From The Podium: VOCO Liners -Gary M. Radz
Dr. Gary M. Radz Discusses Using VOCO Lining Materials in his Practice
I use all 3 of VOCO’s lining materials on a regular basis in my practice. Each one is formulated for different applications and they cover all clinical indications I encounter. They are all single-component, radiopaque, easy-to-use no-mix materials.
In addition to the efficacy and properties of these liners, I am an especially big fan of VOCO’s proprietary NDT (Non-Dripping Technology) syringe delivery system. It provides far better control with material dosing and placement, prevents the accumulation of excess bulk of material, and significantly reduces waste. That’s a big deal for me.
Calcimol LC, a light-curing calcium hydroxide paste, is the material we use most often, frequently for indirect pulp capping. If we have a preparation where we are very concerned about how close the decay is to the pulp, we’ll use Calcimol LC to provide thermal protection and acid resistance, and—perhaps most importantly—to take advantage of the calcium ion release in hopes of promoting secondary dentin formation.
We also use Calcimol LC as a liner for deeper preparations; in addition to the thermal insulation, it provides protection when we are using a total-etch technique for a composite restoration.
We turn to Calcicur when we have a small direct caries exposure. It’s a ready-to-use, radiopaque water-based calcium hydroxide paste. The high calcium content promotes secondary dentin formation and the high pH imparts an antimicrobial effect. This gives a tooth with extensive caries the opportunity to possibly avoid endodontic treatment.
Ionoseal is a light-cured resin-reinforced glass ionomer, a material category with so many benefits—preventing microleakage, inhibiting bacterial growth, reducing post-op sensitivity, releasing fluoride, helping reduce the effects of composite shrinkage, and compatibility with every type of restoration. I appreciate the insulation properties to help with any thermal sensitivity. We use Ionoseal on patients with a history of generalized cold sensitivity under composites as well as on our caries-prone patients. In general, we will use it under many posterior restorations and for extended fissure sealing to take advantage of the high fluoride release.
About the Doctor
Dr. Gary Michael Radz maintains a private practice, Cosmetic Dentistry of Colorado, in downtown Denver. His full-time general practice focuses on cosmetic dentistry. Dr. Radz is a graduate and former chief resident of both AEGD and GPR residency programs. He has completed and been an associate clinical instructor for several post-graduate dental education institutions. Over the course of the last fourteen years, Dr. Radz has lectured internationally, teaching the materials and techniques used in cosmetic dentistry. He has presented at many of the major national dental conventions, and in 2006 he was invited to be the presenter for the ADA’s Post Session meeting in Las Vegas. He has published over 130 articles on cosmetic dentistry and serves on the editorial board of 7 dental publications, including the Journal of Cosmetic Dentistry.