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后牙种植修复体咬合不足的长期随访：牙列变化的叠加分析

Long-term follow-up of posterior implant restorations showing under-occlusion: a superimposition analysis of dentition change.

作者信息

Gwack Hye-In, Kim Jong-Hee, Yi Yang-Jin

机构信息

Department of Prosthodontics, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.

出版信息

J Adv Prosthodont. 2024 Dec;16(6):358-368. doi: 10.4047/jap.2024.16.6.358. Epub 2024 Dec 19.

DOI:10.4047/jap.2024.16.6.358
PMID:39803383
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11711453/
Abstract

Under-occlusion ('infraocclusion' as defined in the natural teeth) after implant restoration in the posterior area is commonly encountered in clinical practice; however, it has rarely been reported. Most importantly, the under-occlusion change mechanism remains unknown. The purpose of this case report was to analyze how the dentition of both arches changed in a patient, including teeth tilting, elongation and occlusal plane change with under-occlusion of the posterior implant restoration after long-term function. Based on this, we hypothesized a mechanism of under-occlusion of the posterior implant restoration. Among patients showing the under-occlusion phenomenon, three patients who had a long-term follow-up and had a model produced at the time of restoration were enrolled. The dentition changes were analyzed via digital scanning and superimposition of the model at the time of restoration, with the current model showing under-occlusion. Based on the result of superimposition, tooth elongation occurs mainly in the maxilla, and two types of positional changes occur in the mandible, specifically in the anterior-superior and posterior-inferior direction. The mechanism of under-occlusion of the posterior implant could be the result of tooth elongation and the relative positional change of the mandible.

摘要

种植修复后牙区出现咬合不足（天然牙情况下定义为“低位咬合”）在临床实践中较为常见，但鲜有报道。最重要的是，咬合不足的变化机制尚不清楚。本病例报告的目的是分析长期功能后，后牙种植修复出现咬合不足时患者双侧牙列的变化情况，包括牙齿倾斜、伸长以及咬合平面的改变。基于此，我们推测了后牙种植修复咬合不足的机制。在出现咬合不足现象的患者中，纳入了3例进行长期随访且在修复时制作了模型的患者。通过对修复时模型和当前显示咬合不足的模型进行数字扫描和叠加，分析牙列变化。基于叠加结果，牙齿伸长主要发生在上颌，下颌则出现两种位置变化，具体为前上方和后下方方向。后牙种植体咬合不足的机制可能是牙齿伸长和下颌相对位置变化的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a10f/11711453/ed82f0a2d582/jap-16-358-g018.jpg
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