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From osseoperception to implant‐mediated sensory‐motor interactions and related clinical implications

Identifieur interne : 006F51 ( Main/Exploration ); précédent : 006F50; suivant : 006F52

From osseoperception to implant‐mediated sensory‐motor interactions and related clinical implications

Auteurs : R. Jacobs [Belgique] ; D. Van Steenberghe

Source :

RBID : ISTEX:F4C52E037B0F64D8D750DFA87EFBB573A5755CE9

English descriptors

Abstract

summary  Osseointegration of implants in the jaw bone has been studied thoroughly, dealing with various aspects such as bone apposition, bone quality, microbiology, biomechanics, aesthetics, etc. A key issue that has received much less attention is the physiologic integration of the implant(s) and the associated prosthesis in the body. The latter aspect is however very important to obtain new insights in oral functioning with implant‐supported prostheses. Amputated patients rehabilitated with a lower limb prosthesis anchored to the bone by means of an osseointegrated implant, have reported that they could recognize the type of soil they were walking on. Clinical observations on patients with oral implants, have confirmed a special sensory perception skill. The underlying mechanism of this so‐called ‘osseoperception’ phenomenon remains a matter of debate, because extraction of teeth involves elimination of the extremely sensitive periodontal ligaments while functional reinnervation around implants is still uncertain. Histological, neurophysiological and psychophysical evidence of osseoperception have been collected, making the assumption more likely that a proper peripheral feedback pathway can be restored when using osseointegrated implants. This implant‐mediated sensory‐motor control may have important clinical implications, because a more natural functioning with implant‐supported prostheses can be attempted. It may open doors for global integration in the human body.

Url:
DOI: 10.1111/j.1365-2842.2006.01621.x


Affiliations:


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Le document en format XML

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<term>Antagonistic teeth</term>
<term>Anterior mandible</term>
<term>Blackwell publishing</term>
<term>Bone anchorage</term>
<term>Bone innervation</term>
<term>Boneanchored prosthesis</term>
<term>Bony canal</term>
<term>Branemark</term>
<term>Branemark evaluation</term>
<term>Bres</term>
<term>Catholic university</term>
<term>Catholic university leuven</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical implications</term>
<term>Clinical observations</term>
<term>Complete denture wearers</term>
<term>Conventional socket prostheses</term>
<term>Cortical plasticity</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dental status</term>
<term>Dentomaxillofac radiol</term>
<term>Denture</term>
<term>Different forms</term>
<term>Easy handling</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Edentulous subjects</term>
<term>Electromyogr clin neurophysiol</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Essential role</term>
<term>Feedback</term>
<term>Feedback pathway</term>
<term>Force transfer</term>
<term>Free nerve endings</term>
<term>Gender effect</term>
<term>Global integration</term>
<term>Healing period</term>
<term>Histological</term>
<term>Histological assessment</term>
<term>Histological section</term>
<term>Human body</term>
<term>Immediate loading protocols</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implant stimulation</term>
<term>Inferior alveolar nerve</term>
<term>Intimate contact</term>
<term>Jacobs</term>
<term>Journal compilation</term>
<term>Large number</term>
<term>Leuven</term>
<term>Ligament</term>
<term>Mechanical stimuli</term>
<term>Mechanoreceptors</term>
<term>Mesencephalic nucleus</term>
<term>Motoneuron pool</term>
<term>Motor control</term>
<term>Natural dentition</term>
<term>Neurophysiological</term>
<term>Neurovascular structures</term>
<term>Oral cavity</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral mechanoreceptors</term>
<term>Oral mucosa</term>
<term>Oral physiology</term>
<term>Oral rehabil</term>
<term>Oral sensation</term>
<term>Oral stereognosis</term>
<term>Oral stereognostic ability</term>
<term>Osseointegrated</term>
<term>Osseointegrated implant</term>
<term>Osseointegrated implants</term>
<term>Osseointegrated thumb prostheses</term>
<term>Osseoperception</term>
<term>Other hand</term>
<term>Passive detection</term>
<term>Passive threshold determination</term>
<term>Pathway</term>
<term>Periodontal</term>
<term>Periodontal ligament</term>
<term>Periodontal ligament receptors</term>
<term>Periosteum</term>
<term>Peripheral feedback mechanism</term>
<term>Peripheral feedback pathway</term>
<term>Peripheral feedback pathways</term>
<term>Physiological integration</term>
<term>Pressure stimulation</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic limbs</term>
<term>Psychological integration</term>
<term>Psychophysical</term>
<term>Psychophysical methods</term>
<term>Psychophysical testing</term>
<term>Receptor</term>
<term>Receptor groups</term>
<term>Rich innervation</term>
<term>Second symposium</term>
<term>Sensory cortex</term>
<term>Sensory function</term>
<term>Socket prosthesis</term>
<term>Soft tissue support</term>
<term>Spinal foramen</term>
<term>Standardized placement</term>
<term>Steenberghe</term>
<term>Stereognosis</term>
<term>Stereognostic</term>
<term>Stereognostic ability</term>
<term>Tactile</term>
<term>Tactile function</term>
<term>Tactile inputs</term>
<term>Test piece</term>
<term>Test pieces</term>
<term>Thomas publisher</term>
<term>Threshold level</term>
<term>Tongue receptors</term>
<term>Tooth extraction</term>
<term>Trigeminal</term>
<term>Trigeminal somatosensory</term>
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<keywords scheme="Teeft" xml:lang="en">
<term>Antagonistic teeth</term>
<term>Anterior mandible</term>
<term>Blackwell publishing</term>
<term>Bone anchorage</term>
<term>Bone innervation</term>
<term>Boneanchored prosthesis</term>
<term>Bony canal</term>
<term>Branemark</term>
<term>Branemark evaluation</term>
<term>Bres</term>
<term>Catholic university</term>
<term>Catholic university leuven</term>
<term>Clin</term>
<term>Clin implant dent relat</term>
<term>Clinical implications</term>
<term>Clinical observations</term>
<term>Complete denture wearers</term>
<term>Conventional socket prostheses</term>
<term>Cortical plasticity</term>
<term>Dent</term>
<term>Dental implants</term>
<term>Dental status</term>
<term>Dentomaxillofac radiol</term>
<term>Denture</term>
<term>Different forms</term>
<term>Easy handling</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Edentulous subjects</term>
<term>Electromyogr clin neurophysiol</term>
<term>Endosseous</term>
<term>Endosseous implants</term>
<term>Essential role</term>
<term>Feedback</term>
<term>Feedback pathway</term>
<term>Force transfer</term>
<term>Free nerve endings</term>
<term>Gender effect</term>
<term>Global integration</term>
<term>Healing period</term>
<term>Histological</term>
<term>Histological assessment</term>
<term>Histological section</term>
<term>Human body</term>
<term>Immediate loading protocols</term>
<term>Implant</term>
<term>Implant placement</term>
<term>Implant stimulation</term>
<term>Inferior alveolar nerve</term>
<term>Intimate contact</term>
<term>Jacobs</term>
<term>Journal compilation</term>
<term>Large number</term>
<term>Leuven</term>
<term>Ligament</term>
<term>Mechanical stimuli</term>
<term>Mechanoreceptors</term>
<term>Mesencephalic nucleus</term>
<term>Motoneuron pool</term>
<term>Motor control</term>
<term>Natural dentition</term>
<term>Neurophysiological</term>
<term>Neurovascular structures</term>
<term>Oral cavity</term>
<term>Oral implants</term>
<term>Oral maxillofac implants</term>
<term>Oral mechanoreceptors</term>
<term>Oral mucosa</term>
<term>Oral physiology</term>
<term>Oral rehabil</term>
<term>Oral sensation</term>
<term>Oral stereognosis</term>
<term>Oral stereognostic ability</term>
<term>Osseointegrated</term>
<term>Osseointegrated implant</term>
<term>Osseointegrated implants</term>
<term>Osseointegrated thumb prostheses</term>
<term>Osseoperception</term>
<term>Other hand</term>
<term>Passive detection</term>
<term>Passive threshold determination</term>
<term>Pathway</term>
<term>Periodontal</term>
<term>Periodontal ligament</term>
<term>Periodontal ligament receptors</term>
<term>Periosteum</term>
<term>Peripheral feedback mechanism</term>
<term>Peripheral feedback pathway</term>
<term>Peripheral feedback pathways</term>
<term>Physiological integration</term>
<term>Pressure stimulation</term>
<term>Prosthesis</term>
<term>Prosthetic</term>
<term>Prosthetic limbs</term>
<term>Psychological integration</term>
<term>Psychophysical</term>
<term>Psychophysical methods</term>
<term>Psychophysical testing</term>
<term>Receptor</term>
<term>Receptor groups</term>
<term>Rich innervation</term>
<term>Second symposium</term>
<term>Sensory cortex</term>
<term>Sensory function</term>
<term>Socket prosthesis</term>
<term>Soft tissue support</term>
<term>Spinal foramen</term>
<term>Standardized placement</term>
<term>Steenberghe</term>
<term>Stereognosis</term>
<term>Stereognostic</term>
<term>Stereognostic ability</term>
<term>Tactile</term>
<term>Tactile function</term>
<term>Tactile inputs</term>
<term>Test piece</term>
<term>Test pieces</term>
<term>Thomas publisher</term>
<term>Threshold level</term>
<term>Tongue receptors</term>
<term>Tooth extraction</term>
<term>Trigeminal</term>
<term>Trigeminal somatosensory</term>
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<front>
<div type="abstract">summary  Osseointegration of implants in the jaw bone has been studied thoroughly, dealing with various aspects such as bone apposition, bone quality, microbiology, biomechanics, aesthetics, etc. A key issue that has received much less attention is the physiologic integration of the implant(s) and the associated prosthesis in the body. The latter aspect is however very important to obtain new insights in oral functioning with implant‐supported prostheses. Amputated patients rehabilitated with a lower limb prosthesis anchored to the bone by means of an osseointegrated implant, have reported that they could recognize the type of soil they were walking on. Clinical observations on patients with oral implants, have confirmed a special sensory perception skill. The underlying mechanism of this so‐called ‘osseoperception’ phenomenon remains a matter of debate, because extraction of teeth involves elimination of the extremely sensitive periodontal ligaments while functional reinnervation around implants is still uncertain. Histological, neurophysiological and psychophysical evidence of osseoperception have been collected, making the assumption more likely that a proper peripheral feedback pathway can be restored when using osseointegrated implants. This implant‐mediated sensory‐motor control may have important clinical implications, because a more natural functioning with implant‐supported prostheses can be attempted. It may open doors for global integration in the human body.</div>
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