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首页> 外文期刊>The Journal of Prosthetic Dentistry >Maxillomandibular relationship philosophies for prosthodontic treatment: a survey of dental educators.
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Maxillomandibular relationship philosophies for prosthodontic treatment: a survey of dental educators.

机译：修复口腔颌下关系的哲学：牙科教育者的调查。

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STATEMENT OF PROBLEM: A variety of treatment philosophies persist concerning the need for coincidence of centric occlusion (CO) and maximum intercuspation (MI) in prosthodontic restoration; however, no consensus exists. PURPOSE: The purpose of this study was to determine the philosophies of dental educators throughout the United States at both the predoctoral and postdoctoral levels and to compare their attitudes toward desirable maxillomandibular relationships in defined clinical situations. MATERIAL AND METHODS: A survey was constructed with 5 clinical scenarios presented describing patients with a difference between maximum intercuspation and centric occlusion. The survey was mailed to 171 dentists involved in either predoctoral or postdoctoral dental programs in the United States; including 56 dental schools; the Army, Navy, and Air Force postdoctoral programs; 8 Department of Veterans Affairs postdoctoral programs; and 7 hospital-based programs. Descriptive statistics of the responses were provided. Chi-squared (alpha=.05) and Fisher's exact test analyses (alpha=.05) comparing predoctoral and postdoctoral program responses for each question were performed. RESULTS: Forty-three predoctoral dental school program responses were received. Forty-one postdoctoral program directors, including the dental school-based programs, 3 armed service branches, 2 Veterans Administration programs, and 1 hospital-based program responded to the survey. Fifteen respondents indicated that they represented both predoctoral and postdoctoral programs, and these data were deleted from the sample. Summarized results for each question reflect on whether the clinicians philosophically believed patients were better off with the elimination of an existing occlusal interference between MI and CO or not. There was no statistically significant difference seen between the predoctoral and postdoctoral responses. CONCLUSION: The controversy regarding the preferred mandibular position for treatment of dentulous and partially edentulous patients continues among dental educators at both the predoctoral and postdoctoral levels in the United States.
机译：问题陈述：关于修复修复时需要中心闭塞（CO）和最大咬合（MI）同时发生的各种治疗哲学仍然存在。但是，没有共识。目的：本研究的目的是确定全美国牙科医生在博士前和博士后水平上的理念，并比较他们在确定的临床情况下对理想的颌下颌关系的态度。材料与方法：一项调查涉及5种临床情况，描述了最大发作与中心闭塞之间的差异。这项调查已邮寄给美国的171名从事博士前或博士后牙科课程的牙医。包括56所牙科学校;陆军，海军和空军博士后计划; 8退伍军人事务部博士后计划;和7个基于医院的计划。提供了答复的描述性统计数据。进行了卡方（alpha = .05）和Fisher的精确测试分析（alpha = .05），比较了每个问题的博士前和博士后程序响应。结果：收到了43个博士前牙科学校课程答复。包括牙科学校的计划，3个武装部门，2个退伍军人管理局计划和1个基于医院的计划在内的41名博士后计划负责人对调查做出了回应。 15名受访者表示，他们代表了博士前和博士后计划，这些数据已从样本中删除。每个问题的总结结果反映出，临床医生从哲学上认为，通过消除MI和CO之间的现有咬合干扰，患者会更好。博士前和博士后反应之间没有统计学上的显着差异。结论：在美国，无论是博士前还是博士后，在牙科教育者中，关于治疗下颌和部分缺牙的患者首选下颌位置的争论仍在继续。

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