无牙颌种植义齿修复咬合接触设计的研究进展

doi:10.12337/zgkqzzxzz.2023.08.006

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (4): 239-243.DOI: 10.12337/zgkqzzxzz.2023.08.006

• 无牙颌种植治疗重点栏目 • 上一篇下一篇

无牙颌种植义齿修复咬合接触设计的研究进展

黎植文¹, 杜冰冉¹, 林媛¹, 潘耀鹏¹, 金刘莉², 张雪洋^1,2

¹南方医科大学顺德医院,佛山 528399;
²南方医科大学口腔医院（广东省口腔医院）,广州 516006

收稿日期:2023-07-03 出版日期:2023-08-30 发布日期:2023-09-05
通讯作者: 张雪洋,Email：zhangxueyang666@126.com,电话：020-84427034
作者简介:黎植文,硕士研究生,研究方向：口腔正畸学、咬合与下颌运动;张雪洋,口腔医学博士、主任医师、牙周科主任,研究方向：颞下颌关节病学、𬌗学、牙周种植相关研究工作
基金资助:
广东省教育厅高校科研项目（重点领域专项）（2021ZDZX1024）

Advances in occlusal contact design of implant-supported dentures in complete edentulous patients

Li Zhiwen¹, Du bingran¹, Lin Yuan¹, Pan Yaopeng¹, Jin Liuli², Zhang Xueyang^1,2

¹Shunde Hospital, Southern Medical University, Foshan 528399, China;
²Stomatological Hospital, Southern Medical University, Guangzhou 516006, China

Received:2023-07-03 Online:2023-08-30 Published:2023-09-05
Contact: Zhang Xueyang, Email: zhangxueyang666@126.com, Tel: 0086-20-84427034
Supported by:
University Scientific Research Project of of Education Commission of Guangdong Province (Key Field Special Project) (2021ZDZX1024)

摘要/Abstract

摘要： 种植义齿咬合接触的设计是无牙颌患者种植修复的重要考量因素之一。适宜的咬合力在保证患者咀嚼能力的同时,避免种植体受到过大负荷,而不良咬合力则会影响种植修复的预后。无牙颌患者种植义齿的正中咬合接触设计应当尽量保证咬合力平行于种植体长轴,减少悬臂梁和不良支点的存在,保持后牙接触的均匀稳定,首选尖牙保护牙合作为种植体保护性咬合。

关键词: 种植修复体, 无牙颌, 咬合

Abstract: The design of occlusal contact of implant-supported dentures is one of the important factors to consider for implant restoration in patients with edentulism. Proper occlusal force can ensure the patients' chewing ability and avoid excessive loading on the implants, while improper occlusal force will affect the prognosis of implants. The design of the centric occlusal contact for patients with edentulism should ensure that the occlusal force is parallel to the long axis of the implants, reducing the existence of cantilevers and improper fulcrums, and maintain the even and stable contact of the posterior teeth. The first choice of implant protected occlusion is the canine guide occlusion..

Key words: Implant prothesis, Edentulism, Occlusion

黎植文,杜冰冉,林媛,等. 无牙颌种植义齿修复咬合接触设计的研究进展[J]. 中国口腔种植学杂志, 2023, 28(4): 239-243. DOI: 10.12337/zgkqzzxzz.2023.08.006

Li Zhiwen, Du bingran, Lin Yuan, Pan Yaopeng, Jin Liuli, Zhang Xueyang. Advances in occlusal contact design of implant-supported dentures in complete edentulous patients[J].Chinese Journal of Oral Implantology, 2023, 28(4): 239-243.DOI: 10.12337/zgkqzzxzz.2023.08.006.

参考文献

[1] Pan YH, Lin TM, Liang CH.Comparison of patient's satisfaction with implant-supported mandibular overdentures and complete dentures[J]. Biomed J, 2014,37(3):156-162. DOI: 10.4103/2319-4170.131384.
[2] Klineberg I, Kingston D, Murray G.The bases for using a particular occlusal design in tooth and implant-borne reconstructions and complete dentures[J]. Clin Oral Implants Res, 2007,18(Suppl 3):151-167. DOI: 10.1111/j.1600-0501.2007.01446.x.
[3] Robau-Porrua A, Pérez-Rodríguez Y, Soris-Rodríguez LM, et al.The effect of diameter, length and elastic modulus of a dental implant on stress and strain levels in peri-implant bone: a 3D finite element analysis[J]. Biomed Mater Eng, 2020,30(5-6):541-558. DOI: 10.3233/BME-191073.
[4] 金卓华, 谢丽丽, 李雨阳, 等. 咬合过载与种植体周炎关系的研究进展[J].口腔疾病防治, 2021,29(11):782-786. DOI: 10.12016/j.issn.2096-1456.2021.11.010.
[5] Maló P, de Araújo Nobre M, Lopes A, et al. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: a longitudinal study with 10 to 18 years of follow-up[J]. Clin Implant Dent Relat Res, 2019,21(4):565-577. DOI: 10.1111/cid.12769.
[6] Salvi GE, Brägger U. Mechanical and technical risks in implant therapy[J]. Int J Oral Maxillofac Implants, 2009,24 Suppl:69-85.
[7] 施斌, 吴涛. 种植修复体机械并发症的原因、预防及处理[J].口腔疾病防治, 2018,26(7):415-421. DOI: 10.12016/j.issn. 2096-1456.2018.07.002.
[8] Kinsel RP, Lin D.Retrospective analysis of porcelain failures of metal ceramic crowns and fixed partial dentures supported by 729 implants in 152 patients: patient-specific and implant-specific predictors of ceramic failure[J]. J Prosthet Dent, 2009,101(6):388-394. DOI: 10.1016/S0022-3913(09)60083-4.
[9] Podaropoulos L, Veis AA, Trisi P, et al.Bone reactions around dental implants subjected to progressive static load: an experimental study in dogs[J]. Clin Oral Implants Res, 2016,27(7):910-917. DOI: 10.1111/clr.12658.
[10] Nagasawa M, Takano R, Maeda T, et al.Observation of the bone surrounding an overloaded implant in a novel rat model[J]. Int J Oral Maxillofac Implants, 2013,28(1):109-116. DOI: 10.11607/jomi.2388.
[11] Delgado-Ruiz RA, Calvo-Guirado JL, Romanos GE.Effects of occlusal forces on the peri-implant-bone interface stability[J]. Periodontol 2000, 2019,81(1):179-193. DOI: 10.1111/prd.12291.
[12] Bertolini MM, Del Bel Cury AA, Pizzoloto L, et al. Does traumatic occlusal forces lead to peri-implant bone loss? A systematic review[J]. Braz Oral Res, 2019,33(suppl 1):e069. DOI: 10.1590/1807-3107bor-2019.vol33.0069.
[13] Ferrari DS, Piattelli A, Iezzi G, et al.Effect of lateral static load on immediately restored implants: histologic and radiographic evaluation in dogs[J]. Clin Oral Implants Res, 2015,26(4):e51-e56. DOI: 10.1111/clr.12331.
[14] Misch CE, Bidez MW. Implant-protected occlusion: a biomechanical rationale[J]. Compendium, 1994,15(11):1330, 1332, 1334 passim; quiz 1344.
[15] Misch CE.Occlusal considerations for implant-supported prostheses. In: dental Implant Prosthetics[M].St. Louis USA: Elsevier, 2015:874-912. DOI:10.1016/B978-0-323-07845- 0.00031-2
[16] Carlsson GE.Dental occlusion: modern concepts and their application in implant prosthodontics[J]. Odontology, 2009,97(1):8-17. DOI: 10.1007/s10266-008- 0096-x.
[17] Madani AS, Nakhaei M, Alami M, et al.Post-insertion posterior single-implant occlusion changes at different intervals: a T-scan computerized occlusal analysis[J]. J Contemp Dent Pract, 2017,18(10):927-932. DOI: 10.5005/jp-journals-10024-2151.
[18] Zhou T, Wongpairojpanich J, Sareethammanuwat M, et al.Digital occlusal analysis of pre and post single posterior implant restoration delivery: a pilot study[J]. PLoS One, 2021,16(7):e0252191. DOI: 10.1371/journal.pone.0252191.
[19] 刘诗瑶, 晏奇, 施斌. 无牙颌种植固定义齿设计的研究进展[J].口腔疾病防治,2022,30(7):511-516. DOI: 10.12016/j.issn.2096-1456.2022.07.008.
[20] MacMillan, Hugh W. Unilateral vs. Bilateral Balanced Occlusion[J]. J Am Dent Assoc 1930, 17(7):1207-1221.DOI:10.14219/jada. archive. 1930.0204.
[21] Schuyler CH.Correction of occlusal disharmony of the natural dentition[J]. NY State Dent J, 1947,13(8):445-462.
[22] Schuyler CH.Considerations of occlusion in fixed partial dentures[J]. Dent Clin North Am 1959,3(1):187-203.DOI:10.1016/S0011-8532(22)03351-1
[23] Schuyler CH.Fundamental principles in the correction of occlusal disharmony, natural and artificia[J]. J Am Dent Assoc 1935,22(7):1193-1202. DOI:10. 14219/jada.archive.1935.0188.
[24] Zarb G, Hobkirk J, Eckert S, Jacob R.Prosthodontic Treatment for Edentulous Patients: Complete Dentures and Implant-Supported Prostheses (13th Edition)[M]. St.Louis, USA:Elsevier. 2012:464.
[25] Brandt S, Danielczak R, Kunzmann A, et al.Prospective clinical study of bilateral balanced occlusion (BBO) versus canine-guided occlusion (CGO) in complete denture wearers[J]. Clin Oral Investig, 2019,23(11):4181-4188. DOI: 10.1007/s00784-019-02857-5.
[26] Lemos C, Verri FR, Gomes J, et al.Bilateral balanced occlusion compared to other occlusal schemes in complete dentures: a systematic review[J]. J Oral Rehabil, 2018,45(4):344-354. DOI: 10.1111/joor.12607.
[27] Salsench J, Martínez-Gomis J, Torrent J, et al.Relationship between duration of unilateral masticatory cycles and the type of lateral dental guidance: a preliminary study[J]. Int J Prosthodont, 2005,18(4):339-346.
[28] Türker N, Alkiş HT, Sadowsky SJ, et al.Effects of occlusal scheme on All-on-four abutments, screws, and prostheses: a three-dimensional finite element study[J]. J Oral Implantol, 2021,47(1):18-24. DOI: 10.1563/aaid-joi-D-19-00334.
[29] Kumar M, Verma R, Bansal M, et al.To evaluate the severity, distribution of occlusal tooth wear and its correlation with bite force in young North Indian adults[J]. Open Dent J, 2018,12:735-741. DOI: 10.2174/1745017901814010735.
[30] Wang YL, Cheng J, Chen YM, et al.Patterns and forces of occlusal contacts during lateral excursions recorded by the T-scan II system in young Chinese adults with normal occlusions[J]. J Oral Rehabil, 2011,38(8):571-578. DOI: 10.1111/j.1365-2842.2010.02194.x.
[31] Ingervall B, Hähner R, Kessi S.Pattern of tooth contacts in eccentric mandibular positions in young adults[J]. J Prosthet Dent, 1991,66(2):169-176. DOI: 10.1016/s0022-3913(05)80043-5.
[32] D'Amico A. The canine teeth: normal functional relation of the natural teeth of man[J]. J South Calif Dent Assoc. 1958,26:6-23.
[33] Belser UC, Hannam AG.The influence of altered working-side occlusal guidance on masticatory muscles and related jaw movement[J]. J Prosthet Dent, 1985,53(3):406-413. DOI: 10.1016/0022-3913(85)90523-2.
[34] Okano N, Baba K, Akishige S, et al.The influence of altered occlusal guidance on condylar displacement[J]. J Oral Rehabil, 2002,29(11):1091-1098. DOI: 10.1046/j.1365-2842.2002.00937.x.
[35] Goldstein GR.The relationship of canine-protected occlusion to a periodontal index[J]. J Prosthet Dent, 1979,41(3):277-283. DOI: 10.1016/0022-3913(79)90007-6.
[36] Williamson EH, Lundquist DO.Anterior guidance: its effect on electromyographic activity of the temporal and masseter muscles[J]. J Prosthet Dent, 1983,49(6):816-823. DOI: 10.1016/0022-3913(83)90356-6.
[37] Rodríguez K, Miralles R, Gutiérrez MF, et al.Influence of jaw clenching and tooth grinding on bilateral sternocleidomastoid EMG activity[J]. Cranio, 2011,29(1):14-22. DOI: 10.1179/crn.2011.004.
[38] Pero AC, Scavassin PM, Policastro VB, et al.Masticatory function in complete denture wearers varying degree of mandibular bone resorption and occlusion concept: canine-guided occlusion versus bilateral balanced occlusion in a cross-over trial[J]. J Prosthodont Res, 2019,63(4):421-427. DOI: 10.1016/j.jpor.2019.03.005.
[39] Seifi M, Nodehi D, Ghahramanloo A, et al.Comparing the electromyographic features of the masseter and temporal muscles in patients with full mouth implant-supported FDPs and natural dentition[J]. Acta Inform Med, 2017,25(1):49-53. DOI: 10.5455/aim.2017.25.49-53.
[40] Göre E, Evlioğlu G.Assessment of the effect of two occlusal concepts for implant-supported fixed prostheses by finite element analysis in patients with bruxism[J]. J Oral Implantol, 2014,40(1):68-75. DOI: 10.1563/AAID-JOI-D-11-00044.
[41] Mohamed A, Askar MG, El Homossany M.Stresses induced by one piece and two piece dental implants in All-on-4® implant supported prosthesis under simulated lateral occlusal loading: non linear finite element analysis study[J]. BMC Oral Health, 2022,22(1):196. DOI: 10.1186/s12903-022-02228-9.
[42] Abduo J, Tennant M.Impact of lateral occlusion schemes: a systematic review[J]. J Prosthet Dent, 2015,114(2):193-204. DOI: 10.1016/j.prosdent.2014.04.032.
[43] Sheridan RA, Decker AM, Plonka AB, et al.The role of occlusion in implant therapy: a comprehensive updated review[J]. Implant Dent, 2016,25(6):829-838. DOI: 10.1097/ID.0000000000000488.

无牙颌种植义齿修复咬合接触设计的研究进展

Advances in occlusal contact design of implant-supported dentures in complete edentulous patients

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 11

编辑推荐

Metrics

[1]	孙为, 施斌. 数字化技术在无牙颌患者种植治疗中的应用探索[J]. 中国口腔种植学杂志, 2023, 28(4): 217-222.
[2]	骆泯润, 白雪莹, 祝雨茜, 吴涛, 周毅. 无牙颌金属种植导板精度分析的病例系列[J]. 中国口腔种植学杂志, 2023, 28(4): 223-228.
[3]	张思慧, 陈威夷, 蔡琴, 林宇轩, 陈江. 比较全程引导与半程引导机器人技术对无牙颌种植精度的影响[J]. 中国口腔种植学杂志, 2023, 28(4): 229-232.
[4]	马博文, 林潇, 耿威. 三维扫描结合CBCT配准技术实现无牙颌全程数字化即刻种植修复的效果评估[J]. 中国口腔种植学杂志, 2023, 28(4): 233-238.
[5]	陶宝鑫, 汪文颖, 吴轶群. 颧种植手术机器人的研发及应用进展[J]. 中国口腔种植学杂志, 2023, 28(3): 193-197.
[6]	杨宇飞, 顾新华. 种植修复体穿龈轮廓设计的生物学原则[J]. 中国口腔种植学杂志, 2022, 27(6): 352-357.
[7]	赵瑜越, 黄雁红, 黄英, 陈潇, 容明灯, 张雪洋. 无牙颌种植修复中的牙合学要素[J]. 中国口腔种植学杂志, 2021, 26(6): 400-404.
[8]	张思慧, 刘向东, 何凯讯, 吴玲, 陈江. 以功能为导向的全程数字化种植咬合重建一例[J]. 中国口腔种植学杂志, 2021, 26(2): 102-108.
[9]	刘向东, 张思慧, 何凯讯, 罗家坤, 陈江. 口内电阻焊接在无牙颌种植修复中的应用[J]. 中国口腔种植学杂志, 2021, 26(2): 120-123.
[10]	李军, 张俊花, 孙丽华, 张宾, 刘童斌. 老年无牙颌患者应用locator 种植覆盖义齿的回顾研究[J]. 中国口腔种植学杂志, 2020, 25(2): 64-68.
[11]	范庆莲, 董凯, 王维峰. 六手护理配合在全口即刻种植修复中的应用探讨[J]. 中国口腔种植学杂志, 2019, 24(2): 89-91.