C L I N I C A L                      D I R E C T I O N SAn alternative way to use gingivalretraction pasteMARSHA SMELTZER,...
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An alternative way to use gingival retraction paste

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An alternative way to use gingival retraction paste

  1. 1. C L I N I C A L D I R E C T I O N SAn alternative way to use gingivalretraction pasteMARSHA SMELTZER, D.D.S. xpa-syl (Kerr Dental,E Orange, Calif.) gin- gival retraction paste is an effective and tissue-friendly productdesigned as an alternative toretraction cord placement forhemostasis. The product is user-friendly for crown and bridgeimpressions, fillings, veneers orany other application in whichthere is a need to maintain a dryfield. I feel that the dentist canbe much kinder to the peri-odontal ligament fibers byplacing a soft clay-based productin the sulcus than by placingretraction cord.PROCEDURE Figure. Retraction paste condensed with cotton.The manufacturer’s instructions indicate that the it, and then water-spray or microbrush awaygingival retraction paste is best expressed into a the paste. Use of chlorhexidine in the microbrushdry field. This is not always achievable, and some also cleans the preparation. Proceed with yourdifficulty arises while trying to place Expa-syl in impressions, restorations or preparationa wet field. completion. In areas in which fluid control needs to beachieved (Figure), rather than attempt to con- CONCLUSIONdense the material into a sulcus with a plugger,simply place soft cotton pellets over the area after I have found this procedure useful because it doesexpressing the material and “condense” them not cause excessive trauma to delicate tissues.with gentle finger pressure. Cover the area with Also, it generally prevents the need to excise orgauze and allow the patient to close the mouth electrocauterize additional tissue, and the patientwhile keeping the area dry and isolated. Wait two perceives the process as gentle. sor three minutes or, in cases of heavy bleeding, a Dr. Smeltzer is in private practice at Riverside Dental Clinic, 1101longer time (about five to seven minutes). Water St., Port Huron, Mich. 48060, e-mail “riversidedental@ Moisten the cotton with water before removing comcast.net”. Address reprint requests to Dr. Smeltzer. JADA, Vol. 134, November 2003 1485 Copyright ©2003 American Dental Association. All rights reserved.

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