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Angelus BIO-C Repair - Bio-Ceramic Reparative Material

Angelus
0.5gm syringe
2gm syringe
2022-06-30
Rs. 1,499 Rs. 7,250
Bioceramic reparative material ready to use putty

Key Feature
1. Ready to use Putty
2. Bioactive
3. High alkalinity (pH ~ 12)
4. Prevents bacterial infiltration
5. Free of Bismuth Oxide
6. Non-toxic
Size :

Angelus BIO-C REPAIR - Bio Ceramic reparative material

BIO-C® REPAIR is a ready-to-use bioceramic repair cement (putty).


The ready-to-use presentation in a screw-in syringe facilitates the removal of the product for application at the preparation site, simplifying this procedure with great time savings.


In addition to its ease of use, it offers all the benefits of bioceramic formulation: induction of tissue regeneration through the release of Ca2+ ions resulting in the formation of mineralized tissue, bactericidal action due to its high pH, inhibition of bacterial infiltration by setting expansion and chemical adhesion to dentin.

As a result, safety and high rates of success in endodontic treatment are obtained.

 


Key Features & Benefits

1. Ready-to-use (putty)

2. Bioactivity/Release of Ca2+ ions

3. Bactericidal (pH ~ 12) - Promotes local decontamination

4. Setting Expansion (0.092 ± 0.05%) - Prevents bacterial infiltration

5. High Radiopacity

 

Promotes biomineralization by providing rapid tissue regeneration.

6. Does not stain tooth structure

Zirconium oxide as a radio pacifier that does not stain the dental structure.

 

7. Non-resinous composition

It allows use in humid environments without loss of properties, especially in surgeries where humidity control of the operative field is a challenge in the procedure.

For treatment of perforation of root or furca via canal 
Treatment of perforation of root or furcation surgically 
Treatment of internal resorption via canal 
Treatment of external or communicating internal resorption surgically 
Retrofilling in paraendodontic surgery 
Direct and indirect pulp capping 
Apicification 
Apicigenesis 
Pulpotomy and pulp regeneration.

 

Setting Time≤ 120 minutes
Radiopacity≥ 7,0 mm Al
Ph~ 12
Particles Size< 2 μm
Solubility< 3%
Setting Expansion0.092 ± 0.05%
Resistance to compression7.933 ± 3.284 MPa

 

Instructions: 


Treatment of root or furcation perforations via canal 
1. Anesthetize, install rubber dam isolation, perform biomechanical preparation of the canal and clean existing perforation; 
2. Fill the canal in a conventional manner leaving the perforation exposed; 
3. Perform haemostatic control and keep the cavity slightly moist; 
4. Insert BIO-C® REPAIR and in case of extravasation, remove excess material; X-ray to verify the correct placement of the material in the applied location; 
6. Fill the remainder of the canal with gutta-percha cones and a sealant such as MTAFILLAPEX or BIO-C® SEALER; 
7. Perform coronary sealing and restoration 

Treatment of root perforation or furcation perforation via surgery


1. Anesthetize, elevate the gingival flap and do osteotomy to locate perforation; 
2. Prepare the perforation with suitable instrument to facilitate the insertion of the material; 
3. Perform haemostatic control and keep the cavity slightly moist; 
4. Insert the BIO-C® REPAIR into the cavity, adapt with condensers and remove excess if it overflows; 
5. Reposition the gingival flap and suture; 
6. X-ray and follow for at least two years. 

Treatment of communicating internal resorption or via canal 


1. Anesthetize and install rubber dam isolation; 
2. Remove granulation tissue from the resorption area; 
3. Neutralize the medium with calcium hydroxide paste; 
4. Remove calcium hydroxide in the next session and do the endodontic treatment in conventional way until resorption level; 
5. Apply BIO-C® REPAIR to the resorption site, condensing it against the walls with specific instruments or a slightly moistened sterile cotton ball; 
6. Perform coronary sealing with glass ionomer and restore with preferred material; 
7. X-ray and follow for at least two years 

Treatment of communicating internal or external resorption via surgery


1. Anesthetize, elevate the gingival flap and do osteotomy to locate perforation; 
2. Remove all affected cementum and dentin by removing the cells that cause resorption; 
3. Do the hemostatic control, dry the cavity. It is advisable to condition the surface of theaffected root preferably with citric acid; 
4. Insert BIO-C® REPAIR into the cavity, which must be slightly moist; adapt the materialwith condensers and remove excess if it overflows; 
5. Reposition the gingival flap and suture; 
6. X-ray and follow for at least two years. 
IMPORTANT:BIO-C® REPAIR is not indicated in cases of external resorption above the bone crest 

Retrofilling in endodontic surgery


1. Anesthetize, elevate the gingival flap and do osteotomy to expose dental apex; 
2. Section 3 mm of the root apex, which contains a large number of side canals (apical delta); 
3.Do retro-preparation with appropriate instruments; 
4. Perform hemostatic control and keep the cavity slightly moist; 
5. Insert the BIO-C® REPAIR into the cavity, adapt with suitable condensers and remove any excess overflown material; 
6.Promote a bleeding site from the periodontal ligament and bone tissue,return the gingival flap to its position and suture; 
7. X-ray and follow for at least two years 

Direct and indirect pulp capping

 

1. Anesthetize and install rubber dam isolation; 
2. Remove decay; if there is pulp exposure, promote hemostasis; 
3. Apply BIO-C® REPAIR to the cavity or to the pulp if exposed. Use appropriate instruments or a slightly moistened sterile cotton ball to set the material; 
4. Cover BIO-C® REPAIR with a glass ionomer cement and wait 4 to 6 weeks to perform final restoration. Glass ionomer can be used as base of restoration. 
WARNING: For deciduous or young permanent teeth with a large exposure, perform pulpotomy, and then go to steps 3 and 4 above 

Apexification

First Session
1. Anesthetize and install rubber dam isolation; 
2. Prepare the canal by the conventional technique; 
3. Apply an intracanal dressing with calcium hydroxide paste for one week. 

Second Session
1. Remove intracanal dressing with files and irrigation solution; 
2. Dry the canal with paper cones; 
3. Make a mechanical barrier in the apical region to prevent extravasation of BIO-C® REPAIR. It is advisable to use a collagen sponge or similar products. 
4. Apply BIO-C® REPAIR by condensing it to form an apical plug of 3 to 4 mm; 
5. X-ray to verify the correct filling of the canal; 
6. Place a lightly moistened cotton ball in the canal entrance followed by temporaryrestoration. 

Third Session
1. Remove the temporary restoration and fill the canal to the limit of the apical plug; 
2. Restore with glass ionomer; 
3. Perform clinical and radiographic control for 3 to 6 months until radiographic visualization of the formation of an apical barrier of hard tissue 

Apexogenesis and pulpotomy

1. Anesthetize, install rubber dam isolation then access the pulp chamber; 
2. Remove the roof from the pulp chamber and excise the coronary pulp with sharp curettes or drills; 
3. Cut the pulp 0.5 mm below the entrance of the root canal; 
4. Wash the surgical wound thoroughly with distilled water, saline, or specific detergent; 
5. Perform hemostasis and keep the cavity slightly moist; 
6. Apply BIO-C® REPAIR on the pulp stump and adapt with a slightly moistened sterile cotton ball; 
7. X-ray to verify the correct filling of the canal; 
8. Restore cavity provisionally with glass ionomer; 
9. Perform clinical and radiographic control for 3 to 6 months until the radiographic view of the root formation; 
10. After the end of the root formation, opt for conventional endodontic treatment or only the restoration of the coronary endodontic cavity 

Pulp regeneration

1. Anesthetize and install rubber dam isolation, and then access the pulp chamber; 
2. Empty the canal until the foramen, with the least possible wear of dentinal walls; 
3. Irrigate abundantly with 2.5% sodium hypochlorite and dry the canal with paper tips; 
4. Place the Ca(OH)2 paste in saline solution and seal it with glass ionomer; 
5. Keep intracanal medication for 4 weeks; 
6. After 4 weeks, anesthetize the patient, install rubber dam isolation, access the root canal and remove the Ca(OH)2 paste with 17% EDTA irrigation (if possible, activate EDTA with an Ultrasonic Tip in 3 cycles of 10 seconds); 
7. Carry an endodontic file into the canal and promote bleeding through injury to periapical tissues to induce bleeding and subsequent clot formation; 
8. Stabilize bleeding 3 mm below the level of the cementoenamel junction and wait 15 minutes for clot formation; if necessary, place a collagen membrane at the beginning of the cervical third. This membrane will contain BIO-C® REPAIR in the cervical third; 
9. Place a 3 mm layer of BIO-C® REPAIR on the clot; 
10. Place a lightly moistened sterile cotton ball over BIO-C® REPAIR, and wait 15 minutes for material’s initial setting; 
11. Remove the cotton ball, dry the cavity, and apply a layer of glass ionomer. Then restore the tooth with a material of professional preference; 
12. Performclinicalandradiographicfollow-upevery6monthsuntilcompleterootformation 

Storage: 

Store at dry place

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Angelus BIO-C Repair - Bio-Ceramic Reparative Material
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