How do you prefer to handle tissues and hemostasis before making an impression or scan for your crowns and bridges? Traditional measures typically involve using retraction cords and a hemostatic agent such as aluminum chloride or ferric sulfate. One cord is placed using a hemostatic agent to control bleeding and a second, larger cord is often placed to allow for tissue displacement to capture margins. Others prefer to use a soft tissue laser and “trough” around the tooth to expose the margin.
Premier Dental offers a retraction paste system that provides some nice benefits and convenience: the Traxodent retraction paste system. This system provides hemostasis and tissue displacement. The material contains 15% aluminum chloride and its clay-like consistency provides tissue displacement by absorbing fluids and expanding. The paste is pre-loaded into convenient syringes and comes with bendable tips for placement into the sulcus prior to your impression or scan.
The system comes with “retraction caps” that are made out of dense cotton-like materials. The caps come in three sizes and can be trimmed to fit the specific anatomic parameters of the tooth being treated. The paste can serve as a hemostatic agent without using the cap. When the cap is used, it facilitates tissue displacement by creating pressure. The process involves injecting the material through a bendable metal tip into the sulcus around the preparation. A retraction cap is then trimmed to fit around the tooth and extended to tissue level. The patient is asked to bite onto the cap for 2 minutes, which is typically a good amount of time to provide hemostasis and tissue displacement. The cap is removed and the paste is rinsed thoroughly. A final PVS impression or intraoral scan is then performed.
Everyone has different ways to manage tissue. Traxodent is another tool that may be used with or without retraction cord. My preference is to start with a small cord soaked in hemostatic agent, followed by Traxodent and a cap. It’s convenient and has worked well for most of the single units I’ve completed. Why not give it a try and see for yourself?
Click here for more information on Traxodent Retraction Paste.