SBR Review — April 2017 Review
N° 25/1

table of contents

• Editorial Maxime Rotenberg
Palæodont / From the skulls of the Middle Ages by Dr Djillali Hadjouis
Clinical Case / Reviewing, refreshing, and revisiting the boundary of your surgical cases by Dr Hiroshi Nezy, Takashi Nezu and Carl Gugino
• Varia / Early orthopedic treatments and functional education by Dr Marie-Josephe Deshayes
• Life of the Society
• Technical updates / • The energy of photons in dentistry by Dr Paul Azoulay
• Medical psychology / • Treatment with absolutely no intervention by Dr Laurence De Maistre
• Evidence Based / Evidence-based orthodontics, should we be afraid of it? by Dr Martial Ruiz
• Student thesis / • Development of a patient follow-up booklet for patients born with a maxillary cleft and treated in the hospitals of Nice by Dr Julie Morato

Palæodont / From the skulls of the Middle Ages by Dr Djillali Hadjouis

The cranio-facial morphological characters and architectural parameters of this population show significant genetic differences compared with other medieval rural populations of the Val de Marne.

They stand out in particular due to hereditary and family differentiation, which is manifested by a tendency toward hyper-brachycrania and ultra-brachycrania, as well as the substantial presence of Class III dysmorphoses, whose prevalence exceeds that of all other populations in the department.
The pathocenosis represented on this site is somewhat similar to other medieval necropolises in this area; however, the importance of craniosynostosis, cranio-facial asymmetries, and a significant traumatic and probably congenital dislocation of the hip argue in favor of endogamy.

Review, refresh, rethink, and re-energize the boundary of your surgical cases by Dr Hiroshi Nezy, Takashi Nezu and Carl Gugino
This article aims to present cases with a high degree of difficulty, seemingly destined for surgery, treated using orthodontics only, based on the current Bioprogressive Zerobase philosophy (bibliography 1, 2). These cases demonstrate the standardization of a logical flow for diagnosis and treatment planning, enabling individualization of the mechanics used by taking into account the degree of difficulty, the objectives for tooth positioning in the face (VTP), and the problems created by the functional matrix. These cases present a logical flow of thinking, individualized to the patient’s needs rather than a standardization of the technique.

Early orthopedic treatments and functional education by Dr Marie-Josephe Deshayes
We are faced with an increase in oro-lingual dysfunctions that generate malocclusions in the primary dentition; some regress when the dysfunctions stop, but others unfortunately persist. They are pathogenic for growth and complicate orthodontic treatments. It is therefore important to stop oro-lingual and/or ventilatory dysfunctions that lead to occlusal anomalies.
Stopping the deforming agents (for example, thumb/tetin (bottle/nipple) sucking), collaborating with other medical partners—pediatricians, ENT (ORL) specialists, etc.—and placing functional re-trainers in the mouth are actions to be implemented as early as possible, and it is desirable that our scientific societies agree on this point.
I agree with our colleague Daniel Rollet when he writes: “You can’t do everything with functional education, but it’s a shame to give it up.”

The energy of photons in dentistry by Dr Paul Azoulay
One of the specific characteristics of modern medicine, particularly in the last quarter of the 20th century, is the discovery and commercialization of new molecules. While this phenomenon is positive in certain pathologies (infections, oncology, cardio-vascular pathologies, etc.), it has an essential drawback: iatrogenic complications. These side effects are not always linked to treatment.

Is the orthodontist a hummingbird? by Dr Franck Pourrat
Légende amérindienne du petit colibri. Un feu dévastateur se propage à grande vitesse de forêt en forêt…
Can we think that a company could become fully free from paper? Yes indeed: in the Netherlands, the IT company DECOS is truly paperless. But should we imitate it at the cost of a significant additional expense?
By assumption, we can affirm that paper will always exist and that our goal will be to optimize the cohabitation of paper and paperless practices. Introducing paperless practices in our office will have an environmental, economic, and marketing impact, but also on company policy and repercussions at the level of waste management and revalorization.

How hypnosis interferes with functional physiology: presentation of a case.
Language and speech by Dr Laurence De Maistre
Faced with scientific reductionism, which tends to reduce the perception of the subject to biomechanics, medical psychology restores the human being to its proper measure. Hypnosis will open up the palette of solutions, like windows onto other landscapes.
Le patient se regardant dans « un autre possible » peut choisir de sentir, de regarder et de modifier son expérience subjective, ses sensations, ses émotions, ses pensées et comportements. Comme l’explique François Roustang « L’hypnose est une manière d’être au monde, une façon de penser dans l’existence ». « La souffrance vient de ce que l’on est mal placé et que l’on se place mal »… « C’est donc le rapport au monde qui fait problème ».

Evidence-based orthodontics, should we be afraid of it? by Dr Martial Ruiz
Since the early 2000s, the rules of “Evidence-Based Medicine” (EBM) or evidence-based medicine have subjected orthodontics to greater scientific rigor, rationality, and efficiency in the diagnostic, prognostic, and therapeutic approach. EBM requires researchers to meet methodological standards in conducting clinical studies and offers practitioners a re-evaluation of their practice in light of the scientific evidence yielded by these studies. EBM is a decision-aid tool that uses the rules of biostatistics and methodology, whose understanding allows the practitioner to assess its usefulness and limits.

FLAP in Nice [Labio-alveolo-palatal clefts] by Dr Julie Morato
Labio-alveolo-palatal clefts (FLAP) represent the most common congenital facial malformation (one newborn per 700 births) (1). The face, speech, hearing, and sometimes even the cognitive development of these children represent many differences from the “normal” and the “perfect baby” imagined by parents. Managing these young patients requires numerous surgical interventions and multidisciplinary follow-up over about twenty years.
They legitimately raise a great many questions from families. To best support families and to optimize communication between practitioners and with patients, we wanted to create a personal follow-up booklet.