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To remove the coronal part of the pulp as part of the treatment of the inflammatory process, dentists often use Pulpotec.
This product is produced in Switzerland and is used to treat living molars; moreover, it does not promote tooth root resorption.
The drug is prescribed during pulpotomy; it makes it possible to preserve the living pulp of the tooth and stimulates the scarring process.
The product is characterized by a high polymerization rate, minimal risk to the patient’s health during treatment, and widespread commercial availability.
Composition and release form
The preparation for vital extirpation of the Swiss company Produit Dentaries Pulpotec consists of two components - 15 g of powder and the same amount of liquid, which form a paste when mixed
.
The powder contains:
- polyoxymethylene (polyacetal) – an antiseptic that coagulates albumins and produces superficial devitalization of the pulp;
- iodoform - an antiseptic with a long-term antibacterial effect;
- zinc oxide , which gives the paste radiopacity and plasticity.
Liquid includes:
- dexamethasone is a glucocorticosteroid with anti-inflammatory and antiallergic effects;
- formaldehyde is a classic mummifying agent that coagulates, compacts and prevents the disintegration of necrotic pulp proteins;
- phenol – antiseptic with mummifying properties;
- Guaiacol is a product of dry distillation of guaiacol tree resin, which has an anesthetic effect and, together with zinc oxide, provides the plasticity of the devitalizing paste.
- some excipients.
Pulpevit No. 3 – a drug for the treatment of complicated caries of primary teeth (liquid 15 ml)
Manufacturer JSC SEZ VladMiVa, Russia Purpose: Liquid No. 3 is intended for the treatment of complicated caries of primary teeth. Composition and properties: Liquid No. 3 (formocresol) contains formaldehyde (19%) and cresol (35%). Formocresol, depending on the duration of exposure, leads to partial or complete mummification of the root pulp of a baby tooth.
Release form: Liquid No. 3 15 ml
210 rub. 210 rub. 210 rub. 210 rub. 210 rub. 210 rub. 225 rub. 195 rub. 230 rub. 190 rub. 190 rub. 230 rub.
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MEDMARKET STOM LLC Legal address: 125464, Moscow, Pyatnitskoe highway, 15 (building 1) INN 7733903616 / KPP 773301001, OGRN 5147746405956 Bank details: Account No. 301018104000000002 25 Bank: OJSC “Sberbank of Russia”, Moscow, BIC 044525225 Personal account number 40702810638000036993
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Impact concept
Pulpotomy is a partial devitalization of the pulp - removal of only its coronal part.
While the pulp located in the canals of the tooth remains alive and continues to perform its important functions, the main of which is to provide the tooth with the nutrients necessary to renew dental tissues.
Pulpotomy can be performed in three ways:
- Mechanical removal of part of the pulp using burs. Subsequently, a gasket is applied to the canal pulp, and the tooth is filled.
- The use of special medications that devitalize the upper inflamed part of the pulp and leave the lower canal intact.
- Combined method , consisting of mechanical removal of the upper pulp and subsequent use of devitalizing medications.
Mechanical pulpotomy alone has a relatively low percentage of prognosis reliability - about 50-60%. This means that it cannot be considered a guaranteed successful treatment method.
In addition, the result of such a pulpotomy very much depends on the qualifications of the doctor, first of all, his ability to correctly determine the boundaries of the inflamed pulp.
The use of Pulpotec and other medicinal materials with similar effects for partial devitalization of the pulp makes the treatment result more predictable and successful.
The components of Pulpotec have a disinfecting effect on the pulp , causing fibrosis of its upper part (usually at the level of the root canal orifices), but do not affect the apical part.
This is especially important if tooth formation is not yet complete. In this case, the pulp remaining in the canals continues to nourish the tooth with substances that ensure its development and growth.
Pulpotomy takes less time than extirpation with obturation of the canals. In addition, it avoids complications that often arise during pulpectomy.
As dentists are well aware, such complications occur in more than half of cases of endodontic dental treatment, resulting in the need for re-treatment.
The main positive effect of vital pulpotomy using Pulpotec and other similar materials is the ability to completely complete the process of root apex formation in children.
The effectiveness of the composition is confirmed by dynamic observations of the results of more than 3 hundred clinical cases over 10 years or more.
Treatment tactics for initial pulpitis and consequences of refusal of therapy.
Read here about methods of tooth pulp extirpation.
At this address https://www.vash-dentist.ru/lechenie/zubyi/pulpit/metodyi-ostrogo.html we will talk about the stages of treatment of acute pulpitis.
Pulpotek instructions for use in pediatric practice
566
Pulpitis is diagnosed in a third of all patients who visit dentists. Most often, its treatment ends with pulpectomy - complete removal of the pulp and obturation of the canals.
The biological (vital) method of treatment (pulpotomy) is used much less frequently. Although, based on its merits, it deserves much more attention from dentists.
Composition and release form
The preparation for vital extirpation of the Swiss company Produit Dentaries Pulpotec consists of two components - 15 g of powder and the same amount of liquid, which form a paste when mixed
.
The powder contains:
- polyoxymethylene (polyacetal) – an antiseptic that coagulates albumins and produces superficial devitalization of the pulp;
- iodoform - an antiseptic with a long-term antibacterial effect;
- zinc oxide , which gives the paste radiopacity and plasticity.
Liquid includes:
- dexamethasone is a glucocorticosteroid with anti-inflammatory and antiallergic effects;
- formaldehyde is a classic mummifying agent that coagulates, compacts and prevents the disintegration of necrotic pulp proteins;
- phenol – antiseptic with mummifying properties;
- Guaiacol is a product of dry distillation of guaiacol tree resin, which has an anesthetic effect and, together with zinc oxide, provides the plasticity of the devitalizing paste.
- some excipients.
Impact concept
Pulpotomy is a partial devitalization of the pulp - removal of only its coronal part.
While the pulp located in the canals of the tooth remains alive and continues to perform its important functions, the main of which is to provide the tooth with the nutrients necessary to renew dental tissues.
Pulpotomy can be performed in three ways:
- Mechanical removal of part of the pulp using burs. Subsequently, a gasket is applied to the canal pulp, and the tooth is filled.
- The use of special medications that devitalize the upper inflamed part of the pulp and leave the lower canal intact.
- Combined method , consisting of mechanical removal of the upper pulp and subsequent use of devitalizing medications.
Mechanical pulpotomy alone has a relatively low percentage of prognosis reliability - about 50-60%. This means that it cannot be considered a guaranteed successful treatment method.
In addition, the result of such a pulpotomy very much depends on the qualifications of the doctor, first of all, his ability to correctly determine the boundaries of the inflamed pulp.
The use of Pulpotec and other medicinal materials with similar effects for partial devitalization of the pulp makes the treatment result more predictable and successful.
The components of Pulpotec have a disinfecting effect on the pulp , causing fibrosis of its upper part (usually at the level of the root canal orifices), but do not affect the apical part.
This is especially important if tooth formation is not yet complete. In this case, the pulp remaining in the canals continues to nourish the tooth with substances that ensure its development and growth.
Pulpotomy takes less time than extirpation with obturation of the canals. In addition, it avoids complications that often arise during pulpectomy.
As dentists are well aware, such complications occur in more than half of cases of endodontic dental treatment, resulting in the need for re-treatment.
The main positive effect of vital pulpotomy using Pulpotec and other similar materials is the ability to completely complete the process of root apex formation in children.
The effectiveness of the composition is confirmed by dynamic observations of the results of more than 3 hundred clinical cases over 10 years or more.
Indications and contraindications
Pulpotec is intended primarily for the treatment of posterior posterior teeth.
For children
Treatment of pulpitis of temporary and permanent molars. In the first case, the use of the drug allows you to stop the inflammatory process in the dental pulp, remove pain and wait for the natural replacement of milk teeth with permanent elements of the jaw row.
When treating permanent molars, it is possible to complete the formation of dental roots.
For adults
- Treatment of pulpitis of permanent molars.
- Preparation of lateral chewing teeth for the installation of bridges and crowns.
- Treatment of teeth with obliterated, difficult to pass canals.
Contraindications:
- Hypersensitivity to the components of the product.
- Serious systemic diseases (leukemia, renal failure, diabetes, etc.).
- Diffuse pulpitis (spread of inflammation to the entire pulp, not only the coronal, but also the root).
- Resorption of more than half of the tooth root.
Methods of use
Partial devitalization of the pulp with the help of Pulpotec is in many ways similar to the complete devitalization of teeth, carried out with arsenic and paraformaldehyde preparations:
- Local anesthesia is administered in a manner determined by the clinical situation.
- The carious cavity is prepared using a diamond drill of the required size and shape. It is advisable to immediately prepare the crown part of the tooth for subsequent restoration.
- The pulpous chamber is opened and processed. The inflamed portion of the pulp is removed using a high-speed bur and/or laser. Access to root canals is provided.
- Antiseptic treatment of the tooth cavity is carried out with chlorhexidine, sodium hypochloride, dimexide or other antiseptic. It is advisable to repeat the treatment 2-3 times. If there is no bleeding (a small amount of blood is acceptable), the pulp chamber is dried with an air stream.
- Pulpotec is introduced into the tooth cavity. This can be done in two ways – standard and alternative; their differences are described below.
- A temporary filling is applied. A break of about 7 hours is taken to allow the paste to harden.
At the next visit, the tooth is filled and restored with permanent material. It can be applied on top of Pulpotec or on a layer of temporary cement.
Standard route of administration of Pulpotec
The liquid and powder are mixed according to the instructions until the consistency of a thick paste. The material is introduced into the tooth cavity using a large-diameter canal filler.
A cotton swab is placed and squeezed between the teeth. This is necessary to ensure tight pressing of the paste to the mouth of the canal and the walls of the pulp chamber. At the same time, attention is paid to ensure that the material does not get on the gingival sulcus and gum mucosa.
Alternative method
The components of the composition are mixed to the consistency of patti. Then the paste is rolled into a ball or cylinder, placed in the pulpous cavity and pressed down with a cotton roll.
Side effects
The main side effect of pulpotomy is pain, which can occur in different forms.
- Pain of moderate intensity , continuing until the second visit to the doctor. The solution is to remove Pulpotec from the tooth cavity and apply a new portion of devitalizing paste.
- Pain when biting. Adequate anti-inflammatory therapy helps to get rid of it.
- Acute pain. It is observed in one case out of 1000. It is usually caused by undiagnosed periodontitis, perforation of the tooth cavity or a cracked crown. It is corrected by removing Pulpotec, adjusting the diagnosis and using new treatment tactics that correspond to the updated diagnosis.
There have been cases where, when using Pulpotek and subsequent prosthetics, pain appeared when biting over a period of several months to several years. The X-ray picture was normal.
This is usually caused by overloading of the tooth as a result of malocclusion. With its correction, the pain usually disappears.
Precautionary measures
- Pulpotec should be used only in cases specified in the instructions. The material is not intended for use after pulpectomy.
- Do not allow Pulpotec to come into contact with the skin and mucous membranes of the mouth and eyes. In case of contact with skin, wash off the product with soap and water. If irritation occurs after this, you should consult a doctor. If the drug comes into contact with the eyes, they should be rinsed with clean water for 15 minutes, after which be sure to consult a doctor.
- You need to wear gloves and safety glasses when working with the product..
- Ingestion of drug vapors should be avoided. If this happens, rinse your mouth with water, drink plenty of fluids and consult a doctor. Artificial vomiting cannot be induced.
- When moving the piston of the syringe with the material tightly, do not apply excessive force , which could lead to uncontrolled ejection of the paste.
Pulpotec should not be used if the patient is known to be sensitive to any of its components.
Storage conditions and periods
The material must be stored in a dry place, protected from direct sunlight at a temperature of 50-30 °C. The storage period should not exceed 3 years.
Price and analogues
The price of Pulpotek in Russian stores varies slightly - between 4200-4300 rubles.
The most famous imported analogue of Pulpotec is the Japanese drug Palpack V (Palpak) , containing methylphenol formaldehyde, eugenol, zinc oxide and some other components.
The kit includes materials that allow you to install 250-300 gaskets. The approximate price of Palpak is 3500-3700 rubles.
The Russian manufacturer VladMiV produces two drugs used for vital pulpotomy.
- Pulpodent (25 g of powder and 12 mm of liquid) costs 500-700 rubles.
- Formocresol (pulpevit No. 3) , offered in online stores for 200-220 rubles.
Reviews
The results of vital extirpation largely depend on the qualifications of the doctor. It is necessary to be able to accurately determine the area of spread of the inflamed pulp in order to minimally affect the healthy part.
Source: https://glivec.su/2018/08/17/pulpotek-instrukcija-po-primeneniju-v-detskoj-praktike/
Indications and contraindications
Pulpotec is intended primarily for the treatment of posterior posterior teeth.
For children
Treatment of pulpitis of temporary and permanent molars. In the first case, the use of the drug allows you to stop the inflammatory process in the dental pulp, remove pain and wait for the natural replacement of milk teeth with permanent elements of the jaw row.
When treating permanent molars, it is possible to complete the formation of dental roots.
For adults
- Treatment of pulpitis of permanent molars.
- Preparation of lateral chewing teeth for the installation of bridges and crowns.
- Treatment of teeth with obliterated, difficult to pass canals.
Contraindications:
- Hypersensitivity to the components of the product.
- Serious systemic diseases (leukemia, renal failure, diabetes, etc.).
- Diffuse pulpitis (spread of inflammation to the entire pulp, not only the coronal, but also the root).
- Resorption of more than half of the tooth root.
Indications
Pulposeptin is used in endodontics to eliminate the source of infection. Medicinal dressing of root canals (paste injection) is done for the following pathological conditions:
- Periapical periodontitis is an infectious or traumatic inflammation of the periodontium with a violation of the integrity of the ligaments (secure the tooth in the alveolus), internal and external alveolar processes (cortical plate).
- Periapical abscess is a local limited accumulation of pus on the surface of the alveolar process (externally or internally). It develops against the background of advanced caries, periodontal diseases, and chipped teeth.
- Periapical granuloma is a clearly limited inflammation of an infectious nature, proliferation of soft tissues with the formation of nodules (granulomas).
- Gangrenous pulpitis is purulent inflammation of the neurovascular bundle of the tooth, followed by tissue death.
- A fistula is a canal from the root of a tooth through the jawbone, which is formed during the disintegration of an inflammatory focus for the release of pus. After the inflammation has stopped, the wound heals and heals.
- Odontogenic radicular cysts – arising in a chronic inflammatory focus of periodontal tissues. The neoplasm is located at the apex of the tooth root. An inflammatory infiltrate and hemorrhages are found in the cavity.
Pulposeptin paste is also used for prophylactic purposes to prevent the proliferation of pathogenic flora after endodontic manipulations (removal of canal contents, preparation for the filling stage).
Methods of use
Partial devitalization of the pulp with the help of Pulpotec is in many ways similar to the complete devitalization of teeth, carried out with arsenic and paraformaldehyde preparations:
- Local anesthesia is administered in a manner determined by the clinical situation.
- The carious cavity is prepared using a diamond drill of the required size and shape. It is advisable to immediately prepare the crown part of the tooth for subsequent restoration.
- The pulpous chamber is opened and processed. The inflamed portion of the pulp is removed using a high-speed bur and/or laser. Access to root canals is provided.
- Antiseptic treatment of the tooth cavity is carried out with chlorhexidine, sodium hypochloride, dimexide or other antiseptic.
It is advisable to repeat the treatment 2-3 times. If there is no bleeding (a small amount of blood is acceptable), the pulp chamber is dried with an air stream. - Pulpotec is introduced into the tooth cavity. This can be done in two ways – standard and alternative; their differences are described below.
- A temporary filling is applied. A break of about 7 hours is taken to allow the paste to harden.
At the next visit, the tooth is filled and restored with permanent material. It can be applied on top of Pulpotec or on a layer of temporary cement.
Standard route of administration of Pulpotec
The liquid and powder are mixed according to the instructions until the consistency of a thick paste. The material is introduced into the tooth cavity using a large-diameter canal filler.
A cotton swab is placed and squeezed between the teeth. This is necessary to ensure tight pressing of the paste to the mouth of the canal and the walls of the pulp chamber. At the same time, attention is paid to ensure that the material does not get on the gingival sulcus and gum mucosa.
Alternative method
The components of the composition are mixed to the consistency of patti. Then the paste is rolled into a ball or cylinder, placed in the pulpous cavity and pressed down with a cotton roll.
Instructions for use
Before applying the paste, the root canal is thoroughly prepared. For endodontic treatment, EDTA (acid) is used to expand the canal and improve the permeability of Puloseptin into the walls.
The treatment is carried out several times alternately with sodium hypochlorite (disinfector, antiseptic irrigation solution). After completing the preparatory procedure, the dental canal is dried.
The paste is injected to the apex (the very apex of the root) using a canal filler - an endodontic instrument in the form of a conical spiral, a helical rod with a tail for rotation. The resource of one filler is 3 cycles of filling one channel.
After filling with paste, the canal is closed with a sealed bandage (temporary filling) made of indifferent material (which does not affect the surrounding tissue). This allows you to quickly restore the anatomical shape of the crown. The temporary filling can be easily removed.
The required dose of Pulposeptin paste is determined individually. The maximum amount for filling a root canal in an adult patient is 20 mg.
The duration of the treatment course is 5-7 days. This time is enough to destroy the infection, relieve swelling, reduce inflammation, and stop an allergic reaction.
On a second visit, the dentist removes the filling material and any remaining drug. Cleans and carries out antiseptic treatment of the canal, thoroughly dries the cavity.
Then the root is filled with filling material (two-component paste based on epoxy resins, radiopaque material based on zinc oxide and eugenol).
Attention! Pulposeptin paste is intended exclusively for professional use in dental offices. Self-treatment of purulent inflammation of the oral cavity at home is unacceptable.
Signs of chronic gangrenous pulpitis and treatment of pathology.
In this article you will find instructions for using Pulpotec in pediatric practice.
Here https://www.vash-dentist.ru/lechenie/zubyi/pulpit/slozhnosti-vyiyavleniya-nachalnogo.html all the most important things about initial reversible pulpitis.
Side effects
The main side effect of pulpotomy is pain, which can occur in different forms.
- Pain of moderate intensity , continuing until the second visit to the doctor. The solution is to remove Pulpotec from the tooth cavity and apply a new portion of devitalizing paste.
- Pain when biting. Adequate anti-inflammatory therapy helps to get rid of it.
- Acute pain. It occurs in one case out of 1000. It is usually caused by undiagnosed periodontitis, perforation of the tooth cavity or a cracked crown.
It can be corrected by removing Pulpotec, adjusting the diagnosis and applying new treatment tactics that correspond to the updated diagnosis.
There have been cases where, when using Pulpotek and subsequent prosthetics, pain appeared when biting over a period of several months to several years. The X-ray picture was normal.
This is usually caused by overloading of the tooth as a result of malocclusion. With its correction, the pain usually disappears.
Signs and symptoms of dental pulp necrosis, methods of treating pathology.
In this article we will talk about the dangers of purulent tooth pulpitis.
Follow the link https://www.vash-dentist.ru/lechenie/zubyi/kogda-trebuetsya-perelechivanie.html to find out why a tooth may hurt after canal retreatment.
How much does it cost to cure tooth pulpitis?
All dental procedures and operations in our clinic are carried out using advanced equipment, modern technologies and minimally invasive techniques.
You can get acquainted with the information on how much it costs to treat tooth pulpitis in our clinic in the price list:
Price list for dental | |
Consultation with a dentist-therapist | FOR FREE |
Anesthesia | from 100 - 500 rub. |
Treatment of 1-channel pulpitis | from 6,500 rubles |
Treatment of 2-channel pulpitis | from 8,000 rubles |
Treatment of 3-channel pulpitis | from 9,500 rubles |
Processing 1 channel | from 800 rubles |
Filling 1 channel | from 700 rubles |
Precautionary measures
- Pulpotec should be used only in cases specified in the instructions. The material is not intended for use after pulpectomy.
- Do not allow Pulpotec to come into contact with the skin and mucous membranes of the mouth and eyes. In case of contact with skin, wash off with soap and water.
If irritation occurs after this, you should consult a doctor. If the drug comes into contact with the eyes, they should be rinsed with clean water for 15 minutes, after which be sure to consult a doctor. - You need to wear gloves and safety glasses when working with the product..
- Ingestion of drug vapors should be avoided. If this happens, rinse your mouth with water, drink plenty of fluids and consult a doctor. Artificial vomiting cannot be induced.
- When moving the piston of the syringe with the material tightly, do not apply excessive force , which could lead to uncontrolled ejection of the paste.
Pulpotec should not be used if the patient is known to be sensitive to any of its components.
Warnings
Subject to storage conditions and proper transportation, the drug does not cause side effects.
In rare cases, symptoms of a local allergic reaction can be observed in people with high sensitivity to antibiotics:
- burning, irritation of the gums in the area of the diseased tooth;
- pathological swelling of the oral mucosa and tongue;
- local increase in temperature, hyperemia of soft tissues;
- rashes, both on the mucous membrane and on the outside of the skin in the area of the nasolabial triangle.
There are no contraindications to the use of the drug; no incompatibility with other drugs has been identified.
Pulposeptin does not penetrate the hematogenous (blood) and placental barrier. Does not have a teratogenic effect on the fetus (does not disrupt embryonic development through toxic effects). Therefore, the paste can be used in the treatment of pregnant women in any trimester.
The drug does not pass into breast milk and does not affect the physical and mental development of the baby. Pulposetin is harmless for nursing mothers.
Price and analogues
The price of Pulpotek in Russian stores varies slightly - between 4200-4300 rubles.
The most famous imported analogue of Pulpotec is the Japanese drug Palpack V (Palpak) , containing methylphenol formaldehyde, eugenol, zinc oxide and some other components.
The kit includes materials that allow you to install 250-300 gaskets. The approximate price of Palpak is 3500-3700 rubles.
The Russian manufacturer VladMiV produces two drugs used for vital pulpotomy.
- Pulpodent (25 g of powder and 12 mm of liquid) costs 500-700 rubles.
- Formocresol (pulpevit No. 3) , offered in online stores for 200-220 rubles.
Application area
Pulpodent is used in the treatment of various types of pulpitis: both chronic and acute. Chronic pulpitis can occur in several forms:
- Focal. This form of the disease is characterized by severe, acute pain, often paroxysmal.
- Diffuse. This form of the disease is permanent, pain may not stop at all, only occasionally becoming less noticeable.
Acute pulpitis also has several forms:
- Fibrous. It is characterized by aching pain, which increases with rising temperature, changing weather conditions and in the event of exposure to other external irritants.
- Hypertrophic. With this form of the disease, pain appears only if the affected area is irritated.
- Gangrenous. The pain can be constant or periodically aching. A characteristic feature of this course of the disease is bad breath.
The use of the drug is effective for any course of the disorder.
Reviews
The results of vital extirpation largely depend on the qualifications of the doctor. It is necessary to be able to accurately determine the area of spread of the inflamed pulp in order to minimally affect the healthy part.
If you or your child have undergone partial devitalization of teeth, share your impressions about it with our specialists and patients, leave your comment at the bottom of this page.
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