无牙颌种植固定修复的咬合分析

doi:10.7518/hxkq.2018.06.009

华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (6): 628-632.doi: 10.7518/hxkq.2018.06.009

无牙颌种植固定修复的咬合分析

李晓茜¹,马晓妮²(),徐欣²

^1. 山东大学口腔医院牙周科
^2. 种植科,济南 250012

收稿日期:2017-12-11 修回日期:2018-05-09 出版日期:2018-12-01 发布日期:2018-12-12
通讯作者: 马晓妮 E-mail:maxiaoni0@126.com
作者简介:李晓茜,住院医师,硕士,E-mail： mianhuaqian325310@126.com
基金资助:
泰山学者建设项目专项基金(ts201511106)

Occlusal analysis of implant-supported fixed denture in edentulous patients

Xiaoqian Li¹,Xiaoni Ma²(),Xin Xu²

^1. Dept. of Periodontics, Stomatological Hospital of Shandong University, Jinan 250012, China
^2. Dept. of Implantation, Stomato-logical Hospital of Shandong University, Jinan 250012, China

Received:2017-12-11 Revised:2018-05-09 Online:2018-12-01 Published:2018-12-12
Contact: Xiaoni Ma E-mail:maxiaoni0@126.com
Supported by:
The Construction Engineering Special Fund of Taishan Scholars(ts201511106)

摘要/Abstract

摘要：

目的探讨全口无牙颌患者应用固定种植修复后的咬合特点。方法选取30例全口无牙颌种植固定修复患者作为试验组,30例天然牙列受试者作为对照组,使用Teetester数字化咬合分析系统分析二者在牙尖交错位、前伸颌位、侧方颌位等不同位的咬合时间及咬合力分布等特点。结果牙尖交错位时,试验组的咬合接触时间、最大咬合力均小于对照组（P<0.05）,而最大咬合力时左右侧咬合力平衡度则相反;前伸颌位时,试验组的咬合分离时间小于对照组（P<0.05）;侧方颌位时,试验组的咬合接触时间小于对照组（P<0.05）。二者的平均咬合压力、前牙区总受力百分比、侧方颌的颌型均无统计学差异。结论全口无牙颌种植固定修复患者牙尖交错位时的最大咬合力会降低,但与天然牙列相似的是,前伸颌位时咬合力量均集中在前牙区,侧方颌位时均以组牙功能为主。

关键词: 无牙颌患者, 种植, 固定义齿, 覆盖义齿, 咬合分析系统

Abstract:

Objective This study aims to evaluate the occlusal characteristics of full edentulous patients with implant-supported prostheses and to provide a reference with the occlusal situation for clinicians.Methods A Teetester occlusal analysis system was used with 30 full edentulous patients of implant-supported fixed denture (test group) in comparison with 30 natural dentition (control group). The percentage of occlusal force distribution were measured, as well as the occlusal time at the intercuspal, protrusion, and left and right lateral positions.Results Compared with control group, the occlusion time, maximum occlusal force in intercuspal of test group significantly reduced (P<0.05); while control group was obviously supe-rior to test group in the left and right bit force degree. Disclusion time in protrusion, occlusion times in lateral positions of test group also significantly reduced (P<0.05). There were no significant differences in average occlusion force, percentage of total force in anterior teeth, and lateral occlusion between test group and control group.Conclusion The maximum occlusal force in intercuspal of full edentulous patients with implant-supported prostheses reduce. The occlusal force in protrusive occlusion is concentrated in the front teeth, and the group function occlusion is the main lateral occlusal pattern.

Key words: edentulous patient, implanting, fixed denture, overdenture, occlusal analysis system

中图分类号:

R783.4

李晓茜,马晓妮,徐欣. 无牙颌种植固定修复的咬合分析[J]. 华西口腔医学杂志, 2018, 36(6): 628-632.

Xiaoqian Li,Xiaoni Ma,Xin Xu. Occlusal analysis of implant-supported fixed denture in edentulous patients[J]. West China Journal of Stomatology, 2018, 36(6): 628-632.

图/表 2

参考文献 16

[1]	Pan YH, Lin TM, Liang CH . Comparison of patient’s satis-faction withimplant-supported mandibular overdentures and complete dentures[J]. Biomed J, 2014,37(3):156-162.
[2]	Doundoulakis JH, Eckert SE, Lindquist CC , et al. The implant-supported overdenture as an alternative to the complete man-dibular denture[J]. J Am Dent Assoc, 2003,134(11):1455-1458. doi: 10.14219/jada.archive.2003.0073 URL pmid: 14664262
[3]	Tallgren A . The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. 1972[J]. J Prosthet Dent, 2003,89(5):427-435. doi: 10.1016/0022-3913(72)90188-6 URL pmid: 4500507
[4]	Sadig W . A comparative in vitro study on the retention and stability of implant-supported overdentures[J]. Quintessence Int, 2009,40(4):313-319. URL pmid: 19417876
[5]	Wennerberg A, Albrektsson T . Current challenges in success-ful rehabilitation with oral implants[J]. J Oral Rehabil, 2011,38(4):286-294. doi: 10.1111/j.1365-2842.2010.02170.x URL pmid: 20969613
[6]	张豪, 韩科 . 学理论与临床实践[M]. 北京: 人民军医出版社, 2008.
	Zhang H, Han K. Occlusion: theories and clinical practice[M]. Beijing: People’s Military Medical Publisher, 2008.
[7]	赵颖, 丁张帆, 康龙 , 等. TeeTester与T-scanⅢ咬合分析仪对正常青年学生咬合力特征的比较[J]. 中国组织工程研究, 2015,19(51):8289-8293.
	Zhao Y, Ding ZF, Kang L , et al. TeeTester versus T-ScanⅢ: assessment of occlusal characteristics in young students with normal occlusion[J]. J Clin Rehabil Tiss Eng Res, 2015,19(51):8289-8293.
[8]	侯潇, 汲平, 马慧芬 , 等. 利用咬合力计指导调治疗颞下颌关节紊乱病[J]. 口腔颌面修复学杂志, 2008,9(1):54-57, 66. doi: 10.3969/j.issn.1009-3761.2008.01.020 URL
	Hou X, Ji P, Ma HF , et al. Clinical effect of occlusion adjust-ment in the treatment of temporomandibular disorders eva-luated with T-Scan Ⅱ system[J]. Chin J Prosthodont, 2008,9(1):54-57, 66. doi: 10.3969/j.issn.1009-3761.2008.01.020 URL
[9]	贾洪诚, 王璇 . 应用T-scan Ⅲ型系统分析牙周基础治疗前后咬合变化的临床研究[J]. 实用口腔医学杂志, 2015,31(4):484-487.
	Jia HC, Wang X . The occlusal changes after initial perio-dontal therapy in patients with chronic periodontitis analysed by T-scan Ⅲ occlusal analysis system[J]. J Pract Stomatol, 2015,31(4):484-487.
[10]	Chang YM, Shen YF, Hong HH , et al. Using the T-scan Ⅲ system to analyze occlusal function in mandibular recons-truction patients: a pilot study[J]. Biomed J, 2015,38(1):52-57. doi: 10.4103/2319-4170.128722 URL pmid: 25163500
[11]	Kerstein RB, Chapman R, Klein M . A comparison of ICAGD (immediate complete anterior guidance development) to mock ICAGD for symptom reductions in chronic myofascial pain dysfunction patients[J]. Cranio, 1997,15(1):21-37. doi: 10.1080/08869634.1997.11745990 URL pmid: 9586486
[12]	Kerstein RB . Obtaining measurable bilateral simultaneous occlusal contacts with computer-analyzed and guided occlusal adjustments[J]. Quintessence Int, 2001,32(1):7-18.
[13]	Okuma K, Hirano S, Hayakawa I . Occlusal pressure pattern analysis of complete dentures for evaluation of occlusal adjustment[J]. J Med Dent Sci, 2004,51(4):197-203. URL pmid: 15704656
[14]	Kerstein RB, Wright NR . Electromyographic and computer analyses of patients suffering from chronic myofascial pain-dysfunction syndrome: before and after treatment with im-mediate complete anterior guidance development[J]. J Pros-thet Dent, 1991,66(5):677-686. doi: 10.1016/0022-3913(91)90453-4 URL
[15]	马斐斐, 胡秀莲, 李健慧 , 等. T-scan Ⅲ咬合分析系统测量正常力分布初探[J]. 中华口腔医学杂志, 2013,48(6):363-367.
	Ma FF, Hu XL, Li JH , et al. Normal occlusion study: using T-scan Ⅲ occlusal analysis system[J]. Chin J Stomatol, 2013,48(6):363-367.
[16]	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 URL pmid: 1403913

颌型	试验组	对照组
尖牙保护颌	7/23.3	3/10.0
组牙功能颌	21/70.0	16/53.3
多组前牙接触	0/0	0/0
前后牙同时存在颌接触	2/6.7	5/16.7
非工作侧存在颌接触	0/0	6/20.0

颌型	试验组	对照组
尖牙保护颌	5/16.7	5/16.7
组牙功能颌	20/66.7	12/40
多组前牙接触	0/0	3/10
前后牙同时存在颌接触	5/16.7	5/16.7
非工作侧存在颌接触	0/0	5/16.7

无牙颌种植固定修复的咬合分析

Occlusal analysis of implant-supported fixed denture in edentulous patients

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