{"title":"French consensus on the care pathway for children with suspected or diagnosed type 1 obstructive sleep disorder","authors":"Guillaume Aubertin","doi":"10.1684/orthodfr.2024.161","DOIUrl":"10.1684/orthodfr.2024.161","url":null,"abstract":"<p><strong>Introduction: </strong>Obstructive sleep-disordered breathing (OSDB) is the consequence of an anatomical and/or functional reduction in upper airway size during sleep. Young patients can also be affected. TROS type 1 (TROS1 ) is most often found in young, non-obese children with no associated comorbidities, presenting with an otorhinolaryngological (ENT) obstacle, generally an enlargement of lymphoid tissue (tonsils and/or adenoids).</p><p><strong>Objective: </strong>The aim of this article was to outline the consensus.</p><p><strong>Materiel and methods: </strong>A collaborative work, realized on the request of the French Society of Sleep Research and Medicine, to provide recommendations for the management of obstructive sleep apnea syndrome type 1 (OSA1 ) in children was published in 2023. This work brought together various experts in pediatric sleep disorders breathings (SDB). A sleep study for OSA1 is not mandatory when at least two nighttime symptoms are noted. A specialist otolaryngologist examination, including nasofibroscopy, is essential during diagnosis.</p><p><strong>Discussion: </strong>The ENT specialist is the mainstay of initial care, but works as part of a multidisciplinary team that includes pediatricians, general practitioners, orthodontists and linguo-oro-maxillo-facial rehabilitation specialists.</p><p><strong>Conclusion: </strong>Whatever the treatment, follow-up must be continuous and multidisciplinary; it is essential to ensure the effectiveness of the treatments implemented, the absence of SDB recurrence and the recovery of nasal breathing.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 3","pages":"249-260"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670211","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}
Carine Gebrael, Rania Nassar, Rami Abou Jaoudé, Elie Khoury, Adib Kassis, Joseph Ghoubril
{"title":"Is Copper Ni-Ti more effective than conventional Ni-Ti in terms of rapid tooth alignment and mandibular arch expansion? A double-blind randomized clinical trial","authors":"Carine Gebrael, Rania Nassar, Rami Abou Jaoudé, Elie Khoury, Adib Kassis, Joseph Ghoubril","doi":"10.1684/orthodfr.2024.162","DOIUrl":"10.1684/orthodfr.2024.162","url":null,"abstract":"<p><strong>Introduction: </strong>In the first phase of orthodontic treatment, initial archwires are used to resolve crowding and correct rotations. Light, continuous forces are required to achieve optimal tooth movement. Nickel-titanium (Ni-Ti) archwires are commonly used as initial archwires due to their unique properties.</p><p><strong>Objective: </strong>The objective of this study was to compare the Copper Ni-Ti 35°C and the conventional Ni-Ti in dental alignment and maintaining the mandibular arch form.</p><p><strong>Material and methods: </strong>A double-blind randomized controlled trial was conducted on adult patients, recruited from the orthodontic department of Saint Joseph University of Beirut and a private orthodontic practice in Beirut. They were randomly allocated into two groups: Copper Ni-Ti 35°C group and conventional Ni-Ti group, where they received both 0.016 inch and 0.018 inch archwires. Out of three available arch forms, each patient received the most suited archwire to their mandibular arch. Digital impressions were taken every three weeks and analyzed on Orthoanalyzer™. The Little Irregurality Index, space analysis and intercanine, interpremolar, intermolar distances were measured. Repeated measures analysis of variance ANOVA was used followed by Bonferroni multiple comparisons tests.</p><p><strong>Results: </strong>Forty patients were randomized in a 1:1 ratio to either Copper Ni-Ti 35°C or Ni-Ti group. No significant difference between the Copper Ni-Ti 35°C and the conventional Ni-Ti was noted in the resolution of dental crowding (p > 0.05). No significant difference in the dimensions of the mandibular arch was found within and between the two groups (p > 0.05).</p><p><strong>Conclusion: </strong>Copper Ni-Ti 35°C doesn't differ from the conventional Ni-Ti regarding the alignment rate and maintaining the mandibular arch form.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 3","pages":"237-247"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670212","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}
L' Orthodontie francaisePub Date : 2024-11-19Epub Date: 2024-07-23DOI: 10.1684/orthodfr.2024.154
Arabelle Vanderzwalm-Gouvernaire
{"title":"The traumatized immature permanent incisor with pulpal involvement: what conservative treatment options?","authors":"Arabelle Vanderzwalm-Gouvernaire","doi":"10.1684/orthodfr.2024.154","DOIUrl":"10.1684/orthodfr.2024.154","url":null,"abstract":"<p><strong>Introduction: </strong>Traumatology is the second most common dental pathology, after caries and before periodontal pathologies. It is currently accepted that one child in two suffers an alveolar-dental trauma before leaving school, with a peak incidence between the ages of 8 and 12, all types of trauma combined. The maxillary central incisors are most affected (79.6%), with mainly \"simple\" or \"complex\" coronal fractures when the pulp is involved. The main objective in managing these complex fractures is to preserve pulpal vitality within an acceptable timeframe.</p><p><strong>Material and method: </strong>The author presents three pulp vitality preservation therapies involving tissue preservation and regeneration techniques using bioactive materials applied directly to the pulp. Materials and clinical protocols are described.</p><p><strong>Conclusion: </strong>Knowledge of pulp biology and healing processes has led to the development of vitality-preserving therapeutic strategies that have become essential in the management of traumatized teeth in children and adolescents. The regenerative potential of immature tooth pulp is considerable, enabling dentine repair through the use of bioactive materials. These therapies require a rigorous surgical approach that determines prognosis, and precise monitoring to ensure that any complications are intercepted.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 4","pages":"299-303"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750166","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}
Clarisse Bardin, Julien Strippoli, Sarah Gebeile-Chauty
{"title":"Class II interceptive treatment: what are the morphological characteristics of therapeutic success?","authors":"Clarisse Bardin, Julien Strippoli, Sarah Gebeile-Chauty","doi":"10.1684/orthodfr.2024.155","DOIUrl":"10.1684/orthodfr.2024.155","url":null,"abstract":"<p><strong>Introduction: </strong>Cooperation and choice of device are not sufficient to predict the success of interceptive treatment in Class II, 1. The aim of this study was to identify specific factors of patient morphology that predict success.</p><p><strong>Material and methods: </strong>A retrospective, prognostic, comparative, monocentric, intention-to-treat study was carried out. The criterion for therapeutic success was normalization of the ANB. The success and failure groups were statistically compared with an alpha risk of 5%.</p><p><strong>Results: </strong>95 patients who underwent interceptive treatment close to their growth peak were included. The probability of successful treatment was a decreasing function of FMA, SNA, ANB and IMPA and an increasing function of SNB, ramus height and mandibular length. The proposed logistic equation offers a sensitivity of 82% and a specificity of 87%.</p><p><strong>Discussion: </strong>Hyperdivergence below surgical values is not a factor in mandibular response failure. Hypodivergence is a factor in success. A stocky mandible (large ascending ramus, large horizontal ramus) responds well. Rather than ramus height, mandibular length is decisive: the greater the retromandibular height, the greater the chances of success. Pre-existing mandibular incisor vestibuloversion is a factor in failure.</p><p><strong>Conclusion: </strong>The accumulation of negative predictive factors may point towards an alternative therapeutic solution or prompt the patient and family to be informed of the difficulties inherent in the treatment.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 3","pages":"281-297"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670210","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}
Nathan Wybier, Alexandre Hutin, Fabien Subtil, Sarah Gebeile-Chauty
{"title":"Patients with low socio-economic status: is orthodontic treatment more complex?","authors":"Nathan Wybier, Alexandre Hutin, Fabien Subtil, Sarah Gebeile-Chauty","doi":"10.1684/orthodfr.2024.163","DOIUrl":"10.1684/orthodfr.2024.163","url":null,"abstract":"<p><strong>Introduction: </strong>Patients from low socioeconomic backgrounds are empirically considered more difficult to treat. The objectives were to evaluate low socioeconomic status of patients as a factor associated with increased treatment need and the correlation between socioeconomic status and dysmorphosis on one hand, and cooperation level on the other.</p><p><strong>Material and methods: </strong>This was a retrospective comparative monocentric observational cohort study. Included subjects were under 16 years old at the time of orthodontic braces placement and were beneficiaries of the complémentaire santé solidaire (C2S) or not (non-C2S). Evaluated criteria included treatment need (IOTN-DHC), antero-posterior and vertical dysmorphosis (FMA, ANB, IMPA, I/F), and compliance. Fisher and Wilcoxon tests were performed. A 5% threshold was retained.</p><p><strong>Results: </strong>Overall, 173 patients were included and divided into two groups: C2S/non-C2S. Neither treatment need nor skeletal and alveolar-dental dysmorphosis are correlated with socioeconomic status. Cooperation is correlated with low socioeconomic status across all evaluated criteria: three times more bracket debondings, three times more remarks about failure to wear elastics, 1.25 times more missed appointments, ten times more treatment abandonments.</p><p><strong>Conclusion: </strong>It may not be dysmorphosis that makes orthodontic treatment of low socioeconomic status patients more difficult, but rather a lack of cooperation. This calls for clinical and policy interventions to increase patient involvement in treatment. Randomized trials are needed to corroborate the results.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 3","pages":"305-319"},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670214","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":"Scientific rationale for Clinical Practice Guidelines (part 2): what is the effectiveness of retention devices?","authors":"Alexandre Rolland, Sarah Gebeile-Chauty","doi":"10.1684/orthodfr.2024.143","DOIUrl":"10.1684/orthodfr.2024.143","url":null,"abstract":"<p><strong>Introduction: </strong>Retention is the set of means, processes or devices that contribute to maintaining the teeth in the position and the arches in the shape given by the orthodontic treatment. The main objective is to propose Clinical Practice Guidelines (CPG) on orthodontic retention by answering four main questions. This article provides the first part of the answer to the second question: How effective are the retention devices?</p><p><strong>Materials and methods: </strong>A literature review was carried out after a bibliographic search using keywords in bibliographic databases and in international organizations websites.</p><p><strong>Results: </strong>652 articles were selected after the bibliographic search, and only 53 met the inclusion criteria. These were used to develop the CPG full-text and guidelines.</p><p><strong>Discussion: </strong>Ten CPGs were issued from this review, divided into 12 items, 10 of which are grade C and 2 are expert agreements.</p><p><strong>Conclusion: </strong>Forty CPGs about orthodontic retention were proposed from this literature review, 10 of which are presented in this second part. In the mandible, fixed retention provides better stability than removable retention and 6-tooth retention is more effective in maintaining incisal alignment. Fixed and removable retention are equivalent in maintaining extraction spaces and arch length. Removable retention allows for minimal tooth movement and establishment of occlusal contacts.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"14 3","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335974","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":"Scientific rationale for Clinical Practice Guidelines (part 1): what are the factors that determine the choice of retention?","authors":"Alexandre Rolland, Sarah Gebeile-Chauty","doi":"10.1684/orthodfr.2024.142","DOIUrl":"10.1684/orthodfr.2024.142","url":null,"abstract":"<p><strong>Introduction: </strong>Retention is the set of means, processes or devices that contribute to maintaining the teeth in the position and the arches in the shape given by the orthodontic treatment. The main objective is to propose Clinical Practice Guidelines (CPG) on orthodontic retention by answering 4 main questions. This article provides the answer to the first question: What are the factors that determine whether or not to use a retainer?</p><p><strong>Material and methods: </strong>A literature review was carried out after a bibliographic search using keywords in bibliographic databases and in international organizations websites.</p><p><strong>Results: </strong>652 articles were selected after the bibliographic search, and only 53 met the inclusion criteria. These were used to develop the CPG full-text and guidelines.</p><p><strong>Discussion: </strong>12 CPGs were issued from this review, divided into 15 items, 8 of which were grade C and 7 were expert agreements.</p><p><strong>Conclusion: </strong>40 CPGs about orthodontic retention were proposed from this literature review, 12 of which are presented in this first part. The stability of orthodontic treatment depends on the initial orthodontic anomalies, residual growth, orthodontic treatment modalities, and the final occlusion. Orthodontists must consider the effectiveness of the appliances, the patients' compliance and oral hygiene. The amount of alveolar bone, the neuromuscular and functional balance are relapse factors.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"14 2","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335973","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}
L' Orthodontie francaisePub Date : 2024-09-01Epub Date: 2025-06-20DOI: 10.1684/orthodfr.2024.155
Clarisse Bardin, Julien Strippoli, Sarah Gebeile-Chauty
{"title":"Interceptive treatment of Class II malocclusion: What are the morphological characteristics of therapeutic success?","authors":"Clarisse Bardin, Julien Strippoli, Sarah Gebeile-Chauty","doi":"10.1684/orthodfr.2024.155","DOIUrl":"10.1684/orthodfr.2024.155","url":null,"abstract":"<p><strong>Introduction: </strong>Cooperation and choice of device are not sufficient to predict the success of interceptive treatment in Class II, 1. The aim of this study was to identify specific factors of patient morphology that predict success.</p><p><strong>Material and method: </strong>A retrospective, prognostic, comparative, monocentric, intention-to-treat study was carried out. The criterion for therapeutic success was normalization of the ANB. The success and failure groups were statistically compared with an alpha risk of 5%.</p><p><strong>Results: </strong>95 patients who underwent interceptive treatment close to their growth peak were included. The probability of successful treatment was a decreasing function of FMA, SNA, ANB and IMPA and an increasing function of SNB, ramus height and mandibular length. The proposed logistic equation offers a sensitivity of 82% and a specificity of 87%.</p><p><strong>Discussion: </strong>Hyperdivergence below surgical values is not a factor in mandibular response failure. Hypodivergence is a factor in success. A stocky mandible (large ascending ramus, large horizontal ramus) responds well. Rather than ramus height, mandibular length is decisive: the greater the retromandibular height, the greater the chances of success. Pre-existing mandibular incisor vestibuloversion is a factor in failure.</p><p><strong>Conclusion: </strong>The accumulation of negative predictive factors may point towards an alternative therapeutic solution or prompt the patient and family to be informed of the difficulties inherent in the treatment.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"96 -","pages":"281-297"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328352","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}
Clarisse Bardin, Julien Strippoli, Denis Straub, Sarah Gebeile-Chauty
{"title":"In-office distalizer as Motion Carriere versus Herbst appliance: a comparative study by superimpositions on 156 cases","authors":"Clarisse Bardin, Julien Strippoli, Denis Straub, Sarah Gebeile-Chauty","doi":"10.1684/orthodfr.2024.157","DOIUrl":"https://doi.org/10.1684/orthodfr.2024.157","url":null,"abstract":"<p><strong>Introduction: </strong>Among the class II dental supported therapeutic devices, the Carriere Motion Appliance (Henri Schein) was introduced in 2004 followed by in-office adjustments. The objective of this study was to evaluate, by superimpositions, the dento-skeletal effects of the in-office distalizer (D) close to the Carriere Motion Appliance compared to the reference treatment: the Herbst appliance (B).</p><p><strong>Material and method: </strong>A retrospective intention-to-treat study was conducted. Patients had to be in class II, 1 bilateral, have growth potential, two successive lateral cephalograms. The criteria evaluated were cephalometric, mainly from the Pancherz analysis. Statistical tests were performed with a threshold of 5%.</p><p><strong>Results: </strong>Overall, 116 patients treated with D and multi-attachment appliance (MA) and 40 patients treated with B and MA were included. D and B slow maxillary advance, stimulate mandibular advance and correct the skeletal Class II. They normalize the molar class by distalizing the maxillary arch (palato-position of the maxillary incisors, retreat of the maxillary first molar) and by mesializing the mandibular arch (vestibulo-position and vestibulo-version of the mandibular incisors by 5 to 6°, advance of the mandibular first molar). They provide good control of facial divergence, but with a clockwise tilt of the occlusal plane.</p><p><strong>Discussion: </strong>Randomized trials are needed to confirm our results.</p><p><strong>Conclusion: </strong>With similar adverse effects, the in-office distalizer may be an interesting alternative because of its smaller volume, comfort and easy manufacture.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 2","pages":"205-229"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899337","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":"Aligners: review of their chemical components, recycling, mechanical properties and therapeutic needs - Part 1","authors":"Guillaume Lecocq","doi":"10.1684/orthodfr.2024.151","DOIUrl":"https://doi.org/10.1684/orthodfr.2024.151","url":null,"abstract":"<p><strong>Introduction: </strong>The aligner is a thermoformed plastic device composed of various chemical components: polyurethane, polyethylene terephthalate glycol, polypropylene… All these plastics must be sufficiently resistant to abrasion and translucent for aesthetic purposes, but their solubility to salivary enzymes, insertion-disinsertion fatigue and recyclability vary according to material. From an orthodontic point of view, they must facilitate tooth movement. However, their behavior differs from that of orthodontic archwires: their Young's modulus, resilience and unloading curve are distinct, resulting in mechanical properties that fall significantly below the orthodontic requirements of multi-bracket systems.</p><p><strong>Objective: </strong>The aim of this article was to review the chemical composition, recycling and mechanical properties of aligners, and to put them into perspective with therapeutic indications.</p><p><strong>Materials and methods: </strong>Literature data were approximated to orthodontic needs.</p><p><strong>Results: </strong>Neither plastic nor direct printing can match the mechanical properties of our archwires or the procedures of a reliable vestibular multi-attachment appliance.</p><p><strong>Discussion: </strong>Aligners remain an interesting tool in targeted indications.</p>","PeriodicalId":101415,"journal":{"name":"L' Orthodontie francaise","volume":"95 2","pages":"169-175"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141899332","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}