Topic 42: Devital extirpation of the pulp: essence, indications, stages of treatment.
Medicines for pulp devitalization: indications for use, mechanism of action, features
of use. Possible complications and methods of their elimination. The effectiveness of
the method.
1. A 24-year-old patient with hemophilia was diagnosed with an exacerbation of
chronic pulpitis of the 11th tooth. Choose the optimal method of tooth treatment in
this case:
devital extirpation
Biological treatment method
vital extirpation
devital amputation
vital amputation
Solution algorithm:
1. Please note that the patient suffers from hemophilia, which is a characteristic
indication for devital extirpation.
2. Please note that an exacerbation of chronic pulpitis is diagnosed, which is
characteristic of the indication for devital extirpation.
3. Please note that you need to choose the optimal method of tooth treatment in this
case.
2. A 27-year-old woman was treated for pulpitis by the method of devital extirpation.
At 15, Arsenovista pasta was left. The patient came to the second appointment only
on the fourth day. There was a toxic periodontitis. What is the best way for root canal
treatment in this case?
Unithiol
eugenol
hydrocortisone emulsion
Cresofen
Trypsin
Solution algorithm:
1. Please note that the patient was treated for pulpitis by the method of devital
extirpation, which is a characteristic indication for the use of unitiol.
2. Note that in 15 arsenovist pasta was left. The patient came to the secondary
appointment only on the fourth day, which is a characteristic indication for the use of
unitiol.
3. Please note that toxic periodontitis has occurred, which is a characteristic
indication for the use of unitiol.
3. A 56-year-old patient treated pulpitis 47 in order to devitalize the pulp using
arsenic paste. At the appointed time, the patient did not appear to continue treatment.
Developed toxic "arsenic" periodontitis. Which of the following physiotherapeutic
methods is advisable to use to eliminate the complication that has arisen?
Potassium iodide electrophoresis
d'arsonvalization
galvanization
fluctuating
UHF
Solution algorithm:
1. Please note that arsenic paste was used in the treatment of pulpitis in order to
devitalize the pulp.
2. Please note that the patient did not appear at the appointed time to continue
treatment. Developed toxic "arsenic" periodontitis, which is a typical indication for
the use of potassium iodide electrophoresis.
3. Please note that it would be advisable to choose a physiotherapeutic method to
eliminate the complication of "arsenous" periodontitis using potassium iodide
electrophoresis.