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Journal of Dentofacial Anomalies and Orthodontics最新文献

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Managing temporomandibular disorders (TMD) by integrating exercise therapy into therapeutic patient educational programs: why, when, how? 通过将运动疗法整合到治疗性患者教育计划中来管理颞下颌疾病(TMD):为什么,何时,如何?
Pub Date : 2011-06-01 DOI: 10.1051/ODFEN/2011205
P. Amat
Current evidence based data found in the scientific literature recommend that the therapeutic management of patients suffering from temporomandibular disorders (TMD) should be based initially on simple, conservative and reversible procedures including exercise therapy. The integration of this message into oral health instructions for patients makes it easy for them to keep informed about TMD and aware of the steps they can take to deal with their symptoms. The integration of exercise therapy into structured patient education programs provides patients with information about TMD and suggests methods to deal with it. This medical approach is similar to those used to treat other joints in the musculoskeletal system. Easy to set up, this exercise therapy helps patients suffering from temporomandibular disorders to become partners in the conduct of their treatment plan of reducing pain and restoring functional comfort.
目前在科学文献中发现的基于证据的数据建议,对颞下颌疾病(TMD)患者的治疗管理应首先基于简单、保守和可逆的程序,包括运动疗法。将这些信息整合到患者的口腔健康指导中,使他们更容易了解TMD,并意识到他们可以采取的步骤来处理他们的症状。将运动疗法整合到结构化的患者教育计划中,为患者提供有关TMD的信息,并提出治疗方法。这种医疗方法类似于用于治疗肌肉骨骼系统中其他关节的方法。这种运动疗法易于设置,帮助患有颞下颌关节疾病的患者成为进行减轻疼痛和恢复功能舒适的治疗计划的伙伴。
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引用次数: 2
Treatment of a severe Class III case 1例严重III类病例的治疗
Pub Date : 2011-06-01 DOI: 10.1051/odfen/2011210
M. Sebbar, L. Ousehal
Class III malocclusions are sagittal disharmonies in the relationship of the mandible and its teeth to the maxilla and its teeth that are characterized by esthetic, skeletal, and dental deficiencies that can provoke grave psychological problems for patients who suffer from them. Orthodontists can begin early treatment of Class III cases with orthopedic techniques aimed at modifying facial growth, with orthodontic treatment at the end of the mixed dentition and in the permanent dentation, aimed at achieving favorable dental compensations, or they can employ a joint surgical-orthodontic technique at the close of the growth period. In this article, we present the results of our orthodontic treatment at the Faculty of Dental Medicine of Casablanca of a severe Class III malocclusion, with one-year followup records.
III类错咬合是指下颌骨及其牙齿与上颌骨及其牙齿之间的矢状面不和谐,其特征是审美、骨骼和牙齿缺陷,可引起患者严重的心理问题。正畸医生可以在III类病例的早期治疗中使用旨在改变面部生长的矫形技术,在混合牙列和永久牙列结束时进行正畸治疗,旨在获得有利的牙齿补偿,或者他们可以在生长时期结束时使用联合手术-正畸技术。在这篇文章中,我们介绍了我们在卡萨布兰卡牙科医学院治疗严重III类错牙合的结果,并进行了一年的随访记录。
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引用次数: 0
The Good, the Bad, and the T.M.J. 好的,坏的,还有t.m.j
Pub Date : 2011-06-01 DOI: 10.1051/odfen/2011200
J. Orthlieb
The Temporo-Mandibular-Joint, or TMJ, is a complex anatomic structure with a specific function. It provides the mandible with a broad capacity to move while simultaneously assuring condylar stability no matter what the position of the mandible may be, maintaining throughout a visco-elastic potential for absorbing constraints. All of these qualities are in a large measure intimately related to the structure and the form of the articular disc and the union or cohesion between that disc and the condyle. The flexibility of the fibro-cartilaginous structure, the large surface area of the synovial membrane, and the great volume of investing fluid that characterize this joint embody it with its capacities of resilience, or reservoir of visco-elasticity for modeling and re-modeling and underline the importance of movement in its trophic exchanges.
颞下颌关节(TMJ)是一个具有特定功能的复杂解剖结构。它为下颌骨提供了广泛的移动能力,同时保证了髁突的稳定性,无论下颌骨的位置如何,保持了吸收约束的粘弹性潜力。所有这些特征在很大程度上都与关节盘的结构和形式以及关节盘和髁间的结合或内聚密切相关。纤维-软骨结构的灵活性,滑膜的大表面积,以及关节特征的大量注入液体,体现了它的弹性能力,或用于建模和再建模的粘弹性储存库,并强调了运动在其营养交换中的重要性。
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引用次数: 0
Occlusal finishing, functional occlusion, and elastodontic concept: How? And why? A look at one case 咬合整理,功能性咬合和弹性咬合概念:如何?,为什么?我们来看一个案例
Pub Date : 2011-06-01 DOI: 10.1051/ODFEN/2011207
D. Deroze, J. Lacout
The last stage of orthodontic treatment is occlusal finishing. This complex and subtle treatment period demands careful reflection by orthodontists in order for them to achieve an optimal occlusion.Elastodontic concept is a straightforward therapeutic tactic, whose essence is a considered and individualised approach to treatment within a well-structured plan.Elastodontic concept enables orthodontists to construct of a functional occlusion which satisfies the three fundamental criteria of function of the masticatory apparatus: effectiveness, harmony, and economy.An illustrated case study will give the reader an understanding of the design and unique action of this type of appliance.
正畸治疗的最后阶段是咬合整理。这个复杂而微妙的治疗阶段需要正畸医生仔细考虑,以便他们达到最佳的咬合。弹性齿科概念是一种直截了当的治疗策略,其本质是在一个结构良好的计划中考虑和个性化的治疗方法。弹性咬合的概念使正畸医生能够构建功能性咬合,满足咀嚼器官功能的三个基本标准:有效性,协调性和经济性。一个图解的案例研究将使读者了解这种类型的器具的设计和独特的作用。
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引用次数: 1
Malfunction of the masticatory system (Temperomandibular disorders TMD) and malocclusion: is there a relationship? - A systematic revue of the literature from 2000 to 2009 咀嚼系统功能障碍(temommandibular disorders, TMD)与错牙合:有关系吗?-对2000年至2009年的文献进行系统梳理
Pub Date : 2011-06-01 DOI: 10.1051/ODFEN/2011206
Lorraine Belotte-Laupie, Millewa Sayagh, A. Manière-Ezvan
Many hypotheses concerning the relationships that might exist between the disorders of masticatory system or temperomandibular disorders (TMD) and malocclusions have been advanced. But, in terms of evidence-based medicine, can we say that any of them have scientific merit?The objective of our project was to analyze the existing international literature of the years 2000 to 2009 on the relationship between malocclusion and malfunction of the masticatory system.Materials and method: we used MEDLINE to find all papers written in French or English that had an abstract referring to “Malocclusion” and “Temperomandibular joint disorders.” We subjected them to a critical analysis using a reading record program that sorted the papers into types of study, descriptive or analytical, and the intensity of their methodology. Two of our authors calibrated this analysis and we compared their results.Results: We examined 17 studies out of a panel of 171 articles. Nine out of the seventeen were transverse studies, six were longitudinal studies, one evaluated cases and a control group, and one was a cohort study. An ethical committee had approved of 9 of the studies and 9 out of the group had been randomized. From all seventeen we collected calibrations from observers and made statistical analyses of the data.Our conclusion was that there is a relationship between malocclusion and TMD but that it is a weak one.The results of the different studies varied considerably as a factor of the type of malocclusion incriminated and the type of temperomandibular disorder reported. Our work indicated that a relationship between TMD and malocclusion cannot be established and the studies we reviewed had little scientific value primarily because of the heterogeneity of the samples and of the lack of clearly established definitions of the terms “malocclusion” and “disorder” of the masticatory system.
关于咀嚼系统障碍或颞下颌紊乱(TMD)与错咬合之间可能存在的关系,人们提出了许多假设。但是,就循证医学而言,我们能说其中任何一个都有科学价值吗?我们项目的目的是分析2000年至2009年国际上现有的关于咬合错与咀嚼系统功能障碍之间关系的文献。材料和方法:我们使用MEDLINE检索所有以法语或英语撰写的论文,其中包含“错颌畸形”和“颞下颌关节紊乱”的摘要。我们使用阅读记录程序对他们进行批判性分析,该程序将论文分类为研究类型,描述性或分析性,以及他们的方法强度。我们的两位作者校正了这个分析,我们比较了他们的结果。结果:我们检查了171篇文章中的17篇研究。17项研究中有9项是横向研究,6项是纵向研究,1项是评估病例和对照组,1项是队列研究。伦理委员会批准了其中的9项研究,其中9项是随机分配的。我们从所有17个观测者那里收集校准数据,并对数据进行统计分析。我们的结论是错牙合和TMD之间有关系,但这种关系很弱。不同的研究结果差异很大,作为一个因素的类型错牙合犯罪和类型的颞下颌紊乱报告。我们的工作表明,TMD和错牙合之间的关系无法建立,我们所回顾的研究几乎没有科学价值,主要是因为样本的异质性,以及缺乏明确的术语“错牙合”和“咀嚼系统紊乱”的定义。
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引用次数: 0
Emergency consultations for malfunctions of the masticatory apparatus 咀嚼器官故障紧急会诊
Pub Date : 2011-06-01 DOI: 10.1051/ODFEN/2011204
O. Laplanche, Pierre Pedeutour, G. Duminil, Elodie Hermann
The masticatory apparatus, which serves numerous functions in the life of humans, is constantly active and, as a result, can be the victim of a variety of malfunctions, even trauma. which occurs suddenly, often brutally enough to provoke patients to seek a consultation with a specialist in the masticatory apparatus, that is, an orthodontist. What attitude should we adopt when examining a patient with myalgia, a subluxated or ‘‘locked’’ mandible, or sudden onset of arthralgia, pain in the temperomandibular joint? Finesse in clinical diagnosis and a profound knowledge of disorders of the masticatory apparatus are essentials in dealing with emergency visits from patients who have suffered a traumatic incident. We should devise prompt, prudent, and appropriate treatment to help them.
咀嚼器官在人类的生活中起着许多作用,它经常处于活动状态,因此可能成为各种故障甚至创伤的受害者。这种情况发生得很突然,往往很残酷,以至于患者不得不去找咀嚼器官方面的专家,也就是正畸医生咨询。当检查患有肌痛、下颌骨半脱位或“锁定”或突然发作的关节痛、颞下颌关节疼痛的患者时,我们应该采取什么样的态度?临床诊断的技巧和对咀嚼器官紊乱的深刻了解是处理创伤性事件患者急诊的必要条件。我们应该制定及时、谨慎、适当的治疗方案来帮助他们。
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引用次数: 0
A new method of using cephalometric measurements in orthodontics (part 2) or how standard deviations can be the practitioner's false friends 在正畸中使用头侧测量的新方法(第2部分)或标准偏差如何成为医生的假朋友
Pub Date : 2011-03-01 DOI: 10.1051/ODFEN/2011104
R. Bonnefont, Jean-François Ernoult, O. Sorel
It is generally agreed that cephalometric analyses of the Americans Ricketts, Steiner, and Tweed are of questionable utility. The C.R.A.N.I.O.M group has formulated a new method of using cephalometric measurements that it believes will be moderately helpful to orthodontists in making their diagnoses. We analyzed 83 young adults in Class I occlusion who had had no orthodontic treatment. The most interesting new formulation of our plan was to examine the extremes of the variables that we considered in this population. These figures constituted limits that differed widely from each other: there was more than a 30 � gap between the measurement of the incisor inclined furthest buccally and the one inclined most lingually (or palatally). Accordingly, for these lower anterior teeth inclinations to Downs’s mandibular plane ranging from 78 to 114 � were acceptable. And for the maxillary incisors inclinations to the Frankfortplanevarying from97.5 to 130.1 � are consideredto be in a standard range. The need to reposition incisors in order to conform to what we can now see as an abusively rigid normal accordingly occurs much less frequently. For this reason, orthodontists will find far fewer indications for the extraction of bicuspid teeth than they would in rigidly adhering to the standards imposed by the Ricketts, Steiner, and Tweed cephalometric analyses. We believe that measurements of skeletal, osseous structures merely differentiate between various typologies and do not describe forms that constitute anomalies. The C.R.A.N.I.O.M group affirms that cephalometrics occupies a position in the array of orthodontic diagnostic tools that comes after the assessment of esthetic, periodontal status, and muscular equilibrium.
人们普遍认为,美国人里基茨、斯坦纳和特威德的头颅测量分析的实用性值得怀疑。C.R.A.N.I.O.M小组已经制定了一种使用头部测量的新方法,他们认为这种方法对正畸医生的诊断有一定的帮助。我们分析了83名没有接受过正畸治疗的I类咬合的年轻人。我们计划中最有趣的新公式是检查我们在这个群体中考虑的变量的极端情况。这些数字构成了彼此之间差异很大的限制:在最斜的切牙和最斜的切牙(或腭)之间的测量有超过30°的差距。因此,对于这些下前牙,与唐氏下颌平面的倾斜度在78 ~ 114°之间是可以接受的。上颌门牙向法兰克福平面的倾斜度在97.5°到130.1°之间,被认为是在标准范围内。需要重新定位门牙,以符合我们现在可以看到的滥用刚性正常相应发生的频率要低得多。由于这个原因,正畸医生会发现拔二尖牙的适应症比严格遵守Ricketts, Steiner和Tweed的头侧测量分析标准要少得多。我们认为,骨骼和骨骼结构的测量仅仅区分了不同的类型学,并没有描述构成异常的形式。C.R.A.N.I.O.M小组确认头测术在评估审美、牙周状态和肌肉平衡之后的正畸诊断工具中占有一席之地。
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引用次数: 0
Pierre Fauchard the “inventor” of orthodontics 皮埃尔·福沙尔,正畸学的“发明者”
Pub Date : 2011-03-01 DOI: 10.1051/ODFEN/2011103
J. Philippe
No one before Pierre Fauchard had claimed to be able to move teeth except Celsus who suggested applying finger pressure to a tooth that was erupting in the wrong direction.Fauchard advised dentists to examine a patient’s mouth and occlusion first and then, if necessary, to use one of a number of methods he proposed to “straighten” irregular teeth. The principal device was a “plate,” a small segment of thin metal attached to anchor teeth from which force could be exerted on mal-positioned teeth. He uprighted teeth leaning inward by luxation with a “pelican.”The two chapters of his book that were devoted to “straightening” teeth constitute the origin of modern orthodontics.
在皮埃尔·福沙尔之前,没有人声称能够移动牙齿,除了塞尔苏斯,他建议用手指按压一颗朝错误方向生长的牙齿。Fauchard建议牙医首先检查病人的口腔和咬合情况,然后,如果有必要,使用他提出的几种方法中的一种来“矫正”不规则的牙齿。主要装置是一个“板”,一个连接在锚牙上的一小段薄金属,可以对定位错误的牙齿施加力。他用一种“鹈鹕式”的脱位法使牙齿向内倾斜。他的书中有两章专门讨论“矫正”牙齿,构成了现代正畸学的起源。
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引用次数: 1
Orthodontics and adolescence, the keys to a successful therapeutic relationship: a discussion with Olivier REVOL 正畸和青春期,成功治疗关系的关键:与奥利维尔·雷沃尔的讨论
Pub Date : 2011-03-01 DOI: 10.1051/ODFEN/2011105
P. Amat, S. Carolus
Dr. Olivier REVOL, a pediatric psychiatrist, is the chief of the Neuropsychiatric Service at Pierre-Wertheimer Neurological Hospital of Lyon. In practice for more than twenty years, Dr. Revol has been the director of a reference center for learning disorders for the last seven years. He has written two books 14,15 and many articles devoted to precocious intelligence, hyperactivity, and problems young people have adjusting to school for national and international publications. In his service, Dr. Revol gives hope to many children and their parents every day and fights tirelessly to insure that all students, no matter what level of competence they may have, discover the pleasure of learning in school. Last June, at the invitation of the Association of the Revue d’O.D.F, Dr. Revol presented a captivating all day conference on the topic, ‘‘Adolescence, are we making it a disease?’’ whose proceedings the Revue d’ODF published in full 16 .
奥利维尔·雷沃尔博士是一名儿科精神病学家,是里昂皮埃尔-韦特海默神经医院神经精神科的主任。在二十多年的实践中,Revol博士在过去的七年里一直担任学习障碍参考中心的主任。他写了两本书,15和许多文章致力于智力早熟,多动症,以及年轻人适应学校的问题,并发表在国内和国际出版物上。在他的服务中,雷沃尔博士每天都给许多孩子和他们的父母带来希望,并不知疲倦地努力确保所有学生,无论他们的能力水平如何,都能在学校里发现学习的乐趣。去年6月,应世界戏剧协会的邀请,今天,雷沃尔博士举行了一场引人入胜的会议,主题是“青春期,我们是否把它变成了一种疾病?”,其会议记录已在《odf评论》上全文发表。
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引用次数: 0
Pierre Fauchard, his life and his work 皮埃尔·福沙尔,他的生活和他的作品
Pub Date : 2011-03-01 DOI: 10.1051/ODFEN/2011102
X. Deltombe
Pierre Fauchard (1678-1761) is known as the father of dentistry. This division of medicine participated fully in the enlightenment. After a second reading of his book, The Dental Surgeon, an examination of recent publications of 18 th century practitioners, and the discovery of new documents, we have gained a better understanding of the man, the dental surgeon, and the place of scientists in his century.
皮埃尔·福沙尔(Pierre Fauchard, 1678-1761)被称为牙科之父。这个医学分支充分参与了启蒙运动。在重读了他的著作《牙科医生》(The Dental Surgeon),查阅了18世纪牙科医生的最新出版物,并发现了新的文献之后,我们对这个人、这位牙科医生以及他那个世纪科学家的地位有了更好的了解。
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引用次数: 0
期刊
Journal of Dentofacial Anomalies and Orthodontics
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