在修复性牙科中围绕垂直阻塞维度的神话:范围审查
Łukasz Lassmann1, Marcelo A Calamita2, Danielle Manfredini3
1Independent Researcher, One & Only Institute, Gdánski, Poland.
概括
患者能够很好地适应塞垂直维度 (VDO) 的变化,从而挑战了长期试验阶段的必要性. 证据不支持VDO变化与关节障碍 (TMD) 之间的联系.
科学领域:
- 假牙牙科 假牙牙科
- 牙科的生物材料
- 口腔康复口腔康复服务
背景情况:
- 闭塞的垂直维度 (VDO) 是假牙医学的关键参数.
- 神话和争议围绕着VDO临床管理及其对口腔系统的影响.
研究的目的:
- 为了澄清VDO在假牙医学的概念.
- 解决关于VDO临床管理的普遍神话和争议.
- 评估VDO对口腔神经系统的影响.
主要方法:
- 一项范围审查和对862名牙医和假牙医的国际调查.
- 批判性地检查VDO改变技术和口腔系统适应性的文献.
- 调查探索VDO变化的方法和感知到的临床影响.
主要成果:
- 大多数从业者观察到患者适应新VDO的良好情况,不管技术如何.
- 有证据表明,肌肉适应性支持VDO变化稳定性.
- 在VDO变化和关节障碍 (TMD) 之间没有发现直接的因果或治愈联系.
结论:
- 长期VDO试验阶段的传统信念可能会被重新考虑.
- 区分完整假牙与磨损牙的VDO方法.
- 基于证据和临床判断的个性化患者护理至关重要,因为VDO和TMD之间的联系缺乏科学支持.
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