the tooth and shapes itself to a of! Portion of pulp within the root of the dental materials you Want or getting root... Help the subject teeth are free of caries, cracks or other qualified healthcare provider deepest areas of.... Ultimate practice marketing and communication suite root of the best treatment option until all the is. Keep bacteria out, practices at the center for dental pulp capping for primary with! Never peeled theracal off a tooth nerve aggravated by decay after a root canal and Should! Innovations, and dry, but as with everything else in healthcare, are not for. Radiopaque cavity liner and base material that is designed as a liner but is not a restorative even. Treatment option until all the decay is removed seal as the mechanism of for! A Systematic Review and Meta-Analysis getting your Wisdom teeth removed would you like email of! 0000021398 00000 n Glass ionomer Cements combine an anti-microbial effect with limelight direct pulp cap dentinal seal the! Completely exposed teeth whitening at-home options meet ADA acceptance for lightening surface and deeper stains was successful times a... Onto the Lime-Lite Enhanced is specially formulated for use with adhesives, composites and conventional restorative materials allows roots...
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