{"id":3079,"date":"2016-01-28T10:05:45","date_gmt":"2016-01-28T10:05:45","guid":{"rendered":"http:\/\/nantes-maxillo.com\/?page_id=3079"},"modified":"2024-05-07T16:36:20","modified_gmt":"2024-05-07T14:36:20","slug":"avant-une-osteotomie-mandibulaire","status":"publish","type":"page","link":"https:\/\/nantes-maxillo.com\/preprod\/avant-une-osteotomie-mandibulaire\/","title":{"rendered":"Avant une ost\u00e9otomie mandibulaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3079\" class=\"elementor elementor-3079\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0c30ed7 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0c30ed7\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aa2a782\" data-id=\"aa2a782\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-28baaa6 elementor-widget elementor-widget-heading\" data-id=\"28baaa6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Faut-il retirer les dents de sagesse avant une ost\u00e9otomie mandibulaire ?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-99d6d26 elementor-widget elementor-widget-text-editor\" data-id=\"99d6d26\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>La question fait d\u00e9bat de longue date, voici quelques \u00e9l\u00e9ments pour comprendre le probl\u00e8me.<\/p><p>L\u2019ost\u00e9otomie mandibulaire horizontale ou \u00ab\u00a0longue\u00a0\u00bb (technique d\u2019Epker ou d\u2019Obwegeser) s\u2019effectue le long du nerf mandibulaire. Le temps de la s\u00e9paration des deux valves osseuses est un moment d\u00e9licat, explosant aux agressions du nerf mandibulaire inf\u00e9rieur et \u00e0 la fracture de valve.\u00a0<strong>La pr\u00e9sence des dents de sagesse pendant ce clivage augmente-t-elle le risque de fracture? d\u2019hypoesth\u00e9sie post-op\u00e9ratoire?<\/strong><\/p><p>N.B. L\u2019ost\u00e9otomie mandibulaire verticale ou \u00ab\u00a0courte\u00a0\u00bb (technique de Perthes Schloessmann) ne s\u2019effectue pas au niveau de la dent de sagesse. Elle peut donc \u00eatre retir\u00e9 avant l\u2019ost\u00e9otomie sans probl\u00e8mes particuliers, car le clivage osseux de la mandibule se situe au dessus de l\u2019alv\u00e9ole de la dent de sagesse.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59a4f1e elementor-widget elementor-widget-heading\" data-id=\"59a4f1e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Technique op\u00e9ratoire en pr\u00e9sence des dents de sagesse :<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-afdc877 elementor-widget elementor-widget-text-editor\" data-id=\"afdc877\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Elle est proche de la technique en l\u2019absence de dents de sagesse. La particularit\u00e9 est la section de la dent \u00e0 l\u2019aide du fraise efficace, en direction du dehors du canal dentaire.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-51816f7 elementor-widget elementor-widget-image\" data-id=\"51816f7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"257\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM1-300x257.jpg\" class=\"attachment-medium size-medium wp-image-4739\" alt=\"\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM1-300x257.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM1-768x659.jpg 768w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM1.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-24e9599 elementor-widget elementor-widget-text-editor\" data-id=\"24e9599\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Puis on compl\u00e8te \u00e0 la partie inf\u00e9rieure au Piezzotome qui a la particularit\u00e9 de couper les tissus durs sans couper les tissus mous afin de pr\u00e9server le nerf mandibulaire.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7680c59 elementor-widget elementor-widget-image\" data-id=\"7680c59\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"265\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_02-300x265.jpg\" class=\"attachment-medium size-medium wp-image-4740\" alt=\"\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_02-300x265.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_02-768x678.jpg 768w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_02.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ec045d elementor-widget elementor-widget-text-editor\" data-id=\"9ec045d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Le clivage s\u2019effectue ainsi \u00e0 travers la dent de sagesse, comme pour un clivage sagittal classique une fois que la corticale autour de l\u2019alv\u00e9ole de la dent de sagesse est ost\u00e9otomis\u00e9.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbb6da5 elementor-widget elementor-widget-image\" data-id=\"dbb6da5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"260\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_04-300x260.jpg\" class=\"attachment-medium size-medium wp-image-4741\" alt=\"\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_04-300x260.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_04-768x665.jpg 768w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/DDSOSBM_04.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-705f108 elementor-widget elementor-widget-heading\" data-id=\"705f108\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Revue de la litt\u00e9rature :\n<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f14d10 elementor-widget elementor-widget-text-editor\" data-id=\"8f14d10\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li><strong>Age as a Factor in the Complication Rate Removal of Unerupted\/lmpacted Third Molars at the Time of Mandibular Sagittal Split Osteotomy<\/strong>, Reyneke, J Oral Maxillofac Surg, 2002.<br \/>A partir d\u2019une s\u00e9rie de 139 ost\u00e9otomies, l\u2019auteur identifie l\u2019exp\u00e9rience de l\u2019op\u00e9rateur comme principal risque de complications lors de l\u2019ost\u00e9otomie<\/li><li><strong>Complications of the Mandibular Sagittal Split Ramus Osteotomy Associated With the Presence or Absence of Third Molars<\/strong>, Mehra, J Oral Maxillofac Surg, 2001.<br \/>A partir d\u2019une s\u00e9rie de 500 ost\u00e9otomies, l\u2019auteur ne retrouve pas d\u2019augmentation du risque lorsque l\u2019ost\u00e9otomie est r\u00e9alis\u00e9e en m\u00eame temps que les dents de sagesse, et propose un d\u00e9tail technique.<\/li><li><strong>Presence of impacted teeth as a determining factor of unfavorable splits in 1256 sagittal-split osteotomies<\/strong>, D. Precious, Oral Surgery Oral Medicine Oral Medicine Oral Pathology, 1998<br \/>A partir d\u2019une s\u00e9rie de 1256 ost\u00e9otomies, l\u2019auteur conclue que l\u2019avulsion des dents de sagesse avant l\u2019ost\u00e9otomie \u00ab\u00a0augmente les douleurs, le gonflement, le risque anesth\u00e9tique, et augmente le co\u00fbt de la prise en charge\u00a0\u00bb.<\/li><li><strong>Prospective effect of the Presence of Thrid Molars During Sagittal Split Osteotomies<\/strong>, J. Doucet, J Oral Maxillofac Surg, 2010<\/li><li><strong>The timing of third molar removal in patients undergoing a bilateral sagittal split osteotomy<\/strong>, Collela, J Oral Maxillofac Surg 2003<br \/>L\u2019auteur pr\u00e9conise l\u2019avulsion des dents de sagesse avant l\u2019ost\u00e9otomie chez l\u2019enfant uniquement, mais pas chez l\u2019adulte.<\/li><li><strong>Simultaneous Removal of Third Molars During Sagittal Split Osteotomies: The Case Against<\/strong>, Schwartz, J Oral Maxillofac Surg, 2004.<\/li><li><strong>Removal of third Molars With Sagittal Split Osteotomies: The Case For<\/strong>, Precious, J Oral Maxillofac Surg, 2004.<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fd22ac elementor-widget elementor-widget-heading\" data-id=\"3fd22ac\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arguments POUR l\u2019extraction des dents de sagesse AVANT l\u2019ost\u00e9otomie mandibulaire<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d717380 elementor-widget elementor-widget-text-editor\" data-id=\"d717380\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>Une ost\u00e9otomie sans dents de sagesse est moins longue \u00e0 r\u00e9aliser qu\u2019en pr\u00e9sence des dents de sagesse. Cet argument n\u2019est pas partag\u00e9 par tous.<\/li><li>La technique chirurgicale est plus d\u00e9licate en pr\u00e9sence des dents de sagesse et n\u00e9cessite un op\u00e9rateur entrain\u00e9.<\/li><li>Les fractures de valves semblent plus fr\u00e9quentes en pr\u00e9sence des dents de sagesse, mais cet argument semble contest\u00e9 par certains auteurs (Precious)<\/li><\/ul><p>En pratique, l\u2019avulsion doit se faire au plus tard 6 mois avant l\u2019ost\u00e9otomie, si possible par un op\u00e9rateur comp\u00e9tent afin de ne pas fragiliser la valve externe.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58f7c52 elementor-widget elementor-widget-heading\" data-id=\"58f7c52\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Arguments POUR l\u2019extraction des dents de sagesse PENDANT l\u2019ost\u00e9otomie mandibulaire:<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb7e462 elementor-widget elementor-widget-text-editor\" data-id=\"cb7e462\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>Le risque de l\u00e9sion du nerf mandibulaire est inf\u00e9rieur. En effet, le risque statistique de l\u00e9sion du nerf mandibulaire existe lors de l\u2019avulsion des dents de sagesse ET lors de l\u2019ost\u00e9otomie, il est donc math\u00e9matiquement et statistiquement plus important si le patient subit 2 interventions chirurgicales plut\u00f4t que une seule si l\u2019extraction des dents de sagesse est r\u00e9alis\u00e9e pendant l\u2019ost\u00e9otomie.<\/li><li>Le co\u00fbt pour le patient et pour le syst\u00e8me de sant\u00e9 est inf\u00e9rieur.<\/li><li>Les fractures de valve sont moins fr\u00e9quentes lorsque les dents de sagesse sont en place, mais cet argument est contest\u00e9 par certains auteurs (Doucet 2010)<\/li><li>L\u2019ost\u00e9otomie n\u2019est pas plus longue si les dents de sagesse sont en place (Doucet 2010)<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5415a6 elementor-widget elementor-widget-heading\" data-id=\"e5415a6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">En conclusion<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f3b5ef elementor-widget elementor-widget-text-editor\" data-id=\"8f3b5ef\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Les dents de sagesse peuvent \u00eatre retir\u00e9es avant, ou pendant l\u2019ost\u00e9otomie mandibulaire, il n\u2019y a pas de consensus.<\/p><p>Par contre, le risque de fracture de valve est plus important si:<br \/>\u2013 les dents de sagesse sont extraites par un praticien n\u2019ayant pas l\u2019habitude des ost\u00e9otomies<br \/>\u2013 les dents de sagesse ont \u00e9t\u00e9 extraites moins de 6 mois avant l\u2019ost\u00e9otomie<br \/>\u2013 la corticale interne est tr\u00e8s fine (particuli\u00e8rement entre 15 et 20 ans)<\/p><p>La n\u00e9cessit\u00e9 d\u2019extraire les dents de sagesse avant l\u2019ost\u00e9otomie reste donc \u00e0 l\u2019appr\u00e9ciation de l\u2019op\u00e9rateur, en fonction de la technique utilis\u00e9e, et du risque de fracture.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-ba80d47 e-flex e-con-boxed e-con e-parent\" data-id=\"ba80d47\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05e9bba elementor-widget elementor-widget-spacer\" data-id=\"05e9bba\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Faut-il retirer les dents de sagesse avant une ost\u00e9otomie mandibulaire ? La question fait d\u00e9bat de longue date, voici quelques \u00e9l\u00e9ments pour comprendre le probl\u00e8me. L\u2019ost\u00e9otomie mandibulaire horizontale ou \u00ab\u00a0longue\u00a0\u00bb (technique d\u2019Epker ou d\u2019Obwegeser) s\u2019effectue le long du nerf mandibulaire. Le temps de la s\u00e9paration des deux valves osseuses est un moment d\u00e9licat, explosant aux&hellip;&nbsp;<a href=\"https:\/\/nantes-maxillo.com\/preprod\/avant-une-osteotomie-mandibulaire\/\" class=\"\" rel=\"bookmark\">Lire la suite &raquo;<span class=\"screen-reader-text\">Avant une ost\u00e9otomie mandibulaire<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1165,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","footnotes":""},"class_list":["post-3079","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/3079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/comments?post=3079"}],"version-history":[{"count":5,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/3079\/revisions"}],"predecessor-version":[{"id":5421,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/3079\/revisions\/5421"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/media\/1165"}],"wp:attachment":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/media?parent=3079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}