TUBULICID PLUS
For effective cleaning of root canals it is important that the smear layer produced during mechanical root canal preparation is removed and that the debris blocking the apertures of dentinal tubules be cleared away, to allow the solution of dressing unobstructed access into the tubules. Sodium hypochlorite or bleach does not remove the plugs in the dentinal tubules (Fig 1).

TUBULICID PLUS however, has the necessary properties: it opens the dental tubules (Fig 2), an effective cleanser, and has low surface tension which facilitates penetration of the dentinal tubules.

Fig 1. Smear layer on root
canal wall (left) after reaming and
irrigation with 0,5% hypochlorite.
X 1.150
 
 
 
Fig 2. Root canal wall (left)
after treatment with
TUBULICID PLUS
for 20 seconds.
X 800

Recommended procedure:

1. During cleaning and widening the root canal, rinse copiously and frequently with sodium hypochlorite. (The usual concentration is 0,5%, but concentrations up to 5,25% have also been used).
2. Remove the hypochlorite with paper points and fill the canal with TUBULICID PLUS. After ca 20 seconds, dry the canal with paper points.
3. Fill the canal again with TUBULICID PLUS. It penetrates the patent dentinal tubules by diffusion and capillary attraction. Rinse with distilled water. Dry the canal with paper points.
4. Using a Lentulo spiral or similar, fill the canal with calcium hydroxide dressing. Allow at leats a week before final root filling."The endodontic treatment of root canals can be completed in two appointments when calcium hydroxide paste is used as an intracanal dressing."*

Declarations of contents: TUBULICID PLUS
Cocoamphodiacetate
Benzalkonium Chloride
Disodium Edetate dihydrate
Phosphate Buffer Sol.
Aqua Dest.

*Ref: Byström, Claeson and Sundqvist; Endod Dent Traumatol 1985: 1:170-175