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1.
Orthod Fr ; 95(1): 7-17, 2024 05 03.
Article in French | MEDLINE | ID: mdl-38699911

ABSTRACT

Introduction: Re-evaluation of therapy is sometimes necessary during treatment. Rarely planned or desired, it is legitimate to look for a way to avoid it while carrying out the correction of the dysmorphosis as initially envisaged. Can the introduction of management into the therapeutic process, and particularly the principle of the feedback loop, make it possible to eliminate any therapeutic re-evaluation? Materials and Methods: After having defined management, cybernetics and the feedback loop as well as the framework for their application, we will look for ways to apply them to the dento-maxillo-facial orthopedics and will then study through historical practice the specific foundations of management and cybernetics in order to be able to conclude that these means are well adapted to our practice. We will rely on a set of historical, sociological and anthropological sources. Conclusions: Management is unsuitable for eliminating the need for therapeutic re-evaluation because, through the deployment of the organizational mode which is consubstantial with it, it is opposed to the institutional order of which any therapeutic approach is a part.


Introduction: La réévaluation de la thérapeutique est parfois nécessaire en cours de traitement ; rarement prévue, ni désirée, il est légitime de chercher un moyen de s'y soustraire tout en menant à bien la correction de la dysmorphose telle qu'initialement envisagée. L'introduction du management dans le processus thérapeutique, et en particulier le principe de la boucle de rétroaction, peut-il permettre de supprimer toute réévaluation thérapeutique ? Matériels et méthodes: Après avoir défini le management, la cybernétique et la boucle de rétroaction, ainsi que le cadre de leur application, nous chercherons les moyens de les appliquer à l'orthopédie dento-maxillo-faciale, puis nous étudierons à travers la pratique historique les fondements propres du management et de la cybernétique afin de pouvoir conclure à la bonne adaptation de ces moyens avec les fins de notre pratique. Nous nous appuierons sur un ensemble de sources historiques, sociologiques et anthropologiques. Conclusion: Le management est impropre à supprimer la nécessité de la réévaluation thérapeutique car, de par le déploiement du mode organisationnel qui lui est consubstantiel, il s'oppose à l'ordre institutionnel dont fait partie toute démarche thérapeutique.


Subject(s)
Orthodontics, Corrective , Humans , Orthodontics, Corrective/methods
2.
Orthod Fr ; 94(1): 233-240, 2023 04 28.
Article in French | MEDLINE | ID: mdl-37114813

ABSTRACT

Introduction: The therapeutic decision usually is a regalia prerogative of the practitioner. However it seems to be contested. Materials and Methods: From three definition of sovereignty, given by classical author of political science and the observations of the current practices and needs (new attitude and need of the patients, changes in training's methods, use of new numeric tools) is illustrated this phenomenon of the decisions making field's degradation. Conclusion: Without a resistance to all current form of concurrence in the field of therapeutic decision, a transformation of the profession of practitioner in dento-maxillo-facial orthopedics on a simple executive or animator of the care process in this field is expected. The practitioner awareness and a reenforcement of the training resources could limit the impact.


Introduction: La décision thérapeutique est classiquement une prérogative régalienne du praticien. Il semble pourtant qu'elle lui soit actuellement disputée. Matériels et méthodes: À partir de trois définitions de la souveraineté, tirées d'auteurs classiques des sciences politiques, ainsi que de l'observation des pratiques et demandes actuelles (nouvelles attitudes et demandes des patients, changements des méthodes de formation, utilisations de nouveaux outils informatiques), nous illustrerons ce phénomène d'érosion du champ décisionnaire. Conclusion: Sans une résistance à toutes les formes actuelles de concurrences œuvrant dans le champ de la décision thérapeutique, une transformation du métier de praticien en orthopédie dento-maxillo-faciale en un simple emploi d'exécutant ou d'animateur du processus de soins dans cette discipline est à prévoir. Une prise de conscience des praticiens et un renforcement des moyens de formation permettraient d'en limiter l'impact.


Subject(s)
Orthopedic Procedures , Orthopedics , Humans , Face
3.
Orthod Fr ; 91(1-2): 139-144, 2020 06 01.
Article in French | MEDLINE | ID: mdl-33146128

ABSTRACT

Artificial Intelligence (AI) consists of setting different technics together aimed at allowing machines to simulate human cognitive fonctions, mimic human brain functions, sometime its logic, when it comes to answer to an interrogation, to take decisions or to anticipate events. This new fonction, after being used in numerous daily life domains (geo-guides, personal assistants, administratif procedures) comes now in the medical area. The press exaggerations on those systems doesn't have any wise and thoughtful judgment. This article will talk about the question of the real uses and expertise capacities which the AI should be able to provide in our area. Through the history of cognitive science and ideas, the recension of important works on the AI developments, we want to put in perspective the promises and opportunities provided to modify or complete the expertise in orthodontics. The willingness to extend cognitive and action abilities is older than what the comma historiography of the AI let us think. The recent development of computer systems, algorithmic science and databases allowed the development of a branch of the artificial intelligent giving, in some cases, seemingly undeniable results which should not be extrapolated because of the weakness of our databases, the current economic model and their real use.


Subject(s)
Artificial Intelligence , Intelligence , Humans
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