The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect
Identifieur interne : 004C93 ( Istex/Curation ); précédent : 004C92; suivant : 004C94The neurophysiology of osseointegrated oral implants. A clinically underestimated aspect
Auteurs : M. Abarca [Belgique] ; D. Van Steenberghe [Belgique] ; C. Malevez [Belgique] ; R. Jacobs [Belgique]Source :
- 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
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<front><div type="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.</div>
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