中国实用口腔科杂志 ›› 2011, Vol. 4 ›› Issue (04): 193-196.

• 专题笔谈 •    下一篇

口腔矫形颌位研究进展与临床应用

  

  1. 四川大学华西口腔医学院口腔解剖生理教研室,成都  610041
  • 收稿日期:2011-03-07 出版日期:2011-04-15 发布日期:2011-05-10
  • 作者简介:易新竹,教授、博士研究生导师。现工作于四川大学华西口腔医学院口腔解剖生理教研室,四川省级精品课程《口腔解剖生理学》带头人。曾任中华医学会颞下颌关节病学及牙合学专业委员会副主任委员。作为颞颌关节科著名老专家,具有丰富的临床经验,对颞下颌关节病、义齿的修复(全口义齿、复杂义齿、牙合垫义齿、固定义齿)、咬合重建的治疗等有独到之处。主编卫生部教材《牙合学》。政府特殊津贴获得者。

  • Received:2011-03-07 Online:2011-04-15 Published:2011-05-10

摘要:

提要:口腔矫形颌位通常是用来描述髁突位于舒适的、可重复的、重建牙尖交错牙合时必须依赖的颌位,是患者义齿修复或正畸等口腔治疗后,下颌的生理功能运动颌位。本文从临床操作的角度,及垂直向的关系和髁突位置确定,总结目前争论的几种口腔矫形颌位观点,并认为口腔矫形颌位不是某个单独的点,而是一个可接受的范围,只要能够形成和谐的颌位与牙尖交错牙合关系,牙合能在生理位行使功能,就可以认为矫形颌位的定位是正确的。

关键词: 矫形颌位, 正中关系, 髁突位置

Abstract:

Summary:An orthopedic jaw position is the jaw position that condylar lies in comfortably,repeatably on which re-establishment of intercuspided occlusion depends. Furthermore,it is physiologically functional position of jaw movement which should be restored after prosthesdontic or orthodontic treatment has accomplished. Focusing on vertical relationship and condylar position,controversy ideas about orthopedic jaw position be studied and summarized in this article from the perspective of clinical practice. It is concluded that oral orthopedic jaw position is not a single point but an acceptable range and it is reasonable to say that orthopedic jaw position is established correctly when harmonious jaw position and intercuspal occlusion relationship are formed and occlusion function is performed well in  a physiological position.

Key words: an orthopedic position;centric relation;condylar position