Chasens A I
Department of Periodontics and Oral Medicine, Fairleigh S. Dickinson, Jr. College of Dental Medicine, Hackensack, New Jersey.
Dent Clin North Am. 1990 Jan;34(1):111-23.
The tissues and structures of the stomatognathic system adapt in different ways but in a coordinated manner to functional forces. This adaptive capacity differs from individual to individual and tends to cloud the picture as to how these mechanisms function. This leads to many areas of disagreement as to the role of occlusal trauma in the etiology of periodontal disease; the importance of centric, bite collapse versus arch collapse; the role of incisal guidance in maintaining occlusal stability; canine protected-guided occlusion versus group function; the use of appliances in occlusal therapy; prophylactic versus interceptive occlusal adjustment; and the role of bruxism and other parafunctional habits in occlusal trauma. An attempt is made in this article to clarify these issues.
口颌系统的组织和结构以不同但协调的方式适应功能力。这种适应能力因人而异，往往使这些机制的运作情况变得模糊不清。这导致在许多方面存在分歧，例如咬合创伤在牙周病病因中的作用；正中关系、咬合塌陷与牙弓塌陷的重要性；切导在维持咬合稳定性中的作用；尖牙保护型引导咬合与组牙功能；咬合治疗中矫治器的使用；预防性与阻断性咬合调整；以及磨牙症和其他副功能习惯在咬合创伤中的作用。本文试图阐明这些问题。
