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  1. Article: Temporomandibular joint function and its effect on concepts of occlusion.

    Leon, J M

    The Journal of prosthetic dentistry

    1977  Volume 37, Issue 2, Page(s) 233–235

    MeSH term(s) Dental Occlusion ; Humans ; Mandibular Condyle/physiology ; Temporomandibular Joint/physiology
    Language English
    Publishing date 1977-02
    Publishing country United States
    Document type Letter
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/0022-3913(77)90252-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Temporomandibular joint function and its effect on concepts of occlusion.

    Weinberg, L A

    The Journal of prosthetic dentistry

    1976  Volume 35, Issue 5, Page(s) 553–566

    Abstract: ... of newly-developed concepts of TMJ function. Centric relation, although duplicable, may not necessarily be ... the most retruded position should not be used and a therapeutic centric occlusion should be created ... whether considering bruxism or mastication, for most patients, an occlusion based on group function is preferable ...

    Abstract Many of the premises of dentistry that have evolved empirically have been re-evaluated in the light of newly-developed concepts of TMJ function. Centric relation, although duplicable, may not necessarily be correct. A "functional" centric relation exists when the TMJ radiographs can be correlated with the occlusal findings, in which case, the retruded classical centric relation should be used. When a "dysfunctional" centric relation is present (no correlation between the TMJ radiographs and occlusal findings), the most retruded position should not be used and a therapeutic centric occlusion should be created by the dentist. Subclinical TMJ dysfunction occurs more frequently than commonly thought, because TMJ radiographs are not routinely used. Retruded condylar displacements can be easily overlooked, because the lateral pterygoid muscle has relatively few stretch receptors compared to the elevator muscles of the mandible. Condylar retrusion, therefore, would not necessarily cause lateral pterygoid spasm as might be expected. The exact mechanism of the TMJ suspension system is unknown, although experimental evidence has shown that the condyle can be displaced superiorly with posterior unsupported muscle force. This indicates that the immutability of the condylar path under varying clinical conditions is questionable. Due to the superior displacement characteristics of the TMJ, the condyle does not act as the fulcrum in mandibular kinetics. The fulcrum, therefore, shifts to the teeth and/or bolus, depending on the specific situation. In either instance, whether considering bruxism or mastication, for most patients, an occlusion based on group function is preferable to a canine-protected occlusion to insure TMJ health. Scientifically, no one scheme of occlusion or articulation has been proven to be superior to any other scheme; therefore, the choice is a matter of the personal preference of the dentist.
    MeSH term(s) Cuspid/physiology ; Dental Equipment ; Dental Occlusion ; Dental Occlusion, Centric ; Humans ; Jaw Relation Record ; Kinetics ; Mandible/physiology ; Mandibular Condyle/anatomy & histology ; Mandibular Condyle/physiology ; Mandibular Condyle/physiopathology ; Mastication ; Mechanoreceptors/physiopathology ; Temporomandibular Joint/anatomy & histology ; Temporomandibular Joint/physiology ; Temporomandibular Joint Dysfunction Syndrome/epidemiology ; Temporomandibular Joint Dysfunction Syndrome/physiopathology ; Tooth/physiology
    Language English
    Publishing date 1976-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/0022-3913(76)90051-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Temporomandibular joint function and its effects on concepts of occlusion.

    Fountain, H W

    The Journal of prosthetic dentistry

    1977  Volume 38, Issue 2, Page(s) 232

    MeSH term(s) Dental Occlusion ; Humans ; Temporomandibular Joint/physiology
    Language English
    Publishing date 1977-08
    Publishing country United States
    Document type Letter
    ZDB-ID 218157-5
    ISSN 1097-6841 ; 0022-3913
    ISSN (online) 1097-6841
    ISSN 0022-3913
    DOI 10.1016/0022-3913(77)90292-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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