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非功能性与功能性咬合接触:文献综述

Nonfunctional and functional occlusal contacts: a review of the literature.

作者信息

Woda A, Vigneron P, Kay D

出版信息

J Prosthet Dent. 1979 Sep;42(3):335-41. doi: 10.1016/0022-3913(79)90226-9.

Abstract

A review of the literature on occlusal contacts emphasizes the following points. 1. Contacts in centric occlusion do not correspond to any ideal occlusal diagram. 2. Canine protection and group function appear to correspond to two successive states of the evolving dentition under the effect of abrasion. In most lateral occlusions, two maxillary teeth, of which one is the canine, are involved. 3. During mastication, tooth contacts exist. They occur most often during a sliding movement in which the direction and the origin are variable. This justifies the concept of an occlusal field of mastication. 4. During unilateral mastication, the chewing of the food is performed by working as well as nonworking contact. This imposes the distinction between the chewing and nonchewing sides (functional) and the working and nonworking sides (kinematic). 5. Centric occlusion is the occlusion most often used during mastication. It is also the occlusion for which the masticatory forces are the greatest. 6. The bibliographic data concerning occlusal contracts during swallowing are largely contradictory. It nevertheless seems that the occlusal contacts obey laws nearly the same as those governing the occlusal contact during mastication (sliding on an occlusal field of deglutition, and the importance of centric occlusion).

摘要

关于咬合接触的文献综述强调了以下几点。1. 正中咬合时的接触并不符合任何理想的咬合图。2. 尖牙保护合与组牙功能似乎对应于在磨耗作用下不断演化的牙列的两个连续状态。在大多数侧方咬合中,涉及两颗上颌牙,其中一颗是尖牙。3. 在咀嚼过程中,存在牙齿接触。它们最常发生在方向和起始点可变的滑动运动中。这证明了咀嚼咬合区域这一概念的合理性。4. 在单侧咀嚼时,食物的咀嚼通过工作侧和非工作侧的接触来完成。这就区分了咀嚼侧和非咀嚼侧(功能方面)以及工作侧和非工作侧(运动方面)。5. 正中咬合是咀嚼时最常使用的咬合。它也是咀嚼力最大时的咬合。6. 关于吞咽时咬合接触的文献数据大多相互矛盾。然而,似乎咬合接触遵循的规律与咀嚼时的咬合接触规律几乎相同(在吞咽咬合区域上滑动,以及正中咬合的重要性)。

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