Benkimoun Franck
Orthod Fr. 2015 Dec;86(4):269-76. doi: 10.1051/orthodfr/2015035. Epub 2015 Dec 14.
Evaluating risks is part of the day-to-day practice of all orthodontists. Most of the time we forget that healing a patient also requires an evaluation of what is called the psychological risk. Indeed, focusing on harmonisation matters, we tend to omit that patient's requests, especially aesthetic requests, may conceal psychological problems. Such a risk is even higher when it comes to orthodontic-surgical protocols, as the physical changes are more radical. We will discuss the specificities of aesthetical demand, its links with the social discourse and the way self-esteem and reflection in the mirror are closely intermingled. Should we forget to take into account the psychological dimension of any patient, this could be a breach of professional ethics. We will furthermore consider the means we have to recognize patients with a high psychological risk. It is not in our hands to help these patients psychologically. It is in the hands of a mental health specialist, whose adress and phone number we should know in order to refer our patients to him/her.
评估风险是所有正畸医生日常工作的一部分。大多数时候，我们忘记了治疗患者还需要评估所谓的心理风险。事实上，专注于协调问题时，我们往往会忽略患者的诉求，尤其是美学诉求，可能隐藏着心理问题。在正畸-外科治疗方案中，这种风险甚至更高，因为身体变化更为剧烈。我们将讨论美学需求的特殊性、其与社会话语的联系以及自尊与照镜子时的反思如何紧密交织。如果我们忘记考虑任何患者的心理层面，这可能违反职业道德。我们还将考虑识别心理风险高的患者的方法。在心理上帮助这些患者并非我们力所能及。这要由心理健康专家来做，我们应该知道其地址和电话号码，以便将患者转介给他/她。
