Hemosthase is a thixotropic aluminum chloride-based gel in the concentration of 25%, which aids in controlling bleeding caused by manipulation of the periodontal tissues. The gel can be combined with the use of Pro-Retract (FGM) retraction cord to assist in temporary gum retraction.
Characteristics and Advantages
• Colorless gel: Aluminum chloride does not generate hemostatic residue, so it does not stain hard and/or soft tissues and also does not interfere in the aesthetics of the materials that will come into contact with the preparation.
• Efficiency: Control of gingival fluids and bleeding is obtained quickly.
• Safety: Aluminum chloride is considered one of the safest substances on the market, and does not present adverse systemic effect when used correctly.
• Suitable viscosity: It is the only Brazilian product in the form of a gel. In addition, it is thixotropic: it is easy to apply and does not run off the site.
Hemosthase gel is indicated for control of exudate and bleeding, improving the conditions of visibility and manipulation of the gingival/periodontal tissues. It is therefore indicated for the following procedures:
• Temporary gingival retraction (used in combination with Pro-Retract (FGM) gingival retraction cord.
• Impressions of dental elements (all techniques).
• Cementation of full crowns.
• Subgingival restorations.
Step by Step
Instructions for Use
Before beginning the treatment, carefully read the warnings, precautions, contraindications, possible side effects.
Deposit a small amount of Hemostatic gel on the region to be treated and rub it firmly with the aid of a Cavibrush (FGM) micro applicator.
Let it remain for 4 to 5 minutes and rinse with a jet of water/air.
Repeat the application, as needed. If, after two applications, progress is not observed in the hemostatis, it is recommended that you change the technique.
Deposit a small amount of Hemostatic gel on the gingival sulcus and rub it firmly with the aid of a Cavibrush (FGM) micro applicator.
Position the Pro-Retract (FGM) retraction cord in the sulcus over the hemostatic gel and let it remain for 4 to 5 minutes. To facilitate the insertion of the cord, it can be lubricated with a little bit of gel.
Remove the thread, rinse the sulcus with a jet of water, and dry with a light jet of air.
Apply and rub another portion of hemostatic gel in the sulcus. Let it remain for 1 minute and rinse.
Proceed with the impression or cementation, as the case may be.
Deposit a small quantity of Hemosthase gel in the gingival sulcus with the syringe.
Rub the gel with a micro applicator.
Lubricate the retraction cord with Hemosthase gel.
Position the retraction cord in the gingival sulcus and let it remain for 5 min.
After obtaining hemostatis, rinse the site with a soft spray of water and dry properly.
Cement the prosthetic piece and remove the retraction cord.
In certain situations where there is gingival bleeding or exudation of gingival fluids that impede impression or preparation with drills, the professional needs substances that reestablish the hemostatis of the gingival tissues. For this purpose, use of vasoconstricting and adstringent substances is recommended.
They are represented by adrenaline. Available in solutions of various concentrations, this substance is found in some retraction cords. It is not really recommended, because it can induce local necrosis and present systemic effects.
Adstringents are represented by iron sulfate, aluminum chloride, and aluminum sulfate. The main advantage of these compounds is that they act only locally, and rarely provoke systemic reactions. These agents promote adequate hemostasis of the gingival tissues.
Hemostatic agents are used for control of bleeding and fluids from the gingival sulcus. They can be used to improve the visibility of the operating field or allow access to a cleaner field. Generally, they are used in combination with gingival retraction cord and on bleeding surfaces.
There are two basic approaches for gingival retraction: 1 – Mechanical: performed by unimpregated retraction cords that are inserted carefully into the gingival sulcus. This procedure promotes temporary retraction (only while the retraction cord is in the gingival sulcus) of the gingival edges, through a highly mechanical retraction. 2 – Chemical-mechanical: also performed with retraction cords, but in this technique they are impregnated with specific chemicals that act as hemostatic agents, assisting in the process of controlling fluids from the sulcus.
Information for the Professional
• Before you start using the product, carefully read the Instructions for use, the precautions listed in this section, and the safety information.
• Use the product only for the intended purpose and as indicated in the Instructions for Use.
• Use the product only on healthy gums.
• The product provides temporary hemostatis in cases of bleeding. More intense bleeding cannot be contained by the product.
• Verify the output (running) of the product from the packaging (syringe) in a separate place away from the patient before beginning its application. Obstructed tips or resistance to pushing the plunger may cause excess output of material.
• Residues of the product, coagulated blood, mucin, and others may impair the quality of the impression and/or cementation.
• It is not recommended to mix the Hemosthase gel with other hemostatic substances or different therapies. Rinse away the residues of the hemostatic gel before applying other products, or vice-versa.
• Do not use the product after its expiration date.
• For disposal of the product, follow the legislation of your country.
• Do not re-use the empty packaging.
• Keep out of reach of children.
• Use of the product beyond the time recommended by the manufacturer may cause irreversible gingival retraction.
• Some irritation may occur in the region treated due to the acidity and irritability of the product, but it is reversible.
• Store the product at temperatures between 15 and 30 °C. Do not refrigerate or freeze the product.
• The validity period is 2 years from the date of manufacture.
• Do not use after its expiration date.