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Pulpotomy Treatment - Pulpotec

PD

Radiopaque, non resorbable paste for the treatment of pulpitis by pulpotomy in vital molars, both permanent and deciduous

 

Composition

Powder : Polyoxymethylene, lodoform, excipient

Liquid : Dexamethasone Acetate, Formaldehyde, Phenol, Guaiacol , excipient

 

Properties

Pulpotomy Treatment 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 , Pulpotomy Treatment 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 Pulpotomy Treatment 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.

 

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 Pulpotomy Treatment never to be introduced in the radicular canal of deciduous teeth.

 

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

 

Directions for use

Perform pulpotomy in the usual way. Pulpotomy Treatment being antiseptic, the use of a rubber dam is optional. Utilise 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 Pulpotomy Treatment after a pulpotomy performed with laser is also recommended.

 

2 methods can be recommended for inserting Pulpotomy Treatment into the pulp‑chamber :

 

1. The traditional method : Mix Pulpotomy Treatment liquid with Pulpotomy Treatment 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 Pulpotomy Treatment . 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 Puipotomy Treatment 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 Pulpotomy Treatment 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 Pulpotomy Treatment is approximately 7 hours.

 

The second session should take place once the initial Pulpotomy Treatment 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 Pulpotomy Treatment, possibly leaving a thin intermediary layer of temporary cement to insulate Pulpotomy Treatment from the final obturation material.

 

Pulpotomy Treatment 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, Pulpotomy 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, ail traces of Pulpotomy Treatment should be removed after de‑obturation 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 de‑obturation, a new diagnosis should be made and treated accordingly either by pulpectomy or, where necessary, by extraction.

 

Warning

Never use Pulpotomy Treatment when performing a pulpectomy

Avoid all contact between Pulpotomy Treatment and the soft tissues. If necessary, rinse thoroughly with water. Contains Polyoxymethylene and Formaldehyde.Toxic by  inhalation and ingestion. May cause irritation, burns or hypersensitization if in direct contact with the skin.

in case of direct contact with the eyes, rinse liberally with running water and consult a physician.

 

Storage

Store at room temperature between 5º and 30ºC, protected from direct light

 

Packaging                                                                                                                              REF

Portion : 15 g powder + 15 ml liquid                115 62 sa

 

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