Radiopaque, non resorbable paste for the treatment of pulpitis by pulpotomy in vital molars, both permanent and deciduous
Powder : Polyoxymethylene, Iodoform, excipient Liquid : Dexamethasone Acetate, Formaldehyde, Phenol, Guaiacol , excipient
Pulpotec is a filling paste for simple, rapid and long term treatment by pulpotomy of vital molars, both perma nent and deciduous. The addition of pharmacological cons tituents ensures an aseptic treatment, induces cicatrization of the pulpal stump at the chamber-canal interface, whilst maintaining the structure of the underlying pulp. The efficiency and the properties of «PD» Pulpotec 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.
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 suffe ring 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 perma nent 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 Pulpotec 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.
Perform pulpotomy in the usual way. Pulpotec being antisep tic, 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 Pulpotec after a pulpotomy performed with laser is also recommended.
Two methods can be recommended for inserting Pulpotec into the pulp-chamber :
Setting time of Pulpotec is approximately 7 hours.
The second session should take place once the initial Pulpo tec 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 Pulpo tec, possibly leaving a thin intermediary layer of temporary cement to insulate Pulpotec from the final obturation mate-rial. Pulpotec being Eugenol free, any bonding application on the treated tooth is advisable. Though not totally neces sary, a fixed prosthesis is recommended in order to ensure tight sealing, resistance and long-term results.
In most cases, Pulpotec treatment is practically painless. Rare exceptions where pain has continued until the second session have, however, been recorded. 3 typical cases have been determined:
- 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.