中心关系的临床决定。

Haiyang Yu, Zhebin Yan, Chenyang Xie, Qin Wu
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引用次数: 0

摘要

中心关系(CR)首先用于无牙颌的全口义齿。随后,中心关系逐渐被应用于有齿颌骨的临床诊断和治疗。关于中心关系在齿颚中的应用,其合理性存在很多疑问。例如,CR 是否应作为颞下颌关节疾病诊断和治疗的核心?在咬合重建中,CR 是否应作为建立咬合的下颌位置?在正畸治疗中,CR 是否应作为目标颌位?同时,各种 CR 临床应用也是客观存在的。根据现有证据,本文总结了几种争议较少的主要临床情况的适用条件。我们初步提出了 CR 临床应用的决策树,可供临床实践参考。
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Clinical decision of centric relation.

Centric relation (CR) was used in the complete dentures for edentulous jaws firstly. Then, CR was gradually 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 temporomandibular 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.

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