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Tropical Dental Journal - 1st Pan African international dental journal


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Published in French in Tropical Dental Journal Volume 33 - September 2010 pages 35-48

Béance antérieure et attitude thérapeutiqueBéance antérieure et attitude thérapeutique est évalué 2 étoiles par les abonnés Tropical Dental Journal Online

Authors : A. Halimi, F. Zaoui - Morocco


Résumé

La béance antérieure peut être divisée en deux catégories : squelettique et dento-alvéolaire.
Les causes essentielles affectant les structures dento-alvéolaires, sont fonctionnelles ou mécaniques telle la rotation des premières molaires supérieures, une courbe de Spee exagérée et une supraclusion incisive, et un simple traitement orthodontique suffit mais la rééducation fonctionnelle reste la seule garantie de la stabilité de notre traitement.
Le but de ce travail est de présenter un article pédagogique qui mettre en exergue l’intérêt des éléments de diagnostic et, les indications du traitement orthodontique dans certaines situations cliniques de la béance antérieure ; ceci en détaillant la biomécanique du traitement de cette anomalie laquelle, peut nécessiter différentes stratégies thérapeutiques. La rééducation fonctionnelle reste toujours la seule garantie de la stabilité thérapeutique.
Pour des raisons pédagogiques, nous voulons présenter des formes stéréotypiques et également présenter des cas cliniques traités dans le service de consultation et de traitement dentaire et ceci pour répondre dans l’ordre à pareille demande.

Abstract

Anterior open bites can be divided into two categories: skeletal and dento-alveolar.
The etiology, basically affecting dento-alveolar structures, is functional or mechanical such as the rotation of the first higher molars, the exaggerated curve of Spee and the incisor supraclusion and the simple orthodontic treatment can bring a therapeutic success but functional rehabilitation remains the guaranty of such a stability of our treatment.
The purpose of this work is to make a teaching article which puts the point on the interest of the elements of the diagnosis and the orthodontic treatment indicated in certain clinical situations of anterior open-bite; this by detailing biomechanics of correction of this anomaly requiring various therapeutic strategies. Functional rehabilitation remains always the guaranty of such a therapeutic stability.
For the teaching aspect, we want to attach stereotypic forms and also to present clinical cases treated in the service of consultation and dental treatment in order to answer such a request.

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