EMC - Stomatologie最新文献_第2页

Ostéoradionécroses des maxillaires (maxillaire et mandibulaire) 上颌骨坏死(上颌和下颌)

EMC - Stomatologie Pub Date : 2005-12-01 DOI: 10.1016/J.EMCSTO.2005.08.001

G. Raoul, J. Maes, D. Pasquier, J. Nicola, J. Ferri

引用次数: 19

Index des mots cles 关键词索引

EMC - Stomatologie Pub Date : 2005-12-01 DOI: 10.1016/S1769-6844(05)00030-X

引用次数: 0

Stomatites bactériennes « non spécifiques » “非特异性”细菌性口腔炎

EMC - Stomatologie Pub Date : 2005-12-01 DOI: 10.1016/J.EMCSTO.2005.09.001

É. Piette, Pierre Mahy

引用次数: 1

Ostéites des os de la face 面部骨骼的骨炎

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/j.emcsto.2005.07.004

J.-M. Maes , G. Raoul , M. Omezzine , J. Ferri

{"title":"Ostéites des os de la face","authors":"J.-M. Maes , G. Raoul , M. Omezzine , J. Ferri","doi":"10.1016/j.emcsto.2005.07.004","DOIUrl":"https://doi.org/10.1016/j.emcsto.2005.07.004","url":null,"abstract":"<div><p>Various aetiologies have been identified for the inflammatory diseases of facial bones. They are often infectious (mainly dental, traumatic, tumoural, post-radiotherapy, …), but sometimes they may seem primitive (primary chronic osteomyelitis). In such cases, they occur either individually or in a context of plurifocal diseases. Recently, cases of osteomyelitis have been observed, occurring during diphosphonate-based therapies by an unknown process. The main clinical sign is pain, with frequently local swelling, trismus, halitosis and Vincent's sign in mandibular chronic features. Rigorous assessment is necessary to the diagnosis and to avoid errors of treatment. Imaging characteristic aspects (on conventional radiography, CT scanning, MRI) are osteolysis, periostal osteogenesis, sequestra, and sclerosis in primary chronic conditions. Scintigraphy may reveal the disease very early, but lacks specificity to accurately determine lesions localization. Haemogram, sedimentation rate and CRP are variable, but quite useful to assess evolution. Results of bacterial analysis are highly variable, and have to be analysed with some cautious. Diagnostic biopsy is often mandatory. Infectious spontaneous evolution may early result in local, regional, or general extension. Secondary, spontaneous fracture, delayed consolidation, or chronic evolution may occur. Finally, late in the disease, pseudarthrosis can occur, as well as neoplastic transformation, recurrence or sequelae (loss of substance, functional troubles by retraction of masticator muscles or temporo-mandibular ankylosis, aesthetic deformation with facial atrophy or hypertrophy). In infectious conditions, treatment associates antibiotherapy, which has to be used cautiously, sometimes hyperbaric oxygen therapy, and, if necessary, surgical treatment of the cause and of the infection (decortication, interruptive resection). In chronic conditions, this protocol is frequently followed by recurrences, so the use of diphosphonates as well as 14 or 15 carbon atoms macrolids is suggested. No recommendation exists yet for those osteomyelites occurring during diphosphonate therapy. Oral hygiene is the best prevention.</p></div>","PeriodicalId":100449,"journal":{"name":"EMC - Stomatologie","volume":"1 3","pages":"Pages 208-230"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcsto.2005.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72106799","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}

引用次数: 14

Médicaments psychotropes en stomatologie et en odontologie 口腔和牙科中的精神药物

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/j.emcsto.2005.07.001

D. Muster (Professeur associé, stomatologiste attaché consultant, pharmacien, docteur ès sciences physiques) , J. Valfrey (Praticien hospitalier) , H. Kuntzmann (Interne des Hôpitaux)

引用次数: 4

Médicaments psychotropes en stomatologie et en odontologie 牙科和牙科中的精神药物

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/J.EMCSTO.2005.07.001

D. Muster, J. Valfrey, H. Kuntzmann

引用次数: 4

Reconstruction chirurgicale des pertes de substance des maxillaires 上颌物质损失的外科重建

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/j.emcsto.2005.07.005

F. Boutault, J.-R. Paoli, F. Lauwers

{"title":"Reconstruction chirurgicale des pertes de substance des maxillaires","authors":"F. Boutault, J.-R. Paoli, F. Lauwers","doi":"10.1016/j.emcsto.2005.07.005","DOIUrl":"https://doi.org/10.1016/j.emcsto.2005.07.005","url":null,"abstract":"<div><p>Maxillary defects are a complex problem due to many factors such as anatomical specific aspects in the maxillary area, multiple pathological conditions, variability of the aetiologies, the very large panel of surgical techniques, and the poor knowledge on their effective functional results. Theses considerations have led to a lack of consensus. Thus, it was necessary to review a large number of published works in order to try to draw some schematic rules with the help of personal experience. Regarding well-known anatomical data, defining a new classification seems desirable, obviously taking into account those previously presented but more likely to help in the choice of the right procedure. Keeping in mind the aetiological and functional considerations, such a classification is presented, based on horizontal and vertical osseous structural columns of the face that have to be reconstructed. The various surgical techniques are presented, together with a critical and comparative analysis for each type of defect. Finally, we discuss some controversial points such as the interest of prosthetic appliances, particular considerations in carcinology and the real functional results of surgical maxillary reconstructions. All these aspects make very difficult proposing a rigid decisional tree. Obviously, this complex subject needs further studies; benefits are expected from future technical advances.</p></div>","PeriodicalId":100449,"journal":{"name":"EMC - Stomatologie","volume":"1 3","pages":"Pages 231-253"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.emcsto.2005.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72106798","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}

引用次数: 8

Ostéites des os de la face 面部骨骼的骨炎

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/J.EMCSTO.2005.07.004

J. Maes, G. Raoul, M. Omezzine, J. Ferri

引用次数: 14

Affections des lèvres 嘴唇的状况

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/J.EMCSTO.2005.07.003

É. Piette

引用次数: 2

Explorations radiologiques en odontostomatologie Dosimétrie et estimation du risque 牙科放射学检查剂量学和风险评估

EMC - Stomatologie Pub Date : 2005-09-01 DOI: 10.1016/J.EMCSTO.2005.07.002

Y. Cordoliani

引用次数: 3