Soft tissue management prior to FPD impressions

1. RETRACTION CORDS
soft tissue management using

2. WHY?

3. HOW?
 Fluid control
 Rubber Damn
 High volum vaccum
 Saliva ejector
 Antisialogogues
 Finish line exposure
 Mechanical
 Surgical
 Chemomechanical
 Retraction cord + haemostatic agent

4. MECHANICAL
 Copper band

5. SURGICAL
 Rotary curettage
 Electrosurgery unit

6. RETRACTION CORDS
 100% cotton
 Retract the gingiva
 (impression)
 Haemostasis
 (when soaked in a solution)

7. RETRACTION CORDS
 Twisted
 Braded

8. RETRACTION CORD

9. RETRACTION CORDS
 Size: 000
 Within the front tooth area as a lower cord
with
 the double-cord technique
 With very sensitive and thin gingiva
 Size: 00
 Lower cord with the double-cord technique
 Preparation and fixing of veneers

10. RETRACTION CORDS
 Size: 0
 Lower cord with the double-cord technique
 Restoration of the classes III, IV and V
 Size: 1
 Front tooth area and premolar area /
Protection during pre-preparation

11. RETRACTION CORDS
 Size: 2
 Upper cord with the double-cord technique
 Premolar and molar areas / Protection during
pre-preparation
 Size: 3
 Upper cord with the double-cord technique /
Molars with pronounced, thick gingiva

12. HAEMOSTATIC AGNETS
 Requirements:
 Effectiveness in gingival displacement and
haemostasis
 absence of irreversible damage to the gingiva
 absence of systemic effects
Haemostasis Local Vasoconstriction Transitory gingival shrinkage

13. HAEMOSTATIC AGNETS
 Aluminum Chloride
 Aluminum Sulfate
 Ferric Sulfate

14. APPLICATION
 Haemostatic agent
 U shaped
 Code packer

15. WHAT’S NEW?

16. WHAT’S NEW?
 Time consuming
 Uncomfortable
 Epithelial attachment damage

17. WHAT’S NEW?
 Hold rigidity in sulcus
 No pressure needed for application
 Create space – like cord

19. REFERENCES
 Fundamental of Fixed Prosthodontics 3rd ed
 Herbert T.Shilingberg Jr, DDS
 Muller Omicron Dental, customer care center
 EasyCord / Product information
 http://medical-dictionary.thefreedictionary.com/T-band+matrix
 Gingival retraction cord
 The journal of americal dental association