Nitecka-Buchta Aleksandra, Proba Thomas, Proba Paulina, Stefański Kamil, Baron Stefan
Department of Temporomandibular Disorders, Unit SMDZ in Zabrze, SUM in Katowice, 2 Traugutta Sq., 41-800 Zabrze, Poland.
Pain Res Manag. 2018 Feb 4;2018:1572037. doi: 10.1155/2018/1572037. eCollection 2018.
The study compares subjective experiences of patients, wearing complete dentures. Two different methods of determining a centric relation were performed: the traditional method using wax occlusal rims and the Gerber method, based on gothic arch tracings. The success rate of establishing a centric relation in both methods was evaluated (rentgenodiagnostics). The influence of the method used to obtain the centric relation on patients' stomatognathic system (condyle centralization, pain) was also evaluated. Better results were achieved in gothic arch tracing method. Before every prosthetic treatment of edentulous patients, a functional analysis of the TMJ is necessary. The lack of centric relation, in a long term adaptation patients, does not lead to TMD symptoms. This trial is registered with NCT03343015.
该研究比较了佩戴全口义齿患者的主观体验。采用了两种不同的确定正中关系的方法：使用蜡咬合堤的传统方法和基于哥特式弓描记的格伯法。评估了两种方法建立正中关系的成功率（X线诊断）。还评估了用于获得正中关系的方法对患者口腔颌面部系统（髁突中心化、疼痛）的影响。哥特式弓描记法取得了更好的结果。在对无牙患者进行每一次修复治疗之前，对颞下颌关节进行功能分析是必要的。在长期适应的患者中，正中关系的缺失不会导致颞下颌关节紊乱症状。该试验已在ClinicalTrials.gov注册，注册号为NCT03343015。
