PubMed · 6581786
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F B Moloney. 1983. Occlusal splints.. https://doi.org/10.1111/j.1834-7819.1983.tb02965.x
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The preadjusted orthodontic appliance has improved the efficiency and effectiveness of the orthodontist in achieving good final results for patients in general. However, the orthodontist is limited in achieving excellent final results because of individual patient variation from the prescription of the preadjusted appliance as well as the orthodontist's ability to precisely place the appliance. This article presents a comprehensive system of evaluation of the individual patient to be used during the finishing stage of treatment and a written system of notation that can guide the orthodontist in producing an excellent finished result for each patient. In this system the orthodontist considers multiple aspects of esthetics, occlusion and function, periodontal health and root alignment, and stability. Every feature of these characteristics is examined and desired changes are noted on the "detailing form" resulting in a written plan that guides the orthodontist to achieve excellence in finishing. This written form can also act as a final checklist of obtainment of the goals of orthodontic treatment. This system of finishing can improve the efficiency of the individual orthodontist and assist in communication in multidoctor practices.
The purpose of this article is to review the literature concerning the ideal chewing pattern for best chewing performance. We conclude that at this time there is not one ideal chewing pattern which can be used clinically or in research to assess the health of the mastication apparatus nor to predict chewing performance. It is clear that human masticatory behaviour is one of the most complex human behaviours. Chewing is under the control of the central pattern generator located in the brain stem but is influenced by dental and temporomandibular joint morphology. The most important portion of the chewing cycle is the area entering and leaving the intercuspal position where gliding contacts occur. Maximal chewing capability will likely occur when the chewing pattern follows the dental anatomy unique to the individual. The chewing cycle appears to increase the lateral component of its movement when increased chewing efficiency is required. These situations include increased hardness or the size of bolus, the position of the bolus and the results of the proceeding chewing stroke. The chewing pattern for any one cycle is influenced by a number of factors, thus it is not surprising that the question of the ideal chewing pattern remains unresolved.