Publications by authors named "Demars-Fremault C"

Many practitioners are still unawared of the oral and maxillo-facial pathology due to physical and sexual maltreatments of children. Yet more than fifty percent of those battered children show oro-facial injuries. Dentists ought to contribute to the diagnosis of the Silverman Syndrome and involve themselves in the taking care of battered children.

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Teeth, in the general phenomenon of growth contribute to the blooming and the growth of the young child. It plays a paramount role in the communication while taking part in the development of the language and of the phonation, and by perfecting the shape of the face. The prosthetic rehabilitations are addressed to children who present more or less significant early losses of teeth, whose origin could be congenital, structural, post-decays or traumatic, and bearing on temporary, mixed or final teeth.

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The management of handicapped patients and children is often considered by the dentist as a challenge. The success depends on establishing the right initial contact with the patient and obtaining his acceptance of the treatment without disturbing the psychosomatic equilibrium existing between body, affectivity and mind. Should dental treatment under general anesthesia, therefore, be considered as a failure or rather as a strategy in dentistry, which permits the eradication of all infectious centers and ensures the maintenance of a sufficient masticatory capability for the handicapped patient?

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The knowledge of the neurological diseases is an essential factor to establish a relation between the practitioner and the child or the handicapped adult. The authors suggest to describe some pathologies with a particular attention for the keywords to realize a concerted management.

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The arrest of a premolar bud was observed in an animal experiment that was designed to study the influence of endodontic treatment in dogs' temporary teeth on the eruption of their permanent successors. A chemical irritation was induced by the burst of ZOE (zinc oxide and eugenol) into the dental follicle. Moreover, a mechanical trauma on the temporary molar was promoted by the dog's biting on its cage metallic bars.

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In young children there are two frequent factors, that cause edentation: the syndrome of the sugar "baby's bottle" or the "honey dummy" and tooth-loss by trauma. Multiple extractions can be programmed in children for reason of general condition, in the major concern to remove present or potential infectious foci. Still less frequently, sometimes lately diagnosed anomalies in number or structure oblige to replacement of missing or deficient tooth.

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The anatomical and physiological properties of deciduous teeth make them susceptible to caries and inflammatory and infectious complications. This specificity, the proximity of the germ of the underlaying permanent tooth, and the relation of the last one to the deciduous tooth, make delicate its conservation by endodontal therapeutics after a pulpal or pulpo-periodontal affection. The success of this attempt is related to a good case-selection, based on the general condition of the child, his and his parents motivation, the condition of cariogenicity of the mouth, the analysis of the unity deciduous tooth/germ of the underlaying permanent tooth, the follow-up of the case.

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Four temporary teeth, extracted for periodontal infection reasons, from a 53-months-old child with osteogenesis imperfecta, have been coated in methyl metacrylate and prepared for microradiographic analysis and light microscopic study. The enamel and dentin of three teeth (51, 65 and 85) don't show any particularity, some how the cementum is remarkably thin. Pulp chambers was large and contain a great number of calcifications.

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The area of furcation of temporary molars constitutes a zone of exchanges and rearrangements relating to the evolution of the sub-adjacent permanent tooth. It is subjected to the eruption of the latter and to the physiological modifications of the temporary tooth. Moreover, this area is the site of above-mentioned inflammatory or infections conditions, maintained or aggravated by anatomical factors (accessory canals, thin pulpar floor, with little calcified dentine and broad tubuli), physiological factors (multiplication of accessory canals, decrease in the floor and migration of the epithelial attachment), endodontic factors (pulpal involvement and its complications) and periodontal factors (septum syndrome).

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130 children aged between 5 months and 15 years were orally examined in our Department in view of preparation for hepatic pre-grafts, before being given a graft by Professor J.-B. Otte and his team at the Paediatric Surgery Department.

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The importance of temporary and the first permanent teeth in children is no longer demonstrated nowadays. In some clinical situations, the only therapeutic attitude is to remove the tooth. Preventative methods such as detection and treatment, are the only ways to avoid infection and its complications.

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