全口康复的咬合概念和分类评价:系统综述

Dr. Ankashri Mahajan, Dr. Aparna Barabde, Dr. Bhagyashree Thombre, Dr. Shraddha Ambadkar, Dr. Rutuja Bele
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引用次数: 0

摘要

目的:本综述旨在评价目前对全口康复中咬合概念及其分类的理解。设置和设计:按照PRISMA指南进行系统审查。材料和方法:两位研究人员仔细检查了第一次搜索结果,以剔除重复和与研究问题无关的研究。在选择出版物时,对标题和摘要进行了检查,以找到相关的研究。然后检索这些研究的完整版本,第三位研究者评估它们的纳入和排除标准。此外,还说明了研究被排除的原因。最后,被选择的研究是那些提供了评论问题答案的研究。年龄、性别、咬合磨损的原因、临床情况的T&M分类、应用的咬合方案、理念的实际适用性、咬合垂直尺寸的评估、治疗结果、患者舒适度是研究考虑的变量。使用方法:定性分析。结果:共有1143项研究被筛选和评估为合格。在这36篇文章中,有全文文章。在这17项研究中,由于没有提及全口康复过程中纳入的咬合概念,因此不符合入选标准。在纳入的19项研究中,10项是使用Hobo双阶段技术的全口咬合康复研究,8项是使用Pankeymann-Schuyler哲学的全口咬合康复研究,只有1项是使用其他技术的全口咬合康复研究。所有纳入的研究均为病例报告;除了一个案例系列研究。结论:准确诊断疾病原因,进行口腔内改变,努力创造和谐的咬合界面。Turner & Misserlian分类显示大多数病例属于第一类,使用HOBO双阶段哲学的犬导咬合概念进行治疗。这种方法在不牺牲精度的情况下简化了程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An appraisal on occlusal concepts and classifications of full mouth rehabilitation: A systematic review
Aim: The review would aim to provide an appraisal of the current understanding of occlusal concepts and their classification in relation to full mouth rehabilitation.Settings and Design: Systematic review following PRISMA guidelines.Materials and Methods: Two researchers looked through the first search results to weed out duplicates and studies that weren't pertinent to the research issue. When choosing the publications, the titles and abstracts were examined to find the pertinent studies. The full versions of these studies were then retrieved, and the third investigator evaluated them for inclusion and exclusion criteria. Additionally noted were the explanations for studies' exclusion. Finally, the studies that were chosen were those that provided answers to the review's queries.Age, gender, cause of occlusal wear, T&M classification of the clinical condition, applied occlusal scheme, practical applicability of the philosophy, assessment of vertical dimension of occlusion, treatment outcome, and patient comfort are the variables taken into account for the study.Statistical Analysis Used: Qualitative analyisis.Results: A total of 1143 studies were found which were screened and assessed for eligibility. Out of these 36 articles were full text articles. Of these 17 studies did not meet the eligibility criteria since they failed to mention the occlusal concept incorporated in full mouth rehabilitation procedure.Out of 19 included studies, 10 were Studies with Full mouth occlusal rehabilitation using Hobo’s twin stage technique, 8 were studies Included Studies with Full mouth occlusal rehabilitation using Pankeymann-Schuyler philosophy and only 1 study was Full mouth occlusal rehabilitation using other techniques. All the included studies were case reports; except one study, which was Case series.Conclusion: Efforts must be made to create a harmonious occlusal interface by accurately diagnosing the cause of disorders and making intra-oral alterations. The Turner & Misserlian categorization shows most cases to be category 1, treated with the canine-guided occlusal concept using the HOBO twin-stage philosophy. This method simplifies the procedure without sacrificing accuracy.
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