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
ISTEX:F5E62B478AAA1E4690514EAB616CE0C6F1FEB724Le document en format XML
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F. Hämmerle</name><affiliations><json:string>Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</json:string></affiliations></json:item><json:item><name>Sandro Palla</name><affiliations><json:string>Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</json:string></affiliations></json:item><json:item><name>Luigi M. 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The aim of this study was to test whether mandibular splinting influences condylar kinematics and temporomandibular joint (TMJ) loading patterns.</abstract><qualityIndicators><score>6.064</score><pdfWordCount>3692</pdfWordCount><pdfCharCount>23770</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>595.276 x 782.362 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>31</abstractWordCount><abstractCharCount>238</abstractCharCount><keywordCount>7</keywordCount></qualityIndicators><title>Implant‐supported mandibular splinting affects temporomandibular joint biomechanics</title><pmid><json:string>21689164</json:string></pmid><genre><json:string>article</json:string></genre><host><title>Clinical Oral Implants Research</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1600-0501</json:string></doi><issn><json:string>0905-7161</json:string></issn><eissn><json:string>1600-0501</json:string></eissn><publisherId><json:string>CLR</json:string></publisherId><volume>23</volume><issue>8</issue><pages><first>897</first><last>901</last><total>5</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2012</json:string></date><geogName></geogName><orgName><json:string>Switzerland Key</json:string><json:string>Dental Medicine University</json:string><json:string>Special Care Dentistry, Center</json:string><json:string>University of Zurich</json:string><json:string>Switzerland Sandro Palla, Luigi M</json:string><json:string>Special Care Dentistry Center</json:string><json:string>The International Journal</json:string><json:string>Zurich Switzerland Tel</json:string><json:string>American Journal of Physical Anthropology</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>H. 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Ha</json:string><json:string>John Wiley</json:string><json:string>Balthasar Zaugg</json:string></persName><placeName><json:string>Switzerland</json:string><json:string>Singapore</json:string><json:string>Germany</json:string><json:string>Zurich</json:string><json:string>Biel</json:string><json:string>Netherlands</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Paez et al. 2003</json:string><json:string>Heckmann et al. 2006</json:string><json:string>Gallo 2005</json:string><json:string>Zaugg et al</json:string><json:string>Canabarro & Shinkai 2006</json:string><json:string>Horiuchi et al. 1997</json:string><json:string>Steenks & de Wijer 2009</json:string><json:string>Gossi et al. 2004</json:string><json:string>Abdel-Latif et al. 2000</json:string><json:string>El-Sheikh et al. 2007</json:string><json:string>Brunner & Langer 1998</json:string><json:string>Goodkind & Heringlake 1973</json:string><json:string>Gates & Nicholls 1981</json:string><json:string>Hobkirk & Schwab 1991</json:string><json:string>Zarone et al. 2003</json:string><json:string>Chen et al. 2000</json:string><json:string>Airoldi et al. 1994</json:string><json:string>Mesqui et al. 1984</json:string><json:string>Gallo et al. 2000</json:string><json:string>Hylander et al. 2000</json:string><json:string>Pjetursson et al. 2007</json:string><json:string>Krebs et al. 1995</json:string><json:string>Fischman 1976</json:string><json:string>Palla et al. 2003</json:string><json:string>Al-Sukhun et al. 2006</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-FW179RBT-K</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - engineering, biomedical</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 - Oral Surgery</json:string></scopus></categories><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1111/j.1600-0501.2011.02241.x</json:string></doi><id>F5E62B478AAA1E4690514EAB616CE0C6F1FEB724</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/F5E62B478AAA1E4690514EAB616CE0C6F1FEB724/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/F5E62B478AAA1E4690514EAB616CE0C6F1FEB724/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/F5E62B478AAA1E4690514EAB616CE0C6F1FEB724/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Implant‐supported mandibular splinting affects temporomandibular joint biomechanics</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><licence>© 2011 John Wiley & Sons A/S</licence></availability><date type="published" when="2012-08"></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">Implant‐supported mandibular splinting affects temporomandibular joint biomechanics</title><title level="a" type="short">Implants and TMJ loading</title><author xml:id="author-0000"><persName><forename type="first">Balthasar</forename><surname>Zaugg</surname></persName><affiliation>Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">Christoph H. F.</forename><surname>Hämmerle</surname></persName><affiliation>Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">Sandro</forename><surname>Palla</surname></persName><affiliation>Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland<address><country key="CH"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">Luigi M.</forename><surname>Gallo</surname></persName><affiliation>Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland<address><country key="CH"></country></address></affiliation></author><idno type="istex">F5E62B478AAA1E4690514EAB616CE0C6F1FEB724</idno><idno type="ark">ark:/67375/WNG-FW179RBT-K</idno><idno type="DOI">10.1111/j.1600-0501.2011.02241.x</idno><idno type="unit">CLR2241</idno><idno type="toTypesetVersion">file:CLR.CLR2241.pdf</idno></analytic><monogr><title level="j" type="main">Clinical Oral Implants Research</title><title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title><idno type="pISSN">0905-7161</idno><idno type="eISSN">1600-0501</idno><idno type="book-DOI">10.1111/(ISSN)1600-0501</idno><idno type="book-part-DOI">10.1111/clr.2012.23.issue-8</idno><idno type="product">CLR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">23</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="897">897</biblScope><biblScope unit="page" to="901">901</biblScope><biblScope unit="page-count">5</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-08"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><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><textClass><keywords xml:lang="en"><term xml:id="k1">biomechanics</term><term xml:id="k2">dental implants</term><term xml:id="k3">magnetic resonance imaging</term><term xml:id="k4">mandibular deformation</term><term xml:id="k5">stress</term><term xml:id="k6">mechanical</term><term xml:id="k7">temporomandibular joint</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/F5E62B478AAA1E4690514EAB616CE0C6F1FEB724/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)1600-0501</doi><issn type="print">0905-7161</issn><issn type="electronic">1600-0501</issn><idGroup><id type="product" value="CLR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CLINICAL ORAL IMPLANTS RESEARCH">Clinical Oral Implants Research</title></titleGroup></publicationMeta><publicationMeta level="part" position="08108"><doi origin="wiley">10.1111/clr.2012.23.issue-8</doi><numberingGroup><numbering type="journalVolume" number="23">23</numbering><numbering type="journalIssue">8</numbering></numberingGroup><coverDate startDate="2012-08">August 2012</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="1" status="forIssue"><doi origin="wiley">10.1111/j.1600-0501.2011.02241.x</doi><idGroup><id type="unit" value="CLR2241"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><copyright>© 2011 John Wiley & Sons A/S</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.9.1 mode:FullText" date="2011-11-15"></event><event agent="SPS" date="2012-07-03" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2011-06-21"></event><event type="firstOnline" date="2011-06-21"></event><event type="publishedOnlineFinalForm" date="2012-07-11"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-12"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.3.4 mode:FullText" date="2015-02-25"></event></eventGroup><numberingGroup><numbering type="pageFirst">897</numbering><numbering type="pageLast">901</numbering></numberingGroup><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></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CLR.CLR2241.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory><b>Date:</b>, Accepted 23 April 2011</unparsedEditorialHistory><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="1"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="24"></count><count type="wordTotal" number="4442"></count><count type="linksCrossRef" number="37"></count></countGroup><titleGroup><title type="main">Implant‐supported mandibular splinting affects temporomandibular joint biomechanics</title><title type="shortAuthors">Zaugg et al.</title><title type="short">Implants and TMJ loading</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Balthasar</givenNames><familyName>Zaugg</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Christoph H. F.</givenNames><familyName>Hämmerle</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a2"><personName><givenNames>Sandro</givenNames><familyName>Palla</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a2"><personName><givenNames>Luigi M.</givenNames><familyName>Gallo</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CH"><unparsedAffiliation>Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="CH"><unparsedAffiliation>Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">biomechanics</keyword><keyword xml:id="k2">dental implants</keyword><keyword xml:id="k3">magnetic resonance imaging</keyword><keyword xml:id="k4">mandibular deformation</keyword><keyword xml:id="k5">stress</keyword><keyword xml:id="k6">mechanical</keyword><keyword xml:id="k7">temporomandibular joint</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><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></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Implant‐supported mandibular splinting affects temporomandibular joint biomechanics</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Implants and TMJ loading</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Implant‐supported mandibular splinting affects temporomandibular joint biomechanics</title></titleInfo><name type="personal"><namePart type="given">Balthasar</namePart><namePart type="family">Zaugg</namePart><affiliation>Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Christoph H. F.</namePart><namePart type="family">Hämmerle</namePart><affiliation>Clinic of Fixed and Removable Prosthodontics and Dental Material Science, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sandro</namePart><namePart type="family">Palla</namePart><affiliation>Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Luigi M.</namePart><namePart type="family">Gallo</namePart><affiliation>Clinic of Masticatory Disorders, Removable Prosthodontics and Special Care Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH‐8032 Zurich, Switzerland</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">2012-08</dateIssued><edition>Date:, Accepted 23 April 2011</edition><copyrightDate encoding="w3cdtf">2012</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">1</extent><extent unit="formulas">0</extent><extent unit="references">24</extent><extent unit="linksCrossRef">37</extent><extent unit="words">4442</extent></physicalDescription><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><subject lang="en"><genre>keywords</genre><topic>biomechanics</topic><topic>dental implants</topic><topic>magnetic resonance imaging</topic><topic>mandibular deformation</topic><topic>stress</topic><topic>mechanical</topic><topic>temporomandibular joint</topic></subject><relatedItem type="host"><titleInfo><title>Clinical Oral Implants Research</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">0905-7161</identifier><identifier type="eISSN">1600-0501</identifier><identifier type="DOI">10.1111/(ISSN)1600-0501</identifier><identifier type="PublisherID">CLR</identifier><part><date>2012</date><detail type="volume"><caption>vol.</caption><number>23</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>897</start><end>901</end><total>5</total></extent></part></relatedItem><identifier type="istex">F5E62B478AAA1E4690514EAB616CE0C6F1FEB724</identifier><identifier type="ark">ark:/67375/WNG-FW179RBT-K</identifier><identifier type="DOI">10.1111/j.1600-0501.2011.02241.x</identifier><identifier type="ArticleID">CLR2241</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011 John Wiley & Sons A/S</accessCondition><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/F5E62B478AAA1E4690514EAB616CE0C6F1FEB724/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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