单颗后牙种植修复体咬合特征改变的临床研究
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摘要
目的探讨单颗后牙种植修复体咬合特征(咬合接触时间、咬合力)的改变规律,为临床诊疗提供参考。方法选择25例第一磨牙种植患者,T-scan咬合分析仪分别记录修复完成时、修复3个月后种植修复体及其对侧同名天然牙的咬合接触时间和咬合力百分比,并进行统计学分析。结果修复完成时种植修复体咬合接触时间晚于天然牙,咬合力百分比小于天然牙;修复3个月后,种植修复体的咬合接触时间缩短0.028s,仍晚于天然牙接触;种植修复体咬合力百分比增加2.05倍,仍小于天然牙。结论第一磨牙种植义齿修复后3个月咬合特征发生改变,但暂不需要调■处理,提示应注重种植修复体咬合的定期复查。
Objective To investigate the characteristics of articulation(contact time, ratio of bite force) in single posterior dental implant. Methods A total of 25 patients who received implant-supported prosthesis to replace first molars were involved in this study. The contact time and ratio of bite force of implant-supported first molar were collected immediately and three months after implant prosthesis placement using T-scan articulation analyzer. The contralateral natural first molars served as controls. Results The occlusal contact time of implants were later than nature tooth significantly either immediately or three months after implant prosthesis placement. The similar results were observed for ratio of bite force of implant prosthesis, which was less than natural tooth three months after implant prosthesis placement. However, the implant's ratio of bite force and contact time increased significantly three months after implant prosthesis placement. Conclusion The results suggest that more attention should be paid to the variation of articulation after implant prosthesis placement to avoid abnormal occlusion.
Objective To investigate the characteristics of articulation(contact time, ratio of bite force) in single posterior dental implant. Methods A total of 25 patients who received implant-supported prosthesis to replace first molars were involved in this study. The contact time and ratio of bite force of implant-supported first molar were collected immediately and three months after implant prosthesis placement using T-scan articulation analyzer. The contralateral natural first molars served as controls. Results The occlusal contact time of implants were later than nature tooth significantly either immediately or three months after implant prosthesis placement. The similar results were observed for ratio of bite force of implant prosthesis, which was less than natural tooth three months after implant prosthesis placement. However, the implant's ratio of bite force and contact time increased significantly three months after implant prosthesis placement. Conclusion The results suggest that more attention should be paid to the variation of articulation after implant prosthesis placement to avoid abnormal occlusion.
引文
1 Priest GF.Failure rates of restorations for single-tooth replacement.Int J Prosthodont,1996,9(1):38-45.
2 Goodacre CJ,Bernal G,Rungcharassaeng K,et al.Clinical complications with implants and implant prostheses.J Prosthet Dent,2003,90(2):121-132.
3林野,李健慧,邱立新,等.口腔种植修复临床效果十年回顾研究.中华口腔医学杂志,2006,41(03):131-135.
4 Curtis DA,Sharma A,Finzen FC,et al.Occlusal considerations for implant restorations in the partially edentulous patient.J Calif Dent Assoc,2000,28(10):771-779.
5 Kitamura E,Stegaroiu R,Nomura S,et al.Biomechanical aspects of marginal bone resorption around osseointegrated implants:considerations based on a three-dimensional finite element analysis.Clin Oral Implants Res,2004,15(4):401-412.
6 Rilo B,Da Silva J,Mora MJ,et al.Guidelines for occlusion strategy in implant-borne prostheses.A review.Int Dent J,2008,58(3):139-145.
7 Yamamura M,Takahashi A,Aoki H,et al.A study on display and accuracy of occlusal contacts by means of T-Scan System.Kanagawa Shigaku,1990,25(2):236-241.
8 Pjetursson BE,Thoma D,Jung R,et al.A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses(FDPs)after a mean observation period of at least 5years.Clin Oral Implants Res,2012,23(suppl6):22-38.
9 Thoma DS,Sailer I,Ioannidis A,et al.A systematic review of the survival and complication rates of resin-bonded fixed dental prostheses after a mean observation period of at least 5 years.Clin Oral Implants Res,2017,28(11):1421-1432.
10 Hammerle CH,Wagner D,Bragger U,et al.Threshold of tactile sensitivity perceived with dental endosseous implants and natural teeth.Clin Oral Implants Res,1995,6(2):83-90.
11 Pjetursson BE,Tan K,Lang NP,et al.A systematic review of the survival and complication rates of fixed partial dentures(FPDs)after an observation period of at least 5 years.Clin Oral Implants Res,2004,15(6):667-676.
12 Buser D,Ruskin J,Higginbottom F,et al.Osseointegration of titanium implants in bone regenerated in membrane-protected defects:a histologic study in the canine mandible.Int J Oral Maxillofac Implants,1995,10(6):666-681.
13 Rangert B,Jemt T,Jorneus L.Forces and moments on Branemark implants.Int J Oral Maxillofac Implants,1988,4(3):241-247.
14 Kurashima K.Viscoelastic properties of periodontal tissue.Bull Tokyo Med Dent Univ,1965,12:240.
15 Kim Y,Oh TJ,Misch CE,et al.Occlusal considerations in implant therapy:clinical guidelines with biomechanical rationale.Clin Oral Implants Res,2005,16(1):26-35.
16 Davies SJ,Gray RJ,Young MP.Good occlusal practice in the provision of implant borne prostheses.Br Dent J,2002,192(2):79-88.
17 Jacob SA.Occlusal principles and considerations for the osseointegrated prosthesis.Iosr JDMS,2013,3(5):47-54.
18 Miyata T,Kobayashi Y,Araki H,et al.The influence of controlled occlusal overload on peri-implant tissue.Part 3:A histologic study in monkeys.Int J Oral Maxillofac Implants,2000,15(3):425-431.
19 Richter EJ.In vivo vertical forces on implants.Int J Oral Maxillofac Implants,1995,10(1):99-108.
20 Craddock HL,Youngson CC,Manogue M,et al.Occlusal Changes following posterior tooth loss in adults.Part 1:a study of clinical parameters associated with the extent and type of supraeruption in unopposed posterior teeth.J Prosthodont,2007,16(6):485-494.
21 Millstein P.Know your indicator.J Mass Dent Soc,2008,56(4):30-31.
22 Koos B,Godt A,Schille C,et al.Precision of an instrumentationbased method of analyzing occlusion and its resulting distribution of forces in the dental arch.J Orofac Orthop,2010,71(6):403-410.
23 Cerna M,Ferreira R,Zaror C,et al.Validity and reliability of the T-Scan III for measuring force under laboratory conditions.J Oral Rehabil,2015,42(7):544-551.
24 Dibart JP,Dibart S.Practical Advanced Periodontal Surgery.Blackwell Munksgaard,2008:5-11.
25 Klineberg I,Murray G.Osseoperception:sensory function and proprioception.Adv Dent Res,1999,13(1):120-129.
26 Branemark PI.Osseointegration and its experimental background.JProsthet Dent,1983,50(3):399-410.
27 Sennerby L,Odman J,Lekholm U,et a1.Tissue reactions towards titanium implants inserted in growing jaws.A histological study in the pig.Clin Oral Implants Res,1993,4(2):65-75.
28 Thilander B,Odman J,Grondahl K,et a1.Aspects on osseointegrated implants inserted in growing jaws.A biometric and radiographic study in the young pig.Eur J Orthod,1992,14(2):99-109.
2 Goodacre CJ,Bernal G,Rungcharassaeng K,et al.Clinical complications with implants and implant prostheses.J Prosthet Dent,2003,90(2):121-132.
3林野,李健慧,邱立新,等.口腔种植修复临床效果十年回顾研究.中华口腔医学杂志,2006,41(03):131-135.
4 Curtis DA,Sharma A,Finzen FC,et al.Occlusal considerations for implant restorations in the partially edentulous patient.J Calif Dent Assoc,2000,28(10):771-779.
5 Kitamura E,Stegaroiu R,Nomura S,et al.Biomechanical aspects of marginal bone resorption around osseointegrated implants:considerations based on a three-dimensional finite element analysis.Clin Oral Implants Res,2004,15(4):401-412.
6 Rilo B,Da Silva J,Mora MJ,et al.Guidelines for occlusion strategy in implant-borne prostheses.A review.Int Dent J,2008,58(3):139-145.
7 Yamamura M,Takahashi A,Aoki H,et al.A study on display and accuracy of occlusal contacts by means of T-Scan System.Kanagawa Shigaku,1990,25(2):236-241.
8 Pjetursson BE,Thoma D,Jung R,et al.A systematic review of the survival and complication rates of implant‐supported fixed dental prostheses(FDPs)after a mean observation period of at least 5years.Clin Oral Implants Res,2012,23(suppl6):22-38.
9 Thoma DS,Sailer I,Ioannidis A,et al.A systematic review of the survival and complication rates of resin-bonded fixed dental prostheses after a mean observation period of at least 5 years.Clin Oral Implants Res,2017,28(11):1421-1432.
10 Hammerle CH,Wagner D,Bragger U,et al.Threshold of tactile sensitivity perceived with dental endosseous implants and natural teeth.Clin Oral Implants Res,1995,6(2):83-90.
11 Pjetursson BE,Tan K,Lang NP,et al.A systematic review of the survival and complication rates of fixed partial dentures(FPDs)after an observation period of at least 5 years.Clin Oral Implants Res,2004,15(6):667-676.
12 Buser D,Ruskin J,Higginbottom F,et al.Osseointegration of titanium implants in bone regenerated in membrane-protected defects:a histologic study in the canine mandible.Int J Oral Maxillofac Implants,1995,10(6):666-681.
13 Rangert B,Jemt T,Jorneus L.Forces and moments on Branemark implants.Int J Oral Maxillofac Implants,1988,4(3):241-247.
14 Kurashima K.Viscoelastic properties of periodontal tissue.Bull Tokyo Med Dent Univ,1965,12:240.
15 Kim Y,Oh TJ,Misch CE,et al.Occlusal considerations in implant therapy:clinical guidelines with biomechanical rationale.Clin Oral Implants Res,2005,16(1):26-35.
16 Davies SJ,Gray RJ,Young MP.Good occlusal practice in the provision of implant borne prostheses.Br Dent J,2002,192(2):79-88.
17 Jacob SA.Occlusal principles and considerations for the osseointegrated prosthesis.Iosr JDMS,2013,3(5):47-54.
18 Miyata T,Kobayashi Y,Araki H,et al.The influence of controlled occlusal overload on peri-implant tissue.Part 3:A histologic study in monkeys.Int J Oral Maxillofac Implants,2000,15(3):425-431.
19 Richter EJ.In vivo vertical forces on implants.Int J Oral Maxillofac Implants,1995,10(1):99-108.
20 Craddock HL,Youngson CC,Manogue M,et al.Occlusal Changes following posterior tooth loss in adults.Part 1:a study of clinical parameters associated with the extent and type of supraeruption in unopposed posterior teeth.J Prosthodont,2007,16(6):485-494.
21 Millstein P.Know your indicator.J Mass Dent Soc,2008,56(4):30-31.
22 Koos B,Godt A,Schille C,et al.Precision of an instrumentationbased method of analyzing occlusion and its resulting distribution of forces in the dental arch.J Orofac Orthop,2010,71(6):403-410.
23 Cerna M,Ferreira R,Zaror C,et al.Validity and reliability of the T-Scan III for measuring force under laboratory conditions.J Oral Rehabil,2015,42(7):544-551.
24 Dibart JP,Dibart S.Practical Advanced Periodontal Surgery.Blackwell Munksgaard,2008:5-11.
25 Klineberg I,Murray G.Osseoperception:sensory function and proprioception.Adv Dent Res,1999,13(1):120-129.
26 Branemark PI.Osseointegration and its experimental background.JProsthet Dent,1983,50(3):399-410.
27 Sennerby L,Odman J,Lekholm U,et a1.Tissue reactions towards titanium implants inserted in growing jaws.A histological study in the pig.Clin Oral Implants Res,1993,4(2):65-75.
28 Thilander B,Odman J,Grondahl K,et a1.Aspects on osseointegrated implants inserted in growing jaws.A biometric and radiographic study in the young pig.Eur J Orthod,1992,14(2):99-109.