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正中关系位的临床决策。

Clinical decision of centric relation.

机构信息

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2024 Oct 1;42(5):558-565. doi: 10.7518/hxkq.2024.2024147.

Abstract

Centric relation (CR) was used in the complete dentures for edentulous jaws firstly. Then, CR was gradually applied in the clinical diagnosis and treatment of dentate jaws. Regarding the application of CR in dentate jaws, there are many doubts about its rationality. For instance, should CR be the core of diagnosis and treatment of temporomandibular disorders? Should CR be used as the jaw position of establishing occlusion in occlusal reconstruction? Should CR serve as the target jaw position in orthodontic treatment? Meanwhile, varieties of CR clinical applications are objective. According to the existing evidence, this paper summarizes the applicable conditions of several main clinical situations with little controversy. We preliminarily put forward the decision tree for the clinical application of CR, which can be used as a reference in clinical practice.

摘要

正中关系(centric relation,CR)最初应用于无牙颌全口义齿,随后逐渐应用于有牙颌的临床诊断和治疗。关于 CR 在有牙颌中的应用,存在诸多争议,例如 CR 是否应作为颞下颌关节紊乱病诊断和治疗的核心?CR 是否应作为咬合重建中建立咬合的颌位?CR 是否应作为正畸治疗的目标颌位?同时,CR 的各种临床应用也是客观存在的。基于现有证据,本文对几种争议较小的主要临床情况的适应证进行了总结,初步提出了 CR 临床应用的决策树,可为临床实践提供参考。

相似文献

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Clinical decision of centric relation.正中关系位的临床决策。
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本文引用的文献

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The Glossary of Prosthodontic Terms 2023: Tenth Edition.《口腔修复学术语词典2023:第十版》
J Prosthet Dent. 2023 Oct;130(4 Suppl 1):e7-e126. doi: 10.1016/j.prosdent.2023.03.002.
4
Centric relation-A biological perspective of a technical concept.正中关系——技术概念的生物学视角。
J Oral Rehabil. 2023 Nov;50(11):1355-1361. doi: 10.1111/joor.13553. Epub 2023 Jul 11.
5
Centric relation: A needed reference position.正中关系:一个必要的参考位置。
J Prosthodont. 2023 Jul;32(6):482-488. doi: 10.1111/jopr.13603. Epub 2022 Sep 27.
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Centric relation critically revisited-What are the clinical implications?正中关系再探讨——有哪些临床意义?
J Oral Rehabil. 2021 Sep;48(9):1050-1055. doi: 10.1111/joor.13215. Epub 2021 Jul 3.

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