Dersot Jean-Marc
88 rue Michel-Ange, 75016 Paris, France.
Orthod Fr. 2010 Mar;81(1):33-9. doi: 10.1051/orthodfr/2010001. Epub 2010 Apr 1.
It is mainly because of periodontal tissues and, more particularly, the periodontal ligament that the orthodontist is able to move teeth. According the ratio cost/benefit/security, the orthodontist needs to prevent and/or to avoid the deleterious effects of its treatments on periodontal tissues. Gingival inflammation with a high hyperplasia compound, periodontal attachment loss, bone loss and root resorption may result, in absolute value, in a reduction of periodontal support. The key to prevent these problems is plaque control, phase too often neglected. The challenge before any orthodontic treatment, both in children or in adults, is to change the behavior of the patient concerning the mouth and the dental plaque. The aim of this paper is to explore the evidence based literature (systematic revues, meta-analysis), to provide thought elements and concrete proposals to definitely resolve this critical phase of orthodontic treatment that is the motivation, phase that can also be achieved by "dental auxiliaries".
正畸医生能够移动牙齿主要是因为牙周组织，更具体地说是牙周韧带。根据成本/效益/安全性的比例，正畸医生需要预防和/或避免其治疗对牙周组织产生有害影响。牙龈炎症伴高度增生、牙周附着丧失、骨质流失和牙根吸收，从绝对值来看，可能会导致牙周支持减少。预防这些问题的关键是菌斑控制，而这一阶段常常被忽视。在儿童或成人的任何正畸治疗之前面临的挑战是改变患者有关口腔和牙菌斑的行为。本文的目的是探索循证文献（系统评价、荟萃分析），提供思考要素和具体建议，以切实解决正畸治疗的这一关键阶段，即动机阶段，这一阶段也可由“口腔辅助人员”来实现。
