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LA
PULPOTOMIE DE LA DENT TEMPORAIRE
Charles
M. Pilipili1, Astrid Vanden Abbeele2, Karyn van den Abbeele3
1Chargé
de cours, chef de clinique, Université Catholique de Louvain
2Chargée
de cours, Université Libre de Bruxelles
3Praticien Libéral
Key words:
deciduous tooth, formocresol, calcium hydroxide, pulpotomy, ferric sulfate
Mots clés
: dent temporaire,
formocrésol, hydroxyde de calcium, pulpotomie, sulfate ferrique
Summary
Rather easy
to perform, pulpotomy of the deciduous teeth is the most frequent endodontic
treatment performed on children, but also the most controversial. Based on the
amputation of the pulp chamber and the conservation of the inflammation-free
root canals, the clinical results can be good, depending on the materials used.
In this, calcium hydroxide(Ca(OH)2) as well as zinc-oxide-eugenol (ZOE) have
been proven very inflammatory whereas Formocresol (FC) remains the reference
even if its clinical toxicity is still reported in literature on a very
controversial way. Nevertheless, this was sufficient to trigger and stimulate a
search for alternatives, and led to the proposition to use ferric sulfate and
even more recently MTA as new bases for the treatment of the pulp stumps after
pulp chamber amputation.
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