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With the increased demand for groundwater resulting from fast demographic growth. accelerated urbanization, economic and agricultural activity diversification, and the increase of per capita consumption, ground water resources, in particular in coastal regions, remain relatively low, compared to demand. The groundwater quality and piezometric variations result mainly from intensive exploitation, agricultural activities and the intrusion of seawater. This phenomenon is observed mostly in semi-arid areas, such as the oriental Sahel of Tunisia, where an apparent reduction in rainfall in recent years can be seen. Groundwater becomes overexploited especially as its natural recharge by rainwater does not succeed in maintaining the hydrologic balance. The imbalance between water demand and resources induces the degradation of the water quality. In such a case, the artificial recharge of water-table aquifers by water from dams is a credible alternative to improve the hydrodynamic and physicochemical conditions of the groundwater. Like most coastal aquifers, the Teboulba water-table aquifer is threatened by overexploitation for at least three decades. This threat appears by a considerable piezometric level drop and by water salinisation, due to seawater intrusion. Given this alarming situation, since 1971, artificial recharge through wells with surface water from a dam was tested in order to restore the water levels and to improve water quality. The piezometric and chemical surveys of the Teboulba aquifer permitted one to describe the temporal and spatial piezometric and geochemical conditions of the aquifer and to show the effect of the artificial recharge, Indeed, the artificial recharge undertaken since 1971 made the geochemical and piezometric conditions of the Teboulba aquifer improve. This example is a rare, well-documented case-study of the benefits of artificial recharge in a coastal aquifer, over the long term. (C) 2009 Academie des sciences. Published by Elsevier Masson SAS. All rights reserved.