Calcium hydroxide (slaked lime) - is an inorganic chemical compound of calcium from the group of hydroxides. It is obtained on an industrial scale in the slaking reaction, in devices called hydrators, in the form of crushed quicklime (about half of the produced amount of CaO), i.e. the reaction of calcium oxide with water in an exothermic reaction.

Calcium hydroxide - story

Calcium hydroxide was first introduced into medical practice in the 1930s by Herrmann and for many decades was considered the "gold standard" for direct pulp coverage in teeth. This compound is slightly soluble in water, and its aqueous solution is called "lime water". It is available on the pharmaceutical market in the form of a powder or liquid ampoules.

Calcium hydroxide - ingredients

Powder (Biopulp: the active substance of the preparation is calcium hydroxide; excipients: dibasic calcium phosphate, magnesium oxide, sodium chloride, anhydrous calcium chloride, potassium chloride, anhydrous sodium carbonate. 1g of the product contains 330 mg of calcium hydroxide.

Ampoule (Biodentine): the active substance of the solution is calcium chloride, which must be mixed in a shaking device. The reaction produces hydrated calcium silicate and calcium hydroxide.

Calcium hydroxide - action

Calcium hydroxide induces hard tissue by releasing hydroxyl ions which alkalize the environment. It is a powder that can be mixed with saline into a paste. Properly selected chemical composition ensures rapid production of secondary and reparative dentin.

Demonstrates anti-inflammatory, antibacterial and stimulating properties to create mineralized barriers. Calcium hydroxide also has a drying effect, thanks to which it is used during persistent inflammatory exudates.

Contributes to the dissolution of the remains of the living pulp after dental procedures, incl. after the extirpation procedure under anesthesia (analgesic effect) and dissolves organic residues in the canal in places inaccessible to tools.

After the product is introduced into the root canal, the reaction of Ca2 + and OH- is released. As a result of contact with the tooth pulp, it has a strong alkaline effect, stimulating the activity of alkaline phosphatases. It supports the pulp cells to form dentin scar and stimulates odontoblasts tothe production of reparative dentin.

Calcium hydroxide - application

Calcium hydroxide has been used for indirect and direct pulp capping, as a root dressing, root canal sealant, foundation for filling the cavity with pulp capping and root canal dressing in periapical tissue inflammation.

Calcium hydroxide - indications

The use of calcium hydroxide in dentistry for dentin restoration and in other clinical cases is recommended.

Calcium hydroxide - contraindications

Do not use the drug if you are allergic to calcium hydroxide.

Calcium hydroxide - dosage

The dose of the preparation is determined by the dentist.

Calcium hydroxide - precautions

Be careful when working with the product. Calcium hydroxide may be irritating to the soft tissues of the mouth, eyes and skin.

Calcium hydroxide - side effects

Calcium hydroxide, on contact with the skin, may cause: blisters, redness and ulceration of the skin. If ingested in large amounts, it is irritating to the gastric mucosa and the respiratory tract.

Calcium hydroxide - interactions with other drugs and diseases

In order to avoid undesirable ailments, inform the dentist about all medications that are currently or recently used, as well as about medications that the patient is going to use. You should also inform your doctor about your current he alth condition, about any diseases or additional conditions you are struggling with.

Calcium hydroxide - pregnancy and breastfeeding

Before using the drug, inform your doctor if you are pregnant or breastfeeding.

Calcium hydroxide - drug storage

The drug should be stored in a suitable place that is invisible and inaccessible to children. Store in a dry place between 5 ° C - 25 ° C, in the original packaging. The drug should not be used after the expiry date stated on the package. The expiry date refers to the last day of that month.

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