Pulpotomie - Une revue
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La pulpotomie est la proc�dure la plus couramment admise pour le traitement des dents de lait et des jeunes dents d�finitives pr�sentant une exposition pulpaire d'origine carieuse ou traumatique. La pulpotomie en tant que proc�dure a �t� d�crite par Sweet en 1930, puis approfondie par divers autres chercheurs. Malgr� les innombrables mat�riaux, m�thodes et �tudes qui ont suivi, la pulpotomie id�ale reste un mirage; pourtant, des progr�s, bien que difficiles � cerner, ont �t� document�s sur la voie du succ�s. La technique et les m�dicaments utilis�s en pulpotomie ont �volu�, passant de l'�re empirique � l'�re biologique. L'�volution des sciences des mat�riaux, depuis le formocr�sol, tr�s efficace mais omnipr�sent, jusqu'� l'hydroxyde de calcium, d�routant et presque miraculeux, en passant par des alternatives telles que le sulfate ferrique et le glutarald�hyde, les modalit�s non chimiques que sont l'�lectrochirurgie et les lasers, et les merveilles modernes de la recherche et de la g�n�tique telles que les prot�ines morphog�n�tiques osseuses, le MTA et les agents de liaison, laisse entrevoir qu'il n'y a qu'une seule voie � suivre pour cette modalit� aller de l'avant. Un diagnostic correct, une planification ad�quate, une pr�paration minutieuse et une mise en oeuvre id�ale permettront � la pulpotomie d'�tre utilis�e comme une option judicieuse dans la prise en charge des dents cari�es ou traumatis�es.
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