Pelletier L B, Campbell S D
Harvard School of Dental Medicine, Boston, Mass.
J Prosthet Dent. 1990 May;63(5):536-40. doi: 10.1016/0022-3913(90)90071-j.
The lateral and protrusive anterior and posterior disclusive angles were recorded and measured by using a newly developed method (part I) on a population of 50 subjects (mean age 27.2 years). All of the subjects had natural anterior teeth, 45 had a clinically acceptable anterior guidance, and the remaining five had a partial (unilateral) or total lack of anterior guidance. A statistically significant correlation between the anterior and posterior disclusive angles was not found either in the entire population (n = 50) or in the stratum of the population that consisted of subjects with a clinically acceptable anterior guidance (n = 45). The Angle class of occlusion or anterior deep bite malocclusion were not identified as possible confounders or effect modifiers. This study suggested that the intra-articular tissues of the temporomandibular joint played a significant role in the relationship of their osseous components. Practical guidelines to determine anterior guidance could be established by using population means.
采用一种新开发的方法(第一部分),对50名受试者(平均年龄27.2岁)记录并测量了侧方及前伸运动时的前后牙合干扰角。所有受试者均有天然前牙,其中45人具有临床上可接受的前导,其余5人部分(单侧)或完全缺乏前导。在整个人群(n = 50)或由具有临床上可接受前导的受试者组成的人群亚组(n = 45)中,均未发现前后牙合干扰角之间存在统计学上的显著相关性。咬合的安氏分类或前牙深覆牙合错牙合未被确定为可能的混杂因素或效应修饰因素。本研究表明,颞下颌关节的关节内组织在其骨性组成部分的关系中起重要作用。可通过使用总体均值来制定确定前导的实用指南。