B. Grollemund, A. Danion-Grilliat, I. Kauffmann, C. Bruant‐Rodier, W. Bacon
Any attentive observer of families who have a child afflicted with a cleft lip whether or not associated with a palatal cleft would be certain to be impressed by the importance of the psychological context of their interpersonal exchanges and the risks of a breakdown in the parent-child relationship adversely affecting the child’s development. The birth of a child with a cleft lip inevitably becomes a painfully stressful and traumatic event for its parents. In the framework of the Programme Hospitalier de Recherche Clinique (PHRC) we have evaluated the psychological perceptions of parents of cleft lip and palate patients during the child’s first year of life in a multi-disciplinary and multi-group prospective study. Our goal is to analyze both the child’s psychic suffering and the parent-child relationship. We compared the results obtained in four hospital centers using different surgical protocols, distinguishing between the sub-groups of parents who had learned of the defect from an in utero examination and parents who did not become aware of the cleft until the child was born. We analyze for the parents the psychic and psychological dimensions of the deformity and its correction, touching on the importance of a prenatal diagnosis, the development of a relationship with the child, self-images, and the quality of life as well focusing on the infant’s distress and eventual recovery from it. The results of this study should make it possible for health care workers to construct new ways of attenuating, insofar as possible, the psychological impact of the deformity on parents and their children and to improve long term care for these patients.
{"title":"Relationships between parents and children with labio-palatal clefts: the importance of a delay preceding the first surgical repair","authors":"B. Grollemund, A. Danion-Grilliat, I. Kauffmann, C. Bruant‐Rodier, W. Bacon","doi":"10.1051/ODFEN/2011303","DOIUrl":"https://doi.org/10.1051/ODFEN/2011303","url":null,"abstract":"Any attentive observer of families who have a child afflicted with a cleft lip whether or not associated with a palatal cleft would be certain to be impressed by the importance of the psychological context of their interpersonal exchanges and the risks of a breakdown in the parent-child relationship adversely affecting the child’s development. The birth of a child with a cleft lip inevitably becomes a painfully stressful and traumatic event for its parents. In the framework of the Programme Hospitalier de Recherche Clinique (PHRC) we have evaluated the psychological perceptions of parents of cleft lip and palate patients during the child’s first year of life in a multi-disciplinary and multi-group prospective study. Our goal is to analyze both the child’s psychic suffering and the parent-child relationship. We compared the results obtained in four hospital centers using different surgical protocols, distinguishing between the sub-groups of parents who had learned of the defect from an in utero examination and parents who did not become aware of the cleft until the child was born. We analyze for the parents the psychic and psychological dimensions of the deformity and its correction, touching on the importance of a prenatal diagnosis, the development of a relationship with the child, self-images, and the quality of life as well focusing on the infant’s distress and eventual recovery from it. The results of this study should make it possible for health care workers to construct new ways of attenuating, insofar as possible, the psychological impact of the deformity on parents and their children and to improve long term care for these patients.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130140121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this second issue devoted to labio-maxillo-palatal clefts, we shall continue to emphasize the informational aspect that characterized the first issue. After presenting the specific fundamentals of management or clefts, we shall carefully consider the complementary disciplines that share in the overall care of cleft palate patients.
{"title":"Presenting this issue","authors":"O. Weissenbach","doi":"10.1051/odfen/2011301","DOIUrl":"https://doi.org/10.1051/odfen/2011301","url":null,"abstract":"In this second issue devoted to labio-maxillo-palatal clefts, we shall continue to emphasize the informational aspect that characterized the first issue. After presenting the specific fundamentals of management or clefts, we shall carefully consider the complementary disciplines that share in the overall care of cleft palate patients.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129225453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Labio-maxillary-palatal clefts, which are caused by fetal nasal buds failing to fuse with the maxillary bud, disrupt the ensemble of the structures that support and interact with the nose and upper jaw creating a rupture of balance that becomes an increasingly exacerbating vicious circle. In correcting these defects practitioners must effect a compromise between the need to re-unite separated parts – under as little tension as possible – and the need to preserve the interrupted potential for growth in the affected facial region. They must carry out this compromise in the double sense of topography and chronology. Adhering to this therapeutic philosophy, the Nancy protocol closely associates orthopedic preparation and surgical treatment of patients to obtain: – high quality morphology, – an unblocked, sufficiently broad maxilla, – correct nasal breathing, – velo-pharyngeal competence. We use a tibial periosteal graft to repair the oral cleft as an important element of our procedures.
{"title":"Managing labio-maxillarypalatal clefts: the Nancy protocol","authors":"E. Simon, O. Weissenbach, C. Molé, M. Stricker","doi":"10.1051/ODFEN/2011306","DOIUrl":"https://doi.org/10.1051/ODFEN/2011306","url":null,"abstract":"Labio-maxillary-palatal clefts, which are caused by fetal nasal buds failing to fuse with the maxillary bud, disrupt the ensemble of the structures that support and interact with the nose and upper jaw creating a rupture of balance that becomes an increasingly exacerbating vicious circle. In correcting these defects practitioners must effect a compromise between the need to re-unite separated parts – under as little tension as possible – and the need to preserve the interrupted potential for growth in the affected facial region. They must carry out this compromise in the double sense of topography and chronology. Adhering to this therapeutic philosophy, the Nancy protocol closely associates orthopedic preparation and surgical treatment of patients to obtain: – high quality morphology, – an unblocked, sufficiently broad maxilla, – correct nasal breathing, – velo-pharyngeal competence. We use a tibial periosteal graft to repair the oral cleft as an important element of our procedures.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121294243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Over the last 50 years, the dominant conception of the etiology of facial clefts postulated that they resulted from a mesodermal deficit that accounted for the primary hypoplasia and the unpredictable nature of subsequent oro-facial growth. Because of this notion, rigid dogmatic interdictions, with no allowance for nuanced treatment adjustments were issued banning sub-periosteal and sub-perichondrial dissections as well as the undertaking of any nasal surgery during the growth period. These prohibitions have had a grave braking effect on the development of treatment for cleft lip and palate patients. With a new comprehension of the important role that the dynamics of fetal ventilation plays in the development of the airways and its influence on maxillary growth researchers no longer have any doubt that normal growth mechanisms operating under abnormal anatomic conditions created by the cleft are the actual causes of the malformations and the facial growth deficit suffered by children born with clefts. It now seems likely that the nasal septum plays only a passive role in growth, as Moss believed, rather than the active one that Scott as well as Delaire defined, calling it the driving force of maxillary development. They advocated re-inserting the lateral muscles on the anterior nasal spine. But practitioners who limit their functional approach to this procedure risk being deceived. In addition this focusing on muscles distracts us from what is essential, nasal ventilation, whose rehabilitation beginning with the first operation and preservation throughout treatment are absolutely necessary to ensure the normal unfolding of a cleft palate patient’s facial growth.
{"title":"Morphofunctional aspects of clefts and their repercussions on growth","authors":"J. Talmant, J. Talmant, J. Lumineau","doi":"10.1051/ODFEN/2011304","DOIUrl":"https://doi.org/10.1051/ODFEN/2011304","url":null,"abstract":"Over the last 50 years, the dominant conception of the etiology of facial clefts postulated that they resulted from a mesodermal deficit that accounted for the primary hypoplasia and the unpredictable nature of subsequent oro-facial growth. Because of this notion, rigid dogmatic interdictions, with no allowance for nuanced treatment adjustments were issued banning sub-periosteal and sub-perichondrial dissections as well as the undertaking of any nasal surgery during the growth period. These prohibitions have had a grave braking effect on the development of treatment for cleft lip and palate patients. With a new comprehension of the important role that the dynamics of fetal ventilation plays in the development of the airways and its influence on maxillary growth researchers no longer have any doubt that normal growth mechanisms operating under abnormal anatomic conditions created by the cleft are the actual causes of the malformations and the facial growth deficit suffered by children born with clefts. It now seems likely that the nasal septum plays only a passive role in growth, as Moss believed, rather than the active one that Scott as well as Delaire defined, calling it the driving force of maxillary development. They advocated re-inserting the lateral muscles on the anterior nasal spine. But practitioners who limit their functional approach to this procedure risk being deceived. In addition this focusing on muscles distracts us from what is essential, nasal ventilation, whose rehabilitation beginning with the first operation and preservation throughout treatment are absolutely necessary to ensure the normal unfolding of a cleft palate patient’s facial growth.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116201572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
For many years TREFLE, The Ecully team treating labio-palatal clefts, has begun managing the care of patients with clefts at younger and younger ages. Both surgically and orthodontically we design our therapeutic interventions to change the environment of the cleft as rapidly as possible in order to improve patients’ functioning that will in turn have a beneficial effect on growth and esthetics. We have found that our patients treated in this way not only have improved appearance but also less likelihood of needing orthognathic surgery. We have also found that our patients do not routinely require early bone grafts, at about 6 years of age. We determine which children will require this intervention in a re-evaluation that we undertake after the completion of the primary phase of orthopedic and orthodontic therapy. To make our technique as clear as possible throughout the course of this article we present the different stages of treatment of four children, Leslie, Jules, Nathan, and Elodie.
{"title":"How facial clefts are managed until the secondary early alveoplasty at the TREFLE clinic","authors":"J. Godenèche, I. James, T. Kraft","doi":"10.1051/odfen/2011308","DOIUrl":"https://doi.org/10.1051/odfen/2011308","url":null,"abstract":"For many years TREFLE, The Ecully team treating labio-palatal clefts, has begun managing the care of patients with clefts at younger and younger ages. Both surgically and orthodontically we design our therapeutic interventions to change the environment of the cleft as rapidly as possible in order to improve patients’ functioning that will in turn have a beneficial effect on growth and esthetics. We have found that our patients treated in this way not only have improved appearance but also less likelihood of needing orthognathic surgery. We have also found that our patients do not routinely require early bone grafts, at about 6 years of age. We determine which children will require this intervention in a re-evaluation that we undertake after the completion of the primary phase of orthopedic and orthodontic therapy. To make our technique as clear as possible throughout the course of this article we present the different stages of treatment of four children, Leslie, Jules, Nathan, and Elodie.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128845387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Presenting this issue","authors":"Julien Philippe","doi":"10.1051/odfen/2011101","DOIUrl":"https://doi.org/10.1051/odfen/2011101","url":null,"abstract":"","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"256 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133708653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The relations between dentofacial orthopedics and occlusodontics are an on-going subject of interest for practitionersofbothdisciplines.Thenumerous publications, including several previous special issues of the Revue d’ODF/ Journal of Dentofacial Anomalies and Orthodontics, that have been devoted to this topic over the last thirty years bear ample testimony to its importance. Temporomandibular disorders (TMD), that orthodontists encounter in their assessment of patients seeking treatment or in the course of treatment challenge them with the need to respond to three diagnostic and therapeutic objectives: – respond to the complaint of pain; – plan a treatment protocol adapted to the functional problem; – modulate or adapt their treatment plan to deal with the current array of symptoms and the possible ultimate appearance of structural modifications. Primum non nocere (First, do no harm). Do we really respect this aphorism from the master teacher of the school of Cos? DOI: 10.1051/odfen/2011201 J Dentofacial Anom Orthod 2011;14:202 RODF / EDP Sciences
{"title":"Dentofacial orthopedics and temporomandibular disorders (TMD): primum non nocere - Preface","authors":"P. Amat","doi":"10.1051/odfen/2011201","DOIUrl":"https://doi.org/10.1051/odfen/2011201","url":null,"abstract":"The relations between dentofacial orthopedics and occlusodontics are an on-going subject of interest for practitionersofbothdisciplines.Thenumerous publications, including several previous special issues of the Revue d’ODF/ Journal of Dentofacial Anomalies and Orthodontics, that have been devoted to this topic over the last thirty years bear ample testimony to its importance. Temporomandibular disorders (TMD), that orthodontists encounter in their assessment of patients seeking treatment or in the course of treatment challenge them with the need to respond to three diagnostic and therapeutic objectives: – respond to the complaint of pain; – plan a treatment protocol adapted to the functional problem; – modulate or adapt their treatment plan to deal with the current array of symptoms and the possible ultimate appearance of structural modifications. Primum non nocere (First, do no harm). Do we really respect this aphorism from the master teacher of the school of Cos? DOI: 10.1051/odfen/2011201 J Dentofacial Anom Orthod 2011;14:202 RODF / EDP Sciences","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132004489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Orthodontists usually locate contact points by using articulating paper whose thickness varies from 10 l to 300 l and is a kind of blotting paper with a soft, textured finish impregnated with a mixture of wax, oil, colorants and adhesive agents specially formulated with a sensitive coating to provide a sharp, clean mark on all surfaces. Thin plastic, metallic, or silk sheets can also carry these marking elements. Articulating paper is sold in pre-cut rectangular strips, rolls, sheets, and horseshoe shaped paper that dentists can place over entire arches without recourse to pliers. Some types of articulating papers contain progressive coloration that objectifies the intensity of contact forces by imprinting a nuanced depiction of the pressure received by varying the number of micro beads of ink that burst on a tooth’s surface.
{"title":"Occlusodontics: How to find contact points more easily","authors":"D. Rozencweig, G. Rozencweig, S. Rozencweig","doi":"10.1051/ODFEN/2011208","DOIUrl":"https://doi.org/10.1051/ODFEN/2011208","url":null,"abstract":"Orthodontists usually locate contact points by using articulating paper whose thickness varies from 10 l to 300 l and is a kind of blotting paper with a soft, textured finish impregnated with a mixture of wax, oil, colorants and adhesive agents specially formulated with a sensitive coating to provide a sharp, clean mark on all surfaces. Thin plastic, metallic, or silk sheets can also carry these marking elements. Articulating paper is sold in pre-cut rectangular strips, rolls, sheets, and horseshoe shaped paper that dentists can place over entire arches without recourse to pliers. Some types of articulating papers contain progressive coloration that objectifies the intensity of contact forces by imprinting a nuanced depiction of the pressure received by varying the number of micro beads of ink that burst on a tooth’s surface.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132809918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The diagnosis of functional temporo-mandibular and cervical problems depends to a great extent on subjective information provided by patients. As a result, it is difficult to arrive at a substantiated assessment of the prevalence of these disorders. Based on the data reported from large-scale epidemiological studies, it appears that nearly 50 % of the populations of developed countries have symptoms of musculo-skeletal problems. The over-abundance of diagnostic tests suggested for assessing this problem adds confusion to this murky area. The purpose of this article is to precisely evaluate the pertinence of the various tests used to establish a clinical diagnosis.
{"title":"The role of the clinical examination in management of temporo-mandibular and cervical disorders","authors":"Audrey Chanlon, Hatem Bedoui, B. Fleiter","doi":"10.1051/ODFEN/2011203","DOIUrl":"https://doi.org/10.1051/ODFEN/2011203","url":null,"abstract":"The diagnosis of functional temporo-mandibular and cervical problems depends to a great extent on subjective information provided by patients. As a result, it is difficult to arrive at a substantiated assessment of the prevalence of these disorders. Based on the data reported from large-scale epidemiological studies, it appears that nearly 50 % of the populations of developed countries have symptoms of musculo-skeletal problems. The over-abundance of diagnostic tests suggested for assessing this problem adds confusion to this murky area. The purpose of this article is to precisely evaluate the pertinence of the various tests used to establish a clinical diagnosis.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133475658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In an article published in the ODF Review in 1987, we described the static relationships existing between and among the different components of the temporomandibular joint. This new article completes that work by supplying a dynamic vision of the range of movement, as well as recent anatomical and electromyographic data concerning the lateral pterygoid muscle.
{"title":"TMJ: Sense of motion","authors":"P. Carpentier, R. Felizardo, J. Yung, G. Clèdes","doi":"10.1051/ODFEN/2011202","DOIUrl":"https://doi.org/10.1051/ODFEN/2011202","url":null,"abstract":"In an article published in the ODF Review in 1987, we described the static relationships existing between and among the different components of the temporomandibular joint. This new article completes that work by supplying a dynamic vision of the range of movement, as well as recent anatomical and electromyographic data concerning the lateral pterygoid muscle.","PeriodicalId":381766,"journal":{"name":"Journal of Dentofacial Anomalies and Orthodontics","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115508152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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