Canine Protected Occlusion - evidence-based clinical guidance.

IF 1.9 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Cranio-The Journal of Craniomandibular & Sleep Practice Pub Date : 2025-07-21 DOI:10.1080/08869634.2025.2536784

Donald J Rinchuse, Sanjivan Kandasamy, Daniele Manfredini

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引用次数: 0

Abstract

Objective: This commentary critically examines the validity of the Canine Protected Occlusion concept, from both biological and evidence-based perspectives.

Methods: An extensive review of the pertinent literature related to the topic of Canine Protected Occlusion was conducted by the authors.

Results: Canine Protected Occlusion is neither the optimal or preferred functional occlusion in dentistry. The foundational principles of this concept are not supported by any biologic reasoning or scientific evidence. Furthermore, Canine Protected Occlusion recordings fail to reflect or represent any type of physiologic mandibular motion and function or occlusal loading in humans.

Conclusions: The functional occlusion contacts that clinicians should focus on most are those in or close to maximum intercuspation. This perspective aims to discourage practitioners from undertaking unnecessary extensive and invasive procedures to establish Canine Protected Occlusion in all patients, especially when this is not substantiated by evidence-based literature.

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犬保护性咬合——循证临床指导。

目的：这篇评论从生物学和循证的角度批判性地考察了犬保护闭塞概念的有效性。方法：作者广泛查阅了有关犬保护性咬合的相关文献。结果：犬保护型牙合不是最佳的牙合方式，也不是首选的牙合方式。这一概念的基本原则没有任何生物学推理或科学证据的支持。此外，犬保护性咬合记录不能反映或代表人类任何类型的生理性下颌运动和功能或咬合负荷。结论：临床医生最应关注的功能性咬合接触点是处于或接近最大咬合间隙的接触点。这一观点旨在劝阻从业人员在所有患者中进行不必要的广泛和侵入性手术来建立犬类保护闭塞，特别是当这没有得到循证文献的证实时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cranio-The Journal of Craniomandibular & Sleep Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.50

自引率

12.50%

发文量

审稿时长

>12 weeks

期刊介绍： CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians. CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest. CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.