Brunel Jean-Michel
"Le Camargue", rue A.-Monticelli, quartier des Plantiers, 13127 Vitrolles, France.
Int Orthod. 2015 Sep;13(3):332-69. doi: 10.1016/j.ortho.2015.06.004. Epub 2015 Aug 24.
To ensure optimal results, we must do our utmost to achieve targets based on order, symmetry and precision, our ultimate aim being to strive towards the desired harmony, planned contrast and exact proportions. Orthodontic-surgical treatments require specific finishing procedures, which most often call for multidisciplinary, or even transdisciplinary, collaboration. Finishing will involve the dental arches just as much as the orofacial environment. Above all, treatment of this kind demands a highly targeted approach in combination with well-defined and perfectly executed techniques. To finish a case satisfactorily, reasonable targets should be aimed for to ensure they are achieved. One must be ambitious and yet wise. A tight alliance of surgeon and orthodontist will nurture convincing and achievable projects and good, lifelong outcomes. Following the consolidation phase, roughly 4 to 6 weeks post-surgery, we can initiate the final orthodontic treatment, which, in effect, constitutes a mini-treatment in its own right. "Details make perfection, but perfection is not a detail" (Leonardo Da Vinci). "A lucid mind is the ante-chamber of intelligence" (Léo Ferré). In the order of life, every form of unity is always unique, and if each of us is unique, it is because everyone else is too. Ambition, wisdom, lucidity and efficiency will guarantee a successful result, the successful result. We must not be mere observers of our treatments, but the architect, project manager and site foreman at one and the same time. One could talk ad infinitum about finishing orthodontic-surgical cases because everything else leads up to the case-finishing and even the fullest description could never be exhaustive.
为确保获得最佳效果，我们必须竭尽全力根据秩序、对称和精确性来实现目标，我们的最终目标是朝着理想的和谐、规划好的对比和精确的比例努力。正畸-外科治疗需要特定的收尾程序，这通常需要多学科甚至跨学科的协作。收尾工作将涉及牙弓以及口面部环境。最重要的是，这类治疗需要一种高度有针对性的方法，结合明确且执行完美的技术。为了令人满意地完成一个病例，应该设定合理的目标以确保能够实现。人必须有抱负但也要明智。外科医生和正畸医生紧密合作将孕育出令人信服且可实现的方案以及良好的、终身的治疗效果。在巩固阶段，即手术后大约4至6周，我们可以开始最后的正畸治疗，实际上，这本身就构成了一种小型治疗。“细节成就完美，但完美并非细节”（列奥纳多·达·芬奇）。“清醒的头脑是智慧的前厅”（利奥·费雷）。在生命的秩序中，每一种统一形式总是独一无二的，如果我们每个人都是独特的，那是因为其他人也都是如此。抱负、智慧、清醒和效率将确保取得成功的结果，即那个成功的结果。我们绝不能仅仅是治疗过程的旁观者，而必须同时成为建筑师、项目经理和现场工头。人们可以没完没了地谈论正畸-外科病例的收尾工作，因为其他一切都导向病例收尾，即使最详尽的描述也永远不可能详尽无遗。
