首页|正中关系的临床决策

正中关系的临床决策

扫码查看
原文链接
  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
正中关系(CR)最初应用于无牙颌的全口义齿修复,后来逐渐应用于有牙颌的临床诊疗.关于CR在有牙颌中的应用,一方面对其合理性有不少质疑,如在颞下颌关节紊乱病治疗中,CR是否应作为诊疗核心?咬合重建修复治疗中,CR是否应作为建?颌位?正畸治疗中,CR是否应作为目标颌位?但另一方面,CR的各种临床运用却是客观存在的.根据现有认知,本文汇总整理了争议不大的几种主要临床场景的适用条件,初步提出了CR临床应用时的决策树,供临床参考.
Clinical decision of centric relation
Centric relation(CR)was used in the complete dentures for edentulous jaws firstly.Then,CR was gradual-ly applied in the clinical diagnosis and treatment of dentate jaws.Regarding the application of CR in dentate jaws,there are many doubts about its rationality.For instance,should CR be the core of diagnosis and treatment of temporomandibu-lar disorders?Should CR be used as the jaw position of establishing occlusion in occlusal reconstruction?Should CR serve as the target jaw position in orthodontic treatment?Meanwhile,varieties of CR clinical applications are objective.According to the existing evidence,this paper summarizes the applicable conditions of several main clinical situations with little controversy.We preliminarily put forward the decision tree for the clinical application of CR,which can be used as a reference in clinical practice.

centric relationmaximal intercuspal positioncondylecomplete denturetemporomandibular disorderocclusal reconstructionorthodontic treatment

于海洋、颜哲彬、解晨阳、吴秦

展开 >

口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院修复科,成都 610041

正中关系 最大牙尖交错位 髁突 全口义齿 颞下颌关节紊乱病 咬合重建 正畸治疗

国家自然科学基金四川大学华西口腔医院资助临床研究项目

82071145LCYJ2022-BZ-2

2024

10.7518/hxkq.2024.2024147

华西口腔医学杂志
四川大学

华西口腔医学杂志

CSTPCD北大核心
影响因子：1.336
ISSN：1000-1182
年,卷(期)：2024.42(5)