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Computer simulation of the occlusal anatomy of the first mandibular molar after varying the determinants of mandibular movement in the CICERO CAD/CAM system

Identifieur interne : 008539 ( Main/Exploration ); précédent : 008538; suivant : 008540

Computer simulation of the occlusal anatomy of the first mandibular molar after varying the determinants of mandibular movement in the CICERO CAD/CAM system

Auteurs : L. W. Olthoff ; W. De Ruiter [Pays-Bas] ; I. Meijer [Pays-Bas] ; F. Bosman

Source :

RBID : ISTEX:5C0B139EDD3F7A9F4952E28923D74D1185022F80

Descripteurs français

English descriptors

Abstract

Static and dynamic occlusal interferences often occur in restorations. The CICERO CAD/CAM technique was used to control the occlusal dimensions of all‐ceramic restorations by setting the variables which determine the mandibular contact movements. The anatomy of the occlusal form of the (pre)molar teeth is influenced by the setting of the sagittal and transversal determinants of mandibular contact movements. In this study the variation in occlusal morphology of a high‐ and low‐limit setting of six variables was compared with an averaged setting. The settings (high, low and averaged, respectively) of the mandibular movement: the sagittal condylar (60°, 0°, 30°) and the incisal guide angle (60°, 0°, 30°) as well as the long centric articulation (1·2 mm, 0 mm, 0·6 mm) influence mainly the antero‐posterior direction, whereas the settings of Bennett movement (laterotrusion: 30°, 0°, 15°), Bennett side shift (laterotranslation: 1, 0, 0·5 mm) and the wide centric (lateral intercuspal contact area: 0·6, 0, 0·3 mm) will mainly influence the transversal direction of the mandibular movement. The influence of the variation of settings on ‘dynamic’ crown morphology as compared with the static crown morphology was studied by comparison of mesio‐distal and bucco‐lingual sections at the same occlusal position of the first lower molar design. Furthermore, the amount of material needed for the correction of the ‘static’ crown to avoid interferences in dynamic conditions was calculated. It appeared that most correction was needed for the ipsilateral settings: Bennett side shift (1·0 mm), Bennett movement (30°) and the Sag. Condylar guidance (0°) as well as the Incisal angle (0°), which could be studied in the bucco‐lingual sections. Also the Bennett side shift on the contra‐lateral side influenced the occlusal contour strongly, which could be seen in the mesio‐distal section. It was concluded that simulation of the influence of several types of determinants of mandibular movement on the three‐dimensional occlusal anatomy can be studied using the CICERO‐CAD/CAM technique. The ipsi‐ and contralateral Bennett side shift variation influenced the occlusal anatomy more than other variables.

Url:
DOI: 10.1046/j.1365-2842.2002.01026_40.x


Affiliations:


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Le document en format XML

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<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
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<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
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<term>Control appliance</term>
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<term>Corresponding amas</term>
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<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
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<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
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<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
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<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
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<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
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<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
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<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
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<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
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<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
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<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
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<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
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<term>Tooth plastic rims</term>
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<term>Treatment demand</term>
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<term>Treatment need</term>
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<term>Twitch force</term>
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<term>Unilateral clenching</term>
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<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
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<term>Younger persons</term>
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<term>Academic centre</term>
<term>Anterior temporalis</term>
<term>Anticipatory activity</term>
<term>Apnoea</term>
<term>Appliance</term>
<term>Arbitrary moulding</term>
<term>Arthrogenous origin</term>
<term>Auscultation</term>
<term>Bennett movement</term>
<term>Bennett side shift</term>
<term>Bilateral</term>
<term>Bilateral clenching</term>
<term>Bilateral measurement</term>
<term>Blackwell</term>
<term>Blackwell science</term>
<term>Bosman department</term>
<term>Botulinum toxin</term>
<term>Bres</term>
<term>Bruxers</term>
<term>Bruxism</term>
<term>Bruxism time index</term>
<term>Central incisor</term>
<term>Centre</term>
<term>Cervical</term>
<term>Cervical spine</term>
<term>Clenching</term>
<term>Clinical assessment</term>
<term>Clinical signs</term>
<term>Complete dentures</term>
<term>Contraction episodes</term>
<term>Contraction time</term>
<term>Contralateral side</term>
<term>Control appliance</term>
<term>Control group</term>
<term>Corresponding amas</term>
<term>Craniomandibular</term>
<term>Craniomandibular disorders</term>
<term>Crown height</term>
<term>Daily stress</term>
<term>Deformation displacement</term>
<term>Dental research</term>
<term>Dentine exposure</term>
<term>Dentistry</term>
<term>Dentistry amsterdam</term>
<term>Denture</term>
<term>Diagnostic criteria</term>
<term>Different design</term>
<term>Different foods</term>
<term>Digastric</term>
<term>Disorder</term>
<term>Edentate people</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>Experimental muscle pain</term>
<term>Experimental occlusal interference</term>
<term>Facial pain</term>
<term>Flemish adolescent girls</term>
<term>Food resistance</term>
<term>Force transducer</term>
<term>Full dentures</term>
<term>Functional impression trays</term>
<term>Functional impressions</term>
<term>Glenoid fossa</term>
<term>Haemodynamic changes</term>
<term>Healthy subjects</term>
<term>Horizontal forces</term>
<term>Hospital anxiety</term>
<term>Hydrodynamic stimulation</term>
<term>Implant</term>
<term>Incisor</term>
<term>Interference period</term>
<term>Interobserver reliability</term>
<term>Interrater reliability</term>
<term>Item scores</term>
<term>Laryngeal</term>
<term>Laryngeal elevation</term>
<term>Laryngeal vibration</term>
<term>Lateral</term>
<term>Lateral pterygoid muscles</term>
<term>Life quality</term>
<term>Little modulation</term>
<term>Local anaesthesia</term>
<term>Local application</term>
<term>Local craniomandibular pain</term>
<term>Lower ridge region</term>
<term>Lower ridge resorption</term>
<term>Magnetic resonance imaging</term>
<term>Main complaint</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular contact movements</term>
<term>Mandibular movement</term>
<term>Mandibular movements</term>
<term>Mandibular posture</term>
<term>Masseter</term>
<term>Masseter muscle activity</term>
<term>Masseter muscles</term>
<term>Masticatory</term>
<term>Masticatory muscle palpation</term>
<term>Masticatory muscles</term>
<term>Masticatory performance</term>
<term>Masticatory system</term>
<term>Mcgill pain questionnaire</term>
<term>Molar</term>
<term>Mouth opening</term>
<term>Multiple regression analysis</term>
<term>Muscle activity</term>
<term>Myofascial pain</term>
<term>Myogenous</term>
<term>Myogenous pain</term>
<term>Naeije department</term>
<term>Narrow occlusal surface</term>
<term>Natural environment</term>
<term>Nerve responses</term>
<term>Netherlands</term>
<term>Occlusal</term>
<term>Occlusal anatomy</term>
<term>Occlusal appliance therapy</term>
<term>Occlusal surface</term>
<term>Occlusal tooth</term>
<term>Odds ratio</term>
<term>Okayama university</term>
<term>Oral function</term>
<term>Oral habits</term>
<term>Oral physiology</term>
<term>Oral rehabilitation</term>
<term>Other techniques</term>
<term>Other variables</term>
<term>Outcome variables</term>
<term>Pain intensity</term>
<term>Painful body areas</term>
<term>Palatal</term>
<term>Palatal appliances</term>
<term>Palpation</term>
<term>Patient group</term>
<term>Periodontal receptors</term>
<term>Personality characteristics</term>
<term>Physiology</term>
<term>Physiotherapeutic treatment modalities</term>
<term>Physiotherapy</term>
<term>Physiotherapy group</term>
<term>Positive effect</term>
<term>Posterior digastric</term>
<term>Posterior digastric muscle palpation</term>
<term>Posterior part</term>
<term>Posterior temporalis</term>
<term>Predictor variables</term>
<term>Premature contact</term>
<term>Present study</term>
<term>Pressure onset</term>
<term>Previous study</term>
<term>Prosthetic dentistry</term>
<term>Prosthodontics</term>
<term>Psychological characteristics</term>
<term>Psychological distress</term>
<term>Psychological factors</term>
<term>Psychosomatic disorders</term>
<term>Pulpal blood circulation</term>
<term>Randomized</term>
<term>Recent studies</term>
<term>Recurrent headache</term>
<term>Reliability</term>
<term>Removable prosthodontics</term>
<term>Replacement dentures</term>
<term>Ridge incisal edge</term>
<term>Right masseter muscle</term>
<term>Ring rates</term>
<term>Risk factors</term>
<term>Sagittal distance</term>
<term>Several types</term>
<term>Side mandible</term>
<term>Spearman correlation</term>
<term>Splint therapy</term>
<term>Stabilization appliance</term>
<term>Statistical analysis</term>
<term>Sternocleidomastoid muscles</term>
<term>Stimulation cavity</term>
<term>Stomatognathic physiology</term>
<term>Such treatment</term>
<term>Superior laryngeal nerve</term>
<term>Supramedullary region</term>
<term>Symptom</term>
<term>Temporal muscles</term>
<term>Temporalis</term>
<term>Temporalis muscle</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Temporomandibular joints</term>
<term>Tongue motion</term>
<term>Tooth plastic rims</term>
<term>Treatment contrast</term>
<term>Treatment demand</term>
<term>Treatment effect</term>
<term>Treatment group</term>
<term>Treatment need</term>
<term>Treatment outcome</term>
<term>Twitch force</term>
<term>Unilateral</term>
<term>Unilateral clenching</term>
<term>Vallon department</term>
<term>Vertical distance</term>
<term>Visual analogue scale</term>
<term>Visual analogue scales</term>
<term>Visual feedback</term>
<term>Younger persons</term>
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<front>
<div type="abstract" xml:lang="en">Static and dynamic occlusal interferences often occur in restorations. The CICERO CAD/CAM technique was used to control the occlusal dimensions of all‐ceramic restorations by setting the variables which determine the mandibular contact movements. The anatomy of the occlusal form of the (pre)molar teeth is influenced by the setting of the sagittal and transversal determinants of mandibular contact movements. In this study the variation in occlusal morphology of a high‐ and low‐limit setting of six variables was compared with an averaged setting. The settings (high, low and averaged, respectively) of the mandibular movement: the sagittal condylar (60°, 0°, 30°) and the incisal guide angle (60°, 0°, 30°) as well as the long centric articulation (1·2 mm, 0 mm, 0·6 mm) influence mainly the antero‐posterior direction, whereas the settings of Bennett movement (laterotrusion: 30°, 0°, 15°), Bennett side shift (laterotranslation: 1, 0, 0·5 mm) and the wide centric (lateral intercuspal contact area: 0·6, 0, 0·3 mm) will mainly influence the transversal direction of the mandibular movement. The influence of the variation of settings on ‘dynamic’ crown morphology as compared with the static crown morphology was studied by comparison of mesio‐distal and bucco‐lingual sections at the same occlusal position of the first lower molar design. Furthermore, the amount of material needed for the correction of the ‘static’ crown to avoid interferences in dynamic conditions was calculated. It appeared that most correction was needed for the ipsilateral settings: Bennett side shift (1·0 mm), Bennett movement (30°) and the Sag. Condylar guidance (0°) as well as the Incisal angle (0°), which could be studied in the bucco‐lingual sections. Also the Bennett side shift on the contra‐lateral side influenced the occlusal contour strongly, which could be seen in the mesio‐distal section. It was concluded that simulation of the influence of several types of determinants of mandibular movement on the three‐dimensional occlusal anatomy can be studied using the CICERO‐CAD/CAM technique. The ipsi‐ and contralateral Bennett side shift variation influenced the occlusal anatomy more than other variables.</div>
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