Titre : Pulpotomie

Pulpotomie : Questions médicales fréquentes

Questions fréquentes et termes MeSH associés

Diagnostic 5

#1

Comment diagnostiquer une pulpite ?

Un examen clinique et des radiographies permettent de diagnostiquer la pulpite.
Pulpite Radiographie dentaire
#2

Quels sont les signes cliniques d'une pulpite ?

Douleur dentaire, sensibilité à la chaleur ou au froid, et gonflement des gencives.
Douleur dentaire Gingivite
#3

Les tests de percussion sont-ils utiles ?

Oui, ils aident à évaluer la sensibilité de la dent affectée.
Test de percussion Sensibilité dentaire
#4

Quand faut-il envisager une pulpotomie ?

En cas de pulpite réversible ou d'infection localisée sans atteinte apicale.
Pulpotomie Infection dentaire
#5

Les radiographies sont-elles toujours nécessaires ?

Oui, elles permettent d'évaluer l'état des racines et des tissus environnants.
Radiographie dentaire Tissus dentaires

Symptômes 5

#1

Quels symptômes indiquent une pulpite ?

Douleur intense, sensibilité prolongée aux stimuli et parfois gonflement.
Douleur Sensibilité dentaire
#2

La douleur est-elle constante ?

Elle peut être intermittente ou constante, selon la gravité de l'infection.
Douleur dentaire Infection
#3

Y a-t-il des symptômes systémiques ?

Parfois, fièvre ou malaise général peuvent accompagner une infection dentaire.
Fièvre Infection dentaire
#4

Les gencives peuvent-elles être affectées ?

Oui, elles peuvent être enflées ou rouges autour de la dent affectée.
Gingivite Inflammation
#5

La douleur peut-elle irradier ?

Oui, la douleur peut irradier vers l'oreille ou la mâchoire.
Douleur référée Mâchoire

Prévention 5

#1

Comment prévenir les caries dentaires ?

Brossage régulier, utilisation de fil dentaire et visites chez le dentiste.
Prévention des caries Hygiène bucco-dentaire
#2

Les scellants dentaires sont-ils efficaces ?

Oui, ils protègent les surfaces dentaires contre les caries, surtout chez les enfants.
Scellants dentaires Carie dentaire
#3

L'alimentation influence-t-elle la santé dentaire ?

Oui, une alimentation riche en sucres augmente le risque de caries et de pulpite.
Alimentation Carie dentaire
#4

Les fluorures aident-ils à prévenir les caries ?

Oui, les fluorures renforcent l'émail dentaire et réduisent le risque de caries.
Fluor Prévention des caries
#5

À quelle fréquence faut-il consulter un dentiste ?

Il est recommandé de consulter un dentiste tous les six mois pour un contrôle.
Contrôle dentaire Hygiène bucco-dentaire

Traitements 5

#1

Comment se déroule une pulpotomie ?

La pulpe endommagée est retirée, puis la cavité est nettoyée et scellée.
Pulpotomie Traitement dentaire
#2

Quels matériaux sont utilisés pour sceller ?

Des matériaux comme le ciment de verre ionomère ou le composite sont utilisés.
Ciment dentaire Matériaux dentaires
#3

La pulpotomie est-elle douloureuse ?

Elle est généralement réalisée sous anesthésie locale, minimisant la douleur.
Anesthésie locale Douleur
#4

Quels soins post-opératoires sont nécessaires ?

Éviter les aliments durs et suivre les recommandations du dentiste pour la douleur.
Soins post-opératoires Douleur dentaire
#5

Quand faut-il envisager un traitement de canal ?

Si l'infection persiste ou si la pulpite est irréversible, un traitement de canal est nécessaire.
Traitement de canal Pulpite irréversible

Complications 5

#1

Quelles complications peuvent survenir après une pulpotomie ?

Infection persistante, douleur prolongée ou nécrose de la pulpe restante.
Complications Infection dentaire
#2

La pulpotomie peut-elle échouer ?

Oui, si l'infection est trop avancée ou si la pulpe restante est endommagée.
Échec du traitement Pulpotomie
#3

Quels signes indiquent une complication ?

Douleur accrue, gonflement ou drainage purulent autour de la dent traitée.
Douleur Infection
#4

Une nouvelle infection est-elle possible ?

Oui, une nouvelle infection peut survenir si les soins post-opératoires ne sont pas suivis.
Infection dentaire Soins post-opératoires
#5

Comment gérer une complication post-pulpotomie ?

Consulter rapidement un dentiste pour évaluer et traiter la complication.
Gestion des complications Dentiste

Facteurs de risque 5

#1

Quels facteurs augmentent le risque de pulpite ?

Mauvaise hygiène bucco-dentaire, caries non traitées et traumatismes dentaires.
Hygiène bucco-dentaire Caries dentaires
#2

Les enfants sont-ils plus à risque ?

Oui, en raison de la prévalence des caries et de la sensibilité des dents temporaires.
Enfants Caries dentaires
#3

Le tabagisme influence-t-il la santé dentaire ?

Oui, le tabagisme peut aggraver les problèmes dentaires et augmenter le risque d'infection.
Tabagisme Santé dentaire
#4

Les maladies systémiques affectent-elles les dents ?

Certaines maladies comme le diabète peuvent augmenter le risque de complications dentaires.
Maladies systémiques Diabète
#5

L'âge joue-t-il un rôle dans le risque de pulpite ?

Oui, les jeunes enfants et les personnes âgées sont plus susceptibles de développer des caries.
Âge Caries dentaires
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nouvelle infection peut survenir si les soins post-opératoires ne sont pas suivis." } }, { "@type": "Question", "name": "Comment gérer une complication post-pulpotomie ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Consulter rapidement un dentiste pour évaluer et traiter la complication." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de pulpite ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Mauvaise hygiène bucco-dentaire, caries non traitées et traumatismes dentaires." } }, { "@type": "Question", "name": "Les enfants sont-ils plus à risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, en raison de la prévalence des caries et de la sensibilité des dents temporaires." } }, { "@type": "Question", "name": "Le tabagisme influence-t-il la santé dentaire ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme peut aggraver les problèmes dentaires et augmenter le risque d'infection." } }, { "@type": "Question", "name": "Les maladies systémiques affectent-elles les dents ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Certaines maladies comme le diabète peuvent augmenter le risque de complications dentaires." } }, { "@type": "Question", "name": "L'âge joue-t-il un rôle dans le risque de pulpite ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les jeunes enfants et les personnes âgées sont plus susceptibles de développer des caries." } } ] } ] }
Dr Olivier Menir

Contenu validé par Dr Olivier Menir

Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale


Validation scientifique effectuée le 29/08/2026

Contenu vérifié selon les dernières recommandations médicales

Auteurs principaux

Henry F Duncan

5 publications dans cette catégorie

Affiliations :
  • Division of Restorative Dentistry & Periodontology, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland.

Ikhlas El-Karim

2 publications dans cette catégorie

Affiliations :
  • School of Medicine Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK.
Publications dans "Pulpotomie" :

Aditya Patel

2 publications dans cette catégorie

Affiliations :
  • Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Saeed Asgary

2 publications dans cette catégorie

Affiliations :
  • Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IRN.

Galvin Sim Siang Lin

2 publications dans cette catégorie

Affiliations :
  • Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, 08100, Bedong, Kedah, Malaysia. gaelvylin@yahoo.com.

Sharifah Wade'ah Wafa Syed Saadun Tarek Wafa

2 publications dans cette catégorie

Affiliations :
  • Department of Paediatric Dentistry & Orthodontics, Faculty of Dentistry, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.

Thais Marchini Oliveira

2 publications dans cette catégorie

Affiliations :
  • Department of Pediatric Dentistry, Orthodontics and Community Dentistry, Discipline of Pediatric Dentistry, Bauru School of Dentistry-University of São Paulo, Bauru, Brazil; Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, Brazil.
Publications dans "Pulpotomie" :

Na Zhang

2 publications dans cette catégorie

Affiliations :
  • Department of Oral Medicine, Shanxi Provincial People's Hospital, NO.29 The Twin Towers Temple District, Taiyuan, Shanxi, China.

Yuzhao Cheng

2 publications dans cette catégorie

Affiliations :
  • Department of Oral Medicine, Shanxi Provincial People's Hospital, NO.29 The Twin Towers Temple District, Taiyuan, Shanxi, China.

Hasan Alzoubi

2 publications dans cette catégorie

Affiliations :
  • Department of Pediatric Dentistry, Damascus University, Damascus, SYR.

Yuanyuan Li

2 publications dans cette catégorie

Affiliations :
  • State Key Laboratory of Military Stomatology & National Clinical Research Center for Oral Diseases & Shaanxi Key Laboratory of Oral Diseases, Department of Prosthodontics, School of Stomatology, The Fourth Military Medical University, 145 Changle West Road, Xi'an, Shaanxi 710032, PR China.

W Yong

2 publications dans cette catégorie

Affiliations :
  • Department of General Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
Publications dans "Pulpotomie" :

K Qian

2 publications dans cette catégorie

Affiliations :
  • Department of General Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
Publications dans "Pulpotomie" :

W H Zhu

2 publications dans cette catégorie

Affiliations :
  • Department of General Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
Publications dans "Pulpotomie" :

X Y Zhao

2 publications dans cette catégorie

Affiliations :
  • Department of General Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
Publications dans "Pulpotomie" :

C Liu

2 publications dans cette catégorie

Affiliations :
  • Department of General Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
Publications dans "Pulpotomie" :

J Pan

2 publications dans cette catégorie

Affiliations :
  • Department of General Dentistry, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry & NMPA Key Laboratory for Dental Materials, Beijing 100081, China.
Publications dans "Pulpotomie" :

Shan-Li Pei

1 publication dans cette catégorie

Affiliations :
  • School of Dentistry, National Taiwan University, Taipei, Taiwan.
  • School of Dentistry, National Yang Ming University, Taipei, Taiwan.
Publications dans "Pulpotomie" :

Wen-Yu Shih

1 publication dans cette catégorie

Affiliations :
  • School of Dentistry, National Yang Ming University, Taipei, Taiwan.
  • Pediatric Dentistry, Taipei Veterans General Hospital, Taipei, Taiwan.
Publications dans "Pulpotomie" :

Jeng-Fen Liu

1 publication dans cette catégorie

Affiliations :
  • School of Dentistry, National Yang Ming University, Taipei, Taiwan.
  • Pediatric Dentistry, Taichung Veterans General Hospital, Taichung, Taiwan.
Publications dans "Pulpotomie" :

Sources (84 au total)

Assessing the efficacy of Laser pulpotomy versus conventional pulpotomy in primary teeth: A systematic review and meta-analysis of clinical trials.

This study systematically reviewed the clinical and radiographic outcomes of laser versus conventional pulpotomy in primary teeth. It also compared the success and effectiveness of different lasers to... An electronic search was carried out in PubMed and Cochrane from 1st January 1999 to 31st December 2023. The published articles in the English language were searched using MeSH terms and text words. O... Only 18 studies met the inclusion criteria after an electronic search. Among them, 13 studies evaluated the clinical and radiographic outcomes of laser with formocresol pulpotomy, 2 studies compared w... Diode laser and LLLT can be considered as alternative pulpotomy agents to formocresol in primary teeth. However, high-quality trials are needed to confirm the accuracy and reliability of these finding...

Implications of root, pulp chamber, and canal anatomy on pulpotomy and revitalization procedures.

This review aims to discuss the implications of anatomy of the root, pulp chamber, and canals on pulpotomy and revitalization procedures (RPs) as treatment alternatives to root canal treatment procedu... This narrative review was undertaken to address two main questions - why remove vital pulp tissue in teeth with complex canal anatomy when it can be preserved? And why replace the necrotic pulp in tee... Maintaining the vitality of the pulp via partial or full pulpotomy procedures avoids the multiple potential challenges faced by clinicians during root canal treatment. However, carrying out pulpotomy ... Whenever indicated, pulpotomy procedures are viable treatment options for vital teeth with mature roots; however, comparative, adequately powered studies with long-term follow-up are needed as a prior...

Hyaluronic acid as a pulpotomy material in primary molars: an up to 30 months retrospective study.

The aim of this retrospective study was to determine the long-term clinical and radiographic success of our previous randomized clinical trial and to compare the success of hyaluronic acid, with the w... This retrospective study is the extension of the 1-year survey of our randomized clinical trial that had compared the effectiveness of a hyaluronic acid pulpotomy over formocresol and ferric sulphate ... The clinical and radiographic success rates of the hyaluronic acid, formocresol, and ferric sulphate groups were not statistically different at > 24 months. None of the teeth in the hyaluronic acid gr... Hyaluronic acid pulpotomies exhibited comparable success rates to formocresol and ferric sulphate materials spanning over 24 months examinations. Because of convenient accessibility and applicability ...

Preliminary in vitro cytotoxic evaluation of Uncaria gambier (Hunt) Roxb extract as a potential herbal-based pulpotomy medicament.

The downfall of formocresol as a pulpotomy medicament highlights the importance of cytotoxic evaluation and the establishment of a safe concentration of dental material prior to its usage in the oral ... Uncaria gambir extracts at concentrations ranging from 1000 to 7.8 µg/ml and MTA eluates at 4- and 48 h setting times were prepared. 10% dimethyl sulfoxide (DMSO) and culture media were used as positi... The interaction between the concentration and exposure time on the fluorescence intensity of Uncaria gambir extract and MTA 48 h was found to be statistically significant (p < 0.001). No cytotoxic eff... Uncaria gambir extracts at a maximum concentration of 500 μg/mL are non-cytotoxic over time and are comparable to the MTA....

Full pulpotomy versus root canal therapy in mature teeth with irreversible pulpitis: a randomized controlled trial.

Vital pulp therapy (VPT) is recommended as an alternative treatment to root canal therapy (RCT) for management of teeth with carious pulp exposure. This randomized clinical trial aimed to compare the ... A total of 160 mature molar teeth with IP were randomly divided into two treatment groups. The FP group (test group) was treated with FP using iRoot BP Plus by an endodontist, the RCT group (control g... FP and RCT had comparable success rates (Clinical, 97.3% vs. 98.6%; radiographic, 93.3% vs. 94.6%) (P > 0.05). Pain levels decreased over time from day 1 to day 7 postoperative in both groups, and the... FP could be an appropriate alternative treatment for management of mature teeth with IP in short follow-up.... The trial was registered in Chinese Clinical Trial Registry (ChiCTR2200063380 at 05/09/2022)....

Novel cryotherapy technique for pulpotomy in mature permanent teeth with symptomatic irreversible pulpitis- a randomized controlled trial.

To assess the effect of cryotherapy on haemostasis, post-operative pain, and the outcome of full pulpotomy performed in mature permanent teeth with symptomatic irreversible pulpitis.... The study included sixty mature permanent mandibular molar teeth with symptomatic irreversible pulpitis and no periapical rarefaction. After coronal pulp tissue amputation, teeth were randomly allocat... The cryotherapy group achieved haemostasis in less time (p < 0.05). There was a significant pain reduction at 24 and 48 h in the cryotherapy group when compared with the conventional pulpotomy group (... Cryotherapy application reduces postoperative pain and has no adverse effect on the outcome of pulpotomy in permanent teeth with symptomatic irreversible pulpitis.... The cryotherapy can be incorporated in pulpotomy protocol as an adjunct to minimize post-operative pain....

A retrospective study on the outcome of pulpotomy with iRoot BP plus in primary molars and its relationship with hemostasis time.

Pulpotomy is a crucial method to preserve primary teeth until natural exfoliation. This study aimed to evaluate the clinical and radiographic outcomes of pulpotomy with iRoot BP Plus in primary molars... Primary molars that underwent iRoot BP Plus pulpotomy and were followed for at least 12 months were selected for this study. Clinical and radiographic data were collected, and the success rate was ana... A total of 183 teeth in 106 patients were included in the analysis. The follow-up period fell into a range of 1-3 years, with a mean of 1.6 years. The clinical and radiographic success rates were 96.7... Pulpotomy using iRoot BP Plus in primary molars achieved favorable results. The hemostasis time may not significantly impact the outcomes of pulpotomy using iRoot BP Plus in primary molars....

Outcome assessment methods of bioactive and biodegradable materials as pulpotomy agents in primary and permanent teeth: a scoping review.

Pulpotomy procedures aiming to preserve and regenerate the dentin-pulp complex have recently increased exponentially due to developments in the field of biomaterials and tissue engineering in primary ... (1) Report the methods of outcome assessment of pulpotomy clinical trials in both primary and permanent teeth; (2) Identify the various bioactive agents and biodegradable scaffolds used in pulpotomy c... A scoping review of the literature was performed, including a search of primary studies on PubMed, Scopus, Web of Science, ProQuest and Clinicaltrials.gov. A search for controlled trials or randomized... 127 studies out of 1038 articles fulfilled all the inclusion criteria and were included in the current scoping review. More than 90% of the studies assessed clinical and radiographic outcomes. Histolo... Pulpotomy studies in both primary and permanent teeth relied mainly on subjective clinical and radiographic outcome assessment methods and seldom analyzed pulpal inflammatory status objectively. The u...