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[The role of single- and multiple-unit fixed dental prostheses in the strength distribution of the occlusal and orofacial system].

Identifieur interne : 002076 ( Main/Exploration ); précédent : 002075; suivant : 002077

[The role of single- and multiple-unit fixed dental prostheses in the strength distribution of the occlusal and orofacial system].

Auteurs : C. De Baat [Pays-Bas] ; D J Witter ; C D Van Der Maarel-Wierink ; N H J. Creugers

Source :

RBID : pubmed:23495568

Descripteurs français

English descriptors

Abstract

An occlusal system that does not function well, has a negative impact on the functional level of the oral system and the orofacial system. In purely mechanical terms, a limited anatomical reduction of the occlusal system has limited implications for the functional level since the occlusal system has several forms of adaptation, reserve, and compensation. However, following the loss of (parts of) teeth, an occlusal system may be anatomically reduced to such an extent that restoration of the functional level is required, for instance by the use of implant-supported single- and multiple-unit fixed dental prostheses. The mechanical strength of a tooth and a single-tooth fixed dental prosthesis on a similar tooth type is not essentially different. But the same cannot be said of the mechanical strength of a multiple-unit fixed dental prosthesis, because the strength is controlled by the mechanoreceptors in the periodontal ligaments of the abutment teeth. This control system is disturbed by the insufficiency of or, when oral implants are involved, the absence of mechano-receptors. It is unknown whether this is causing noticeable problems.

PubMed: 23495568


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Le document en format XML

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<term>Crowns</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration, Permanent</term>
<term>Dental Stress Analysis</term>
<term>Denture, Partial, Fixed</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Treatment Outcome</term>
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<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Humains</term>
<term>Implants dentaires unitaires</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Restaurations dentaires permanentes</term>
<term>Résultat thérapeutique</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Mâchoire partiellement édentée</term>
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<term>Crowns</term>
<term>Dental Abutments</term>
<term>Dental Implantation, Endosseous</term>
<term>Dental Implants, Single-Tooth</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration, Permanent</term>
<term>Dental Stress Analysis</term>
<term>Denture, Partial, Fixed</term>
<term>Humans</term>
<term>Treatment Outcome</term>
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<term>Analyse du stress dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Couronnes</term>
<term>Humains</term>
<term>Implants dentaires unitaires</term>
<term>Piliers dentaires</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Restaurations dentaires permanentes</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">An occlusal system that does not function well, has a negative impact on the functional level of the oral system and the orofacial system. In purely mechanical terms, a limited anatomical reduction of the occlusal system has limited implications for the functional level since the occlusal system has several forms of adaptation, reserve, and compensation. However, following the loss of (parts of) teeth, an occlusal system may be anatomically reduced to such an extent that restoration of the functional level is required, for instance by the use of implant-supported single- and multiple-unit fixed dental prostheses. The mechanical strength of a tooth and a single-tooth fixed dental prosthesis on a similar tooth type is not essentially different. But the same cannot be said of the mechanical strength of a multiple-unit fixed dental prosthesis, because the strength is controlled by the mechanoreceptors in the periodontal ligaments of the abutment teeth. This control system is disturbed by the insufficiency of or, when oral implants are involved, the absence of mechano-receptors. It is unknown whether this is causing noticeable problems.</div>
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