Difference between revisions of "Introduction"

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Let’s try to approach part of the concept that considers the "Paradigmatic Innovation” as essential, asking ourselves for example:

[[File:Occlusal Centric view in open and cross bite patient.jpg|alt=~~|right~~|thumb|'''Figure 1a:''' Patient with malocclusion, open bite and right posterior crossbite who in rehabilitation terms should be treated with orthodontic therapy and / or orthognathic surgery.]]

[[File:Occlusal Centric view in open and cross bite patient.jpg|alt=|thumb|'''Figure 1a:''' Patient with malocclusion, open bite and right posterior crossbite who in rehabilitation terms should be treated with orthodontic therapy and / or orthognathic surgery.|500x500px]]

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}} Jan;5(1):21-7.</ref>. It is self-evident that an observer with a ''deterministic mindset'' facing a phenomenon of such evident occlusal incongruity considers crossbite and openbite the cause of malocclusion (cause/effect) or vice versa; and it is obvious, as well, that the observer recommends an orthodontic treatment to restore a “Normocclusion”. This way of reasoning means that the model (masticatory system) is “normalized to occlusion”, and if read backwards it means that the occlusal discrepancy is the cause of malocclusion and, therefore, of disease of the Masticatory System. (Figure 1a).

But let's hear what the two players say, the dentist and the patient, in the informative dialogue.[[File:Bilateral Electric Transcranial Stimulation.jpg|thumb|'''Figure 1b:''' Motor evoked potential from electrical transcranial stimulation of the trigeminal roots. Note the structural symmetry calculated by the peak-to-peak amplitude on the right and left masseters.]]

But let's hear what the two players say, the dentist and the patient, in the informative dialogue.

{|

|-

| ~~ ~~  

| [[File:Bilateral Electric Transcranial Stimulation.jpg|thumb|'''Figure 1b:''' Motor evoked potential from electrical transcranial stimulation of the trigeminal roots. Note the structural symmetry calculated by the peak-to-peak amplitude on the right and left masseters.|left|500x500px]]  

|The dentist tells the patient that he is suffering from severe malocclusion and that it should be treated to improve its aesthetics and chewing function. The patient, however, replies firmly: «''No way, I haven't the slightest idea to do it at all, doctor, because I might even have an unrepresentative smile, but I eat very well.''» The dentist’s reply is ready, so the practitioner insists by saying: «''but you have a serious malocclusion with an openbite and a unilateral posterior crossbite, you should already have problems with bruxism and swallowing, as well as posture.''» The patient closes the confrontation in a decisive way: «''absolutely false: I chew very well, I swallow very well and at night I snore alot so I don’t grind; besides, I’m a sportsman and I don’t have any postural disturbance''».

|}

Now the conclusion remains very critical because we might be finding ourselves in front of a verbal language of the patient which is misleading because it is not specific and does not respond to a detailed physiopathogenetic knowledge of the occlusal state; or, paradoxically, we are otherwise facing a machine language converted into verbal language which guarantees the integrity of the system. At this point the situation is truly embarrassing because neither the patient nor the observer (dentist) will be able to say with certainty that the System is in a “Malocclusion” state.

[[File:Jaw Jerk .jpg~~|left~~|thumb|'''Figure 1c:''' Mandibular reflex evoked by percussion of the chin through a triggered neurological hammer. Note the functional symmetry calculated by the peak-to-peak amplitude on the right and left masseters.]]

[[File:Jaw Jerk .jpg|thumb|'''Figure 1c:''' Mandibular reflex evoked by percussion of the chin through a triggered neurological hammer. Note the functional symmetry calculated by the peak-to-peak amplitude on the right and left masseters.|center|500x500px]]

It is precisely at this moment that one remembers the criticism of the American Statistician Association titled “''Statistical inference in the 21st century: A World Beyond p <0.05''”, which urges the researcher to accept uncertainty, be sensible reflective, open and modest in his statements<ref name="wasser" />: which basically translates into a search for interdisciplinarity.

[[File:Mechanic Silent Period.jpg|thumb|'''~~Figura~~ 1d:''' Mechanical silent period evoked by percussion of the chin through a triggered neurological hammer. Note the functional symmetry calculated on the integral area of the right and left masseters.]]

[[File:Mechanic Silent Period.jpg|thumb|'''Figure 1d:''' Mechanical silent period evoked by percussion of the chin through a triggered neurological hammer. Note the functional symmetry calculated on the integral area of the right and left masseters.|center|500x500px]]

Interdisciplinarity, in fact, could answer such a complex question; but it is nonetheless necessary to interpret the biological phenomenon of "“Malocclusion”" with a ''stochastic forma mentis of'' which we will discuss in detail later..

@@ Line 383: / Line 383: @@
 Let’s try to approach part of the concept that considers the "Paradigmatic Innovation” as essential, asking ourselves for example:
-[[File:Occlusal Centric view in open and cross bite patient.jpg|alt=|right|thumb|'''Figure 1a:'''<br>Patient with malocclusion, open bite and right posterior crossbite who in rehabilitation terms should be treated with orthodontic therapy and / or orthognathic surgery.]]
+[[File:Occlusal Centric view in open and cross bite patient.jpg|alt=|thumb|'''Figure 1a:'''<br>Patient with malocclusion, open bite and right posterior crossbite who in rehabilitation terms should be treated with orthodontic therapy and / or orthognathic surgery.|500x500px]]
 {{qnq|What does "Malocclusion" mean?|}}
@@ Line 466: / Line 466: @@
   }} Jan;5(1):21-7.</ref>. It is self-evident that an observer with a ''deterministic mindset'' facing a phenomenon of such evident occlusal incongruity considers crossbite and openbite the cause of malocclusion (cause/effect) or vice versa; and it is obvious, as well, that the observer recommends an orthodontic treatment to restore a “Normocclusion”. This way of reasoning means that the model (masticatory system) is “normalized to occlusion”, and if read backwards it means that the occlusal discrepancy is the cause of malocclusion and, therefore, of disease of the Masticatory System. (Figure 1a).
-But let's hear what the two players say, the dentist and the patient, in the informative dialogue.[[File:Bilateral Electric Transcranial Stimulation.jpg|thumb|'''Figure 1b:''' Motor evoked potential from electrical transcranial stimulation of the trigeminal roots. Note the structural symmetry calculated by the peak-to-peak amplitude on the right and left masseters.]]
+But let's hear what the two players say, the dentist and the patient, in the informative dialogue.
 {|
 |-
-|&nbsp;&nbsp;&nbsp;&nbsp;
+|&nbsp;[[File:Bilateral Electric Transcranial Stimulation.jpg|thumb|'''Figure 1b:''' Motor evoked potential from electrical transcranial stimulation of the trigeminal roots. Note the structural symmetry calculated by the peak-to-peak amplitude on the right and left masseters.|left|500x500px]]&nbsp;&nbsp;
 |The dentist tells the patient that he is suffering from severe malocclusion and that it should be treated to improve its aesthetics and chewing function. The patient, however, replies firmly: «''No way, I haven't the slightest idea to do it at all, doctor, because I might even have an unrepresentative smile, but I eat very well.''»<br>The dentist’s reply is ready, so the practitioner insists by saying: «''but you have a serious malocclusion with an openbite and a unilateral posterior crossbite, you should already have problems with bruxism and swallowing, as well as posture.''»<br>The patient closes the confrontation in a decisive way: «''absolutely false: I chew very well, I swallow very well and at night I snore alot so I don’t grind; besides, I’m a sportsman and I don’t have any postural disturbance''».
 |}
 Now the conclusion remains very critical because we might be finding ourselves in front of a verbal language of the patient which is misleading because it is not specific and does not respond to a detailed physiopathogenetic knowledge of the occlusal state; or, paradoxically, we are otherwise facing a machine language converted into verbal language which guarantees the integrity of the system. At this point the situation is truly embarrassing because neither the patient nor the observer (dentist) will be able to say with certainty that the System is in a “Malocclusion” state.
-[[File:Jaw Jerk .jpg|left|thumb|'''Figure 1c:''' Mandibular reflex evoked by percussion of the chin through a triggered neurological hammer. <br>Note the functional symmetry calculated by the peak-to-peak amplitude on the right and left masseters.]]
+[[File:Jaw Jerk .jpg|thumb|'''Figure 1c:''' Mandibular reflex evoked by percussion of the chin through a triggered neurological hammer. <br>Note the functional symmetry calculated by the peak-to-peak amplitude on the right and left masseters.|center|500x500px]]
 It is precisely at this moment that one remembers the criticism of the American Statistician Association titled “''Statistical inference in the 21st century: A World Beyond p <0.05''”, which urges the researcher to accept uncertainty, be sensible reflective, open and modest in his statements<ref name="wasser" />: which basically translates into a search for interdisciplinarity.
-[[File:Mechanic Silent Period.jpg|thumb|'''Figura 1d:''' Mechanical silent period evoked by percussion of the chin through a triggered neurological hammer. Note the functional symmetry calculated on the integral area of the right and left masseters.]]
+[[File:Mechanic Silent Period.jpg|thumb|'''Figure 1d:''' Mechanical silent period evoked by percussion of the chin through a triggered neurological hammer. Note the functional symmetry calculated on the integral area of the right and left masseters.|center|500x500px]]
 Interdisciplinarity, in fact, could answer such a complex question; but it is nonetheless necessary to interpret the biological phenomenon of "“Malocclusion”" with a ''stochastic forma mentis of'' which we will discuss in detail later..