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诊断性咬合调整:面向牙科学生的病例展示

Diagnostic Occlusal Adjustment: Case Presentation for Dental Students.

作者信息

Biethman Rick K, Raney Stephen, Marincel John

机构信息

Assistant Professor, Southern Illinois University School of Dental Medicine.

Assistant Professor, University of Missouri-Kansas City School of Dentistry.

出版信息

MedEdPORTAL. 2016 Sep 23;12:10465. doi: 10.15766/mep_2374-8265.10465.

DOI:10.15766/mep_2374-8265.10465
PMID:31008243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6464406/
Abstract

INTRODUCTION

The concept of occlusal therapy as an aspect of overall patient care can be difficult for a dental student to grasp. A clear understanding of the position of the teeth, temporomandibular joints, and articulator components is necessary as the position of the teeth and condyles moves from centric relation to maximum intercuspation.

METHODS

This slide-show presentation, self-assessment rubric, and instructor guide were created to enhance student understanding of occlusal concepts. Peter Dawson's occlusal concept of mutually protected occlusion is demonstrated as duplicated casts are adjusted to make centric relations and maximum intercuspation equal.

RESULTS

This educational resource has been utilized for the past 2 years at our dental school as part of the preclinical occlusion course. It has also been used in the dental clinic for third- and fourth-year students as the need arises for occlusal adjustment on a patient. While we have no hard data on the number of times it has been utilized, the feedback from faculty and students has been positive. The students are consistently able to utilize the educational resource to guide them through the steps of performing a diagnostic occlusal adjustment to the satisfaction of the proctoring faculty.

DISCUSSION

Existing articles and textbooks mention all of the concepts and steps seen in this resource, but the limitation of print media results in minimization and consolidation of these concepts and steps. This resource presents the detail that is lacking in textbooks.

摘要

引言

咬合治疗作为整体患者护理的一个方面,牙科学生可能难以理解。由于牙齿和髁突的位置从正中关系移动到最大牙尖交错位,因此清楚了解牙齿、颞下颌关节和咬合架组件的位置是必要的。

方法

创建此幻灯片演示文稿、自我评估量表和教师指南,以增强学生对咬合概念的理解。当复制的模型被调整以使正中关系和最大牙尖交错位相等时,展示了彼得·道森的相互保护咬合的咬合概念。

结果

在过去两年中,我们牙科学院将此教育资源用作临床前咬合课程的一部分。根据需要,它也用于牙科诊所,供三年级和四年级学生对患者进行咬合调整。虽然我们没有关于其使用次数的确切数据,但教师和学生的反馈都是积极的。学生始终能够利用该教育资源指导他们完成诊断性咬合调整步骤,以让监考教师满意。

讨论

现有文章和教科书提到了此资源中所见的所有概念和步骤,但印刷媒体的局限性导致这些概念和步骤被简化和整合。此资源呈现了教科书中所缺乏的细节。

相似文献

1
Diagnostic Occlusal Adjustment: Case Presentation for Dental Students.诊断性咬合调整:面向牙科学生的病例展示
MedEdPORTAL. 2016 Sep 23;12:10465. doi: 10.15766/mep_2374-8265.10465.
2
The role of the general practitioner in restoring patients with temporomandibular joint dysfunction.
Int Dent J. 1988 Mar;38(1):40-4.
3
Occlusal refinement of mounted casts before crown fabrication to decrease clinical time required to adjust occlusion.在制作牙冠之前对模型进行咬合调整,以减少调整咬合所需的临床时间。
J Prosthet Dent. 1999 Nov;82(5):591-4. doi: 10.1016/s0022-3913(99)70059-4.
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[Comparative analysis of edentulous patients treated traditionally and with the use of a face-bow and Quick Master articulator].[无牙颌患者传统治疗与使用面弓和快速全功能架治疗的对比分析]
Ann Acad Med Stetin. 1998;44:237-49.
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Using a single cone-beam computed tomography scan to obtain full occlusal details, with the mandible in centric relation and maximum intercuspation.利用单次锥形束计算机断层扫描获得完整的咬合细节,下颌处于正中关系位和最大牙尖交错位。
Am J Orthod Dentofacial Orthop. 2018 May;153(5):741-746. doi: 10.1016/j.ajodo.2017.09.014.
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Comparative evaluation of the efficacy of occlusal splints fabricated in centric relation or maximum intercuspation in temporomandibular disorders patients.在颞下颌关节紊乱病患者中,对在正中关系或最大牙尖交错位制作的咬合板疗效的比较评估。
J Appl Oral Sci. 2009 Jan-Feb;17(1):32-8. doi: 10.1590/s1678-77572009000100007.
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A positional analyzer for measuring centric slide.一种用于测量正中滑动的位置分析仪。
J Indian Prosthodont Soc. 2012 Dec;12(4):216-21. doi: 10.1007/s13191-012-0130-0. Epub 2012 Aug 12.
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Occlusal objectives in orthodontic treatment.正畸治疗中的咬合目标。
Am J Orthod. 1978 Aug;74(2):162-75. doi: 10.1016/0002-9416(78)90082-9.
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The lateral leeway in the habitual intercuspation: experimental studies and literature review.习惯性牙尖交错位时的侧向牙合间隙:实验研究与文献综述
J Oral Rehabil. 2007 Jun;34(6):406-13. doi: 10.1111/j.1365-2842.2007.01731.x.
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The significance of occlusion in restorative dentistry.咬合在修复牙科学中的意义。
Dent Clin North Am. 1993 Jul;37(3):341-51.

本文引用的文献

1
Dental occlusion: a critical reflection on past, present and future concepts.牙合:对过去、现在和未来概念的批判性思考。
J Oral Rehabil. 2008 Jun;35(6):446-53. doi: 10.1111/j.0305-182X.2007.01820.x.
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Maxillomandibular relationship philosophies for prosthodontic treatment: a survey of dental educators.口腔修复治疗中的颌骨关系理念:牙科教育工作者的一项调查
J Prosthet Dent. 2005 Jan;93(1):86-90. doi: 10.1016/j.prosdent.2004.11.002.
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Neuromuscular control of mandibular movements.
J Prosthet Dent. 1973 Oct;30(4 Pt 2):714-20. doi: 10.1016/0022-3913(73)90292-8.