{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:25:06Z","timestamp":1741238706592,"version":"3.38.0"},"reference-count":26,"publisher":"JLE","issue":"1","license":[{"start":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T00:00:00Z","timestamp":1487808000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:p><jats:bold>Introduction\u00a0: <\/jats:bold>La dysharmonie dents-arcades autrefois appel\u00e9e \u00ab\u00a0dysharmonie dento-maxillaire\u00a0\u00bb ou \u00ab\u00a0macrodontie\/microdontie relative\u00a0\u00bb correspond \u00e0 une disproportion de volume entre les dents et les bases osseuses. En pr\u00e9sence d\u2019un volume dentaire trop important par rapport \u00e0 la longueur d\u2019arcade, un traitement avec extraction peut \u00eatre propos\u00e9. Les techniques de \u00ab\u00a0distraction osseuse\u00a0\u00bb mises au point par Ilizarov dans les ann\u00e9es 1950 permettent actuellement d\u2019augmenter la longueur d\u2019arcade au maxillaire et \u00e0 la mandibule. <jats:bold>Mat\u00e9riels et m\u00e9thodes\u00a0: <\/jats:bold>Les auteurs d\u00e9criront la mise en \u0153uvre orthodontico-chirurgicale de cette augmentation de longueur d\u2019arcade depuis l\u2019\u00e9tablissement du plan th\u00e9rapeutique jusqu\u2019\u00e0 l\u2019obtention d\u2019une longueur d\u2019arcade suffisante ainsi que l\u2019int\u00e9r\u00eat th\u00e9rapeutique devant l\u2019encombrement dentaire, la vestibuloversion et les troubles des fonctions orofaciales. <jats:bold>Discussion\u00a0: <\/jats:bold>La distraction est un moyen th\u00e9rapeutique int\u00e9ressant \u00e0 envisager dans la prise en charge de la dysharmonie dents-arcades, qui permet de gagner la longueur d\u2019arcade n\u00e9cessaire \u00e0 l\u2019objectif th\u00e9rapeutique fix\u00e9. 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