Oral Health and Dental Management

Oral Health and Dental Management
Open Access

ISSN: 2247-2452


All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.


Four Years of Clinical Experience with the Efficacy of Pulpotec as a Root Canal Dressing for the Management and Control of Odontogenic Pain: A Prospective Randomized Clinical Trial

Bestoon Mohammed Faraj

Aim: The purpose of this prospective clinical study was to discover clinically the influence of Pulpotec® (Produits Dentaires S.A., Switzerland) on the incidence of inter-appointment flare-up, with a view to advance the resolution of pain and/or swelling in patients presenting for emergency root canal treatment. Method: In a prospective randomized clinical trial, pulpotec paste was used as an intracanal medicament in multi-appointment root canal treatment in 860 teeth (510 symptomatic and 350 asymptomatic) belonging to 860 patients from February 2008 to March 2012. The follow-up visit was scheduled, and the incidence and severity of inter-appointment pain was recorded at different time periods (8, 24, and 48 h, 3 days, and 1 week after the treatment) on simple descriptive pain intensity scale. Patients who experienced intense pain and/or swelling (flareup) after the first treatment visit were given an emergency appointment during which pulpotec was used as an intracanal dressing.
Results: The incidence of intense pain was 10 (1.16%) and 6 (0.69%) of the treatment cases at 24 and 48 h, respectively. Moderate pain was described only by 137 patients within the 24 h–3 days time interval after treatment. At 7 days, all patients experienced no pain or only weak pain levels.
Conclusion: Pulpotec intracanal dressing is beneficial in rapid resolution of pain and/or swelling in emergency root canal treatment and in controlling postoperative pain in multi-appointment root canal treatment.