Ivoclar Vivadent ApexCal
Dental Supplies

Ivoclar Vivadent ApexCal

Pack Sizes Available

Refill: 2 x 2.5g syringes with application tips (REF 595915AN)

Product Description

The inter-appointment dressing in root canal treatment is one of those steps that experienced endodontists take seriously and newer clinicians sometimes undervalue. Between debridement and obturation, the canal is vulnerable to reinfection. What gets placed during that interval — and how effectively it does its job — directly affects what you find when you return to fill the canal. ApexCal from Ivoclar Vivadent is calcium hydroxide paste formulated specifically for this role. The pH sits at 12.5. That is highly alkaline, and it is the property that creates the bactericidal effect against the anaerobic bacteria responsible for periapical pathology. Calcium hydroxide at this pH denatures bacterial proteins and disrupts cell membrane integrity. It does not need to set to work — and here is where ApexCal makes a practical clinical difference: it stays fluid inside the canal. It does not harden. It maintains contact with the canal wall throughout the inter-appointment period, and it comes out cleanly at the next visit without the removal challenge associated with setting calcium hydroxide preparations. Radiopacity at 400% of aluminium equivalent is exceptionally high for a calcium hydroxide paste. You can radiograph the tooth, confirm the dressing is in place, check for gaps, and document the inter-appointment state. Most calcium hydroxide preparations are poorly visible on X-ray. ApexCal is not. Application is direct from the syringe via the enclosed tips, or via lentulo spiral if preferred. Ready to use. No mixing. Sara Wellness exports Ivoclar Vivadent endodontic products and dental materials from India with 15 years of export experience and direct pricing for international distributors.

Technical Specifications

  • Active Component: Calcium hydroxide paste
  • pH: 12.5 (highly alkaline)
  • Radiopacity: 400% Al equivalent
  • Setting Behavior: Does not set intraorally — remains fluid
  • Application Method: Syringe tip direct delivery or lentulo spiral
  • Consistency: Creamy paste
  • Pack Size: Refill: 2 x 2.5g syringes + application tips (REF 595915AN)
  • Manufacturer: Ivoclar Vivadent AG, Schaan, Liechtenstein
FAQ

Frequently asked questions

ApexCal is a ready-to-use calcium hydroxide paste placed as a temporary intracanal dressing between endodontic appointments. It maintains antimicrobial activity inside the root canal during the inter-appointment period and is also used for indirect and direct pulp capping.

ApexCal has a pH of 12.5, which is highly alkaline. This pH creates a strong bactericidal effect against anaerobic bacteria by denaturing bacterial proteins and disrupting cell wall integrity — the primary mechanism of action for calcium hydroxide intracanal dressings.

No. ApexCal does not set while in place. This is a clinical advantage — the paste maintains fluid contact with the canal wall throughout the inter-appointment period and is removed completely at the next appointment without the difficulty associated with hardened calcium hydroxide preparations.

ApexCal is applied directly into the root canal using the enclosed application tips on the syringe. Alternatively, the paste can be picked up on a lentulo spiral and spun into the canal to aid distribution in curved or narrow canals.

ApexCal has a radiopacity of 400% aluminium equivalent, making it clearly visible on intraoperative radiographs. This allows radiographic confirmation of complete canal filling with the dressing and documentation of the inter-appointment treatment state.

ApexCal is available as a refill containing 2 x 2.5g syringes with application tips (REF 595915AN).

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