Statement of problem. A aide spectrum of different gingival retraction cord
s is used, while the relative clinical efficacy of these cords remains undo
cumented.
Purpose. This study aimed to determine whether clinicians were able to iden
tify differences in clinical performance among 3 types of gingival retracti
on cords.
Methods and material. Dental students and faculty members ranked pairs or s
eries of cords according to 6 criteria for clinical performance, with a bli
nd experimental study design. Cords differed in consistency (knit ted or tw
ined) and impregnation (8% dl-epinephrine HCl, 0.5 mg/in or 25% aluminum su
lfate, 0.5 mg/in).
Results. Knitted cords were ranked better than twined cords (P=.03). Cords
containing epinephrine performed no better clinically than aluminum sulfate
cords (P>.05).
Conclusion. Clinicians were unable to detect any clinical advantages of usi
ng epinephrine impregnated gingival retraction cords compared with aluminum
sulfate cords.