EMC - Dentisterie最新文献

The authors propose a necessary clarification about the eventual indications to a problem caused by the reconstruction of important maxillofacial defects. Prosthetic rehabilitation appears to be considered as an interesting alternative, in complementary with surgical reconstruction. After a wide definition of maxillofacial prosthesis, an appropriate terminology is defined within the context of a surgical-prosthetic symbiosis. The sphere of activity and different prosthesis possibilities are considered before proposing indications as well for the surgical reconstruction as for the prosthesis.

In this article, we approach three independant chapters about the examination of the face and the buccal cavity : motricity, sensory-sensitivity and neurovegetative functions. The necessary anatomical basis are reminded in order to understand clinical signs and principal neurological diseases of the face, interesting odontologists, are developped. Lastly, we add several synoptic and/or synthetic tables to display an immediate exploitation of the text.

Medicinal plants used for bucco-dental prevention, therapeutic or hygiene depends of stomatologists and dentists capacity. But a competence is required, because no one plant is innocuous. After regular information, some use examples are given and a systemic phytotherapy overture is done.

Military dental surgery covers many original and generally unrecognised forms of practice where skills such as versatility, efficience and professionalism come into their own. Although the idea of creating a regular corps of dental surgeons within the French armed forces is not new, this project has been effectively implemented only in 2000, together with the military reforms. Although the “professionalisation” of the nation’s armies opened the door to implementation, this realisation is nonetheless the result of a long evolution which goes beyond the military environment, reflecting the gradual, general recognition of our profession within the medical world. Its organisation is based first and foremost on geographical sectoring which breaks the mould of the unit/hospital dichotomy, enabling all dental surgeons to practice in proximity to and for the benefit of the troops. Synergies with the civilian world in daily care, vocational training or research activities help to maintain the Army-Nation relationship. The integration of reserve practitioners into all military activities was the next logical step in the process. Robustness, quality, regular maintenance and compliance with health and safety standards of their equipment help dental surgeons to devote themselves to their “raison d’être”: working in close cooperation with their medical colleagues to obtain and preserve the best possible state of health for the defence personnel. Fully integrated, versatile and available, military practitioners accompany our soldiers all over the globe. In addition to supporting French or allied armed forces, their roles in foreign countries often include missions of a humanitarian nature, illustrating the mottoes of our schools: “pro patria et humanitate” * and “mari transve mare hominibus semper prodesse”**.

* For our Country and Humanity, **Always serving Mankind across the seas

Alveolar distraction is a recently developed method for surgery prior to dental implantation. The main indications are reviewed and the treatment protocol is described. Problems with this method are discussed, with emphasis on difficulties related to the vector. A few clinical cases are presented.

The antibiotherapy in periodontology is nowadays a therapeutic essential to certain conventional treatments which they are etiologic (no surgical treatments) or symptomatic (surgical treatments). Indeed, the periodontitis diseases having an infectious component characterized by the presence of virulent bacteria sometimes difficult to eliminate, this antibiotherapy to allow when it is well carried out, to eliminate at best the infectious factor. Being able to cover various aspects, the antibiotherapy will be able to be practised in a systemic way or in a local way. One will not have either to neglect its importance among patients at the risks which will require, for any therapeutic act, a antibioprophylaxy, the latter having to be of short duration (24 to 48 hours).