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Learning a clinical method to identify a mandibular reference position

W E McDevitt1, D J MacCarthy, J Dermody

  • 1Department of Restorative Dentistry and Periodontology, School of Dental Science, University of Dublin, Trinity College, Ireland.

European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe
|May 20, 1998
PubMed
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This study introduces a new, gentle method for dental students to accurately identify the centric maxillomandibular relation position. The technique, based on jaw movement paths, proved successful for 68% of participants, improving dental education.

Area of Science:

  • Dental Education
  • Maxillofacial Prosthetics
  • Biomechanics

Background:

  • Clinical maxillomandibular relationships are a known weakness in dental curricula.
  • Difficulty in establishing a reference position for maximum intercuspation is common.
  • The dentist-derived centric maxillomandibular relation position lacks a consensus definition and clear clinical criteria.

Purpose of the Study:

  • To develop and evaluate a novel clinical criterion for identifying the centric maxillomandibular relation position.
  • To assess the efficacy of a non-invasive, gentle method for teaching this crucial dental relationship.
  • To determine if the developed method improves the ability of dental students to accurately record this position.

Main Methods:

  • Utilized dorsal border paths of the envelope of movement to create a clinical criterion.

Related Experiment Videos

  • Employed a mechanical tracking apparatus on test patients with normal masticatory systems.
  • Trained 50 dental students and nurses in the technique and assessed their blindfolded performance.

    • Main Results:

    • The developed method successfully identified the centric maxillomandibular relation position in 68% of the participating dental clinicians.
    • No significant differences were observed in success rates among different subgroups (e.g., gender, year of study).
    • The technique proved to be a satisfactory learning tool in a gentle, non-invasive manner.

    Conclusions:

    • The novel method provides a reliable and teachable approach to identifying the centric maxillomandibular relation position.
    • This technique addresses the need for clear clinical criteria in dental education for this specific jaw relationship.
    • The non-invasive nature and high success rate suggest its potential for improving dental school curricula.