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PubMed · 2103040

[Statics of complete prostheses. 2].

Abstract

The statics of prostheses in complete absence of teeth is discussed with analysis of the effect of the position of the masticating surfaces of artificial teeth on the values of forces disturbing the balance of the prosthesis during mastication. Considering the friction forces active during mastication, the worse fixation of lower prostheses, and the lateral position of the mandible in relation to the maxilla the author describes as optimal such a spatial arrangement of artificial teeth that in centric occlusion the interalveolar line passes through the centre of their masticating surfaces which are perpendicular to it.

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BibTeXRIS

J Bielski. [Statics of complete prostheses. 2].. https://pubmed.ncbi.nlm.nih.gov/2103040/

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The paradigmatic shift to evidence-based dentistry (EBD) that relates to occlusal therapy, selective occlusal adjustment (OA) and stabilization splints therapy (SS) for TMDs has had an unfavourable impact on the teaching of many of the important aspects of occlusion needed in dental practice. The teaching of OA systematically in dental schools has been nearly abandoned because of the belief that OA is an irreversible procedure and gives the impression that it is without merit elsewhere in the management of occlusion. However, a particular dose of knowledge and practice of occlusion that is necessary for all aspects of dental care should be taught systematically in dental schools. The uses and misuses of OA and SS and their limitations should be emphasized because of their importance to bring clinical reality into the dental curriculum. Thus, and irrespective of EBD induced contradictions, OA and SS should still have a significant place in systematically teaching of occlusal therapy. However, there are many more aspects of the management of occlusion that should to be considered. Hopefully, because of their importance, other aspects of the management of occlusion will once again become a significant part of the dental curriculum.

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