Occlusion on implants – is there a problem?
Identifieur interne : 003937 ( Main/Exploration ); précédent : 003936; suivant : 003938Occlusion on implants – is there a problem?
Auteurs : I. J. Klineberg [Australie] ; M. Trulsson [Suède] ; G. M. Murray [Australie]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2012-07.
English descriptors
- KwdEn :
- Adaptive capacity, Afferent, Afferent information, Animal studies, Anterior, Anterior guidance, Anterior mandible, Anterior maxilla, Anterior teeth, Apposition, Appropriate occlusal, Blackwell, Blackwell publishing, Bone, Bone apposition, Bone cells, Bone density, Bone engagement, Bone loss, Bone microarchitecture, Bone mineral density, Bone remodelling, Bone resorption, Bone samples, Bone strain, Bone strains, Bone structure, Bone support, Bone ultrastructure, Bone volume, Broader occlusal table, Canine guidance, Cellular composition, Central fossa, Central fossa loading, Central representation, Clin, Clin periodontol, Clinical recommendations, Clinical success, Complex process, Coronal bone, Crestal bone, Critical role, Cusp, Cusp inclination, Cusp incline, Cusp inclines, Dent, Dental implants, Dental prostheses, Dental treatment, Different regions, Distinct differences, Dynamic loads, Dynamic sensitivity, Early loading, Evidence base, Excessive loading, Experimental study, Face sensorimotor cortex, Feedback, Feedback system, Food bolus, Food manipulation, Force control, Fossa, Further data, General health, Glial cells, Greater bone volume, Group function, High stress, Higher forces, Higher sensitivity, Histologic study, Human subjects, Immediate loading, Implant, Implant crowns, Implant failure, Implant interface, Implant placement, Implant rehabilitation, Implant superstructures, Initial implant stability, Intercuspal, Intercuspal contact, Intercuspal position, Klineberg, Laboratory analyses, Load concentration, Load transfer, Loading, Mandible, Mandibular, Mandibular bone, Mandibular overdentures, Marginal bone loss, Mastication, Masticatory, Mathematical modelling, Maxilla, Maxillary, Maxillary bone, Maxillofac, Mechanical stress, Mechanoreceptors, Microstrain data, Microstrains, Mild overload, Motor control, Motor skills, Motor system, Muscle activity, Muscle control, Muscle spindle, Narrow occlusal table, Narrower occlusal table size, Natural teeth, Nervous system, Neurophysiological evidence, Neuroplastic changes, Neuroplasticity, Nite element analysis, Occlusal, Occlusal contact, Occlusal design, Occlusal designs, Occlusal forces, Occlusal form, Occlusal load, Occlusal loading, Occlusal loads, Occlusal overload, Occlusal scheme design, Occlusal table dimension, Occlusal table width, Occlusion, Oral biol, Oral health, Oral implant sites, Oral implants, Oral maxillofac implants, Oral rehabil, Oral rehabilitation, Osseointegrated, Osseointegrated implants, Osseointegration, Osseoperception, Parafunction, Particular occlusal design, Particular occlusal schemes, Periodontal, Periodontal afferents, Periodontal feedback, Periodontal mechanoreceptor feedback, Periodontal mechanoreceptors, Periodontal receptors, Periodontal tissues, Peripheral feedback, Pharmacol physiol, Poor bone quality, Posterior, Posterior mandible, Posterior mandibular bone, Posterior maxilla, Posterior maxillary bone samples, Posterior occlusal form, Posterior region, Posterior teeth, Premature contacts, Progressive loading, Prosthesis, Receptor, Remodelling, Review article, Sagittal section, Sectional detail, Sensorimotor, Single implant, Somatosensory, Somatosensory information, Stimulus response functions, Stress concentration, Stress distribution, Superstructure, Thicker trabeculae, Tooth form, Trabecula, Trabecular, Trabecular pattern factor, Trabecular thickness, Trulsson, Ultrastructural details, Upper section, Vgstudiomax software, Vital teeth, Westmead centre, Whole specimen.
- Teeft :
- Adaptive capacity, Afferent, Afferent information, Animal studies, Anterior, Anterior guidance, Anterior mandible, Anterior maxilla, Anterior teeth, Apposition, Appropriate occlusal, Blackwell, Blackwell publishing, Bone, Bone apposition, Bone cells, Bone density, Bone engagement, Bone loss, Bone microarchitecture, Bone mineral density, Bone remodelling, Bone resorption, Bone samples, Bone strain, Bone strains, Bone structure, Bone support, Bone ultrastructure, Bone volume, Broader occlusal table, Canine guidance, Cellular composition, Central fossa, Central fossa loading, Central representation, Clin, Clin periodontol, Clinical recommendations, Clinical success, Complex process, Coronal bone, Crestal bone, Critical role, Cusp, Cusp inclination, Cusp incline, Cusp inclines, Dent, Dental implants, Dental prostheses, Dental treatment, Different regions, Distinct differences, Dynamic loads, Dynamic sensitivity, Early loading, Evidence base, Excessive loading, Experimental study, Face sensorimotor cortex, Feedback, Feedback system, Food bolus, Food manipulation, Force control, Fossa, Further data, General health, Glial cells, Greater bone volume, Group function, High stress, Higher forces, Higher sensitivity, Histologic study, Human subjects, Immediate loading, Implant, Implant crowns, Implant failure, Implant interface, Implant placement, Implant rehabilitation, Implant superstructures, Initial implant stability, Intercuspal, Intercuspal contact, Intercuspal position, Klineberg, Laboratory analyses, Load concentration, Load transfer, Loading, Mandible, Mandibular, Mandibular bone, Mandibular overdentures, Marginal bone loss, Mastication, Masticatory, Mathematical modelling, Maxilla, Maxillary, Maxillary bone, Maxillofac, Mechanical stress, Mechanoreceptors, Microstrain data, Microstrains, Mild overload, Motor control, Motor skills, Motor system, Muscle activity, Muscle control, Muscle spindle, Narrow occlusal table, Narrower occlusal table size, Natural teeth, Nervous system, Neurophysiological evidence, Neuroplastic changes, Neuroplasticity, Nite element analysis, Occlusal, Occlusal contact, Occlusal design, Occlusal designs, Occlusal forces, Occlusal form, Occlusal load, Occlusal loading, Occlusal loads, Occlusal overload, Occlusal scheme design, Occlusal table dimension, Occlusal table width, Occlusion, Oral biol, Oral health, Oral implant sites, Oral implants, Oral maxillofac implants, Oral rehabil, Oral rehabilitation, Osseointegrated, Osseointegrated implants, Osseointegration, Osseoperception, Parafunction, Particular occlusal design, Particular occlusal schemes, Periodontal, Periodontal afferents, Periodontal feedback, Periodontal mechanoreceptor feedback, Periodontal mechanoreceptors, Periodontal receptors, Periodontal tissues, Peripheral feedback, Pharmacol physiol, Poor bone quality, Posterior, Posterior mandible, Posterior mandibular bone, Posterior maxilla, Posterior maxillary bone samples, Posterior occlusal form, Posterior region, Posterior teeth, Premature contacts, Progressive loading, Prosthesis, Receptor, Remodelling, Review article, Sagittal section, Sectional detail, Sensorimotor, Single implant, Somatosensory, Somatosensory information, Stimulus response functions, Stress concentration, Stress distribution, Superstructure, Thicker trabeculae, Tooth form, Trabecula, Trabecular, Trabecular pattern factor, Trabecular thickness, Trulsson, Ultrastructural details, Upper section, Vgstudiomax software, Vital teeth, Westmead centre, Whole specimen.
Abstract
Summary Oral rehabilitation restores form and function and impacts on general health. Teeth provide a discriminating sense of touch and directional specificity for occlusal perception, management of food with mastication and swallowing, and awareness of its texture and hardness. Peripheral feedback for control of jaw muscles includes the enamel–dentine–pulp complex and mechanoreceptors in the periodontal tissues. The implications of feedback from periodontal and other intra‐oral mechanoreceptors as well as changes in central representation are significant for function and adaptation to oral rehabilitation. With implants, in the absence of the periodontium and periodontal mechanoreceptor feedback, fine motor control of mastication is reduced, but patients are still able to function adequately. Further, there is no significant difference in function with full‐arch fixed prostheses on teeth in comparison with implants. Predictable implant outcomes depend on bone support. Optimum restoration design appears to be significant for bone remodelling and bone strains around implants with occlusal loading. Finite element analysis data confirmed load concentrations at the coronal bone around the upper section of the implant where bone loss is commonly observed clinically. Load concentration increased with steeper cusp inclination and broader occlusal table and decreased with central fossa loading and narrower occlusal table size. It is recommended that occlusal design should follow a narrow occlusal table, with central fossa loading in intercuspal contact and low cusp inclination to minimise lateral loading in function and parafunction. Acknowledging these features should address potential problems associated with the occlusion in implant therapy.
Url:
DOI: 10.1111/j.1365-2842.2012.02305.x
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptive capacity</term>
<term>Afferent</term>
<term>Afferent information</term>
<term>Animal studies</term>
<term>Anterior</term>
<term>Anterior guidance</term>
<term>Anterior mandible</term>
<term>Anterior maxilla</term>
<term>Anterior teeth</term>
<term>Apposition</term>
<term>Appropriate occlusal</term>
<term>Blackwell</term>
<term>Blackwell publishing</term>
<term>Bone</term>
<term>Bone apposition</term>
<term>Bone cells</term>
<term>Bone density</term>
<term>Bone engagement</term>
<term>Bone loss</term>
<term>Bone microarchitecture</term>
<term>Bone mineral density</term>
<term>Bone remodelling</term>
<term>Bone resorption</term>
<term>Bone samples</term>
<term>Bone strain</term>
<term>Bone strains</term>
<term>Bone structure</term>
<term>Bone support</term>
<term>Bone ultrastructure</term>
<term>Bone volume</term>
<term>Broader occlusal table</term>
<term>Canine guidance</term>
<term>Cellular composition</term>
<term>Central fossa</term>
<term>Central fossa loading</term>
<term>Central representation</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical recommendations</term>
<term>Clinical success</term>
<term>Complex process</term>
<term>Coronal bone</term>
<term>Crestal bone</term>
<term>Critical role</term>
<term>Cusp</term>
<term>Cusp inclination</term>
<term>Cusp incline</term>
<term>Cusp inclines</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dental prostheses</term>
<term>Dental treatment</term>
<term>Different regions</term>
<term>Distinct differences</term>
<term>Dynamic loads</term>
<term>Dynamic sensitivity</term>
<term>Early loading</term>
<term>Evidence base</term>
<term>Excessive loading</term>
<term>Experimental study</term>
<term>Face sensorimotor cortex</term>
<term>Feedback</term>
<term>Feedback system</term>
<term>Food bolus</term>
<term>Food manipulation</term>
<term>Force control</term>
<term>Fossa</term>
<term>Further data</term>
<term>General health</term>
<term>Glial cells</term>
<term>Greater bone volume</term>
<term>Group function</term>
<term>High stress</term>
<term>Higher forces</term>
<term>Higher sensitivity</term>
<term>Histologic study</term>
<term>Human subjects</term>
<term>Immediate loading</term>
<term>Implant</term>
<term>Implant crowns</term>
<term>Implant failure</term>
<term>Implant interface</term>
<term>Implant placement</term>
<term>Implant rehabilitation</term>
<term>Implant superstructures</term>
<term>Initial implant stability</term>
<term>Intercuspal</term>
<term>Intercuspal contact</term>
<term>Intercuspal position</term>
<term>Klineberg</term>
<term>Laboratory analyses</term>
<term>Load concentration</term>
<term>Load transfer</term>
<term>Loading</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular bone</term>
<term>Mandibular overdentures</term>
<term>Marginal bone loss</term>
<term>Mastication</term>
<term>Masticatory</term>
<term>Mathematical modelling</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary bone</term>
<term>Maxillofac</term>
<term>Mechanical stress</term>
<term>Mechanoreceptors</term>
<term>Microstrain data</term>
<term>Microstrains</term>
<term>Mild overload</term>
<term>Motor control</term>
<term>Motor skills</term>
<term>Motor system</term>
<term>Muscle activity</term>
<term>Muscle control</term>
<term>Muscle spindle</term>
<term>Narrow occlusal table</term>
<term>Narrower occlusal table size</term>
<term>Natural teeth</term>
<term>Nervous system</term>
<term>Neurophysiological evidence</term>
<term>Neuroplastic changes</term>
<term>Neuroplasticity</term>
<term>Nite element analysis</term>
<term>Occlusal</term>
<term>Occlusal contact</term>
<term>Occlusal design</term>
<term>Occlusal designs</term>
<term>Occlusal forces</term>
<term>Occlusal form</term>
<term>Occlusal load</term>
<term>Occlusal loading</term>
<term>Occlusal loads</term>
<term>Occlusal overload</term>
<term>Occlusal scheme design</term>
<term>Occlusal table dimension</term>
<term>Occlusal table width</term>
<term>Occlusion</term>
<term>Oral biol</term>
<term>Oral health</term>
<term>Oral implant sites</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral rehabil</term>
<term>Oral rehabilitation</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osseoperception</term>
<term>Parafunction</term>
<term>Particular occlusal design</term>
<term>Particular occlusal schemes</term>
<term>Periodontal</term>
<term>Periodontal afferents</term>
<term>Periodontal feedback</term>
<term>Periodontal mechanoreceptor feedback</term>
<term>Periodontal mechanoreceptors</term>
<term>Periodontal receptors</term>
<term>Periodontal tissues</term>
<term>Peripheral feedback</term>
<term>Pharmacol physiol</term>
<term>Poor bone quality</term>
<term>Posterior</term>
<term>Posterior mandible</term>
<term>Posterior mandibular bone</term>
<term>Posterior maxilla</term>
<term>Posterior maxillary bone samples</term>
<term>Posterior occlusal form</term>
<term>Posterior region</term>
<term>Posterior teeth</term>
<term>Premature contacts</term>
<term>Progressive loading</term>
<term>Prosthesis</term>
<term>Receptor</term>
<term>Remodelling</term>
<term>Review article</term>
<term>Sagittal section</term>
<term>Sectional detail</term>
<term>Sensorimotor</term>
<term>Single implant</term>
<term>Somatosensory</term>
<term>Somatosensory information</term>
<term>Stimulus response functions</term>
<term>Stress concentration</term>
<term>Stress distribution</term>
<term>Superstructure</term>
<term>Thicker trabeculae</term>
<term>Tooth form</term>
<term>Trabecula</term>
<term>Trabecular</term>
<term>Trabecular pattern factor</term>
<term>Trabecular thickness</term>
<term>Trulsson</term>
<term>Ultrastructural details</term>
<term>Upper section</term>
<term>Vgstudiomax software</term>
<term>Vital teeth</term>
<term>Westmead centre</term>
<term>Whole specimen</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Adaptive capacity</term>
<term>Afferent</term>
<term>Afferent information</term>
<term>Animal studies</term>
<term>Anterior</term>
<term>Anterior guidance</term>
<term>Anterior mandible</term>
<term>Anterior maxilla</term>
<term>Anterior teeth</term>
<term>Apposition</term>
<term>Appropriate occlusal</term>
<term>Blackwell</term>
<term>Blackwell publishing</term>
<term>Bone</term>
<term>Bone apposition</term>
<term>Bone cells</term>
<term>Bone density</term>
<term>Bone engagement</term>
<term>Bone loss</term>
<term>Bone microarchitecture</term>
<term>Bone mineral density</term>
<term>Bone remodelling</term>
<term>Bone resorption</term>
<term>Bone samples</term>
<term>Bone strain</term>
<term>Bone strains</term>
<term>Bone structure</term>
<term>Bone support</term>
<term>Bone ultrastructure</term>
<term>Bone volume</term>
<term>Broader occlusal table</term>
<term>Canine guidance</term>
<term>Cellular composition</term>
<term>Central fossa</term>
<term>Central fossa loading</term>
<term>Central representation</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical recommendations</term>
<term>Clinical success</term>
<term>Complex process</term>
<term>Coronal bone</term>
<term>Crestal bone</term>
<term>Critical role</term>
<term>Cusp</term>
<term>Cusp inclination</term>
<term>Cusp incline</term>
<term>Cusp inclines</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dental prostheses</term>
<term>Dental treatment</term>
<term>Different regions</term>
<term>Distinct differences</term>
<term>Dynamic loads</term>
<term>Dynamic sensitivity</term>
<term>Early loading</term>
<term>Evidence base</term>
<term>Excessive loading</term>
<term>Experimental study</term>
<term>Face sensorimotor cortex</term>
<term>Feedback</term>
<term>Feedback system</term>
<term>Food bolus</term>
<term>Food manipulation</term>
<term>Force control</term>
<term>Fossa</term>
<term>Further data</term>
<term>General health</term>
<term>Glial cells</term>
<term>Greater bone volume</term>
<term>Group function</term>
<term>High stress</term>
<term>Higher forces</term>
<term>Higher sensitivity</term>
<term>Histologic study</term>
<term>Human subjects</term>
<term>Immediate loading</term>
<term>Implant</term>
<term>Implant crowns</term>
<term>Implant failure</term>
<term>Implant interface</term>
<term>Implant placement</term>
<term>Implant rehabilitation</term>
<term>Implant superstructures</term>
<term>Initial implant stability</term>
<term>Intercuspal</term>
<term>Intercuspal contact</term>
<term>Intercuspal position</term>
<term>Klineberg</term>
<term>Laboratory analyses</term>
<term>Load concentration</term>
<term>Load transfer</term>
<term>Loading</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular bone</term>
<term>Mandibular overdentures</term>
<term>Marginal bone loss</term>
<term>Mastication</term>
<term>Masticatory</term>
<term>Mathematical modelling</term>
<term>Maxilla</term>
<term>Maxillary</term>
<term>Maxillary bone</term>
<term>Maxillofac</term>
<term>Mechanical stress</term>
<term>Mechanoreceptors</term>
<term>Microstrain data</term>
<term>Microstrains</term>
<term>Mild overload</term>
<term>Motor control</term>
<term>Motor skills</term>
<term>Motor system</term>
<term>Muscle activity</term>
<term>Muscle control</term>
<term>Muscle spindle</term>
<term>Narrow occlusal table</term>
<term>Narrower occlusal table size</term>
<term>Natural teeth</term>
<term>Nervous system</term>
<term>Neurophysiological evidence</term>
<term>Neuroplastic changes</term>
<term>Neuroplasticity</term>
<term>Nite element analysis</term>
<term>Occlusal</term>
<term>Occlusal contact</term>
<term>Occlusal design</term>
<term>Occlusal designs</term>
<term>Occlusal forces</term>
<term>Occlusal form</term>
<term>Occlusal load</term>
<term>Occlusal loading</term>
<term>Occlusal loads</term>
<term>Occlusal overload</term>
<term>Occlusal scheme design</term>
<term>Occlusal table dimension</term>
<term>Occlusal table width</term>
<term>Occlusion</term>
<term>Oral biol</term>
<term>Oral health</term>
<term>Oral implant sites</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral rehabil</term>
<term>Oral rehabilitation</term>
<term>Osseointegrated</term>
<term>Osseointegrated implants</term>
<term>Osseointegration</term>
<term>Osseoperception</term>
<term>Parafunction</term>
<term>Particular occlusal design</term>
<term>Particular occlusal schemes</term>
<term>Periodontal</term>
<term>Periodontal afferents</term>
<term>Periodontal feedback</term>
<term>Periodontal mechanoreceptor feedback</term>
<term>Periodontal mechanoreceptors</term>
<term>Periodontal receptors</term>
<term>Periodontal tissues</term>
<term>Peripheral feedback</term>
<term>Pharmacol physiol</term>
<term>Poor bone quality</term>
<term>Posterior</term>
<term>Posterior mandible</term>
<term>Posterior mandibular bone</term>
<term>Posterior maxilla</term>
<term>Posterior maxillary bone samples</term>
<term>Posterior occlusal form</term>
<term>Posterior region</term>
<term>Posterior teeth</term>
<term>Premature contacts</term>
<term>Progressive loading</term>
<term>Prosthesis</term>
<term>Receptor</term>
<term>Remodelling</term>
<term>Review article</term>
<term>Sagittal section</term>
<term>Sectional detail</term>
<term>Sensorimotor</term>
<term>Single implant</term>
<term>Somatosensory</term>
<term>Somatosensory information</term>
<term>Stimulus response functions</term>
<term>Stress concentration</term>
<term>Stress distribution</term>
<term>Superstructure</term>
<term>Thicker trabeculae</term>
<term>Tooth form</term>
<term>Trabecula</term>
<term>Trabecular</term>
<term>Trabecular pattern factor</term>
<term>Trabecular thickness</term>
<term>Trulsson</term>
<term>Ultrastructural details</term>
<term>Upper section</term>
<term>Vgstudiomax software</term>
<term>Vital teeth</term>
<term>Westmead centre</term>
<term>Whole specimen</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract">Summary Oral rehabilitation restores form and function and impacts on general health. Teeth provide a discriminating sense of touch and directional specificity for occlusal perception, management of food with mastication and swallowing, and awareness of its texture and hardness. Peripheral feedback for control of jaw muscles includes the enamel–dentine–pulp complex and mechanoreceptors in the periodontal tissues. The implications of feedback from periodontal and other intra‐oral mechanoreceptors as well as changes in central representation are significant for function and adaptation to oral rehabilitation. With implants, in the absence of the periodontium and periodontal mechanoreceptor feedback, fine motor control of mastication is reduced, but patients are still able to function adequately. Further, there is no significant difference in function with full‐arch fixed prostheses on teeth in comparison with implants. Predictable implant outcomes depend on bone support. Optimum restoration design appears to be significant for bone remodelling and bone strains around implants with occlusal loading. Finite element analysis data confirmed load concentrations at the coronal bone around the upper section of the implant where bone loss is commonly observed clinically. Load concentration increased with steeper cusp inclination and broader occlusal table and decreased with central fossa loading and narrower occlusal table size. It is recommended that occlusal design should follow a narrow occlusal table, with central fossa loading in intercuspal contact and low cusp inclination to minimise lateral loading in function and parafunction. Acknowledging these features should address potential problems associated with the occlusion in implant therapy.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Suède</li>
</country>
<region><li>Svealand</li>
</region>
<settlement><li>Stockholm</li>
</settlement>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Klineberg, I J" sort="Klineberg, I J" uniqKey="Klineberg I" first="I. J." last="Klineberg">I. J. Klineberg</name>
</noRegion>
<name sortKey="Murray, G M" sort="Murray, G M" uniqKey="Murray G" first="G. M." last="Murray">G. M. Murray</name>
</country>
<country name="Suède"><region name="Svealand"><name sortKey="Trulsson, M" sort="Trulsson, M" uniqKey="Trulsson M" first="M." last="Trulsson">M. Trulsson</name>
</region>
</country>
</tree>
</affiliations>
</record>
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