Pd Pulpotec (15 Gm Powder + 15 Ml Liquid)

Pulpotec is a medicament for long term treatment of pulpitis, by pulpotomy, of vital molars, both permanent and deciduous. This treatment is both simple and rapid.

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 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

Composition

Powder : Polyoxymethylene, Iodoform, excipient

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

INDICATIONS

• Pulpitis on permanent vital molars
• Pulpitis on deciduous molars
• Pulpitis on immature but permanent vital molars, enabling a complete radicular restoration of the tooth
• Infected deciduous molars in pedodontics (the only exception to the rule of a treatment on vital teeth)
• Treatment of molars suffering calcified root-canal to bring about complete clinical recovery of the tooth

Key Specification:-

Potential side-effects

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:

1. Pain of medium intensity which has lasted until the second session. To remedy this, all traces of Pulpotec should be removed after de-obturation and a fresh dose of the product should then be inserted and covered with a tem porary 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:

Packaging:-

• 1 x 15 g Powder
• 1 x 15 ml Liquid

Direction to use:-

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.

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 consisten cy 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 Pulpo tec 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 tem porary 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 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.