Consultant & Specialist in Restorative Dentistry, King's College Hospital, London, UK.
Staff Dentist in Acute Dental Care, King's College Hospital, London, UK.
Prim Dent J. 2021 Mar;10(1):101-107. doi: 10.1177/2050168420981529.
This article reviews various full mouth rehabilitation occlusal concepts along with their main beliefs and controversies. Many of those occlusal teachings were well-meant at the time they were introduced. However, closer examination reveals that many of them involved serious destruction of sound tooth tissue - without delivering many of their purported benefits.The biologic and structural disadvantages of , which were, and still are, undertaken to provide traditional full mouth rehabilitation are discussed. Those approaches are contrasted with the proven advantages of minimally destructive , which can solve frequently encountered clinical problems previously deemed to require traditional 'full mouth rehabilitations'. Pragmatic clinical cases are used to illustrate how to solve common clinical problems by using minimally destructive means, without causing structural damage to residual sound tooth tissue.
本文综述了各种全口修复的咬合概念及其主要观点和争议。这些咬合理论中的许多理论在提出时都是出于善意的。然而，仔细观察后发现，其中许多理论涉及到严重破坏健康的牙体组织——而没有带来他们所宣称的许多益处。本文讨论了过去和现在为提供传统全口修复而进行的、具有生物和结构劣势的治疗方法。这些方法与经过验证的、具有微创优势的治疗方法形成对比，微创治疗方法可以解决以前认为需要传统“全口修复”的常见临床问题。本文使用实际的临床病例来说明如何通过微创手段解决常见的临床问题，而不会对剩余的健康牙体组织造成结构损伤。
