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Evaluer le résultat des pulpotomies totales à visée définitive sur les dents permanentes matures

Abstract : Full pulpotomy is a therapeutic in which the coronal pulp portion is removed surgically followed by the capping of the remaining radicular pulp. During the last decade, this therapeutic has been reinvestigated as a definitive treatment of pulp pathologies in mature permanent teeth. Converging datas from published studies suggested that full pulpotomy could be recognized as an alternative to root canal treatment. Furthermore, few clinical trials and a meta analysis aimed to evaluate the effect of initial pulp state or pulp capping material on the success of this treatment. However, large variations in the methodology of the studies, potential influence of laboratories of materials and endodontic dogmas are the major obstacles to the promotion of this therapeutic. An evidence-based approach is necessary because incorporates the best evidence in making decisions. This strategy will help clinicians, teachers and researchers to include full pulpotomy in a daily practice This thesis consists to question the scientific literature in order to answer three following questions: 1) Why and how the full pulpotomy should be considered as a treatment of pulp pathologies ? 2) Which procedures could be applied for full pulpotomy ? 3) Which criteria’s could be used to evaluate the outcomes of full pulpotomy ? These literature reviews are completed with an experimental study about an enriched version of a practical guide for the interpretation of PAI score. Its reliability and reproducibility were verified among French undergraduate students. This practical guide will be a useful tool in evaluation of outcomes in endodontics.
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Submitted on : Thursday, August 20, 2020 - 10:58:17 AM
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  • HAL Id : tel-02918202, version 1



Marjorie Zanini. Evaluer le résultat des pulpotomies totales à visée définitive sur les dents permanentes matures. Santé. Université Clermont Auvergne, 2019. Français. ⟨NNT : 2019CLFAS002⟩. ⟨tel-02918202⟩



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