Zusammenhang von Belastungsvektoren und ätiologischen Faktoren im Rahmen der erweiterten Funktionsanalyse – Teil 2: Grundlagen der EAEF und Auswertung

Die elektronische Analyse ätiologischer Faktoren wurde als ein Zusatzmodul des ArcusDigma II (EAEF; entwickelt von Prof. Bumann; KaVo/Biberach) zur Überprüfung eines kausalen Zusammenhangs zwischen craniomandibulären Dysfunktionen (CMD) und der statischen und dynamischen Okklusion sowie Parafunktionen herangezogen. Bei 55 Patienten mit unterschiedlichen CMD-Beschwerden wurde eine manuelle Strukturanalyse (MSA) durchgeführt, wobei 20 Patienten mit einem spezifischen reproduzierbaren Belastungsvektor zur weiterführenden Untersuchung mithilfe der EAEF selektiert wurden. Es konnten bei 95 % Patienten reproduzierbare statische Okklusalvektoren und bei allen Patienten reproduzierbare dynamische Okklusalvektoren nachgewiesen werden. Für die Untersuchung eines kausalen Zusammenhangs zwischen Belastungs- und Bruxismusvektor konnte lediglich eine schwache Übereinstimmung aufgezeigt werden.

The electronic analysis of etiological factors (EAEF; inaugurated by Prof. Bumann) was performed as additional module of Arcus digma 2 system (Comp, KaVo Biberach, Germany) in order to evaluate the dependance between CMD-signs,, static and dynamic occlusion and parafunctional behaviour. 55 patients with different CMD-symptoms were examined by using techniques of manual structural analysis MSA). 20 patients with a specific loading vector could be selected for EAEF. Specific static occlusion vectors resulted in 95 % of the patients; within all patients dynamic occlusion vectors arose. The correlation between occlusion vectors and vectors of bruxism was significant, but weak.

Schlüsselwörter

EAEF - craniomandibuläre Dysfunktionen (CMD) - Belastungsvektor - Okklusalvektor - statische und dynamische Okklusion

Key words

Craniomandibular Disorders (CMD) - Clinical Structure Analysis - Loading Vector - Occlusion Vector - Static Occlusion - Dynamic Occlusion

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