Achache S, Casteyde J P, Occhiminuti M A, Netter J C
Rev Stomatol Chir Maxillofac. 1981;82(3):180-8.
The authors describe the various etiological types of periodontopathies and discuss those due to inflammatory conditions in greater detail. The original studies that enabled the role of the bacterial plaque to be demonstrated are reviewed, and new data presented which attributes a specific pathogenic action to certain bacterial strains in this particular form of the disease, without suggesting that they are the only etiological factor involved. The importance of occlusal injury in periodontal disease is then evaluated, results of clinical studies tending to confirm the role of traumatic factors in the progression of alveolysis. The occlusal factor should therefore be integrated into the stomatognathic system. The results of systematic dentofacial orthopedic examinations in patients with periodontopathies are reported, and other pathogenic factors contributing to disequilibrium of the dental organ outlined. Several clinical cases are presented. The results of these observations are employed to redefine the notion of function equilibrium which must be taken into account when treating the disease prophylactically, and to recognize those cases in which it is disturbed. Neuromuscular reeducation is then necessary to avoid recurrence of the periodontal disease.
作者描述了牙周病的各种病因类型，并更详细地讨论了炎症性疾病导致的牙周病。回顾了那些能够证明牙菌斑作用的原始研究，并呈现了新的数据，这些数据将特定的致病作用归因于该疾病特定形式下的某些细菌菌株，但并未表明它们是唯一涉及的病因。然后评估了咬合损伤在牙周病中的重要性，临床研究结果倾向于证实创伤因素在牙槽骨吸收进展中的作用。因此，咬合因素应纳入口颌系统。报告了牙周病患者系统的牙颌面正畸检查结果，并概述了导致牙器官失衡的其他致病因素。列举了几个临床病例。这些观察结果被用于重新定义在预防性治疗该疾病时必须考虑的功能平衡概念，并识别功能平衡受到干扰的病例。然后，有必要进行神经肌肉再训练以避免牙周病复发。
