Clinical considerations for appropriate occlusion of implant restorations

임플란트 보철 교합의 임상적 고려 사항

  • Park, Young-Bum (Department of Prosthodontics, Yonsei University College of Dentistry)
  • 박영범 (연세대학교 치과대학 치과보철학교실)
  • Received : 2015.05.04
  • Accepted : 2015.05.27
  • Published : 2015.06.01

Abstract

The appropriate occlusion is one of the most important factors for the long-term success of implant and its restorations. The purpose of this review is to investigate and define occlusal considerations to reduce failure of implant prostheses. The physiological movement of implants is markedly lower than that of natural teeth and they also lack in occlusal sensitivity. Proper occlusal pattern may be assigned to compensate for the biological disadvantages and occlusal contacts must be formed where the cantilever effect is minimized. Moreover, the long-term success of implants after osseointegration can be assured by reducing early occlusal loading to avoid implant overloading and selecting appropriate occlusion material. Occlusal overload was brought by the number and location of occlusal contacts, which are under the clinician's control. The concept of implant occlusion is based on the concepts derived from traditional prosthetics. Moreover, there are few evidence on the concept or design of implant occlusion. Several occlusal design was recommended for implant prosthesis. Mutually protected occlusion, group function occlusion and bilateral balance occlusion was recommended for the specific types of implant restorations. This article reviews proper design of occlusion for implant restoration and offers occlusion strategy clinically.

Keywords

References

  1. 양재호. Prosthodontic Occlusal Rehabilitation. Journal of implant dentistry. 24(1), 2005. 70-83
  2. 이규복. 고정성 보철의 현대 임상교합. 대한치과의사협회, 대한치과의사협회지 46(4), 2008. 210-215
  3. Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Impl 2005; 16: 26-35.
  4. 허윤혁 등. 임플란트 보철물에 적용되는 교합형성의 원칙: 문헌고찰 대한구강악안면임플란트 학회지 14권 1호 2010. 4-13.
  5. Rilo B, da Silva JL, Mora MJ, Santana U. Guidelines for occlusion strategy in implant-borne prostheses. A review. International Dental Journal 2008; 58: 139-145. https://doi.org/10.1111/j.1875-595X.2008.tb00189.x
  6. Carlsson GE. Dental occlusion: modern concepts and their application in implant prosthodontics. Odontology 2009; 97: 8-17. https://doi.org/10.1007/s10266-008-0096-x
  7. Weinberg LA, Kruger B. The biomechanics of force distribution in implant-supported prostheses. Int J Oral Maxillofac Implants 1993; 8:19-31.
  8. Davies JE. Mechanisms of endosseous integration. Int J Prosthodont 1998;11:391-401.
  9. Strassburger C. Kerschbaum T. Heydecke G. Int J Prosthodont. 2006 Jul-Aug;19(4):339-48.
  10. 김태선 외. 임플란트 저작능에 영향을 주는 신경학적 원인에 대한 고찰. 구강회복응용과학지 2012:28(3):269-276
  11. Adell R, Lekholm U, Rockler B, Braemark. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. International Journal of Oral Surgery 1981; 10: 387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  12. Misch CE. 서울대학교 치과대학 보철학교실 역. Misch 치과 임플란트 보철학. 서울시: 지성출판사 2005 p.15-29, 472-507.
  13. 윤철희, 김대곤, 이양진, 조리라, 박찬진. 임플란트 보철의 교합 접촉 변화에 대한 임상적 평가. 대한악기능교합학회지 23(1): 21-30
  14. Kinsel RP, Lin D. Retrospective analysis of porcelain failures of metal ceramic crowns and fixed partial dentures supported by 729 implants in152 patients: patient-specific and implant-specific predictors of ceramic failure. J Prosthet Dent 2009; 101(6): 388-394. https://doi.org/10.1016/S0022-3913(09)60083-4