中国实用口腔科杂志

中国实用口腔科杂志

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正中关系位记录方法

肖圣钊1，谭建国2，任光辉3，孙    鑫3，柳忠豪3   

  1. 1.大连医科大学，大连 116023；2.北京大学口腔医学院修复科，北京  100081；3.烟台市口腔医院，山东  烟台  264001
  • 出版日期:2015-12-15 发布日期:2016-01-06

  • Online:2015-12-15 Published:2016-01-06

摘要：

正中关系位对全口义齿的修复、咬合重建、牙合关系紊乱的检查与治疗、牙体修复、正畸矫治及颞颌关节功能紊乱综合征的检查与治疗等都有重要意义。传统正中关系位的记录方法包括哥特式弓描记法、吞咽咬合法、卷舌后舔法、功能反射法、颏区诱导法、双侧扶持下颌法、下颌运动轨迹描记法、肌监测仪法等，这些方法均需要患者的极大配合，而且灵活性较大，可重复性较差，初学者不易掌握。文章在概述了传统正中关系位记录方法之后，介绍了一种新的记录方法——Leaf Gauge（正中关系咬合片）法，该方法的使用无需太多临床经验，初学者容易掌握，且重复性强、精确度高。

关键词: Leaf Gauge, 正中关系, 咬合重建

Abstract:

Centric relation is a vital factor in the prosthodontics of full denture， occlusion reconstruction， checkup and treatment of occlusion dysfunction， dental prosthodontics， orthodontic treatment， temporomandibular joint disorder and so on. Traditional methods to construct the centric relation mainly include gothic arch tracing，swallowing and occluding method，retroflex licking method ，functional reflex method，Chin-point guidance method，bimanual manipulation method，recording of mandibular movement， Myo-monitor， and so on. All of them are quite flexible and difficult to repeat the same position，which is not suitable for the beginners. Patients' active cooperation is also necessary. This review summarized traditional methods to construct the centric relation， and introduced a new tool named Leaf Gauge which can be used to record the accurate centric relation. It does not need sufficient clinical experience and is easy to grasp.

Key words:  , Leaf Gauge； centric relation； occlusal reconstruction