Filosofias da relação maxilomandibular aplicadas às reabilitações protéticas, pesquisa com educadores em odontologia

Abstract

The relationship maxilomandibular used in the planning and execution of the prosthetic rehabilitation is controverted and usually linked to the complexity of the treatment. The purpose of the work was to determine the philosophy supplied by educators of the Brazilian Institutions of higher education of Dentistry (IheD) as for the relationship maxilomandibular in function of the type of treatment suitable prosthetic rehabilitation, besides defining the educator's profile. Questionnaire-research was used with five clinical sceneries of patients with discrepancies among centric relation (CR) and maximum habitual intercuspation (MHI) with the following characteristics: scenery (1) asymptomatic patient that needed to substitute total prosthesis; (2) - patient teething completes, however with signs and symptoms of temporomandibular dysfunction; (3) - asymptomatic patient with need of removable partial denture (RPD); (4) - asymptomatic patient with need of fixed denture of three posterior elements; (5) - asymptomatic patient with need of fixed denture of three anterior elements. Questionnaire research was a correspondent to 161 IheD, addressed for the educators of the occlusion areas, fixed prosthesis, partial and total removable prosthesis, and integrated clinic, totaly 805 questionnaires. The professional's profile questioned the area of the educator's performance, graduation, place philosophy was consolidated. They were received 124 questionnaires research of 68 IheD. In the 1st clinical scenery, 77% answered that the maximum intercuspation (MI) it should coincide with CR; 2nd scenery 32% answered that it eliminates the deviation and 50% other answer; 3rd scenery 50% answered that it would make RPD with to coincident MI with CR; 4th scenery 52% answered that it would accomplish the procedure in MHI; 5th scenery 38% answered that it would adjust the centric occlusion relation (COR), leaving the teeth out of contact. Most of the teachers (98%) it acts in the rehabilitation area, they possess master's degree and doctorate, with time of professional performance between 10 and 20 years, in schools different from where they graduated and they powder-graduated and they declare that his/her philosophy was established in the masters degree. It is ended that great diversity of philosophies exists used in IheD on which relationship maxilomandibular is the more recommended. The choice depends on the extension of the treatment employed prosthetic rehabilitation and of the presence of signs and symptoms of traumatic occlusion. The educators' philosophy was consolidated during to masters degree, and the teachers are masters and doctors of the area of oral rehabilitation.