Scientific article
OA Policy
English

Functional assessment of the stomatognathic system. Part 1: The role of static elements of analysis

Published inQuintessence international (Hanover Park, Ill. : Online), vol. 52, no. 10, p. 920-932
Publication date2021-10-19
Abstract

To review the elements of static analysis in the functional assessment of the stomatognathic system, as promoted for more than a century by gnathologists, and summarize the available scientific evidence, including anthropologic observations.

A thorough search was conducted using PubMed, the Cochrane Library database, and Google Scholar. From peer-reviewed articles and other scientific literature, up-to-date information addressing three topics was identified: (a) the anthropologic perspective with particular consideration for the role of progressive dental wear over time, (b) descriptions of gnathologic principles and evidence on their scientific validity, and (c) the methodologic inaccuracies introduced by seeking to correlate variables directly rather than allowing for causal inference.

For decades gnathology attempted to describe a structure-function correlation within the stomatognathic system by means of a model whose principles were static and mechanistic references. No scientific validation was ever achieved, placing clinical and research consensus out of reach.

A historical perspective helps to place the fundamentals of gnathology into context: They were conceived to solve technical difficulties but were then assumed to be physiologic stereotypes. This misconception led to a decades-long promotion of mechanistic theories to describe oral function, but the evidence available today supports a more flexible and adaptable approach. Gnathologic arguments have been relegated to become exclusively of technical relevance in oral rehabilitation.

Keywords
  • Dental occlusion
  • Gnathology
  • Oral function
  • Real-world data
  • Temporomandibular disorder
  • Tooth wear
  • Humans
  • Stomatognathic System
Citation (ISO format)
SARATTI, Carlo Massimo et al. Functional assessment of the stomatognathic system. Part 1: The role of static elements of analysis. In: Quintessence international (Hanover Park, Ill. : Online), 2021, vol. 52, n° 10, p. 920–932. doi: 10.3290/j.qi.b2077573
Main files (1)
Article (Accepted version)
accessLevelPublic
Identifiers
Journal ISSN1936-7163
241views
536downloads

Technical informations

Creation22/11/2021 14:34:00
First validation22/11/2021 14:34:00
Update time16/03/2023 07:07:39
Status update16/03/2023 07:07:38
Last indexation07/01/2025 15:54:25
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack