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===Further considerations=== The etiology of recurrence is neither fully understood nor can it be fully predicted from a single factor,<ref>{{cita libro | autore = Little RM | autore2 = | titolo = Stability and relapse of dental arch alignment | url = https://pubmed.ncbi.nlm.nih.gov/2207055/ | volume = | opera = Br J Orthod. | anno = 1990 | editore = University of Washington, Seattle | città = Washington, USA | ISBN = | DOI = 10.1179/bjo.17.3.235 | PMID = 2207055 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> but includes factors such as the response of the traction and deconstructed periodontal fibers,<ref>{{cita libro | autore = Reitan K | autore2 = Kvam E | titolo = Comparative behavior of human and animal tissue during experimental tooth movement | url = https://meridian.allenpress.com/angle-orthodontist/article-pdf/41/1/1/1368969/0003-3219(1971)041_0001_cbohaa_2_0_co_2.pdf | volume = | opera = Angle Orthod | anno = 1971 | editore = | città = | ISBN = | DOI = 10.1043/0003-3219(1971)041<0001:CBOHAA>2.0.CO;2 | PMID = 4992550 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> physiological maturation of the human dentition which affects its width, length or perimeter<ref>{{cita libro | autore = Thilander B | titolo = Dentoalveolar development in subjects with normal occlusion. A longitudinal study between the ages of 5 and 31 years | url = https://academic.oup.com/ejo/article-pdf/31/2/109/1273020/cjn124.pdf | volume = | opera = Eur J Orthod | anno = 2009 | editore = Oxford University Press on behalf of the European Orthodontic Society | città = Göteborg, Sweden | ISBN = | DOI = 10.1093/ejo/cjn124 | PMID = 19304760 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref>, alterations of the craniofacial complex<ref>{{cita libro | autore = Behrents RG | autore2 = Harris EF | autore3 = Vaden JL | autore4 = Williams RA | autore5 = Kemp DH | autore6 = | autore7 = | titolo = Relapse of orthodontic treatment results: growth as an etiologic factor | url = https://pubmed.ncbi.nlm.nih.gov/2634695/ | volume = | opera = J Charles H. Tweed Int Found | anno = 1989 | editore = | città = | ISBN = | DOI = | PMID = 2634695 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> and parafunctions.<ref>{{cita libro | autore = Lang G | autore2 = Alfter G | autore3 = Göz G | autore4 = Lang GH | titolo = Retention and stability--taking various treatment parameters into account | url = https://pubmed.ncbi.nlm.nih.gov/11974450/ | volume = | opera = J Orofac Orthop | anno = 2002 | editore = | città = | ISBN = | DOI = 10.1007/s00056-002-0036-2 | PMID = 11974450 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> Retention of treatment results is therefore considered to be one of the most difficult problems in orthodontics, and relapses, especially of the mandibular incisors, could also be observed with the use of retention devices after debonding.<ref>{{cita libro | autore = Steinnes J | autore2 = Johnsen G | autore3 = Kerosuo H | titolo = Stability of orthodontic treatment outcome in relation to retention status: An 8-year follow-up | url = https://pubmed.ncbi.nlm.nih.gov/28554448/ | volume = | opera = Am J Orthod Dentofacial Orthop | anno = 2017 | editore = | città = | ISBN = | DOI = 10.1016/j.ajodo.2016.10.032 | PMID = 28554448 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> Most of the existing post-treatment stability studies evaluate short-term relapses of the anterior region by primarily measuring the irregularity of the incisors after extractive or non-extractive treatment and compare different retention patterns. These studies largely use the Peer Assessment Rating (PAR) index<ref>{{cita libro | autore = de Freitas KM | autore2 = Janson G | autore3 = de Freitas MR | autore4 = Pinzan A | autore5 = Henriques JF | autore6 = Pinzan-Vercelino CR | autore7 = | titolo = Influence of the quality of the finished occlusion on postretention occlusal relapse | url = https://pubmed.ncbi.nlm.nih.gov/17920494/ | volume = | opera = Am J Orthod Dentofacial Orthop | anno = 2007 | editore = | città = | ISBN = | DOI = 10.1016/j.ajodo.2007.02.051 | PMID = 17920494 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> which is not a trigeminal electrophysiological analysis approach in considering 'Normocclusion' much less the details of a well balanced occlusion (such as contacts, inclinations and alignment of each tooth) or changes in retention only in the short term.<ref>{{cita libro | autore = Hoybjerg AJ | autore2 = Currier GF | autore3 = Kadioglu O | titolo = Evaluation of 3 retention protocols using the American Board of Orthodontics cast and radiograph evaluation | url = https://pubmed.ncbi.nlm.nih.gov/23810041/ | volume = | opera = Am J Orthod Dentofacial Orthop | anno = 2013 | editore = | città = | ISBN = | DOI = 10.1016/j.ajodo.2013.02.022 | PMID = 23810041 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> To the authors' knowledge at the time of publication of their study, only one study<ref>{{cita libro | autore = Nett BC | autore2 = Huang GJ | titolo = Long-term posttreatment changes measured by the American Board of Orthodontics objective grading system | url = https://pubmed.ncbi.nlm.nih.gov/15821689 | volume = | opera = Am J Orthod Dentofacial Orthop | anno = 2005 | editore = Elsevier Inc | città = | ISBN = | DOI = 10.1016/j.ajodo.2004.03.029 | PMID = 15821689 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> used the American Board of Orthodontics (ABO)<ref>{{cita libro | autore = Casko JS | autore2 = Vaden JL | autore3 = Kokich VG | autore4 = Damone J | autore5 = James RD | autore6 = Cangialosi TJ | autore7 = Riolo ML | author8 = Owens SE Jr | author9 = Bills ED | titolo = Objective grading system for dental casts and panoramic radiographs | url = https://pubmed.ncbi.nlm.nih.gov/9810056 | volume = | opera = Am J Orthod Dentofacial Orthop | anno = 1998 | editore = | città = | ISBN = | DOI = 10.1016/s0889-5406(98)70179-9 | PMID = 9810056 | PMCID = | oaf = <!-- qualsiasi valore --> | LCCN = | OCLC = }}</ref> detailed objective classification system for models and radiographs which measures the details of a well-finished and well-balanced occlusion. {{q2|The aforementioned study is not only interesting but also stimulating, from a scientific point of view, as it states that relapses could occur even in the presence of adequate functional occlusion. |Constructive criticism, however, is inherent in the statement itself: how is an efficient masticatory function and, therefore, a 'Normocclusion' defined? }} In Masticationpedia, we would like to launch interesting and constructive provocations to answer the question we just set out: 'How is an efficient chewing function and therefore a Normocclusion defined?' Let's look at the two cases below, in figure 1 and in figure 2: which of the two clinical cases do you think is affected by malocclusion? <center> <gallery mode="slideshow" widths="250" heights="182" perrow="3"> File:Occlusal Centric view in open and cross bite patient.jpg|'''Figure 1:''' Patient with open bite and right posterior crossbite who according to classical orthodontic indices can only be considered in a state of 'Malocclusion' File:Occlusion in young lady, needing attention.jpg|'''Figure 2:''' Daughter of the patient in figure 1 who exhibits similar anatomical features such as the right posterior crossbite. There is no openbite in this case. </gallery> </center> It seems irreverent for the canons of orthodox orthodoxy not to share the diagnosis of 'malocclusion', but we leave the reader in a little suspense. We intend to resume extensively in a few chapters, after deepening the topic of 'System Logic' and 'Systems Theory'. We only anticipate that the patient in figure 1 has already been proposed in the chapter 'Introduction', so we already know our clinical scientific opinion but if he gives us so much, also..... {{q2|the daughter should also respond in the same way.|... be patient and you will see }}
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