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Mise à jour 03/02/2012

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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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© Copyright Société de Médecine Dentaire asbl 2012 All rights reserved