Troubles orofaciaux myofonctionnels : évaluation des pratiques de dépistage et de prescription d’orthophonie par les chirurgiens-dentistes et orthodontistes de France (notice n° 1615543)
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| fixed length control field | 06125cam a2200421 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260111073804.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Rudler, Lise |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Troubles orofaciaux myofonctionnels : évaluation des pratiques de dépistage et de prescription d’orthophonie par les chirurgiens-dentistes et orthodontistes de France |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2026.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 100 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction : Les troubles orofaciaux myofonctionnels (TOM) désignent des altérations des fonctions oro-faciales susceptibles de perturber le développement cranio-maxillo-facial. Leur dépistage précoce par les chirurgiens-dentistes et orthodontistes, ainsi que la prescription éventuelle d’un bilan orthophonique en vue d’une thérapie oro-myofonctionnelle, sont essentiels pour optimiser leur prise en charge. Cette étude vise à évaluer les connaissances, les pratiques et les besoins de formation des chirurgiens-dentistes et orthodontistes de France concernant les TOM et le rôle de l’orthophoniste. Matériel et méthodes : Une étude descriptive a été menée via un questionnaire en ligne diffusé d’octobre 2024 à janvier 2025 auprès de chirurgiens-dentistes et orthodontistes exerçant en France. Résultats : Au total, 227 réponses complètes ont été analysées (58 orthodontistes et 169 omnipraticiens) ; 95 % des orthodontistes déclaraient dépister systématiquement les TOM, contre 24 % des omnipraticiens. Concernant la prescription orthophonique, 83 % des orthodontistes prescrivent souvent ou toujours un bilan orthophonique après ce dépistage, contre 20 % des omnipraticiens. Par ailleurs, 51 % de ces derniers considèrent que cette prescription ne relève pas de leur champ de compétences. Le lieu d’exercice influence significativement ces pratiques : les praticiens urbains prescrivent davantage que leurs confrères ruraux. La pratique régulière de l’orthodontie par les omnipraticiens augmente significativement la prescription orthophonique, contrairement aux pédodontistes. Enfin, la connaissance du rôle de l’orthophoniste reste globalement faible : seuls 31 % d’omnipraticiens le connaissent très bien ou assez bien. Discussion : Les écarts observés s’expliquent principalement par des différences de formation initiale. Des recommandations officielles existent, mais leur application reste insuffisante, notamment chez les omnipraticiens et les pédodontistes. Le rôle central de l’orthophoniste dans la rééducation oro-myofonctionnelle semble encore mal connu. Le manque d’orthophonistes en zones rurales représente également un obstacle à la prise en charge des TOM. Conclusion : Cette étude souligne l’importance de renforcer la formation initiale des chirurgiens-dentistes omnipraticiens concernant le dépistage des TOM et la collaboration interdisciplinaire nécessaire au traitement de ceux-ci. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Introduction: Orofacial myofunctional disorders (OMDs) refer to alterations in orofacial functions that may hinder craniofacial development. Early screening by dentists and orthodontists, together with timely referral for a speech-language evaluation and possible orofacial myofunctional therapy, is essential to optimize patient care. This study aims to assess the knowledge, practices, and training needs of French dentists and orthodontists regarding OMDs and the role of speech therapy in their management. Material and Methods: A descriptive survey was conducted using an online questionnaire distributed between October 2024 and January 2025 to dentists and orthodontists practicing in France. Results: A total of 227 complete responses were analyzed (58 orthodontists and 169 general dentists). Among them, 95% of orthodontists reported systematically screening for OMDs, compared to 24% of general dentists. Regarding speech therapy referrals, 83% of orthodontists reported often or always referring patients after screening, versus 20% of general dentists. Furthermore, 51% of general dentists considered such referrals to fall outside their professional scope. Practice location significantly influenced referral patterns: Urban practitioners referred more frequently than those in rural areas. Regular orthodontic practice among general dentists was associated with increased referral rates, whereas pedodontic practice was not. Finally, knowledge of the speech therapist’s role remained limited: Only 31% of general dentists reported knowing it very well or fairly well. Discussion: These disparities are primarily explained by differences in initial training. Although official recommendations exist, their implementation remains insufficient, particularly among general dentists and those practicing pedodontics. The central role of speech therapists in orofacial myofunctional rehabilitation also appears to remain poorly understood. The shortage of speech therapists in rural areas also hinders timely patient care. Conclusion: This study highlights the need to strengthen initial training for general dentists and promote interdisciplinary collaboration to improve the screening and management of OMDs. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Chirurgien-dentiste |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Communication interdisciplinaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Interception orthodontique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Malocclusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Orthodontiste |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Orthophonie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Respiration buccale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Thérapie myofonctionnelle |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Dentist |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Interceptive orthodontics |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Interdisciplinary communication |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Malocclusion |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Mouth breathing |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Myofunctional therapy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Orthodontist |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Speech therapy |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Da Cunha, Eloïse |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gros, Auriane |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Manera, Valeria |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Chalmin, Chloé |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Bourgeois, Cédric |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | L'Orthodontie Française | - | 3 | 2026-01-05 | p. 299-309 | 1966-5202 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-lorthodontie-francaise-2025-3-page-299?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-lorthodontie-francaise-2025-3-page-299?lang=fr&redirect-ssocas=7080</a> |
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