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The bases for using a particular occlusal design in tooth and implant‐borne reconstructions and complete dentures

Identifieur interne : 007E51 ( Istex/Corpus ); précédent : 007E50; suivant : 007E52

The bases for using a particular occlusal design in tooth and implant‐borne reconstructions and complete dentures

Auteurs : Iven Klineberg ; Dianna Kingston ; Greg Murray

Source :

RBID : ISTEX:FFD519F6E815ACF8AAC9BD853C5DA9E2C95E3086

English descriptors

Abstract

Objectives: A systematic review identified randomised and other trials (1966–2006) of studies of occlusal design of crowns, complete (CRP) and partial (PRP) removable prostheses and implant‐borne reconstructions, and whether occlusal design influenced diet, quality of life, bruxism and attrition.

Url:
DOI: 10.1111/j.1600-0501.2007.01446.x

Links to Exploration step

ISTEX:FFD519F6E815ACF8AAC9BD853C5DA9E2C95E3086

Le document en format XML

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<term>Occlusal scheme design</term>
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<term>Dental prosthesis</term>
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<term>Denture design</term>
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<term>Distal extension</term>
<term>Distal extension prps</term>
<term>Distal implant</term>
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<term>Edentulous patients</term>
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<term>Experimental pharmacology</term>
<term>Experimental study</term>
<term>Feine</term>
<term>Fracture</term>
<term>Group function</term>
<term>Guideline</term>
<term>Heydecke</term>
<term>Impl</term>
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<term>Oral implants</term>
<term>Oral maxillofacial implants</term>
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<term>Osseointegrated implants</term>
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<term>Outcome studies</term>
<term>Overdentures</term>
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<term>Ovid medline</term>
<term>Partial dentures</term>
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<term>Periodontal health</term>
<term>Periodontal mechanoreceptors</term>
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<term>Peripheral feedback</term>
<term>Posterior teeth</term>
<term>Posterior tooth form</term>
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<term>Removable prosthodontics</term>
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<div type="abstract">Objectives: A systematic review identified randomised and other trials (1966–2006) of studies of occlusal design of crowns, complete (CRP) and partial (PRP) removable prostheses and implant‐borne reconstructions, and whether occlusal design influenced diet, quality of life, bruxism and attrition.</div>
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<hi rend="bold">Objectives: </hi>
A systematic review identified randomised and other trials (1966–2006) of studies of occlusal design of crowns, complete (CRP) and partial (PRP) removable prostheses and implant‐borne reconstructions, and whether occlusal design influenced diet, quality of life, bruxism and attrition.</p>
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<hi rend="bold">Methods: </hi>
The search primarily included Cochrane Database of Systematic Reviews and Central Register of Controlled Trials, Database of Abstracts of Reviews of Effectiveness, Ovid Medline and PreMedline.</p>
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<hi rend="bold">Results: </hi>
The search yielded 1315 studies: 20 on CRP – 1 RCT, one systematic review, four clinical trials, 10 case series; 22 on PRP – one cohort study, two experimental studies, 15 case reports or case series, three clinical trials; 23 on implant superstructures, and 24 reports on implant failure, 37 on oral health related quality of life, eight on attrition; and four studies on masticatory function.</p>
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<hi rend="bold">Conclusions: </hi>
CRP – Studies of occlusal form and tooth arrangements, included balanced, lingualised and monoplane arrangements – lingualised posterior occlusion was preferred.</p>
<p>Early studies on CRP design were observational as case reports, however data suggested that optimum function is achieved by modification of the maxillary occlusion, irrespective of the opposing mandibular occlusion.</p>
<p>PRP – Edentulous ridge resorption is patient‐specific, has a multifactorial aetiology and there is no objective data to confirm that mechanical factors cause bone loss; oral hygiene management is crucial for long‐term health.</p>
<p>Studies on distal extension PDs confirmed a link between bite force and masticatory function; preservation of two functioning posterior tooth units ipsilateral to the distal extension optimises function. Data indicate that patient‐specific factors, rather than PD design‐specific features, influence long‐term PD outcomes.</p>
<p>Implant superstructures – There is little scientific evidence specifying occlusal and superstructure design for fixed prostheses for teeth or implants. Occlusal scheme design and occlusal form have evolved through clinical experience, but there is no evidence to indicate that a particular design is superior.</p>
<p>Complex neurophysiological mechanisms allow the jaw muscle system to accommodate to oral and dental changes.</p>
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<term>Swiss Society of Reconstructive Dentistry (SSRD) First European Workshop on Evidence‐Based Reconstructive Dentistry
This supplement was supported by educational grants from the Straumann Company, Basel, Switzerland, and from the Swiss Society of Reconstructive Dentistry (SSRD).</term>
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This supplement was supported by educational grants from the Straumann Company, Basel, Switzerland, and from the Swiss Society of Reconstructive Dentistry (SSRD).</title>
<title type="tocHeading2">Original Articles</title>
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<b>Correspondence to:</b>
<i>Iven Klineberg</i>

Professorial Unit, Level 3
Westmead Centre for Oral Health
Westmead NSW 2145
Australia
Tel.: +61 2 9845 7192
Fax: +61 2 9633 2893
e‐mail:
<email normalForm="iven_klineberg@wsahs.nsw.gov.au">iven_klineberg@wsahs.nsw.gov.au</email>
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<title type="main">The bases for using a particular occlusal design in tooth and implant‐borne reconstructions and complete dentures</title>
<title type="shortAuthors">Klineberg et al.</title>
<title type="short">Occlusal design in oral reconstructions and complete dentures</title>
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<keyword xml:id="k1">diet</keyword>
<keyword xml:id="k2">fixed dental prosthesis</keyword>
<keyword xml:id="k3">function</keyword>
<keyword xml:id="k4">occlusion</keyword>
<keyword xml:id="k5">occlusal form</keyword>
<keyword xml:id="k6">oral health‐related quality of life</keyword>
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<p>
<b>Objectives: </b>
A systematic review identified randomised and other trials (1966–2006) of studies of occlusal design of crowns, complete (CRP) and partial (PRP) removable prostheses and implant‐borne reconstructions, and whether occlusal design influenced diet, quality of life, bruxism and attrition.</p>
<p>
<b>Methods: </b>
The search primarily included Cochrane Database of Systematic Reviews and Central Register of Controlled Trials, Database of Abstracts of Reviews of Effectiveness, Ovid Medline and PreMedline.</p>
<p>
<b>Results: </b>
The search yielded 1315 studies: 20 on CRP – 1 RCT, one systematic review, four clinical trials, 10 case series; 22 on PRP – one cohort study, two experimental studies, 15 case reports or case series, three clinical trials; 23 on implant superstructures, and 24 reports on implant failure, 37 on oral health related quality of life, eight on attrition; and four studies on masticatory function.</p>
<p>
<b>Conclusions: </b>
CRP – Studies of occlusal form and tooth arrangements, included balanced, lingualised and monoplane arrangements – lingualised posterior occlusion was preferred.</p>
<p>Early studies on CRP design were observational as case reports, however data suggested that optimum function is achieved by modification of the maxillary occlusion, irrespective of the opposing mandibular occlusion.</p>
<p>PRP – Edentulous ridge resorption is patient‐specific, has a multifactorial aetiology and there is no objective data to confirm that mechanical factors cause bone loss; oral hygiene management is crucial for long‐term health.</p>
<p>Studies on distal extension PDs confirmed a link between bite force and masticatory function; preservation of two functioning posterior tooth units ipsilateral to the distal extension optimises function. Data indicate that patient‐specific factors, rather than PD design‐specific features, influence long‐term PD outcomes.</p>
<p>Implant superstructures – There is little scientific evidence specifying occlusal and superstructure design for fixed prostheses for teeth or implants. Occlusal scheme design and occlusal form have evolved through clinical experience, but there is no evidence to indicate that a particular design is superior.</p>
<p>Complex neurophysiological mechanisms allow the jaw muscle system to accommodate to oral and dental changes.</p>
<!--

To cite this article:

Klineberg I, Kingston D, Murray, G. The bases for using a particular occlusal design in tooth and implant-borne reconstructions and complete dentures.

Clin. Oral Impl. Res. 18 (Suppl. 3), 2007; 151–167

doi: 10.1111/j.1600-0501.2006.01446.x

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<abstract>Early studies on CRP design were observational as case reports, however data suggested that optimum function is achieved by modification of the maxillary occlusion, irrespective of the opposing mandibular occlusion.</abstract>
<abstract>PRP – Edentulous ridge resorption is patient‐specific, has a multifactorial aetiology and there is no objective data to confirm that mechanical factors cause bone loss; oral hygiene management is crucial for long‐term health.</abstract>
<abstract>Studies on distal extension PDs confirmed a link between bite force and masticatory function; preservation of two functioning posterior tooth units ipsilateral to the distal extension optimises function. Data indicate that patient‐specific factors, rather than PD design‐specific features, influence long‐term PD outcomes.</abstract>
<abstract>Implant superstructures – There is little scientific evidence specifying occlusal and superstructure design for fixed prostheses for teeth or implants. Occlusal scheme design and occlusal form have evolved through clinical experience, but there is no evidence to indicate that a particular design is superior.</abstract>
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