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{{qnq|Dismorfismi occlusali e non Malocclusione |....che, come vedremo poco più avanti, è tutta un'altra cosa}} | {{qnq|Dismorfismi occlusali e non Malocclusione |....che, come vedremo poco più avanti, è tutta un'altra cosa}} | ||
==Conclusion== | |||
Even before drawing conclusions, conceptual clarity must be made on some fundamental points which of course will be treated in detail in the specific chapters of Masticationpedia. | |||
The Masticatory System should be considered as a “'''Complex System'''”<ref>''[[wikipedia:Complex system|Complex system]]'' <!--123-->in [https://en.wikipedia.org/wiki/ Wikipedia]</ref>, not as a Biomechanical System focused exclusively on dental occlusion, because in this sense the “Occlusion” is nothing more than a subset of the Complex System interacting with the other subsets, such as periodontal receptors, neuromuscular spindles, recruitment of motor units, central nervous system, temporomandibular joint, etc., to give shape to an “Emerging Behaviour”, the masticatory one. | |||
The peculiarity of this concept is that it is not possible to interpret or predict the “Emerging Behaviour” of a System by extracting objective data from a single subset. Instead, ''the integrity of the System must be quantified in its entirety'', and only then can a segmentation of the whole be attempted to make an analytical description of the node itself. There are very important intellectual and scientific movements that are engaging with this issue; in this regard, the extraordinary work of Prof. Kazem Sadegh-Zadeh: ''Handbook of Analytic Philosophy of Medicine'' comes to mind.<ref>{{cita libro | |||
| autore = Sadegh-Zadeh Kazem | |||
| titolo = Handbook of Analytic Philosophy of Medicine | |||
| url = https://link.springer.com/book/10.1007/978-94-007-2260-6 | |||
| volume = | |||
| opera = | |||
| anno = 2012 | |||
| editore = Springer | |||
| città = Dordrecht | |||
| ISBN = 978-94-007-2259-0 | |||
| LCCN = | |||
| DOI = 10.1007/978-94-007-2260-6 | |||
| OCLC = | |||
}}</ref> | |||
In the presented case, the question is resolved in the following language logic: | |||
:The subsets of the Masticatory System (teeth, occlusion, Temporomandibular joints, muscles, etc.) are in a state of "Coherence” with the Central Trigeminal Nervous System (see figures 1b, 1c and 1d), so the term “Malocclusion” cannot be used, the phrase “Occlusal Dismorphism” should be considered instead. | |||
:{{q2|<!--128-->This does not mean abolishing prosthetic, orthodontic and orthognathic masticatory rehabilitation treatments: on the contrary, this forma mentis tends to restore medical knowledge to dental rehabilitation disciplines, as well as offering an alternative to the scientific reductionism that converges in a deterministic interpretation of the biological phenomenon.|}} | |||
Going beyond the specialist perimeters of the disciplines, as previously reported on interdisciplinarity, helps expanding the diagnostic and therapeutic models as it can be seen in the [[OrthoNeuroGnathodontics on 2° Class patient|Clinical case]] in which a patient was treated with the OrthoNeuroGnathodontic method is reported. | |||
In this way, an overall view of the entire Masticatory System is presented in order to gather the aesthetic and functional-neurophysiological components together to determine “Occlusal Stability” and to avoid “Relapses”, especially in orthodontic and orthognathic treatments.<ref>{{cita libro | |||
| autore = Al-Moraissi EA | |||
| autore2 = Wolford LM | |||
| titolo = Is Counterclockwise Rotation of the Maxillomandibular Complex Stable, Compared With Clockwise Rotation, in the Correction of Dentofacial Deformities? A Systematic Review and Meta-Analysis | |||
| url = https://www.ncbi.nlm.nih.gov/pubmed/27371873 | |||
| volume = | |||
| opera = J Oral Maxillofac Surg | |||
| anno = 2016 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| LCCN = | |||
| DOI = 10.1016/j.joms.2016.06.001 | |||
| OCLC = | |||
}}</ref><ref>{{cita libro | |||
| autore = Hoffmannová J | |||
| autore2 = Foltán R | |||
| autore3 = Vlk M | |||
| autore4 = Klíma K | |||
| autore5 = Pavlíková G | |||
| autore6 = Bulik O | |||
| autore7 = | |||
| titolo = Factors affecting the stability of bilateral sagittal split osteotomy of a mandible | |||
| url = https://www.ncbi.nlm.nih.gov/pubmed/19537679 | |||
| volume = | |||
| opera = Prague Med Rep | |||
| anno = 2008 | |||
| editore = | |||
| città = | |||
| ISBN = | |||
| PMID = 19537679 | |||
| LCCN = | |||
| DOI = | |||
| OCLC = | |||
}}</ref> | |||
These are just some of the topics that will be covered extensively both in this chapter and in what we call “Extraordinary Science”. Meanwhile, in a fitting diversion our colourful friend ''Linus Sapiens'', the little yellow man on the left, asks us: | |||
{{q4|<!--132-->What do we mean by “Complex Systems” when we are talking about masticatory functions? |<!--133-->Not a trivial question, let's start talking, then, about [[the logic of medical language]]}} | |||