Thèse d'exercice : Chirurgie dentaire : Université de Nantes : 2004. / Bibliogr. f. 91-98 [91 réf.].

Th.--Phon.--Strasbourg 2, 1986.

Thèse d'exercice : Chirurgie dentaire : Université de Nantes : 2004. / Bibliogr. f. 62-63 [14 réf.].

Thèse de doctorat : Informatique : Nancy 1 : 2008. / Titre provenant de l'écran-titre.

Thesis (doctoral)--Karolinska Institutet, 1987. / Extra t.p. with thesis statement inserted. Includes bibliographical references.

Thesis (doctoral)--Karolinska Institutet, 1987. / Extra t.p. with thesis statement inserted. Includes bibliographical references.

Il y a de plus en plus d’évidences indiquant que la peur du mouvement, qu’on appelle aussi la kinésiophobie, joue un rôle clé dans le développement et la persistance des douleurs chroniques. La question de son implication dans les désordres temporo-mandibulaires (DTM) chroniques a fait l’objet de plusieurs études. Son rôle prédictif serait supérieur à d’autres facteurs tels que l’intensité de la douleur. L’outil le plus largement utilisé pour en faire la mesure est le Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD). L’objectif de l’étude est de faire une traduction, adaptation et validation du TSK-TMD à 18 items pour une population québécoise francophone. Ce travail a été fait en accord avec les recommandations du Guidelines for Establishing Cultural Equivalency of Instruments. Deux phases cliniques ainsi que 39 patients ont été nécessaires pour aboutir à ce travail. La première phase visait à traduire et adapter culturellement le questionnaire. La deuxième phase consistait à administrer le questionnaire à une population présentant des DTM chroniques. Les propriétés psychométriques du questionnaire ont été évaluées à l’aide d’un coefficient alpha de Cronbach, des coefficients de corrélation pour chaque item et d’un test de Kolmogorov-Smirnov. Le coefficient alpha de Cronbach calculé est de 0,87, démontrant ainsi une bonne consistance interne. Sur l’ensemble des items, 16 ont obtenu un coefficient de corrélation favorable. Cependant, deux items ont présenté un coefficient de corrélation inférieur à 0,2, mettant en doute leur importance dans la puissance globale du questionnaire. Au test de Kolmogorov-Smirnov, les échantillons du test /retest suivent une loi de distribution similaire. Cela concorde avec de bonnes stabilité et fiabilité. Le questionnaire produit est donc prêt à être utilisé en clinique. Une version plus courte pourrait éventuellement être développée. / There is growing evidence that kinesiophobia, the fear of movement, plays a key role in the development of chronic pain. Its role in chronic temporomandibular disorders (TMD) has been the subject of several studies. It may serve as a better predictor than other factors, such as pain levels. The most widely used tool to measure it is the Tampa Scale for Kinesiophobia for Temporomandibular Disorders (TSK-TMD). The study aims to translate, adapt and validate the 18-item TSK-TMD for French-speaking people in Quebec. The method followed the recommendations of the Guidelines for Establishing Cultural Equivalency of Instruments. It comprised two clinical phases. The first phase involved the translation and cultural adaptation of the questionnaire. The second phase consisted of administering the questionnaire to a sample of 39 patients with chronic TMD pain. We evaluated the questionnaire’s psychometric properties with the Cronbach’s alpha coefficient, correlation coefficients for each item, and a Kolmogorov-Smirnov test. The results show a Cronbach’s alpha coefficient of 0,87, which indicates good internal consistency. For sixteen out of eighteen items, the correlation coefficient is acceptable. However, for two items, the correlation coefficient is less than 0,2, calling into question their contribution to the questionnaire’s overall strength. The Kolmogorov-Smirnov test shows that the test/retest with the translated version of the TSK-TMD follows a similar distribution pattern. It is consistent with good stability and reliability. The questionnaire produced is ready for clinical use. Nonetheless, developing a shorter version of the questionnaire could be useful.

Thesis (doctoral)--Karolinska Institutet, Stockholm, 1990. / Extra t.p. with thesis statement inserted. Includes bibliographical references.

A ATM pode ser afetada por lesões que alteram sua morfologia e comprometem sua função, levando o cirurgião, algumas vezes, a ter a necessidade de ressecá-la e reconstruí-la. A reconstrução dos defeitos ósseos articulares, congênitos ou adquiridos, é um desafio para o Cirurgião Buco-Maxilo-Facial, podendo ser realizado com materiais aloplásticos, que excluem a necessidade de área doadora, minimizando a morbidade. Entre estes destacamos as próteses totais da articulação temporo-mandibular, estudados até sua forma e composição atual e que possibilitou o estabelecimento de protocolos bem definidos para sua utilização. Destacamos a prótese de estoque da W. Lorenz, com componentes de alta tecnologia e indicações precisas que possibilita grande melhora clínico e funcional. Este estudo avaliou clínico e funcionalmente 15 pacientes tratados no período de oito anos, demonstrando que apesar da melhoria funcional evidente observada, em especial para os casos de anquilose em ATM, ainda muitos estudos e acompanhamento devem ser realizados para se estabelecer, ao longo do tempo, se estas próteses suprem de forma eficiente e duradoura a fisiologia estomatognática ideal. / The TMJ can be affected by injuries that alter its morphology and compromise its normal function, leading the surgeon, sometimes, to have the need to resect it and rebuild it. The reconstruction of the bone articular defects, congenital or acquired, which has been a challenge for the maxillofacial surgeon can be achieved by using aloplastic materials. The use of aloplastics materials precludes the need for a donor area, minimizing the morbidness. Among these, we highlight the temporo-mandibular joint total prosthesis, studied until achieving its current form and composition, and which enabled the establishment of clear protocols for its use. Among these, we highlight the W.Lorenz prosthesis with high technology and specific details that enable a large clinical and functional improvement. This study evaluated important clinical and functional aspects observed in 15 patients treated over a period of eight years, showing that despite the clear functional improvement, particularly observed in cases of TMJ ankylosis, many more studies and monitoring should be conducted to establish, especially in the long term, that these prosthesis supply the stomatognathic system with an effective and durable physiology.

A ATM pode ser afetada por lesões que alteram sua morfologia e comprometem sua função, levando o cirurgião, algumas vezes, a ter a necessidade de ressecá-la e reconstruí-la. A reconstrução dos defeitos ósseos articulares, congênitos ou adquiridos, é um desafio para o Cirurgião Buco-Maxilo-Facial, podendo ser realizado com materiais aloplásticos, que excluem a necessidade de área doadora, minimizando a morbidade. Entre estes destacamos as próteses totais da articulação temporo-mandibular, estudados até sua forma e composição atual e que possibilitou o estabelecimento de protocolos bem definidos para sua utilização. Destacamos a prótese de estoque da W. Lorenz, com componentes de alta tecnologia e indicações precisas que possibilita grande melhora clínico e funcional. Este estudo avaliou clínico e funcionalmente 15 pacientes tratados no período de oito anos, demonstrando que apesar da melhoria funcional evidente observada, em especial para os casos de anquilose em ATM, ainda muitos estudos e acompanhamento devem ser realizados para se estabelecer, ao longo do tempo, se estas próteses suprem de forma eficiente e duradoura a fisiologia estomatognática ideal. / The TMJ can be affected by injuries that alter its morphology and compromise its normal function, leading the surgeon, sometimes, to have the need to resect it and rebuild it. The reconstruction of the bone articular defects, congenital or acquired, which has been a challenge for the maxillofacial surgeon can be achieved by using aloplastic materials. The use of aloplastics materials precludes the need for a donor area, minimizing the morbidness. Among these, we highlight the temporo-mandibular joint total prosthesis, studied until achieving its current form and composition, and which enabled the establishment of clear protocols for its use. Among these, we highlight the W.Lorenz prosthesis with high technology and specific details that enable a large clinical and functional improvement. This study evaluated important clinical and functional aspects observed in 15 patients treated over a period of eight years, showing that despite the clear functional improvement, particularly observed in cases of TMJ ankylosis, many more studies and monitoring should be conducted to establish, especially in the long term, that these prosthesis supply the stomatognathic system with an effective and durable physiology.