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Related Experiment Videos

Controversies in occlusion.

A I Chasens1

  • 1Department of Periodontics and Oral Medicine, Fairleigh S. Dickinson, Jr. College of Dental Medicine, Hackensack, New Jersey.

Dental Clinics of North America
|January 1, 1990
PubMed
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Individual adaptation to stomatognathic system forces causes disagreement on occlusal trauma, periodontal disease, and treatment approaches. This review clarifies these complex occlusal concepts.

Area of Science:

  • Dental Science
  • Biomechanics
  • Periodontology

Background:

  • The stomatognathic system exhibits coordinated adaptation to functional forces.
  • Individual variations in adaptive capacity complicate understanding of these mechanisms.
  • Disagreements exist regarding occlusal trauma's role in periodontal disease and various occlusal concepts.

Purpose of the Study:

  • To clarify contentious issues in occlusal dynamics and their relationship with periodontal health.
  • To address the role of occlusal trauma, bite collapse, incisal guidance, and parafunctional habits.
  • To provide a clearer understanding of occlusal therapy and adjustment principles.

Main Methods:

  • Literature review and critical analysis of existing research on occlusal function and dysfunction.

Related Experiment Videos

  • Synthesis of information regarding occlusal trauma, periodontal disease etiology, and occlusal concepts.
  • Discussion of clinical implications for occlusal therapy and adjustment.

    • Main Results:

    • Highlights the complexity arising from individual adaptive capacities in the stomatognathic system.
    • Identifies key areas of debate including occlusal trauma, centric relation, arch collapse, incisal guidance, canine-protected occlusion versus group function, and bruxism.
    • Underscores the need for consensus on the application of occlusal therapy and adjustment strategies.

    Conclusions:

    • Clarification of debated occlusal concepts is essential for advancing periodontal disease understanding and treatment.
    • Individual variability necessitates careful consideration in diagnosing and managing occlusal-related issues.
    • A unified approach to occlusal therapy and adjustment is proposed to improve patient outcomes.