{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:17:10Z","timestamp":1762507030444,"version":"3.38.0"},"reference-count":32,"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 :<\/jats:bold>Le dilemme de traiter avec ou sans extraction est l\u2019un des d\u00e9bats des plus classiques de l\u2019histoire de l\u2019orthodontie [2, 19, 30]. Parfois, le choix est ais\u00e9. Mais, dans certains cas, les avis des cliniciens peuvent facilement diverger. Pour une situation clinique donn\u00e9e, plusieurs auteurs peuvent proposer des protocoles d\u00e9cisionnels diff\u00e9rents pour analyser les param\u00e8tres de choix en faveur d\u2019un traitement avec extraction ou sans extraction dans une situation clinique donn\u00e9e. Ces vingt-cinq derni\u00e8res ann\u00e9es, le d\u00e9bat s\u2019est recentr\u00e9 sur des tendances non extractionnistes bas\u00e9es sur de nouvelles philosophies et m\u00e9caniques. Dans ce contexte, il nous semble pertinent de confronter les anciens protocoles d\u00e9cisionnels aux nouveaux pour rechercher un consensus.<jats:bold>Mat\u00e9riel et m\u00e9thodes :<\/jats:bold>La d\u00e9cision d\u2019extraire varie naturellement en fonction de l\u2019occlusion du patient, qu\u2019il soit en classe I, en classe II ou en classe III. Dans des cas de classe II ou de classe III, les extractions peuvent \u00eatre indiqu\u00e9es pour corriger la classe II canine, le surplomb, l\u2019inversion d\u2019articul\u00e9 ant\u00e9rieure, ind\u00e9pendamment d\u2019autres facteurs. Nous pr\u00e9sentons dans cet article le cas d\u2019une patiente en classe I dont le plan de traitement pr\u00eate vraiment \u00e0 discussion car les param\u00e8tres tels que l\u2019encombrement, la typologie craniofaciale, l\u2019esth\u00e9tique du visage, l\u2019occlusion et le type parodontal doivent tous \u00eatre mis en \u00e9quation pour pouvoir faire un choix.<jats:bold>R\u00e9sultats :<\/jats:bold>Les diff\u00e9rentes options de traitement, leurs avantages et leurs inconv\u00e9nients sont analys\u00e9s. Les r\u00e9sultats de l\u2019option th\u00e9rapeutique choisie sont d\u00e9crits et discut\u00e9s. Cependant, les cas limites sont sujets \u00e0 r\u00e9flexion; sans doute diff\u00e9rentes propositions ou strat\u00e9gies th\u00e9rapeutiques sont envisageables. La discussion reste ouverte. Ne vous privez pas d\u2019y apporter votre contribution.<\/jats:p>","DOI":"10.1051\/orthodfr\/2016053","type":"journal-article","created":{"date-parts":[[2017,2,23]],"date-time":"2017-02-23T07:39:53Z","timestamp":1487835593000},"page":"3-13","source":"Crossref","is-referenced-by-count":1,"title":["Dilemme \u00ab\u00a0traiter avec ou sans extraction\u00a0\u00bb\u00a0: discussion \u00e0 propos d\u2019un cas limite"],"prefix":"10.1684","volume":"88","author":[{"given":"Jos\u00e9","family":"Chaqu\u00e9s-Asensi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18929","published-online":{"date-parts":[[2017,2,23]]},"reference":[{"key":"R1","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.ajodo.2009.05.036","volume":"139","author":"Akyal\u00e7in","year":"2011","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R2","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/0002-9416(86)90086-2","volume":"89","author":"Alexander","year":"1986","journal-title":"Am J Orthod"},{"key":"R3","doi-asserted-by":"crossref","first-page":"413","DOI":"10.14219\/jada.archive.2008.0184","volume":"139","author":"Bollen","year":"2008","journal-title":"J Am Dent Assoc"},{"key":"R4","first-page":"3","volume":"70","author":"Bowman","year":"2000","journal-title":"Angle Orthod"},{"key":"R5","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.ajodo.2007.11.016","volume":"133","author":"Burrow","year":"2008","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R6","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1053\/j.sodo.2012.04.005","volume":"18","author":"Burrow","year":"2012","journal-title":"Semin Orthod"},{"key":"R7","unstructured":"Damon DH. 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