Calcium Hydroxide Paste with Camphorated Parachlorophenol
for Endodontic use


The success of the Endodontia is related to the eradication of pathogenic agents from the root canals system

The association of Calen with parachlorophenol camphored compared with calcium hydroxide shows better antibacterial effectiveness. This association permits the calcium parachlorophenolate formation, which is responsible for the controlled liberation of medicament to the root canals system, extending the paste action time.


Indications

Calen PMCC is the chosen curative for necropulpectomy, for it combines the properties of the Calcium Hydroxide paste with the Camphorated Parachlorophenol ones.

Used as "long last curative" (topical medicament between sessions), in cases of:

  • Root canal treatment of teeth with pulp necrosis, without visible periapical
    lesion (Necropulpectomy I).
  • Canal root treatment of teeth with pulp necrosis, with a visible periapical
    lesion. (Necropulpectomy II).
  • Refractory lesions in endodontic treatment.
  • Persistent fistulas.
  • Re-treatment.
  • Excessive persistent exuded.

Some advantages of Calen PMCC
  • Calen with PMCC is ready for an immediate clinical use, being its application in the root canal easy and simple, only requiring a traditional Endodontic ML syringe with thread emboli, especially designed for this purpose.
  • Its creamy consistence allows a perfect drainage up to the apex.
  • Calen stimulates the deposition of mineralized tissue, producing a complete apical closure, in most of the cases.

Clinical Cases


Necropulpectomy

The topic use of Calen PMCC as "long last curative" is recommended in the treatment of root canals of pulpless and infected teeth, specially in cases of periapical chronic lesion.


Longitudinal hemisection of an incisive central superior, evidencing a high infiltration
of the P.M.C.C. Paste.

 

Necropulpectomy I

It is the didactic designation of the root canal treatment of teeth with necrosed pulp (infected), without pathologic periapical lesion visible in radiography.



Necropulpectomy II

It is the didactic designation of root treatment of teeth with pulp necrosis (infected) with pathologic periapical lesion visible in ratiography.

RX of inferior premolar of a dog tooth, showing large radiolucid areas (arrows) in the periapical region and at the root bifurcation level.


RX of inferior premolar of a dog tooth, evidencing a bony neo-formation, indicating the evolution repair process, 90 days after the monthly replacements of Calen P.M.C.C.

Histological cutting of the 2° inferior premolar mesial root of a dog tooth, evidencing a complete apical sealing, 180 days later, by the growth of mineralized tissue.

Refractory lesion

It is the didactic designation of lesions that do not improve after endodontic treatment.


RX of 1° inferior left molar
showing chronic periapical reaction (refractory lesion), previously subjected to parendodontic surgery.


Follow-up RX, 60 days after monthly replacements of PMCC paste.


Follow-up RX one year after the root canals filling (kindly provided by Dr. Vicente G. de N. Rocha - Goiânia, expert in Endondotia at Araraquara`s Odontology University - UNESP).