Pd Pulpotec (15 Gm Powder 15 Ml Liquid)

Description

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 ??ling 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 ef??iency and the properties of Pulpotec are substantiated by a radiographic ??e 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


Warning
Avoid all contact between Pulpotec and the soft tissues. If necessary, rinse thoroughly with water. Contains Polyoxymethylene and Formaldehyde. Toxic by inhalation and ingestion. May cause irritation, burns or hy persensitization 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 5? and 30?C,protected from direct light


Key Specifications
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:

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.
Persistent pain of arthritic type. This will disappear after anti-in??mmatory treatment.
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 ??or


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

Packaging
1 x 15 g Powder
1 x 15 ml Liquid

Direction of 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 :

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 ??ler. The presence of small quantities of blood does not affect the ef??iency 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 ??mly, so that the Pulpotec paste clings to the walls of the pulp-cavity as well as to the root-canal ori??es.
Another ef??ient 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 ??al 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 ??al obturation mate-rial. Pulpotec being Eugenol free, any bonding application on the treated tooth is advisable. Though not totally neces sary, a ??ed prosthesis is recommended in order to ensure tight sealing, resistance and long-term results.