Ash M M
Department of Periodontics, University of Michigan School of Dentistry, Ann Arbor, USA.
Dent Clin North Am. 1995 Apr;39(2):233-55.
Controversy in a field usually stimulates research to find answers and to promote clinical excellence. Thus, differing ideas about occlusion relative to centrics, gnathology, TMD, occlusal adjustment, and periodontal therapy have led to a controversial body of literature; however, I think also it has led to better treatment for patients, regardless of whether, for example, the concept of point centric or freedom-in-centric is advocated. No one can practice dentistry without some concept of occlusion whether it is applied to one or two teeth or to complete mouth restoration. Although the work of committees to clarify terminology is quite appropriate, common usage, semantics, avoidance of confusion in the literature, and the ideological nature of the bias in science must be carefully considered. At times we learn from history that all ideologies need constant revisions; too often the need leads to changes by fiat rather than by virtue of research on problems that may actually exist in communication.
一个领域中的争议通常会激发研究以寻找答案并推动临床卓越。因此，关于咬合与正中关系、口腔颌学、颞下颌关节紊乱病、咬合调整和牙周治疗的不同观点引发了一系列有争议的文献；然而，我认为这也为患者带来了更好的治疗，无论例如是主张尖牙正中还是正中自由的概念。没有人在没有某种咬合概念的情况下能从事牙科工作，无论这种概念是应用于一两颗牙齿还是全口修复。虽然委员会澄清术语的工作非常恰当，但必须仔细考虑常用用法、语义、避免文献中的混淆以及科学中偏见的思想本质。有时我们从历史中学到，所有的思想观念都需要不断修订；需求往往导致通过法令进行改变，而不是基于对实际可能存在于交流中的问题的研究。
