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[咬合调整的价值:为何、如何以及何时?病例报告]

[The value of an occlusal adjustment: why?, how?, and when? case report].

作者信息

Garcia-Cahuana Leslie Nicole, Martinez-Aparcana Joselin Harley, Figueroa Pastrana David Juan, Atoche-Socola Katherine Joselyn

机构信息

Carrera de Estomatología de la Universidad Científica del Sur. Lima, Perú.

División de Rehabilitación Oral de la Universidad Científica del Sur. Lima, Perú.

出版信息

Rev Cient Odontol (Lima). 2022 Sep 28;10(3):e122. doi: 10.21142/2523-2754-1003-2022-122. eCollection 2022 Jul-Sep.

Abstract

The aim of optimal dentistry is to stabilise the stomatognathic system (teeth, periodontium, muscles and temporomandibular joint). All of these must work in harmony, as together they provide optimal care from diagnosis through planning to treatment. However, many clinicians currently give little importance to the identification of premature contacts and/or interferences prior to any dental treatment, which should be taken into account to provide improved stability in mandibular closure, correct anterior and canine guidance in mandibular movements.This clinical case describes the treatment of a patient with a diagnosis of functional occlusal disorder due to premature contact, whose treatment consisted of an occlusal adjustment by selective wear, following the technique described by the author Klineberg, with the aim of preserving the dental structure as much as possible while maintaining control during the occlusal adjustment and returning the greatest number of symmetrical and pointed contacts.

摘要

理想口腔医学的目标是稳定口颌系统(牙齿、牙周组织、肌肉和颞下颌关节)。所有这些部分必须协同工作,因为它们共同提供从诊断到治疗计划再到治疗的最佳护理。然而,目前许多临床医生在进行任何牙科治疗之前,很少重视识别早接触和/或干扰,而在进行下颌闭合时,为提高稳定性、纠正下颌运动中的前牙和尖牙引导时应考虑这些因素。本临床病例描述了一名因早接触被诊断为功能性咬合紊乱患者的治疗过程,其治疗方法是按照作者克莱因伯格描述的技术,通过选择性调磨进行咬合调整,目的是在咬合调整过程中尽可能保留牙齿结构,同时保持控制,并恢复最大数量的对称且尖锐的接触点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b44/10880705/3a1e7e79cc31/odontologica-10-03-e122-gf1.jpg

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