Center of Excellence for Dental Implantology, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.
J Oral Rehabil. 2020 Jun;47(6):757-765. doi: 10.1111/joor.12969. Epub 2020 May 26.
Occlusal analysis is a substantial tool for the functional improvement evaluation after using implant-retained overdenture comparing to complete denture without dental implant retaining. To evaluate occlusal pattern, chewing force distribution in mini-dental implant-retained mandibular overdentures by computerised occlusal analysis system and to compare patient satisfaction after 1-year function. Thirty-one patients wearing complete dentures were included in the study. Prior to mini-dental implant-retained treatment, all patients were assessed for occlusion and force distribution using computerised occlusal analysis system (T-Scan ), and then, all patients received two mini-dental implant-retained mandibular overdentures. Mini-dental implants were immediately loaded using low vertical profile attachments (Equator ). T-Scan was used to evaluate chewing force and force distribution at 1 day, 3 months, 6 months and 12 months. The patient satisfactions before implant placement and after 1 year were evaluated using questionnaires which included satisfaction of denture quality, psychosocial behaviour and chewing efficiency modified from the validated questionnaires. Clinical evaluation of two mini-dental implant-retained mandibular overdentures showed 100% success rate after 1 year. T-Scan demonstrated that maximum occlusal contact force increased continuously. The force distribution; the tooth contact number increased over the period. At 1-year follow-up, overall patient satisfaction was significantly greater than before receiving mini-dental implant treatment (P < .001). Using computerised occlusal analysis, mini-dental implants improve complete denture function significantly in terms of maximum occlusal contact force, tooth contact number without the impairment of force distribution. The oral function of the patients has been enhanced.
咬合分析是一种重要的工具,可用于评估使用种植体固位覆盖义齿与无种植体固位的全口义齿相比的功能改善。使用计算机化咬合分析系统评估微型牙种植体固位下颌覆盖义齿的咬合模式和咀嚼力分布,并比较 1 年后的患者满意度。本研究纳入了 31 名佩戴全口义齿的患者。在进行微型牙种植体固位治疗之前,所有患者均使用计算机化咬合分析系统(T-Scan )评估咬合和力分布,然后所有患者均接受了 2 个微型牙种植体固位下颌覆盖义齿。使用低垂直轮廓附着体(Equator )立即加载微型牙种植体。使用 T-Scan 在 1 天、3 个月、6 个月和 12 个月时评估咀嚼力和力分布。使用问卷评估患者在植入物放置前和 1 年后的满意度,问卷包括对义齿质量、社会心理行为和咀嚼效率的满意度,这些满意度是从经过验证的问卷中修改而来的。2 年后,微型牙种植体固位下颌覆盖义齿的临床评估显示 100%成功率。T-Scan 显示最大咬合接触力持续增加。力分布;在这段时间内,牙齿接触数增加。在 1 年随访时,患者的总体满意度明显高于接受微型牙种植治疗前(P <.001)。使用计算机化咬合分析,微型牙种植体可显著改善全口义齿的功能,提高最大咬合接触力和无牙接触数,而不会影响力分布。患者的口腔功能得到了增强。