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What Materials and Reproducible Techniques May Be Used in Recording Centric Relation? Best Evidence Consensus
Mathew T Kattadiyil1, Abdulaziz A Alzaid2,3, Stephen D Campbell4
1Advanced Education Program in Prosthodontics, Loma Linda University School of Dentistry, Loma Linda, CA.
Various techniques for recording centric relation (CR) show comparable accuracy. Practitioner experience is key for precise CR records, with polyvinyl siloxane and polyether materials performing best.
Area of Science:
- Dental occlusion and prosthodontics
- Biomaterials in dentistry
Background:
- Accurate recording of centric relation (CR) is crucial for successful dental restorations.
- Existing literature on CR recording techniques and materials requires synthesis.
Purpose of the Study:
- To evaluate techniques and their reproducibility for recording centric relation (CR) in dentate and partially dentate populations.
- To assess the effect of different recording materials on CR reproducibility.
Main Methods:
- Systematic literature search using keywords: CR, interocclusal records, CR accuracy, CR reproducibility, CR technique.
- Analysis limited to Systematic Reviews, Randomized Controlled Studies, Meta-analyses, and Clinical Trials.
Main Results:
- Over 3500 articles were initially identified; 291 were selected for further analysis.
- Techniques including chin point guidance, bimanual manipulation, and Gothic arch tracing demonstrated comparable precision and clinical accuracy.
- Polyvinyl siloxane and polyether materials consistently showed superior performance across studies.
Conclusions:
- Multiple techniques for recording CR offer comparable clinical accuracy.
- Practitioner experience significantly influences the accuracy of CR recordings.
- Polyvinyl siloxane and polyether are recommended materials for CR recording; virtual capture requires further investigation.
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