Journal of the Korean Academy of Esthetic Dentistry (대한심미치과학회지)

Korean Academy of Esthetic Dentistry (대한심미치과학회)
권호 표지
DOI QR코드

DOI QR Code

Considerations for minimizing food impaction after implant prosthesis: Adjacent and antagonistic teeth

임플란트 보철 후의 식편압입을 최소화하기 위한 고려사항: 인접치와 대합치

  • Lee-Ra, Cho (Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University)
  • 조리라 (강릉원주대학교 치과대학 보철학교실 및 구강과학연구소)
  • Received : 2022.12.02
  • Accepted : 2022.12.08
  • Published : 2022.12.15
Download PDF
⟨ Previous Next ⟩

Abstract

Food impaction due to proximal space opening after implant restoration is a very common phenomenon in patients who have implant prosthesis. This occurs because the movement mechanism between the implant and the tooth is different, and it occurs about 30-60% over time. Contributing factors include the arch (mandible), region (posterior teeth), adjacent teeth (non-vital teeth), and antagonist teeth (natural teeth or implants), etc. While this phenomenon cannot be prevented, efforts should be made to minimize it. In order to have an ideal proximal contact as much as possible, the concave shape or the prominent lower proximal shape should be modified to create a symmetrical proximal shape. with the buccal dentate in the upper third height should be adjusted. Other conditions should be modified so that the heights of the marginal ridges are similar. Since an irregular occlusal plane is a cause of poor prognosis, food impaction should be minimized by restoring the ideal occlusal plane by correcting the extruded antagonist and reduction of the disto-buccal cusp.

임플란트 수복 후 발생하는 인접면 공간개방으로 인한 식편압입은 임플란트를 시술한 환자에게 매우 흔히 발생하는 현상이다. 이는 임플란트와 치아의 움직임 기전이 달라 발생하며 시간이 경과하면 30-60% 정도 발생하는데, 기여요인으로는 악골(하악), 부위(구치부), 인접치(실활치) 및 대합치(자연치 또는 임플란트) 등이 있다. 이런 현상을 방지할 수는 없으나 최소화하기 위한 노력을 기울여야 한다. 가급적 이상적인 인접접촉을 가지도록 상부 1/3에 협설로 인접치와 대칭적인 인접면 형태를 만들어 주기 위해 오목한 형태나 하방이 풍융한 인접치 형태를 수정하고 수복할 때는 다른 조건을 수정하여 변연융선의 높이를 맞추어 주어야 한다. 불규칙한 교합평면은 예후를 나쁘게 하는 원인이므로 정출된 대합치를 수정하고 기능이상을 유발하는 원심협측 교두를 수정함으로써 이상적인 교합평면을 회복함으로써 식편압입 현상을 최소화시켜야 한다.

Keywords

References

  1. Craddock HL, Youngson CC, Manogue M, Blance A. Occlusal changes following posterior tooth loss in adults. Part 1: a study of clinical parameters associated with the extent and type of supraeruption in unopposed posterior teeth. J Prosthodont. 2007;16:485-494. https://doi.org/10.1111/j.1532-849X.2007.00212.x
  2. Craddock HL, Youngson CC, Manogue M, Blance A. Occlusal changes following posterior tooth loss in adults. Part 2. Clinical parameters associated with movement of teeth adjacent to the site of posterior tooth loss. J Prosthodont. 2007 ;16:495-501. https://doi.org/10.1111/j.1532-849x.2007.00223.x
  3. Craddock HL. Occlusal changes following posterior tooth loss in adults. Part 3. A study of clinical parameters associated with the presence of occlusal interferences following posterior tooth loss. J Prosthodont. 2008;17:25-30.
  4. 조리라. 임플란트 보철물의 식편압입: 교합적 원인분석과 대처. 대한치과의사협회지. 2014;52:491-505. https://doi.org/10.22974/JKDA.2014.52.8.005
  5. Mehanna S, Habre-Hallage P. Proximal contact alterations between implant- supported restorations and adjacent teeth in the posterior region: A 3-month prospective study. J Clin Exp Dent. 2021;13:e479-86. https://doi.org/10.4317/jced.57802
  6. Jemt T, Ahlberg G, Henriksson K, Bondevik O. Tooth movements adjacent to single-implant restorations after more than 15 years of follow-up. Int J Prosthodont. 2007;20:626-32.
  7. Wei H, Tomotake Y, Nagao K, Ichikawa T. Implant prostheses and adjacent tooth migration: preliminary retrospective survey using 3-dimensional occlusal analysis. Int J Prosthodont. 2008;21:302-4.
  8. Koori H, Morimoto K, Tsukiyama Y, Koyano K. Statistical analysis of the diachronic loss of interproximal contact between fixed implant prostheses and adjacent teeth. Int J Prosthodont 2010;23:535.40.
  9. Byun SJ, Heo SM, Ahn SG, Chang M. Analysis of proximal contact loss between implant-supported fixed dental prostheses and adjacent teeth in relation to influential factors and effects. A cross-sectional study. Clin Oral Implants Res. 2015 Jun;26:709-14. https://doi.org/10.1111/clr.12373
  10. Varthis S, Randi A, Tarnow D. Prevalence of interproximal open contacts between single-implant restorations and adjacent teeth. Int J Oral Maxillofac Implants 2016;31:1089.92.
  11. Pang NS, Suh CS, Kim KD, Park W, Jung BY. Prevalence of proximal contact loss between implant-supported fixed prostheses and adjacent natural teeth and its associated factors: a 7-year prospective study. Clin Oral Implants Res. 2017;28:1501-8. https://doi.org/10.1111/clr.13018
  12. Shi JY, Zhu Y, Gu YX, Lai HC. Proximal contact alterations between implant- supported restorations and adjacent natural teeth in the posterior region: a 1-year preliminary study. Int J Oral Maxillofac Implants. 2019;34:165-8. https://doi.org/10.11607/jomi.6870
  13. Oh WS, Oh J, Valcanaia AJ. Open proximal contact with implant-supported fixed prostheses compared with tooth-supported fixed prostheses: A systematic review and meta-analysis. Int J Oral Maxillofac Implants. 2020;30:e99-108.
  14. Bento VAA, Gomes JML, Lemos CAA, Limirio JPJO, Rosa CDDRD, Pellizzer EP. Prevalence of proximal contact loss between implant-supported prostheses and adjacent natural teeth: A systematic review and meta-analysis. J Prosthet Dent. 2021:S0022-3913(21)00333-4.
  15. Manicone PF, De Angelis P, Rella E, Papetti L, D'Addona A. Proximal Contact Loss in Implant-Supported Restorations: A Systematic Review and Meta-Analysis of Prevalence. J Prosthodont. 2022;31:201-9. https://doi.org/10.1111/jopr.13407
  16. Shin DW, Lee JH, Kim SY, Dong JK. Clinical study on the food impaction between implant prostheses and adjacent teeth. J Korean Acad Prosthodont. 2014;52:27-33. https://doi.org/10.4047/jkap.2014.52.1.27
  17. Moon S, Kim G, Cho S, Song J, Kim HJ. Effect of open proximal contact on adjacent tooth and implant. J Dent Rehabil Appl Sci. 2022. 38:9.17.
  18. Lee JH, Kweon HH, Choi SH, et al. Association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars: a long-term follow-up clinical and radiographic analysis. J Periodontal Implant Sci. 2016; 46: 396-404 https://doi.org/10.5051/jpis.2016.46.6.396
  19. Hirschfeld I. Food impaction. J Am Dent Assoc. 1930. 17:1504.28.
  20. 조리라, 박찬진. 손에 잡히는 국소의치: 가철성 보철. 2021. (주)예낭아이엔씨. pp177-80.
  21. Wright EF. Elimination of a food impaction problem in the posterior maxillary region. J Prosthet Dent. 1993;69:540-1. https://doi.org/10.1016/0022-3913(93)90171-J