Difference between revisions of "Introduction"

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==Abstract==
==Abstract==
[[File:Occlusal Centric view in open and cross bite patient.jpg|350x350px|left]]The chapter from Masticationpedia introduces a profound critique and subsequent paradigm shift in the scientific approach to dentistry and masticatory disorders. It begins by discussing the traditional methodologies influenced by evidence-based medicine (EBM) and their limitations in addressing the complexities of orofacial pain and malocclusions. The document engages with Thomas Kuhn's philosophy of scientific revolutions, applying it to dentistry's current epistemological challenges. It argues that the field is experiencing a paradigmatic crisis due to the insufficiencies of current diagnostic models and calls for an evolution towards a new, quantum model of diagnosis that considers the independent and incompatible variables involved in complex masticatory disorders.  
[[File:Occlusal Centric view in open and cross bite patient.jpg|350x350px|left]]This detailed summary of the wikitext from Masticationpedia offers a comprehensive examination of its contents, focusing on the intersection of Kuhn's paradigms with advancements in dentistry and the broader implications for scientific inquiry and practice.  


The introduction lays the groundwork by explaining the principles of evidence-based medicine (EBM) as applied to dentistry, particularly in diagnosing and treating temporomandibular disorders (TMDs) and other masticatory anomalies. It critiques EBM's dependence on statistically significant data and controlled clinical trials, which often fail to capture the subtleties and complexities of individual patient cases. The text introduces the concept of Masticationpedia, an innovative platform designed to integrate more holistic and quantum-based approaches into dental practice.
The document titled "Masticationpedia" delves into the transformative shifts in scientific understanding, particularly within medicine and dentistry, through the lens of Thomas Kuhn's paradigm shift theory. It argues that significant scientific transformations, driven by paradigmatic shifts, are not only necessary but inevitable in the fields of medicine and dentistry. The introduction challenges the traditional confines of dental science, advocating for a broader, more interdisciplinary approach that includes considerations of the entire masticatory system and its interactions with neurological functions.


The chapter details a clinical case involving a patient named "Capsaicin," who presents with complex orofacial pain. This section critically examines the limitations of traditional diagnostic tools like axiography and electromyography, which, in Capsaicin's case, failed to diagnose her condition accurately. The narrative demonstrates the need for a new diagnostic approach that goes beyond the conventional paradigms, suggesting that her persistent pain, despite normal findings on traditional tests, indicates a gap in the current understanding and approach.
Central to the text is the application of Kuhn’s theory of paradigm shifts to dentistry. It highlights a current crisis in dental paradigms, particularly in how masticatory disorders are understood and treated. Traditional models, which often focus narrowly on symptoms and mechanical corrections, are argued to be insufficient in addressing the complexities of conditions like malocclusion. The document suggests that these limitations can be overcome by adopting a new paradigm that integrates insights from various disciplines, fostering a more holistic understanding of masticatory functions.


Masticationpedia's proposed solution involves a shift towards a quantum model of diagnosis, which incorporates the evaluation of incompatible variables—those not typically considered in traditional diagnostic processes. The document describes the development and application of new diagnostic tools and methodologies, such as the Coherence Demarcator, which assesses the coherence of various clinical signs and symptoms within and across different diagnostic contexts. This tool aims to provide a more nuanced understanding of complex cases by integrating diverse data points that do not usually conform to classical diagnostic categories.
The introduction includes a review of clinical case studies that illustrate the limitations of conventional orthodontic paradigms. These studies emphasize the need for a shift towards a model that considers not just the alignment of teeth but the functional and systemic health of the entire masticatory system. By questioning traditional interpretations of malocclusion, the document posits that a paradigm shift is necessary to develop more effective and comprehensive treatment strategies.


This section delves deeper into the theoretical implications of adopting a quantum model in dental diagnostics. It discusses how this approach aligns with Kuhn's description of scientific progress through paradigm shifts, where a period of 'normal science' is disrupted by anomalies that current paradigms cannot explain, leading to a scientific revolution. Masticationpedia is positioned as a catalyst for such a revolution in dentistry, challenging the entrenched norms and advocating for a more comprehensive and patient-centric approach.
A significant portion of the text is dedicated to the role of interdisciplinary research in advancing dental science. It introduces the concept of "metacognitive scaffolds," tools designed to enhance communication and collaboration across different scientific disciplines. This approach is tied to a broader discussion on epistemology, focusing on how scientific knowledge is acquired, verified, and applied. The critique extends to the use of statistical measures, such as the P value, in scientific research, questioning their reliability and suggesting a need for more robust methods of scientific verification.


The chapter concludes by reflecting on the broader implications of integrating quantum models into clinical practice. It discusses the potential for these models to enhance diagnostic accuracy and improve patient outcomes by addressing the limitations of current EBM approaches. The text calls for ongoing research and collaboration across disciplines to further develop and refine these models, ensuring that they are robust, scientifically valid, and clinically applicable.<blockquote>
The document discusses the theoretical implications of adopting a new paradigm in dentistry, which includes embracing the complexity of the masticatory system and recognizing the interdependence of its various components. It argues that such a paradigm shift would not only enhance diagnostic and treatment accuracy but also align dentistry more closely with contemporary advances in medical science, particularly those that emphasize systems biology and holistic care.
==Keywords==
'''Masticationpedia''' - The main subject of the document.


'''Quantum Model of Diagnosis''' - A new approach discussed in the chapter.
In its concluding sections, Masticationpedia calls for a concerted effort within the dental community to explore and adopt new paradigms. It suggests that the future of dentistry lies in its ability to integrate with other fields of science, embracing innovations that consider the full complexity of human health. The document advocates for educational reforms that would incorporate these paradigms into dental training, preparing a new generation of dentists to think broadly and interdisciplinarily.


'''Orofacial Pain and Malocclusions''' - Specific conditions addressed.
Looking ahead, the document outlines potential areas of research that could support the shift toward a new dental paradigm. It calls for comprehensive studies that examine the links between dental health and systemic conditions, the development of new diagnostic tools that reflect a holistic understanding of health, and the creation of treatment modalities that are both innovative and integrative.


'''Evidence-Based Medicine (EBM)''' - Critiqued methodology.
Practically, Masticationpedia suggests that embracing a new paradigm could significantly alter clinical practice, leading to more personalized and effective treatments. It emphasizes the potential for improved patient outcomes through approaches that prioritize systemic health and patient-specific factors over traditional one-size-fits-all solutions.


'''Kuhn's Scientific Revolutions''' - Theoretical framework applied to dentistry.
The text also highlights the need for changes in dental education, advocating for curricula that reflect the latest scientific understanding and prepare students for a more holistic and nuanced approach to dental care. This includes training in new technologies, systems biology, and the socio-psychological aspects of patient care.


'''Coherence Demarcator''' - Innovative diagnostic tool introduced.
Finally, the document underscores the importance of continued collaboration between dentists, researchers, and clinicians from various disciplines. By fostering a culture of collaboration and openness, the dental community can lead the way in scientific innovation and patient care.


'''Paradigmatic Shift in Dentistry''' - Central theme of the chapter.</blockquote>{{ArtBy|author=Gianni Frisardi}}
In summary, Masticationpedia presents a compelling case for a paradigmatic revolution in dentistry, rooted in a deep understanding of scientific evolution and interdisciplinary research. It challenges existing practices and theories in dental science and proposes a forward-looking approach that embraces complexity, innovation, and holistic care. Through a detailed examination of theoretical, clinical, and practical dimensions, it calls for a reevaluation of how dental health is understood and treated in the modern age.


[[Category:Dentistry]]
<blockquote>
[[Category:Medical Innovations]]
== Keywords ==
[[Category:Scientific Paradigms]]
'''Masticationpedia''' - The main subject of the document, '''Kuhn's Paradigms''' - Central theoretical framework discussed, '''Paradigmatic Change in Dentistry''' - Specific application of Kuhn's theories, '''Epistemological Transformation in Science''' - Key theme, '''Interdisciplinary Research in Dentistry''' - Significant topic mentioned, '''Malocclusion and Masticatory Disorders''' - Specific conditions discussed, '''Scientific Progress and Innovations in Dentistry''' - Focus on advancements, '''Statistical Significance and P-value''' - Important statistical concepts debated in the document, '''Complex Systems in Masticatory Functions''' - Advanced theoretical approach, '''Orthodontic and Orthognathic Treatments''' - Specific treatments mentioned, '''Neuromuscular Function in Dentistry''' - A focus on functional aspects, '''Paradigmatic Innovations''' - Mentioned as crucial for scientific development.</blockquote>{{ArtBy|autore=Gianni Frisardi}}
 
----
== Keywords==
'''Masticationpedia''' - The main subject of the document, '''Kuhn's Paradigms''' - Central theoretical framework discussed, '''Paradigmatic Change in Dentistry''' - Specific application of Kuhn's theories, '''Epistemological Transformation in Science''' - Key theme, '''Interdisciplinary Research in Dentistry''' - Significant topic mentioned, '''Malocclusion and Masticatory Disorders''' - Specific conditions discussed, '''Scientific Progress and Innovations in Dentistry''' - Focus on advancements, '''Statistical Significance and P-value''' - Important statistical concepts debated in the document, '''Complex Systems in Masticatory Functions''' - Advanced theoretical approach, '''Orthodontic and Orthognathic Treatments''' - Specific treatments mentioned, '''Neuromuscular Function in Dentistry''' - A focus on functional aspects, '''Paradigmatic Innovations''' - Mentioned as crucial for scientific development
 
{{ArtBy|autore=Gianni Frisardi}}
==Ab ovo<ref>Latin for 'since the very beginning'</ref>==
==Ab ovo<ref>Latin for 'since the very beginning'</ref>==


Before diving into the analysis of Masticationpedia, it is necessary to introduce some preliminary considerations. These concern, in particular, two fundamental dimensions - social, scientific, and clinical - that are characteristic of both the current era and the one immediately preceding it.
Before diving into the analysis of Masticationpedia, it is necessary to introduce some preliminary considerations. These concern, in particular, two fundamental dimensions - social, scientific, and clinical - that are characteristic of both the current era and the one immediately preceding it.


===The phases of paradigm change according to Thomas Kuhn===
=== The phases of paradigm change according to Thomas Kuhn ===
In the course of the last century, there has been an exponential increase in technological and methodological "Innovations",<ref>{{cita libro  
In the course of the last century, there has been an exponential increase in technological and methodological "Innovations",<ref>{{cita libro  
  | autore = Heft MW
  | autore = Heft MW
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| align="right" width="250" |<small>''The black swan symbolizes one of the historical problems of epistemology: if all the swans we have seen so far are white, can we decide that all the swans are white?<br>Really?''</small>
| align="right" width="250" |<small>''The black swan symbolizes one of the historical problems of epistemology: if all the swans we have seen so far are white, can we decide that all the swans are white?<br>Really?''</small>
| align="center" | [[File:Black_Swan_(Cygnus_atratus)_RWD.jpg|175px|center]]
| align="center" |[[File:Black_Swan_(Cygnus_atratus)_RWD.jpg|175px|center]]
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|&nbsp;
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*'''''<math>P-value</math>''''':  In medicine, for example, to confirm an experiment or validate a series of data collected through laboratory instruments or surveys, reliance is placed on "Statistical Inference," and in particular on a well-known value called "significance test" (P-value). However, even this concept, now rooted in the practice of researchers, is being questioned. A recent study has focused attention on a campaign conducted in the journal "Nature" against the use of the "significance test."<ref>{{cita libro  
*'''''<math>P-value</math>''''':  In medicine, for example, to confirm an experiment or validate a series of data collected through laboratory instruments or surveys, reliance is placed on "Statistical Inference," and in particular on a well-known value called "significance test" (P-value). However, even this concept, now rooted in the practice of researchers, is being questioned. A recent study has focused attention on a campaign conducted in the journal "Nature" against the use of the "significance test."<ref>{{cita libro  
  | autore = Amrhein V
  | autore = Amrhein V
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  | DOI = 10.1016/j.pbiomolbio.2017.04.001
  | DOI = 10.1016/j.pbiomolbio.2017.04.001
  | OCLC =  
  | OCLC =  
  }} Oct;129:25-39.</ref>
  }} Oct;129:25-39.</ref>
|}
|}


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Before proceeding, it might be appropriate to observe a very concrete and significant case.
Before proceeding, it might be appropriate to observe a very concrete and significant case.


==Malocclusion==
== Malocclusion==


"Malocclusion" derives from the Latin "malum," meaning "bad" or "wrong," and literally refers to an improper closure of the teeth.<ref>The creation of the term is generally attributed to [[:wpen:Edward Angle|Edward Angle]], considered the father of modern orthodontics, who coined it as a specification of ''occlusion'' to signal the incorrect opposition in closing of the lower teeth and upper, especially the first molar; see {{cita libro  
"Malocclusion" derives from the Latin "malum," meaning "bad" or "wrong," and literally refers to an improper closure of the teeth.<ref>The creation of the term is generally attributed to [[:wpen:Edward Angle|Edward Angle]], considered the father of modern orthodontics, who coined it as a specification of ''occlusion'' to signal the incorrect opposition in closing of the lower teeth and upper, especially the first molar; see {{cita libro  
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