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The paper addresses the historical perspective of the gnathological influence on concepts of occlusion for fixed prosthodontics. It focuses on the 'classic' fixed prosthodontic literature and current scientific literature involving fixed prosthodontic denture occlusion and gnathology. A literature search was performed to identify relevant publications and studies for review.

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KAREN ANAIS URGILES ESPINOZA
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10 views15 pages

5

The paper addresses the historical perspective of the gnathological influence on concepts of occlusion for fixed prosthodontics. It focuses on the 'classic' fixed prosthodontic literature and current scientific literature involving fixed prosthodontic denture occlusion and gnathology. A literature search was performed to identify relevant publications and studies for review.

Uploaded by

KAREN ANAIS URGILES ESPINOZA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Outcomes/
Method/ Study Results/
Author Year Study Parameters Conclusion Hierarchy
McCollum, 1955 Clinical observations of centric Unknown Condylar movement and anterior Expert opinion
Stuart6 relation replicability, centric occlusion guidance/canine disclusion with
coincident and pantographic maximal intercuspation coinciding
recordings transferred to mechanical with centric relation prescribe the
articulator replicating recordings occlusal interface.

Schuyler51 1959 Clinical experience/observations of Unknown Maximal intercuspation should be Expert opinion
incisal guidance based upon esthetics, based upon functional closure that is
phonetics, lip support, and incisal anterior to centric relation (<1 mm),
contact incisal guidance predominates
occlusal interface.

Pankey, 1960 Clinical approach to treatment Unknown Group function, long centric occlusion Expert opinion
Mann47 developed using the Monson spherical prescribe the occlusal interface.
theory, Meyer functional generated
path, and Schuyler incisal guidance

D’Amico27 1961 Anthropological observations of Unknown Canine guidance important to prevent Expert opinion
American Indian skulls with advanced destructive tooth attrition.
attrition and severe tooth destruction.
Australian Aborigine comparisons by
Hector Jones

Beyron47 1964 Observational study of living n=46 Helocoidal wear form resulting in Case series
Aborigines by clinical exam, casts (35M/11W) group function; recommend-
tooth attrition and resultant 15-45 age range ed bilateral contact between most
occlusion, cinematography of teeth in intercuspal position and
masticatory patterns between posterior teeth in retruded
contact position with distance less
than 1 mm between them, with axial
loading, group function-gliding
contacts, and acceptable inter-
occlusal distance.

Jankelson56 1969 Myomonitor stimulation of V and VII n=10 (4M/6W) Neuromuscular occlusion approach to Case series
cranial nerves to develop occlusion 20-60 years restoration. Occlusal interface was not
9 dentate/1 described.
edentulous

Weinberg10 1970 Radiographic imaging study of TMJ for n=14, Radiographic technique is repeatable, Case series
duplicability and concentricity radiographs consistent, and TMJ is concentric.
made 1 week
apart

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Outcomes/
Method/ Study Results/
Author Year Study Parameters Conclusion Hierarchy
Clayton, 1971 Study of whether graphic tracings are n=3 Mandibular movements can be Case series
Kotowicz, affected by different OVD, bearing affected by changes in all 3 variables
Myers105 surface forms, and tooth contact tested.

Strohaver60 1972 Comparison study of 5 centric relation n=1M with full Myo-centric recordings were most Case report
recording methods and myo-centric dentition variable compared to others.
relation
Part I: Retrospective study of fixed n=32
restorations where centric occlusion
coincided with centric relation

Celenza86 1973 Part II: Prospective study of individu- I. n=32 with 2- After using occlusal splint, 30 of 32 Case series
als with restored occlusions not to 12-year patients displayed deflective contacts
necessarily restored to CRO position treatment wearing occlusal splint. Concluded
to assess recording methods follow-up that precision of occlusion may be
II. n=15 more important than position.
(7M/8W)
31-55 years

Calagna93 1973 Centric relation registrations of n=15 (9M/6W) Variety of deconditioning methods Case series
completely dentate patients, with 22-49 years were used with extended occlusal
measurable CR and CO difference, device producing best results
normal health, and no TMD compared to other chair-side
methods.

Kantor, 1973 Centric relation registrations by chin n=15 Centric relation can be located using Case series
Silverman, point guidance with/without or 21-45 years many techniques, with bilateral
Garfinkel59 anterior deprogramming device manipulation producing the greatest
consistency and Myomonitor
techniques the least.

Hoiffman, 1973 Condylar position measured 3- n=52M Centric relation found to be 0.28 mm Case series
Silverman, dimensionally in articulator mountings 22-46 years posterior and inferior to centric
Garfinkel22 recorded by chin point occlusion with some medio-lateral
guidance in comparison to hand- differences.
articulated casts in ICP

McNamara 64 1973 Rhesus monkey study on EMG lateral n=1 Recorded independent activity of IFP Case report,
pterygoid muscle activity and SLP, suggesting anterior guidance animal study
development for occlusal treatment.

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Outcomes/
Method/ Study Results/
Author Year Study Parameters Conclusion Hierarchy
Remein, Ash58 1974 EMG study of Myomonitor centric n=10 (3M/7W) Myomonitor centric position is Case series
position using a fully adjustable 21-50 years anterior and inferior to transverse
articulator hinge axis, is variable with head
position, and is not reproducible.

DiPietro, 1976 Significance of Frankfort-mandibular Not stated Reported that low FMA patients have Expert opinion,
Moergheli111 angle and OVD literature report greater occlusal forces and do not review of
supported by cephalometric data and tolerate increase in OVD. orthodontic
studies collected by others literature

McNamara 1977 Electromyographic (EMG) study of n=27 (18 with Duration of EMG silent periods and Case series with
DC94 patients before and after elimination functional latency of jaw-opening reflex was attempt to
of deflective occlusal contacts in disturbances and reduced following treatment (occlusal compare with
centric and eccentric positions 9 without to adjustment) of functional disturbance “normal”
compared to nondysfunctional group serve as control group within range similar to EMG control group.
group) silent periods of control groups.

Jankelson57 1979 Myomonitor-neuromuscular occlusion n=400 Rest position is reference position for Case series
derived from stimulating temporalis Over 6-year maximum intercuspation.
and masseter muscles period

Weinberg9 1980 Radiographic imaging of TMJ n=138 Posterior condylar displacement Case series
concentricity, dysfunction, and (10M/80W) associated with dysfunctional centric
occlusal factors 16-71years relation.

Jemt, 1982 Light-emitting diodes to track jaw n=5 Individuals preferred group function Case series with
Lundquist, movement for patients with maxillary occlusion prosthesis and had more crossover
Hedegard100 fixed implant prosthesis opposing horizontal mastication patterns;
mandibular dentition, canine canine guidance group had more
protected articulation, or group vertical mastication patterns.
function occlusion

Williamson, 1983 EMG study of effects of anterior n=5W of which 4 Elimination of posterior contacts by Case series
Lundquist99 guidance provided by occlusal splint had history of anterior discussion occlusal splint
TMD decreases activity of elevator muscles.

Gibbs, 1984 EMG study on inferior (ILP) and n=11 (8M/3W) SLP and ILP demonstrated nearly Case series
Mahan, superior lateral pterygoid (SLP) dental students, reciprocal EMG activity. SLP activated
Wilkinson, muscle activity 2 had TMD during clenching in retruded contact.
Mauderl65 symptoms

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Outcomes/
Method/ Study Results/
Author Year Study Parameters Conclusion Hierarchy

Turner, 1984 Clinical observations of severely worn n=unknown Multiple methods of assessing OVD Expert opinion
Missirlan112 dentition and methods used to used in individuals with severely worn
determine decreased OVD dentition.

Shupe, 1984 EMG study comparing group function n=9 (5M/4W) Canine guidance should be required to Case series
Mohamed, to anterior guidance on maxillary 23-41 years reduce forces to posterior teeth and
Christensen, occlusal splints muscle activity.
Finger98

Clayton, 1986 Electronic pantographic reproducibil- n=25 Electronic method of assisting in Case series
Beard108 ity study and indexing for diagnosing graphic detection of TMD and
TMD reproducibility of tracing border
movements.

Brose, 1987 Literature review of anterior coupling N/A Anterior teeth can be modified to Expert opinion
Tanquist115 influence on mandibular movement achieve coupling to posterior controls
by occlusal adjustment and anterior
restorations.

Pullinger71 1988 Study of occlusal variables associated n=224 ICP anterior to RCP in association Case series
with joint tenderness and dysfunction (120M/102) with bilateral occlusal stability may be
23.9 mean age protective.
group

Agerberg, 1988 Study of occlusal interference n=140 Observed that majority of individuals Case series
Sandstroselt67
frequency between centric relation 15-22 age-range had deflective contacts that did not
and centric occlusion or nonworking appear to interfere with mastication.
contacts that prevented group
function

Wilson, 1989 Clinical assessment of centric relation n=15 dental Determined 0.2-0.4 mm difference Case series
Nairn68 and centric occlusion students/ between RP to IP.
nurses

Rivera- 1991 Extensive review of animal and human N/A Literature reviewed does not substan- Systematic
Morales, studies regarding restoration of OVD tiate that a moderate increase in the review of
Mohl113 OVD will result in hyperactivity of the literature
masticatory muscles and symptoms of
TMD.

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Outcomes/
Method/ Study Results/
Author Year Study Parameters Conclusion Hierarchy
Yi, Carlsson, 1996 Study of 34 patients with 43 FPDs Of 200 patients, All 3 types of occlusal contact Case series
Ericsson, worn for 10 years with variety of 34 (19W/15M) patterns seemed to be compatible
Wennstrom121 occlusal schemes were willing to with long-term function of extensive
participate in FPDs.
retrospective study

Goodacre119 2003 MEDLINE search, 50-year literature N/A Fixed partial dentures failures: caries Meta analysis
review of survival and failure modali- (18% of abutments and 8% of design with
ties of FPD prostheses), endodontic treatment systematic
(11% of abutments and 8% of review of
prostheses), loss of retention (7% of literature.
prostheses), esthetics (6% of
prostheses), periodontal disease (4%
of prostheses), tooth fracture (3% of
prostheses), and prosthesis/porcelain
fracture (2% of prostheses).

Carlsson, 2003 Randomly selected 7-, 11-, and n=100 (original Oral parafunctions in childhood may Longitudinal
Egermark, 15-year-old subjects were examined 402) random be persistent trait in many subjects. case series
Magnusson101 clinically and using questionnaire for selection, Class II occlusion and tooth wear in
parafunction and tooth wear focusing examined after 20 childhood predicted increased
on occlusal factors and function and years anterior tooth wear 20 years later,
dysfunction of masticatory system whereas nonworking-side interference
reduced risk for such wear in
35-year-old subjects.

Nilner92 2003 Literature review of musculoskeletal N/A Extensive literature review supporting Systematic
disorders and occlusal interface Beyron’s original observations. review of
literature

Forsell, 2004 Application of evidence-based N/A Review methodology on occlusal Systematic


Kalso125 medicine to occlusal treatment of splints and TMD. review of
TMD literature

Bernhardt, 2004 Occlusal wear studied and related to n=2529 Factors for high occlusal wear: Epidemiologic
Gesch, risk factors such as bruxism, gender, bruxism, male gender, loss of molar case series
Splieth110 and social situations contact, edge-to-edge incisor
relations, unemployment.

De Backer, 2006 Study to investigate longevity of 332 n=193 66% FPD survival rate, caries and loss Retrospective
Van Maele, FPDs over 20 years performed by of retention were primary causes for case series
De Moor, students and faculty failure. Impact of occlusion not
Van den Berghe, reported.
De Boever122
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