The creamy ApexCal calcium hydroxide paste is used to place temporary disinfectant dressings in the obturation of root canals. ApexCal can also be used in indirect and direct pulp capping.
Indications
- Applied as a temporary disinfectant dressing during root canal treatment and used for indirect and direct pulp capping
Composition
|
Weight percent |
Calcium hydroxide |
29 |
Bismuth carbonate |
22 |
Excipients (polyethylene glycol, glycerine, water) |
49 |
Radiopacity
The radiopacity of ApexCal complies with ISO 6876 [Ivoclar Vivadent, R&D] and is about four times higher than that of dentin

In vitro investigations on the antimicrobial effect
The antimicrobial effect of ApexCal was examined in comparison to that of Calxyl, Calcipulp and calcium hydroxide using agar diffusion tests. This investigation did not establish any difference in the materials tested. As expected, the antimicrobial effect was limited to a narrow area of approx 0.5 to 1 mm in the immediate vicinity of the samples.

Agar diffusion test of ApexCal: An inhibition zone (C) is visible adjacent to the ApexCal sample (D). The whitish aureole (B) is an artefact caused by the diffusion of the material along the Petri dish. A: Bacteria lawn (Lactobacillus)
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