Mortal Endodontic Treatment

Indications

 * No effect of anesthetic


 * Lack of time


 * Polyvolent allergy for anesthetics

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 %