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[咬合的核心地位、口腔颌学以及口腔医学中必须遵循的相关诊断和治疗原则]

[Core position of occlusion, gnathology and related diagnosis and treatment principles that mustbe followed in stomatology].

作者信息

Zhang Z K

机构信息

Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2021 Aug 9;56(8):729-733. doi: 10.3760/cma.j.cn112144-20210709-00321.

Abstract

This article discussed, in the following three aspeccts, the standing of occlusion, gnathology and temporomandibular joint (TMJ) in stomatology. And meanwhile highlighted the important meanings for every stomatologists. Firstly, from the history of dentistry or stomatology, the establishment of occlusion and gnathology drived the transformation of dentistry from a craft practice into an independent profession and discipline. Secondly, from the evolution of occlusion, jaw, and TMJ, this article clarified the distinctiveness and uniqueness of occlusion, jaw and TMJ that made modern human beings the most highly endowed. Thirdly, teeth and other oral organs not only have masticatory and digestive functions but also possess more complex social functions. Stomatognathic system is a more accurate conception than oral organs which is usually called. The conception of stomatognathic system gives a clearer sense of wholeness and more beneficial for accurate diagnosis and treatment of occlusion-related diseases as well as temporomandibular disorders. Finally, the author introduced five common examples regarding medical care and patient-doctor relationships in order to further emphasize the significance of the study of occlusion, gnathology and TMJ. It is necessary for not only general stomatoloaists but also other dental specialists in stomatology to clearly understand the principal theories and proficiently master the management capability on occlusion, gnathology and temporomandibular disorders.

摘要

本文从以下三个方面探讨了咬合学、口腔颌面学和颞下颌关节(TMJ)在口腔医学中的地位。同时强调了其对每位口腔医生的重要意义。首先,从牙科学或口腔医学的历史来看,咬合学和口腔颌面学的建立推动了牙科学从一门手艺实践转变为一门独立的专业和学科。其次,从咬合、颌骨和颞下颌关节的进化角度,本文阐明了咬合、颌骨和颞下颌关节的独特性,正是这些特性使现代人类具备了最高的天赋。第三,牙齿和其他口腔器官不仅具有咀嚼和消化功能,还拥有更复杂的社会功能。口颌系统是一个比通常所说的口腔器官更准确的概念。口颌系统的概念能让人更清晰地感受到整体性,也更有利于准确诊断和治疗与咬合相关的疾病以及颞下颌紊乱症。最后,作者介绍了五个关于医疗护理和医患关系的常见例子,以进一步强调研究咬合学、口腔颌面学和颞下颌关节的重要性。不仅普通口腔医生,而且口腔医学领域的其他牙科专家都有必要清楚地理解主要理论,并熟练掌握对咬合学、口腔颌面学和颞下颌紊乱症的处理能力。

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