The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect
Identifieur interne : 004C93 ( Istex/Corpus ); précédent : 004C92; suivant : 004C94The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect
Auteurs : M. Abarca ; D. Van Steenberghe ; C. Malevez ; R. JacobsSource :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2006-03.
English descriptors
- KwdEn :
- Acta odontol scand, Blackwell publishing, Branemark, Bres, Catholic university leuven, Clin, Clinical implications, Dent, Dental implants, Dentition, Edentulous, Edentulous patients, Electrical stimulation, Endosseous, Endosseous implants, Healing phase, Histological, Histological study, Implant, Jacobs, Leuven, Ligament, Maxillofac, Maxillofacial surgery, Mechanical stimulation, Mechanoreceptors, Mongrel dogs, Natural dentition, Natural teeth, Nerve endings, Neurophysiological, Oral function, Oral implants, Oral maxillofac implants, Oral rehabilitation, Osseointegrated, Osseointegrated implants, Osseointegration, Osseoperception, Periodontal, Periodontal ligament, Periodontal ligament formation, Periodontal ligament receptors, Periodontal mechanoreceptors, Pharmacol, Pharmacol physiol, Physiol, Pilot study, Prosthesis, Prosthet dent, Prosthetic, Prosthetic limbs, Psychophysical, Receptor, Somatosensory, Steenberghe, Tactile, Tactile function, Tactile sensitivity, Titanium implants, Tooth extraction, Tooth extractions, Trigeminal, Tseps.
- Teeft :
- Acta odontol scand, Blackwell publishing, Branemark, Bres, Catholic university leuven, Clin, Clinical implications, Dent, Dental implants, Dentition, Edentulous, Edentulous patients, Electrical stimulation, Endosseous, Endosseous implants, Healing phase, Histological, Histological study, Implant, Jacobs, Leuven, Ligament, Maxillofac, Maxillofacial surgery, Mechanical stimulation, Mechanoreceptors, Mongrel dogs, Natural dentition, Natural teeth, Nerve endings, Neurophysiological, Oral function, Oral implants, Oral maxillofac implants, Oral rehabilitation, Osseointegrated, Osseointegrated implants, Osseointegration, Osseoperception, Periodontal, Periodontal ligament, Periodontal ligament formation, Periodontal ligament receptors, Periodontal mechanoreceptors, Pharmacol, Pharmacol physiol, Physiol, Pilot study, Prosthesis, Prosthet dent, Prosthetic, Prosthetic limbs, Psychophysical, Receptor, Somatosensory, Steenberghe, Tactile, Tactile function, Tactile sensitivity, Titanium implants, Tooth extraction, Tooth extractions, Trigeminal, Tseps.
Abstract
summary Amputation of a limb or a tooth leads to the loss of a large number of exteroceptors. These play an important role in sensory perception and feedback, which tune the motor control. Even after rehabilitation with a prosthetic device, tactile function remains impaired. This can present a subsequent risk of overloading the prosthesis. The peri‐implant interface of oral osseointegrated implants is characterized by the absence of a periodontal ligament, a crucial difference towards the natural dentition, from a biomechanical but also from a neurophysiologic point of view. Patients rehabilitated with osseointegrated implants seem subjectively not much impaired in their masticatory and other oral functions. This observation might be linked to the presence of some peripheral feedback pathway to the sensory cortex. It may be attributed to the activation of receptors in the peri‐implant environment (either bone or periosteum). This phenomenon called osseoperception, when it relates to the consciousness of the applied stimuli, has been described for both oral and skeletal implants. In the present review, besides osseoperecption other neurophysiological aspects of oral implants, such their reflex function, will be outlined and their clinical meaning pointed out.
Url:
DOI: 10.1111/j.1365-2842.2005.01556.x
Links to Exploration step
ISTEX:99FBAA236754948AB1E59AEE214F631E8589E584Le document en format XML
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Van Steenberghe</name><affiliation><mods:affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Holder of the P‐I Brånemark Chair in Osseointegration</mods:affiliation></affiliation></author><author><name sortKey="Malevez, C" sort="Malevez, C" uniqKey="Malevez C" first="C." last="Malevez">C. Malevez</name><affiliation><mods:affiliation>Department of Oral & Maxillofacial Surgery, Faculty of Medicine, Erasmus Hospital, Université Libre de Bruxelles, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Jacobs, R" sort="Jacobs, R" uniqKey="Jacobs R" first="R." last="Jacobs">R. 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Abarca</name><affiliation><mods:affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</mods:affiliation></affiliation></author><author><name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D." last="Van Steenberghe">D. Van Steenberghe</name><affiliation><mods:affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</mods:affiliation></affiliation><affiliation><mods:affiliation>Holder of the P‐I Brånemark Chair in Osseointegration</mods:affiliation></affiliation></author><author><name sortKey="Malevez, C" sort="Malevez, C" uniqKey="Malevez C" first="C." last="Malevez">C. 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These play an important role in sensory perception and feedback, which tune the motor control. Even after rehabilitation with a prosthetic device, tactile function remains impaired. This can present a subsequent risk of overloading the prosthesis. The peri‐implant interface of oral osseointegrated implants is characterized by the absence of a periodontal ligament, a crucial difference towards the natural dentition, from a biomechanical but also from a neurophysiologic point of view. Patients rehabilitated with osseointegrated implants seem subjectively not much impaired in their masticatory and other oral functions. This observation might be linked to the presence of some peripheral feedback pathway to the sensory cortex. It may be attributed to the activation of receptors in the peri‐implant environment (either bone or periosteum). This phenomenon called osseoperception, when it relates to the consciousness of the applied stimuli, has been described for both oral and skeletal implants. In the present review, besides osseoperecption other neurophysiological aspects of oral implants, such their reflex function, will be outlined and their clinical meaning pointed out.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>implant</json:string><json:string>periodontal</json:string><json:string>osseoperception</json:string><json:string>receptor</json:string><json:string>prosthesis</json:string><json:string>osseointegrated</json:string><json:string>clin</json:string><json:string>bres</json:string><json:string>steenberghe</json:string><json:string>leuven</json:string><json:string>maxillofac</json:string><json:string>periodontal ligament</json:string><json:string>oral implants</json:string><json:string>ligament</json:string><json:string>oral maxillofac implants</json:string><json:string>branemark</json:string><json:string>endosseous</json:string><json:string>trigeminal</json:string><json:string>neurophysiological</json:string><json:string>psychophysical</json:string><json:string>osseointegrated implants</json:string><json:string>somatosensory</json:string><json:string>oral rehabilitation</json:string><json:string>blackwell publishing</json:string><json:string>tseps</json:string><json:string>dentition</json:string><json:string>prosthetic</json:string><json:string>physiol</json:string><json:string>histological</json:string><json:string>pharmacol physiol</json:string><json:string>natural dentition</json:string><json:string>osseointegration</json:string><json:string>endosseous implants</json:string><json:string>pharmacol</json:string><json:string>mechanoreceptors</json:string><json:string>catholic university leuven</json:string><json:string>tooth extraction</json:string><json:string>titanium implants</json:string><json:string>electrical stimulation</json:string><json:string>dent</json:string><json:string>natural teeth</json:string><json:string>periodontal ligament receptors</json:string><json:string>clinical implications</json:string><json:string>tactile function</json:string><json:string>pilot study</json:string><json:string>prosthet dent</json:string><json:string>jacobs</json:string><json:string>edentulous</json:string><json:string>histological study</json:string><json:string>mongrel dogs</json:string><json:string>acta odontol scand</json:string><json:string>edentulous patients</json:string><json:string>mechanical stimulation</json:string><json:string>prosthetic limbs</json:string><json:string>tactile sensitivity</json:string><json:string>healing phase</json:string><json:string>tooth extractions</json:string><json:string>nerve endings</json:string><json:string>periodontal ligament formation</json:string><json:string>dental implants</json:string><json:string>maxillofacial surgery</json:string><json:string>periodontal mechanoreceptors</json:string><json:string>oral function</json:string><json:string>tactile</json:string></teeft></keywords><author><json:item><name>M. ABARCA</name><affiliations><json:string>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</json:string></affiliations></json:item><json:item><name>D. VAN STEENBERGHE</name><affiliations><json:string>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</json:string><json:string>Holder of the P‐I Brånemark Chair in Osseointegration</json:string></affiliations></json:item><json:item><name>C. MALEVEZ</name><affiliations><json:string>Department of Oral & Maxillofacial Surgery, Faculty of Medicine, Erasmus Hospital, Université Libre de Bruxelles, Belgium</json:string></affiliations></json:item><json:item><name>R. JACOBS</name><affiliations><json:string>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>osseoperception</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>osseointegration</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>oral implants</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>thresholds</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>tactile function</value></json:item></subject><articleId><json:string>JOOR1556</json:string></articleId><arkIstex>ark:/67375/WNG-4C9NVBJT-Z</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>summary Amputation of a limb or a tooth leads to the loss of a large number of exteroceptors. These play an important role in sensory perception and feedback, which tune the motor control. Even after rehabilitation with a prosthetic device, tactile function remains impaired. This can present a subsequent risk of overloading the prosthesis. The peri‐implant interface of oral osseointegrated implants is characterized by the absence of a periodontal ligament, a crucial difference towards the natural dentition, from a biomechanical but also from a neurophysiologic point of view. Patients rehabilitated with osseointegrated implants seem subjectively not much impaired in their masticatory and other oral functions. This observation might be linked to the presence of some peripheral feedback pathway to the sensory cortex. It may be attributed to the activation of receptors in the peri‐implant environment (either bone or periosteum). This phenomenon called osseoperception, when it relates to the consciousness of the applied stimuli, has been described for both oral and skeletal implants. In the present review, besides osseoperecption other neurophysiological aspects of oral implants, such their reflex function, will be outlined and their clinical meaning pointed out.</abstract><qualityIndicators><score>9.244</score><pdfWordCount>5185</pdfWordCount><pdfCharCount>35219</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>595 x 782 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>187</abstractWordCount><abstractCharCount>1279</abstractCharCount><keywordCount>5</keywordCount></qualityIndicators><title>The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect</title><pmid><json:string>16512881</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Journal of Oral Rehabilitation</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1365-2842</json:string></doi><issn><json:string>0305-182X</json:string></issn><eissn><json:string>1365-2842</json:string></eissn><publisherId><json:string>JOOR</json:string></publisherId><volume>33</volume><issue>3</issue><pages><first>161</first><last>169</last><total>9</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>1979</json:string><json:string>2006</json:string></date><geogName></geogName><orgName><json:string>Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium, Holder</json:string><json:string>Department of Neurology, Faculty of Medicine, Catholic University of Leuven</json:string><json:string>Blackwell Publishing Ltd</json:string><json:string>Erasmus Hospital, Universite Libre</json:string><json:string>Department of Oral</json:string><json:string>Belgium Amputation</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Patients</json:string></persName><placeName></placeName><ref_url></ref_url><ref_bibl><json:string>Haraldson et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-4C9NVBJT-Z</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string></scopus></categories><publicationDate>2006</publicationDate><copyrightDate>2006</copyrightDate><doi><json:string>10.1111/j.1365-2842.2005.01556.x</json:string></doi><id>99FBAA236754948AB1E59AEE214F631E8589E584</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/99FBAA236754948AB1E59AEE214F631E8589E584/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/99FBAA236754948AB1E59AEE214F631E8589E584/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/99FBAA236754948AB1E59AEE214F631E8589E584/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2006-03"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect</title><title level="a" type="short">OSSEOPERCEPTION: STATE OF THE ART</title><author xml:id="author-0000"><persName><forename type="first">M.</forename><surname>ABARCA</surname></persName><affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium<address><country key="BE"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">D.</forename><surname>STEENBERGHE</surname></persName><affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium<address><country key="BE"></country></address></affiliation><affiliation>Holder of the P‐I Brånemark Chair in Osseointegration</affiliation></author><author xml:id="author-0002"><persName><forename type="first">C.</forename><surname>MALEVEZ</surname></persName><affiliation>Department of Oral & Maxillofacial Surgery, Faculty of Medicine, Erasmus Hospital, Université Libre de Bruxelles, Belgium<address><country key="BE"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">R.</forename><surname>JACOBS</surname></persName><affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium<address><country key="BE"></country></address></affiliation></author><idno type="istex">99FBAA236754948AB1E59AEE214F631E8589E584</idno><idno type="ark">ark:/67375/WNG-4C9NVBJT-Z</idno><idno type="DOI">10.1111/j.1365-2842.2005.01556.x</idno><idno type="unit">JOOR1556</idno><idno type="toTypesetVersion">file:JOOR.JOOR1556.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="pISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><idno type="book-DOI">10.1111/(ISSN)1365-2842</idno><idno type="book-part-DOI">10.1111/jor.2006.33.issue-3</idno><idno type="product">JOOR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">33</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="161">161</biblScope><biblScope unit="page" to="169">169</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2006-03"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold"><hi rend="smallCaps">summary</hi>
</hi> Amputation of a limb or a tooth leads to the loss of a large number of exteroceptors. These play an important role in sensory perception and feedback, which tune the motor control. Even after rehabilitation with a prosthetic device, tactile function remains impaired. This can present a subsequent risk of overloading the prosthesis. The peri‐implant interface of oral osseointegrated implants is characterized by the absence of a periodontal ligament, a crucial difference towards the natural dentition, from a biomechanical but also from a neurophysiologic point of view. Patients rehabilitated with osseointegrated implants seem subjectively not much impaired in their masticatory and other oral functions. This observation might be linked to the presence of some peripheral feedback pathway to the sensory cortex. It may be attributed to the activation of receptors in the peri‐implant environment (either bone or periosteum). This phenomenon called osseoperception, when it relates to the consciousness of the applied stimuli, has been described for both oral and skeletal implants. In the present review, besides osseoperecption other neurophysiological aspects of oral implants, such their reflex function, will be outlined and their clinical meaning pointed out.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">osseoperception</term><term xml:id="k2">osseointegration</term><term xml:id="k3">oral implants</term><term xml:id="k4">thresholds</term><term xml:id="k5">tactile function</term></keywords><keywords rend="tocHeading1"><term>Original articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/99FBAA236754948AB1E59AEE214F631E8589E584/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2842</doi><issn type="print">0305-182X</issn><issn type="electronic">1365-2842</issn><idGroup><id type="product" value="JOOR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL ORAL REHABILITATION">Journal of Oral Rehabilitation</title></titleGroup></publicationMeta><publicationMeta level="part" position="03003"><doi origin="wiley">10.1111/jor.2006.33.issue-3</doi><numberingGroup><numbering type="journalVolume" number="33">33</numbering><numbering type="journalIssue" number="3">3</numbering></numberingGroup><coverDate startDate="2006-03">March 2006</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="1" status="forIssue"><doi origin="wiley">10.1111/j.1365-2842.2005.01556.x</doi><idGroup><id type="unit" value="JOOR1556"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Original articles</title></titleGroup><eventGroup><event type="firstOnline" date="2006-03-01"></event><event type="publishedOnlineFinalForm" date="2006-03-01"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-20"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="161">161</numbering><numbering type="pageLast" number="169">169</numbering></numberingGroup><correspondenceTo>Professor Reinhilde Jacobs, Laboratory of Oral Physiology, Department of Periodontology, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Katholieke Universiteit Leuven, Kapucijnenvoer 7, B‐3000 Leuven, Belgium.
E‐mail: <email>reinhilde.jacobs@med.kuleuven.be</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOOR.JOOR1556.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 22 June 2005</unparsedEditorialHistory><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="0"></count></countGroup><titleGroup><title type="main">The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect</title><title type="shortAuthors">M. ABARCA <i>et al.</i></title><title type="short">OSSEOPERCEPTION: STATE OF THE ART</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>M.</givenNames><familyName>ABARCA</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1 #a2"><personName><givenNames>D.</givenNames><familyNamePrefix>VAN</familyNamePrefix><familyName>STEENBERGHE</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3"><personName><givenNames>C.</givenNames><familyName>MALEVEZ</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>R.</givenNames><familyName>JACOBS</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="BE"><unparsedAffiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Holder of the P‐I Brånemark Chair in Osseointegration</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="BE"><unparsedAffiliation>Department of Oral & Maxillofacial Surgery, Faculty of Medicine, Erasmus Hospital, Université Libre de Bruxelles, Belgium</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">osseoperception</keyword><keyword xml:id="k2">osseointegration</keyword><keyword xml:id="k3">oral implants</keyword><keyword xml:id="k4">thresholds</keyword><keyword xml:id="k5">tactile function</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b><sc>summary</sc> </b> Amputation of a limb or a tooth leads to the loss of a large number of exteroceptors. These play an important role in sensory perception and feedback, which tune the motor control. Even after rehabilitation with a prosthetic device, tactile function remains impaired. This can present a subsequent risk of overloading the prosthesis. The peri‐implant interface of oral osseointegrated implants is characterized by the absence of a periodontal ligament, a crucial difference towards the natural dentition, from a biomechanical but also from a neurophysiologic point of view. Patients rehabilitated with osseointegrated implants seem subjectively not much impaired in their masticatory and other oral functions. This observation might be linked to the presence of some peripheral feedback pathway to the sensory cortex. It may be attributed to the activation of receptors in the peri‐implant environment (either bone or periosteum). This phenomenon called osseoperception, when it relates to the consciousness of the applied stimuli, has been described for both oral and skeletal implants. In the present review, besides osseoperecption other neurophysiological aspects of oral implants, such their reflex function, will be outlined and their clinical meaning pointed out.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>OSSEOPERCEPTION: STATE OF THE ART</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect</title></titleInfo><name type="personal"><namePart type="given">M.</namePart><namePart type="family">ABARCA</namePart><affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.</namePart><namePart type="family">VAN STEENBERGHE</namePart><affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</affiliation><affiliation>Holder of the P‐I Brånemark Chair in Osseointegration</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">MALEVEZ</namePart><affiliation>Department of Oral & Maxillofacial Surgery, Faculty of Medicine, Erasmus Hospital, Université Libre de Bruxelles, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.</namePart><namePart type="family">JACOBS</namePart><affiliation>Laboratory of Oral Physiology, Department of Periodontology, Faculty of Medicine, Catholic University Leuven, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2006-03</dateIssued><edition>Accepted for publication 22 June 2005</edition><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">3</extent><extent unit="tables">0</extent></physicalDescription><abstract>summary Amputation of a limb or a tooth leads to the loss of a large number of exteroceptors. These play an important role in sensory perception and feedback, which tune the motor control. Even after rehabilitation with a prosthetic device, tactile function remains impaired. This can present a subsequent risk of overloading the prosthesis. The peri‐implant interface of oral osseointegrated implants is characterized by the absence of a periodontal ligament, a crucial difference towards the natural dentition, from a biomechanical but also from a neurophysiologic point of view. Patients rehabilitated with osseointegrated implants seem subjectively not much impaired in their masticatory and other oral functions. This observation might be linked to the presence of some peripheral feedback pathway to the sensory cortex. It may be attributed to the activation of receptors in the peri‐implant environment (either bone or periosteum). This phenomenon called osseoperception, when it relates to the consciousness of the applied stimuli, has been described for both oral and skeletal implants. In the present review, besides osseoperecption other neurophysiological aspects of oral implants, such their reflex function, will be outlined and their clinical meaning pointed out.</abstract><subject lang="en"><genre>keywords</genre><topic>osseoperception</topic><topic>osseointegration</topic><topic>oral implants</topic><topic>thresholds</topic><topic>tactile function</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Oral Rehabilitation</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0305-182X</identifier><identifier type="eISSN">1365-2842</identifier><identifier type="DOI">10.1111/(ISSN)1365-2842</identifier><identifier type="PublisherID">JOOR</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>33</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>161</start><end>169</end><total>9</total></extent></part></relatedItem><identifier type="istex">99FBAA236754948AB1E59AEE214F631E8589E584</identifier><identifier type="ark">ark:/67375/WNG-4C9NVBJT-Z</identifier><identifier type="DOI">10.1111/j.1365-2842.2005.01556.x</identifier><identifier type="ArticleID">JOOR1556</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/99FBAA236754948AB1E59AEE214F631E8589E584/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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