{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:29:40Z","timestamp":1762867780868,"version":"3.38.0"},"reference-count":51,"publisher":"JLE","issue":"1","license":[{"start":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T00:00:00Z","timestamp":1555459200000},"content-version":"vor","delay-in-days":47,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"accepted":{"date-parts":[[2019,1,11]]},"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:p><jats:bold>Introduction :<\/jats:bold>Cet article pr\u00e9sente une \u00e9tude des analyses squelettiques structurales de Delaire et de Sassouni, ind\u00e9pendantes des compensations dentaires, comme prescripteurs des d\u00e9placements squelettiques en chirurgie orthognathique particuli\u00e8rement dans les chirurgies de premi\u00e8re intention (Surgery First) d\u00e9velopp\u00e9es par Sugawara.<jats:bold>M\u00e9thode :<\/jats:bold>Les analyses c\u00e9phalom\u00e9triques ont \u00e9t\u00e9 r\u00e9alis\u00e9es sur vingt cas chirurgicaux : les d\u00e9placements squelettiques induits ont \u00e9t\u00e9 compar\u00e9s pour quantifier les diff\u00e9rences d\u2019indications en fonction du type facial. Les morpho-simulations faciales obtenues avec le logiciel Dolphin 11.95 Premium \u00e0 partir des photographies et scans pr\u00e9chirurgicaux ont \u00e9t\u00e9 pr\u00e9sent\u00e9es \u00e0 deux jurys (professionnel et non professionnel) pour valider l\u2019outil Dolphin, puis comparer les analyses entre elles et \u00e0 la chirurgie r\u00e9alis\u00e9e. Cette \u00e9tude sur dix cas op\u00e9r\u00e9s dans le m\u00eame cabinet a fait l\u2019objet d\u2019une \u00e9tude statistique (laboratoire de statistique-CNRS).<jats:bold>R\u00e9sultats :<\/jats:bold>L\u2019analyse de Sassouni sugg\u00e8re beaucoup plus de d\u00e9placement vers l\u2019avant du maxillaire (ENA +5,45*) et plus de modifications verticales (Me 1,595*). Les diff\u00e9rences entre les deux analyses sont peu influenc\u00e9es par le type facial. La pr\u00e9diction Dolphin jug\u00e9e assez fiable (3,7\/6) a permis de comparer l\u2019effet esth\u00e9tique des prescriptions des analyses avec la chirurgie r\u00e9alis\u00e9e. Le test de Student appari\u00e9 n\u2019est pas significatif (taille de l\u2019\u00e9chantillon), mais l\u2019analyse par cotation montre une diff\u00e9rence plus significative (chirurgie DO (17,4), Sassouni (16,6) et Delaire (14)).<jats:bold>Conclusions :<\/jats:bold>Les analyses de Delaire et Sassouni ne donnent pas les m\u00eames indications chirurgicales : plus d\u2019avanc\u00e9e maxillaire et de modifications verticales pour Sassouni. L\u2019outil Dolphin permet une pr\u00e9diction raisonnable des effets d\u2019une chirurgie. L\u2019analyse de Sassouni donne des objectifs c\u00e9phalom\u00e9triques jug\u00e9s plus esth\u00e9tiques que ceux de Delaire (16,6\/14 soit +2,6), mais l\u2019analyse esth\u00e9tique et fonctionnelle reste essentielle.<\/jats:p>","DOI":"10.1051\/orthodfr\/2019004","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T08:24:29Z","timestamp":1555489469000},"page":"37-54","source":"Crossref","is-referenced-by-count":4,"title":["Surgery First\u00a0: d\u00e9termination des objectifs squelettiques \u00e0 partir des analyses structurales. 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