Weinberg L A
J Prosthet Dent. 1983 Nov;50(5):690-9. doi: 10.1016/0022-3913(83)90212-3.
Examples of anterior condylar repositioning were given for fixed and removable partial denture prostheses without changes in the vertical dimension of occlusion. A superior condylar displacement was treated with a temporary acrylic resin inferior repositioning prosthesis, followed by a gold onlay for over a year. Subsequent final porcelain-fused-to-gold restorations preserved the therapeutic inferior condylar repositioning. The treatment procedures are the same in principle for all patients, that is, the diagnosis and the fabrication of the provisional treatment prosthesis and the final prosthesis are carried out with the specific guidance of lateral transcranial TMJ radiographs. The patient must be comfortable in the planned treatment position for at least 3 months before final restorative procedures are initiated. The repositioned condyles in the fossae are reproduced in the final prosthesis and documented at each step of the procedure radiographically. The TMJ lateral transcranial radiograph, then, is a direct guide to the diagnosis, treatment prosthesis, and final prosthodontic restoration.
给出了在咬合垂直距离不变的情况下，固定局部义齿和可摘局部义齿的髁突前复位的示例。髁突上移位采用临时丙烯酸树脂下复位修复体进行治疗，随后使用金嵌体治疗一年以上。后续的最终烤瓷熔附金属修复体保留了治疗性髁突下复位。所有患者的治疗程序原则上相同，即在经颅颞下颌关节侧位片的特定指导下进行诊断、制作临时治疗修复体和最终修复体。在开始最终修复程序之前，患者必须在计划的治疗位置舒适地保持至少3个月。最终修复体中重现了窝内复位的髁突，并在程序的每个步骤通过影像学记录。因此，经颅颞下颌关节侧位片是诊断、治疗修复体和最终修复义齿的直接指导。
