Pulpotec – medicament for long term treatment of pulpitis

PulpotecPulpotec – radiopaque, non resorbable paste for the treatment of pulpitis by pulpotomy in vital molars, both permanent and deciduous.

Pulpotec is a filling paste for simple, rapid and long-term treatment by pulpotomy of vital molars, both permanent and deciduous. The addition of pharmacological constituents ensures an aseptic treatment, induces cicatrization of the pulpal stump at the chamber-canal interface, whilst maintaining the structure of the underlying pulp.

The treatment of pulpitis with Pulpotec is considerably faster than by pulpectomy. It also avoids the numerous failures that have been noted with so-called «total» pulpectomy (over 50% worldwide in 1995).

The efficiency and the properties of are substantiated by a radiographic file compiled on the basis of results of over 300 pulpotomies performed with Pulpotec and monitored for periods of 3 to 13 years.

Composition

  • Powder Iodoform, Polyoxymethylene, excipient
  • Liquid Phenol, Guaiacol, Formaldehyde, Dexamethasone Acetate, excipient

Indications
Adults treatment of pulpitis on permanent vital molars. This actually includes the pre-treatment of molars prior to making abutments for a fixed prosthesis (either individual or bridge).

Gerodontics treatment by pulpotomy of molars suffering calcified root canal. Clinical recovery of the tooth can be brought about by using the same methods as those used in treating young adults.

Pedodontics treatment of pulpitis on immature permanent vital molars, enabling a complete radicular restoration of the tooth. Treatment of pulpitis in temporary vital molars. Treatment of infected deciduous molars by pulpotomy even in the presence of an abscess. This indication is the only exception to the rule of pulpotomy on vital teeth, and must be treated by regular pulpotomy, without going beyond the floor of the pulp chamber in order never to be introduced in the radicular canal of deciduous teeth.

The numerous indications for using Pulpotec in pedodontics, clearly indicate its usefulness in this field.

pulpotec

Directions for use
Perform pulpotomy in the usual way. Pulpotec being antiseptic, the use of a rubber dam is optional. Use high-speed rotary instruments in order to avoid tearing of the radicular endings and take care to eliminate all the cameral pulp. The use of after a pulpotomy performed with laser is also recommended.

2 methods can be recommended for inserting Pulpotec into the pulp-chamber

1.The traditional method Mix Pulpotec liquid with Pulpotec powder and blend to obtain required thick, creamy consistency of the paste. Insert the paste into the pulp-chamber with a large sized paste filler. The presence of small quantities of blood does not affect the efficiency of Pulpotec. Air-dry the cavity just prior to applying the paste. Seal with a temporary cement. Place a cotton roll between the 2 dental arches and request the patient to bite progressively but firmly, so that the Pulpotec paste clings to the walls of the pulp-cavity as well as to the root canal orifices.

2.Another efficient but simple method for inserting Pulpotec into the pulp-chamber mix the powder and the liquid on a glass slab and blend until the mix reaches the consistency of a small, supple ball of putty. Shape the ball into a cylinder and insert directly into the pulp-chamber. Press into place with a spatula and continue as indicated above with the temporary cement and the cotton roll.

Setting time of Pulpotec is approximately 7 hours.
The second session should take place once the initial Pulpotec insert has set. The treatment can then be completed by setting the final tight obturation with amalgam or any other suitable material. This can be directly placed on the, possibly leaving a thin intermediary layer of temporary cement to insulate Pulpotec from the final obturation material. Pulpotec being Eugenol free, any bonding application on the treated tooth is advisable. Though not totally necessary, a fixed prosthesis is recommended in order to ensure tight sealing, resistance and long-term results.

Potential side-effects
In most cases, treatment is practically painless. Rare exceptions where pain has continued until the second session have, however, been recorded.

3 typical cases have been determined

1. Pain of medium intensity which has lasted until the second session. To remedy this, all traces of should be removed after desobturation and a fresh dose of the product should then be inserted and covered with a temporary dressing.

2. Persistent pain of arthritic type. This will disappear after anti-inflammatory treatment.

3. In approximately 1 case per 1000, acute pain could be caused by :

  • Treating a tooth which is not vital
  • An undiagnosed coronal fracture or perforation of the cavity floor.

In this case, after desobturation, a new diagnosis should be made and treated accordingly either by pulpectomy or, where necessary, by extraction.

Remark
A tooth treated by on which a fixed prosthesis (crown or bridge) has been placed, may present after some months (3 months to several years) and despite a radiological normal status, pains of arthritic type. They usually disappear after milling of the causally linked vertical overlap.

Warning
Never use Pulpotec when performing a pulpectomy. Avoid all contact between and the soft tissues. If necessary, rinse thoroughly with water. Contains Polyoxymethylene and Formaldehyde. Toxic by inhalation and ingestion. When using this product, gloves, mask and protective glasses should be worn. In case of contact with the skin wash with plenty of soap and water. If skin irritation occurs, get medical advice/attention. In case of contact with the eye rinse cautiously with soft, clean water for 15 minutes, holding the eyelids open, and call a doctor immediately. In case of swallowing rinse the mouth with water, drink a lot of water and consult a doctor. Keep the person exposed at rest, do not force vomiting. Dot not use in cases of known hypersensitives to any of these ingredients.

Storage
Store at room temperature between 15°C and 25°C, protected from direct light and humidity.

Shelf life 3 years.

Packaging ref
Portion 15g powder + 15ml liquid

For dental professional use. Made in Switzerland

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CATEGORY Endodontics
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