De Boever J A
Service Prothése Fixe et Parodontologie Kliniek voor Tand, Mond- en Kaakziekten Rijksuniversiteit Gent.
Rev Belge Med Dent (1984). 1990;45(4):9-19.
In this paper the so-called 'normal' or 'ideal' occlusal relationships are described in static centric as well as in dynamic, eccentric positions. However, difference is made between the different occlusal concepts. There is no real antagonism between the 'physiologic occlusal concept' in natural dentition and the 'therapeutic occlusal concept' on which the treatment should be based in restoring the occlusion. The different forms of occlusion and articulation found in the natural dentition are the expression of physiologic, biological variations. The rest position of the mandible is an unreliable reference point in occlusal rehabilitation. Moderate attrition in older patients should not be considered as pathologic and there is no indication for treatment in absence of functional pathology.
本文描述了在静态正中以及动态、非正中位置的所谓“正常”或“理想”咬合关系。然而,不同的咬合概念之间存在差异。天然牙列中的“生理咬合概念”与治疗修复咬合时应依据的“治疗性咬合概念”之间并无真正的对立。天然牙列中发现的不同咬合和关节形式是生理、生物学变异的表现。下颌的息止位在咬合重建中是不可靠的参考点。老年患者的中度磨耗不应被视为病理性的,且在无功能病理的情况下没有治疗指征。