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Mutilations Volontaires Actuelles De La Cavité Buccale

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Mutilations Volontaires Actuelles De La Cavité Buccale UNIVERSITE DE NANTES UNITE DE FORMATION ET DE RECHERCHE D’ODONTOLOGIE Année : 2009 N° : 31 MUTILATIONS VOLONTAIRES ACTUELLES DE LA CAVITÉ BUCCALE. PREMIÈRE PARTIE : LES TISSUS MOUS. Thèse pour le diplôme d’état de DOCTEUR en CHIRURGIE DENTAIRE Présentée et soutenue publiquement par Olivia POMIES Née le 22 juin 1983, à Niort, Le 7 juillet 2009 devant le jury ci-dessous : (DEUXIÈME PARTIE : LES TISSUS DURS. présentée et soutenue conjointement avec Clotilde AUNEAU) Président Madame le Professeur Christine Frayssé. Assesseur Monsieur le Docteur François Bodic. Assesseur Madame le Docteur Valérie Moyencourt. Assesseur Monsieur Bernard Lehmann. Directeur de thèse Madame le Docteur Sylvie Dajean-Trutaud. 1 1 INTRODUCTION .................................................................................................................................... 6 2 LES MUTILATIONS VOLONTAIRES DES TISSUS MOUS DE LA CAVITE BUCCALE .............. 11 2.1 INTRODUCTION AUX MUTILATIONS DES TISSUS MOUS .......................................................................... 11 2.1.1 Définition des piercings et des tatouages .................................................................................... 11 2.1.1.1 Définition du piercing ........................................................................................................................ 11 2.1.1.2 Définition du tatouage ........................................................................................................................ 12 2.1.2 Origine des piercings et des tatouages ....................................................................................... 14 2.1.3 Motivations dans nos sociétés .................................................................................................... 16 2.1.4 Les piercings et les tatouages en chiffres .................................................................................... 19 2.1.5 Description des zones anatomiques percées ou tatouées (P. Kamina 2006) .............................. 21 2.1.5.1 La langue ........................................................................................................................................... 22 2.1.5.1.1 Configuration externe ................................................................................................................. 22 2.1.5.1.2 Constitution ............................................................................................................................... 24 2.1.5.1.3 Vascularisation ........................................................................................................................... 26 2.1.5.1.4 Innervation ................................................................................................................................. 28 2.1.5.2 Les lèvres de la bouche....................................................................................................................... 30 2.1.5.2.1 Face externe ............................................................................................................................... 30 2.1.5.2.2 Face interne................................................................................................................................ 30 2.1.5.2.3 Constitution ............................................................................................................................... 31 2.1.5.2.4 Vascularisation/ innervation........................................................................................................ 31 2.1.5.3 Le vestibule oral................................................................................................................................. 31 2.1.5.4 La gencive ......................................................................................................................................... 32 2.1.5.5 La luette ou uvule palatine .................................................................................................................. 32 2.2 LES PIERCINGS .............................................................................................................................. 33 2.2.1 Dans les sociétés traditionnelles ................................................................................................ 33 2.2.1.1 Définition .......................................................................................................................................... 33 2.2.1.2 Répartition géographique.................................................................................................................... 34 2.2.1.3 Motivations ........................................................................................................................................ 34 2.2.1.4 Technique .......................................................................................................................................... 35 2.2.1.5 Complications .................................................................................................................................... 35 2.2.1.5.1 Au niveau dentaire ..................................................................................................................... 35 2.2.1.5.2 Au niveau des tissus ................................................................................................................... 36 2.2.1.5.3 Au niveau fonctionnel ................................................................................................................ 36 2.2.1.5.3.1 Phonation ........................................................................................................................... 36 2.2.1.5.3.2 Alimentation ...................................................................................................................... 36 2.2.1.5.3.3 Au niveau postural .............................................................................................................. 37 2 2.2.2 Dans nos sociétés industrialisées ............................................................................................... 38 2.2.3 Aspects techniques des perforations des tissus mous buccaux ..................................................... 39 2.2.3.1 Types de bijoux et de matériaux.......................................................................................................... 39 2.2.3.1.1 Les bijoux .................................................................................................................................. 39 2.2.3.1.2 Les matériaux ............................................................................................................................. 41 2.2.3.2 Description des différents piercings de la cavité buccale ...................................................................... 42 2.2.3.2.1 La langue ................................................................................................................................... 42 2.2.3.2.2 Les lèvres ................................................................................................................................... 44 2.2.3.2.3 La luette (ou uvule palatine) ....................................................................................................... 46 2.2.4 Protocole ................................................................................................................................... 47 2.2.4.1 Protocole de réalisation d’un piercing des tissus mous buccaux recommandé par Le Groupe Français d’Etude et de Recherche sur le Piercing .............................................................................................................. 48 2.2.4.1.1 Avant le geste de piercing ........................................................................................................... 48 2.2.4.1.1.1 Rechercher des contre-indications au geste .......................................................................... 48 2.2.4.1.1.2 Préparation du matériel et du patient ................................................................................... 49 2.2.4.1.2 Réalisation du geste en conditions stériles ................................................................................... 50 2.2.4.1.3 Conclusion sur ce protocole ........................................................................................................ 51 2.2.4.2 Réalisation du piercing de la langue .................................................................................................... 52 2.2.4.3 Réalisation du piercing de la lèvre ...................................................................................................... 54 2.2.4.4 Soins après piercing et cicatrisation .................................................................................................... 55 2.2.4.5 Suites opératoires normales ................................................................................................................ 56 2.2.5 Complications ........................................................................................................................... 57 2.2.5.1 Risques per-opératoires ...................................................................................................................... 60 2.2.5.1.1 Risques locaux ........................................................................................................................... 60 2.2.5.1.1.1 Lésions vasculaires ............................................................................................................
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