{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:25:05Z","timestamp":1741238705267,"version":"3.38.0"},"reference-count":37,"publisher":"JLE","issue":"4","license":[{"start":{"date-parts":[[2016,12,12]],"date-time":"2016-12-12T00:00:00Z","timestamp":1481500800000},"content-version":"vor","delay-in-days":11,"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":[[2016,12]]},"abstract":"<jats:p><jats:bold>Introduction : <\/jats:bold>La prise de d\u00e9cisions th\u00e9rapeutiques est par essence le c\u0153ur\n          de notre activit\u00e9 et son aspect le plus m\u00e9dical. L\u2019histoire de l\u2019orthodontie est jalonn\u00e9e\n          de multiples d\u00e9bats d\u2019id\u00e9es, de confrontations entre philosophies de traitement oppos\u00e9es,\n          dont les auteurs ambitionnent, tous, l\u2019atteinte d\u2019un \u00e9quilibre, gage d\u2019un optimum\n          th\u00e9rapeutique pour leurs patients. Parmi la profusion des donn\u00e9es publi\u00e9es, quels \u00e9l\u00e9ments\n          pouvons-nous retenir pour prendre des d\u00e9cisions th\u00e9rapeutiques \u00e9quilibr\u00e9es dans notre\n          exercice quotidien, et comment pouvons-nous garder notre s\u00e9r\u00e9nit\u00e9 face \u00e0 l\u2019incertitude et\n          la solitude de la d\u00e9cision th\u00e9rapeutique ? <jats:bold>Mat\u00e9riels et m\u00e9thodes :\n          <\/jats:bold>L\u2019orthodontie fond\u00e9e sur les faits est une d\u00e9marche d\u2019aide \u00e0 la prise de d\u00e9cisions\n          cliniques. Ses principaux \u00e9l\u00e9ments sont d\u00e9crits en prenant pour exemple le traitement des\n          malocclusions de classe II chez l\u2019enfant et l\u2019adolescent, et sont illustr\u00e9s de quatre cas\n          cliniques. <jats:bold>R\u00e9sultats : <\/jats:bold>La recherche des meilleures donn\u00e9es pr\u00e9-\u00e9valu\u00e9es sur\n          les traitements en deux phases montre que : (1) une diminution significative de la\n          pr\u00e9valence des traumatismes incisifs est observ\u00e9e lorsqu\u2019un surplomb incisif augment\u00e9 est\n          corrig\u00e9 par une premi\u00e8re phase de traitement chez l\u2019enfant, comparativement \u00e0 un\n          traitement men\u00e9 en une seule phase au d\u00e9but de l\u2019adolescence; (2) les effets \u00e0 long terme\n          d\u2019une premi\u00e8re phase de traitement sur la quantit\u00e9 de croissance mandibulaire sont, au\n          mieux, faibles et cliniquement non significatifs. <jats:bold>Discussion : <\/jats:bold>L\u2019approche\n          fond\u00e9e sur les faits, particuli\u00e8rement lorsqu\u2019elle est pratiqu\u00e9e en mode\n            <jats:italic>usager<\/jats:italic>, nous aide \u00e0 prendre des d\u00e9cisions cliniques plus \u00e9quilibr\u00e9es.\n          Pour autant, l\u2019article souligne le r\u00f4le d\u00e9terminant du clinicien et le double risque d\u2019une\n          r\u00e9duction de la d\u00e9marche factuelle \u00e0 un simple standard de soins, ce qu\u2019elle n\u2019est pas, et\n          \u00e0 l\u2019assujettissement de la prise en charge des actes de soins \u00e0 une stricte application\n          clinique des donn\u00e9es de la litt\u00e9rature. <\/jats:p>","DOI":"10.1051\/orthodfr\/2016042","type":"journal-article","created":{"date-parts":[[2016,12,12]],"date-time":"2016-12-12T07:36:46Z","timestamp":1481528206000},"page":"375-392","source":"Crossref","is-referenced-by-count":1,"title":["\u00c0 la recherche d\u2019un \u00e9quilibre dans les d\u00e9cisions\n          th\u00e9rapeutiques. L\u2019exemple du traitement des malocclusions de classe II chez l\u2019enfant et\n          l\u2019adolescent"],"prefix":"10.1684","volume":"87","author":[{"given":"Philippe","family":"Amat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18929","published-online":{"date-parts":[[2016,12,12]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1051\/odf\/2006026","volume":"40","author":"Amat","year":"2006","journal-title":"Rev Orthop Dento Faciale"},{"key":"R2","first-page":"45","volume":"19","author":"Amat","year":"2011","journal-title":"L\u2019Orthodontie Bioprogressive"},{"key":"R3","unstructured":"Amat P. Dentisterie fond\u00e9e sur les faits : en omnipratique et en orthodontie. Paris : \u00c9ditions CdP, 2012."},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Amat P. 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