Titre : Pulpotomie

Pulpotomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Pulpitis

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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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 07/03/2025

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 (239 au total)

Effectiveness of diagnosing pulpitis: A systematic review.

The diagnosis of the status of the inflamed pulp is essential in clinical diagnosis and treatment provision. There are a limited number of well-designed and well-executed clinical trials on the diagno... Three PICO questions were formulated and agreed a priori by the European Society of Endodontology to evaluate the clinical tests for sensibility testing, determination of biomarkers and pulp bleeding ... A literature search was conducted using PubMed, Clarivate Analytics' Web of Science, Scopus, Google Scholar and Cochrane Central Register of Controlled Trials from inception to 21 January 2022. Additi... In total, 28 studies out of 29 publications were considered eligible and were included in the review. Twelve studies were identified to investigate the diagnostic accuracy of the pulp vitality. Ten st... The core problem in pulp diagnostics is that a reliable reference standard is lacking under clinical conditions. Based on limited evidence, the most promising current approach seems to define a combin... The effectiveness of diagnosing pulpitis is low due to limited scientific evidence regarding the accuracy and reproducibility of diagnostic tests. There is a lack of evidence to determine the true sta... PROSPERO database (CRD42021265366)....

Identification of Immune-Related lncRNA Regulatory Network in Pulpitis.

Long noncoding RNAs (lncRNAs) are emerging as critical regulators of various biological processes, including immune regulation.... Due to the critical significance of immunological responses in the development and progression of pulpitis, we used an integrated algorithm to identify immune-related lncRNAs and then examined the lnc... An integrated algorithm was designed to filtrate immune-related lncRNAs accurately. 790 immune-related lncRNAs were found in 17 immunological categories, with 38 of them perturbated in pulpitis. The C... Our study identified many immune-related lncRNAs and investigated potential lncRNA regulation networks; meanwhile, the molecular subtypes of pulpitis were identified, all of which will be relevant for...

Establishment and validation of the autophagy-related ceRNA network in irreversible pulpitis.

The molecular mechanisms underlying the onset and progression of irreversible pulpitis have been studied for decades. Many studies have indicated a potential correlation between autophagy and this dis... Filtering and differential expression analyses of the GSE92681 dataset, which contains data from 7 inflamed and 5 healthy pulp tissue samples, were conducted. The results were intersected with autopha... We constructed two networks consisting of 9 hub lncRNAs based on the comprehensive identification of autophagy-related ceRNAs. This study may provide novel insights into the interactive relationship b...

Identification and characterization of the ferroptosis-related ceRNA network in irreversible pulpitis.

The role of ferroptosis in irreversible pulpitis (IP) remains unclear. The competing endogenous RNA (ceRNA) theory that has been widely investigated is rarely used studied in IP. Hub lncRNAs selected ... Differentially expressed genes (DEGs) were intersected with 484 ferroptosis markers to identify differentially expressed ferroptosis-related genes (DE-FRGs). Functional analysis and protein-protein in... According to the results of PCA and clustering analysis, 5 inflamed and 5 healthy pulp tissue samples were selected for analysis. The intersection of DEGs with 484 ferroptosis marker genes identified ... Two ceRNA networks were comprehensively constructed, and 6 hub lncRNAs were identified. These genes provide novel insights into the relationship between ferroptosis and IP. Intriguingly, the LINC00943...

Determination of the Severity of Pulpitis by Immunohistological Analysis and Comparison with the Clinical Picture.

Inflammation of the dental pulp due to caries is a highly prevalent pathology which causes intense pain. Here, we sought to correlate the clinical picture with the histopathology of the affected tissu... This study characterized Schwann cells and other neuroimmune components in human dental pulps with reversible and symptomatic irreversible pulpitis (IP). Twenty eight human teeth were extracted for re... Symptomatic IP was characterized by a significantly higher density of neutrophils, and the release of neutrophil extracellular traps. Between IP and healthy controls, there were significant difference... The dental pulp has a complex multicellular organization and its pulpodentinal interface acts as a barrier in which Schwann and immune cells are distributed strategically to stop the progress of patho...

Vital Pulp Therapy in Teeth with Symptomatic Irreversible Pulpitis: A Systematic Review.

Nonsurgical root canal therapy (NSRCT) is indicated for management of permanent teeth diagnosed with symptomatic irreversible pulpitis. However, recent research has suggested that vital pulp therapy (... The PRISMA recommendations were adhered to. The search approach used electronic databases from PubMed, EMBASE, the Cochrane Library, and grey literature. The Newcastle-Ottawa Scale, ROBINS-I, and Coch... The initial database search turned up 142 papers, of which 3 prospective cohort studies and 9 randomised controlled trials were selected for analysis. For three, seven, and two articles, the risk of b... When considering VPT as an alternative to NSRCT, appropriate case selection and outcome criteria must be created. This data highlights the need for additional studies contrasting the longer-term effec...

Investigating In Situ Expression of Neurotrophic Factors and Partner Proteins in Irreversible Pulpitis.

In situ assessments of neurotrophic factors and their associated molecular partners have not been explored to date, particularly in humans. The present investigation aimed to explore the expressional ... Forty samples each of healthy and irreversibly inflamed pulp were extirpated for the study. Immunohistochemical examinations were carried out for the anatomic changes and expression of neurotrophic fa... Decrease in nuclear and vessel diameters was observed in irreversibly inflamed pulp tissues. NGF and BDNF were found to be significantly upregulated in symptomatic irreversible pulpitis (SIP), whereas... Upregulation of NGF, BDNF, USP36 and Nedd4-2 in SIP indicates dysregulation in the molecular events underlying the disease biology and could be exploited as potential markers for the disease diagnosis...

Molecular biomarkers for objective assessment of symptomatic pulpitis: A systematic review and meta-analysis.

Inflammatory biomarkers are potentially useful targets for pulpal diagnostic tests that can identify pulp status and predict vital pulp treatment (VPT) outcome, however, their accuracy is unknown.... (1) Calculate sensitivity, specificity and diagnostic odds ratio (DOR) of previously investigated pulpitic biomarkers; (2) Determine if biomarker levels discriminate between clinical diagnoses of pulp... Searches: PubMed/MEDLINE, Ovid SP, Cochrane Central Register of Controlled Trials (CENTRAL), International Clinical Trials Registry Platform (ICTRP), ClinicalTrials.gov, Embase, Web of Science and Sco... prospective and retrospective observational studies and randomized trials. Participants were humans with vital permanent teeth and a well-defined pulpal diagnosis.... deciduous teeth, in vitro and animal studies. Risk of bias was assessed with modified-Downs and Black quality assessment checklist. Meta-analysis was performed using bivariate random effect model in M... Fifty-six studies were selected, reporting >70 individual biomolecules investigating pulpal health and disease at the gene and protein level. Most studies were of low and fair quality. Among the biomo... The inability of identified molecular inflammatory markers to discriminate between dental pulps with spontaneous and non-spontaneous pain should shift the focus to improved study quality or the pursui... Low-quality evidence suggests IL-8 and IL-6 demonstrated level of diagnostic accuracy to discriminate between healthy pulps and those exhibiting spontaneous pain. There is a need for standardized biom... PROSPERO CRD42021259305....