Mortal Endodontic Treatment

From WikiLectures

Indications

  • No effect of anesthetic
  • Lack of time
  • Polyvolent allergy for anesthetics


Agents and Risks

Paraformaldehyde

  • We place it on a small opening of the pulp chamber
  • (brand names: DEPULPIN, TOXAVIT)
  • After the placement we must achieve hermetic seal!
  • We leave the material for maximun 2 weeks
If not paraformaldehyde diffuses into the roots after that time
Thus, we must stress to the patient to come to the dentist within 2 weeks
  • Limitation of paraformaldehyde application
We don't apply it in patients with acute periodontitis (thus no percussion positive)
  • RISKS
MUTAGENIC
Not applied to teeth with approximal caries --> afterwards necrotic papilla
We must be careful not to place too much material in the upper premolar sand molars, because their apices lie close to the antrum

Tricresol Formalin

  • It is another agent used for mortal endodontic treatment
  • Also called Formocresol
  • Used also for mortal pulpotomy
It is a procedure used for mummification of the pulp, but only for deciduous teeth
Used in the following concentration: 19-37 %


Links

Related Articles

Bibliography

  • OTT, Daniel. Endodontics [lecture for subject Restorative Dentistry, specialization Endodontics, LF1 Charles university]. Prague. May 2012.