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Master Thesis

Ligne maximale de recouvrement radiculaire : un moyen simple de l'obtenir ?

Abstract : The periodontal recession is a very common reason for consultation that affects a large number of people in the population. Very often it’s the aesthetic alteration associated with this defect that lead the patient to consult. So it’s a real therapeutic challenge which we are more and more confronted with this increasing aesthetic demand. Our therapies will look for placing the patient in the center of care to match with his demand. However sometimes it will not be possible to obtain a complete root coverage. A method was implemented to predetermine the maximum level of root coverage following periodontal plastic surgery. The knowledge of this recovery prognosis allows us to inform the patient and to propose appropriate therapeutic solutions for aesthetic purposes (restorative, surgical or a combination of both therapies). This protocol proposed by Zucchelli has been used since 2006 and has not changed since. We therefore made a critical analysis of this protocol and its implementation, which allowed us to highlight the presence of many biases inherent to the calculation or its clinical application. The result is approximations that tend to reduce the reproducibility of this protocol and the reliability of the calculated prognosis. So we proposed solutions to try to minimize these biases, but we also looked for technological innovations would allow to evolve the protocol and more generally to improve the therapeutic management of periodontal recession.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02489758
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Submitted on : Monday, February 24, 2020 - 4:07:13 PM
Last modification on : Thursday, February 27, 2020 - 1:57:54 AM

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  • HAL Id : dumas-02489758, version 1

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Sarah Terdjman. Ligne maximale de recouvrement radiculaire : un moyen simple de l'obtenir ?. Chirurgie. 2019. ⟨dumas-02489758⟩

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