Place du Coiffage Direct dans le Traitement des Dents Permanentes Matures avec Pulpite Irréversible
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Objectif: Cette revue d'Umbrella a pour objectif de pr�senter l'efficacit� du coiffage direct dans le traitement des dentspermanentes matures avec pulpite irr�versible, pr�ciser le r�le des mat�riaux utilis�s et d'identifier les facteurs influen�ant lar�ussite ou l'�chec de cette th�rapeutique. Mat�riels et m�thodes: La recherche �lectronique a �t� men�e dans cinq bases des donn�es (Pubmed, Science Direct, Google Scholar, Wiley online library et Cochrane Library) en utilisant les mots-cl�s suivants: Direct pulp capping, Permanent mature teeth, Irreversible pulpitis, Material. Seules les revues syst�matiques et m�ta-analyses publi�es entre 2015 et 2025 ont �t� retenues. La qualit� m�thodologique de chaque �tude a �t� �valu�e avec la grille d'AMSTAR 2 et la certitude des preuves d�termin�e selon l'outil GRADE. R�sultats: Parmi les 1114 articles s�lectionn�s, 15 ont �t� jug�s �ligibles. Ils se focalisent sur le taux de r�ussite du coiffage direct dans le traitement des dents permanentes matures diagnostiqu�es avec pulpite irr�versible. Aussi, la plupart des articles ont discut� le r�le des mat�riaux et des techniques utilis�s ainsi que les facteurs influen�ant le pronostic du traitement. Cependant, trois revues syst�matiques ont �t� jug�es d'une qualit� �lev�e, alors que la plupart des revues �taient de qualit� faible � tr�s faible . Concernant la force des preuves une seule revue a �t� jug�e mod�r�e, le reste �taient faible � tr�s faible . Conclusion: Le coiffage direct constitue une modalit� prometteuse dans le traitement des dents permanentes matures avecpulpite irr�versible. N�anmoins, des �tudes de haute qualit� avec des p�riodes de suivi plus longues, restent n�cessaires pour confirmer les r�sultats obtenus et renforcer le niveau de preuves.
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