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牙合架的历史:“牙合架之战”现象及其相关背景。

The history of articulators: the "Articulator Wars" phenomenon with some circumstances leading up to it.

机构信息

Department of Prosthodontics, University of Texas Houston Health Science Center - Dental Branch, Houston, TX 77030, USA.

出版信息

J Prosthodont. 2010 Jun;19(4):321-33. doi: 10.1111/j.1532-849X.2009.00539.x. Epub 2009 Dec 3.

DOI:10.1111/j.1532-849X.2009.00539.x
PMID:20002974
Abstract

At the dawn of the 20th century, all was not well with the practice of "plate prostheses." Removable prosthodontics had been degrading for several decades and was now generally in low esteem, even though there had been many significant advances. W. E. Walker had introduced adjustable condylar guides, George Snow, the facebow, and Carl Christensen, a method for clinically measuring the condylar inclines. Nevertheless, the average practicing dentist was still using simple hinge articulators and was apathetic to the deplorable state of the artificial teeth available; however, this was all going to change dramatically when two dentists, Alfred Gysi and J. Leon Williams, working together between 1910 and 1914, presented to the profession the "Trubyte Artificial Tooth System" that embodied both a typal system for selecting anterior teeth and new posterior occlusal carvings that made possible, for the first time, the articulation of artificial teeth. This incited many of prosthetic dentistry's elite to introduce their own theories of mandibular movement and the articulators that they designed to reflect those theories. The intense debates that ensued, both in the meeting halls and in the literature, were numerous and lasted for decades. At the time, the "Articulator Wars" had both positive and negative consequences. Today, with many of the "Articulator Wars" issues remaining as part of the practice of dentistry, the "Articulator Wars" can be considered a phenomenon of enlightenment.

摘要

在 20 世纪初,“牙托义齿”的应用情况并不理想。可摘义齿修复术几十年来一直在走下坡路,现在已经普遍不受重视,尽管已经取得了许多重大进展。W·E·沃克(W. E. Walker)引入了可调节的髁导盘,乔治·斯诺(George Snow)发明了面弓,卡尔·克里斯坦森(Carl Christensen)提出了一种临床测量髁突倾斜度的方法。然而,普通的执业牙医仍在使用简单的铰链式牙合架,对现有的人工牙齿状况漠不关心;然而,当两位牙医阿尔弗雷德·吉西(Alfred Gysi)和 J·利昂·威廉姆斯(J. Leon Williams)于 1910 年至 1914 年间合作时,这种情况将发生巨大变化,他们向专业人士展示了“特鲁比特人工牙系统”,该系统体现了一种选择前牙的典型系统和新的后牙咬合雕刻,这使得人工牙的咬合成为可能。这一创新激发了许多修复牙科的精英人士提出自己的下颌运动理论和他们设计的反映这些理论的牙合架。随之而来的激烈争论,无论是在会议厅还是在文献中,都非常多,持续了几十年。当时,“牙合架之战”既有积极的影响,也有消极的影响。今天,随着许多“牙合架之战”的问题仍然是牙科实践的一部分,“牙合架之战”可以被认为是一种启蒙现象。

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