Changes in Occlusal Philosophies for Full Mouth Rehabilitation

Kelleher, Martin; Ooi, Hui Lynn; Blum, Igor R.

doi:10.1177/2050168420981528

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…Our position, as part of academia, is to consider the concept ‘Centric Occlusion’ as is defined in the GPTs 1987–2017 as the more adequate, since ‘Maximal Intercuspal Contact’ is a self‐explanatory definition that may or may not concur with the moment in the occlusive process in which the mandibular condyle occupies the position in the mandibular fossa defined as ‘centric relation’. The GPT‐9 define centric relation as the unstrained, physiological, and clinically reproducible position of condyle in the mandibular fossa, being the exact relation between these anatomic structures a focal discussion point 65–67 . To respect, there are theoretical and practical reasons for concluding that the centric relation concept defined is flawed, causing an impact on dental practice 68 .…”

Section: Discussionmentioning

confidence: 99%

“…The GPT-9 define centric relation as the unstrained, physiological, and clinically reproducible position of condyle in the mandibular fossa, being the exact relation between these anatomic structures a focal discussion point. [65][66][67] To respect, there are theoretical and practical reasons for concluding that the centric relation concept defined is flawed, causing an impact on dental practice. 68 Therefore, if the concept of centric relation is abandoned by the dentistry community, and consequently removed from declarative knowledge, the definition of CO must evolve.…”

Section: Why the Co Concept Has A Confusing Definition And Interpreta...mentioning

confidence: 99%

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Declarative knowledge in oral health: The case of the term ‘centric occlusion’

Astudillo-Rozas

Valdivia-Gandur

Vasquez

et al. 2022

Eur J Dental Education

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IntroductionThe lack of academic agreement in the practical or clinical use of declarative knowledge can generate unnecessary confusion and miscommunication. The concept Centric Occlusion (CO) is part of the body of declarative knowledge in dentistry, but its definition remains unclear.ObjectiveTo ascertain the CO concept in articles published in dental journals as a study case for the dentistry “corpus” of declarative knowledge.MethodologyThe alternative definitions of CO used by the GPT (Glossary of Prosthodontic Terms) from 1956–1977, ‘CO as a synonym for maximum intercuspal contact (MIC)’, or by the GPT from 1987–2017, ‘CO may or may not coincide with MIC’, were searched in the articles. The association between the CO definition used and variables such as article aims, journal scope and authors specialty was assessed.ResultsEight hundred and twelve articles were analysed. The widespread use of CO as synonym of MIC was the main finding and was significantly associated to the Orthodontics field. The CO definition according to the GPT 1987–2017 was less frequently observed but appeared in all dentistry fields, showing a significant association with the Oral Rehabilitation field. The difficulty of incorporating the current definition of CO (by GPT) into the main clinical discussions was evidenced all the long of the review process.ConclusionThe lack of consensus in the concept use was confirmed by the present study case, showing the influence of specific fields in Oral Health declarative knowledge. This methodology can provide a tool to the academy to assess controversial terms or concepts in Oral Health education, thus facilitating the critical and reflexive learning by students.

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Section: Discussionmentioning

confidence: 99%

Section: Why the Co Concept Has A Confusing Definition And Interpreta...mentioning

confidence: 99%

Declarative knowledge in oral health: The case of the term ‘centric occlusion’

Astudillo-Rozas

Valdivia-Gandur

Vasquez

et al. 2022

Eur J Dental Education

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“…Since the late 19th century, various occlusal concepts and philosophies for full-mouth rehabilitation have been invented in relation to achieving a supposedly optimal occlusion [1]. There had been decades of controversy about what centric relation actually means and how to determine it [1], but dental occlusion is still a topic open for discussion in dentistry.…”

Section: Introductionmentioning

confidence: 99%

Temporary Hydrostatic Splint Therapy and Its Effects on Occlusal Forces

Kireilyte,

Ancevicius,

Baltrusaityte

et al. 2024

Medicina

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Background and objectives: This study analyzed and compared the distribution patterns of occlusal forces using T-Scan III before and after the hydrostatic temporary oral splint (Aqualizer Ultra) therapy in healthy subjects and subjects with temporomandibular disorders (TMDs). Materials and Methods: Fifty-one subjects were divided into groups based on anamnesis and responses to the Fonseca questionnaire. The first group, non-TMDs group (n = 19), and the second group, TMDs group (n = 32), had mild-to-severe TMDs, as identified by the Fonseca questionnaire. The non-TMDs group had an average age of 25.4 years (SD = 4.8, range 20–38) with 15 females (78.95%) and 4 males (21.05%). The TMDs group had an average age of 27.4 years (SD = 7.0, range 22–53) with 25 females (78.125%) and 7 males (21.875%). T-Scan III device was used for occlusal analysis before and after hydrostatic splint usage. Results: Significant differences were observed in the TMDs group for anterior and posterior right percentages of forces before and after hydrostatic splint usage. The analysis of force distribution per sector before and after hydrostatic splint therapy showed no significant differences in the non-TMDs group. Analysis of force distributions in the entire study population before and after hydrostatic splint therapy showed significant differences in the anterior and posterior right regions. Occlusal force increased by 32–56% in the front region and decreased in the posterior area after hydrostatic splint usage. Conclusions: Hydrostatic splint therapy is recommended as a part of full-mouth rehabilitation treatment for all patients regardless of the severity of TMDs.

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Veneers or crowns?

Kelleher

Burke

2021

Br Dent J

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Changes in Occlusal Philosophies for Full Mouth Rehabilitation

Cited by 5 publications

References 20 publications

Declarative knowledge in oral health: The case of the term ‘centric occlusion’

Declarative knowledge in oral health: The case of the term ‘centric occlusion’

Temporary Hydrostatic Splint Therapy and Its Effects on Occlusal Forces

Veneers or crowns?

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