Lumetti S, Ghiacci G, Macaluso G M, Amore M, Galli C, Calciolari E, Manfredi E
Centro Universitario di Odontoiatria, SBiBiT, Università degli Studi di Parma, Parma, Italy.
Sezione di Psichiatria, Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili, Università degli Studi di Genova, Genova, Italy.
Case Rep Dent. 2016;2016:7167452. doi: 10.1155/2016/7167452. Epub 2016 Dec 6.
Oral movement disorders may lead to prosthesis and implant failure due to excessive loading. We report on an edentulous patient suffering from drug-induced tardive dyskinesia (TD) and oral parafunction (OP) rehabilitated with implant-supported screw-retained prostheses. The frequency and intensity of the movements were high, and no pharmacological intervention was possible. Moreover, the patient refused night-time splint therapy. A series of implant and prosthetic failures were experienced. Implant failures were all in the maxilla and stopped when a rigid titanium structure was placed to connect implants. Ad hoc designed studies are desirable to elucidate the mutual influence between oral movement disorders and implant-supported rehabilitation.
口腔运动障碍可能由于负荷过重导致假体和种植体失败。我们报告了一名无牙颌患者，患有药物性迟发性运动障碍（TD）和口腔副功能（OP），采用种植体支持的螺丝固位假体进行修复。运动的频率和强度都很高，且无法进行药物干预。此外，患者拒绝夜间夹板治疗。出现了一系列种植体和假体失败的情况。种植体失败均发生在上颌，当放置刚性钛结构连接种植体时失败停止。需要进行专门设计的研究来阐明口腔运动障碍与种植体支持修复之间的相互影响。
