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It was following an apical leak during a technique of total pulpectomy carried out about 18 years ago on an inferior molar, which was developing in a worrying fashion, that the idea was born of updating pulpotomy. This had already been proposed by A. Marmasse, Professor at the Paris Dental school a few years previously, and also described in the "Encyclopédie médico-chirurgicale" (refer also to "Bibliography").
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
«PD»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.
Directions for 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 :
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:
In this case, after de-obturation, a new diagnosis should be made and treated accordingly either by pulpectomy or, where necessary, by extraction.
A tooth treated by Pulpotec on which a ﬁxed prosthesis (crown or bridge) has been placed, may present after some months (3 months to several years) and despite a radiologi cal normal status, pains of arthritic type. They usually disap pear after milling of the causally linked vertical overlap.
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.
Store at room temperature between 5° and 30°C,
Portion : 15 g powder + 15 ml Liquid