期刊文献+

种植体支持单冠被动触觉敏感度及影响因素初探

Preliminary study on tactile function of implant-supported single crowns
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摘要 目的检测种植体支持单冠6个正交方向的被动触觉阈限,分析其影响因素,以期指导临床个性化调猞。方法利用牙齿触觉功能数字测试系统,测试19例种植修复患者(年龄25~56岁,男性8例,女性11例)的24件种植体支持单冠(上颌前牙5件,后牙7件;下颌后牙12件)6个正交方向(即唇颊、舌、近中、远中4个水平方向,根方和冠方2个垂直向)的被动触觉阈限,以同颌对侧同名天然牙为对照牙。利用配对样本t检验判断种植体支持单冠和对照牙、不同测试时间点的差异,单因素方差分析判断不同方向、牙位及性别的差异,检验水准为双侧d=0.05。结果种植体支持单冠和对照天然牙的被动触觉阈限分别为(1282±709)和(40±40)mN,差异有统计学意义(P〈0.001);种植体支持单冠颊舌向、近远中向和垂直向的被动触觉阊限分别为(1334±696)、(1102±605)和(1412±791)mN,其中,近远中向与垂直向的差异有统计学意义(P〈0.05);上颌前牙、上颌后牙和下颌后牙种植体支持单冠的被动触觉阈限分别为(1003±616)、(1302±620)和(1386±769)mN,其中,上颌前后牙的差异有统计学意义(P〈0.05);男女种植体支持单冠的被动触觉阈限分别为(1751±784)和(946±393)mN,差异有统计学意义(P〈0.001);戴冠后1周和1个月种植体支持单冠的被动触觉阈限分别为(1421±826)和(1411±814)mN,差异无统计学意义(P〉0.05)。结论种植体支持单冠的被动触觉阈限为天然牙的数十倍。种植体支持单冠的被动触觉敏感度存在方向、牙位和男女差异。种植体支持单冠的被动触觉敏感度在戴冠后1个月之内无明显变化。 Objective To measure passive tactile threshold of implant-supported single crowns (ISSC) in six orthogonal orientations, to analyze impact factors, and to guide the ocelusal adjustment in a personalized manner. Methods The passive tactile thresholds of 24 implant-supported single crowns (5 maxillary anterior teeth, 7 maxillary posterior teeth and 12 mandibular posterior teeth) from 19 ISSC patients (8 men and 11 women, from 25 years old to 56 years old) were measured in six orthogonal orientations (four horizontal orientations of labial or buecal, lingual, mesial and distal, and two axial orientations of apical and coronal ) using a digital test system for tactile function of teeth. SPSS 19.0 for windows was used to analyze impact factors, using double-sided test, with a significance level of 0. 05. Paired-samples t test was used to test the difference between implant-supported single crowns and the controlled natural teeth, and between different time points. One-way ANOVA was used to test the difference between different orientations, maxilla-mandibular anterior-posterior, and men-women. Results The passive tactile thresholds of ISSC and control teeth were (1282 _± 709 ) and (40 _± 40 ) mN respectively. The difference was of statistical significance ( P 〈 0. 001 ) . The passive tactile thresholds of buccal-lingual, mesial-distal and axial of ISSC were ( 1334 ±696) , ( 1102 ±605) and ( 1412 ±791 )mN respectively, of which, the difference between mesial-distal and axial was of statistical significance ( P 〈 0. 05 ). The passive tactile thresholds of ISSC of maxillary anterior teeth, posterior teeth and mandibular posterior teeth were (1003 ± 616) , ( 1302 ± 620) and ( 1386 ± 769) mN respectively, of which, the difi'erenee between maxillary anterior teelh and posterior teeth was of statistical significance ( P 〈 O. 05 ) . The passive tactile thresholds of 1SSC of men and women were ( 1751 -784) anti (946 ± 393 )mN respectively, the difference was of statistical signiEeanee ( P 〈 0. 001 ). The passive tactile thresholds of ISSC of one-week and one-month after wearing the teeth were (1421 _± 826) and ( 1411 _± 814) mN respectively, the diIt;~renee was of no statistical significance (P 〉 0. 05 ). Conclusions The passive tactile threshold of ISSC was more than 65 times as much as/hat of the natural teeth. There was statistical significance between different orientations, between maxillary anterior and posterior teeth, and between men alld women. No statistical significance was found between maxillary and madibular posterior teeth and between one-week and one-month after wearing lhe teeth.
出处 《中华口腔医学杂志》 CAS CSCD 北大核心 2013年第8期458-461,共4页 Chinese Journal of Stomatology
基金 “十一五”国家科技支撑计划(2007BAI18806)
关键词 牙种植体 触觉 阈限值 Dental implants Touch Threshold limit values
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参考文献21

  • 1Hammerle CH, Wagner D, Bragger U, et al. Threshold of tactile sensitivity perceived with dental endosseous implants and natural teeth. Clin Oral Implants Res, 1995, 6(2) : 83-90.
  • 2Mericske-Stern R, Assal P, Mericske E, et al. Occlusal force and oral tactile sensibility measured in partially edentulous patients with ITI implants. Int J Oral Maxillofac Implants, 1995, 10(3) :345-353.
  • 3Keller D, Hammerle CH, Lang NP. Thresholds for tactile sensitivity perceived with dental implants remain unchanged during a healing phase of 3 months. Clin Oral Implants Res, 1996, 7(1): 48-54.
  • 4Enkling N, Nicolay C, Utz KH, et al. Tactile sensibility of single-tooth implants and natural teeth. Clin Oral Implants Res, 2007, 18(2) : 231-236.
  • 5Enkling N, Heussner S, Nicolay C, et at. Tactile sensibility of single-tooth implants and natural teeth under local anesthesia of the natural antagonistic teeth. Clin Implant Dent Relat Res, 2012, 14(2) : 273-280.
  • 6Jacobs R, van Steenberghe D. Comparison between implant-supported prostheses and teeth regarding passive threshold level. Int J Oral Maxillofac Implants, 1993, 8(5) : 549-554.
  • 7Jacobs R, van Steenberghe D. From osseoperception to implant-mediated sensory-motor interactions and related clinical implications. J Oral Rehabil, 2006, 33 (4): 282-292.
  • 8Jacobs R, van Steenberghe D. Role of periodontal ligament receptors in the tactile function of teeth: a review. J Periodontal Res, 1994, 29(3) : 153-167.
  • 9Grieznis L, Apse P, Blumfelds L. Passive tactile sensibility of teeth and osseointegrated dental implants in the maxilla. Stomatologija, 2010, 12(3) : 80-86.
  • 10北京大学口腔医学院.牙齿触觉功能数字测试系统:中国,201010236746.4.2010—12—15.http://www.sipo.gov.cn/zljs/.

二级参考文献25

  • 1罗晶,尹居中,吴昌竹,焦晓丽,杨玲.三叉神经痛的诱发电位和动作电位研究及其机制探讨[J].解放军医学杂志,1994,19(1):16-18. 被引量:1
  • 2王冠超,刘洪臣.牙周鲁菲尼小体的形态和结构[J].中华老年口腔医学杂志,2007,5(2):119-122. 被引量:4
  • 3Manly RS,Pfaffman C,Lathrop DD,et al.Oral sensory thresholds of persons with natural and artificial dentitions.J Dent Res,1952,31(3):305-312.
  • 4Johnsen SE,Trulsson M.Encoding of amplitude and rate of tooth loads by human periodontal afferents from premolar and molar teeth.J Neurophysiol,2005,93(4):1889-1897.
  • 5Koyano K,Kim YJ,Clark GT.Electromyographic signal changes during exercise in human chronic jaw-muscle pain.Arch Oral Biol,1995,40(3):221-227.
  • 6LindenRW,MillarBJ.Theresponsecharacteristicsof mechanoreceptors related to their position in the cat canine periodontal ligament Arch Oral Biol,1988,33(1):51-56.DOI:10.3760/cma.j.issn.1002-0098.2010-10.017.
  • 7Jacobs R,van Steenberghe D.Comparison between implantsupported prostheses and teeth regarding passive threshold level.Int J Oral Maxillofac Implants,1993,8(5):549-554.
  • 8Jacobs R,van Steenberghe D.Role of periodontal ligament receptors in the tactile function of teeth:a review.J Periodontal Res,1994,29(3):153-167.
  • 9van Steenberghe D,de Vries JH.Psychophysical threshold level of periodontal mechanoreceptors in man.Arch Oral Biol,1978,23(12):1041-1049.
  • 10van Steenberghe D,van den Bergh A,de Vries JH,et al.The influence of advanced periodontitis on the psychophysical threshold level of periodontal mechanoreceptors in man.J Periodontal Res,1981,16(2):199-204.

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