Deepika B A, Ramamurthy Jaiganesh
Department of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S265-S271. doi: 10.4103/japtr.japtr_225_22. Epub 2022 Nov 30.
Occlusal analysis is important to analyze any disharmony in occlusion. Atraumatic dental occlusion leads to evolution of T-scan. T-scan gives a valuable procedure for clinical assessment and perception of occlusal problems. T-scan can also be used in periodontitis patients for checking the occlusal pattern. Occlusal problems and periodontal disease relationship remains controversial. Further research is needed to determine whether occlusal adjustment is necessary for periodontal treatment. The main aim of the study was to assess the occlusal pattern using T-scan in periodontitis patients. Thirty periodontitis subjects were taken and checked for occlusion using T-scan. The subject's age group was 35-55 years. The study included 15 males and 15 females. Plaque index, gingival index, attachment loss, probing depth, centric occlusion (CO), protrusion, right lateral, and left lateral were the parameters studied. Occlusal adjustments were needed to decrease and dissipate the abnormal occlusal forces. The significance of statistical tests for various movements are as follows: CO (right and left) ( = 0.077) > 0.05; protrusion (right and left) ( = 0.09) > 0.05; left side lateral (right side and left side) ( = 0.01) < 0.05; right lateral (right side and left side) ( = 0.00) < 0.05. CO and protrusion (right, left) for males and females are not significant. Left lateral and right lateral (right, left) for males and females were significant. The T-scan manages adequate specificity and sensitivity. Hence, these act as a distinctive tool for diagnosis and better unreliable when used intraorally. The T-scan method is definitely a valuable tool for examining and evaluating the occlusal contacts during maximal intercuspation.
咬合分析对于分析咬合中的任何不协调情况很重要。无创伤性牙合导致T-scan的发展。T-scan为临床评估和咬合问题的感知提供了一种有价值的方法。T-scan也可用于牙周炎患者以检查咬合模式。咬合问题与牙周疾病的关系仍存在争议。需要进一步研究以确定牙周治疗是否需要进行咬合调整。该研究的主要目的是使用T-scan评估牙周炎患者的咬合模式。选取了30名牙周炎受试者,使用T-scan检查其咬合情况。受试者年龄在35至55岁之间。该研究包括15名男性和15名女性。研究的参数包括菌斑指数、牙龈指数、附着丧失、探诊深度、正中咬合(CO)、前伸、右侧和左侧侧方咬合。需要进行咬合调整以减少和消散异常咬合力。各种运动的统计检验意义如下:CO(左右)(=0.077)>0.05;前伸(左右)(=0.09)>0.05;左侧侧方咬合(右侧和左侧)(=0.01)<0.05;右侧侧方咬合(右侧和左侧)(=0.00)<0.05。男性和女性的CO和前伸(左右)无统计学意义。男性和女性的左侧侧方咬合和右侧侧方咬合(左右)有统计学意义。T-scan具有足够的特异性和敏感性。因此,这些在口腔内使用时可作为诊断的独特工具且可靠性较好。T-scan方法绝对是在最大牙尖交错位检查和评估咬合接触的有价值工具。