6/6/25

Replacing Cord Packing with a Tissue Retraction Paste

I rarely use a cord for soft tissue retraction. The only time I typically employ a cord is when the preparation extension needs to block out a dark root or when I need to drop the margin subgingivally. This video demonstrates soft tissue management using a retraction paste for an exceptional optical impression. In my practice, retraction paste is gentle on soft tissues while still providing the detail necessary for accurate imaging and digital workflow integration. Additionally, I use retraction paste before bonding to halt cervical fluid flow. However, there is an important caveat: when using retraction paste, full etch and bonding protocols should be followed to ensure complete removal of any paste contaminants and to maintain optimal adhesive performance.

Below are listed several citations on reversing hemostatic agent contaminants with full phosphoric etch protocols:

  • Bonding Protocols to Reverse the Bond Strength of a Universal Adhesive to Hemostatic Agent-contaminated Dentin - PubMed (nih.gov)

  • Effect of an aluminum chloride hemostatic agent on the dentin shear bond strength of a universal adhesive - PubMed (nih.gov)

  • Bond Strengths of Universal Adhesives to Dentin Contaminated with a Hemostatic Agent - PubMed (nih.gov)

  • Effects of Contamination by Hemostatic Agents and Use of Cleaning Agent on Etch-and-Rinse Dentin Bond Strength - PubMed (nih.gov)


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Conservative Veneer Preparations

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Laser Soft Tissue Troughing with Veneer Preparations