RESUMEN
Orthodontic treatments are frequently given up: a recent study of the C.N.A.M.* has shown a rate of 51%. In spite of lightest and least constraining therapeutic methods, the authors estimate that 27% of the patients stop their treatment before the end. --Looking for the reasons why, they have found a "central nucleus" of about 27% which builds up a constancy of abandoned treatment undeniably in relation with an ethical phenomenon, plainly concerning the individual or the family. --That is to show the advantage of our adapted therapeutic possibilities to answer the patients' requests, and to clearly explain their benefits and their possible difficulties. In other words we have to admit the necessity of a more medical than mechanical approach in orthodontics.
Asunto(s)
Ortodoncia Correctiva/estadística & datos numéricos , Pacientes Desistentes del Tratamiento , Adolescente , Factores de Edad , Actitud , Niño , Relaciones Dentista-Paciente , Femenino , Francia , Humanos , Masculino , Maloclusión/diagnóstico , ProbabilidadRESUMEN
Dental pains provoked by an altitude beyond 5.000 ft can occur with any kind of tooth, healthy or restored. It is considered as a consequence of a brutal pressure change. The incidence has not been decreasing in spite of flight conditions improvement. These kind of dental pain cause a problem for those who fly: civilian and military pilots as well as airlines passengers. The conditions in which this might happened are variable. There may be a definite correlation between the character of the symptoms of aerodontalgia and the underlying pulpal pathology. The proposed etiology concerning pathological teeth is an oedema and hyperthermia of the pulp which can lead to necrosis. In an indirect type dental pain is secondary to stimulation of the superior alveolar nerves by a maxillary barosinusitis, or anatomic malformation. The most frequent is a pain during ascent (decompression), and the most concerned teeth are upper molars. The preventive treatment is very important. Both complete clinical and radiological examinations must be achieved. Regular dental examination are-essential for the crew. Aerodontalgia can be largely prevented by high quality root and dental cares. The case of a 26 years old man who use to suffer for a long time of dental pain during flights is in accordance with the dominant clinical symptoms of this affection.
Asunto(s)
Medicina Aeroespacial , Presión Atmosférica , Odontalgia/etiología , Adulto , Atención Odontológica/normas , Humanos , Masculino , Enfermedades Dentales/prevención & control , Odontalgia/prevención & controlRESUMEN
544 cases analysis have shown that the sagittal maxillo-mandibular discrepancies happens to be a very frequent problem in orthodontics. They are often compensated by dento-alveolar inclinations, when no muscular disorder, functional or constitutional, exists. The basal discrepancies modify the direction of dental inclinations. It is the normal action of the musculature which determines the correctional inclination that must be respected. We have to use light therapeutic methods and respect these natural dental movements.