Mortal Endodontic Treatment

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

Bibliography

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