Dentaltown October 2017 - 50

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waterdog DD
Member Since: 02/27/02
Post: 12 of 65

My laser has replaced my cord almost 90 percent. (Still use the double-cord technique on
anteriors.) I spend a little more time with the laser than the cord but the tissue always looks
amazing after three weeks at insert. I am moderately aggressive with the laser usage. ■

7/22/2017

Timmy G
Member Since: 04/14/02
Post: 17 of 65

Using the paste alone, whether it's 3M or Traxodent or whatever, doesn't always cut it.
Comprecaps are helpful and I use them with paste routinely. I will typically use ViscoStat first,
either the clear or the regular depending on the situation, to get preliminary bleeding slowed or
stopped, then use Paste with Comprecap, having the patient bite down firmly for 3-5 minutes.
Another thing you can do is pre-prep-take a bite in the prep area with bite registration
material, placing it so it drops down onto the gum area of tooth to be prepped and one tooth or
so adjacent. Do prep, place paste, then have the patient bite back down into the set bite registration you took earlier. The rigidity can often help push the paste down into the sulcus to retract.
And here recently when I want retraction when there is little to no bleeding, I've been trying
the Teflon tape technique of taking plumber's tape and rolling it into the shape of a snake and
placing that into the sulcus with a cord packing instrument. It retracts but nothing will stick
to it, so no bleeding when you remove it. Handy technique, but again the tape is for retraction,
not bleeding. ■

7/22/2017

velogeek
Member Since: 04/15/10
Post: 18 of 65

danamc
Member Since: 02/15/04
Post: 23 of 65

You know, hydrocolloid has an excellent hemostatic property ... ■
7/22/2017

I've got a can of lido 1:50k epi just for these occasions. As long as the patient isn't too
sensitive to epi, I'll inject a touch of this lido 1:50k into the papilla adjacent to the bleeding area,
as well as any other bleeding areas. Fortunately, the epi in this concentration will pretty much
stop any oozing before impressions. Give it a try. ■

7/22/2017

Adam W
Member Since: 08/04/11
Post: 24 of 65

I recently started using 3M retraction capsule first, then flushing out the paste with ViscoStat
Clear (instead of futilely trying to rinse it with water). Results are decent and margins are good.
Retraction paste alone would often leave some bleeding, especially in deep interproximal
margins. After reaching for the ViscoStat half of the time, I just started using it every time.
Retraction pastes work better with some light bur curettage first. (The paste dries the tissue out
nicely, but does not displace it laterally as well as cord.) ■
7/22/2017

WTP
Member Since: 01/02/04
Post: 29 of 65

drderik
Member Since: 08/30/09
Post: 31 of 65

3M's new retraction paste is amazing. First one I've seen that keeps the area dry after rinsing
away. I haven't placed any cord in 2017. Impressions are crisp and clear. ■

7/22/2017

You'd have the best results if you use Impregum MB (standard set time). There is an
Impregum syringe that can be filled directly out of the Pentamix machine.
My almost-certain way to get a perfect impression in any environment:
1. Two epi cords with ViscoStat. I've heard Visine works better, but never tried it.
2. 3M LB polyether.
3. Impregum MB out of the syringe filled with the Pentamix.
4. Impregum MB in triple tray.
3M actually has instructions for the Impregum MB-only impression technique. Set time is
six minutes, which sucks because the original MB isn't flavored. ■
7/22/2017

OCTOBER 2017 // dentaltown.com

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