Pulpotec Reaction in a Pediatric Patient: A Case Report
Journal Title: Interventions in Pediatric Dentistry Open Access Journal - Year 2018, Vol 2, Issue 2
Abstract
Dermatological allergies can have different causes. But the most frequent one in dentistry may be associated with the chemical agents which are used in dentistry. Even though the hypersensitivity to Formalin in children not frequently is reported, but some of the researches have shown the skin reaction has happened during or after the endodontic treatments. In spite, this is still a controversy among the researchers and scientists; we present a case of skin reactions with Pulpotec in a dental clinic. To achieve the result, the patch test was used. Pulpotec is a radiopaque, non-resorbable dental paste for the treatment of pulpits by pulpotomy in vital molars, both permanent and deciduous, and due to its antibacterial activity, has proved as efficient in vital pulpotomy in children [1]. The Compositions of Pulpotec are including powder (Iodoform, Polyoxymethylene, and excipient) and liquid (Phenol, Guaiacol, Formaldehyde, Dexamethasone Acetate, and excipient) [2]. Hypersensitivity to Formaldehyde, especially in root canal therapy, has been documented in the research paper [3]. In the dental literature, 28 patients with immediate symptoms to formaldehyde containing root canal compounds have been described [4]. For diagnosis of Pulpotec hypersensitivity, a comprehensive study of the signs and the symptoms of this dermatitis reaction are necessary. Noteworthy, application of the Patch Test using the aqueous solution of formalin can prove the positive result and give the final diagnosis.
Authors and Affiliations
Mohammed Karimi
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