Utz K H, Duvenbeck H, Oettershagen K
Poliklinik für Zahnärztliche Prothetik I der Universitätsklinik, Universität Bonn, BRD.
Schweiz Monatsschr Zahnmed. 1990;100(1):42-9.
In 117 subjects with normal TMJs, the distance between most retruded contact position and maximum intercuspation was measured both extraorally by means of a kinematic face bow and intraorally with a ruler. The mean distance between most retruded contact position and maximum intercuspation was 0.5 +/- 0.3 mm on the right side and 0.5 +/- 0.4 mm on the left side. The reproducibility of the measurements was better than 0.3 mm (0.2 +/- 0.1 mm) in 80% of the subjects. Statistically, there was no correlation between the amount of sliding and vertical overlap. For practical purposes, the following conclusions can be drawn: 1. Retruded contact position and maximum intercuspation are well reproducible reference positions of the mandible. 2. Retruded contact position is very close to maximum intercuspation in most people. Therefore it can be used as a "therapeutic compromise" for occlusal rehabilitation. 3. There is no indication that a deep vertical overlap would lock the mandible in a dorsal position. 4. When using the "freedom in centric" concept, the occlusal range is about 0.5 mm.
在117名颞下颌关节正常的受试者中,通过运动面弓在口外和用直尺在口内测量了最后退接触位与最大牙尖交错位之间的距离。最后退接触位与最大牙尖交错位之间的平均距离右侧为0.5±0.3mm,左侧为0.5±0.4mm。80%的受试者测量的可重复性优于0.3mm(0.2±0.1mm)。统计学上,滑动量与垂直覆盖之间无相关性。出于实际目的,可得出以下结论:1. 后退接触位和最大牙尖交错位是下颌骨良好的可重复性参考位置。2. 大多数人的后退接触位非常接近最大牙尖交错位。因此,它可作为咬合重建的“治疗折衷方案”。3. 没有迹象表明深的垂直覆盖会将下颌骨锁定在背侧位置。4. 当使用“正中自由”概念时,咬合范围约为0.5mm。