Kalasept - use of paste in dentistry for filling root canals

At the present stage of development, modern dentistry has a large variety of materials for preventive, therapeutic and restorative procedures.

Calasept is an effective drug that is widely used in dentistry. It is presented in the form of a ready-made paste and does not require mixing, promotes the creation of new dental tissue and eliminates pathogens.

General characteristics and composition

Calasept is a Swedish product.
The material is produced in the form of a paste, the basis of which is sterile calcium hydroxide in its pure form. The properties of this chemical element make it possible to stimulate recovery processes and reduce the severity of inflammatory reactions. The product is fully absorbed by the structure of the dental tissue. This property allows it to be used as a substance for temporary filling of tooth roots. Such manipulation sterilizes the root canals, and this is important when there is a significant risk of infection penetrating into the deep layers of root dentin against the background of purulent-inflammatory processes.

This material is characterized by a low degree of viscosity and uniform consistency. Thanks to this, it can be drawn up using ordinary syringes.

The substance is easy to use - it does not require preparatory measures.

Kalasept contains the following elements:

• calcium hydroxide;
• barium sulfate;
• isotonic sterile solution.

The kit includes 5 syringes filled with paste and 30 needles for one-time use. These syringes are sealed.

They are packed in a plastic box, which is also sealed. This is the key to the absence of interaction of the active substance with air, since under such conditions it turns into the state of a more rigid component and loses its properties.

The form of release of the drug makes its use as convenient as possible.

Release form and equipment

• Paste (syringe) 2.5 ml – 2 pcs.;
• Replacement cannulas – 20 pcs.;
• Instructions for use – 1 pc.

Purpose and composition

Products containing calcium have been used in the treatment and restoration of teeth for a long time. The best known among them is calcium hydroxide.

A modern version of this compound is created in the form of Calasept paste. It is the result of a large number of experiments and clinical studies by the Swedish company Nordiska Dental.

As a result, a material with an optimal composition was developed:

• calcium hydroxide – 41%;
• barium sulfate – 5%;
• isotonic saline solution.

In the professional environment, Kalasept is called liquid sterile plaster. Thanks to its lightweight viscosity and homogeneous structure, it is ideal for filling dental cavities. Compatibility with tooth tissues guarantees their subsequent restoration.

The combination of such sought-after qualities has provided the material with a wide range of applications. It allows you to perform any dental operation (preventive, therapeutic, restorative) at an unprecedented level.

Properties and performance indicators

When a purulent-inflammatory process develops, affecting the pulp and periodontium, the infection can also affect other tooth tissues, moving through its canals.

In such a situation, the use of conventional antiseptic methods and means may not give the desired results, the bacteria will not die, and the infection will spread further.

For such cases, it is advisable to use Calcept paste. It is used in conjunction with traditional methods of antiseptic treatment. The product acts as additional protection for the canals and has a long-acting antiseptic effect, which will prevent further development of pathological processes in dental tissue.

As practical experience shows, after treating and sealing dental canals with this composition, up to 95% of bacteria are guaranteed to die. This effectiveness of the composition allows you to stop inflammatory processes in tissues and prevent their further spread.

In what cases is it used

Calasept is used for various medicinal purposes. In particular for:

1. Protection of pulp and dentin . In this case, the paste is used as a gasket between the cavity and the tooth tissues. This provides antibacterial protection, and in the future – the formation of a full protective dentin layer.
2. Treatment of deep caries . The action of the material is similar to that described above.
3. Therapy of root fractures and perforations, cracks.
4. Restoration of exposed pulp . Kalasept, applied to the damaged horn, stimulates the development of secondary dentin, which protects the soft tissue.
5. Treatment of tooth tissue affected by infection . Due to the high degree of antibacterial protection, almost 100% of microorganisms in the pulp and dentin die within 6 minutes after application of the material. Complete sterility of the canal is achieved within 1-4 weeks.
6. Preparing the tooth canals for further necessary treatment measures.

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Indications for use

The drug Kalsept is used for dental purposes in such cases as:

• carrying out therapeutic measures regarding infected dental canals (it is intended to use the drug as an intracanal medication during endodontic treatment carried out in relation to infected dental canals);
• implementation of temporary filling of dental canals (the paste acts as an auxiliary material for the purpose of installing a temporary filling in the presence of granulating or granulomatous periodontitis; the drug guarantees effective disinfection of the canals while simultaneously maintaining a high level of alkaline content in their environment; this property is ensured due to the presence of iodoform among the components of the drug facilities);
• use in the form of a therapeutic pad for the treatment of caries (actively used to eliminate deep caries due to its proven high efficiency; the drug is used in the form of a therapeutic pad to create secondary dentin);
• involvement in order to provide antiseptic treatment (to prevent the risk of possible re-infection, the drug is used as a means of eliminating purulent-inflammatory processes affecting the pulp and periodontal tissue; the ability of the drug to penetrate into the deep layers of the tissue allows you to destroy the pathogenic bacteria present and at the same time provide protection for the teeth from subsequent infectious attacks).

Contraindications

Hypersensitivity to one of the components of the material. Do not use for other purposes.

Advantageous properties of CALASEPT paste

Paste with sterile calcium hydroxide is widely used in dental practice due to its improved therapeutic properties, such as:

• high antibacterial potential. Bacteria that have penetrated into the tooth, after applying the sterile material, completely die within 5-6 minutes;
• the paste is immunoindifferent and does not irritate the surrounding periodontal tissues;
• absolute digestibility by the tooth structure, the impossibility of further destruction and resorption in the root canal;
• the severity of antibiotic properties, complete inhibition of the activity of pathogenic microorganisms;
• X-ray positivity, thanks to which full control over the quality of the filling is possible;
• uniform consistency that does not require preparatory mixing;
• complete dissolution of dead tissue, and as a result, the absence of a favorable environment for the development of pathogens;
• beneficial effects and positive effects on the regenerative abilities of root membrane tissues, facilitating the regenerative processes occurring in them;
• pronounced osteosynthetic properties, allowing to stimulate the formation of replacement dentin;
• reduction in the number of post-filling complications;
• simplicity and ease of use while maintaining sterility;
• the possibility of long-term and repeated changes of the drug until inflammation is completely relieved and the X-ray picture is clearly improved.

Composition of Calasept

The composition of the drug Kalasept includes:

• barium sulfate 5%;
• calcium hydroxide 41%;
• sterile saline isotonic solution pH 12.4

The paste has a light viscosity and a uniform structure. The delivery set includes 5 syringe cartridges filled with the drug, as well as 30 pieces of disposable needles. The syringes are sealed and sterile. The plastic packaging is also airtight. This is due to the ability of the paste to quickly become hard when interacting with air. Calcium hydroxide, in contact with the external environment, is converted into calcium carbonate and then firmly fixed in the dental cavity. Calcium compounds fill cracks and restore dental tissue.

In addition to the drug itself, the Kalasept package contains instructions for use with a detailed indication of the composition

Complete set of CALASEPT dental kit

The standard kit consists of: 5 carpules (syringe cartridges) filled with sterile calcium hydroxide in an amount of 2.5 g and 30 sterile needles with Flexi-tip cannulas. Syringes with paste are sterilized by ionizing radiation in packaged

Special notes.

CALASEPT paste is quite a caustic material, so when:

• contact with eyes and mucous membranes - they must be rinsed with plenty of water and consult a specialist;
• In case of contact with the skin, rinse the skin that came into contact with the substance with water;
• If it gets into the respiratory tract or esophagus, you should consult a doctor.

Individual intolerance to the components of the drug and the occurrence of allergic reactions are possible.

Indications and contraindications

The paste is well absorbed by tooth structures and is indicated for the following procedures:

• root canal treatment;
• creation of a protective layer of pulp;
• formation of an insulating layer for deep cavities;
• carrying out antibacterial treatment;
• restoration of dental tissue after perforations and cracks.

Using the products, caries, pulpitis, periodontitis, root fractures, and reimplantitis are successfully cured.

The drug does not cause post-filling complications. The product can be used repeatedly until the inflammatory process is completely eliminated.

The drug may cause an allergic reaction. Some patients sometimes experience individual intolerance to the active substances that make up the medicine.

Calsept - instructions for use

Before filling the canal, pulp and softened, infected dentin are removed from the root canal of the tooth.

The canal is carefully treated mechanically and with medications.

A cannula can be inserted almost completely into a wide straight channel and a portion of Calcept paste (with iodoform) can be squeezed out, and then condensed using the usual method.

In curved canals, Calcept paste (with iodoform) is applied to the mouth of the canal and tightly condensed inside with endodontic instruments or sterile turunda.

The better the paste is condensed, the better the radiopacity of the material on the radiograph. It is enough to fill the canal up to the top, and in poorly passable canals the entire passable part, with a developed growth zone, 1-2 mm short of reaching the top of the canal. When removing the material beyond the root tip, no problems arise due to the high alkalinity and complete immunoindifference of the material. Next, the cavity is closed with cement.

Application of Calasept

1. Protection of dentin (tooth tissue) and pulp. The drug is used as a gasket between the tooth cavity and its soft tissue inside the tooth (pulp). Subsequently, the formation of complete dentin is formed.
2. Treatment of caries, when the affected areas of the tooth are cleaned and Kalasept is applied to them, giving the tooth its previous shape.
3. Closing perforations, cracks and fractures in teeth.
4. Restoration of damaged pulp. The product applied to a damaged tooth promotes the appearance of secondary dentin, which isolates the pulp.
5. Destruction of 100% of microorganisms in the inflamed pulp, i.e. has a bactericidal effect.
6. Preparing the damaged tooth for the following treatment measures.

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First of all, Kalasept paste is used as a corrosive material to fill and restore tooth roots. This is the process of restoring the function and shape of a tooth. In this case, the dental canal is sterilized, eliminating the possibility of infection from infection in the deep layers of the dental roots. Purulent inflammations are eliminated.

Calacept in syringes

Before using the drug Kalasept, take a syringe cartridge and pierce its protective film with a needle. After this, the cap is removed from it and bent to the shape of the tooth canal. Then the paste is fed into the tooth cavity from a syringe.

Cannulas from Kalasept are included in the kit without fail.

To save the remainder of the product, you need to put a piece of cotton wool moistened with distilled water into the needle sheath and close the top of the syringe with a cap. The material should be stored at room temperature, do not freeze!

It is suitable for use within two years after manufacture. It is recommended to use Kalasept carefully, to protect your eyes and skin of your hands when using the drug, as this material is caustic. In case of contact with skin or mucous membranes, immediately rinse these areas with water.

Calasept cannulas are inferior in convenience to Metapex cannulas; you can use them at your discretion.

Treatment with Kalasept

Tooth decay comes from caries, which develops due to the presence of microorganisms in the oral cavity.

• The dentist numbs the soft tissues around the tooth.
• Performs preparation, thereby cleansing the tooth of darkened enamel, tartar and caries. Completely cleans the dental cavity.
• The doctor examines the condition of the pulp. When it becomes inflamed, the dentist removes it from the tooth and performs depulpation (removal of the nerve).
• Antimicrobial pads are inserted into the dental canal to completely disinfect the dental tissue.
• Filling is the final stage of treatment.

Treatment with Kalasept. Result after 4 months.

The tooth is polished and ground

Fillings are divided into two types: temporary and permanent. During tooth treatment, it is necessary to determine how the dental nerve will behave under the filling. Perhaps it is already affected by caries and the patient will feel pain all the time. To do this, the tooth is cleaned and covered with a temporary filling. If the tooth does not bother you for two weeks, the patient is given a permanent filling.

When it is necessary to remove the inflamed nerve from the dental cavity, arsenic is placed in the tooth and also closed with a temporary filling.

Result after Kalasept. After 2 months

Properties of the drug

At the moment of exacerbation and rapid growth of the inflammatory process with the formation of purulent discharge, damage to the pulp and involvement of the periodontium in the pathogenic process is possible. In addition to these unpleasant phenomena, the infection can have a destructive effect on other dental tissues by moving through the dental canals. With this development of events, the traditional use of conventional treatment methods and antiseptic agents does not guarantee positive results in the fight against pathogenic microorganisms. As a result, there will be further production of bacteria and continued spread of infection. It is to prevent such situations that the use of Calsept paste is suggested. The effectiveness of the use of this drug is noted at the time of joint use along with classical antiseptic measures. The medicinal drug Kalsept guarantees the performance of a protective function regarding the condition of the canals and performs a long-acting antiseptic treatment, which makes it possible to neutralize the subsequent spread of pathological phenomena occurring in dental tissue. Based on the experience of practical application, as a result of pre-treatment and further sealing of the canals with this medicinal composition, the death of about 95% of pathogenic microorganisms and bacteria is ensured. This level of effectiveness has a positive effect on stopping inflammatory processes in dental tissues and preventing their subsequent spread within the oral cavity.

Clinical cases of effective use

1. Therapeutic measures for perforations, fractures and cracks of tooth roots or implants. The use of calcium-containing Kalasept, in these cases, increases the possibility of complete healing of pathologies that violate the integrity of the tooth, helps preserve the vitality of the pulp and the formation of solid replacement dentin. In case of partial traumatic damage to the root pulp, dead and damaged pulp tissue is removed with anesthesia, instrumental and medicinal treatment of the canals is carried out, followed by installation of gutta-percha and high-quality filling with Calasept paste. In case of complete loss of pulp viability, it is completely removed, and all root canals are filled with calcium-containing Calsept using a gutta-percha pin.
2. Therapy of deep caries affecting dentin or pulp. Applications of Kalasept paste are made from a syringe directly into the affected cavities of the dental tissue. This ensures its sterile protection, while pathogenic microorganisms die within 5-6 minutes after application. Complete sterility of all tissues is achieved after 1-4 weeks, and a layer of secondary dentin is formed.
3. Treatment of accidentally exposed pulp. For this dental problem, a medicated paste is applied in portions to the affected pulp tissue, providing a protective coating against pathogenic bacteria and stimulating the formation of secondary protective dentin.
4. Therapy of affected root canals before placing a permanent filling. After using Kalasept paste, calcification of the dentinal tubules occurs and the root apex is completely sealed, while the root canal remains disinfected. This allows you to install a permanent dental filling efficiently and without consequences.
5. In the complex of dental measures when preparing teeth for the treatment of periodontitis.
6. Post-traumatic complications in case of tooth dislocation, the paste promotes healing.
7. When carrying out dental work: to form the apex of the tooth (apexification), stimulate root development (apexogenesis).

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Material properties

Due to the fact that the interaction of calcium hydroxide with air promotes the formation of such a hard substance as calcium carbonate, the Kalasept material is firmly strengthened in the root canals. This property makes it possible to use it for filling root canals. Additionally, it provides protection to dentin from destructive influences.

The paste has a pronounced antibiotic property and prevents the penetration of bacteria and other pathogens into the root canals. Therefore, it can be used even in the treatment of deep caries.

Since the product contains calcium compounds, it promotes regenerative processes in internal tissues. The use of the paste guarantees the formation and development of natural dentinal tubules and the formation of hard tissue at the apexes of the root canals.

Such material is capable of isolating deep cavities, as well as restoring cracks and perforations.

Storage conditions

• Do not leave syringes open.
• Store in a dry place, protected from light, at a temperature from +4°C to +24°C.
• Shelf life – 3 years. The expiration date is indicated on the packaging.

Transportation conditions: all types of covered, dry, clean and odor-free vehicles in accordance with the requirements of GOST 17768 and the rules for the transportation of goods applicable to this type of transport.

Warranty obligations: the manufacturer guarantees the quality of the medical product until its expiration date, subject to the conditions of use, transportation and storage.

Disposal: Disposal of the material must be carried out in accordance with the general rules for organizing a system for collecting, temporary storage and transportation of waste to health care facilities for class A waste (non-hazardous) according to SanPiN 2.1.7.2790.

special instructions

For the safe and effective use of the material, certain conditions for its use and storage must be observed:

1. The drug must be stored tightly closed in an airtight container. Otherwise, calcium hydroxide (the main component of the composition) in contact with air is transformed into calcium carbonate, in other words, into ordinary chalk, after which it will lose all its beneficial properties.
2. The material should not be frozen; low temperatures also contribute to the loss of the basic properties of the composition.
3. Place the drug for storage in places with low humidity and air temperature in the range from +4 to +24 degrees.
4. Do not use the paste after the expiration date, which is 3 years, and 2 years after the package was opened.
5. Since the composition contains caustic substances, it is necessary to avoid contact of the composition with the skin and mucous membranes, as well as the esophagus and respiratory organs. If the material comes into contact with the skin or eyes, these areas must be immediately rinsed with plenty of clean running water.
6. If the composition is swallowed (even in negligible quantities), it is necessary to give the victim milk, at least 0.5 liters at a time, and then take him to a medical facility to the appropriate specialist.

Following these recommendations will allow you to use the antiseptic composition effectively and safely.

Price and analogues of the drug Kalsept

It should be noted that the price set for the drug Calcept may vary slightly. This feature is determined by many determining factors, including belonging to a specific manufacturing company. Thus, the price for a medication containing iodoform is in the range of 680-750 rubles. Of course, in case of a price that exceeds the financial capabilities of the buyer, it is possible to purchase analogues of Calcept. In particular, the price for Calcept without iodoform is 550-600 rubles, and for the analogue in the form of Metapex - 470-490 rubles.

Calasept's analogs

There are products for treating dental tissue that are similar in properties and composition to Calasept.

• Metapex - includes 2 syringes of 2.2 g each, cost - 1010 rubles.
• Calsept - 2 syringes of 2.5 g, cost - 580 rubles.

Pastes containing calcium hydroxide are a reliable material that is used to restore damaged dental tissue.

Metapex

The drug is made in Korea. Contains calcium hydroxide as the main active ingredient, supplemented with iodoform . Qualitative and performance characteristics are similar to the drug Calasept.

The Metapex kit contains the following:

• syringe filled with material, volume 2.2 g - 1 pc.;
• sterile disposable tips – 20 pcs.;
• rotating ring for changing the direction of the tip - 1 pc.

Prices for this drug are in the range of 500 – 1000 rubles per set.

Calcept

Russian material, similar in composition and quality characteristics to Metapex. Most often, the consumer is offered a drug with iodoform (but there are composition options without it).

Contents of the Calpex set with iodoform:

• refilled syringe (2.5 ml) – 2 pcs.;
• sterile disposable tips – 20 pcs.

The cost of the drug varies from 1000 rubles and above.

Attention! All prices shown are indicative only. They are subject to adjustment depending on the region and place of sale. More accurate figures can be found on the seller's website.

Analogs

Metapex has similar properties to Calasept. It also contains calcium hydroxide; an additional substance is iodoform.

The drug is used in filling root canals. It has a powerful antibactericidal effect. The kit includes a syringe weighing 83 g, 20 disposable tips to facilitate the administration of the substance.

Another remedy that can replace Kalasept is Kalsept. This is a paste-like preparation containing calcium hydroxide and iodoform; there is also an option without iodoform.

Iodoform enhances the antiseptic effect. The product is actively used for therapeutic purposes; it is used to fill root canals. The composition includes two syringes with a volume of 2.5 ml, disposable cannulas in the amount of 20 pieces.

Silapex is a filling agent containing calcium hydroxide, in addition to zinc oxide and titanium dioxide.

The product promotes the formation of hard tissues and is well tolerated by patients. The drug is not sold in finished form; you will need to mix it yourself.

Medicines containing calcium hydroxide are a reliable material with which you can restore damaged dental tissue, eliminate inflammatory processes, and prevent the spread of infection.

Reviews

Many dentists use such a unique drug as Calasept in their work.

The tool increases the efficiency of specialists. You can leave comments and share your experience with this drug.

Sources:

• https://dentazone.ru/preparaty-oborudovanie/materialy/calasept.html
• https://www.uadent.com/kalsept/
• https://zubovv.ru/lechenie/zubyi/plombyi/kalasept-v-stomatologii.html
• https://dentazone.ru/preparaty-oborudovanie/materialy/kalsept.html
• https://zubodont.ru/kalsept/
• https://CreateSmile.ru/calasept/
• https://zubodont.ru/calasept/
• https://stomatputyax.ru/detskaya-stomatologiya/kak-rabotaet-pasta-kalasept-i-ee-primenenie-v-stomatologii.html
• https://www.vash-dentist.ru/lechenie/zubyi/plombyi/pastyi-kalasepta-v-stomatologii.html