Aubrey R B
Am J Orthod. 1978 Aug;74(2):162-75. doi: 10.1016/0002-9416(78)90082-9.
An attempt has been made to present a means for preventing the temporomandibular joint pain-dysfunction syndrome by treating to the terminal hinge position and using postreatment occlusal adjustment procedures. 1. Any postorthodontic patient who is not in centric relation and has occlusal interferences has the potential for temporomandibular joint pain-dysfunction syndrome symptoms to develop in the future. 2. The orthodontist should manipulate the mandible of every patient at each visit, placing the condyle in the terminal hinge position. He should close the mandible until initial tooth contact is reached and diagnose the patient's problems from this position and not from the centric occlusion position. 3. The case should be finished with the teeth in centric relation occlusion. 4. The orthodontist should equilibrate the occlusion of every completed case to eliminate the minute occlusal interferences which are always present. 5. The case treated to centric relation can be equilibrated effectively without mounting on an articulator. 6. If we have the concept of building an occlusion to fit the jaw mechanism, the temporomandibular joint pain-dysfunction syndrome can be virtually eliminated in the postorthodontic patient.
人们已尝试提出一种通过治疗至终末铰链位并采用治疗后咬合调整程序来预防颞下颌关节疼痛功能紊乱综合征的方法。1. 任何处于非正中关系且存在咬合干扰的正畸治疗后患者，未来都有可能出现颞下颌关节疼痛功能紊乱综合征症状。2. 正畸医生每次就诊时都应操作每位患者的下颌，将髁突置于终末铰链位。他应闭合下颌直至达到最初的牙齿接触，并从这个位置而非正中咬合位诊断患者的问题。3. 病例应在牙齿处于正中关系咬合时完成。4. 正畸医生应对每个完成的病例进行咬合平衡，以消除始终存在的微小咬合干扰。5. 治疗至正中关系的病例无需上架到牙合架上即可有效地进行平衡。6. 如果我们有构建适合颌骨机制的咬合的概念，那么在正畸治疗后的患者中几乎可以消除颞下颌关节疼痛功能紊乱综合征。
