SBR Journal June 2014
N° 22/1

table of contents

• “MFS” devices for stimulo-therapy: ventilation control (Part 2). J. Durán Von Arx
• Functional education: prevention and interception of dento-maxillo-facial malpositions, improving functional problems in adults. D. Rollet
• My office in full color. F. Pourrat
• Orthodontic-surgical strategies for placing included maxillary central incisors. C.H. Maire-Froment, N. Davido
• Two included central incisors. E. Lejoyeux
Medical psychology: sleep psychology. M.G. Choukroun
• From elsewhere: Continuing Professional Development (CPD) – How to use it. C. Bourdillat-Mikol

“MFS” devices for stimulo-therapy: ventilation control (Part 2). J. DURÁN VON ARX

Programmed stimulo-therapy
Stimulation can act as an etiological factor of a malocclusion—this is then “negative stimulation” (Duran, Echarri)—or else as an initiation mechanism to establish normality of the oral functional triad (ventilation, swallowing, and mastication)—this is then “positive stimulation.”


To initiate these positive stimulations, we use pre-fabricated MFS elements (Multi-Function System). Used at night, these elements can be used by the patient to trigger muscular reactions considered appropriate and that lead to normalizing functions (nasal ventilation, mature swallowing, and a balanced masticatory muscle pattern) through a
normalization of the codifications previously described. To initiate these “positive stimulations”
(Duran, Echarri), different pre-fabricated MFS elements are used. These elements have
been developed and clinically evaluated (Duran).

Functional education: prevention and interception of dento-maxillo-facial malpositions, improving functional problems in adults. D. ROLLET
Some dysmorphoses can be detected in young children. If they are treated at an early stage, maxillo-facial growth can take place under better conditions, favorable to the development of facial harmony. On the contrary, if we allow these dysmorphoses to evolve while waiting for permanent dentition, they worsen. Growth occurs around these dysmorphoses, which makes later treatment more difficult and longer, with outcome compromises (alveolo-dental compensations).

My office in full color. F. POURRAT
Today, practices deploy their activities by systems, such as Millénium was able to propose—that is, the communication system, the clinical system, the appointment scheduling system, etc.—or by processes, as a quality approach principle such as the realization process, the information process, the financial process, etc. Organization is one of the three pillars of how an orthodontic company operates, and in each of the activities, systems, or processes, “visual management” can be a development tool for the company. Its advantage is that it is engaged through vision, a sense whose perception is very effective; communication is simple and efficient.

Orthodontic-surgical strategies for placing included maxillary central incisors. C.H. MAIRE-FROMENT, N. DAVIDO. C.H. MAIRE-FROMENT, N. DAVIDO
The inclusion of incisors is relatively rare, but it raises aesthetic and functional issues. If the most frequent etiology is the presence of supernumerary elements, the origin may also be a sequela of trauma in the primary dentition. In this context, the clinical situation is often complicated by anomalies of shape and position of the incisor, or even by the presence of large cyst-like lesions.
The age at which these eruption anomalies are detected is a determining factor. Interception methods may prove highly effective as long as there remains an eruption potential.
When the incisor cannot erupt spontaneously, orthodontic-surgical placement is the solution of choice. Management strategies must be individualized to the clinical situation (age, obstacles along the eruption pathway, cysts, dysmorphologies
de l’incisive incluse…).

Two included central incisors. E. LEJOYEUX
Clément, 14, consults accompanied by his mother, following the late screening of included maxillary central incisors during a panoramic radiograph. Clément is not very advanced in his teeth: 55-65-75-85 as well as 53-63 persist. However, the primary central incisors went completely unnoticed, likely because they are quite bulky. The patient is anxious about this discovery, because intuitively he foresees unpleasant consequences.

Sleep psychology. M.G. CHOUKROUN
Psychosocial dwarfism is a disease that affects certain disadvantaged children. Surprisingly, there is a cessation of growth, which resumes without difficulty in the setting of hospitalization. In reality, for sleep specialists, we must associate this abnormality with disturbed sleep. The family environment is such that these children are deprived of sleep. Hospitalization therefore consists in providing them with a good bed