Titre : Pulpotomie

Pulpotomie : Questions médicales fréquentes

{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Pulpotomie : Questions médicales les plus fréquentes", "headline": "Pulpotomie : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Pulpotomie : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-03-12", "dateModified": "2025-03-07", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Pulpotomie" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "about": { "@type": "MedicalCondition", "name": "Pulpotomie", "alternateName": "Pulpotomy", "code": { "@type": "MedicalCode", "code": "D011672", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "Henry F Duncan", "url": "https://questionsmedicales.fr/author/Henry%20F%20Duncan", "affiliation": { "@type": "Organization", "name": "Division of Restorative Dentistry & Periodontology, Trinity College Dublin, Dublin Dental University Hospital, Dublin, Ireland." } }, { "@type": "Person", "name": "Ikhlas El-Karim", "url": "https://questionsmedicales.fr/author/Ikhlas%20El-Karim", "affiliation": { "@type": "Organization", "name": "School of Medicine Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, UK." } }, { "@type": "Person", "name": "Aditya Patel", "url": "https://questionsmedicales.fr/author/Aditya%20Patel", "affiliation": { "@type": "Organization", "name": "Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND." } }, { "@type": "Person", "name": "Saeed Asgary", "url": "https://questionsmedicales.fr/author/Saeed%20Asgary", "affiliation": { "@type": "Organization", "name": "Iranian Center for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, IRN." } }, { "@type": "Person", "name": "Galvin Sim Siang Lin", "url": "https://questionsmedicales.fr/author/Galvin%20Sim%20Siang%20Lin", "affiliation": { "@type": "Organization", "name": "Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, 08100, Bedong, Kedah, Malaysia. gaelvylin@yahoo.com." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Preliminary in vitro cytotoxic evaluation of Uncaria gambier (Hunt) Roxb extract as a potential herbal-based pulpotomy medicament.", "datePublished": "2023-09-20", "url": "https://questionsmedicales.fr/article/37730579", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1186/s12906-023-04163-w" } }, { "@type": "ScholarlyArticle", "name": "Fracture resistance of primary molars after pulpotomy procedure using mineral trioxide aggregate or Biodentine.", "datePublished": "2023-09-03", "url": "https://questionsmedicales.fr/article/37732446", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.22514/jocpd.2023.062" } }, { "@type": "ScholarlyArticle", "name": "Development and preliminary validation of an Objective Structured Assessment of Technical Skills (OSATS) for a partial pulpotomy procedure.", "datePublished": "2023-06-06", "url": "https://questionsmedicales.fr/article/37228032", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1111/iej.13938" } }, { "@type": "ScholarlyArticle", "name": "Factors affecting the outcome of full pulpotomy in permanent posterior teeth diagnosed with reversible or irreversible pulpitis.", "datePublished": "2022-11-24", "url": "https://questionsmedicales.fr/article/36434032", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1038/s41598-022-24815-0" } }, { "@type": "ScholarlyArticle", "name": "Outcome of partial and full pulpotomy in cariously exposed mature molars with symptoms indicative of irreversible pulpitis: A randomized controlled trial.", "datePublished": "2022-12-04", "url": "https://questionsmedicales.fr/article/36403208", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1111/iej.13872" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "Pulpotomie", "item": "https://questionsmedicales.fr/mesh/D011672" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Pulpotomie - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Pulpotomie", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-05-17", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Pulpotomie", "description": "Comment diagnostiquer une pulpite ?\nQuels sont les signes cliniques d'une pulpite ?\nLes tests de percussion sont-ils utiles ?\nQuand faut-il envisager une pulpotomie ?\nLes radiographies sont-elles toujours nécessaires ?", "url": "https://questionsmedicales.fr/mesh/D011672?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Pulpotomie", "description": "Quels symptômes indiquent une pulpite ?\nLa douleur est-elle constante ?\nY a-t-il des symptômes systémiques ?\nLes gencives peuvent-elles être affectées ?\nLa douleur peut-elle irradier ?", "url": "https://questionsmedicales.fr/mesh/D011672?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Pulpotomie", "description": "Comment prévenir les caries dentaires ?\nLes scellants dentaires sont-ils efficaces ?\nL'alimentation influence-t-elle la santé dentaire ?\nLes fluorures aident-ils à prévenir les caries ?\nÀ quelle fréquence faut-il consulter un dentiste ?", "url": "https://questionsmedicales.fr/mesh/D011672?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Pulpotomie", "description": "Comment se déroule une pulpotomie ?\nQuels matériaux sont utilisés pour sceller ?\nLa pulpotomie est-elle douloureuse ?\nQuels soins post-opératoires sont nécessaires ?\nQuand faut-il envisager un traitement de canal ?", "url": "https://questionsmedicales.fr/mesh/D011672?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Pulpotomie", "description": "Quelles complications peuvent survenir après une pulpotomie ?\nLa pulpotomie peut-elle échouer ?\nQuels signes indiquent une complication ?\nUne nouvelle infection est-elle possible ?\nComment gérer une complication post-pulpotomie ?", "url": "https://questionsmedicales.fr/mesh/D011672?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Pulpotomie", "description": "Quels facteurs augmentent le risque de pulpite ?\nLes enfants sont-ils plus à risque ?\nLe tabagisme influence-t-il la santé dentaire ?\nLes maladies systémiques affectent-elles les dents ?\nL'âge joue-t-il un rôle dans le risque de pulpite ?", "url": "https://questionsmedicales.fr/mesh/D011672?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une pulpite ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un examen clinique et des radiographies permettent de diagnostiquer la pulpite." } }, { "@type": "Question", "name": "Quels sont les signes cliniques d'une pulpite ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Douleur dentaire, sensibilité à la chaleur ou au froid, et gonflement des gencives." } }, { "@type": "Question", "name": "Les tests de percussion sont-ils utiles ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils aident à évaluer la sensibilité de la dent affectée." } }, { "@type": "Question", "name": "Quand faut-il envisager une pulpotomie ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "En cas de pulpite réversible ou d'infection localisée sans atteinte apicale." } }, { "@type": "Question", "name": "Les radiographies sont-elles toujours nécessaires ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles permettent d'évaluer l'état des racines et des tissus environnants." } }, { "@type": "Question", "name": "Quels symptômes indiquent une pulpite ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Douleur intense, sensibilité prolongée aux stimuli et parfois gonflement." } }, { "@type": "Question", "name": "La douleur est-elle constante ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut être intermittente ou constante, selon la gravité de l'infection." } }, { "@type": "Question", "name": "Y a-t-il des symptômes systémiques ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Parfois, fièvre ou malaise général peuvent accompagner une infection dentaire." } }, { "@type": "Question", "name": "Les gencives peuvent-elles être affectées ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles peuvent être enflées ou rouges autour de la dent affectée." } }, { "@type": "Question", "name": "La douleur peut-elle irradier ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur peut irradier vers l'oreille ou la mâchoire." } }, { "@type": "Question", "name": "Comment prévenir les caries dentaires ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Brossage régulier, utilisation de fil dentaire et visites chez le dentiste." } }, { "@type": "Question", "name": "Les scellants dentaires sont-ils efficaces ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils protègent les surfaces dentaires contre les caries, surtout chez les enfants." } }, { "@type": "Question", "name": "L'alimentation influence-t-elle la santé dentaire ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une alimentation riche en sucres augmente le risque de caries et de pulpite." } }, { "@type": "Question", "name": "Les fluorures aident-ils à prévenir les caries ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les fluorures renforcent l'émail dentaire et réduisent le risque de caries." } }, { "@type": "Question", "name": "À quelle fréquence faut-il consulter un dentiste ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Il est recommandé de consulter un dentiste tous les six mois pour un contrôle." } }, { "@type": "Question", "name": "Comment se déroule une pulpotomie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "La pulpe endommagée est retirée, puis la cavité est nettoyée et scellée." } }, { "@type": "Question", "name": "Quels matériaux sont utilisés pour sceller ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Des matériaux comme le ciment de verre ionomère ou le composite sont utilisés." } }, { "@type": "Question", "name": "La pulpotomie est-elle douloureuse ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Elle est généralement réalisée sous anesthésie locale, minimisant la douleur." } }, { "@type": "Question", "name": "Quels soins post-opératoires sont nécessaires ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Éviter les aliments durs et suivre les recommandations du dentiste pour la douleur." } }, { "@type": "Question", "name": "Quand faut-il envisager un traitement de canal ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Si l'infection persiste ou si la pulpite est irréversible, un traitement de canal est nécessaire." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir après une pulpotomie ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Infection persistante, douleur prolongée ou nécrose de la pulpe restante." } }, { "@type": "Question", "name": "La pulpotomie peut-elle échouer ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, si l'infection est trop avancée ou si la pulpe restante est endommagée." } }, { "@type": "Question", "name": "Quels signes indiquent une complication ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Douleur accrue, gonflement ou drainage purulent autour de la dent traitée." } }, { "@type": "Question", "name": "Une nouvelle infection est-elle possible ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une 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." } } ] } ] }

Sources (148 au total)

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....

Development and preliminary validation of an Objective Structured Assessment of Technical Skills (OSATS) for a partial pulpotomy procedure.

To develop an Objective Structured Assessment of Technical Skills (OSATS) tool for partial pulpotomy and to preliminary assess the validity of this tool. Secondary objectives were to check internal co... The study assessed three groups of dental participants (mix of practitioners or students) possessing differing levels of clinical experience (7 novices, 7 intermediates, 7 experts), during a partial p... The partial pulpotomy specific checklist graded from one to five demonstrated good internal consistency (0.86) and a good interrater reliability (0.91), a correct construct validity (p generally < .05... To address the need to develop education in vital pulp treatment, and more specifically the technical skills assessment of partial pulpotomy, an OSATS-specific checklist was developed and preliminary ...

Outcome of partial and full pulpotomy in cariously exposed mature molars with symptoms indicative of irreversible pulpitis: A randomized controlled trial.

The aim of this study was to assess and compare the clinical and radiographic outcome of partial pulpotomy and full pulpotomy using Biodentine in cariously exposed mature molar teeth with symptoms ind... This study is an unicentric, double-arm, randomized superiority clinical trial with parallel experimental groups, registered under CTRI (CTRI/2019/12/022559). Fifty mature permanent molar teeth with c... Intra-group analysis of pain scores revealed significant reduction in pain scores preoperatively and at 24 h, 48 h and 7th day in both the groups. However, the difference in the pain score(s) reductio... Partial pulpotomy showed comparable results to full pulpotomy in terms of clinical/radiographic treatment outcome. If the long-term results remain the same, partial pulpotomy can be proposed as an alt...

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....

Outcome of Partial Pulpotomy in Immature Permanent Teeth with Symptomatic Irreversible Pulpitis: A Prospective Case Series Assessment.

The aim of this prospective case series was to assess the clinical and radiographic outcome of partial pulpotomy in caries-exposed symptomatic, vital, immature, permanent molars.... Thirty-four immature molars with deep caries and symptoms of irreversible pulpitis were treated by partial pulpotomy and ProRoot MTA as a capping material. After complete caries removal, the inflamed ... All examined teeth presented a favorable clinical and radiographic outcome with normal periapical tissues, complete apical closure, and formation of a dentinal bridge beneath the capping material. Sig... Partial pulpotomy seems to provide a universally successful outcome when managing symptomatic vital immature teeth with no signs of complications and completion of apical closure. It could be a viable...

Review of guidance for the selection of regenerative endodontics, apexogenesis, apexification, pulpotomy, and other endodontic treatments for immature permanent teeth.

This review guidance is a work in progress because the limitations of regenerative endodontics are still being discovered. The endodontic treatments for immature permanent teeth with a necrotic pulp c...

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....