{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:21:25Z","timestamp":1741238485039,"version":"3.38.0"},"reference-count":38,"publisher":"JLE","issue":"2","license":[{"start":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T00:00:00Z","timestamp":1402876800000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"accepted":{"date-parts":[[2013,2,14]]},"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:p><jats:bold>Objectif<\/jats:bold> \u2013 \u00c9valuer et comparer les effets dento-squelettiques associ\u00e9s \u00e0\n          l\u2019expansion maxillaire rapide assist\u00e9e chirurgicalement (<jats:italic>surgically assisted rapid\n            maxillary expansion <\/jats:italic>ou SARME) r\u00e9alis\u00e9e avec (+) et sans (\u2013) disjonction\n          pt\u00e9rygo-maxillaire (<jats:italic>pterygomaxillary disjunction <\/jats:italic>ou PD), en utilisant la\n          tomographie volumique \u00e0 faisceau conique (<jats:italic>cone beam computed tomography\n          <\/jats:italic>ou CBCT). <jats:bold>Mat\u00e9riels et m\u00e9thodes <\/jats:bold>\u2013 \u00c9tude r\u00e9trospective sur neuf\n          patients (1 homme, 8 femmes, \u00e2ge moyen de 18,9 ans) ayant b\u00e9n\u00e9fici\u00e9 de SARME et r\u00e9partis\n          en deux groupes. Dans le groupe (\u2013PD), la technique chirurgicale suivie impliquait une\n          ost\u00e9otomie bilat\u00e9rale de type Lefort I ainsi qu\u2019une ost\u00e9otomie m\u00e9diane. Dans le groupe\n            (+PD), le m\u00eame protocole a\n          \u00e9t\u00e9 suivi et une disjonction pt\u00e9rygo\u00efdienne a \u00e9t\u00e9 r\u00e9alis\u00e9e en plus. Des images CBCT\n          tridimensionnelles ont \u00e9t\u00e9 obtenues en pr\u00e9-op\u00e9ratoire et apr\u00e8s 3\u20136 mois de contention. Un disjoncteur avec\n          r\u00e9sine de type Hyrax coll\u00e9 a \u00e9t\u00e9 employ\u00e9. Le logiciel MIMICS 14.0 (Materialise Europe,\n          Belgique) a \u00e9t\u00e9 utilis\u00e9 pour \u00e9valuer l\u2019expansion transversale aux niveaux squelettique,\n          dento-alv\u00e9olaire et dentaire. De plus, les inclinaisons dentaires, la flexion alv\u00e9olaire\n          et le sch\u00e9ma d\u2019expansion sagittale ont \u00e9t\u00e9 \u00e9valu\u00e9s. Le test de Wilcoxon et le test\n            <jats:italic>U<\/jats:italic> de Mann et Whitney ont \u00e9t\u00e9\n          utilis\u00e9s pour les comparaisons. <jats:bold>R\u00e9sultats et discussion <\/jats:bold>\u2013 Aux niveaux\n          dentaire et dento-alv\u00e9olaire, toutes les mesures lin\u00e9aires transversales ont montr\u00e9 une\n          augmentation statistiquement significative (<jats:italic>P<\/jats:italic> &lt; 0,05) dans les deux groupes trait\u00e9s. Au\n          niveau squelettique, aucune diff\u00e9rence statistiquement significative n\u2019a \u00e9t\u00e9 trouv\u00e9e entre\n          les deux groupes ou au sein des groupes (hormis l\u2019expansion ant\u00e9rieure du maxillaire entre\n          les rebords bilat\u00e9raux de l\u2019orifice piriforme). Dans le groupe (\u2013PD), une version\n          vestibulaire significative de la premi\u00e8re pr\u00e9molaire a \u00e9t\u00e9 observ\u00e9e, de m\u00eame qu\u2019une\n          augmentation de la flexion vestibulaire de la cr\u00eate alv\u00e9olaire. <jats:bold>Conclusion <\/jats:bold>\u2013\n          Cette \u00e9tude confirme que la SARME est un traitement efficace de l\u2019insuffisance maxillaire\n          transversale. Le CBCT est un outil appropri\u00e9 pour \u00e9valuer les effets dento-squelettiques\n          du traitement. <\/jats:p>","DOI":"10.1051\/orthodfr\/2014005","type":"journal-article","created":{"date-parts":[[2014,6,13]],"date-time":"2014-06-13T10:10:53Z","timestamp":1402654253000},"page":"175-187","source":"Crossref","is-referenced-by-count":2,"title":["Expansion maxillaire rapide assist\u00e9e chirurgicalement.\n          \u00c9valuation de diff\u00e9rentes techniques chirurgicales et de leur effet sur le complexe\n          dento-squelettique maxillaire par tomographie volumique \u00e0 faisceau conique (CBCT). Rapport\n          pr\u00e9liminaire"],"prefix":"10.1684","volume":"85","author":[{"given":"Antonios","family":"Sygouros","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melih","family":"Motro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faysal","family":"Ugurlu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahu","family":"Acar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18929","published-online":{"date-parts":[[2014,6,16]]},"reference":[{"key":"R1","first-page":"245","volume":"57","author":"Alpern","year":"1987","journal-title":"Angle Orthod"},{"key":"R2","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/S0278-2391(97)90588-7","volume":"55","author":"Bailey","year":"1997","journal-title":"J Oral Maxillofac Surg"},{"key":"R3","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/0278-2391(92)90352-Z","volume":"50","author":"Bays","year":"1992","journal-title":"J Oral Maxillofac Surg"},{"key":"R4","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.joms.2003.08.018","volume":"62","author":"Betts","year":"2004","journal-title":"J Oral Maxillofac Surg"},{"key":"R5","first-page":"75","volume":"10","author":"Betts","year":"1995","journal-title":"Int J Adult Orthodon Orthognath Surg"},{"key":"R6","unstructured":"Betts NJ, Ziccardi VB. 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