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Good occlusal practice in simple restorative dentistry.
S J Davies1, R M Gray, P W Smith
1University Dental Hospital of Manchester. stephen.j.davies@man.ac.uk
British Dental Journal
|November 8, 2001
Summary
Scientific validation of dental occlusion theories is challenging due to reliance on tissue system reactions. This study emphasizes empirical clinical experience over untested rules for occlusion.
Area of Science:
- Dental Science
- Biomaterials Science
Background:
- Numerous theories and philosophies regarding dental occlusion exist.
- Scientific validation of occlusion theories is difficult as outcomes are judged by tissue system reactions (dental, alveolar, periodontal, articulatory).
- Many existing occlusion theories lack scientific validity and are based on empirical clinical experience rather than rigorous testing.
Purpose of the Study:
- To critically evaluate existing occlusion theories and philosophies.
- To challenge readers with basic questions and a common-sense approach to occlusion.
- To develop guidelines based on empirical wisdom while encouraging critical thinking.
Main Methods:
- Review of existing literature on dental occlusion theories.
- Application of a common-sense approach to analyzing occlusion principles.
- Formulation of guidelines drawing from clinical experience and critical inquiry.
Main Results:
- Existing occlusion theories are largely untested and lack scientific validation.
- Clinical experience, while valuable, has often been presented as dogma rather than evidence-based rules.
- A need exists for a more scientifically rigorous and critically evaluated approach to occlusion.
Conclusions:
- Occlusion principles should be critically examined, moving beyond dogma.
- Guidelines for occlusion should integrate empirical wisdom with scientific inquiry.
- A common-sense, questioning approach is essential for advancing the understanding of dental occlusion.