Dabadie M, Renner R P
Department of Restorative Dentistry, State University of New York, School of Dental Medicine, Stony Brook.
J Prosthet Dent. 1990 Jan;63(1):52-5. doi: 10.1016/0022-3913(90)90265-e.
Many edentulous patients have temporomandibular joint (TMJ) dysfunction that affects the use of their complete dentures. During the diagnostic and treatment-planning phase an ordered series of procedures must be performed. An arbitrary axis mounting, needlepoint and pantographic tracings on stabilized record bases will aid the dentist in determining the functional state of the TMJ and associated muscles. If no pathosis is found, a conventional denture technique can be used. If TMJ dysfunction is noted on the basis of an analysis of the tracings, an interim mandibular denture can be modified to correct the TMJ and musculature before new complete dentures are made. The occlusal scheme chosen for each patient can be based on a careful analysis of the tracings over a period of months.
许多无牙患者存在颞下颌关节（TMJ）功能障碍，这会影响他们全口义齿的使用。在诊断和治疗计划阶段，必须执行一系列有序的程序。在稳定的记录基托上进行任意轴安装、针尖描记和全口义齿运动描记，将有助于牙医确定颞下颌关节和相关肌肉的功能状态。如果未发现病变，可以采用传统的义齿技术。如果根据描记分析发现颞下颌关节功能障碍，可以在制作新的全口义齿之前，对临时下颌义齿进行修改，以纠正颞下颌关节和肌肉组织的问题。为每位患者选择的咬合方案可以基于对数月来描记的仔细分析。
