{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:30:18Z","timestamp":1761060618342,"version":"3.38.0"},"reference-count":28,"publisher":"JLE","issue":"2","license":[{"start":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T00:00:00Z","timestamp":1532390400000},"content-version":"vor","delay-in-days":53,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"accepted":{"date-parts":[[2017,12,12]]},"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p><jats:bold>Introduction :<\/jats:bold>Un certain nombre de patients adultes pr\u00e9sentant des dysmorphoses squelettiques refusent la chirurgie.<jats:bold>Objectif :<\/jats:bold>L\u2019objectif de cet article est d\u2019\u00e9valuer la r\u00e9action de la mandibule \u00e0 la simulation d\u2019une correction squelettique chez ces patients.<jats:bold>Mat\u00e9riels et m\u00e9thodes :<\/jats:bold>Le repositionnement mandibulaire est propos\u00e9 comme alternative non invasive \u00e0 la chirurgie \u00e0 32 patients cons\u00e9cutifs, indemnes de dysfonctions temporo-mandibulaires (DTM). Ils ont \u00e9t\u00e9 inform\u00e9s que cette approche \u00e9tait bas\u00e9e sur les r\u00e9sultats issus de rapports de cas. Avant d\u2019initier tout traitement, des renseignements cliniques, ainsi que des radiographies c\u00e9phaliques, des moulages et des photographies ont \u00e9t\u00e9 prises (T<jats:sub>0<\/jats:sub>). La mandibule est ensuite repositionn\u00e9e par le biais de calages r\u00e9alis\u00e9s avec du Triad<jats:sup>\u00ae<\/jats:sup>Gel, de sorte \u00e0 camoufler les anomalies squelettiques.<jats:bold>R\u00e9sultats :<\/jats:bold>Trois mois plus tard, 23 patients se sont adapt\u00e9s \u00e0 la nouvelle occlusion, objectiv\u00e9e par l\u2019absence de probl\u00e8mes fonctionnels et l\u2019int\u00e9grit\u00e9 des cales. Chez ces patients, la nouvelle posture mandibulaire est maintenue gr\u00e2ce \u00e0 un traitement orthodontique permettant d\u2019ajuster l\u2019occlusion \u00e0 la position obtenue gr\u00e2ce au calage (T<jats:sub>1<\/jats:sub>). Les modifications squelettiques et intra-articulaires cons\u00e9cutives au repositionnement sont \u00e9valu\u00e9es apr\u00e8s un suivi de deux ans (T<jats:sub>2<\/jats:sub>), respectivement sur des t\u00e9l\u00e9radiographies (sagittales et frontales) et sur des images reconstruites \u00e0 partir de tomographie volumique \u00e0 faisceau conique (TVFC) ou \u00ab cone beam \u00bb. Aucune modification significative allant dans le sens d\u2019une r\u00e9cidive ou dans le sens d\u2019une normalisation plus importante de la position des condyles n\u2019est not\u00e9e durant ces deux ans d\u2019observation.<jats:bold>Conclusions :<\/jats:bold>Le repositionnement est une intervention non invasive qui peut \u00eatre consid\u00e9r\u00e9 comme une alternative valide \u00e0 la chirurgie chez certains patients. Les variables morphologiques enregistr\u00e9es sur les radiographies prises \u00e0 T0 et les r\u00e9sultats de l\u2019\u00e9valuation clinique initiale de dysfonctions n\u2019ont procur\u00e9 que des indices vagues et n\u00e9gligeables de la pr\u00e9dictibilit\u00e9 de l\u2019adaptation au repositionnement.<\/jats:p>","DOI":"10.1051\/orthodfr\/2018013","type":"journal-article","created":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T11:45:51Z","timestamp":1532432751000},"page":"123-135","source":"Crossref","is-referenced-by-count":3,"title":["Le repositionnement mandibulaire : une alternative \u00e0 la chirurgie chez des patients adultes ? 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