Astudillo-Rozas Wilson, Valdivia-Gandur Iván, Vasquez Aruny Vasquez, Aceituno-Antezana Oscar, Vasquez-Salinas Matias, Guerra Claudio Ly, Manzanares-Céspedes María Cristina
Biomedical Department, Faculty of Health Science, Universidad de Antofagasta, Antofagasta, Chile.
Master of Biomedical Science, Universidad de Antofagasta, Antofagasta, Chile.
Eur J Dent Educ. 2023 Nov;27(4):908-917. doi: 10.1111/eje.12881. Epub 2022 Dec 21.
The lack of academic agreement in the practical or clinical use of declarative knowledge can generate unnecessary confusion and miscommunication. The concept Centric Occlusion (CO) is part of the body of declarative knowledge in dentistry, but its definition remains unclear.
To ascertain the CO concept in articles published in dental journals as a study case for the dentistry "corpus" of declarative knowledge.
The alternative definitions of CO used by the GPT (Glossary of Prosthodontic Terms) from 1956-1977, 'CO as a synonym for maximum intercuspal contact (MIC)', or by the GPT from 1987-2017, 'CO may or may not coincide with MIC', were searched in the articles. The association between the CO definition used and variables such as article aims, journal scope and authors specialty was assessed.
Eight hundred and twelve articles were analysed. The widespread use of CO as synonym of MIC was the main finding and was significantly associated to the Orthodontics field. The CO definition according to the GPT 1987-2017 was less frequently observed but appeared in all dentistry fields, showing a significant association with the Oral Rehabilitation field. The difficulty of incorporating the current definition of CO (by GPT) into the main clinical discussions was evidenced all the long of the review process.
The lack of consensus in the concept use was confirmed by the present study case, showing the influence of specific fields in Oral Health declarative knowledge. This methodology can provide a tool to the academy to assess controversial terms or concepts in Oral Health education, thus facilitating the critical and reflexive learning by students.
在陈述性知识的实际或临床应用中缺乏学术共识可能会产生不必要的混乱和沟通不畅。正中咬合（CO）概念是牙科陈述性知识体系的一部分，但其定义仍不明确。
确定牙科期刊上发表的文章中CO的概念，作为牙科陈述性知识“语料库”的一个研究案例。
在文章中搜索1956 - 1977年《口腔修复学术语词汇表》（GPT）中使用的CO的替代定义，即“CO作为最大牙尖交错接触（MIC）的同义词”，或1987 - 2017年GPT中使用的定义“CO可能与MIC一致，也可能不一致”。评估所使用的CO定义与文章目的、期刊范围和作者专业等变量之间的关联。
分析了812篇文章。主要发现是广泛将CO用作MIC的同义词，且这与正畸领域显著相关。1987 - 2017年GPT中的CO定义较少被观察到，但出现在所有牙科领域，与口腔修复领域有显著关联。在整个综述过程中都证明了将当前CO的定义（由GPT给出）纳入主要临床讨论存在困难。
本研究案例证实了在概念使用上缺乏共识，表明了特定领域对口腔健康陈述性知识的影响。这种方法可以为学术界提供一种工具，以评估口腔健康教育中有争议的术语或概念，从而促进学生的批判性和反思性学习。
