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列奥纳多·达·芬奇与牙体解剖学。

Leonardo da Vinci and dental anatomy.

机构信息

Danube Private University, Center of Natural and Cultural Human History, Krems, Austria.

出版信息

J Anat. 2022 Feb;240(2):183-196. doi: 10.1111/joa.13561. Epub 2021 Oct 1.

Abstract

Leonardo da Vinci, the Renaissance polymath, is still recognized today-above all for his oil paintings and mechanical inventions. His anatomical studies have attracted less attention, even though he devoted over 30 years of his life to them. This paper outlines Leonardo's career and research methods and focuses on the importance of his medical images for anatomical research and teaching. Following a short presentation of the state of (dental) medicine in the early Renaissance period, it offers a description of five of his cranial drawings that show the anatomy of the teeth, the nervous and vascular system on inner and outer tables of the skull and the paranasal sinuses in great detail. Leonardo da Vinci had obviously discovered and depicted the maxillary sinus 150 years before the anatomist Nathaniel Highmore, who is usually credited with this discovery. Other anatomical drawings by Leonardo address the correct human dental formula and describe the morphology of the four types of teeth. His handwritten notes show that he recognized the connection between tooth form and function. Finally, this paper evaluates the influence of these discoveries and innovations on the development of dentistry and its establishment as a scientific discipline. There is no doubt that Leonardo da Vinci's preoccupation with the anatomy of the maxillofacial region influenced the development of anatomy and dentistry, even though he never published his anatomical research.

摘要

列奥纳多·达·芬奇(Leonardo da Vinci)是文艺复兴时期的博学多才之人,至今仍备受推崇——尤其是他的油画和机械发明。他的解剖学研究虽然投入了超过 30 年的时间,但却没有得到太多关注。本文概述了列奥纳多的职业生涯和研究方法,并重点介绍了他的医学图像对解剖学研究和教学的重要性。在简要介绍了早期文艺复兴时期的(牙科)医学状况之后,本文描述了他的五幅颅腔图,这些图详细展示了牙齿、颅骨内外板的神经系统和血管系统以及鼻窦的解剖结构。列奥纳多显然在解剖学家纳撒尼尔·霍格莫尔(Nathaniel Highmore)之前 150 年就发现并描绘了上颌窦,通常认为是霍格莫尔发现了上颌窦。列奥纳多的其他解剖学图纸涉及正确的人类牙科公式,并描述了四种牙齿的形态。他的手写笔记表明,他认识到牙齿形态与功能之间的联系。最后,本文评估了这些发现和创新对牙科发展及其作为一门科学学科的确立的影响。毫无疑问,列奥纳多对颌面解剖学的关注影响了解剖学和牙科的发展,尽管他从未发表过他的解剖学研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a4d/8742964/a26e2c0034bf/JOA-240-183-g001.jpg

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