This document lists commonly requested dental compounding formulas from PCCA (Pharmacy Compounding Accreditation Board). It includes formulas for dry sockets, dry mouth, burning mouth syndrome, anesthetics, mouth ulcers, halitosis, root canals, teeth whitening, nausea, periodontal treatment, hemostatic, temporomandibular joint disorder, angular chelitis, oral lichen planus, thrush, chlorhexidine, herpes, and pre-procedure anxiety. The formulas provide various drug combinations in different formulations like gels, rinses, troches, and lollipops to treat different dental conditions and procedures.

1. Commonly Requested Dental Compounding Ideas
‒ FOR PCCA MEMBER USE ONLY ‒
Please Contact PCCAʼs Pharmacy Consulting Department With Questions Regarding The Formulations
Dry Sockets
PCCA Formula # 1630 Benzocaine 25% Compound Dental Gel
PCCA Formula # 1155 Benzocaine Compound Ointment
PCCA Formula # 2349 Benzocaine/Eugenol Dressing
PCCA Formula # 1955 Benzocaine 16.7% Dry Socket Paste
PCCA Formula # 1438 Benzocaine Compound Socket Paste
PCCA Formula # 0523 Lidocaine HCl 15%/Prednisolone 0.5%/Compound Eugenol
Socket Liquid
Dry Mouth
PCCA Formula # 5414 Pilocarpine Hydrochloride 5 mg Sorbitol Lollipop™ Base
PCCA Formula # 1433 Pilocarpine HCl 2 mg Base A Troche
PCCA Formula # 2850 Pilocarpine 10 mg/ml Oral Spray
PCCA Formula # 1330 Electrolyte Base A Troche
PCCA Formula # 0206 Saline/Glycerin Oral Suspension
Burning Mouth Syndrome
PCCA Formula # 2634 Salicylic Acid 0.3% Mouthwash
PCCA Formula # 3327 Capsaicin 0.25 mg Base A Troche
PCCA Formula # 5539 Salicylic Acid 0.3% Mouthwash, Alternate
PCCA Formula # 9959 Amitriptyline HCl 2%/Gabapentin 6%/Lidocaine HCl 0.5% Oral Rinse
Anesthetic
PCCA Formula # 9957 Lidocaine HCl 10%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel (FormulaPlus™ BUD Study)
PCCA Formula # 9201 Lidocaine HCl 20%/Tetracaine HCl 4%/Phenylephrine HCl 2% Dental Gel
PCCA Formula # 9849 Lidocaine HCl 10%/Phenylephrine HCl 2%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel
PCCA Formula # 5380 Tetracaine HCl 0.5% Sorbitol Lollipop™ Base
Anesthetic (Non-Caine)
PCCA Formula # 7440 Dyclonine HCl 1% Oral Dental Solution
PCCA Formula # 2841 Dyclonine HCl 1% Oral Gel
The 30 mL Collapsible Bottle
Anti-Gag Reflex (PCCA #35-1283) is used for
PCCA Formula # 3811 Electrolyte Polyglycol Troche™ Base Lollipop
the Polyox Bandage.
PCCA Formula # 1330 Electrolyte Base A Troche
PCCA Formula # 5380 Tetracaine HCl 0.5% Sorbitol Lollipop™ Base
Mouth Ulcers
PCCA Formula # 0093 Polyox 301 Bandage A variety of drugs may be incorporated into this formula.
See Patient Instructions for Use of Oral Mucosal Bandage, PCCA Document #97763.
PCCA Formula # 1687 Oral Adhesive Paste A variety of drugs may be incorporated into this formula.
PCCA Formula # 2186 Polyphenol Sulfonic Acid Complex
PCCA Formula # 0522 Tetracycline HCl 125 mg/Nystatin 60417 units/Diphenhydramine HCl 12.5 mg/
Hydrocortisone 2.3 mg Base A Troche
PCCA Formula # 3135 Tetracycline HCl 1.25%/Nystatin 12000 u/mL/Hydrocortisone 0.05%/Chlorpheniramine Maleate 0.02% Mouthwash
PCCA Formula # 3720 Misoprostol 0.0024%/Diphenhydramine HCl 0.1%/Compound Oral Rinse (Radiation Burn Mouth Rinse)
PCCA Formula # 7035 Morphine Sulfate 1 mg/mL Oral Gel
PCCA Formula # 3210 Triamcinolone in Oral Adhesive Paste
Halitosis
PCCA Formula # 0529 Chlorophyllin 0.2% Mouthwash
PCCA Formula # 3396 Sodium Hypochlorite 0.12% Mouthrinse
Root Canal
PCCA Formula # 5270 EDTA 17% Dental Solution
PCCA Formula # 3929 EDTA/Urea Hydrogen Peroxide Dental Cream
© 2011 PCCA. All Rights Reserved.
No claims are made as to the safety, efficacy or use of these formulations.

2. Commonly Requested Dental Compounding Ideas
‒ FOR PCCA MEMBER USE ONLY ‒
Please Contact PCCAʼs Pharmacy Consulting Department With Questions Regarding The Formulations
Teeth Whitening
PCCA Formula # 4068 Urea Hydrogen Peroxide 17% & 35% Gel
PCCA Formula # 7855 Carbamide Peroxide 22%/Potassium Nitrate 5%/
Sodium Fluoride 2% Dental Gel
PCCA Formula # 9218 Carbamide Peroxide 16% Dental Gel
Nausea
PCCA Formula # 9491 Promethazine HCl 25 mg/Gm Topical Lipoderm®
(FormulaPlus™ BUD Study)
PCCA Formula # 8986 Ondansetron 4 mg/0.1 mL Topical Lipoderm®
Periodontal Treatment
PCCA Formula # 4135 Metronidazole 25% Dental Gel
PCCA Formula # 3934 Hydrogen Peroxide 15 mg/mL Oral Gel
PCCA Formula # 4350 Minocycline HCl 2% Periodontal Gel
PCCA Formula # 9604 Metronidazole 45.5%/Ciprofloxacin HCl 45.5%/Minocycline HCl 9% Dental Paste (3 Mix MP)
PCCA Formula # 6035 Poloxamer 407 30% Gel Delivery system for drugs in periodontal use.
Use this formula instead of the pre-made poloxamer since itʼs for oral use.
Hemostatic
PCCA Formula # 4930 Tranexamic Acid 4.8% Solution For patients on antiocoagulant therapy.
Temporomandibular Joint Disorder (TMJ)
PCCA Formula # 9380 Ketoprofen 5%/Cyclobenzaprine HCl 0.5%/Lidocaine HCl 5%/Bupivacaine HCl 1% Topical Lipoderm®
PCCA Formula # 9384 Ketoprofen 10%/Cyclobenzaprine HCl 2% Topical Lipoderm®
PCCA Formula # 9237 Potassium Chloride 6%/Potassium Citrate 6%/Potassium Nitrate 6% Topical Gel
Angular Chelitis / Angular Chelosis
PCCA Formula # 9442 Clotrimazole 2%/Ibuprofen 2%/Tea Tree Oil 5% Topical Cream
PCCA Formula # 9443 Miconazole 2%/Ibuprofen 1%/Tea Tree Oil 1% Topical Cream
Oral Lichen Planus
PCCA Formula # 7399 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Adhesive Paste
PCCA Formula # 7400 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Rinse
PCCA Formula # 7401 Tretinoin 0.1%/Clobetasol Propionate 0.05% Oral Polyox Bandage
PCCA Formula # 7402 Tretinoin 1 mg/Clobetasol Propionate 0.5 mg Polyglycol Troche
PCCA Formula # 0321 Triamcinolone 0.1% Oral Rinse (PF)
PCCA Formula # 3210 Triamcinolone in Oral Adhesive Paste
Thrush (Oral Candida)
PCCA Formula # 5954 Amphotericin 100 mg Gelatin Troche
PCCA Formula # 5185 Amphotericin B 100 mg/mL Oral Suspension
Alcohol-Free Chlorhexidine
PCCA Formula # 2146 Chlorhexidine 0.12% Oral Rinse
PCCA Formula # 8226 Chlorhexidine Gluconate 0.2% Oral Rinse, Alternate
Herpes
PCCA Formula # 4963 Acyclovir 2%/Deoxy-D-Glucose (2) 0.2% Lip Balm
PCCA Formula # 0937 Acyclovir 5%/Lidocaine 1% Lip Balm
PCCA Formula # 2266 Acyclovir 10% Flavored Lip Ointment
Pre-Procedure Anxiety
PCCA Formula # 2672 Midazolam 12.5 mg Sorbitol Lollipop™ Base
PCCA Formula # 5413 Ketamine 50 mg Sorbitol Lollipop™ Base
© 2011 PCCA. All Rights Reserved.
No claims are made as to the safety or efficacy of these formulations.