{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T05:20:12Z","timestamp":1741238412047,"version":"3.38.0"},"reference-count":38,"publisher":"JLE","issue":"2","license":[{"start":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T00:00:00Z","timestamp":1561507200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/www.edpsciences.org\/en\/authors\/copyright-and-licensing"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthod Fr"],"accepted":{"date-parts":[[2019,4,3]]},"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:p><jats:bold>Introduction\u00a0:<\/jats:bold>\u00a0La disjonction intermaxillaire (DIM) ou expansion rapide maxillaire (ERM) est couramment utilis\u00e9e par les orthodontistes pour la correction des d\u00e9ficits transversaux maxillaires chez les enfants et les adolescents pr\u00e9sentant des anomalies transversales de l\u2019occlusion dentaire et une voute palatine profonde. Cette insuffisance maxillaire transversale est souvent associ\u00e9e \u00e0 des anomalies squelettiques ant\u00e9ro-post\u00e9rieures de classe II ou de classe III, \u00e0 des anomalies verticales et \u00e0 des troubles fonctionnels, notamment de la ventilation. Elle consiste \u00e0 s\u00e9parer, en deux \u00e0 trois semaines, les deux maxillaires droit et gauche, \u00e0 l\u2019aide d\u2019un dispositif d\u2019expansion fix\u00e9 sur un appui dentaire ou osseux. Curieusement, les orthodontistes qui emploient souvent des dispositifs d\u2019expansion utilisent de fa\u00e7on tr\u00e8s in\u00e9gale cette m\u00e9thode, bien qu\u2019elle soit le seul traitement efficace de la v\u00e9ritable insuffisance transversale maxillaire (ITM). Le diagnostic clinique des ITM est difficile \u00e0 \u00e9tablir, ce qui ne permet pas de poser l\u2019indication de la DIM avec pr\u00e9cision. <jats:bold>Mat\u00e9riels et m\u00e9thodes\u00a0:<\/jats:bold>\u00a0\u00c0 partir de l\u2019observation de la s\u00e9miologique clinique et radiologique, et de traitement de tr\u00e8s nombreux patients, pendant plus de 45\u00a0ann\u00e9es, il est possible de proposer un indice de diagnostic qui pr\u00e9cise les indications de cette th\u00e9rapeutique. <jats:bold>R\u00e9sultats\u00a0:<\/jats:bold>\u00a0Cet indice de diagnostic, de maniement facile et rapide, est utilisable ais\u00e9ment en pratique quotidienne. Compos\u00e9 de quatre groupes d\u2019items, il permet de prendre en compte tous les \u00e9l\u00e9ments n\u00e9cessaires \u00e0 la pose de l\u2019indication m\u00e9dicale de la disjonction intermaxillaire. Il permet \u00e9galement d\u2019\u00e9valuer son efficacit\u00e9 en comparant les scores avant et apr\u00e8s traitement. <jats:bold>Discussion\u00a0:<\/jats:bold>\u00a0Bien que perfectible, il n\u2019existe pas actuellement d\u2019outil diagnostique comparable. Cet indice a pour objectif de pr\u00e9ciser l\u2019indication m\u00e9dicale de cette m\u00e9thode et de r\u00e9duire les disparit\u00e9s d\u2019emploi de cette th\u00e9rapeutique.<\/jats:p>","DOI":"10.1051\/orthodfr\/2019011","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T08:28:41Z","timestamp":1561537721000},"page":"127-135","source":"Crossref","is-referenced-by-count":1,"title":["Proposition d\u2019un indice d\u00e9finissant les indications m\u00e9dicales d\u2019une disjonction intermaxillaire chez\u00a0un\u00a0sujet\u00a0en p\u00e9riode de croissance"],"prefix":"10.1684","volume":"90","author":[{"given":"Jean-Michel","family":"Salagnac","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18929","published-online":{"date-parts":[[2019,6,26]]},"reference":[{"key":"R1","first-page":"541","volume":"1","author":"Angell","year":"1860","journal-title":"Dent Cosmos"},{"issue":"1","key":"R2","first-page":"1","volume":"68","author":"Ballard","year":"1948","journal-title":"Dent Rec"},{"issue":"3","key":"R3","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1051\/odf\/1984021","volume":"18","author":"Bjork","year":"1984","journal-title":"Rev Orthop Dento Faciale"},{"key":"R4","first-page":"765","volume":"45","author":"Brown","year":"1903","journal-title":"Dent Cosm"},{"key":"R5","first-page":"905","volume":"54","author":"Cauh\u00e9p\u00e9","year":"1953","journal-title":"Rev Stomatol"},{"key":"R6","unstructured":"Chaput A, Held A-J, Palfer-Sollier M. 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