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Liner Under Deep Composite — NDEB AFK MCQ

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ModerateRestorative DentistryLiner Under Deep CompositeNDEB AFK

Which base material is recommended under a deep composite restoration to protect a near-exposure of the pulp?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EResin-modified glass ionomer cement

Resin-modified glass ionomer cement (RMGIC) is the preferred liner/base under composite restorations near the pulp. It bonds to dentin, releases fluoride, provides thermal insulation, and is compatible with composite resin bonding systems. Calcium hydroxide has traditionally been used but has poor mechanical properties and dissolves under restorations over time. ZOE cement inhibits composite polymerisation and must not be used under composite. RMGIC provides superior mechanical properties and seal.

Reference: Heymann – Sturdevant's Art and Science of Operative Dentistry, 7th ed., 2019