Implant‐supported mandibular splinting affects temporomandibular joint biomechanics
Identifieur interne : 007982 ( Istex/Corpus ); précédent : 007981; suivant : 007983Implant‐supported mandibular splinting affects temporomandibular joint biomechanics
Auteurs : Balthasar Zaugg ; Christoph H. F. H Mmerle ; Sandro Palla ; Luigi M. GalloSource :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2012-08.
English descriptors
- KwdEn :
- Angle variation, Articular surfaces, Average mediolateral displacement, Condylar, Condylar area, Condylar path, Condylar surface, Curvilinear length, Dental implants, Dental prostheses, Dental research, Dentistry, Detrimental combination, Displacement vectors, Distance variation, Dynamic stereometry, Edentulous subjects, Functional movements, Gadolinium spheres, Gallo, Gates nicholls, Goodkind heringlake, Greater effort, Hobkirk schwab, Image stacks, Implant, Implants research, Intercondylar distance, Intercuspation, International journal, John wiley sons, John wiley sons zaugg, Lateral, Lateral condylar poles, Loading patterns, Lower leds, Lower right, Mandible, Mandibular, Mandibular deformation, Mandibular splinting, Masticatory disorders, Masticatory muscles, Maximum intercuspation, Maximum opening, Medial convergence, Medial displacement, Mediolateral, Mediolateral dimension, Mediolateral displacement, Minimal distances, Oral impl, Oral maxillofacial implants, Orofacial pain, Osseointegrated implants, Palla, Polygon vertices approximating, Prosthetic dentistry, Removable prosthodontics, Right target frame, Right target frames, Software models, Splinted, Splinted condition, Splinted situation, Splinting, Statistical analysis, Target frame, Target frames, Temporomandibular, Time step, Trajectory, Unrestricted mandibles, Zaugg.
- Teeft :
- Angle variation, Articular surfaces, Average mediolateral displacement, Condylar, Condylar area, Condylar path, Condylar surface, Curvilinear length, Dental implants, Dental prostheses, Dental research, Dentistry, Detrimental combination, Displacement vectors, Distance variation, Dynamic stereometry, Edentulous subjects, Functional movements, Gadolinium spheres, Gallo, Gates nicholls, Goodkind heringlake, Greater effort, Hobkirk schwab, Image stacks, Implant, Implants research, Intercondylar distance, Intercuspation, International journal, John wiley sons, John wiley sons zaugg, Lateral, Lateral condylar poles, Loading patterns, Lower leds, Lower right, Mandible, Mandibular, Mandibular deformation, Mandibular splinting, Masticatory disorders, Masticatory muscles, Maximum intercuspation, Maximum opening, Medial convergence, Medial displacement, Mediolateral, Mediolateral dimension, Mediolateral displacement, Minimal distances, Oral impl, Oral maxillofacial implants, Orofacial pain, Osseointegrated implants, Palla, Polygon vertices approximating, Prosthetic dentistry, Removable prosthodontics, Right target frame, Right target frames, Software models, Splinted, Splinted condition, Splinted situation, Splinting, Statistical analysis, Target frame, Target frames, Temporomandibular, Time step, Trajectory, Unrestricted mandibles, Zaugg.
Abstract
Objectives: Mandibular functional movements lead to complex deformations of bony structures. The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.
Url:
DOI: 10.1111/j.1600-0501.2011.02241.x
Links to Exploration step
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<front><div type="abstract">Objectives: Mandibular functional movements lead to complex deformations of bony structures. The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.</div>
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<abstract>Objectives: Mandibular functional movements lead to complex deformations of bony structures. The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.</abstract>
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<author xml:id="author-0000"><persName><forename type="first">Balthasar</forename>
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<author xml:id="author-0001"><persName><forename type="first">Christoph H. F.</forename>
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<author xml:id="author-0002"><persName><forename type="first">Sandro</forename>
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<profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head>
<p><hi rend="bold">Objectives: </hi>
Mandibular functional movements lead to complex deformations of bony structures. The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.</p>
<p><hi rend="bold">Materials and methods: </hi>
Six subjects were analyzed by means of dynamic stereometry during jaw opening–closing with mandibles unconstrained as well as splinted transversally by a cast metal bar fixed bilaterally to two implant pairs in the (pre)molar region. Statistical analysis was performed by means of ANOVAs for repeated measurements (significance level α=0.05).</p>
<p><hi rend="bold">Results: </hi>
Transversal splinting reduced mandibular deformation during jaw opening–closing as measured between two implants in the (pre)molar region on each side of the mandible significantly by 54%. Furthermore, splinting significantly reduced the distance between lateral condylar poles (average displacement vector magnitude of each pole: 0.84±0.36 mm; average mediolateral displacement component: 45±28% of the magnitude) and led to a medial displacement of their trajectories as well as a mediolateral displacement of stress‐field paths.</p>
<p><hi rend="bold">Conclusions: </hi>
During jaw opening–closing, splinting of the mandible leads to a significant reduction of mandibular deformation and intercondylar distance and to altered stress‐field paths, resulting in changed loading patterns of the TMJ structures.</p>
<p><hi rend="bold">To cite this article:</hi>
Zaugg B, Hämmerle CHF, Palla S, Gallo LM. Implant‐supported mandibular splinting affects temporomandibular joint biomechanics.
<hi rend="italic">Clin. Oral Impl. Res</hi>
. <hi rend="bold">23</hi>
, 2012; 897–901
doi: 10.1111/j.1600‐0501.2011.02241.x</p>
</abstract>
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<term xml:id="k5">stress</term>
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<correspondenceTo><b>Corresponding author:</b>
<i>Luigi M. Gallo</i>
Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry
Center of Dental Medicine
University of Zurich
Plattenstrasse 11
CH‐8032 Zurich
Switzerland
Tel.: +41 44 6343 226
Fax: +41 44 6344 302
e‐mail: <email normalForm="luigi.gallo@zzm.uzh.ch">luigi.gallo@zzm.uzh.ch</email>
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<p><b>Objectives: </b>
Mandibular functional movements lead to complex deformations of bony structures. The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.</p>
<p><b>Materials and methods: </b>
Six subjects were analyzed by means of dynamic stereometry during jaw opening–closing with mandibles unconstrained as well as splinted transversally by a cast metal bar fixed bilaterally to two implant pairs in the (pre)molar region. Statistical analysis was performed by means of ANOVAs for repeated measurements (significance level α=0.05).</p>
<p><b>Results: </b>
Transversal splinting reduced mandibular deformation during jaw opening–closing as measured between two implants in the (pre)molar region on each side of the mandible significantly by 54%. Furthermore, splinting significantly reduced the distance between lateral condylar poles (average displacement vector magnitude of each pole: 0.84±0.36 mm; average mediolateral displacement component: 45±28% of the magnitude) and led to a medial displacement of their trajectories as well as a mediolateral displacement of stress‐field paths.</p>
<p><b>Conclusions: </b>
During jaw opening–closing, splinting of the mandible leads to a significant reduction of mandibular deformation and intercondylar distance and to altered stress‐field paths, resulting in changed loading patterns of the TMJ structures.</p>
<p><b>To cite this article:</b>
Zaugg B, Hämmerle CHF, Palla S, Gallo LM. Implant‐supported mandibular splinting affects temporomandibular joint biomechanics.
<i>Clin. Oral Impl. Res</i>
. <b>23</b>
, 2012; 897–901
doi: 10.1111/j.1600‐0501.2011.02241.x</p>
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<abstract>Objectives: Mandibular functional movements lead to complex deformations of bony structures. The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.</abstract>
<abstract>Materials and methods: Six subjects were analyzed by means of dynamic stereometry during jaw opening–closing with mandibles unconstrained as well as splinted transversally by a cast metal bar fixed bilaterally to two implant pairs in the (pre)molar region. Statistical analysis was performed by means of ANOVAs for repeated measurements (significance level α=0.05).</abstract>
<abstract>Results: Transversal splinting reduced mandibular deformation during jaw opening–closing as measured between two implants in the (pre)molar region on each side of the mandible significantly by 54%. Furthermore, splinting significantly reduced the distance between lateral condylar poles (average displacement vector magnitude of each pole: 0.84±0.36 mm; average mediolateral displacement component: 45±28% of the magnitude) and led to a medial displacement of their trajectories as well as a mediolateral displacement of stress‐field paths.</abstract>
<abstract>Conclusions: During jaw opening–closing, splinting of the mandible leads to a significant reduction of mandibular deformation and intercondylar distance and to altered stress‐field paths, resulting in changed loading patterns of the TMJ structures.</abstract>
<abstract>To cite this article:
Zaugg B, Hämmerle CHF, Palla S, Gallo LM. Implant‐supported mandibular splinting affects temporomandibular joint biomechanics.
Clin. Oral Impl. Res. 23, 2012; 897–901
doi: 10.1111/j.1600‐0501.2011.02241.x</abstract>
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