Restoring Primary

PosteriorTeeth
With A Compomer

Using L.D. Caulk’s “Dyract”

 Dyract AP
• Dyract AP (Advanced Performance) is a
compomer manufactured by Caulk.
• Compomers are polyacid-modified
hydrophilic resin composites, containing
glass particles, which are somewhat
dissolved as oral fluids activate the acid
in the biomaterial. As a result fluoride
is released, creating cariostatic
potential for the restoration.
 Dyract AP
• Dyract is indicated for use in the
conservative restoration of primary
teeth. It is not recommended for use in
permanent teeth as its long term
service characterisitics (lower strength
and higher wear rate) are less desirable
than an amalgam or a resin-based
composite such as Herculite.
conventional conventional
glass-ionomer resin-composite

resin-modified polyacid-modified
glass Ionomer resin composite

Ketac-Fil Fuji II LC Dyract Herculite

 Technique
• A conservative, bio-
mechanically sound cavity
preparation is completed in
the primary tooth.
• If a Class II, the
preparation should be
identical to a Class II
amalgam preparation.
• If a Class I, the preparation
should not be “extended for
prevention,” rather any
fissures remaining after
extending sufficiently to
eradicate the carious lesion
should be conditioned and
sealed with a fissure sealant.
 Dyract Technique
• The cavity preparation is then etched with
37% orthophosphoric acid for 20 seconds,
thoroughly washed for 20 seconds, and then
air dried.
• The manufacturer indicates that enamel
conditioning is not an absolute requirement
when restoring primary teeth, and the Prime
and Bond can be placed without conditioning.
• However, Caulk does acknowledge that
etching does improve marginal integrity, and
it is therefore recommended by Pediatric
Dentistry.
 Dyract Technique

• Caulk’s Prime and Bond

is placed with a clean
disposable brush,
thoroughly wetting all
surface of the
preparation.

• The surfaces should

remain wet for 20
seconds.
 Dyract Technique
• Gently air dry for 5
seconds
• The surface should have
a uniform glossy
appearance; if not
reapply Prime and Bond.
• Light cure for 10
seconds.
• When a matrix is being
utilized, Prime and Bond
should be applied and
cured before the matrix
band is placed.
 Dyract Technique

• Dyract is supplied in compules with fourteen

different shades. The shades employed with
primary teeth are the two lightest: XL and B1.
 Dyract Technique

• Dyract is dispensed
in a compule and
applied using a
composite gun.
 Dyract Technique
• Apply the Dyract
biomaterial in
increments no
thicker than 3 mm;
light curing each
increment for 40
seconds.
• Restore the tooth to
its normal contour
and function.
 Dyract Technique
• Finish with an appropriate composite finishing
and polishing system.
• 12 fluted carbide burs can be used to finish
and contour the restoration:
– 7406 (egg) , for the occlusal
– 7902 (needle), for the proximal
– 7802 (bullet), for fine grooves on the occlusal
• Caulk’s Enhance polishing point can be used to
polish the restoration. ESPE 3M’s Softflex
and Caulk’s Prisma Gloss can be also used.
Alternatively, the 3300 (green) and the 3301
(gray) diacomp points can be employed.
 Herculite
• Herculite is a conventional resin-composite. As such, it has
greater wear resistance and strength than a polyacid-modified
resin composite such as Dyract. Therefore, it has considerable
greater longevity.
• When completing Class I restorations (sometimes referred to as
Preventive Resin Restorations-PRRs) on young permanent teeth,
it is the material of choice—not Dyract; for the reasons
identified above.
• Manufacturer’s instructions for using Herculite should be
followed. However, they are essentially the same as those for
Dyract.
• Please note that the Division of Pediatric Dentistry requires
that conventional Class 1 preparations be employed in such
instances, always completed in sound dentin, and extended such
that the dentino-enamel junction of the preparation can be
visualized throughout; ensuring no caries remains at the d.e.j.
This is to be distinguished from what some advocate, that is,
that only enamel need be removed, if thought that only enamel is
involved; and that a conventional preparation with a flat pulpal
floor completed in sound dentin is not required.